PROMEDICA HEALTH SYSTEM INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PROMEDICA HEALTH SYSTEM INC (EIN 34-1517671)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-15
IRS object ID: 201843199349311059
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-15T14:26:14-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE STE 4200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462045108	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	341517671	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	PROM	BusinessNameControlTxt
Phone	5675859601	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL P BROWNING	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	5675859601	PhoneNum
Signature	2018-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SAMANTHA BOKORI	PreparerPersonNm
PTIN	P01057347	PTIN
Phone	3174648600	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.203.115.26	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-15	IPDt
IP Tm	13:55:32	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	81DE22CF9F7F0862406D1A466D95956A5FFF36F5	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2B300E1FC09CCA321063079848B1E489E0A7BF4B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL P BROWNING	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$494,602,134	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS.	ActivityOrMissionDesc
Voting Members Governing Body	27	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	2498	TotalEmployeeCnt
Total Volunteers	130	TotalVolunteersCnt
Total Gross UBI	-$1,201,096	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$3,963,664	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$119,591,132	PYContributionsGrantsAmt
CY Contributions Grants	$124,698,236	CYContributionsGrantsAmt
PY Program Service Revenue	$100,829,375	PYProgramServiceRevenueAmt
CY Program Service Revenue	$355,056,811	CYProgramServiceRevenueAmt
PY Investment Income	$245,876	PYInvestmentIncomeAmt
CY Investment Income	$1,170,786	CYInvestmentIncomeAmt
PY Other Revenue	$55,542	PYOtherRevenueAmt
CY Other Revenue	$310,301	CYOtherRevenueAmt
PY Total Revenue	$220,721,925	PYTotalRevenueAmt
CY Total Revenue	$481,236,134	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,670,167	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,585,446	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$167,922,027	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$163,331,163	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$193,124,213	PYOtherExpensesAmt
CY Other Expenses	$157,938,511	CYOtherExpensesAmt
PY Total Expenses	$384,716,407	PYTotalExpensesAmt
CY Total Expenses	$342,855,120	CYTotalExpensesAmt
PY Revenues Less Expenses	-$163,994,482	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$138,381,014	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,482,082,629	TotalAssetsBOYAmt
Total Assets EOY	$2,632,015,389	TotalAssetsEOYAmt
Total Liabilities BOY	$201,741,122	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$164,513,971	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,280,341,507	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,467,501,418	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BASED IN TOLEDO, OHIO, PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. IT IS GUIDED BY ITS CORE VALUES OF COMPASSION, INNOVATION, TEAMWORK, AND EXCELLENCE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$266,309,382	ExpenseAmt
Grant	$21,585,446	GrantAmt
Revenue	$356,971,610	RevenueAmt
Desc	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTH CARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$11,971,989	ExpenseAmt
Revenue	$629,772	RevenueAmt
Desc	CONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM, INC. PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$278,281,371	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	253	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2498	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BR	ForeignCountryCd
Foreign Country	CI	ForeignCountryCd
Foreign Country	CH	ForeignCountryCd
Foreign Country	EZ	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	HU	ForeignCountryCd
Foreign Country	ID	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	JA	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	MY	ForeignCountryCd
Foreign Country	NI	ForeignCountryCd
Foreign Country	PL	ForeignCountryCd
Foreign Country	PO	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	TU	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	27	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STANTON E RISSER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5675853618	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (72 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BILLIE JOHNSON
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
BRIAN P KENNEDY
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
BRUCE A BARNETT MD
TRUSTEE	1.00	40.00	Yes (X)	$0	$583,652	$17,935
DANIEL W FARRELL JR
EX OFFICIO	1.00	1.00	Yes (X)	$0	$0	$0
DAVID A SNAVELY
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DONALD L MENNEL
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DOUGLAS L KAPNICK
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ELAINE CANNING
EX OFFICIO	1.00	0.00	Yes (X)	$0	$0	$0
ELIZABETH C BRADY
EX OFFICIO	1.00	1.00	Yes (X)	$0	$0	$0
EMMETT T BOYLE JR MD
EX OFFICIO	1.00	40.00	Yes (X)	$0	$577,400	$37,696
EMORY M SCHMIDT
EX OFFICIO	1.00	9.00	Yes (X)	$0	$0	$0
JAMES A HOFFMAN
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JAMES F BINGLE MD
TRUSTEE	1.00	40.00	Yes (X)	$0	$446,008	$23,583
JAMES F WHITE JR
EX OFFICIO	1.00	1.00	Yes (X)	$0	$0	$0
JANE M MILLER
EX OFFICIO	1.00	0.00	Yes (X)	$0	$0	$0
KAREN S CALENDER RN
EX OFFICIO	1.00	2.00	Yes (X)	$0	$0	$0
KENNETH A MYERS
TRUSTEE	1.00	1.00	Yes (X)	$0	$0	$0
KEVIN J SAUDER
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
KURT L DARROW
EX OFFICIO	1.00	2.00	Yes (X)	$0	$0	$0
LARRY C PETERSON
EX OFFICIO	1.00	1.00	Yes (X)	$0	$0	$0
LESLIE A CHAPMAN
EX OFFICIO	1.00	1.00	Yes (X)	$0	$0	$0
MARK A KLEIN
EX OFFICIO	1.00	2.00	Yes (X)	$0	$0	$0
MARNA I RAMNATH RN
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MARY ELLEN K PIZZA MD
TRUSTEE	1.00	40.00	Yes (X)	$0	$157,436	$4,695
MICHAEL M HYLANT
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
NANCY PARIS KABAT
EX OFFICIO	1.00	3.00	Yes (X)	$0	$487	$0
PAUL JOHN FENTON MD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
