PROMEDICA HEALTH SYSTEM INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: PROMEDICA HEALTH SYSTEM INC (EIN 34-1517671)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202033189349300628
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T06:41:09-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	341517671	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVEN M CAVANAUGH	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	4192525772	PhoneNum
Signature	2020-11-12	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	159.116.1.25	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-12	IPDt
IP Tm	15:14:47	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6C9B1A35775087DBDB8A6D25ECA509C7F6C27838	AtSubmissionCreationDeviceId
At Submission Filing Device Id	6C9B1A35775087DBDB8A6D25ECA509C7F6C27838	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVEN M CAVANAUGH	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$481,111,885	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2654	TotalEmployeeCnt
Total Volunteers	576	TotalVolunteersCnt
Total Gross UBI	$966,083	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$173,467,676	PYContributionsGrantsAmt
CY Contributions Grants	$4,231,236	CYContributionsGrantsAmt
PY Program Service Revenue	$286,923,935	PYProgramServiceRevenueAmt
CY Program Service Revenue	$420,344,098	CYProgramServiceRevenueAmt
PY Investment Income	$18,793,514	PYInvestmentIncomeAmt
CY Investment Income	$1,076,167	CYInvestmentIncomeAmt
PY Other Revenue	$2,270,238	PYOtherRevenueAmt
CY Other Revenue	$2,763,847	CYOtherRevenueAmt
PY Total Revenue	$481,455,363	PYTotalRevenueAmt
CY Total Revenue	$428,415,348	CYTotalRevenueAmt
PY Grants And Similar Paid	$38,148,846	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,863,254	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$173,958,487	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$168,338,041	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,386,531,315	PYOtherExpensesAmt
CY Other Expenses	$164,323,642	CYOtherExpensesAmt
PY Total Expenses	$1,598,638,648	PYTotalExpensesAmt
CY Total Expenses	$346,524,937	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,117,183,285	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$81,890,411	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,579,413,759	TotalAssetsBOYAmt
Total Assets EOY	$2,707,280,136	TotalAssetsEOYAmt
Total Liabilities BOY	$234,435,053	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$282,313,641	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,344,978,706	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,424,966,495	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BASED IN TOLEDO, OHIO, PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. IT IS GUIDED BY ITS CORE VALUES OF COMPASSION, INNOVATION, TEAMWORK, AND EXCELLENCE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$278,310,711	ExpenseAmt
Grant	$13,863,254	GrantAmt
Revenue	$421,669,938	RevenueAmt
Desc	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTHCARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O.	Desc
Total Program Service Expenses	$278,310,711	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	242	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2654	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BR	ForeignCountryCd
Foreign Country	CH	ForeignCountryCd
Foreign Country	CI	ForeignCountryCd
Foreign Country	EZ	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	HU	ForeignCountryCd
Foreign Country	ID	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	JA	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	NI	ForeignCountryCd
Foreign Country	PL	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	TU	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CONNIE DOWNS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5675858505	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RANDALL OOSTRA
PHS PRES. & CEO, EX OFFICIO	40.00	21.00	Yes (X)	Yes (X)	$3,848,858	$0	$938,751
ROBERT W LACLAIR
CHAIRMAN	1.00	10.00	Yes (X)	Yes (X)	$0	$0	$0
EMMETT T BOYLE JR MD
EX OFFICIO	1.00	46.00	Yes (X)		$0	$585,938	$27,531
STEPHANIE M COLE MD
TRUSTEE	1.00	41.00	Yes (X)		$0	$553,566	$26,205
PRAVEEN K TAMIRISA MD
TRUSTEE	1.00	40.00	Yes (X)		$0	$354,359	$17,591
MARY ELLEN K PIZZA MD
TRUSTEE	1.00	40.00	Yes (X)		$0	$187,990	$1,806
ANN M HUSTON
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
BRIAN KENNEDY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
DANIEL FARRELL
EX OFFICIO	1.00	1.00	Yes (X)		$0	$0	$0
DAVID SNAVELY
EX OFFICIO	1.00	6.00	Yes (X)		$0	$0	$0
ELIZABETH BRADY
EX OFFICIO	1.00	1.00	Yes (X)		$0	$0	$0
EMORY SCHMIDT
EX OFFICIO	1.00	6.00	Yes (X)		$0	$0	$0
EVON EBEID
TRUSTEE	1.00	6.00	Yes (X)		$0	$0	$0
HUSSIEN SHOUSHER
TRUSTEE	1.00	6.00	Yes (X)		$0	$0	$0
JAMES A HOFFMAN
EX OFFICIO	1.00	0.00	Yes (X)		$0	$0	$0
JAMES F WHITE JR
EX OFFICIO	1.00	2.00	Yes (X)		$0	$0	$0
KAREN S CALENDER RN
EX OFFICIO	1.00	2.00	Yes (X)		$0	$0	$0
KEVIN J SAUDER
EX OFFICIO	1.00	0.00	Yes (X)		$0	$0	$0
KURT L DARROW
EX OFFICIO	1.00	2.00	Yes (X)		$0	$0	$0
LARRY PETERSON
EX OFFICIO	1.00	1.00	Yes (X)		$0	$0	$0
LESLIE CHAPMAN
TRUSTEE	1.00	7.00	Yes (X)		$0	$0	$0
LISA A MCDUFFIE MSSA LISW-S
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
LISA HAWKER
EX OFFICIO	1.00	8.00	Yes (X)		$0	$0	$0
MARCY BROWN
TRUSTEE	1.00	8.00	Yes (X)		$0	$0	$0
MERCEDES T KERR
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL HYLANT
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL MCMURRAY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
NANCY KABAT
EX OFFICIO	1.00	8.00	Yes (X)		$0	$0	$0
PATRICK BOWE
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
PAUL JOHN FENTON MD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
SHANKHA MITRA
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
STEPHEN H STAELIN
EX OFFICIO	1.00	8.00	Yes (X)		$0	$0	$0
THOMAS J WINSTON
EX OFFICIO	1.00	1.00	Yes (X)		$0	$0	$0
WILLIAM MCDONNELL
TRUSTEE	1.00	8.00	Yes (X)		$0	$0	$0
STEVEN M CAVANAUGH
TREASURER (BEG 06/03/19)	1.00	60.00		Yes (X)	$0	$2,049,453	$6,413
JEFFREY KUHN
SECRETARY	40.00	21.00		Yes (X)	$1,542,825	$0	$255,983
MICHAEL BROWNING
TREASURER (THRU 06/03/19)	40.00	21.00		Yes (X)	$1,216,014	$0	$3,813
LEE W HAMMERLING MD
CHIEF ACADEMIC OFFICER, PRES.	40.00	4.00			$2,031,816	$0	$323,226	Yes (X)
KAREN STRAUSS
CHIEF OPERATING OFFICER	40.00	3.00			$1,784,023	$0	$211,595	Yes (X)
KEVIN C WEBB PHD
CHIEF ACUTE & POST ACUTE OFF	40.00	15.00			$1,375,143	$0	$235,820	Yes (X)
LORI JOHNSTON
PRES, PROMEDICA INSURANCE COR	40.00	1.00			$1,239,710	$0	$205,565	Yes (X)
ROBIN WHITNEY
CHIEF STRATEGIC PLANNING & REAL ESTATE	40.00	3.00			$443,791	$0	$35,067	Yes (X)
LESLIE THOMPSON
CHIEF HUMAN RESOURCE OFFICER	40.00	0.00			$400,930	$0	$35,515	Yes (X)
HOLLY BRISTOLL
CHIEF INT OFFICER ACADEMIC AFF	40.00	2.00			$781,586	$0	$160,719		Yes (X)
DANIEL K CASSAVAR MD
PHYSICIAN	40.00	0.00			$676,200	$0	$22,618		Yes (X)
KENT BISHOP
CMO PROMEDICA PHYSICIANS AND ACUTE CARE	40.00	2.00			$593,064	$20,842	$35,108		Yes (X)
JOHN RANDOLPH
CHIEF INFO OFFICER	40.00	0.00			$610,700	$0	$17,249		Yes (X)
NEERAJ K KANWAL MD
SR VP, INPT & RETAIL PHARMACY	40.00	2.00			$524,931	$0	$40,223		Yes (X)
GARY W AKENBERGER
FORMER OFFICER	0.00	49.00			$450,803	$0	$44,563			Yes (X)
ALAN M SATTLER
FORMER OFFICER	40.00	0.00			$347,990	$0	$44,375			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,868,384	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,752,148	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,689,736	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	195	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRIMEDX INC
5451 LAKEVIEW PARKWAY S DRIVE	INDIANAPOLIS	IN	46268	HEALTHCARE EQUIPMENT SERVICES	$21,762,799
REINO LINEN SERVICES INC
119 SOUTH MAIN ST	GIBSONBURG	OH	43431	LINEN SERVICES	$6,365,357
MICROSOFT LICENSING GP
6100 NEIL RD	RENO	NV	89511	SOFTWARE LICENSING	$4,368,813
SODEXO AMERICA INC DBA SODEXO INC & AFFI
4880 PAYSPHERE CR	CHICAGO	IL	60674	FOOD SERVICES	$4,365,844
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	EHR SOFTWARE	$3,296,557

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	157	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$45,596	FederatedCampaignsAmt
Related Organizations	$3,923,574	RelatedOrganizationsAmt
Government Grants	$262,066	GovernmentGrantsAmt
Total Contributions	$4,231,236	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ADMIN SUPPORT SERVICES	551114	$332,424,878	$332,180,878	$244,000
INVESTMENT IN AFFILIAT	551114	$87,680,904	$87,680,904
CPR TRAINING CENTER	900099	$140,293	$140,293
COMMUNITY WELLNESS	900099	$97,823	$97,823
EDUCATION	900099	$200	$200

Field	Value	IRS element (for citing)
Total Program Service Revenue	$420,344,098	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,004,475	TotalRevenueColumnAmt
Unrelated Business Revenue	-$384,843	UnrelatedBusinessRevenueAmt
Exclusion	$1,389,318	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,214,393	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,191,442	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$22,951	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,951	TotalRevenueColumnAmt
Exclusion	$22,951	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,376,743	SecuritiesAmt
Other	$44,200,044	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,240,921	SecuritiesAmt
Other	$44,264,174	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$135,822	SecuritiesAmt
Other	-$64,130	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,692	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$64,130	RelatedOrExemptFuncIncomeAmt
Exclusion	$135,822	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
DIETARY	722514	$821,172	$342,832	$478,340
PARKING	812930	$776,182	$147,596	$628,586
MEDICAL RECORDS	900099	$323,379	$323,379

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$820,163	TotalRevenueColumnAmt
Related Or Exempt Func Income	$820,163	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,740,896	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$428,415,348	TotalRevenueColumnAmt
Related Or Exempt Func Income	$421,669,938	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$966,083	UnrelatedBusinessRevenueAmt
Exclusion	$1,548,091	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,863,254	TotalAmt
Program Services	$13,863,254	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$16,128,443	TotalAmt
Program Services	$12,902,754	ProgramServicesAmt
Management And General	$3,225,689	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$121,360,182	TotalAmt
Program Services	$97,088,146	ProgramServicesAmt
Management And General	$24,272,036	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,334,845	TotalAmt
Program Services	$1,867,876	ProgramServicesAmt
Management And General	$466,969	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,688,224	TotalAmt
Program Services	$16,550,579	ProgramServicesAmt
Management And General	$4,137,645	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,826,347	TotalAmt
Program Services	$6,261,078	ProgramServicesAmt
Management And General	$1,565,269	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,500	TotalAmt
Program Services	$5,200	ProgramServicesAmt
Management And General	$1,300	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$491,216	TotalAmt
Management And General	$491,216	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,581,321	TotalAmt
Management And General	$1,581,321	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$143,860	TotalAmt
Program Services	$143,860	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$65,789	TotalAmt
Management And General	$65,789	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,911,201	TotalAmt
Program Services	$8,728,961	ProgramServicesAmt
Management And General	$2,182,240	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,829,905	TotalAmt
Program Services	$3,863,924	ProgramServicesAmt
Management And General	$965,981	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,625,786	TotalAmt
Program Services	$6,100,629	ProgramServicesAmt
Management And General	$1,525,157	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$41,933,354	TotalAmt
Program Services	$33,546,683	ProgramServicesAmt
Management And General	$8,386,671	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,889,628	TotalAmt
Program Services	$6,311,702	ProgramServicesAmt
Management And General	$1,577,926	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,641,094	TotalAmt
Program Services	$1,312,875	ProgramServicesAmt
Management And General	$328,219	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,172,710	TotalAmt
Program Services	$4,938,168	ProgramServicesAmt
Management And General	$1,234,542	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,912,042	TotalAmt
Program Services	$27,129,634	ProgramServicesAmt
Management And General	$6,782,408	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
ACADEMIC AFFILIATION	$36,648,228	$29,318,582	$7,329,646
MINOR EQUIPMENT	$3,002,075	$2,401,660	$600,415
EMPLOYEE GIFTS & AWARDS	$1,260,629	$1,008,503	$252,126
UBI TAXES	$13,000	$13,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,195,304	TotalAmt
Program Services	$4,953,643	ProgramServicesAmt
Management And General	$1,241,661	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$346,524,937	TotalAmt
Program Services	$278,310,711	ProgramServicesAmt
Management And General	$68,214,226	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$19,576,423	BOYAmt
EOY	$2,451,472	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$500,000	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,026,035	BOYAmt
EOY	$2,574,646	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,366,384	BOYAmt
EOY	$10,503,084	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$124,338	BOYAmt
EOY	$452,044	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$33,627,953	BOYAmt
EOY	$27,670,221	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$350,183,992	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$140,969,925	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$235,415,297	BOYAmt
EOY	$209,214,067	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$39,514,017	BOYAmt
EOY	$33,376,251	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$65,208,055	BOYAmt
EOY	$74,765,403	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$1,132,192	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,172,555,257	BOYAmt
EOY	$2,344,640,756	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,579,413,759	BOYAmt
EOY	$2,707,280,136	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$97,553,903	BOYAmt
EOY	$92,439,101	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,025,918	BOYAmt
EOY	$5,449,595	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$127,855,232	BOYAmt
EOY	$182,424,945	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$234,435,053	BOYAmt
EOY	$282,313,641	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,324,638,221	BOYAmt
EOY	$2,404,159,784	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,340,485	BOYAmt
EOY	$20,806,711	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,344,978,706	BOYAmt
EOY	$2,424,966,495	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,579,413,759	BOYAmt
EOY	$2,707,280,136	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$81,890,411	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$799,318	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,701,940	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	17	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (17 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
BAY PARK COMMUNITY HOSPITAL
341883132	3	0	$0	$0
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
386108110	3	0	$0	$0
DEFIANCE HOSPITAL INC
344446484	3	0	$0	$0
EMMA L BIXBY MEDICAL CENTER
382796005	3	0	$0	$0
FOSTORIA HOSPITAL ASSOCIATION
340898745	3	0	$0	$0
HERRICK MEMORIAL HOSPITAL INC
383049015	3	0	$0	$0
MEMORIAL HOSPITAL
344430849	3	0	$0	$0
MERCY MEMORIAL HOSPITAL CORPORATION
381984289	3	0	$0	$0
THE TOLEDO HOSPITAL
344428256	3	0	$0	$0
KAITLYN'S COTTAGE INC
454781053	10	0	$0	$0
LENAWEE LONG TERM CARE
382879330	10	0	$0	$0
MONROE COMMUNITY HEALTH SERVICES
382934134	10	0	$0	$0
PROMEDICA CONTINUING CARE SERVICES CORPORATION
344492440	10	0	$0	$0
PROMEDICA PHYSICIAN GROUP
341899439	10	0	$0	$0
TOLEDO DISTRICT NURSE ASSOCIATION
344427949	10	0	$0	$0
VISITING NURSE HOSPICE AND HEALTH CARE
341831624	10	0	$0	$0
HCR MANORCARE INC
825373223	10	0	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	17	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, SECTION A, LINE 1:

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

PART IV, SECTION C, LINE 1

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$143,860	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$143,860	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PROMEDICA HEALTH SYSTEM, INC. PAID FEES TO STRATEGIC HEALTH CARE - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$165,857	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$15,511,470	OtherCostOrOtherBasisAmt
Book Value	$15,677,327	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$8,568,196	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$71,729,698	OtherCostOrOtherBasisAmt
Depreciation	$10,039,493	DepreciationAmt
Book Value	$70,258,401	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,884,460	OtherCostOrOtherBasisAmt
Depreciation	$1,649,375	DepreciationAmt
Book Value	$2,235,085	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,301,148	OtherCostOrOtherBasisAmt
Depreciation	$128,314,360	DepreciationAmt
Book Value	$110,986,788	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,023,163	OtherCostOrOtherBasisAmt
Depreciation	$966,697	DepreciationAmt
Book Value	$10,056,466	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$209,214,067	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN AFFILIATES	$2,048,339,639
DUE FROM AFFILIATES	$184,508,745
OTHER SEGREGATED INVESTMENTS	$139,831
OTHER NON-CURRENT ASSETS	$35,546,552
OTHER RECEIVABLES	$9,581,106
BENEFICIAL INTEREST IN FOUNDATION	$20,820,923
DEFERRED COMPENSATION	$45,703,960

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,344,640,756	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$134,051,520
DEFERRED COMPENSATION	$37,768,028
MALPRACTICE TAIL LIABILITY	$3,660,265
ASSET REMEDIATON OBLIGATION	$6,211,676
OPERATING LEASE LIABILITIES	$733,456

Field	Value	IRS element (for citing)
Total Liability	$182,424,945	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
EAST ASIA AND THE PACIFIC	0	0	UNRELATED TRADE OR BUSINESS	$50,798
SOUTH ASIA	0	0	UNRELATED TRADE OR BUSINESS	$11,912

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$62,710	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$62,710	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	THE EXPENDITURES REPORTED IN COLUMN (F) WERE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.
