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PROMEDICA PHYSICIAN GROUP INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PROMEDICA PHYSICIAN GROUP INC (EIN 34-1899439)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-09
IRS object ID
201743139349303269
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-09T15:42:57-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341899439EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA PHYSICIAN GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROMBusinessNameControlTxt
Phone5675859601PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL P BROWNINGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5675859601PhoneNum
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAMANTHA BOKORIPreparerPersonNm
PTINP01057347PTIN
Phone3174648600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.219.0.212IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-09IPDt
IP Tm15:30:51IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id05204530D1F96A830F379A33AC2618E2E1FB8A58AtSubmissionCreationDeviceId
At Submission Filing Device Id49244D1103501C1FC62C4DE15972AF245F6ACEFCAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMICHAEL P BROWNINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVEAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$408,656,598GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionPROMEDICA PHYSICIAN GROUP IS PART OF THE PHYSICIAN SERVICES COMPONENT OF PROMEDICA HEALTH SYSTEM, INC.'S INTEGRATED DELIVERY SYSTEM AND PROVIDES SERVICES TO IMPROVE THE HEALTH CARE OF THE COMMUNITY IN AN EFFICIENT AND COST-EFFECTIVE MANNER.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee2343TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$20,251,275TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$2,167,567NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$48,578,625PYContributionsGrantsAmt
CY Contributions Grants$71,000,270CYContributionsGrantsAmt
PY Program Service Revenue$373,863,910PYProgramServiceRevenueAmt
CY Program Service Revenue$337,566,253CYProgramServiceRevenueAmt
PY Investment Income-$19,453PYInvestmentIncomeAmt
CY Investment Income-$63,620CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$422,423,082PYTotalRevenueAmt
CY Total Revenue$408,502,903CYTotalRevenueAmt
PY Grants And Similar Paid$220PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,214,462CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$244,018,802PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$264,127,696CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$143,797,352PYOtherExpensesAmt
CY Other Expenses$164,277,307CYOtherExpensesAmt
PY Total Expenses$387,816,374PYTotalExpensesAmt
CY Total Expenses$436,619,465CYTotalExpensesAmt
PY Revenues Less Expenses$34,606,708PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$28,116,562CYRevenuesLessExpensesAmt
Total Assets BOY$176,211,230TotalAssetsBOYAmt
Total Assets EOY$78,620,948TotalAssetsEOYAmt
Total Liabilities BOY$68,808,811TotalLiabilitiesBOYAmt
Total Liabilities EOY$75,763,069TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$107,402,419NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,857,879NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE WILL BE THE PREMIER COMMUNITY-BASED MANAGEMENT SERVICES ORGANIZATION AND PROVIDER OF RELATED HEALTHCARE SERVICES FOR NORTHWEST OHIO/SOUTHEAST MICHIGAN, OFFERING QUALITY, COST-EFFECTIVE, EFFICIENT, AND VALUE-ADDED SERVICES TO ACHIEVE SUPERIOR PATIENT SATISFACTION AND A FINANCIALLY VIABLE NETWORK OF PHYSICIANS SUPPORTING THE MEDICAL NEEDS OF THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$245,187,594ExpenseAmt
Grant$8,214,462GrantAmt
Revenue$270,738,941RevenueAmt
DescPROMEDICA PHYSICIAN GROUP IS A PHYSICIAN SERVICES ORGANIZATION THAT PROVIDES SERVICE-ORIENTED, COST-EFFECTIVE HEALTH CARE SERVICES TO THE GENERAL PUBLIC AT A LOCAL LEVEL BY PEOPLE WHO WORK AND LIVE IN THE COMMUNITY THEY SERVE. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$67,014,078ExpenseAmt
Revenue$46,512,337RevenueAmt
DescPROMEDICA PHYSICIAN GROUP PROVIDES PHARMACY, DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO ENHANCE THE RECOVERY PROCESS AND ENABLE PATIENTS' TREATMENT AT HOME. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$29,327,281ExpenseAmt
DescCONSISTENT WITH OUR MISSION, PROMEDICA PHYSICIAN GROUP PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$341,528,953TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit TransYes (1)EngagedInExcessBenefitTransInd
PY Excess Benefit TransYes (1)PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2343EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICH POTTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5675850506PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALLAN M RUBIN MD PHD
TRUSTEE40.006.00Yes (X)$370,145$375$30,456
BRIAN MILLER MD
TRUSTEE1.0046.00Yes (X)$218,220$126,943$30,465
DEBRA GEIS SCHAEFER ESQ SPHR
