PROMEDICA FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: PROMEDICA FOUNDATION (EIN 34-1517672)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-09
IRS object ID: 201713139349303371
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 D
Schedule G
Schedule I
Schedule J
Schedule M
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	341517672	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROMEDICA FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROM	BusinessNameControlTxt
Phone	5675853618	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	444 N SUMMIT ST	AddressLine1Txt
City	TOLEDO	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43604	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL P BROWNING	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	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	15:08:52	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

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
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	$204,915,102	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	THE PROMEDICA FOUNDATION'S MISSION IS TO GENERATE AND DIRECT THE UTILIZATION OF RESOURCES TO ENRICH EXISTING PROGRAMS AND FUND NEW SERVICES, INSPIRING EXCELLENCE IN THE PROVISION OF HEALTH CARE AND ENHANCING QUALITY OF LIFE FOR THE PEOPLE OF OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	185	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$19,095,590	PYContributionsGrantsAmt
CY Contributions Grants	$14,933,121	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$12,005,411	PYInvestmentIncomeAmt
CY Investment Income	$9,108,127	CYInvestmentIncomeAmt
PY Other Revenue	-$95,771	PYOtherRevenueAmt
CY Other Revenue	-$59,623	CYOtherRevenueAmt
PY Total Revenue	$31,005,230	PYTotalRevenueAmt
CY Total Revenue	$23,981,625	CYTotalRevenueAmt
PY Grants And Similar Paid	$11,100,824	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$58,373,654	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,386,973	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,771,953	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$540,362	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$961,454	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$5,334,603	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,883,387	PYOtherExpensesAmt
CY Other Expenses	$2,923,434	CYOtherExpensesAmt
PY Total Expenses	$15,911,546	PYTotalExpensesAmt
CY Total Expenses	$65,030,495	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,093,684	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$41,048,870	CYRevenuesLessExpensesAmt
Total Assets BOY	$303,595,749	TotalAssetsBOYAmt
Total Assets EOY	$272,769,359	TotalAssetsEOYAmt
Total Liabilities BOY	$2,464,248	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,445,819	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$301,131,501	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$264,323,540	NetAssetsOrFundBalancesEOYAmt
Mission	THE PROMEDICA FOUNDATION'S MISSION IS TO GENERATE AND DIRECT THE UTILIZATION OF RESOURCES TO ENRICH EXISTING PROGRAMS AND FUND NEW SERVICES, INSPIRING EXCELLENCE IN THE PROVISION OF HEALTH CARE AND ENHANCING QUALITY OF LIFE FOR THE PEOPLE OF OUR COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$58,373,654	ExpenseAmt
Grant	$58,373,654	GrantAmt
Desc	PROMOTE HEALTH AND WELL-BEING WITH SUPPORT FOR MEDICAL CARE, MEDICAL EDUCATION AND MEDICAL RESEARCH, AND BY SOLICITING CONTRIBUTIONS, GRANTS AND INVESTING FUNDS TO GENERATE INCOME TO SUPPORT PROMEDICA HEALTH SYSTEM, INC. ENTITIES.	Desc
Total Program Service Expenses	$58,373,654	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	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	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (1)	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
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	6	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	0	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	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICH POTTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5675850506	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 (10 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALAN M SATTLER
TREASURER/TRUSTEE (THRU 2/16)	1.00	50.50	Yes (X)	Yes (X)	$0	$641,062	$76,678
GARY M CATES
EX OFFICIO	1.00	40.00	Yes (X)		$0	$402,678	$78,755
JEFFREY C KUHN
SECRETARY	1.00	50.50	Yes (X)	Yes (X)	$0	$674,920	$143,195
LESLIE A CHAPMAN
CHAIRPERSON	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL P BROWNING
TREASURER	1.00	50.00	Yes (X)	Yes (X)	$0	$296,524	$4,420
RANDALL OOSTRA
EX OFFICIO	1.00	55.50	Yes (X)		$0	$1,765,263	$120,383
STEPHEN H STAELIN
EX OFFICIO	1.00	9.00	Yes (X)		$0	$0	$0
GARY AKENBERGER
INTERIM TREASURER (3/16 TO 7/16)	0.50	50.00		Yes (X)	$0	$461,216	$92,553
MARTIN DANSACK
VP ACCTG. & TAXATION, PHS	0.50	40.50			$0	$240,181	$287,344	Yes (X)
KATHLEEN S HANLEY
FORMER OFFICER	0.00	0.00			$0	$1,255,999	$38,403		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,737,843	TotReportableCompRltdOrgAmt
Total Other Compensation	$841,731	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$82,354	FederatedCampaignsAmt
Membership Dues	$2,430	MembershipDuesAmt
Fundraising	$868,438	FundraisingAmt
Related Organizations	$5,583,553	RelatedOrganizationsAmt
All Other Contributions	$8,396,346	AllOtherContributionsAmt
Noncash Contributions	$122,367	NoncashContributionsAmt
Total Contributions	$14,933,121	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,290,453	TotalRevenueColumnAmt
Exclusion	$4,290,453	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$14,400	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$17,813	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$3,413	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,413	TotalRevenueColumnAmt
Exclusion	-$3,413	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$185,052,189	SecuritiesAmt
Other	$85,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$180,120,274	SecuritiesAmt
Other	$199,241	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,931,915	SecuritiesAmt
Other	-$114,241	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,817,674	TotalRevenueColumnAmt
Exclusion	$4,817,674	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$539,939	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$868,438	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$596,149	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$56,210	TotalRevenueColumnAmt
Exclusion	-$56,210	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,981,625	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$9,048,504	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$58,306,154	TotalAmt
Program Services	$58,306,154	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$67,500	TotalAmt
Program Services	$67,500	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,151,418	TotalAmt
Management And General	$96,532	ManagementAndGeneralAmt
Fundraising	$2,054,886	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$88,208	TotalAmt
Management And General	$3,958	ManagementAndGeneralAmt
Fundraising	$84,250	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$367,744	TotalAmt
Management And General	$16,500	ManagementAndGeneralAmt
Fundraising	$351,244	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$164,583	TotalAmt
Management And General	$7,385	ManagementAndGeneralAmt
Fundraising	$157,198	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,703	TotalAmt
Management And General	$13,703	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,186	TotalAmt
Management And General	$2,186	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$961,454	TotalAmt
Fundraising	$961,454	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$903,259	TotalAmt
Management And General	$903,259	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$178,931	TotalAmt
Management And General	$14,885	ManagementAndGeneralAmt
Fundraising	$164,046	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,841	TotalAmt
Management And General	$3,841	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$76,196	TotalAmt
Management And General	$5,930	ManagementAndGeneralAmt
Fundraising	$70,266	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,534	TotalAmt
Management And General	$22,534	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$149,656	TotalAmt
Management And General	$149,656	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$62,569	TotalAmt
Management And General	$1,595	ManagementAndGeneralAmt
Fundraising	$60,974	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,870	TotalAmt
Management And General	$9,870	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,136	TotalAmt
Management And General	$33,136	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$298	TotalAmt
Management And General	$298	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	FundraisingFundraisingAmt
BAD DEBT EXPENSE	$698,757	$698,757
FUNDRAISING EXPENSE	$313,519	$313,519
DONOR CULTIVATION	$165,598	$165,598
FOUNDATION ACTIVITIES	$154,165	$154,165