PART III ACCOUNTING METHOD:

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (90 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
577 FOUNDATION
577 E FRONT ST	PERRYSBURG	OH	43551	341591869	501(C)(3)	$5,000	CHARITABLE DONATION
AARP FOUNDATION
601 E STREET NW A4-403	WASHINGTON	DC	20049	520794300	501(C)(3)	$9,522	CHARITABLE DONATION
ADRIAN COLLEGE
110 SOUTH MADISON	ADRIAN	MI	49221	381357980	501(C)(3)	$10,800	CHARITABLE DONATION
ALZHEIMERS ASSOCIATION
2500 N REYNOLDS RD	TOLEDO	OH	43615	341423768	501(C)(3)	$15,000	CHARITABLE DONATION
AMERICAN CANCER SOCIETY
135 CHESTERFIELD STE 100	MAUMEE	OH	43537	131788491	501(C)(3)	$22,500	CHARITABLE DONATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$20,000	CHARITABLE DONATION
AMERICAN RED CROSS
PO BOX 73013	CHICAGO	IL	60673	311352067	501(C)(3)	$25,000	CHARITABLE DONATION
ARTS COMMISSION OF GREATER TOL
1838 PARKWOOD AVE	TOLEDO	OH	43604	341358701	501(C)(3)	$260,000	CHARITABLE DONATION
AXESSPOINTE COMMUNITY HEALTH CENTER INC
1400 S ARLINGTON ST STE 38	AKRON	OH	44306	341735884	501(C)(3)	$27,828	CHARITABLE DONATION
BLACK SWAMP BIRD OBSERVATORY
13551 WEST STATE ROUTE 2	OAK HARBOR	OH	43449	341702076	501(C)(3)	$7,500	CHARITABLE DONATION
BOYS AND GIRLS CLUBS OF TOLEDO
2250 N DETROIT AVE	TOLEDO	OH	43606	344427933	501(C)(3)	$6,250	CHARITABLE DONATION
CHERRY STREET MISSION
105 17TH ST	TOLEDO	OH	43604	341133369	501(C)(3)	$5,000	CHARITABLE DONATION
CITY OF FOSTORIA
PO BOX 1007	FOSTORIA	OH	44830	824733173	GOV'T ENTITY	$7,143	CHARITABLE DONATION
CITY OF TOLEDO
ONE GOVERNMENT CENTER SUITE 2100	TOLEDO	OH	43804	346401447	GOV'T ENTITY	$28,000	CHARITABLE DONATION
CLEATS UP LLC
145 CHESTERFIELD LANE	MAUMEE	OH	43537	824733173		$5,000	CHARITABLE DONATION
COMMITTEE FOR CHILDREN
PO BOX 2202	TOLEDO	OH	43603	831318481	501(C)(3)	$10,500	CHARITABLE DONATION
COMPASS COMMUNITY HEALTH
1634 11TH STREET	PORTSMOUTH	OH	45662	455385046	501(C)(3)	$22,000	CHARITABLE DONATION
COMPASSION HEALTH TOLEDO
1638 BROADWAY ST	TOLEDO	OH	43609	473197108	501(C)(3)	$50,000	CHARITABLE DONATION
CROSSROAD HEALTH CENTER
5 EAST LIBERTY	CINCINNATI	OH	45202	311321054	501(C)(3)	$44,928	CHARITABLE DONATION
CROSWELL OPERA HOUSE
129 E MAUMEE ST	ADRIAN	MI	49221	386144993	501(C)(3)	$5,000	CHARITABLE DONATION
DEFIANCE COLLEGE
701 N CLINTON ST	DEFIANCE	OH	43512	344430762	501(C)(3)	$5,000	CHARITABLE DONATION
ERNST & YOUNG LLP
200 PLAZA DR SUITE 2222	SECAUCUS	NJ	07094	346565596		$40,000	CHARITABLE DONATION
FAIRFIELD COMMUMITY HEALTH CENTER
207 SOUTH BROAD ST	LANCASTER	OH	43130	271092132	501(C)(3)	$39,881	CHARITABLE DONATION
FAMILY MEDICAL CENTER OF MICH
8765 LEWIS AVE	TEMPERANCE	MI	48182	382308659	501(C)(3)	$5,000	CHARITABLE DONATION
FIVE RIVERS HEALTH CENTERS
2261 PHILADELPHIA DR STE 200	DAYTON	OH	45406	450914398	501(C)(3)	$500,000	CHARITABLE DONATION
GABBY'S LADDER
431 E ELM AVE	MONROE	MI	48162	383564824	501(C)(3)	$10,875	CHARITABLE DONATION
GIVEHEAR
130 WEST MAIN STREET	FORT WAYNE	IN	46802	452803181	501(C)(3)	$25,000	CHARITABLE DONATION
GOOD GRIEF OF NORTHWEST
7015 SPRING MEADOWS DRIVE WEST	HOLLAND	OH	43528	460765319	501(C)(3)	$15,000	CHARITABLE DONATION
HISTORIC SOUTH INITIATIVE
PO BOX 1008	TOLEDO	OH	43697	471691856	501(C)(3)	$6,600	CHARITABLE DONATION
HOPE COMMUNITY CENTER
431 BAKER ST	ADRIAN	MI	49221	382177974	501(C)(3)	$10,000	CHARITABLE DONATION
HYLANT FAMILY FOUNDATION
PO BOX 1687	TOLEDO	OH	43603	464379091	501(C)(3)	$7,500	CHARITABLE DONATION
INVERNESS CLUB
4601 DORR STREET	TOLEDO	OH	43615	344269760	501(C)(3)	$30,000	CHARITABLE DONATION
JUMPSTART INC
6701 CARNEGIE AVE STE 100	CLEVELAND	OH	44103	341398522	501(C)(3)	$175,000	CHARITABLE DONATION
LENAWEE COMMUNITY FOUNDATION
606 N EVANS ST	TECUMSEH	MI	49286	386095474	501(C)(3)	$31,340	CHARITABLE DONATION
LEUKEMIA & LYMPHOMA SOCIETY
23297 COMMERCE PARK	CLEVELAND	OH	44122	135644916	501(C)(3)	$26,100	CHARITABLE DONATION
LIMA MEMORIAL HOSPITAL
1001 BELLEFONTAINE AVE	LIMA	OH	45804	341883284	501(C)(3)	$25,000	CHARITABLE DONATION
LOCAL INITIATIVES SUPPORT CORP
245 N SUPERIOR	TOLEDO	OH	43604	133030229	501(C)(3)	$12,500	CHARITABLE DONATION
LOWER LIGHTS CHRISTIAN
1160 WEST BROAD ST	COLUMBUS	OH	43222	311810355	501(C)(3)	$249,500	CHARITABLE DONATION
LPGA TOURNAMENT PROPERTIES ONE LLC
100 INTERNATIONAL GOLF DRIVE	DAYTONA BEACH	FL	32124	621370922		$104,894	CHARITABLE DONATION
LUCAS COUNTY SHERIFF'S OFFICE DRUG ABUSE REPONSE TEAM INC
1622 SPIELBUSCH AVE	TOLEDO	OH	43604	815075376	501(C)(3)	$15,000	CHARITABLE DONATION
LUCAS COUNTY TREASURER
ONE GOVERNMENT CENTER STE 800	TOLEDO	OH	43604	346400806	GOV'T ENTITY	$15,000	CHARITABLE DONATION
MARCH OF DIMES
1500 W 3RD AVE STE 303	COLUMBUS	OH	43212	314414879	501(C)(3)	$17,110	CHARITABLE DONATION
MIRACLE LEAGUE OF NW OHIO
843 ELK RIDGE DRIVE	NORTHWOOD	OH	43619	204979084	501(C)(3)	$25,000	CHARITABLE DONATION
MONROE COUNTY CHAMBER OF COMMERCE
PO BOX 626	MONROE	MI	48161	381566376	501(C)(3)	$5,500	CHARITABLE DONATION
MONROE STREET NEIGHBORHOOD CENTER
3613 MONROE	TOLEDO	OH	43606	341925952	501(C)(3)	$5,000	CHARITABLE DONATION
NAMI OF GREATER TOLEDO
2753 WEST CENTRAL AVE	TOLEDO	OH	43606	341723306	501(C)(3)	$5,000	CHARITABLE DONATION
NATIONAL MUSEUM OF THE GREAT LAKES
1707 FRONT ST	TOLEDO	OH	43605	356549217	501(C)(3)	$7,500	CHARITABLE DONATION
NEIGHBORHOOD HEALTH CARE
2415 AUBURN AVE	CINCINNATI	OH	45219	341300581	501(C)(3)	$99,058	CHARITABLE DONATION
OHIO CANCER RESEARCH ASSOCIATE
85 E GAY ST 700	COLUMBUS	OH	43215	311038309	501(C)(3)	$10,000	CHARITABLE DONATION
ONE YOGA LLC
3007 VALLEY VIEW DRIVE	OTTAWA HILLS	OH	43606	680605274		$25,000	CHARITABLE DONATION
OPEN DOOR MINISTRY
2825 CHERRY ST	TOLEDO	OH	43608	341555495	501(C)(3)	$25,000	CHARITABLE DONATION
OTTAWA HILLS FOUNDATION
2125 RICHARDS RD	TOLEDO	OH	43606	341476780	501(C)(3)	$37,625	CHARITABLE DONATION
PRIMARYONE HEALTH
1800 WATERMARK DR STE 420	COLUMBUS	OH	43215	311533908	501(C)(3)	$379,723	CHARITABLE DONATION
PROMEDICA FOUNDATION
444 N SUMMIT STREET	TOLEDO	OH	43604	341517672	501(C)(3)	$3,139,163	OPERATING GRANT
REGIONAL GROWTH PARTNERSHIP
300 MADISON AVE STE 270	TOLEDO	OH	43604	341823833	501(C)(3)	$100,000	CHARITABLE DONATION
RIDGEWAY CHURCH OF THE NAZARENE
6886 RIDGE HWY	BRITTON	MI	49229	237454511	501(C)(3)	$5,000	CHARITABLE DONATION
RONALD MCDONALD HOUSE OF NW OH
3883 MONROE ST	TOLEDO	OH	43606	341349742	501(C)(3)	$253,650	CHARITABLE DONATION
RUTHERFORD B HAYES PRESIDENTAL CENTER
SPIEGEL GROVE	FREMONT	OH	43420	346502740	501(C)(3)	$10,500	CHARITABLE DONATION
SCHEDEL ARBORETUM & GARDENS
19255 W PORTAGE RIVER S RD	ELMORE	OH	43416	346557721	501(C)(3)	$7,500	CHARITABLE DONATION
SEAGATE CONVENTION CENTRE RENOVATIONS
401 JEFFERSON AVE	TOLEDO	OH	43604	341388178	501(C)(3)	$5,000,000	CHARITABLE DONATION
SHARE THE WARMTH
PO BOX 726	ADRIAN	MI	49221	815143616	501(C)(3)	$5,560	CHARITABLE DONATION
SISTERS SERVANTS OF THE IMMACULATE HEART OF MARY
610 WEST ELM AVENUE	MONROE	MI	48162	381359581	501(C)(3)	$5,500	CHARITABLE DONATION
ST FRANCIS DE SALES HIGH SCHOOL
2323 W BANCROFT ST	TOLEDO	OH	43607	344465715	501(C)(3)	$450,000	CHARITABLE DONATION
ST MARY CATHOLIC CENTRAL ENDOWMENT FUND
108 WEST ELM AVE	MONROE	MI	48162	237312553	501(C)(3)	$15,750	CHARITABLE DONATION
ST URSULA ACADEMY
4025 INDIAN RD	TOLEDO	OH	43606	340873639	501(C)(3)	$14,000	CHARITABLE DONATION
SUSAN G KOMEN BREAST CANCER FOUNDATION INC
PO BOX 8489	TOLEDO	OH	43612	341793460	501(C)(3)	$20,500	CHARITABLE DONATION
SYLVANIA YOUTH HOCKEY INC
7060 SYLVANIA AVE	SYLVANIA	OH	43560	462859736	501(C)(3)	$5,000	CHARITABLE DONATION
THE TOLEDO SYMPHONY
1838 PARKWOOD AVE	TOLEDO	OH	43697	344005365	501(C)(3)	$153,504	CHARITABLE DONATION
THE VICTORY CENTER
5532 W CENTRAL AVE STE B	TOLEDO	OH	43615	341767997	501(C)(3)	$10,900	CHARITABLE DONATION
TOLEDO 2020
PO BOX 520	TOLEDO	OH	43606	833043641	501(C)(3)	$20,000	CHARITABLE DONATION
TOLEDO AIR SHOW FOUNDATION INC
ONE SEAGATE SUITE 2650	TOLEDO	OH	43604	811585020	501(C)(3)	$25,000	CHARITABLE DONATION
TOLEDO CLASSIC INC
4405 DORR ST	TOLEDO	OH	43607	341499072	501(C)(3)	$30,000	CHARITABLE DONATION
TOLEDO CLUB
PO BOX 565	TOLEDO	OH	43604	341750385		$101,000	CHARITABLE DONATION
TOLEDO COMMUNITY FOUNDATION
300 MADISON AVE STE 1300	TOLEDO	OH	43604	237284004	501(C)(3)	$683,917	CHARITABLE DONATION
TOLEDO CULTURAL ARTS CENTER
410 ADAMS ST	TOLEDO	OH	43604	341385037	501(C)(3)	$25,000	CHARITABLE DONATION
TOLEDO MUSEUM OF ART
2445 MONROE ST	TOLEDO	OH	43620	344434678	501(C)(3)	$300,500	CHARITABLE DONATION
TOLEDO OPERA
406 ADAMS ST	TOLEDO	OH	43604	346556139	501(C)(3)	$77,500	CHARITABLE DONATION
TOLEDO PHYSICIANS OF INDIAN ORIGIN
PO BOX 27	MAUMEE	OH	43537	824385037	501(C)(3)	$10,000	CHARITABLE DONATION
TOLEDO PUBLIC SCHOOLS FND
420 E MANHATTAN BLVD ROOM 110	TOLEDO	OH	43608	346401449	501(C)(3)	$210,000	CHARITABLE DONATION
TOLEDO ROADRUNNERS CLUB
PO BOX 5656	TOLEDO	OH	43613	341237238	501(C)(3)	$15,000	CHARITABLE DONATION
TOLEDO ROWING CLUB
8 MAIN ST	TOLEDO	OH	43605	341899756	501(C)(3)	$5,000	CHARITABLE DONATION
TOTAL PACKAGE GLOBAL
3450 W CENTRAL AVE	TOLEDO	OH	43606	999999999		$5,000	CHARITABLE DONATION
TRULYTOLEDO INC
5800 MONROE STREET	SYLVANIA	OH	43560	841745754	501(C)(3)	$10,000	CHARITABLE DONATION
UNISON BEHAVIORAL HEALTH GROUP
1425 STARR AVE	TOLEDO	OH	43605	341103536	501(C)(3)	$5,000	CHARITABLE DONATION
UNITED WAY OF GREATER TOLEDO
424 JACKSON ST	TOLEDO	OH	43604	344427947	501(C)(3)	$10,000	CHARITABLE DONATION
UNIVERSITY OF TOLEDO
2801 W BANCROFT	TOLEDO	OH	43606	346401483	501(C)(3)	$107,775	CHARITABLE DONATION
VEDANTA SOCIETY OF ST LOUIS
205 S SKINKER BLVD	ST LOUIS	MO	63105	436053079	501(C)(3)	$10,750	CHARITABLE DONATION
YMCA
1226 WOODSDALE PK	TOLEDO	OH	43614	344428262	501(C)(3)	$7,000	CHARITABLE DONATION
YWCA
1018 JEFFERSON AVE	TOLEDO	OH	43624	344428265	501(C)(3)	$17,125	CHARITABLE DONATION
ZEST OF TOLEDO INC
953 PHILLIPS AVE	TOLEDO	OH	43612	824401053	501(C)(3)	$10,000	CHARITABLE DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	84	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AS THE PARENT COMPANY 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

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RANDALL OOSTRA
PHS PRES. & CEO, EX OFFICIO	$1,952,660	$0	$1,856,635	$0	$39,563	$0	$919,062	$0	$19,689	$0	$4,787,609	$0	$0	$0
EMMETT T BOYLE JR MD
EX OFFICIO	$0	$562,876	$0	$0	$0	$23,062	$0	$0	$0	$27,531	$0	$613,469	$0	$0
STEPHANIE M COLE MD
TRUSTEE	$0	$489,851	$0	$62,195	$0	$1,520	$0	$0	$0	$26,205	$0	$579,771	$0	$0
PRAVEEN K TAMIRISA MD
TRUSTEE	$0	$324,765	$0	$0	$0	$29,594	$0	$0	$0	$17,591	$0	$371,950	$0	$0
MARY ELLEN K PIZZA MD
TRUSTEE	$0	$103,424	$0	$71,294	$0	$13,272	$0	$0	$0	$1,806	$0	$189,796	$0	$0
STEVEN M CAVANAUGH
TREASURER (BEG 06/03/19)	$0	$1,277,261	$0	$772,192	$0	$0	$0	$0	$0	$6,413	$0	$2,055,866	$0	$0
JEFFREY KUHN
SECRETARY	$645,968	$0	$843,953	$0	$52,904	$0	$239,428	$0	$16,555	$0	$1,798,808	$0	$0	$0
MICHAEL BROWNING
TREASURER (THRU 06/03/19)	$514,787	$0	$677,898	$0	$23,329	$0	$0	$0	$3,813	$0	$1,219,827	$0	$0	$0
LEE W HAMMERLING MD
CHIEF ACADEMIC OFFICER, PRES.	$679,231	$0	$1,286,134	$0	$66,451	$0	$300,014	$0	$23,212	$0	$2,355,042	$0	$0	$0
KAREN STRAUSS
CHIEF OPERATING OFFICER	$839,722	$0	$893,246	$0	$51,055	$0	$191,906	$0	$19,689	$0	$1,995,618	$0	$0	$0
KEVIN C WEBB PHD
CHIEF ACUTE & POST ACUTE OFF	$578,513	$0	$783,928	$0	$12,702	$0	$219,114	$0	$16,706	$0	$1,610,963	$0	$0	$0
LORI JOHNSTON
PRES, PROMEDICA INSURANCE COR	$428,341	$0	$759,397	$0	$51,972	$0	$177,722	$0	$27,843	$0	$1,445,275	$0	$0	$0
ROBIN WHITNEY
CHIEF STRATEGIC PLANNING & REAL ESTA	$324,800	$0	$91,900	$0	$27,091	$0	$10,609	$0	$24,458	$0	$478,858	$0	$0	$0
LESLIE THOMPSON
CHIEF HUMAN RESOURCE OFFICER	$295,512	$0	$100,000	$0	$5,418	$0	$7,538	$0	$27,977	$0	$436,445	$0	$0	$0
HOLLY BRISTOLL
CHIEF INT OFFICER ACADEMIC AFF	$313,017	$0	$460,646	$0	$7,923	$0	$133,371	$0	$27,348	$0	$942,305	$0	$0	$0
DANIEL K CASSAVAR MD
PHYSICIAN	$0	$0	$135,200	$0	$541,000	$0	$0	$0	$22,618	$0	$698,818	$0	$0	$0
KENT BISHOP
CMO PROMEDICA PHYSICIANS AND ACUTE C	$502,953	$20,292	$41,800	$0	$48,311	$550	$14,000	$0	$20,937	$171	$628,001	$21,013	$0	$0
JOHN RANDOLPH
CHIEF INFO OFFICER	$0	$0	$114,300	$0	$496,400	$0	$0	$0	$17,249	$0	$627,949	$0	$0	$0
NEERAJ K KANWAL MD
SR VP, INPT & RETAIL PHARMACY	$427,545	$0	$93,400	$0	$3,986	$0	$18,431	$0	$21,792	$0	$565,154	$0	$0	$0
GARY W AKENBERGER
FORMER OFFICER	$355,163	$0	$90,077	$0	$5,563	$0	$22,535	$0	$22,028	$0	$495,366	$0	$0	$0
ALAN M SATTLER
FORMER OFFICER	$198,731	$0	$139,306	$0	$9,953	$0	$17,597	$0	$26,778	$0	$392,365	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS 1 KEY EMPLOYEE - INCLUDED IN TAXABLE COMPENSATION HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE 1 KEY EMPLOYEE - INCLUDED IN TAXABLE COMPENSATION PERSONAL SERVICES 2 OFFICERS - INCLUDED IN TAXABLE COMPENSATION 5 KEY EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 2 FORMER OFFICERS - INCLUDED IN TAXABLE COMPENSATION
PART I, LINES 4A-B	UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: DANIEL CASSAVAR $541,000.20 JOHN RANDOLPH $496,400.06 ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: LEE W. HAMMERLING, M.D. $30,501.27
PART I, LINE 7	AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE ENGAGEMENT; 3) GROWTH; 4) QUALITY AND SAFETY; AND 5) PROFITABILITY.
