TOLEDO HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- TOLEDO HOSPITAL (EIN 34-4428256)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-09
- IRS object ID
- 201703139349303275
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-09T15:42:57-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344428256 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE TOLEDO HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TOLE | BusinessNameControlTxt |
| Phone | 4192917460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2142 N COVE BLVD | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL P BROWNING | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 5675853892 | PhoneNum |
| Signature | 2017-11-09 | 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 | 167.219.0.212 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-09 | IPDt |
| IP Tm | 15:37:38 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5BB697B18A8DD726B43B7B05C191C3AA251627B3 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 49244D1103501C1FC62C4DE15972AF245F6ACEFC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROMEDICA TOLEDO HOSPITAL | BusinessNameLine1Txt |
| 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 | $2,014,385,678 | 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 | 1907 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND THE ADULT TERTIARY FACILITY OF PROMEDICA HEALTH SYSTEM, INC. PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC OF NORTHWEST OHIO AND SOUTHEAST MICHIGAN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 5736 | TotalEmployeeCnt |
| Total Volunteers | 278 | TotalVolunteersCnt |
| Total Gross UBI | $2,716,816 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,224,561 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,809,954 | PYContributionsGrantsAmt |
| CY Contributions Grants | $55,620,401 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $768,803,462 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $767,588,153 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,762,619 | PYInvestmentIncomeAmt |
| CY Investment Income | $37,445,095 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,993,835 | PYOtherRevenueAmt |
| CY Other Revenue | $16,623,887 | CYOtherRevenueAmt |
| PY Total Revenue | $810,369,870 | PYTotalRevenueAmt |
| CY Total Revenue | $877,277,536 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $51,428,455 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $176,377,422 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $339,056,664 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $352,481,625 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $462,098,053 | PYOtherExpensesAmt |
| CY Other Expenses | $438,000,519 | CYOtherExpensesAmt |
| PY Total Expenses | $852,583,172 | PYTotalExpensesAmt |
| CY Total Expenses | $966,859,566 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$42,213,302 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$89,582,030 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,701,109,632 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,442,478,118 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,007,389,442 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,002,560,783 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $693,720,190 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $439,917,335 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION, AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION AND SUPERIOR SERVICE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $736,113,127 | ExpenseAmt |
| Grant | $176,377,422 | GrantAmt |
| Revenue | $741,583,406 | RevenueAmt |
| Desc | THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $44,356,011 | ExpenseAmt |
| Desc | CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $53,077,752 | ExpenseAmt |
| Revenue | $21,885,545 | RevenueAmt |
| Desc | CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND RESEARCH. - SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,776,732 | ExpenseAmt |
| Revenue | $1,997,432 | RevenueAmt |
| Desc | OPERATES A HEALTH CLUB FACILITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,776,732 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,997,432 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $835,323,622 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | 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 |
| IRP Document | 339 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5736 | 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 | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN HANSEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5675858505 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MADISON AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43604 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ADRIENNE J GREEN | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ARTURO POLIZZI | ||||||||||
| PRESIDENT, EX OFFICIO | 40.00 | 2.50 | Yes (X) | $0 | $678,865 | $160,562 | Yes (X) | |||
| BETH A WILSON | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTOPHER H JACKSON | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CRAIG S BARROW | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAWN M BUSKEY | ||||||||||
| EX OFFICIO | 40.00 | 1.50 | Yes (X) | $0 | $356,641 | $72,530 | ||||
| DEBORAH A GUNTSCH MD | ||||||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $5,625 | $347,490 | $28,090 | ||||
| DONALD G CRESCENZO MD | ||||||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $872,274 | $35,021 | ||||
| JAMES F WEBER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN C WEBB PHD | ||||||||||
| EX OFFICIO | 1.00 | 52.50 | Yes (X) | $0 | $716,751 | $134,986 | ||||
| LEE W HAMMERLING MD | ||||||||||
| TRUSTEE | 1.00 | 49.00 | Yes (X) | $0 | $957,101 | $214,466 | ||||
| MARGARET RESSNER | ||||||||||
| EX OFFICIO | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARLON P KISER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY PARIS KABAT | ||||||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | $487 | $0 | $0 | Yes (X) | |||
| ROBERT F WOOD MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT P SCHLATTER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERTA J MILLER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN K STAELIN | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS G PADANILAM MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $250 | $0 | ||||
| TODD J COOPERIDER MD MBA | ||||||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $612,582 | $54,380 | ||||
| WILLIAM R MCDONNELL | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN M SATTLER | ||||||||||
| TREASURER (THRU 2/16) | 0.50 | 51.00 | $0 | $641,062 | $76,678 | Yes (X) | ||||
| GARY AKENBERGER | ||||||||||
| INTERIM TREASURER (3/16 TO 7/16) | 0.50 | 50.00 | $0 | $461,216 | $92,553 | Yes (X) | ||||
| JEFFREY C KUHN | ||||||||||
| SECRETARY | 0.50 | 51.00 | $0 | $674,920 | $143,195 | Yes (X) | ||||
| MICHAEL P BROWNING | ||||||||||
| TREASURER | 0.50 | 50.50 | $0 | $296,524 | $4,420 | Yes (X) | ||||
| ALISON AVENDT | ||||||||||
| VP SUPPORT SERVICES TTH, PRES. PTN | 40.00 | 0.00 | $0 | $199,754 | $26,096 | Yes (X) | ||||
| DAVID SCOTT MIERZWIAK MD | ||||||||||
| VP, MEDICAL AFFAIRS, TTH | 40.00 | 1.00 | $0 | $346,878 | $52,165 | Yes (X) | ||||
| DEANA SIEVERT | ||||||||||
| VP, PATIENT SERVICES, METRO | 40.00 | 1.50 | $0 | $253,897 | $65,617 | Yes (X) | ||||
| JOSEPH SFERRA | ||||||||||
| VP, SURGICAL SERVICES, TTH | 40.00 | 0.00 | $0 | $690,797 | $44,822 | Yes (X) | ||||
| LORI FERGUSON | ||||||||||
| VP, PATIENT CARE, TCH | 40.00 | 0.00 | $0 | $183,749 | $68,450 | Yes (X) | ||||
| SCOTT FOUGHT | ||||||||||
| VP, FINANCE | 40.00 | 1.00 | $0 | $221,473 | $42,817 | Yes (X) | ||||
| ANTHONY COMEROTA | ||||||||||
| DIR. JOBST VASCULAR CTR. | 40.00 | 0.00 | $562,165 | $0 | $28,383 | Yes (X) | ||||
| FEDOR LURIE | ||||||||||
| ASSOC. DIR. RESEARCH ED. VASC. | 40.00 | 0.00 | $206,446 | $0 | $26,889 | Yes (X) | ||||
| JACKLYN KIEFER | ||||||||||
| ASSOC. DIR. ED. FAMILY PRACTICE | 40.00 | 0.00 | $197,591 | $0 | $20,075 | Yes (X) | ||||
| LOUITO C EDJE MD | ||||||||||
| DIR. ED. FAMILY PRACTICE | 40.00 | 0.00 | $222,178 | $0 | $24,220 | Yes (X) | ||||
| PIERRE VAUTHY | ||||||||||
| PHYSICIAN/PHILANTHROPIC ADVOCATE | 40.00 | 0.00 | $67,315 | $142,266 | $23,970 | Yes (X) | ||||
| KATHLEEN S HANLEY | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $1,255,999 | $38,403 | Yes (X) | ||||
| KHURRAM KAMRAN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 41.50 | $0 | $523,554 | $168,452 | Yes (X) | ||||
| NEERAJ K KANWAL MD | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 41.00 | $0 | $432,823 | $64,058 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,261,807 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,866,866 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,711,298 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 134 | 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 |
|---|---|---|---|---|---|
| LATHROP COMPANY INC | |||||
| 460 WEST DUSSEL DR | MAUMEE | OH | 435374205 | GENERAL CONTRACTING | $47,192,224 |
| HKS INC | |||||
| 1919 MCKINNEY AVE | DALLAS | TX | 75201 | ARCHITECTURAL DESIGN | $9,117,762 |
| PRICE WATERHOUSE COOPER | |||||
| PO BOX 75647 | CHICAGO | IL | 606755647 | CONSULTING SERVICES | $5,498,897 |
| SPIEKER CO | |||||
| 8350 FREMONT PIKE | PERRYSBURG | OH | 43551 | GENERAL CONTRACTING | $5,452,237 |
| UNIVERSITY OF TOLEDO | |||||
| DEPT L 674 | COLUMBUS | OH | 43260 | EDUCATION & PHYSICIANS | $5,351,967 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $52,050,653 | RelatedOrganizationsAmt |
| Government Grants | $1,085,772 | GovernmentGrantsAmt |
| All Other Contributions | $2,483,976 | AllOtherContributionsAmt |
| Noncash Contributions | $496 | NoncashContributionsAmt |
| Total Contributions | $55,620,401 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICES | 622110 | $755,461,823 | $753,202,113 | $2,259,710 | |
| AFFIL. ORG. RENT REV. | 531120 | $10,675,705 | $10,675,705 | ||
| MEMBERSHIP REVENUE | 713940 | $1,450,625 | $1,450,625 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $767,588,153 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,307,614 | TotalRevenueColumnAmt |
| Exclusion | $8,307,614 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,555 | TotalRevenueColumnAmt |
| Exclusion | $10,555 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,864,811 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,705,363 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $159,448 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,448 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $90,737 | UnrelatedBusinessRevenueAmt |
| Exclusion | $68,711 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,156,350,291 | SecuritiesAmt |
| Other | $5,472,264 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,122,112,250 | SecuritiesAmt |
| Other | $10,583,379 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,238,041 | SecuritiesAmt |
| Other | -$5,111,115 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,126,926 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$5,111,115 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $34,238,041 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $12,198 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $1,695 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,503 | TotalRevenueColumnAmt |
| Exclusion | $10,503 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $868,262 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $705,455 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,807 | TotalRevenueColumnAmt |
| Exclusion | $162,807 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PHARMACY | 446110 | $6,120,334 | $6,119,596 | $738 |
| AFF TRANS SUPPORT SVCS | 900099 | $1,521,102 | $1,521,102 | |
| EHR INCENTIVE | 900099 | $1,002,174 | $1,002,174 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,647,519 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,281,888 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $365,631 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,291,129 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $877,277,536 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $765,466,383 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,716,816 | UnrelatedBusinessRevenueAmt |
| Exclusion | $53,473,936 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,377,422 | TotalAmt |
| Program Services | $176,377,422 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,112 | TotalAmt |
| Management And General | $6,112 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,545,749 | TotalAmt |
| Program Services | $186,258,710 | ProgramServicesAmt |
| Management And General | $100,287,039 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,215,391 | TotalAmt |
| Program Services | $2,090,004 | ProgramServicesAmt |
| Management And General | $1,125,387 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,534,437 | TotalAmt |
| Program Services | $26,347,384 | ProgramServicesAmt |
| Management And General | $14,187,053 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,179,936 | TotalAmt |
| Program Services | $14,416,958 | ProgramServicesAmt |
| Management And General | $7,762,978 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,629 | TotalAmt |
| Program Services | $32,629 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $866,555 | TotalAmt |
| Program Services | $866,555 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,093,687 | TotalAmt |
| Management And General | $1,093,687 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,150 | TotalAmt |
| Management And General | $26,150 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,619,542 | TotalAmt |
| Program Services | $1,619,542 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,969,644 | TotalAmt |
