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EMMA L BIXBY MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
EMMA L BIXBY MEDICAL CENTER (EIN 38-2796005)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201943199349303224
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)
EIN382796005EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMMA L BIXBY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEMMABusinessNameControlTxt
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 Tm20:11:11IPTm
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 BIXBY 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$157,325,917GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionEMMA L. BIXBY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT PROVIDES HEALTHCARE SERVICES PRIMARILY TO INDIVIDUALS OF LENAWEE COUNTY.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee717TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,816,044PYContributionsGrantsAmt
CY Contributions Grants$812,214CYContributionsGrantsAmt
PY Program Service Revenue$86,077,437PYProgramServiceRevenueAmt
CY Program Service Revenue$83,388,680CYProgramServiceRevenueAmt
PY Investment Income$8,377,359PYInvestmentIncomeAmt
CY Investment Income$7,331,185CYInvestmentIncomeAmt
PY Other Revenue$1,755,742PYOtherRevenueAmt
CY Other Revenue$1,802,815CYOtherRevenueAmt
PY Total Revenue$98,026,582PYTotalRevenueAmt
CY Total Revenue$93,334,894CYTotalRevenueAmt
PY Grants And Similar Paid$6,937,037PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,031,288CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,042,568PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,027,660CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,186,111PYOtherExpensesAmt
CY Other Expenses$40,979,831CYOtherExpensesAmt
PY Total Expenses$91,165,716PYTotalExpensesAmt
CY Total Expenses$85,038,779CYTotalExpensesAmt
PY Revenues Less Expenses$6,860,866PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,296,115CYRevenuesLessExpensesAmt
Total Assets BOY$141,858,745TotalAssetsBOYAmt
Total Assets EOY$186,172,015TotalAssetsEOYAmt
Total Liabilities BOY$26,488,173TotalLiabilitiesBOYAmt
Total Liabilities EOY$83,358,217TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$115,370,572NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$102,813,798NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionEMMA L. BIXBY MEDICAL CENTER IS DEDICATED TO IMPROVING HUMAN LIFE AND DEVOTED TO THE PATIENTS AND FAMILIES WE SERVE THROUGH INNOVATIVE CARE, SUPERIOR QUALITY AND PREMIER CUSTOMER SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$72,295,559ExpenseAmt
Grant$6,031,288GrantAmt
Revenue$82,591,716RevenueAmt
DescEMMA L. BIXBY MEDICAL CENTER 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$1,293,025ExpenseAmt
DescCONSISTENT WITH OUR MISSION, EMMA L. BIXBY MEDICAL CENTER 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$3,456,416ExpenseAmt
Revenue$1,556,687RevenueAmt
DescCONSISTENT WITH OUR MISSION, EMMA L. BIXBY MEDICAL CENTER PROVIDES ADDITIONAL COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONAL EDUCATION, AND CASH AND IN-KIND DONATIONS. - SEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$77,045,000TotalProgramServiceExpensesAmt
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee717EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name 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 (42 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
BARBARA A MITZEL
TRUSTEE1.001.00Yes (X)$0$0$0
BARBARA J PETEE
TRUSTEE1.0041.00Yes (X)$0$510,525$27,992
EMORY M SCHMIDT
CHAIRPERSON (THRU 01/30/18)1.009.00Yes (X)$0$0$0Yes (X)
GRACE M GARNO
TRUSTEE1.001.00Yes (X)$0$0$0
JAMES D PHILP
TRUSTEE1.001.00Yes (X)$0$0$0
JULIE K YAROCH DO
PRESIDENT, EX OFFICIO1.0041.00Yes (X)$0$361,789$41,134Yes (X)
KELLY M COFFIN
TRUSTEE1.001.00Yes (X)$0$0$0
KEVIN C WEBB PHD
EX OFFICIO1.0055.00Yes (X)$0$825,525$58,089
L CHARLES FORCE
TRUSTEE1.001.00Yes (X)$0$0$0
MARCY L BROWN
CHAIRPERSON (BEG 01/30/18)1.002.00Yes (X)$0$0$0Yes (X)
MICHAEL J UCKELE
TRUSTEE1.001.00Yes (X)$0$0$0
MICHAEL R HERR DVM
TRUSTEE1.001.00Yes (X)$0$0$0
MICHAEL R OLSAVER
TRUSTEE1.001.00Yes (X)$0$0$0
PAUL E GIETZEN MD
TRUSTEE1.0041.00Yes (X)$0$302,712$42,143
PAULA K HOLTZ
EX OFFICIO1.001.00Yes (X)$0$0$0
ROBERT L VOGEL
TRUSTEE1.001.00Yes (X)$0$0$0
ROBIN L WHITNEY
TRUSTEE1.0041.00Yes (X)$0$339,412$36,285
RUSSELL L DEMPSEY
TRUSTEE1.001.00Yes (X)$0$0$0
SAMANTHA M MUCHA MD
TRUSTEE1.0041.00Yes (X)$11,667$682,441$51,593
STACEY L BOCK
TRUSTEE1.0040.50Yes (X)$0$253,813$50,649
VICTOR J CHERFAN DO
TRUSTEE1.0041.00Yes (X)$43,000$517,820$44,259
WILLIAM B NOE
TRUSTEE1.001.00Yes (X)$0$0$0
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)
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)
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)
KATHRYN M GREENLEE
VP, CLINICAL SERVICES0.5040.50$0$205,009$211,217Yes (X)
KENT E BISHOP MD
CXO AND 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)
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)
JADE PFUND
CLINICAL PHARMACIST40.000.00$120,048$0$14,828Yes (X)
JENNIFER FOSS
DIRECTOR, PHARMACY40.000.00$131,418$0$42,964Yes (X)
KAITLYN ANDRIES
PHARMACIST40.000.00$124,066$0$3,120Yes (X)
MELISSA THOMPSON
PHARMACIST40.000.00$125,621$0$18,220Yes (X)
RONDA WINANS
ASSOCIATE VP, OPERATIONS40.000.00$136,555$0$19,363Yes (X)
ALAN M SATTLER
FORMER OFFICER0.0040.00$0$162,522$54,541Yes (X)
KATHLEEN S HANLEY
FORMER OFFICER0.000.00$0$1,569,411$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$692,375TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,994,772TotReportableCompRltdOrgAmt
Total Other Compensation$1,537,409TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
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
INDIGO HOSPITAL MEDICINE
10850 TRAVERSE HWY 4400TRAVERSE CITYMI49684LOCUM TENENS$3,410,064
HKS INC
1919 MCKINNEY AVEDALLASTX75201DESIGN ARCHITECTURAL$3,117,978
BIXBY ANESTHESIA ASSOCIATES PC
818 RIVERSIDE AVEADRIANMI49221ANESTHESIA SERVICES$921,833
MEDICAL SOLUTIONS INC
1010 N 102ND ST STE 300OMAHANE68114AGENCY STAFFING$758,896
UNDERWOOD NURSERY LLC
4373 N ADRIAN HWY M-52ADRIANMI49221LANDSCAPE/NURSERY SERVICE$372,248