SCHEDULE J, SUPPLEMENTAL INFORMATION:	IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	RANDALL OOSTRA	PersonNm
Relationship With Org	PRESIDENT AND CEO	RelationshipWithOrgTxt
Loan Purpose	LIFE INSURANCE PREMIUM PAYMENTS	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$2,574,646	OriginalPrincipalAmt
Balance Due	$2,574,646	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$2,574,646	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KRISTINA EBEID
FAMILY MEMBER OF EVON EBEID (TRUSTEE)	$60,196	EMPLOYMENT	0
JUSTIN HAMMERLING
FAMILY MEMBER OF LEE W. HAMMERLING, MD (KEY EMPLOYEE)	$156,558	EMPLOYMENT	0
TAD PETERSON
FAMILY MEMBER OF LARRY C. PETERSON (TRUSTEE)	$41,060	EMPLOYMENT	0
CAITLIN OOSTRA
FAMILY MEMBER OF RANDALL OOSTRA (PRESIDENT, EX OFFICIO)	$54,275	EMPLOYMENT	0
JOHN-CLAUDE ACAMPA
FAMILY MEMBER OF DAVID A. SNAVELY (TRUSTEE)	$78,246	EMPLOYMENT	0
THOMAS SNAVELY
FAMILY MEMBER OF DAVID A. SNAVELY (TRUSTEE)	$52,169	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4:	PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, 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 CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2019 TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. PROMEDICA'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THIS IS REFLECTED IN OUR FOUR CORE VALUES, INCLUDING: COMPASSION -WE TREAT OUR PATIENTS AND EACH OTHER WITH RESPECT, INTEGRITY AND DIGNITY; INNOVATION - WE CONTINUALLY SEARCH TO FIND A BETTER WAY FORWARD; TEAMWORK - WE PARTNER WITH OTHERS BECAUSE WE ARE BETTER TOGETHER THAN APART; AND EXCELLENCE - WE STRIVE TO BE THE BEST IN ALL WE DO. PROMEDICA AND ITS AFFILIATES COMPRISE MORE THAN 600 SITES, MORE THAN 2,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, APPROXIMATELY 56,000 EMPLOYEES AND VOLUNTEERS. DURING 2019, PROMEDICA DISCHARGED 76,720 INPATIENTS AND SERVED 1,328,919 OUTPATIENTS, WHILE HANDLING 286,827 EMERGENCY VISITS SYSTEM-WIDE AS WELL AS 103,927 URGENT CARE VISITS. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. WE CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING HEALTH AND WELLNESS PROGRAMMING AT AREA BARBER SHOPS AND OTHER COMMUNITY GATHERINGS, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; MEMORIAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY. IN 2019 PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH MORE THAN 950 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS. TOGETHER, THIS GROUP HELPS PROMEDICA BROADEN THE CARE WE OFFER TO AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2019, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 208,000 MEMBERS ACROSS 54 OHIO COUNTIES. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - THIRTEEN CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES SUPPORTING PROMEDICA ACUTE AND POST-ACUTE FACILITIES AS WELL AS PROJECTS AND PROGRAMS OF PROMEDICA. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR THE HEALTH AND WELL-BEING OF OTHERS, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH APPROXIMATELY 300 NONPROFIT AGENCIES AND ORGANIZATIONS ACROSS OUR REGION IN 2019 THAT HAVE VALUES AND MISSIONS SIMILAR TO OUR OWN. PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, A FEW EXAMPLES FROM 2019 INCLUDE THE FOLLOWING: - IN 2019, PROMEDICA EARNED THE GOLD AWARD FOR EXCELLENCE, FOR THE SECOND YEAR IN A ROW, FROM THE PARTNERSHIP FOR EXCELLENCE (TPE) FOLLOWING A RIGOROUS EVALUATION OF PROMEDICA'S APPLICATION BASED ON CRITERIA OF THE BALDRIGE FRAMEWORK FOR EXCELLENCE. APPLICANTS ARE EVALUATED IN SEVEN AREAS DEFINED BY THE FRAMEWORK, INCLUDING: LEADERSHIP; STRATEGY; CUSTOMERS; MEASUREMENT, ANALYSIS AND KNOWLEDGE MANAGEMENT; WORKFORCE; OPERATIONS; AND RESULTS. - ADDITIONALLY, PROMEDICA TOLEDO HOSPITAL WAS NAMED ONE OF AMERICA'S 50 BEST HOSPITALS FOR THE SECOND YEAR IN A ROW AND PARAMOUNT ADVANTAGE MEDICAID EARNED 4 OUT OF STARS FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), MAKING IT THE TOP RATED MEDICAID PLAN IN OHIO. - AFTER THREE YEARS OF CONSTRUCTION, THE NEW GENERATIONS TOWER, ON THE CAMPUS OF PROMEDICA TOLEDO HOSPITAL, OPENED ITS DOORS IN JULY 2019. THE NEW 500,000 SQUARE FOOT BED TOWER OFFERS 309 PRIVATE PATIENT ROOMS, AND GIVES CAREGIVERS ACCESS TO INNOVATIVE TECHNOLOGY SO THEY CAN PROVIDE SAFE, EXCEPTIONAL CARE IN STATE-OF-THE-ART PATIENT ROOMS. - PROMEDICA CONTINUES TO EMPHASIZE A CULTURE OF SAFETY ACROSS ITS HOSPITALS AND OUTPATIENT SERVICES. THE YEAR-END SERIOUS SAFETY EVENT RATE (SSER) WAS 1.29, WITH A SERIOUS SAFETY EVENT (SSE) OCCURRING SOMEWHERE IN THE SYSTEM EVERY 4.1 DAYS. PROMEDICA CONTINUED TO GROW AS AN ACADEMIC HEALTH CENTER, WITH MORE THAN 200 RESIDENTS AND FELLOWS FROM THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES (UT COM) JOINING THE RESIDENCY PROGRAM AT PROMEDICA TOLEDO HOSPITAL IN 2019. THIS MARKED THE FOURTH WAVE OF INTEGRATION OF LEARNERS AT PROMEDICA UNDER THE ACADEMIC AFFILIATION WITH UT COM, THE AFFILIATION IS FOCUSED ON RECRUITING AND RETAINING THE BEST AND BRIGHTEST FACULTY, STUDENTS AND RESEARCHERS; DEVELOPING A PREMIER ACADEMIC MEDICAL CENTER AT PROMEDICA TOLEDO AND EBEID CHILDREN'S HOSPITALS; CULTIVATING A HOMEGROWN PIPELINE OF MEDICAL TALENT; INCREASING MEDICAL RESEARCH AND INNOVATION; AND FACILITATING COMMUNITY GROWTH AND DEVELOPMENT. WORK CONTINUED THROUGH 2019 ON THE NEW LENAWEE COUNTY HOSPITAL, TO BE NAMED THE PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL, WHICH IS SCHEDULED TO OPEN IN SEPTEMBER 2020. THE NEW HOSPITAL WILL REPLACE BOTH PROMEDICA BIXBY AND HERRICK HOSPITALS WHEN IT IS COMPLETED. THE NEW HOSPITAL WILL BE OVER 200,000 SQUARE FEET WITH 40 SURGICAL BEDS, 10 CRITICAL CARE BEDS, FOUR OPERATING ROOMS, THREE MINOR PROCEDURE ROOMS, 27 EMERGENCY ROOMS, AND EIGHT LABOR AND DELIVERY ROOMS. THE HOSPITAL IS NAMED FOR THE HICKMAN FAMILY, WHO MADE THE LARGEST DONATION IN THE HISTORY OF PROMEDICA TO HELP US BETTER SERVE THE LENAWEE COUNTY COMMUNITY. AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED THE SYSTEM-WIDE UPGRADE TO THE NEW EPIC FEBRUARY/MAY 2019 PLATFORM. THE UPGRADE ALLOWS PROMEDICA TO TAKE ADVANTAGE OF SOME OF THE MANY ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT. PROMEDICA TEAMED UP WITH THE UNIVERSITY OF TOLEDO COLLEGE OF NURSING (UT CON) TO LAUNCH A COMMUNITY-WIDE CAMPAIGN TO RAISE AWARENESS OF THE CRITICAL ROLE NURSES PLAY IN ALL ASPECTS OF THE HEALTHCARE INDUSTRY. THE NEW NURSING NOW ORGANIZATION IS GLOBAL MOVEMENT THAT AIMS TO IMPROVE HEALTH BY RAISING THE PROFILE AND STATUS OF NURSING WORLDWIDE. PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS ACROSS THE REGION THAT INCLUDED FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY.
FORM 990, PART III, LINE 4:	PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) PROMEDICA CANCER INSTITUTE'S (PCI) COMMUNITY OUTREACH INCLUDED CANCER SCREENINGS AND EDUCATION TO THE MOST VULNERABLE IN OUR COMMUNITY. SUCH PROGRAMS INCLUDED PROMEDICA'S MEN'S HEALTH AND WELLNESS AT THE BARBERSHOP, WHICH PROVIDED 183 MEN WITH PROSTATE AND COLORECTAL CANCER EDUCATION, AND TENT CITY, WHICH SUPPORTS THE COUNTY'S UNHOUSED RESIDENTS, WHERE 27 WOMEN RECEIVED CLINICAL BREAST EXAMS. PCI ALSO HOSTED ANNUAL CANCER SURVIVOR CELEBRATIONS FOR SURVIVORS, FRIENDS AND CAREGIVERS ACROSS THE REGION AND SPONSORED COMMUNITY EVENTS INCLUDING THE ANNUAL NW OHIO SUSAN G. KOMEN, RACE FOR THE CURE, LEUKEMIA & LYMPHOMA SOCIETY LIGHT THE NIGHT, OVER THE EDGE FOR VICTORY, AND HOCKEY FIGHTS CANCER. PROMEDICA AND THE TOLEDO ZOO PARTNERED TO RENOVATE THE ZOO'S MORE THAN 80-YEAR-OLD MUSEUM OF SCIENCE. RENOVATIONS WERE COMPLETED IN SPRING 2019 WITH A FOCUS ON BIODIVERSITY THROUGHOUT THE COURSE OF HISTORY IN NORTHWEST OHIO. PROMEDICA WAS THE LEAD SPONSOR FOR THE THIRD ANNUAL SUMMER CONCERT SERIES IN 2019. THE WEEKLY CONCERTS TOOK PLACE AT THE RENOVATED PROMENADE PARK, IN DOWNTOWN TOLEDO, FROM JUNE THROUGH SEPTEMBER AND FEATURED A VARIETY OF LOCAL AND NATIONAL MUSICIANS AND MUSIC GENRES. PROMEDICA OPENED ITS THIRD FOOD CLINIC AT PROMEDICA BAY PARK HOSPITAL IN 2019 AND CONTINUES TO OPERATE TWO OTHER FOOD CLINICS ONE AT THE PROMEDICA HEALTH AND WELLNESS CENTER AND THE OTHER AT PROMEDICA'S CENTER FOR HEALTH SERVICES. THE FOOD CLINICS SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEM AND THEIR FAMILY FROM THIS LOCATION OR THE ORIGINAL FOOD PHARMACY LOCATED AT PROMEDICA'S CENTER FOR HEALTH SERVICES. AS PART OF THE PROGRAM, EACH PATIENT RECEIVES TWO TO THREE DAYS OF SUPPLEMENTAL FOOD FOR THEIR FAMILY. THROUGH DECEMBER 2019, MORE THAN 11,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,600 UNIQUE HOUSEHOLDS, IN EFFORTS TO HELP REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 91,748 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 275,242 MEALS. PROMEDICA'S SENIOR CARE DIVISION (HCR MANORCARE) IMPLEMENTED MEALS-TO-GO, A FOOD ASSISTANCE PROGRAM THAT PROVIDES PATIENTS WITH A SHELF-STABLE SUPPLY OF FOOD AFTER A LENGTHY SKILLED NURSING STAY. THE PROGRAM BEGAN AS A PILOT IN THE DETROIT, MICH., AREA BEFORE EXPANDING TO OTHER FACILITIES ACROSS THE COUNTRY BY THE END OF 2020. FOR ITS MICHIGAN PATIENTS, PROMEDICA OFFERED VEGGIE MOBILE VOUCHERS TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. PROMEDICA BIXBY AND HERRICK HOSPITALS PROVIDE THE $5 VOUCHERS SO PATIENTS CAN REDEEM THEM FOR FRESH PRODUCE GROWN AT PROMEDICA FARMS OR AT ANY OF THE VEGGIE MOBILE STOPS. IN 2019, NEARLY 750 POUNDS OF FRESH PRODUCE WAS GROWN AT PROMEDICA FARMS AND 75 PATIENTS WHO IDENTIFIED AS FOOD INSECURE WERE PROVIDED A FOOD BOX AND VEGGIE MOBILE VOUCHERS UPON DISCHARGE. PROMEDICA'S FINANCIAL OPPORTUNITY CENTER (FOC), PROVIDED EDUCATION AND COUNSELING TO NEARLY 700 INDIVIDUALS. HOUSED IN THE EBEID INSTITUTE, FOC HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING, AS WELL AS FREE TAX PREPARATION THROUGH THE OHIO BENEFIT BANK. FOC ALSO OFFERS A DIGITAL LITERACY SERIES TO ASSIST INDIVIDUALS WISHING TO IMPROVE THEIR COMPUTER LITERACY AND SKILLS TO BE MORE MARKETABLE TO PROSPECTIVE EMPLOYERS. IN 2019, PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. SCREENINGS ALSO WERE EXPANDED TO HOSPITAL INPATIENTS, USING THE SAME QUESTIONS. PATIENTS WHO SCREEN POSITIVE FOR ANY OF THE FACTORS ARE CONNECTED TO NECESSARY COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE. PROMEDICA TEAMED UP WITH LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TOLEDO TO CREATE THE YR16 INITIATIVE TO HELP INDIVIDUALS IN TOLEDO FIND SAFE AND AFFORDABLE HOUSING. SAFE AND AFFORDABLE HOUSING FOR RESIDENTS IN UNDERSERVED NEIGHBORHOODS IS JUST ONE OF THE KEY SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT PROMEDICA IS ADDRESSING WITH LISC AND OTHER COMMUNITY PARTNERS. AS PART OF ITS INTEGRATION WITH HCR MANORCARE, IN 2019 PROMEDICA ESTABLISHED ITS HEALTHY AGING INSTITUTE. THE INSTITUTE HAS THREE AREAS OF FOCUS: INNOVATION AND RESEARCH, EDUCATION AND TRAINING, AND ADVOCACY EFFORTS INCLUDING A JOINT NATIONAL SUMMIT IN WASHINGTON, D.C. WITH THE AARP FOUNDATION, TO BRING ATTENTION TO SENIOR ISOLATION AND DISCUSS WAYS COMMUNITIES CAN ADDRESS THIS ISSUE. PROMEDICA AND COLUMBIA GAS OF OHIO ANNOUNCED A $50,000 GRANT FROM NISOURCE CHARITABLE FOUNDATION TO SUPPORT THE EBEID NEIGHBORHOOD PROMISE. THE GRANT WILL BE USED FOR A HOUSING AND DEVELOPMENT PRESERVATION PROGRAM TO ASSIST WITH HOUSING NEEDS OF TOLEDO'S UPTOWN NEIGHBORHOOD. PROMEDICA ALSO ESTABLISHED A PARTNERSHIP WITH SOCIALLY DETERMINED, A HEALTHCARE DATA ANALYTICS COMPANY, TO CREATE THE EBEID DATA NERVE CENTER. THE CENTER WILL FOCUS ON THE NEEDS OF SPECIFIC PATIENT COHORTS THAT COULD BENEFIT FROM STANDARDIZED INTERVENTIONS DESIGNED TO IMPROVE HEALTHCARE OUTCOMES AND REDUCE COSTS. PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 19 CENTRAL-CITY TEENS AGES 16-19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. YOUTH ALSO ATTENDED THE LEADERSHIP DEVELOPMENT INSTITUTE, WHICH FOCUSED ON LEADERSHIP, COMMUNICATION, FINANCIAL MANAGEMENT AND OTHER IMPORTANT PERSONAL AND PROFESSIONAL DEVELOPMENT SKILLS. PROMEDICA INNOVATION'S BUSINESS INCUBATOR ALLOWS CLIENT COMPANIES IN THE HEALTHCARE FIELD TO ACCELERATE DEVELOPMENT AND COMMERCIALIZATION OF MEDICAL DEVICES AND HEALTH INFORMATION TECHNOLOGY TO IMPROVE PATIENT CARE LOCALLY AND NATIONALLY. IN 2019, PROMEDICA CONTRIBUTED $307,430,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITIES WE SERVE. SPECIFICALLY, THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $91,160,000 IN 2019. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $11,525,000 IN FINANCIAL ASSISTANCE FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2019 WAS $58,908,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $307,430,000 NOTED ABOVE. FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO MEDICAL CENTER, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. ADDITIONALLY, DURING 2019, PROMEDICA PROVIDED $207,825,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2019 WAS $102,582,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $307,430,000 NOTED ABOVE.