| Program Services | $61,575,287 | ProgramServicesAmt |
| Management And General | $394,357 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,479,874 | TotalAmt |
| Program Services | $1,983,899 | ProgramServicesAmt |
| Management And General | $495,975 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,820,662 | TotalAmt |
| Program Services | $7,820,662 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,758,182 | TotalAmt |
| Program Services | $22,758,182 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,517,894 | TotalAmt |
| Program Services | $14,014,315 | ProgramServicesAmt |
| Management And General | $3,503,579 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,347,578 | TotalAmt |
| Program Services | $592,934 | ProgramServicesAmt |
| Management And General | $754,644 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,010 | TotalAmt |
| Management And General | $4,010 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,735,400 | TotalAmt |
| Program Services | $24,735,400 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,634,653 | TotalAmt |
| Program Services | $58,634,653 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,599,351 | TotalAmt |
| Program Services | $4,479,481 | ProgramServicesAmt |
| Management And General | $1,119,870 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $110,070,336 | $110,070,336 | |
| INTERCOMPANY SERVICES | $50,083,699 | $49,953,481 | $130,218 |
| DRUGS | $43,809,706 | $43,809,706 | |
| TAXES | $750,000 | $750,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,780,967 | TotalAmt |
| Program Services | $26,136,082 | ProgramServicesAmt |
| Management And General | $644,885 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $966,859,566 | TotalAmt |
| Program Services | $835,323,622 | ProgramServicesAmt |
| Management And General | $131,535,944 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,670,981 | BOYAmt |
| EOY | $32,236,257 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,050,299 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,541,783 | BOYAmt |
| EOY | $131,736,355 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,599 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,134,578 | BOYAmt |
| EOY | $11,059,227 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,659,956 | BOYAmt |
| EOY | $2,834,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,123,347,312 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $568,793,126 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,743,118 | BOYAmt |
| EOY | $554,554,186 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,609,544 | BOYAmt |
| EOY | $246,824,919 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,698,679 | BOYAmt |
| EOY | $11,187,926 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,290,315 | BOYAmt |
| EOY | $18,201,744 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,760,678 | BOYAmt |
| EOY | $427,779,317 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,701,109,632 | BOYAmt |
| EOY | $1,442,478,118 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,652,038 | BOYAmt |
| EOY | $60,928,969 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $938,945 | BOYAmt |
| EOY | $938,945 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $519,392,555 | BOYAmt |
| EOY | $509,355,608 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,793,224 | BOYAmt |
| EOY | $351,092,277 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,612,680 | BOYAmt |
| EOY | $80,244,984 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,007,389,442 | BOYAmt |
| EOY | $1,002,560,783 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,505,198 | BOYAmt |
| EOY | $261,276,443 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,323,277 | BOYAmt |
| EOY | $168,801,778 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,891,715 | BOYAmt |
| EOY | $9,839,114 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,720,190 | BOYAmt |
| EOY | $439,917,335 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,701,109,632 | BOYAmt |
| EOY | $1,442,478,118 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$89,582,030 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$20,634,355 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$143,586,470 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $26,150 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $26,150 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE TOLEDO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,891,715 | BeginningYearBalanceAmt |
| Contributions | -$19,454 | ContributionsAmt |
| Investment Earnings Or Losses | -$33,146 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,839,115 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,484,815 | BeginningYearBalanceAmt |
| Contributions | $1,188 | ContributionsAmt |
| Investment Earnings Or Losses | -$594,288 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,891,715 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,560,195 | BeginningYearBalanceAmt |
| Contributions | $4,397 | ContributionsAmt |
| Investment Earnings Or Losses | -$79,777 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,484,815 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,062,050 | BeginningYearBalanceAmt |
| Contributions | $558,860 | ContributionsAmt |
| Investment Earnings Or Losses | -$60,715 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,560,195 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,422,630 | BeginningYearBalanceAmt |
| Contributions | $93,509 | ContributionsAmt |
| Investment Earnings Or Losses | $545,911 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,062,050 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,565,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $63,857,219 | OtherCostOrOtherBasisAmt |
| Book Value | $66,422,219 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $667,449,208 | OtherCostOrOtherBasisAmt |
| Depreciation | $357,879,988 | DepreciationAmt |
| Book Value | $309,569,220 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,965,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,940,162 | DepreciationAmt |
| Book Value | $25,366 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $280,690,607 | OtherCostOrOtherBasisAmt |
| Depreciation | $185,600,422 | DepreciationAmt |
| Book Value | $95,090,185 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,819,750 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,372,554 | DepreciationAmt |
| Book Value | $83,447,196 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $554,554,186 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $8,639,488 |
| OTHER RECEIVABLES | $3,394,576 |
| OTHER SEGREGATED INVESTMENTS | $21,331,674 |
| INTERCOMPANY DEBT FROM RELATED ENTITIES | $215,789,166 |
| RESEARCH FUNDS | $1,929,382 |
| BENEFICIAL INTEREST IN FOUNDATION | $176,695,031 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $427,779,317 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $34,084,284 |
| ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE | $13,930,007 |
| INTEREST RATE SWAP | $14,932,265 |
| ASBESTOS REMEDIATION | $8,088,525 |
| PENSION LIABILITY | $366,554 |
| DEFERRED COMPENSATION | $8,412,854 |
| PLEDGES PAYABLE | $150,000 |
| DEFERRED INCOME TAXES | $280,495 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $80,244,984 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT THE TOLEDO HOSPITAL CONSISTENT WITH DONOR INTENT. |
| PART X, LINE 2: | THE TOLEDO HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS). THE FOLLOWING REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740. EXCEPT AS NOTED BELOW, PHS DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2016 AND 2015. FOR THE TAX YEARS ENDED DECEMBER 31, 2016 AND 2015, A TAXABLE SUBSIDIARY OF PHS DID NOT RECOGNIZE A LIABILITY FOR UNCERTAIN TAX POSITIONS. THE SUBSIDIARY RECOGNIZED A CREDIT TO INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS OF $(340,000) AS OF DECEMBER 31, 2016 AND AN EXPENSE OF $169,000 FOR 2015. THE TOLEDO HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2016 AND 2015. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,474,646 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,474,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $175,216,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $137,353,214 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,863,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03880 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $161,745 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $143,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,234 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $181,852,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $137,496,725 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,356,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04540 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,157,671 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,715,296 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,442,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,588,283 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,397,486 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,190,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,460,574 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,325,689 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,134,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $871,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $447,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $424,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,077,752 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,885,545 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,192,207 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $234,930,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $159,382,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $75,548,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07730 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $32,862,304 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,249,407 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $128,933,991 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $149,300,249 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$20,366,258 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC | |||
| PHYSICIAN SERVICES | 0.24290 | 0.02910 | 0.61110 |
| 2 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC | |||
| PHYSICIAN SERVICES | 0.31770 | 0.39300 | |
| 3 REYNOLDS ROAD SURGICAL CENTER LLC | |||
| SURGICAL CENTER | 0.67200 | 0.30900 | |
| 4 NORTHWEST OHIO DEDICATED BREAST MRI LLC | |||
| MEDICAL DIAGNOSTIC | 0.50000 | 0.50000 | |
| 5 WEST CENTRAL SURGICAL CENTER LLC | |||
| SURGICAL CENTER | 0.50000 | 0.50000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE TOLEDO HOSPITAL | ||||||||||||||
| 1 | 2142 NORTH COVE BLVD | TOLEDO | OH | 43606 | WWW.PROMEDICA.ORG | 1226 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL | ||||||||||||||
| 2 | 2901 N REYNOLDS RD | TOLEDO | OH | 43615 | WWW.PROMEDICA.ORG | 1501 | Yes (X) | Yes (X) | A | |||||
| ARROWHEAD BEHAVIORAL HEALTH | ||||||||||||||
| 3 | 1725 TIMBERLINE ROAD | MAUMEE | OH | 43537 | WWW.ARROWHEADBEHAVIORAL.COM | 1543 | Yes (X) | B | PSYCHIATRIC / SUBSTANCE ABUSE FACILITY | |||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Other Actions TakenOtherActionsTakenInd | No Emergency CareNoEmergencyCareInd | Prospective Medicare MedicaidProspectiveMedicareMedicaidInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FACILITY REPORTING GROUP - A | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.PROMEDICA.ORG/PAGES/ABOUT-US/DEFAULT.ASPX | Yes (X) | Yes (1) | 16 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |||||
| FACILITY REPORTING GROUP - B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.ARROWHEADBEHAVIORAL.COM/CHNA/ | Yes (X) | Yes (1) | 16 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 200.000000000000 | 500.000000000000 | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | 0 | 0 | 0 | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | ||||||||||||||
Supplemental Information SupplementalInformationGrp (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL |
| GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 5: | IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO, DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, THE ZEPF CENTER, SWANTON AREA COMMUNITY COALITION, ANTHONY WAYNE SCHOOLS, OTTAWA HILLS LOCAL SCHOOLS, SYLVANIA SCHOOLS, PROMEDICA (ALL LUCAS COUNTY HOSPITALS), MERCY, MERCY PEDIATRICIAN, YWCA CHILDCARE, EARLY CHILDHOOD COORDINATING COMMITTEE (EC3), LUCAS COUNTY FAMILY COUNCIL, AND LUCAS COUNTY FAMILY FIRST COUNCIL. |
| GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A: | THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH. |
| GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B: | THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO. |
| GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 5: | IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER. |
| GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6A: | THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH. |
| GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6B: | THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO. |
| PART V, SECTION B | FACILITY REPORTING GROUP B |
| FACILITY REPORTING GROUP B CONSISTS OF: | - FACILITY 3: ARROWHEAD BEHAVIORAL HEALTH |
| GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 5: | IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER. |
| GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6A: | THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL. |
| GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B: | THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO. |
| GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL | PART V, SECTION B, LINE 11: THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- TRAUMA - EDUCATION AND FALL PREVENTION- CARDIOVASCULAR DISEASENO ACTIONS WERE TAKEN DURING TAX YEAR 2016 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE TOLEDO HOSPITAL'S MOST RECENTLY CONDUCTED CHNA IN 2016. THE SECOND CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS.THE TOLEDO HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN, INCLUDE: HEALTH STATUS PERCEPTIONS, HEALTH CARE COVERAGE/ACCESS/UTILIZATION, CANCER, DIABETES, ARTHRITIS, ASTHMA AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE HEALTH AND SCREENINGS, SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, AND ORAL HEALTH. YOUTH HEALTH AND CHILD HEALTH ISSUES ARE ADDRESSED BY TOLEDO CHILDREN'S HOSPITAL BELOW.THE TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2016 WITH RESPECT TO ITS PREVIOUSLY CONDUCTED CHNA IN 2013:HEALTH NEED IDENTIFIED: ACCESS TO CARESTRATEGY #1 - ANNUALLY MAINTAINED SAFETY NET CLINIC ACCESS FOR ADULT PATIENTS WITHOUT INSURANCE, INCLUDING THE FOLLOWING AREAS: OB-GYN CLINIC (CHS - CENTER FOR HEALTH SERVICES CLINICS) INCLUDING OUTREACH CLINIC IN OBSTETRICS, INTERNAL MEDICINE (CHS), TOLEDO HOSPITAL FAMILY MEDICINE RESIDENCY (WW KNIGHT CLINIC), ADULT SPECIALTY CLINICS, HAND CLINIC, VASCULAR CLINIC, STROKE CLINIC, TRAUMA CLINIC, HEPATITIS C CLINIC, GASTROENTEROLOGY CLINIC, SURGERY CLINIC, ORTHOPEDIC CLINIC, NEUROLOGY/NEUROSURGERY CLINIC.ACTIONS TAKEN:- IN 2016, 200 CARENET (CARENET IS COORDINATED HEALTHCARE SERVICES FOR UNDERSERVED INDIVIDUALS NOT QUALIFYING FOR GOVERNMENT ASSISTANCE PROGRAMS) PATIENTS WERE SEEN IN SPECIALTY CLINICS, 217 CARENET PATIENTS SEEN BY PRIMARY CARE PHYSICIANS, 915 RADIOLOGY AND LABRATORY PROCEDURES PROVIDED TO CARENET PATIENTS, 38 INPATIENT/OUTPATIENT SURGICAL PROCEDURES PROVIDED TO CARENET PATIENTS.STRATEGY #2 - DEVELOP MATERIALS FOR DISTRIBUTION TO EMERGENCY DEPARTMENT, PRIMARY CARE, AND RELATED COMMUNITY CARE PROGRAMS ABOUT AVAILABILITY OF CARENET AND OTHER SAFETY NET CLINICS.ACTIONS TAKEN:- 487 APPLICANTS FOUND ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS AND WERE SIGNED UP FOR THESE PROGRAMS. CARENET IS STILL OFFERED WHEN APPLICABLE, AS EVIDENCED IN ABOVE STRATEGY AND ACTIONS TAKEN.HEALTH NEED IDENTIFIED: TOBACCO CESSATIONSTRATEGY #1 - INCREASE AWARENESS OF DANGERS OF TOBACCO USE AND INCREASE AWARENESS OF TOBACCO CESSATION PROGRAMS.ACTIONS TAKEN: TEN (10) PARTICIPANTS IN TOBACCO CESSATION PROGRAMS, 24 TOBACCO PREVENTION PROGRAMS AT LOCAL SCHOOLS WITH 2,751 PARTICIPANTS, FOUR (4) SMOKING CESSATION CLASSES OFFERED AT THE TOLEDO HOSPITAL, AND FOUR (4) TOBACCO CESSATION EDUCATION/AWARENESS PROGRAMS AT COMMUNITY PRESENTATIONS AND HEALTH FAIRS. THIS EDUCATION IS OFFERED AT NO COST TO CARENET MEMBERS.HEALTH NEED IDENTIFIED: CARDIOVASCULAR DISEASE - STROKESTRATEGY #1 - ANNUALLY PROVIDE AT LEAST FOUR COMMUNITY EVENTS TO INCREASE STROKE AWARENESS.ACTIONS TAKEN:- 18 EVENTS WERE PROVIDED TO INCREASE STROKE AWARENESS, IN COLLABORATION WITH OTHER PROMEDICA HOSPITALS IN THE PROMEDICA STROKE NETWORK. STRATEGY #2 - ANNUALLY PLACE AT LEAST TWO ARTICLES/PUBLIC SERVICE ANNOUNCEMENTS IN COMMUNITY PUBLICATIONS ON SIGNS, SYMPTOMS AND PREVENTIONS.ACTIONS TAKEN:- PUBLIC SERVICE ANNOUNCEMENTS ON STROKE WERE PROVIDED DURING MAY, NATIONAL STROKE MONTH. PROMEDICA PHYSICIANS WERE PUBLISHED ON "RACE" (ACRONYM FOR RAPID ARTERIAL OCCLUSION EVALUATION) AND THE RESULTS OF THE DECREASE TIME FROM DOOR TO GROIN PUNCTURE AND RECANALIZATION, PUBLISHED IN THE JOURNAL OF NEUROINTERVENTIONAL SURGERY.STRATEGY #3 - ANNUALLY PROVIDE AT LEAST FOUR STROKE EDUCATION PROGRAMS TO EMERGENCY MEDICAL SERVICES (EMS) PROVIDERS.ACTIONS TAKEN:- PROVIDED CONTINUING EDUCATION TO OUTLYING EMS PROVIDERS, THROUGH THREE PROGRAMS IN BOWLING GREEN AND ONE PROGRAM IN PEMBERVILLE AND LINDSAY ON STROKE, THE "RACE" ACRONYM AND ENDOVASCULAR TREATMENT. THE TOLEDO HOSPITAL BECAME A CERTIFIED COMPREHENSIVE STROKE CENTER AS OF JUNE 2016.STRATEGY #4 - EVALUATE COMMUNITY EDUCATION TO DETERMINE IF IT CORRELATES WITH INCREASED USE OF TPA - AN INDICATOR THAT STROKE PATIENTS ARRIVED AT THE EMERGENCY DEPARTMENT IN A TIMELY FASHION TO REDUCE STROKE IMPACT.ACTIONS TAKEN:- EDUCATED APPROXIMATELY 13,000 PEOPLE ON "FAST" (STROKE ACRONYM FOR FACIAL DROOP, ARM WEAKNESS, SPEECH DIFFICULTIES AND TIME TO CALL EMERGENCY SERVICES) AND "BE FAST CALL 911". THERE WAS AN INCREASE IN PATIENTS TREATED WITH TPA TO 44 PATIENTS IN 2016, AND DECREASE IN TIME FROM DOOR TO NEEDLE FROM 52 MINUTES TO 37 MINUTES. 93% OF THE PATIENTS TREATED WITH TPA WERE UNDER 60 MINUTES, 75% OF THOSE PATIENTS WERE TREATED UNDER 45%. THE JOINT COMMISSION MEASURE IS 50% OF THE PATIENTS HAVE TO BE TREATED WITH TPA IN UNDER 60 MINUTES.STRATEGY #5 - ANNUALLY PROVIDE PREVENTION FOCUSED ACTIVITIES WITH CARDIOVASCULAR AND NUTRITION OUTREACH.ACTIONS TAKEN:- TOUCHED ALMOST 11,000 PEOPLE EDUCATED ON STROKE SIGNS AND SYMPTOMS, RISK FACTORS INCLUDING SMOKING, HYPERTENSION, AND COMMUNITY COMPLETED STROKE RISK ASSESSMENTS, AND BLOOD PRESSURE SCREENINGS. THE TOLEDO HOSPITAL STROKE COORDINATOR SPOKE AT SENIOR CENTERS, CHURCH GROUPS. THE TOLEDO HOSPITAL STROKE SUPPORT GROUP CONTINUES TO HAVE GOOD ATTENDANCE.HEALTH NEED IDENTIFIED: CANCER SCREENINGSTRATEGY #1 - EDUCATED PUBLIC ABOUT THE IMPORTANCE, AND ACCESS TO, FREE PAP SMEARS, MAMMOGRAPHY AND COLONOSCOPIES AVAILABLE THROUGH CARENET.ACTIONS TAKEN:- 90 MAMMOGRAPHIES, 39 PAP SMEARS AND THREE (3) COLONOSCOPIES PROVIDED TO CARENET PATIENTS. - COLORECTAL CANCER AND NUTRITION EDUCATION WAS DISTRIBUTED IN REUSABLE GROCERY BAGS BY UNIVERSITY OF TOLEDO MEDICAL STUDENTS TO 250 GUESTS AS THEY ENTERED THE MEDICAL TENT AT "TENT CITY" ANNUAL RESOURCE EVENT IN DOWNTOWN TOLEDO, OHIO. - COMPLETED FREE PELVIC EXAMS AND PAP SMEARS FOR 37 HIGH-RISK WOMEN AT TENT CITY. ONE-ON-ONE EDUCATION BY ONCOLOGY OUTREACH COORDINATOR LEAD TO FREE PAP EXAMS BY OB/GYN PHYSICIAN AND NURSE PRACTITIONER. TOLEDO HOSPITAL LAB TECHNICIAN STAINED SLIDES AND READ THEM WHILE WOMEN WAITED FOR RESULTS. TWO (2) ATYPICAL PAPS WHERE DISCOVERED AND THE WOMEN WHERE SCHEDULED FOR APPOINTMENTS AT THAT NEIGHBORHOOD FREE HEALTH CLINIC. THIS SCREENING WAS PART OF A COLLABORATION BETWEEN, DR. ANNE RUCH, OB-GYM, PAUL CHANDLER, PA, FROM THAT NEIGHBORHOOD FREE HEALTH CLINIC, OHIO BREAST AND CERVICAL CANCER PROJECT (BCCP), LIFE LINE, PROMEDICA CANCER INSTITUTE AND 1MATTERS (TENT CITY ORGANIZER). - "GET BEHIND IT: COLORECTAL CANCER SCREENING AWARENESS PROGRAM" REMINDER INFORMATION SENT TO 1,906 NON-COMPLIANT (FOR COLORECTAL CANCER SCREENING) COMMUNITY MEMBERS. IN ADDITION, TELEVOX PHONE CALLS, REMINDER LETTERS, VIDEOS DEVELOPED, AND HEALTH CARE PROVIDER NEWSLETTERS, WERE PART OF COLORECTAL CANCER AWARENESS CAMPAIGN. - FREE MAMMOGRAM AND BREAST CANCER EDUCATION PROGRAM WAS PROVIDED TO APPROXIMATELY 109 TOTAL PARTICIPANTS. FOLLOW UP BY BREAST HEALTH NURSE NAVIGATOR WAS PROVIDED, AS NEEDED. - RACE FOR THE CURE "TEAM PROMEDICA" (INCLUDING ALL PROMEDICA SYSTEM STAFF) HAD 624 REGISTRANTS, TO HELP RAISE FUNDING FOR LOCAL BREAST CANCER PROGRAMS. - "YOUR COLON HEALTH MATTERS: - FREE "FIT" TESTING" FOR ELIGIBLE COMMUNITY MEMBERS IN HISPANIC NEIGHBORHOODS WITH PHYSICIAN LED EDUCATION. 42 PEOPLE WERE SERVED. PROMEDICA STAFF MEMBER SERVED AS LUCAS COUNTY COLORECTAL CANCER COALITION CHAIR.STRATEGY #2 - ESTABLISH LUNG CANCER SCREENING PROTOCOL FOR IDENTIFICATION OF HIGH RISK PATIENTS. PROVIDE OUTREACH TO UNDERSERVED PATIENTS, PARTICULARLY THOSE WITH MENTAL ILLNESS AND LONG SMOKING HISTORY. INVESTIGATE CT SCREENING WITH FOLLOW-UP OF HIGH RISK PATIENTS. |
| ACTIONS TAKEN: | - THROUGH ESTABLISHED LUNG SCREENING PROTOCOL, OUT OF THE 101 PEOPLE SCANNED AT THE TOLEDO HOSPITAL IN 2016 THERE WERE 18 PATIENTS THAT REQUIRED AN ADDITIONAL SCAN DUE TO SUSPICIOUS FINDINGS, WITH EIGHT (8) BIOPSIES AND EIGHT (8) THOROCOTOMIES ALSO COMPLETED, AS A RESULT. FOLLOWING EVALUATION AND PREVIOUS COMMUNITY EDUCATION, TOLEDO HOSPTIAL OUTREACH CONTINUED TO WORK DIRECTLY WITH PHYSICIAN OFFICES, VERSUS EXTERNAL OUTREACH, TO IDENTIFY PATIENTS AT HIGH RISK FOR EARLY LUNG CANCER SCREENING TO ASSIST IN EARLY DETECTION.TOLEDO CHILDREN'S HOSPITAL (OPERATING WITHIN AND AS PART OF THE TOLEDO HOSPITAL) CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- DECREASE INFANT MORTALITY- DECREASE YOUTH MENTAL HEALTH ISSUES AND BULLYING- DECREASE HEART DISEASE AND OTHER CHRONIC DISEASES - ASTHMA- INCREASE HEALTHY WEIGHT STATUS- INJURY PREVENTION/SAFETY- INCREASE SCHOOL READINESSNO ACTIONS WERE TAKEN DURING TAX YEAR 2016 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH TOLEDO CHILDREN'S HOSPITAL'S MOST RECENTLY CONDUCTED CHNA IN 2016. THE SECOND CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS.TOLEDO CHILDREN'S HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN, INCLUDE: TOBACCO USE, ALCOHOL CONSUMPTION, MARIJUANA AND OTHER DRUG USE, VIOLENCE ISSUES, YOUTH PERCEPTIONS, CHILD HEALTH AND FUNCTIONAL STATUS, FAMILY FUNCTIONING/NEIGHBORHOOD & COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO CHILDREN'S HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2016 WITH RESPECT TO ITS PREVIOUSLY CONDUCTED CHNA IN 2013:HEALTH NEED IDENTIFIED: SAFE NEIGHBORHOODS AND SCHOOLS (YOUTH 12-18 YEARS)STRATEGY #1 - INCREASE SAFETY IN NEIGHBORHOODS AND SCHOOLS - EACH SCHOOL YEAR THE TEEN PEERS EDUCATING PEERS (PEP) PROGRAM WILL BE OFFERED TO 10 SCHOOLS IN LUCAS COUNTY. THE PROGRAM ADDRESSES TEEN DATING VIOLENCE AND BULLYING. ONE ADDITIONAL SCHOOL WILL BE ADDED EACH YEAR PER GRANT FUNDING. PROGRAM LEAD WILL, AS CO-CHAIR, COLLABORATE WITH THE LUCAS COUNTY SUICIDE PREVENTION COALITION TO DESIGN A COMPREHENSIVE COMMUNITY STRATEGIC PLAN THAT WILL SERVE AS A GUIDELINE AND RECOMMENDATION FOR NOT ONLY RESPONDING EFFECTIVELY TO TEEN SUICIDES IN AREA SCHOOLS BUT ALSO IN THE PREVENTION OF SUICIDE BY WAY OF DECREASING BULLYING IN OUR SCHOOLS.ACTIONS TAKEN:- IMPLEMENTED TEEN PEERS EDUCATING PEERS (TEEN PEP) PROGRAM IN SEVENTEEN (17) SCHOOLS INCLUDING: ALTERNATE LEARNING CENTER, BEVERLY ELEMENTARY, BOWSHER HIGH SCHOOL, CARDINAL STRITCH HIGH SCHOOL, CLAY HIGH SCHOOL, NORTHVIEW HIGH SCHOOL, NORTHWOOD HIGH SCHOOL, POLLY FOX ACADEMY, ROGERS HIGH SCHOOL, ST. FRANCIS DE SALES, SCOTT HIGH SCHOOL, SOUTHVIEW HIGH SCHOOL, SPRINGFIELD HIGH SCHOOL, START HIGH SCHOOL, SWANTON HIGH SCHOOL, TOLEDO EARLY COLLEGE HIGH SCHOOL AND WAITE HIGH SCHOOL WITH 162 TEEN PEERS AND 4,841 PARTICIPANTS IN 2016. TWO (2) ADDITIONAL SCHOOLS, ST. FRANCIS DE SALES AND TOLEDO EARLY COLLEGE HIGH SCHOOL WERE ADDED IN 2016. - ELEVEN (11) SCHOOLS PARTICIPATED IN THE TEEN PEP RAPE PREVENTION EDUCATION INCLUDING: ALTERNATE LEARNING CENTER, BOWSHER HIGH SCHOOL, POLLY FOX ACADEMY, ROGERS HIGH SCHOOL, SCOTT HIGH SCHOOL, START HIGH SCHOOL, SPRINGFIELD HIGH SCHOOL, SOUTHVIEW HIGH SCHOOL, NORTHVIEW HIGH SCHOOL, SWANTON HIGH SCHOOL, AND WAITE HIGH SCHOOL, A TPS SCHOOL WITH A HIGHER RATIO OF HISPANIC AND UNDERSERVED YOUTH.- ADDITIONAL OBJECTIVE: TEEN PEP AND CULLEN CENTER SUCCESSFULLY COLLABORATED TO FORM THE LUCAS CO. YOUTH SEXUAL AND INTIMATE AND INTIMATE PARTNER VIOLENCE COALITION IN LATE 2016. OTHER PARTNERS INCLUDE YMCA, UNITED WAY, BGSU, UT, JUEVENILE COURT AND LOCAL HEALTH DEPARTMENT; STRATEGIC PLAN TO BE DEVELOPED BY 2018.STRATEGY #2 - SAFE ROUTES TO SCHOOL PROGRAM WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE BENEFITS OF WALKING AND BICYCLING TO SCHOOL IN GROUPS AS A WAY TO HAVE A SAFER NEIGHBORHOOD. CURRENTLY IN SYLVANIA CITY SCHOOLS (1 ELEMENTARY). OFFER TO WORK WITH AT LEAST ONE NEW SCHOOL WITHIN THE LUCAS COUNTY TO PROMOTE WALKING AND BIKING TO SCHOOL IN GROUPS. PROMOTE AND FACILITATE "WALKING WEDNESDAYS" AT PARTICIPATING SCHOOLS IN OREGON AND SYLVANIA. PROMOTE INTERNATIONAL WALK TO SCHOOL AND BIKE TO SCHOOL DAY AT ONE SCHOOL IN OREGON AND ONE SCHOOL IN SYLVANIA. PRESENT AT LEAST TEN (10) CLASSROOM PRESENTATIONS ON PEDESTRIAN AND BICYCLE SAFETY.ACTIONS TAKEN: - PROMOTED AND FACILITATED WALKING WEDNESDAYS AT ONE (1) PARTICIPATING SCHOOL IN THE CITY OF SYLVANIA INCLUDING: SYLVAN ELEMENTARY. PROMOTED INTERNATIONAL WALK TO SCHOOL AND BIKE TO SCHOOL DAY AT TWO (2) SCHOOLS IN THE CITY OF SYLVANIA INCLUDING: OAKDALE ELEMENTARY SCHOOL AND SYLVAN ELEMENTARY. OREGON CITY SCHOOLS CREATED A PUBLIC WALKING PROGRAM IN THE HIGH SCHOOL IN 2016. - PRESENTED TO TEN (10) CLASSROOMS ON PEDESTRIAN AND BICYCLE SAFETY. THE TOTAL NUMBER OF CHILDREN RECEIVING EDUCATION WAS 415.STRATEGY #3 - THE CULLEN CENTER WILL PROVIDE TRAUMA FOCUSED BEHAVIORAL THERAPY TO CHILDREN WITNESSING OR EXPERIENCING VIOLENCE (AGES 6-18) IN LUCAS COUNTY AND SURROUNDING AREA ON AN ONGOING BASIS. COLLABORATE WITH THE JUVENILE JUSTICE COURTS TO PROVIDE TRAINING TO COMMUNITY PARTNERS, INCLUDING SCHOOLS, CHILD WELFARE, AND THE COURT SYSTEMS (INCLUDING DETENTION CENTERS). THIS IMPROVES PROFESSIONALS' RESPONSES TO TRAUMATIZED YOUTH SUCH THAT THE ADULTS RESPOND IN A CALMER MANNER, REDUCING THE LIKELIHOOD THAT THE YOUTH REACTS WITH AGGRESSION, AND REDUCING THE LIKELIHOOD OF VIOLENCE IN THE OVERALL SYSTEMS. PROMOTE TO, AND EDUCATE, THREE COMMUNITY AGENCIES ABOUT SCREENING FOR ABUSE AND VIOLENCE.ACTIONS TAKEN:- COLLABORATED WITH JUVENILE JUSTICE COURTS TO PROVIDE TRAINING TO COMMUNITY PARTNERS INCLUDING SCHOOLS, CHILD WELFARE, AND COURT SYSTEMS (INCLUDING DETENTION CENTERS). THIS IMPROVED PROFESSIONALS' RESPONSES TO TRAUMATIZED YOUTH SUCH THAT THE ADULTS RESPOND IN A CALMER MANNER, REDUCING THE LIKELIHOOD THAT THE YOUTH REACTS WITH AGGRESSION, AND REDUCES THE LIKELIHOOD OF VIOLENCE IN THE OVERALL SYSTEMS. 192 YOUTH RECEIVED SERVICES. - PROMOTED TO, AND EDUCATED, FOUR (4) COMMUNITY AGENCIES ABOUT SCREENING FOR ABUSE AND VIOLENCE. PROVIDED THREE (3) HOUR TRAINING TO TOLEDO PUBLIC SCHOOL ON TRAUMA-INFORMED CARE IN THE CLASSROOM. THIS INCLUDED STAFF IN THE BEHAVIORAL SCHOOL. PROVIDED ALL DAY TRAINING TO LCCS EDUCATIONAL SPECIALIST IN TRAUMA-INFORMED CARE AND HOW TO HELP ADVOCATE FOR FOSTER YOUTH IN SCHOOLS WHO HAVE BEHAVIORAL AND EMOTIONAL PROBLEMS THAT ARE AFFECTING THEIR SCHOOL WORK. CONSULTED WITH JUVENILE COURT STAFF PSYCHOLOGIST ON THEIR ONGOING REFLECTIVE SUPERVISION TRAINING (THAT HELPS SUPPORT TRAUMA-INFORMED WORK).- ADDITIONAL RELATED OBJECTIVE ATTAINED: TEEN PEP AND CULLEN CENTER SUCCESSFULLY COLLABORATED TO FORM THE LUCAS CO. YOUTH SEXUAL AND INTIMATE AND INTIMATE PARTNER VIOLENCE COALITION IN LATE 2016. OTHER PARTNERS INCLUDE YMCA, UNITED WAY, BGSU, UT, JUEVENILE COURT AND LOCAL HEALTH DEPARTMENT; STRATEGIC PLAN TO BE DEVELOPED BY 2018. |
