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TOLEDO HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
TOLEDO HOSPITAL (EIN 34-4428256)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201913199349303501
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-15T08:35:15-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344428256EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE TOLEDO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTOLEBusinessNameControlTxt
Phone5675853618PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVE ATTN TAX DEPARTMENTAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN M CAVANAUGHPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5675853618PhoneNum
Signature2019-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAMANTHA BOKORIPreparerPersonNm
PTINP01057347PTIN
Phone3174648600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.169.247.132IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-14IPDt
IP Tm21:15:05IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4869E5F49B9973F149F13A18DEB0F85868CD0247AtSubmissionCreationDeviceId
At Submission Filing Device IdB1F6754162BA34960FF6E5961467431CD3790A95AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA TOLEDO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEVEN M CAVANAUGHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVE ATTN TAX DEPARTMENTAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$992,364,808GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND THE ADULT TERTIARY FACILITY OF PROMEDICA HEALTH SYSTEM, INC. PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC OF NORTHWEST OHIO AND SOUTHEAST MICHIGAN.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee6724TotalEmployeeCnt
Total Volunteers325TotalVolunteersCnt
Total Gross UBI$3,315,895TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,866,357NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,767,287PYContributionsGrantsAmt
CY Contributions Grants$89,189,769CYContributionsGrantsAmt
PY Program Service Revenue$792,287,580PYProgramServiceRevenueAmt
CY Program Service Revenue$866,522,660CYProgramServiceRevenueAmt
PY Investment Income$29,743,899PYInvestmentIncomeAmt
CY Investment Income$11,041,961CYInvestmentIncomeAmt
PY Other Revenue$16,637,311PYOtherRevenueAmt
CY Other Revenue$10,487,870CYOtherRevenueAmt
PY Total Revenue$854,436,077PYTotalRevenueAmt
CY Total Revenue$977,242,260CYTotalRevenueAmt
PY Grants And Similar Paid$140,635,397PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$42,770,841CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$344,776,858PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$360,191,243CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$484,855,195PYOtherExpensesAmt
CY Other Expenses$485,372,729CYOtherExpensesAmt
PY Total Expenses$970,267,450PYTotalExpensesAmt
CY Total Expenses$888,334,813CYTotalExpensesAmt
PY Revenues Less Expenses-$115,831,373PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$88,907,447CYRevenuesLessExpensesAmt
Total Assets BOY$1,438,331,354TotalAssetsBOYAmt
Total Assets EOY$1,915,205,543TotalAssetsEOYAmt
Total Liabilities BOY$1,110,030,755TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,499,131,567TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$328,300,599NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$583,926,024NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION, AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION AND SUPERIOR SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$660,030,318ExpenseAmt
Grant$42,770,841GrantAmt
Revenue$838,635,075RevenueAmt
DescTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$57,116,519ExpenseAmt
DescCONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$70,413,557ExpenseAmt
Revenue$22,322,125RevenueAmt
DescCONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND DONATIONS. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$2,087,197ExpenseAmt
Revenue$1,901,240RevenueAmt
DescOPERATES A HEALTH CLUB FACILITY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,087,197TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,901,240TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$789,647,591TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document349IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6724EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STANTON E RISSERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5675853618PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVEAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (55 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ADRIENNE J GREEN
TRUSTEE1.002.00Yes (X)$0$0$0
AHED T NAHHAS MD
TRUSTEE1.002.00Yes (X)$11,379$16,079$0
ALANA GRACE HATCHER
TRUSTEE1.002.00Yes (X)$0$0$0
ARTURO POLIZZI
PRES., EX OFFICIO (THRU 10/21/18)1.0042.00Yes (X)$0$637,534$26,604Yes (X)
BRADLEY J TOFT
TRUSTEE1.002.00Yes (X)$0$0$0
CHARLES A PARCHER
TRUSTEE1.002.00Yes (X)$0$0$0
CHARLES MICHAEL SMITH
TRUSTEE1.002.00Yes (X)$0$0$0
DAVID SCOTT MIERZWIAK MD
TRUSTEE1.0042.00Yes (X)$0$495,889$296,721
DEBORAH A GUNTSCH MD
TRUSTEE1.0042.00Yes (X)$15,000$318,222$27,753
JAMES F WEBER
TRUSTEE1.002.00Yes (X)$0$0$0
JAY P MORGAN
TRUSTEE1.002.00Yes (X)$0$0$0
JOSEPH D NAPOLI
TRUSTEE1.009.00Yes (X)$0$0$0
KEVIN C WEBB PHD
EX OFFICIO1.0055.00Yes (X)$0$825,525$58,089
LEE W HAMMERLING MD
TRUSTEE1.0044.00Yes (X)$0$1,071,298$54,694
LISA G HAWKER
EX OFFICIO1.003.00Yes (X)$0$0$0
MARLON P KISER
TRUSTEE1.002.00Yes (X)$0$0$0
MARTIN P SUTTER
TRUSTEE1.002.00Yes (X)$0$0$0
NANCY PARIS KABAT
CHAIRPERSON1.003.00Yes (X)$0$0$0Yes (X)
NEERAJ K KANWAL MD
PRES., EX OFFICIO (BEG 12/01/18)1.0044.50Yes (X)$0$595,108$57,232Yes (X)
RAVI K ADUSUMILLI MD
TRUSTEE1.0042.00Yes (X)$0$575,273$53,027
RICHARD D LANTZ
TRUSTEE1.002.00Yes (X)$0$0$0
RICHARD L MUNK MD
TRUSTEE1.0042.00Yes (X)$0$101,519$27,348
RICHARD S SWEENEY
TRUSTEE1.002.00Yes (X)$0$0$0
ROBERT F WOOD MD
TRUSTEE1.002.00Yes (X)$0$0$0
ROBERT P SCHLATTER
TRUSTEE1.002.00Yes (X)$0$0$0
SUSAN K STAELIN
TRUSTEE1.002.00Yes (X)$0$0$0
THOMAS GEORGE PADANILAM MD
TRUSTEE1.002.00Yes (X)$0$0$0
TIMOTHY M HUSTED MD
TRUSTEE1.002.00Yes (X)$0$0$0
WILLIAM C NOWICKI
VICE-CHAIR (THRU 01/30/18)1.002.00Yes (X)$0$0$0Yes (X)
WILLIAM J LANGE
TRUSTEE1.002.00Yes (X)$0$0$0
WILLIAM R MCDONNELL
VICE-CHAIR (BEG 01/30/18)1.003.00Yes (X)$0$0$0Yes (X)
JEFFREY C KUHN
SECRETARY0.5053.50$0$809,040$69,385Yes (X)
MICHAEL P BROWNING
TREASURER0.5051.50$0$1,246,637$81,854Yes (X)
RANDALL OOSTRA
PHS PRES & CEO, EX OFFICIO0.5055.50$0$2,904,245$157,073Yes (X)
ALISON S AVENDT
VP, OPERATIONS TTH & PRES, PTN0.5040.00$0$237,976$206,520Yes (X)
ANN M KUJAWA
VP PROMEDICA CANCER INSTITUTE0.5042.00$0$199,621$47,254Yes (X)
DARRIN M ARQUETTE
SR. VP, NEURO, HEART AND VASC0.5046.50$0$314,477$60,173Yes (X)
DAVID BREWER
ADMIN DIR., ACUTE CARE FINANCE0.5040.50$0$158,741$54,517Yes (X)
DAWN BUSKEY
PRES, REGIONAL ACUTE CARE MI0.5044.50$0$482,931$50,274Yes (X)
DEANA L SIEVERT
SR. VP, PAT CARE/CNO, SYSTEM0.5044.50$0$403,997$122,688Yes (X)
GARY W AKENBERGER
COO, ACUTE CARE & SVP, DIAG0.5044.50$0$548,253$64,476Yes (X)
KENT E BISHOP MD
CXO & CMO, PPG & ACUTE CARE0.5051.50$0$559,579$53,747Yes (X)
MIKE M ARISS
VP, OPERATIONAL SERVICES0.5045.00$0$252,351$32,018Yes (X)
PAULA L GRIEB
VP, PAT CARE/ASSOC CNO, METRO0.5041.00$0$264,298$23,064Yes (X)
SCOTT FOUGHT
VP, FINANCE, ACUTE CARE OPS0.5045.50$0$354,288$60,945Yes (X)
THADIUS L WADSWORTH
VP SURGICAL SERVICES OPERATION0.5045.00$0$188,374$21,125Yes (X)
FEDOR LURIE
ASSOC. DIR. RESEARCH ED. VASC.40.000.00$214,112$0$40,589Yes (X)
JAMES STEHLIK
PERFUSIONIST40.000.00$182,140$0$36,303Yes (X)
JOSHUA OVENS
RN, CRITICAL CARE TRANSPORT40.000.00$199,316$0$55,008Yes (X)
KEVIN FLEMING
MANAGER, PERFUSION40.000.00$189,255$0$56,761Yes (X)
SVEN GALLO
SR. MEDICAL PHYSICIST40.000.00$185,838$0$50,030Yes (X)
ALAN M SATTLER
FORMER OFFICER0.0040.00$0$162,522$54,541Yes (X)
JOSEPH SFERRA
FORMER KEY EMPLOYEE0.0040.00$0$750,890$2,746Yes (X)
KATHLEEN S HANLEY
FORMER OFFICER0.000.00$0$1,569,411$0Yes (X)
LORI FERGUSON
FORMER KEY EMPLOYEE0.5040.00$117,701$0$21,280Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,114,741TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,044,078TotReportableCompRltdOrgAmt
Total Other Compensation$2,023,839TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K127IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LATHROP COMPANY INC
460 WEST DUSSEL DRMAUMEEOH435374205GENERAL CONTRACTING$120,357,607
RUDOLPH LIBBE INC
6494 LATCHA RDWALBRIDGEOH43465GENERAL CONTRACTING$11,005,644
UNIVERSITY OF TOLEDO
DEPT L674COLUMBUSOH43260EDUCATION & PHYSICIANS$9,729,010
METRO AVIATION INC
PO BOX 7008SHREVEPORTLA71137AVIATION SERVICES$5,278,712
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905LAB TESTING$3,553,925
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K62CntrctRcvdGreaterThan100KCnt
Related Organizations$85,151,862RelatedOrganizationsAmt
Government Grants$2,020,241GovernmentGrantsAmt
All Other Contributions$2,017,666AllOtherContributionsAmt
Total Contributions$89,189,769TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$854,743,824$851,964,517$2,779,307
AFFIL. ORG. RENT REV.531120$10,330,875$10,330,875
MEMBERSHIP REVENUE713940$1,447,961$1,447,961
FieldValueIRS element (for citing)
Total Program Service Revenue$866,522,660TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,817,755TotalRevenueColumnAmt
Unrelated Business Revenue-$227,669UnrelatedBusinessRevenueAmt
Exclusion$11,045,424ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,103TotalRevenueColumnAmt
Exclusion$164,103ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,033,117RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,125,669RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$92,552RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$92,552TotalRevenueColumnAmt
Unrelated Business Revenue-$4,038UnrelatedBusinessRevenueAmt
Exclusion-$88,514ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,324,404SecuritiesAmt
Other$300,277OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,606,746SecuritiesAmt
Other$957,832OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$717,658SecuritiesAmt
Other-$657,555OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,103TotalRevenueColumnAmt
Exclusion$60,103ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$22,699FundraisingGrossIncomeAmt
Fundraising Direct Expenses$9,641FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,058TotalRevenueColumnAmt
Exclusion$13,058ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$775,767GrossSalesOfInventoryAmt
Cost Of Goods Sold$422,660CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$353,107TotalRevenueColumnAmt
Exclusion$353,107ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
DIETARY722514$3,878,196$3,878,196
PHARMACY446110$1,921,914$1,921,266$648
EDUCATION611710$825,067$825,067

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,589,080TotalRevenueColumnAmt
Related Or Exempt Func Income$2,821,433RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$767,647UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,214,257OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$977,242,260TotalRevenueColumnAmt
Related Or Exempt Func Income$862,858,440RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,315,895UnrelatedBusinessRevenueAmt
Exclusion$21,878,156ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$42,770,841TotalAmt
Program Services$42,770,841ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$26,379TotalAmt
Program Services$26,379ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$292,891,940TotalAmt
Program Services$238,185,628ProgramServicesAmt
Management And General$54,706,312ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,141,516TotalAmt
Program Services$7,887,911ProgramServicesAmt
Management And General$2,253,605ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,416,689TotalAmt
Program Services$26,336,124ProgramServicesAmt
Management And General$8,080,565ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,714,719TotalAmt
Program Services$18,579,555ProgramServicesAmt
Management And General$4,135,164ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$44,270TotalAmt
Program Services$38,867ProgramServicesAmt
Management And General$5,403ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,007,159TotalAmt
Management And General$1,007,159ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$527,219TotalAmt
Management And General$527,219ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,083TotalAmt
Management And General$29,083ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$42,566TotalAmt
Management And General$42,566ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$98,514,714TotalAmt
Program Services$96,544,419ProgramServicesAmt
Management And General$1,970,295ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,464,036TotalAmt
Program Services$324,183ProgramServicesAmt
Management And General$3,139,853ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,395,492TotalAmt
Program Services$4,614,404ProgramServicesAmt
Management And General$2,781,088ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,096,573TotalAmt
Program Services$318,231ProgramServicesAmt
Management And General$2,778,342ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,711,899TotalAmt
Program Services$18,235,637ProgramServicesAmt
Management And General$1,476,262ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,465,066TotalAmt
Program Services$627,832ProgramServicesAmt
Management And General$837,234ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,481,146TotalAmt
Program Services$12,481,146ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$62,159,699TotalAmt
Program Services$49,257,727ProgramServicesAmt
Management And General$12,901,972ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,088,307TotalAmt
Program Services$4,006,541ProgramServicesAmt
Management And General$81,766ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$115,062,715$115,062,715
INTERCOMPANY SERVICES$65,973,140$64,653,677$1,319,463
DRUGS$60,239,065$60,239,065
UBI TAXES$800,000$800,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$29,270,580TotalAmt
Program Services$28,656,709ProgramServicesAmt
Management And General$613,871ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$888,334,813TotalAmt
Program Services$789,647,591ProgramServicesAmt
Management And General$98,687,222ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$77,009,694BOYAmt
EOY$11,689,929EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,118,446BOYAmt
EOY$6,258,427EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$153,280,893BOYAmt
EOY$162,439,847EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$1,558,146EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,547,300BOYAmt
EOY$12,969,082EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,732,593BOYAmt
EOY$2,419,536EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,705,877,964LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$826,767,625LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$700,262,306BOYAmt
EOY$879,110,339EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,285,717BOYAmt
EOY$249,091,504EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,644,645BOYAmt
EOY$31,721,034EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$18,113,172BOYAmt
EOY$18,024,601EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$457,336,588BOYAmt
EOY$539,923,098EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,438,331,354BOYAmt
EOY$1,915,205,543EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,439,050BOYAmt
EOY$102,383,797EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,252,000BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$623,714,672BOYAmt
EOY$792,366,076EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$332,601,744BOYAmt
EOY$1,527,624,885EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,023,289BOYAmt
EOY$76,756,809EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,110,030,755BOYAmt
EOY$2,499,131,567EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$132,454,119BOYAmt
EOY-$808,383,976EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$185,171,803BOYAmt
EOY$195,710,092EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,674,677BOYAmt
EOY$28,747,860EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$328,300,599BOYAmt
EOY-$583,926,024EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,438,331,354BOYAmt
EOY$1,915,205,543EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$88,907,447ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,959,913NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$998,174,157OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$29,083OtherActivitiesAmt
Total Lobbying Expenditures$29,083TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,674,678BeginningYearBalanceAmt
Contributions$21,592,265ContributionsAmt
Investment Earnings Or Losses-$3,519,082InvestmentEarningsOrLossesAmt
End Year Balance$28,747,861EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,839,115BeginningYearBalanceAmt
Investment Earnings Or Losses$835,563InvestmentEarningsOrLossesAmt
End Year Balance$10,674,678EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,891,715BeginningYearBalanceAmt
Contributions-$19,454ContributionsAmt
Investment Earnings Or Losses-$33,146InvestmentEarningsOrLossesAmt
End Year Balance$9,839,115EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,484,815BeginningYearBalanceAmt
Contributions$1,188ContributionsAmt
Investment Earnings Or Losses-$594,288InvestmentEarningsOrLossesAmt
End Year Balance$9,891,715EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,560,195BeginningYearBalanceAmt
Contributions$4,397ContributionsAmt
Investment Earnings Or Losses-$79,777InvestmentEarningsOrLossesAmt
End Year Balance$10,484,815EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,307,791InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$54,126,486OtherCostOrOtherBasisAmt
Book Value$56,434,277BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$875,875,632OtherCostOrOtherBasisAmt
Depreciation$509,512,903DepreciationAmt
Book Value$366,362,729BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,205,592OtherCostOrOtherBasisAmt
Depreciation$7,186,706DepreciationAmt
Book Value$18,886BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$400,958,995OtherCostOrOtherBasisAmt
Depreciation$284,612,001DepreciationAmt
Book Value$116,346,994BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$365,403,468OtherCostOrOtherBasisAmt
Depreciation$25,456,015DepreciationAmt
Book Value$339,947,453BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$879,110,339TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$39,207,998
OTHER RECEIVABLES$4,851,322
BENEFICIAL INTEREST IN FOUNDATION$222,132,985
OTHER SEGREGATED INVESTMENTS$40,583,583
INTERCOMPANY DEBT FROM RELATED ENTITIES$226,657,739
ESTIMATED THIRD PARTY RECEIVABLE$6,489,471
FieldValueIRS element (for citing)
Total Book Value Other Assets$539,923,098TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATES$52,334,744
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$8,787,352
ASSET REMEDIATION OBLIGATION$9,925,511
DEFERRED COMPENSATION$4,034,303
PLEDGES PAYABLE$1,255,000
PENSION PLAN LIABILITY$291,624
DEFERRED INCOME TAXES$128,275
FieldValueIRS element (for citing)
Total Liability$76,756,809TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1PTN BOWLING FUNDRAISEREvent1Nm
Gross Receipts Event1$10,074GrossReceiptsEvent1Amt
Gross Revenue Event1$10,074GrossRevenueEvent1Amt
Non Cash Prizes Event1$436NonCashPrizesEvent1Amt
Rent Facility Costs Event1$1,498RentFacilityCostsEvent1Amt
Entertainment Event1$150EntertainmentEvent1Amt
Other Direct Expenses Event1$250OtherDirectExpensesEvent1Amt
Event2PTN GOLF FUNDRAISEREvent2Nm
Gross Receipts Event2$12,625GrossReceiptsEvent2Amt
Gross Revenue Event2$12,625GrossRevenueEvent2Amt
Non Cash Prizes Event2$759NonCashPrizesEvent2Amt
Rent Facility Costs Event2$5,903RentFacilityCostsEvent2Amt
Food And Beverage Event2$85FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$560OtherDirectExpensesEvent2Amt
Gross Receipts Total$22,699GrossReceiptsTotalAmt
Gross Revenue Total Events$22,699GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,195NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$7,401RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$85FoodAndBeverageTotalEventsAmt
Entertainment Total Events$150EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$810OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$9,641DirectExpenseSummaryEventsAmt
Net Income Summary$13,058NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
Most Hospitals PolicyYes (X)MostHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,173,339TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,173,339NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$179,363,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,420,421DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,943,180NetCommunityBenefitExpnsAmt
Total Expense0.05710TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,139TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$103,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$185,631,079TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,524,071DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,116,519NetCommunityBenefitExpnsAmt
Total Expense0.06390TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,355,421TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,583,265DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,772,156NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,763,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,758,809DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,004,817NetCommunityBenefitExpnsAmt
Total Expense0.02420TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,021,825TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,840,899DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,180,926NetCommunityBenefitExpnsAmt
Total Expense0.01560TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$139,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$139,152DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,133,533TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,133,533NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,413,557TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,322,125DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,091,432NetCommunityBenefitExpnsAmt
Total Expense0.05280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$256,044,636TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$149,846,196DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,207,951NetCommunityBenefitExpnsAmt
Total Expense0.11670TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$53,021,994BadDebtExpenseAmt
Bad Debt Expense Attributable$9,219,996BadDebtExpenseAttributableAmt
Reimbursed By Medicare$152,774,720ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$157,447,303CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,672,583MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.250000.030000.57000
2 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.323800.009500.40950
3 REYNOLDS ROAD SURGICAL CENTER LLC
SURGICAL CENTER0.743800.035700.19930
4 NORTHWEST OHIO DEDICATED BREAST MRI LLC
MEDICAL DIAGNOSTIC0.500000.50000
5 WEST CENTRAL SURGICAL CENTER LLC
SURGICAL CENTER0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
THE TOLEDO HOSPITAL
12142 NORTH COVE BLVDTOLEDOOH43606WWW.PROMEDICA.ORG1226Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL
22901 N REYNOLDS RDTOLEDOOH43615WWW.PROMEDICA.ORG1501Yes (X)Yes (X)A
ARROWHEAD BEHAVIORAL HEALTH
31725 TIMBERLINE ROADMAUMEEOH43537WWW.ARROWHEADBEHAVIORAL.COM1543Yes (X)BPSYCHIATRIC / SUBSTANCE ABUSE FACILITY

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

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FACILITY REPORTING GROUP - A
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/DEFAULT.ASPXYes (X)Yes (1)160Yes (1)0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
FACILITY REPORTING GROUP - B
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)Yes (1)160Yes (1)0Yes (1)Yes (X)200.000000000000500.000000000000Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)000Yes (X)Yes (X)Yes (X)

Supplemental Information SupplementalInformationGrp (21 entries)

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PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, THE ZEPF CENTER, SWANTON AREA COMMUNITY COALITION, ANTHONY WAYNE SCHOOLS, OTTAWA HILLS LOCAL SCHOOLS, SYLVANIA SCHOOLS, PROMEDICA (ALL LUCAS COUNTY HOSPITALS), MERCY, MERCY PEDIATRICIAN, YWCA CHILDCARE, EARLY CHILDHOOD COORDINATING COMMITTEE (EC3), LUCAS COUNTY FAMILY COUNCIL, AND LUCAS COUNTY FAMILY FIRST COUNCIL.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
PART V, SECTION BFACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:- FACILITY 3: ARROWHEAD BEHAVIORAL HEALTH
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER.
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL.
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 11: THE TOLEDO HOSPITAL 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:- TRAUMA - EDUCATION AND FALL PREVENTION- CARDIOVASCULAR DISEASETHIS 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 TOLEDO HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH STATUS PERCEPTIONS, HEALTH CARE COVERAGE/ACCESS/UTILIZATION, CANCER, DIABETES, ARTHRITIS, ASTHMA AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS/OBESITY, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE HEALTH AND SCREENINGS, SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ADULT SEXUAL BEHAVIOR, ADULT PREGNANCY, QUALITY OF LIFE, SOCIAL ISSUES, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, ORAL HEALTH, MINORITY HEALTH, YOUTH WEIGHT, YOUTH TOBACCO USE, YOUTH ALCOHOL AND DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SAFETY AND VIOLENCE, CHILDREN'S HEALTH STATUS, CHILDREN DIAGNOSED WITH ASTHMA, CHILDREN DIAGNOSED WITH ADHD/ADD, CHILDREN DIAGNOSED WITH VISION PROBLEMS THAT CANNOT BE CORRECTED, CHILDREN'S HEALTH ACCESS, EARLY CHILDHOOD HEALTH, MIDDLE CHILDHOOD HEALTH, FAMILY FUNCTIONING/NEIGHBORHOODS, AND PARENT HEALTH.THE TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: TRAUMA - EDUCATION AND FALL PREVENTIONSTRATEGY #1 - PROVIDE FREE CONTINUING MEDICAL EDUCATION, IN VARIOUS CATEGORIES, TO EMS (EMERGENCY MEDICAL SERVICES) PROVIDERS TO IMPROVE THE CARE PROVIDED TO PATIENT AT THE SCENE PRIOR TO TRANSPORTATION TO A HOSPITAL.ACTIONS TAKEN:- OVER 41 SESSIONS WITH 312 PARTICIPANTS PROVIDED IN FREE CONTINUING MEDICAL EDUCATION. SOME TOPICS INCLUDED GERIATRIC PSYCHIATRIC ISSUES, NARCOTIC OVERDOSE, ORTHOPEDIC ASPECTS OF EMERGENCY CARE, PEDIATRIC TRAUMA, STROKE UPDATE, AND SPINAL MOTION RESTRICTION.STRATEGY #2 - PROVIDE MATTER OF BALANCE AND OTHER FALL PREVENTION EDUCATION IN THE COMMUNITY.ACTIONS TAKEN:- PROMEDICA HOME HEALTH CARE COMMUNITY OUTREACH ACTIVITIES PROVIDED EDUCATION AT SEVEN (7) LOCAL VENUES WITH OVER 1,576 COMMUNITY MEMBERS IN ATTENDANCE. EVENTS INCLUDED, BUT NOT LIMITED TO OREGON CITY HEALTH FAIR, SENIOR SAFETY DAY, LITTLE BOO AT THE ZOO, GO RED LUNCH, AREA ON AGING CAREGIVER SERIES, FALL PREVENTION, AND STAND BY YOUR MAN.STRATEGY #3 - PROVIDE HOME SAFETY ASSESSMENTS FOR ALL PROMEDICA HOME CARE PATIENTS.ACTIONS TAKEN:- PROMEDICA HOME CARE PROVIDED HOME SAFETY ASSESSMENTS AND BASIC FALL PREVENTION EDUCATION, FREE OF CHARGE, FOR ALL PROMEDICA HOME HEALTH CARE ADMISSIONS IN 2018, WITH 13,104 HOME ASSESSMENTS PERFORMED.HEALTH NEED IDENTIFIED: CARDIOVASCULAR DISEASESTRATEGY #1 - PROVIDE FREE HANDS ONLY CPR (CARDIOPULMONARY RESUSCITATION) EDUCATION TO THE PUBLIC DURING AT LEAST FOUR COMMUNITY EVENTS EACH YEAR.ACTIONS TAKEN:- PROVIDED HANDS ONLY CPR TRAINING AT TEN (10) COMMUNITY EVENTS INCLUDING, BUT NOT LIMITED TO, PROMEDICA HEALTH & WELLNESS CENTER, FREDERICK DOUGLAS CENTER, DA SHOP BARBER SHOP, BEVERLY ELEMENTARY SCHOOL, URBAN RIB OFF-JUNCTION COALITION, GROOMED BARBERSHOP, WARREN AME CHURCH ANNUAL MEETING, FLETCHER'S BARBERSHOP AND FOSTER'S BARBERSHOP. 3,887 PARTICIPANTS WERE TAUGHT HANDS ONLY CPR.STRATEGY #2 - PROVIDE FREE CONSULTATION TO HIGH SCHOOLS, UPON REQUEST, TO MEET NEW FEDERAL STANDARD THAT ALL STUDENTS WILL HAVE CPR EDUCATION PRIOR TO HIGH SCHOOL GRADUATION. ACTIONS TAKEN:- TEN (10) TOLEDO PUBLIC SCHOOLS WERE ASSISTED IN MEETING CPR REQUIREMENT, WITH 3,202 STUDENTS TRAINED.