PRAVEEN K TAMIRISA MD
TRUSTEE	1.00	40.00	Yes (X)	$0	$640,489	$41,269
RANDALL OOSTRA
PRESIDENT, EX OFFICIO	40.00	15.00	Yes (X)	$1,749,816	$0	$483,218	Yes (X)
RICHARD SCOTT TRUMBULL
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ROBERT W LACLAIR
CHAIRPERSON	1.00	9.00	Yes (X)	$0	$0	$0	Yes (X)
RUSSELL J EBEID
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
STEPHEN H STAELIN
VICE-CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
SYLVESTER D HOLMES
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
JEFFREY C KUHN
SECRETARY	40.00	12.50		$616,424	$0	$244,159	Yes (X)
MICHAEL P BROWNING
TREASURER	40.00	11.00		$697,115	$0	$246,414	Yes (X)
ARTURO POLIZZI
PRESIDENT, METRO REGION	0.50	42.00		$635,788	$0	$264,600		Yes (X)
BARBARA J PETEE
CHIEF ADVOCACY/GOVT REL. OFF.	40.00	2.00		$343,902	$0	$64,916		Yes (X)
BENET S RUPP
SR. VP, HUMAN RESOURCES	40.00	0.00		$269,576	$0	$44,134		Yes (X)
BRIAN K MILLER MD
CHIEF MEDICAL INFO. OFFICER	40.00	7.00		$331,810	$0	$32,039		Yes (X)
DANIEL K CASSAVAR MD
PRESIDENT & CMO, PPG	0.50	49.00		$772,876	$0	$174,395		Yes (X)
DARRIN M ARQUETTE
SR. VP, NEURO, HEART AND VASC	0.50	45.50		$335,318	$0	$46,341		Yes (X)
DAWN BUSKEY
COO, METRO REGION ACUTE CARE	0.50	41.00		$360,870	$0	$75,823		Yes (X)
GARY M CATES
CHIEF PHILANTHROPIC OFFICER	40.00	1.00		$346,626	$0	$72,340		Yes (X)
GARY W AKENBERGER
SR. VP DIAG, FACILITIES & SEC	0.50	44.00		$379,804	$0	$91,320		Yes (X)
HOLLY BRISTOLL
CIO, ACADEMIC AFFAIRS	0.50	40.00		$373,715	$0	$165,222		Yes (X)
JERED WILSON
VP, MANAGED CARE	40.00	0.00		$322,873	$0	$47,451		Yes (X)
JOHN C RANDOLPH
PRESIDENT, PIC	0.50	43.00		$598,199	$0	$253,053		Yes (X)
KAREN L STRAUSS
CHIEF STRAT., MKTG., COMM., HR OFF.	40.00	2.00		$556,542	$0	$216,101		Yes (X)
KATHLEEN M KRUEGER
SR. VP, SPEC PROJ & PRES., AHIS	40.00	1.00		$298,410	$0	$28,411		Yes (X)
KEVIN C WEBB PHD
CHIEF ACUTE & POST ACUTE OFFICER	40.00	13.50		$655,627	$0	$240,675		Yes (X)
LEE W HAMMERLING MD
CHIEF PHYSICIAN EXECUTIVE/CMO	40.00	2.00		$1,753,774	$0	$330,103		Yes (X)
LORI JOHNSTON
CHIEF INFORMATION OFFICER	40.00	0.00		$564,973	$0	$222,818		Yes (X)
PAUL FAVORITE
SR. VP, SYSTEM OPTIMIZATION	40.00	0.00		$288,867	$0	$32,498		Yes (X)
ROBERT S FREDRICK
SR. VP ACADEMIC AFFAIRS	40.00	0.00		$321,199	$0	$51,187		Yes (X)
SCOTT FOUGHT
VP, FINANCE, ACUTE CARE OPS	0.50	44.50		$281,158	$0	$46,283		Yes (X)
DAVID SCOTT MIERZWIAK MD
VP, MEDICAL AFFAIRS, TH	1.00	42.00		$386,739	$0	$72,216			Yes (X)
DEE A BIALECKI-HAASE MD
VP, MED OP, PPG & PRES., CIN	1.00	41.00		$377,694	$0	$30,299			Yes (X)
GARY L MOORMAN
VP, MEDICAL AFFAIRS, MONROE	1.00	40.00		$396,833	$0	$33,414			Yes (X)
JOHN D MEIER
VP, MED DIRECTOR, PARAMOUNT	1.00	40.50		$361,329	$0	$57,483			Yes (X)
NEERAJ K KANWAL MD
SR. VP, PHARM, INTERIM PRES., DH	1.00	41.50		$377,036	$0	$56,450			Yes (X)
ALAN M SATTLER
FORMER OFFICER	0.00	40.00		$389,038	$0	$80,933				Yes (X)
ANNETTE S PHILLIPS
FORMER HIGHEST COMPENSATED EMPLOYEE	0.00	0.00		$428,064	$0	$12,105				Yes (X)
CHASE CANFIELD
FORMER KEY EMPLOYEE	0.00	40.00		$193,332	$0	$66,160				Yes (X)
DEANA L SIEVERT
FORMER KEY EMPLOYEE	40.00	1.50		$240,993	$0	$65,731				Yes (X)
KATHLEEN S HANLEY
FORMER OFFICER	0.00	0.00		$571,790	$0	$1,351				Yes (X)
MARTIN DANSACK
FORMER KEY EMPLOYEE	0.00	0.00		$183,051	$0	$17,028				Yes (X)
ROBIN WHITNEY
FORMER KEY EMPLOYEE	40.00	0.00		$248,867	$0	$27,914				Yes (X)
STEPHEN SADOWSKI
FORMER KEY EMPLOYEE	40.00	0.00		$253,003	$0	$58,547				Yes (X)
SUSAN PAYDEN
FORMER KEY EMPLOYEE	0.00	0.00		$195,715	$0	$8,711				Yes (X)
VIVIEN TOWNSEND
FORMER KEY EMPLOYEE	40.00	0.00		$206,996	$0	$32,831				Yes (X)
WILLIAM MUELLER
FORMER KEY EMPLOYEE	0.00	0.00		$230,352	$0	$9,690				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,896,094	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,405,472	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,229,542	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	190	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRICEWATERHOUSECOOPERS
4040 W BOY SCOUT BLVD	TAMPA	FL	33607	CONSULTING SERVICES	$36,372,422
RUDOLPH LIBBE INC
6494 LATCHA RD	WALBRIDGE	OH	434659738	GENERAL CONTRACTING	$26,712,715
TRIMEDX INC
5451 LAKEVIEW PARKWAY S DRIVE	INDIANAPOLIS	IN	46268	HEALTHCARE EQUIPMENT SERVICES	$21,149,348
CSI HEALTHCARE IT
9995 GATE PARKWAY N STE 100	JACKSONVILLE	FL	32246	SUBSCRIPTION SERVICES	$10,861,734
SODEXO INC & AFFILIATES
4880 PAYSPHERE CR	CHICAGO	IL	60674	FOOD SERVICES	$3,395,443

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	145	CntrctRcvdGreaterThan100KCnt
Related Organizations	$124,509,995	RelatedOrganizationsAmt
Government Grants	$20,000	GovernmentGrantsAmt
All Other Contributions	$168,241	AllOtherContributionsAmt
Noncash Contributions	$96,681	NoncashContributionsAmt
Total Contributions	$124,698,236	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ADMIN. SUPPORT SERV.	551114	$300,591,133	$300,417,918	$173,215
INVEST. IN AFFILIATES	551114	$54,044,515	$54,044,515
COMMUNITY WELLNESS	900099	$265,411	$265,411
CPR TRAINING CENTER	900099	$153,952	$153,952
EDUCATION	900099	$1,800	$1,800

Field	Value	IRS element (for citing)
Total Program Service Revenue	$355,056,811	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$901,299	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,982,506	UnrelatedBusinessRevenueAmt
Exclusion	$1,081,207	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,004,869	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,237,771	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,232,902	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,232,902	TotalRevenueColumnAmt
Exclusion	-$1,232,902	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,200,314	SecuritiesAmt
Other	$7,000,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,911,007	SecuritiesAmt
Other	$5,217,222	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$289,307	SecuritiesAmt
Other	$1,782,778	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,072,085	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,782,778	RelatedOrExemptFuncIncomeAmt
Exclusion	$289,307	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PARKING	812930	$555,321	$15,497	$539,824
DIETARY	722514	$149,120	$80,749	$68,371
MEDICAL RECORDS	900099	$147,574	$147,574

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$691,188	TotalRevenueColumnAmt
Related Or Exempt Func Income	$691,188	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,543,203	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$481,236,134	TotalRevenueColumnAmt
