EMMA L BIXBY MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: EMMA L BIXBY MEDICAL CENTER (EIN 38-2796005)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202043189349301419
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 H
Schedule I
Schedule J
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	382796005	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EMMA L BIXBY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	EMMA	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 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	14:08:37	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

Doing Business As Name DoingBusinessAsName

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

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	$172,899,969	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	1989	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	EMMA L. BIXBY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT PROVIDES HEALTHCARE SERVICES PRIMARILY TO INDIVIDUALS OF LENAWEE COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	656	TotalEmployeeCnt
Total Volunteers	98	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$812,214	PYContributionsGrantsAmt
CY Contributions Grants	$195,291	CYContributionsGrantsAmt
PY Program Service Revenue	$83,388,680	PYProgramServiceRevenueAmt
CY Program Service Revenue	$93,745,131	CYProgramServiceRevenueAmt
PY Investment Income	$7,331,185	PYInvestmentIncomeAmt
CY Investment Income	$3,932,249	CYInvestmentIncomeAmt
PY Other Revenue	$1,802,815	PYOtherRevenueAmt
CY Other Revenue	$2,002,603	CYOtherRevenueAmt
PY Total Revenue	$93,334,894	PYTotalRevenueAmt
CY Total Revenue	$99,875,274	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,031,288	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$388,571	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$38,027,660	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$38,558,358	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$40,979,831	PYOtherExpensesAmt
CY Other Expenses	$47,898,666	CYOtherExpensesAmt
PY Total Expenses	$85,038,779	PYTotalExpensesAmt
CY Total Expenses	$86,845,595	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,296,115	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,029,679	CYRevenuesLessExpensesAmt
Total Assets BOY	$186,172,015	TotalAssetsBOYAmt
Total Assets EOY	$239,631,469	TotalAssetsEOYAmt
Total Liabilities BOY	$83,358,217	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$87,544,017	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$102,813,798	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$152,087,452	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EMMA L. BIXBY MEDICAL CENTER IS DEDICATED TO IMPROVING HUMAN LIFE AND DEVOTED TO THE PATIENTS AND FAMILIES WE SERVE THROUGH INNOVATIVE CARE, SUPERIOR QUALITY, AND PREMIER CUSTOMER SERVICE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$78,239,154	ExpenseAmt
Grant	$388,571	GrantAmt
Revenue	$93,839,507	RevenueAmt
Desc	EMMA L. BIXBY MEDICAL CENTER IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.	Desc
Total Program Service Expenses	$78,239,154	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	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	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	51	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	656	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
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 (40 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
JULIE K YAROCH DO
PRESIDENT	1.00	41.00	Yes (X)	Yes (X)	$0	$336,019	$39,579
MARCY L BROWN
CHAIRMAN	1.00	8.00	Yes (X)	Yes (X)	$0	$0	$0
KEVIN C WEBB PHD
EX OFFICIO	1.00	54.00	Yes (X)		$0	$1,375,143	$235,820
SAMANTHA MUCHA MD
TRUSTEE	1.00	41.00	Yes (X)		$0	$677,445	$25,455
VICTOR J CHERFAN DO
TRUSTEE	1.00	47.00	Yes (X)		$40,000	$562,361	$23,905
DAWN BUSKEY
TRUSTEE	1.00	46.00	Yes (X)		$0	$479,780	$40,782
ROBIN L WHITNEY
TRUSTEE	1.00	42.00	Yes (X)		$0	$443,791	$35,067
DARRIN ARQUETTE
EX OFFICIO	1.00	44.00	Yes (X)		$0	$321,960	$39,620
PAUL E GIETZEN MD
TRUSTEE	1.00	41.00	Yes (X)		$0	$311,638	$22,236
CHRISTI L ANSBERG
TRUSTEE	1.00	44.00	Yes (X)		$0	$177,761	$26,461
BARBARA MITZEL
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
FRANK DICK
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
RUSSELL L DEMPSEY
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
ELIZABETH A KENNEDY
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JAMES PHILP
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL J UCKELE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
L CHARLES FORCE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL R OLSAVER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
BRENDA G BAKER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
WILLIAM B NOE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL R HERR DVM
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
EDWARD J ENGLE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
GRACE M GARNO
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
RICK K KNIERIM
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
PAULA K HOLTZ
VICE CHAIRMAN	1.00	1.00	Yes (X)		$0	$0	$0
JOHN C AKENS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
KELLY COFFIN
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MARCIA J BOYNTON JD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
RANDALL OOSTRA
PHS PRES. & CEO, EX OFFICIO	1.00	60.00		Yes (X)	$0	$3,848,858	$938,751
STEVEN M CAVANAUGH
TREASURER (BEG 06/03/19)	1.00	60.00		Yes (X)	$0	$2,049,453	$6,413
JEFFREY KUHN
SECRETARY	1.00	60.00		Yes (X)	$0	$1,542,825	$255,983
MICHAEL BROWNING
TREASURER (THRU 06/03/19)	1.00	60.00		Yes (X)	$0	$1,216,014	$3,813
GARY AKENBERGER
COO, ACUTE CARE & SVP, DIAG	1.00	48.00			$0	$450,803	$44,563	Yes (X)
DEANA SIEVERT
SR VP, PAT CARE/CNO, SYSTEM	1.00	48.00			$0	$365,549	$35,214	Yes (X)
RACHELLE VANAKEN
RN, HOSPITAL	40.00	0.00			$131,823	$0	$28,193		Yes (X)
JENNIFER FOSS
DIRECTOR OF PHARMACY	40.00	0.00			$146,153	$0	$8,255		Yes (X)
GREGORY PECKHAM
ASSOCIATE VP, OPERATIONS	20.00	20.00			$81,814	$41,110	$27,904		Yes (X)
MELISSA THOMPSON
CLINICAL PHARMACIST	40.00	0.00			$125,036	$0	$13,738		Yes (X)
KAITLYN ANDRIES
BMC INPATIENT PHARMACIST	40.00	0.00			$129,784	$0	$4,718		Yes (X)
ALAN M SATTLER
FORMER OFFICER	0.00	40.00			$0	$347,990	$44,375			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$654,610	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,548,500	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,900,845	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	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
KRIEGHOFF LENAWEE COMPANY
2039 JAMES ST	ADRIAN	MI	49221	RENOVATION SERVICES	$1,792,215
INDIGO HOSPITAL MEDICINE
818 RIVERSIDE AVE	ADRIAN	MI	49221	LOCUM TENENS	$1,526,531
BIXBY ANESTHESIA ASSOCIATES PC
818 RIVERSIDE AVE	ADRIAN	MI	49221	ANESTHESIA SERVICES	$953,583
HKS INC