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$175,593RelatedOrganizationsAmt
Government Grants$385,656GovernmentGrantsAmt
All Other Contributions$250,965AllOtherContributionsAmt
Noncash Contributions$67,862NoncashContributionsAmt
Total Contributions$812,214TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$80,770,487$80,770,487
RESIDENT SERVICES FEES623110$2,002,276$2,002,276
AFFIL. ORG. RENT REV.531120$615,917$615,917
FieldValueIRS element (for citing)
Total Program Service Revenue$83,388,680TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,452,841TotalRevenueColumnAmt
Exclusion$2,452,841ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,505TotalRevenueColumnAmt
Exclusion$23,505ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$259,727RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$173,646RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$86,081RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,081TotalRevenueColumnAmt
Exclusion$86,081ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$68,695,721SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$63,817,377SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,878,344SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,878,344TotalRevenueColumnAmt
Exclusion$4,878,344ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
ER MEDICAL PROF. SVCS.621493$1,262,157$1,262,157
DIETARY AND CAFETERIA722514$195,279$195,279
SCHOOL PHYSICIALS900099$113,483$113,483

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,310TotalRevenueColumnAmt
Exclusion$122,310ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,693,229OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,334,894TotalRevenueColumnAmt
Related Or Exempt Func Income$84,148,403RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,374,277ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,031,288TotalAmt
Program Services$6,031,288ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$54,667TotalAmt
Management And General$54,667ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,748,531TotalAmt
Program Services$27,058,707ProgramServicesAmt
Management And General$3,689,824ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$241,005TotalAmt
Program Services$212,084ProgramServicesAmt
Management And General$28,921ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,681,950TotalAmt
Program Services$4,120,116ProgramServicesAmt
Management And General$561,834ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,301,507TotalAmt
Program Services$2,025,326ProgramServicesAmt
Management And General$276,181ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$416TotalAmt
Management And General$416ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$127,190TotalAmt
Management And General$127,190ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,592TotalAmt
Management And General$47,592ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$11,647TotalAmt
Management And General$11,647ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$253,290TotalAmt
Management And General$253,290ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,004,026TotalAmt
Program Services$11,280,183ProgramServicesAmt
Management And General$723,843ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$319,100TotalAmt
Program Services$12,764ProgramServicesAmt
Management And General$306,336ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$800,794TotalAmt
Program Services$616,611ProgramServicesAmt
Management And General$184,183ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$366,621TotalAmt
Management And General$366,621ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,990,792TotalAmt
Program Services$1,931,068ProgramServicesAmt
Management And General$59,724ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$174,330TotalAmt
Program Services$83,678ProgramServicesAmt
Management And General$90,652ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$384,701TotalAmt
Program Services$384,701ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,913,305TotalAmt
Program Services$3,482,841ProgramServicesAmt
Management And General$430,464ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$600,303TotalAmt
Program Services$534,270ProgramServicesAmt
Management And General$66,033ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$7,084,212$7,084,212
INTERCOMPANY SERVICES$4,064,269$3,617,199$447,070
DRUGS$3,974,670$3,974,670
PROVIDER TAXES$2,953,349$2,953,349

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,909,224TotalAmt
Program Services$1,641,933ProgramServicesAmt
Management And General$267,291ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$85,038,779TotalAmt
Program Services$77,045,000ProgramServicesAmt
Management And General$7,993,779ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,375,473BOYAmt
EOY$13,785,339EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,745,541BOYAmt
EOY$9,900,523EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,362,574BOYAmt
EOY$1,509,749EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$180,412BOYAmt
EOY$157,662EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$124,061,065LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$77,416,052LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,532,124BOYAmt
EOY$46,645,013EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$86,689,578BOYAmt
EOY$101,097,640EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$648,529BOYAmt
EOY$736,458EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,324,514BOYAmt
EOY$12,339,631EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$141,858,745BOYAmt
EOY$186,172,015EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,786,488BOYAmt
EOY$9,629,930EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,701,685BOYAmt
EOY$73,728,287EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,488,173BOYAmt
EOY$83,358,217EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$108,904,033BOYAmt
EOY$95,093,536EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,195,603BOYAmt
EOY$7,030,472EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,270,936BOYAmt
EOY$689,790EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$115,370,572BOYAmt
EOY$102,813,798EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$141,858,745BOYAmt
