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TOLEDO HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
TOLEDO HOSPITAL (EIN 34-4428256)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201833199349312373
Schema version
2017v2.3
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)
Return2018-11-15T14:26:14-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344428256EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE TOLEDO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTOLEBusinessNameControlTxt
Phone5675853830PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12142 N COVE BLVDAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43606ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL P BROWNINGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5675858505PhoneNum
Signature2018-11-15SignatureDt
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 Address12.203.115.26IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-15IPDt
IP Tm14:23:06IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8CEDF576CA043CC62ABB75A2273520B055B15DFFAtSubmissionCreationDeviceId
At Submission Filing Device Id2B300E1FC09CCA321063079848B1E489E0A7BF4BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA TOLEDO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL P BROWNINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVEAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,297,344,519GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND THE ADULT TERTIARY FACILITY OF PROMEDICA HEALTH SYSTEM, INC. PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC OF NORTHWEST OHIO AND SOUTHEAST MICHIGAN.ActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee5702TotalEmployeeCnt
Total Volunteers245TotalVolunteersCnt
Total Gross UBI$3,555,275TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,257,709NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$55,620,401PYContributionsGrantsAmt
CY Contributions Grants$15,767,287CYContributionsGrantsAmt
PY Program Service Revenue$767,588,153PYProgramServiceRevenueAmt
CY Program Service Revenue$792,287,580CYProgramServiceRevenueAmt
PY Investment Income$37,445,095PYInvestmentIncomeAmt
CY Investment Income$29,743,899CYInvestmentIncomeAmt
PY Other Revenue$16,623,887PYOtherRevenueAmt
CY Other Revenue$16,637,311CYOtherRevenueAmt
PY Total Revenue$877,277,536PYTotalRevenueAmt
CY Total Revenue$854,436,077CYTotalRevenueAmt
PY Grants And Similar Paid$176,377,422PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$140,635,397CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$352,481,625PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$344,776,858CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$438,000,519PYOtherExpensesAmt
CY Other Expenses$484,855,195CYOtherExpensesAmt
PY Total Expenses$966,859,566PYTotalExpensesAmt
CY Total Expenses$970,267,450CYTotalExpensesAmt
PY Revenues Less Expenses-$89,582,030PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$115,831,373CYRevenuesLessExpensesAmt
Total Assets BOY$1,442,478,118TotalAssetsBOYAmt
Total Assets EOY$1,438,331,354TotalAssetsEOYAmt
Total Liabilities BOY$1,002,560,783TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,110,030,755TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$439,917,335NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$328,300,599NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION, AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION AND SUPERIOR SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$751,674,851ExpenseAmt
Grant$140,635,397GrantAmt
Revenue$765,203,899RevenueAmt
DescTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$58,904,069ExpenseAmt
Revenue$0RevenueAmt
DescCONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$52,472,300ExpenseAmt
Revenue$27,997,331RevenueAmt
DescCONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, AND HEALTH PROFESSIONS EDUCATION. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,684,409ExpenseAmt
Revenue$1,998,536RevenueAmt
DescOPERATES A HEALTH CLUB FACILITY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,684,409TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,998,536TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$864,735,629TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document312IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5702EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members27GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ADRIENNE J GREEN
TRUSTEE1.002.00Yes (X)$0$0$0
AHED T NAHHAS MD
TRUSTEE1.002.00Yes (X)$5,206$19,959$0
ALANA GRACE HATCHER
TRUSTEE1.002.00Yes (X)$0$0$0
ARTURO POLIZZI
PRESIDENT, EX OFFICIO40.002.50Yes (X)$0$635,788$264,600Yes (X)
BRADLEY J TOFT
TRUSTEE1.002.00Yes (X)$0$0$0
CHARLES A PARCHER
TRUSTEE1.002.00Yes (X)$0$0$0
CHARLES MICHAEL SMITH
TRUSTEE1.002.00Yes (X)$0$0$0
CHRISTOPHER H JACKSON
TRUSTEE1.002.00Yes (X)$0$0$0
DAVID SCOTT MIERZWIAK MD
TRUSTEE40.003.00Yes (X)$0$386,739$72,216
DEBORAH A GUNTSCH MD
TRUSTEE1.0042.00Yes (X)$8,125$336,164$19,533
HENRY H NADDAF MD
TRUSTEE1.002.00Yes (X)$0$37,500$0
JAMES F WEBER
TRUSTEE1.002.00Yes (X)$0$0$0
JAY P MORGAN
TRUSTEE1.002.00Yes (X)$0$0$0
JOSEPH D NAPOLI
TRUSTEE1.009.00Yes (X)$0$0$0
KEVIN C WEBB PHD
EX OFFICIO1.0052.50Yes (X)$0$655,627$240,675
MARLON P KISER
TRUSTEE1.002.00Yes (X)$0$0$0
MARTIN P SUTTER
TRUSTEE1.002.00Yes (X)$0$0$0
NANCY PARIS KABAT
CHAIRPERSON1.003.00Yes (X)$487$0$0Yes (X)
RAVI K ADUSUMILLI MD
TRUSTEE1.0042.00Yes (X)$0$660,798$43,269
RICHARD D LANTZ
TRUSTEE1.002.00Yes (X)$0$0$0
RICHARD L MUNK MD
TRUSTEE1.0042.00Yes (X)$15,509$108,093$11,301
RICHARD S SWEENEY
TRUSTEE1.002.00Yes (X)$0$0$0
ROBERT F WOOD MD
TRUSTEE1.002.00Yes (X)$0$0$0
ROBERT P SCHLATTER
TRUSTEE1.002.00Yes (X)$0$0$0
SUSAN K STAELIN
TRUSTEE1.002.00Yes (X)$0$0$0
THOMAS GEORGE PADANILAM MD
TRUSTEE1.002.00Yes (X)$0$0$0
TIMOTHY M HUSTED MD
TRUSTEE1.002.00Yes (X)$0$0$0
WILLIAM C NOWICKI
VICE-CHAIR1.002.00Yes (X)$0$0$0Yes (X)
WILLIAM R MCDONNELL
TRUSTEE1.002.00Yes (X)$0$0$0
JEFFREY C KUHN
SECRETARY0.5052.00$0$616,424$244,159Yes (X)
MICHAEL P BROWNING
TREASURER0.5050.50$0$697,115$246,414Yes (X)
RANDALL OOSTRA
PHS PRES & CEO, EX OFFICIO0.5054.50$0$1,749,816$483,218Yes (X)
ALISON S AVENDT
VP, OPERATIONS TTH & PRES, PTN40.000.00$0$181,379$23,546Yes (X)
DARRIN M ARQUETTE
SR. VP, NEURO, HEART AND VASC40.006.00$0$335,318$46,341Yes (X)
DAWN BUSKEY
COO, METRO REGION ACUTE CARE40.001.50$0$360,870$75,823Yes (X)
DEANA L SIEVERT
SR. VP, PAT CARE/CNO, SYSTEM0.5041.00$0$240,993$65,731Yes (X)
GARY W AKENBERGER
SR. VP DIAG, FACILITIES & SEC40.004.50$0$379,804$91,320Yes (X)
LORI FERGUSON
VP, PATIENT CARE, TTH40.000.00$0$247,349$183,377Yes (X)
PAULA L GRIEB
VP, PAT CARE/ASSOC CNO, METRO40.001.00$0$190,606$21,252Yes (X)
SCOTT FOUGHT
VP, FINANCE, ACUTE CARE OPS40.005.00$0$281,158$46,283Yes (X)
THADIUS L WADSWORTH
VP SURGICAL SERVICES, METRO40.001.00$67,582$91,703$16,424Yes (X)
FEDOR LURIE
ASSOC. DIR. RESEARCH ED. VASC.40.000.00$210,405$0$28,200Yes (X)
JACKLYN KIEFER
ASSOC. DIR. ED. FAMILY PRACTICE40.000.00$195,641$0$18,228Yes (X)
JEFFREY LEWIS
ASSOC. DIR. ED. FAMILY PRACTICE40.000.00$193,482$0$53,164Yes (X)
JOSHUA OVENS
RN, CRITICAL CARE TRANSPORT40.000.00$244,261$0$41,121Yes (X)
LOUITO EDJE
DIR. ED. FAMILY PRACTICE40.000.00$219,941$0$29,940Yes (X)
ALAN M SATTLER
FORMER OFFICER0.0040.00$0$389,038$80,933Yes (X)
KATHLEEN S HANLEY
FORMER OFFICER0.000.00$0$571,790$1,351Yes (X)
JOSEPH SFERRA
FORMER KEY EMPLOYEE40.000.00$0$677,903$44,857Yes (X)
KHURRAM KAMRAN
FORMER KEY EMPLOYEE0.000.00$0$155,843$5,263Yes (X)
NEERAJ K KANWAL MD
FORMER KEY EMPLOYEE0.0042.50$0$377,036$56,450Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,160,639TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,384,813TotReportableCompRltdOrgAmt
Total Other Compensation$2,554,989TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K123IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LATHROP COMPANY INC
460 WEST DUSSEL DRMAUMEEOH435374205GENERAL CONTRACTING$115,647,669
RUDOLPH LIBBE INC
6494 LATCHA RDWALBRIDGEOH43465GENERAL CONTRACTING$28,390,808
UNIVERSITY OF TOLEDO
DEPT L674COLUMBUSOH43260EDUCATION & PHYSICIANS$7,763,214
METRO AVIATION INC
PO BOX 7008SHREVEPORTLA71137AVIATION SERVICES$4,632,926
HKS INC
1919 MCKINNEY AVEDALLASTX75201ARCHITECTURAL DESIGN$4,051,999
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K63CntrctRcvdGreaterThan100KCnt
Fundraising$10,143FundraisingAmt
Related Organizations$12,061,602RelatedOrganizationsAmt
Government Grants$1,909,309GovernmentGrantsAmt
All Other Contributions$1,786,233AllOtherContributionsAmt
Noncash Contributions$14,069NoncashContributionsAmt
Total Contributions$15,767,287TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$780,204,479$777,138,161$3,066,318
AFFIL. ORG. RENT REV.531120$10,623,451$10,623,451
MEMBERSHIP REVENUE713940$1,459,650$1,459,650
FieldValueIRS element (for citing)
Total Program Service Revenue$792,287,580TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,807,249TotalRevenueColumnAmt
Exclusion$3,807,249ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,409,758RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,465,404RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$55,646RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$55,646TotalRevenueColumnAmt
Unrelated Business Revenue$101,734UnrelatedBusinessRevenueAmt
Exclusion-$157,380ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$461,629,342SecuritiesAmt
Other$3,057,065OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$436,284,103SecuritiesAmt
Other$2,465,654OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$25,345,239SecuritiesAmt
Other$591,411OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,936,650TotalRevenueColumnAmt
Related Or Exempt Func Income$591,411RelatedOrExemptFuncIncomeAmt
Exclusion$25,345,239ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$18,830FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$10,143ContriRptFundraisingEventAmt
Fundraising Direct Expenses$10,473FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,357TotalRevenueColumnAmt
Exclusion$8,357ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$969,641GrossSalesOfInventoryAmt
Cost Of Goods Sold$682,808CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$286,833TotalRevenueColumnAmt
Exclusion$286,833ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
DIETARY722514$3,446,900$3,446,900
PHARMACY446110$3,345,868$3,345,096$772
AFF TRANS SUPPORT SVCS900099$2,940,792$2,940,792

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,664,207TotalRevenueColumnAmt
Related Or Exempt Func Income$6,277,756RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$386,451UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,397,767OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$854,436,077TotalRevenueColumnAmt
Related Or Exempt Func Income$795,199,766RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,555,275UnrelatedBusinessRevenueAmt
Exclusion$39,913,749ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$140,635,397TotalAmt
Program Services$140,635,397ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$97,753TotalAmt
Program Services$55,841ProgramServicesAmt
Management And General$41,912ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$282,789,593TotalAmt
Program Services$209,264,299ProgramServicesAmt
Management And General$73,525,294ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,958,054TotalAmt
Program Services$4,408,960ProgramServicesAmt
Management And General$1,549,094ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,616,485TotalAmt
Program Services$25,628,416ProgramServicesAmt
Management And General$8,988,069ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,314,973TotalAmt
Program Services$15,773,080ProgramServicesAmt
Management And General$5,541,893ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$24,895TotalAmt
Program Services$24,895ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$867,478TotalAmt
Program Services$867,478ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,058,733TotalAmt
Management And General$1,058,733ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$28,184TotalAmt
Management And General$28,184ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$692,526TotalAmt
Program Services$692,526ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$72,036,704TotalAmt
Program Services$63,799,983ProgramServicesAmt
Management And General$8,236,721ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,572,250TotalAmt
Program Services$1,257,800ProgramServicesAmt
Management And General$314,450ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,812,465TotalAmt
Program Services$6,812,465ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,507,883TotalAmt
Program Services$19,507,883ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,285,024TotalAmt
Program Services$14,628,019ProgramServicesAmt
Management And General$3,657,005ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,507,294TotalAmt
Program Services$691,342ProgramServicesAmt
Management And General$815,952ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,806TotalAmt
Management And General$7,806ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,699,342TotalAmt
Program Services$20,699,342ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$62,559,793TotalAmt
Program Services$62,559,793ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,237,057TotalAmt
Program Services$4,989,646ProgramServicesAmt
Management And General$1,247,411ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$115,920,689$115,920,689
DRUGS$53,098,528$53,098,528
INTERCOMPANY SERVICES$49,553,322$49,079,282$474,040
UBI TAXES$300,000$300,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$54,085,222TotalAmt
Program Services$54,039,965ProgramServicesAmt
Management And General$45,257ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$970,267,450TotalAmt
Program Services$864,735,629ProgramServicesAmt
Management And General$105,531,821ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$32,236,257BOYAmt
EOY$77,009,694EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,050,299BOYAmt
EOY$6,118,446EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$131,736,355BOYAmt
EOY$153,280,893EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$13,599BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,059,227BOYAmt
EOY$7,547,300EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,834,289BOYAmt
EOY$1,732,593EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,313,461,225LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$613,198,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$554,554,186BOYAmt
EOY$700,262,306EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$246,824,919BOYAmt
EOY$5,285,717EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,187,926BOYAmt
EOY$11,644,645EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$18,201,744BOYAmt
EOY$18,113,172EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$427,779,317BOYAmt
EOY$457,336,588EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,442,478,118BOYAmt
EOY$1,438,331,354EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$60,928,969BOYAmt
EOY$75,439,050EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$938,945BOYAmt
EOY$10,252,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$509,355,608BOYAmt
EOY$623,714,672EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$351,092,277BOYAmt
EOY$332,601,744EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,244,984BOYAmt
EOY$68,023,289EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,002,560,783BOYAmt
EOY$1,110,030,755EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$261,276,443BOYAmt
EOY$132,454,119EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$168,801,778BOYAmt
EOY$185,171,803EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,839,114BOYAmt
EOY$10,674,677EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$439,917,335BOYAmt
EOY$328,300,599EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,442,478,118BOYAmt
EOY$1,438,331,354EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$115,831,373ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,641,344NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$16,855,981OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

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$28,184OtherActivitiesAmt
Total Lobbying Expenditures$28,184TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,560,195BeginningYearBalanceAmt
Contributions$4,397ContributionsAmt
Investment Earnings Or Losses-$79,777InvestmentEarningsOrLossesAmt
End Year Balance$10,484,815EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,062,050BeginningYearBalanceAmt
Contributions$558,860ContributionsAmt
Investment Earnings Or Losses-$60,715InvestmentEarningsOrLossesAmt
End Year Balance$10,560,195EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,307,790InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$63,481,835OtherCostOrOtherBasisAmt
Book Value$65,789,625BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$678,276,754OtherCostOrOtherBasisAmt
Depreciation$379,649,949DepreciationAmt
Book Value$298,626,805BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,965,528OtherCostOrOtherBasisAmt
Depreciation$6,943,565DepreciationAmt
Book Value$21,963BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$297,513,450OtherCostOrOtherBasisAmt
Depreciation$207,685,670DepreciationAmt
Book Value$89,827,780BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$264,915,868OtherCostOrOtherBasisAmt
Depreciation$18,919,735DepreciationAmt
Book Value$245,996,133BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$700,262,306TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$2,591,716
OTHER RECEIVABLES$3,848,672
BENEFICIAL INTEREST IN FOUNDATION$193,866,311
RESEARCH FUNDS$1,980,170
OTHER SEGREGATED INVESTMENTS$29,893,431
INTERCOMPANY DEBT FROM RELATED ENTITIES$221,769,578
ESTIMATED THIRD PARTY RECEIVABLE$3,386,710
FieldValueIRS element (for citing)
Total Book Value Other Assets$457,336,588TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
DUE TO AFFILIATES$33,060,012
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$7,039,651
INTEREST RATE SWAP$14,957,621
ASBESTOS REMEDIATION$8,061,545
DEFERRED COMPENSATION$4,277,578
PLEDGES PAYABLE$100,000
PENSION PLAN LIABILITY$319,932
DEFERRED INCOME TAXES$206,950
FieldValueIRS element (for citing)
Total Liability$68,023,289TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1PTN BOWLING FUNDRAISEREvent1Nm
Gross Receipts Event1$9,743GrossReceiptsEvent1Amt
Charitable Contri Event1$6,827CharitableContriEvent1Amt
Gross Revenue Event1$2,916GrossRevenueEvent1Amt
Other Direct Expenses Event1$2,213OtherDirectExpensesEvent1Amt
Event2PTN GOLF FUNDRAISEREvent2Nm
Gross Receipts Event2$11,720GrossReceiptsEvent2Amt
Charitable Contri Event2$3,316CharitableContriEvent2Amt
Gross Revenue Event2$8,404GrossRevenueEvent2Amt
Other Direct Expenses Event2$8,176OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$7,510GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$0CharitableContriOtherEventsAmt
Gross Revenue Other Events$7,510GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$84OthDirectExpnssOtherEventsAmt
Gross Receipts Total$28,973GrossReceiptsTotalAmt
Charitable Contributions Tot$10,143CharitableContributionsTotAmt
Gross Revenue Total Events$18,830GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$10,473OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$10,473DirectExpenseSummaryEventsAmt
Net Income Summary$8,357NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,929,068TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,929,068NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$181,234,256TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$130,265,981DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,968,275NetCommunityBenefitExpnsAmt
Total Expense0.05200TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,715TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,989DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,726NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$189,208,039TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$130,303,970DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,904,069NetCommunityBenefitExpnsAmt
Total Expense0.06010TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,841,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,157,589DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,683,967NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,763,472TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,878,899DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,884,573NetCommunityBenefitExpnsAmt
Total Expense0.01320TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,867,272TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,960,843DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,906,429NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,472,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,997,331DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,474,969NetCommunityBenefitExpnsAmt
Total Expense0.02500TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$241,680,339TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$158,301,301DirectOffsettingRevenueAmt
Net Community Benefit Expns$83,379,038NetCommunityBenefitExpnsAmt
Total Expense0.08510TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$38,436,185BadDebtExpenseAmt
Bad Debt Expense Attributable$6,373,865BadDebtExpenseAttributableAmt
Reimbursed By Medicare$135,870,834ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$152,981,727CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,110,893MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.235900.028300.56600
2 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.309100.010000.37270
3 REYNOLDS ROAD SURGICAL CENTER LLC
SURGICAL CENTER0.672100.032200.29570
4 NORTHWEST OHIO DEDICATED BREAST MRI LLC
MEDICAL DIAGNOSTIC0.500000.50000
5 WEST CENTRAL SURGICAL CENTER LLC
SURGICAL CENTER0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtOther Actions TakenOtherActionsTakenIndNo Emergency CareNoEmergencyCareIndProspective Medicare MedicaidProspectiveMedicareMedicaidInd
FACILITY REPORTING GROUP - A
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/DEFAULT.ASPXYes (X)Yes (1)160Yes (1)0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
FACILITY REPORTING GROUP - B
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Supplemental Information SupplementalInformationGrp (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO, DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, THE ZEPF CENTER, SWANTON AREA COMMUNITY COALITION, ANTHONY WAYNE SCHOOLS, OTTAWA HILLS LOCAL SCHOOLS, SYLVANIA SCHOOLS, PROMEDICA (ALL LUCAS COUNTY HOSPITALS), MERCY, MERCY PEDIATRICIAN, YWCA CHILDCARE, EARLY CHILDHOOD COORDINATING COMMITTEE (EC3), LUCAS COUNTY FAMILY COUNCIL, AND LUCAS COUNTY FAMILY FIRST COUNCIL.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
PART V, SECTION BFACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:- FACILITY 3: ARROWHEAD BEHAVIORAL HEALTH
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER.