TRUSTEE1.006.00Yes (X)$0$0$0
EDWARD J BARDI PHD
TRUSTEE1.006.00Yes (X)$0$0$0
EMORY M SCHMIDT
CHAIRPERSON1.009.00Yes (X)$0$0$0Yes (X)
GREGORY B DENNY
TRUSTEE1.006.00Yes (X)$0$323$0
JAMES H BRENNAN JR
TRUSTEE1.006.00Yes (X)$0$0$0
JENNIFER L FANKHAUSER-ZALECKI
TRUSTEE1.006.00Yes (X)$0$0$0
JILL K KEGLER
TRUSTEE1.006.00Yes (X)$0$0$0
JOSEPH A ASSENMACHER MD
TRUSTEE40.006.00Yes (X)$668,425$0$55,653
JOSEPH D NAPOLI
TRUSTEE1.006.00Yes (X)$0$0$0
KEVIN T RAHE
TRUSTEE1.006.00Yes (X)$0$0$0
LEE W HAMMERLING MD
PRESIDENT, EX OFFICIO1.0049.00Yes (X)$0$957,101$214,466Yes (X)
LYNN L FRUTH
TRUSTEE1.006.00Yes (X)$0$323$0
MARGARET L LENT MSN
TRUSTEE40.006.00Yes (X)$102,518$0$19,918
MARK S BARNES
TRUSTEE1.006.00Yes (X)$0$0$0
MICHAEL P MCALEAR
TRUSTEE1.006.00Yes (X)$0$0$0
RANDALL OOSTRA
EX OFFICIO1.0055.50Yes (X)$0$1,765,263$120,383
ROBERT J NAVARRE MD FACS
TRUSTEE40.006.00Yes (X)$282,666$0$14,183
RONALD J WAINZ MD
TRUSTEE40.006.00Yes (X)$701,489$125$32,718
STEPHEN H STAELIN
EX OFFICIO1.009.00Yes (X)$0$0$0
SUSAN P BERNARD
TRUSTEE1.006.00Yes (X)$0$0$0
ALAN M SATTLER
TREASURER (THRU 2/16)0.5051.00$0$641,062$76,678Yes (X)
GARY AKENBERGER
INTERIM TREASURER (3/16 TO 7/16)0.5050.00$0$461,216$92,553Yes (X)
JEFFREY C KUHN
SECRETARY0.5051.00$0$674,920$143,195Yes (X)
MICHAEL P BROWNING
TREASURER0.5050.50$0$296,524$4,420Yes (X)
ANGELA BRANDT
COO, PPG40.000.50$0$254,707$56,327Yes (X)
ANNEMARIE HAINEN
VP OPERATIONS, PPG40.000.50$0$198,222$111,210Yes (X)
CYNTHIA EDWARDS-TUTTLE
VP OPERATIONS, PPG40.000.50$0$213,939$33,620Yes (X)
DANIEL K CASSAVAR MD
PRESIDENT AND CMO, PPG40.003.50$0$839,418$58,070Yes (X)
DEE A BIALECKI-HAASE MD
VP MEDICAL OPERATIONS, PPG40.001.50$0$337,189$21,113Yes (X)
GREGORY STANG
VP OPERATIONS, PPG40.000.50$0$193,027$37,395Yes (X)
KHURRAM KAMRAN
VP MEDICAL OPERATIONS, PPG40.001.50$65,210$458,344$168,452Yes (X)
KIM MCCLURE
VP FINANCE, PPCS40.003.00$0$251,136$132,420Yes (X)
LORI A JOHNSTON
PRESIDENT AND CAO, PPG0.5040.50$0$493,437$135,922Yes (X)
MATTHEW BODENSTEDT
VP, PPCS & GENERAL MGR., TPC0.5040.00$0$215,442$34,832Yes (X)
MIKE ARISS
VP OPERATIONS, PPG40.000.50$0$197,578$21,267Yes (X)
PATRICIA MODROWSKI
VP OPERATIONS, PPG40.000.50$0$203,746$40,683Yes (X)
ALBERT TSANG
PHYSICIAN40.000.00$1,139,196$0$25,979Yes (X)
ASHRAF BANOUB
PHYSICIAN40.000.00$1,073,463$0$35,478Yes (X)
MICHAEL G MORONT
PHYSICIAN40.000.00$1,142,342$72,500$2,892Yes (X)
PATRICK MCCORMICK
PHYSICIAN40.000.00$1,042,137$125$24,147Yes (X)
PETER WILSON
PHYSICIAN40.000.00$1,022,500$0$30,651Yes (X)
DAWN M BUSKEY
FORMER KEY EMPLOYEE0.0041.50$0$356,641$72,530Yes (X)
KATHLEEN S HANLEY
FORMER OFFICER0.000.00$0$1,255,999$38,403Yes (X)
WILLIAM MUELLER
FORMER KEY EMPLOYEE0.0040.00$0$391,151$248,480Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,828,311TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,856,776TotReportableCompRltdOrgAmt
Total Other Compensation$2,164,959TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K543IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$71,000,270RelatedOrganizationsAmt
Total Contributions$71,000,270TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES621111$253,287,788$233,036,513$20,251,275
PHYS. SPEC. COVERAGE621111$78,369,135$78,369,135
PHYSICIAN SERVICES REV621111$5,909,330$5,909,330
FieldValueIRS element (for citing)
Total Program Service Revenue$337,566,253TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$80TotalRevenueColumnAmt
Exclusion$80ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$89,995OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$153,695OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$63,700OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$63,700TotalRevenueColumnAmt
Related Or Exempt Func Income-$63,700RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$408,502,903TotalRevenueColumnAmt
Related Or Exempt Func Income$317,251,278RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$20,251,275UnrelatedBusinessRevenueAmt
Exclusion$80ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,214,462TotalAmt
Program Services$8,214,462ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,569,025TotalAmt
Program Services$2,569,025ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$231,451,970TotalAmt
Program Services$185,953,507ProgramServicesAmt
Management And General$45,498,463ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,947,851TotalAmt
Program Services$3,994,937ProgramServicesAmt
Management And General$952,914ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,656,806TotalAmt
Program Services$11,190,892ProgramServicesAmt
Management And General$2,465,914ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,502,044TotalAmt
Program Services$9,302,845ProgramServicesAmt
Management And General$2,199,199ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,219,301TotalAmt
Program Services$25,213,729ProgramServicesAmt
Management And General$5,572ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$619,268TotalAmt
Program Services$496,698ProgramServicesAmt