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,216	TotalAmt
Management And General	$36,970	ManagementAndGeneralAmt
Fundraising	$98,246	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,030,495	TotalAmt
Program Services	$58,373,654	ProgramServicesAmt
Management And General	$1,322,238	ManagementAndGeneralAmt
Fundraising	$5,334,603	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$819,652	BOYAmt
EOY	$641,631	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,825,492	BOYAmt
EOY	$2,239,240	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,833,784	BOYAmt
EOY	$10,645,615	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,550	BOYAmt
EOY	$1,650	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,000	BOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,041,076	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$141,574	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,117,819	BOYAmt
EOY	$899,502	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$257,605,382	BOYAmt
EOY	$228,745,546	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,386,070	BOYAmt
EOY	$29,596,175	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$303,595,749	BOYAmt
EOY	$272,769,359	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$256,672	BOYAmt
EOY	$581,335	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,207,576	BOYAmt
EOY	$7,864,484	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,464,248	BOYAmt
EOY	$8,445,819	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$194,638,092	BOYAmt
EOY	$161,376,178	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,682,451	BOYAmt
EOY	$66,710,082	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,810,958	BOYAmt
EOY	$36,237,280	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$301,131,501	BOYAmt
EOY	$264,323,540	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$303,595,749	BOYAmt
EOY	$272,769,359	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$41,048,870	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,803,106	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$107,070	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	-$3,669,267	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformationGrp (16 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
BAY PARK COMMUNITY HOSPITAL
341883132	3	Yes (1)	$139,683	$0
DEFIANCE HOSPITAL INC
344446484	3	Yes (1)	$147,101	$0
EMMA L BIXBY MEDICAL CENTER
382796005	3	0	$338,294	$0
FLOWER HOSPITAL
344428794	3	Yes (1)	$1,771,460	$428
FOSTORIA HOSPITAL ASSOCIATION
340898745	3	Yes (1)	$580,291	$0
HERRICK MEMORIAL HOSPITAL INC
383049015	3	Yes (1)	$323,154	$0
MEMORIAL HOSPITAL
344430849	3	0	$1,378,484	$10,344
THE TOLEDO HOSPITAL
344428256	3	Yes (1)	$52,050,157	$496
KAITLYN'S COTTAGE INC
454781053	10	0	$101,256	$0
LENAWEE LONG TERM CARE
382879330	10	0	$3,613	$0
PROMEDICA CONTINUING CARE SERVICES CORPORATION
344492440	10	0	$74,609	$0
PROMEDICA PHYSICIAN GROUP
341899439	10	0	$270	$0
TOLEDO DISTRICT NURSE ASSOCIATION
344427949	10	0	$1,416	$0
VISITING NURSE HOSPICE AND HEALTH CARE
341831624	10	0	$31,535	$0
MERCY MEMORIAL HOSPITAL CORPORATION
381984289	3	0	$0	$0
MONROE COMMUNITY HEALTH SERVICES
382934134	10	0	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	16	SupportedOrganizationsTotalCnt
Support Sum	$56,941,323	SupportSumAmt
Other Support Sum	$11,268	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 11G, COLUMN VI:	PROMEDICA FOUNDATION PROVIDED NON-MONETARY SUPPORT INCLUDING MINOR EQUIPMENT, SUPPLIES, AND DONOR WALL CONSTRUCTION TO THE FOLLOWING ENTITIES: FLOWER HOSPITAL, MEMORIAL HOSPITAL, AND THE TOLEDO HOSPITAL.
PART IV, SECTION A, LINE 1:	PROMEDICA HEALTH SYSTEM, INC. (34-1517671) AFFILIATES DESIGNATED BY CLASS AND PURPOSE LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2).
PART IV, SECTION C, LINE 1:	PROMEDICA FOUNDATION IS AN OHIO NOT-FOR-PROFIT CORPORATION THAT OPERATES TO SUPPORT, BENEFIT AND THROUGH ITS ACTIVITIES, CARRY OUT AND FURTHER THE PURPOSES OF PROMEDICA HEALTH SYSTEM, INC. (PHS) AFFILIATES DESIGNATED BY CLASS AND PURPOSE LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2). PHS IS THE MEMBER OF PROMEDICA FOUNDATION AND THE PARENT OF AN INTEGRATED HEALTH CARE DELIVERY NETWORK MADE UP OF AN AFFILIATED GROUP OF EXEMPT ORGANIZATIONS WHICH INCLUDES HOSPITALS, HEALTH CARE PROVIDERS, CONTINUING CARE SERVICES, SPECIALIZED HEALTH SERVICES, ENTITIES PROVIDING SUPPORT SERVICES, AND FOUNDATIONS. PHS PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL TO ITS FIRST TIER SUBSIDIARIES, INCLUDING PROMEDICA FOUNDATION, AND INDIRECTLY THROUGH ITS FIRST TIER SUBSIDIARIES, TO ALL AFFILIATED SECOND TIER SUBSIDIARIES OF EACH FIRST TIER SUBSIDIARY. THE ACTIVITIES OF PHS SUPPORT THE EXEMPT PURPOSES OF THE AFFILIATED ORGANIZATIONS IN THE PHS NETWORK AND ENHANCE AND IMPROVE THE DELIVERY OF EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY THE PHS NETWORK. CONTROL AND MANAGEMENT EFFECTIVELY IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ALL SUBSIDIARY ORGANIZATIONS THROUGH RESERVED POWERS. PHS HAS RESERVED POWERS IN EACH SUBSIDIARY'S CODE OF REGULATIONS OR BYLAWS ALONG WITH THE RIGHT TO APPROVE CERTAIN ACTIONS OF EACH SUBSIDIARY'S BOARD OF TRUSTEES. THE FIRST TIER SUBSIDIARIES HAVE IN TURN RESERVED SIMILAR POWERS OVER THE SECOND TIER SUBSIDIARIES TO INTEGRATE OVERALL DIRECTION, MANAGEMENT, AND CONTROL. PROMEDICA FOUNDATION QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ALL ORGANIZATIONS THAT ARE EXEMPT AFFILIATED MEMBERS OF PHS. COMMON SUPERVISION AND CONTROL ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF PHS. THERE HAS ALSO BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN PROMEDICA FOUNDATION AND ITS SUPPORTED ORGANIZATIONS AND A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS AS A RESULT OF THIS RELATIONSHIP SUPPORTING COMMON CONTROL CONSISTENT WITH TYPE II SUPPORTING ORGANIZATION CLASSIFICATION. PROMEDICA FOUNDATION HAS MAINTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATION'S OPERATIONS.