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL.
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 11: THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- TRAUMA - EDUCATION AND FALL PREVENTION- CARDIOVASCULAR DISEASETHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019.THE TOLEDO HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH STATUS PERCEPTIONS, HEALTH CARE COVERAGE/ACCESS/UTILIZATION, CANCER, DIABETES, ARTHRITIS, ASTHMA AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS/OBESITY, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE HEALTH AND SCREENINGS, SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ADULT SEXUAL BEHAVIOR, ADULT PREGNANCY, QUALITY OF LIFE, SOCIAL ISSUES, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, ORAL HEALTH, MINORITY HEALTH, YOUTH WEIGHT, YOUTH TOBACCO USE, YOUTH ALCOHOL AND DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SAFETY AND VIOLENCE, CHILDREN HEALTH STATUS, CHILDREN DIAGNOSED WITH ASTHMA, CHILDREN DIAGNOSED WITH ADHD/ADD, CHILDREN DIAGNOSED WITH VISION PROBLEMS THAT CANNOT BE CORRECTED, CHILDREN'S HEALTH ACCESS, EARLY CHILDHOOD HEALTH, MIDDLE CHILDHOOD HEALTH, FAMILY FUNCTIONING/NEIGHBORHOODS, AND PARENT HEALTH.THE TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2017 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: TRAUMA - EDUCATION AND FALL PREVENTIONSTRATEGY #1 - PROVIDE FREE CONTINUING MEDICAL EDUCATION, IN VARIOUS CATEGORIES, TO EMS (EMERGENCY MEDICAL SERVICES) PROVIDERS TO IMPROVE THE CARE PROVIDED TO PATIENT AT THE SCENE PRIOR TO TRANSPORTATION TO A HOSPITAL.ACTIONS TAKEN: - OVER 48 SESSIONS WITH 566 PARTICIPANTS PROVIDED IN FREE COMMUNITY EDUCATION. SOME TOPICS INCLUDE NARCOTIC OVERDOSE, TRAUMA TRIAGE, CIRCADIAN RHYTHM, PEDIATRIC TRAUMA, HEART FAILURE, INTERPRETING VITAL SIGNS (ADULT AND PEDIATRIC), PEDIATRIC BEHAVIORAL, EMERGENCY PREPAREDNESS, PEDIATRIC BEHAVIORAL EMERGENCIES, BACK TO THE BASICS, STROKE, 12 LEAD CLASS, PARAMEDIC REFRESHER, EVOC, NOVFA FIRE SCHOOL, GERIATRIC EMERGENCIES.STRATEGY #2 - PROVIDE MATTER OF BALANCE AND OTHER FALL PREVENTION EDUCATION IN THE COMMUNITY.ACTIONS TAKEN: - PROMEDICA HOME HEALTH CARE COMMUNITY OUTREACH ACTIVITIES PROVIDED AT LOCAL VENUES. 37 COMMUNITY OUTREACH PROGRAMS CONDUCTED AND OVER 6,000 COMMUNITY MEMBERS ATTENDED. EVENTS INCLUDED, BUT NOT LIMITED TO: ST. CATHERINE'S CHURCH FALL PREVENTION EDUCATION, HEART OF MATTER PROGRAM, SENIOR EXPO AT THE TAM-O-SHANTER, OREGON HEALTH FAIR, NATIONAL FALLS PREVENTION AWARENESS DAY, SENIOR SAFETY DAY, AND GO RED LUNCHEON.STRATEGY #3 - PROVIDE HOME SAFETY ASSESSMENTS FOR ALL PROMEDICA HOME CARE PATIENTS.ACTIONS TAKEN: - PROMEDICA HOME CARE PROVIDED HOME SAFETY ASSESSMENTS AND BASIC FALL PREVENTION EDUCATION, FREE OF CHARGE, FOR ALL PROMEDICA HOME HEALTH CARE ADMISSIONS IN 2017, WITH 12,828 HOME ASSESSMENTS PERFORMED.HEALTH NEED IDENTIFIED: CARDIOVASCULAR DISEASESTRATEGY #1 - PROVIDE FREE HANDS ONLY CPR (CARDIOPULMONARY RESUSCITATION) EDUCATION TO THE PUBLIC DURING AT LEAST FOUR COMMUNITY EVENTS EACH YEAR.ACTIONS TAKEN:- PROVIDED HANDS ONLY CPR AT: FREMONT ROTARY (19 PARTICIPANTS); HEALTHY HEART FAIR (NINE PARTICIPANTS); HEART OF THE MATTER (57 PARTICIPANTS); LATINO ART FESTIVAL (14 PARTICIPANTS); WORLD HEART DAY (30 PARTICIPANTS); AND BLACK WELLNESS DAY (EIGHT PARTICIPANTS). PROVIDED HANDS ONLY CPR AT LUCAS COUNTY FAIR (25 PARTICIPANTS) WITH CONTINUOUS FILM EDUCATION, AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) DEMO, BLOOD PRESSURE CHECKS AND HEALTHY LIFESTYLE TEACHING, AND PROVIDED BROCHURES ON THE IMPORTANCE OF RECOGNIZING SIGNS OF HEART ATTACK AND CALLING 9-1-1. STRATEGY #2 - PROVIDE FREE CONSULTATION TO HIGH SCHOOLS, UPON REQUEST, TO MEET NEW FEDERAL STANDARD THAT ALL STUDENTS WILL HAVE CPR EDUCATION PRIOR TO HIGH SCHOOL GRADUATION.ACTIONS TAKEN:- TEN (10) TOLEDO PUBLIC SCHOOLS WERE ASSISTED IN MEETING CPR REQUIREMENT, WITH 25 EMPLOYEES TRAINED.TOLEDO CHILDREN'S HOSPITAL (OPERATING WITHIN AND AS PART OF THE TOLEDO HOSPITAL) CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - DECREASE INFANT MORTALITY- DECREASE YOUTH MENTAL HEALTH ISSUES AND BULLYING- DECREASE HEART DISEASE AND OTHER CHRONIC DISEASES - ASTHMA- INCREASE HEALTHY WEIGHT STATUS- INJURY PREVENTION/SAFETY- INCREASE SCHOOL READINESSTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019. TOLEDO CHILDREN'S HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: TOBACCO USE, ALCOHOL CONSUMPTION, MARIJUANA AND OTHER DRUG USE, VIOLENCE ISSUES, YOUTH PERCEPTIONS, CHILD HEALTH AND FUNCTIONAL STATUS, FAMILY FUNCTIONING/NEIGHBORHOOD & COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO CHILDREN'S HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2017 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: DECREASE INFANT MORTALITYSTRATEGY #1 - REFER APPROPRIATE PATIENTS TO THE SAFE SLEEP CRIB PROGRAM AT THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT TO RECEIVE A PORTABLE CRIB FOR HELP ME GROW AND PATHWAYS PARTICIPANTS. PROVIDE ACCESS TO SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH CHILDREN LESS THAN 12 MONTHS OF AGE. PROVIDE FOLLOW UP ASSESSMENT TO FAMILIES RECEIVING A PORTABLE CRIB TO ENSURE SAFE SLEEP PRACTICES AND USE OF THE CRIB.ACTIONS TAKEN:- 181 SAFE SLEEP CRIB REFERRALS WERE MADE TO HELP ME GROW/PATHWAYS PROGRAM.- 139 FOLLOW UP ASSESSMENTS WERE COMPLETED ON PARTICIPANTS REFERRED TO CLASSES.STRATEGY #2 - PROVIDE SAFE SLEEP SACKS AND EDUCATION ON USE TO LOW INCOME CAREGIVERS WITH NEWBORN INFANTS WHEN APPROPRIATE. ACTIONS TAKEN: - 92 SLEEP SACKS WERE PROVIDED FOR INFANTS WITHOUT A SLEEP SACK. STRATEGY #3 - PROVIDE ASSESSMENT USING THE REPRODUCTIVE LIFE PLAN AND EDUCATION ON BIRTH SPACING (INFANT MORTALITY IS REDUCED IF BIRTH SPACING OF AT LEAST 18 MONTHS BETWEEN CHILDREN PLANNING TAKES PLACE) FOR ALL WOMEN ENROLLED IN TOLEDO HEALTHY TOMORROWS (THT) OB PATHWAYS PROGRAM.ACTIONS TAKEN:- 520 REPRODUCTIVE LIFE PLAN BIRTH SPACING ASSESSMENTS WERE COMPLETED.STRATEGY #4 - EDUCATE PREGNANT WOMEN IN THE BENEFITS OF BRESTFEEDING THEIR NEWBORN AND SUPPORT THEIR DECISION IF CHOOSING TO BREASTFEED.A) EXPAND TRAINING FOR TOLEDO HEALTHY TOMORROWS (THT) PATHWAYS AND HELP ME GROW STAFF IN THE BENEFITS OF BREASTFEEDING, ESPECIALLY WITH AFRICAN AMERICAN MOTHERS AT LEAST UNTIL THEIR NEWBORN IS 6 WEEKS OLD.