Management And General$122,570ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,979,799TotalAmt
Program Services$1,672,637ProgramServicesAmt
Management And General$307,162ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$407,101TotalAmt
Program Services$351,175ProgramServicesAmt
Management And General$55,926ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,353,984TotalAmt
Program Services$2,896,581ProgramServicesAmt
Management And General$457,403ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$980,947TotalAmt
Program Services$783,351ProgramServicesAmt
Management And General$197,596ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,558,781TotalAmt
Program Services$2,558,781ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,515,360TotalAmt
Program Services$6,189,483ProgramServicesAmt
Management And General$325,877ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS$55,829,716$55,829,716
INTERCOMPANY SERVICES$51,471,449$9,746,409$41,725,040
MEDICAL SUPPLIES$11,287,537$11,287,533$4
DUES & SUBSCRIPTIONS$902,074$720,480$181,594

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,151,990TotalAmt
Program Services$2,556,712ProgramServicesAmt
Management And General$595,278ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$436,619,465TotalAmt
Program Services$341,528,953ProgramServicesAmt
Management And General$95,090,512ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,961,822BOYAmt
EOY$14,812,798EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,223,119BOYAmt
EOY$21,466,854EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$184,842BOYAmt
EOY$13,717EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,199,389BOYAmt
EOY$8,390,082EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,750,351BOYAmt
EOY$1,307,042EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,403,711LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,408,307LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,191,969BOYAmt
EOY$11,995,404EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,692,761BOYAmt
EOY$814,533EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$113,006,977BOYAmt
EOY$19,820,518EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$176,211,230BOYAmt
EOY$78,620,948EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,920,153BOYAmt
EOY$43,866,682EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,888,658BOYAmt
EOY$31,896,387EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,808,811BOYAmt
EOY$75,763,069EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$107,402,419BOYAmt
EOY$2,849,347EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$8,532EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,402,419BOYAmt
EOY$2,857,879EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$176,211,230BOYAmt
EOY$78,620,948EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$28,116,562ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$76,427,978OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,661,607CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,500,220CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,826,397CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,578,625CurrentTaxYearMinus1YearAmt
Current Tax Year$71,000,270CurrentTaxYearAmt
Total$238,567,119TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,246,245CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$269,080,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$312,268,058CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$354,137,748CurrentTaxYearMinus1YearAmt
Current Tax Year$317,314,978CurrentTaxYearAmt
Total$1,477,047,756TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$257,907,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$299,580,947CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$367,094,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$402,716,373CurrentTaxYearMinus1YearAmt
Current Tax Year$388,315,248CurrentTaxYearAmt
Total$1,715,614,875TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$49,799,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,315,584CurrentTaxYearMinus1YearAmt
Total$80,114,753TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$49,799,169CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,315,584CurrentTaxYearMinus1YearAmt
Total$80,114,753TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,635,500,122PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,786CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,438CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$1,026CurrentTaxYearMinus1YearAmt
Current Tax Year$80CurrentTaxYearAmt
Total$25,502TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,786CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,438CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$1,026CurrentTaxYearMinus1YearAmt
Current Tax Year$80CurrentTaxYearAmt