Related Or Exempt Func Income	$357,601,382	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$1,201,096	UnrelatedBusinessRevenueAmt
Exclusion	$137,612	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,585,446	TotalAmt
Program Services	$21,585,446	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$16,328,763	TotalAmt
Program Services	$16,328,763	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$114,816,171	TotalAmt
Program Services	$91,852,937	ProgramServicesAmt
Management And General	$22,963,234	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,754,376	TotalAmt
Program Services	$3,803,501	ProgramServicesAmt
Management And General	$950,875	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,066,536	TotalAmt
Program Services	$14,453,229	ProgramServicesAmt
Management And General	$3,613,307	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,365,317	TotalAmt
Program Services	$7,492,254	ProgramServicesAmt
Management And General	$1,873,063	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$11,964	TotalAmt
Program Services	$9,571	ProgramServicesAmt
Management And General	$2,393	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,021,783	TotalAmt
Management And General	$3,021,783	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,358,800	TotalAmt
Management And General	$1,358,800	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$26,375	TotalAmt
Management And General	$26,375	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,886,754	TotalAmt
Program Services	$19,909,403	ProgramServicesAmt
Management And General	$4,977,351	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,961,880	TotalAmt
Program Services	$3,169,504	ProgramServicesAmt
Management And General	$792,376	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,912,579	TotalAmt
Program Services	$5,530,063	ProgramServicesAmt
Management And General	$1,382,516	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$50,615,313	TotalAmt
Program Services	$40,492,250	ProgramServicesAmt
Management And General	$10,123,063	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,050,636	TotalAmt
Program Services	$3,240,509	ProgramServicesAmt
Management And General	$810,127	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,579,171	TotalAmt
Program Services	$1,263,337	ProgramServicesAmt
Management And General	$315,834	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,595,598	TotalAmt
Program Services	$4,476,478	ProgramServicesAmt
Management And General	$1,119,120	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,418,380	TotalAmt
Program Services	$25,934,704	ProgramServicesAmt
Management And General	$6,483,676	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
RESTRUCTURING	$15,085,360	$12,068,288	$3,017,072
MINOR EQUIPMENT	$2,923,938	$2,339,150	$584,788
INTERCOMPANY SERVICES	$1,021,695	$817,356	$204,339
UBI TAXES	$75,000		$75,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,393,285	TotalAmt
Program Services	$3,514,628	ProgramServicesAmt
Management And General	$878,657	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$342,855,120	TotalAmt
Program Services	$278,281,371	ProgramServicesAmt
Management And General	$64,573,749	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,601,839	BOYAmt
EOY	$2,477,961	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$1,176,865	BOYAmt
EOY	$1,706,035	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$45,971,718	BOYAmt
EOY	$10,991,927	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$62,880	BOYAmt
EOY	$73,283	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$33,325,306	BOYAmt
EOY	$54,843,489	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$366,341,913	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$122,445,100	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$219,209,414	BOYAmt
EOY	$243,896,813	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$22,047,151	BOYAmt
EOY	$11,315,687	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$51,742,712	BOYAmt
EOY	$69,434,166	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,105,944,744	BOYAmt
EOY	$2,237,276,028	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,482,082,629	BOYAmt
EOY	$2,632,015,389	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$120,138,074	BOYAmt
EOY	$94,868,313	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,684,788	BOYAmt
EOY	$4,437,515	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$76,918,260	BOYAmt
EOY	$65,208,143	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$201,741,122	BOYAmt
EOY	$164,513,971	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,278,685,165	BOYAmt
EOY	$2,448,744,301	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,656,342	BOYAmt
EOY	$18,757,117	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,280,341,507	BOYAmt
EOY	$2,467,501,418	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,482,082,629	BOYAmt
EOY	$2,632,015,389	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$138,381,014	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,989,177	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$43,789,720	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	16	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (16 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
BAY PARK COMMUNITY HOSPITAL
341883132	3	0	$0	$0
DEFIANCE HOSPITAL INC
344446484	3	0	$0	$0
EMMA L BIXBY MEDICAL CENTER
382796005	3	0	$0	$0
FLOWER HOSPITAL
344428794	3	0	$0	$0
FOSTORIA HOSPITAL ASSOCIATION
340898745	3	0	$0	$0
HERRICK MEMORIAL HOSPITAL INC
383049015	3	0	$0	$0
MEMORIAL HOSPITAL
344430849	3	0	$5,000,000	$0
THE TOLEDO HOSPITAL
344428256	3	0	$0	$0
MERCY MEMORIAL HOSPITAL CORPORATION
381984289	3	0	$12,145,107	$0
MONROE COMMUNITY HEALTH SERVICES
382934134	10	0	$0	$0
KAITLYN'S COTTAGE INC
454781053	10	0	$0	$0
LENAWEE LONG TERM CARE
382879330	10	0	$0	$0
PROMEDICA CONTINUING CARE SERVICES CORPORATION
344492440	10	0	$0	$0
PROMEDICA PHYSICIAN GROUP
341899439	10	0	$0	$0
TOLEDO DISTRICT NURSE ASSOCIATION
344427949	10	0	$0	$0
VISITING NURSE HOSPICE AND HEALTHCARE
341831624	10	0	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	16	SupportedOrganizationsTotalCnt
Support Sum	$17,145,107	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, SECTION A, LINE 1:

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

PART IV, SECTION C, LINE 1:

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

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$3,925,257	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$6,348,536	OtherCostOrOtherBasisAmt
Book Value	$10,273,793	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,194,738	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$68,488,390	OtherCostOrOtherBasisAmt
Depreciation	$5,096,681	DepreciationAmt
Book Value	$65,586,447	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,847,531	OtherCostOrOtherBasisAmt
Depreciation	$1,953,113	DepreciationAmt
Book Value	$2,894,418	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$264,557,807	OtherCostOrOtherBasisAmt
Depreciation	$114,318,644	DepreciationAmt
Book Value	$150,239,163	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,979,654	OtherCostOrOtherBasisAmt
Depreciation	$1,076,662	DepreciationAmt
Book Value	$14,902,992	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$243,896,813	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN AFFILIATES	$2,074,451,870
DUE FROM AFFILIATES	$56,598,805
OTHER SEGREGATED INVESTMENTS	$137,051
OTHER NON-CURRENT ASSETS	$38,229,310
OTHER RECEIVABLES	$14,019,212
BENEFICIAL INTEREST IN FOUNDATION	$18,760,316
DEFERRED COMPENSATION	$35,079,464

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,237,276,028	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$20,798,811
DEFERRED COMPENSATION	$35,079,464
MALPRACTICE TAIL LIABILITY	$3,224,300
ASBESTOS REMEDIATION	$6,105,568

Field	Value	IRS element (for citing)
Total Liability	$65,208,143	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	OfficesOfficesCnt	EmployeeEmployeeCnt
CENTRAL AMERICA & THE CARIBBEAN	INVESTMENTS	$73,692,556
EAST ASIA AND THE PACIFIC	UNRELATED TRADE OR BUSINESS	$42,120	0	0

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$73,734,676	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$73,734,676	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3, COLUMN (F):	FormAndLineReferenceDesc
Explanation	THE EXPENDITURES REPORTED IN COLUMN (F) WERE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ADRIAN COLLEGE
110 S MADISON ST	ADRIAN	MI	49221	381357980	501(C)(3)	$9,000	CHARITABLE DONATION
ALZHEIMER'S ASSOCIATION NORTHWEST OHIO CHAPTER
2500 NORTH REYNOLDS ROAD	TOLEDO	OH	43615	133039601	501(C)(3)	$6,000	CHARITABLE DONATION
AMERICAN CANCER SOCIETY
740 COMMERCE DR SUITE B	PERRYSBURG	OH	43551	131788491	501(C)(3)	$9,000	CHARITABLE DONATION
AMERICAN NATIONAL RED CROSS & ITS CONSTITUENT CHAPTERS AND BRANCHES
2025 E STREET NW	WASHINGTON	DC	200065009	530196605	501(C)(3)	$8,000	CHARITABLE DONATION
ARTS COMMISSION OF GREATER TOLEDO
1838 PARKWOOD AVE NO 120	TOLEDO	OH	43624	341358701	501(C)(3)	$100,000	CHARITABLE DONATION
BOYS AND GIRLS CLUBS OF TOLEDO
2250 N DETROIT AVE	TOLEDO	OH	43606	344427933	501(C)(3)	$20,650	CHARITABLE DONATION
CHERRY STREET MISSION MINISTRIES
105 17TH STREET	TOLEDO	OH	43604	341133369	501(C)(3)	$1,006,000	CHARITABLE DONATION
CYSTIC FIBROSIS FOUNDATION
2265 LIVERNOISE SUITE 410	TROY	MI	480831606	381723341	501(C)(3)	$5,250	CHARITABLE DONATION
DEFIANCE AREA YMCA
1599 PALMER DRIVE	DEFIANCE	OH	43512	341014167	501(C)(3)	$6,500	CHARITABLE DONATION
DESTINATION TOLEDO CONVENTION AND VISITORS BUREAU
401 JEFFERSON AVE	TOLEDO	OH	436041067	341480959	501(C)(6)	$25,000	CHARITABLE DONATION
DOWNTOWN FREMONT INC
315 GARRISON ST	FREMONT	OH	43420	341940487	501(C)(3)	$10,500	CHARITABLE DONATION
ERNST & YOUNG FOUNDATION
200 PLAZA DR	SECAUCUS	NJ	07094	136094489	501(C)(3)	$20,000	CHARITABLE DONATION
EVANS SCHOLARS FOUNDATION
ONE BRIAR RD	GOLF	IL	60029	362518129	501(C)(3)	$7,000	CHARITABLE DONATION
FELLOWSHIP BIBLE CHURCH MINISTRIES
503 WEBBER DR	TEMPERANCE	MI	48182	272271805	501(C)(3)	$10,000	CHARITABLE DONATION
FIRST TEE OF LAKE ERIE LLC
PO BOX 351142	TOLEDO	OH	43635	465657531	501(C)(3)	$10,000	CHARITABLE DONATION
FRANKLIN WELLS FOR THE WORLD FOUNDATION INC
9255 COVERDALE ROAD	FORT WAYNE	IN	46809	264065761	501(C)(3)	$12,000	CHARITABLE DONATION
GABBY'S LADDER
431 E ELM AVE	MONROE	MI	48162	383564824	501(C)(3)	$6,750	CHARITABLE DONATION
GOOD GRIEF OF NORTHWEST OHIO
6855 SPRING VALLEY DR NO 100	HOLLAND	OH	43528	460765319	501(C)(3)	$11,000	CHARITABLE DONATION
HOPE COMMUNITY CENTER
431 BAKER STREET	ADRIAN	MI	49221	382177974	501(C)(3)	$15,090	CHARITABLE DONATION
LIMA MEMORIAL HOSPITAL FOUNDATION
1001 BELLEFONTAINE RD	LIMA	OH	45804	341707570	501(C)(3)	$10,000	CHARITABLE DONATION
LOCAL INITIATIVES SUPPORT CORP
245 N SUPERIOR 2	TOLEDO	OH	43604	133030229	501(C)(3)	$1,152,500	CHARITABLE DONATION
LUCAS COUNTY COMMITTEE FOR CHILDREN
PO BOX 2202	TOLEDO	OH	43607	341509145	GOV'T ENTITY	$7,500	CHARITABLE DONATION
MARCH OF DIMES
1275 MAMARONECK AVENUE	WHITE PLAINS	NY	10605	131846366	501(C)(3)	$6,500	CHARITABLE DONATION
MAUMEE VALLEY HABITAT FOR HUMANITY
1310 CONANT STREET	MAUMEE	OH	43537	341584728	501(C)(3)	$5,400	CHARITABLE DONATION
MEMORIAL HOSPITAL
715 SOUTH TAFT AVE	FREMONT	OH	43420	344430849	501(C)(3)	$5,000,000	OPERATING GRANT
MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMB ST	MONROE	MI	48162	381984289	501(C)(3)	$12,145,107	OPERATING GRANT
MONROE COUNTY CHAMBER OF COMMERCE
PO BOX 626	MONROE	MI	48162	381566376	501(C)(6)	$6,800	CHARITABLE DONATION
MONROE COUNTY CONVENTION & TOURISM BUREAU INC
103 WEST FRONT STREET	MONROE	MI	48161	382900824	501(C)(6)	$10,000	CHARITABLE DONATION
NAMI OF GREATER TOLEDO
2753 WEST CENTRAL AVENUE	TOLEDO	OH	43606	341723306	501(C)(3)	$7,500	CHARITABLE DONATION
PROMEDICA FOUNDATION
444 N SUMMIT ST	TOLEDO	OH	43604	341517672	501(C)(3)	$625,673	OPERATING GRANT
RONALD MCDONALD HOUSE CHARITIES OF NORTHWEST OHIO
3883 MONROE STREET	TOLEDO	OH	43606	341349742	501(C)(3)	$10,650	CHARITABLE DONATION
RUTHERFORD B HAYES PRESIDENTIAL CENTER
SPIEGEL GROVE	FREMONT	OH	43420	346502740	501(C)(3)	$6,000	CHARITABLE DONATION
ST FRANCIS DE SALES HIGH SCHOOL INC
2323 W BANCROFT ST	TOLEDO	OH	43607	344465715	501(C)(3)	$9,000	CHARITABLE DONATION
ST URSULA ACADEMY
4025 INDIAN ROAD	TOLEDO	OH	43606	340873639	501(C)(3)	$22,575	CHARITABLE DONATION
SUSAN G KOMEN BREAST CANCER FOUNDATION INC
3100 W CENTRAL AVE STE 206	TOLEDO	OH	43606	751835298	501(C)(3)	$20,500	CHARITABLE DONATION
SYLVANIA YOUTH HOCKEY INC
7060 SYLVANIA AVENUE	SYLVANIA	OH	43560	462859736	501(C)(3)	$20,000	CHARITABLE DONATION
THE COMMUNITY HEALTH CENTER OF BRANCH COUNTY
274 E CHICAGO STREET	COLDWATER	MI	49036	386108110	GOV'T ENTITY	$8,000	CHARITABLE DONATION
THE DEMOCRACY COLLABORATIVE FOUNDATION