B) PROMOTE BREASTFEEDING THROUGH EDUCATION AND SUPPORT OF PARTICIPANTSOF THT PATHWAYS AND ADD THE THT/HELP ME GROW PROGRAMS.C) INCREASE THE NUMBER OF INFANTS BEING BREASTFED WHOSE MOTHERS ARE ENROLLED IN THT PATHWAYS AND HELP ME GROW.D) CONTINUE TO OFFER AT LEAST 4 BREASTFEEDING EDUCATION CLASSES EACH MONTH THROUGH WOMENS, INFANTS AND CHILDREN (WIC).E) MAKE REFERRALS TO WIC LACTATION CONSULTANT AND WIC BREASTFEEDING STAFF.F) DISCUSS BREASTFEEDING WITH EACH PREGNANT WIC PARTICIPANT AND ENCOURAGE ATTENDANCE AT THE BREASTFEEDING EDUCATION CLASS.G) CONTACT BREASTFEEDING MOTHERS AND OFFER SUPPORT AS WELL AS TO ANSWER BREASTFEEDING QUESTIONS.ACTIONS TAKEN:- STAFF CONTINUING CURRENT EDUCATION TO PREGNANT WOMEN WITH AN EXPANDED PROGRAM BEING DEVELOPED BY HOSPITAL COUNCIL OF NORTHWEST OHIO (HCNO) BUT NOT AVAILABLE IN 2017. THIS EDUCATION WILL OCCUR IN 2018.- 274 PREGNANT WOMEN RECEIVED BREASTFEEDING PROMOTION EDUCATION THAT WAS PROVIDED DURING HOME VISITING TO PROGRAM PARTICIPANTS.- 165 NEWBORNS WERE BREASTFED IN THEIR FIRST 6 WEEKS AFTER DELIVERY.- 77 INFANTS WERE BREASTFED BEYOND 6 WEEKS AFTER DELIVERY.- 643 CONTACTS WERE MADE TO PREGNANT AND BREASTFEEDING MOTHERS BY LACTATION CONSULTANTS. (54 BREASTFEEDING EDUCATION CLASSES WERE OFFERED; 204 ATTENDED; 364 INDIVIDUALLY SEEN BY CONSULTANTS; 75 ATTENDED BABIES-R-US CLASS).- 34% OF WOMEN RECEIVING WIC (WOMEN, INFANT AND CHILDREN PROGRAM) THROUGH TOLEDO AND TOLEDO CHILDREN'S HOSPITALS ARE BREASTFEEDING. ALL WOMEN RECEIVING WIC ARE ENCOURAGED TO ATTEND THE BREASTFEEDING EDUCATION CLASS.HEALTH NEED IDENTIFIED: DECREASE YOUTH MENTAL HEALTH ISSUES AND BULLYINGSTRATEGY #1 - DECREASE BULLYING, SUICIDE, AND DATING VIOLENCE THROUGH AWARENESS AND PREVENTION PROGRAMS IN YOUTHS 12-18 YEARS.A. EACH SCHOOL YEAR THE TEEN PEERS EDUCATING PEERS (PEP) PROGRAM WILL BE OFFERED TO 12 CORE SCHOOLS IN LUCAS COUNTY. THE PROGRAM ADDRESSES TEEN DATING VIOLENCE, SEXUAL ASSAULT AND BULLYING PREVENTION.B. ONE ADDITIONAL SCHOOL WILL BE ADDED EACH YEAR PER GRANT FUNDING. PRIORITY WILL BE GIVEN TO ELEMENTARY SCHOOL INCLUSION AND REACHING YOUNGER STUDENTS VIA IMPLEMENTATION IN ELEMENTARY SCHOOL OR DELIVERING OLDER PEER LED EDUCATION (HIGH SCHOOL TO ELEMENTARY STUDENTS).C. PROGRAM LEAD WILL AS CO-CHAIR, COLLABORATE WITH THE LUCAS COUNTY SUICIDE PREVENTION COALITION (OTHER PARTNERS IN THE COALITION INCLUDE MERCY OUTREACH, THE UNIVERSITY OF TOLEDO, NAMI OF GREATER TOLEDO, LUCAS COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD) TO DESIGN AND IMPLEMENT A TEEN AMBASSADOR PROGRAM WHICH WILL TRAIN AND UTILIZE SEVERAL STUDENTS FROM EACH PARTICIPATING SCHOOL TO PROMOTE SOCIAL MEDIA CAMPAIGNS AND AWARENESS ABOUT DEPRESSION AND SUICIDE PREVENTION, THUS REDUCING MENTAL HEALTH/SUICIDE STIGMA IN THEIR SCHOOLS. LUCAS COUNTY SUICIDE PREVENTION COALITION COORDINATOR (EMPLOYEE CONTRACTED THROUGH NAMI) WILL PROVIDE ONGOING OVERSIGHT, MANAGEMENT AND CONSULTATION TO SCHOOLS AND/OR STUDENTS PARTICIPATING IN NEWLY CREATED TEEN AMBASSADOR PROGRAM.D. PROGRAM LEAD WILL SERVE ON BRAVE (BULLYING RESOURCES AND ANTI-VIOLENCE EDUCATION) COMMITTEE, WHICH WAS CREATED BASED ON THE CHIP. BRAVE PARTNERING AGENCIES INCLUDE UT, TPS AND NAMI; COMMITTEE MISSION IS TO EXPAND COORDINATED ANTI-BULLYING EDUCATION AS WELL AS SUICIDE PREVENTION AND THREAT ASSESSMENT EDUCATION TO COMMUNITY SCHOOLS AND AGENCIES, PARENT GROUPS AND TEENS.E. NO LOCAL INITIATIVE/COALITION OR STRATEGIC PLAN EXISTS TO ADDRESS TEEN SEXUAL OR DATING VIOLENCE SPECIFICALLY. PROGRAM STAFF WILL PARTICIPATE IN CREATING A COMMUNITY COLLABORATIVE GROUP TO ADDRESS TEEN DATING VIOLENCE AND TEEN SEXUAL ASSAULT.ACTIONS TAKEN:- TEEN PEP FUNDED BY OHIO DEPARTMENT OF HEALTH (ODH). ODH FUNDED PROGRAMS RECEIVE OUTCOME MEASUREMENT EVALUATION GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION EMPOWERMENT EVALUATION CONTRACTOR DR. SANDRA ORTEGA FOR ALL PROGRAM OUTCOME MEASURES. RESULTS INCLUDED: 18 SCHOOLS PARTICIPATED; 176 TEEN PEER LEADERS WERE TRAINED; AND 2,082 CLASSROOM PARTICIPANTS GRADES 9-12 PARTICIPATED.- ADDITIONALLY, WHITTIER K-8 ELEMENTARY SCHOOL WAS ADDED PER GRANT FUNDING (ODH DECREASING FUNDING IN 2018).- THE NUMBER OF LCSPC (LUCAS COUNTY SUICIDE PREVENTION COALITION) TEEN AMBASSADOR PROGRAMS FOR 2017 WAS 10 SCHOOLS.- BRAVE COALITION DISBANDED PRIMARILY BECAUSE THE ORIGINAL OBJECTIVES OF THE COALITION/3-YEAR STRATEGIC GOALS HAD BEEN MET, AND MEMBERS OF THE COALITION WENT ON TO CONTINUE THE MISSION EITHER ON THEIR OWN OR THROUGH OTHER LIKE-MINDED COALITIONS SUCH AS THE LUCAS COUNTY SUICIDE PREVENTION COALITION AND TEEN PEP.- AS A LOCAL INITIATIVE, THE LUCAS COUNTY YOUTH SEXUAL AND INTIMATE PARTNER VIOLENCE COALITION WAS CREATED IN RESPONSE TO AN IDENTIFIED GAP FOR SUCH COMMUNITY COLLABORATION SURROUNDING TWO VERY IMPORTANT NEEDS IN THE TOLEDO AREA. THE COALITION HAS NOT DEVELOPED A FORMAL STRATEGIC PLAN, OPTING INSTEAD TO FOCUS ON PROMOTING YOUTH CULTURE CHANGE VIA SOCIAL MEDIA. YOUTH SPEND MUCH OF THEIR TIME ON VARIOUS SOCIAL MEDIA OUTLETS AND THIS WAS IDENTIFIED AS THE BEST WAY TO BOTH REACH LOCAL YOUTH AND IMPACT THEIR IDEAS AND KNOWLEDGE ABOUT SEXUAL ASSAULT AND TEEN DATING VIOLENCE. IN 2017, ITS THIRD YEAR, THE COALITION HAS HOSTED 3 TEEN FOCUS GROUPS IN THE TOLEDO AREA WITH VARIOUS YOUTH FROM DIVERSE POPULATIONS WITH THE GOAL OF INVOLVING YOUTH IN THE CREATION OF SEXUAL AND INTIMATE PARTNER VIOLENCE PREVENTION MESSAGING. FROM THESE FOCUS GROUPS, THE COALITION HAS SUCCESSFULLY STARTED UP BOTH A FACEBOOK AND INSTAGRAM PAGE THAT HIGHLIGHT AND PROMOTE PREVENTION MESSAGING SURROUNDING THESE TOPICS.STRATEGY #2 - EACH YEAR UP TO FOUR ELEMENTARY SCHOOLS WILL BE GIVEN BULLYING PREVENTION EDUCATION VIA OLDER TRAINED PEER LEADERS (HIGH SCHOOL TEAMS) OR FROM 7TH/8TH GRADE TRAINED TEEN LEADERS IN THEIR BUILDING. MEASUREMENT TO INCLUDE:A. NUMBER OF ELEMENTARY/MIDDLE SCHOOLS THAT HIGH SCHOOL LEADERS PRESENT TO.B. NUMBER OF TRAINED YOUTH LEADERS IN NEWLY ADDED ELEMENTARY SCHOOLS (WHERE APPLICABLE).C. NUMBER OF ELEMENTARY STUDENTS RECEIVING PEER LED EDUCATION.ACTIONS TAKEN:- OHIO DEPARTMENT OF HEALTH CONTRACTOR FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION GUIDES EMPOWERMENT EVALUATION FOR ALL PROGRAM OUTCOME MEASURES. 2017 RESULTS INCLUDE SEVEN (7) SCHOOLS PARTICIPATING.- 22 NUMBER OF TEEN PEER LEADERS WERE TRAINED. - 1,484 CLASSROOM PARTICIPANTS GRADES 1-6 PARTICIPATED.- ONE (1) ADDITIONAL SCHOOL WAS ADDED IN 2017, PER GRANT FUNDING (ODH DECREASING FUNDS IN 2018).STRATEGY #3 - PROVIDE TRAUMA-INFORMED TRAINING TO PROMEDICA TOLEDO CHILDREN HOSPITAL STAFF THAT PROVIDES CARE TO YOUTH (0-18 YEARS). THIS WILL HELP ENHANCE PATIENT-CENTERED CARE, WHICH WILL POSITIVELY IMPACT YOUTH MENTAL HEALTH. DEVELOP TRAUMA-INFORMED TRAININGS (BASED ON SAMHSA CURRICULUM) FOR DIFFERENT HOSPITAL STAFF/PROVIDER GROUPS.ACTIONS TAKEN:- GENERAL TRAUMA INFORMED CARE TRAINING WAS DEVELOPED TO EDUCATE MENTAL HEALTH PROFESSIONALS IN THE COMMUNITY PARTICIPATING.- PRE AND POST TEST DATA SHOWED INCREASED KNOWLEDGE OF DEPRESSION AND SUICIDE MARKERS, INDICATORS OF WHEN TO REFER FOR MENTAL HEALTH, INDICATORS OF TRAUMA, AND HOW TO BE A MORE TRAUMA-INFORMED STAFF MEMBER.
STRATEGY #4 - THE LUCAS COUNTY TRAUMA INFORMED CARE COALITION (LCTIC)CREATED IN LATE 2014, IS A COUNTY WIDE COALITION WHOSE MISSION IS TO INCREASE AWARENESS AND PRACTICE OF TRAUMA INFORMED CARE (TIC) IN THE COMMUNITY. MEMBERSHIP INCLUDES STAFF FROM TOLEDO CHILDREN'S HOSPITAL, COMMUNITY MENTAL HEALTH CENTERS, THE LUCAS COUNTY MENTAL HEALTH RECOVERY SERVICES BOARD, DOMESTIC VIOLENCE SHELTERS, UNIVERSITY OF TOLEDO, UTMC, TOLEDO POLICE DEPARTMENT AND EMS, NAMI, UNITED WAY, AND MANY OTHERS. THE WORK OF THE LCTIC WILL HELP TO IMPROVE YOUTH MENTAL HEALTH THROUGH:A) EDUCATING MENTAL HEALTH PROFESSIONALS HOW TO PROVIDE MORE APPROPRIATE TRAUMA INFORMED SERVICES TO YOUTH WHO HAVE TRAUMA HISTORIES.B) EMPOWERING CONSUMERS, PARENTS, AND COMMUNITY MEMBERS TO BETTER UNDERSTAND HOW TO ACCESS APPROPRIATE TRAUMA INFORMED SERVICES FOR YOUTH WHO HAVE EXPERIENCED TRAUMA.C) ASSESS LEARNING DURING TRAUMA PRESENTATIONS BY DEVELOPING A BRIEF PRE AND POST TRAUMA KNOWLEDGE MEASURE TO GIVE TO ALL ATTENDEES OF THE TRAUMA PRESENTATIONS.D) COLLECTING AND PROVIDING DATA ON THE OTHER ACTIVITIES OF THE TRAUMA COALITION AND ITS IMPACT ON SPREADING TRAUMA INFORMED KNOWLEDGE TO THE COMMUNITY.E) BUILDING A TRAUMA COALITION COUNTY WEBSITE. DEVELOP AND FIND VETTED TRAUMA RESOURCES TO LINK TO THE WEBSITE AND/OR TO DISSEMINATE TO THE COMMUNITY.ACTIONS TAKEN: - 48 PROFESSIONALS IN THE COMMUNITY WERE TRAINED IN TRAUMA INFORMED CARE (TIC).- TRAUMA COALITION WEBSITE DEVELOPED AND RUNNING. VETTED TRAUMA RESOURCES WERE PLACED ON THE WEBSITE EMPOWERING VISITORS (I.E. CONSUMERS, PARENTS AND COMMUNITY MEMBERS) TO OBTAIN APPROPRIATE TRAUMA INFORMED SERVICES.- PRE AND POST ASSESSMENT OF TRAUMA INFORMED CARE PROVIDED TO THE 48 MENTAL HEALTH PROFESSIONALS TRAINED.- OVER 90% OF PARTICIPANTS AGREED/STRONGLY AGREED THEY UNDERSTOOD THE: DEFINITION OF TRAUMA, THREE E'S OF TRAUMA, PREVALENCE OF TRAUMA, FOUR R'S OF A TRAUMA INFORMED HOSPITAL; EFFECTS OF TRAUMA; WAYS THEY COULD BE MORE TRAUMA-INFORMED.- 70% OF PARTICIPANTS AGREED/STRONGLY AGREED THAT THEY UNDERSTOOD SAMHSA'S 6 PRINCIPLES IN TIC. RESULTS WERE PROVIDED TO THE TRAUMA COALITION.HEALTH NEED IDENTIFIED: DECREASE HEART DISEASE AND OTHER CHRONIC DISEASES - ASTHMASTRATEGY #1 - IMPROVE PATIENT/FAMILY KNOWLEDGE OF ASTHMA MANAGEMENT AND INCREASE THEIR PARTICIPATION IN SELF-CARE THROUGH EDUCATION.A) IMPLEMENT EVIDENCE BASED ASTHMA DISEASE MANAGEMENT PROGRAM UTILIZED AT PROMEDICA TOLEDO CHILDREN'S HOSPITAL FOR ASTHMA EDUCATION AT THE PEDIATRIC AMBULATORY DEPARTMENT.B) UTILIZE RESPIRATORY THERAPISTS TRAINED TO PROVIDE CONSISTENT ASTHMA EDUCATION TO PARENTS AND CHILDREN WITH ASTHMA.C) PROVIDE ASTHMA EDUCATION 2 DAYS PER WEEK TO ALL PARENTS OF ASTHMATIC CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT.D) PROVIDE THE ASTHMA INSTRUCTION BOOKLET TO PARENTS RECEIVING EDUCATION.E) PROVIDE AN ASTHMA ACTION PLAN TO ALL PARENTS OF CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT WITH A DIAGNOSIS OF ASTHMA.F) MONITOR CHILDREN WHO RECEIVE EDUCATION FOR FREQUENCY OF ASTHMA RELATED HOSPITALIZATIONS AND/OR ED VISITS DURING THIS INITIAL YEAR.G) PROMOTE PEDIATRIC AMBULATORY ASTHMA EDUCATION & MANAGEMENT AS A MODEL TO OTHER PEDIATRIC OFFICES TO INCREASE ASTHMA MANAGEMENT ACCESS FOR ALL CHILDREN WITH ASTHMA.ACTIONS TAKEN:- ASTHMA EDUCATION WAS PROVIDED TO 672 PATIENTS IN THE PEDIATRIC AMBULATORY DEPARTMENTS.- ACTION PLANS WERE GIVEN TO 518 PARENTS OF CHILDREN IN THE PEDIATRIC AMBULATORY DEPARTMENT WITH AN ASTHMA DIAGNOSIS.- 72 PATIENTS RETURNED FOR EDUCATION OR TO SEEK CLASS INSTRUCTION.STRATEGY #2 - DECREASE ASTHMA RELATED HOSPITAL ADMISSIONS AND EMERGENCY DEPARTMENT (ED) VISITS.A) WILL MONITOR ALL TOLEDO CHILDREN'S PEDIATRIC PRIMARY PATIENTS WHO RECEIVE ASTHMA EDUCATION FOR FREQUENCY OF ASTHMA RELATED HOSPITALIZATIONS AND/OR ED VISITS.B) EDUCATION WILL CONSIST OF TEACHING AND PRACTICING HEALTHY BEHAVIORS TO INCREASE NUMBER OF ASTHMA PATIENTS RETURNING FOR FOLLOW UP CARE AND MEDICATION REFILLS ON ROUTINE BASIS.C) UTILIZE HOME CARE NURSES TO PROVIDE HOME EVALUATIONS AND FOLLOW UP CARE FOR ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION, IMPLEMENTATION OF MANAGEMENT SKILLS AND UNDERSTANDING OF NEED TO TAKE MEDICATIONS AS ORDERED.D) PATIENTS WILL FOLLOW UP IN PEDIATRIC AMBULATORY OFFICE FOR FOLLOW UP AS NEEDED WITH RESPIRATORY THERAPIST ASTHMA EDUCATOR FOR MONITORING FAMILY/CHILD'S UNDERSTANDING AND ONGOING MANAGEMENT OF EDUCATION. RESPIRATORY THERAPIST WILL RE-EDUCATE AS NEEDED.ACTIONS TAKEN: - MONITORED NUMBER OF ASTHMA HOSPITALIZATIONS/ED VISITS FROM 2017. THE < 30 DAY READMISSION RATE HAS DECREASED FROM 2.25% IN 2016 TO 1.5% IN 2017. THE PERCENTAGE OF < 30 AND < 60 DAY REVISITS TO THE ED HAVE REMAINED VIRTUALLY UNCHANGED BETWEEN 1Q17 AND 1Q18. THE % OF < 7 DAY REVISITS HAS INCREASED FROM 1.8% TO AVERAGE OF 2.95% ; THE < 7 DAY READMISSION RATE IS 0.5% FOR SAMPLED PATIENT POPULATION.