EOY$186,172,015EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,296,115ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,888,689NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$13,964,200OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

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$11,647OtherActivitiesAmt
Total Lobbying Expenditures$11,647TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,436,934BeginningYearBalanceAmt
Investment Earnings Or Losses-$8,628InvestmentEarningsOrLossesAmt
End Year Balance$1,428,306EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,283,984OtherCostOrOtherBasisAmt
Book Value$1,283,984BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,390,596OtherCostOrOtherBasisAmt
Depreciation$18,859,636DepreciationAmt
Book Value$12,530,960BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$324,748OtherCostOrOtherBasisAmt
Depreciation$310,285DepreciationAmt
Book Value$14,463BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,084,455OtherCostOrOtherBasisAmt
Depreciation$29,389,185DepreciationAmt
Book Value$4,695,270BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,977,282OtherCostOrOtherBasisAmt
Depreciation$28,856,946DepreciationAmt
Book Value$28,120,336BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$46,645,013TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$3,572,739
BENEFICIAL INTEREST IN FOUNDATION$7,572,815
ESTIMATED THIRD PARTY PAYOR RECEIVABLE$1,037,594
OTHER RECEIVABLE$156,483
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,339,631TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$7,463,649
ASSET REMEDIATION OBLIGATION$1,433,338
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$4,698,114
INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL$60,133,186
FieldValueIRS element (for citing)
Total Liability$73,728,287TotalLiabilityAmt

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 EMMA L. BIXBY MEDICAL CENTER CONSISTENT WITH DONOR INTENT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$549,827TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$549,827NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,992,791TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,250,020DirectOffsettingRevenueAmt
Net Community Benefit Expns$742,771NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,756TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,329DirectOffsettingRevenueAmt
Net Community Benefit Expns$427NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,544,374TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,251,349DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,293,025NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$991,303TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$239,324DirectOffsettingRevenueAmt
Net Community Benefit Expns$751,979NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,444TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$77,444NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,233,264TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,317,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$915,901NetCommunityBenefitExpnsAmt
Total Expense0.01080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$154,405TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$154,405NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,456,416TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,556,687DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,899,729NetCommunityBenefitExpnsAmt
Total Expense0.02230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,000,790TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,808,036DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,192,754NetCommunityBenefitExpnsAmt
Total Expense0.03750TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,434,783BadDebtExpenseAmt
Bad Debt Expense Attributable$904,583BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,186,023ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$20,212,680CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,026,657MedicareSurplusOrShortfallAmt

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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HERRICK MEMORIAL OFFICE PLAZA CONDO ASSOCIATION
FACILITY SUPPORT0.718000.28200
2 LENAWEE CLINICAL PARTNERS
PHYSICIAN MGMT. SERVICES0.500000.32500
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMMA L BIXBY MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1818 RIVERSIDE AVEAddressLine1Txt
CityADRIANCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49221ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
State License1060000004StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EMMA L BIXBY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/DEFAULT.ASPXOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
EMMA L. BIXBY MEDICAL CENTERPART 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, LENAWEE 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 LENAWEE COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: ADRIAN FARMER'S MARKET, ADRIAN PUBLIC SCHOOLS (HEAD START), AMERICAN CANCER SOCIETY, BOYS & GIRLS CLUB, CATHOLIC CHARITIES, COMMUNITY ACTION AGENCY, FAMILY COUNSELING AND CHILDREN'S SERVICES, FAMILY MEDICAL CENTER, GOODWILL INDUSTRIES, HOPE COMMUNITY CENTER, INTERCONNECTIONS DROP IN CENTER, LENAWEE COMMUNITY FOUNDATION, LENAWEE COMMUNITY MENTAL HEALTH AUTHORITY, LENAWEE COUNTY HEALTH DEPARTMENT, LENAWEE DEPARTMENT ON AGING, LENAWEE GREAT START, LENAWEE DEPARTMENT OF HUMAN SERVICES, LENAWEE INTERMEDIATE SCHOOL DISTRICT, LENAWEE SUBSTANCE ABUSE COALITION, LENAWEE UNITED WAY, MCCULLOUGH, VARGAS & ASSOCIATES, MSU EXTENSION, ONE LENAWEE, PROMEDICA BIXBY HOSPITAL, PROMEDICA HERRICK HOSPITAL, SIENA HEIGHTS, THE CENTRE, THE SALVATION ARMY, YMCA OF LENAWEE, AND PARTICIPATING SCHOOLS IN THE MIPHY SURVEY: BLISSFIELD MIDDLE AND HIGH SCHOOLS, CLINTON HIGH SCHOOL, HUDSON HIGH SCHOOL, MADISON HIGH SCHOOL, ONSTED MIDDLE AND HIGH SCHOOLS, SAND CREEK MIDDLE AND HIGH SCHOOLS, AND TECUMSEH MIDDLE AND HIGH SCHOOLS.
EMMA L. BIXBY MEDICAL CENTERPART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITY: HERRICK MEMORIAL HOSPITAL, INC.