FORM 990, PART III, LINE 4:	PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 600% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
FORM 990, PART VI, SECTION A, LINE 4	EFFECTIVE JANUARY 22, 2019, PROMEDICA HEALTH SYSTEM, INC. REVISED ITS GOVERNING DOCUMENTS TO I) CHANGE THE SIZE OF ITS BOARD FROM 3-30 MEMBERS TO 9-13 MEMBERS; AND II) ELIMINATE THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7B	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS GOVERNED BY ITS BOARD OF TRUSTEES. ALL CORPORATE ACTIONS REQUIRE APPROVAL BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES. THE PHS EXECUTIVE COMMITTEE, WHICH WAS COMPRISED OF BETWEEN FIVE TO TEN PHS BOARD MEMBERS, WAS AUTHORIZED BY THE PHS BOARD OF TRUSTEES TO ACT IN THE INTERIM BETWEEN MEETINGS WITH THE EXCEPTION OF SPECIFIC DUTIES RESERVED FOR THE FULL BOARD OF TRUSTEES. THE PHS EXECUTIVE COMMITTEE WAS ELIMINATED JANUARY 22, 2019, SO ONLY EXISTED FOR 22 DAYS IN 2019 (AND TOOK NO ACTION DURING THIS PERIOD).
FORM 990, PART VI, SECTION B, LINE 11B	PREPARATION OF THE 990 RETURNS OF PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE SUPERVISED BY THE ORGANIZATION'S TAX DEPARTMENT AND REVIEWED BY THE CORPORATE TAX DIRECTOR AND FINANCE LEADERSHIP. COPIES OF THE FORM 990 ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. THE 990 IS REVIEWED AND SIGNED BY A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATED 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 AN 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 PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES AND SPECIFICALLY IDENTIFIED HOURLY EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, 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 PHYSICIANS, 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 IS 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 OR 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 GROUND FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE 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 PHYSICIAN 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 APPROPRIATE PHYSICIAN BY THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE IN ADVANCE OF THE POSTING. THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE.
FORM 990, PART VI, SECTION B, LINE 15	PROMEDICA HEALTH SYSTEM, INC.'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19	PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
PART VI, SECTION B, LINE 16B:	JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART XI, LINE 9:	PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 20,586,707. BENEFICIAL INTEREST IN FOUNDATION 466,105. TRANSFERS BETWEEN RELATED ENTITIES -23,754,752.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (412 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
100 MADISON AVE	TOLEDO	OH	43604	611448753	EMPLOYS PHYSICIANS	OH	$0	$736,336	PROMEDICA PHYSICIAN GROUP INC
IST THEATRE LLC
100 MADISON AVE	TOLEDO	OH	43604		COMMUNITY ARTS FACILITY	OH	$0	$3,554,701	PROMEDICA HEALTH SYSTEM INC
PROMEDICA HICKMAN CANCER CENTER PHARMACY LLC
100 MADISON AVE	TOLEDO	OH	43604		PHARMACY	OH	$104,465,623	$0	THE TOLEDO HOSPITAL
PROMEDICA PHARMACY GROUP LLC
100 MADISON AVE	TOLEDO	OH	43604	364949156	PHARMACY	OH	$0	$0	PROMEDICA CONTINUUM SERVICES
FORT INDUSTRY JV PARTNER LLC
100 MADISON AVE	TOLEDO	OH	43604	844675266	HOLDS INVESTMENTS	OH	$0	$8,540,000	PROMEDICA HEALTH SYSTEM INC
HCRMC-PROMEDICA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	461343453	NURSING AND REHAB SERVICES	DE	-$2,185,288	$12,184,508	MANOR CARE HEALTH SERVICES OF TOLEDO OH LLC
PROMEDICA CENTRAL PHYSICIANS LLC
100 MADISON AVE	TOLEDO	OH	43604	341881137	EMPLOYS PHYSICIANS	OH	$387,466,023	$296,438,519	PROMEDICA PHYSICIAN GROUP INC
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
100 MADISON AVE	TOLEDO	OH	43604	263888045	EMPLOYS PHYSICIANS	OH	$18,301,472	-$105,269,559	PROMEDICA PHYSICIAN GROUP INC
THE PHARMACY COUNTER LLC
100 MADISON AVE	TOLEDO	OH	43604	271325141	MEDICAL EQUIPMENT & PHARMACY	OH	$65,105,182	$99,954,514	PROMEDICA PHYSICIAN GROUP INC
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN	ADRIAN	MI	49221	383164818	FACILITY LEASING	MI	$119,263	$1,724,405	EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
100 MADISON AVE	TOLEDO	OH	43604	272920342	EMPLOYS PHYSICIANS	MI	$889,668	-$6,438,944	PROMEDICA PHYSICIAN GROUP INC
ERIE WEST HOSPICE & PALLIATIVE CARE LTD
100 MADISON AVE	TOLEDO	OH	43604	205752995	PROVIDES HOSPICE CARE	OH	$5,497,909	$7,841,474	PROMEDICA CONTINUUM SERVICES
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
100 MADISON AVE	TOLEDO	OH	43604	453230331	PRACTICE MANAGEMENT	OH	$0	-$3,618,834	PROMEDICA PHYSICIAN GROUP INC
PROMEDICA SURGICAL SERVICES LLC
100 MADISON AVE	TOLEDO	OH	43604		EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP INC
MISSION POINTE GOLF COURSE LLC
2142 NORTH COVE	TOLEDO	OH	43606		GOLF COURSE	MI	$0	$0	PROMEDICA FOUNDATION
PROMEDICA INNOVATIONS LLC
100 MADISON AVE	TOLEDO	OH	43604	301221601	INVESTMENT COMPANY	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC
PROMEDICA GENITO-URINARY SURGEONS LLC
100 MADISON AVE	TOLEDO	OH	43604	461120436	EMPLOYS PHYSICIANS	OH	$5,873,200	-$23,434,097	PROMEDICA PHYSICIAN GROUP INC
PROMEDICA MONROE PHYSICIANS PLLC
100 MADISON AVE	TOLEDO	OH	43604	461111822	EMPLOYS PHYSICIANS	MI	$11,895,015	-$23,671,344	PROMEDICA PHYSICIAN GROUP INC
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVE	TOLEDO	OH	43604	454976786	EMPLOYS PHYSICIANS	OH	$0	$154,765	PROMEDICA PHYSICIAN GROUP INC
PROMEDICA HOSPITALISTS LLC
100 MADISON AVE	TOLEDO	OH	43604		EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP INC
PROMEDICA HOSPITALISTS PLLC
100 MADISON AVE	TOLEDO	OH	43604		EMPLOYS PHYSICIANS	MI	$0	$0	PROMEDICA PHYSICIAN GROUP INC
MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVE	FREMONT	OH	43420	205763680	EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP INC
MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVE	FREMONT	OH	43420	273763993	EMPLOYS PHYSICIANS	OH	$13,381,935	-$24,321,708	PROMEDICA PHYSICIAN GROUP INC
PHS VENTURES LLC
100 MADISON AVE	TOLEDO	OH	43604	341880473	HEALTH CARE MANAGEMENT SERVICES	DE	$0	$0	PROMEDICA HEALTH SYSTEM INC
300 MADISON BUILDING LLC
100 MADISON AVE	TOLEDO	OH	43604	822062486	REAL ESTATE	OH	$2,185,490	$17,703,607	PROMEDICA HEALTH SYSTEM INC
MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVE	TOLEDO	OH	43604		REAL ESTATE	OH	$0	$6,885	PROMEDICA HEALTH SYSTEM INC
PHS INVESTMENTS LLC
100 MADISON AVE	TOLEDO	OH	43604		INVESTMENT COMPANY	OH	$2,564,760	$22,447,708	THE TOLEDO HOSPITAL
PROMEDICA INTERNATIONAL LLC
100 MADISON AVE	TOLEDO	OH	43604	832427163	CONSULTING SERVICES	OH	$144,100	$0	PROMEDICA HEALTH SYSTEM INC
PROMEDICA ACTIVE MOBILITY LLC
100 MADISON AVE	TOLEDO	OH	43604	815178173	DURABLE MEDICAL EQUIPMENT	OH	$159,929	$194,981	PROMEDICA HEALTH SYSTEM INC
1611 MONROE INVESTORS LLC
100 MADISON AVE	TOLEDO	OH	43604		REAL ESTATE	OH	$0	$308,507	PROMEDICA HEALTH SYSTEM INC
BALL PARK PROPERTIES LLC
100 MADISON AVE	TOLEDO	OH	43604	823954332	REAL ESTATE	OH	$0	$1,118,158	PROMEDICA HEALTH SYSTEM INC
PROMEDICA PRIMARY CARE PROVIDERS LLC
100 MADISON AVE	TOLEDO	OH	43604	831731861	EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP INC
KAPIOS LLC
2865 N REYNOLDS RD	TOLEDO	OH	43615	812624635	SOFTWARE DEVELOPMENT	OH	$90,319	$0	PROMEDICA HEALTH SYSTEM INC
PROMEDICA NATURAL WELLNESS LLC
100 MADISON AVE	TOLEDO	OH	43604	821587026	NATURAL WELLNESS PRODUCTS	OH	$0	$16,500	PROMEDICA HEALTH SYSTEM INC
ANCILLARY SERVICES MANAGEMENT LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341636874	MEDICAL SUPPLIES	OH	$0	$0	HCR HEALTHCARE LLC
ARDEN COURTS OF ARLINGTON TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624126	ASSISTED LIVING FACILITY	DE	$0	$0	HCR IV HEALTHCARE LLC
ARDEN COURTS OF HAMDEN CT LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625105	ASSISTED LIVING FACILITY	DE	$0	$0	HCR III HEALTHCARE LLC
ARDEN COURTS OF HAZEL CREST IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621940	ASSISTED LIVING FACILITY	DE	$0	$0	HCR IV HEALTHCARE LLC
ARDEN COURTS OF LOUISVILLE KY LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622079	ASSISTED LIVING FACILITY	DE	$0	$0	HCR IV HEALTHCARE LLC
HCR CANTERBURY VILLAGE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	382032536	SKILLED NURSING FACILITY	DE	$0	$0	HCR HEALTHCARE LLC
HCR HEALTHCARE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624435	HOLDING COMPANY	DE	$0	$0	HCR MANORCARE INC
HCR II HEALTHCARE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	261250342	HOLDING COMPANY	DE	$0	$0	HCR HEALTHCARE LLC
HCR III HEALTHCARE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624411	HOLDING COMPANY	DE	$0	$0	HCR II HEALTHCARE LLC
HCR IV HEALTHCARE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	261283803	HOLDING COMPANY	DE	$0	$0	HCR III HEALTHCARE LLC
HEARTLAND CARE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	320091717	HOLDING COMPANY	OH	$0	$0	HCR MANOR CARE SERVICES LLC
HEARTLAND EMPLOYMENT SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341903270	EMPLOYMENT SERVICES	OH	$0	$0	HCR HEALTHCARE LLC
HEARTLAND-OAK PAVILION OF CINCINNATI OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614533	SKILLED NURSING FACILITY	DE	$0	$0	HCR IV HEALTHCARE LLC
MANOR CARE AVIATION LLC
333 N SUMMIT ST	TOLEDO	OH	43604	521462072	AVIATION	DE	$0	$0	HCR HEALTHCARE LLC
MANOR CARE OF DELAWARE COUNTY LLC
333 N SUMMIT ST	TOLEDO	OH	43604	521916053	HOLDING COMPANY	DE	$0	$0	HCR HEALTHCARE LLC
MANOR CARE OF OKLAHOMA CITY (NORTHWEST) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610163	SKILLED NURSING FACILITY	DE	$0	$0	HCR III HEALTHCARE LLC
MANOR CARE OF WINTER PARK FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	362899194	SKILLED NURSING FACILITY	DE	$30,065	$52,974	WINTER PARK NURSING CENTER LLC
MANOR CARE SUPPLY LLC
333 N SUMMIT ST	TOLEDO	OH	43604	522055097	PURCHASING COMPANY	DE	$0	$0	HCR HEALTHCARE LLC
MANORCARE HEALTH SERVICES OF OKLAHOMA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	522055078	HOLDING COMPANY	DE	$0	$0	HCR HEALTHCARE LLC
MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	900904333	HOLDING COMPANY	DE	$0	$0	HCR HEALTHCARE LLC
PROMEDICA OF ADRIAN MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	383985660	SKILLED NURSING FACILITY	DE	$0	$174,888	MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
PROMEDICA OF SYLVANIA OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	611771805	SKILLED NURSING FACILITY	DE	$2,398,322	$2,980,176	MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
REHABILITATION ADMINISTRATION LLC
333 N SUMMIT ST	TOLEDO	OH	43604	611295825	REHABILITATION SERVICES	DE	$0	$0	HEARTLAND REHABILITATION SERVICES LLC
SPRINGHOUSE OF BETHESDA MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622235	ASSISTED LIVING FACILITY	DE	$0	$0	HCR III HEALTHCARE LLC
SPRINGHOUSE OF SILVER SPRING MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622508	ASSISTED LIVING FACILITY	DE	$0	$0	HCR III HEALTHCARE LLC
WINTER PARK NURSING CENTER LLC
333 N SUMMIT ST	TOLEDO	OH	43604	371019107	HOLDING COMPANY	DE	$0	$0	MANORCARE HEALTH SERVICES LLC
AMERICAN REHABILITATION GROUP LLC
333 N SUMMIT ST	TOLEDO	OH	43604	611284533	OUTPATIENT REHABILITATION	DE	$839,878	$68,000	REHABILITATION ADMINISTRATION LLC
HCR HOME HEALTH CARE AND HOSPICE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341787978	HOLDING COMPANY	OH	$0	$0	HCR HEALTHCARE LLC
HCR MANOR CARE SERVICES OF FLORIDA III LLC
333 N SUMMIT ST	TOLEDO	OH	43604	452507279	HOSPICE SERVICE	FL	$15,832,514	$0	HCR HOME HEALTH CARE AND HOSPICE LLC
HCR MANOR CARE SERVICES OF FLORIDA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	743193136	HOSPICE SERVICE	FL	$6,785,299	$621,242	HCR HOME HEALTH CARE AND HOSPICE LLC
HCR MANOR CARE SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341838217	ADMINISTRATIVE SERVICES	OH	$1,572,282	$201,035,602	HCR HEALTHCARE LLC
HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	650666550	OUTPATIENT REHABILITATION	FL	$19,614,832	$2,014,379	HEARTLAND REHABILITATION SERVICES LLC
HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	261305723	SKILLED NURSING FACILITY	DE	$27,125,758	$11,632,269	HCR HEALTHCARE LLC
HEARTLAND HOME CARE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341787895	HOME HEALTH CARE SERVICE	OH	$29,609,446	$4,669,269	HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND HOME HEALTH CARE SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341787967	HOME HEALTH CARE SERVICE	OH	$2,431,094	$536,691	HCR HOME HEALTH CARE AND HOSPICE LLC
HEARTLAND HOSPICE SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341788398	HOSPICE SERVICE	OH	$355,102,905	$65,663,113	HCR HOME HEALTH CARE AND HOSPICE LLC
HEARTLAND REHABILITATION EXTENSION SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	812116419	OUTPATIENT REHABILITATION	DE	$2,721,752	$570,500	HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	592504386	OUTPATIENT REHABILITATION	FL	$0	$0	HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF KENTUCKY LLC
333 N SUMMIT ST	TOLEDO	OH	43604	611301414	OUTPATIENT REHABILITATION	DE	$5,214,772	$429,919	REHABILITATION ADMINISTRATION LLC
HEARTLAND REHABILITATION SERVICES OF MICHIGAN LLC
333 N SUMMIT ST	TOLEDO	OH	43604	300535129	OUTPATIENT REHABILITATION	DE	$185,831	$15,692	HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC
333 N SUMMIT ST	TOLEDO	OH	43604	222137595	OUTPATIENT REHABILITATION	DE	$1,965,100	$257,774	HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF OHIO LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341479648	OUTPATIENT REHABILITATION	OH	$2,096,295	$181,802	HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF VIRGINIA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	541508699	OUTPATIENT REHABILITATION	DE	$13,680,736	$1,598,193	HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341280619	OUTPATIENT REHABILITATION	OH	$2,374,070	$362,463	HCR HEALTHCARE LLC
HEARTLAND SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	341760503	HOLDING COMPANY	OH	$0	$28,847,119	HCR HEALTHCARE LLC
HEARTLAND THERAPY PROVIDER NETWORK LLC
333 N SUMMIT ST	TOLEDO	OH	43604	371027432	OUTPATIENT REHABILITATION	DE	$377,794	$75,846	HCR HEALTHCARE LLC
IN HOME HEALTH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	411458213	HOME HEALTH CARE SERVICE	MN	$221,483,544	$22,798,793	MANORCARE HEALTH SERVICES LLC
INDUSTRIAL WASTES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	251457630	REAL ESTATE	DE	$0	$477,790	HCR HEALTHCARE LLC
MANOR CARE OF LACEY WA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624391	SKILLED NURSING FACILITY	DE	$9,884,874	$2,627,300	MANORCARE HEALTH SERVICES LLC
MANOR CARE OF SALMON CREEK WA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624375	SKILLED NURSING FACILITY	DE	$12,619,842	$2,686,332	MANORCARE HEALTH SERVICES LLC
MANORCARE HEALTH SERVICES LLC
333 N SUMMIT ST	TOLEDO	OH	43604	261305666	SKILLED NURSING FACILITY	DE	$67,059,139	$30,895,335	HCR HEALTHCARE LLC
MILESTONE HEALTHCARE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	752592398	MEDICAL STAFFING	DE	$23,135,833	$3,997,062	HEARTLAND REHABILITATION SERVICES LLC
PORTFOLIO ONE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	221604502	SKILLED NURSING FACILITY	OH	$14,118,573	$1,956,181	HCR HEALTHCARE LLC
ARDEN COURTS OF AKRON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623857	ASSISTED LIVING FACILITY	DE	$2,113,027	$361,591	HCR IV HEALTHCARE LLC
ARDEN COURTS OF ALLENTOWN PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623965	ASSISTED LIVING FACILITY	DE	$3,667,410	$281,390	HCR III HEALTHCARE LLC