1919 MCKINNEY AVE	DALLAS	TX	75201	DESIGN ARCHITECTURAL	$811,396
COUSINO MEDICAL SERVICES LLC
26901 ECKEL RD	PERRYSBURG	OH	43551	MEDICAL SERVICES	$674,861

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$22,325	RelatedOrganizationsAmt
Government Grants	$2,993	GovernmentGrantsAmt
All Other Contributions	$169,973	AllOtherContributionsAmt
Total Contributions	$195,291	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	622110	$90,742,537	$90,742,537
RESIDENTIAL SERVICES F	623110	$2,083,726	$2,083,726
AFFILIATED ORG RENT RE	531120	$918,868		$918,868

Field	Value	IRS element (for citing)
Total Program Service Revenue	$93,745,131	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,914,765	TotalRevenueColumnAmt
Exclusion	$2,914,765	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,050	TotalRevenueColumnAmt
Exclusion	$11,050	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$238,276	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$178,254	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$60,022	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,022	TotalRevenueColumnAmt
Exclusion	$60,022	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$73,863,925	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$72,290,651	SecuritiesAmt
Other	$555,790	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,573,274	SecuritiesAmt
Other	-$555,790	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,017,484	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$555,790	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,573,274	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
ER MEDICAL PROF SERVIC	621493	$1,441,499	$1,441,499
DIETARY & CAFETERIA	722514	$197,882		$197,882
BILLING & ADMIN FEES	561000	$160,901		$160,901

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,249	TotalRevenueColumnAmt
Related Or Exempt Func Income	$127,535	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,714	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,931,531	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$99,875,274	TotalRevenueColumnAmt
Related Or Exempt Func Income	$93,839,507	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,840,476	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$388,571	TotalAmt
Program Services	$388,571	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$40,000	TotalAmt
Management And General	$40,000	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$30,171,827	TotalAmt
Program Services	$26,551,208	ProgramServicesAmt
Management And General	$3,620,619	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,412,800	TotalAmt
Program Services	$1,243,264	ProgramServicesAmt
Management And General	$169,536	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,458,264	TotalAmt
Program Services	$3,923,272	ProgramServicesAmt
Management And General	$534,992	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,475,467	TotalAmt
Program Services	$2,178,411	ProgramServicesAmt
Management And General	$297,056	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$123,840	TotalAmt
Management And General	$123,840	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$51,625	TotalAmt
Management And General	$51,625	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,768	TotalAmt
Program Services	$10,768	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$319,820	TotalAmt
Management And General	$319,820	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,617,969	TotalAmt
Program Services	$13,736,505	ProgramServicesAmt
Management And General	$881,464	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$271,695	TotalAmt
Program Services	$10,868	ProgramServicesAmt
Management And General	$260,827	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$794,933	TotalAmt
Program Services	$612,098	ProgramServicesAmt
Management And General	$182,835	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$362,623	TotalAmt
Management And General	$362,623	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,301,740	TotalAmt
Program Services	$2,232,688	ProgramServicesAmt
Management And General	$69,052	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$144,834	TotalAmt
Program Services	$69,520	ProgramServicesAmt
Management And General	$75,314	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$930,196	TotalAmt
Program Services	$930,196	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,614,275	TotalAmt
Program Services	$4,106,705	ProgramServicesAmt
Management And General	$507,570	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$458,661	TotalAmt
Program Services	$408,208	ProgramServicesAmt
Management And General	$50,453	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$7,003,522	$7,003,522
DRUGS	$6,057,602	$5,391,266	$666,336
PROVIDER TAXES	$3,596,893	$3,596,893
INTERCOMPANY SERVICES	$3,434,250	$3,434,250

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,803,420	TotalAmt
Program Services	$2,410,941	ProgramServicesAmt
Management And General	$392,479	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$86,845,595	TotalAmt
Program Services	$78,239,154	ProgramServicesAmt
Management And General	$8,606,441	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,785,339	BOYAmt
EOY	$9,165,477	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,900,523	BOYAmt
EOY	$11,102,971	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,509,749	BOYAmt
EOY	$1,586,881	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$157,662	BOYAmt
EOY	$220,196	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$182,428,444	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$78,578,755	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$46,645,013	BOYAmt
EOY	$103,849,689	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$101,097,640	BOYAmt
EOY	$93,676,440	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$736,458	BOYAmt
EOY	$730,837	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$550,471	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,339,631	BOYAmt
EOY	$18,748,507	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$186,172,015	BOYAmt
EOY	$239,631,469	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,629,930	BOYAmt
EOY	$13,262,962	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,728,287	BOYAmt
EOY	$74,281,055	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,358,217	BOYAmt
EOY	$87,544,017	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	$95,093,536	BOYAmt
EOY	$141,537,006	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,720,262	BOYAmt
EOY	$10,550,446	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$102,813,798	BOYAmt
EOY	$152,087,452	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$186,172,015	BOYAmt
EOY	$239,631,469	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,029,679	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,014,716	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$29,229,259	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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$10,768	OtherActivitiesAmt