- DEVELOPED MEASURES TO IDENTIFY NUMBER OF PATIENTS PARTICIPATION IN ASTHMA EDUCATION IN 2017. DEVELOPED MEASURES TO IDENTIFY IF INCREASING ASTHMA RECHECKS IN 2018. IDENTIFIED THAT PRIMARY CARE PHYSICIANS WERE NOT REFERRING ASTHMA PATIENTS TO HOME CARE CONSISTENTLY FOR HOME CARE NURSING FOLLOW UP PER NAEEP GUIDELINES 2007 REPORT. RE-EDUCATION HAS OCCURRED IN 2018 AND THEN ANNUALLY FOR UTILIZATION OF HOME CARE. ASTHMA EDUCATORS ARE TO PROVIDE FEEDBACK TO NURSES/PCP OF FAMILIES THAT WOULD BENEFIT FROM FOLLOW UP ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION AND HOME ASTHMA MANAGEMENT SKILLS AND MEDICATION USAGE.- THE OFFICE HAS REDESIGNED THE SCHEDULING OF ASTHMA PATIENTS TO COINCIDE WITH THE DAYS THE RESPIRATORY THERAPISTS ARE AVAILABLE. - INCREASED NUMBER OF ASTHMA PATIENTS RETURNING FOR ASTHMA RECHECKS PER YEAR RESULTING IN CAPTURING ASTHMA PATIENTS WHILE IN OFFICE AND ABLE TO SCHEDULE NEXT APPOINTMENT BEFORE LEAVING. STRATEGY #3 - IMPROVE MANAGEMENT OF ASTHMA FOR CHILDREN AT PROMEDICA TOLEDO CHILDREN'S HOSPITAL AND ASSOCIATED OUTPATIENT AREAS.A) PROMEDICA TOLEDO CHILDREN'S HOSPITAL HAS BEEN ACCREDITED BY THE JOINT COMMISSION FOR ASTHMA DISEASE MANAGEMENT AND IS THE ONLY HOSPITAL IN OHIO WITH THIS DISTINCTION. THIS IS AN EVIDENCED BASED PROGRAM USING QUALITY MEASURES TO DETERMINE SUCCESS. THIS TEAM MEETS REGULARLY TO EVALUATE PROGRESS BASED ON TARGET GOALS.B) UTILIZE EVIDENCED BASED ASTHMA ORDER SETS DESIGNED FOR THE CHILDREN'S EMERGENCY DEPARTMENT, THE CHILDREN'S HOSPITAL PEDIATRIC UNIT AND PEDIATRIC INTENSIVE CARE UNIT (PICU).C) PROVIDE ASTHMA EDUCATION TO PATIENTS AND THEIR FAMILIES ADMITTED TO PROMEDICA TOLEDO CHILDREN'S HOSPITAL THAT MEET THE DIAGNOSIS CRITERIA FOR ASTHMA.D) PROVIDE STANDARDIZED ASTHMA EDUCATION TO PATIENTS AND THEIR FAMILIES SEEN IN CENTER FOR HEALTH SERVICES OR PULMONARY CLINIC THAT MEET THE CRITERIA FOR ASTHMA.E) PROVIDE THE ASTHMA INSTRUCTION BOOKLET TO THOSE PARENTS RECEIVING EDUCATION.F) PROVIDE AN ASTHMA ACTION PLAN TO ALL PATIENTS AND FAMILIES DISCHARGED WITH AN ASTHMA DIAGNOSIS FROM PROMEDICA TOLEDO CHILDREN'S HOSPITAL OR PEDIATRIC EMERGENCY DEPARTMENT.ACTIONS TAKEN:- TCH MAINTAINS ACCREDITATION BY THE JOINT COMMISSION FOR ASTHMA DISEASE MANAGEMENT PROVIDING THE HIGHEST LEVEL OF CARE.- 90% USE OF ASTHMA ORDER SETS COMPLETED IN PEDIATRIC EMERGENCY DEPARTMENT.- 98.5% USE OF ASTHMA ORDER SETS COMPLETED IN PEDIATRIC INPATIENT UNIT.- 100% USE OF ASTHMA ORDER SETS COMPLETED IN PEDIATRIC ICU.- 94% USE OF ASTHMA HOME MANAGEMENT PLAN OF CARE COMPLETED WITH PATIENTS AND THEIR FAMILIES AT TIME OF DISCHARGE; 97% HIGH RISK ASTHMA SCREENING COMPLETED WITH INPATIENTS.- 100% PATIENTS/FAMILIES CORRECTLY ANSWERED ASTHMA EDUCATION EVALUATIONS.- 0.5% PATIENTS WERE SEEN IN EMERGENCY DEPARTMENT WITHIN 7 DAYS; 1.7% WITHIN 30 DAYS FROM LAST EMERGENCY DEPARTMENT VISIT, (DECREASING NUMBER FROM PREVIOUS YEAR).STRATEGY #4 - IMPROVE ACCESS TO PEDIATRIC PRIMARY CARE PHYSICIANS AT THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL CLINIC.A) INCREASE PEDIATRIC PHYSICIAN HOURS AS NEEDED.B) OFFER SAME DAY APPOINTMENTS FOR SICK NEW PATIENTS.C) MONITOR ACCESS TO CARE REPORT TO DETERMINE LENGTH OF TIME NEW PATIENTS MUST WAIT FOR APPOINTMENT AND ADD AVAILABLE PHYSICIAN HOURS AS NEEDED.ACTIONS TAKEN:- 1,433 NEW PATIENTS ATTENDED THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC IN 2017. SAME DAY APPOINTMENTS ARE OFFERED FOR SICK, NEW PATIENTS.- ACCESS TO CARE REPORT COMPILED QUARTERLY TO MONITOR ACCESS TO CARE AND MODIFY, AS NEEDED, TO IMPROVE ACCESS TO CARE.
STRATEGY #5 - INCREASE CHILDHOOD IMMUNIZATION RATESA) PROMEDICA TOLEDO CHILDREN'S HOSPITAL (TCH) WILL PROVIDE NURSE COVERAGE IN COLLABORATION WITH THE LUCAS COUNTY HEALTH DEPARTMENT "SHOTS FOR TOTS" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN.B) THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO OFFER FREE "VACCINES FOR KIDS" PER THE STATE GUIDELINES TO ALL ELIGIBLE CHILDREN. THE STATE REGISTRY WILL BE UPDATED AT EACH VISIT WHERE SHOTS ARE GIVEN.C) THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO TAKE EVERY OPPORTUNITY AT VISITS TO UPDATE CHILDREN'S IMMUNIZATIONS.ACTIONS TAKEN:- TCH PROVIDED 122 NURSING HOURS TO SHOTS FOR TOTS PROGRAM IN THE COMMUNITY.- FREE VACCINES WERE OFFERED THROUGH THE "VACCINES FOR KIDS" PROGRAM.- 72% OF CHILDREN WERE IMMUNIZED BY AGE 2 IN THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC.HEALTH NEED IDENTIFIED: INCREASE HEALTHY WEIGHT STATUSSTRATEGY #1 - INCREASE THE NUTRITION EDUCATION OFFERINGS TO CHILDREN AND PARENTS IN PROMEDICA TOLEDO CHILDREN'S HOSPITAL SERVICE AREA. DISTRIBUTE NUTREXITY BOARD GAMES TO ALL SURROUNDING ELEMENTARY SCHOOLS AND AFTER-SCHOOL PROGRAMS. NUTREXITY IS A BOARD GAME FOCUSED ON TEACHING HEALTHY EATING BASICS, INCLUDING NUTRITION, EXERCISE AND BEING A HEALTH PART OF THE COMMUNITY, TO 2ND-5TH GRADERS.ACTIONS TAKEN:- NUTREXITY GAMES WERE DONATED TO SCHOOLS AND COMMUNITY ORGANIZATIONS IN 2015 AND 2016 TO PROVIDE CONTINUOUS ACCESS TO THIS EDUCATIONAL PROGRAM AT THE SCHOOLS. IN LIEU OF PROVIDING THAT PROGRAM, COMMUNITY MEMBERS WERE EDUCATED THROUGH ALTERNATIVE PROGRAMS, INCLUDING: TWO (2) HEALTHY EATING PRESENTATIONS WITH STUDENTS AT CHRIST THE KING, AND FIVE (5) COOKING MATTERS AT THE STORE HEALTHY GROCERY STORE TOURS COMPLETED IN 2017 WITH 36 TOTAL PARTICIPANTS. STRATEGY #2 - ADDRESS FOOD INSECURITY AMONG PATIENTSA) ADDITIONAL PROMEDICA PRACTICES WILL BE TRAINED TO REFER FOOD INSECURE PATIENTS TO PROMEDICA'S FOOD PHARMACY, WHICH PROVIDES HEALTHY FOOD ON A MONTHLY BASIS TO PATIENTS.B) ALL PATIENTS AT TCH WILL BE SCREENED FOR FOOD INSECURITY PRIOR TO DISCHARGE AND WERE OFFERED AN EMERGENCY FOOD BAG UPON DISCHARGE.C) STARTING IN 2016, TOLEDO HOSPITAL/TOLEDO CHILDREN'S HOSPITAL WILL TAKE PART IN THE SUMMER FOOD SERVICE PROGRAM AS A SUMMER MEAL SITE PROVIDING FREE MEALS FOR CHILDREN AGES 1-18.ACTIONS TAKEN:- EIGHT (8) ADDITIONAL PROMEDICA PRACTICES WERE TRAINED IN 2017 TO REFER FOOD INSECURE PATIENTS TO PROMEDICA'S FOOD PHARMACY, WHICH PROVIDES HEALTHY FOOD ON A MONTHLY BASIS TO PATIENTS. - 1,896 FAMILIES WITH CHILDREN WERE SERVED BY THE PROMEDICA FOOD PHARMACY.- RESULTS FROM FOOD PHARMACY STUDY AND EMR DATA RESEARCH WERE COMPLETED IN 2017 SHOWING INSIGNIFICANT CHANGE IN FOOD INSECURITY LEVEL, QUALITY OF LIFE, AND MENTAL HEALTH OUTCOMES. ADDITIONAL RESULTS WILL BE AVAILABLE IN 2018. PRELIMINARY RESULTS FROM POPULATION HEALTH ANALYSIS OF THE SYSTEM FOOD CLINIC PROGRAM INDICATED A 3% REDUCTION IN ED USAGE; 53% REDUCTION IN ALL CAUSE READMISSION RATES, AND 4% INCREASE IN PRIMARY CARE USAGE FOR PATIENTS AFTER UTILIZING THE FOOD CLINIC PROGRAM. - ALL TCH PATIENTS WERE SCREENED FOR FOOD INSECURITY WITH 64 EMERGENCY FOOD BAGS PROVIDED TO TCH PATIENTS AT DISCHARGE.- 306 MEALS WERE SERVED AT TOLEDO HOSPITAL'S SUMMER MEALS PROGRAM.STRATEGY #3 - PROVIDE EDUCATION AND AWARENESS TO CHILDREN AND FAMILIES ON CHILD OBESITY AND HEALTHY SUPPLEMENTAL FOODS THROUGH THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL WIC PROGRAM.A. CONDUCT INDIVIDUAL NUTRITION ASSESSMENTS FOR WIC PARTICIPANTS. TAILOR INDIVIDUAL WIC FOOD PACKAGE TO BEST MEET EACH PARTICIPANT'S INDIVIDUAL NUTRITION NEEDS AND/OR GOALS.B. MAKE REFERRALS TO PHYSICIAN, AS INDICATED BY WIC POLICIES AND PROCEDURES.C. PROVIDE BREASTFEEDING EDUCATION CLASSES.D. EDUCATE ON LIMITING JUICE AND EMPTY CALORIE FOODS AND REPLACE WITH ECONOMICAL HEALTHY FOODS.E. EDUCATE PARENT/CAREGIVER ON HOW TO EXTEND FOOD DOLLARS AND OFFERS HEALTHY, INEXPENSIVE MEAL IDEAS.F. PROVIDE FARMER MARKET COUPONS, TO ELIGIBLE WIC PARTICIPANTS, (JULY THROUGH SEPTEMBER) TO HELP INCREASE FRESH FRUIT AND VEGETABLE INTAKE.ACTIONS TAKEN:- 10,372 CHILDREN AND CAREGIVERS WERE ASSESSED AND EDUCATED THROUGH WIC PROGRAM.- ALL WIC PATIENTS ARE REQUIRED TO HAVE DIET ASSESSMENTS TWICE A YEAR, AND BASED ON THIS ASSESSMENT PHYSICIAN REFERRALS ARE MADE.- 54 BREAST FEEDING EDUCATION CLASSES WERE PROVIDED THROUGH THE CHS (CENTER FOR HEALTH SERVICES) CLINIC BASED WIC PROGRAM.- ALL WIC PATIENTS ARE REQUIRED TO HAVE DIET ASSESSMENTS TWICE A YEAR, AND BASED ON THIS ASSESSMENT, FAMILIES ARE EDUCATED ON LIMITING JUICE AND EMPTY CALORIE FOODS AND REPLACE WITH ECONOMICAL HEALTH FOODS.- ALL WIC PATIENTS ARE REQUIRED TO HAVE DIET ASSESSMENTS TWICE A YEAR, AND BASED ON THIS ASSESSMENT PARENTS/CAREGIVERS ARE EDUCATED ON HOW TO EXTEND FOOD DOLLARS AND OFFERED HEALTHY, INEXPENSIVE MEAL IDEAS.- 643 PARTICIPANTS PARTICIPATED IN THE CHS CLINIC BASED BREAST FEEDING CLASSES THROUGH THE WIC PROGRAM.- 1,044 FARMER MARKET COUPONS WERE GIVEN TO ELIGIBLE WIC PARTICIPANTS THROUGH THE WIC PROGRAM.HEALTH NEED IDENTIFIED: INJURY PREVENTION/SAFETYSTRATEGY #1 - PROMEDICA TOLEDO CHILDREN'S HOSPITAL IN PARTNERSHIP WITH STATE FARM WILL CONDUCT A DISTRACTED DRIVING PROGRAM THAT WILL EDUCATE HIGH SCHOOL STUDENTS AND THE COMMUNITY ON THE DANGERS OF DISTRACTED DRIVING AND THE IMPORTANCE TO SPEAK UP IF FEELING UNSAFE WITH OTHER DRIVERS (BASED ON FUNDING AVAILABILITY). CONDUCT DISTRACTED DRIVING PROGRAM FOR AT LEAST 3 HIGH SCHOOLS AND AT LEAST 1 COMMUNITY LOCATION.ACTIONS TAKEN:- PROMOTED AND FACILITATE DISTRACTED DRIVING PRESENTATIONS FOR EIGHT (8) HIGH SCHOOLS IN LUCAS COUNTY AND GREATER TOLEDO AREA, RESULTING IN EIGHT (8) SCHOOLS PARTICIPATING, 3,250 PARTICIPANTS WERE EDUCATED AT PRESENTATIONS, AND 320 PARTICIPANTS USED THE DISTRACTED DRIVER SIMULATOR.- DISTRACTED DRIVING EDUCATION PROVIDED AT COMMUNITY LOCATIONS IN 2017: TOLEDO AUTO SHOW (4 DAYS), TOLEDO HOSPITAL EMPLOYEE HEALTH FAIR, TOLEDO HOSPITAL CAFETERIA, SWANTON CORN FESTIVAL, OWENS CORNING EMPLOYEE HEALTH FAIR, LUCAS COUNTY EDUCATIONAL SERVICE CENTER (SOLAR ECLIPSE COMMUNITY VIEWING EVENT), AND PROMEDICA GO RED EVENT. APPROXIMATELY 250 TEENS AND ADULTS USING THE DISTRACTED DRIVING SIMULATOR AND OVER 1,500 PEOPLE REACHED THROUGH IN-DIRECT EDUCATION AT THESE EVENTS.STRATEGY #2 - KISS (KIDS IN SAFE SEATS)/OBB (OHIO BUCKLES BUCKEYES)/SAFE KIDS BUCKLE UP CAR SEAT PROGRAMS WILL EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF PROPER CAR SEAT USE AT TOLEDO CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND SAFE KIDS BUCKLE UP COMMUNITY EVENTS. PROVIDE AT LEAST 40 OPPORTUNITIES FOR PARENTS AND CAREGIVERS TO RECEIVE CAR SEAT INFORMATION.ACTIONS TAKEN:- CONDUCTED 57 CAR SEAT CHECKUP EVENTS THROUGHOUT THE GREATER TOLEDO AREA.STRATEGY #3 - KISS/OBB/SAFE KIDS BUCKLE UP WILL PROVIDE ACCESS TO CAR SEATS AND BOOSTER SEATS TO LOW-INCOME FAMILIES AT TOLEDO CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND SAFE KIDS BUCKLE UP COMMUNITY EVENTS. DISTRIBUTE AT LEAST 100 CAR SEATS TO LOW-INCOME FAMILIES.ACTIONS TAKEN:- 10 KISS/OBB/SAFE KIDS "BUCKLE UP" PRESENTATIONS WERE HELD.- 268 CAR SEATS AND BOOSTER SEATS WERE PROVIDED TO LOW INCOME FAMILIES.- 332 CAR SEATS WERE CHECKED FOR SAFE INSTALLATION.STRATEGY #4 - SAFE ROUTES TO SCHOOL PROGRAM WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE BENEFITS OF WALKING AND BICYCLING TO SCHOOL IN GROUPS AS A WAY TO HAVE A SAFER NEIGHBORHOOD. ACTIONS TAKEN: - PRESENTED TO 17 CLASSROOMS ON PEDESTRIAN AND BICYCLE SAFETY. THE TOTAL NUMBER OF CHILDREN RECEIVING THIS EDUCATION WAS 425.STRATEGY #5 - SAFE KIDS GREATER TOLEDO WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE BENEFITS OF WALKING AND BICYCLING TO SCHOOL IN GROUPS AS A WAY TO HAVE A SAFER NEIGHBORHOOD. PROMOTE INTERNATIONAL WALK TO SCHOOL DAY WITH AT LEAST ONE SCHOOL IN LUCAS COUNTY.ACTIONS TAKEN:- PROMOTED INTERNATIONAL WALK TO SCHOOL (82 PARTICIPANTS; 2 SCHOOLS; 2 PRESENTATIONS) WITH MORE FOCUS ON BIKE TO SCHOOL DAY (680 PARTICIPANTS; 13 SCHOOLS), AND PRESENTED 13 CLASSROOM PRESENTATIONS ON PEDESTRIAN AND BICYCLE SAFETY.