1422 EUCLID AVE STE 616	CLEVELAND	OH	44115	200387511	501(C)(3)	$10,000	CHARITABLE DONATION
THE VICTORY CENTER
5532 W CENTRAL AVE SUITE B	TOLEDO	OH	43615	341767997	501(C)(3)	$11,200	CHARITABLE DONATION
TOLEDO AREA HUMANE SOCIETY
827 ILLINOIS AVENUE	MAUMEE	OH	43537	344429093	501(C)(3)	$55,000	CHARITABLE DONATION
TOLEDO COMMUNITY FOUNDATION
300 MADISON AVE	TOLEDO	OH	43604	237284004	501(C)(3)	$21,000	CHARITABLE DONATION
TOLEDO MUSEUM OF ART
2445 MONROE ST	TOLEDO	OH	43620	344434678	501(C)(3)	$207,750	CHARITABLE DONATION
TOLEDO OPERA ASSOCIATION
425 JEFFERSON AVE SUITE 601	TOLEDO	OH	436041066	346556139	501(C)(3)	$28,000	CHARITABLE DONATION
TOLEDO ORCHESTRA ASSOCIATION INC
1838 PARKWOOD AVE	TOLEDO	OH	436242502	344005365	501(C)(3)	$508,000	CHARITABLE DONATION
TOLEDO ROADRUNNERS CLUB
PO BOX 8818	MAUMEE	OH	43537	341237238	501(C)(3)	$15,000	CHARITABLE DONATION
TOLEDO ROWING CLUB
PO BOX 8072	TOLEDO	OH	43605	341899756	501(C)(3)	$10,000	CHARITABLE DONATION
UNIVERSITY OF TOLEDO FOUNDATION
2801 BANCROFT ST	TOLEDO	OH	43606	346555110	501(C)(3)	$64,000	CHARITABLE DONATION
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER TOLEDO
1500 N SUPERIOR ST 2ND FLOOR	TOLEDO	OH	43604	344428262	501(C)(3)	$7,500	CHARITABLE DONATION
YOUNG WOMEN'S CHRISTIAN ASSOCATION OF NW OHIO
1018 JEFFERSON AVENUE	TOLEDO	OH	43604	344428265	501(C)(3)	$10,000	CHARITABLE DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	46	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRUCE A BARNETT MD
TRUSTEE	$0	$566,994	$0	$9,500	$0	$7,158	$0	$8,100	$0	$9,835	$0	$601,587	$0	$0
EMMETT T BOYLE JR MD
EX OFFICIO	$0	$497,655	$0	$46,275	$0	$33,470	$0	$8,100	$0	$29,596	$0	$615,096	$0	$0
JAMES F BINGLE MD
TRUSTEE	$0	$374,394	$0	$34,850	$0	$36,764	$0	$8,100	$0	$15,483	$0	$469,591	$0	$0
MARY ELLEN K PIZZA MD
TRUSTEE	$0	$95,883	$0	$42,140	$0	$19,413	$0	$3,406	$0	$1,289	$0	$162,131	$0	$0
PRAVEEN K TAMIRISA MD
TRUSTEE	$0	$473,171	$0	$131,036	$0	$36,282	$0	$8,100	$0	$33,169	$0	$681,758	$0	$0
RANDALL OOSTRA
PRESIDENT, EX OFFICIO	$1,086,659	$0	$577,159	$0	$85,998	$0	$468,579	$0	$14,639	$0	$2,233,034	$0	$159,048	$0
JEFFREY C KUHN
SECRETARY	$479,712	$0	$108,013	$0	$28,699	$0	$229,520	$0	$14,639	$0	$860,583	$0	$0	$0
MICHAEL P BROWNING
TREASURER	$586,938	$0	$70,000	$0	$40,177	$0	$222,483	$0	$23,931	$0	$943,529	$0	$0	$0
ARTURO POLIZZI
PRESIDENT, METRO REGION	$473,390	$0	$147,815	$0	$14,583	$0	$238,803	$0	$25,797	$0	$900,388	$0	$0	$0
BARBARA J PETEE
CHIEF ADVOCACY/GOVT REL. OFF.	$282,149	$0	$52,536	$0	$9,217	$0	$62,561	$0	$2,355	$0	$408,818	$0	$0	$0
BENET S RUPP
SR. VP, HUMAN RESOURCES	$241,546	$0	$26,438	$0	$1,592	$0	$35,173	$0	$8,961	$0	$313,710	$0	$0	$0
BRIAN K MILLER MD
CHIEF MEDICAL INFO. OFFICER	$327,453	$0	$2,000	$0	$2,357	$0	$13,305	$0	$18,734	$0	$363,849	$0	$0	$0
DANIEL K CASSAVAR MD
PRESIDENT & CMO, PPG	$522,372	$0	$229,800	$0	$20,704	$0	$146,597	$0	$27,798	$0	$947,271	$0	$0	$0
DARRIN M ARQUETTE
SR. VP, NEURO, HEART AND VASC	$215,123	$0	$92,356	$0	$27,839	$0	$20,942	$0	$25,399	$0	$381,659	$0	$0	$0
DAWN BUSKEY
COO, METRO REGION ACUTE CARE	$286,085	$0	$49,036	$0	$25,749	$0	$60,823	$0	$15,000	$0	$436,693	$0	$0	$0
GARY M CATES
CHIEF PHILANTHROPIC OFFICER	$273,531	$0	$63,876	$0	$9,219	$0	$58,874	$0	$13,466	$0	$418,966	$0	$0	$0
GARY W AKENBERGER
SR. VP DIAG, FACILITIES & SEC	$322,399	$0	$48,208	$0	$9,197	$0	$71,258	$0	$20,062	$0	$471,124	$0	$0	$0
HOLLY BRISTOLL
CIO, ACADEMIC AFFAIRS	$295,617	$0	$70,521	$0	$7,577	$0	$146,102	$0	$19,120	$0	$538,937	$0	$0	$0
JERED WILSON
VP, MANAGED CARE	$238,719	$0	$68,128	$0	$16,026	$0	$39,058	$0	$8,393	$0	$370,324	$0	$0	$0
JOHN C RANDOLPH
PRESIDENT, PIC	$481,374	$0	$104,968	$0	$11,857	$0	$232,603	$0	$20,450	$0	$851,252	$0	$0	$0
KAREN L STRAUSS
CHIEF STRAT., MKTG., COMM., HR OFF.	$432,060	$0	$113,052	$0	$11,430	$0	$198,042	$0	$18,059	$0	$772,643	$0	$0	$0
KATHLEEN M KRUEGER
SR. VP, SPEC PROJ & PRES., AHIS	$231,995	$0	$34,502	$0	$31,913	$0	$15,364	$0	$13,047	$0	$326,821	$0	$0	$0
KEVIN C WEBB PHD
CHIEF ACUTE & POST ACUTE OFFICER	$510,025	$0	$135,703	$0	$9,899	$0	$226,149	$0	$14,526	$0	$896,302	$0	$0	$0
LEE W HAMMERLING MD
CHIEF PHYSICIAN EXECUTIVE/CMO	$637,586	$0	$163,765	$0	$952,423	$0	$309,315	$0	$20,788	$0	$2,083,877	$0	$0	$0
LORI JOHNSTON
CHIEF INFORMATION OFFICER	$376,134	$0	$108,640	$0	$80,199	$0	$200,677	$0	$22,141	$0	$787,791	$0	$0	$0
PAUL FAVORITE
SR. VP, SYSTEM OPTIMIZATION	$251,698	$0	$31,250	$0	$5,919	$0	$15,335	$0	$17,163	$0	$321,365	$0	$0	$0
ROBERT S FREDRICK
SR. VP ACADEMIC AFFAIRS	$270,217	$0	$29,000	$0	$21,982	$0	$41,154	$0	$10,033	$0	$372,386	$0	$0	$0
SCOTT FOUGHT
VP, FINANCE, ACUTE CARE OPS	$258,000	$0	$21,808	$0	$1,350	$0	$23,604	$0	$22,679	$0	$327,441	$0	$0	$0
DAVID SCOTT MIERZWIAK MD
VP, MEDICAL AFFAIRS, TH	$322,334	$0	$40,392	$0	$24,013	$0	$48,247	$0	$23,969	$0	$458,955	$0	$0	$0
DEE A BIALECKI-HAASE MD
VP, MED OP, PPG & PRES., CIN	$285,588	$0	$41,310	$0	$50,796	$0	$23,797	$0	$6,502	$0	$407,993	$0	$0	$0
GARY L MOORMAN
VP, MEDICAL AFFAIRS, MONROE	$333,875	$0	$33,790	$0	$29,168	$0	$13,500	$0	$19,914	$0	$430,247	$0	$0	$0
JOHN D MEIER
VP, MED DIRECTOR, PARAMOUNT	$284,824	$0	$28,301	$0	$48,204	$0	$34,190	$0	$23,293	$0	$418,812	$0	$0	$0
NEERAJ K KANWAL MD
SR. VP, PHARM, INTERIM PRES., DH	$324,821	$0	$48,616	$0	$3,599	$0	$31,366	$0	$25,084	$0	$433,486	$0	$0	$0
ALAN M SATTLER
FORMER OFFICER	$381,523	$0	$0	$0	$7,515	$0	$54,182	$0	$26,751	$0	$469,971	$0	$0	$0
ANNETTE S PHILLIPS
FORMER HIGHEST COMPENSATED EMPLOYEE	$0	$0	$0	$0	$428,064	$0	$0	$0	$12,105	$0	$440,169	$0	$428,064	$0
CHASE CANFIELD
FORMER KEY EMPLOYEE	$170,589	$0	$17,774	$0	$4,969	$0	$36,831	$0	$29,329	$0	$259,492	$0	$0	$0
DEANA L SIEVERT
FORMER KEY EMPLOYEE	$209,341	$0	$24,440	$0	$7,212	$0	$39,867	$0	$25,864	$0	$306,724	$0	$0	$0
KATHLEEN S HANLEY
FORMER OFFICER	$0	$0	$0	$0	$571,790	$0	$0	$0	$1,351	$0	$573,141	$0	$258,776	$0
MARTIN DANSACK
FORMER KEY EMPLOYEE	$0	$0	$15,356	$0	$167,695	$0	$4,614	$0	$12,414	$0	$200,079	$0	$169,853	$0
ROBIN WHITNEY
FORMER KEY EMPLOYEE	$201,849	$0	$28,134	$0	$18,884	$0	$12,967	$0	$14,947	$0	$276,781	$0	$0	$0
STEPHEN SADOWSKI
FORMER KEY EMPLOYEE	$214,152	$0	$25,094	$0	$13,757	$0	$40,305	$0	$18,242	$0	$311,550	$0	$0	$0
SUSAN PAYDEN
FORMER KEY EMPLOYEE	$0	$0	$16,288	$0	$179,427	$0	$7,968	$0	$743	$0	$204,426	$0	$180,170	$0
VIVIEN TOWNSEND
FORMER KEY EMPLOYEE	$200,417	$0	$0	$0	$6,579	$0	$22,871	$0	$9,960	$0	$239,827	$0	$0	$0
WILLIAM MUELLER