Total Lobbying Expenditures	$10,768	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	EMMA L. BIXBY MEDICAL CENTER PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MICHIGAN HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$689,791	BeginningYearBalanceAmt
Investment Earnings Or Losses	$82,101	InvestmentEarningsOrLossesAmt
End Year Balance	$771,892	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,270,935	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$81,144	InvestmentEarningsOrLossesAmt
Other Expenditures	$500,000	OtherExpendituresAmt
End Year Balance	$689,791	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,391,415	BeginningYearBalanceAmt
Investment Earnings Or Losses	$44,786	InvestmentEarningsOrLossesAmt
Other Expenditures	$165,266	OtherExpendituresAmt
End Year Balance	$1,270,935	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,386,780	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,635	InvestmentEarningsOrLossesAmt
End Year Balance	$1,391,415	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,428,306	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$41,526	InvestmentEarningsOrLossesAmt
End Year Balance	$1,386,780	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,619,517	OtherCostOrOtherBasisAmt
Book Value	$1,619,517	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,916,489	OtherCostOrOtherBasisAmt
Depreciation	$19,879,147	DepreciationAmt
Book Value	$12,037,342	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$324,748	OtherCostOrOtherBasisAmt
Depreciation	$311,644	DepreciationAmt
Book Value	$13,104	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,840,226	OtherCostOrOtherBasisAmt
Depreciation	$29,898,568	DepreciationAmt
Book Value	$5,941,658	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,727,464	OtherCostOrOtherBasisAmt
Depreciation	$28,489,396	DepreciationAmt
Book Value	$84,238,068	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$103,849,689	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$4,161,298
BENEFICIAL INTEREST IN FOUNDATION	$10,459,637
ESTIMATED THIRD PARTY PAYOR RECEIVABLE	$503,006
OTHER RECEIVABLE	$674,192
BOND SINKING FUND	$2,950,374

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$18,748,507	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$8,584,065
ASSET REMEDIATION OBLIGATION	$1,463,975
ESTIMATED THIRD PARTY PAYOR RECEIVABLE	$4,267,585
INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL	$59,698,235
OPERATING LEASE LIABILITY	$267,195

Field	Value	IRS element (for citing)
Total Liability	$74,281,055	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$502,616	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$502,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,556,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,614,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,942,289	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,290	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,062,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,616,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,446,195	NetCommunityBenefitExpnsAmt
Total Expense	0.02820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,312,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$307,628	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,004,871	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$101,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,062,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,098,197	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$964,326	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,536,114	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,405,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,130,289	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,598,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,022,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,576,484	NetCommunityBenefitExpnsAmt
Total Expense	0.05280	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,592,985	BadDebtExpenseAmt
Bad Debt Expense Attributable	$493,683	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$21,378,490	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,511,214	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$867,276	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HERRICK MEMORIAL OFFICE PLAZA CONDO ASSOCIATION
FACILITY SUPPORT	0.71800	0.28200
2 LENAWEE CLINICAL PARTNERS
PHYSICIAN MGMT SERVICES	0.50000	0.32500

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EMMA L BIXBY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	818 RIVERSIDE AVE	AddressLine1Txt
City	ADRIAN	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49221	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
State License	1060000004	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	EMMA L BIXBY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/DEFAULT.ASPX	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/DEFAULT.ASPX	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
EMMA L. BIXBY MEDICAL CENTER	PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY ASSESSMENT SURVEY PROCESS, THE LENAWEE HEALTH NETWORK, COMPRISED OF MULTIPLE COMMUNITY ORGANIZATIONS, COLLABORATED TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LENAWEE COUNTY, WITH PROMEDICA BIXBY AND HERRICK HOSPITALS REPRESENTED ON THIS CHIP COMMITTEE. A GAP ANALYSIS AND RESOURCE ASSESSMENT WAS CONDUCTED AS PART OF THIS PROCESS.IN 2019, PROMEDICA BIXBY AND HERRICK HOSPITALS CONVENED A CHNA COMMITTEE TO REVIEW THE MOST RECENT LENAWEE COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY HEALTH INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS. THE CHNA AND STRATEGIC IMPLEMENTATION PLAN WAS DEVELOPED WITH FEEDBACK FROM THE LENAWEE COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE. THE LENAWEE HEALTH NETWORK STRATEGIC PLANNING PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED:ADRIAN FARMER'S MARKET, CARE PREGNANCY CENTER OF LENAWEE, CATHOLIC CHARITIES OF LENAWEE AND JACKSON, COMMUNITY ACTION AGENCY, FAMILY MEDICAL CENTER, GOODWILL INDUSTRIES, INTERCONNECTIONS DROP IN CENTER, LENAWEE COMMUNITY FOUNDATION, LENAWEE COMMUNITY MENTAL HEALTH AUTHORITY, LENAWEE COUNTY HEALTH DEPARTMENT, LENAWEE DEPARTMENT ON AGING, LENAWEE DEPARTMENT OF HUMAN SERVICES, LENAWEE DEPARTMENT OF VETERANS AFFAIRS, LENAWEE INTERMEDIATE SCHOOL DISTRICT, LENAWEE SUBSTANCE ABUSE PREVENTION COALITION, MCCULLOUGH, VARGAS & ASSOCIATES, MHP SALUD, MICHIGAN OPIOID COLLABORATIVE, MSU EXTENSION, ONE LENAWEE, PROMEDICA BIXBY HOSPITAL, PROMEDICA HERRICK HOSPITAL, REGION 2 AREA AGENCY ON AGING, SIENA HEIGHTS, THE UNITED WAY OF MONROE AND LENAWEE COUNTIES, YMCA OF LENAWEE
EMMA L. BIXBY MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITY: HERRICK MEMORIAL HOSPITAL, INC.