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,781,106	BeginningYearBalanceAmt
Contributions	$32,026	ContributionsAmt
Investment Earnings Or Losses	$1,056,194	InvestmentEarningsOrLossesAmt
End Year Balance	$50,869,326	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$52,300,127	BeginningYearBalanceAmt
Contributions	$14,822	ContributionsAmt
Investment Earnings Or Losses	-$1,741,835	InvestmentEarningsOrLossesAmt
Other Expenditures	$792,008	OtherExpendituresAmt
End Year Balance	$49,781,106	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,309,385	BeginningYearBalanceAmt
Contributions	$1,101,836	ContributionsAmt
Investment Earnings Or Losses	$888,906	InvestmentEarningsOrLossesAmt
End Year Balance	$52,300,127	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$44,950,978	BeginningYearBalanceAmt
Contributions	$786,869	ContributionsAmt
Investment Earnings Or Losses	$4,571,538	InvestmentEarningsOrLossesAmt
End Year Balance	$50,309,385	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,160,326	BeginningYearBalanceAmt
Contributions	$109,240	ContributionsAmt
Investment Earnings Or Losses	$2,681,412	InvestmentEarningsOrLossesAmt
End Year Balance	$44,950,978	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.29800	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.70200	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$27,487	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$210,792	OtherCostOrOtherBasisAmt
Book Value	$238,279	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$390,888	OtherCostOrOtherBasisAmt
Depreciation	$121,521	DepreciationAmt
Book Value	$269,367	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$411,909	OtherCostOrOtherBasisAmt
Depreciation	$20,053	DepreciationAmt
Book Value	$391,856	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$899,502	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
CASH VALUE OF LIFE INSURANCE	$340,328
FUNDED PERPETUITIES	$29,134,250
DUE FROM AFFILIATES	$121,597