TOLEDO CHILDREN'S HOSPITAL (OPERATING WITHIN AND AS PART OF THE TOLEDOHOSPITAL) 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:- DECREASE INFANT MORTALITY- DECREASE YOUTH MENTAL HEALTH ISSUES AND BULLYING- DECREASE HEART DISEASE AND OTHER CHRONIC DISEASES - INCREASE HEALTHY WEIGHT STATUS- INJURY PREVENTION/SAFETY- INCREASE SCHOOL READINESSTHIS 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.TOLEDO CHILDREN'S HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: TOBACCO USE, ALCOHOL CONSUMPTION, MARIJUANA AND OTHER DRUG USE, VIOLENCE ISSUES, YOUTH PERCEPTIONS, CHILD HEALTH AND FUNCTIONAL STATUS, FAMILY FUNCTIONING/NEIGHBORHOOD AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO CHILDREN'S HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: DECREASE INFANT MORTALITYSTRATEGY #1 - REFER APPROPRIATE PATIENTS TO THE SAFE SLEEP CRIB PROGRAM AT THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT TO RECEIVE A PORTABLE CRIB FOR HELP ME GROW AND PATHWAYS PARTICIPANTS. A) PROVIDE ACCESS TO SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH CHILDREN LESS THAN 12 MONTHS OF AGE. B) PROVIDE FOLLOW UP ASSESSMENT TO FAMILIES RECEIVING A PORTABLE CRIB TO ENSURE SAFE SLEEP PRACTICES AND USE OF THE CRIB.C) EXPAND PROGRAM BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN: - 196 SAFE SLEEP CRIB REFERRALS WERE MADE TO HELP ME GROW/PATHWAYS PROGRAM.- 156 FOLLOW UP ASSESSMENTS WERE COMPLETED ON PARTICIPANTS REFERRED TO CLASSES.- NUMBER OF PATIENTS SERVED INCREASED OVER PREVIOUS YEAR (181 REFERRALS WERE MADE AND 139 FOLLOW UP ASSESSMENTS WERE COMPLETED IN 2017).STRATEGY #2 - PROVIDE SAFE SLEEP SACKS AND EDUCATION ON USE TO LOW INCOME CAREGIVERS WITH NEWBORN INFANTS WHEN APPROPRIATE.A) NUMBER OF SLEEP SACKS PROVIDED TO INFANTS WITHOUT A SLEEP SACK.B) EXPAND PROGRAM, AS POSSIBLE.ACTIONS TAKEN:- 136 SLEEP SACKS WERE PROVIDED FOR INFANTS WITHOUT A SLEEP SACK.- NUMBER OF SLEEP SACKS PROVIDED INCREASED OVER PREVIOUS YEAR (92 WERE DISTRIBUTED IN 2017).STRATEGY #3 - PROVIDE ASSESSMENT USING THE REPRODUCTIVE LIFE PLAN AND EDUCATION ON BIRTH SPACING (INFANT MORTALITY IS REDUCED IF BIRTH SPACING OF AT LEAST 18 MONTHS BETWEEN CHILDREN PLANNING TAKES PLACE) FOR ALL WOMEN ENROLLED IN TOLEDO HEALTHY TOMORROWS (THT) OB PATHWAYS PROGRAM.ACTIONS TAKEN:- 388 REPRODUCTIVE LIFE PLAN ASSESSMENTS COMPLETED.STRATEGY #4 - EDUCATE PREGNANT WOMEN IN THE BENEFITS OF BREASTFEEDING THEIR NEWBORN AND SUPPORT THEIR DECISION IF CHOOSING TO BREASTFEED.A) EXPAND TRAINING FOR TOLEDO HEALTHY TOMORROWS (THT) PATHWAYS AND HELP ME GROW STAFF IN THE BENEFITS OF BREASTFEEDING, ESPECIALLY WITH AFRICAN AMERICAN MOTHERS AT LEAST UNTIL THEIR NEWBORN IS 6 WEEKS OLD. INITIATE BREASTFEEDING EDUCATION WITH PREGNANT PROGRAM WOMEN ENROLLED IN THE THT PATHWAYS PROGRAM.B) PROMOTE BREASTFEEDING THROUGH EDUCATION AND SUPPORT OF PARTICIPANTS OF THT PATHWAYS AND ADD THE THT HELP ME GROW PROGRAM.C) INCREASE THE NUMBER OF INFANTS BEING BREASTFED WHOSE MOTHERS ARE ENROLLED IN THT PATHWAYS AND HELP ME GROW.D) CONTINUE TO OFFER AT LEAST FOUR (4) BREASTFEEDING EDUCATION CLASSES EACH MONTH THROUGH WOMENS, INFANTS AND CHILDREN (WIC).E) MAKE REFERRALS TO WIC LACTATION CONSULTANT AND WIC BREASTFEEDING STAFF.F) DISCUSS BREASTFEEDING WITH EACH PREGNANT WIC PARTICIPANT AND ENCOURAGE ATTENDANCE AT THE BREASTFEEDING EDUCATION CLASS.G) CONTACT BREASTFEEDING MOTHERS AND OFFER SUPPORT AS WELL AS TO ANSWER BREASTFEEDING QUESTIONS.ACTIONS TAKEN: - 389 PREGNANT WOMEN RECEIVED BREASTFEEDING PROMOTION EDUCATION THAT WAS PROVIDED DURING HOME VISITING TO PROGRAM PARTICIPANTS.- 216 NEWBORNS WERE BREASTFED IN THEIR FIRST 6 WEEKS AFTER DELIVERY.- 148 INFANTS WERE BREASTFED BEYOND 6 WEEKS AFTER DELIVERY.- 731 CONTACTS WERE MADE TO PREGNANT AND BREASTFEEDING MOTHERS BY LACTATION CONSULTANTS INCLUDING 46 BREASTFEEDING EDUCATION CLASSES OFFERED WITH 264 IN ATTENDANCE, AND 642 INDIVIDUALLY SEEN BY CONSULTANTS (BABIES-R-US CLASSES WERE NOT HELD AS THEY CLOSED.)- 41% OF WOMEN RECEIVING WIC (WOMEN, INFANT AND CHILDREN PROGRAM) THROUGH TOLEDO AND TOLEDO CHILDREN'S HOSPITALS ARE BREASTFEEDING. ALL WOMEN RECEIVING WIC WERE ENCOURAGED TO ATTEND THE BREASTFEEDING EDUCATION CLASS.HEALTH NEED IDENTIFIED: DECREASE YOUTH MENTAL HEALTH ISSUES AND BULLYINGSTRATEGY #1 - DECREASE BULLYING, SUICIDE, AND DATING VIOLENCE THROUGH AWARENESS AND PREVENTION PROGRAMS IN YOUTHS 12-18 YEARS.A) EACH SCHOOL YEAR THE TEEN PEERS EDUCATING PEERS (PEP) PROGRAM WILL BE OFFERED TO 12 CORE SCHOOLS IN LUCAS COUNTY. THE PROGRAM ADDRESSES TEEN DATING VIOLENCE, SEXUAL ASSAULT AND BULLYING PREVENTION.B) ONE ADDITIONAL SCHOOL WILL BE ADDED EACH YEAR PER GRANT FUNDING. PRIORITY WILL BE GIVEN TO ELEMENTARY SCHOOL INCLUSION AND REACHING YOUNGER STUDENTS VIA IMPLEMENTATION IN ELEMENTARY SCHOOL OR DELIVERING OLDER PEER LED EDUCATION (HIGH SCHOOL TO ELEMENTARY STUDENTS).C) PROGRAM LEAD WILL AS CO-CHAIR, COLLABORATE WITH THE LUCAS COUNTY SUICIDE PREVENTION COALITION (OTHER PARTNERS IN THE COALITION INCLUDE MERCY OUTREACH, THE UNIVERSITY OF TOLEDO, NAMI OF GREATER TOLEDO, LUCAS COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD) TO DESIGN AND IMPLEMENT A TEEN AMBASSADOR PROGRAM WHICH WILL TRAIN AND UTILIZE SEVERAL STUDENTS FROM EACH PARTICIPATING SCHOOL TO PROMOTE SOCIAL MEDIA CAMPAIGNS AND AWARENESS ABOUT DEPRESSION AND SUICIDE PREVENTION, THUS REDUCING MENTAL HEALTH/SUICIDE STIGMA IN THEIR SCHOOLS. LUCAS COUNTY SUICIDE PREVENTION COALITION COORDINATOR (EMPLOYEE CONTRACTED THROUGH NAMI) WILL PROVIDE ONGOING OVERSIGHT, MANAGEMENT AND CONSULTATION TO SCHOOLS AND/OR STUDENTS PARTICIPATING IN NEWLY CREATED TEEN AMBASSADOR PROGRAM.D) PROGRAM LEAD WILL SERVE ON BRAVE (BULLYING RESOURCES AND ANTI-VIOLENCE EDUCATION) COMMITTEE, WHICH WAS CREATED BASED ON THE CHIP. BRAVE PARTNERING AGENCIES INCLUDE UT, TPS AND NAMI; COMMITTEE MISSION IS TO EXPAND COORDINATED ANTI-BULLYING EDUCATION AS WELL AS SUICIDE PREVENTION AND THREAT ASSESSMENT EDUCATION TO COMMUNITY SCHOOLS AND AGENCIES, PARENT GROUPS AND TEENS.E) NO LOCAL INITIATIVE/COALITION OR STRATEGIC PLAN EXISTS TO ADDRESS TEEN SEXUAL OR DATING VIOLENCE SPECIFICALLY. PROGRAM STAFF WILL PARTICIPATE IN CREATING A COMMUNITY COLLABORATIVE GROUP TO ADDRESS TEEN DATING VIOLENCE AND TEEN SEXUAL ASSAULT.
ACTIONS TAKEN:- TEEN PEP FUNDED BY OHIO DEPARTMENT OF HEALTH (ODH). ODH FUNDED PROGRAMS RECEIVE OUTCOME MEASUREMENT EVALUATION GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION EMPOWERMENT EVALUATION CONTRACTOR, DR. SANDRA ORTEGA, FOR ALL PROGRAM OUTCOME MEASURES. RESULTS INCLUDED: 14 SCHOOLS PARTICIPATED, 140 TEEN PEER LEADERS WERE TRAINED, AND 1,888 CLASSROOM PARTICIPANTS GRADES 9-12 PARTICIPATED. NO ADDITIONAL ELEMENTARY SCHOOLS WERE ADDED IN 2018 DUE TO DECREASE IN OHIO DEPARTMENT OF HEALTH (ODH) GRANT FUNDING.- THE NUMBER OF LCSPC (LUCAS COUNTY SUICIDE PREVENTION COALITION) TEEN AMBASSADOR PROGRAMS FOR 2018 WAS 20 SCHOOLS AND 33 STUDENT AMBASSADORS.- BRAVE COALITION DISBANDED PRIMARILY BECAUSE THE ORIGINAL OBJECTIVES OF THE COALITION/3-YEAR STRATEGIC GOALS HAD BEEN MET, AND MEMBERS OF THE COALITION WENT ON TO CONTINUE THE MISSION EITHER ON THEIR OWN OR THROUGH OTHER LIKE-MINDED COALITIONS SUCH AS THE LUCAS COUNTY SUICIDE PREVENTION COALITION AND TEEN PEP, WITH EACH SCHOOL NOW RESPONSIBLE TO REPORT A PLAN TO ADDRESS THIS ISSUE.- AS A LOCAL INITIATIVE, THE LUCAS COUNTY YOUTH SEXUAL AND INTIMATE PARTNER VIOLENCE COALITION WAS CREATED IN RESPONSE TO AN IDENTIFIED GAP FOR SUCH COMMUNITY COLLABORATION SURROUNDING TWO VERY IMPORTANT NEEDS IN THE TOLEDO AREA. THE COALITION HAS NOT DEVELOPED A FORMAL STRATEGIC PLAN, OPTING INSTEAD TO FOCUS ON PROMOTING YOUTH CULTURE CHANGE VIA SOCIAL MEDIA. YOUTH SPEND MUCH OF THEIR TIME ON VARIOUS SOCIAL MEDIA OUTLETS AND THIS WAS IDENTIFIED AS THE BEST WAY TO BOTH REACH LOCAL YOUTH AND IMPACT THEIR IDEAS AND KNOWLEDGE ABOUT SEXUAL ASSAULT AND TEEN DATING VIOLENCE. IN 2018, ITS FOURTH YEAR, THE COALITION HAS HOSTED 3 TEEN FOCUS GROUPS IN THE TOLEDO AREA WITH VARIOUS YOUTH FROM DIVERSE POPULATIONS WITH THE GOAL OF INVOLVING YOUTH IN THE CREATION OF SEXUAL AND INTIMATE PARTNER VIOLENCE PREVENTION MESSAGING. FROM THESE FOCUS GROUPS, THE COALITION HAS SUCCESSFULLY STARTED UP BOTH A FACEBOOK AND INSTAGRAM PAGE THAT HIGHLIGHT AND PROMOTE PREVENTION MESSAGING SURROUNDING THESE TOPICS. WE STARTED OUR SOCIAL MEDIA CAMPAIGN IN FEBRUARY 2018 DURING TEEN DATING VIOLENCE AWARENESS MONTH.STRATEGY #2 - EACH YEAR UP TO FOUR ELEMENTARY SCHOOLS WILL BE GIVEN BULLYING PREVENTION EDUCATION VIA OLDER TRAINED PEER LEADERS (HIGH SCHOOL TEAMS) OR FROM 7TH/8TH GRADE TRAINED TEEN LEADERS IN THEIR BUILDING. MEASUREMENT TO INCLUDE:A) NUMBER OF ELEMENTARY/MIDDLE SCHOOLS THAT HIGH SCHOOL LEADERS PRESENTED TO. B) NUMBER OF TRAINED YOUTH LEADERS IN NEWLY ADDED ELEMENTARY SCHOOLS (WHERE APPLICABLE). C) NUMBER OF ELEMENTARY STUDENTS RECEIVING PEER LED EDUCATION. ACTIONS TAKEN: - OHIO DEPARTMENT OF HEALTH CONTRACTOR FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION GUIDES EMPOWERMENT EVALUATION FOR ALL PROGRAM OUTCOME MEASURES.- EIGHT (8) SCHOOLS PARTICIPATED IN PRESENTATIONS.- EIGHT (8) TEEN PEER LEADERS WERE TRAINED.- 384 CLASSROOM PARTICIPANTS IN GRADES 1-6 PARTICIPATED IN PROGRAM.- ADDITIONAL SCHOOLS WERE NOT ADDED IN 2018 PER GRANT FUNDING DECREASED IN ODH FUNDS.STRATEGY #3 - PROVIDE TRAUMA-INFORMED TRAINING TO PROMEDICA TOLEDO CHILDREN HOSPITAL STAFF THAT PROVIDES CARE TO YOUTH (0-18 YEARS). THIS WILL HELP ENHANCE PATIENT-CENTERED CARE, WHICH WILL POSITIVELY IMPACT YOUTH MENTAL HEALTH. A) DEVELOP TRAUMA-INFORMED TRAININGS (BASED ON SAMHSA CURRICULUM) FOR DIFFERENT HOSPITAL STAFF/PROVIDER GROUPS.B) PILOT TRAININGS AND CORRECT AS NECESSARY.ACTIONS TAKEN:- ONE EDUCATIONAL EVENT WAS SCHEDULED IN THE FALL OF 2018 BUT WAS CANCELED. EVENTS ARE NOW SCHEDULED FOR 2019 AND ADDITIONAL EVENTS ARE SCHEDULED FOR HOSPITAL/PROVIDER GROUPS.STRATEGY #4 - THE LUCAS COUNTY TRAUMA INFORMED CARE COALITION (LCTIC) CREATED IN LATE 2014, IS A COUNTY WIDE COALITION WHOSE MISSION IS TO INCREASE AWARENESS AND PRACTICE OF TRAUMA INFORMED CARE (TIC) IN THE COMMUNITY. MEMBERSHIP INCLUDES STAFF FROM TOLEDO CHILDREN'S HOSPITAL, COMMUNITY MENTAL HEALTH CENTERS, THE LUCAS COUNTY MENTAL HEALTH RECOVERY SERVICES BOARD, DOMESTIC VIOLENCE SHELTERS, UNIVERSITY OF TOLEDO, UTMC, TOLEDO POLICE DEPARTMENT AND EMS, NAMI, UNITED WAY, AND MANY OTHERS. THE WORK OF THE LCTIC WILL HELP TO IMPROVE YOUTH MENTAL HEALTH THROUGH:A) EDUCATING MENTAL HEALTH PROFESSIONALS HOW TO PROVIDE MORE APPROPRIATE TRAUMA INFORMED SERVICES TO YOUTH WHO HAVE TRAUMA HISTORIES.B) EMPOWERING CONSUMERS, PARENTS, AND COMMUNITY MEMBERS TO BETTER UNDERSTAND HOW TO ACCESS APPROPRIATE TRAUMA INFORMED SERVICES FOR YOUTH WHO HAVE EXPERIENCED TRAUMA.C) ASSESS LEARNING DURING TRAUMA PRESENTATIONS BY USING A PRE AND POST MEASURE DURING PRESENTATIONS, COLLECT DATA. MAKE CHANGES AS NECESSARY.D) COLLECTING AND PROVIDING DATA ON THE OTHER ACTIVITIES OF THE TRAUMA COALITION AND ITS IMPACT ON SPREADING TRAUMA INFORMED KNOWLEDGE TO THE COMMUNITY. CONTINUE TO DEVELOP AND FIND VETTED TRAUMA RESOURCES TO LINK TO THE WEBSITE AND/OR TO DISSEMINATE TO THE COMMUNITY. TRACK NUMBER OF RESOURCES LINKED TO WEBSITE AND DISSEMINATED TO THE COMMUNITY. USE WEBSITE COUNTERS TO TRACK NUMBER OF WEBSITE VISITORS AND NUMBER OF RESOURCE DOWNLOADS.ACTIONS TAKEN:- 386 PROFESSIONALS IN THE COMMUNITY WERE TRAINED IN TRAUMA INFORMED CARE (TIC).- TRAUMA COALITION WEBSITE WAS DEVELOPED AND RUNNING. VETTED TRAUMA RESOURCES WERE PLACED ON THE WEBSITE EMPOWERING VISITORS (I.E. CONSUMERS, PARENTS AND COMMUNITY MEMBERS) TO OBTAIN APPROPRIATE TRAUMA INFORMED SERVICES.- PRE AND POST ASSESSMENT OF TRAUMA INFORMED CARE PROVIDED TO 222 OF THE MENTAL HEALTH PROFESSIONALS TRAINED.- 95% OF PARTICIPANTS AGREED/STRONGLY AGREED THEY UNDERSTOOD THE DEFINITION OF TRAUMA, PREVALENCE OF TRAUMA, EFFECTS OF TRAUMA, AND WAYS THEY COULD BE MORE TRAUMA-INFORMED.- 91% OF PARTICIPANTS AGREED/STRONGLY AGREED THEY UNDERSTOOD THE THREE E'S OF TRAUMA AND THE FOUR R'S OF A TRAUMA INFORMED PROGRAM.- 91% OF PARTICIPANTS AGREED/STRONGLY AGREED THAT THEY UNDERSTOOD SAMHSA'S 6 PRINCIPLES IN TIC. RESULTS WERE PROVIDED TO THE TRAUMA COALITION.HEALTH NEED IDENTIFIED: DECREASE HEART DISEASE AND OTHER CHRONIC DISEASES STRATEGY #1 - IMPROVE PATIENT/FAMILY KNOWLEDGE OF ASTHMA MANAGEMENT AND INCREASE THEIR PARTICIPATION IN SELF-CARE THROUGH EDUCATION.A) IMPLEMENT EVIDENCE BASED ASTHMA DISEASE MANAGEMENT PROGRAM UTILIZED AT PROMEDICA TOLEDO CHILDREN'S HOSPITAL FOR ASTHMA EDUCATION AT THE PEDIATRIC AMBULATORY DEPARTMENT.B) UTILIZE RESPIRATORY THERAPISTS TRAINED TO PROVIDE CONSISTENT ASTHMA EDUCATION TO PARENTS AND CHILDREN WITH ASTHMA.C) PROVIDE ASTHMA EDUCATION 2 DAYS PER WEEK TO ALL PARENTS OF ASTHMATIC CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT.D) PROVIDE THE ASTHMA INSTRUCTION BOOKLET TO PARENTS RECEIVING EDUCATION.E) PROVIDE AN ASTHMA ACTION PLAN TO ALL PARENTS OF CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT WITH A DIAGNOSIS OF ASTHMA.F) MONITOR CHILDREN WHO RECEIVE EDUCATION FOR FREQUENCY OF ASTHMA RELATED HOSPITALIZATIONS AND/OR ED VISITS DURING THIS INITIAL YEAR.G) PROMOTE PEDIATRIC AMBULATORY ASTHMA EDUCATION & MANAGEMENT AS A MODEL TO OTHER PEDIATRIC OFFICES TO INCREASE ASTHMA MANAGEMENT ACCESS FOR ALL CHILDREN WITH ASTHMA.H) EXPAND PROGRAM BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN:- ASTHMA EDUCATION WAS PROVIDED TO 505 PATIENTS IN THE PEDIATRIC AMBULATORY DEPARTMENTS.- ACTION PLANS WERE GIVEN TO 375 PARENTS OF CHILDREN IN THE PEDIATRIC AMBULATORY DEPARTMENT WITH AN ASTHMA DIAGNOSIS.- THIS IS A THREE (3) YEAR PLAN THAT WILL BE UPDATED IN 2020.
STRATEGY #2 - DECREASE ASTHMA RELATED HOSPITAL ADMISSIONS AND EMERGENCYDEPARTMENT (ED) VISITS.A) WILL MONITOR ALL TOLEDO PEDIATRIC PRIMARY PATIENTS WHO RECEIVE ASTHMA EDUCATION FOR FREQUENCY OF ASTHMA RELATED HOSPITALIZATIONS AND/OR ED VISITS.B) EDUCATION WILL CONSIST OF TEACHING AND PRACTICING HEALTHY BEHAVIORS TO INCREASE NUMBER OF ASTHMA PATIENTS RETURNING FOR FOLLOW UP CARE AND MEDICATION REFILLS ON ROUTINE BASIS.C) UTILIZE HOME CARE NURSES TO PROVIDE HOME EVALUATIONS AND FOLLOW UP CARE FOR ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION, IMPLEMENTATION OF MANAGEMENT SKILLS AND UNDERSTANDING OF NEED TO TAKE MEDICATIONS AS ORDERED.D) PATIENTS WILL FOLLOW UP IN PEDIATRIC AMBULATORY OFFICE FOR FOLLOW UP AS NEEDED WITH RESPIRATORY THERAPIST ASTHMA EDUCATOR FOR MONITORING FAMILY/CHILD'S UNDERSTANDING AND ONGOING MANAGEMENT OF EDUCATION. RESPIRATORY THERAPIST WILL RE-EDUCATE AS NEEDED.E) EXPAND PROGRAM BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN:- MONITORED NUMBER OF ASTHMA HOSPITALIZATIONS/ED VISITS FROM 2018. THE < 7 DAY READMISSION RATE HAS DECREASED FROM 0.5% IN 2017 TO 0.25% IN 2018. THE PERCENTAGE OF < 7 DAY REVISITS HAS INCREASED FROM 2.4% TO AN AVERAGE OF 2.5%. THE PERCENTAGE OF < 30 DAY REVISITS TO THE ED HAVE REMAINED UNCHANGED AT 3.5% AND HAS DECREASED FOR < 60 DAYS FROM 3.6% IN 2017 TO 2.5% IN 2018. - DEVELOPED MEASURES TO IDENTIFY INCREASING ASTHMA RECHECKS IN 2018. IDENTIFIED THAT PRIMARY CARE PHYSICIANS WERE NOT REFERRING ASTHMA PATIENTS TO HOME CARE CONSISTENTLY FOR HOME CARE NURSING FOLLOW UP PER NAEEP GUIDELINES 2007 REPORT. RE-EDUCATION HAS OCCURRED IN 2018 AND THEN ANNUALLY FOR UTILIZATION OF HOME CARE. ASTHMA EDUCATORS ARE TO PROVIDE FEEDBACK TO NURSES/PCP OF FAMILIES THAT WOULD BENEFIT FROM FOLLOW UP ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION AND HOME ASTHMA MANAGEMENT SKILLS AND MEDICATION USAGE.- THE OFFICE HAS REDESIGNED THE SCHEDULING OF ASTHMA PATIENTS TO COINCIDE WITH THE DAYS THE RESPIRATORY THERAPISTS ARE AVAILABLE.- INCREASED NUMBER OF ASTHMA PATIENTS RETURNING FOR ASTHMA RECHECKS PER YEAR, RESULTING IN CAPTURING ASTHMA PATIENTS WHILE IN OFFICE AND ABLE TO SCHEDULE NEXT APPOINTMENT BEFORE LEAVING.STRATEGY #3 - IMPROVE MANAGEMENT OF ASTHMA FOR CHILDREN AT PROMEDICA TOLEDO CHILDREN'S HOSPITAL AND ASSOCIATED OUTPATIENT AREAS.A) CONTINUE TO ASSESS CARE AND EDUCATION PROVIDED TO PEDIATRIC PATIENTS WITH ASTHMA, AND THEIR FAMILIES; MAKE CHANGES AS NEEDED TO MEET THE NEEDS OF THIS POPULATION AND COMMUNITY.B) ACTIVELY WORK TO BECOME CERTIFIED BY THE JOINT COMMISSION FOR OUTPATIENT PEDIATRIC ASTHMA DISEAS MANAGEMENT; MAKING PROMEDICA TOLEDO CHILDREN'S HOSPITAL ONLY HOSPITAL IN NATION TO HOLD DUAL INPATIENT AND OUTPATIENT CERTIFICATION.ACTIONS TAKEN:- TCH MAINTAINS ACCREDITATION BY THE JOINT COMMISSION FOR ASTHMA DISEASE MANAGEMENT, PROVIDING THE HIGHEST LEVEL OF CARE. BELOW ARE THE INDICATORS WE MONITOR PER JOINT COMMISSION RECOMMENDATIONS:- 95% INPATIENT TOBACCO EDUCATION- 20% OUTPATIENT TOBACCO EDUCATION- 91% INPATIENT HOME MANAGEMENT PLAN OF CARE- 59% OUTPATIENT ACTION PLAN- 97% INPATIENT INFLUENZA SCREENINGSTRATEGY #4 - IMPROVE ACCESS TO PEDIATRIC PRIMARY CARE PHYSICIANS AT THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL CLINIC.A) OFFER SAME DAY APPOINTMENTS FOR SICK NEW PATIENTS.B) MONITOR ACCESS TO CARE REPORT TO DETERMINE LENGTH OF TIME NEW PATIENTS MUST WAIT FOR APPOINTMENT AND ADD AVAILABLE PHYSICIAN HOURS AS NEEDED.ACTIONS TAKEN:- PHYSICIAN HOURS WERE NOT INCREASED IN 2018, ACCESS TO CARE IS MONITORED WITH PLANS TO INCREASE HOURS IF IMPROVEMENT TO ACCESS TO CARE IS NEEDED.- 1,459 NEW PATIENTS ATTENDED THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC IN 2018. SAME DAY APPOINTMENTS WERE OFFERED FOR SICK, NEW PATIENTS.- ACCESS TO CARE REPORT WAS COMPILED QUARTERLY TO MONITOR ACCESS TO CARE AND MODIFY, AS NEEDED, TO IMPROVE ACCESS TO CARE.STRATEGY #5 - INCREASE CHILDHOOD IMMUNIZATION RATES.A) PROMEDICA TOLEDO CHILDREN'S HOSPITAL (TCH) WILL PROVIDE NURSE COVERAGE IN COLLABORATION WITH THE LUCAS COUNTY HEALTH DEPARTMENT "SHOTS FOR TOTS" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN.B) THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO OFFER FREE "VACCINES FOR KIDS" PER THE STATE GUIDELINES TO ALL ELIGIBLE CHILDREN. THE STATE REGISTRY WILL BE UPDATED AT EACH VISIT WHERE SHOTS ARE GIVEN.C) THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO TAKE EVERY OPPORTUNITY AT VISITS TO UPDATE CHILDREN'S IMMUNIZATIONS.ACTIONS TAKEN:- TCH PROVIDED 132 NURSING HOURS TO "SHOTS FOR TOTS" PROGRAM IN THE COMMUNITY. (PLEASE NOTE THAT TCH PEDIATRIC AMBULATORY DEPARTMENT RECEIVES VACCINES FROM THE OHIO DEPARTMENT OF HEALTH VACCINES FOR CHILDREN'S (VFC) PROGRAM AT NO COST. CHILDREN WHO MEET THE VFC REQUIREMENTS ARE PROVIDED VACCINES AT NO CHARGE. MEDICAID REIMBURSES A FEE FOR NURSE ADMINISTRATION OF EACH VACCINE.)- FREE VACCINES WERE OFFERED THROUGH THE "VACCINES FOR KIDS" PROGRAM.- 62% OF CHILDREN WERE IMMUNIZED BY AGE 2 IN THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC.HEALTH NEED IDENTIFIED: INCREASE HEALTHY WEIGHT STATUSSTRATEGY #1 - INCREASE THE NUTRITION EDUCATION OFFERINGS TO CHILDREN AND PARENTS IN PROMEDICA TOLEDO CHILDREN'S HOSPITAL SERVICE AREA.A) CONTINUE TO DONATE NUTREXITY BOARD GAMES TO AREA ELEMENTARY SCHOOLS AND AFTER-SCHOOL PROGRAMS.B) THE FINALIZED PROMEDICA CHILDHOOD OBESITY CARE PLAN WILL BE DISTRIBUTED TO ALL PROMEDICA PEDIATRIC PRIMARY CARE PRACTICES AND FAMILY MEDICINE PRACTICES IN YEARS 2 AND 3. 1) EDUCATION WILL BE GIVEN TO PROVIDERS RELATED TO ADDRESSING CHILDHOOD OBESITY WITHIN THE CLINIC SETTING. 2) PRACTICES WILL BE PROVIDED WITH HEALTHY BEHAVIORS HANDOUTS TO PROVIDE TO PATIENTS.ACTIONS TAKEN:- NUTREXITY GAMES WERE DONATED TO SCHOOLS AND COMMUNITY ORGANIZATIONS IN 2015 AND 2016 TO PROVIDE CONTINUOUS ACCESS TO THIS EDUCATIONAL PROGRAM AT THE SCHOOLS. IN LIEU OF PROVIDING THAT PROGRAM, COMMUNITY MEMBERS WERE EDUCATED THROUGH ALTERNATIVE PROGRAMS, INCLUDING: FIVE (5) COOKING MATTERS AT THE STORE HEALTHY GROCERY STORE TOURS WERE COMPLETED IN 2018 WITH 40 TOTAL PARTICIPANTS.