EMMA L. BIXBY MEDICAL CENTERPART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
EMMA L. BIXBY MEDICAL CENTERPART V, SECTION B, LINE 11: EMMA L. BIXBY MEDICAL CENTER CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CANCER - CHRONIC DISEASE PREVENTION THIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019. EMMA L. BIXBY MEDICAL CENTER DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: ASTHMA, OBESITY, TOBACCO USE, ALCOHOL USE, MARIJUANA AND OTHER DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND HEALTH SCREENINGS, ADULT SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ENVIRONMENTAL HEALTH/DISASTER PREPAREDNESS, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, CARDIOVASCULAR HEALTH, DIABETES, AND ORAL HEALTH. EMMA L. BIXBY MEDICAL CENTER DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: CANCERSTRATEGY #1 - CONTINUE PARTICIPATION IN REFERRING PATIENTS THAT QUALIFY TO THE LENAWEE COUNTY HEALTH DEPARTMENT FOR FREE WOMEN'S HEALTH SCREENINGS. ACTIONS TAKEN: - TWO (2) PATIENTS WERE REFERRED FROM EMMA L. BIXBY MEDICAL CENTER TO THE LENAWEE COUNTY HEALTH DEPARTMENT FOR FREE WOMEN'S HEALTH SCREENINGS TO INCREASE THE EARLY DETECTION OF CANCER. AN ADDITIONAL 80 PATIENTS WERE REFERRED FROM HERRICK MEMORIAL HOSPITAL, INC., EMMA L. BIXBY MEDICAL CENTER'S SISTER HOSPITAL IN LENAWEE COUNTY.STRATEGY #2 - PROVIDE HEALTH EDUCATION ON SCREENING AND PREVENTION OF BREAST AND COLORECTAL CANCER IN LENAWEE COUNTY BY TRAINING HAIR STYLISTS TO BE BREAST AND COLORECTAL HEALTH ADVOCATES THROUGH THE DELIVERY OF MESSAGES TO THEIR CUSTOMERS. ACTIONS TAKEN: - EIGHT (8) STYLISTS PARTICIPATED IN EDUCATION AND TRAINING PROGRAMS TO PROVIDE EDUCATION TO THEIR CLIENTS RELATED TO CANCER SCREENINGS TO INCREASE THE EARLY DETECTION OF CANCER. - 800 PIECES OF LITERATURE WERE DISTRIBUTED TO SALONS FOR CUSTOMER OUTREACH EDUCATION TO PROVIDE EDUCATION AND AWARENESS ABOUT CANCER SCREENINGS TO INCREASE THE EARLY DETECTION OF CANCER. HEALTH NEED IDENTIFIED: CHRONIC DISEASE PREVENTION STRATEGY #1 - ANNUAL BLOOD PRESSURE SCREENINGS AND EDUCATION TO BE HELD AT COMMUNITY EVENTS. EARLY DETECTION AND TREATMENT OF HIGH BLOOD PRESSURE WOULD DECREASE THE RISK OF DEATH DUE TO CARDIOVASCULAR DISEASE. ACTIONS TAKEN: - 355 COMMUNITY MEMBERS OBTAINED A BLOOD PRESSURE SCREENING AT COMMUNITY EVENTS. OF THE BLOOD PRESSURE SCREENINGS, 28 WERE HIGH READINGS. THE INDIVIDUAL WAS INSTRUCTED TO CONTACT THEIR PRIMARY CARE PROVIDER (PCP). IF THEY DID NOT HAVE A PCP, THEY WERE LINKED TO FAMILY MEDICAL CENTER FOR FOLLOW-UP. THERE WERE ZERO READINGS REQUIRING EMERGENCY CALLS. AT THE LENAWEE COUNTY FAIR BLOOD PRESSURE SCREENING, EMT'S WERE PRESENT IN THE EVENT THAT AN EMERGENCY READING WAS IDENTIFIED. STRATEGY #2 - GLUCOSE SCREENINGS AND DIABETES EDUCATION EVENTS TO BE HELD AT COMMUNITY EVENTS. ACTIONS TAKEN: - 119 COMMUNITY MEMBERS OBTAINED A GLUCOSE SCREENING AT COMMUNITY EVENTS. GLUCOSE SCREENINGS HAD ZERO THAT WERE DANGEROUSLY HIGH (NOTHING OVER 200). EVA SALISBURY CONFIRMS THAT AT THAT LEVEL, THERE IS NO ACTION REQUIRED. CURRENTLY, IF A HIGH LEVEL IS RECEIVED, A DIETITIAN OR RN AT THE SCREENING TEAM WILL ENCOURAGE THEM TO CONTACT THEIR PRIMARY CARE PHYSICIAN (PCP) AND IF THEY DO NOT HAVE A PCP, THEY CALL FAMILY MEDICAL CENTER TO HAVE THEM SCHEDULE AN APPOINTMENT WITH ONE. WE DISCUSSED THIS PROCESS WITH FAMILY MEDICAL CENTER'S REGIONAL ADMINISTRATOR IN 2018.STRATEGY #3 - HOST STROKE SUPPORT GROUPS FOR THOSE AFFECTED BY THE DISEASE IN OUR COUNTY. ACTIONS TAKEN: - 22 ATTENDEES ATTENDED THE STROKE SUPPORT GROUP HOSTED BY THE HOSPITAL. STROKE SUPPORT GROUP PARTICIPANTS REFLECTS A DUPLICATIVE COUNT. JENNIFER YAPE CONFIRMED THAT SOME MEMBERS RETURN FOR CONSECUTIVE MEETINGS.