ARDEN COURTS OF ANNANDALE VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624314	ASSISTED LIVING FACILITY	DE	$4,748,932	$278,762	HCR IV HEALTHCARE LLC
ARDEN COURTS OF AUSTIN TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624145	ASSISTED LIVING FACILITY	DE	$2,717,343	$91,462	HCR IV HEALTHCARE LLC
ARDEN COURTS OF AVON CT LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625113	ASSISTED LIVING FACILITY	DE	$2,383,088	$329,371	HCR III HEALTHCARE LLC
ARDEN COURTS OF BINGHAM FARMS MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622828	ASSISTED LIVING FACILITY	DE	$2,919,042	$196,624	HCR IV HEALTHCARE LLC
ARDEN COURTS OF CHERRY HILL NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623009	ASSISTED LIVING FACILITY	DE	$3,879,658	$338,171	HCR III HEALTHCARE LLC
ARDEN COURTS OF DELRAY BEACH FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625237	ASSISTED LIVING FACILITY	DE	$3,995,276	$457,193	HCR III HEALTHCARE LLC
ARDEN COURTS OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625405	ASSISTED LIVING FACILITY	DE	$3,043,600	$166,574	HCR IV HEALTHCARE LLC
ARDEN COURTS OF FARMINGTON CT LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625092	ASSISTED LIVING FACILITY	DE	$4,542,685	$237,268	HCR III HEALTHCARE LLC
ARDEN COURTS OF FT MYERS FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625314	ASSISTED LIVING FACILITY	DE	$3,040,654	$518,258	HCR III HEALTHCARE LLC
ARDEN COURTS OF GENEVA IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625428	ASSISTED LIVING FACILITY	DE	$4,229,289	$222,812	HCR IV HEALTHCARE LLC
ARDEN COURTS OF GLEN ELLYN IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625418	ASSISTED LIVING FACILITY	DE	$1,797,438	$317,967	HCR IV HEALTHCARE LLC
ARDEN COURTS OF JEFFERSON HILLS PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624075	ASSISTED LIVING FACILITY	DE	$4,068,113	$321,284	HCR III HEALTHCARE LLC
ARDEN COURTS OF KENSINGTON MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622568	ASSISTED LIVING FACILITY	DE	$5,744,260	$347,352	HCR III HEALTHCARE LLC
ARDEN COURTS OF KENWOOD OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623245	ASSISTED LIVING FACILITY	DE	$2,752,330	$289,455	HCR IV HEALTHCARE LLC
ARDEN COURTS OF KING OF PRUSSIA PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624032	ASSISTED LIVING FACILITY	DE	$3,968,944	$396,047	HCR III HEALTHCARE LLC
ARDEN COURTS OF LARGO FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625141	ASSISTED LIVING FACILITY	DE	$3,570,405	$493,177	HCR III HEALTHCARE LLC
ARDEN COURTS OF LIVONIA MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622866	ASSISTED LIVING FACILITY	DE	$3,793,905	$252,415	HCR IV HEALTHCARE LLC
ARDEN COURTS OF MONROEVILLE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623898	ASSISTED LIVING FACILITY	DE	$3,986,225	$297,560	HCR III HEALTHCARE LLC
ARDEN COURTS OF NORTHBROOK IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625378	ASSISTED LIVING FACILITY	DE	$4,074,284	$90,998	HCR IV HEALTHCARE LLC
ARDEN COURTS OF PALM HARBOR FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625222	ASSISTED LIVING FACILITY	DE	$4,233,976	$429,556	HCR III HEALTHCARE LLC
ARDEN COURTS OF PALOS HEIGHTS IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625390	ASSISTED LIVING FACILITY	DE	$3,975,584	$323,892	HCR IV HEALTHCARE LLC
ARDEN COURTS OF PARMA OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623801	ASSISTED LIVING FACILITY	DE	$3,985,002	$212,366	HCR IV HEALTHCARE LLC
ARDEN COURTS OF PIKESVILLE MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622121	ASSISTED LIVING FACILITY	DE	$4,392,566	$308,182	HCR III HEALTHCARE LLC
ARDEN COURTS OF POTOMAC MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622198	ASSISTED LIVING FACILITY	DE	$3,578,434	$529,765	HCR III HEALTHCARE LLC
ARDEN COURTS OF RICHARDSON TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624214	ASSISTED LIVING FACILITY	DE	$3,959,768	$252,306	HCR IV HEALTHCARE LLC
ARDEN COURTS OF SAN ANTONIO TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624189	ASSISTED LIVING FACILITY	DE	$3,448,046	$254,006	HCR IV HEALTHCARE LLC
ARDEN COURTS OF SARASOTA FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625246	ASSISTED LIVING FACILITY	DE	$2,913,686	$341,999	HCR III HEALTHCARE LLC
ARDEN COURTS OF SEMINOLE FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625266	ASSISTED LIVING FACILITY	DE	$3,734,618	$546,008	HCR III HEALTHCARE LLC
ARDEN COURTS OF SILVER SPRING MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622164	ASSISTED LIVING FACILITY	DE	$4,566,743	$221,892	HCR III HEALTHCARE LLC
ARDEN COURTS OF SOUTH HOLLAND IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622045	ASSISTED LIVING FACILITY	DE	$3,018,882	$115,258	HCR IV HEALTHCARE LLC
ARDEN COURTS OF STERLING HEIGHTS MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622772	ASSISTED LIVING FACILITY	DE	$2,755,822	$177,315	HCR IV HEALTHCARE LLC
ARDEN COURTS OF TAMPA FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625330	ASSISTED LIVING FACILITY	DE	$3,686,680	$438,736	HCR III HEALTHCARE LLC
ARDEN COURTS OF TOWSON MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622661	ASSISTED LIVING FACILITY	DE	$3,577,536	$352,337	HCR III HEALTHCARE LLC
ARDEN COURTS OF W ORANGE NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622938	ASSISTED LIVING FACILITY	DE	$5,660,548	$280,085	HCR III HEALTHCARE LLC
ARDEN COURTS OF W PALM BEACH FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625258	ASSISTED LIVING FACILITY	DE	$3,609,989	$586,494	HCR III HEALTHCARE LLC
ARDEN COURTS OF WAYNE NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622912	ASSISTED LIVING FACILITY	DE	$4,621,330	$377,228	HCR III HEALTHCARE LLC
ARDEN COURTS OF WESTLAKE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623289	ASSISTED LIVING FACILITY	DE	$4,663,905	$247,315	HCR IV HEALTHCARE LLC
ARDEN COURTS OF WILMINGTON DE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625127	ASSISTED LIVING FACILITY	DE	$4,726,495	$393,877	HCR III HEALTHCARE LLC
ARDEN COURTS OF WINTER SPRINGS FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625340	ASSISTED LIVING FACILITY	DE	$4,331,958	$525,670	HCR III HEALTHCARE LLC
ARDEN COURTS OF YARDLEY PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623944	ASSISTED LIVING FACILITY	DE	$5,274,145	$367,262	HCR III HEALTHCARE LLC
ARDEN COURTS-ANDERSON OF CINCINNATI OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623677	ASSISTED LIVING FACILITY	DE	$3,808,990	$365,003	HCR IV HEALTHCARE LLC
ARDEN COURTS-BAINBRIDGE OF CHAGRIN FALLS OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623202	ASSISTED LIVING FACILITY	DE	$5,242,728	$251,147	HCR IV HEALTHCARE LLC
ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624353	ASSISTED LIVING FACILITY	DE	$4,901,722	$115,266	HCR IV HEALTHCARE LLC
ARDEN COURTS-LELY PALMS OF NAPLES FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625279	ASSISTED LIVING FACILITY	DE	$3,135,725	$501,365	HCR III HEALTHCARE LLC
ARDEN COURTS-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623920	ASSISTED LIVING FACILITY	DE	$3,750,857	$272,383	HCR III HEALTHCARE LLC
ARDEN COURTS-SUSQUEHANNA OF HARRISBURG PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624065	ASSISTED LIVING FACILITY	DE	$4,134,524	$355,633	HCR III HEALTHCARE LLC
ARDEN COURTS-WARMINSTER OF HATBORO PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623869	ASSISTED LIVING FACILITY	DE	$3,648,518	$242,311	HCR III HEALTHCARE LLC
ARDEN COURTS OF WHIPPANY NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623155	ASSISTED LIVING FACILITY	DE	$3,767,702	$517,701	HCR III HEALTHCARE LLC
CHRISTOPHER EAST HEALTH CARE CENTER OF LOUISVILLE KY LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619900	SKILLED NURSING FACILITY	DE	-$6,097	$0	HCR IV HEALTHCARE LLC
COLUMBIA REHABILITATION AND NURSING CENTER-COLUMBIA SC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623408	OUTPATIENT REHABILITATION	DE	$9,757,653	$2,006,730	HCR III HEALTHCARE LLC
DEVON MANOR-DEVON PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622826	SKILLED NURSING FACILITY	DE	-$45,972	$0	HCR III HEALTHCARE LLC
DONAHOE MANOR-BEDFORD PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623108	SKILLED NURSING FACILITY	DE	$6,269,264	$790,799	HCR III HEALTHCARE LLC
FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622894	SKILLED NURSING FACILITY	DE	$1,271,278	$91,564	HCR IV HEALTHCARE LLC
HAMPTON HOUSE-WILKES-BARRE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610244	SKILLED NURSING FACILITY	DE	$8,094,538	$1,577,029	HCR III HEALTHCARE LLC
HEARTLAND OF BOYNTON BEACH FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623523	SKILLED NURSING FACILITY	DE	$10,695,010	$1,407,882	HCR III HEALTHCARE LLC
HEARTLAND OF ADELPHI MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620015	SKILLED NURSING FACILITY	DE	$13,709,635	$2,641,097	HCR III HEALTHCARE LLC
HEARTLAND OF ALLEN PARK MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611286	SKILLED NURSING FACILITY	DE	$15,447,064	$2,641,572	HCR IV HEALTHCARE LLC
HEARTLAND OF ANN ARBOR MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612384	SKILLED NURSING FACILITY	DE	$17,770,633	$2,836,128	HCR IV HEALTHCARE LLC
HEARTLAND OF AUSTIN TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624533	SKILLED NURSING FACILITY	DE	-$32,639	$61,022	HCR IV HEALTHCARE LLC
HEARTLAND OF BATTLE CREEK MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612206	SKILLED NURSING FACILITY	DE	$5,697,388	$989,172	HCR IV HEALTHCARE LLC
HEARTLAND OF BECKLEY WV LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625053	SKILLED NURSING FACILITY	DE	$118,456	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF BEDFORD TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624511	SKILLED NURSING FACILITY	DE	$2,529	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF BELLEFONTAINE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609497	SKILLED NURSING FACILITY	DE	-$11,307	$188,301	HCR IV HEALTHCARE LLC
HEARTLAND OF BOCA RATON FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623949	SKILLED NURSING FACILITY	DE	$11,996,079	$1,906,578	HCR III HEALTHCARE LLC
HEARTLAND OF BROOKSVILLE FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623416	SKILLED NURSING FACILITY	DE	$48,498	$0	HCR III HEALTHCARE LLC
HEARTLAND OF BUCYRUS OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614610	SKILLED NURSING FACILITY	DE	$5,922,615	$755,745	HCR IV HEALTHCARE LLC
HEARTLAND OF CANTON IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260604153	SKILLED NURSING FACILITY	DE	-$17,700	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF CANTON MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620527	SKILLED NURSING FACILITY	DE	$18,802,025	$2,622,394	HCR IV HEALTHCARE LLC
HEARTLAND OF CENTERBURG OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614447	SKILLED NURSING FACILITY	DE	$7,857	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF CENTERVILLE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609683	SKILLED NURSING FACILITY	DE	$8,536,549	$1,452,701	HCR IV HEALTHCARE LLC
HEARTLAND OF CHAMPAIGN IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615806	SKILLED NURSING FACILITY	DE	$10,810	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF CHILLICOTHE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609311	SKILLED NURSING FACILITY	DE	$8,583,778	$1,206,966	HCR IV HEALTHCARE LLC
HEARTLAND OF CLARKSBURG WV LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625029	SKILLED NURSING FACILITY	DE	$120,062	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF DEARBORN HEIGHTS MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611231	SKILLED NURSING FACILITY	DE	$13,677,339	$1,617,969	HCR IV HEALTHCARE LLC
HEARTLAND OF DECATUR IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615541	SKILLED NURSING FACILITY	DE	-$5,854	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF EATON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609364	SKILLED NURSING FACILITY	DE	-$1,000	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF FORT MYERS FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623726	SKILLED NURSING FACILITY	DE	$12,721,275	$1,304,802	HCR III HEALTHCARE LLC
HEARTLAND OF GALESBURG IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624455	SKILLED NURSING FACILITY	DE	$6,210,367	$657,107	HCR IV HEALTHCARE LLC
HEARTLAND OF GRAND RAPIDS MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611403	SKILLED NURSING FACILITY	DE	-$3,791	$189,804	HCR IV HEALTHCARE LLC
HEARTLAND OF GREENVILLE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614250	SKILLED NURSING FACILITY	DE	$12,525	$16,206	HCR IV HEALTHCARE LLC
HEARTLAND OF HENRY IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614845	SKILLED NURSING FACILITY	DE	$5,973,172	$788,083	HCR IV HEALTHCARE LLC
HEARTLAND OF HILLSBORO OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609351	SKILLED NURSING FACILITY	DE	$7,580,309	$1,075,801	HCR IV HEALTHCARE LLC
HEARTLAND OF HOLLAND MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611679	SKILLED NURSING FACILITY	DE	-$13,554	$9,486	HCR IV HEALTHCARE LLC
HEARTLAND OF HYATTSVILLE MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619980	SKILLED NURSING FACILITY	DE	$13,108,975	$2,167,005	HCR III HEALTHCARE LLC
HEARTLAND OF IONIA MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611974	SKILLED NURSING FACILITY	DE	-$11,467	$143,186	HCR IV HEALTHCARE LLC
HEARTLAND OF JACKSON MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611756	SKILLED NURSING FACILITY	DE	-$17,543	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF JACKSON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614303	SKILLED NURSING FACILITY	DE	-$34,816	$39,736	HCR IV HEALTHCARE LLC
HEARTLAND OF JACKSONVILLE FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623590	SKILLED NURSING FACILITY	DE	$10,323,308	$2,095,666	HCR III HEALTHCARE LLC
HEARTLAND OF KALAMAZOO MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612121	SKILLED NURSING FACILITY	DE	-$18,820	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF KENDALL FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623392	SKILLED NURSING FACILITY	DE	$8,527	$60,793	HCR III HEALTHCARE LLC
HEARTLAND OF KETTERING OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609231	SKILLED NURSING FACILITY	DE	$8,990,299	$1,163,490	HCR IV HEALTHCARE LLC
HEARTLAND OF KEYSER WV LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624987	SKILLED NURSING FACILITY	DE	$123,233	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF LAUDERHILL FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623998	SKILLED NURSING FACILITY	DE	-$141	$63,888	HCR III HEALTHCARE LLC
HEARTLAND OF MACOMB IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624476	SKILLED NURSING FACILITY	DE	$5,621,754	$843,565	HCR IV HEALTHCARE LLC
HEARTLAND OF MADEIRA OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609604	SKILLED NURSING FACILITY	DE	-$10,238	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF MARIETTA OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609259	SKILLED NURSING FACILITY	DE	$6,990,028	$1,078,593	HCR IV HEALTHCARE LLC
HEARTLAND OF MARION OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260613105	SKILLED NURSING FACILITY	DE	$11,835,994	$1,269,108	HCR IV HEALTHCARE LLC