Total$25,502TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$257,916,638CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$299,594,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$367,098,893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$402,715,347CurrentTaxYearMinus1YearAmt
Current Tax Year$388,315,328CurrentTaxYearAmt
Total$1,715,640,377TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95330PublicSupportCY509Pct
Public Support PY5090.94650PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$273,444InvestmentCostOrOtherBasisAmt
Book Value$273,444BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,961,988OtherCostOrOtherBasisAmt
Depreciation$2,496,598DepreciationAmt
Book Value$465,390BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,574,882OtherCostOrOtherBasisAmt
Depreciation$21,818,192DepreciationAmt
Book Value$6,756,690BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,593,397OtherCostOrOtherBasisAmt
Depreciation$93,517DepreciationAmt
Book Value$4,499,880BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,995,404TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$17,415,946
OTHER RECEIVABLES$2,359,755
CERTIFICATE OF DEPOSIT$44,817
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,820,518TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$27,095,347
MALPRACTICE TAIL LIABILITY$4,495,362
OTHER LONG TERM LIABILITY$305,678
FieldValueIRS element (for citing)
Total Liability$31,896,387TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationPROMEDICA PHYSICIAN GROUP 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 PHYSICIAN GROUP DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2016 AND 2015.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA PHYSICIANS AND CONTINUUM SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15855 MONROE STREETAddressLine1Txt
CitySYLVANIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP43560ZIPCd
FieldValueIRS element (for citing)
Recipient EIN341880767RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$8,214,462CashGrantAmt
Purpose Of GrantOPERATING GRANTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALLAN M RUBIN MD PHD
TRUSTEE$362,467$375$0$0$7,678$0$7,950$0$22,506$0$400,601$375$0$0
BRIAN MILLER MD
TRUSTEE$198,422$123,692$17,530$2,917$2,268$334$4,380$4,700$3,044$18,341$225,644$149,984$0$0
JOSEPH A ASSENMACHER MD
TRUSTEE$627,315$0$0$0$41,110$0$28,935$0$26,718$0$724,078$0$0$0
LEE W HAMMERLING MD
PRESIDENT, EX OFFICIO$0$659,409$0$266,640$0$31,052$0$196,820$0$17,646$0$1,171,567$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
ROBERT J NAVARRE MD FACS
TRUSTEE$253,822$0$0$0$28,844$0$7,950$0$6,233$0$296,849$0$0$0
RONALD J WAINZ MD
TRUSTEE$686,124$125$11,875$0$3,490$0$7,950$0$24,768$0$734,207$125$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
ANGELA BRANDT
COO, PPG$0$198,738$0$53,819$0$2,150$0$38,211$0$18,116$0$311,034$0$0
ANNEMARIE HAINEN
VP OPERATIONS, PPG$0$156,760$0$37,019$0$4,443$0$102,949$0$8,261$0$309,432$0$0
CYNTHIA EDWARDS-TUTTLE
VP OPERATIONS, PPG$0$169,072$0$42,606$0$2,261$0$14,283$0$19,337$0$247,559$0$0
DANIEL K CASSAVAR MD
PRESIDENT AND CMO, PPG$0$512,419$0$305,393$0$21,606$0$37,537$0$20,533$0$897,488$0$0
DEE A BIALECKI-HAASE MD
VP MEDICAL OPERATIONS, PPG$0$273,042$0$61,466$0$2,681$0$16,591$0$4,522$0$358,302$0$0
GREGORY STANG
VP OPERATIONS, PPG$0$153,938$0$34,322$0$4,767$0$23,628$0$13,767$0$230,422$0$0
KHURRAM KAMRAN
VP MEDICAL OPERATIONS, PPG$65,210$133,264$0$71,953$0$253,127$0$158,485$0$9,967$65,210$626,796$0$33,300
KIM MCCLURE
VP FINANCE, PPCS$0$110,868$0$42,125$0$98,143$0$128,051$0$4,369$0$383,556$0$0
LORI A JOHNSTON
PRESIDENT AND CAO, PPG$0$360,388$0$103,166$0$29,883$0$113,252$0$22,670$0$629,359$0$0
MATTHEW BODENSTEDT
VP, PPCS & GENERAL MGR., TPC$0$167,894$0$40,034$0$7,514$0$13,450$0$21,382$0$250,274$0$0
MIKE ARISS
VP OPERATIONS, PPG$0$161,389$0$35,270$0$919$0$9,562$0$11,705$0$218,845$0$0
PATRICIA MODROWSKI
VP OPERATIONS, PPG$0$156,197$0$40,180$0$7,369$0$18,623$0$22,060$0$244,429$0$0
ALBERT TSANG
PHYSICIAN$773,505$0$364,331$0$1,360$0$7,950$0$18,029$0$1,165,175$0$0$0
ASHRAF BANOUB
PHYSICIAN$1,062,721$0$9,500$0$1,242$0$7,950$0$27,528$0$1,108,941$0$0$0
MICHAEL G MORONT
PHYSICIAN$1,119,700$72,500$19,500$0$3,142$0$0$0$2,892$0$1,145,234$72,500$0$0
PATRICK MCCORMICK
PHYSICIAN$1,038,995$125$0$0$3,142$0$7,950$0$16,197$0$1,066,284$125$0$0
PETER WILSON
PHYSICIAN$993,132$0$9,500$0$19,868$0$7,950$0$22,701$0$1,053,151$0$0$0
DAWN M BUSKEY
FORMER KEY EMPLOYEE$0$255,583$0$65,795$0$35,263$0$60,295$0$12,235$0$429,171$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
WILLIAM MUELLER
FORMER KEY EMPLOYEE$0$152,833$0$102,401$0$135,917$0$236,255$0$12,225$0$639,631$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF PROMEDICA PHYSICIAN GROUP, 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 KIM MCCLURE $69,817 WILLIAM MUELLER $97,960
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 WILLIAM MUELLER $2,514 IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.
PART I, LINE 7:AN EMPLOYED TRUSTEE RECEIVED A DISCRETIONARY BONUS BASED ON EXCEPTIONAL PERFORMANCE.