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$29,596,175	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$7,864,484	Amt

Field	Value	IRS element (for citing)
Total Liability	$7,864,484	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 PROMEDICA HEALTH SYSTEM, INC. ENTITIES CONSISTENT WITH DONOR INTENT.

PART X, LINE 2:

PROMEDICA FOUNDATION 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. PROMEDICA FOUNDATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2016 AND 2015.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
ALY STERLING PHILANTROPY
1847 COLLINGWOOD BLVD	TOLEDO	OH	43604	CAMPAIGN CONSULTING	0	$4,491,353	$450,000	$4,041,353
HANSON'S
1695 INDIANWOOD CIRCLE STE 200	MAUMEE	OH	43537	VIDEO PRODUCTION	0	$592,692	$194,000	$398,692
HART ASSOCIATES
1915 INDIANWOOD CIRCLE	MAUMEE	OH	43537	VIDEO PRODUCTION	0	$592,692	$53,979	$538,713
BETSY KELSEY
29796 FOXHILL RD	PERRYSBURG	OH	43551	CAMPAIGN CONSULTING	0	$275,000	$116,875	$158,125
TSM DONOR ENGAGEMENT TEAM
155 COMMERCE DRIVE	FREEDOM	PA	15042	DIRECT PHONE SOLICITATION	0	$86,254	$131,375	-$45,121
HARRIS CONNECT
1400 CROSSWAYS BLVD	CHESAPEAKE	VA	23320	DIRECT PHONE SOLICITATION	0	$11,260	$15,225	-$3,965