STRATEGY #6 - PROMEDICA TOLEDO CHILDREN'S HOSPITAL COMMUNITY OUTREACH/SAFEKIDS HOME SAFETY AND TOLEDO HEALTHY TOMORROWS HELP ME GROW PROGRAMS WILL EDUCATE PARENTS, CAREGIVERS AND THE COMMUNITY ON HOME SAFETY ISSUES INCLUDING ACCIDENTAL POISONINGS SAFETY, MEDICATION SAFETY, WATER SAFETY, FALLS, FIRE, BURN, ETC. DIRECTLY EDUCATE AT LEAST 150 INDIVIDUALS THROUGH PRESENTATIONS AND EDUCATIONAL SESSIONS; INDIRECTLY EDUCATE THOUSANDS MORE THROUGH SOCIAL MEDIA, TRADITIONAL MEDIA AND BROCHURES.ACTIONS TAKEN:- CONDUCTED EDUCATIONAL PRESENTATIONS TO PARENTS/CAREGIVERS AND OTHER PROFESSIONALS WITH 187 PARTICIPANTS.STRATEGY #7 - TCH COMMUNITY OUTREACH/SAFE KIDS HOME SAFETY AND TOLEDO HEALTHY TOMORROWS HELP ME GROW PROGRAMS WILL PROVIDE SAFETY ITEMS AND EDUCATIONAL MATERIALS TO LOW-INCOME FAMILIES TO REDUCE OR PREVENT HOME-RELATED INJURIES. PROVIDE HOME SAFETY ITEMS/KITS TO AT LEAST 30 LOW-INCOME HOUSEHOLDS.ACTIONS TAKEN:- TOLEDO HEALTHY TOMORROWS HELP ME GROW AND PATHWAYS PROGRAMS PROVIDED HOME SAFETY ASSESSMENTS, ITEMS AND/OR EDUCATION TO 172 LOW INCOME FAMILIES IN 2017.STRATEGY #8 - ASSESS AND PROVIDE SAFETY ITEMS TO HOMES LACKING SMOKE/CARBON MONOXIDE (CO) DETECTORS, FIRE EXTINGUISHERS, CHILD SAFETY GATES, DOOR LOCKS, ETC. PARTNER WITH AMERICAN RED CROSS TO REQUEST AND INSTALL SMOKE/CO DETECTORS IN HOMES WITHOUT THEM. FOLLOW UP WITH POST ASSESSMENT TO ENSURE ITEMS ARE BEING USED AND INSTALLED/USED CORRECTLY. COMPLETE WRITTEN ASSESSMENT OF HOME AND NEED FOR SAFETY ITEMS. DISTRIBUTE NEEDED SAFETY ITEMS AND EDUCATE ON USE. COMPLETE WRITTEN FOLLOW UP ASSESSMENT ON INSTALLATION AND CORRECT USE OF SAFETY ITEMS PROVIDED.ACTIONS TAKEN:- PROVIDED SAFETY ITEMS SUCH AS BABY GATES, WINDOW GUARDS, CABINET LOCKS, APPLIANCE LOCKS, FIRE EXTINGUISHERS, CO DETECTORS, OUTLET COVERS, BATH THERMOMETERS, ETC. RESULTING IN 193 ITEMS DISTRIBUTED TO 105 HOUSEHOLDS.- CHILD/HOME SAFETY ASSESSMENTS WERE COMPLETED, WITH 172 COMPLETED ASSESSMENTS FOR HOME SAFETY ITEMS, 15 SMOKE/CO DETECTORS PROVIDED BY THE AMERICAN RED CROSS, AND 165 FOLLOW UP ASSESSMENTS COMPLETED.STRATEGY #9 - SAFE KIDS SPORTS SAFETY AND TOLEDO CHILDREN'S HOSPITAL TRAUMA DEPARTMENT WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS-RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSION CLINIC AND AREA SCHOOLS. EDUCATE AT LEAST 50 PARTICIPANTS AT PRESENTATIONS AND EVENTS.ACTIONS TAKEN:- CONDUCTED EDUCATIONAL PRESENTATIONS TO PARENTS/CAREGIVERS AND OTHER PROFESSIONALS ON SPORTS SAFETY ISSUES, WITH 19 EDUCATIONAL PRESENTATIONS AND 530 TOTAL PARTICIPANTS.STRATEGY #10 - TOLEDO CHILDREN'S HOSPITAL TRAUMA DEPARTMENT WILL ASSIST SCHOOLS AND MEDICAL PROFESSIONALS WITH "RETURN TO PLAY AND "RETURN TO LEARN" POLICY AND PROCEDURE ADOPTION BY PROVIDING EDUCATIONAL MATERIALS AND SESSIONS. PROVIDE INFORMATION TO AT LEAST FOUR SCHOOLS OR MEDICAL PROFESSIONALS.ACTIONS TAKEN:- PROVIDED "RETURN TO PLAY AND "RETURN TO LEARN" MATERIALS AND EDUCATIONAL SESSIONS, WITH 20 SCHOOLS AND 180 MEDICAL AND/OR SCHOOL PROFESSIONALS.HEALTH NEED IDENTIFIED: INCREASE SCHOOL READINESSSTRATEGY #1 - PROMOTE READING TO YOUNG CHILDREN THROUGH THE TOLEDO HEALTHY TOMORROWS/HELP ME GROW PROGRAM ON AN ONGOING BASIS. EDUCATE YOUNG LOW INCOME PARENTS ABOUT PARENTING AND THE BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS. PROVIDE FREE CHILDREN'S BOOKS AT HOME VISIT. TOLEDO HEALTHY TOMORROWS (THT)/ HELP ME GROW HOME VISITORS PROVIDED LITERACY EDUCATION AND BOOKS TO FAMILIES.ACTIONS TAKEN:- EDUCATION PROVIDED TO 237 YOUNG LOW INCOME PARENTS AND 385 BOOKS WERE PROVIDED.STRATEGY #2 - PROVIDE AGE SPECIFIC DEVELOPMENTAL SCREENING FROM BIRTH TO AGE 3 FOR CHILDREN ENROLLED IN THT/HELP ME GROW PROGRAM. SCREEN ALL INFANTS AND CHILDREN TO AGE 3 YEARS WITH AGE APPROPRIATE AGES AND STAGES, THIRD EDITION. REFER ALL CHILDREN TO EARLY INTERVENTION THROUGH ESTABLISHED PROCEDURE IF SCREENING DETERMINES NEED FOR EVALUATION.ACTIONS TAKEN:- 618 SCREENINGS WERE COMPLETED AND 15 REFERRALS WERE MADE TO EARLY INTERVENTION.GROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 11: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- HUNGER- OBESITYTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019. WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH CARE COVERAGE PERCEPTIONS, HEALTH CARE ACCESS AND UTILIZATION, CARDIOVASCULAR HEALTH, CANCER, DIABETES, ARTHRITIS, ASTHMA, TOBACCO USE, ALCOHOL CONSUMPTION AND DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND HEALTH SCREENINGS, ADULT SEXUAL BEHAVIOR, ADULT PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, SOCIAL ISSUES (EXCEPT HUNGER), MENTAL HEALTH AND SUICIDE, ORAL HEALTH, MINORITY HEALTH, HEALTH ISSUES SPECIFIC TO YOUTH AND CHILDREN, YOUTH WEIGHT, YOUTH TOBACCO USE, YOUTH ALCOHOL AND DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SAFETY AND VIOLENCE, CHILDREN HEALTH STATUS, CHILDREN DIAGNOSED WITH ASTHMA, CHILDREN DIAGNOSED WITH ADHD/ADD, CHILDREN DIAGNOSED WITH VISION PROBLEMS THAT CANNOT BE CORRECTED, CHILDREN'S HEALTH ACCESS, EARLY CHILDHOOD HEALTH, MIDDLE CHILDHOOD HEALTH, FAMILY FUNCTIONING/NEIGHBORHOODS, AND PARENT HEALTH.WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2017 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: HUNGERSTRATEGY #1 - SCREEN INPATIENTS ON ADMISSION FOR FOOD INSECURITY, AND PROVIDE FOOD TO TAKE HOME AT DISCHARGE IF FOOD INSECURITY IS IDENTIFIED.ACTIONS TAKEN:- ZERO PATIENTS AT WILDWOOD SCREENED POSITIVE FOR FOOD INSECURITY IN 2017. A TOTAL OF 480 PATIENTS AT TOLEDO HOSPITAL (THAT WILDWOOD OPERATES UNDER) WERE PROVIDED WITH EMERGENCY FOOD BOXES AT DISCHARGE IN 2017. STRATEGY #2 - SCREEN OUTPATIENTS IN SPECIFIC PROMEDICA PRIMARY CARE OFFICES FOR FOOD INSECURITY, AND PROVIDE A REFERRAL TO A PROMEDICA FOOD PHARMACY AND/OR PROVIDE A LISTING OF FOOD AGENCIES TO ASSIST PATIENTS WITH FOOD ACCESS.ACTIONS TAKEN:- 1,364 UNIQUE HOUSEHOLDS, WITH NO CHILDREN, WERE SERVED AT THE PROMEDICA FOOD CLINIC (PHARMACY) IN 2017.HEALTH NEED IDENTIFIED: OBESITYSTRATEGY #1 - PROVIDE FREE COOKING MATTERS PROGRAMMING TO PARENTS AND FAMILIES THROUGHOUT THE COMMUNITY. COOKING MATTERS IS A 6-WEEK HEALTHY EATING AND COOKING CLASS FOR LOW-INCOME FAMILIES, WHICH WILL BE OFFERED AT THE PROMEDICA EBEID INSTITUTE'S TEACHING KITCHEN.ACTIONS TAKEN:- SIX (6) EDUCATIONAL SESSIONS WERE PROVIDED IN 2017.- 82 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.STRATEGY #2 - PROVIDE FREE COOKING MATTERS AT THE STORE PROGRAMMING TO PARENTS AND FAMILIES. COOKING MATTERS AT THE STORE IS A ONE-TIME, EDUCATIONAL GROCERY STORE TOUR TEACHING HEALTHY EATING ON A BUDGET.ACTIONS TAKEN:- FIVE (5) EDUCATIONAL SESSIONS WERE PROVIDED IN 2017.- 36 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.STRATEGY #3 - PROVIDE PHYSICAL ACTIVITY EDUCATION AS PART OF THE PROGRAMMING AT THE EBEID INSTITUTE FOR POPULATION HEALTH.ACTIONS TAKEN:- 12 EDUCATIONAL SESSIONS WERE PROVIDED IN 2017.- 600 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL HEADINGPART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL HEADINGPART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 7B: THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/FLOWER-HOSPITAL/DOCUMENTS/PROMEDICA%20TOLEDO%20FLOWER%20WILDWOOD%20AND%20ARROWHEAD%20BEHAVIORAL%20HOSPITALS%202016%20JOINT%20COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT.PDFGROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 11: ARROWHEAD BEHAVIORAL HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- SUBSTANCE ABUSE- MENTAL HEALTHTHIS 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. ARROWHEAD BEHAVIORAL HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH CARE PERCEPTIONS/COVERAGE/ACCESS/UTILIZATION, CARDIOVASCULAR HEALTH, DIABETES, CANCER, ARTHRITIS, ASTHMA AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS, TOBACCAO USE, ALCOHOL AND DRUG USE, ORAL HEALTH, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND ENVIRONMENTAL HEALTH, ADULT SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ADULT MENTAL HEALTH, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, YOUTH HEALTH OR CHILD HEALTH, YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH PERCEPTIONS, MATERNAL INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD CARE HEALTH ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, PARENT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, PARENT HEALTH.ARROWHEAD BEHAVIORAL HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2017 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 - PROVIDE DRUG/ALCOHOL SCREENINGS VIA MOBILE ASSESSMENTS AT LOCAL EMERGENCY ROOMS, LUCAS COUNTY JAIL, SKILLED NURSING FACILITIES AND MEDICAL REHAB CENTERS.ACTIONS TAKEN:- PROVIDED SIX (6) DRUG/ALCOHOL SCREENINGS VIA MOBILE ASSESSSMENTS AT LOCAL EMERGENCY ROOMS, LUCAS COUNTY JAIL, SKILLED NURSING FACILITIES AND MEDICAL REHAB CENTERS.STRATEGY #2 - TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS (WHEN NEEDED).ACTIONS TAKEN:- PROVIDED FREE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS (WHEN NEEDED). STRATEGY #3 - ONGOING COLLABORATION WITH LUCAS COUNTY DART (DRUG ABUSE RESPONSE TEAM).ACTIONS TAKEN:- HAD ONGOING COLLABORATION WITH LUCAS COUNTY DART PROGRAM THROUGHOUT 2017 THROUGH COMMUNITY LIAISON PARTICIPATION.STRATEGY #4 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES, INCLUDING: RELAPSE PREVENTION, ALCOHOLICS ANONYMOUS AND NAMI FAMILY TO FAMILY.ACTIONS TAKEN:- 30 EDUCATIONAL SESSIONS WERE PROVIDED IN 2017.- UNKNOWN (NUMEROUS) PARTICIPANTS WERE IN EDUCATIONAL SESSIONS IN 2017.HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES.ACTIONS TAKEN: - PARTICIPATED IN 30 COMMUNITY AWARENESS/EDUCATION ACTIVITIES IN 2017.STRATEGY #2 - CONTINUE TO PROVIDE INPATIENT CARE TO UNINSURED PATIENTS REGARDLESS OF ABILITY TO PAY.ACTIONS TAKEN:- PROVIDED INPATIENT CARE TO 32 OF UNINSURED PATIENTS IN 2017.STRATEGY #3 - CONTINUE SCREENING, EDUCATION AND WORKFORCE DEVELOPMENT OFFERED TO THE COMMUNITY TOGETHER WITH PROMEDICA FLOWER HOSPITAL PSYCHIATRIC SERVICES.ACTIONS TAKEN: - ARROWHEAD BEHAVIORAL HOSPITAL STAFF PARTICIPATED IN MULTIPLE NAMI (NATIONAL ALLIANCE FOR MENTAL ILLNESS) EVENTS, INCLUDING DONATION OF $2,500 FOR A SPONSORSHIP FOR THE NAMI WALK.GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 20E: PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS: - PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITY TO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THE PATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENT MAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IF THE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOES NOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICES AND PHONE CALLS FOR MULTIPLE MONTHS
FieldValueIRS element (for citing)
Facility57FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (57 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PARKWAY SURGERY CENTER
3500 EXECUTIVE PARKWAYTOLEDOOH43606SURGICAL CENTER/LAB
2 - PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVDTOLEDOOH43606GROUND AND AIR TRANSPORT
3 - ENDOSCOPY CENTER
3439 GRANITE CIRCLETOLEDOOH43617ENDOSCOPY
4 - NORTHWEST OHIO CARDIOLOGY
2940 N MCCORD RDTOLEDOOH43615CARDIOLOGY
5 - HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DRTOLEDOOH43623RADIOLOGY
6 - PROMEDICA LABS
2141 GIANT STTOLEDOOH43606LAB
7 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109SYLVANIAOH43560RADIOLOGY
8 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109SYLVANIAOH43560LAB
9 - TOLEDO CHILDRENS HEART CENTER
2121 HUGHES DRTOLEDOOH43606CARDIOLOGY
10 - TOTAL REHAB PEDIATRICS
4041 W SYLVANIA AVE SUITE 100TOLEDOOH43623PHYSICAL THERAPY
11 - SPORTSCARE AT WILDWOOD MEDICAL CENTER
2865 N REYNOLDS RD SUITE 110TOLEDOOH43615PHYSICAL THERAPY
12 - CENTER FOR WOUND CARE OF NW OHIO
3110 W CENTRAL AVE SUITE ATOLEDOOH43606WOUND CARE
13 - TOTAL REHAB WILDWOOD
2865 N REYNOLDS RD SUITE 101TOLEDOOH43615PHYSICAL THERAPY
14 - JOBST VASCULAR INSTITUTE - TOLEDO
2109 HUGHES DRTOLEDOOH43606VASCULAR
15 - PROMEDICA WILDWOOD
2865 N REYNOLDS RD SUITE 130TOLEDOOH43615RADIOLOGY
16 - MONROE CARDIOLOGY TESTING CENTER
730 N MACOMB STMONROEMI48162CARDIOLOGY
17 - PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIRCLE SUITE 120MAUMEEOH43537LAB
18 - REYNOLDS ROAD SURGICAL CENTER
2865 N REYNOLDS RDTOLEDOOH43615SURGERY CENTER
19 - PROMEDICA VASCULAR LAB - SYLVANIA
5700 MONROE STSYLVANIAOH43560VASCULAR
20 - TOLEDO HOSPITAL TOTAL REHAB AT CTR
2150 W CENTRAL AVETOLEDOOH43606PHYSICAL THERAPY
21 - CENTER FOR HEALTH SVCS
2150 W CENTRAL AVETOLEDOOH43606LAB
22 - HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DRTOLEDOOH43623PULMONARY
23 - PERRYSBURG MEDICAL CTR
1601 BRIGHAM DR SUITE 180PERRYSBURGOH43551LAB
24 - TOLEDO HOSPITAL AT CONRAD JOBST TOWER
2109 HUGHES DR SUITE 130TOLEDOOH43606LAB
25 - PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIRCLE SUITE 120MAUMEEOH43537RADIOLOGY
26 - TOLEDO HOSPITAL CARDIAC TESTING CTR
1601 BRIGHAM DRPERRYSBURGOH43551CARDIOLOGY
27 - TOTAL REHAB AT PERRYSBURG
1601 BRIGHAM DR SUITE 100PERRYSBURGOH43551PHYSICAL THERAPY
28 - WEST CENTRAL SURGICAL CENTER
7055 W CENTRAL AVETOLEDOOH43617SURGERY CENTER
29 - CHS WOMENS
2150 W CENTRALTOLEDOOH43606WOMENS CARE
30 - TOTAL REHAB OF MAUMEE ARROWHEAD
650 BEAVER CREEK CIRCLE SUITE 210MAUMEEOH43537PHYSICAL THERAPY
31 - PROMEDICA PERRYSBURG
1601 BRIGHAM DR SUITE 180PERRYSBURGOH43551RADIOLOGY
32 - CHS PEDIATRICS
2150 W CENTRAL AVE 2ND FLOORTOLEDOOH43606PEDIATRICS
33 - PROMEDICA HEALTH CTR LAMBERTVILLE
7579 SECOR RDLAMBERTVILLEMI48114LAB
34 - PROMEDICA LABS MCCORD RD
3020 N MCCORD RD SUITE 101TOLEDOOH43615LAB
35 - PROMEDICA WILDWOOD
2865 N REYNOLDS RD SUITE 130TOLEDOOH43615LAB
36 - TOLEDO HOSPITAL FAMILY RESIDENCY