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp

FieldValueIRS element (for citing)
PersonSEE PART VPersonNm
Rln Disqualified Person OrgSEE PART VRlnDisqualifiedPersonOrgTxt
TransactionSEE PART VTransactionDesc
Transaction CorrectedYes (1)TransactionCorrectedInd
FieldValueIRS element (for citing)
Tax Imposed$20,313TaxImposedAmt
Tax Reimbursed$0TaxReimbursedAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SEE PART V
SEE PART V$511,834SEE PART V0
SEE PART V
SEE PART V$74,485SEE PART V0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART I, EXCESS BENEFIT TRANSACTIONS:(A) NAME OF DISQUALIFIED PERSON: DONALD G. CRESCENZO, MD(B) RELATIONSHIP BETWEEN DISQUALIFIED PERSON AND THE ORGANIZATION: DONALD G. CRESCENZO, MD IS AN EMPLOYED PHYSICIAN.(C) DESCRIPTION OF TRANSACTION: OVERPAYMENT OF SALARY(D) CORRECTED? = YESSCHEDULE L, PART I, LINE 1:FROM JANUARY 2015 - JANUARY 2017, DONALD G. CRESCENZO, MD ("DR. CRESCENZO") WAS INADVERTENTLY OVERPAID A PORTION OF HIS SALARY. THE OVERPAYMENT WAS DUE TO AN ACCOUNTING ERROR THAT HAS BEEN REMEDIED. THE ERROR RELATED TO A DELAY IN UPDATING AN AUTOMATED FORMULA IN THE ACCOUNTING SYSTEM FOR CALCULATING COMPENSATION. THIS OVERPAYMENT, WHICH WAS DISCOVERED BY PROMEDICA PHYSICIAN GROUP ("PPG") IN AN ANNUAL REVIEW OF ACCOUNTS, WAS IMMEDIATELY DISCONTINUED. THE AUTOMATED FORMULA ALSO HAS BEEN CORRECTED TO AVOID ANY SIMILAR OVERPAYMENT IN THE FUTURE. PPG THEN NOTIFIED DR. CRESCENZO OF THE RESULTING OVERPAYMENT. SUBSEQUENTLY, AFTER UNDERTAKING AN ANALYSIS OF THE FACTS, PPG DETERMINED THAT DR. CRESCENZO LIKELY WAS A DISQUALIFIED PERSON UNDER SECTION 4958 AND TOLD HIM OF THIS DETERMINATION. DR. CRESCENZO HAS FULLY REPAID THE RESULTING OVERPAYMENT TO PPG, WITH INTEREST AT THE APPLICABLE FEDERAL RATE. ADDITIONALLY, PPG HAS ENGAGED A THIRD-PARTY CONSULTANT TO ASSIST PPG IN PROCESS IMPROVEMENT INITIATIVES RELATED TO ITS PAYROLL SYSTEM. THIS EFFORT WILL AID IN PREVENTING SIMILAR ERRORS FROM OCCURRING IN THE FUTURE.SCHEDULE L, PART I, LINE 2:THE TOTAL TAX INCURRED WITH RESPECT TO THIS TRANSACTION WAS $40,781.25, INCLUSIVE OF THE AMOUNT REPORTED ON PART I, LINE 2. THIS AMOUNT REPRESENTS THE TOTAL TAX INCURRED FOR TAX YEARS 2015 AND 2016 AS THE OVERPAYMENT WAS NOT PREVIOUSLY DISCOVERED, AND THEREFORE WAS NOT PREVIOUSLY REPORTED.
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: JAY HAMMERLING(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: JAY HAMMERLING IS A FAMILY MEMBER OF LEE W. HAMMERLING, MD (PRESIDENT, EX OFFICIO).(C) AMOUNT OF TRANSACTION: $511,834(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: CHRISTINA HAMMERLING(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: CHRISTINA HAMMERLING IS A FAMILY MEMBER OF LEE W. HAMMERLING, MD (PRESIDENT, EX OFFICIO).(C) AMOUNT OF TRANSACTION: $74,485(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4EFFECTIVE DECEMBER 31, 2016, PROMEDICA PHYSICIAN GROUP AMENDED ITS ARTICLES OF INCORPORATION. THE SIGNIFICANT CHANGES ARE AS FOLLOWS: - THE ORGANIZATION'S STRUCTURE WAS CHANGED FROM A PROFESSIONAL ASSOCIATION TO AN OHIO NONPROFIT ASSOCIATION; AND - PROMEDICA HEALTH SYSTEM, INC. BECAME THE SOLE MEMBER OF PROMEDICA PHYSICIAN GROUP.
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF PROMEDICA PHYSICIAN GROUP (PPG). PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF PPG, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BWHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11BUNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CPROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER 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 15PROMEDICA PHYSICIAN GROUP'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA PHYSICIAN GROUP'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART XI, LINE 9:DIVESTITURE OF WELLCARE PHYSICIANS, LLC NET ASSETS 8,288,466. TRANSFER OF NET ASSETS FROM PROMEDICA PHYSICIANS AND CONTINUUM SERVICES -82,956,444. TRANSFER OF NET ASSETS TO MERCY MEMORIAL HOSPITAL CORPORATION -1,760,000.
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 RURALCOMMUNITIES, 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 COMMUNITYBENEFIT 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.