HEARTLAND OF MARTINSBURG WV LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625081	SKILLED NURSING FACILITY	DE	$220,614	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF MARYSVILLE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609393	SKILLED NURSING FACILITY	DE	-$17,681	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF MENTOR OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610122	SKILLED NURSING FACILITY	DE	$10,904,511	$1,932,624	HCR IV HEALTHCARE LLC
HEARTLAND OF MIAMISBURG OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260794075	SKILLED NURSING FACILITY	DE	$8,341,817	$1,600,311	HCR IV HEALTHCARE LLC
HEARTLAND OF MOLINE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624491	SKILLED NURSING FACILITY	DE	$11,412,256	$1,345,365	HCR IV HEALTHCARE LLC
HEARTLAND OF NORMAL IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615386	SKILLED NURSING FACILITY	DE	$33,202	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF ORANGE PARK FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623613	SKILLED NURSING FACILITY	DE	$11,423,803	$1,864,388	HCR III HEALTHCARE LLC
HEARTLAND OF OREGON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609590	SKILLED NURSING FACILITY	DE	-$65,791	$114,662	HCR IV HEALTHCARE LLC
HEARTLAND OF PAXTON IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614884	SKILLED NURSING FACILITY	DE	$28,857	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF PEORIA IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615478	SKILLED NURSING FACILITY	DE	$10,931	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF PERRYSBURG OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609189	SKILLED NURSING FACILITY	DE	$10,392,751	$1,645,063	HCR IV HEALTHCARE LLC
HEARTLAND OF PIQUA OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609466	SKILLED NURSING FACILITY	DE	-$16,194	$3,564	HCR IV HEALTHCARE LLC
HEARTLAND OF PITTSBURGH PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610260	SKILLED NURSING FACILITY	DE	$15,031,984	$2,582,481	HCR III HEALTHCARE LLC
HEARTLAND OF PLATTEVILLE WI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624818	SKILLED NURSING FACILITY	DE	$27,923	$0	HCR III HEALTHCARE LLC
HEARTLAND OF PORTSMOUTH OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609290	SKILLED NURSING FACILITY	DE	-$5,833	$21,537	HCR IV HEALTHCARE LLC
HEARTLAND OF RAINELLE WV LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625009	SKILLED NURSING FACILITY	DE	$83,656	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF SAGINAW MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612275	SKILLED NURSING FACILITY	DE	-$7,539	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF SAN ANTONIO TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623701	SKILLED NURSING FACILITY	DE	$2,787	$8,228	HCR IV HEALTHCARE LLC
HEARTLAND OF SARASOTA FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623968	SKILLED NURSING FACILITY	DE	$13,523,040	$2,001,772	HCR III HEALTHCARE LLC
HEARTLAND OF SPRINGFIELD OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609416	SKILLED NURSING FACILITY	DE	$30,909	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF TAMARAC FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623500	SKILLED NURSING FACILITY	DE	-$6,631	$83,229	HCR III HEALTHCARE LLC
HEARTLAND OF THREE RIVERS MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612325	SKILLED NURSING FACILITY	DE	$7,685,198	$898,843	HCR IV HEALTHCARE LLC
HEARTLAND OF URBANA OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614353	SKILLED NURSING FACILITY	DE	-$14,888	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF WEST BLOOMFIELD MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611547	SKILLED NURSING FACILITY	DE	-$11,585	$202,831	HCR IV HEALTHCARE LLC
HEARTLAND OF WATERVILLE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609511	SKILLED NURSING FACILITY	DE	-$25,116	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF WAUSEON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614568	SKILLED NURSING FACILITY	DE	-$30,037	$21,809	HCR IV HEALTHCARE LLC
HEARTLAND OF WEST HOUSTON TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623684	SKILLED NURSING FACILITY	DE	-$18,779	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF WHITEHALL MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612438	SKILLED NURSING FACILITY	DE	-$4,160	$0	HCR IV HEALTHCARE LLC
HEARTLAND OF ZEPHYRHILLS FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623476	SKILLED NURSING FACILITY	DE	$10,716,076	$1,447,936	HCR III HEALTHCARE LLC
HEARTLAND VILLAGE OF WESTERVILLE OH (NC) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609323	SKILLED NURSING FACILITY	DE	$11,376,510	$1,729,776	HCR IV HEALTHCARE LLC
HEARTLAND VILLAGE OF WESTERVILLE OH (RC) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609337	SKILLED NURSING FACILITY	DE	$3,837,889	$355,292	HCR IV HEALTHCARE LLC
HEARTLAND-BEAVERCREEK OF DAYTON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609445	SKILLED NURSING FACILITY	DE	$9,023,514	$1,544,690	HCR IV HEALTHCARE LLC
HEARTLAND-BRIARWOOD MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611711	SKILLED NURSING FACILITY	DE	$12,248,269	$2,268,699	HCR IV HEALTHCARE LLC
HEARTLAND-CHARLESTON OF HANAHAN SC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623167	SKILLED NURSING FACILITY	DE	$10,552,237	$4,205,348	HCR III HEALTHCARE LLC
HEARTLAND-CRESTVIEW MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611487	SKILLED NURSING FACILITY	DE	-$13,044	$0	HCR IV HEALTHCARE LLC
HEARTLAND-DORVIN OF LIVONIA MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611095	SKILLED NURSING FACILITY	DE	$49,167	$138,696	HCR IV HEALTHCARE LLC
HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260613145	SKILLED NURSING FACILITY	DE	$16,084	$0	HCR IV HEALTHCARE LLC
HEARTLAND-FOSTRIAN OF FLUSHING MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611818	SKILLED NURSING FACILITY	DE	$11,688,819	$1,553,631	HCR IV HEALTHCARE LLC
HEARTLAND-GEORGIAN BLOOMFIELD OF BLOOMFIELD HILLS MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611630	SKILLED NURSING FACILITY	DE	-$30,428	$0	HCR IV HEALTHCARE LLC
HEARTLAND-GEORGIAN EAST OF GROSSE POINTE MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611334	SKILLED NURSING FACILITY	DE	$10,490,002	$1,813,169	HCR IV HEALTHCARE LLC
HEARTLAND-GREENVIEW MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611920	SKILLED NURSING FACILITY	DE	-$31,937	$200,852	HCR IV HEALTHCARE LLC
HEARTLAND-HAMPTON OF BAY CITY MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611865	SKILLED NURSING FACILITY	DE	$5,630,888	$696,126	HCR IV HEALTHCARE LLC
HEARTLAND-HOLLY GLEN OF TOLEDO OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614404	SKILLED NURSING FACILITY	DE	-$18,232	$0	HCR IV HEALTHCARE LLC
HEARTLAND-INDIAN LAKE OF LAKEVIEW OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614489	SKILLED NURSING FACILITY	DE	-$17,359	$0	HCR IV HEALTHCARE LLC
HEARTLAND-KNOLLVIEW MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612021	SKILLED NURSING FACILITY	DE	-$9,417	$73,366	HCR IV HEALTHCARE LLC
HEARTLAND-LANSING OF BRIDGEPORT OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609376	SKILLED NURSING FACILITY	DE	$10,997	$0	HCR IV HEALTHCARE LLC
HEARTLAND-MIAMI LAKES OF HIALEAH FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623652	SKILLED NURSING FACILITY	DE	-$6,347	$78,524	HCR III HEALTHCARE LLC
HEARTLAND-MT AIRY OF CINCINNATI OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610060	SKILLED NURSING FACILITY	DE	$119,560	$0	HCR IV HEALTHCARE LLC
HEARTLAND-OAKLAND MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620480	SKILLED NURSING FACILITY	DE	$20,107,372	$3,016,102	HCR IV HEALTHCARE LLC
HEARTLAND-PEWAUKEE OF WAUKESHA WI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624873	SKILLED NURSING FACILITY	DE	-$3,928	$0	HCR III HEALTHCARE LLC
HEARTLAND-PLYMOUTH COURT MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610995	SKILLED NURSING FACILITY	DE	-$24,092	$355,371	HCR IV HEALTHCARE LLC
HEARTLAND-PRESTON COUNTY OF KINGWOOD WV LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625067	SKILLED NURSING FACILITY	DE	$118,798	$0	HCR IV HEALTHCARE LLC
HEARTLAND-PRESTWICK IN LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619176	SKILLED NURSING FACILITY	DE	$1,022	$0	HCR IV HEALTHCARE LLC
HEARTLAND-PROSPERITY OAKS OF PALM BEACH GARDENS FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623909	SKILLED NURSING FACILITY	DE	$11,528,091	$1,545,349	HCR III HEALTHCARE LLC
HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619009	ASSISTED LIVING FACILITY	DE	-$38,572	$0	HCR IV HEALTHCARE LLC
HEARTLAND-RIVERVIEW OF SOUTH POINT OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609484	SKILLED NURSING FACILITY	DE	$9,049,419	$1,076,416	HCR IV HEALTHCARE LLC
HEARTLAND-SOUTH JACKSONVILLE OF JACKSONVILLE FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623559	SKILLED NURSING FACILITY	DE	$10,647,447	$1,946,831	HCR III HEALTHCARE LLC
HEARTLAND-UNIVERSITY OF LIVONIA MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611184	SKILLED NURSING FACILITY	DE	$10,651,153	$1,341,459	HCR IV HEALTHCARE LLC
HEARTLAND-VICTORIAN VILLAGE OF COLUMBUS OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609432	SKILLED NURSING FACILITY	DE	$199,492	$0	HCR IV HEALTHCARE LLC
HEARTLAND-WASHINGTON MANOR OF KENOSHA WI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624859	SKILLED NURSING FACILITY	DE	-$28,830	$0	HCR III HEALTHCARE LLC
HEARTLAND-WILLOW LANE OF BUTLER MO LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612474	SKILLED NURSING FACILITY	DE	-$19,659	$0	HCR III HEALTHCARE LLC
HEARTLAND-WILLOWBROOK OF HOUSTON TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624408	SKILLED NURSING FACILITY	DE	-$67,256	$0	HCR IV HEALTHCARE LLC
HEARTLAND-WOODRIDGE OF FAIRFIELD OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609646	SKILLED NURSING FACILITY	DE	$96,853	$0	HCR IV HEALTHCARE LLC
HOLIDAY NURSING CENTER-CENTER TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624488	SKILLED NURSING FACILITY	DE	-$20,680	$0	HCR IV HEALTHCARE LLC
KENSINGTON MANOR-SARASOTA FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623931	SKILLED NURSING FACILITY	DE	$7,862,640	$1,195,912	HCR III HEALTHCARE LLC
LEXINGTON REHABILITATION AND NURSING CENTER-LEXINGTON SC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623428	OUTPATIENT REHABILITATION	DE	$28,635	$0	HCR III HEALTHCARE LLC
MANOR CARE OF FOUNTAIN VALLEY CA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622988	SKILLED NURSING FACILITY	DE	$18,871,502	$2,541,021	HCR IV HEALTHCARE LLC
MANOR CARE NURSING CENTER OF SARASOTA FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624159	SKILLED NURSING FACILITY	DE	$15,615,163	$1,622,118	HCR III HEALTHCARE LLC
MANOR CARE OF ABERDEEN SD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623462	SKILLED NURSING FACILITY	DE	-$3,654	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF AKRON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610034	SKILLED NURSING FACILITY	DE	-$22,438	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF ALEXANDRIA VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624590	SKILLED NURSING FACILITY	DE	$9,394,445	$1,935,437	HCR IV HEALTHCARE LLC
MANOR CARE OF ALLENTOWN PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610673	SKILLED NURSING FACILITY	DE	$13,409,754	$2,413,335	HCR III HEALTHCARE LLC
MANOR CARE OF ANDERSON IN LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619221	SKILLED NURSING FACILITY	DE	-$15,276	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF ARLINGTON VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624619	SKILLED NURSING FACILITY	DE	$15,469,921	$2,786,514	HCR IV HEALTHCARE LLC
MANOR CARE OF BARBERTON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609528	SKILLED NURSING FACILITY	DE	$7,872,886	$1,079,548	HCR IV HEALTHCARE LLC
MANOR CARE OF BETHEL PARK PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622002	SKILLED NURSING FACILITY	DE	$12,881,152	$1,624,316	HCR III HEALTHCARE LLC
MANOR CARE OF BETHESDA MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620122	SKILLED NURSING FACILITY	DE	$10,330,120	$1,478,364	HCR III HEALTHCARE LLC
MANOR CARE OF BETHLEHEM PA (2021) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614878	SKILLED NURSING FACILITY	DE	$17,584,815	$3,096,341	HCR III HEALTHCARE LLC
MANOR CARE OF BETHLEHEM PA (2029) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621845	SKILLED NURSING FACILITY	DE	$16,962,485	$2,779,442	HCR III HEALTHCARE LLC
MANOR CARE OF BOCA RATON FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624217	SKILLED NURSING FACILITY	DE	$16,452,200	$1,951,627	HCR III HEALTHCARE LLC
MANOR CARE OF BOULDER CO LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623287	SKILLED NURSING FACILITY	DE	$13,870,574	$1,570,905	HCR IV HEALTHCARE LLC
MANOR CARE OF BOYNTON BEACH FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624241	SKILLED NURSING FACILITY	DE	$17,193,982	$2,724,196	HCR III HEALTHCARE LLC
MANOR CARE OF CAMP HILL PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623070	SKILLED NURSING FACILITY	DE	$11,591,479	$2,387,319	HCR III HEALTHCARE LLC
MANOR CARE OF CARLISLE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610623	SKILLED NURSING FACILITY	DE	$12,327,406	$2,175,215	HCR III HEALTHCARE LLC
MANOR CARE OF CEDAR RAPIDS IA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624378	SKILLED NURSING FACILITY	DE	$8,275,998	$1,108,304	HCR III HEALTHCARE LLC
MANOR CARE OF CHAMBERSBURG PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614915	SKILLED NURSING FACILITY	DE	$16,876,849	$3,640,958	HCR III HEALTHCARE LLC
MANOR CARE OF CHERRY HILL NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612749	SKILLED NURSING FACILITY	DE	-$54,214	$0	HCR III HEALTHCARE LLC
MANOR CARE OF CHEVY CHASE MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620158	SKILLED NURSING FACILITY	DE	$14,602,023	$1,913,664	HCR III HEALTHCARE LLC
MANOR CARE OF CITRUS HEIGHTS CA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622564	SKILLED NURSING FACILITY	DE	$22,667,131	$3,822,220	HCR IV HEALTHCARE LLC
MANOR CARE OF DALLAS TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623497	SKILLED NURSING FACILITY	DE	-$46,365	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF DALLASTOWN PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614534	SKILLED NURSING FACILITY	DE	$16,829,723	$2,739,652	HCR III HEALTHCARE LLC
MANOR CARE OF DAVENPORT IA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624394	SKILLED NURSING FACILITY	DE	$6,629,094	$1,000,907	HCR III HEALTHCARE LLC
MANOR CARE OF DELRAY BEACH FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624068	SKILLED NURSING FACILITY	DE	$12,581,986	$1,819,787	HCR III HEALTHCARE LLC
MANOR CARE OF DENVER CO LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623262	SKILLED NURSING FACILITY	DE	$12,440,191	$2,372,437	HCR IV HEALTHCARE LLC
MANOR CARE OF DUBUQUE IA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624416	SKILLED NURSING FACILITY	DE	$7,474,908	$1,008,056	HCR III HEALTHCARE LLC
MANOR CARE OF DUNEDIN FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624190	SKILLED NURSING FACILITY	DE	$13,495,689	$1,540,936	HCR III HEALTHCARE LLC
MANOR CARE OF EASTON PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621877	SKILLED NURSING FACILITY	DE	$17,873,458	$3,157,559	HCR III HEALTHCARE LLC
MANOR CARE OF ELGIN IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615951	SKILLED NURSING FACILITY	DE	-$4,121	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF ELIZABETHTOWN PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622774	SKILLED NURSING FACILITY	DE	-$65,672	$2,508	HCR III HEALTHCARE LLC