2100 W CENTRAL AVE STE 200TOLEDOOH43606FAMILY MEDICINE CENTER
37 - PROMEDICA LABS POINT PLACE
4805 SUDER RDTOLEDOOH43611LAB
38 - PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIRCLESWANTONOH43558LAB
39 - NWO BREAST MRI
2121 HUGHES DR SUITE 300TOLEDOOH43606RADIOLOGY
40 - PROMEDICA LAB - TOLEDO HOSPITAL
2100 W CENTRAL AVETOLEDOOH43606LAB
41 - PROMEDICA ROSSFORD
1209 DIXIE HWYROSSFORDOH43460LAB
42 - JOBST ANTICOAGULATION - TOLEDO
2109 HUGHES DR SUITE 550TOLEDOOH43606ANTICOAGULATION THERAPY
43 - PROMEDICA HEALTH CTR EAST
3156 DUSTIN RD SUITE 101OREGONOH43616LAB
44 - PROMEDICA PERRYSBURG VASCULAR
1601 BRIGHAM DR SUITE 180PERRYSBURGOH43551VASCULAR
45 - PROMEDICA MARY ELLEN FALZONE DIABETES
2100 W CENTRAL AVETOLEDOOH43606DIABETES CARE
46 - PROMEDICA PHYSICIANS GENERAL SURGERY
5700 MONROE STSYLVANIAOH43560BARIATRIC
47 - PROMEDICA PHYSICIANS GYNOONCOLOGY
2109 HUGHES DR STE 820TOLEDOOH43606WOMENS CARE
48 - TOTAL REHAB - PROMEDICA OWENS CORNING
1 OWENS CORNING PARKWAYTOLEDOOH43659PHYSICAL THERAPY
49 - CHS HEMOPHILIA
2150 W CENTRAL AVETOLEDOOH43606HEMOPHILIA
50 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109SYLVANIAOH43560PULMONARY FUNCTION
51 - CENTER FOR WOUND CARE OF NW OHIO
2751 BAY PARK DROREGONOH43616WOUND CARE
52 - CHS OCCUHEALTH
2142 NORTH COVE BLVDTOLEDOOH43606LAB
53 - TOLEDO HOSPITAL AT CONRAD JOBST TOWER
2109 HUGHES DR SUITE 130TOLEDOOH43606RADIOLOGY
54 - CENTER FOR HEALTH SVCS
2150 W CENTRALTOLEDOOH43606RADIOLOGY
55 - JULIE MILLER DO
2150 W CENTRAL AVETOLEDOOH43606PHYSICAL MEDICINE
56 - CHS INTERNAL MEDICINE
2150 W CENTRAL AVETOLEDOOH43606INTERNAL MEDICINE
57 - PROMEDICA CHILDREN'S AUTISM CENTER
2040 W CENTRALTOLEDOOH43606AUTISM CENTER

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 RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:THE TOLEDO HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART III, LINE 2:THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 12 AND 13 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION.
PART III, LINE 8:MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2017 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
PART III, LINE 9B:FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2:PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:THE TOLEDO HOSPITAL, LOCATED IN TOLEDO, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 803,000. APPROXIMATELY, 17% OF THE SERVICE AREA IS AGE 65 OR OVER; 38% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $54,000; 44% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 49% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 440,000 WITH APPROXIMATELY 11% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 33% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 16% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2017 WAS 5.3%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, LUNG DISEASE, STROKE, DIABETES, CANCER, ALZHEIMER'S AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO 2017 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 69 OF 88 COUNTIES FOR HEALTH OUTCOMES, 65 OF 88 FOR LENGTH OF LIFE, AND 73 OF 88 FOR QUALITY OF LIFE. THERE ARE TWELVE HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., AND FULTON COUNTY HEALTH CENTER.
PART VI, LINE 5:THE TOLEDO HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC. WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. - IN 2017, THERE WERE 450 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), INCLUDING ITS SUBSIDIARIES. OF THESE, 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. TRUSTEE REPRESENTATION IS COMPRISED OF DIVERSE MEMBERS, INCLUDING 75 PHYSICIANS, FROM NORTHWEST OHIO AND SOUTHEAST MICHIGAN. ADDITIONALLY, PROMEDICA BOARD MEMBERS INCLUDED 151 WOMEN AND 58 RACIAL/ETHNIC MINORITIES.- BOARD MEMBERS ARE NOT COMPENSATED BY PROMEDICA FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER BUSINESS UNITS; THEIR DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, ARE PERFORMED ON A VOLUNTEER BASIS. - PROMEDICA'S MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MEETS THOSE QUALIFICATIONS MAY BE GRANTED PRIVILEGES.- IN 2017, PROMEDICA INVESTED SIGNIFICANT TIME AND FINANCIAL RESOURCES TO COMPLETING THE ROLL OUT OF ITS ELECTRONIC HEALTH RECORD (EHR), EPIC. GO-LIVES TOOK PLACE IN MAY AT PROMEDICA BIXBY AND HERRICK, MONROE REGIONAL, AND MEMORIAL HOSPITALS, AS WELL AS THE 30 PROMEDICA PHYSICIANS OFFICES THAT SUPPORT THESE FACILITIES IN MICHIGAN AND FREMONT. THE FINAL GO-LIVES WERE FOLLOWED IN THE FALL WITH A SYSTEM-WIDE UPGRADE TO THE LATEST OPERATING PLATFORM FOR EPIC, FURTHER ENABLING ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF SERVICE ACROSS PROMEDICA.- PROMEDICA PROVIDED NEARLY 18,000 HEALTH SCREENINGS TO COMMUNITY MEMBERS THROUGHOUT 2017, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. ADDITIONALLY, FREE SCREENING MAMMOGRAMS, AS WELL AS SKIN CANCER AND LUNG CANCER SCREENINGS AND COLORECTAL CANCER EDUCATION WERE PROVIDED FOR EARLY DETECTION. PROSTATE CANCER SCREENING EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY.- PROMEDICA'S FOUNDATION RAISES 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 ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT PATIENTS AND FAMILIES, AS WELL AS LOCAL COMMUNITIES, THROUGH HEALTH-RELATED PROGRAMS, SERVICES, EQUIPMENT, AND FACILITY CONSTRUCTION/RENOVATION THAT HAVE BEEN 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 2017 PROMEDICA WAS COMPRISED OF MORE THAN 17,000 EMPLOYEES, APPROXIMATELY 2,500 VOLUNTEERS AND MORE THAN 2,000 HEALTHCARE PROVIDERS, INCLUDING APPROXIMATELY 900 PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP, WHO HAVE JOINED TOGETHER TO FORM A 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 HELP ENSURE AREA RESIDENTS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. - PROMEDICA MEMBERS INCLUDE: 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 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; PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP, A NETWORK OF SYSTEM-EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION SERVICES, AND HOME CARE.- IN 2017, PROMEDICA MANAGED APPROXIMATELY 4.1 MILLION PATIENT ENCOUNTERS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF OVER $191 MILLION, WHICH INCLUDED FREE HEALTH SCREENINGS AND PARTICIPATION IN PUBLIC HEALTH FAIRS TO MEDICAL LECTURES AT AREA SENIOR CENTERS AND NUTRITION EDUCATION IN ELEMENTARY SCHOOLS, PLUS MUCH MORE. - 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 2017, THERE WERE MORE THAN 9,700 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,200 UNIQUE HOUSEHOLDS. THIS TRANSLATES TO ABOUT 74,520 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 223,560 MEALS. - PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDES BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD, AND A FINANCIAL OPPORTUNITY CENTER TO PROVIDE FINANCIAL COUNSELING FOR RESIDENTS.- IN 2017, PROMEDICA ESTABLISHED THE EBEID PROMISE, A 10-YEAR, $50 MILLION COMMUNITY REVITALIZATION INITIATIVE THANKS TO A GENEROUS $28.5 MILLION GIFT FROM THE FAMILY OF PHILANTHROPIST AND FORMER BOARD MEMBER RUSSELL J. EBEID. THE EBEID PROMISE WILL EXPAND THE SCOPE AND PURPOSE OF THE EBEID INSTITUTE WITH A KEY FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH - HEALTH, NUTRITION, EDUCATION, JOB CREATION, AND FAMILY STABILITY. THIS LONG-TERM INVESTMENT WILL START WITH THE UPTOWN TOLEDO NEIGHBORHOOD AND BE EXPANDED TO TOLEDO'S MONROE STREET CORRIDOR, NEAR PROMEDICA TOLEDO HOSPITAL. PLANS INCLUDE REPLICATING THIS CONCEPT IN COMMUNITIES ACROSS PROMEDICA'S SERVICE AREA IN COMING YEARS.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, BIWEEKLY, MONTHLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2017 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 1,500 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED TO EMPLOYED PROMEDICA PHYSICIANS AND MEDICAL STAFF MEMBERS AS WELL AS NURSES AND OTHER ALLIED HEALTH PROFESSIONALS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PROMEDICA CONTINUING CARE SERVICES CORPORATION
100 MADISON AVETOLEDOOH43604344492440501(C)(3)$27,679,770OPERATING GRANT
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671501(C)(3)$56,000,000OPERATING GRANT
PROMEDICA PHYSICIAN GROUP
100 MADISON AVETOLEDOOH43604341899439501(C)(3)$54,318,940OPERATING GRANT
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672501(C)(3)$2,628,058OPERATING GRANT
THE ARMS FORCES
PO BOX 981MAUMEEOH43537270889821501(C)(3)$7,529CHARITABLE DONATION
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
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)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ARTURO POLIZZI
PRESIDENT, EX OFFICIO$0$473,390$0$147,815$0$14,583$0$238,803$0$25,797$0$900,388$0$0
DAVID SCOTT MIERZWIAK MD
TRUSTEE$0$322,334$0$40,392$0$24,013$0$48,247$0$23,969$0$458,955$0$0
DEBORAH A GUNTSCH MD
TRUSTEE$8,125$230,323$0$102,508$0$3,333$0$6,942$0$12,591$8,125$355,697$0$0
KEVIN C WEBB PHD
EX OFFICIO$0$510,025$0$135,703$0$9,899$0$226,149$0$14,526$0$896,302$0$0
RAVI K ADUSUMILLI MD
TRUSTEE$0$562,540$0$60,896$0$37,362$0$8,100$0$35,169$0$704,067$0$0
JEFFREY C KUHN
SECRETARY$0$479,712$0$108,013$0$28,699$0$229,520$0$14,639$0$860,583$0$0
MICHAEL P BROWNING
TREASURER$0$586,938$0$70,000$0$40,177$0$222,483$0$23,931$0$943,529$0$0
RANDALL OOSTRA
PHS PRES & CEO, EX OFFICIO$0$1,086,659$0$577,159$0$85,998$0$468,579$0$14,639$0$2,233,034$0$159,048
ALISON S AVENDT
VP, OPERATIONS TTH & PRES, PTN$0$163,849$0$16,091$0$1,439$0$21,458$0$2,088$0$204,925$0$0
DARRIN M ARQUETTE
SR. VP, NEURO, HEART AND VASC$0$215,123$0$92,356$0$27,839$0$20,942$0$25,399$0$381,659$0$0
DAWN BUSKEY
COO, METRO REGION ACUTE CARE$0$286,085$0$49,036$0$25,749$0$60,823$0$15,000$0$436,693$0$0
DEANA L SIEVERT
SR. VP, PAT CARE/CNO, SYSTEM$0$209,341$0$24,440$0$7,212$0$39,867$0$25,864$0$306,724$0$0
GARY W AKENBERGER
SR. VP DIAG, FACILITIES & SEC$0$322,399$0$48,208$0$9,197$0$71,258$0$20,062$0$471,124$0$0
LORI FERGUSON
VP, PATIENT CARE, TTH$0$28,537$0$89,640$0$129,172$0$162,707$0$20,670$0$430,726$0$0
PAULA L GRIEB
VP, PAT CARE/ASSOC CNO, METRO$0$173,478$0$16,328$0$800$0$14,809$0$6,443$0$211,858$0$0
SCOTT FOUGHT
VP, FINANCE, ACUTE CARE OPS$0$258,000$0$21,808$0$1,350$0$23,604$0$22,679$0$327,441$0$0
THADIUS L WADSWORTH
VP SURGICAL SERVICES, METRO$64,956$80,861$2,000$0$626$10,842$0$8,821$844$6,759$68,426$107,283$0$0
FEDOR LURIE
ASSOC. DIR. RESEARCH ED. VASC.$209,091$0$0$0$1,314$0$10,314$0$17,886$0$238,605$0$0$0
JACKLYN KIEFER
ASSOC. DIR. ED. FAMILY PRACTICE$194,992$0$0$0$649$0$12,159$0$6,069$0$213,869$0$0$0
JEFFREY LEWIS
ASSOC. DIR. ED. FAMILY PRACTICE$190,332$0$0$0$3,150$0$33,672$0$19,492$0$246,646$0$0$0
JOSHUA OVENS
RN, CRITICAL CARE TRANSPORT$240,907$0$0$0$3,354$0$16,936$0$24,185$0$285,382$0$0$0
LOUITO EDJE
DIR. ED. FAMILY PRACTICE$218,816$0$0$0$1,125$0$13,658$0$16,282$0$249,881$0$0$0
ALAN M SATTLER
FORMER OFFICER$0$381,523$0$0$0$7,515$0$54,182$0$26,751$0$469,971$0$0
KATHLEEN S HANLEY
FORMER OFFICER$0$0$0$0$0$571,790$0$0$0$1,351$0$573,141$0$258,776
JOSEPH SFERRA
FORMER KEY EMPLOYEE$0$674,774$0$0$0$3,129$0$42,061$0$2,796$0$722,760$0$0
KHURRAM KAMRAN
FORMER KEY EMPLOYEE$0$0$0$12,762$0$143,081$0$1,416$0$3,847$0$161,106$0$143,395
NEERAJ K KANWAL MD
FORMER KEY EMPLOYEE$0$324,821$0$48,616$0$3,599$0$31,366$0$25,084$0$433,486$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATAX INDEMNIFICATION AND GROSS-UP PAYMENTS 2 HIGHEST COMPENSATED EMPLOYEES INCLUDED IN TAXABLE COMPENSATION
PART I, LINE 3PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF THE TOLEDO HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4A:UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KATHLEEN S. HANLEY $258,776 KHURRAM KAMRAN $143,395 LORI FERGUSON $103,952 PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF LUCAS OHIO
A346400806549310VL12015-09-30$45,586,125SEE PART VI000
SERIES 2011 A & B BONDS - SEE PART VI
B549310UL22011-02-09$197,051,617SEE PART VIYes (1)00
COUNTY OF LUCAS OHIO
C3464008060000000002011-05-25$29,645,000SEE PART VI000
SERIES 2011 D & E BONDS - SEE PART VI
D549310VD92011-12-01$152,004,328SEE PART VIYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtBond DefeasedBondDefeasedAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$45,598,957$586,084$45,012,873000Yes (1)
B$199,572,288$2,337,157$127,520,671Yes (1)0Yes (1)Yes (1)$650,000$193,935,000$69,714,4602014
C$29,645,000$263,825Yes (1)0Yes (1)Yes (1)$20,655,000$29,381,175
D$152,004,328$1,505,879Yes (1)0Yes (1)Yes (1)$7,150,000$40,300,000$150,498,449

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A00000.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B000Yes (1)0000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)
D00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, SUPPLEMENTAL INFORMATION:FormAndLineReferenceDesc