EMMA L. BIXBY MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
EMMA L. BIXBY MEDICAL CENTER	PART V, SECTION B, LINE 11: THE MOST RECENT CHNA, CONDUCTED IN 2019, WILL BE IMPLEMENTED FOR REPORTING YEARS 2020-2022. THE SIGNIFICANT HEALTH NEEDS ADDRESSED BY THE FACILITY IN 2019 WERE IDENTIFIED IN THE CHNA ADOPTED IN 2016 AS DESCRIBED BELOW: EMMA L. BIXBY MEDICAL CENTER CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CANCER - CHRONIC DISEASE PREVENTION THIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019. THE MOST RECENT CHNA WAS CONDUCTED AND AT THE END OF TAX YEAR 2019; THEREFORE, THOSE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2020-2022. EMMA L. BIXBY MEDICAL CENTER DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: ASTHMA, OBESITY, TOBACCO USE, ALCOHOL USE, MARIJUANA AND OTHER DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND HEALTH SCREENINGS, ADULT SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ENVIRONMENTAL HEALTH/DISASTER PREPAREDNESS, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, CARDIOVASCULAR HEALTH, DIABETES, AND ORAL HEALTH. EMMA L. BIXBY MEDICAL CENTER DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2019 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: CANCERSTRATEGY #1 - CONTINUE PARTICIPATION IN REFERRING PATIENTS THAT QUALIFY TO THE LENAWEE COUNTY HEALTH DEPARTMENT FOR FREE WOMEN'S HEALTH SCREENINGS. ACTIONS TAKEN: - 11 PATIENTS WERE REFERRED TO THE LENAWEE COUNTY HEALTH DEPARTMENT FOR FREE WOMEN'S HEALTH SCREENINGS TO INCREASE THE EARLY DETECTION OF CANCER. STRATEGY #2 - PROVIDE HEALTH EDUCATION ON SCREENING AND PREVENTION OF BREAST AND COLORECTAL CANCER IN LENAWEE COUNTY BY TRAINING HAIR STYLISTS TO BE BREAST AND COLORECTAL HEALTH ADVOCATES THROUGH THE DELIVERY OF MESSAGES TO THEIR CUSTOMERS. ACTIONS TAKEN: - THE DAILY BREAD FOOD PANTRY STAFF PARTICIPATED IN EDUCATION AND TRAINING PROGRAMS TO PROVIDE EDUCATION TO THEIR CLIENTS RELATED TO CANCER SCREENINGS TO INCREASE THE EARLY DETECTION OF CANCER. - 150 PIECES OF LITERATURE WERE DISTRIBUTED TO SALONS FOR CUSTOMER OUTREACH EDUCATION TO PROVIDE EDUCATION AND AWARENESS ABOUT CANCER SCREENINGS TO INCREASE THE EARLY DETECTION OF CANCER. HEALTH NEED IDENTIFIED: CHRONIC DISEASE PREVENTION STRATEGY #1 - ANNUAL BLOOD PRESSURE SCREENINGS AND EDUCATION TO BE HELD AT COMMUNITY EVENTS. EARLY DETECTION AND TREATMENT OF HIGH BLOOD PRESSURE WOULD DECREASE THE RISK OF DEATH DUE TO CARDIOVASCULAR DISEASE. ACTIONS TAKEN: - 164 COMMUNITY MEMBERS OBTAINED A BLOOD PRESSURE SCREENING AND EDUCATOIN AT COMMUNITY EVENTS. STRATEGY #2 - GLUCOSE SCREENINGS AND DIABETES EDUCATION EVENTS TO BE HELD AT COMMUNITY EVENTS. ACTIONS TAKEN: - 101 COMMUNITY MEMBERS OBTAINED A GLUCOSE SCREENING AND EDUCATION AT COMMUNITY EVENTS. STRATEGY #3 - HOST STROKE SUPPORT GROUPS FOR THOSE AFFECTED BY THE DISEASE IN OUR COUNTY. ACTIONS TAKEN: - 51 ATTENDED THE STROKE SUPPORT GROUP HOSTED BY THE HOSPITAL. ATTENDEE COUNT IS DUPLICATIVE FOR MONTHLY MEETINGS.