STRATEGY #2 - ADDRESS FOOD INSECURITY AMONG PATIENTS.A) TWO (2) ADDITIONAL PROMEDICA PRACTICES WILL BE TRAINED TO REFER FOOD INSECURE PATIENTS TO PROMEDICA'S FOOD PHARMACY, WHICH PROVIDES HEALTHY FOOD ON A MONTHLY BASIS TO PATIENTS.B) ALL PATIENTS AT TCH WILL BE SCREENED FOR FOOD INSECURITY PRIOR TO DISCHARGE AND WERE OFFERED AN EMERGENCY FOOD BAG UPON DISCHARGE.C) TOLEDO HOSPITAL/TOLEDO CHILDREN'S HOSPITAL WILL TAKE PART IN THE SUMMER FOOD SERVICE PROGRAM AS A SUMMER MEAL SITE PROVIDING FREE MEALS FOR CHILDREN AGES 1-18.ACTIONS TAKEN:- ZERO (0) ADDITIONAL PROMEDICA PRACTICES WERE TRAINED IN CHILDHOOD OBESITY. FOCUS HAS SHIFTED TO ADDRESSING FOOD INSECURITY IN 2018, WITH EDUCATION BEING A PART OF THE FOOD CLINIC.- 27 TRAINED PROVIDERS AND PRACTICES ARE REFERRING TO THE FOOD CLINIC.- SIX (6) NEW PRACTICES WERE TRAINED IN 2018.- THE FOOD CLINIC IS PARTNERING WITH WIC TO INCREASE PARTICIPATION IN BOTH WIC AND FOOD CLINIC PROGRAMS.- 1,941 FAMILIES WITH CHILDREN WERE SERVED BY THE PROMEDICA FOOD CLINIC. 58% OF THE FAMILIES HAVE CHILDREN UNDER 18 AT HOME.- RESULTS FROM FOOD PHARMACY STUDY AND EMR DATA RESEARCH WERE COMPLETED IN 2018 FROM A SUBSET OF MEDICAID PATIENTS INDICATED THAT INDIVIDUALS UTILIZING THE FOOD CLINIC PROGRAM SAW A 28.6% REDUCTION IN ER VISITS AND 5.1% REDUCTION IN MEDICAL COSTS WHEN COMPARING ONE (1) YEAR AFTER USING THE FOOD CLINIC PROGRAM TO ONE YEAR PRIOR.- ALL TCH PATIENTS WERE SCREENED FOR FOOD INSECURITY WITH 96 EMERGENCY FOOD BAGS PROVIDED TO TCH PATIENTS AT DISCHARGE.- 378 MEALS WERE SERVED AT THE TOLEDO HOSPITAL'S SUMMER MEALS PROGRAM.STRATEGY #3 - PROVIDE EDUCATION AND AWARENESS TO CHILDREN AND FAMILIES ON CHILD OBESITY AND HEALTHY SUPPLEMENTAL FOODS THROUGH THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL WIC PROGRAM.A) CONDUCT INDIVIDUAL NUTRITION ASSESSMENTS FOR WIC PARTICIPANTS. TAILOR INDIVIDUAL WIC FOOD PACKAGE TO BEST MEET EACH PARTICIPANT'S INDIVIDUAL NUTRITION NEEDS AND/OR GOALS.B) MAKE REFERRALS TO PHYSICIAN, AS INDICATED BY WIC POLICIES AND PROCEDURES.C) PROVIDE BREASTFEEDING EDUCATION CLASSES.D) EDUCATE ON LIMITING JUICE AND EMPTY CALORIE FOODS AND REPLACE WITH ECONOMICAL HEALTHY FOODS.E) EDUCATE PARENT/CAREGIVER ON HOW TO EXTEND FOOD DOLLARS AND OFFERS HEALTHY, INEXPENSIVE MEAL IDEAS.F) PROVIDE FARMER MARKET COUPONS, TO ELIGIBLE WIC PARTICIPANTS, (JULY THROUGH SEPTEMBER) TO HELP INCREASE FRESH FRUIT AND VEGETABLE INTAKE.ACTIONS TAKEN:- 12,303 CHILDREN AND CAREGIVERS WERE ASSESSED AND EDUCATED THROUGH THE WIC PROGRAM.- ALL WIC PATIENTS ARE REQUIRED TO HAVE DIET ASSESSMENTS TWICE A YEAR.- BASED ON DIET ASSESSMENT FINDINGS, PHYSICIAN REFERRALS WERE MADE.- 46 BREASTFEEDING EDUCATION CLASSES WERE PROVIDED THROUGH THE CENTER FOR HEALTH SERVICES (CHS) CLINIC BASED WIC PROGRAM. APPROXIMATELY 731 PARTICIPATED.- PARENTS/CAREGIVERS WERE EDUCATED ON HOW TO EXTEND FOOD DOLLARS AND WERE OFFERED HEALTHY AND INEXPENSIVE MEAL IDEAS. FAMILIES WERE ALSO EDUCATED ON LIMITING JUICE AND EMPTY CALORIE FOODS AND HOW TO REPLACE WITH ECONOMICAL HEALTHY FOODS.- 1,024 FARMER MARKET COUPONS WERE GIVEN TO ELIGIBLE WIC PARTICIPANTS THROUGH THE WIC PROGRAM.HEALTH NEED IDENTIFIED: INJURY PREVENTION/SAFETYSTRATEGY #1 - PROMEDICA TOLEDO CHILDREN'S HOSPITAL IN PARTNERSHIP WITH STATE FARM WILL CONDUCT A DISTRACTED DRIVING PROGRAM THAT WILL EDUCATE HIGH SCHOOL STUDENTS AND THE COMMUNITY ON THE DANGERS OF DISTRACTED DRIVING AND THE IMPORTANCE TO SPEAK UP IF FEELING UNSAFE WITH OTHER DRIVERS (BASED ON FUNDING AVAILABILITY). CONDUCT PROGRAM FOR AT LEAST 5 HIGH SCHOOLS AND AT LEAST 2 COMMUNITY LOCATIONS.ACTIONS TAKEN:- PROMOTED AND FACILITATED DISTRACTED DRIVING PRESENTATIONS FOR FIVE (5) HIGH SCHOOLS (NORTHVIEW HIGH SCHOOL, START HIGH SCHOOL, PENTA CAREER CENTER, ST. FRANCIS HIGH SCHOOL, AND TOLEDO TECHNOLOGY ACADEMY) IN LUCAS COUNTY AND GREATER TOLEDO AREA AND TWO (2) UNIVERSITIES (LOURDES UNIVERSITY AND UNIVERSITY OF TOLEDO) RESULTING IN SEVEN (7) SCHOOLS PARTICIPATING. 1,351 PARTICIPANTS WERE EDUCATED AT PRESENTATIONS, AND 400 PARTICIPANTS USED THE DISTRACTED DRIVER SIMULATOR.- DISTRACTED DRIVING EDUCATION PROVIDED AT NINE (9) COMMUNITY LOCATIONS IN 2018 (TOLEDO AUTO SHOW (4 DAYS), PROMEDICA STEAM PLANT (2 TIMES), PROMEDICA JUNCTION BUILDING, CARTEENS (2 TIMES), LUCAS COUNTY FAIR, EASTERN STAR BAPTIST CHURCH, HOLLAND BRANCH LIBRARY). APPROXIMATELY 250 TEENS AND ADULTS USED THE DISTRACTED DRIVING SIMULATOR AND OVER 1,351 PEOPLE WERE REACHED THROUGH IN-DIRECT EDUCATION AT THESE EVENTS.STRATEGY #2 - KISS (KIDS IN SAFE SEATS)/OBB (OHIO BUCKLES BUCKEYES)/SAFE KIDS BUCKLE UP CAR SEAT PROGRAMS WILL EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF PROPER CAR SEAT USE AT TOLEDO CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND SAFE KIDS BUCKLE UP COMMUNITY EVENTS. PROVIDE AT LEAST 50 OPPORTUNITIES FOR PARENTS AND CAREGIVERS TO RECEIVE CAR SEAT INFORMATION.ACTIONS TAKEN:- CONDUCTED 77 CAR SEAT CHECKUP EVENTS THROUGHOUT THE GREATER TOLEDO AREA.STRATEGY #3 - KISS/OBB/SAFE KIDS BUCKLE UP WILL PROVIDE ACCESS TO CAR SEATS AND BOOSTER SEATS TO LOW-INCOME FAMILIES AT TOLEDO CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND SAFE KIDS BUCKLE UP COMMUNITY EVENTS. DISTRIBUTE AT LEAST 120 CAR SEATS TO LOW-INCOME FAMILIES.ACTIONS TAKEN:- 10 KISS/OBB/SAFE KIDS "BUCKLE UP" PRESENTATIONS WERE HELD.- 332 CAR SEATS AND BOOSTER SEATS WERE PROVIDED TO LOW INCOME FAMILIES.- 346 CAR SEATS WERE CHECKED FOR SAFE INSTALLATION.STRATEGY #4 - SAFE ROUTES TO SCHOOL PROGRAM WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE BENEFITS OF WALKING AND BICYCLING TO SCHOOL IN GROUPS AS A WAY TO HAVE A SAFER NEIGHBORHOOD.ACTIONS TAKEN:- PRESENTED TO 13 CLASSROOMS ON PEDESTRIAN AND BICYCLE SAFETY. THE TOTAL NUMBER OF CHILDREN RECEIVING THIS EDUCATION WAS 425.STRATEGY #5 - SAFE KIDS GREATER TOLEDO WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE BENEFITS OF WALKING AND BICYCLING TO SCHOOL IN GROUPS AS A WAY TO HAVE A SAFER NEIGHBORHOOD. PROMOTE NATIONAL BIKE TO SCHOOL DAY WITH AT LEAST ONE SCHOOL IN LUCAS COUNTY.ACTIONS TAKEN: - PROMOTED INTERNATIONAL WALK TO SCHOOL (150 PARTICIPANTS; 1 SCHOOL; 2 PRESENTATIONS) WITH MORE FOCUS ON BIKE TO SCHOOL DAY (100 PARTICIPANTS; 1 SCHOOL) AND PRESENTED 13 CLASSROOM PRESENTATIONS ON PEDESTRIAN AND BICYCLE SAFETY.STRATEGY #6 - PROMEDICA TOLEDO CHILDREN'S HOSPITAL COMMUNITY OUTREACH/SAFE KIDS HOME SAFETY AND TOLEDO HEALTHY TOMORROWS HELP ME GROW PROGRAMS WILL EDUCATE PARENTS, CAREGIVERS AND THE COMMUNITY ON HOME SAFETY ISSUES INCLUDING ACCIDENTAL POISONINGS SAFETY, MEDICATION SAFETY, WATER SAFETY, FALLS, FIRE, BURN, ETC. DIRECTLY EDUCATE AT LEAST 175 INDIVIDUALS THROUGH PRESENTATIONS AND EDUCATIONAL SESSIONS; INDIRECTLY EDUCATE THOUSANDS MORE THROUGH SOCIAL MEDIA, TRADITIONAL MEDIA AND BROCHURES.ACTIONS TAKEN: - CONDUCTED EDUCATIONAL PRESENTATIONS TO PARENTS/CAREGIVERS AND OTHER PROFESSIONALS WITH 187 PARTICIPANTS.STRATEGY #7 - TCH COMMUNITY OUTREACH/SAFE KIDS HOME SAFETY AND TOLEDO HEALTHY TOMORROWS HELP ME GROW PROGRAMS WILL PROVIDE SAFETY ITEMS AND EDUCATIONAL MATERIALS TO LOW-INCOME FAMILIES TO REDUCE OR PREVENT HOME-RELATED INJURIES. PROVIDE HOME SAFETY ITEMS/KITS TO AT LEAST 40 LOW-INCOME HOUSEHOLDS.ACTIONS TAKEN:- TOLEDO HEALTHY TOMORROWS HELP ME GROW AND PATHWAYS PROGRAMS PROVIDED HOME SAFETY ASSESSMENTS, AND/OR EDUCATION TO 140 LOW INCOME FAMILIES IN 2018. THROUGH THE PROGRAM 250 ITEMS WERE DISTRIBUTED.
STRATEGY #8 - ASSESS AND PROVIDE SAFETY ITEMS TO HOMES LACKING SMOKE/CARBONMONOXIDE (CO) DETECTORS, FIRE EXTINGUISHERS, CHILD SAFETY GATES, DOOR LOCKS, ETC. PARTNER WITH AMERICAN RED CROSS TO REQUEST AND INSTALL SMOKE/CO DETECTORS IN HOMES WITHOUT THEM. FOLLOW UP WITH POST ASSESSMENT TO ENSURE ITEMS ARE BEING USED AND INSTALLED/USED CORRECTLY.A) COMPLETE WRITTEN ASSESSMENT OF HOME AND NEED FOR SAFETY ITEMS. B) DISTRIBUTE NEEDED SAFETY ITEMS AND EDUCATE ON USE. C) COMPLETE WRITTEN FOLLOW UP ASSESSMENT ON INSTALLATION AND CORRECT USE OF SAFETY ITEMS PROVIDED.ACTIONS TAKEN:- CHILD/HOME SAFETY ASSESSMENTS WERE COMPLETED WITH 341 COMPLETED ASSESSMENTS FOR HOME SAFETY ITEMS, 16 SMOKE/CO DETECTORS PROVIDED BY THE AMERICAN RED CROSS, AND 82 FOLLOW UP ASSESSMENTS COMPLETED.STRATEGY #9 - SAFE KIDS SPORTS SAFETY AND TOLEDO CHILDREN'S HOSPITAL TRAUMA DEPARTMENT WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS-RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSION CLINIC AND AREA SCHOOLS. EDUCATE AT LEAST 75 PARTICIPANTS AT PRESENTATIONS AND EVENTS.ACTIONS TAKEN:- CONDUCTED EDUCATIONAL PRESENTATIONS TO PARENTS/CAREGIVERS AND OTHER PROFESSIONALS ON SPORTS SAFETY ISSUES WITH 24 EDUCATIONAL PRESENTATIONS AND 495 TOTAL PARTICIPANTS.STRATEGY #10 - TOLEDO CHILDREN'S HOSPITAL TRAUMA DEPARTMENT WILL ASSIST SCHOOLS AND MEDICAL PROFESSIONALS WITH "RETURN 2PLAY AND "RETURN TO LEARN" POLICY AND PROCEDURE ADOPTION BY PROVIDING EDUCATIONAL MATERIALS AND SESSIONS. PROVIDE INFORMATION TO AT LEAST FIVE SCHOOLS OR MEDICAL PROFESSIONALS.ACTIONS TAKEN:- PROVIDED "RETURN 2PLAY AND "RETURN TO LEARN" MATERIALS AND EDUCATIONAL SESSIONS TO 42 SCHOOLS AND 100 MEDICAL AND/OR SCHOOL PROFESSIONALS.HEALTH NEED IDENTIFIED: INCREASE SCHOOL READINESSSTRATEGY #1 - PROMOTE READING TO YOUNG CHILDREN THROUGH THE TOLEDO HEALTHY TOMORROWS/HELP ME GROW PROGRAM ON AN ONGOING BASIS.A) EDUCATE YOUNG LOW INCOME PARENTS ABOUT PARENTING AND THE BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS.B) PROVIDE FREE CHILDREN'S BOOKS AT HOME VISITS. 1) INCREASE FAMILIES IMPACTED BY ADDING THT PATHWAYS HOME VISITORS' ALSO PROVIDING LITERACY EDUCATION AND BOOKS TO FAMILIES.ACTIONS TAKEN:- EDUCATION PROVIDED TO 429 YOUNG LOW INCOME PARENTS AND 907 BOOKS WERE PROVIDED.STRATEGY #2 - PROVIDE AGE SPECIFIC DEVELOPMENTAL SCREENING FROM BIRTH TO AGE 3 FOR CHILDREN ENROLLED IN THT/HELP ME GROW PROGRAM. A) SCREEN ALL INFANTS AND CHILDREN TO AGE 3 YEARS WITH AGE APPROPRIATE AGES AND STAGES, THIRD EDITION.B) REFER ALL CHILDREN TO EARLY INTERVENTION THROUGH ESTABLISHED PROCEDURE IF SCREENING DETERMINES NEED FOR EVALUATION.ACTIONS TAKEN:- 480 SCREENINGS WERE COMPLETED, AND 27 REFERRALS WERE MADE TO EARLY INTERVENTION.GROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART 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.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART 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.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART 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
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 11: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL 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:- HUNGER - OBESITYTHIS 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.WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH CARE COVERAGE PERCEPTIONS, HEALTH CARE ACCESS AND UTILIZATION, CARDIOVASCULAR HEALTH, CANCER, DIABETES, ARTHRITIS, ASTHMA, TOBACCO USE, ALCOHOL CONSUMPTION AND DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND HEALTH SCREENINGS, ADULT SEXUAL BEHAVIOR, ADULT PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, SOCIAL ISSUES (EXCEPT HUNGER), MENTAL HEALTH AND SUICIDE, ORAL HEALTH, MINORITY HEALTH, HEALTH ISSUES SPECIFIC TO YOUTH AND CHILDREN, YOUTH WEIGHT, YOUTH TOBACCO USE, YOUTH ALCOHOL AND DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SAFETY AND VIOLENCE, CHILDREN'S HEALTH STATUS, CHILDREN DIAGNOSED WITH ASTHMA, CHILDREN DIAGNOSED WITH ADHD/ADD, CHILDREN DIAGNOSED WITH VISION PROBLEMS THAT CANNOT BE CORRECTED, CHILDREN'S HEALTH ACCESS, EARLY CHILDHOOD HEALTH, MIDDLE CHILDHOOD HEALTH, FAMILY FUNCTIONING/NEIGHBORHOODS, AND PARENT HEALTH.WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: HUNGERSTRATEGY #1 - SCREEN INPATIENTS ON ADMISSION FOR FOOD INSECURITY, AND PROVIDE FOOD TO TAKE HOME AT DISCHARGE IF FOOD INSECURITY IS IDENTIFIED.ACTIONS TAKEN: - ZERO (0) PATIENTS AT WILDWOOD SCREENED POSITIVE FOR FOOD INSECURITY IN 2018. A TOTAL OF 114 PATIENTS AT THE TOLEDO HOSPITAL (THAT WILDWOOD OPERATES UNDER) WERE PROVIDED WITH EMERGENCY FOOD BOXES AT DISCHARGE IN 2018.STRATEGY #2 - SCREEN OUTPATIENTS IN SPECIFIC PROMEDICA PRIMARY CARE OFFICES FOR FOOD INSECURITY, AND PROVIDE A REFERRAL TO A PROMEDICA FOOD PHARMACY AND/OR PROVIDE A LISTING OF FOOD AGENCIES TO ASSIST PATIENTS WITH FOOD ACCESS.ACTIONS TAKEN:- 1,424 UNIQUE HOUSEHOLDS, WITH NO CHILDREN, WERE SERVED AT THE PROMEDICA FOOD CLINIC (PHARMACY) IN 2018.HEALTH NEED IDENTIFIED: OBESITYSTRATEGY #1 - PROVIDE FREE COOKING MATTERS PROGRAMMING TO PARENTS AND FAMILIES THROUGHOUT THE COMMUNITY. COOKING MATTERS IS A 6-WEEK HEALTHY EATING AND COOKING CLASS FOR LOW-INCOME FAMILIES, WHICH WILL BE OFFERED AT THE PROMEDICA EBEID INSTITUTE'S TEACHING KITCHEN.ACTIONS TAKEN:- SIX (6) EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- 61 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.STRATEGY #2 - PROVIDE FREE COOKING MATTERS AT THE STORE PROGRAMMING TO PARENTS AND FAMILIES. COOKING MATTERS AT THE STORE IS A ONE-TIME, EDUCATIONAL GROCERY STORE TOUR TEACHING HEALTHY EATING ON A BUDGET.ACTIONS TAKEN: - FIVE (5) EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- 40 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.STRATEGY #3 - PROVIDE PHYSICAL ACTIVITY EDUCATION AS PART OF THE PROGRAMMING AT THE EBEID INSTITUTE FOR POPULATION HEALTH.ACTIONS TAKEN: - 12 EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- 600 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART 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.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART 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.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART 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
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 7A: THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/FLOWER-HOSPITAL/DOCUMENTS/PROMEDICA%20TOLEDO%20FLOWER%20WILDWOOD%20AND%20ARROWHEAD%20BEHAVIORAL%20HOSPITALS%202016%20JOINT%20COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT.PDFGROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 11: ARROWHEAD BEHAVIORAL HEALTH 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:- SUBSTANCE ABUSE- MENTAL HEALTHTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF THE TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019.ARROWHEAD BEHAVIORAL HEALTH 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: HEALTH CARE PERCEPTIONS/COVERAGE/ACCESS/UTILIZATION, CARDIOVASCULAR HEALTH, DIABETES, CANCER, ARTHRITIS, ASTHMA, AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS, TOBACCO USE, ALCOHOL AND DRUG USE, ORAL HEALTH, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND ENVIRONMENTAL HEALTH, ADULT SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ADULT MENTAL HEALTH, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, YOUTH HEALTH OR CHILD HEALTH, YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH PERCEPTIONS, MATERNAL INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.ARROWHEAD BEHAVIORAL HEALTH DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 - PROVIDE DRUG/ALCOHOL SCREENINGS VIA MOBILE ASSESSMENTS AT LOCAL EMERGENCY ROOMS, LUCAS COUNTY JAIL, SKILLED NURSING FACILITIES AND MEDICAL REHAB CENTERS.ACTIONS TAKEN:- PROVIDED EIGHT (8) DRUG/ALCOHOL SCREENINGS VIA MOBILE ASSESSMENTS AT LOCAL EMERGENCY ROOMS, LUCAS COUNTY JAIL, SKILLED NURSING FACILITIES AND MEDICAL REHAB CENTERS.STRATEGY #2 - PROVIDE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS, WHEN NEEDED.ACTIONS TAKEN: - PROVIDED FREE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS, WHEN NEEDED. STRATEGY #3 - CONTINUE ONGOING COLLABORATION WITH LUCAS COUNTY DART (DRUG ABUSE RESPONSE TEAM).ACTIONS TAKEN: - HAD ONGOING COLLABORATION WITH LUCAS COUNTY DART PROGRAM THROUGHOUT 2018 THROUGH COMMUNITY LIAISON PARTICIPATION.STRATEGY #4 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES, INCLUDING: RELAPSE PREVENTION, ALCOHOLICS ANONYMOUS AND NAMI FAMILY TO FAMILY.ACTIONS TAKEN:- 30 EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- UNKNOWN (NUMEROUS) PARTICIPANTS WERE IN EDUCATIONAL SESSIONS IN 2018.HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES.ACTIONS TAKEN: - PARTICIPATED IN 30 COMMUNITY AWARENESS/EDUCATION ACTIVITIES IN 2018.STRATEGY #2 - CONTINUE TO PROVIDE INPATIENT CARE TO UNINSURED PATIENTS REGARDLESS OF ABILITY TO PAY.ACTIONS TAKEN:- PROVIDED INPATIENT CARE TO 29 OF UNINSURED PATIENTS IN 2018.STRATEGY #3 - CONTINUE SCREENING, EDUCATION AND WORKFORCE DEVELOPMENT OFFERED TO THE COMMUNITY TOGETHER WITH PROMEDICA FLOWER HOSPITAL PSYCHIATRIC SERVICES.ACTIONS TAKEN: - ARROWHEAD BEHAVIORAL HEALTH STAFF PARTICIPATED IN MULTIPLE NAMI (NATIONAL ALLIANCE FOR MENTAL ILLNESS) EVENTS, INCLUDING DONATION OF $2,500 FOR A SPONSORSHIP FOR THE NAMI WALK. ARROWHEAD BEHAVIORAL HEALTH ALSO HOSTED THE NAMI FAMILY-TO-FAMILY COMMUNITY GROUPS DURING THE SPRING AND FALL SESSIONS.GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 20E: PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS: - PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITY TO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THE PATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENT MAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IF THE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOES NOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICES AND PHONE CALLS FOR MULTIPLE MONTHS
FieldValueIRS element (for citing)
Facility71FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (71 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PROMEDICA HICKMAN CANCER CENTER
5300 HARROUN RD STE 010SYLVANIAOH43560ONCOLOGY
2 - PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVDTOLEDOOH43606GROUND AND AIR TRANSPORT
3 - PARKWAY SURGERY CENTER
2120 W CENTRAL AVETOLEDOOH43606SURGICAL CENTER/LAB
4 - ENDOSCOPY CENTER
5700 MONROE STSYLVANIAOH43560ENDOSCOPY
5 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109SYLVANIAOH43560LAB & RADIOLOGY
6 - NORTHWEST OHIO CARDIOLOGY
2940 N MCCORD RDTOLEDOOH43615CARDIOLOGY
7 - WEST CENTRAL SURGICAL CENTER
7055 W CENTRAL AVETOLEDOOH43617SURGERY CENTER
8 - PROMEDICA CHILDREN'S AUTISM CENTER
2040 W CENTRALTOLEDOOH43606AUTISM CENTER
9 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109SYLVANIAOH43560LAB
10 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109SYLVANIAOH43560PULMONARY FUNCTION
11 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109SYLVANIAOH43560RADIOLOGY
12 - HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DRTOLEDOOH43606RADIOLOGY
13 - PROMEDICA LABS
3120 W CENTRAL AVE STE 300TOLEDOOH43606CHECK LAB OR RAD
14 - TOLEDO CHILDREN'S HEART CENTER
2121 HUGHES DRTOLEDOOH43606CARDIOLOGY
15 - CENTER FOR WOUND CARE OF NW OHIO
3110 CENTRAL AVE STE ATOLEDOOH43606WOUND CARE
16 - SPORTSCARE AT WILDWOOD MEDICAL CENTER
2865 N REYNOLDS RD STE 110TOLEDOOH43615PHYSICAL THERAPY
17 - TOTAL REHAB PEDIATRICS
4041 W SYLVANIA AVE STE 100TOLEDOOH43623PHYSICAL THERAPY
18 - PROMEDICA WILDWOOD
2865 N REYNOLDS RDTOLEDOOH43615RADIOLOGY
19 - TOTAL REHAB WILDWOOD
2865 N REYNOLDS RD STE 101TOLEDOOH43615PHYSICAL THERAPY
20 - PROMEDICA NEUROSCIENCE CENTER
2130 W CENTRAL AVETOLEDOOH43606NEUROSCIENCE
21 - JOBST VASCULAR INSTITUTE - TOLEDO
2109 HUGHES DRTOLEDOOH43606VASCULAR
22 - MONROE CARDIOLOGY TESTING CENTER
730 N MACOMB STMONROEOH48162CARDIOLOGY
23 - CHS PEDIATRICS
2150 W CENTRAL AVE 2ND FLOORTOLEDOOH43606PEDIATRICS
24 - TOLEDO HOSPITAL TOTAL REHAB AT CTR
2150 W CENTRAL AVETOLEDOOH43606PHYSICAL THERAPY
25 - PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIR STE 120MAUMEEOH43537LAB
26 - PROMEDICA VASCULAR LAB - SYLVANIA
5700 MONROE STSYLVANIAOH43560VASCULAR
27 - PERRYSBURG MEDICAL CTR
1601 BRIGHAM DR STE 180PERRYSBURGOH43551LAB
28 - CENTER FOR HEALTH SVCS
2150 W CENTRAL AVE RM HTOLEDOOH43606LAB
29 - TOLEDO HOSPITAL AT CONRAD JOBST TOWER
2109 HUGHES DR 1ST FLOORTOLEDOOH43606LAB
30 - TOTAL REHAB AT PERRYSBURG
1601 BRIGHAM DRPERRYSBURGOH43551PHYSICAL THERAPY
31 - PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIRCLEMAUMEEOH43537RADIOLOGY
32 - CHS WOMENS
2150 W CENTRAL AVETOLEDOOH43606WOMENS CARE
33 - TOLEDO HOSPITAL CARDIAC TESTING CTR
1601 BRIGHAM DRPERRYSBURGOH43551CARDIOLOGY
34 - HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DRTOLEDOOH43606PULMONARY
35 - TOTAL REHAB AT MAUMEE ARROWHEAD
660 BEAVER CREEK CIRCLEMAUMEEOH43537PHYSICAL THERAPY
36 - PROMEDICA HEALTH CTR LAMBERTVILLE
7579 SECOR RDLAMBERTVILLEOH48144LAB
37 - PROMEDICA LABS MCCORD RD
3020 N MCCORD RD STE 101TOLEDOOH43615LAB
38 - PROMEDICA LAB - TOLEDO HOSPITAL
2100 W CENTRAL AVETOLEDOOH43606LAB
39 - PROMEDICA LABS
2141 GIANT STTOLEDOOH43606LAB
40 - TOLEDO HOSPITAL FAMILY RESIDENCY
2100 W CENTRAL AVE SUITE 200TOLEDOOH43606FAMILY MEDICINE CENTER
41 - PROMEDICA WILDWOOD
2865 N REYNOLDS RD SUITE 150TOLEDOOH43615LAB
42 - PROMEDICA PERRYSBURG
1601 BRIGHAM DRPERRYSBURGOH43551LAB
43 - PROMEDICA MAUMEE ONCOLOGY
5805 MONCLOVA RDMAUMEEOH43537ONCOLOGY
44 - FLOWER MOB LAB
5308 HARROUN RD STE 0050SYLVANIAOH43560LAB
45 - PROMEDICA LAB - POINT PLACE
4805 SUDER RDTOLEDOOH43611LAB
46 - PROMEDICA PERRYSBURG - VASCULAR
1601 BRIGHAM DRPERRYSBURGOH43551VASCULAR
47 - PROMEDICA PERRYSBURG
1601 BRIGHAM DRPERRYSBURGOH43551RADIOLOGY
48 - NWO BREAST MRI
2121 HUGHES DR SUITE 300TOLEDOOH43606RADIOLOGY
49 - PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIRCLESWANTONOH43558LAB
50 - PROMEDICA ROSSFORD
1215 GRASSY LANEROSSFORDOH43460LAB
51 - PROMEDICA WELLNESS CENTER
5700 MONROE STSYLVANIAOH43560PULMONARY FUNCTION
52 - PROMEDICA LAB - TOLEDO HOSP MED COMPLX
2100 W CENTRAL AVETOLEDOOH43606LAB
53 - PROMEDICA CENTER FOR HEALTH SERVICES - R
2150 W CENTRAL AVETOLEDOOH43606WOMENS CARE
54 - PROMEDICA HEMATOLOGYONCOLOGY ASSOC
5308 HARROUN RD STE 0055SYLVANIAOH43560CANCER CARE
55 - JOBST ANTICOAGULATION - TOLEDO
2109 HUGHES DRTOLEDOOH43606ANTICOAGULATION CLINIC
56 - PROMEDICA HEALTH CENTER - EAST
3156 DUSTIN RD STE 102OREGONOH43616LAB
57 - PROMEDICA PHYSICIANS GENERAL SURGERY BAR
5700 MONROE STSYLVANIAOH43560BARIATRIC
58 - PROMEDICA MARY ELLEN FALZONE DIABETES CE
2100 W CENTRAL AVETOLEDOOH43606DIABETES CARE
59 - PROMEDICA MEDICAL CENTER
445 W 4TH STREETFOSTORIAOH44830LAB
60 - PROMEDICA PHYSICIANS GYNOONCOLOGY
2109 HUGHES DR STE 820TOLEDOOH43606WOMENS CARE
61 - JULIE MILLER DO
2150 W CENTRAL AVETOLEDOOH43606PHYSICAL MEDICINE
62 - SPORTSCARE AT PROFESSIONAL PARK
4848 HOLLAND-SYLVANIA AVE STE 202SYLVANIAOH43560PHYSICAL THERAPY
63 - TOTAL REHAB AT SPRING MEADOWS
6855 SPRING VALLEY DR STE 155HOLLANDOH43528PHYSICAL THERAPY
64 - TOTAL REHAB - PROMEDICA OWENS CORNING
1 OWENS CORNING PARKWAYTOLEDOOH43659PHYSICAL THERAPY
65 - TOTAL REHAB AT BEDFORD
2000 W DEAN RDTEMPERANCEOH48182PHYSICAL THERAPY
66 - PROMEDICA NORTHWEST OHIO HEMOPHILIA CENT
2109 HUGHES DR STE 860TOLEDOOH43606HEMOPHILIA
67 - CHS HEMOPHILIA
2150 W CENTRAL AVETOLEDOOH43606HEMOPHILIA
68 - PROMEDICA PHYSICIANS ORTHO SURGERY
5300 HARROUN RD STE 118SYLVANIAOH43560RADIOLOGY
69 - PROMEDICA DIABETES & NUTRITION EDU
3110 W CENTRAL AVETOLEDOOH43606DIABETES CARE
70 - RENAL CARE GROUP DIALYSIS
3100 W CENTRAL AVE STE 100TOLEDOOH43606DIALYSIS
71 - CHS OCCUHEALTH
2142 NORTH COVE BLVDTOLEDOOH43606LAB

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:THE TOLEDO HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART III, LINE 2:THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 19 AND 20 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION.