ExplanationPART I: SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2011 BOND DETAIL ISSUER NAME: 2011 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310UL2 & 549310UJ7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $180,148,535 PURPOSE: REFINANCE THE PROMEDICA HEALTHCARE 2008B BONDS ISSUED 05/15/2008. FINANCE THE COST OF ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP. MATURITY: 11/15/2041 ISSUER NAME: 2011 SERIES B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PBE7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $16,903,082 PURPOSE: REFINANCE THE REDEMPTION OF THE PROMEDICA HEALTH CARE OBLIGATED GROUP SERIES 2008C BONDS ISSUED 05/15/2008. MATURITY: 11/15/2035 ISSUER NAME: 2011 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 05/25/2011 ISSUE PRICE: $29,645,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 07/01/1999. MATURITY: 11/15/2019 ISSUER NAME: 2011 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VD9 DATE ISSUED: 12/01/2011 ISSUE PRICE: $142,575,271 PURPOSE: TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE REMAINING OUTSTANDING MATURITIES OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2030 ISSUER NAME: 2011 SERIES E - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PB56 DATE ISSUED: 12/01/2011 ISSUE PRICE: $9,429,057 PURPOSE: REFINANCE THE EARLY OPTIONAL REDEMPTION OF THE LENAWEE HEALTH ALLIANCE OBLIGATED GROUP SERIES 1999A BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2028 SERIES 2017 BOND DETAIL ISSUER NAME: 2017 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $54,710,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008D BONDS ISSUED 05/15/2008. MATURITY: 11/15/2040 ISSUER NAME: 2017 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $120,010,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $84,980,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $39,800,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011. MATURITY: 11/15/2029 ISSUER NAME: 2017 SERIES F - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 5/15/2018 CONVERTED 3/31/2011 CONVERTED 12/29/2017 ISSUE PRICE: $62,500,000 PURPOSE: TO REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008A BOND ISSUED 05/15/2008. MATURITY: 11/15/2034 ISSUER NAME: 2017 SERIES G - COUNTY OF LUCAS OHIO ISSUER EIN : 34-6400806 CUSIP #: 549310VM9 DATE ISSUED: 12/29/2017 ISSUE PRICE: $80,000,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF REPLACEMENT HOSPITAL ON THE CAMPUS OF THE TOELDO HOSPITAL. MATURITY: 11/15/2048 ISSUER NAME: 2017 SERIES H - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN : 38-6005798 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $29,945,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011B & 2011E BONDS ISSUED 02/09/2011 & 12/01/2011. FORM 8038 FOR THIS ISSUE ERRONEOUSLY REPORTS THAT THE BONDS ALSO REFUNDED SERIES 2008D ISSUED 5/15/2008, BUT THAT REPORTING WAS IN ERROR. MATURITY: 11/15/2035 PART I, COLUMN (E): DIFFERENCES BETWEEN THE ISSUE PRICES SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART III, COLUMN (C), COUNTY OF LUCAS, OHIO BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE COUNTY OF LUCAS, OHIO BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. PART III, COLUMN (D), SERIES 2011 D & E BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE SERIES 2011 D & E BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. PART IV, COLUMN (B), LINE 2C, SERIES 2011 A & B BONDS: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/22/2016. PART IV, LINE 6: CERTAIN OF THESE BOND ISSUES CONSTITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF LUCAS OHIO
A3464008060000000002017-12-29$299,500,000SEE PART VI000
COUNTY OF LUCAS OHIO
B346400806549310VM92017-12-29$142,500,000SEE PART VI000
COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY
C3860057980000000002017-12-29$24,945,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmt
A$299,500,000$299,495,737$4,2630Yes (1)Yes (1)Yes (1)
B$142,500,000Yes (1)0Yes (1)Yes (1)$80,000,000$62,500,000
C$24,945,000$24,941,128$3,8720Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000100.000000.0001000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000100.000000.0001000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SEE PART V
SEE PART V$59,964SEE PART V0
SEE PART V
SEE PART V$38,416SEE PART V0
SEE PART V
SEE PART V$51,403SEE PART V0
SEE PART V
SEE PART V$42,698SEE PART V0
SEE PART V
SEE PART V$1,317,551SEE PART V0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: KATELYN WELEVER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: KATELYN WELEVER IS A FAMILY MEMBER OF ALISON AVENDT (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $59,964(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: CHRISTINE WEBER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: CHRISTINE WEBER IS A FAMILY MEMBER OF JAMES F. WEBER (TRUSTEE).(C) AMOUNT OF TRANSACTION: $38,416(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: FAITH SUTTER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: FAITH SUTTER IS A FAMILY MEMBER OF MARTIN P. SUTTER (TRUSTEE).(C) AMOUNT OF TRANSACTION: $51,403(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: LISA TOFT(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: LISA TOFT IS A FAMILY MEMBER OF BRADLEY J. TOFT (TRUSTEE).(C) AMOUNT OF TRANSACTION: $42,698(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $1,317,551(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THOMAS GEORGE PADANILAM, MD AND DAWN BUSKEY HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BWHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11BUNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CPROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES AND SPECIFICALLY IDENTIFIED HOURLY EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER 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 PPG PRESIDENT/CHIEF MEDICAL OFFICER, 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 PPG PRESIDENT/CHIEF MEDICAL OFFICER OR DESIGNEE IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER OR DESIGNEE WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PROMEDICA HEALTH SYSTEM, INC. WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE.
FORM 990, PART VI, SECTION B, LINE 15THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART XI, LINE 9:PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -105,171. BENEFICIAL INTEREST IN FOUNDATION 17,171,280. SECTION 337(D) GAIN -210,128.
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 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. 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 2017 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 220 SITES, MORE THAN 2,000 PHYSICIANS AND APPROXIMATELY 17,000 EMPLOYEES AND VOLUNTEERS. DURING 2017, PROMEDICA DISCHARGED 66,395 INPATIENTS AND SERVED 1,195,393 OUTPATIENTS, WHILE HANDLING 286,408 EMERGENCY VISITS SYSTEM-WIDE AS WELL AS 77,180 URGENT CARE VISITS AND MORE THAN 800 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 2017, 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, PHYSICIANS AND 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; FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; MEMORIAL HOSPITAL; AND MERCY MEMORIAL HOSPITAL CORPORATION. IN 2017 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 APPROXIMATELY 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 2017, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 238,000 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 2017 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 2017 INCLUDE THE FOLLOWING: - IN 2017, PROMEDICA ESTABLISHED THE EBEID PROMISE, A 10-YEAR, $50 MILLION COMMUNITY REVITALIZATION INITIATIVE THANKS TO A GENEROUS $28.5 MILLION GIFT FROM THE FAMILY OF PHILANTHROPIST AND FORMER BOARD MEMBER RUSSELL J. EBEID. THE EBEID PROMISE WILL EXPAND THE SCOPE AND PURPOSE OF THE EBEID INSTITUTE WITH A KEY FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH - HEALTH, NUTRITION, EDUCATION, JOB CREATION, AND FAMILY STABILITY. THIS LONG-TERM INVESTMENT WILL START WITH THE UPTOWN TOLEDO NEIGHBORHOOD AND BE EXPANDED TO TOLEDO'S MONROE STREET CORRIDOR, NEAR PROMEDICA TOLEDO HOSPITAL. PLANS INCLUDE REPLICATING THIS CONCEPT IN COMMUNITIES ACROSS PROMEDICA'S SERVICE AREA IN COMING YEARS. - PROMEDICA ALSO ESTABLISHED A NATIONAL RESEARCH CENTER DEVOTED TO STUDYING THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH ON INDIVIDUALS AND COMMUNITIES. THE CENTER IS BEING DEVELOPED IN COOPERATION WITH THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES. IT WILL BE ONE OF THE FIRST OF ITS KIND IN THE NATION AND USES A MULTIDISCIPLINARY APPROACH TO UNDERSTAND AND PROPOSE SOLUTIONS TO ADDRESS THE CONDITIONS IN WHICH PEOPLE ARE BORN, LIVE, WORK AND AGE THAT AFFECT THEIR HEALTH AND WELL-BEING. - THREE PROMEDICA HOSPITALS RECEIVED A 5-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) IN ITS MOST RECENT COMPARISON OF ACUTE CARE QUALITY. THE THREE HOSPITALS ARE PROMEDICA BAY PARK, MEMORIAL AND TOLEDO HOSPITALS. THE CMS STAR RATING SYSTEM IS A WAY OF SUMMARIZING AND COMPARING HOSPITALS ACROSS THE NATION BASED ON A STANDARDIZED SET OF METRICS AND DEFINITIONS. THE STAR RATING EXAMINES MORE THAN 50 INPATIENT AND OUTPATIENT MEASURES THAT INDICATE GOOD PATIENT OUTCOMES SUCH AS 30-DAY MORTALITY (HEART ATTACK, HEART FAILURE, PNEUMONIA), 30-DAY READMISSIONS, INPATIENT SATISFACTION, HOSPITAL ACQUIRED INFECTIONS, AND MORE. - PROMEDICA CONTINUES TO EMPHASIZE A CULTURE OF SAFETY ACROSS ITS HOSPITALS AND OUTPATIENT SERVICES. THE YEAR-END SERIOUS SAFETY EVENT RATE (SSER) WAS 0.65, REFLECTING A 20% DECREASE IN SERIOUS SAFETY EVENTS. - IN 2017, PROMEDICA OPENED ITS NEW HEADQUARTERS IN DOWNTOWN TOLEDO, OHIO, BRINGING NEARLY 1,000 EMPLOYEES TO THE AREA AND SUPPORTING DOWNTOWN REVITALIZATION AND ECONOMIC GROWTH. - IN 2017, PROMEDICA WELCOMED 130 RESIDENTS/FELLOWS AND 460 MEDICAL STUDENTS FROM THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES AS PART OF THE ACADEMIC AFFILIATION CREATED IN 2015. THE COLLABORATION IS HELPING TO ADVANCE MEDICAL EDUCATION AND CLINICAL RESEARCH IN NORTHWEST OHIO, BUILDING A LEGACY MODEL OF HEALTH CARE THAT WILL BENEFIT COMMUNITY MEMBERS ACROSS THE REGION FOR GENERATIONS TO COME. - PROMEDICA BROKE GROUND FOR ITS NEW LENAWEE COUNTY HOSPITAL IN MICHIGAN, TO BE NAMED THE PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL. THE HICKMAN FAMILY GIFT IS THE LARGEST DONATION IN THE HISTORY OF PROMEDICA AND WILL ALLOW FOR THE CONSOLIDATION OF THE PROMEDICA BIXBY AND HERRICK HOSPITALS INTO ONE LOCATION TO BETTER SERVE THE LENAWEE COUNTY COMMUNITY. - PROMEDICA COMPLETED THE ROLL OUT OF ITS NEW ELECTRONIC HEALTH RECORD (EHR), EPIC, IN 2017 AND UPGRADED THE ENTIRE SYSTEM TO THE MOST RECENT VERSION OF EPIC. THE UPGRADED VERSION ALLOWS PROMEDICA TO TAKE ADVANTAGE OF SOME OF THE MANY ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON INPUT FROM CUSTOMERS. EPIC FURTHER ENABLES ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF SERVICE ACROSS PROMEDICA. - PARAMOUNT IMPLEMENTED THE FINAL PHASE OF ITS NEW TRUCARE CARE MANAGEMENT SYSTEM. THE TRUCARE SYSTEM MOVES PARAMOUNT TO A STATE-OF-THE-ART CARE MANAGEMENT SYSTEM AND PROVIDES MANY OPERATIONAL EFFICIENCIES THAT ALLOW PARAMOUNT TO MEET THE RIGOROUS CARE MANAGEMENT DEMANDS THAT ARE REQUIRED TO SERVE THE MEDICAID POPULATION IN OHIO. - PROMEDICA PHYSICIANS LAUNCHED A NEW EDUCATION PROGRAM INTENDED TO HELP BRING AN END TO OHIO'S OPIOID EPIDEMIC. TO DO THIS, PROMEDICA PARTNERED WITH THE OHIO STATE MEDICAL ASSOCIATION TO OFFER SMART RX - SAFE MEDICINE AND RESPONSIBLE TREATMENT PROGRAM. SMART RX IS AN HOUR-LONG ONLINE TRAINING PROGRAM AND PUBLIC AWARENESS CAMPAIGN THAT BRINGS MEDICAL PROFESSIONALS UP-TO-DATE ON OHIO'S OPIOID PRESCRIBING RULES AND REGULATIONS AS WELL AS BEST PRACTICES FOR TREATING PAIN, AND TIPS FOR PATIENTS ON HOW TO APPROPRIATELY HANDLE AND DISPOSE OF POTENTIALLY ADDICTIVE PRESCRIPTION MEDICINES. - PROMEDICA OPENED FOUR ADDITIONAL URGENT CARE CENTERS IN THE METRO-TOLEDO AREA, TO SERVE PATIENTS WHO HAVE MEDICAL CONCERNS THAT DO NOT REQUIRE AN EMERGENCY CENTER. A TOTAL OF NINE URGENT CARE CENTERS ARE NOW OPEN 8 A.M. TO 8 P.M., 365 DAYS PER YEAR, AND ARE STAFFED BY HIGHLY-TRAINED CERTIFIED NURSE PRACTITIONERS. - PROMEDICA OPENED A NEW SPECIALTY PHARMACY TO AID PATIENTS WHO ARE LIVING WITH CHRONIC AND COMPLEX HEALTH CONDITIONS AND NEED SPECIALIZED THERAPIES OR PERSONALIZED CARE. THE PHARMACY PROVIDES DISPENSING FOR SPECIALTY MEDICATIONS USED TO TREAT CHRONIC HEALTH CONDITIONS, INCLUDING CYSTIC FIBROSIS, ULCERATIVE COLITIS AND CHRON'S DISEASE, HEPATITIS C, MULTIPLE SCLEROSIS, AUTOIMMUNE DISEASE, CANCER, AND MUCH MORE. THE NEW PHARMACY IS ABLE TO SHIP MEDICATIONS DIRECTLY TO THE PATIENT FOR IMPROVED ACCESS TO CARE. - 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 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 2017, THERE HAVE BEEN MORE THAN 9,700 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,200 UNIQUE HOUSEHOLDS. THIS TRANSLATES TO ABOUT 74,520 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 223,560 MEALS. - PROMEDICA ALSO OFFERS ITS PRESCRIPTION FOR HEALTH PROGRAM IN THE ADRIAN, MICHIGAN, COMMUNITY. THROUGH THIS PROGRAM, PROMEDICA PROVIDERS ARE ABLE TO WRITE A PRESCRIPTION FOR FOOD FOR ELIGIBLE PATIENTS, WHICH ALLOWS THE INDIVIDUAL TO REDEEM TOKENS FOR THE PURCHASE OF FRESH FRUITS AND VEGETABLES AT THE ADRIAN FARMERS MARKET. THE PROGRAM IS DESIGNED FOR PATIENTS AGE 55 AND OLDER, OR LESS THAN 55 YEARS WITH CHILDREN LIVING IN THE HOUSEHOLD, WHO HAVE A DIAGNOSIS OF HIGH CHOLESTEROL, HIGH BLOOD PRESSURE, OBESITY, PREDIABETES OR DIABETES. - PROMEDICA'S FINANCIAL OPPORTUNITY CENTER (FOC), PROVIDED EDUCATION AND COUNSELING TO NEARLY 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 2017, PROMEDICA PRIMARY CARE PROVIDERS BEGAN SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. PATIENTS WHO SCREEN POSITIVE FOR ANY OF THE FACTORS ARE CONNECTED TO NECESSARY COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE. - PROMEDICA TOLEDO HOSPITAL BECAME THE FIRST HOSPITAL IN OHIO TO ACQUIRE SYNAPTIVE MEDICAL'S BRIGHTMATTER TECHNOLOGY, WHICH COMBINES ADVANCED IMAGING, PLANNING, NAVIGATION AND ROBOTIC VISUALIZATION WITH A DIGITAL MICROSCOPE FOR COMPLEX BRAIN TUMOR AND SPINAL SURGERY. THE NEW TECHNOLOGY ALLOWS FOR BETTER SURGICAL ERGONOMICS, FACILITATES COLLABORATION AMONG OPERATING ROOM STAFF, AND CONSUMES LESS SURGICAL TIME, ALL FACTORS THAT COULD LEAD TO IMPROVED PATIENT OUTCOMES.
- PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 40 CENTRAL-CITYTEENS 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. - ADDITIONALLY, IN 2017, PROMEDICA INNOVATIONS FORMED A COLLABORATIVE ORGANIZATION CALLED NEXTTECH WITH THE UNIVERSITY OF TOLEDO, BOWLING GREEN STATE UNIVERSITY, AND MERCY HEALTH. NEXTTECH RECEIVED THE OHIO THIRD FRONTIER GRANT OF $8.7 MILLION TO SERVE AS THE ENTREPRENEURIAL SERVICES PROVIDER (ESP) FOR 18 COUNTIES IN NORTHWEST OHIO. THE ESP OFFERS A NETWORK OF ENTREPRENEURIAL SERVICES AND CAPITAL TO ACCELERATE THE GROWTH OF EARLY STAGE OHIO TECHNOLOGY COMPANIES. IN 2017, PROMEDICA CONTRIBUTED $191,681,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITIES WE SERVE. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $50,124,000 IN 2017. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $11,054,000 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 2017 WAS $28,737,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $191,681,000 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 2017, PROMEDICA PROVIDED $130,504,000 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 2017 WAS $139,149,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $191,681,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
THE TOLEDO HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTSTHE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. FOR MORE THAN 130 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METROPOLITAN TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 794-BED HOSPITAL OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS ADVANCE PRACTICE PROVIDERS. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICES TO THE METRO-TOLEDO AREA, SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES MATERNAL-FETAL MEDICINE AND A LEVEL III PERINATAL UNIT; JOBST VASCULAR INSTITUTE; PROMEDICA BREAST CARE; AND A LEVEL I TRAUMA CENTER. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDIC DEPARTMENTS, A NATIONALLY RECOGNIZED BARIATRIC PROGRAM, A CERTIFIED COMPREHENSIVE STROKE CENTER, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 100,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY, RADIOLOGY, AS WELL AS PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. PROMEDICA TOLEDO CHILDREN'S HOSPITAL (TCH), OPERATING AS PART OF TH, PROVIDES PEDIATRIC TERTIARY CARE. TCH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS UNDER THE AGE OF 18. TCH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WHILE A NEWBORN INTENSIVE CARE UNIT INCLUDES A NEONATAL PHYSICIAN AND PEDIATRIC HOSPITALIST WHO ARE ON DUTY 24 HOURS A DAY. OTHER TCH SPECIALTY SERVICES INCLUDE A PEDIATRIC CANCER CENTER, ASTHMA TREATMENT AND EDUCATION SERVICES, PEDIATRIC PSYCHIATRY, AND A DEDICATED LEVEL II PEDIATRIC TRAUMA CENTER. IN 2017, TH CONTINUED CONSTRUCTION OF ITS NEW GENERATIONS BED TOWER. THE NEW FACILITY WILL BE 13 STORIES TALL WITH MORE 300 PATIENT BEDS AND WILL OFFER IMPROVED ACCESS FOR PATIENTS WHILE PROVIDING THE LATEST TECHNOLOGY AND PROCESSES TO ENSURE A SAFE, HIGH QUALITY ENVIRONMENT FOR PATIENT CARE AND HEALING. THE GENERATIONS TOWER IS EXPECTED TO OPEN FOR PATIENT CARE BY THE END OF 2019. IN 2017, TH WAS NAMED ONE OF THE BEST 100 HOSPITALS IN THE NATION BY HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR THE THIRD YEAR IN A ROW. THE AWARD RECOGNIZES THE TOP 2% OF HOSPITALS IN THE NATION FOR EXHIBITING CLINICAL EXCELLENCE FOR AT LEAST FOUR CONSECUTIVE YEARS. TH ALSO WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE BEST HOSPITALS IN OHIO, WITH A NUMBER 8 RANKING. ADDITIONALLY, BECKER'S NAMED TH TO ITS LIST OF 100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT HEART PROGRAMS, AND TRUVEN HEALTH ANALYTICS RECOGNIZED TH AS ONE OF THE COUNTRY'S 50 TOP CARDIOVASCULAR HOSPITALS. THIS RANKING PUTS TH IN THE TOP 5% OF HOSPITALS NATIONWIDE FOR CARDIOVASCULAR OUTCOMES. A DIVISION OF TH, PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (WOSH) IS AN ALL-DIGITAL, ACUTE CARE FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS AND OTHERS WHO EXPERIENCE CHRONIC PAIN FROM JOINT DISEASE. THIS UNIQUE, FREE-STANDING HOSPITAL SERVES ONLY ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES ALL IN ONE CONVENIENT AND EASILY ACCESSIBLE LOCATION. WOSH RECEIVED NATIONAL RECOGNITION WITH THE PRESS GANEY GUARDIAN OF EXCELLENCE AWARD, PRESENTED TO ORGANIZATIONS SCORING IN THE 95TH PERCENTILE OR HIGHER FOR PATIENT EXPERIENCE METRICS. IN 2017, TH SERVED 35,920 INPATIENTS; 520,587 OUTPATIENTS; AND 95,861 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $83,379,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND OTHER COMMUNITY BENEFIT OPERATIONS, TH CONTRIBUTED $24,475,000 TO THE COMMUNITY DURING 2017. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - THE COME TO THE TABLE INITIATIVE THAT PROVIDES 24 HOURS' WORTH OF FOOD TO PATIENTS WHO QUALIFY FOR FOOD INSECURITY BY COMPLETING A QUESTIONNAIRE. - THE AUTISM COLLABORATIVE - A COLLABORATION BETWEEN TCH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES - TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH MANAGING CHRONIC DISEASE AND TO OFFER SOCIAL SERVICES INFORMATION. - WITH THE GOAL OF IMPROVING INFANT MORTALITY RATES IN OUR REGION, A NURSING MOTHERS SUPPORT GROUP IS OFFERED AT NO CHARGE THROUGHOUT THE YEAR. - THE TEEN PEP (PEERS EDUCATING PEERS) PROGRAM EXTENDS CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS, BY ENCOURAGING TEENS TO TALK WITH THEIR PEERS ABOUT IMPORTANT TOPICS SUCH AS TEEN RELATIONSHIPS, BULLYING, AND PHYSICAL AND EMOTIONAL ABUSE. - FREE AND LOW-COST OUTPATIENT CLINICS THAT OFFER A WIDE ARRAY OF HEALTH SERVICES INCLUDING IMMUNIZATIONS, VASCULAR SCREENINGS AND TREATMENT OF MINOR ILLNESSES THAT MIGHT NOT REQUIRE AN EMERGENCY CENTER VISIT BUT STILL REQUIRE MEDICAL ATTENTION. - PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - FREE SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZES THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2017, OF WHICH $7,929,000 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 THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2017 WAS $7,706,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $83,379,000 INDICATED ABOVE. TH PROVIDED $50,975,000 OF COMMUNITY SUPPORT WHICH REPRESENTS THE COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. IN 2017, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $46,905,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $83,379,000 NOTED ABOVE. DURING 2017, TH EXPENDED $176,011,000 IN NET PAYROLL, PROVIDING 4,708 JOBS IN NORTHWEST OHIO. A TOTAL OF $11,249,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, TH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONSPROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (PROMEDICA) PREPARES ITS COMMUNITY BENEFIT REPORTS CONSISTENT WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY PROMEDICA RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, PROMEDICA PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE FEDERAL POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH GOVERNMENT MEANS-TESTED PROGRAMS SUCH AS MEDICAID. PROMEDICA INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN PROMEDICA'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES GENERALLY DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY PROMEDICA. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR ALL EDUCATIONAL PROGRAMS PROMEDICA IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR PROMEDICA IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS OF FOOD, EQUIPMENT AND SUPPLIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (26 entries)

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PROMEDICA INNOVATIONS LLC
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PROMEDICA GENITO-URINARY SURGEONS LLC
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PHS VENTURES LLC
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300 MADISON BUILDING LLC
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PHS INVESTMENTS LLC
100 MADISON AVETOLEDOOH43604INVESTMENT COMPANYOH$0$0THE TOLEDO HOSPITAL
PROMEDICA INTERNATIONAL LLC
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PROMEDICA ACTIVE MOBILITY LLC
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BALL PARK PROPERTIES LLC
100 MADISON AVETOLEDOOH43604823954332REAL ESTATEOH$0$961,491PROMEDICA HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
DEFIANCE HOSPITAL INC
1200 RALSTONDEFIANCEOH43512344446484HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVEADRIANMI49221382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI49221382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIEMMA L BIXBY MEDICAL CENTERYes (1)
FLOWER HOSPITAL
5200 HARROUN RDSYLVANIAOH43560344428794HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN STREETFOSTORIAOH44830340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10FOSTORIA HOSPITAL ASSOCIATIONYes (1)
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)
LENAWEE LONG TERM CARE
700 LAKESHIRE TRADRIANMI49221382879330LONG TERM CAREMI501(C)(3)10EMMA L BIXBY MEDICAL CENTERYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVETOLEDOOH43604344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)10PROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVETOLEDOOH43606260324790COURIER SERVICEOH501(C)(3)12B, IIPROMEDICA CONTINUUM SERVICESYes (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 CONTINUUM SERVICES
100 MADISON AVETOLEDOOH43604341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIAN GROUP
100 MADISON AVETOLEDOOH43604341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672FOUNDATIONOH501(C)(3)12B, IIPROMEDICA 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)
KAITLYN'S COTTAGE INC
1260 RALSTON AVEDEFIANCEOH43512454781053RESPITE CAREOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
MEMORIAL HOSPITAL
715 SOUTH TAFT AVEFREMONTOH43420344430849HOSPITALOH501(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)
MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMBMONROEMI48162381984289HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIRMAUMEEOH43537203376102HEALTH INSURANCEOH501(C)(3)10PROMEDICA INSURANCE CORP INC AND SUBSIDIARIESYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 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$730,726$2,459,714000.67200
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVETOLEDOOH43604260679898MEDICAL DIAGNOSTICSOHTHE TOLEDO HOSPITALRELATED$485,835$633,357000.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$265,700$3,107,8970Yes (1)0.50000
LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC
818 RIVERSIDE AVEADRIANMI49221383605511PHYSICIAN MANAGEMENT SERVICESMIEMMA L BIXBY MEDICAL CENTERRELATED$840Yes (1)0.50000
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVEFREMONTOH43420204066818REAL ESTATEOHMEMORIAL HOSPITALRELATED$5,823$298,145000.50000
SURGICAL INSTITUTE OF MONROE LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIPROMEDICA CONTINUUM SERVICESRELATED-$6,335$3,421,071000.54000
PROMEDICA MASTER TENANT LLC
100 MADISON AVETOLEDOOH43604475288490REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED-$2,656$6,294,0690Yes (1)0.01000
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVETOLEDOOH43604473163945REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED-$1,371,608$43,364,0510Yes (1)0.90000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220TOLEDOOH43615475603627INVESTMENT FUNDOHPROMEDICA HEALTH SYSTEM INCRELATED-$12,298$283,602000.66660
APM PLUS LLC
1120 G ST NW STE 1000WASHINGTONDC20005813082229ALTERNATIVE PAYMENT MODEL DEVELOPMENTDEPROMEDICA HEALTH SYSTEM INCUNRELATED-$256,7870Yes (1)0.50000
KAPIOS LLC
2865 N REYNOLDS RDTOLEDOOH43615812624635SOFTWARE DEVELOPMENTOHPROMEDICA HEALTH SYSTEM INCUNRELATED-$198,188$47,4300Yes (1)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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$63,138$1,011,2611.00000Yes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVETOLEDOOH43604383322278PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC-$6,499,459$12,888,7461.00000Yes (1)
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHPROMEDICA HEALTH SYSTEM INCC-$10,797,881$516,654,2541.00000Yes (1)
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVETOLEDOOH43604383482148PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC$149,1341.00000Yes (1)
PROMEDICA RETAIL GROUP INC
3890 MONROE STTOLEDOOH43606341159928FLORISTOHPROMEDICA CONTINUUM SERVICESC-$57,281$938,9031.00000Yes (1)
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMIHERRICK MEMORIAL DEVELOPMENT CORPC$52$55,6740.71800Yes (1)
PROMEDICA HEALTH NETWORK INC
100 MADISON AVETOLEDOOH43604474006496PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCC-$590,439$8,2271.00000Yes (1)
MONROE HEALTH VENTURES
718 N MACOMBMONROEMI48164382704426PHARMACYMIMERCY MEMORIAL HOSPITAL CORPORATIONC1.00000Yes (1)
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVETOLEDOOH43604475168737REAL ESTATEOHPROMEDICA HEALTH SYSTEM INCC-$1,297,042$25,980,0651.00000Yes (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 OrgYes (1)AssetSaleToOtherOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
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 Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
REYNOLDS ROAD SURGERY CENTER LLC
J$157,500FMV
NORTHWEST OHIO DEDICATED BREAST MRI LLC
S$500,000FMV