PART V, SECTION B, LINE 16A:	THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX
PART V, SECTION B, LINE 16B:	THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX
PART V, SECTION B, LINE 16C:	A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HICKMAN CANCER CTR
777 KIMOLE LANE STE 130	ADRIAN	MI	492211400	CANCER CARE
2 - SPORTSCARE AT ADRIAN
1136 COUNTRY CLUB RD A	ADRIAN	MI	492218208	PHYSICAL THERAPY
3 - WOLF CREEK
901 KIMOLE LN	ADRIAN	MI	492211491	LAB
4 - PROMEDICA HUDSON HEALTH CTR
331 W MAIN ST	HUDSON	MI	492471051	LAB/RADIOLOGY
5 - TOTAL REHAB AT ONSTED
400 N MAIN ST	ONSTED	MI	492659202	PHYSICAL THERAPY/LAB
6 - PROMEDICA LABORATORIES- ADRIAN
3425 N ADRIAN HWY STE E	ADRIAN	MI	492211139	LAB
7 - BLISSFIELD HEALTH CTR
157 W BROOKE LN	BLISSFIELD	MI	492288601	LAB/RADIOLOGY
8 - BIXBY-TECUMSEH HEALTH CENTER
501 E CUMMINS STREET	TECUMSEH	MI	492862070	LAB
9 - PROMEDICA RADIOLOGY
770 RIVERSIDE AVE	ADRIAN	MI	492211476	RADIOLOGY
10 - FAMILY MEDICAL CENTER
1200 N MAIN ST	ADRIAN	MI	492211759	LAB
11 - PROVINCIAL HOUSE
700 LAKESHIRE TRAIL	ADRIAN	MI	492211565	LAB
12 - LENAWEE MEDICAL CARE FACILITY
200 SAND CREEK HWY	ADRIAN	MI	492211255	LAB
13 - LYNWOOD MANOR
730 KIMOLE LN	ADRIAN	MI	492211463	LAB
14 - BROOKDALE
1200 CORPORATE DR	ADRIAN	MI	492219008	LAB
15 - GREAT LAKES HOME HEALTH
730 RIVERSIDE AVE	ADRIAN	MI	492211445	LAB
16 - CHARLOTTE STEPHENSON MANOR
581 KIMOLE LN	ADRIAN	MI	492211492	LAB
17 - MAGNUM CARE
130 SAND CREEK HWY	ADRIAN	MI	492219129	LAB
18 - FRESENIUS KIDNEY CARE
715 LAKESHIRE TRAIL	ADRIAN	MI	492211561	LAB
19 - LENAWEE COMMUNITY MENTAL HEALTH
1040 S WINTER ST STE 1022	ADRIAN	MI	492213876	LAB
20 - DOMINICAN LIFE CENTER
1277 E SIENA HEIGHTS DR	ADRIAN	MI	492211755	LAB

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:	EMMA L. BIXBY MEDICAL CENTER REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	EMMA L. BIXBY MEDICAL CENTER CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART III, LINE 2:	EMMA L. BIXBY MEDICAL CENTER'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:	EMMA L. BIXBY MEDICAL CENTER ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:	PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 19 AND 20 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION.
PART III, LINE 8:	EMMA L. BIXBY MEDICAL CENTER USED THE MEDICARE ALLOWABLE COSTS PER ITS 2019 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
PART III, LINE 9B:	FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2:	PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:	THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:	EMMA L. BIXBY MEDICAL CENTER, LOCATED IN ADRIAN, MI, SERVES AN AREA PRIMARILY AROUND LENAWEE COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 81,000. APPROXIMATELY, 19% OF THE SERVICE AREA IS AGE 65 OR OVER; 38% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $54,000; 45% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 42% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LENAWEE COUNTY HAS A POPULATION OF APPROXIMATELY 98,000 WITH APPROXIMATELY 10% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 16% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 7% OF LENAWEE COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE AT THE END OF 2019 FOR LENAWEE COUNTY WAS 4.8%. THE LEADING CAUSES OF DEATH IN LENAWEE COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, LUNG DISEASE, STROKE, ALZHEIMER'S, DIABETES, AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO THE 2019 COUNTY HEALTH RANKINGS, LENAWEE COUNTY RANKED 45 OF 83 COUNTIES FOR HEALTH OUTCOMES, 37 OF 83 FOR LENGTH OF LIFE, AND 47 OF 83 FOR QUALITY OF LIFE. THERE ARE NINE HOSPITALS WITHIN A 30-MILE RADIUS OF EMMA L. BIXBY MEDICAL CENTER: HERRICK MEMORIAL HOSPITAL, INC., ST. JOSEPH MERCY SALINE HOSPITAL, FLOWER HOSPITAL, FULTON COUNTY HEALTH CENTER, ST. ANNE MERCY HOSPITAL, CHELSEA COMMUNITY HOSPITAL, THE TOLEDO HOSPITAL, HENRY FORD ALLEGIANCE HEALTH, AND UNIVERSITY OF TOLEDO MEDICAL CENTER.
PART VI, LINE 5:	EMMA L. BIXBY MEDICAL CENTER IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2019:- PROMEDICA IMPLEMENTED A NEW GOVERNANCE STRUCTURE TO BETTER SUPPORT ITS NEW OPERATING MODEL, BASED ON THE ACQUISITION OF HCR MANORCARE. MAJOR CHANGES INCLUDED A DECREASE IN THE NUMBER OF PARENT BOARD MEMBERS, A DECREASE IN THE NUMBER OF STANDING COMMITTEES AND THE MIRRORING OF ALL HOSPITAL SUBSIDIARY OPERATING AND FOUNDATION BOARDS. THESE CHANGES WILL ALLOW FOR ALL PROMEDICA BOARDS TO BETTER SUPPORT THE EXPANDED ORGANIZATION.- THERE WERE APPROXIMATELY 340 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), SERVING ON 34 DIFFERENT BOARDS, COMMITTEES, COUNCILS AND FOUNDATIONS. OF THOSE BOARD MEMBERS, MOST LIVE WITHIN PROMEDICA'S OHIO AND MICHIGAN ACUTE CARE SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN THE GREATER TOLEDO AREA WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. - PROMEDICA DID NOT COMPENSATE BOARD MEMBERS FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER BUSINESS UNITS. BOARD MEMBERS' DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, WERE PERFORMED ON A VOLUNTEER BASIS. - PROMEDICA'S MEDICAL STAFF PRIVILEGES WERE EXTENDED TO ALL QUALIFIED PHYSICIANS AT OUR METRO TOLEDO AND REGIONAL HOSPITALS. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MET THOSE QUALIFICATIONS WAS GRANTED PRIVILEGES, UPON THEIR REQUEST.- AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED 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 AND OFFERS ADDED LAYERS OF SAFETY IN PATIENT CARE FOR IMPROVED CLINICAL OUTCOMES.- PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. SCREENINGS WERE ALSO EXPANDED TO HOSPITAL INPATIENTS, USING THE SAME QUESTIONS. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE.- FREE MAMMOGRAMS AND LUNG CANCER SCREENINGS WERE PROVIDED WITH THE GOAL OF EARLY DETECTION. ADDITIONALLY, COLORECTAL CANCER EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED FOR THOSE AT RISK. SUN SAFETY EDUCATION WAS PROVIDED TO ELEMENTARY SCHOOL CHILDREN TO HELP PREVENT FUTURE CASES OF SKIN CANCER, AS WELL. ADDITIONALLY, PROMEDICA LAUNCHED ITS PROGRAM MEN'S HEALTH AND WELLNESS AT THE BARBERSHOP, WHICH PROVIDED 183 MEN WITH PROSTATE AND COLORECTAL CANCER EDUCATION.- PROMEDICA'S FOUNDATIONS RAISED FUNDS FOR PHILANTHROPY IN SUPPORT OF PROMEDICA'S MISSION TO IMPROVE HEALTH AND WELL-BEING. ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES WERE CONDUCTED TO SUPPORT PATIENTS AND FAMILIES, AS WELL AS LOCAL COMMUNITIES. NEEDS OF LOCAL COMMUNITIES INCLUDING, BUT NOT LIMITED TO HEALTH-RELATED PROGRAMS, SERVICES, EQUIPMENT, AND FACILITY CONSTRUCTION/RENOVATION ARE IDENTIFIED, IN PART, THROUGH A COMMUNITY NEEDS ASSESSMENT.