PART III, LINE 8:MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2018 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
PART III, LINE 9B:FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2:PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:THE TOLEDO HOSPITAL, LOCATED IN TOLEDO, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 802,000. APPROXIMATELY, 17% OF THE SERVICE AREA IS AGE 65 OR OVER; 37% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000; 42% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 47% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 430,000 WITH APPROXIMATELY 18% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 30% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 13% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2018 WAS 5.1%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, LUNG DISEASE, STROKE, DIABETES, CANCER, ALZHEIMER'S AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO 2018 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 66 OF 88 COUNTIES FOR HEALTH OUTCOMES, 62 OF 88 FOR LENGTH OF LIFE, AND 71 OF 88 FOR QUALITY OF LIFE. THERE ARE THIRTEEN HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., MONROE REGIONAL HOSPITAL, AND FULTON COUNTY HEALTH CENTER.
PART VI, LINE 5:THE TOLEDO HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2018:- THERE WERE MORE THAN 340 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), INCLUDING ITS SUBSIDIARIES. OF THOSE BOARD MEMBERS, 99% LIVED WITHIN PROMEDICA'S 27-COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. EACH BOARD WAS COMPRISED OF DIVERSE MEMBERS, INCLUDING, IN THE AGGREGATE, 42% WOMEN, 15% RACIAL/ETHNIC MINORITIES, AND 20% PHYSICIANS. - 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 IN THE COMMUNITIES WHICH PROMEDICA SERVES. 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 2018 PLATFORM. THE UPGRADE ALLOWS PROMEDICA TO TAKE ADVANTAGE OF ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT.- PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. 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.- PROMEDICA'S FOUNDATION 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 RAISE FUNDS THAT 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 MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2018 PROMEDICA WAS COMPRISED OF MORE THAN 57,000 EMPLOYEES, APPROXIMATELY 2,500 VOLUNTEERS AND MORE THAN 2,600 HEALTHCARE PROVIDERS, INCLUDING 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 2018:- PROMEDICA MEMBERS 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; COMMUNITY HEALTH CENTER OF BRANCH COUNTY D/B/A PROMEDICA COLDWATER REGIONAL HOSPITAL; PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION.- PROMEDICA MANAGED APPROXIMATELY 1.9 MILLION PPG EMPLOYED PROVIDER ENCOUNTERS, 62,000 SURGERIES, 7,800 BIRTHS, AND 345,000 EMERGENCY ROOM VISITS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF OVER $266,410,000, 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 CONTINUED TO OPERATE TWO FOOD CLINICS - 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 EITHER FOOD CLINIC. AS PART OF THE PROGRAM, EACH PATIENT RECEIVED TWO TO THREE DAYS OF SUPPLEMENTAL FOOD. THROUGH DECEMBER 2018, THERE WERE MORE THAN 10,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,300 UNIQUE HOUSEHOLDS, IN EFFORTS TO HELP REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 78,255 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 234,765 MEALS. - PROMEDICA BIXBY AND HERRICK HOSPITALS PROVIDED THE $5 VEGGIE MOBILE VOUCHERS TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. THESE PATIENTS COULD REDEEM THEM FOR FRESH PRODUCE AT ANY OF THE VEGGIE MOBILE STOPS. IN 2018, NEARLY 100 PATIENTS IDENTIFIED AS FOOD INSECURE WERE PROVIDED A FOOD BOX AND VEGGIE MOBILE VOUCHERS UPON DISCHARGE.- 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. 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.- PROMEDICA ANNOUNCED ITS PARTNERSHIP WITH THE NATIONAL NON-PROFIT LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TO INVEST $10 MILLION EACH AS PART OF THE EBEID NEIGHBORHOOD PROMISE INITIATIVE BEGUN IN 2017. WORK HAS BEGUN IN TOLEDO'S UPTOWN NEIGHBORHOOD, WHERE PROMEDICA AND LISC ALREADY WORK TOGETHER TO OPERATE THE FINANCIAL OPPORTUNITY CENTER (FOC) HOUSED AT THE EBEID CENTER. NEW PROJECTS INCLUDE REDEVELOPING A VACANT BUILDING INTO RETAIL AND OFFICE SPACE, AND TRANSFORMING A NEARBY VACANT BUILDING FOR COMMERCIAL AND RESIDENTIAL USE. ADDITIONALLY, PROMEDICA IS PARTNERING WITH GOODWILL INDUSTRIES OF NORTHWEST OHIO TO ADD A JOB-TRAINING COMPONENT TO ITS EBEID NEIGHBORHOOD PROMISE. - BIWEEKLY, MONTHLY AND ANNUAL PROGRAMS FOR HEALTH PROFESSIONS EDUCATION (CONTINUING MEDICAL EDUCATION) WERE OFFERED THROUGHOUT 2018. MORE THAN 1,500 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED TO PROMEDICA PHYSICIAN GROUP PROVIDERS, MEDICAL STAFF MEMBERS, NURSES, AND OTHER ALLIED HEALTH PROFESSIONALS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PROMEDICA CONTINUING CARE SERVICES CORPORATION
100 MADISON AVETOLEDOOH43604344492440501(C)(3)$3,674,497OPERATING GRANT
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671501(C)(3)$23,000,000OPERATING GRANT
PROMEDICA PHYSICIAN GROUP
100 MADISON AVETOLEDOOH43604341899439501(C)(3)$15,000,000OPERATING GRANT
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672501(C)(3)$1,095,119OPERATING GRANT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ARTURO POLIZZI
PRES., EX OFFICIO (THRU 10/21/18)$0$377,515$0$244,500$0$15,519$0$0$0$26,604$0$664,138$0$0
DAVID SCOTT MIERZWIAK MD
TRUSTEE$0$221,344$0$151,300$0$123,245$0$255,915$0$40,806$0$792,610$0$66,600
DEBORAH A GUNTSCH MD
TRUSTEE$15,000$222,022$0$92,867$0$3,333$0$0$0$27,753$15,000$345,975$0$0
KEVIN C WEBB PHD
EX OFFICIO$0$553,892$0$261,069$0$10,564$0$28,858$0$29,231$0$883,614$0$0
LEE W HAMMERLING MD
TRUSTEE$0$704,232$0$308,500$0$58,566$0$11,000$0$43,694$0$1,125,992$0$23,822
NEERAJ K KANWAL MD
PRES., EX OFFICIO (BEG 12/01/18)$0$332,073$0$214,000$0$49,035$0$20,851$0$36,381$0$652,340$0$0
RAVI K ADUSUMILLI MD
TRUSTEE$0$537,239$0$0$0$38,034$0$0$0$53,027$0$628,300$0$0
JEFFREY C KUHN
SECRETARY$0$540,493$0$238,408$0$30,139$0$40,353$0$29,032$0$878,425$0$0
MICHAEL P BROWNING
TREASURER$0$703,353$0$516,162$0$27,122$0$25,025$0$56,829$0$1,328,491$0$0
RANDALL OOSTRA
PHS PRES & CEO, EX OFFICIO$0$1,514,553$0$1,012,405$0$377,287$0$122,095$0$34,978$0$3,061,318$0$0
ALISON S AVENDT
VP, OPERATIONS TTH & PRES, PTN$0$114,844$0$40,500$0$82,632$0$206,043$0$477$0$444,496$0$0
ANN M KUJAWA
VP PROMEDICA CANCER INSTITUTE$0$157,825$0$39,400$0$2,396$0$10,229$0$37,025$0$246,875$0$0
DARRIN M ARQUETTE
SR. VP, NEURO, HEART AND VASC$0$221,026$0$91,800$0$1,651$0$11,201$0$48,972$0$374,650$0$0
DAVID BREWER
ADMIN DIR., ACUTE CARE FINANCE$0$147,185$0$3,500$0$8,056$0$5,836$0$48,681$0$213,258$0$0
DAWN BUSKEY
PRES, REGIONAL ACUTE CARE MI$0$309,070$0$170,635$0$3,226$0$24,168$0$26,106$0$533,205$0$75,000
DEANA L SIEVERT
SR. VP, PAT CARE/CNO, SYSTEM$0$245,666$0$143,500$0$14,831$0$81,382$0$41,306$0$526,685$0$75,000
GARY W AKENBERGER
COO, ACUTE CARE & SVP, DIAG$0$331,601$0$172,000$0$44,652$0$27,580$0$36,896$0$612,729$0$75,000
KENT E BISHOP MD
CXO & CMO, PPG & ACUTE CARE$0$543,307$0$0$0$16,272$0$0$0$53,747$0$613,326$0$0
MIKE M ARISS
VP, OPERATIONAL SERVICES$0$183,976$0$59,700$0$8,675$0$5,095$0$26,923$0$284,369$0$0
PAULA L GRIEB
VP, PAT CARE/ASSOC CNO, METRO$0$184,859$0$53,300$0$26,139$0$9,304$0$13,760$0$287,362$0$0
SCOTT FOUGHT
VP, FINANCE, ACUTE CARE OPS$0$258,064$0$67,597$0$28,627$0$14,276$0$46,669$0$415,233$0$0
THADIUS L WADSWORTH
VP SURGICAL SERVICES OPERATION$0$164,477$0$23,400$0$497$0$4,748$0$16,377$0$209,499$0$0
FEDOR LURIE
ASSOC. DIR. RESEARCH ED. VASC.$212,781$0$0$0$1,331$0$5,497$0$35,092$0$254,701$0$0$0
JAMES STEHLIK
PERFUSIONIST$179,818$0$0$0$2,322$0$6,571$0$29,732$0$218,443$0$0$0
JOSHUA OVENS
RN, CRITICAL CARE TRANSPORT$194,893$0$1,241$0$3,182$0$7,224$0$47,784$0$254,324$0$0$0
KEVIN FLEMING
MANAGER, PERFUSION$188,172$0$0$0$1,083$0$9,776$0$46,985$0$246,016$0$0$0
SVEN GALLO
SR. MEDICAL PHYSICIST$178,919$0$0$0$6,919$0$4,760$0$45,270$0$235,868$0$0$0
ALAN M SATTLER
FORMER OFFICER$0$148,474$0$11,047$0$3,001$0$8,443$0$46,098$0$217,063$0$0
JOSEPH SFERRA
FORMER KEY EMPLOYEE$0$648,141$0$100,000$0$2,749$0$0$0$2,746$0$753,636$0$99,900
KATHLEEN S HANLEY
FORMER OFFICER$0$0$0$0$0$1,569,411$0$0$0$0$0$1,569,411$0$1,569,411
LORI FERGUSON
FORMER KEY EMPLOYEE$0$0$0$0$117,701$0$0$0$21,280$0$138,981$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF THE TOLEDO HOSPITAL, 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 4A:UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: ALISON S. AVENDT $38,633 DAVID SCOTT MIERZWIAK, MD $80,815 LORI FERGUSON $121,182
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. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KATHLEEN S. HANLEY $1,569,411 LEE W. HAMMERLING, MD $23,822 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF LUCAS OHIO
A346400806549310VL12015-09-30$45,586,125SEE PART VI000
SERIES 2011 A & B BONDS - SEE PART VI
B549310UL22011-02-09$197,051,617SEE PART VIYes (1)00
SERIES 2011 D & E BONDS - SEE PART VI
C549310VD92011-12-01$152,004,328SEE PART VIYes (1)00
COUNTY OF LUCAS OHIO
D3464008060000000002017-12-29$299,500,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtBond DefeasedBondDefeasedAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding EscrowRefundingEscrowAmt
A$45,598,957$645$586,084$45,012,873201800Yes (1)Yes (1)
B$199,572,288$2,337,157$127,520,6712014Yes (1)0Yes (1)Yes (1)$815,000$193,935,000$69,714,460
C$152,004,328$1,505,879Yes (1)0Yes (1)Yes (1)$8,710,000$40,300,000$150,498,449
D$299,500,000$4,2630Yes (1)Yes (1)Yes (1)$68,273,140$235,977,596

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000100.000000.0001000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B000Yes (1)0000Yes (1)
C00Yes (1)00000Yes (1)
D0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, SUPPLEMENTAL INFORMATION:FormAndLineReferenceDesc
ExplanationPART I: SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2011 BOND DETAIL ISSUER NAME: 2011 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310UL2 & 549310UJ7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $180,148,535 PURPOSE: REFINANCE THE PROMEDICA HEALTHCARE 2008B BONDS ISSUED 05/15/2008. FINANCE THE COST OF ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP. MATURITY: 11/15/2041 ISSUER NAME: 2011 SERIES B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PBE7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $16,903,082 PURPOSE: REFINANCE THE REDEMPTION OF THE PROMEDICA HEALTH CARE OBLIGATED GROUP SERIES 2008C BONDS ISSUED 05/15/2008. MATURITY: 11/15/2035 ISSUER NAME: 2011 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VD9 DATE ISSUED: 12/01/2011 ISSUE PRICE: $142,575,271 PURPOSE: TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE REMAINING OUTSTANDING MATURITIES OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2030 ISSUER NAME: 2011 SERIES E - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PB56 DATE ISSUED: 12/01/2011 ISSUE PRICE: $9,429,057 PURPOSE: REFINANCE THE EARLY OPTIONAL REDEMPTION OF THE LENAWEE HEALTH ALLIANCE OBLIGATED GROUP SERIES 1999A BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2028 SERIES 2017 BOND DETAIL ISSUER NAME: 2017 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $54,710,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008D BONDS ISSUED 05/15/2008. MATURITY: 11/15/2040 ISSUER NAME: 2017 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $120,010,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $84,980,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $39,800,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011. MATURITY: 11/15/2029 ISSUER NAME: 2017 SERIES F AND G - COUNTY OF LUCAS, OHIO ISSUER EIN: 34-6400806 CUSIP: 549310VM9 DATE ISSUED: 12/29/2017 ISSUE PRICE: $142,500,000 PURPOSE: TO REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008A BONDS ISSUED 5/15/2008 AND TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2034 ISSUER NAME: 2017 SERIES H - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN : 38-6005798 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $24,945,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011B & 2011E BONDS ISSUED 02/09/2011 & 12/01/2011. FORM 8038 FOR THIS ISSUE ERRONEOUSLY REPORTS THAT THE BONDS ALSO REFUNDED SERIES 2008D ISSUED 5/15/2008, BUT THAT REPORTING WAS IN ERROR. MATURITY: 11/15/2035 SERIES 2018 BOND DETAIL ISSUER NAME: 2018 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN : 34-6400806 CUSIP #: 549310WE6 DATE ISSUED: 10/25/2018 ISSUE PRICE: $261,485,311 PURPOSE: REFINANCING THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011C BONDS ISSUED 5/25/2011 & 2017G BONDS ISSUED 12/29/2017 AND FINANCE THE CONSTRUCTION AND EQUIPPING OF REPLACEMENT HOSPITAL CAMPUS ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2048 PART I, LINE C OF ENTITY 2, COLUMN (C): ENTERED HERE IS THE CUSIP FOR THE LATEST MATURITY; THIS INFORMATION WAS INADVERTENTLY OMITTED FROM THE FORM 8038 FOR THE ISSUE. PART I, COLUMN (E): DIFFERENCES BETWEEN THE ISSUE PRICES SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART III, COLUMN (C), SERIES 2011 D & E BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE SERIES 2011 D & E BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. PART IV, COLUMN (B), LINE 2C, SERIES 2011 A & B BONDS: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/22/2016. PART IV, LINE 6: CERTAIN OF THESE BOND ISSUES CONSTITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF LUCAS OHIO
A346400806549310VM92017-12-29$142,500,000SEE PART VI000
COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY
B3860057980000000002017-12-29$24,945,000SEE PART VI000
COUNTY OF LUCAS OHIO
C346400806549310WE62018-10-25$261,485,311SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtUnspentUnspentAmt
A$80,000,000$62,500,000$80,000,000$62,500,000Yes (1)0Yes (1)Yes (1)
B$24,945,000$1,236,2690Yes (1)Yes (1)Yes (1)$24,123,799$3,872
C$261,649,414$107,835,809$89,150,881Yes (1)00Yes (1)$1,559,890$839,544$62,263,290

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000100.000000.0001000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)00Yes (1)000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SEE PART V
SEE PART V$40,264SEE PART V0
SEE PART V
SEE PART V$26,574SEE PART V0
SEE PART V
SEE PART V$42,698SEE PART V0
SEE PART V
SEE PART V$1,341,475SEE PART V0
SEE PART V
SEE PART V$746,518SEE PART V0
SEE PART V
SEE PART V$317,486SEE PART V0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: CHRISTINE WEBER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: CHRISTINE WEBER IS A FAMILY MEMBER OF JAMES F. WEBER (TRUSTEE).(C) AMOUNT OF TRANSACTION: $40,264(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: FAITH SUTTER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: FAITH SUTTER IS A FAMILY MEMBER OF MARTIN P. SUTTER (TRUSTEE).(C) AMOUNT OF TRANSACTION: $26,574(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: LISA TOFT(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: LISA TOFT IS A FAMILY MEMBER OF BRADLEY J. TOFT (TRUSTEE).(C) AMOUNT OF TRANSACTION: $42,698(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $1,341,475(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $746,518(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $317,486(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THOMAS GEORGE PADANILAM, MD AND DAWN BUSKEY HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BWHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11BUNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CPROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED 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 IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. 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 PHYSICIAN 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 15THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART IX, LINE 11GGENERAL FEES: PROGRAM SERVICE EXPENSES 33,294,854. MANAGEMENT AND GENERAL EXPENSES 679,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,974,341. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 39,911,379. MANAGEMENT AND GENERAL EXPENSES 814,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,725,898. NON-PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,502. MANAGEMENT AND GENERAL EXPENSES 112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,614. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,578,950. MANAGEMENT AND GENERAL EXPENSES 154,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,733,622. SERVICE CONTRACTOR FEES: PROGRAM SERVICE EXPENSES 3,209,285. MANAGEMENT AND GENERAL EXPENSES 65,496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,274,781. LAUNDRY FEES: PROGRAM SERVICE EXPENSES 3,383,635. MANAGEMENT AND GENERAL EXPENSES 69,054. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,452,689. TEMP AGENCY FEES: PROGRAM SERVICE EXPENSES 9,160,814. MANAGEMENT AND GENERAL EXPENSES 186,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,347,769.
FORM 990, PART XI, LINE 9:PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -84,066. BENEFICIAL INTEREST IN FOUNDATION -17,133,801. SECTION 337(D) GAIN -591,289. TRANSFER OF NET ASSETS FROM FLOWER HOSPITAL 125,228,431. TRANSFER OF NET ASSETS FROM HCR MANORCARE, INC. 32,906,568. TRANSFER OF NET ASSETS TO PROMEDICA HEALTH SYSTEM, INC. -1,156,000,000. REVERSAL OF PRIOR YEAR GRANTS 17,500,000.
FORM 990, PART III, LINE 4:PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2018 TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. PROMEDICA'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THIS IS REFLECTED IN OUR FOUR CORE VALUES, INCLUDING: COMPASSION - WE TREAT OUR PATIENTS AND EACH OTHER WITH RESPECT, INTEGRITY AND DIGNITY; INNOVATION - WE CONTINUALLY SEARCH TO FIND A BETTER WAY FORWARD; TEAMWORK - WE PARTNER WITH OTHERS BECAUSE WE ARE BETTER TOGETHER THAN APART; AND EXCELLENCE - WE STRIVE TO BE THE BEST IN ALL WE DO. PROMEDICA AND ITS AFFILIATES COMPRISE MORE THAN 600 SITES, MORE THAN 2,000 PHYSICIANS AND APPROXIMATELY 57,000 EMPLOYEES AND VOLUNTEERS. DURING 2018, PROMEDICA DISCHARGED 65,585 INPATIENTS AND SERVED 1,259,585 OUTPATIENTS, WHILE HANDLING 294,959 EMERGENCY VISITS SYSTEM-WIDE AS WELL AS 92,795 URGENT CARE VISITS AND MORE THAN 1,456 VIRTUAL VISITS THROUGH PROMEDICA ONDEMAND. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2018, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 27 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $4.0 BILLION. WE ALSO CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING MONTHLY HEALTH LECTURES AT LOCAL SENIOR CENTERS, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS AND CHURCHES - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; MEMORIAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY. IN 2018 PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH MORE THAN 900 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS. TOGETHER, THIS GROUP HELPS PROMEDICA BROADEN THE CARE WE OFFER TO AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2018, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 248,000 MEMBERS ACROSS ALL OF OHIO'S 88 COUNTIES. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - TWELVE CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES FOR THEIR RESPECTIVE HOSPITALS/BUSINESS UNITS AND FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE PROMEDICA FLOWER HOSPITAL CAMPUS AND THE MARY ELLEN FALZONE DIABETES CENTER ON THE CAMPUS OF PROMEDICA TOLEDO HOSPITAL. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR THE HEALTH AND WELL-BEING OF OTHERS, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH APPROXIMATELY 300 NONPROFIT AGENCIES AND ORGANIZATIONS ACROSS OUR REGION IN 2018 THAT HAD VALUES AND MISSIONS SIMILAR TO OUR OWN. PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, A FEW EXAMPLES FROM 2018 INCLUDE THE FOLLOWING: - IN JULY 2018, PROMEDICA ACQUIRED THE OPERATIONS OF HCR MANORCARE, INC. (EIN: 27-4239231). CONCURRENTLY, A JOINT VENTURE WAS FORMED BETWEEN HCR MANORCARE, INC. (EIN: 82-5373223, FORMERLY SUBURBAN HEALTHCO, INC.) AND A REAL ESTATE INVESTMENT TRUST (REIT) WHICH ACQUIRED THE REAL PROPERTY USED IN HCR MANORCARE, INC.'S OPERATIONS. AS THE OPERATOR, HCR MANORCARE, INC. (EIN: 82-5373223) ENTERED INTO AN AMENDED AND RESTATED MASTER LEASE WITH THE JOINT VENTURE FOR THE REAL PROPERTY. HCR MANORCARE, INC. IS A LEADING PROVIDER OF SHORT-TERM, POST-ACUTE CARE SERVICES AND LONG-TERM CARE, WITH A NETWORK OF MORE THAN 400 ASSISTED LIVING FACILITIES, SKILLED NURSING AND REHABILITATION CENTERS, MEMORY CARE COMMUNITIES, OUTPATIENT REHABILITATION CLINICS, AND HOSPICE AND HOME HEALTH AGENCIES. THE ACQUISITION POSITIONS PROMEDICA AS ONE OF THE TOP 15 LARGEST U.S. HEALTH SYSTEMS IN THE NATION, ALLOWING US TO EXPAND THE CONTINUUM OF CARE AND ENHANCE THE HEALTH AND WELL-BEING OF AMERICA'S AGING POPULATION. - PROMEDICA EARNED THE GOLD AWARD FOR EXCELLENCE FROM THE PARTNERSHIP FOR EXCELLENCE (TPE) FOLLOWING A RIGOROUS EVALUATION OF PROMEDICA'S APPLICATION BASED ON CRITERIA OF THE BALDRIGE FRAMEWORK FOR EXCELLENCE. APPLICANTS ARE EVALUATED IN SEVEN AREAS DEFINED BY THE FRAMEWORK, INCLUDING: LEADERSHIP; STRATEGY; CUSTOMERS; MEASUREMENT, ANALYSIS AND KNOWLEDGE MANAGEMENT; WORKFORCE; OPERATIONS; AND RESULTS. - IN ADDITION TO SYSTEM RECOGNITION, PROMEDICA MEMORIAL HOSPITAL RECEIVED THE 2018 PLATINUM GOVERNOR'S AWARD FOR EXCELLENCE FROM THE PARTNERSHIP FOR EXCELLENCE, THE HIGHEST HONOR FOR PERFORMANCE EXCELLENCE IN OUR REGION. - A NEW NEUROSCIENCES CENTER ON THE PROMEDICA TOLEDO HOSPITAL CAMPUS OPENED ITS DOORS TO PATIENTS IN 2018. PROMEDICA PHYSICIANS, NEUROLOGISTS, AND NEUROSURGEONS AS WELL AS UNIVERSITY OF TOLEDO (UT) NEUROLOGISTS AND NEUROSURGEONS HAVE ALL RELOCATED TO THIS ONE COLLABORATIVE SPACE AS AN EXTENSION OF PROMEDICA'S ACADEMIC AFFILIATION WITH THE UT COLLEGE OF MEDICINE. - PROMEDICA ANNOUNCED IT IS TEAMING UP WITH THE NATIONAL NON-PROFIT LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TO INVEST $10 MILLION EACH AS PART OF THE EBEID NEIGHBORHOOD PROMISE INITIATIVE BEGUN IN 2017. WORK WILL BEGIN IN TOLEDO'S UPTOWN NEIGHBORHOOD WHERE PROMEDICA AND LISC ALREADY WORK TOGETHER TO OPERATE THE FINANCIAL OPPORTUNITY CENTER (FOC) HOUSED AT THE EBEID CENTER. ADDITIONALLY, PROMEDICA ANNOUNCED THAT IT IS PARTNERING WITH GOODWILL INDUSTRIES OF NORTHWEST OHIO TO ADD A JOB-TRAINING COMPONENT TO ITS EBEID NEIGHBORHOOD PROMISE. - THE GENERATIONS OF CARE PROJECT CAPITAL CAMPAIGN, FOR THE NEW BED TOWER ON THE PROMEDICA TOLEDO HOSPITAL CAMPUS, RECEIVED A $2.5 MILLION DONATION FROM TOUCHSTONE WEALTH PARTNERS. THE GENERATIONS TOWER WILL OPEN TO PATIENTS IN SUMMER 2019, EQUIPPED WITH THE LATEST MEDICAL TECHNOLOGY AND EQUIPMENT, AND OFFERING ALL PRIVATE PATIENT ROOMS, HELPING TO ADVANCE PROMEDICA'S MISSION NOW AND WELL INTO THE FUTURE.