| HEALTH NEED IDENTIFIED: SAFETY/BULLYING (CHILD 0-11 YEARS) | STRATEGY #1 - EACH SCHOOL YEAR THE TEEN PEERS EDUCATING PEERS (PEP) PROGRAM WILL BE OFFERED TO TEN (10) SCHOOLS IN LUCAS COUNTY. THIS PROGRAM ADDRESSES SAFETY AND BULLYING. ONE ADDITIONAL SCHOOL WILL BE ADDED EACH YEAR PER GRANT FUNDING. PROGRAM LEAD WILL COLLABORATE WITH THE LUCAS COUNTY SUICIDE PREVENTION COALITION AND/OR OTHER COMMUNITY ORGANIZATIONS TO DESIGN AN ANTI-BULLYING CURRICULUM FOR SCHOOLS. ACTIONS TAKEN:- IMPLEMENTED TEEN PEERS EDUCATING PEERS (TEEN PEP) PROGRAM IN EIGHT (8) K-6 SCHOOLS INCLUDING: ARLINGTON, BEVERLY ELEMENTARY, GLENDALE FIELBACH ELEMENTARY, IMAGINE, MARITIME ACADEMY OF TOLEDO, OTTAWA HILLS ELEMENTARY, WALBRIDGE ELEMENTARY AND WHITTIER ELEMENTARY WITH 700 PARTICIPANTS IN 2016. ONE (1) ELEMENTARY SCHOOL, WHITTIER ELEMENTARY, WAS ADDED IN 2016. - THE TEEN PEP PROGRAM LEAD COLLABORATED WITH THE LUCAS COUNTY SUICIDE PREVENTION COALITION TO DESIGN A COMPREHENSIVE COMMUNITY STRATEGIC PLAN THAT WILL SERVE AS A GUIDELINE AND RECOMMENDATION FOR NOT ONLY RESPONDING EFFECTIVELY TO TEEN SUICIDES IN AREA SCHOOLS BUT ALSO IN THE PREVENTION OF SUICIDE BY WAY OF DECREASING BULLYING IN OUR SCHOOLS. OBJECTIVE MET IN 2016; ANTI-BULLYING EDUCATION BEING DELIVERED TO YOUNGER STUDENTS.HEALTH NEED IDENTIFIED: HEALTH AND DENTAL CARE UTILIZATION (CHILD 0-11 YEARS)STRATEGY #1: IMPROVE ACCESS TO PEDIATRIC PRIMARY CARE PHYSICIANS AT THE TOLEDO CHILDREN'S HOSPITAL CLINIC. OFFER SAME DAY APPOINTMENTS FOR SICK, NEW PATIENTS. MONITOR ACCESS TO CARE REPORT TO DETERMINE LENGTH OF TIME NEW PATIENTS MUST WAIT FOR APPOINTMENT AND ADD AVAILABLE PHYSICIAN HOURS AS NEEDED.ACTIONS TAKEN:- OFFERED SAME DAY APPOINTMENTS FOR SICK, NEW AND CURRENT, PATIENTS.- MONITORED ACCESS TO CARE REPORT TO DETERMINE LENGTH OF TIME NEW PATIENTS MUST WAIT FOR APPOINTMENT AND ADD AVAILABLE PHYSICIAN HOURS AS NEEDED.- NUMBER OF NEW PATIENTS ATTENDING THE TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WAS 1,431.- ACCESS TO CARE REPORT WAS COMPILED QUARTERLY TO MONITOR PROGRAM.STRATEGY #2: IMPROVE ACCESS FOR CHILDREN TO BE SEEN BY A DENTIST. PROVIDE FUNDING SUPPORT FOR THE SMILE EXPRESS MOBILE DENTAL CENTER THROUGH COLLABORATION WITH THE DENTAL CENTER OF NORTHWEST OHIO.ACTIONS TAKEN:- PROVIDED $2,500 FUNDING SUPPORT FOR THE SMILE EXPRESS MOBILE DENTAL CENTER THROUGH COLLABORATION WITH THE DENTAL CENTER OF NORTHWEST OHIO.- WE WERE UNABLE TO OBTAIN THE EXACT NUMBER OF DENTAL VISITS THROUGH THIS PROGRAM IN 2016.STRATEGY #3: IMPROVE ASTHMA MANAGEMENT FOR CHILDREN. TOLEDO CHILDREN'S HOSPITAL HAS BEEN ACCREDITED BY THE JOINT COMMISSION FOR ASTHMA DISEASE MANAGEMENT AND IS THE ONLY HOSPITAL IN OHIO WITH THIS DISTINCTION. THIS IS AN EVIDENCED BASED PROGRAM USING QUALITY MEASURES TO DETERMINE SUCCESS. THIS TEAM MEETS REGULARLY TO EVALUATE PROGRESS BASED ON TARGET GOALS. UTILIZE EVIDENCED BASED ASTHMA ORDER SETS DESIGNED FOR BOTH THE CHILDREN'S EMERGENCY DEPARTMENT AND THE CHILDREN'S HOSPITAL. PROVIDE ASTHMA EDUCATION TO ALL PARENTS OF CHILDREN ADMITTED TO TOLEDO CHILDREN'S HOSPITAL THAT MEET THE DIAGNOSIS CRITERIA FOR ASTHMA. PROVIDE THE NEWLY DESIGNED ASTHMA INSTRUCTION BOOKLET TO THOSE PARENTS RECEIVING EDUCATION. PROVIDE AN ASTHMA ACTION PLAN TO ALL PARENTS OF CHILDREN DISCHARGED WITH AN ASTHMA DIAGNOSIS FROM TOLEDO CHILDREN'S HOSPITAL.ACTIONS TAKEN: - PROVIDED ASTHMA ORDER SETS TO 84% OF THE CHILDREN SEEN IN PEDS EMERGENCY DEPARTMENT.- PROVIDED ASTHMA ORDER SETS TO 99% OF THE PEDIATRIC INPATIENTS AT TOLEDO CHILDREN'S HOSPITAL. AFTER EDUCATION DURING THEIR HOSPITAL ADMISSION, 99% COULD NAME THEIR TRIGGERS TO ASTHMA, AND 100% COULD NAME THEIR "CONTROLLER" MEDICATION. 94% WERE DISCHARGED FROM THE HOSPITAL WITH A HOME MANAGEMENT PLAN OF CARE (HMPC).STRATEGY #4: INCREASE CHILDHOOD IMMUNIZATION RATES. TOLEDO CHILDREN'S HOSPITAL WILL PROVIDE NURSE COVERAGE IN COLLABORATION WITH THE LUCAS COUNTY HEALTH DEPARTMENT "SHOTS FOR TOTS" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN. THE TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO OFFER FREE "VACCINES FOR KIDS" PER THE STATE GUIDELINES TO ALL ELIGIBLE CHILDREN. THE STATE REGISTRY WILL BE UPDATED AT EACH VISIT WHERE SHOTS ARE GIVEN. THE TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO TAKE EVERY OPPORTUNITY AT VISITS TO UPDATE CHILDREN'S IMMUNIZATIONS.ACTIONS TAKEN:- TOLEDO CHILDREN'S HOSPITAL PROVIDED NURSE COVERAGE IN COLLABORATION WITH THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT "SHOTS FOR TOTS N TEENS" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN.- THE TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC CONTINUED TO OFFER FREE "VACCINES FOR KIDS" PER THE STATE GUIDELINES TO ALL ELIGIBLE CHILDREN. THE STATE REGISTRY WAS UPDATED AT EACH VISIT WHERE SHOTS WERE GIVEN.- THE TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC CONTINUED TO TAKE EVERY OPPORTUNITY AT VISITS TO UPDATE CHILDREN'S IMMUNIZATIONS.- THE NUMBER OF NURSING HOURS PROVIDED TO THE COLLABORATIVE SHOTS FOR TOTS N TEENS PROGRAM WAS 132 HOURS.- THE PERCENTAGE OF CHILDREN IMMUNIZED BY AGE TWO (2) IN THE TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WAS 89%. 16,638 TOTAL CHILDREN'S IMMUNIZATION SHOTS WERE GIVEN IN 2016.HEALTH NEED IDENTIFIED: OBESITY/HUNGER INITIATIVES (CHILD 0-11 YEARS)STRATEGY #1: PROVIDE FREE NUTRITION EDUCATION TO ELEMENTARY SCHOOL CHILDREN AND ADULTS IN LUCAS COUNTY. OFFER HEALTHY KIDS CONVERSATION MAPS NUTRITION EDUCATION PROGRAM IN SCHOOLS FOR 1ST THROUGH 5TH GRADERS PER GRANT FUNDING.ACTIONS TAKEN:- THE HEALTHY KIDS CONVERSATION MAP PROGRAM WAS DISCONTINUED, BUT FREE MAP KITS WERE OFFERED TO ALL TOLEDO PUBLIC ELEMENTARY SCHOOLS IN 2015 AND 2016, WITH 11 CONVERSATION MAP KITS DELIVERED TO INTERESTED SCHOOL NURSES AT TOLEDO PUBLIC SCHOOLS, WITH EDUCATION PROVIDED ABOUT HOW TO FACILITATE THESE PROGRAMS IN THE SCHOOL. IN ADDITION, 169 ELEMENTARY SCHOOLS AND AFTERSCHOOL PROGRAMS WERE GIVEN FREE NUTREXITY HEALTHY LIVING BOARD GAMES, WHICH WAS DEVELOPED BY PROMEDICA WITH A PROFESSIONAL LEARNING COMPANY TO ENHANCE THIS LEARNING THROUGHOUT THE SCHOOL YEAR (SEVEN OF THESE GAMES WERE DONATED TO SYLVANIA PUBLIC SCHOOLS, BY FLOWER HOSPITAL). - PROMEDICA'S FOOD PHARMACY AT THE CENTER FOR HEALTH SERVICES PROVIDED FOOD FOR PATIENTS IDENTIFIED AS FOOD INSECURE BY THEIR PRIMARY CARE PROVIDER. BY THE END OF 2016, A TOTAL OF 15 PROMEDICA PRIMARY CARE PROVIDERS WERE SCREENING AND REFERRING PATIENTS TO THE FOOD PHARMACY, WHERE THEY ARE ABLE TO RECEIVE 2-3 DAYS' WORTH OF HEALTHY FOOD FOR THEIR HOUSEHOLD ON A MONTHLY BASIS. PATIENTS ARE ABLE TO CHOOSE WHAT FOOD THEY WOULD LIKE TO TAKE HOME FROM THE FOOD PHARMACY BASED ON FAMILY SIZE AND ANY DIET-RELATED MEDICAL CONDITIONS, AND THEY MAY ALSO CHOOSE TO RECEIVE NUTRITION EDUCATION MATERIALS, HEALTHY RECIPES, AND NUTRITION COUNSELING. JANUARY-DECEMBER 2016 DATA: NUMBER OF NEW PATIENT VISITS: 1,896; NUMBER OF TOTAL PATIENT VISITS (NEW AND RETURN): 6,562; TOTAL HOUSEHOLD MEMBERS SERVED: 18,714* (12,369 OUT OF THE 18,714 WERE IN HOUSEHOLDS WITH CHILDREN); NUMBER OF SENIORS: 2,755*; NUMBER OF ADULTS: 9,305*; NUMBER OF CHILDREN: 6,654* (*INCLUDES DUPLICATE PATIENTS).HEALTH NEED IDENTIFIED: EARLY CHILDHOOD DEVELOPMENT (CHILD 0-11 YEARS)STRATEGY #1: PROMOTE READING TO YOUNG CHILDREN THROUGH THE TOLEDO HEALTHY TOMORROWS/HELP ME GROW (HMG) PROGRAM ON AN ONGOING BASIS. EDUCATE YOUNG LOW INCOME PARENTS ABOUT PARENTING AND THE BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS. PROVIDE FREE CHILDREN'S BOOKS AT EACH VISIT.ACTIONS TAKEN:- EDUCATED 337 YOUNG LOW INCOME PARENTS ABOUT PARENTING AND THE BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS.- PROVIDED A TOTAL OF 1,117 FREE CHILDREN'S BOOKS AT VISITS.- HELP ME GROW (HMG) PROVIDED 5 BOOKS PER CHILD ENROLLED IN HMG ANNUALLY THROUGHOUT 2016. ALSO CONTINUED TO HAVE OPPORTUNITIES TO PURCHASE LOW COST BOOKS THROUGH THE FIRST BOOKS PROGRAM AND OUR PROGRAM HAS BEEN THE RECIPIENT OF BOOK DONATIONS AT CHRISTMAS FROM CLASSROOM COLLECTIONS AT CHRIST THE KING ELEMENTARY SCHOOL. |
| STRATEGY #2: PROVIDE THE SAFE SLEEP PROGRAM TO THE COMMUNITY. PROVIDE SAFE | SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH CHILDREN LESS THAN 6 MONTHS OF AGE THROUGH 10 CLASSES AT TOLEDO CHILDREN'S HOSPITAL AND OTHER COMMUNITY LOCATIONS. PROVIDE EDUCATION AND SAFE SLEEP KITS TO SCHOOL-BASED PROGRAMS FOR TEEN PARENTS PER GRANT FUNDING. PROVIDE BROCHURES AND A SAFE SLEEP KIT TO EACH PARTICIPANT PER GRANT FUNDING.ACTIONS TAKEN:- PRINTED EDUCATIONAL MATERIAL IS PROVIDED AT ALL OF OUR COMMUNITY EVENTS. THE STEERING COMMITTEE WAS CREATED IN 2014. ONE EARLY INITIATIVE WAS TO PURCHASE SLEEP SACKS FOR ALL THE PEDIATRIC, NICU AND NURSERY INFANTS DURING THEIR STAY TO MODEL THE EDUCATION OF SAFE SLEEP ADDING THIS TO THE EDUCATION PROGRAM THAT ALREADY EXISTS. OTHER ACTION PLANS ARE UNDER DEVELOPMENT. LACK OF GRANT FUNDING DID NOT ALLOW US TO CONTINUE TO PROVIDE SAFE SLEEP KITS TO ALL CLASS PARTICIPANTS.- SAFE SLEEP CLASSES ARE NOW PROVIDED BY THE LUCAS COUNTY HEALTH DEPARTMENT AND ALL OF THE COUNTY HOME VISITING PROGRAMS REFER TO THEM TO REDUCE DUPLICATION AND IMPROVE EFFICACY. THERE ARE FOUR, 2-HOUR CLASSES OFFERED PER MONTH. OUR "PATHWAYS AND "HELP ME GROW" PROGRAMS MAKE A PAPER REFERRAL, FAX IT TO THE HEALTH DEPARTMENT, PROVIDE REMINDERS TO ATTEND, HELP WITH ARRANGING TRANSPORTATION, AND CONDUCT A THREE (3) PAGE ASSESSMENT A MONTH AFTER THE CLASS TO BE SURE THE CRIB IS SET UP CORRECTLY AND PROVIDE ADDITIONAL EDUCATION TO THE FAMILY ON SAFE SLEEP PRACTICE.- THE MEASURES REPORTED FROM OUR "PATHWAYS AND "HELP ME GROW" PROGRAMS, RESPECTIVELY, FOR 2016 ARE AS FOLLOWS: 146 ATTENDED SAFE SLEEP CLASSES WITH 315 CRIBS DISTRIBUTED AT THESE CLASSES, AND SAFE SLEEP EDUCATION WAS PROVIDED IN 308 HOMES WITH 137 HOME SAFE SLEEP ASSESSMENTS COMPLETED.- FOR INFANTS UNDER ONE (1) YEAR OF AGE, PRIOR TO DISCHARGE, PARENTS ARE PROVIDED EDUCATION ON SAFE SLEEP PRACTICES, INCLUDING: VIEWING SAFE SLEEP VIDEO IN NICU; REVIEW OF SLEEP POSITION; SLEEP SURFACE; BEDDING; SMOKING, DRUGS, AND ALCOHOL; SLEEP ENVIRONMENT; PACIFIER USE; OVERHEATING/OVER BUNDLING; POSITIONING AIDS; TUMMY TIME; AND BREASTFEEDING.GROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX |
| GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL | PART V, SECTION B, LINE 11: WILDWOOD ORTHOAPAEDIC & SPINE HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- HUNGER- OBESITYNO ACTIONS WERE TAKEN DURING TAX YEAR 2016 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH WILDWOOD ORTHOAPAEDIC & SPINE HOSPITAL'S MOST RECENTLY CONDUCTED CHNA IN 2016. THE SECOND CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS.WILDWOOD ORTHOAPAEDIC & SPINE HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN, INCLUDE: HEALTH CARE COVERAGE STATUS PERCEPTIONS, HEALTH CARE ACCESS AND UTILIZATION, CARDIOVASCULAR HEALTH, CANCER, DIABETES, ARTHRITIS, ASTHMA, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND HEALTH SCREENINGS, SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, ORAL HEALTH, AND HEALTH ISSUES SPECIFIC TO YOUTH OR CHILDREN.WILDWOOD ORTHOAPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2016 WITH RESPECT TO ITS PREVIOUSLY CONDUCTED CHNA IN 2013:HEALTH NEED IDENTIFIED: OBESITY/HUNGER INITIATIVESSTRATEGY #1 - EDUCATE THE PUBLIC ABOUT SUGARY DRINKS, HOW TO READ MENU OPTIONS IN RESTAURANTS AND HOW TO READ LABELS IN THE GROCERY STORE. OFFER AT LEAST THREE (3) VENUES ANNUALLY.ACTIONS TAKEN:- OFFERED THREE EDUCATIONAL VENUES ANNUALLY, WITH APPROXIMATELY 720 PARTICIPANTS.STRATEGY #2 - CONDUCT BIANNUAL COME TO THE TABLE FOOD DRIVE.ACTIONS TAKEN:- CONDUCTED BIANNUAL FOOD DRIVE, WITH A TOTAL OF 175 POUNDS OF FOOD COLLECTED FROM DONATIONS AND DONATED THESE COLLECTIONS TO PROMEDICA FOOD PHARMACY (PANTRY, BY PHYSICIAN SCREENING AND REFERRAL).HEALTH NEED IDENTIFIED: TOBACCO USESTRATEGY #1 - DETERMINE EVIDENCED BASED PROGRAMS AND MATERIALS, AND OFFER AT LEAST FIVE (5) PROGRAMS EACH YEAR. ACTIONS TAKEN:- USING EVIDENCED BASED PROGRAMS AND MATERIALS, OFFERED FIVE (5) PROGRAMS WITH A TOTAL OF APPROXIMATELY 820 PARTICIPANTS.HEALTH NEED IDENTIFIED: ARTHRITISSTRATEGY #1 - IN SPECIFIC COLLABORATION WITH PARAMOUNT HEALTH CARE, "OWN THE BONE" CRITERIA WILL BE IMPLEMENTED AND MONITORED ANNUALLY. WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL INITIATED AND IS AN ACTIVE PARTICIPANT IN "OWN THE BONE" PROGRAM IN COLLABORATION WITH THE ORTHOPAEDIC INSTITUTE, FLOWER HOSPITAL GYNECOLOGY DEPARTMENT, TOLEDO HOSPITAL TRAUMA DEPARTMENT AND PARAMOUNT HEALTH CARE. ACTIONS TAKEN:- "OWN THE BONE" WAS NOT ABLE TO BE IMPLEMENTED FURTHER DUE TO LICENSING RESTRICTIONS. STRATEGY #2 WAS IMPLEMENTED INSTEAD.STRATEGY #2 - WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL STAFF WILL DESIGN AN EDUCATIONAL PROGRAM WHICH CAN BE SHARED IN JUNIOR HIGH SCHOOLS AND HIGH SCHOOLS ABOUT BONE HEALTH STARTING IN YOUNGER CHILDREN.ACTIONS TAKEN:- STAFF DESIGNED AN EDUCATIONAL PROGRAM ABOUT BONE HEALTH STARTING IN YOUNGER CHILDREN WHICH WAS SHARED IN THREE (3) JUNIOR HIGH/MIDDLE SCHOOLS, WITH A TOTAL OF APPROXIMATELY 506 PARTICIPANTS.STRATEGY #3 - FOR FALL PREVENTION, PHYSICAL THERAPY STAFF AND NURSING STAFF WILL DESIGN AND IMPLEMENT A FALL PREVENTION PROGRAM THAT CAN BE SHARED WITH LOCAL ECF/NURSING HOMES.ACTIONS TAKEN:- FOR FALL PREVENTION, PHYSICAL THERAPY STAFF AND NURSING STAFF DESIGNED AND IMPLEMENTED THREE (3) FALL PREVENTION PROGRAMS THAT WERE SHARED WITH LOCAL NURSING HOMES, WITH A TOTAL OF APPROXIMATELY 38 PARTICIPANTS.GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX |
| GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH | PART V, SECTION B, LINE 7B: THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/FLOWER-HOSPITAL/DOCUMENTS/PROMEDICA%20TOLEDO%20FLOWER%20WILDWOOD%20AND%20ARROWHEAD%20BEHAVIORAL%20HOSPITALS%202016%20JOINT%20COMMUNITY%20HEALTH%20NEEDS%20ASSESSMET.PDFGROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 11: ARROWHEAD BEHAVIORAL HEALTH HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- SUBSTANCE ABUSE- MENTAL HEALTHNO ACTIONS WERE TAKEN DURING TAX YEAR 2016 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH ARROWHEAD BEHAVIORAL HEALTH HOSPITAL'S MOST RECENTLY CONDUCTED CHNA IN 2016. THE SECOND CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS.ARROWHEAD BEHAVIORAL HEALTH HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN, INCLUDE: HEALTH CARE COVERAGE/ACCESS/UTILIZATION, CARDIOVASCULAR DISEASE, CANCER, DIABETES, ARTHRITIS, ASTHMA AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS, TOBACCO USE, ALCOHOL AND DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE, ADULT SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, ORAL HEALTH, YOUTH HEALTH OR CHILD HEALTH.ARROWHEAD BEHAVIORAL HEALTH HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2016 WITH RESPECT TO ITS PREVIOUSLY CONDUCTED CHNA IN 2013:HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - INCREASE MENTAL HEALTH (DEPRESSION, ANXIETY, STIGMA REDUCTION) SCREENINGS, PREVENTION EDUCATION AND RESOURCE INFORMATION IN COMMUNITY.ACTIONS TAKEN:- PROVIDED FREE MENTAL HEALTH EDUCATION TO LOCAL UNIVERSITIES, RELIGIOUS ORGANIZATIONS, HIGH SCHOOLS, AND OTHER COMMUNITY GROUPS IN LUCAS COUNTY TO ENSURE EDUCATION IS WIDELY DISPERSED. 15 EDUCATIONAL SESSIONS WERE PROVIDED AND APPROXIMATELY 826 TOTAL PARTICIPANTS ATTENDED THESE SESSIONS.HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 - INCREASE FREE DRUG AND ALCOHOL SCREENINGS, EDUCATION AND RESOURCE INFORMATION IN THE COMMUNITY.ACTIONS TAKEN:- PROVIDED NINE (9) DRUG/ALCOHOL SCREENINGS AND EDUCATIONAL SESSIONS AT COMMUNITY ORGANIZATIONS IN LUCAS COUNTY, SCREENING A TOTAL OF 82 PARTICIPANTS, WITH AN AVERAGE OF NINE (9) PARTICIPANTS PER EDUCATIONAL SESSION.GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 20E: PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS: - PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITY TO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THE PATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENT MAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IF THE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOES NOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICES AND PHONE CALLS FOR MULTIPLE MONTHS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 68 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (68 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PROMEDICA TRANSPORTATION NETWORK | ||||
| 2142 NORTH COVE BLVD | TOLEDO | OH | 43606 | GROUND AND AIR TRANSPORT |
| 2 - PARKWAY SURGERY CENTER | ||||
| 3500 EXECUTIVE PARKWAY | TOLEDO | OH | 43606 | SURGICAL CENTER/LAB |
| 3 - ENDOSCOPY CENTER | ||||
| 3439 GRANITE CIRCLE | TOLEDO | OH | 43617 | ENDOSCOPY |
| 4 - NORTHWEST OHIO CARDIOLOGY | ||||
| 2940 N MCCORD RD | TOLEDO | OH | 43615 | CARDIOLOGY |
| 5 - REYNOLDS ROAD SURGICAL CENTER | ||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | SURGERY CENTER |
| 6 - PROMEDICA LABS | ||||
| 2141 GIANT ST | TOLEDO | OH | 43606 | LAB |
| 7 - HARRIS MCINTOSH RADIOLOGY | ||||
| 2121 HUGHES DR | TOLEDO | OH | 43623 | RADIOLOGY |
| 8 - WEST CENTRAL SURGICAL CENTER | ||||
| 7055 W CENTRAL AVE | TOLEDO | OH | 43617 | SURGERY CENTER |
| 9 - PROMEDICA HEALTH & WELLNESS CENTER | ||||
| 5700 MONROE ST SUITE 109 | SYLVANIA | OH | 43560 | RADIOLOGY |
| 10 - TOLEDO CHILDRENS HEART CENTER | ||||
| 2121 HUGHES DR | TOLEDO | OH | 43606 | CARDIOLOGY |
| 11 - SPORTSCARE AT WILDWOOD MEDICAL CENTER | ||||
| 2865 N REYNOLDS RD SUITE 110 | TOLEDO | OH | 43615 | PHYSICAL THERAPY |
| 12 - PROMEDICA HEALTH & WELLNESS CENTER | ||||
| 5700 MONROE ST SUITE 109 | SYLVANIA | OH | 43560 | LAB |
| 13 - TOTAL REHAB PEDIATRICS | ||||
| 4041 W SYLVANIA AVE SUITE 100 | TOLEDO | OH | 43623 | PHYSICAL THERAPY |
| 14 - TOTAL REHAB WILDWOOD | ||||
| 2865 N REYNOLDS RD SUITE 101 | TOLEDO | OH | 43615 | PHYSICAL THERAPY |
| 15 - CHS WOMENS | ||||
| 2150 W CENTRAL | TOLEDO | OH | 43606 | WOMENS CARE |
| 16 - MONROE CARDIOLOGY TESTING CENTER | ||||
| 730 N MACOMB ST | MONROE | MI | 48162 | CARDIOLOGY |
| 17 - TOLEDO HOSPITAL TOTAL REHAB AT CTR | ||||
| 2150 W CENTRAL AVE | TOLEDO | OH | 43606 | PHYSICAL THERAPY |
| 18 - JOBST VASCULAR LAB - TOLEDO | ||||
| 2109 HUGHES DR | TOLEDO | OH | 43606 | VASCULAR |
| 19 - CENTER FOR WOUND CARE OF NW OHIO | ||||
| 3110 W CENTRAL AVE SUITE A | TOLEDO | OH | 43606 | WOUND CARE |
| 20 - TOLEDO HOSPITAL AT CONRAD JOBST TOWER | ||||
| 2109 HUGHES DR SUITE 130 | TOLEDO | OH | 43606 | RADIOLOGY |
| 21 - PROMEDICA WILDWOOD | ||||
| 2865 N REYNOLDS RD SUITE 130 | TOLEDO | OH | 43615 | RADIOLOGY |
| 22 - WW KNIGHT CLINIC | ||||
| 2051 W CENTRAL AVE | TOLEDO | OH | 43606 | FAMILY MEDICINE CLINIC/LAB |
| 23 - PROMEDICA HEALTH CENTER ARROWHEAD | ||||
| 660 BEAVER CREEK CIRCLE SUITE 120 | MAUMEE | OH | 43537 | LAB |
| 24 - CENTER FOR HEALTH SVCS | ||||
| 2150 W CENTRAL AVE | TOLEDO | OH | 43606 | LAB |
| 25 - PROMEDICA HEALTH CENTER ARROWHEAD | ||||
| 660 BEAVER CREEK CIRCLE SUITE 120 | MAUMEE | OH | 43537 | RADIOLOGY |
| 26 - PERRYSBURG MEDICAL CTR | ||||
| 1601 BRIGHAM DR SUITE 180 | PERRYSBURG | OH | 43551 | LAB |
| 27 - TOLEDO HOSPITAL CARDIAC TESTING CTR | ||||
| 1601 BRIGHAM DR | PERRYSBURG | OH | 43551 | CARDIOLOGY |
| 28 - TOTAL REHAB AT PERRYSBURG | ||||
| 1601 BRIGHAM DR SUITE 100 | PERRYSBURG | OH | 43551 | PHYSICAL THERAPY |
| 29 - PROMEDICA VASCULAR LAB - SYLVANIA | ||||
| 5700 MONROE ST | SYLVANIA | OH | 43560 | VASCULAR |
| 30 - PROMEDICA CARDIAC TESTING CENTER - | ||||
| SUNFOREST 3949 SUNFOREST CT | TOLEDO | OH | 43623 | CARDIOLOGY |
| 31 - TOLEDO HOSPITAL AT CONRAD JOBST TOWER | ||||
| 2109 HUGHES DR SUITE 130 | TOLEDO | OH | 43606 | LAB |
| 32 - TOTAL REHAB OF MAUMEE ARROWHEAD | ||||
| 650 BEAVER CREEK CIRCLE SUITE 210 | MAUMEE | OH | 43537 | PHYSICAL THERAPY |
| 33 - PROMEDICA HEALTH CTR LAMBERTVILLE | ||||
| 7579 SECOR RD | LAMBERTVILLE | MI | 48114 | LAB |
| 34 - PROMEDICA PERRYSBURG | ||||
| 1601 BRIGHAM DR SUITE 180 | PERRYSBURG | OH | 43551 | RADIOLOGY |
| 35 - NWO BREAST MRI | ||||
| 2121 HUGHES DR SUITE 300 | TOLEDO | OH | 43606 | RADIOLOGY |
| 36 - PROMEDICA LABS MCCORD RD | ||||
| 3020 N MCCORD RD SUITE 101 | TOLEDO | OH | 43615 | LAB |
| 37 - CENTER FOR HEALTH SVCS | ||||
| 2150 W CENTRAL | TOLEDO | OH | 43606 | RADIOLOGY |
| 38 - PROMEDICA LABS POINT PLACE | ||||
| 4805 SUDER RD | TOLEDO | OH | 43611 | LAB |
| 39 - PROMEDICA HEALTH CTR SWANTON | ||||
| 22 TURTLE CREEK CIRCLE | SWANTON | OH | 43558 | LAB |
| 40 - PROMEDICA LAB - TOLEDO HOSPITAL | ||||
| MEDICAL LAB 2100 W CENTRAL AVE | TOLEDO | OH | 43606 | LAB |
| 41 - PROMEDICA ROSSFORD | ||||
| 1209 DIXIE HWY | ROSSFORD | OH | 43460 | LAB |
| 42 - PROMEDICA WILDWOOD | ||||
| 2865 N REYNOLDS RD SUITE 130 | TOLEDO | OH | 43615 | LAB |
| 43 - PROMEDICA HEALTH CTR EAST | ||||
| 3156 DUSTIN RD SUITE 101 | OREGON | OH | 43616 | LAB |
| 44 - JOBST ANTICOAGULATION - TOLEDO | ||||
| 2109 HUGHES DR SUITE 550 | TOLEDO | OH | 43606 | ANTICOAGULATION THERAPY |
| 45 - PROMEDICA MARY ELLEN FALZONE DIABETES | ||||
| CENTER 2100 W CENTRAL AVE | TOLEDO | OH | 43606 | DIABETES CARE |
| 46 - PROMEDICA LABS - PARKWAY | ||||
| 3500 EXECUTIVE PARKWAY | TOLEDO | OH | 43606 | LAB |
| 47 - PROMEDICA HEALTH CENTER WEST | ||||
| 3740 W SYLVANIA AVE | TOLEDO | OH | 43623 | LAB |
| 48 - PROMEDICA HEALTH CENTER WOODLEY | ||||
| 3909 WOODLEY RD SUITE 450 | TOLEDO | OH | 43606 | LAB |
| 49 - PROMEDICA PORT SYLVANIA | ||||
| 7140 PORT SYLVANIA SUITE 550 | TOLEDO | OH | 43617 | RADIOLOGY |
| 50 - PROMEDICA LABS HARROUN RD | ||||
| 4848 HOLLAND-SYLVANIA RD | SYLVANIA | OH | 43560 | LAB |
| 51 - PROMEDICA LABS WESTGATE MEADOW | ||||
| 3516 W CENTRAL AVE | TOLEDO | OH | 43606 | LAB |
| 52 - REGENCY COURT | ||||
| 2000 REGENCY COURT SUITE 206 | TOLEDO | OH | 43623 | LAB |
| 53 - CHS HEMOPHILIA | ||||
| 2150 W CENTRAL AVE | TOLEDO | OH | 43606 | HEMOPHILIA |
| 54 - JULIE MILLER DO | ||||
| 2150 W CENTRAL AVE | TOLEDO | OH | 43606 | PHYSICAL MEDICINE |
| 55 - PROMEDICA LABS MONCLOVA | ||||
| 6005 MONCLOVA RD SUITE 210 | MAUMEE | OH | 43537 | LAB |
| 56 - PROMEDICA LAB - FINDLAY | ||||
| 15054 US 224 EAST | FINDLAY | OH | 45840 | LAB |
| 57 - PROMEDICA HEALTH CTR WEST | ||||
| 3740 W SYLVANIA AVE | TOLEDO | OH | 43623 | LAB |
| 58 - TOTAL REHAB - PROMEDICA OWENS CORNING | ||||
| 1 OWENS CORNING PARKWAY | TOLEDO | OH | 43659 | PHYSICAL THERAPY |
| 59 - PROMEDICA HEALTH CTR WEST | ||||
| 3740 W SYLVANIA AVE | TOLEDO | OH | 43623 | RADIOLOGY |
| 60 - PROMEDICA HEALTH CTR PORT SYLVANIA | ||||
| 7140 PORT SYLVANIA SUITE 550 | TOLEDO | OH | 43617 | LAB |
| 61 - PROMEDICA HEALTH CTR PORT SYLVANIA | ||||
| 7140 PORT SYLVANIA SUITE 550 | TOLEDO | OH | 43617 | RADIOLOGY |
| 62 - CHS INTERNAL MEDICINE | ||||
| 2150 W CENTRAL AVE | TOLEDO | OH | 43606 | INTERNAL MEDICINE |
| 63 - PROMEDICA HEALTH CTR WOODLEY | ||||
| 3909 WOODLEY RD SUITE 450 | TOLEDO | OH | 43606 | RADIOLOGY |
| 64 - PROMEDICA HEALTH CTR WOODLEY | ||||
| 3909 WOODLEY RD SUITE 450 | TOLEDO | OH | 43606 | LAB |
| 65 - CHARLES FAY HEALTH CTR | ||||
| 811 W COOMER STREET | MORENCI | MI | 49256 | LAB |
| 66 - TECUMSEH HEALTH CENTER | ||||
| 501 E CUMMINS | TECUMSEH | MI | 49186 | LAB |
| 67 - URGENT CARE CENTER | ||||
| 4235 SECOR RD | TOLEDO | OH | 43623 | URGENT CARE |
| 68 - PROMEDICA CHILDREN'S AUTISM CENTER | ||||
| 2040 W CENTRAL | TOLEDO | OH | 43606 | AUTISM CENTER |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 6A: | THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT. |
| PART I, LINE 7: | THE TOLEDO HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS. |
| PART III, LINE 2: | THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. |
| PART III, LINE 3: | THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT. |
| PART III, LINE 4: | PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 15 AND 16 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2016 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS. |
| PART III, LINE 9B: | FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING. |
| PART VI, LINE 2: | PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE. |
| PART VI, LINE 3: | THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS. |
| PART VI, LINE 4: | THE TOLEDO HOSPITAL, LOCATED IN TOLEDO, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 805,000. APPROXIMATELY, 16% OF THE SERVICE AREA IS AGE 65 OR OVER; 38% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $50,000; 44% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 52% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 438,000 WITH APPROXIMATELY 11% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 33% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 23% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2016 WAS 6.3%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, LUNG DISEASE, STROKE, DIABETES, CANCER, ALZHEIMER'S AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO 2016 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 73 OF 88 COUNTIES FOR HEALTH OUTCOMES, 63 OF 88 FOR LENGTH OF LIFE, AND 79 OF 88 FOR QUALITY OF LIFE. THERE ARE TWELVE HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., AND FULTON COUNTY HEALTH CENTER. |
| PART VI, LINE 5: | THE TOLEDO HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC. WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. - IN 2016, THERE WERE MORE THAN 500 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), INCLUDING ITS SUBSIDIARIES. OF THESE, 99% LIVED WITHIN PROMEDICA'S 27-COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. TRUSTEE REPRESENTATION IS COMPRISED OF DIVERSE MEMBERS, INCLUDING 87 PHYSICIANS, FROM NORTHWEST OHIO AND SOUTHEAST MICHIGAN. ADDITIONALLY, PROMEDICA BOARD MEMBERS INCLUDED 186 WOMEN AND 71 RACIAL/ETHNIC MINORITIES.- BOARD MEMBERS ARE NOT COMPENSATED BY PROMEDICA FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER BUSINESS UNITS; THEIR DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, ARE PERFORMED ON A VOLUNTEER BASIS. IN 2016, PROMEDICA BOARD MEMBERS GAVE APPROXIMATELY 28,000 HOURS IN SERVICE TO THE ORGANIZATION, WHICH EQUATES TO AN ESTIMATED CONTRIBUTION OF MORE THAN $3 MILLION TO OUR COMMUNITIES.- PROMEDICA'S MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MEETS THOSE QUALIFICATIONS MAY BE GRANTED PRIVILEGES.- IN 2016, PROMEDICA INVESTED SIGNIFICANT TIME AND FINANCIAL RESOURCES TO CONTINUE ROLLING OUT A NEW ELECTRONIC HEALTH RECORD (EHR), EPIC. GO-LIVES FOR HOSPITALS ACROSS THE SYSTEM TOOK PLACE IN MARCH, MAY AND NOVEMBER AND INCLUDED MORE THAN 350 PROMEDICA PHYSICIANS PROVIDERS ACROSS OHIO. THE SYSTEM'S REMAINING HOSPITALS AND PROVIDERS WILL GO-LIVE WITH EPIC IN THE SECOND QUARTER OF 2017. THIS NEW PLATFORM FURTHER ENABLES ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF SERVICE ACROSS PROMEDICA.- PROMEDICA PROVIDED MORE THAN 7,000 HEALTH SCREENINGS TO COMMUNITY MEMBERS THROUGHOUT 2016, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. ADDITIONALLY, FREE SCREENING MAMMOGRAMS, AS WELL AS SKIN CANCER AND LUNG CANCER SCREENINGS AND COLORECTAL CANCER EDUCATION WERE PROVIDED FOR EARLY DETECTION. PROSTATE CANCER SCREENING EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY.- PROMEDICA'S FOUNDATION RAISES FUNDS FOR PHILANTHROPY IN SUPPORT OF PROMEDICA'S MISSION TO IMPROVE HEALTH AND WELL-BEING. ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT PATIENTS AND FAMILIES, AS WELL AS LOCAL COMMUNITIES, THROUGH HEALTH-RELATED PROGRAMS, SERVICES, EQUIPMENT, AND FACILITY CONSTRUCTION/RENOVATION THAT HAVE BEEN IDENTIFIED, IN PART, THROUGH A COMMUNITY NEEDS ASSESSMENT. |