EMMA L. BIXBY MEDICAL CENTER:PART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXEMMA L. BIXBY MEDICAL CENTER:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXEMMA L. BIXBY MEDICAL CENTER:PART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX
FieldValueIRS element (for citing)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HICKMAN CANCER CTR
777 KIMOLE LANE SUITE 130ADRIANMI49221CANCER CARE
2 - WOLF CREEK
901 KIMOLE LANEADRIANMI49221LAB
3 - SPORTSCARE AT ADRIAN
1136 COUNTRY CLUB RD SUITE AADRIANMI49221PHYSICAL THERAPY
4 - BLISSFIELD HEALTH CTR
157 WEST BROOKE LANEBLISSFIELDMI49228LAB
5 - PROMEDICA HUDSON HEALTH CTR
331 W MAIN STHUDSONMI49247LAB
6 - PROMEDICA LABORATORIES - ADRIAN
3425 N ADRIAN HWY SUITE EADRIANMI49221LAB
7 - FAMILY MEDICAL CENTER
1200 N MAIN STADRIANMI49221LAB
8 - BIXBY-TECUMSEH HEALTH CENTER
501 E CUMMINS STTECUMSEHMI49186LAB
9 - TOTAL REHAB AT ONSTED
400 N MAIN STREET SUITE BONSTEDMI49265PHYSICAL THERAPY
10 - PROMEDICA RADIOLOGY
770 RIVERSIDE AVEADRIANMI49221RADIOLOGY
11 - BIXBY-ONSTED HEALTH CENTER
400 NORTH MAIN ST STE BONSTEDMI49265LAB
12 - PROVINCIAL HOUSE
700 LAKESHIRE TRAILADRIANMI49221LAB
13 - DOMINICAN LIFE CENTER
1277 E SIENA HEIGHTS DRADRIANMI49221LAB
14 - PROMEDICA HUDSON HEALTH CTR
331 W MAIN STHUDSONMI49247RADIOLOGY
15 - BLISSFIELD HEALTH CTR
157 WEST BROOKE LANEBLISSFIELDMI49228RADIOLOGY
16 - LENAWEE COMMUNITY HEALTH
1040 S WINTER ST STE 1022ADRIANMI49221LAB
17 - LENAWEE MEDICAL CARE FACILITY
200 SAND CREEK HWYADRIANMI49221LAB
18 - LYNWOOD MANOR
730 KIMOLE LNADRIANMI49221LAB
19 - GREAT LAKES HOME HEALTH
730 RIVERSIDE AVEADRIANMI49221LAB
20 - BROOKDALE
1200 CORPORATE DRADRIANMI49221LAB
21 - CHARLOTTE STEPHENSON MANOR
581 KIMOLE LNADRIANMI49221LAB
22 - MAGNUM CARE
130 SAND CREEK HWYADRIANMI49221LAB
23 - FRESENIUS KIDNEY CARE
715 LAKESHIRE TRAILADRIANMI49221LAB
24 - PROMEDICA OCCUHEALTH
1801 W MAUMEE ST STE 140ADRIANMI49221OCCUPATIONAL MEDICINE

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:EMMA L. BIXBY MEDICAL CENTER REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:EMMA L. BIXBY MEDICAL CENTER CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART III, LINE 2:EMMA L. BIXBY MEDICAL CENTER'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:EMMA L. BIXBY MEDICAL CENTER ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON 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.EMMA L. BIXBY MEDICAL CENTER 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:EMMA L. BIXBY MEDICAL CENTER, LOCATED IN ADRIAN, MI, SERVES AN AREA PRIMARILY AROUND LENAWEE COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 81,000. APPROXIMATELY, 19% OF THE SERVICE AREA IS AGE 65 OR OVER; 38% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $51,000; 47% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 45% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LENAWEE COUNTY HAS A POPULATION OF APPROXIMATELY 98,000 WITH APPROXIMATELY 10% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 17% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 7% OF LENAWEE COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE AT THE END OF 2018 FOR LENAWEE COUNTY WAS 4.5%. THE LEADING CAUSES OF DEATH IN LENAWEE COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, LUNG DISEASE, STROKE, DIABETES, ALZHEIMER'S, AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO THE 2018 COUNTY HEALTH RANKINGS, LENAWEE COUNTY RANKED 45 OF 83 COUNTIES FOR HEALTH OUTCOMES, 46 OF 83 FOR LENGTH OF LIFE, AND 44 OF 83 FOR QUALITY OF LIFE. THERE ARE NINE HOSPITALS WITHIN A 30-MILE RADIUS OF EMMA L. BIXBY MEDICAL CENTER: HERRICK MEMORIAL HOSPITAL, INC., ST. JOSEPH MERCY SALINE HOSPITAL, FLOWER HOSPITAL, FULTON COUNTY HEALTH CENTER, ST. ANNE MERCY HOSPITAL, CHELSEA COMMUNITY HOSPITAL, THE TOLEDO HOSPITAL, HENRY FORD ALLEGIANCE HEALTH, AND UNIVERSITY OF TOLEDO MEDICAL CENTER.
PART VI, LINE 5:EMMA L. BIXBY MEDICAL CENTER IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671501(C)(3)$1,000,000OPERATING GRANT
PROMEDICA PHYSICIAN GROUP
100 MADISON AVETOLEDOOH43604341899439501(C)(3)$3,917,000OPERATING GRANT
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672501(C)(3)$1,109,038OPERATING GRANT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
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 OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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
BARBARA J PETEE
TRUSTEE$0$300,374$0$200,600$0$9,551$0$25,364$0$2,628$0$538,517$0$75,000
JULIE K YAROCH DO
PRESIDENT, EX OFFICIO$0$256,465$0$88,000$0$17,324$0$12,732$0$28,402$0$402,923$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
PAUL E GIETZEN MD
TRUSTEE$0$236,212$0$64,317$0$2,183$0$0$0$42,143$0$344,855$0$0
ROBIN L WHITNEY
TRUSTEE$0$249,216$0$87,462$0$2,734$0$8,496$0$27,789$0$375,697$0$0
SAMANTHA M MUCHA MD
TRUSTEE$11,667$675,531$0$5,000$0$1,910$0$0$0$51,593$11,667$734,034$0$0
STACEY L BOCK
TRUSTEE$0$147,747$0$53,100$0$52,966$0$35,000$0$15,649$0$304,462$0$0
VICTOR J CHERFAN DO
TRUSTEE$43,000$369,020$0$148,014$0$786$0$0$0$44,259$43,000$562,079$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
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
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
KATHRYN M GREENLEE
VP, CLINICAL SERVICES$0$99,068$0$36,400$0$69,541$0$185,526$0$25,691$0$416,226$0$0
KENT E BISHOP MD
CXO AND 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
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
JENNIFER FOSS
DIRECTOR, PHARMACY$126,379$0$0$0$5,039$0$2,065$0$40,899$0$174,382$0$0$0
RONDA WINANS
ASSOCIATE VP, OPERATIONS$133,111$0$3,000$0$444$0$2,656$0$16,707$0$155,918$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
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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF EMMA L. BIXBY MEDICAL CENTER, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 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: KATHRYN M. GREENLEE $34,786 STACEY L. BOCK $29,712 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 WER MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KATHLEEN S. HANLEY $1,569,411 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. PART I, LINE 6: CERTAIN LISTED PERSONS RECEIVED INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEE PART VBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$14,973TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF INTERESTED PERSON: REBECCA GAUNA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: REBECCA GAUNA IS A FAMILY MEMBER OF KATHRYN M. GREENLEE (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $14,973(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NOExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$67,862NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 24A:EMMA L. BIXBY MEDICAL CENTER IS A HEALTH FACILITY THAT IS A SUBSIDIARY OF PROMEDICA HEALTH SYSTEM, INC. (PHS). EMMA L. BIXBY MEDICAL CENTER HOLDS AN INTERCOMPANY NOTE PAYABLE TO THE TOLEDO HOSPITAL, WHICH IS ALSO A SUBSIDIARY OF PHS. THE NOTE PAYABLE REPRESENTS EMMA L. BIXBY MEDICAL CENTER'S PORTION OF TAXABLE AND TAX-EXEMPT BONDS ISSUED BY PROMEDICA HEALTHCARE OBLIGATED GROUP.