PART VI, LINE 6:	PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A NATIONWIDE, MISSION-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2019 PROMEDICA WAS COMPRISED OF MORE THAN 56,000 EMPLOYEES, APPROXIMATELY 1,400 VOLUNTEERS AND MORE THAN 2,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERSINCLUDING APPROXIMATELY 900 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP ('PPG")WHO FORM A PROVIDER NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. IN 2019: - PROMEDICA MEMBERS AND AFFILIATE HOSPITALS INCLUDED: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL D/B/A PROMEDICA BAY PARK HOSPITAL; EMMA L. BIXBY MEDICAL CENTER D/B/A PROMEDICA BIXBY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC. D/B/A PROMEDICA HERRICK HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL; DEFIANCE HOSPITAL, INC. D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION D/B/A PROMEDICA MONROE REGIONAL HOSPITAL; MEMORIAL HOSPITAL D/B/A PROMEDICA MEMORIAL HOSPITAL; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY D/B/A PROMEDICA COLDWATER REGIONAL HOSPITAL. PROMEDICA ALSO INCLUDES PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION AS WELL AS HUNDREDS OF SKILLED NURSING AND REHABILITATION CENTERS, ASSISTED LIVING FACILITIES AND MEMORY CARE COMMUNITIES, ALL UNDER THE HCR MANORCARE UMBRELLA. - PROMEDICA MANAGED APPROXIMATELY 2 MILLION PPG EMPLOYED PROVIDER ENCOUNTERS, 62,000 SURGERIES, 7,600 BIRTHS, AND 318,000 EMERGENCY ROOM VISITS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF OVER $307,430,000, WHICH INCLUDED FREE HEALTH SCREENINGS, PARTICIPATION IN PUBLIC HEALTH FAIRS, MEDICAL LECTURES AT AREA SENIOR CENTERS, AND NUTRITION EDUCATION IN ELEMENTARY SCHOOLS, PLUS MUCH MORE. PROMEDICA OPENED ITS THIRD FOOD CLINIC AT PROMEDICA BAY PARK HOSPITAL IN 2019, WHILE CONTINUING TO OPERATE THE TWO ORIGINAL LOCATIONS ONE AT THE PROMEDICA HEALTH AND WELLNESS CENTER AND THE OTHER AT PROMEDICA'S CENTER FOR HEALTH SERVICES - TO SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEMSELVES AND THEIR FAMILY FROM ONE OF THESE FOOD CLINICS. AS PART OF THE PROGRAM, PATIENTS CAN RECEIVE TWO TO THREE DAYS OF SUPPLEMENTAL FOOD. THROUGH DECEMBER 2019, MORE THAN 11,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,600 UNIQUE HOUSEHOLDS, FURTHERED PROMEDICA'S EFFORTS TO 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 BIXBY AND HERRICK HOSPITALS PROVIDED $5 VEGGIE MOBILE VOUCHERS TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. THESE PATIENTS COULD REDEEM THESE VOUCHERS FOR FRESH PRODUCE GROWN AT PROMEDICA FARMS OR FROM ANY OF THE VEGGIE MOBILE STOPS. IN 2019, APPROXIMATELY 75 PATIENTS IDENTIFIED AS FOOD INSECURE WERE PROVIDED A FOOD BOX AND VEGGIE MOBILE VOUCHERS UPON DISCHARGE. - 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., WITH PLANS TO EXPAND TO OTHER FACILITIES ACROSS THE COUNTRY BY THE END OF 2020. - PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDED BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES AND A FINANCIAL OPPORTUNITY CENTER TO PROVIDE FINANCIAL COUNSELING FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. ADDITIONALLY, THE FINANCIAL OPPORTUNITY CENTER (FOC) LOCATED WITHIN THE EBEID CENTER, PROVIDED EDUCATION AND COUNSELING TO NEARLY 700 INDIVIDUALS. THE FOC ALSO HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING AS WELL AS FREE TAX PREPARATION. - 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROMEDICA FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	444 N SUMMIT STREET	AddressLine1Txt
City	TOLEDO	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43604	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	341517672	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$388,571	CashGrantAmt
Purpose Of Grant	OPERATING GRANT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	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 (19 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
JULIE K YAROCH DO
PRESIDENT	$0	$260,486	$0	$73,500	$0	$2,033	$0	$13,575	$0	$26,004	$0	$375,598	$0	$0
KEVIN C WEBB PHD
EX OFFICIO	$0	$578,513	$0	$783,928	$0	$12,702	$0	$219,114	$0	$16,706	$0	$1,610,963	$0	$0
SAMANTHA MUCHA MD
TRUSTEE	$0	$671,620	$0	$5,000	$0	$825	$0	$0	$0	$25,455	$0	$702,900	$0	$0
VICTOR J CHERFAN DO
TRUSTEE	$40,000	$400,752	$0	$161,039	$0	$570	$0	$0	$0	$23,905	$40,000	$586,266	$0	$0