FORMER KEY EMPLOYEE	$0	$0	$14,858	$0	$215,494	$0	$0	$0	$9,690	$0	$240,042	$0	$215,494	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE 1 OFFICER INCLUDED IN TAXABLE COMPENSATION PERSONAL SERVICES 3 OFFICERS INCLUDED IN TAXABLE COMPENSATION 14 KEY EMPLOYEES INCLUDED IN TAXABLE COMPENSATION 4 FORMER KEY EMPLOYEES INCLUDED IN TAXABLE COMPENSATION
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: ANNETTE S. PHILLIPS $428,064 KATHLEEN S. HANLEY $258,776 MARTIN DANSACK $169,853 SUSAN PAYDEN $180,170 WILLIAM MUELLER $215,494
PART I, LINE 4B:	ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: LEE W. HAMMERLING, MD $886,875 IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.
PART I, LINE 6:	CERTAIN LISTED PERSONS RECEIVED INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS. PART I, LINE 7: AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE SATISFACTION; 3) PHYSICIAN SATISFACTION; 4) QUALITY AND SAFETY; AND 5) OPERATING INCOME MARGIN.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
PART V
PART V	PART V	Yes (X)	$1,526,035	$1,526,035	0	Yes (1)	Yes (1)
PART V
PART V	PART V	Yes (X)	$450,000	$180,000	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$1,706,035	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (11 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
PART V
PART V	$43,534	PART V	0
PART V
PART V	$58,201	PART V	0
PART V
PART V	$19,844	PART V	0
PART V
PART V	$151,138	PART V	0
PART V
PART V	$32,572	PART V	0
PART V
PART V	$58,966	PART V	0
PART V
PART V	$77,099	PART V	0
PART V
PART V	$46,005	PART V	0
PART V
PART V	$34,084	PART V	0
PART V
PART V	$66,418	PART V	0
KELLY DANICKE
KELLY DANICKE IS A FAMILY MEMBER OF KATHLEEN M. KRUEGER (KEY EMPLOYEE).	$62,207	EMPLOYMENT	0

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS:	(A) NAME OF INTERESTED PERSON: RANDALL OOSTRA, PRESIDENT(B) RELATIONSHIP WITH ORGANIZATION: RANDALL OOSTRA IS PRESIDENT AND CEO OF PROMEDICA HEALTH SYSTEM, INC.(C) PURPOSE OF LOAN: LIFE INSURANCE PREMIUM PAYMENTS(D) LOAN TO OR FROM THE ORGANIZATION: LOAN FROM THE ORGANIZATION(E) ORIGINAL PRINCIPAL AMOUNT: $1,526,035(F) BALANCE DUE: $1,526,035(G) IN DEFAULT? = NO(H) APPROVED BY BOARD OR COMMITTEE? = YES(I) WRITTEN AGREEMENT? = YES
SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS:	(A) NAME OF INTERESTED PERSON: DANIEL K. CASSAVAR, MD, PRESIDENT & CMO, PPG(B) RELATIONSHIP WITH ORGANIZATION: DANIEL K. CASSAVAR, MD IS A KEY EMPLOYEE FOR PROMEDICA HEALTH SYSTEM, INC.(C) PURPOSE OF LOAN: SIGNING BONUS(D) LOAN TO OR FROM THE ORGANIZATION: LOAN FROM THE ORGANIZATION(E) ORIGINAL PRINCIPAL AMOUNT: $450,000(F) BALANCE DUE: $180,000(G) IN DEFAULT? = NO(H) APPROVED BY BOARD OR COMMITTEE? = YES(I) WRITTEN AGREEMENT? = YES
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF INTERESTED PERSON: CAITLIN OOSTRA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: CAITLIN OOSTRA IS A FAMILY MEMBER OF RANDALL OOSTRA (PRESIDENT, EX OFFICIO).(C) AMOUNT OF TRANSACTION: $43,534(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: KELLY MCGAHARAN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: KELLY MCGAHARAN IS A FAMILY MEMBER OF ROBERT W. LACLAIR (CHAIRPERSON).(C) AMOUNT OF TRANSACTION: $58,201(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: MOLLY LACLAIR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: MOLLY LACLAIR IS A FAMILY MEMBER OF ROBERT W. LACLAIR (CHAIRPERSON).(C) AMOUNT OF TRANSACTION: $19,844(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: JUSTIN HAMMERLING(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: JUSTIN HAMMERLING IS A FAMILY MEMBER OF LEE W. HAMMERLING, MD (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $151,138(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: ANDREW HYLANT(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: ANDREW HYLANT IS A FAMILY MEMBER OF MICHAEL M. HYLANT (TRUSTEE).(C) AMOUNT OF TRANSACTION: $32,572(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: KEVIN KRUEGER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: KEVIN KRUEGER IS A FAMILY MEMBER OF KATHLEEN M. KRUEGER (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $58,966(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: JOHN-CLAUDE ACAMPA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: JOHN-CLAUDE ACAMPA IS A FAMILY MEMBER OF DAVID A. SNAVELY (TRUSTEE).(C) AMOUNT OF TRANSACTION: $77,099(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: THOMAS SNAVELY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: THOMAS SNAVELY IS A FAMILY MEMBER OF DAVID A. SNAVELY (TRUSTEE).(C) AMOUNT OF TRANSACTION: $46,005(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: TAD PETERSON(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: TAD PETERSON IS A FAMILY MEMBER OF LARRY C. PETERSON (TRUSTEE).(C) AMOUNT OF TRANSACTION: $34,084(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: DANIEL CASSAVAR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: DANIEL CASSAVAR IS A FAMILY MEMBER OF DANIEL K. CASSAVAR, MD (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $66,418(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$91,159	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	SUPPLIES	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$5,522	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SELLING PRIC	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE NUMBER IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF NOT LESS THAN FIVE (5) TRUSTEES NOR MORE THAN TEN (10) TRUSTEES. WITHIN THESE PARAMETERS, THE COMPOSITION OF THE EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE VICE CHAIRPERSON/CHAIR ELECT, THE CHIEF EXECUTIVE OFFICER AND SUCH OTHER TRUSTEES AS DESIGNATED BY THE GOVERNANCE COMMITTEE. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE PROMEDICA HEALTH SYSTEM, INC. BOARD MEMBERS. WITH THE EXCEPTION OF SPECIFIC DUTIES RESERVED FOR THE FULL BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 2	GARY M. CATES AND MARK A. KLEIN HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	UNDER 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 12C	PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR 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 15	EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19	PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:	JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART XI, LINE 9:	PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 26,068,907. BENEFICIAL INTEREST IN FOUNDATION 17,720,813.