| PART VI, LINE 6: | PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2016, PROMEDICA WAS COMPRISED OF MORE THAN 15,000 EMPLOYEES, APPROXIMATELY 2,700 VOLUNTEERS AND MORE THAN 2,300 HEALTHCARE PROVIDERS, INCLUDING APPROXIMATELY 900 PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP, WHO HAVE JOINED TOGETHER TO FORM A NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO HELP ENSURE AREA RESIDENTS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. - PROMEDICA MEMBERS INCLUDE: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL D/B/A PROMEDICA BAY PARK HOSPITAL; EMMA L. BIXBY MEDICAL CENTER D/B/A PROMEDICA BIXBY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC. D/B/A PROMEDICA HERRICK HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL; DEFIANCE HOSPITAL, INC. D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION D/B/A PROMEDICA MONROE REGIONAL HOSPITAL; MEMORIAL HOSPITAL D/B/A PROMEDICA MEMORIAL HOSPITAL; PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP, A NETWORK OF SYSTEM-EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION SERVICES, AND HOME CARE.- IN 2016, PROMEDICA MANAGED APPROXIMATELY 4.7 MILLION PATIENT ENCOUNTERS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF NEARLY $181 MILLION, WHICH INCLUDED FREE HEALTH SCREENINGS AND PARTICIPATION IN PUBLIC HEALTH FAIRS TO MEDICAL LECTURES AT AREA SENIOR CENTERS AND NUTRITION EDUCATION IN ELEMENTARY SCHOOLS, PLUS MUCH MORE. - IN ADDITION, THE PROMEDICA ADVOCACY FUND ASSISTED LOCAL NONPROFIT AGENCIES WITH SIMILAR MISSIONS THROUGH GRANTS TOTALING NEARLY $81,000. AS IN PRIOR YEARS, EMPHASIS WAS PLACED ON ORGANIZATIONS WORKING TO PROVIDE BASIC NEEDS SERVICES SUCH AS CLOTHING, SHELTER AND FOOD AS THESE ARE TIED CLOSELY TO PROMEDICA'S MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES.- A SECOND FOOD PHARMACY OPENED IN PROMEDICA'S NEW HEALTH AND WELLNESS CENTER, SERVING 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 2016, MORE THAN 6,500 HOUSEHOLDS (2,700 UNIQUE HOUSEHOLDS) PARTICIPATED IN THE PROGRAM AND A TOTAL OF 18,700 PEOPLE WERE SERVED. THIS TRANSLATES TO ABOUT 46,800 DAYS WORTH OF FOOD, THE EQUIVALENT OF 140,000 MEALS.- PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDES BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. ALL PROMEDICA FOUNDATIONS COLLABORATED WITH AFFILIATE HARBOR BEHAVIORAL HEALTH TO SPONSOR A YEAR-LONG CAMPAIGN TO HELP RAISE AWARENESS ABOUT MENTAL ILLNESSES AND ASSOCIATED HEALTH ISSUES IMPACTING INDIVIDUALS AND FAMILIES ACROSS OUR REGION. THE UNMASKING MENTAL HEALTH INITIATIVE RAISED MORE THAN $1 MILLION TO SUPPORT MENTAL HEALTH PROGRAMS AND SERVICES IN THE COMMUNITIES WE SERVE.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, BIWEEKLY, MONTHLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2016 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 1,500 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED TO EMPLOYED PROMEDICA PHYSICIANS AND MEDICAL STAFF MEMBERS AS WELL AS NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PROMEDICA CONTINUING CARE SERVICES CORPORATION | |||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 344492440 | 501(C)(3) | $10,500,000 | OPERATING GRANT |
| PROMEDICA HEALTH SYSTEM INC | |||||||
| 1801 RICHARDS RD | TOLEDO | OH | 43607 | 341517671 | 501(C)(3) | $112,000,000 | OPERATING GRANT |
| PROMEDICA FOUNDATION | |||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 341517672 | 501(C)(3) | $3,146,502 | OPERATING GRANT |
| PROMEDICA PHYSICIAN GROUP | |||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341899439 | 501(C)(3) | $50,725,000 | OPERATING GRANT |
| THE ABILITY CENTER | |||||||
| 5605 MONROE ST | SYLVANIA | OH | 43560 | 344428597 | 501(C)(3) | $5,920 | OPERATING GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 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 | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTURO POLIZZI | ||||||||||||||
| PRESIDENT, EX OFFICIO | $0 | $469,413 | $0 | $199,444 | $0 | $10,008 | $0 | $137,925 | $0 | $22,637 | $0 | $839,427 | $0 | $0 |
| DAWN M BUSKEY | ||||||||||||||
| EX OFFICIO | $0 | $255,583 | $0 | $65,795 | $0 | $35,263 | $0 | $60,295 | $0 | $12,235 | $0 | $429,171 | $0 | $0 |
| DEBORAH A GUNTSCH MD | ||||||||||||||
| TRUSTEE | $5,625 | $228,795 | $0 | $114,752 | $0 | $3,943 | $0 | $6,940 | $0 | $21,150 | $5,625 | $375,580 | $0 | $0 |
| DONALD G CRESCENZO MD | ||||||||||||||
| TRUSTEE | $0 | $848,017 | $0 | $19,500 | $0 | $4,757 | $0 | $7,950 | $0 | $27,071 | $0 | $907,295 | $0 | $0 |
| KEVIN C WEBB PHD | ||||||||||||||
| EX OFFICIO | $0 | $497,931 | $0 | $205,085 | $0 | $13,735 | $0 | $120,129 | $0 | $14,857 | $0 | $851,737 | $0 | $0 |
| LEE W HAMMERLING MD | ||||||||||||||
| TRUSTEE | $0 | $659,409 | $0 | $266,640 | $0 | $31,052 | $0 | $196,820 | $0 | $17,646 | $0 | $1,171,567 | $0 | $0 |
| TODD J COOPERIDER MD MBA | ||||||||||||||
| TRUSTEE | $0 | $594,564 | $0 | $0 | $0 | $18,018 | $0 | $17,000 | $0 | $37,380 | $0 | $666,962 | $0 | $0 |
| ALAN M SATTLER | ||||||||||||||
| TREASURER (THRU 2/16) | $0 | $453,183 | $0 | $182,107 | $0 | $5,772 | $0 | $53,128 | $0 | $23,550 | $0 | $717,740 | $0 | $0 |
| GARY AKENBERGER | ||||||||||||||
| INTERIM TREASURER (3/16 TO 7/16) | $0 | $334,448 | $0 | $103,978 | $0 | $22,790 | $0 | $70,694 | $0 | $21,859 | $0 | $553,769 | $0 | $0 |
| JEFFREY C KUHN | ||||||||||||||
| SECRETARY | $0 | $468,368 | $0 | $174,744 | $0 | $31,808 | $0 | $121,789 | $0 | $21,406 | $0 | $818,115 | $0 | $0 |
| MICHAEL P BROWNING | ||||||||||||||
| TREASURER | $0 | $212,431 | $0 | $75,000 | $0 | $9,093 | $0 | $0 | $0 | $4,420 | $0 | $300,944 | $0 | $0 |
| ALISON AVENDT | ||||||||||||||
| VP SUPPORT SERVICES TTH, PRES. PTN | $0 | $160,756 | $0 | $37,340 | $0 | $1,658 | $0 | $24,695 | $0 | $1,401 | $0 | $225,850 | $0 | $0 |
| DAVID SCOTT MIERZWIAK MD | ||||||||||||||
| VP, MEDICAL AFFAIRS, TTH | $0 | $342,676 | $0 | $0 | $0 | $4,202 | $0 | $39,766 | $0 | $12,399 | $0 | $399,043 | $0 | $0 |
| DEANA SIEVERT | ||||||||||||||
| VP, PATIENT SERVICES, METRO | $0 | $197,792 | $0 | $47,262 | $0 | $8,843 | $0 | $42,831 | $0 | $22,786 | $0 | $319,514 | $0 | $0 |
| JOSEPH SFERRA | ||||||||||||||
| VP, SURGICAL SERVICES, TTH | $0 | $687,190 | $0 | $0 | $0 | $3,607 | $0 | $41,930 | $0 | $2,892 | $0 | $735,619 | $0 | $0 |
| LORI FERGUSON | ||||||||||||||
| VP, PATIENT CARE, TCH | $0 | $143,131 | $0 | $33,973 | $0 | $6,645 | $0 | $48,549 | $0 | $19,901 | $0 | $252,199 | $0 | $0 |
| SCOTT FOUGHT | ||||||||||||||
| VP, FINANCE | $0 | $178,144 | $0 | $42,174 | $0 | $1,155 | $0 | $22,438 | $0 | $20,379 | $0 | $264,290 | $0 | $0 |
| ANTHONY COMEROTA | ||||||||||||||
| DIR. JOBST VASCULAR CTR. | $560,639 | $0 | $0 | $0 | $1,526 | $0 | $24,033 | $0 | $4,350 | $0 | $590,548 | $0 | $0 | $0 |
| FEDOR LURIE | ||||||||||||||
| ASSOC. DIR. RESEARCH ED. VASC. | $205,620 | $0 | $0 | $0 | $826 | $0 | $10,978 | $0 | $15,911 | $0 | $233,335 | $0 | $0 | $0 |
| JACKLYN KIEFER | ||||||||||||||
| ASSOC. DIR. ED. FAMILY PRACTICE | $196,974 | $0 | $0 | $0 | $617 | $0 | $14,065 | $0 | $6,010 | $0 | $217,666 | $0 | $0 | $0 |
| LOUITO C EDJE MD | ||||||||||||||
| DIR. ED. FAMILY PRACTICE | $221,053 | $0 | $0 | $0 | $1,125 | $0 | $15,684 | $0 | $8,536 | $0 | $246,398 | $0 | $0 | $0 |
| PIERRE VAUTHY | ||||||||||||||
| PHYSICIAN/PHILANTHROPIC ADVOCATE | $62,312 | $136,060 | $0 | $0 | $5,003 | $6,206 | $16,715 | $0 | $7,255 | $0 | $91,285 | $142,266 | $0 | $0 |
| KATHLEEN S HANLEY | ||||||||||||||
| FORMER OFFICER | $0 | $15,801 | $0 | $203,480 | $0 | $1,036,718 | $0 | $26,039 | $0 | $12,364 | $0 | $1,294,402 | $0 | $534,189 |
| KHURRAM KAMRAN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $198,474 | $0 | $71,953 | $0 | $253,127 | $0 | $158,485 | $0 | $9,967 | $0 | $692,006 | $0 | $33,300 |
| NEERAJ K KANWAL MD | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $314,957 | $0 | $104,858 | $0 | $13,008 | $0 | $31,638 | $0 | $32,420 | $0 | $496,881 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF THE TOLEDO HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4A: | UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KATHLEEN S. HANLEY $462,102 KHURRAM KAMRAN $148,913 |
| PART I, LINE 4B: | ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KATHLEEN S. HANLEY $572,279 KHURRAM KAMRAN $66,666 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF LUCAS OHIO | ||||||||
| A | 346400806 | 549310VL1 | 2015-09-30 | $45,586,125 | SEE PART VI | 0 | 0 | 0 |
| SERIES 2008 BONDS - SEE PART VI FOR DETAIL | ||||||||
| B | 549310TT7 | 2008-05-15 | $183,217,907 | SEE PART VI | Yes (1) | 0 | 0 | |
| SERIES 2011 A & B BONDS - SEE PART VI FOR DETAIL | ||||||||
| C | 549310UL2 | 2011-02-09 | $197,051,617 | SEE PART VI | 0 | 0 | 0 | |
| COUNTY OF LUCAS OHIO | ||||||||
| D | 346400806 | 549310TT7 | 2011-03-31 | $62,500,000 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Credit EnhancementCreditEnhancementAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $45,598,957 | $71 | $586,084 | $45,010,574 | $2,299 | 0 | 0 | 0 | Yes (1) | ||||
| B | $186,791,298 | $2,224,707 | $54,105,888 | Yes (1) | 0 | Yes (1) | Yes (1) | $132,000,000 | $133,953 | $130,326,750 | 2011 | ||
| C | $199,572,288 | $2,337,157 | $127,520,671 | Yes (1) | 0 | Yes (1) | Yes (1) | $455,000 | $69,714,460 | 2014 | |||
| D | $62,500,000 | Yes (1) | 0 | Yes (1) | Yes (1) | $62,500,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | ||
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0.00010 | 0.00000 | 0.00010 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) |
| D | 0 | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, SUPPLEMENTAL INFORMATION: | FormAndLineReferenceDesc |
| Explanation | PART I: SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2008 BOND DETAIL ISSUER NAME: 2008 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TT7 DATE ISSUED: 05/15/2008 CONVERTED 03/31/2011 ISSUE PRICE: $62,500,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. MATURITY: 11/15/2034 ISSUER NAME: 2008 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TU4 DATE ISSUED: 05/15/2008 ISSUE PRICE: $52,855,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. FINANCE THE CONSTRUCTION AND EQUIPPING OF A 36 BED ORTHOPEDIC HOSPITAL. MATURITY: MATURED ISSUER NAME: 2008 SERIES C - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP #: 52601PAY4 DATE ISSUED: 05/15/2008 ISSUE PRICE: $16,645,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005B BONDS ISSUED 04/28/2005. MATURITY: MATURED ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: 549310YV2 DATE ISSUED: 05/15/2008 ISSUE PRICE: $33,803,818 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. FINANCE THE ACQUISITION OF A CT, MRI AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA HOSPITAL ASSOCIATION. MATURITY: 11/15/2038 ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: 549310TW0 DATE ISSUED: 05/15/2008 ISSUE PRICE: $17,414,088 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. FINANCE THE ACQUISITION OF A CT, MRI AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA HOSPITAL ASSOCIATION. MATURITY: 11/15/2040 SERIES 2011 BOND DETAIL ISSUER NAME: 2011 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310UL2 & 549310UJ7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $180,148,535 PURPOSE: REFINANCE THE PROMEDICA HEALTHCARE 2008B BONDS ISSUED 05/15/2008. FINANCE THE COST OF ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP. MATURITY: 11/15/2041 ISSUER NAME: 2011 SERIES B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PBE7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $16,903,082 PURPOSE: REFINANCE THE REDEMPTION OF THE PROMEDICA HEALTH CARE OBLIGATED GROUP SERIES 2008C BONDS ISSUED 05/15/2008. MATURITY: 11/15/2035 ISSUER NAME: 2011 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 05/25/2011 ISSUE PRICE: $29,645,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 07/01/1999. MATURITY: 11/15/2019 ISSUER NAME: 2011 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VD9 DATE ISSUED: 12/01/2011 ISSUE PRICE: $142,575,271 PURPOSE: TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE REMAINING OUTSTANDING MATURITIES OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2030 ISSUER NAME: 2011 SERIES E - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PB56 DATE ISSUED: 12/01/2011 ISSUE PRICE: $9,429,057 PURPOSE: REFINANCE THE EARLY OPTIONAL REDEMPTION OF THE LENAWEE HEALTH ALLIANCE OBLIGATED GROUP SERIES 1999A BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2028 ISSUER NAME: COUNTY OF LUCAS, OHIO ISSUER EIN: 34-6400806 CUSIP #: 549310TT7 DATE ISSUED: 03/31/2011 ISSUE PRICE: $62,500,000 PURPOSE: DEEMED REFUNDING (REISSUANCE) OF SERIES 2008A BONDS ISSUED 05/15/2008. PART I, COLUMN (E): DIFFERENCES BETWEEN THE ISSUE PRICES SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART II, COLUMN (A), LINE 4, SERIES 2015 B BONDS: $71 IS IN A DEBT SERVICE FUND. PART III, COLUMN (A), COUNTY OF LUCAS, OHIO BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE COUNTY OF LUCAS, OHIO BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. PART III, COLUMN (B), SERIES 2011 D & E BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE SERIES 2011 D & E BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. PART IV, COLUMN (C), LINE 2C, SERIES 2011 A & B BONDS: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/22/2016 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF LUCAS OHIO | ||||||||
| A | 346400806 | 000000000 | 2011-05-25 | $29,645,000 | SEE PART VI | 0 | 0 | 0 |
| SERIES 2011 D & E BONDS - SEE PART VI FOR DETAIL | ||||||||
| B | 549310VD9 | 2011-12-01 | $152,004,328 | SEE PART VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $16,525,000 | $29,645,000 | $263,825 | $29,381,175 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $5,635,000 | $152,004,328 | $1,505,879 | $150,498,449 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SEE PART V | |||