- PROMEDICA RECEIVED A $500,000 DONATION FROM KEYBANK TOWARD THE EBEIDNEIGHBORHOOD PROMISE THAT WILL SUPPORT THE FINANCIAL OPPORTUNITY CENTER (FOC) PROGRAM, AS WELL AS OTHER HEALTH EFFORTS AT THE CENTER AND FOR THE COMMUNITY. - PROMEDICA CONTINUES TO EMPHASIZE A CULTURE OF SAFETY ACROSS ITS HOSPITALS AND OUTPATIENT SERVICES. THE YEAR-END SERIOUS SAFETY EVENT RATE (SSER) WAS 0.82, WITH A SERIOUS SAFETY EVENT (SSE) OCCURRING SOMEWHERE IN THE SYSTEM EVERY 6.3 DAYS. - PROMEDICA CONTINUED TO GROW AS AN ACADEMIC HEALTH CENTER, WITH MORE THAN 125 RESIDENTS AND FELLOWS FROM THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES (UT COM) JOINING THE RESIDENCY PROGRAM AT PROMEDICA TOLEDO HOSPITAL IN 2018. THIS MARKS THE THIRD WAVE OF INTEGRATION OF LEARNERS AT PROMEDICA UNDER THE ACADEMIC AFFILIATION WITH UT COM, WITH PROMEDICA NOW HOSTING FOUR TIMES THE NUMBER OF RESIDENTS AND FELLOWS THAN BEFORE THE AFFILIATION WAS SIGNED. - THE PROMEDICA HEART RHYTHM CENTER OPENED AT PROMEDICA TOLEDO HOSPITAL IN 2018 TO ENSURE THAT PATIENTS WITH HEART RHYTHM CONDITIONS HAVE ACCESS TO THE HIGHEST QUALITY AND MOST ADVANCED CARE. THE 6,500 SQUARE-FOOT CENTER FEATURES THREE DEDICATED ELECTROPHYSIOLOGY LABS AND NEW EQUIPMENT INCLUDING THREE TYPES OF 3D-CARDIAC IMAGING. - IN 2018, COMMUNITY HEALTH CENTER OF BRANCH COUNTY, BECAME PROMEDICA'S 13TH HOSPITAL. THE HOSPITAL, DOING BUSINESS AS PROMEDICA COLDWATER REGIONAL HOSPITAL, SERVES THE COLDWATER, MICHIGAN COMMUNITY PROVIDING COMPASSIONATE CARE AND OUTSTANDING CLINICAL OUTCOMES, WHILE SUPPORTING THE PROMEDICA MISSION TO IMPROVE HEALTH AND WELL-BEING. - THE NEW LENAWEE COUNTY HOSPITAL, TO BE NAMED THE PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL, COMMEMORATED THE HIGHEST STEEL BEAM BEING PLACED ATOP THE FACILITY WITH A "TOPPING OFF" CEREMONY. THE 205,000 SQUARE FOOT FACILITY WILL REPLACE BOTH PROMEDICA BIXBY AND HERRICK HOSPITALS WHEN IT IS COMPLETED. THE NEW FACILITY WILL FEATURE 58 ACUTE CARE BEDS AND A 28-BED EMERGENCY CENTER, AS WELL AS DEDICATED BEHAVIORAL HEALTH BEDS, INPATIENT AND OUTPATIENT SURGERY CENTERS, AND A WOMEN'S HEALTH CENTER, ALONG WITH MANY OTHERS. THE HOSPITAL IS NAMED FOR THE HICKMAN FAMILY, WHO MADE THE LARGEST DONATION IN THE HISTORY OF PROMEDICA TO HELP US BETTER SERVE THE LENAWEE COUNTY COMMUNITY. - PROMEDICA GRANTS SECURED $336,000 FROM THE MICHIGAN HEALTH ENDOWMENT FUND TO BE USED TO ESTABLISH A FARM ON THE NEW HOSPITAL CAMPUS IN LENAWEE COUNTY. THE FUND SUPPORTS EFFORTS TO IMPROVE THE QUALITY OF HEALTH CARE WHILE REDUCING COSTS AND ADVANCING HEALTH AND WELLNESS. THE NEW PROMEDICA GROWS PROGRAM WILL CONSIST OF GROWING ORGANIC PRODUCE YEAR-ROUND ON A 3-ACRE FARM. THE FARM WILL INCLUDE EDUCATIONAL SPACE FOR YOUTH, A THERAPEUTIC HEALING SPACE FOR PATIENTS AND SENIORS, AND A SANCTUARY OF QUIET REFLECTION FOR STAFF AND THE COMMUNITY. - PROMEDICA AND SONIC HEALTHCARE USA ENTERED INTO A JOINT VENTURE THROUGH ITS RESPECTIVE SUBSIDIARIES. THE JOINT VENTURE PROVIDES A GROWTH OPPORTUNITY FOR PROMEDICA, AS IT EXTENDS OUR FOOTPRINT ACROSS OHIO, MICHIGAN, AND INDIANA FOR LABORATORY SERVICES. - AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED THE SYSTEM-WIDE UPGRADE TO THE NEW EPIC 2018 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. - THE UNIVERSITY OF TOLEDO (UT) COLLEGE OF NURSING AND PROMEDICA EXPANDED THEIR PARTNERSHIP TO ADDRESS NURSING EDUCATION AS WELL AS CURRENT AND FUTURE HEALTHCARE INDUSTRY CHALLENGES. THE PLANNED PARTNERSHIP WILL FOCUS ON ENHANCING UNDERGRADUATE AND GRADUATE NURSING EDUCATION. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS ACROSS THE REGION THAT INCLUDED FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - PROMEDICA CANCER INSTITUTE'S (PCI) COMMUNITY OUTREACH INCLUDED CANCER SCREENINGS AND EDUCATION TO THE MOST VULNERABLE IN OUR COMMUNITY. FREE SCREENING MAMMOGRAMS AS WELL AS LUNG CANCER SCREENINGS WERE PROVIDED FOR EARLY DETECTION. COLORECTAL CANCER EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY, WHILE SUN SAFETY EDUCATION WAS PROVIDED TO ELEMENTARY SCHOOL CHILDREN TO HELP PREVENT FUTURE CASES OF SKIN CANCER. PCI ALSO HOSTED ANNUAL CANCER SURVIVOR CELEBRATIONS FOR SURVIVORS, FRIENDS AND CAREGIVERS ACROSS THE REGION AND SPONSORED COMMUNITY EVENTS INCLUDING THE ANNUAL NW OHIO SUSAN G. KOMEN, RACE FOR THE CURE AND AMERICAN CANCER SOCIETY RELAY FOR LIFE IN LUCAS COUNTY. - PROMEDICA AND THE TOLEDO ZOO ANNOUNCED A PARTNERSHIP TO RENOVATE THE ZOO'S MORE THAN 80-YEAR-OLD MUSEUM OF SCIENCE. RENOVATIONS ARE EXPECTED TO BE COMPLETED IN SPRING 2019 WITH A FOCUS ON BIODIVERSITY THROUGHOUT THE COURSE OF HISTORY IN NORTHWEST OHIO. - PROMEDICA WAS THE LEAD SPONSOR FOR THE SECOND ANNUAL SUMMER CONCERT SERIES IN 2018. THE WEEKLY CONCERTS TOOK PLACE AT THE RENOVATED PROMENADE PARK, IN DOWNTOWN TOLEDO, FROM JUNE THROUGH SEPTEMBER AND FEATURED A VARIETY OF LOCAL AND NATIONAL MUSICIANS AND MUSIC GENRES. - PROMEDICA OPENED THE MAUMEE CANCER CENTER IN 2018 TO PROVIDE HIGH-QUALITY CANCER CARE CLOSE TO HOME FOR MAUMEE RESIDENTS. CLINICAL SERVICES AT THE CENTER INCLUDE MEDICAL AND RADIATION ONCOLOGY, CARE NAVIGATION, AND A WIDE RANGE OF SUPPORT PROGRAMS SUCH AS SOCIAL WORK, NUTRITION COUNSELING WITH DIETITIANS, HEALING CARE PROGRAMS, AND GENETIC COUNSELING. THROUGH THE CENTER, PATIENTS NOW HAVE ACCESS TO THE PROMEDICA CANCER INSTITUTE'S COMPLETE SPECTRUM OF CANCER CARE SERVICES AND RESOURCES. - PROMEDICA HOSTED ITS FIRST SOCIAL DETERMINANTS OF HEALTH RESEARCH CONFERENCE IN 2018. MORE THAN 250 PHYSICIANS, EXECUTIVES, CLINICIANS, AND COMMUNITY LEADERS ATTENDED THE FULL-DAY CONFERENCE, WHICH WAS FOCUSED ON USING RESEARCH TO VALIDATE HOW PROMEDICA IS IMPROVING OUTCOMES AND REDUCING COSTS VIA ITS SOCIAL DETERMINANTS OF HEALTH (SDOH) INTERVENTIONS. - PROMEDICA CONTINUES TO OPERATE TWO FOOD CLINICS - 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 THEM AND THEIR FAMILY FROM THIS LOCATION OR THE ORIGINAL FOOD PHARMACY LOCATED AT PROMEDICA'S CENTER FOR HEALTH SERVICES. AS PART OF THE PROGRAM, EACH PATIENT RECEIVES TWO TO THREE DAYS OF SUPPLEMENTAL FOOD FOR THEIR FAMILY. THROUGH DECEMBER 2018, MORE THAN 10,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,300 UNIQUE HOUSEHOLDS, IN EFFORTS TO HELP REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 78,255 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 234,765 MEALS. - FOR ITS MICHIGAN PATIENTS, PROMEDICA OFFERED VEGGIE MOBILE VOUCHERS TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. PROMEDICA BIXBY AND HERRICK HOSPITALS PROVIDE THE $5 VOUCHERS SO PATIENTS CAN REDEEM THEM FOR FRESH PRODUCE AT ANY OF THE VEGGIE MOBILE STOPS. IN 2018, NEARLY 100 PATIENTS IDENTIFIED AS FOOD INSECURE WERE PROVIDED A FOOD BOX AND VEGGIE MOBILE VOUCHERS UPON DISCHARGE. - PROMEDICA'S FINANCIAL OPPORTUNITY CENTER (FOC), PROVIDED EDUCATION AND COUNSELING TO APPROXIMATELY 1,000 INDIVIDUALS. HOUSED IN THE EBEID INSTITUTE, FOC HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING, AS WELL AS FREE TAX PREPARATION THROUGH THE OHIO BENEFIT BANK. FOC ALSO OFFERS A DIGITAL LITERACY SERIES TO ASSIST INDIVIDUALS WISHING TO IMPROVE THEIR COMPUTER LITERACY AND SKILLS TO BE MORE MARKETABLE TO PROSPECTIVE EMPLOYERS. IN 2018, PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. SCREENINGS ALSO WERE EXPANDED TO HOSPITAL INPATIENTS, USING THE SAME QUESTIONS. PATIENTS WHO SCREEN POSITIVE FOR ANY OF THE FACTORS ARE CONNECTED TO NECESSARY COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 34 CENTRAL-CITY TEENS AGES 16 - 19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - PROMEDICA INNOVATION'S BUSINESS INCUBATOR ALLOWS CLIENT COMPANIES IN THE HEALTHCARE FIELD TO ACCELERATE DEVELOPMENT AND COMMERCIALIZATION OF MEDICAL DEVICES AND HEALTH INFORMATION TECHNOLOGY TO IMPROVE PATIENT CARE LOCALLY AND NATIONALLY.
IN 2018, PROMEDICA CONTRIBUTED $266,410,000 IN COMMUNITY BENEFITTHROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITIES WE SERVE. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $72,488,000 IN 2018. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $12,791,000 IN FINANCIAL ASSISTANCE FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2018 WAS $54,439,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $266,410,000 NOTED ABOVE. FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO MEDICAL CENTER, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. ADDITIONALLY DURING 2018, PROMEDICA PROVIDED $181,131,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2018 WAS $116,399,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $266,410,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
THE TOLEDO HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTSTHE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. FOR MORE THAN 130 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METROPOLITAN TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 792-BED HOSPITAL OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS ADVANCE PRACTICE PROVIDERS. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICES TO THE METRO-TOLEDO AREA, SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES MATERNAL-FETAL MEDICINE AND A LEVEL III PERINATAL UNIT; JOBST VASCULAR INSTITUTE; PROMEDICA BREAST CARE; AND A LEVEL I TRAUMA CENTER. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDIC DEPARTMENTS, A NATIONALLY RECOGNIZED BARIATRIC PROGRAM, A CERTIFIED COMPREHENSIVE STROKE CENTER, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 100,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY, RADIOLOGY, AS WELL AS PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. PROMEDICA TOLEDO CHILDREN'S HOSPITAL (TCH), OPERATING AS PART OF TH, PROVIDES PEDIATRIC TERTIARY CARE. TCH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS UNDER THE AGE OF 18. TCH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WHILE A NEWBORN INTENSIVE CARE UNIT INCLUDES A NEONATAL PHYSICIAN AND PEDIATRIC HOSPITALIST WHO ARE ON DUTY 24 HOURS A DAY. OTHER TCH SPECIALTY SERVICES INCLUDE A PEDIATRIC CANCER CENTER, ASTHMA TREATMENT AND EDUCATION SERVICES, PEDIATRIC PSYCHIATRY, AND A DEDICATED LEVEL II PEDIATRIC TRAUMA CENTER. IN 2018, TH CONTINUED CONSTRUCTION OF ITS NEW GENERATIONS BED TOWER. THE NEW FACILITY WILL BE 13 STORIES TALL WITH MORE 300 PATIENT BEDS AND WILL OFFER IMPROVED ACCESS FOR PATIENTS WHILE PROVIDING THE LATEST TECHNOLOGY AND PROCESSES TO ENSURE A SAFE, HIGH QUALITY ENVIRONMENT FOR PATIENT CARE AND HEALING. THE GENERATIONS TOWER IS EXPECTED TO OPEN FOR PATIENT CARE IN SUMMER 2019. IN 2018, TH WAS NAMED ONE OF AMERICA'S 50 BEST HOSPITALS BY HEALTHGRADES. THE AWARD RECOGNIZES THE TOP 2% OF HOSPITALS IN THE NATION FOR EXHIBITING CLINICAL EXCELLENCE FOR AT LEAST FOUR CONSECUTIVE YEARS. ADDITIONALLY, BECKER'S NAMED TH TO ITS LIST OF 100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT HEART PROGRAMS AS WELL AS ITS LIST OF 100 HOSPITALS WITH GREAT WOMEN'S HEALTH PROGRAMS. ADDITIONALLY, IN 2018 PROMEDICA FLOWER HOSPITAL (FH) LEGALLY BECAME A DIVISION OF TOLEDO HOSPITAL AND THE HICKMAN CANCER CENTER BECAME A DEPARTMENT OF TOLEDO HOSPITAL. THE CHANGES HELPS TO CONSOLIDATE METRO REGION OPERATIONS FOR GREATER COST EFFICIENCY, WHILE INCREASING ACCESS TO SERVICE A GREATER NUMBER OF PATIENTS WHO WOULD OTHERWISE FIND CHALLENGES IN AFFORDING TREATMENT AND CARE. A DIVISION OF TH, PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (WOSH) IS AN ALL-DIGITAL, 42-BED ACUTE CARE FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS AND OTHERS WHO EXPERIENCE CHRONIC PAIN FROM JOINT DISEASE. THIS UNIQUE, FREE-STANDING HOSPITAL SERVES ONLY ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES ALL IN ONE CONVENIENT AND EASILY ACCESSIBLE LOCATION. AGAIN IN 2018, WOSH RECEIVED NATIONAL RECOGNITION WITH THE PRESS GANEY GUARDIAN OF EXCELLENCE AWARD, PRESENTED TO ORGANIZATIONS SCORING IN THE 95TH PERCENTILE OR HIGHER FOR PATIENT EXPERIENCE METRICS. IN 2018, TH SERVED 33,546 INPATIENTS; 465,017 OUTPATIENTS; AND 91,792 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $106,198,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, TH CONTRIBUTED $48,091,000 TO THE COMMUNITY DURING 2018. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - THE COME TO THE TABLE INITIATIVE THAT PROVIDES 24 HOURS' WORTH OF FOOD TO PATIENTS WHO QUALIFY FOR FOOD INSECURITY BY COMPLETING A QUESTIONNAIRE. - THE AUTISM COLLABORATIVE - A COLLABORATION BETWEEN TCH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES - TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH MANAGING CHRONIC DISEASE AND TO OFFER SOCIAL SERVICES INFORMATION. - WITH THE GOAL OF IMPROVING INFANT MORTALITY RATES IN OUR REGION, A NURSING MOTHERS SUPPORT GROUP IS OFFERED AT NO CHARGE THROUGHOUT THE YEAR. - THE TEEN PEP (PEERS EDUCATING PEERS) PROGRAM EXTENDS CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS, BY ENCOURAGING TEENS TO TALK WITH THEIR PEERS ABOUT IMPORTANT TOPICS SUCH AS TEEN RELATIONSHIPS, BULLYING, AND PHYSICAL AND EMOTIONAL ABUSE. - FREE AND LOW-COST OUTPATIENT CLINICS THAT OFFER A WIDE ARRAY OF HEALTH SERVICES INCLUDING IMMUNIZATIONS, VASCULAR SCREENINGS AND TREATMENT OF MINOR ILLNESSES THAT MIGHT NOT REQUIRE AN EMERGENCY CENTER VISIT BUT STILL REQUIRE MEDICAL ATTENTION. - PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - FREE SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZES THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2018, OF WHICH $6,173,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2018 WAS $9,736,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $106,198,000 INDICATED ABOVE. FURTHER, TH PROVIDED $51,934,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. ALSO IN 2018, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $33,650,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $106,198,000 NOTED ABOVE. DURING 2018, TH EXPENDED $181,151,000 IN NET PAYROLL, PROVIDING 4,529 JOBS IN NORTHWEST OHIO. A TOTAL OF $11,285,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, TH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONSPROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (PROMEDICA) PREPARES ITS COMMUNITY BENEFIT REPORTS CONSISTENT WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY PROMEDICA RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, PROMEDICA PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE FEDERAL POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH GOVERNMENT MEANS-TESTED PROGRAMS SUCH AS MEDICAID. PROMEDICA INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN PROMEDICA'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES GENERALLY DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY PROMEDICA. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR ALL EDUCATIONAL PROGRAMS PROMEDICA IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR PROMEDICA IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS OF FOOD, EQUIPMENT AND SUPPLIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (408 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
100 MADISON AVETOLEDOOH43604611448753EMPLOYS PHYSICIANSOH$0$736,336PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
100 MADISON AVETOLEDOOH43604341881137EMPLOYS PHYSICIANSOH$354,649,647$181,933,294PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
100 MADISON AVETOLEDOOH43604263888045EMPLOYS PHYSICIANSOH$17,769,096-$80,836,806PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
100 MADISON AVETOLEDOOH43604271325141MEDICAL EQUIPMENT & PHARMACYOH$56,708,108$20,301,908PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LNADRIANMI49221383164818FACILITY LEASINGMI$119,263$1,642,312EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
100 MADISON AVETOLEDOOH43604272920342EMPLOYS PHYSICIANSMI$980,675-$4,689,889PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LTD
100 MADISON AVETOLEDOOH43604205752995PROVIDES HOSPICE CAREOH$4,904,176$11,613,404PROMEDICA CONTINUUM SERVICES
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
100 MADISON AVETOLEDOOH43604453230331PRACTICE MANAGEMENTOH$0-$3,618,016PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
100 MADISON AVETOLEDOOH43604EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
MISSION POINTE GOLF COURSE LLC
2142 NORTH COVETOLEDOOH43606GOLF COURSEOH$0$394,588PROMEDICA FOUNDATION
PROMEDICA INNOVATIONS LLC
100 MADISON AVETOLEDOOH43604INVESTMENT COMPANYOH$0$0PROMEDICA HEALTH SYSTEM INC
PROMEDICA GENITO-URINARY SURGEONS LLC
100 MADISON AVETOLEDOOH43604461120436EMPLOYS PHYSICIANSOH$5,837,695-$17,434,894PROMEDICA PHYSICIAN GROUP
PROMEDICA MONROE PHYSICIANS PLLC
100 MADISON AVETOLEDOOH43604461111822EMPLOYS PHYSICIANSMI$10,180,701-$12,596,368PROMEDICA PHYSICIAN GROUP
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVETOLEDOOH43604454976786EMPLOYS PHYSICIANSOH$0$162,176PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS LLC
100 MADISON AVETOLEDOOH43604EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS PLLC
100 MADISON AVETOLEDOOH43604EMPLOYS PHYSICIANSMI$0$0PROMEDICA PHYSICIAN GROUP
MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVEFREMONTOH43420205763680EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVEFREMONTOH43420273763993EMPLOYS PHYSICIANSOH$11,357,703-$13,164,795PROMEDICA PHYSICIAN GROUP
PHS VENTURES LLC
100 MADISON AVETOLEDOOH43604341880473HEALTH CARE MANAGEMENT SERVICESDE$0$0PROMEDICA HEALTH SYSTEM INC
300 MADISON BUILDING LLC
100 MADISON AVETOLEDOOH43604822062486REAL ESTATEOH$2,478,025$16,935,384PROMEDICA HEALTH SYSTEM INC
MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVETOLEDOOH43604REAL ESTATEOH$0$3,915,257PROMEDICA HEALTH SYSTEM INC
PHS INVESTMENTS LLC
100 MADISON AVETOLEDOOH43604INVESTMENT COMPANYOH$0$19,882,948THE TOLEDO HOSPITAL
PROMEDICA INTERNATIONAL LLC
100 MADISON AVETOLEDOOH43604CONSULTING SERVICESOH$785,700$0PROMEDICA HEALTH SYSTEM INC
PROMEDICA ACTIVE MOBILITY LLC
100 MADISON AVETOLEDOOH43604815178173DURABLE MEDICAL EQUIPMENTOH$217,481$35,124PROMEDICA HEALTH SYSTEM INC
1611 MONROE INVESTORS LLC
100 MADISON AVETOLEDOOH43604REAL ESTATEOH$0$151,840PROMEDICA HEALTH SYSTEM INC
BALL PARK PROPERTIES LLC
100 MADISON AVETOLEDOOH43604823954332REAL ESTATEOH$0$1,118,158PROMEDICA HEALTH SYSTEM INC
PROMEDICA PRIMARY CARE PROVIDERS LLC
100 MADISON AVETOLEDOOH43604831731861EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
TOLEDO RIVERFRONT HOTEL LLC
100 MADISON AVETOLEDOOH43604472211190REAL ESTATEOH$517,083$8,774,753PROMEDICA HEALTH SYSTEM INC
KAPIOS LLC
2865 N REYNOLDS RDTOLEDOOH43615812624635SOFTWARE DEVELOPMENTOH-$331,796$193,400PROMEDICA HEALTH SYSTEM INC
ANCILLARY SERVICES MANAGEMENT LLC
333 N SUMMIT STTOLEDOOH43604341636874MEDICAL SUPPLIESOH$0$0HCR HEALTHCARE LLC
ARDEN COURTS OF ARLINGTON TX LLC
333 N SUMMIT STTOLEDOOH43604260624126ASSISTED LIVING FACILITYDE$0$0HCR IV HEALTHCARE LLC
ARDEN COURTS OF HAMDEN CT LLC
333 N SUMMIT STTOLEDOOH43604260625105ASSISTED LIVING FACILITYDE$0$0HCR III HEALTHCARE LLC
ARDEN COURTS OF HAZEL CREST IL LLC
333 N SUMMIT STTOLEDOOH43604260621940ASSISTED LIVING FACILITYDE$0$0HCR IV HEALTHCARE LLC
ARDEN COURTS OF LOUISVILLE KY LLC
333 N SUMMIT STTOLEDOOH43604260622079ASSISTED LIVING FACILITYDE$0$0HCR IV HEALTHCARE LLC
HCR CANTERBURY VILLAGE LLC