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-CITY	TEENS AGES 16 - 19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - PROMEDICA INNOVATION'S BUSINESS INCUBATOR ALLOWS CLIENT COMPANIES IN THE HEALTHCARE FIELD TO ACCELERATE DEVELOPMENT AND COMMERCIALIZATION OF MEDICAL DEVICES AND HEALTH INFORMATION TECHNOLOGY TO IMPROVE PATIENT CARE LOCALLY AND NATIONALLY. - 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.
COMMUNITY BENEFIT DEFINITIONS	PROMEDICA 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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MIDWEST CARDIOVASCULAR CONSULTANTS LLC
100 MADISON AVE	TOLEDO	OH	43604	611448753	EMPLOYS PHYSICIANS	OH	$0	$535,504	PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
100 MADISON AVE	TOLEDO	OH	43604	341881137	EMPLOYS PHYSICIANS	OH	$315,619,235	$214,946,527	PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
100 MADISON AVE	TOLEDO	OH	43604	263888045	EMPLOYS PHYSICIANS	OH	$16,615,923	-$109,590,353	PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
100 MADISON AVE	TOLEDO	OH	43604	271325141	MEDICAL EQUIPMENT & PHARMACY	OH	$71,348,604	$19,350,264	PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN	ADRIAN	MI	49221	383164818	FACILITY LEASING	MI	$118,769	$1,534,004	EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
100 MADISON AVE	TOLEDO	OH	43604	272920342	EMPLOYS PHYSICIANS	MI	$1,024,708	-$7,073,357	PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LTD
100 MADISON AVE	TOLEDO	OH	43604	205752995	PROVIDES HOSPICE CARE	OH	$5,202,956	$7,817,719	PROMEDICA CONTINUUM SERVICES
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
100 MADISON AVE	TOLEDO	OH	43604	453230331	PRACTICE MANAGEMENT	OH	$0	-$3,428,754	PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
100 MADISON AVE	TOLEDO	OH	43604		EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP
MISSION POINTE GOLF COURSE LLC
2142 NORTH COVE	TOLEDO	OH	43606		GOLF COURSE	OH	$0	$393,845	PROMEDICA FOUNDATION
PROMEDICA INNOVATIONS LLC
100 MADISON AVE	TOLEDO	OH	43604		INVESTMENT COMPANY	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC
PROMEDICA GENITO-URINARY SURGEONS LLC
100 MADISON AVE	TOLEDO	OH	43604	461120436	EMPLOYS PHYSICIANS	OH	$5,890,901	-$31,531,683	PROMEDICA PHYSICIAN GROUP
PROMEDICA MONROE PHYSICIANS PLLC
100 MADISON AVE	TOLEDO	OH	43604	461111822	EMPLOYS PHYSICIANS	MI	$9,111,473	-$7,258,286	PROMEDICA PHYSICIAN GROUP
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVE	TOLEDO	OH	43604	454976786	EMPLOYS PHYSICIANS	OH	$0	$159,482	PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS LLC
100 MADISON AVE	TOLEDO	OH	43604		EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS PLLC
100 MADISON AVE	TOLEDO	OH	43604		EMPLOYS PHYSICIANS	MI	$0	$0	PROMEDICA PHYSICIAN GROUP
MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVE	FREMONT	OH	43420	205763680	EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP
MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVE	FREMONT	OH	43420	273763993	EMPLOYS PHYSICIANS	OH	$6,984,482	-$10,347,427	PROMEDICA PHYSICIAN GROUP
PHS VENTURES LLC
100 MADISON AVE	TOLEDO	OH	43604	341880473	HEALTH CARE MANAGEMENT SERVICES	DE	$0	$0	PROMEDICA HEALTH SYSTEM INC
300 MADISON BUILDING LLC
100 MADISON AVE	TOLEDO	OH	43604	822062486	REAL ESTATE	OH	$2,474,668	$16,139,456	PROMEDICA HEALTH SYSTEM INC
MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVE	TOLEDO	OH	43604		REAL ESTATE	OH	$0	$3,915,257	PROMEDICA HEALTH SYSTEM INC
PHS INVESTMENTS LLC
100 MADISON AVE	TOLEDO	OH	43604		INVESTMENT COMPANY	OH	$0	$0	THE TOLEDO HOSPITAL
PROMEDICA INTERNATIONAL LLC
100 MADISON AVE	TOLEDO	OH	43604		CONSULTING SERVICES	OH	$100,000	$0	PROMEDICA HEALTH SYSTEM INC
PROMEDICA ACTIVE MOBILITY LLC
100 MADISON AVE	TOLEDO	OH	43604	815178173	DURABLE MEDICAL EQUIPMENT	OH	$231,981	$39,267	PROMEDICA HEALTH SYSTEM INC
1611 MONROE INVESTORS LLC
100 MADISON AVE	TOLEDO	OH	43604		REAL ESTATE	OH	$0	$151,840	PROMEDICA HEALTH SYSTEM INC
BALL PARK PROPERTIES LLC
100 MADISON AVE	TOLEDO	OH	43604	823954332	REAL ESTATE	OH	$0	$961,491	PROMEDICA HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DR	OREGON	OH	43616	341883132	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTON	DEFIANCE	OH	43512	510173779	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	10	DEFIANCE HOSPITAL INC	Yes (1)
DEFIANCE HOSPITAL INC
1200 RALSTON	DEFIANCE	OH	43512	344446484	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVE	ADRIAN	MI	49221	382796005	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVE	ADRIAN	MI	49221	382149602	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	12B, II	EMMA L BIXBY MEDICAL CENTER	Yes (1)
FLOWER HOSPITAL
5200 HARROUN RD	SYLVANIA	OH	43560	344428794	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN STREET	FOSTORIA	OH	44830	340898745	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907	FOSTORIA	OH	44830	346517634	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	10	FOSTORIA HOSPITAL ASSOCIATION	Yes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383076105	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	12B, II	HERRICK MEMORIAL HOSPITAL INC	Yes (1)
HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383049015	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
LENAWEE LONG TERM CARE
700 LAKESHIRE TR	ADRIAN	MI	49221	382879330	LONG TERM CARE	MI	501(C)(3)	10	EMMA L BIXBY MEDICAL CENTER	Yes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVE	TOLEDO	OH	43604	344492440	LONG TERM AND HOME HEALTH CARE	OH	501(C)(3)	10	PROMEDICA CONTINUUM SERVICES	Yes (1)
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVE	TOLEDO	OH	43606	260324790	COURIER SERVICE	OH	501(C)(3)	12B, II	PROMEDICA CONTINUUM SERVICES	Yes (1)
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR	BURLINGTON	VT	05401	341931936	PROFESSIONAL & GENERAL LIABILITY	VT	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVE	TOLEDO	OH	43604	341880767	PHYSICIAN MANAGEMENT SERVICES	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA PHYSICIAN GROUP
100 MADISON AVE	TOLEDO	OH	43604	341899439	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	10	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA FOUNDATION