MANOR CARE OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260618782	SKILLED NURSING FACILITY	DE	$18,832,611	$2,111,387	HCR IV HEALTHCARE LLC
MANOR CARE OF FARGO ND LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612718	SKILLED NURSING FACILITY	DE	-$12,026	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF FLORISSANT MO LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612550	SKILLED NURSING FACILITY	DE	-$454	$0	HCR III HEALTHCARE LLC
MANOR CARE OF FOND DU LAC WI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624802	SKILLED NURSING FACILITY	DE	-$13,264	$680	HCR III HEALTHCARE LLC
MANOR CARE OF FORT WORTH TX (NRH) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623538	SKILLED NURSING FACILITY	DE	-$11,151	$2,022	HCR IV HEALTHCARE LLC
MANOR CARE OF FORT WORTH TX (NW) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623570	SKILLED NURSING FACILITY	DE	-$29,662	$26,214	HCR IV HEALTHCARE LLC
MANOR CARE OF FT MYERS FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624272	SKILLED NURSING FACILITY	DE	$11,772,914	$1,580,305	HCR III HEALTHCARE LLC
MANOR CARE OF GIG HARBOR WA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624719	SKILLED NURSING FACILITY	DE	$6,002,034	$1,321,571	HCR IV HEALTHCARE LLC
MANOR CARE OF GREEN BAY WI (EAST) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624767	SKILLED NURSING FACILITY	DE	-$2,606	$0	HCR III HEALTHCARE LLC
MANOR CARE OF GREEN BAY WI (WEST) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624786	SKILLED NURSING FACILITY	DE	-$8,599	$0	HCR III HEALTHCARE LLC
MANOR CARE OF HEMET CA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623107	SKILLED NURSING FACILITY	DE	$18,428,739	$3,676,624	HCR IV HEALTHCARE LLC
MANOR CARE OF HINSDALE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615984	SKILLED NURSING FACILITY	DE	$21,677,003	$4,083,716	HCR IV HEALTHCARE LLC
MANOR CARE OF HOMEWOOD IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614920	SKILLED NURSING FACILITY	DE	$13,737,797	$2,238,645	HCR IV HEALTHCARE LLC
MANOR CARE OF HUNTINGDON VALLEY PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610582	SKILLED NURSING FACILITY	DE	$10,641,800	$1,942,496	HCR III HEALTHCARE LLC
MANOR CARE OF INDY (SOUTH) IN LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619623	SKILLED NURSING FACILITY	DE	$9,717,744	$1,567,276	HCR IV HEALTHCARE LLC
MANOR CARE OF JERSEY SHORE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614957	SKILLED NURSING FACILITY	DE	$9,381,980	$1,911,848	HCR III HEALTHCARE LLC
MANOR CARE OF KANKAKEE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615706	SKILLED NURSING FACILITY	DE	$5,163	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF KING OF PRUSSIA PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610645	SKILLED NURSING FACILITY	DE	$14,571,983	$2,121,235	HCR III HEALTHCARE LLC
MANOR CARE OF KINGSFORD MI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260611592	SKILLED NURSING FACILITY	DE	$9,779,302	$1,212,621	HCR IV HEALTHCARE LLC
MANOR CARE OF KINGSTON PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615323	SKILLED NURSING FACILITY	DE	$12,666,434	$1,969,241	HCR III HEALTHCARE LLC
MANOR CARE OF LANCASTER PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621637	SKILLED NURSING FACILITY	DE	$14,306,151	$2,840,277	HCR III HEALTHCARE LLC
MANOR CARE OF LAURELDALE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615380	SKILLED NURSING FACILITY	DE	$17,423,571	$3,168,792	HCR III HEALTHCARE LLC
MANOR CARE OF LEBANON PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615358	SKILLED NURSING FACILITY	DE	$13,897,760	$2,516,954	HCR III HEALTHCARE LLC
MANOR CARE OF LIBERTYVILLE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615859	SKILLED NURSING FACILITY	DE	$14,016,285	$1,870,846	HCR IV HEALTHCARE LLC
MANOR CARE OF LYNNWOOD WA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624675	SKILLED NURSING FACILITY	DE	$9,101,466	$1,881,590	HCR IV HEALTHCARE LLC
MANOR CARE OF MARIETTA GA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624336	SKILLED NURSING FACILITY	DE	$14,709,218	$2,120,754	HCR III HEALTHCARE LLC
MANOR CARE OF MAYFIELD HEIGHTS OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609565	SKILLED NURSING FACILITY	DE	-$72,397	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF MCMURRAY PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614341	SKILLED NURSING FACILITY	DE	$10,877,516	$1,377,221	HCR III HEALTHCARE LLC
MANOR CARE OF MIDWEST CITY OK LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610183	SKILLED NURSING FACILITY	DE	-$73,592	$0	HCR III HEALTHCARE LLC
MANOR CARE OF MINOT ND LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612693	SKILLED NURSING FACILITY	DE	-$2,408	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF MONROEVILLE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614497	SKILLED NURSING FACILITY	DE	$12,125,555	$1,824,138	HCR III HEALTHCARE LLC
MANOR CARE OF MOUNTAINSIDE NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612791	SKILLED NURSING FACILITY	DE	$13,234,450	$2,255,610	HCR III HEALTHCARE LLC
MANOR CARE OF NAPERVILLE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615638	SKILLED NURSING FACILITY	DE	$45,200	$65,408	HCR IV HEALTHCARE LLC
MANOR CARE OF NAPLES FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624049	SKILLED NURSING FACILITY	DE	$11,404,133	$1,456,956	HCR III HEALTHCARE LLC
MANOR CARE OF NEW PROVIDENCE NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612827	SKILLED NURSING FACILITY	DE	$8,556	$947	HCR III HEALTHCARE LLC
MANOR CARE OF NORTH OLMSTED OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610082	SKILLED NURSING FACILITY	DE	$106,999	$61,648	HCR IV HEALTHCARE LLC
MANOR CARE OF NORTHBROOK IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260618960	SKILLED NURSING FACILITY	DE	$299,714	$7,186	HCR IV HEALTHCARE LLC
MANOR CARE OF OAK LAWN (EAST) IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615929	SKILLED NURSING FACILITY	DE	$14,735,039	$2,422,407	HCR IV HEALTHCARE LLC
MANOR CARE OF OAK LAWN (WEST) IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260616038	SKILLED NURSING FACILITY	DE	$16,616,784	$3,096,362	HCR IV HEALTHCARE LLC
MANOR CARE OF OKLAHOMA CITY (SOUTHWEST) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610197	SKILLED NURSING FACILITY	DE	-$69,124	$0	HCR III HEALTHCARE LLC
MANOR CARE OF PALM DESERT CA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623221	SKILLED NURSING FACILITY	DE	$19,330,871	$3,484,211	HCR IV HEALTHCARE LLC
MANOR CARE OF PALM HARBOR FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624018	SKILLED NURSING FACILITY	DE	$19,571,781	$2,316,608	HCR III HEALTHCARE LLC
MANOR CARE OF PALOS HEIGHTS (WEST) IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260618879	SKILLED NURSING FACILITY	DE	$13,294,758	$1,051,299	HCR IV HEALTHCARE LLC
MANOR CARE OF PALOS HEIGHTS IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615889	SKILLED NURSING FACILITY	DE	$19,551,786	$3,524,276	HCR IV HEALTHCARE LLC
MANOR CARE OF PARMA OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609661	SKILLED NURSING FACILITY	DE	$11,061,792	$1,547,388	HCR IV HEALTHCARE LLC
MANOR CARE OF PINEHURST NC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612589	SKILLED NURSING FACILITY	DE	$3,596	$19,871	HCR III HEALTHCARE LLC
MANOR CARE OF PLANTATION FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624255	SKILLED NURSING FACILITY	DE	-$3,772	$70,137	HCR III HEALTHCARE LLC
MANOR CARE OF POTOMAC MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620187	SKILLED NURSING FACILITY	DE	$20,144,229	$2,976,525	HCR III HEALTHCARE LLC
MANOR CARE OF POTTSTOWN PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615421	SKILLED NURSING FACILITY	DE	$10,677,192	$1,468,868	HCR III HEALTHCARE LLC
MANOR CARE OF POTTSVILLE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615453	SKILLED NURSING FACILITY	DE	$9,199,555	$2,001,173	HCR III HEALTHCARE LLC
MANOR CARE OF RENO NV LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260613035	SKILLED NURSING FACILITY	DE	$7,674	$16,664	HCR IV HEALTHCARE LLC
MANOR CARE OF ROLLING MEADOWS IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619150	SKILLED NURSING FACILITY	DE	-$585	$57,590	HCR IV HEALTHCARE LLC
MANOR CARE OF SAN ANTONIO (NORTH) TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623600	SKILLED NURSING FACILITY	DE	$4,350	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF SHAWANO WI LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624831	SKILLED NURSING FACILITY	DE	$0	$0	HCR III HEALTHCARE LLC
MANOR CARE OF SILVER SPRING MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620058	SKILLED NURSING FACILITY	DE	$14,542,364	$2,231,590	HCR III HEALTHCARE LLC
MANOR CARE OF SINKING SPRING PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621908	SKILLED NURSING FACILITY	DE	$18,125,439	$3,341,174	HCR III HEALTHCARE LLC
MANOR CARE OF SOUTH HOLLAND IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615010	SKILLED NURSING FACILITY	DE	$23,190	$173,235	HCR IV HEALTHCARE LLC
MANOR CARE OF SOUTH OGDEN UT LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624547	SKILLED NURSING FACILITY	DE	-$426	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF SPOKANE WA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624687	SKILLED NURSING FACILITY	DE	$7,636,164	$1,459,711	HCR IV HEALTHCARE LLC
MANOR CARE OF SPRINGFIELD MO LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612506	SKILLED NURSING FACILITY	DE	-$706	$0	HCR III HEALTHCARE LLC
MANOR CARE OF SUNBURY PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615499	SKILLED NURSING FACILITY	DE	$9,971,029	$1,730,841	HCR III HEALTHCARE LLC
MANOR CARE OF SUNNYVALE CA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623034	SKILLED NURSING FACILITY	DE	$19,197,376	$2,896,500	HCR IV HEALTHCARE LLC
MANOR CARE OF TACOMA WA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624696	SKILLED NURSING FACILITY	DE	$8,893,506	$1,235,019	HCR IV HEALTHCARE LLC
MANOR CARE OF TOPEKA KS LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619810	SKILLED NURSING FACILITY	DE	$79,393	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF TOWSON LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620456	SKILLED NURSING FACILITY	DE	$13,617,049	$1,761,874	HCR III HEALTHCARE LLC
MANOR CARE OF TUCSON AZ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622500	SKILLED NURSING FACILITY	DE	$0	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF TULSA OK LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610215	SKILLED NURSING FACILITY	DE	-$81,955	$0	HCR III HEALTHCARE LLC
MANOR CARE OF VENICE FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624092	SKILLED NURSING FACILITY	DE	$12,670,800	$1,764,124	HCR III HEALTHCARE LLC
MANOR CARE OF VOORHEES NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612955	SKILLED NURSING FACILITY	DE	$11,491,163	$1,546,547	HCR III HEALTHCARE LLC
MANOR CARE OF W PALM BEACH FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624142	SKILLED NURSING FACILITY	DE	$10,946,789	$1,517,440	HCR III HEALTHCARE LLC
MANOR CARE OF WALNUT CREEK CA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623196	SKILLED NURSING FACILITY	DE	$23,929,269	$3,079,498	HCR IV HEALTHCARE LLC
MANOR CARE OF WATERLOO IA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624363	SKILLED NURSING FACILITY	DE	$7,437,848	$1,140,315	HCR III HEALTHCARE LLC
MANOR CARE OF WEBSTER TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623637	SKILLED NURSING FACILITY	DE	-$47,048	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF WEST DES MOINES IA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624438	SKILLED NURSING FACILITY	DE	$7,307,729	$1,133,709	HCR III HEALTHCARE LLC
MANOR CARE OF WEST READING PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615529	SKILLED NURSING FACILITY	DE	$14,073,071	$2,780,675	HCR III HEALTHCARE LLC
MANOR CARE OF WESTERVILLE OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609626	SKILLED NURSING FACILITY	DE	$30,971	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF WESTMONT IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619027	SKILLED NURSING FACILITY	DE	$124,833	$28,996	HCR IV HEALTHCARE LLC
MANOR CARE OF WHEATON MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620376	SKILLED NURSING FACILITY	DE	$10,375,126	$1,677,921	HCR III HEALTHCARE LLC
MANOR CARE OF WICHITA KS LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619870	SKILLED NURSING FACILITY	DE	$2,447	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF WILLIAMSPORT PA (NORTH) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621747	SKILLED NURSING FACILITY	DE	$10,108,269	$2,121,244	HCR III HEALTHCARE LLC
MANOR CARE OF WILLIAMSPORT PA (SOUTH) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621778	SKILLED NURSING FACILITY	DE	$7,874,261	$1,820,683	HCR III HEALTHCARE LLC
MANOR CARE OF WILLOUGHBY OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610097	SKILLED NURSING FACILITY	DE	$11,982,731	$1,601,851	HCR IV HEALTHCARE LLC
MANOR CARE OF WILMETTE IL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260615773	SKILLED NURSING FACILITY	DE	$0	$0	HCR IV HEALTHCARE LLC
MANOR CARE OF WILMINGTON DE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623367	SKILLED NURSING FACILITY	DE	$15,767,121	$2,091,313	HCR III HEALTHCARE LLC
MANOR CARE OF YARDLEY PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614171	SKILLED NURSING FACILITY	DE	$17,220,894	$2,968,430	HCR III HEALTHCARE LLC
MANOR CARE OF YEADON PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621815	SKILLED NURSING FACILITY	DE	$16,991,638	$2,476,006	HCR III HEALTHCARE LLC
MANOR CARE OF YORK PA (NORTH) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622887	SKILLED NURSING FACILITY	DE	$14,696,493	$2,674,061	HCR III HEALTHCARE LLC
MANOR CARE OF YORK PA (SOUTH) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622947	SKILLED NURSING FACILITY	DE	$14,428,438	$2,733,402	HCR III HEALTHCARE LLC
MANOR CARE REHABILITATION CENTER OF DECATUR GA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624293	OUTPATIENT REHABILITATION	DE	$14,192,825	$1,786,235	HCR III HEALTHCARE LLC
MANOR CARE-BELDEN VILLAGE OF CANTON OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260613074	SKILLED NURSING FACILITY	DE	-$18,370	$0	HCR IV HEALTHCARE LLC
MANOR CARE-CARROLLWOOD OF TAMPA FL LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624118	SKILLED NURSING FACILITY	DE	-$4,234	$0	HCR III HEALTHCARE LLC
MANOR CARE-DULANEY MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619923	SKILLED NURSING FACILITY	DE	$5,932	$64,527	HCR III HEALTHCARE LLC
MANOR CARE-EUCLID BEACH OF CLEVELAND OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260609550	SKILLED NURSING FACILITY	DE	$85,584	$0	HCR IV HEALTHCARE LLC
MANOR CARE-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624605	SKILLED NURSING FACILITY	DE	$15,547,420	$2,203,327	HCR IV HEALTHCARE LLC
MANOR CARE-GREENTREE OF PITTSBURGH PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622713	SKILLED NURSING FACILITY	DE	$16,403,219	$2,753,898	HCR III HEALTHCARE LLC
MANOR CARE-IMPERIAL OF RICHMOND VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624643	SKILLED NURSING FACILITY	DE	$10,819,138	$1,825,696	HCR IV HEALTHCARE LLC
MANOR CARE-KINGSTON COURT OF YORK PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610561	SKILLED NURSING FACILITY	DE	$13,975,929	$2,281,662	HCR III HEALTHCARE LLC
MANOR CARE-LANSDALE OF MONTGOMERYVILLE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260614451	SKILLED NURSING FACILITY	DE	$13,689,052	$2,143,410	HCR III HEALTHCARE LLC