PROMEDICA PHYSICIAN GROUP - PROGRAM SERVICE ACCOMPLISHMENTSSERVING INDIVIDUALS AND FAMILIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, PROMEDICA PHYSICIAN GROUP (PPG) OFFERS A LARGE SELECTION OF PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO PROVIDE MEDICAL CARE AND OTHER HEALTHCARE SERVICES VIA AN INTEGRATED APPROACH THROUGH WHICH THEY COLLABORATE WITH OTHER PROVIDERS. THIS INTEGRATED DELIVERY IS MORE COST-EFFECTIVE THAN TRADITIONAL DELIVERY SYSTEMS AND HELPS TO ENSURE PATIENTS HAVE BETTER ACCESS TO CARE IN THE MOST APPROPRIATE SETTING. PPG IS PART 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. PPG'S WELL-EQUIPPED FACILITIES ARE LOCATED IN APPROXIMATELY 200 OFFICES, AND ITS NETWORK IS COMPRISED OF APPROXIMATELY 900 HEALTHCARE PROVIDERS CERTIFIED IN AREAS INCLUDING ANESTHESIOLOGY, BARIATRICS, CARDIOLOGY, CRITICAL CARE, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HEMATOLOGY-ONCOLOGY, HOSPITALISTS, INTERNAL MEDICINE, NEUROLOGY AND NEUROSURGERY, OBSTETRICS/GYNECOLOGY, OCCUPATIONAL MEDICINE, OPHTHALMOLOGY, ORTHOPAEDIC SURGERY, PEDIATRIC CARDIOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRICS, PSYCHIATRY, SPORTS CARE, SURGICAL ONCOLOGY, UROLOGY, AND VASCULAR MEDICINE. DURING 2016, APPROXIMATELY 135 NEW PROVIDERS WERE ADDED, PROVIDING CARE TO MEET IDENTIFIED COMMUNITY NEEDS, INCLUDING OFFERING SPECIALTY CARE IN RURAL COMMUNITIES. PPG TREATED MORE THAN 1.6 MILLION PATIENT ENCOUNTERS IN 2016. IN 2016, PPG CONTRIBUTED $30,183,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICE SERVICES, SUBSIDIZED HEALTH SERVICES AND OTHER COMMUNITY BENEFIT OPERATIONS, PPG CONTRIBUTED $856,000 TO THE COMMUNITY. PPG ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2016, OF WHICH $765,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. ITS COST OF BAD DEBT FOR 2016 TOTALED $6,691,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $30,183,000 NOTED ABOVE. FURTHER, PPG PROVIDED $28,563,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. ALSO IN 2016, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $45,956,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $30,183,000 NOTED ABOVE. DURING 2016, PPG EXPENDED $185,408,000 IN NET PAYROLL, PROVIDING 2,239 JOBS. A TOTAL OF $15,515,000 WAS WITHHELD FROM EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, PPG 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, PROMEDICA PROVIDES THESE HEALTHCARE SERVICES; RECRUITS AND TRAINS HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDES APPROPRIATE FINANCIAL ASSISTANCE; OFFERS SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENTS FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONSPROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (PROMEDICA) PREPARES ITS COMMUNITY BENEFIT REPORTS CONSISTENT WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY PROMEDICA RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, PROMEDICA PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE FEDERAL POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH GOVERNMENT MEANS-TESTED PROGRAMS SUCH AS MEDICAID. PROMEDICA INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN PROMEDICA'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES GENERALLY DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY PROMEDICA. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR ALL EDUCATIONAL PROGRAMS PROMEDICA IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR PROMEDICA IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS OF FOOD, EQUIPMENT AND SUPPLIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (24 entries)

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COBRA VENTURES LLC
5901 MONCLOVA RDMAUMEEOH43537204671613LAND LEASINGOH$642,604$736,960ST LUKE'S HOSPITAL FOUNDATION
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
100 MADISON AVETOLEDOOH43604611448753EMPLOYS PHYSICIANSOH$0$535,504PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
100 MADISON AVETOLEDOOH43604341881137EMPLOYS PHYSICIANSOH$301,674,026$170,974,642PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
100 MADISON AVETOLEDOOH43604263888045EMPLOYS PHYSICIANSOH$17,511,703-$83,313,139PROMEDICA PHYSICIAN GROUP
WELLCARE PHYSICIANS LLC
5901 MONCLOVA RDMAUMEEOH43537611528443EMPLOYS PHYSICIANSOH-$2,244,991$8,156,765PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
100 MADISON AVETOLEDOOH43604271325141MEDICAL EQUIPMENT & PHARMACYOH$66,763,882$19,351,361PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LNADRIANMI49221383164818FACILITY LEASINGMI$122,499$1,417,049EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
100 MADISON AVETOLEDOOH43604272920342EMPLOYS PHYSICIANSMI$1,277,701-$5,105,886PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LLC
100 MADISON AVETOLEDOOH43604205752995PROVIDES HOSPICE CAREOH$5,923,484$12,156,148PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
100 MADISON AVETOLEDOOH43604453230331PRACTICE MANAGEMENTOH$0-$3,066,916PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