444 N SUMMIT ST	TOLEDO	OH	43604	341517672	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
THE TOLEDO HOSPITAL
2142 N COVE BLVD	TOLEDO	OH	43606	344428256	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREET	TOLEDO	OH	43624	344427949	SKILLED HOME CARE	OH	501(C)(3)	10	PROMEDICA CONTINUUM SERVICES	Yes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE ST	SYLVANIA	OH	43560	341831624	HOSPICE HOME CARE	OH	501(C)(3)	10	PROMEDICA CONTINUUM SERVICES	Yes (1)
KAITLYN'S COTTAGE INC
1260 RALSTON AVE	DEFIANCE	OH	43512	454781053	RESPITE CARE	OH	501(C)(3)	10	DEFIANCE HOSPITAL INC	Yes (1)
MEMORIAL HOSPITAL
715 SOUTH TAFT AVE	FREMONT	OH	43420	344430849	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
MONROE CANCER CENTER
800 STEWART RD	MONROE	MI	48162	271302183	CANCER CENTER	MI	501(C)(3)	10	MERCY MEMORIAL HOSPITAL CORPORATION	Yes (1)
MONROE COMMUNITY HEALTH SERVICES
718 N MACOMB	MONROE	MI	48162	382934134	LONG TERM CARE	MI	501(C)(3)	10	MERCY MEMORIAL HOSPITAL CORPORATION	Yes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMB	MONROE	MI	48162	381984289	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	203376102	HEALTH INSURANCE	OH	501(C)(3)	10	PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
REYNOLDS ROAD SURGICAL CENTER LLC
2865 N REYNOLDS RD	TOLEDO	OH	43615	311569454	FREESTANDING AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	$730,726	$2,459,714	0	0	0.67200
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVE	TOLEDO	OH	43604	260679898	MEDICAL DIAGNOSTICS	OH	THE TOLEDO HOSPITAL	RELATED	$485,835	$633,357	0	0	0.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRAL	TOLEDO	OH	43617	200088459	AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	$265,700	$3,107,897	0	Yes (1)	0.50000
LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC
818 RIVERSIDE AVE	ADRIAN	MI	49221	383605511	PHYSICIAN MANAGEMENT SERVICES	MI	EMMA L BIXBY MEDICAL CENTER	RELATED	$84		0	Yes (1)	0.50000
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVE	FREMONT	OH	43420	204066818	REAL ESTATE	OH	MEMORIAL HOSPITAL	RELATED	$5,823	$298,145	0	0	0.50000
SURGICAL INSTITUTE OF MONROE LLC
1051 S TELEGRAPH RD	MONROE	MI	48161	270843485	AMBULATORY SURGICAL CENTER	MI	PROMEDICA CONTINUUM SERVICES	RELATED	-$6,335	$3,421,071	0	0	0.54000
PROMEDICA MASTER TENANT LLC
100 MADISON AVE	TOLEDO	OH	43604	475288490	REAL ESTATE	OH	PROMEDICA MANAGER MEMBER LLC	RELATED	-$2,656	$6,294,069	0	Yes (1)	0.01000
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVE	TOLEDO	OH	43604	473163945	REAL ESTATE	OH	PROMEDICA MANAGER MEMBER LLC	RELATED	-$1,371,608	$43,364,051	0	Yes (1)	0.90000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220	TOLEDO	OH	43615	475603627	INVESTMENT FUND	OH	PROMEDICA HEALTH SYSTEM INC	RELATED	-$12,298	$283,602	0	0	0.66660
APM PLUS LLC
1120 G ST NW STE 1000	WASHINGTON	DC	20005	813082229	ALTERNATIVE PAYMENT MODEL DEVELOPMENT	DE	PROMEDICA HEALTH SYSTEM INC	UNRELATED	-$256,787		0	Yes (1)	0.50000
KAPIOS LLC
2865 N REYNOLDS RD	TOLEDO	OH	43615	812624635	SOFTWARE DEVELOPMENT	OH	PROMEDICA HEALTH SYSTEM INC	UNRELATED	-$198,188	$47,430	0	Yes (1)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TR	ADRIAN	MI	49221	383146907	FACILITY LEASING	MI	EMMA L BIXBY MEDICAL CENTER	C	$63,138	$1,011,261	1.00000	Yes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVE	TOLEDO	OH	43604	383322278	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	-$6,499,459	$12,888,746	1.00000	Yes (1)
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	341570675	HEALTH CARE INSURANCE	OH	PROMEDICA HEALTH SYSTEM INC	C	-$10,797,881	$516,654,254	1.00000	Yes (1)
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVE	TOLEDO	OH	43604	383482148	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C		$149,134	1.00000	Yes (1)
PROMEDICA RETAIL GROUP INC
3890 MONROE ST	TOLEDO	OH	43606	341159928	FLORIST	OH	PROMEDICA CONTINUUM SERVICES	C	-$57,281	$938,903	1.00000	Yes (1)
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	383639616	FACILITY MANAGEMENT	MI	HERRICK MEMORIAL DEVELOPMENT CORP	C	$52	$55,674	0.71800	Yes (1)
PROMEDICA HEALTH NETWORK INC
100 MADISON AVE	TOLEDO	OH	43604	474006496	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM INC	C	-$590,439	$8,227	1.00000	Yes (1)
MONROE HEALTH VENTURES
718 N MACOMB	MONROE	MI	48164	382704426	PHARMACY	MI	MERCY MEMORIAL HOSPITAL CORPORATION	C			1.00000	Yes (1)
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVE	TOLEDO	OH	43604	475168737	REAL ESTATE	OH	PROMEDICA HEALTH SYSTEM INC	C	-$1,297,042	$25,980,065	1.00000	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (34 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIAL HOSPITAL
B	$5,000,000	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
B	$12,145,107	FMV
PROMEDICA FOUNDATION
B	$625,673	FMV
PROMEDICA MANAGER MEMBER LLC
B	$16,368,382	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
B	$86,250,000	FMV
DEFIANCE HOSPITAL INC
C	$2,000,000	FMV
EMMA L BIXBY MEDICAL CENTER
C	$3,000,000	FMV
THE TOLEDO HOSPITAL
C	$56,000,000	FMV
FLOWER HOSPITAL
C	$63,000,000	FMV
PROMEDICA FOUNDATION
C	$505,832	FMV
PROMEDICA MASTER TENANT LLC
D	$6,190,807	FMV
PROMEDICA INDEMNITY CORPORATION
F	$33,000,000	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
F	$20,000,000	FMV
THE TOLEDO HOSPITAL
K	$2,037,275	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
O	$108,254	FMV
PROMEDICA INDEMNITY CORPORATION
O	$175,121	FMV
DEFIANCE HOSPITAL INC
Q	$8,564,467	FMV
FOSTORIA HOSPITAL ASSOCIATION
Q	$5,474,733	FMV
MEMORIAL HOSPITAL
Q	$9,080,591	FMV
BAY PARK COMMUNITY HOSPITAL
Q	$12,316,773	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
Q	$27,605,379	FMV
EMMA L BIXBY MEDICAL CENTER
Q	$14,654,429	FMV
HERRICK MEMORIAL HOSPITAL INC
Q	$7,911,732	FMV
THE TOLEDO HOSPITAL
Q	$119,359,664	FMV
FLOWER HOSPITAL
Q	$31,130,044	FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
Q	$15,060,697	FMV
PROMEDICA INDEMNITY CORPORATION
Q	$325,000	FMV
PROMEDICA FOUNDATION
Q	$4,027,415	FMV
PROMEDICA PHYSICIAN GROUP
Q	$46,330,416	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
Q	$21,591,439	FMV
THE TOLEDO HOSPITAL
P	$2,794,511	FMV
FLOWER HOSPITAL
P	$96,065	FMV
PROMEDICA COURIER SERVICES INC
P	$106,026	FMV
PROMEDICA INDEMNITY CORPORATION
P	$11,478,007	FMV