FORM 990, PART VI, SECTION A, LINE 6AS A MICHIGAN 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 EMMA L. BIXBY MEDICAL CENTER. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF EMMA L. BIXBY MEDICAL CENTER, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 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 15EMMA L. BIXBY MEDICAL CENTER'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF EMMA L. BIXBY MEDICAL CENTER'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 11GPURCHASED SERVICES - NON-PHYSICIANS: PROGRAM SERVICE EXPENSES 3,919,419. MANAGEMENT AND GENERAL EXPENSES 251,507. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,170,926. PURCHASED SERVICES - PHYSICIAN: PROGRAM SERVICE EXPENSES 3,951,453. MANAGEMENT AND GENERAL EXPENSES 253,562. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,205,015. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 3,409,311. MANAGEMENT AND GENERAL EXPENSES 218,774. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,628,085.
FORM 990, PART XI, LINE 9:PENSION/POST RETIREMENT EXPENSE ADJUSTMENT -13,627. BENEFICIAL INTEREST IN FOUNDATION 1,049,427. TRANSFER OF NET ASSETS TO PROMEDICA HEALTH SYSTEM, INC. -15,000,000.
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.
EMMA L. BIXBY MEDICAL CENTER - PROGRAM SERVICE ACCOMPLISHMENTSFOUNDED IN 1911, EMMA L. BIXBY MEDICAL CENTER (D/B/A PROMEDICA BIXBY HOSPITAL) CONTINUES TO MEET THE HEALTHCARE NEEDS OF ADRIAN, MICHIGAN AND SURROUNDING SOUTHEAST MICHIGAN COMMUNITIES AS THE LARGEST ACUTE CARE FACILITY IN LENAWEE COUNTY. IT IS A MEMBER OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE HEALTH CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. PROMEDICA BIXBY HOSPITAL (BH) IS AN 88-BED, FULL-SERVICE, ACUTE CARE HOSPITAL STAFFED BY MORE THAN 120 ACTIVE PROVIDERS WORKING TO MEET IDENTIFIED NEEDS OF THE COMMUNITY. THE HOSPITAL PROVIDES NUMEROUS INPATIENT AND OUTPATIENT SERVICES, WITH ITS STAFF OF PROFESSIONALS OFFERING CARE IN GENERAL SURGERY, HEART AND VASCULAR CARE, WOMEN'S HEALTH, ORTHOPAEDICS, PEDIATRICS, FAMILY MEDICINE, PAIN MANAGEMENT, WOUND CARE, CRITICAL CARE, AND CANCER TREATMENT SERVICES. BH ALSO OFFERS EMERGENCY MEDICINE SERVICES AND IS ACCREDITED AS A PRIMARY STROKE CARE CENTER BY HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP) AND THE JOINT COMMISSION FOR ITS EXCEPTIONAL COMMITMENT TO STROKE CARE, RESULTING IN BETTER OVERALL OUTCOMES FOR STROKE PATIENTS. THE HOSPITAL ALSO IS A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) DESIGNATED HOSPITAL, A NATIONAL NURSE-DRIVEN PROGRAM DESIGNED TO HELP HOSPITALS IMPROVE THE CARE OF OLDER ADULTS. IN 2018, BH SERVED 3,857 INPATIENTS; 80,349 OUTPATIENTS; AND 27,883 EMERGENCY CENTER PATIENTS. BH PROVIDES INPATIENT AND OUTPATIENT SERVICES WITH STATE-OF-THE-ART TECHNOLOGY AND STRIVES TO OFFER EXCEPTIONAL CARE TO BEST RESPOND TO COMMUNITY NEED. THIS IS REFLECTED IN THE PROGRAMS AND SERVICES OFFERED, SUCH AS THE HICKMAN CANCER CENTER, WHICH IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. AS PART OF THE PROMEDICA CANCER INSTITUTE, HICKMAN CANCER CENTER OFFERS DIAGNOSTIC SERVICES, AS WELL AS RADIATION AND MEDICAL ONCOLOGY TREATMENT FOR HUNDREDS OF NEW PATIENTS ANNUALLY. AS A MEMBER OF THE TOLEDO COMMUNITY HOSPITAL ONCOLOGY PROGRAM, HICKMAN CANCER CENTER OFFERS PATIENTS THE OPPORTUNITY TO PARTICIPATE IN NATIONAL CANCER TRIALS. FURTHER, BH'S CARDIAC AND PULMONARY REHABILITATION PROGRAM IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. ADDITIONALLY, BH OFFERS TELEMEDICINE SERVICE TO ITS INPATIENT CARE UNITS TO HELP PROVIDE REAL-TIME PATIENT DIAGNOSIS AND TREATMENT FROM A PHYSICIAN. THE SERVICE ALLOWS A DOCTOR'S VISIT TO BE CONDUCTED WITH A SPECIAL COMPUTER AND INTERNET CONNECTION AND HELPS THE HOSPITAL PROVIDE SAFE, QUALITY CARE WHEN IT'S NEEDED DURING NIGHT SHIFTS WHEN FEWER PHYSICIANS MAY BE AVAILABLE. THE HOSPITAL CONTRIBUTED $3,193,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE IN 2018. THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONAL EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BENEFIT OPERATIONS, BH CONTRIBUTED $1,900,000 TO THE COMMUNITY DURING 2018. THE FOLLOWING ARE EXAMPLES OF SUCH CONTRIBUTIONS: - SUPPORT OF THE LENAWEE HEALTH NETWORK VEGGIE MOBILE, WHICH BRINGS FRESH PRODUCE TO THE LENAWEE COUNTY COMMUNITY, INCLUDING BH PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY; - SUPPORT GROUPS FOR INDIVIDUALS WITH CHRONIC DISEASES, FOCUSED ON PATIENTS' EMOTIONAL, PHYSIOLOGICAL AND PSYCHOLOGICAL NEEDS; - ANNUAL CANCER SURVIVORSHIP PROGRAM FOR CANCER SURVIVORS AND THEIR FAMILIES, FRIENDS AND CAREGIVERS TO SHARE STORIES OF INSPIRATION AND HOPE; - CHILDHOOD AND ADULT IMMUNIZATIONS, ASTHMA CARE, AND INDIGENT AND SENIOR HEALTH FAIRS FOR THE UNDERPRIVILEGED AND LOCAL COMMUNITY AT LARGE; - COMMUNITY HEALTH AND WELLNESS SERVICES, WHICH INCLUDED TOBACCO CESSATION PROGRAMS, NUTRITION AND FITNESS CLASSES, PRENATAL AND FAMILY PLANNING CLASSES, AND CPR TRAINING; AND - FREE BLOOD PRESSURE, BODY MASS INDEX (BMI), CHOLESTEROL, CANCER, AND DIABETES SCREENINGS FOR AREA RESIDENTS, INCLUDING AT LOCAL SENIOR CENTERS. BH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2018, OF WHICH $550,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. BH'S COST OF BAD DEBT FOR 2018 WAS $1,450,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $3,193,000 NOTED ABOVE. FURTHER, BH PROVIDED $743,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. ALSO IN 2018, THE TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $1,119,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $3,193,000 NOTED ABOVE. BH PROVIDED 562 JOBS THROUGH DIRECT EMPLOYMENT IN 2018, EXPENDING $22,211,000 IN NET PAYROLL. A TOTAL OF $1,003,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, BH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
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
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WOLF CREEK ASSOCIATES LLC
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PROMEDICA MONROE CARDIOLOGY PLLC
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ERIE WEST HOSPICE & PALLIATIVE CARE LTD
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PROMEDICA SURGICAL SERVICES LLC
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PROMEDICA INNOVATIONS LLC
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PROMEDICA GENITO-URINARY SURGEONS LLC
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PROMEDICA MONROE PHYSICIANS PLLC
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PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
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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
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MEMORIAL PROFESSIONAL SERVICES LTD