Field	Value	IRS element (for citing)
Total Gross Receipts	$6,049,251	TotalGrossReceiptsAmt
Total Retained By Contractors	$961,454	TotalRetainedByContractorsAmt
Total Net To Organization	$5,087,797	TotalNetToOrganizationAmt
Licensed States	FL	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	OH	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CHEF'S DINNER	Event1Nm
Gross Receipts Event1	$575,827	GrossReceiptsEvent1Amt
Charitable Contri Event1	$379,860	CharitableContriEvent1Amt
Gross Revenue Event1	$195,967	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$25,000	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$48,813	FoodAndBeverageEvent1Amt
Entertainment Event1	$28,811	EntertainmentEvent1Amt
Other Direct Expenses Event1	$203,627	OtherDirectExpensesEvent1Amt
Event2	GOLF EVENT	Event2Nm
Gross Receipts Event2	$200,610	GrossReceiptsEvent2Amt
Charitable Contri Event2	$108,759	CharitableContriEvent2Amt
Gross Revenue Event2	$91,851	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$300	NonCashPrizesEvent2Amt
Food And Beverage Event2	$21,862	FoodAndBeverageEvent2Amt
Entertainment Event2	$5,344	EntertainmentEvent2Amt
Other Direct Expenses Event2	$60,660	OtherDirectExpensesEvent2Amt
Other Events Total	9	OtherEventsTotalCnt
Gross Receipts Other Events	$631,940	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$379,819	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$252,121	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$2,000	CashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$1,400	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$100,869	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$3,204	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$94,259	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,408,377	GrossReceiptsTotalAmt
Charitable Contributions Tot	$868,438	CharitableContributionsTotAmt
Gross Revenue Total Events	$539,939	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$2,000	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$300	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$26,400	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$171,544	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$37,359	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$358,546	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$596,149	DirectExpenseSummaryEventsAmt
Net Income Summary	-$56,210	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART I, LINE 2B, COLUMN (V)	FormAndLineReferenceDesc
Explanation	AMOUNTS PAID FOR THE REIMBURSEMENT OF EXPENSES TO PROFESSIONAL FUNDRAISING COMPANIES IS $500. PAYMENT FOR PROFESSIONAL FUNDRAISING SERVICES IS DISTINGUISHED FROM EXPENSE PAYMENTS ON THE DETAIL OF THE INVOICES.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
THE TOLEDO HOSPITAL
2142 N COVE BLVD	TOLEDO	OH	43606	344428256	501(C)(3)	$52,050,157	$496	FMV	MINOR EQUIPMENT & SUPPLIES	OPERATING / CAPITAL SUPPORT
FLOWER HOSPITAL
5200 HARROUN RD	SYLVANIA	OH	43560	344428794	501(C)(3)	$1,771,460	$428	FMV	MINOR EQUIPMENT	OPERATING / CAPITAL SUPPORT
DEFIANCE HOSPITAL INC
1200 RALSTON AVE	DEFIANCE	OH	435122495	344446484	501(C)(3)	$147,101				OPERATING / CAPITAL SUPPORT
FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN	FOSTORIA	OH	448300907	340898745	501(C)(3)	$580,291				OPERATING / CAPITAL SUPPORT
MEMORIAL HOSPITAL
715 S TAFT AVE	FREMONT	OH	43420	344430849	501(C)(3)	$1,378,484	$10,344	FMV	DONOR WALL CONSTRUCTION	OPERATING / CAPITAL SUPPORT
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DR	OREGON	OH	43616	341883132	501(C)(3)	$139,683				OPERATING / CAPITAL SUPPORT
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVE	ADRIAN	MI	49221	382796005	501(C)(3)	$338,294				OPERATING / CAPITAL SUPPORT
HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383049015	501(C)(3)	$323,154				OPERATING / CAPITAL SUPPORT
PROMEDICA CONTINUING CARE SERVICES CORPORATION
5855 MONROE ST	SYLVANIA	OH	43560	344492440	501(C)(3)	$74,609				OPERATING / CAPITAL SUPPORT
VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE ST	SYLVANIA	OH	43560	341831624	501(C)(3)	$31,535				OPERATING / CAPITAL SUPPORT
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS RD	TOLEDO	OH	43607	341517671	501(C)(3)	$1,351,290	$2,273	FMV	MINOR EQUIPMENT & SUPPLIES	OPERATING / CAPITAL SUPPORT
KAITLYN'S COTTAGE INC
1260 RALSTON AVE	DEFIANCE	OH	435122495	454781053	501(C)(3)	$101,256				OPERATING / CAPITAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	64	RecipientCnt
Cash Grant	$67,500	CashGrantAmt