DAWN BUSKEY
TRUSTEE	$0	$387,138	$0	$90,500	$0	$2,142	$0	$24,140	$0	$16,642	$0	$520,562	$0	$0
ROBIN L WHITNEY
TRUSTEE	$0	$324,800	$0	$91,900	$0	$27,091	$0	$10,609	$0	$24,458	$0	$478,858	$0	$0
DARRIN ARQUETTE
EX OFFICIO	$0	$250,144	$0	$69,600	$0	$2,216	$0	$11,525	$0	$28,095	$0	$361,580	$0	$0
PAUL E GIETZEN MD
TRUSTEE	$0	$239,427	$0	$70,568	$0	$1,643	$0	$0	$0	$22,236	$0	$333,874	$0	$0
CHRISTI L ANSBERG
TRUSTEE	$0	$148,710	$0	$28,300	$0	$751	$0	$5,539	$0	$20,922	$0	$204,222	$0	$0
RANDALL OOSTRA
PHS PRES. & CEO, EX OFFICIO	$0	$1,952,660	$0	$1,856,635	$0	$39,563	$0	$919,062	$0	$19,689	$0	$4,787,609	$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	$0	$645,968	$0	$843,953	$0	$52,904	$0	$239,428	$0	$16,555	$0	$1,798,808	$0	$0
MICHAEL BROWNING
TREASURER (THRU 06/03/19)	$0	$514,787	$0	$677,898	$0	$23,329	$0	$0	$0	$3,813	$0	$1,219,827	$0	$0
GARY AKENBERGER
COO, ACUTE CARE & SVP, DIAG	$0	$355,163	$0	$90,077	$0	$5,563	$0	$22,535	$0	$22,028	$0	$495,366	$0	$0
DEANA SIEVERT
SR VP, PAT CARE/CNO, SYSTEM	$0	$290,059	$0	$73,600	$0	$1,890	$0	$11,130	$0	$24,084	$0	$400,763	$0	$0
RACHELLE VANAKEN
RN, HOSPITAL	$131,678	$0	$120	$0	$25	$0	$3,426	$0	$24,767	$0	$160,016	$0	$0	$0
JENNIFER FOSS
DIRECTOR OF PHARMACY	$138,511	$0	$0	$0	$7,642	$0	$4,404	$0	$3,851	$0	$154,408	$0	$0	$0
GREGORY PECKHAM
ASSOCIATE VP, OPERATIONS	$79,340	$40,278	$0	$694	$2,474	$138	$3,848	$0	$22,243	$1,813	$107,905	$42,923	$0	$0
ALAN M SATTLER
FORMER OFFICER	$0	$198,731	$0	$139,306	$0	$9,953	$0	$17,597	$0	$26,778	$0	$392,365	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF EMMA L. BIXBY MEDICAL CENTER, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B	ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII.
SCHEDULE 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4:	EMMA L. BIXBY MEDICAL CENTER - PROGRAM SERVICE ACCOMPLISHMENTS FOUNDED IN 1911, EMMA L. BIXBY MEDICAL CENTER (D/B/A PROMEDICA BIXBY HOSPITAL) CONTINUES TO MEET THE HEALTHCARE NEEDS OF ADRIAN, MICHIGAN AND SURROUNDING SOUTHEAST MICHIGAN COMMUNITIES AS THE LARGEST ACUTE CARE FACILITY IN LENAWEE COUNTY. IT IS A MEMBER OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE HEALTH CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. PROMEDICA BIXBY HOSPITAL (BH) IS AN 88-BED, FULL-SERVICE, ACUTE CARE HOSPITAL STAFFED BY MORE THAN 120 ACTIVE PROVIDERS WORKING TO MEET IDENTIFIED NEEDS OF THE COMMUNITY. THE HOSPITAL PROVIDES NUMEROUS INPATIENT AND OUTPATIENT SERVICES, WITH ITS STAFF OF PROFESSIONALS OFFERING CARE IN GENERAL SURGERY, HEART AND VASCULAR CARE, WOMEN'S HEALTH, ORTHOPAEDICS, PEDIATRICS, FAMILY MEDICINE, CRITICAL CARE, AND CANCER TREATMENT SERVICES. IN 2019, BH SERVED 3,537 INPATIENTS; 89,237 OUTPATIENTS; AND 26,152 EMERGENCY CENTER PATIENTS. BH OFFERS EMERGENCY MEDICINE SERVICES AND PROVIDES INPATIENT AND OUTPATIENT SERVICES WITH STATE-OF-THE-ART TECHNOLOGY AND STRIVES TO OFFER EXCEPTIONAL CARE TO BEST RESPOND TO COMMUNITY NEED. THIS IS REFLECTED IN THE PROGRAMS AND SERVICES OFFERED, SUCH AS THE HICKMAN CANCER CENTER, WHICH IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. AS PART OF THE PROMEDICA CANCER INSTITUTE, HICKMAN CANCER CENTER OFFERS DIAGNOSTIC SERVICES, AS WELL AS RADIATION AND MEDICAL ONCOLOGY TREATMENT FOR HUNDREDS OF NEW PATIENTS ANNUALLY. IN 2019, BH INSTALLED A LINEAR ACCELERATOR IN ITS RADIATION ONCOLOGY FOR ADVANCED QUALITY OF TREATMENT AND CARE FOR CANCER PATIENTS. AS A MEMBER OF THE TOLEDO COMMUNITY HOSPITAL ONCOLOGY PROGRAM, HICKMAN CANCER CENTER OFFERS PATIENTS THE OPPORTUNITY TO PARTICIPATE IN NATIONAL CANCER TRIALS. FURTHER, BH'S CARDIAC AND PULMONARY REHABILITATION PROGRAM IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. ADDITIONALLY, BH OFFERS TELEMEDICINE SERVICE TO ITS INPATIENT CARE UNITS TO HELP PROVIDE REAL-TIME PATIENT DIAGNOSIS AND TREATMENT FROM A PHYSICIAN. THE SERVICE ALLOWS A DOCTOR'S VISIT TO BE CONDUCTED WITH A SPECIAL COMPUTER AND INTERNET CONNECTION AND HELPS THE HOSPITAL PROVIDE SAFE, QUALITY CARE WHEN IT'S NEEDED DURING NIGHT SHIFTS WHEN FEWER PHYSICIANS MAY BE AVAILABLE. THE HOSPITAL CONTRIBUTED $4,576,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE IN 2019. THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONAL EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BENEFIT OPERATIONS, BH CONTRIBUTED $2,446,000 TO THE COMMUNITY DURING 