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PHS VENTURES LLC
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HCR HEALTHCARE LLC
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PROMEDICA OF ADRIAN MI LLC
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AMERICAN REHABILITATION GROUP LLC
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HCR HOME HEALTH CARE AND HOSPICE LLC
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HCR MANOR CARE SERVICES LLC
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HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC
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HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC
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HEARTLAND HOME HEALTH CARE SERVICES LLC
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HEARTLAND HOSPICE SERVICES LLC
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HEARTLAND REHABILITATION SERVICES OF KENTUCKY LLC
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HEARTLAND REHABILITATION SERVICES LLC
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IN HOME HEALTH LLC
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INDUSTRIAL WASTES LLC
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MANOR CARE OF LACEY WA LLC
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MANOR CARE OF SALMON CREEK WA LLC
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MANORCARE HEALTH SERVICES LLC
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MILESTONE HEALTHCARE LLC
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PORTFOLIO ONE LLC
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ARDEN COURTS OF AKRON OH LLC
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ARDEN COURTS OF AUSTIN TX LLC
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ARDEN COURTS OF BINGHAM FARMS MI LLC
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ARDEN COURTS OF FT MYERS FL LLC
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ARDEN COURTS OF LIVONIA MI LLC
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ARDEN COURTS OF PALOS HEIGHTS IL LLC
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ARDEN COURTS OF RICHARDSON TX LLC
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ARDEN COURTS OF SAN ANTONIO TX LLC
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ARDEN COURTS OF SARASOTA FL LLC
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ARDEN COURTS OF SEMINOLE FL LLC
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ARDEN COURTS OF SILVER SPRING MD LLC
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ARDEN COURTS OF SOUTH HOLLAND IL LLC
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ARDEN COURTS OF STERLING HEIGHTS MI LLC
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ARDEN COURTS OF TAMPA FL LLC
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ARDEN COURTS OF TOWSON MD LLC
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ARDEN COURTS OF W ORANGE NJ LLC
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ARDEN COURTS OF W PALM BEACH FL LLC
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ARDEN COURTS OF WAYNE NJ LLC
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ARDEN COURTS OF WESTLAKE OH LLC
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ARDEN COURTS OF WILMINGTON DE LLC
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ARDEN COURTS OF WINTER SPRINGS FL LLC
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ARDEN COURTS OF YARDLEY PA LLC
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ARDEN COURTS-ANDERSON OF CINCINNATI OH LLC
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ARDEN COURTS-BAINBRIDGE OF CHAGRIN FALLS OH LLC
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ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC
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ARDEN COURTS-LELY PALMS OF NAPLES FL LLC
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ARDEN COURTS-NORTH HILLS OF PITTSBURGH PA LLC
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ARDEN COURTS-SUSQUEHANNA OF HARRISBURG PA LLC
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ARDEN COURTS-WARMINSTER OF HATBORO PA LLC
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ARDEN COURTS OF WHIPPANY NJ LLC
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CHRISTOPHER EAST HEALTH CARE CENTER OF LOUISVILLE KY LLC
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COLUMBIA REHABILITATION AND NURSING CENTER-COLUMBIA SC LLC
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DEVON MANOR-DEVON PA LLC
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DONAHOE MANOR-BEDFORD PA LLC
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FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC
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HAMPTON HOUSE-WILKES-BARRE PA LLC
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HEARTLAND OF BOYNTON BEACH FL LLC
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HEARTLAND OF ADELPHI MD LLC
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HEARTLAND OF ALLEN PARK MI LLC
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HEARTLAND OF ANN ARBOR MI LLC
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HEARTLAND OF AUSTIN TX LLC
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HEARTLAND OF BATTLE CREEK MI LLC
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HEARTLAND OF BECKLEY WV LLC
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HEARTLAND OF BEDFORD TX LLC
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HEARTLAND OF BELLEFONTAINE OH LLC
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HEARTLAND OF BOCA RATON FL LLC
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HEARTLAND OF BROOKSVILLE FL LLC
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HEARTLAND OF BUCYRUS OH LLC
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HEARTLAND OF CANTON IL LLC
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HEARTLAND OF CANTON MI LLC
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HEARTLAND OF CENTERBURG OH LLC
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HEARTLAND OF CENTERVILLE OH LLC
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HEARTLAND OF CHAMPAIGN IL LLC
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HEARTLAND OF CHILLICOTHE OH LLC
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HEARTLAND OF CLARKSBURG WV LLC
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HEARTLAND OF DEARBORN HEIGHTS MI LLC
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HEARTLAND OF DECATUR IL LLC
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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