| SEE PART V | $37,981 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | $53,141 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | $11,299 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | $1,665,456 | SEE PART V | 0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | (A) NAME OF INTERESTED PERSON: CHRISTINE WEBER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: CHRISTINE WEBER IS A FAMILY MEMBER OF JAMES F. WEBER (TRUSTEE).(C) AMOUNT OF TRANSACTION: $37,981(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: KATELYN AVENDT(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: KATELYN AVENDT IS A FAMILY MEMBER OF ALISON AVENDT (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $53,141(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: BENJAMIN SCHWANKE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: BENJAMIN SCHWANKE IS A FAMILY MEMBER OF ALISON AVENDT (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $11,299(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO |
| SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | (A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $1,665,456(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THOMAS G. PADANILAM, MD AND DAWN M. BUSKEY HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. |
| 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 CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND 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 CERTIFICATION STATEMENTS (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 FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, 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 CERTIFICATION STATEMENT 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, 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 | THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. |
| FORM 990, PART VI, SECTION C, LINE 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 391,865. BENEFICIAL INTEREST IN FOUNDATION -34,009,868. SECTION 337(D) GAIN -195,467. TRANSFER OF BOND PROCEEDS TO PROMEDICA HEALTH SYSTEM, INC. -109,773,000. |
| FORM 990, PART III, LINE 4: | PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 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 2016 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 332 SITES, MORE THAN 2,300 PHYSICIANS AND APPROXIMATELY 15,000 EMPLOYEES AND VOLUNTEERS. DURING 2016, PROMEDICA DISCHARGED 73,502 INPATIENTS AND SERVED MORE THAN 1,327,996 OUTPATIENTS, WHILE HANDLING 317,795 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2016, 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 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 GOODS TO NUMEROUS LOCAL FOOD PANTRIES 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 2016, 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 2016, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 235,000 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 FLOWER HOSPITAL CAMPUS AND THE MARY ELLEN FALZONE DIABETES CENTER ON THE CAMPUS OF THE 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 2016 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 2016 INCLUDE THE FOLLOWING: - IN 2016, PROMEDICA WELCOMED ITS FIRST WAVE OF 30 MEDICAL RESIDENTS FROM THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES AS PART OF THE ACADEMIC AFFILIATION CREATED IN 2015. THE COLLABORATION WILL HELP 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 CONTINUED TO ROLL OUT ITS NEW ELECTRONIC HEALTH RECORD (EHR), EPIC. THE NOVEMBER GO-LIVE FOR PROMEDICA TOLEDO AND TOLEDO CHILDREN'S HOSPITALS, PROMEDICA BAY PARK HOSPITAL, AND MORE THAN 350 PROMEDICA PHYSICIANS PROVIDERS, WAS THE LARGEST TO DATE. ALSO ON THE NEW EPIC PLATFORM ARE PROMEDICA FLOWER, DEFIANCE REGIONAL, AND FOSTORIA COMMUNITY HOSPITALS AND AFFILIATED PROMEDICA PHYSICIANS PROVIDERS. THE SYSTEM'S REMAINING HOSPITALS AND PROVIDERS WILL GO-LIVE WITH EPIC IN THE SECOND QUARTER OF 2017. THE NEW PLATFORM FURTHER ENABLES ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF SERVICE ACROSS PROMEDICA. - PROMEDICA BROKE GROUND FOR CONSTRUCTION OF ITS NEW GENERATIONS BED TOWER ON THE CAMPUS OF PROMEDICA TOLEDO AND TOLEDO CHILDREN'S HOSPITALS. THE NEW FACILITY WILL BE 13 STORIES TALL WITH MORE 300 PATIENT BEDS AND WILL OFFER IMPROVED ACCESS FOR PATIENTS WHILE PROVIDING THE LATEST TECHNOLOGY AND PROCESSES TO ENSURE SAFE, HIGH QUALITY ENVIRONMENT FOR PATIENT CARE AND HEALING. UPON COMPLETION, THE GENERATIONS TOWER WILL REPLACE THE CURRENT LEGACY TOWER PORTION OF TOLEDO HOSPITAL. IT IS EXPECTED TO OPEN FOR PATIENT CARE BY THE END OF 2019. - PROMEDICA OPENED ITS NEW HEALTH AND WELLNESS CENTER, IN SYLVANIA, OHIO, TO PROVIDE CONVENIENT ACCESS TO MORE THAN 100 PRIMARY CARE AND SPECIALTY PROVIDERS AS WELL AS LABORATORY AND DIAGNOSTIC IMAGING SERVICES, FULL SERVICE PHARMACY, ENDOSCOPY CENTER, AN OPTICAL CENTER, AND MORE. THE CENTER WAS DESIGNED TO PROVIDE A FULL RANGE OF PATIENT CARE SERVICES IN A SINGLE, CONVENIENT LOCATION AND TO ENHANCE COLLABORATION AMONG PROVIDERS AND OTHER HEALTHCARE SERVICES. - PROMEDICA CANCER INSTITUTE AND THE CLEVELAND CLINIC CANCER CENTER ESTABLISHED A FORMAL ALLIANCE TO EXPAND ACCESS TO SPECIALIZED CANCER TREATMENTS, CLINICAL EXPERTISE, AND RESEARCH STUDIES FOR PATIENTS IN OUR REGION. THE NEW ALLIANCE ALSO INCLUDES A STREAMLINED REFERRAL PROCESS AND MAKES IT EASIER FOR PATIENTS TO OBTAIN SECOND OPINION CONSULTATIONS WITH A CLEVELAND CLINIC CANCER SPECIALIST. - PROMEDICA PARTNERED WITH STRATEGIC HEALTHCARE TO LAUNCH THE PROMEDICA VETERAN CONNECTION PROGRAM TO IMPROVE HEALTHCARE ACCESS FOR LOCAL VETERANS WHO HAVE SUFFERED SERVICE-RELATED INJURIES. THE PROGRAM ALLOWS VETERANS, WHO PREVIOUSLY HAD TO TRAVEL TO VETERAN'S ADMINISTRATION (VA) MEDICAL CENTERS, TO RECEIVE TREATMENT FROM PROMEDICA PROVIDERS AND FACILITIES UPON MEETING CERTAIN PROGRAM GUIDELINES AND RECEIVING PRE-AUTHORIZATIONS FROM THE VA. - PROMEDICA OPENED 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 FIVE URGENT CARE CENTERS ARE NOW OPEN 10 A.M. TO 10 P.M., 365 DAYS PER YEAR, AND ARE STAFFED BY HIGHLY-TRAINED CERTIFIED NURSE PRACTITIONERS. |
| - PROMEDICA PHYSICIANS EXPANDED CARE TO BETTER COVER LOCAL AND RURAL | COMMUNITIES, ADDING ABOUT 135 NEW PRIMARY CARE PHYSICIANS, SPECIALISTS AND ADVANCED PRACTICE PROVIDERS IN 2016. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED MORE THAN 7,000 FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - A NEW COLLABORATION BETWEEN PROMEDICA PHYSICIANS CARDIOLOGISTS AND HEMATOLOGISTS/ONCOLOGISTS BROUGHT A NEW SERVICE TO PROMEDICA CANCER INSTITUTE PATIENTS AT RISK FOR HEART DAMAGE. LOCATED AT FLOWER HOSPITAL, THE CLINIC SEES CANCER PATIENTS WITH A HISTORY OF HEART DISEASE, AND PATIENTS WHO DEVELOP HEART COMPLICATIONS DURING TREATMENT. IT IS ESTIMATED THAT NEARLY ONE THIRD OF CANCER PATIENTS EXPERIENCE LONG-LASTING HEART DAMAGE AS A RESULT OF THEIR TREATMENT. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA CONTINUED TO IMPLEMENT A FOOD RECLAMATION PROGRAM. MORE THAN 315,000 POUNDS OF FOOD HAVE BEEN RECLAIMED FROM PARTNERS SUCH AS HOLLYWOOD CASINO, TOLEDO HOSPITAL, AND FLOWER HOSPITAL SINCE THE PROGRAM STARTED IN 2013. THE FOOD IS DISTRIBUTED DIRECTLY TO COMMUNITY ORGANIZATIONS THAT PROVIDE MEALS FOR THOSE IN NEED. - 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 SKIN CANCER AND LUNG CANCER SCREENINGS WERE PROVIDED FOR EARLY DETECTION. PROSTATE CANCER SCREENING, COLORECTAL CANCER EDUCATION, AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY. 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. - A SECOND FOOD PHARMACY OPENED IN PROMEDICA'S NEW HEALTH AND WELLNESS CENTER, SERVING 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 2016, MORE THAN 6,500 HOUSEHOLDS (2,700 UNIQUE HOUSEHOLDS) PARTICIPATED IN THE PROGRAM AND A TOTAL OF 18,700 PEOPLE WERE SERVED. THIS TRANSLATES TO ABOUT 46,800 DAYS' WORTH OF FOOD, THE EQUIVALENT OF 140,000 MEALS. - PROMEDICA LAUNCHED AN EMPLOYEE FOOD ASSISTANCE PROGRAM IN 2016 THAT IS AVAILABLE AT EACH HOSPITAL SYSTEM-WIDE. IT ALLOWS PROMEDICA EMPLOYEES WHO NEED ASSISTANCE TO RECEIVE A BAG OF FOOD ONCE PER MONTH. IN THE FIRST SIX MONTHS, MORE THAN 650 EMPLOYEES WERE ABLE TO PARTICIPATE IN THIS PROGRAM. - THROUGH ITS ADVOCACY FUND, PROMEDICA CONTINUED TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH BASIC NECESSITIES THAT DIRECTLY IMPACT INDIVIDUALS' HEALTH AND WELL-BEING. THIS SUPPORT AMOUNTED TO GRANTS TOTALING MORE THAN $81,000 IN 2016. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 71 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. - TO HELP MEET THE NEED FOR SCHOOL NURSES IN THE TOLEDO PUBLIC SCHOOL SYSTEM (TPS), PROMEDICA IS FUNDING NINE ADDITIONAL SCHOOL NURSES, ENABLING ALL TPS ELEMENTARY SCHOOLS TO HAVE A FULL-TIME SCHOOL NURSE. STUDIES HAVE SHOWN THAT FULL-TIME NURSES IN PUBLIC SCHOOLS CAN HAVE A POSITIVE IMPACT ON HEALTH AND STRONG ACADEMIC OUTCOMES. PROMEDICA AND TPS CONTINUE TO TRACK AND EVALUATE STUDENT HEALTH STATISTICS TO DEVELOP A SUSTAINABILITY PLAN AND SUPPORT ONGOING FUNDING FOR THE PROGRAM. - POSITIONED TO BE A REGIONAL LEADER IN RESEARCH AND INNOVATIONS, PROMEDICA PARTICIPATED IN MORE THAN 220 INDUSTRY-SPONSORED CLINICAL RESEARCH TRIALS AS WELL AS APPROXIMATELY 100 INTERNAL RESEARCH PROJECTS CONDUCTED BY PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS. - ADDITIONALLY, 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. - FLOWER HOSPITAL EXPANDED ITS DIAGNOSTIC IMAGING CAPABILITIES BY INSTALLING A 64-SLICE CT SCANNER THAT WILL IMPROVE IMAGE QUALITY AND THE ADDITION OF A SECOND SCANNER IN 2017 WILL PROVIDE EXPANDED AND MORE EFFICIENT PATIENT CARE AND SERVICE. - THE DOROTHY L. KERN CANCER CENTER OPENED NEAR THE CAMPUS OF PROMEDICA MEMORIAL HOSPITAL, EXPANDING CANCER CARE TO PATIENTS IN THE FREMONT, OHIO, AREA. THE CANCER CENTER OFFERS OUTPATIENT RADIATION, CHEMOTHERAPY, AND INFUSION SERVICES AS WELL AS COMPLEMENTARY SERVICES SUCH AS GENETIC TESTING AND COUNSELING, HEALING CARE, AND SURVIVORSHIP CARE PLANNING. - PROMEDICA BECAME A MAJOR SPONSOR OF THE LUCAS COUNTY TRANSPORTATION PROGRAM THAT HELPS INDIVIDUALS WHO NEED A RIDE TO WORK SO THEY CAN REMAIN EMPLOYED AND ULTIMATELY SECURE THEIR OWN TRANSPORTATION. IN 2016, PROMEDICA CONTRIBUTED $181,263,000 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, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $53,649,000 IN 2016. 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 $11,711,000 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 2016 WAS $27,877,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $181,263,000 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 2016, PROMEDICA PROVIDED $115,903,000 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 2016 WAS $152,400,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $181,263,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. |
| THE TOLEDO HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTS | THE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. FOR MORE THAN 130 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METROPOLITAN TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 792-BED HOSPITAL OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS ADVANCE PRACTICE PROVIDERS. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICES TO THE METRO-TOLEDO AREA, SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES MATERNAL-FETAL MEDICINE AND A LEVEL III PERINATAL UNIT; JOBST VASCULAR INSTITUTE; PROMEDICA BREAST CARE; AND A LEVEL I TRAUMA CENTER. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDIC DEPARTMENTS, A NATIONALLY RECOGNIZED BARIATRIC PROGRAM, A CERTIFIED COMPREHENSIVE STROKE CENTER, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 100,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY, RADIOLOGY, AS WELL AS PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. PROMEDICA TOLEDO CHILDREN'S HOSPITAL (TCH), OPERATING AS PART OF TH, PROVIDES PEDIATRIC TERTIARY CARE. TCH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS UNDER THE AGE OF 18. TCH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WHILE A NEWBORN INTENSIVE CARE UNIT INCLUDES A NEONATAL PHYSICIAN AND PEDIATRIC HOSPITALIST WHO ARE ON DUTY 24 HOURS A DAY. OTHER TCH SPECIALTY SERVICES INCLUDE A PEDIATRIC CANCER CENTER, ASTHMA TREATMENT AND EDUCATION SERVICES, PEDIATRIC PSYCHIATRY, AND A DEDICATED LEVEL II PEDIATRIC TRAUMA CENTER. IN 2016, TH AND TCH BOTH WENT LIVE WITH THE PROMEDICA ELECTRONIC HEALTH RECORD PLATFORM, EPIC, DESIGNED TO IMPROVE PATIENT CARE AND SAFETY. IN 2016, TH ALSO BROKE GROUND FOR CONSTRUCTION OF ITS NEW GENERATIONS BED TOWER. THE NEW FACILITY WILL BE 13 STORIES TALL WITH MORE 300 PATIENT BEDS AND WILL OFFER IMPROVED ACCESS FOR PATIENTS WHILE PROVIDING THE LATEST TECHNOLOGY AND PROCESSES TO ENSURE A SAFE, HIGH QUALITY ENVIRONMENT FOR PATIENT CARE AND HEALING. THE GENERATIONS TOWER IS EXPECTED TO OPEN FOR PATIENT CARE BY THE END OF 2019. IN 2016, TH WAS NAMED ONE OF THE BEST 100 HOSPITALS IN THE NATION BY HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR THE SECOND YEAR IN A ROW. THE AWARD RECOGNIZES THE TOP 2% OF HOSPITALS IN THE NATION FOR EXHIBITING CLINICAL EXCELLENCE FOR AT LEAST FOUR CONSECUTIVE YEARS. HEALTHGRADES ALSO HAS RECOGNIZED BOTH TH AND TCH WITH ITS DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE AWARD. THIS HONOR PLACES EACH HOSPITAL IN THE TOP 5% OF HOSPITALS NATIONWIDE FOR PROVIDING CLINICAL EXCELLENCE ACROSS A BROAD RANGE OF CLINICAL PROCEDURES AND CONDITIONS. TH ALSO WAS RECOGNIZED BY TRUVEN HEALTH ANALYTICS AS ONE OF THE COUNTRY'S 50 TOP CARDIOVASCULAR HOSPITALS. THIS RANKING PUTS TH IN THE TOP 5% OF HOSPITALS NATIONWIDE FOR CARDIOVASCULAR OUTCOMES. A DIVISION OF TH, PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL IS AN ALL-DIGITAL, ACUTE CARE FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS AND OTHERS WHO EXPERIENCE CHRONIC PAIN FROM JOINT DISEASE. THIS UNIQUE, FREE-STANDING HOSPITAL SERVES ONLY ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES ALL IN ONE CONVENIENT AND EASILY ACCESSIBLE LOCATION. IN 2016, TH SERVED 35,042 INPATIENTS; 553,464 OUTPATIENTS; AND 100,949 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $75,548,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, TH CONTRIBUTED $31,192,000 TO THE COMMUNITY DURING 2016. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - THE COME TO THE TABLE INITIATIVE THAT PROVIDES 24 HOURS' WORTH OF FOOD TO PATIENTS WHO QUALIFY FOR FOOD INSECURITY BY COMPLETING A QUESTIONNAIRE. - THE AUTISM COLLABORATIVE - A COLLABORATION BETWEEN TCH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES - TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH MANAGING CHRONIC DISEASE AND TO OFFER SOCIAL SERVICES INFORMATION. - WITH THE GOAL OF IMPROVING INFANT MORTALITY RATES IN OUR REGION, A NURSING MOTHERS SUPPORT GROUP IS OFFERED AT NO CHARGE THROUGHOUT THE YEAR. - THE TEEN PEP (PEERS EDUCATING PEERS) PROGRAM EXTENDS CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS, BY ENCOURAGING TEENS TO TALK WITH THEIR PEERS ABOUT IMPORTANT TOPICS SUCH AS TEEN RELATIONSHIPS, BULLYING, AND PHYSICAL AND EMOTIONAL ABUSE. - FREE AND LOW-COST OUTPATIENT CLINICS THAT OFFER A WIDE ARRAY OF HEALTH SERVICES INCLUDING IMMUNIZATIONS, VASCULAR SCREENINGS AND TREATMENT OF MINOR ILLNESSES THAT MIGHT NOT REQUIRE AN EMERGENCY CENTER VISIT BUT STILL REQUIRE MEDICAL ATTENTION. - PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - FREE SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZES THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2016, OF WHICH $6,475,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2016 WAS $6,981,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $75,548,000 INDICATED ABOVE. TH PROVIDED $37,881,000 OF COMMUNITY SUPPORT WHICH REPRESENTS THE COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. IN 2016, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $49,123,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $75,548,000 NOTED ABOVE. DURING 2016, TH EXPENDED $182,019,000 IN NET PAYROLL, PROVIDING 4,634 JOBS IN NORTHWEST OHIO. A TOTAL OF $11,580,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, TH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. |
| COMMUNITY BENEFIT 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 (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| COBRA VENTURES LLC | |||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 204671613 | LAND LEASING | OH | $642,604 | $736,960 | ST LUKE'S HOSPITAL FOUNDATION |
| 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 | $301,674,026 | $170,974,642 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 263888045 | EMPLOYS PHYSICIANS | OH | $17,511,703 | -$83,313,139 | PROMEDICA PHYSICIAN GROUP |
| WELLCARE PHYSICIANS LLC | |||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 611528443 | EMPLOYS PHYSICIANS | OH | -$2,244,991 | $8,156,765 | PROMEDICA PHYSICIAN GROUP |
| THE PHARMACY COUNTER LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 271325141 | MEDICAL EQUIPMENT & PHARMACY | OH | $66,763,882 | $19,351,361 | PROMEDICA PHYSICIAN GROUP |
| WOLF CREEK ASSOCIATES LLC | |||||||||
| 901 KIMOLE LN | ADRIAN | MI | 49221 | 383164818 | FACILITY LEASING | MI | $122,499 | $1,417,049 | EMMA L BIXBY MEDICAL CENTER |
| PROMEDICA MONROE CARDIOLOGY PLLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 272920342 | EMPLOYS PHYSICIANS | MI | $1,277,701 | -$5,105,886 | PROMEDICA PHYSICIAN GROUP |
| ERIE WEST HOSPICE & PALLIATIVE CARE LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 205752995 | PROVIDES HOSPICE CARE | OH | $5,923,484 | $12,156,148 | PROMEDICA PHYSICIANS AND CONTINUUM SERVICES |
| PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 453230331 | PRACTICE MANAGEMENT | OH | $0 | -$3,066,916 | 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 | $392,583 | 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 | $6,790,554 | -$22,865,233 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA MONROE PHYSICIANS PLLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461111822 | EMPLOYS PHYSICIANS | MI | -$529 | -$423,769 | 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 | $8,167,211 | -$4,298,164 | 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 | $939,747 | $15,910,656 | PROMEDICA HEALTH SYSTEM INC |
| FORT INDUSTRY SQUARE LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | REAL ESTATE | OH | $96,489 | $3,014,067 | 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 | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAY PARK COMMUNITY HOSPITAL | |||||||||||
| 2801 BAY PARK DR | OREGON | OH | 43616 | 341883132 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| CARE ENTERPRISES INC | |||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341366709 | FACILITY LEASING | OH | 501(C)(3) | 12B, II | Yes (1) | N/A | |
| DEFIANCE HOSPITAL AUXILIARY | |||||||||||
| 1200 RALSTON | DEFIANCE | OH | 43512 | 510173779 | HOSPITAL / FOUNDATION SUPPORT | OH | 501(C)(3) | 12D, III-O | 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) | 12A, I | 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 PHYSICIANS AND 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 PHYSICIANS AND CONTINUUM SERVICES | Yes (1) | |
| PROMEDICA HEALTH SYSTEM INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341517671 | PARENT COMPANY OF HEALTH SYSTEM | OH | 501(C)(3) | 12B, II | 0 | N/A | |
| PROMEDICA INDEMNITY CORP | |||||||||||
| ONE CHURCH ST 5TH FLOOR | BURLINGTON | VT | 05401 | 341931936 | PROFESSIONAL & GENERAL LIABILITY | VT | 501(C)(3) | 12B, II | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| PROMEDICA PHYSICIANS AND 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) | |
| ST LUKE'S HOSPITAL | |||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 344428232 | HOSPITAL | OH | 501(C)(3) | 3 | Yes (1) | N/A | |
| ST LUKE'S HOSPITAL FOUNDATION | |||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341292849 | FOUNDATION | OH | 501(C)(3) | 12B, II | Yes (1) | N/A | |
| PROMEDICA FOUNDATION | |||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 43604 | 341517672 | FOUNDATION | OH | 501(C)(3) | 12B, II | 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 PHYSICIANS AND 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 PHYSICIANS AND 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 (15 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP | ||||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 382972398 | FACILITY LEASING | MI | EMMA L BIXBY MEDICAL CENTER | RELATED | $590,528 | $205,342 | 0 | Yes (1) | 0.64600 | |
| REYNOLDS ROAD SURGICAL CENTER LLC | ||||||||||||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | 311569454 | FREESTANDING AMBULATORY SURGICAL CENTER | OH | THE TOLEDO HOSPITAL | RELATED | $593,234 | $2,488,278 | 0 | 0 | 0.67200 | |
| WATERVILLE MEDICAL CENTER LLC | ||||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 320160784 | FACILITY LEASING | OH | N/A | |||||||
| NORTHWEST OHIO DEDICATED BREAST MRI LLC | ||||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 260679898 | MEDICAL DIAGNOSTICS | OH | THE TOLEDO HOSPITAL | RELATED | $212,065 | $478,795 | 0 | 0 | 0.50000 | |
| WEST CENTRAL SURGICAL CENTER LLC | ||||||||||||||
| 7055 W CENTRAL | TOLEDO | OH | 43617 | 200088459 | AMBULATORY SURGICAL CENTER | OH | THE TOLEDO HOSPITAL | RELATED | $294,994 | $3,087,673 | 0 | Yes (1) | 0.50000 | |
| OHIO CARE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 5959 MONCLOVA RD | MAUMEE | OH | 43537 | 341863472 | AMBULATORY SURGICAL CENTER | OH | N/A | |||||||
| LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC | ||||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383605511 | PHYSICIAN MANAGEMENT SERVICES | MI | EMMA L BIXBY MEDICAL CENTER | RELATED | -$56,130 | $234,194 | 0 | Yes (1) | 0.50000 | |
| PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC | ||||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461989695 | PHYSICIAN MANAGEMENT SERVICES | OH | PROMEDICA HEALTH SYSTEM INC | RELATED | $710,041 | $711,752 | 0 | 0 | 0.50450 | |
| EAST-WEST HOLDINGS LTD | ||||||||||||||
| 715 SOUTH TAFT AVE | FREMONT | OH | 43420 | 204066818 | REAL ESTATE | OH | MEMORIAL HOSPITAL | RELATED | $9,186 | $304,990 | 0 | 0 | 0.50000 | |
| SURGICAL INSTITUTE OF MONROE LLC | ||||||||||||||
| 1051 S TELEGRAPH RD | MONROE | MI | 48161 | 270843485 | AMBULATORY SURGICAL CENTER | MI | PROMEDICA PHYSICIANS AND CONTINUUM SERVICES | RELATED | $326,937 | $3,626,251 | 0 | 0 | 0.54000 | |
| PROMEDICA MASTER TENANT LLC | ||||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475288490 | REAL ESTATE | OH | PROMEDICA MANAGER MEMBER LLC | RELATED | -$38 | $108,128 | 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 | -$10,580 | $27,579,007 | 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 | UNRELATED | -$4,100 | $295,900 | 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 | -$284,065 | $715,935 | 0 | Yes (1) | 0.50000 | |
| KAPION LLC | ||||||||||||||
| 2865 N REYNOLDS RD STE 220 | TOLEDO | OH | 43615 | 812624635 | SOFTWARE DEVELOPMENT | OH | PROMEDICA HEALTH SYSTEM INC | UNRELATED | -$1,641 | $247,636 | 0 | Yes (1) | 0.50000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARE HOLDINGS | |||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341796790 | HOLDING COMPANY | OH | N/A | C | Yes (1) | ||||
| HERRICK MEMORIAL DEVELOPMENT CORP | |||||||||||||
| 500 E POTTAWATAMIE TR | ADRIAN | MI | 49221 | 383146907 | FACILITY LEASING | MI | C | Yes (1) | EMMA L BIXBY MEDICAL CENTER | $50,707 | $1,000,420 | 1.00000 | |
| LHA PHYSICIAN SERVICES CORPORATION | |||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 611451576 | PHYSICIAN BILLING | MI | C | Yes (1) | EMMA L BIXBY MEDICAL CENTER | 1.00000 | |||
| PHYSICIANS ADVANTAGE MSO | |||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 061811760 | PHYSICIAN MANAGEMENT SERVICES | OH | N/A | C | Yes (1) | ||||
| PROMEDICA CENTRAL CORPORATION OF MICHIGAN | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383322278 | PHYSICIAN HEALTH CARE SERVICES | OH | C | Yes (1) | PROMEDICA PHYSICIAN GROUP | $1,197,691 | $4,584,064 | 1.00000 | |
| PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES | |||||||||||||
| 1901 INDIAN WOOD CIR | MAUMEE | OH | 43537 | 341570675 | HEALTH CARE INSURANCE | OH | C | Yes (1) | PROMEDICA HEALTH SYSTEM INC | $38,622,854 | $370,594,769 | 1.00000 | |
| PROMEDICA NORTH PHYSICIAN CORPORATION | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383482148 | PHYSICIAN HEALTH CARE SERVICES | OH | C | Yes (1) | PROMEDICA PHYSICIAN GROUP | $149,134 | 1.00000 | ||
| PROMEDICA RETAIL GROUP INC | |||||||||||||
| 3890 MONROE ST | TOLEDO | OH | 43606 | 341159928 | FLORIST | OH | C | Yes (1) | PROMEDICA PHYSICIANS AND CONTINUUM SERVICES | $937 | $760,746 | 1.00000 | |
| HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION | |||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383639616 | FACILITY MANAGEMENT | MI | C | Yes (1) | HERRICK MEMORIAL DEVELOPMENT CORP | $28 | $74,777 | 0.71800 | |
| PROMEDICA HEALTH NETWORK INC | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 474006496 | PHYSICIAN MANAGEMENT SERVICES | OH | C | Yes (1) | PROMEDICA HEALTH SYSTEM INC | -$1,165,706 | 1.00000 | ||
| MONROE HEALTH VENTURES | |||||||||||||
| 718 N MACOMB | MONROE | MI | 48164 | 382704426 | PHARMACY | MI | C | Yes (1) | MERCY MEMORIAL HOSPITAL CORPORATION | 1.00000 | |||
| PROMEDICA MANAGER MEMBER LLC | |||||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475168737 | REAL ESTATE | OH | C | Yes (1) | PROMEDICA HEALTH SYSTEM INC | -$13,118 | $9,998,989 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (39 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROMEDICA CONTINUING CARE SERVICES CORPORATION | ||
| B | $10,500,000 | FMV |
| PROMEDICA FOUNDATION | ||
| B | $3,146,502 | FMV |
| PROMEDICA HEALTH SYSTEM INC | ||
| B | $112,000,000 | FMV |
| PROMEDICA PHYSICIAN GROUP | ||
| B | $50,725,000 | FMV |
| PROMEDICA FOUNDATION | ||
| C | $52,050,653 | FMV |
| FLOWER HOSPITAL | ||
| G | $271,862 | FMV |
| FLOWER HOSPITAL | ||
| J | $122,844 | FMV |
| PROMEDICA CONTINUING CARE SERVICES CORPORATION | ||
| J | $468,563 | FMV |
| PROMEDICA HEALTH SYSTEM INC | ||
| J | $2,037,275 | FMV |
| PROMEDICA PHYSICIAN GROUP | ||
| J | $7,223,764 | FMV |
| PROMEDICA PHYSICIANS AND CONTINUUM SERVICES | ||
| J | $590,802 | FMV |
| REYNOLDS ROAD SURGICAL CENTER LLC | ||
| J | $157,500 | FMV |
| EMMA L BIXBY MEDICAL CENTER | ||
| O | $341,150 | FMV |
| FLOWER HOSPITAL | ||
| O | $106,884 | FMV |
| PROMEDICA CONTINUING CARE SERVICES CORPORATION | ||
| O | $90,072 | FMV |
| PROMEDICA INSURANCE CORP INC & SUBSIDIARIES | ||
| O | $146,804 | FMV |
| PROMEDICA PHYSICIAN GROUP | ||
| O | $871,971 | FMV |
| BAY PARK COMMUNITY HOSPITAL | ||
| P | $55,190 | FMV |
| FLOWER HOSPITAL | ||
| P | $75,639 | FMV |
| LENAWEE LONG TERM CARE | ||
| P | $63,619 | FMV |
| PROMEDICA CONTINUING CARE SERVICES CORPORATION | ||
| P | $190,773 | FMV |
| PROMEDICA COURIER SERVICES INC | ||
| P | $2,653,264 | FMV |
| PROMEDICA HEALTH SYSTEM INC | ||
| P | $116,119,520 | FMV |
| PROMEDICA INSURANCE CORP INC & SUBSIDIARIES | ||
| P | $2,505,246 | FMV |
| PROMEDICA PHYSICIANS AND CONTINUUM SERVICES | ||
| P | $443,364 | FMV |
| PROMEDICA PHYSICIAN GROUP | ||
| P | $62,874,699 | FMV |
| BAY PARK COMMUNITY HOSPITAL | ||
| Q | $1,956,352 | FMV |
| DEFIANCE HOSPITAL INC | ||
| Q | $1,386,651 | FMV |
| EMMA L BIXBY MEDICAL CENTER | ||
| Q | $4,122,370 | FMV |
| FLOWER HOSPITAL | ||
| Q | $2,864,212 | FMV |
| FOSTORIA HOSPITAL ASSOCIATION | ||
| Q | $1,456,323 | FMV |
| HERRICK MEMORIAL HOSPITAL INC | ||
| Q | $411,905 | FMV |
| MEMORIAL HOSPITAL | ||
| Q | $2,035,592 | FMV |
| MERCY MEMORIAL HOSPITAL CORPORATION | ||
| Q | $1,329,733 | FMV |
| PROMEDICA HEALTH SYSTEM INC | ||
| Q | $2,363,607 | FMV |
| PROMEDICA PHYSICIAN GROUP | ||
| Q | $210,088 | FMV |
| PROMEDICA PHYSICIANS AND CONTINUUM SERVICES | ||
| Q | $355,493 | FMV |
| ST LUKE'S HOSPITAL | ||
| Q | $1,366,676 | FMV |
| PROMEDICA HEALTH SYSTEM INC | ||
| R | $109,773,000 | FMV |