2019. THE FOLLOWING ARE EXAMPLES OF SUCH CONTRIBUTIONS: - SUPPORT OF PROMEDICA FARMS AND VEGGIE MOBILE, WHICH BRINGS FRESH PRODUCE TO THE LENAWEE COUNTY COMMUNITY, INCLUDING BH PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. - SUPPORT GROUPS FOR INDIVIDUALS WITH CHRONIC DISEASES, FOCUSED ON PATIENTS' EMOTIONAL, PHYSIOLOGICAL AND PSYCHOLOGICAL NEEDS; - ANNUAL CANCER SURVIVORSHIP PROGRAM FOR CANCER SURVIVORS AND THEIR FAMILIES, FRIENDS AND CAREGIVERS TO SHARE STORIES OF INSPIRATION AND HOPE. - CHILDHOOD AND ADULT IMMUNIZATIONS, ASTHMA CARE, AND INDIGENT AND SENIOR HEALTH FAIRS FOR THE UNDERPRIVILEGED AND LOCAL COMMUNITY AT LARGE; - COMMUNITY HEALTH AND WELLNESS SERVICES, WHICH INCLUDED TOBACCO CESSATION PROGRAMS, NUTRITION AND HEALTHY LIFESTYLES CLASSES, PRENATAL CLASSES, AND CPR TRAINING; AND - FREE BLOOD PRESSURE, BODY MASS INDEX (BMI), CHOLESTEROL, CANCER, AND DIABETES SCREENINGS FOR AREA RESIDENTS, INCLUDING AT LOCAL SENIOR CENTERS. - COLLECTION AND RESPONSIBLE DISPOSAL OF UNUSED MEDICATIONS THROUGH TWO COMMUNITY TAKE BACK EVENTS AND MEDSAFE COLLECTION BINS WITH THE EMERGENCY DEPARTMENT. BH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2019, OF WHICH $503,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. BH'S COST OF BAD DEBT FOR 2019 WAS $1,328,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $4,576,000 NOTED ABOVE. FURTHER, BH PROVIDED $1,944,000 OF COMMUNITY BENEFIT THROUGH COSTS -NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. BH PROVIDED 656 JOBS THROUGH DIRECT EMPLOYMENT IN 2019, EXPENDING $20,391,000 IN NET PAYROLL. A TOTAL OF $933,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, BH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
FORM 990, PART VI, SECTION A, LINE 6	AS A MICHIGAN NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF EMMA L. BIXBY MEDICAL CENTER. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF EMMA L. BIXBY MEDICAL CENTER, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE, OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, AND (VI) ANY MERGER, CONSOLIDATIONS, REORGANIZATION, DISSOLUTION, OR LIQUIDATION.
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. EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, AND THE CHIEF OPERATING OFFICER FOR PROMEDICA PHYSICIAN GROUP (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PHYSICIANS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PHYSICIAN STANDARD OF CONDUCT AND THE PHYSICIAN CERTIFICATION STATEMENT WHICH THE NEW PHYSICIANS IS REQUIRED TO COMPLETE PRIOR TO BEGINNING 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	EMMA L. BIXBY MEDICAL CENTER'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19	PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:	JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES - PHYSICIAN: PROGRAM SERVICE EXPENSES 4,479,395. MANAGEMENT AND GENERAL EXPENSES 287,441. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,766,836. PURCHASED SERVICES - NON-PHYSICIAN: PROGRAM SERVICE EXPENSES 5,133,028. MANAGEMENT AND GENERAL EXPENSES 329,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,462,411. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 4,124,082. MANAGEMENT AND GENERAL EXPENSES 264,640. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,388,722.
FORM 990, PART XI, LINE 9:	PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 216,627. BENEFICIAL INTEREST IN FOUNDATION 2,886,825. TRANSFERS BETWEEN RELATED ENTITIES 27,088,601. SHORT TERM INVESTMENT TRANSFER -962,794.

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
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
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
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
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
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 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
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
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
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
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
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

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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	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