MANOR CARE-LARGO MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620266	SKILLED NURSING FACILITY	DE	$12,962,459	$2,179,699	HCR III HEALTHCARE LLC
MANOR CARE- LELY PALMS OF NAPLES FL (SH) LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260625295	ASSISTED LIVING FACILITY	DE	$6,454,270	$1,974,964	HCR III HEALTHCARE LLC
MANOR CARE-LINDEN VILLAGE OF LEBANON PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260621960	SKILLED NURSING FACILITY	DE	$3,090,597	$317,926	HCR III HEALTHCARE LLC
MANOR CARE-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610604	SKILLED NURSING FACILITY	DE	$17,337,526	$3,091,828	HCR III HEALTHCARE LLC
MANOR CARE-PIKE CREEK OF WILMINGTON DE LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623346	SKILLED NURSING FACILITY	DE	$21,549,669	$3,224,542	HCR III HEALTHCARE LLC
MANOR CARE-ROCKY RIVER OF CLEVELAND OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610139	SKILLED NURSING FACILITY	DE	$41,593	$0	HCR IV HEALTHCARE LLC
MANOR CARE-ROLAND PARK MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620341	SKILLED NURSING FACILITY	DE	$11,414,955	$2,022,318	HCR III HEALTHCARE LLC
MANOR CARE-ROSSVILLE MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620310	SKILLED NURSING FACILITY	DE	$16,243,417	$2,743,821	HCR III HEALTHCARE LLC
MANOR CARE-RUXTON MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620431	SKILLED NURSING FACILITY	DE	$18,668,883	$3,378,734	HCR III HEALTHCARE LLC
MANOR CARE-SHARPVIEW OF HOUSTON TX LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623656	SKILLED NURSING FACILITY	DE	$33,716	$0	HCR IV HEALTHCARE LLC
MANOR CARE-STRATFORD HALL OF RICHMOND VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624664	SKILLED NURSING FACILITY	DE	$14,857,311	$2,056,424	HCR IV HEALTHCARE LLC
MANOR CARE-SUMMER TRACE OF CARMEL IN LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619716	SKILLED NURSING FACILITY	DE	$8,242,823	$1,200,110	HCR IV HEALTHCARE LLC
MANOR CARE-TICE VALLEY CA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622591	SKILLED NURSING FACILITY	DE	$18,669,586	$2,764,247	HCR IV HEALTHCARE LLC
MANOR CARE-WEST DEPTFORD OF PAULSBORO NJ LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260612993	SKILLED NURSING FACILITY	DE	$14,478,849	$1,864,039	HCR III HEALTHCARE LLC
MANOR CARE-WOODBRIDGE VALLEY MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620223	SKILLED NURSING FACILITY	DE	-$13,915	$90,616	HCR III HEALTHCARE LLC
MANOR CARE OF OVERLAND PARK KS LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260619843	SKILLED NURSING FACILITY	DE	-$30,476	$0	HCR IV HEALTHCARE LLC
MEDICAL CARE CENTER-LYNCHBURG VA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260624567	SKILLED NURSING FACILITY	DE	$9,761,761	$1,441,294	HCR IV HEALTHCARE LLC
OAKMONT EAST-GREENVILLE SC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623316	SKILLED NURSING FACILITY	DE	$9,561,313	$1,540,579	HCR III HEALTHCARE LLC
OAKMONT OF UNION SC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623208	SKILLED NURSING FACILITY	DE	$7,837,626	$1,203,226	HCR III HEALTHCARE LLC
OAKMONT WEST-GREENVILLE SC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623335	SKILLED NURSING FACILITY	DE	$10,456,661	$1,373,467	HCR III HEALTHCARE LLC
OLD ORCHARD HEALTH CARE CENTER-EASTON PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623007	SKILLED NURSING FACILITY	DE	$18,771,066	$3,601,035	HCR III HEALTHCARE LLC
PERRYSBURG COMMONS SENIOR HOUSING-PERRYSBURG OH LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623264	ASSISTED LIVING FACILITY	DE	$2,532,476	$246,432	HCR IV HEALTHCARE LLC
SHADYSIDE NURSING AND REHABILITATION CENTER-PITTSBURGH PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610325	SKILLED NURSING FACILITY	DE	$11,482,067	$1,441,966	HCR III HEALTHCARE LLC
SKY VUE TERRACE-PITTSBURGH PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610347	SKILLED NURSING FACILITY	DE	$7,535,887	$1,179,990	HCR III HEALTHCARE LLC
SPRINGHOUSE OF PIKESVILLE MD LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260620079	SKILLED NURSING FACILITY	DE	$4,114,911	$381,433	HCR III HEALTHCARE LLC
TWINBROOK MEDICAL CENTER-ERIE PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610373	SKILLED NURSING FACILITY	DE	$55,824	$0	HCR III HEALTHCARE LLC
WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260610542	SKILLED NURSING FACILITY	DE	$17,669,548	$2,345,012	HCR III HEALTHCARE LLC
WEST ASHLEY REHABILITATION AND NURSING CENTER-CHARLESTON SC LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260623364	SKILLED NURSING FACILITY	DE	$9,232,596	$1,772,132	HCR III HEALTHCARE LLC
WHITEHALL BOROUGH-PITTSBURGH PA LLC
333 N SUMMIT ST	TOLEDO	OH	43604	260622805	SKILLED NURSING FACILITY	DE	$17,423,123	$2,559,799	HCR III HEALTHCARE LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	341883132	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
100 MADISON AVE	TOLEDO	OH	43604	386108110	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTON	DEFIANCE	OH	43512	510173779	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	10	DEFIANCE HOSPITAL INC	Yes (1)
DEFIANCE HOSPITAL INC
100 MADISON AVE	TOLEDO	OH	43604	344446484	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER
100 MADISON AVE	TOLEDO	OH	43604	382796005	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVE	ADRIAN	MI	43604	382149602	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	12B, II	EMMA L BIXBY MEDICAL CENTER	Yes (1)
FOSTORIA HOSPITAL ASSOCIATION
100 MADISON AVE	TOLEDO	OH	43604	340898745	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907	FOSTORIA	OH	44830	346517634	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	10	FOSTORIA HOSPITAL ASSOCIATION	Yes (1)
HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	825373223	SKILLED NURSING FACILITIES	OH	501(C)(3)	10	PROMEDICA HEALTH SYSTEM INC	Yes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383076105	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	12B, II	HERRICK MEMORIAL HOSPITAL INC	Yes (1)
HERRICK MEMORIAL HOSPITAL INC
100 MADISON AVE	TOLEDO	OH	43604	383049015	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
KAITLYN'S COTTAGE INC
100 MADISON AVE	TOLEDO	OH	43604	454781053	RESPITE CARE	OH	501(C)(3)	10	DEFIANCE HOSPITAL INC	Yes (1)
LENAWEE LONG TERM CARE
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	382879330	LONG TERM CARE	MI	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MEMORIAL HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	344430849	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
100 MADISON AVE	TOLEDO	OH	43604	381984289	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
MONROE COMMUNITY HEALTH SERVICES
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	382934134	LONG TERM CARE	MI	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	203376102	HEALTH INSURANCE	OH	501(C)(3)	10	PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES	Yes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVE	TOLEDO	OH	43604	344492440	LONG TERM AND HOME HEALTH CARE	OH	501(C)(3)	10	PROMEDICA CONTINUUM SERVICES	Yes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVE	TOLEDO	OH	43604	341880767	PHYSICIAN MANAGEMENT SERVICES	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA COURIER SERVICES INC
100 MADISON AVE	TOLEDO	OH	43604	260324790	COURIER SERVICE	OH	501(C)(3)	12B, II	PROMEDICA CONTINUUM SERVICES	Yes (1)
MANOR CARE OF LYNNWOOD WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624675	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF SPOKANE WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624687	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF TACOMA WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624696	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF GIG HARBOR WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624719	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF LACEY WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624391	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF SALMON CREEK WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624375	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
PROMEDICA FOUNDATION
444 N SUMMIT ST	TOLEDO	OH	43604	341517672	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVE	TOLEDO	OH	43604	341517671	PARENT COMPANY OF HEALTH SYSTEM	OH	501(C)(3)	12B, II		0	N/A
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR	BURLINGTON	VT	05401	341931936	PROFESSIONAL & GENERAL LIABILITY	VT	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA PHYSICIAN GROUP INC
100 MADISON AVE	TOLEDO	OH	43604	341899439	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	10	PROMEDICA HEALTH SYSTEM INC	Yes (1)
THE TOLEDO HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	344428256	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
100 MADISON AVE	TOLEDO	OH	43604	341831624	HOSPICE HOME CARE	OH	501(C)(3)	10	PROMEDICA CONTINUUM SERVICES	Yes (1)
HCR MANORCARE FOUNDATION INC
444 N SUMMIT ST	TOLEDO	OH	43604	522031975	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA FOUNDATION	Yes (1)
HEARTLAND HOSPICE MEMORIAL FUND INC
444 N SUMMIT ST	TOLEDO	OH	43604	270497199	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA FOUNDATION	Yes (1)
THE HUG FUND
444 N SUMMIT ST	TOLEDO	OH	43604	202272848	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA FOUNDATION	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
REYNOLDS ROAD SURGICAL CENTER LTD
2865 N REYNOLDS RD	TOLEDO	OH	43615	311569454	FREESTANDING AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	$511,620	$1,729,260	0	0	0.63000
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVE	TOLEDO	OH	43604	260679898	MEDICAL DIAGNOSTICS	OH	THE TOLEDO HOSPITAL	RELATED	-$613,661	$1,253,948	0	0	0.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRAL	TOLEDO	OH	43617	200088459	AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	$654,618	$3,442,936	0	Yes (1)	0.50000
PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
100 MADISON AVE	TOLEDO	OH	43604	461989695	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM INC	RELATED	$473,243	$670,061	0	0	0.50900
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVE	FREMONT	OH	43420	204066818	REAL ESTATE	OH	MEMORIAL HOSPITAL	RELATED	-$176	$278,049	0	0	0.50000
THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
1051 S TELEGRAPH RD	MONROE	MI	48161	270843485	AMBULATORY SURGICAL CENTER	MI	PROMEDICA CONTINUUM SERVICES	RELATED	-$118,408	$3,404,667	0	0	0.55900
PROMEDICA MASTER TENANT LLC
100 MADISON AVE	TOLEDO	OH	43604	475288490	REAL ESTATE	OH	PROMEDICA MANAGER MEMBER LLC	RELATED	-$5,362	$225,028	0	Yes (1)	0.01000
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVE	TOLEDO	OH	43604	473163945	REAL ESTATE	OH	PROMEDICA MANAGER MEMBER LLC	RELATED	-$353,705	$41,521,692	0	Yes (1)	0.90000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220	TOLEDO	OH	43615	475603627	INVESTMENT FUND	OH	PROMEDICA HEALTH SYSTEM INC	RELATED	-$17,026	$1,383,770	0	0	0.66660
HCRMC-PROMEDICA JV LLC
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43604	461343453	NURSING AND REHAB SERVICES	DE	MANOR CARE HEALTH SERVICES OF TOLEDO OH LLC	RELATED	-$199,789	$9,548,146	0	Yes (1)	1.00000
MERCYMANOR PARTNERSHIP
PO BOX 10086 ATTN TAX-5	TOLEDO	PA	43604	521931012	SKILLED NURSING	PA	MANOR CARE OF DELAWARE COUNTY LLC	RELATED	-$13,406	$110,778	0	Yes (1)	0.50000
NORMAN SPECIALTY HOSPITAL LLC
PO BOX 10086 ATTN TAX-5	TOLEDO	DE	43604	421627672	HEALTH CARE	DE	MANOR CARE HEALTH SERVICES OF OKLAHOMA LLC	RELATED	-$391,047		0	Yes (1)	0.60500
PROMEDICA PATHOLOGY LABORATORIES LLC
2130 W CENTRAL AVE STE 300	TOLEDO	OH	43606	831022842	CLINICAL LABORATORY	DE	THE TOLEDO HOSPITAL	RELATED	$1,922,359	$72,435,344	0	0	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TR	ADRIAN	MI	49221	383146907	FACILITY LEASING	MI	EMMA L BIXBY MEDICAL CENTER	C	$74,545	$1,120,556	1.00000	0
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVE	TOLEDO	OH	43604	383322278	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP INC	C	-$7,383,080	$7,408,642	1.00000	0
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	341570675	HEALTH CARE INSURANCE	OH	PROMEDICA HEALTH SYSTEM INC	C	$527,769,598	$349,588,322	1.00000	0
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVE	TOLEDO	OH	43604	383482148	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP INC	C		$149,134	1.00000	0
PROMEDICA RETAIL GROUP INC
3890 MONROE ST	TOLEDO	OH	43606	341159928	FLORIST	OH	PROMEDICA CONTINUUM SERVICES	C			1.00000	0
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	383639616	FACILITY MANAGEMENT	MI	HERRICK MEMORIAL DEVELOPMENT CORP	C	$36	$41,818	0.71800	0
PROMEDICA HEALTH NETWORK INC
100 MADISON AVE	TOLEDO	OH	43604	474006496	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM INC	C	$438,847	$2,444,310	1.00000	0
MONROE HEALTH VENTURES INC
718 N MACOMB	MONROE	MI	48164	382704426	PHARMACY	MI	MERCY MEMORIAL HOSPITAL CORPORATION	C			1.00000	0
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVE	TOLEDO	OH	43604	475168737	REAL ESTATE	OH	PROMEDICA HEALTH SYSTEM INC	C	-$4,241	$30,990,896	1.00000	0
MANOR CARE INSURANCE INC
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43604	980428947	INSURANCE	UT	HCR HEALTHCARE LLC	C	-$42,847		1.00000	0

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

Transactions Related Org TransactionsRelatedOrgGrp (45 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROMEDICA FOUNDATION
B	$3,139,163	FMV
PROMEDICA FOUNDATION
C	$3,923,574	FMV
THE TOLEDO HOSPITAL
K	$1,736,423	FMV
PROMEDICA MASTER TENANT
K	$1,739,147	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
O	$232,034	FMV
PROMEDICA INDEMNITY CORPORATION
O	$181,649	FMV
THE TOLEDO HOSPITAL
O	$55,435	FMV
PROMEDICA COURIER SERVICES INC
P	$121,018	FMV
PROMEDICA INDEMNITY CORPORATION
P	$11,375,999	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
P	$919,018	FMV
PROMEDICA PHYSICIAN GROUP
P	$479,909	FMV
THE TOLEDO HOSPITAL
P	$2,732,159	FMV
BAY PARK COMMUNITY HOSPITAL
Q	$12,920,419	FMV
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
Q	$1,206,607	FMV
DEFIANCE HOSPITAL INC
Q	$9,547,551	FMV
EMMA L BIXBY MEDICAL CENTER
Q	$12,618,053	FMV
FOSTORIA HOSPITAL ASSOCIATION
Q	$5,717,341	FMV
HCR MANORCARE
Q	$700,027	FMV
HERRICK MEMORIAL HOSPITAL INC
Q	$6,651,948	FMV
LENAWEE CLINICAL PARTNERS
Q	$100,000	FMV
MEMORIAL HOSPITAL
Q	$7,738,841	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
Q	$19,649,689	FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
Q	$7,928,129	FMV
PROMEDICA FOUNDATION
Q	$4,542,582	FMV
PROMEDICA HEALTH NETWORK
Q	$173,466	FMV
PROMEDICA INDEMNITY CORPORATION
Q	$341,445	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
Q	$28,496,780	FMV
PROMEDICA PHYSICIAN GROUP
Q	$65,943,130	FMV
THE TOLEDO HOSPITAL
Q	$185,778,503	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
R	$12,142,857	FMV
EMMA L BIXBY MEDICAL CENTER
R	$6,750,000	FMV
PROMEDICA PHYSICIAN GROUP
R	$23,000,000	FMV
DEFIANCE HOSPITAL INC
S	$35,000,000	FMV
FOSTORIA HOSPITAL ASSOCIATION
S	$22,500,000	FMV
MEMORIAL HOSPITAL
S	$17,500,000	FMV
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
S	$10,000,000	FMV
BAY PARK COMMUNITY HOSPITAL
S	$31,000,000	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
S	$22,500,000	FMV
EMMA L BIXBY MEDICAL CENTER
S	$6,500,000	FMV
HERRICK MEMORIAL HOSPITAL INC
S	$15,500,000	FMV
THE TOLEDO HOSPITAL
S	$491,000,000	FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
S	$35,000,000	FMV
VISITING NURSE HOSPICE & HEALTH CARE
S	$6,000,000	FMV
LENAWEE LONG TERM CARE
S	$3,000,000	FMV
PROMEDICA PHYSICIAN GROUP
S	$15,000,000	FMV