333 N SUMMIT STTOLEDOOH43604382032536SKILLED NURSING FACILITYDE$0$0HCR HEALTHCARE LLC
HCR HEALTHCARE LLC
333 N SUMMIT STTOLEDOOH43604260624435HOLDING COMPANYDE$0$0HCR MANORCARE INC
HCR II HEALTHCARE LLC
333 N SUMMIT STTOLEDOOH43604261250342HOLDING COMPANYDE$0$0HCR HEALTHCARE LLC
HCR III HEALTHCARE LLC
333 N SUMMIT STTOLEDOOH43604260624411HOLDING COMPANYDE$0$0HCR II HEALTHCARE LLC
HCR IV HEALTHCARE LLC
333 N SUMMIT STTOLEDOOH43604261283803HOLDING COMPANYDE$0$0HCR III HEALTHCARE LLC
HEARTLAND CARE LLC
333 N SUMMIT STTOLEDOOH43604320091717HOLDING COMPANYOH$0$0HCR MANOR CARE SERVICES LLC
HEARTLAND EMPLOYMENT SERVICES LLC
333 N SUMMIT STTOLEDOOH43604341903270EMPLOYMENT SERVICESOH$0$0HCR HEALTHCARE LLC
HEARTLAND-OAK PAVILION OF CINCINNATI OH LLC
333 N SUMMIT STTOLEDOOH43604260614533SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
MANOR CARE AVIATION LLC
333 N SUMMIT STTOLEDOOH43604521462072AVIATIONDE$0$0HCR HEALTHCARE LLC
MANOR CARE OF DELAWARE COUNTY LLC
333 N SUMMIT STTOLEDOOH43604521916053HOLDING COMPANYDE$0$0HCR HEALTHCARE LLC
MANOR CARE OF OKLAHOMA CITY (NORTHWEST) LLC
333 N SUMMIT STTOLEDOOH43604260610163SKILLED NURSING FACILITYDE$0$0HCR III HEALTHCARE LLC
MANOR CARE OF WINTER PARK FL LLC
333 N SUMMIT STTOLEDOOH43604362899194SKILLED NURSING FACILITYDE$0$0WINTER PARK NURSING CENTER LLC
MANOR CARE SUPPLY LLC
333 N SUMMIT STTOLEDOOH43604522055097PURCHASING COMPANYDE$0$0HCR HEALTHCARE LLC
MANORCARE HEALTH SERVICES OF OKLAHOMA LLC
333 N SUMMIT STTOLEDOOH43604522055078HOLDING COMPANYDE$0$0HCR HEALTHCARE LLC
MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
333 N SUMMIT STTOLEDOOH43604900904333HOLDING COMPANYDE$0$0HCR HEALTHCARE LLC
PROMEDICA OF ADRIAN MI LLC
333 N SUMMIT STTOLEDOOH43604383985660SKILLED NURSING FACILITYDE$0$0MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
PROMEDICA OF SYLVANIA OH LLC
333 N SUMMIT STTOLEDOOH43604611771805SKILLED NURSING FACILITYDE$0$0MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
REHABILITATION ADMINISTRATION LLC
333 N SUMMIT STTOLEDOOH43604611295825REHABILITATION SERVICESDE$0$0HEARTLAND REHABILITATION SERVICES LLC
SPRINGHOUSE OF BETHESDA MD LLC
333 N SUMMIT STTOLEDOOH43604260622235ASSISTED LIVING FACILITYDE$0$0HCR III HEALTHCARE LLC
SPRINGHOUSE OF SILVER SPRING MD LLC
333 N SUMMIT STTOLEDOOH43604260622508ASSISTED LIVING FACILITYDE$0$0HCR III HEALTHCARE LLC
WINTER PARK NURSING CENTER LLC
333 N SUMMIT STTOLEDOOH43604371019107HOLDING COMPANYDE$0$0MANORCARE HEALTH SERVICES LLC
AMERICAN REHABILITATION GROUP LLC
333 N SUMMIT STTOLEDOOH43604611284533OUTPATIENT REHABILITATIONDE$357,897$0REHABILITATION ADMINISTRATION LLC
HCR HOME HEALTH CARE AND HOSPICE LLC
333 N SUMMIT STTOLEDOOH43604341787978HOLDING COMPANYOH$0$0HCR HEALTHCARE LLC
HCR MANOR CARE SERVICES OF FLORIDA III LLC
333 N SUMMIT STTOLEDOOH43604452507279HOSPICE SERVICEFL$7,601,384$0HCR HOME HEALTH CARE AND HOSPICE LLC
HCR MANOR CARE SERVICES OF FLORIDA LLC
333 N SUMMIT STTOLEDOOH43604743193136HOSPICE SERVICEFL$2,547,629$836,753HCR HOME HEALTH CARE AND HOSPICE LLC
HCR MANOR CARE SERVICES LLC
333 N SUMMIT STTOLEDOOH43604341838217ADMINISTRATIVE SERVICESOH$599,756$161,295,137HCR HEALTHCARE LLC
HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC
333 N SUMMIT STTOLEDOOH43604650666550OUTPATIENT REHABILITATIONFL$6,836,271$1,442,008HEARTLAND REHABILITATION SERVICES LLC
HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC
333 N SUMMIT STTOLEDOOH43604261305723SKILLED NURSING FACILITYDE$11,516,998$12,455,542HCR HEALTHCARE LLC
HEARTLAND HOME CARE LLC
333 N SUMMIT STTOLEDOOH43604341787895HOME HEALTH CARE SERVICEOH$13,557,751$4,231,835HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND HOME HEALTH CARE SERVICES LLC
333 N SUMMIT STTOLEDOOH43604341787967HOME HEALTH CARE SERVICEOH$1,060,030$593,380HCR HOME HEALTH CARE AND HOSPICE LLC
HEARTLAND HOSPICE SERVICES LLC
333 N SUMMIT STTOLEDOOH43604341788398HOSPICE SERVICEOH$147,578,096$49,934,309HCR HOME HEALTH CARE AND HOSPICE LLC
HEARTLAND REHABILITATION EXTENSION SERVICES LLC
333 N SUMMIT STTOLEDOOH43604812116419OUTPATIENT REHABILITATIONDE$1,017,906$483,609HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC
333 N SUMMIT STTOLEDOOH43604592504386OUTPATIENT REHABILITATIONFL$3,679,481$1,105,318HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF KENTUCKY LLC
333 N SUMMIT STTOLEDOOH43604611301414OUTPATIENT REHABILITATIONDE$2,082,011$432,938REHABILITATION ADMINISTRATION LLC
HEARTLAND REHABILITATION SERVICES OF MICHIGAN LLC
333 N SUMMIT STTOLEDOOH43604300535129OUTPATIENT REHABILITATIONDE$93,947$24,753HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC
333 N SUMMIT STTOLEDOOH43604222137595OUTPATIENT REHABILITATIONDE$867,058$292,792HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF OHIO LLC
333 N SUMMIT STTOLEDOOH43604341479648OUTPATIENT REHABILITATIONOH$898,549$324,393HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES OF VIRGINIA LLC
333 N SUMMIT STTOLEDOOH43604541508699OUTPATIENT REHABILITATIONDE$1,644,895$447,583HEARTLAND REHABILITATION SERVICES LLC
HEARTLAND REHABILITATION SERVICES LLC
333 N SUMMIT STTOLEDOOH43604341280619OUTPATIENT REHABILITATIONOH$958,156$327,878HCR HEALTHCARE LLC
HEARTLAND SERVICES LLC
333 N SUMMIT STTOLEDOOH43604341760503HOLDING COMPANYOH$0$34,918,396HCR HEALTHCARE LLC
HEARTLAND THERAPY PROVIDER NETWORK LLC
333 N SUMMIT STTOLEDOOH43604371027432OUTPATIENT REHABILITATIONDE$130,485$57,156HCR HEALTHCARE LLC
IN HOME HEALTH LLC
333 N SUMMIT STTOLEDOOH43604411458213HOME HEALTH CARE SERVICEMN$88,661,581$26,905,184MANORCARE HEALTH SERVICES LLC
INDUSTRIAL WASTES LLC
333 N SUMMIT STTOLEDOOH43604251457630REAL ESTATEDE$0$119,760HCR HEALTHCARE LLC
MANOR CARE OF LACEY WA LLC
333 N SUMMIT STTOLEDOOH43604260624391SKILLED NURSING FACILITYDE$6,346,828$2,662,465MANORCARE HEALTH SERVICES LLC
MANOR CARE OF SALMON CREEK WA LLC
333 N SUMMIT STTOLEDOOH43604260624375SKILLED NURSING FACILITYDE$8,380,593$2,860,598MANORCARE HEALTH SERVICES LLC
MANORCARE HEALTH SERVICES LLC
333 N SUMMIT STTOLEDOOH43604261305666SKILLED NURSING FACILITYDE$29,454,418$36,766,648HCR HEALTHCARE LLC
MILESTONE HEALTHCARE LLC
333 N SUMMIT STTOLEDOOH43604752592398MEDICAL STAFFINGDE$9,458,894$3,690,676HEARTLAND REHABILITATION SERVICES LLC
PORTFOLIO ONE LLC
333 N SUMMIT STTOLEDOOH43604221604502SKILLED NURSING FACILITYOH$5,772,775$2,178,718HCR HEALTHCARE LLC
ARDEN COURTS OF AKRON OH LLC
333 N SUMMIT STTOLEDOOH43604260623857ASSISTED LIVING FACILITYDE$1,031,626$125,145HCR IV HEALTHCARE LLC
ARDEN COURTS OF ALLENTOWN PA LLC
333 N SUMMIT STTOLEDOOH43604260623965ASSISTED LIVING FACILITYDE$1,502,508$168,523HCR III HEALTHCARE LLC
ARDEN COURTS OF ANNANDALE VA LLC
333 N SUMMIT STTOLEDOOH43604260624314ASSISTED LIVING FACILITYDE$2,315,691$148,596HCR IV HEALTHCARE LLC
ARDEN COURTS OF AUSTIN TX LLC
333 N SUMMIT STTOLEDOOH43604260624145ASSISTED LIVING FACILITYDE$1,025,560$73,192HCR IV HEALTHCARE LLC
ARDEN COURTS OF AVON CT LLC
333 N SUMMIT STTOLEDOOH43604260625113ASSISTED LIVING FACILITYDE$1,018,425$87,237HCR III HEALTHCARE LLC
ARDEN COURTS OF BINGHAM FARMS MI LLC
333 N SUMMIT STTOLEDOOH43604260622828ASSISTED LIVING FACILITYDE$1,459,700$171,004HCR IV HEALTHCARE LLC
ARDEN COURTS OF CHERRY HILL NJ LLC
333 N SUMMIT STTOLEDOOH43604260623009ASSISTED LIVING FACILITYDE$1,707,003$245,920HCR III HEALTHCARE LLC
ARDEN COURTS OF DELRAY BEACH FL LLC
333 N SUMMIT STTOLEDOOH43604260625237ASSISTED LIVING FACILITYDE$1,650,566$167,328HCR III HEALTHCARE LLC
ARDEN COURTS OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT STTOLEDOOH43604260625405ASSISTED LIVING FACILITYDE$1,270,152$111,021HCR IV HEALTHCARE LLC
ARDEN COURTS OF FARMINGTON CT LLC
333 N SUMMIT STTOLEDOOH43604260625092ASSISTED LIVING FACILITYDE$1,571,345$95,573HCR III HEALTHCARE LLC
ARDEN COURTS OF FT MYERS FL LLC
333 N SUMMIT STTOLEDOOH43604260625314ASSISTED LIVING FACILITYDE$1,275,216$204,006HCR III HEALTHCARE LLC
ARDEN COURTS OF GENEVA IL LLC
333 N SUMMIT STTOLEDOOH43604260625428ASSISTED LIVING FACILITYDE$1,715,410$104,899HCR IV HEALTHCARE LLC
ARDEN COURTS OF GLEN ELLYN IL LLC
333 N SUMMIT STTOLEDOOH43604260625418ASSISTED LIVING FACILITYDE$788,946$115,398HCR IV HEALTHCARE LLC
ARDEN COURTS OF JEFFERSON HILLS PA LLC
333 N SUMMIT STTOLEDOOH43604260624075ASSISTED LIVING FACILITYDE$1,718,387$164,734HCR III HEALTHCARE LLC
ARDEN COURTS OF KENSINGTON MD LLC
333 N SUMMIT STTOLEDOOH43604260622568ASSISTED LIVING FACILITYDE$2,307,631$136,099HCR III HEALTHCARE LLC
ARDEN COURTS OF KENWOOD OH LLC
333 N SUMMIT STTOLEDOOH43604260623245ASSISTED LIVING FACILITYDE$1,089,007$119,433HCR IV HEALTHCARE LLC
ARDEN COURTS OF KING OF PRUSSIA PA LLC
333 N SUMMIT STTOLEDOOH43604260624032ASSISTED LIVING FACILITYDE$1,768,271$300,563HCR III HEALTHCARE LLC
ARDEN COURTS OF LARGO FL LLC
333 N SUMMIT STTOLEDOOH43604260625141ASSISTED LIVING FACILITYDE$1,438,088$207,538HCR III HEALTHCARE LLC
ARDEN COURTS OF LIVONIA MI LLC
333 N SUMMIT STTOLEDOOH43604260622866ASSISTED LIVING FACILITYDE$1,547,718$200,154HCR IV HEALTHCARE LLC
ARDEN COURTS OF MONROEVILLE PA LLC
333 N SUMMIT STTOLEDOOH43604260623898ASSISTED LIVING FACILITYDE$1,651,324$229,530HCR III HEALTHCARE LLC
ARDEN COURTS OF NORTHBROOK IL LLC
333 N SUMMIT STTOLEDOOH43604260625378ASSISTED LIVING FACILITYDE$1,659,213$72,769HCR IV HEALTHCARE LLC
ARDEN COURTS OF PALM HARBOR FL LLC
333 N SUMMIT STTOLEDOOH43604260625222ASSISTED LIVING FACILITYDE$1,715,777$160,045HCR III HEALTHCARE LLC
ARDEN COURTS OF PALOS HEIGHTS IL LLC
333 N SUMMIT STTOLEDOOH43604260625390ASSISTED LIVING FACILITYDE$1,496,914$160,775HCR IV HEALTHCARE LLC
ARDEN COURTS OF PARMA OH LLC
333 N SUMMIT STTOLEDOOH43604260623801ASSISTED LIVING FACILITYDE$1,636,023$126,253HCR IV HEALTHCARE LLC
ARDEN COURTS OF PIKESVILLE MD LLC
333 N SUMMIT STTOLEDOOH43604260622121ASSISTED LIVING FACILITYDE$1,811,739$226,979HCR III HEALTHCARE LLC
ARDEN COURTS OF POTOMAC MD LLC
333 N SUMMIT STTOLEDOOH43604260622198ASSISTED LIVING FACILITYDE$1,585,371$167,883HCR III HEALTHCARE LLC
ARDEN COURTS OF RICHARDSON TX LLC
333 N SUMMIT STTOLEDOOH43604260624214ASSISTED LIVING FACILITYDE$1,436,555$149,305HCR IV HEALTHCARE LLC
ARDEN COURTS OF SAN ANTONIO TX LLC
333 N SUMMIT STTOLEDOOH43604260624189ASSISTED LIVING FACILITYDE$1,448,958$217,237HCR IV HEALTHCARE LLC
ARDEN COURTS OF SARASOTA FL LLC
333 N SUMMIT STTOLEDOOH43604260625246ASSISTED LIVING FACILITYDE$1,514,233$93,167HCR III HEALTHCARE LLC
ARDEN COURTS OF SEMINOLE FL LLC
333 N SUMMIT STTOLEDOOH43604260625266ASSISTED LIVING FACILITYDE$1,586,505$210,850HCR III HEALTHCARE LLC
ARDEN COURTS OF SILVER SPRING MD LLC
333 N SUMMIT STTOLEDOOH43604260622164ASSISTED LIVING FACILITYDE$1,676,433$99,248HCR III HEALTHCARE LLC
ARDEN COURTS OF SOUTH HOLLAND IL LLC
333 N SUMMIT STTOLEDOOH43604260622045ASSISTED LIVING FACILITYDE$1,224,034$78,562HCR IV HEALTHCARE LLC
ARDEN COURTS OF STERLING HEIGHTS MI LLC
333 N SUMMIT STTOLEDOOH43604260622772ASSISTED LIVING FACILITYDE$1,354,384$142,940HCR IV HEALTHCARE LLC
ARDEN COURTS OF TAMPA FL LLC
333 N SUMMIT STTOLEDOOH43604260625330ASSISTED LIVING FACILITYDE$1,296,073$194,751HCR III HEALTHCARE LLC
ARDEN COURTS OF TOWSON MD LLC
333 N SUMMIT STTOLEDOOH43604260622661ASSISTED LIVING FACILITYDE$1,592,511$103,316HCR III HEALTHCARE LLC
ARDEN COURTS OF W ORANGE NJ LLC
333 N SUMMIT STTOLEDOOH43604260622938ASSISTED LIVING FACILITYDE$2,357,550$193,121HCR III HEALTHCARE LLC
ARDEN COURTS OF W PALM BEACH FL LLC
333 N SUMMIT STTOLEDOOH43604260625258ASSISTED LIVING FACILITYDE$1,637,004$272,272HCR III HEALTHCARE LLC
ARDEN COURTS OF WAYNE NJ LLC
333 N SUMMIT STTOLEDOOH43604260622912ASSISTED LIVING FACILITYDE$2,045,949$286,955HCR III HEALTHCARE LLC
ARDEN COURTS OF WESTLAKE OH LLC
333 N SUMMIT STTOLEDOOH43604260623289ASSISTED LIVING FACILITYDE$1,769,581$161,572HCR IV HEALTHCARE LLC
ARDEN COURTS OF WILMINGTON DE LLC
333 N SUMMIT STTOLEDOOH43604260625127ASSISTED LIVING FACILITYDE$1,916,646$251,469HCR III HEALTHCARE LLC
ARDEN COURTS OF WINTER SPRINGS FL LLC
333 N SUMMIT STTOLEDOOH43604260625340ASSISTED LIVING FACILITYDE$1,679,315$172,294HCR III HEALTHCARE LLC
ARDEN COURTS OF YARDLEY PA LLC
333 N SUMMIT STTOLEDOOH43604260623944ASSISTED LIVING FACILITYDE$1,758,955$282,618HCR III HEALTHCARE LLC
ARDEN COURTS-ANDERSON OF CINCINNATI OH LLC
333 N SUMMIT STTOLEDOOH43604260623677ASSISTED LIVING FACILITYDE$1,899,465$188,795HCR IV HEALTHCARE LLC
ARDEN COURTS-BAINBRIDGE OF CHAGRIN FALLS OH LLC
333 N SUMMIT STTOLEDOOH43604260623202ASSISTED LIVING FACILITYDE$1,977,662$195,675HCR IV HEALTHCARE LLC
ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT STTOLEDOOH43604260624353ASSISTED LIVING FACILITYDE$1,979,567$83,368HCR IV HEALTHCARE LLC
ARDEN COURTS-LELY PALMS OF NAPLES FL LLC
333 N SUMMIT STTOLEDOOH43604260625279ASSISTED LIVING FACILITYDE$1,516,410$198,295HCR III HEALTHCARE LLC
ARDEN COURTS-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT STTOLEDOOH43604260623920ASSISTED LIVING FACILITYDE$1,542,450$136,809HCR III HEALTHCARE LLC
ARDEN COURTS-SUSQUEHANNA OF HARRISBURG PA LLC
333 N SUMMIT STTOLEDOOH43604260624065ASSISTED LIVING FACILITYDE$1,661,906$212,943HCR III HEALTHCARE LLC
ARDEN COURTS-WARMINSTER OF HATBORO PA LLC
333 N SUMMIT STTOLEDOOH43604260623869ASSISTED LIVING FACILITYDE$1,397,480$150,712HCR III HEALTHCARE LLC
ARDEN COURTS OF WHIPPANY NJ LLC
333 N SUMMIT STTOLEDOOH43604260623155ASSISTED LIVING FACILITYDE$1,287,566$215,472HCR III HEALTHCARE LLC
CHRISTOPHER EAST HEALTH CARE CENTER OF LOUISVILLE KY LLC
333 N SUMMIT STTOLEDOOH43604260619900SKILLED NURSING FACILITYDE-$2,103$6,097HCR IV HEALTHCARE LLC
COLUMBIA REHABILITATION AND NURSING CENTER-COLUMBIA SC LLC
333 N SUMMIT STTOLEDOOH43604260623408OUTPATIENT REHABILITATIONDE$3,818,328$1,662,629HCR III HEALTHCARE LLC
DEVON MANOR-DEVON PA LLC
333 N SUMMIT STTOLEDOOH43604260622826SKILLED NURSING FACILITYDE$0$45,972HCR III HEALTHCARE LLC
DONAHOE MANOR-BEDFORD PA LLC
333 N SUMMIT STTOLEDOOH43604260623108SKILLED NURSING FACILITYDE$2,651,327$935,535HCR III HEALTHCARE LLC
FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC
333 N SUMMIT STTOLEDOOH43604260622894SKILLED NURSING FACILITYDE$561,361$59,714HCR IV HEALTHCARE LLC
HAMPTON HOUSE-WILKES-BARRE PA LLC
333 N SUMMIT STTOLEDOOH43604260610244SKILLED NURSING FACILITYDE$3,218,534$1,713,249HCR III HEALTHCARE LLC
HEARTLAND OF BOYNTON BEACH FL LLC
333 N SUMMIT STTOLEDOOH43604260623523SKILLED NURSING FACILITYDE$4,425,436$1,218,132HCR III HEALTHCARE LLC
HEARTLAND OF ADELPHI MD LLC
333 N SUMMIT STTOLEDOOH43604260620015SKILLED NURSING FACILITYDE$5,847,325$2,453,062HCR III HEALTHCARE LLC
HEARTLAND OF ALLEN PARK MI LLC
333 N SUMMIT STTOLEDOOH43604260611286SKILLED NURSING FACILITYDE$6,566,504$2,115,831HCR IV HEALTHCARE LLC
HEARTLAND OF ANN ARBOR MI LLC
333 N SUMMIT STTOLEDOOH43604260612384SKILLED NURSING FACILITYDE$7,465,249$3,041,311HCR IV HEALTHCARE LLC
HEARTLAND OF AUSTIN TX LLC
333 N SUMMIT STTOLEDOOH43604260624533SKILLED NURSING FACILITYDE$310,859$458,239HCR IV HEALTHCARE LLC
HEARTLAND OF BATTLE CREEK MI LLC
333 N SUMMIT STTOLEDOOH43604260612206SKILLED NURSING FACILITYDE$2,365,104$900,006HCR IV HEALTHCARE LLC
HEARTLAND OF BECKLEY WV LLC
333 N SUMMIT STTOLEDOOH43604260625053SKILLED NURSING FACILITYDE$2,923$0HCR IV HEALTHCARE LLC
HEARTLAND OF BEDFORD TX LLC
333 N SUMMIT STTOLEDOOH43604260624511SKILLED NURSING FACILITYDE$208,279$85,969HCR IV HEALTHCARE LLC
HEARTLAND OF BELLEFONTAINE OH LLC
333 N SUMMIT STTOLEDOOH43604260609497SKILLED NURSING FACILITYDE$2,203,715$326,390HCR IV HEALTHCARE LLC
HEARTLAND OF BOCA RATON FL LLC
333 N SUMMIT STTOLEDOOH43604260623949SKILLED NURSING FACILITYDE$4,880,221$1,567,009HCR III HEALTHCARE LLC
HEARTLAND OF BROOKSVILLE FL LLC
333 N SUMMIT STTOLEDOOH43604260623416SKILLED NURSING FACILITYDE$0$0HCR III HEALTHCARE LLC
HEARTLAND OF BUCYRUS OH LLC
333 N SUMMIT STTOLEDOOH43604260614610SKILLED NURSING FACILITYDE$2,518,435$702,813HCR IV HEALTHCARE LLC
HEARTLAND OF CANTON IL LLC
333 N SUMMIT STTOLEDOOH43604260604153SKILLED NURSING FACILITYDE$1,408,288$325,285HCR IV HEALTHCARE LLC
HEARTLAND OF CANTON MI LLC
333 N SUMMIT STTOLEDOOH43604260620527SKILLED NURSING FACILITYDE$8,461,874$3,376,143HCR IV HEALTHCARE LLC
HEARTLAND OF CENTERBURG OH LLC
333 N SUMMIT STTOLEDOOH43604260614447SKILLED NURSING FACILITYDE$16$0HCR IV HEALTHCARE LLC
HEARTLAND OF CENTERVILLE OH LLC
333 N SUMMIT STTOLEDOOH43604260609683SKILLED NURSING FACILITYDE$3,463,994$1,224,480HCR IV HEALTHCARE LLC
HEARTLAND OF CHAMPAIGN IL LLC
333 N SUMMIT STTOLEDOOH43604260615806SKILLED NURSING FACILITYDE$2,355,667$595,879HCR IV HEALTHCARE LLC
HEARTLAND OF CHILLICOTHE OH LLC
333 N SUMMIT STTOLEDOOH43604260609311SKILLED NURSING FACILITYDE$3,769,323$1,081,912HCR IV HEALTHCARE LLC
HEARTLAND OF CLARKSBURG WV LLC
333 N SUMMIT STTOLEDOOH43604260625029SKILLED NURSING FACILITYDE-$53$0HCR IV HEALTHCARE LLC
HEARTLAND OF DEARBORN HEIGHTS MI LLC
333 N SUMMIT STTOLEDOOH43604260611231SKILLED NURSING FACILITYDE$4,908,389$1,661,957HCR IV HEALTHCARE LLC
HEARTLAND OF DECATUR IL LLC
333 N SUMMIT STTOLEDOOH43604260615541SKILLED NURSING FACILITYDE$1,506,101$368,034HCR IV HEALTHCARE LLC
HEARTLAND OF EATON OH LLC
333 N SUMMIT STTOLEDOOH43604260609364SKILLED NURSING FACILITYDE-$1,119$0HCR IV HEALTHCARE LLC
HEARTLAND OF FORT MYERS FL LLC
333 N SUMMIT STTOLEDOOH43604260623726SKILLED NURSING FACILITYDE$5,658,908$1,777,363HCR III HEALTHCARE LLC
HEARTLAND OF GALESBURG IL LLC
333 N SUMMIT STTOLEDOOH43604260624455SKILLED NURSING FACILITYDE$2,550,484$743,397HCR IV HEALTHCARE LLC
HEARTLAND OF GRAND RAPIDS MI LLC
333 N SUMMIT STTOLEDOOH43604260611403SKILLED NURSING FACILITYDE$319,372$252,513HCR IV HEALTHCARE LLC
HEARTLAND OF GREENVILLE OH LLC
333 N SUMMIT STTOLEDOOH43604260614250SKILLED NURSING FACILITYDE$1,997,078$326,584HCR IV HEALTHCARE LLC
HEARTLAND OF HENRY IL LLC
333 N SUMMIT STTOLEDOOH43604260614845SKILLED NURSING FACILITYDE$2,602,637$572,088HCR IV HEALTHCARE LLC
HEARTLAND OF HILLSBORO OH LLC
333 N SUMMIT STTOLEDOOH43604260609351SKILLED NURSING FACILITYDE$3,475,320$1,071,332HCR IV HEALTHCARE LLC
HEARTLAND OF HOLLAND MI LLC
333 N SUMMIT STTOLEDOOH43604260611679SKILLED NURSING FACILITYDE$0$23,039HCR IV HEALTHCARE LLC
HEARTLAND OF HYATTSVILLE MD LLC
333 N SUMMIT STTOLEDOOH43604260619980SKILLED NURSING FACILITYDE$5,582,764$2,367,288HCR III HEALTHCARE LLC
HEARTLAND OF IONIA MI LLC
333 N SUMMIT STTOLEDOOH43604260611974SKILLED NURSING FACILITYDE$243,176$279,540HCR IV HEALTHCARE LLC
HEARTLAND OF JACKSON MI LLC
333 N SUMMIT STTOLEDOOH43604260611756SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
HEARTLAND OF JACKSON OH LLC
333 N SUMMIT STTOLEDOOH43604260614303SKILLED NURSING FACILITYDE$2,231,996$177,886HCR IV HEALTHCARE LLC
HEARTLAND OF JACKSONVILLE FL LLC
333 N SUMMIT STTOLEDOOH43604260623590SKILLED NURSING FACILITYDE$4,394,621$1,742,763HCR III HEALTHCARE LLC
HEARTLAND OF KALAMAZOO MI LLC
333 N SUMMIT STTOLEDOOH43604260612121SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
HEARTLAND OF KENDALL FL LLC
333 N SUMMIT STTOLEDOOH43604260623392SKILLED NURSING FACILITYDE$1,842,824$41,961HCR III HEALTHCARE LLC
HEARTLAND OF KETTERING OH LLC
333 N SUMMIT STTOLEDOOH43604260609231SKILLED NURSING FACILITYDE$3,675,808$1,035,642HCR IV HEALTHCARE LLC
HEARTLAND OF KEYSER WV LLC
333 N SUMMIT STTOLEDOOH43604260624987SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
HEARTLAND OF LAUDERHILL FL LLC