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MANOR CARE OF KANKAKEE IL LLC
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MANOR CARE OF KING OF PRUSSIA PA LLC
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MANOR CARE OF KINGSFORD MI LLC
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MANOR CARE OF KINGSTON PA LLC
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MANOR CARE OF LANCASTER PA LLC
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MANOR CARE OF LAURELDALE PA LLC
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MANOR CARE OF LEBANON PA LLC
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MANOR CARE OF LIBERTYVILLE IL LLC
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MANOR CARE OF LYNNWOOD WA LLC
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MANOR CARE OF MARIETTA GA LLC
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MANOR CARE OF MAYFIELD HEIGHTS OH LLC
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MANOR CARE OF MCMURRAY PA LLC
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MANOR CARE OF MIDWEST CITY OK LLC
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MANOR CARE OF MINOT ND LLC
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MANOR CARE OF MONROEVILLE PA LLC
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MANOR CARE OF MOUNTAINSIDE NJ LLC
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MANOR CARE OF NAPERVILLE IL LLC
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MANOR CARE OF NAPLES FL LLC
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MANOR CARE OF NEW PROVIDENCE NJ LLC
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MANOR CARE OF NORTH OLMSTED OH LLC
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MANOR CARE OF NORTHBROOK IL LLC
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MANOR CARE OF OAK LAWN (EAST) IL LLC
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MANOR CARE OF OAK LAWN (WEST) IL LLC
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MANOR CARE OF OKLAHOMA CITY (SOUTHWEST) LLC
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MANOR CARE OF PALM DESERT CA LLC
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MANOR CARE OF PALM HARBOR FL LLC
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MANOR CARE OF PALOS HEIGHTS (WEST) IL LLC
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MANOR CARE OF PALOS HEIGHTS IL LLC
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MANOR CARE OF PARMA OH LLC
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MANOR CARE OF PINEHURST NC LLC
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MANOR CARE OF PLANTATION FL LLC
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MANOR CARE OF POTOMAC MD LLC
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MANOR CARE OF POTTSTOWN PA LLC
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MANOR CARE OF POTTSVILLE PA LLC
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MANOR CARE OF RENO NV LLC
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MANOR CARE OF ROLLING MEADOWS IL LLC
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MANOR CARE OF SILVER SPRING MD LLC
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MANOR CARE OF SINKING SPRING PA LLC
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MANOR CARE OF SOUTH HOLLAND IL LLC
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MANOR CARE OF SOUTH OGDEN UT LLC
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MANOR CARE OF SPOKANE WA LLC
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MANOR CARE OF SPRINGFIELD MO LLC
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MANOR CARE OF SUNBURY PA LLC
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MANOR CARE OF SUNNYVALE CA LLC
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MANOR CARE OF TACOMA WA LLC
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MANOR CARE OF TOPEKA KS LLC
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MANOR CARE OF TOWSON LLC
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MANOR CARE OF TULSA OK LLC
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MANOR CARE OF VENICE FL LLC
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MANOR CARE OF VOORHEES NJ LLC
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MANOR CARE OF W PALM BEACH FL LLC
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MANOR CARE OF WALNUT CREEK CA LLC
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MANOR CARE OF WATERLOO IA LLC
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MANOR CARE OF WEBSTER TX LLC
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MANOR CARE OF WEST DES MOINES IA LLC
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MANOR CARE OF WEST READING PA LLC
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MANOR CARE OF WESTERVILLE OH LLC
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MANOR CARE OF WESTMONT IL LLC
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MANOR CARE OF WHEATON MD LLC
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MANOR CARE OF WICHITA KS LLC
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MANOR CARE OF WILLIAMSPORT PA (NORTH) LLC
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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
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MANOR CARE OF WILMETTE IL LLC
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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
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MANOR CARE-BELDEN VILLAGE OF CANTON OH LLC
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MANOR CARE-CARROLLWOOD OF TAMPA FL LLC
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MANOR CARE-DULANEY MD LLC
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MANOR CARE-EUCLID BEACH OF CLEVELAND OH LLC
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MANOR CARE-FAIR OAKS OF FAIRFAX VA LLC
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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
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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
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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 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)
THE TOLEDO HOSPITAL
2142 N COVE BLVDTOLEDOOH43606344428256HOSPITALOH501(C)(3)3PROMEDICA 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 Rylts0ReceiptOfIntAnntsRntsRyltsInd
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 OrgYes (1)AssetPurchaseFromOtherOrgInd
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 Facilities0SharingOfFacilitiesInd
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 Org0TransferFromOtherOrgInd