100 MADISON AVETOLEDOOH43604EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
MISSION POINTE GOLF COURSE LLC
2142 NORTH COVETOLEDOOH43606GOLF COURSEOH$0$392,583PROMEDICA FOUNDATION
PROMEDICA INNOVATIONS LLC
100 MADISON AVETOLEDOOH43604INVESTMENT COMPANYOH$0$0PROMEDICA HEALTH SYSTEM INC
PROMEDICA GENITO-URINARY SURGEONS LLC
100 MADISON AVETOLEDOOH43604461120436EMPLOYS PHYSICIANSOH$6,790,554-$22,865,233PROMEDICA PHYSICIAN GROUP
PROMEDICA MONROE PHYSICIANS PLLC
100 MADISON AVETOLEDOOH43604461111822EMPLOYS PHYSICIANSMI-$529-$423,769PROMEDICA PHYSICIAN GROUP
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVETOLEDOOH43604454976786EMPLOYS PHYSICIANSOH$0$159,482PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS LLC
100 MADISON AVETOLEDOOH43604EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS PLLC
100 MADISON AVETOLEDOOH43604EMPLOYS PHYSICIANSMI$0$0PROMEDICA PHYSICIAN GROUP
MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVEFREMONTOH43420205763680EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVEFREMONTOH43420273763993EMPLOYS PHYSICIANSOH$8,167,211-$4,298,164PROMEDICA PHYSICIAN GROUP
PHS VENTURES LLC
100 MADISON AVETOLEDOOH43604341880473HEALTH CARE MANAGEMENT SERVICESDE$0$0PROMEDICA HEALTH SYSTEM INC
300 MADISON BUILDING LLC
100 MADISON AVETOLEDOOH43604822062486REAL ESTATEOH$939,747$15,910,656PROMEDICA HEALTH SYSTEM INC
FORT INDUSTRY SQUARE LLC
100 MADISON AVETOLEDOOH43604REAL ESTATEOH$96,489$3,014,067PROMEDICA HEALTH SYSTEM INC
MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVETOLEDOOH43604REAL ESTATEOH$0$3,915,257PROMEDICA HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DROREGONOH43616341883132HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
CARE ENTERPRISES INC
5901 MONCLOVA RDMAUMEEOH43537341366709FACILITY LEASINGOH501(C)(3)12B, IIYes (1)N/A
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)12D, III-ODEFIANCE HOSPITAL INCYes (1)
DEFIANCE HOSPITAL INC
1200 RALSTONDEFIANCEOH43512344446484HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVEADRIANMI49221382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI49221382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIEMMA L BIXBY MEDICAL CENTERYes (1)
FLOWER HOSPITAL
5200 HARROUN RDSYLVANIAOH43560344428794HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN STREETFOSTORIAOH44830340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)12A, IFOSTORIA HOSPITAL ASSOCIATIONYes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIHERRICK MEMORIAL HOSPITAL INCYes (1)
HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE STTECUMSEHMI49286383049015HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
LENAWEE LONG TERM CARE
700 LAKESHIRE TRADRIANMI49221382879330LONG TERM CAREMI501(C)(3)10EMMA L BIXBY MEDICAL CENTERYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVETOLEDOOH43604344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)10PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVETOLEDOOH43606260324790COURIER SERVICEOH501(C)(3)12B, IIPROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671PARENT COMPANY OF HEALTH SYSTEMOH501(C)(3)12B, II0N/A
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
100 MADISON AVETOLEDOOH43604341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
ST LUKE'S HOSPITAL
5901 MONCLOVA RDMAUMEEOH43537344428232HOSPITALOH501(C)(3)3Yes (1)N/A
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RDMAUMEEOH43537341292849FOUNDATIONOH501(C)(3)12B, IIYes (1)N/A
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672FOUNDATIONOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
THE TOLEDO HOSPITAL
2142 N COVE BLVDTOLEDOOH43606344428256HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREETTOLEDOOH43624344427949SKILLED HOME CAREOH501(C)(3)10PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE STSYLVANIAOH43560341831624HOSPICE HOME CAREOH501(C)(3)10PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
KAITLYN'S COTTAGE INC
1260 RALSTON AVEDEFIANCEOH43512454781053RESPITE CAREOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
MEMORIAL HOSPITAL
715 SOUTH TAFT AVEFREMONTOH43420344430849HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MONROE CANCER CENTER
800 STEWART RDMONROEMI48162271302183CANCER CENTERMI501(C)(3)10MERCY MEMORIAL HOSPITAL CORPORATIONYes (1)
MONROE COMMUNITY HEALTH SERVICES
718 N MACOMBMONROEMI48162382934134LONG TERM CAREMI501(C)(3)10MERCY MEMORIAL HOSPITAL CORPORATIONYes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMBMONROEMI48162381984289HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIRMAUMEEOH43537203376102HEALTH INSURANCEOH501(C)(3)10PROMEDICA INSURANCE CORP INC AND SUBSIDIARIESYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP
818 RIVERSIDE AVEADRIANMI49221382972398FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERRELATED$590,528$205,3420Yes (1)0.64600
REYNOLDS ROAD SURGICAL CENTER LLC
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$593,234$2,488,278000.67200
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RDMAUMEEOH43537320160784FACILITY LEASINGOHN/A