333 N SUMMIT STTOLEDOOH43604260623998SKILLED NURSING FACILITYDE$1,188,178$0HCR III HEALTHCARE LLC
HEARTLAND OF MACOMB IL LLC
333 N SUMMIT STTOLEDOOH43604260624476SKILLED NURSING FACILITYDE$2,541,398$750,063HCR IV HEALTHCARE LLC
HEARTLAND OF MADEIRA OH LLC
333 N SUMMIT STTOLEDOOH43604260609604SKILLED NURSING FACILITYDE$3,288,999$725,455HCR IV HEALTHCARE LLC
HEARTLAND OF MARIETTA OH LLC
333 N SUMMIT STTOLEDOOH43604260609259SKILLED NURSING FACILITYDE$3,315,880$877,449HCR IV HEALTHCARE LLC
HEARTLAND OF MARION OH LLC
333 N SUMMIT STTOLEDOOH43604260613105SKILLED NURSING FACILITYDE$5,314,000$1,336,440HCR IV HEALTHCARE LLC
HEARTLAND OF MARTINSBURG WV LLC
333 N SUMMIT STTOLEDOOH43604260625081SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
HEARTLAND OF MARYSVILLE OH LLC
333 N SUMMIT STTOLEDOOH43604260609393SKILLED NURSING FACILITYDE$51,096$0HCR IV HEALTHCARE LLC
HEARTLAND OF MENTOR OH LLC
333 N SUMMIT STTOLEDOOH43604260610122SKILLED NURSING FACILITYDE$4,475,700$1,485,605HCR IV HEALTHCARE LLC
HEARTLAND OF MIAMISBURG OH LLC
333 N SUMMIT STTOLEDOOH43604260794075SKILLED NURSING FACILITYDE$3,207,755$1,460,710HCR IV HEALTHCARE LLC
HEARTLAND OF MOLINE IL LLC
333 N SUMMIT STTOLEDOOH43604260624491SKILLED NURSING FACILITYDE$4,811,537$1,261,983HCR IV HEALTHCARE LLC
HEARTLAND OF NORMAL IL LLC
333 N SUMMIT STTOLEDOOH43604260615386SKILLED NURSING FACILITYDE$1,911,332$343,831HCR IV HEALTHCARE LLC
HEARTLAND OF ORANGE PARK FL LLC
333 N SUMMIT STTOLEDOOH43604260623613SKILLED NURSING FACILITYDE$5,037,490$1,876,032HCR III HEALTHCARE LLC
HEARTLAND OF OREGON OH LLC
333 N SUMMIT STTOLEDOOH43604260609590SKILLED NURSING FACILITYDE$3,537,767$740,673HCR IV HEALTHCARE LLC
HEARTLAND OF PAXTON IL LLC
333 N SUMMIT STTOLEDOOH43604260614884SKILLED NURSING FACILITYDE$1,162,199$140,835HCR IV HEALTHCARE LLC
HEARTLAND OF PEORIA IL LLC
333 N SUMMIT STTOLEDOOH43604260615478SKILLED NURSING FACILITYDE$1,755,048$388,841HCR IV HEALTHCARE LLC
HEARTLAND OF PERRYSBURG OH LLC
333 N SUMMIT STTOLEDOOH43604260609189SKILLED NURSING FACILITYDE$4,550,267$1,348,123HCR IV HEALTHCARE LLC
HEARTLAND OF PIQUA OH LLC
333 N SUMMIT STTOLEDOOH43604260609466SKILLED NURSING FACILITYDE$2,502,901$297,321HCR IV HEALTHCARE LLC
HEARTLAND OF PITTSBURGH PA LLC
333 N SUMMIT STTOLEDOOH43604260610260SKILLED NURSING FACILITYDE$6,256,027$2,350,871HCR III HEALTHCARE LLC
HEARTLAND OF PLATTEVILLE WI LLC
333 N SUMMIT STTOLEDOOH43604260624818SKILLED NURSING FACILITYDE$1,325,127$93,532HCR III HEALTHCARE LLC
HEARTLAND OF PORTSMOUTH OH LLC
333 N SUMMIT STTOLEDOOH43604260609290SKILLED NURSING FACILITYDE$3,574,131$751,680HCR IV HEALTHCARE LLC
HEARTLAND OF RAINELLE WV LLC
333 N SUMMIT STTOLEDOOH43604260625009SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
HEARTLAND OF SAGINAW MI LLC
333 N SUMMIT STTOLEDOOH43604260612275SKILLED NURSING FACILITYDE-$161$0HCR IV HEALTHCARE LLC
HEARTLAND OF SAN ANTONIO TX LLC
333 N SUMMIT STTOLEDOOH43604260623701SKILLED NURSING FACILITYDE$377,785$340,148HCR IV HEALTHCARE LLC
HEARTLAND OF SARASOTA FL LLC
333 N SUMMIT STTOLEDOOH43604260623968SKILLED NURSING FACILITYDE$5,775,561$1,670,368HCR III HEALTHCARE LLC
HEARTLAND OF SPRINGFIELD OH LLC
333 N SUMMIT STTOLEDOOH43604260609416SKILLED NURSING FACILITYDE$3,011,017$708,683HCR IV HEALTHCARE LLC
HEARTLAND OF TAMARAC FL LLC
333 N SUMMIT STTOLEDOOH43604260623500SKILLED NURSING FACILITYDE$1,851,238$275,171HCR III HEALTHCARE LLC
HEARTLAND OF THREE RIVERS MI LLC
333 N SUMMIT STTOLEDOOH43604260612325SKILLED NURSING FACILITYDE$3,264,886$634,037HCR IV HEALTHCARE LLC
HEARTLAND OF URBANA OH LLC
333 N SUMMIT STTOLEDOOH43604260614353SKILLED NURSING FACILITYDE$0$59,006HCR IV HEALTHCARE LLC
HEARTLAND OF WEST BLOOMFIELD MI LLC
333 N SUMMIT STTOLEDOOH43604260611547SKILLED NURSING FACILITYDE-$7,984$263,361HCR IV HEALTHCARE LLC
HEARTLAND OF WATERVILLE OH LLC
333 N SUMMIT STTOLEDOOH43604260609511SKILLED NURSING FACILITYDE$4,050,108$648,845HCR IV HEALTHCARE LLC
HEARTLAND OF WAUSEON OH LLC
333 N SUMMIT STTOLEDOOH43604260614568SKILLED NURSING FACILITYDE$1,431,768$247,386HCR IV HEALTHCARE LLC
HEARTLAND OF WEST HOUSTON TX LLC
333 N SUMMIT STTOLEDOOH43604260623684SKILLED NURSING FACILITYDE$0$18,779HCR IV HEALTHCARE LLC
HEARTLAND OF WHITEHALL MI LLC
333 N SUMMIT STTOLEDOOH43604260612438SKILLED NURSING FACILITYDE$213,969$0HCR IV HEALTHCARE LLC
HEARTLAND OF ZEPHYRHILLS FL LLC
333 N SUMMIT STTOLEDOOH43604260623476SKILLED NURSING FACILITYDE$4,607,616$1,272,744HCR III HEALTHCARE LLC
HEARTLAND VILLAGE OF WESTERVILLE OH (NC) LLC
333 N SUMMIT STTOLEDOOH43604260609323SKILLED NURSING FACILITYDE$4,704,520$1,222,279HCR IV HEALTHCARE LLC
HEARTLAND VILLAGE OF WESTERVILLE OH (RC) LLC
333 N SUMMIT STTOLEDOOH43604260609337SKILLED NURSING FACILITYDE$1,598,239$224,857HCR IV HEALTHCARE LLC
HEARTLAND-BEAVERCREEK OF DAYTON OH LLC
333 N SUMMIT STTOLEDOOH43604260609445SKILLED NURSING FACILITYDE$3,315,570$1,157,761HCR IV HEALTHCARE LLC
HEARTLAND-BRIARWOOD MI LLC
333 N SUMMIT STTOLEDOOH43604260611711SKILLED NURSING FACILITYDE$5,218,853$1,595,879HCR IV HEALTHCARE LLC
HEARTLAND-CHARLESTON OF HANAHAN SC LLC
333 N SUMMIT STTOLEDOOH43604260623167SKILLED NURSING FACILITYDE$4,155,282$1,797,665HCR III HEALTHCARE LLC
HEARTLAND-CRESTVIEW MI LLC
333 N SUMMIT STTOLEDOOH43604260611487SKILLED NURSING FACILITYDE$150,557$0HCR IV HEALTHCARE LLC
HEARTLAND-DORVIN OF LIVONIA MI LLC
333 N SUMMIT STTOLEDOOH43604260611095SKILLED NURSING FACILITYDE$34,028$110,557HCR IV HEALTHCARE LLC
HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH LLC
333 N SUMMIT STTOLEDOOH43604260613145SKILLED NURSING FACILITYDE$21$0HCR IV HEALTHCARE LLC
HEARTLAND-FOSTRIAN OF FLUSHING MI LLC
333 N SUMMIT STTOLEDOOH43604260611818SKILLED NURSING FACILITYDE$5,344,718$2,330,962HCR IV HEALTHCARE LLC
HEARTLAND-GEORGIAN BLOOMFIELD OF BLOOMFIELD HILLS MI LLC
333 N SUMMIT STTOLEDOOH43604260611630SKILLED NURSING FACILITYDE$75,066$177,136HCR IV HEALTHCARE LLC
HEARTLAND-GEORGIAN EAST OF GROSSE POINTE MI LLC
333 N SUMMIT STTOLEDOOH43604260611334SKILLED NURSING FACILITYDE$4,381,607$1,801,523HCR IV HEALTHCARE LLC
HEARTLAND-GREENVIEW MI LLC
333 N SUMMIT STTOLEDOOH43604260611920SKILLED NURSING FACILITYDE$45,856$311,944HCR IV HEALTHCARE LLC
HEARTLAND-HAMPTON OF BAY CITY MI LLC
333 N SUMMIT STTOLEDOOH43604260611865SKILLED NURSING FACILITYDE$2,371,829$771,893HCR IV HEALTHCARE LLC
HEARTLAND-HOLLY GLEN OF TOLEDO OH LLC
333 N SUMMIT STTOLEDOOH43604260614404SKILLED NURSING FACILITYDE$2,531,891$374,892HCR IV HEALTHCARE LLC
HEARTLAND-INDIAN LAKE OF LAKEVIEW OH LLC
333 N SUMMIT STTOLEDOOH43604260614489SKILLED NURSING FACILITYDE$0$22,304HCR IV HEALTHCARE LLC
HEARTLAND-KNOLLVIEW MI LLC
333 N SUMMIT STTOLEDOOH43604260612021SKILLED NURSING FACILITYDE$111,647$312,812HCR IV HEALTHCARE LLC
HEARTLAND-LANSING OF BRIDGEPORT OH LLC
333 N SUMMIT STTOLEDOOH43604260609376SKILLED NURSING FACILITYDE-$176$0HCR IV HEALTHCARE LLC
HEARTLAND-MIAMI LAKES OF HIALEAH FL LLC
333 N SUMMIT STTOLEDOOH43604260623652SKILLED NURSING FACILITYDE$1,716,842$185,223HCR III HEALTHCARE LLC
HEARTLAND-MT AIRY OF CINCINNATI OH LLC
333 N SUMMIT STTOLEDOOH43604260610060SKILLED NURSING FACILITYDE-$66$0HCR IV HEALTHCARE LLC
HEARTLAND-OAKLAND MI LLC
333 N SUMMIT STTOLEDOOH43604260620480SKILLED NURSING FACILITYDE$8,922,093$3,329,722HCR IV HEALTHCARE LLC
HEARTLAND-PEWAUKEE OF WAUKESHA WI LLC
333 N SUMMIT STTOLEDOOH43604260624873SKILLED NURSING FACILITYDE$2,633,206$129,136HCR III HEALTHCARE LLC
HEARTLAND-PLYMOUTH COURT MI LLC
333 N SUMMIT STTOLEDOOH43604260610995SKILLED NURSING FACILITYDE$115,538$442,699HCR IV HEALTHCARE LLC
HEARTLAND-PRESTON COUNTY OF KINGWOOD WV LLC
333 N SUMMIT STTOLEDOOH43604260625067SKILLED NURSING FACILITYDE-$3,880$0HCR IV HEALTHCARE LLC
HEARTLAND-PRESTWICK IN LLC
333 N SUMMIT STTOLEDOOH43604260619176SKILLED NURSING FACILITYDE$370,884$0HCR IV HEALTHCARE LLC
HEARTLAND-PROSPERITY OAKS OF PALM BEACH GARDENS FL LLC
333 N SUMMIT STTOLEDOOH43604260623909SKILLED NURSING FACILITYDE$4,565,973$1,066,290HCR III HEALTHCARE LLC
HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC
333 N SUMMIT STTOLEDOOH43604260619009ASSISTED LIVING FACILITYDE$3,099,707$333,293HCR IV HEALTHCARE LLC
HEARTLAND-RIVERVIEW OF SOUTH POINT OH LLC
333 N SUMMIT STTOLEDOOH43604260609484SKILLED NURSING FACILITYDE$3,734,965$1,050,785HCR IV HEALTHCARE LLC
HEARTLAND-SOUTH JACKSONVILLE OF JACKSONVILLE FL LLC
333 N SUMMIT STTOLEDOOH43604260623559SKILLED NURSING FACILITYDE$4,723,751$2,039,377HCR III HEALTHCARE LLC
HEARTLAND-UNIVERSITY OF LIVONIA MI LLC
333 N SUMMIT STTOLEDOOH43604260611184SKILLED NURSING FACILITYDE$4,512,610$1,420,315HCR IV HEALTHCARE LLC
HEARTLAND-VICTORIAN VILLAGE OF COLUMBUS OH LLC
333 N SUMMIT STTOLEDOOH43604260609432SKILLED NURSING FACILITYDE-$291$0HCR IV HEALTHCARE LLC
HEARTLAND-WASHINGTON MANOR OF KENOSHA WI LLC
333 N SUMMIT STTOLEDOOH43604260624859SKILLED NURSING FACILITYDE$2,785,221$288,448HCR III HEALTHCARE LLC
HEARTLAND-WILLOW LANE OF BUTLER MO LLC
333 N SUMMIT STTOLEDOOH43604260612474SKILLED NURSING FACILITYDE$0$19,659HCR III HEALTHCARE LLC
HEARTLAND-WILLOWBROOK OF HOUSTON TX LLC
333 N SUMMIT STTOLEDOOH43604260624408SKILLED NURSING FACILITYDE$9,984$64,522HCR IV HEALTHCARE LLC
HEARTLAND-WOODRIDGE OF FAIRFIELD OH LLC
333 N SUMMIT STTOLEDOOH43604260609646SKILLED NURSING FACILITYDE$4,749,613$654,166HCR IV HEALTHCARE LLC
HOLIDAY NURSING CENTER-CENTER TX LLC
333 N SUMMIT STTOLEDOOH43604260624488SKILLED NURSING FACILITYDE$0$20,680HCR IV HEALTHCARE LLC
KENSINGTON MANOR-SARASOTA FL LLC
333 N SUMMIT STTOLEDOOH43604260623931SKILLED NURSING FACILITYDE$3,120,236$1,007,571HCR III HEALTHCARE LLC
LEXINGTON REHABILITATION AND NURSING CENTER-LEXINGTON SC LLC
333 N SUMMIT STTOLEDOOH43604260623428OUTPATIENT REHABILITATIONDE$0$0HCR III HEALTHCARE LLC
MANOR CARE OF FOUNTAIN VALLEY CA LLC
333 N SUMMIT STTOLEDOOH43604260622988SKILLED NURSING FACILITYDE$7,802,947$2,510,139HCR IV HEALTHCARE LLC
MANOR CARE NURSING CENTER OF SARASOTA FL LLC
333 N SUMMIT STTOLEDOOH43604260624159SKILLED NURSING FACILITYDE$6,701,089$1,356,329HCR III HEALTHCARE LLC
MANOR CARE OF ABERDEEN SD LLC
333 N SUMMIT STTOLEDOOH43604260623462SKILLED NURSING FACILITYDE-$12,474$8,471HCR IV HEALTHCARE LLC
MANOR CARE OF AKRON OH LLC
333 N SUMMIT STTOLEDOOH43604260610034SKILLED NURSING FACILITYDE$2,986,647$672,087HCR IV HEALTHCARE LLC
MANOR CARE OF ALEXANDRIA VA LLC
333 N SUMMIT STTOLEDOOH43604260624590SKILLED NURSING FACILITYDE$3,809,637$1,222,573HCR IV HEALTHCARE LLC
MANOR CARE OF ALLENTOWN PA LLC
333 N SUMMIT STTOLEDOOH43604260610673SKILLED NURSING FACILITYDE$5,828,744$2,961,195HCR III HEALTHCARE LLC
MANOR CARE OF ANDERSON IN LLC
333 N SUMMIT STTOLEDOOH43604260619221SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
MANOR CARE OF ARLINGTON VA LLC
333 N SUMMIT STTOLEDOOH43604260624619SKILLED NURSING FACILITYDE$5,787,032$2,059,964HCR IV HEALTHCARE LLC
MANOR CARE OF BARBERTON OH LLC
333 N SUMMIT STTOLEDOOH43604260609528SKILLED NURSING FACILITYDE$3,396,300$1,178,734HCR IV HEALTHCARE LLC
MANOR CARE OF BETHEL PARK PA LLC
333 N SUMMIT STTOLEDOOH43604260622002SKILLED NURSING FACILITYDE$5,410,193$2,048,823HCR III HEALTHCARE LLC
MANOR CARE OF BETHESDA MD LLC
333 N SUMMIT STTOLEDOOH43604260620122SKILLED NURSING FACILITYDE$4,187,377$1,209,415HCR III HEALTHCARE LLC
MANOR CARE OF BETHLEHEM PA (2021) LLC
333 N SUMMIT STTOLEDOOH43604260614878SKILLED NURSING FACILITYDE$7,551,038$4,035,422HCR III HEALTHCARE LLC
MANOR CARE OF BETHLEHEM PA (2029) LLC
333 N SUMMIT STTOLEDOOH43604260621845SKILLED NURSING FACILITYDE$7,232,630$3,572,893HCR III HEALTHCARE LLC
MANOR CARE OF BOCA RATON FL LLC
333 N SUMMIT STTOLEDOOH43604260624217SKILLED NURSING FACILITYDE$6,926,170$1,957,617HCR III HEALTHCARE LLC
MANOR CARE OF BOULDER CO LLC
333 N SUMMIT STTOLEDOOH43604260623287SKILLED NURSING FACILITYDE$5,895,656$1,488,677HCR IV HEALTHCARE LLC
MANOR CARE OF BOYNTON BEACH FL LLC
333 N SUMMIT STTOLEDOOH43604260624241SKILLED NURSING FACILITYDE$7,074,478$2,393,813HCR III HEALTHCARE LLC
MANOR CARE OF CAMP HILL PA LLC
333 N SUMMIT STTOLEDOOH43604260623070SKILLED NURSING FACILITYDE$4,544,977$2,499,660HCR III HEALTHCARE LLC
MANOR CARE OF CARLISLE PA LLC
333 N SUMMIT STTOLEDOOH43604260610623SKILLED NURSING FACILITYDE$5,254,466$2,609,613HCR III HEALTHCARE LLC
MANOR CARE OF CEDAR RAPIDS IA LLC
333 N SUMMIT STTOLEDOOH43604260624378SKILLED NURSING FACILITYDE$3,680,960$1,149,016HCR III HEALTHCARE LLC
MANOR CARE OF CHAMBERSBURG PA LLC
333 N SUMMIT STTOLEDOOH43604260614915SKILLED NURSING FACILITYDE$7,200,386$3,710,223HCR III HEALTHCARE LLC
MANOR CARE OF CHERRY HILL NJ LLC
333 N SUMMIT STTOLEDOOH43604260612749SKILLED NURSING FACILITYDE$0$54,214HCR III HEALTHCARE LLC
MANOR CARE OF CHEVY CHASE MD LLC
333 N SUMMIT STTOLEDOOH43604260620158SKILLED NURSING FACILITYDE$6,185,609$1,610,840HCR III HEALTHCARE LLC
MANOR CARE OF CITRUS HEIGHTS CA LLC
333 N SUMMIT STTOLEDOOH43604260622564SKILLED NURSING FACILITYDE$9,107,366$3,584,142HCR IV HEALTHCARE LLC
MANOR CARE OF DALLAS TX LLC
333 N SUMMIT STTOLEDOOH43604260623497SKILLED NURSING FACILITYDE-$4,504$45,192HCR IV HEALTHCARE LLC
MANOR CARE OF DALLASTOWN PA LLC
333 N SUMMIT STTOLEDOOH43604260614534SKILLED NURSING FACILITYDE$6,926,112$3,312,780HCR III HEALTHCARE LLC
MANOR CARE OF DAVENPORT IA LLC
333 N SUMMIT STTOLEDOOH43604260624394SKILLED NURSING FACILITYDE$2,796,870$976,674HCR III HEALTHCARE LLC
MANOR CARE OF DELRAY BEACH FL LLC
333 N SUMMIT STTOLEDOOH43604260624068SKILLED NURSING FACILITYDE$5,501,210$1,591,827HCR III HEALTHCARE LLC
MANOR CARE OF DENVER CO LLC
333 N SUMMIT STTOLEDOOH43604260623262SKILLED NURSING FACILITYDE$5,695,931$2,106,835HCR IV HEALTHCARE LLC
MANOR CARE OF DUBUQUE IA LLC
333 N SUMMIT STTOLEDOOH43604260624416SKILLED NURSING FACILITYDE$3,286,295$1,013,219HCR III HEALTHCARE LLC
MANOR CARE OF DUNEDIN FL LLC
333 N SUMMIT STTOLEDOOH43604260624190SKILLED NURSING FACILITYDE$5,369,064$1,424,683HCR III HEALTHCARE LLC
MANOR CARE OF EASTON PA LLC
333 N SUMMIT STTOLEDOOH43604260621877SKILLED NURSING FACILITYDE$7,716,907$3,607,188HCR III HEALTHCARE LLC
MANOR CARE OF ELGIN IL LLC
333 N SUMMIT STTOLEDOOH43604260615951SKILLED NURSING FACILITYDE$24,788$0HCR IV HEALTHCARE LLC
MANOR CARE OF ELIZABETHTOWN PA LLC
333 N SUMMIT STTOLEDOOH43604260622774SKILLED NURSING FACILITYDE$12,319$347,549HCR III HEALTHCARE LLC
MANOR CARE OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT STTOLEDOOH43604260618782SKILLED NURSING FACILITYDE$9,446,125$2,641,647HCR IV HEALTHCARE LLC
MANOR CARE OF FARGO ND LLC
333 N SUMMIT STTOLEDOOH43604260612718SKILLED NURSING FACILITYDE$1,842,410$427,166HCR IV HEALTHCARE LLC
MANOR CARE OF FLORISSANT MO LLC
333 N SUMMIT STTOLEDOOH43604260612550SKILLED NURSING FACILITYDE$100,784$49,269HCR III HEALTHCARE LLC
MANOR CARE OF FOND DU LAC WI LLC
333 N SUMMIT STTOLEDOOH43604260624802SKILLED NURSING FACILITYDE$1,503,096$191,183HCR III HEALTHCARE LLC
MANOR CARE OF FORT WORTH TX (NRH) LLC
333 N SUMMIT STTOLEDOOH43604260623538SKILLED NURSING FACILITYDE$276,262$0HCR IV HEALTHCARE LLC
MANOR CARE OF FORT WORTH TX (NW) LLC
333 N SUMMIT STTOLEDOOH43604260623570SKILLED NURSING FACILITYDE$220,260$172,830HCR IV HEALTHCARE LLC
MANOR CARE OF FT MYERS FL LLC
333 N SUMMIT STTOLEDOOH43604260624272SKILLED NURSING FACILITYDE$4,930,242$1,219,504HCR III HEALTHCARE LLC
MANOR CARE OF GIG HARBOR WA LLC
333 N SUMMIT STTOLEDOOH43604260624719SKILLED NURSING FACILITYDE$3,791,837$1,281,888HCR IV HEALTHCARE LLC
MANOR CARE OF GREEN BAY WI (EAST) LLC
333 N SUMMIT STTOLEDOOH43604260624767SKILLED NURSING FACILITYDE$1,210,037$240,914HCR III HEALTHCARE LLC
MANOR CARE OF GREEN BAY WI (WEST) LLC
333 N SUMMIT STTOLEDOOH43604260624786SKILLED NURSING FACILITYDE$1,664,572$213,250HCR III HEALTHCARE LLC
MANOR CARE OF HEMET CA LLC
333 N SUMMIT STTOLEDOOH43604260623107SKILLED NURSING FACILITYDE$7,778,694$2,497,433HCR IV HEALTHCARE LLC
MANOR CARE OF HINSDALE IL LLC
333 N SUMMIT STTOLEDOOH43604260615984SKILLED NURSING FACILITYDE$9,224,477$3,897,288HCR IV HEALTHCARE LLC
MANOR CARE OF HOMEWOOD IL LLC
333 N SUMMIT STTOLEDOOH43604260614920SKILLED NURSING FACILITYDE$5,617,197$1,306,944HCR IV HEALTHCARE LLC
MANOR CARE OF HUNTINGDON VALLEY PA LLC
333 N SUMMIT STTOLEDOOH43604260610582SKILLED NURSING FACILITYDE$4,542,855$2,352,592HCR III HEALTHCARE LLC
MANOR CARE OF INDY (SOUTH) IN LLC
333 N SUMMIT STTOLEDOOH43604260619623SKILLED NURSING FACILITYDE$4,230,915$1,318,322HCR IV HEALTHCARE LLC
MANOR CARE OF JERSEY SHORE PA LLC
333 N SUMMIT STTOLEDOOH43604260614957SKILLED NURSING FACILITYDE$4,160,543$2,247,249HCR III HEALTHCARE LLC
MANOR CARE OF KANKAKEE IL LLC
333 N SUMMIT STTOLEDOOH43604260615706SKILLED NURSING FACILITYDE-$3,361$0HCR IV HEALTHCARE LLC
MANOR CARE OF KING OF PRUSSIA PA LLC
333 N SUMMIT STTOLEDOOH43604260610645SKILLED NURSING FACILITYDE$5,951,070$3,238,851HCR III HEALTHCARE LLC
MANOR CARE OF KINGSFORD MI LLC
333 N SUMMIT STTOLEDOOH43604260611592SKILLED NURSING FACILITYDE$4,460,343$1,363,142HCR IV HEALTHCARE LLC
MANOR CARE OF KINGSTON PA LLC
333 N SUMMIT STTOLEDOOH43604260615323SKILLED NURSING FACILITYDE$5,372,005$2,533,654HCR III HEALTHCARE LLC
MANOR CARE OF LANCASTER PA LLC
333 N SUMMIT STTOLEDOOH43604260621637SKILLED NURSING FACILITYDE$6,066,219$3,242,054HCR III HEALTHCARE LLC
MANOR CARE OF LAURELDALE PA LLC
333 N SUMMIT STTOLEDOOH43604260615380SKILLED NURSING FACILITYDE$6,779,879$3,352,233HCR III HEALTHCARE LLC
MANOR CARE OF LEBANON PA LLC
333 N SUMMIT STTOLEDOOH43604260615358SKILLED NURSING FACILITYDE$5,744,913$2,856,436HCR III HEALTHCARE LLC
MANOR CARE OF LIBERTYVILLE IL LLC
333 N SUMMIT STTOLEDOOH43604260615859SKILLED NURSING FACILITYDE$6,427,475$1,690,491HCR IV HEALTHCARE LLC
MANOR CARE OF LYNNWOOD WA LLC
333 N SUMMIT STTOLEDOOH43604260624675SKILLED NURSING FACILITYDE$5,949,273$1,936,882HCR IV HEALTHCARE LLC
MANOR CARE OF MARIETTA GA LLC
333 N SUMMIT STTOLEDOOH43604260624336SKILLED NURSING FACILITYDE$6,318,740$1,493,649HCR III HEALTHCARE LLC
MANOR CARE OF MAYFIELD HEIGHTS OH LLC
333 N SUMMIT STTOLEDOOH43604260609565SKILLED NURSING FACILITYDE$4,424,503$669,343HCR IV HEALTHCARE LLC
MANOR CARE OF MCMURRAY PA LLC
333 N SUMMIT STTOLEDOOH43604260614341SKILLED NURSING FACILITYDE$4,648,710$1,405,196HCR III HEALTHCARE LLC
MANOR CARE OF MIDWEST CITY OK LLC
333 N SUMMIT STTOLEDOOH43604260610183SKILLED NURSING FACILITYDE$0$73,621HCR III HEALTHCARE LLC
MANOR CARE OF MINOT ND LLC
333 N SUMMIT STTOLEDOOH43604260612693SKILLED NURSING FACILITYDE$0$2,408HCR IV HEALTHCARE LLC
MANOR CARE OF MONROEVILLE PA LLC
333 N SUMMIT STTOLEDOOH43604260614497SKILLED NURSING FACILITYDE$5,298,063$2,166,633HCR III HEALTHCARE LLC
MANOR CARE OF MOUNTAINSIDE NJ LLC
333 N SUMMIT STTOLEDOOH43604260612791SKILLED NURSING FACILITYDE$5,185,444$1,772,092HCR III HEALTHCARE LLC
MANOR CARE OF NAPERVILLE IL LLC
333 N SUMMIT STTOLEDOOH43604260615638SKILLED NURSING FACILITYDE$2,098,065$258,153HCR IV HEALTHCARE LLC
MANOR CARE OF NAPLES FL LLC
333 N SUMMIT STTOLEDOOH43604260624049SKILLED NURSING FACILITYDE$4,997,355$1,570,434HCR III HEALTHCARE LLC
MANOR CARE OF NEW PROVIDENCE NJ LLC
333 N SUMMIT STTOLEDOOH43604260612827SKILLED NURSING FACILITYDE$759,722$351,546HCR III HEALTHCARE LLC
MANOR CARE OF NORTH OLMSTED OH LLC
333 N SUMMIT STTOLEDOOH43604260610082SKILLED NURSING FACILITYDE$3,453,034$800,733HCR IV HEALTHCARE LLC
MANOR CARE OF NORTHBROOK IL LLC
333 N SUMMIT STTOLEDOOH43604260618960SKILLED NURSING FACILITYDE$3,806,340$823,205HCR IV HEALTHCARE LLC