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 POLICIES EXIST TO ENSURE THAT THE APPROVAL AND DISTRIBUTION OF FOUNDATION FUNDS ARE CONSISTENT WITH THE APPROVED SUPPORTED ORGANIZATION STRATEGIC PLAN AND DOCUMENTED DONOR INTENT. ALL REQUESTS FOR FUNDS MUST BE SUBMITTED ON THE "FUND UTILIZATION REQUEST" FORM AND INCLUDE WRITTEN SUPPORTING DOCUMENTATION AND APPROPRIATE APPROVALS DEPENDING ON THE DOLLAR AMOUNT OF THE REQUEST. ON A MONTHLY BASIS A REPORT LISTING ALL FUND DISTRIBUTIONS IS DISTRIBUTED TO THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF PHILANTHROPIC OFFICER.	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 (8 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
ALAN M SATTLER
TREASURER/TRUSTEE (THRU 2/16)	$0	$453,183	$0	$182,107	$0	$5,772	$0	$53,128	$0	$23,550	$0	$717,740	$0	$0
GARY M CATES
EX OFFICIO	$0	$261,598	$0	$96,415	$0	$44,665	$0	$57,948	$0	$20,807	$0	$481,433	$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
RANDALL OOSTRA
EX OFFICIO	$0	$941,604	$0	$754,235	$0	$69,424	$0	$105,287	$0	$15,096	$0	$1,885,646	$0	$147,680
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
MARTIN DANSACK
VP ACCTG. & TAXATION, PHS	$0	$153,777	$0	$37,098	$0	$49,306	$0	$267,368	$0	$19,976	$0	$527,525	$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

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 PROMEDICA FOUNDATION, 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 MARTIN DANSACK $9,800
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 IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	9	ContributionCnt
Noncash Contributions Rpt F990	$108,059	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SALES PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EQUIPMENT	5	$11,268	COST OR SALES PRICE
Yes (X)	SUPPLIES	3	$3,040	COST OR SALES PRICE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN (B):	THE NUMBERS IN COLUMN (B) REFER TO THE NUMBER OF CONTRIBUTIONS.
PART I, LINE 32B:	PROMEDICA FOUNDATION USES REAL ESTATE BROKERS TO SELL DONATED REAL ESTATE PROPERTIES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 7C:	PROMEDICA FOUNDATION DISPOSED OF CLOSELY HELD STOCK DURING TAX YEAR 2016 FOR WHICH FORM 8282 WAS REQUIRED TO BE FILED. PROMEDICA FOUNDATION IS IN THE PROCESS OF OBTAINING INFORMATION NECESSARY TO FILE A COMPLETE AND ACCURATE FORM 8282.
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 PROMEDICA FOUNDATION. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF PROMEDICA FOUNDATION, 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	PROMEDICA FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'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 XI, LINE 9:	REVERSAL OF PRIOR YEAR CONTRIBUTION -3,669,267.

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
THE TOLEDO HOSPITAL
2142 N COVE BLVD	TOLEDO	OH	43606	344428256	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREET	TOLEDO	OH	43624	344427949	SKILLED HOME CARE	OH	501(C)(3)	10	PROMEDICA 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	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	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	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BAY PARK COMMUNITY HOSPITAL
B	$139,683	FMV
DEFIANCE HOSPITAL INC
B	$147,101	FMV
EMMA L BIXBY MEDICAL CENTER
B	$338,294	FMV
FLOWER HOSPITAL
B	$1,771,888	FMV
FOSTORIA HOSPITAL ASSOCIATION
B	$580,291	FMV
HERRICK MEMORIAL HOSPITAL INC
B	$323,154	FMV
KAITLYN'S COTTAGE INC
B	$101,256	FMV
MEMORIAL HOSPITAL
B	$1,388,828	FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
B	$74,609	FMV
PROMEDICA HEALTH SYSTEM INC
B	$1,353,563	FMV
THE TOLEDO HOSPITAL
B	$52,050,653	FMV
BAY PARK COMMUNITY HOSPITAL
C	$501,150	FMV
DEFIANCE HOSPITAL INC
C	$227,938	FMV
EMMA L BIXBY MEDICAL CENTER
C	$252,047	FMV
FLOWER HOSPITAL
C	$358,273	FMV
FOSTORIA HOSPITAL ASSOCIATION
C	$134,293	FMV
HERRICK MEMORIAL HOSPITAL INC
C	$275,797	FMV
MEMORIAL HOSPITAL
C	$233,160	FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
C	$231,736	FMV
PROMEDICA HEALTH SYSTEM INC
C	$200,746	FMV
THE TOLEDO HOSPITAL
C	$3,146,502	FMV
PROMEDICA HEALTH SYSTEM INC
P	$4,636,650	FMV