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVETOLEDOOH43604260679898MEDICAL DIAGNOSTICSOHTHE TOLEDO HOSPITALRELATED$212,065$478,795000.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$294,994$3,087,6730Yes (1)0.50000
OHIO CARE AMBULATORY SURGICAL CENTER LLC
5959 MONCLOVA RDMAUMEEOH43537341863472AMBULATORY SURGICAL CENTEROHN/A
LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC
818 RIVERSIDE AVEADRIANMI49221383605511PHYSICIAN MANAGEMENT SERVICESMIEMMA L BIXBY MEDICAL CENTERRELATED-$56,130$234,1940Yes (1)0.50000
PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
100 MADISON AVETOLEDOOH43604461989695PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCRELATED$710,041$711,752000.50450
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVEFREMONTOH43420204066818REAL ESTATEOHMEMORIAL HOSPITALRELATED$9,186$304,990000.50000
SURGICAL INSTITUTE OF MONROE LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIPROMEDICA PHYSICIANS AND CONTINUUM SERVICESRELATED$326,937$3,626,251000.54000
PROMEDICA MASTER TENANT LLC
100 MADISON AVETOLEDOOH43604475288490REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED-$38$108,1280Yes (1)0.01000
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVETOLEDOOH43604473163945REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED-$10,580$27,579,0070Yes (1)0.90000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220TOLEDOOH43615475603627INVESTMENT FUNDOHPROMEDICA HEALTH SYSTEM INCUNRELATED-$4,100$295,900000.66660
APM PLUS LLC
1120 G ST NW STE 1000WASHINGTONDC20005813082229ALTERNATIVE PAYMENT MODEL DEVELOPMENTDEPROMEDICA HEALTH SYSTEM INCUNRELATED-$284,065$715,9350Yes (1)0.50000
KAPION LLC
2865 N REYNOLDS RD STE 220TOLEDOOH43615812624635SOFTWARE DEVELOPMENTOHPROMEDICA HEALTH SYSTEM INCUNRELATED-$1,641$247,6360Yes (1)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
CARE HOLDINGS
5901 MONCLOVA RDMAUMEEOH43537341796790HOLDING COMPANYOHN/ACYes (1)
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMICYes (1)EMMA L BIXBY MEDICAL CENTER$50,707$1,000,4201.00000
LHA PHYSICIAN SERVICES CORPORATION
818 RIVERSIDE AVEADRIANMI49221611451576PHYSICIAN BILLINGMICYes (1)EMMA L BIXBY MEDICAL CENTER1.00000
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RDMAUMEEOH43537061811760PHYSICIAN MANAGEMENT SERVICESOHN/ACYes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVETOLEDOOH43604383322278PHYSICIAN HEALTH CARE SERVICESOHCYes (1)PROMEDICA PHYSICIAN GROUP$1,197,691$4,584,0641.00000
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHCYes (1)PROMEDICA HEALTH SYSTEM INC$38,622,854$370,594,7691.00000
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVETOLEDOOH43604383482148PHYSICIAN HEALTH CARE SERVICESOHCYes (1)PROMEDICA PHYSICIAN GROUP$149,1341.00000
PROMEDICA RETAIL GROUP INC
3890 MONROE STTOLEDOOH43606341159928FLORISTOHCYes (1)PROMEDICA PHYSICIANS AND CONTINUUM SERVICES$937$760,7461.00000
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMICYes (1)HERRICK MEMORIAL DEVELOPMENT CORP$28$74,7770.71800
PROMEDICA HEALTH NETWORK INC
100 MADISON AVETOLEDOOH43604474006496PHYSICIAN MANAGEMENT SERVICESOHCYes (1)PROMEDICA HEALTH SYSTEM INC-$1,165,7061.00000
MONROE HEALTH VENTURES
718 N MACOMBMONROEMI48164382704426PHARMACYMICYes (1)MERCY MEMORIAL HOSPITAL CORPORATION1.00000
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVETOLEDOOH43604475168737REAL ESTATEOHCYes (1)PROMEDICA HEALTH SYSTEM INC-$13,118$9,998,9891.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (38 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
B$8,214,462FMV
DEFIANCE HOSPITAL INC
C$1,250,000FMV
FOSTORIA HOSPITAL ASSOCIATION
C$650,000FMV
BAY PARK COMMUNITY HOSPITAL
C$1,650,000FMV
THE TOLEDO HOSPITAL
C$50,725,000FMV
FLOWER HOSPITAL
C$16,725,000FMV
DEFIANCE HOSPITAL INC
G$98,555FMV
MERCY MEMORIAL HOSPITAL CORPORATION
H$266,411FMV
DEFIANCE HOSPITAL INC
K$625,326FMV
FOSTORIA HOSPITAL ASSOCIATION
K$202,803FMV
MEMORIAL HOSPITAL
K$132,845FMV
BAY PARK COMMUNITY HOSPITAL
K$521,494FMV
MERCY MEMORIAL HOSPITAL CORPORATION
K$100,108FMV
THE TOLEDO HOSPITAL
K$7,223,764FMV
FLOWER HOSPITAL
K$853,075FMV
CARE ENTERPRISES INC
K$334,764FMV
DEFIANCE HOSPITAL INC
O$129,896FMV
FOSTORIA HOSPITAL ASSOCIATION
O$102,330FMV
MEMORIAL HOSPITAL
O$178,610FMV
THE TOLEDO HOSPITAL
O$871,971FMV
FLOWER HOSPITAL
O$77,864FMV
ST LUKE'S HOSPITAL
O$295,963FMV
THE TOLEDO HOSPITAL
P$210,088FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
P$1,709,893FMV
PROMEDICA COURIER SERVICES INC
P$162,521FMV
PROMEDICA HEALTH SYSTEM INC
P$222,883FMV
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
P$44,268,618FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
P$1,119,519FMV
DEFIANCE HOSPITAL INC
Q$2,684,999FMV
FOSTORIA HOSPITAL ASSOCIATION
Q$427,558FMV
MEMORIAL HOSPITAL
Q$2,948,583FMV
BAY PARK COMMUNITY HOSPITAL
Q$2,437,863FMV
EMMA L BIXBY MEDICAL CENTER
Q$121,578FMV
THE TOLEDO HOSPITAL
Q$62,874,699FMV
FLOWER HOSPITAL
Q$7,803,137FMV
VISITING NURSE HOSPICE AND HEALTH CARE
Q$82,394FMV
MERCY MEMORIAL HOSPITAL CORPORATION
R$1,760,000FMV
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
S$82,956,444FMV