MANOR CARE OF OAK LAWN (EAST) IL LLC
333 N SUMMIT STTOLEDOOH43604260615929SKILLED NURSING FACILITYDE$6,060,268$2,464,476HCR IV HEALTHCARE LLC
MANOR CARE OF OAK LAWN (WEST) IL LLC
333 N SUMMIT STTOLEDOOH43604260616038SKILLED NURSING FACILITYDE$6,401,108$2,358,084HCR IV HEALTHCARE LLC
MANOR CARE OF OKLAHOMA CITY (SOUTHWEST) LLC
333 N SUMMIT STTOLEDOOH43604260610197SKILLED NURSING FACILITYDE-$187$59,718HCR III HEALTHCARE LLC
MANOR CARE OF PALM DESERT CA LLC
333 N SUMMIT STTOLEDOOH43604260623221SKILLED NURSING FACILITYDE$8,725,576$2,816,692HCR IV HEALTHCARE LLC
MANOR CARE OF PALM HARBOR FL LLC
333 N SUMMIT STTOLEDOOH43604260624018SKILLED NURSING FACILITYDE$8,358,111$2,209,486HCR III HEALTHCARE LLC
MANOR CARE OF PALOS HEIGHTS (WEST) IL LLC
333 N SUMMIT STTOLEDOOH43604260618879SKILLED NURSING FACILITYDE$4,906,373$865,076HCR IV HEALTHCARE LLC
MANOR CARE OF PALOS HEIGHTS IL LLC
333 N SUMMIT STTOLEDOOH43604260615889SKILLED NURSING FACILITYDE$8,380,350$2,453,909HCR IV HEALTHCARE LLC
MANOR CARE OF PARMA OH LLC
333 N SUMMIT STTOLEDOOH43604260609661SKILLED NURSING FACILITYDE$4,272,062$1,422,233HCR IV HEALTHCARE LLC
MANOR CARE OF PINEHURST NC LLC
333 N SUMMIT STTOLEDOOH43604260612589SKILLED NURSING FACILITYDE-$4,600$182,229HCR III HEALTHCARE LLC
MANOR CARE OF PLANTATION FL LLC
333 N SUMMIT STTOLEDOOH43604260624255SKILLED NURSING FACILITYDE$1,545,895$142,037HCR III HEALTHCARE LLC
MANOR CARE OF POTOMAC MD LLC
333 N SUMMIT STTOLEDOOH43604260620187SKILLED NURSING FACILITYDE$8,243,687$2,742,571HCR III HEALTHCARE LLC
MANOR CARE OF POTTSTOWN PA LLC
333 N SUMMIT STTOLEDOOH43604260615421SKILLED NURSING FACILITYDE$4,476,317$2,278,769HCR III HEALTHCARE LLC
MANOR CARE OF POTTSVILLE PA LLC
333 N SUMMIT STTOLEDOOH43604260615453SKILLED NURSING FACILITYDE$4,690,643$2,813,544HCR III HEALTHCARE LLC
MANOR CARE OF RENO NV LLC
333 N SUMMIT STTOLEDOOH43604260613035SKILLED NURSING FACILITYDE$310,711$554,402HCR IV HEALTHCARE LLC
MANOR CARE OF ROLLING MEADOWS IL LLC
333 N SUMMIT STTOLEDOOH43604260619150SKILLED NURSING FACILITYDE$2,320,805$443,823HCR IV HEALTHCARE LLC
MANOR CARE OF SAN ANTONIO (NORTH) TX LLC
333 N SUMMIT STTOLEDOOH43604260623600SKILLED NURSING FACILITYDE-$768$0HCR IV HEALTHCARE LLC
MANOR CARE OF SHAWANO WI LLC
333 N SUMMIT STTOLEDOOH43604260624831SKILLED NURSING FACILITYDE$0$0HCR III HEALTHCARE LLC
MANOR CARE OF SILVER SPRING MD LLC
333 N SUMMIT STTOLEDOOH43604260620058SKILLED NURSING FACILITYDE$6,119,659$1,749,854HCR III HEALTHCARE LLC
MANOR CARE OF SINKING SPRING PA LLC
333 N SUMMIT STTOLEDOOH43604260621908SKILLED NURSING FACILITYDE$7,356,904$3,785,117HCR III HEALTHCARE LLC
MANOR CARE OF SOUTH HOLLAND IL LLC
333 N SUMMIT STTOLEDOOH43604260615010SKILLED NURSING FACILITYDE$4,171,065$838,906HCR IV HEALTHCARE LLC
MANOR CARE OF SOUTH OGDEN UT LLC
333 N SUMMIT STTOLEDOOH43604260624547SKILLED NURSING FACILITYDE$0$3,614HCR IV HEALTHCARE LLC
MANOR CARE OF SPOKANE WA LLC
333 N SUMMIT STTOLEDOOH43604260624687SKILLED NURSING FACILITYDE$4,836,326$1,587,647HCR IV HEALTHCARE LLC
MANOR CARE OF SPRINGFIELD MO LLC
333 N SUMMIT STTOLEDOOH43604260612506SKILLED NURSING FACILITYDE$208,554$583,711HCR III HEALTHCARE LLC
MANOR CARE OF SUNBURY PA LLC
333 N SUMMIT STTOLEDOOH43604260615499SKILLED NURSING FACILITYDE$4,238,474$2,354,700HCR III HEALTHCARE LLC
MANOR CARE OF SUNNYVALE CA LLC
333 N SUMMIT STTOLEDOOH43604260623034SKILLED NURSING FACILITYDE$8,096,075$2,407,414HCR IV HEALTHCARE LLC
MANOR CARE OF TACOMA WA LLC
333 N SUMMIT STTOLEDOOH43604260624696SKILLED NURSING FACILITYDE$6,205,419$1,840,600HCR IV HEALTHCARE LLC
MANOR CARE OF TOPEKA KS LLC
333 N SUMMIT STTOLEDOOH43604260619810SKILLED NURSING FACILITYDE$2,550,889$441,601HCR IV HEALTHCARE LLC
MANOR CARE OF TOWSON LLC
333 N SUMMIT STTOLEDOOH43604260620456SKILLED NURSING FACILITYDE$5,612,691$1,743,016HCR III HEALTHCARE LLC
MANOR CARE OF TUCSON AZ LLC
333 N SUMMIT STTOLEDOOH43604260622500SKILLED NURSING FACILITYDE$0$0HCR IV HEALTHCARE LLC
MANOR CARE OF TULSA OK LLC
333 N SUMMIT STTOLEDOOH43604260610215SKILLED NURSING FACILITYDE-$14$103,422HCR III HEALTHCARE LLC
MANOR CARE OF VENICE FL LLC
333 N SUMMIT STTOLEDOOH43604260624092SKILLED NURSING FACILITYDE$5,567,619$1,802,710HCR III HEALTHCARE LLC
MANOR CARE OF VOORHEES NJ LLC
333 N SUMMIT STTOLEDOOH43604260612955SKILLED NURSING FACILITYDE$4,509,313$1,568,960HCR III HEALTHCARE LLC
MANOR CARE OF W PALM BEACH FL LLC
333 N SUMMIT STTOLEDOOH43604260624142SKILLED NURSING FACILITYDE$4,543,083$1,356,189HCR III HEALTHCARE LLC
MANOR CARE OF WALNUT CREEK CA LLC
333 N SUMMIT STTOLEDOOH43604260623196SKILLED NURSING FACILITYDE$9,766,923$3,370,555HCR IV HEALTHCARE LLC
MANOR CARE OF WATERLOO IA LLC
333 N SUMMIT STTOLEDOOH43604260624363SKILLED NURSING FACILITYDE$3,112,911$1,058,995HCR III HEALTHCARE LLC
MANOR CARE OF WEBSTER TX LLC
333 N SUMMIT STTOLEDOOH43604260623637SKILLED NURSING FACILITYDE$1,703$24,880HCR IV HEALTHCARE LLC
MANOR CARE OF WEST DES MOINES IA LLC
333 N SUMMIT STTOLEDOOH43604260624438SKILLED NURSING FACILITYDE$2,899,506$849,477HCR III HEALTHCARE LLC
MANOR CARE OF WEST READING PA LLC
333 N SUMMIT STTOLEDOOH43604260615529SKILLED NURSING FACILITYDE$5,915,278$2,982,491HCR III HEALTHCARE LLC
MANOR CARE OF WESTERVILLE OH LLC
333 N SUMMIT STTOLEDOOH43604260609626SKILLED NURSING FACILITYDE$5,153,032$1,096,790HCR IV HEALTHCARE LLC
MANOR CARE OF WESTMONT IL LLC
333 N SUMMIT STTOLEDOOH43604260619027SKILLED NURSING FACILITYDE$2,351,565$246,188HCR IV HEALTHCARE LLC
MANOR CARE OF WHEATON MD LLC
333 N SUMMIT STTOLEDOOH43604260620376SKILLED NURSING FACILITYDE$4,489,867$1,262,691HCR III HEALTHCARE LLC
MANOR CARE OF WICHITA KS LLC
333 N SUMMIT STTOLEDOOH43604260619870SKILLED NURSING FACILITYDE$1,675,180$702,882HCR IV HEALTHCARE LLC
MANOR CARE OF WILLIAMSPORT PA (NORTH) LLC
333 N SUMMIT STTOLEDOOH43604260621747SKILLED NURSING FACILITYDE$4,311,268$2,265,326HCR III HEALTHCARE LLC
MANOR CARE OF WILLIAMSPORT PA (SOUTH) LLC
333 N SUMMIT STTOLEDOOH43604260621778SKILLED NURSING FACILITYDE$3,111,291$1,861,434HCR III HEALTHCARE LLC
MANOR CARE OF WILLOUGHBY OH LLC
333 N SUMMIT STTOLEDOOH43604260610097SKILLED NURSING FACILITYDE$4,931,002$1,588,985HCR IV HEALTHCARE LLC
MANOR CARE OF WILMETTE IL LLC
333 N SUMMIT STTOLEDOOH43604260615773SKILLED NURSING FACILITYDE$7,148$0HCR IV HEALTHCARE LLC
MANOR CARE OF WILMINGTON DE LLC
333 N SUMMIT STTOLEDOOH43604260623367SKILLED NURSING FACILITYDE$6,269,461$2,024,956HCR III HEALTHCARE LLC
MANOR CARE OF WINTER PARK FL LLC
333 N SUMMIT STTOLEDOOH43604362899194SKILLED NURSING FACILITYDE$1,285,200$238,061WINTER PARK NURSING CENTER LLC
MANOR CARE OF YARDLEY PA LLC
333 N SUMMIT STTOLEDOOH43604260614171SKILLED NURSING FACILITYDE$6,933,272$3,359,755HCR III HEALTHCARE LLC
MANOR CARE OF YEADON PA LLC
333 N SUMMIT STTOLEDOOH43604260621815SKILLED NURSING FACILITYDE$7,422,114$3,687,025HCR III HEALTHCARE LLC
MANOR CARE OF YORK PA (NORTH) LLC
333 N SUMMIT STTOLEDOOH43604260622887SKILLED NURSING FACILITYDE$5,812,804$2,665,126HCR III HEALTHCARE LLC
MANOR CARE OF YORK PA (SOUTH) LLC
333 N SUMMIT STTOLEDOOH43604260622947SKILLED NURSING FACILITYDE$5,932,573$2,707,165HCR III HEALTHCARE LLC
MANOR CARE REHABILITATION CENTER OF DECATUR GA LLC
333 N SUMMIT STTOLEDOOH43604260624293OUTPATIENT REHABILITATIONDE$6,067,369$2,131,599HCR III HEALTHCARE LLC
MANOR CARE-BELDEN VILLAGE OF CANTON OH LLC
333 N SUMMIT STTOLEDOOH43604260613074SKILLED NURSING FACILITYDE$2,353,891$510,937HCR IV HEALTHCARE LLC
MANOR CARE-CARROLLWOOD OF TAMPA FL LLC
333 N SUMMIT STTOLEDOOH43604260624118SKILLED NURSING FACILITYDE$1,602,031$235,023HCR III HEALTHCARE LLC
MANOR CARE-DULANEY MD LLC
333 N SUMMIT STTOLEDOOH43604260619923SKILLED NURSING FACILITYDE-$13,642$673,160HCR III HEALTHCARE LLC
MANOR CARE-EUCLID BEACH OF CLEVELAND OH LLC
333 N SUMMIT STTOLEDOOH43604260609550SKILLED NURSING FACILITYDE$3,844,163$681,162HCR IV HEALTHCARE LLC
MANOR CARE-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT STTOLEDOOH43604260624605SKILLED NURSING FACILITYDE$5,356,088$1,638,625HCR IV HEALTHCARE LLC
MANOR CARE-GREENTREE OF PITTSBURGH PA LLC
333 N SUMMIT STTOLEDOOH43604260622713SKILLED NURSING FACILITYDE$7,006,292$2,539,023HCR III HEALTHCARE LLC
MANOR CARE-IMPERIAL OF RICHMOND VA LLC
333 N SUMMIT STTOLEDOOH43604260624643SKILLED NURSING FACILITYDE$5,024,471$1,676,365HCR IV HEALTHCARE LLC
MANOR CARE-KINGSTON COURT OF YORK PA LLC
333 N SUMMIT STTOLEDOOH43604260610561SKILLED NURSING FACILITYDE$5,380,550$2,328,848HCR III HEALTHCARE LLC
MANOR CARE-LANSDALE OF MONTGOMERYVILLE PA LLC
333 N SUMMIT STTOLEDOOH43604260614451SKILLED NURSING FACILITYDE$5,571,413$2,799,865HCR III HEALTHCARE LLC
MANOR CARE-LARGO MD LLC
333 N SUMMIT STTOLEDOOH43604260620266SKILLED NURSING FACILITYDE$5,297,867$2,044,403HCR III HEALTHCARE LLC
MANOR CARE- LELY PALMS OF NAPLES FL (SH) LLC
333 N SUMMIT STTOLEDOOH43604260625295ASSISTED LIVING FACILITYDE$2,687,841$681,478HCR III HEALTHCARE LLC
MANOR CARE-LINDEN VILLAGE OF LEBANON PA LLC
333 N SUMMIT STTOLEDOOH43604260621960SKILLED NURSING FACILITYDE$1,183,605$119,892HCR III HEALTHCARE LLC
MANOR CARE-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT STTOLEDOOH43604260610604SKILLED NURSING FACILITYDE$6,977,380$2,528,473HCR III HEALTHCARE LLC
MANOR CARE-PIKE CREEK OF WILMINGTON DE LLC
333 N SUMMIT STTOLEDOOH43604260623346SKILLED NURSING FACILITYDE$8,477,987$2,961,737HCR III HEALTHCARE LLC
MANOR CARE-ROCKY RIVER OF CLEVELAND OH LLC
333 N SUMMIT STTOLEDOOH43604260610139SKILLED NURSING FACILITYDE-$5,495$12,548HCR IV HEALTHCARE LLC
MANOR CARE-ROLAND PARK MD LLC
333 N SUMMIT STTOLEDOOH43604260620341SKILLED NURSING FACILITYDE$4,889,032$1,968,398HCR III HEALTHCARE LLC
MANOR CARE-ROSSVILLE MD LLC
333 N SUMMIT STTOLEDOOH43604260620310SKILLED NURSING FACILITYDE$6,449,428$2,827,548HCR III HEALTHCARE LLC
MANOR CARE-RUXTON MD LLC
333 N SUMMIT STTOLEDOOH43604260620431SKILLED NURSING FACILITYDE$7,956,409$3,413,366HCR III HEALTHCARE LLC
MANOR CARE-SHARPVIEW OF HOUSTON TX LLC
333 N SUMMIT STTOLEDOOH43604260623656SKILLED NURSING FACILITYDE-$650$0HCR IV HEALTHCARE LLC
MANOR CARE-STRATFORD HALL OF RICHMOND VA LLC
333 N SUMMIT STTOLEDOOH43604260624664SKILLED NURSING FACILITYDE$6,565,257$2,122,703HCR IV HEALTHCARE LLC
MANOR CARE-SUMMER TRACE OF CARMEL IN LLC
333 N SUMMIT STTOLEDOOH43604260619716SKILLED NURSING FACILITYDE$3,431,906$1,120,512HCR IV HEALTHCARE LLC
MANOR CARE-TICE VALLEY CA LLC
333 N SUMMIT STTOLEDOOH43604260622591SKILLED NURSING FACILITYDE$8,037,193$2,763,872HCR IV HEALTHCARE LLC
MANOR CARE-WEST DEPTFORD OF PAULSBORO NJ LLC
333 N SUMMIT STTOLEDOOH43604260612993SKILLED NURSING FACILITYDE$5,816,269$1,685,649HCR III HEALTHCARE LLC
MANOR CARE-WOODBRIDGE VALLEY MD LLC
333 N SUMMIT STTOLEDOOH43604260620223SKILLED NURSING FACILITYDE-$3,853$366,641HCR III HEALTHCARE LLC
MANOR CARE OF OVERLAND PARK KS LLC
333 N SUMMIT STTOLEDOOH43604260619843SKILLED NURSING FACILITYDE$0$29,038HCR IV HEALTHCARE LLC
MEDICAL CARE CENTER-LYNCHBURG VA LLC
333 N SUMMIT STTOLEDOOH43604260624567SKILLED NURSING FACILITYDE$3,848,309$1,169,941HCR IV HEALTHCARE LLC
OAKMONT EAST-GREENVILLE SC LLC
333 N SUMMIT STTOLEDOOH43604260623316SKILLED NURSING FACILITYDE$3,744,385$1,162,696HCR III HEALTHCARE LLC
OAKMONT OF UNION SC LLC
333 N SUMMIT STTOLEDOOH43604260623208SKILLED NURSING FACILITYDE$3,383,194$1,137,734HCR III HEALTHCARE LLC
OAKMONT WEST-GREENVILLE SC LLC
333 N SUMMIT STTOLEDOOH43604260623335SKILLED NURSING FACILITYDE$4,185,275$1,242,794HCR III HEALTHCARE LLC
OLD ORCHARD HEALTH CARE CENTER-EASTON PA LLC
333 N SUMMIT STTOLEDOOH43604260623007SKILLED NURSING FACILITYDE$7,642,801$3,674,733HCR III HEALTHCARE LLC
PERRYSBURG COMMONS SENIOR HOUSING-PERRYSBURG OH LLC
333 N SUMMIT STTOLEDOOH43604260623264ASSISTED LIVING FACILITYDE$1,043,257$191,375HCR IV HEALTHCARE LLC
SHADYSIDE NURSING AND REHABILITATION CENTER-PITTSBURGH PA LLC
333 N SUMMIT STTOLEDOOH43604260610325SKILLED NURSING FACILITYDE$5,128,889$1,809,040HCR III HEALTHCARE LLC
SKY VUE TERRACE-PITTSBURGH PA LLC
333 N SUMMIT STTOLEDOOH43604260610347SKILLED NURSING FACILITYDE$3,300,600$1,163,693HCR III HEALTHCARE LLC
SPRINGHOUSE OF PIKESVILLE MD LLC
333 N SUMMIT STTOLEDOOH43604260620079SKILLED NURSING FACILITYDE$1,278,636$217,578HCR III HEALTHCARE LLC
TWINBROOK MEDICAL CENTER-ERIE PA LLC
333 N SUMMIT STTOLEDOOH43604260610373SKILLED NURSING FACILITYDE-$3,514$94,025HCR III HEALTHCARE LLC
WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA LLC
333 N SUMMIT STTOLEDOOH43604260610542SKILLED NURSING FACILITYDE$7,751,617$3,651,622HCR III HEALTHCARE LLC
WEST ASHLEY REHABILITATION AND NURSING CENTER-CHARLESTON SC LLC
333 N SUMMIT STTOLEDOOH43604260623364SKILLED NURSING FACILITYDE$3,774,027$1,461,347HCR III HEALTHCARE LLC
WHITEHALL BOROUGH-PITTSBURGH PA LLC
333 N SUMMIT STTOLEDOOH43604260622805SKILLED NURSING FACILITYDE$7,185,892$2,413,868HCR III HEALTHCARE LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DROREGONOH43616341883132HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
274 E CHICAGO STCOLDWATERMI49036386108110HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
DEFIANCE HOSPITAL INC
1200 RALSTONDEFIANCEOH43512344446484HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVEADRIANMI49221382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI49221382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIEMMA L BIXBY MEDICAL CENTERYes (1)
FLOWER HOSPITAL
5200 HARROUN RDSYLVANIAOH43560344428794HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN STREETFOSTORIAOH44830340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10FOSTORIA HOSPITAL ASSOCIATIONYes (1)
HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5TOLEDOOH43604825373223SKILLED NURSING FACILITIESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIHERRICK MEMORIAL HOSPITAL INCYes (1)
HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE STTECUMSEHMI49286383049015HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
KAITLYN'S COTTAGE INC
1260 RALSTON AVEDEFIANCEOH43512454781053RESPITE CAREOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
LENAWEE LONG TERM CARE
700 LAKESHIRE TRADRIANMI49221382879330LONG TERM CAREMI501(C)(3)10EMMA L BIXBY MEDICAL CENTERYes (1)
MEMORIAL HOSPITAL
715 SOUTH TAFT AVEFREMONTOH43420344430849HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMBMONROEMI48162381984289HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MONROE CANCER CENTER
800 STEWART RDMONROEMI48162271302183CANCER CENTERMI501(C)(3)10MERCY MEMORIAL HOSPITAL CORPORATIONYes (1)
MONROE COMMUNITY HEALTH SERVICES
718 N MACOMBMONROEMI48162382934134LONG TERM CAREMI501(C)(3)10MERCY MEMORIAL HOSPITAL CORPORATIONYes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIRMAUMEEOH43537203376102HEALTH INSURANCEOH501(C)(3)10PROMEDICA INSURANCE CORP INC AND SUBSIDIARIESYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVETOLEDOOH43604344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)10PROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVETOLEDOOH43604341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVETOLEDOOH43606260324790COURIER SERVICEOH501(C)(3)12B, IIPROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672FOUNDATIONOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671PARENT COMPANY OF HEALTH SYSTEMOH501(C)(3)12B, II0N/A
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIAN GROUP
100 MADISON AVETOLEDOOH43604341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREETTOLEDOOH43624344427949SKILLED HOME CAREOH501(C)(3)10PROMEDICA CONTINUUM SERVICESYes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE STSYLVANIAOH43560341831624HOSPICE HOME CAREOH501(C)(3)10PROMEDICA CONTINUUM SERVICESYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
REYNOLDS ROAD SURGICAL CENTER LLC
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$776,837$2,023,248000.74380
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVETOLEDOOH43604260679898MEDICAL DIAGNOSTICSOHTHE TOLEDO HOSPITALRELATED$336,554$952,999000.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$359,382$3,292,1020Yes (1)0.50000
PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
100 MADISON AVETOLEDOOH43604461989695PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCRELATED$819,457$742,776000.51430
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVEFREMONTOH43420204066818REAL ESTATEOHMEMORIAL HOSPITALRELATED$5,652$290,844000.50000
SURGICAL INSTITUTE OF MONROE LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIPROMEDICA CONTINUUM SERVICESRELATED-$210,859$3,336,375000.55990
PROMEDICA MASTER TENANT LLC
100 MADISON AVETOLEDOOH43604475288490REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED-$8,484$99,0420Yes (1)0.01000
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVETOLEDOOH43604473163945REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED-$361,523$42,429,9860Yes (1)0.90000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220TOLEDOOH43615475603627INVESTMENT FUNDOHPROMEDICA HEALTH SYSTEM INCRELATED-$17,026$833,243000.66660
KAPIOS LLC
2865 N REYNOLDS RDTOLEDOOH43615812624635SOFTWARE DEVELOPMENTOHPROMEDICA HEALTH SYSTEM INCUNRELATED-$252,106$366,573001.00000
HCRMC-PROMEDICA JV LLC
333 N SUMMIT STREETTOLEDOOH43604461343453NURSING AND REHAB SERVICESDEMANORCARE HEALTH SERVICES OF TOLEDO OH LLCRELATED-$214,736$11,761,1420Yes (1)0.91210
MERCYMANOR PARTNERSHIP
PO BOX 10086 ATTN TAX-5TOLEDOOH43604521931012SKILLED NURSINGPAMANOR CARE OF DELAWARE COUNTY LLCRELATED$2,161,826$124,7990Yes (1)0.50000
NORMAN SPECIALTY HOSPITAL LLC
PO BOX 10086 ATTN TAX-5TOLEDOOH43604421627672HEALTH CAREDEMANORCARE HEALTH SERVICES OF OKLAHOMA LLCRELATED-$113,6900Yes (1)0.60500
PROMEDICA PATHOLOGY LABORATORIES LLC
2130 W CENTRAL AVE STE 300TOLEDOOH43606831022842CLINICAL LABORATORYDETHE TOLEDO HOSPITALRELATED$711,991$42,273,516000.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERC$76,263$1,011,2611.00000Yes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVETOLEDOOH43604383322278PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC-$7,573,074$7,815,8121.00000Yes (1)
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHPROMEDICA HEALTH SYSTEM INCC$75,748,553$395,567,1141.00000Yes (1)
PROMEDICA NORTH PHYSICIANS CORPORATION
100 MADISON AVETOLEDOOH43604383482148PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC$149,1341.00000Yes (1)
PROMEDICA RETAIL GROUP INC
3890 MONROE STTOLEDOOH43606341159928FLORISTOHPROMEDICA CONTINUUM SERVICESC-$265,124$965,5811.00000Yes (1)
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMIHERRICK MEMORIAL DEVELOPMENT CORPC$73$54,7730.71800Yes (1)
PROMEDICA HEALTH NETWORK INC
100 MADISON AVETOLEDOOH43604474006496PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCC-$306,751$83,5461.00000Yes (1)
MONROE HEALTH VENTURES
718 N MACOMBMONROEMI48164382704426PHARMACYMIMERCY MEMORIAL HOSPITAL CORPORATIONC1.00000Yes (1)
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVETOLEDOOH43604475168737REAL ESTATEOHPROMEDICA HEALTH SYSTEM INCC-$12,740$31,358,2111.00000Yes (1)
MANOR CARE INSURANCE INC
PO BOX 10086 ATTN TAX-5TOLEDOOH43604980428947INSURANCEUTHCR HEALTHCARE LLCC$71,248$27,797,5721.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1REYNOLDS ROAD SURGICAL CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeATransactionTypeTxt
Involved$157,500InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt