STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BAY PARK COMMUNITY HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BAY PARK COMMUNITY HOSPITAL (EIN 34-1883132)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-12
IRS object ID
201543169349305839
Schema version
2014v5.0
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)
Return2015-11-12T17:21:17-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341883132EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAY PARK COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAYPBusinessNameControlTxt
Phone4196907700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12801 BAY PARK DRIVEAddressLine1Txt
CityOREGONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43616ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHOLLY BRISTOLLPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4196907700PhoneNum
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAMANTHA BOKORIPreparerPersonNm
PTINP01057347PTIN
Phone3174648600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA BAY PARK HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerHOLLY BRISTOLLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12801 BAY PARK DRIVEAddressLine1Txt
CityOREGONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43616ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$100,283,648GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionBAY PARK COMMUNITY HOSPITAL IS DEDICATED TO PREMIER SERVICE, COMMITTED TO SUPERIOR QUALITY, AND DEVOTED TO OUR PATIENTS AND FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee612TotalEmployeeCnt
Total Volunteers116TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$42,258PYContributionsGrantsAmt
CY Contributions Grants$160,412CYContributionsGrantsAmt
PY Program Service Revenue$74,808,578PYProgramServiceRevenueAmt
CY Program Service Revenue$76,082,352CYProgramServiceRevenueAmt
PY Investment Income$1,409,990PYInvestmentIncomeAmt
CY Investment Income$2,081,417CYInvestmentIncomeAmt
PY Other Revenue$1,779,509PYOtherRevenueAmt
CY Other Revenue$1,869,579CYOtherRevenueAmt
PY Total Revenue$78,040,335PYTotalRevenueAmt
CY Total Revenue$80,193,760CYTotalRevenueAmt
PY Grants And Similar Paid$151,345PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,892,790CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$35,345,737PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$33,800,203CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,413,311PYOtherExpensesAmt
CY Other Expenses$38,563,890CYOtherExpensesAmt
PY Total Expenses$71,910,393PYTotalExpensesAmt
CY Total Expenses$76,256,883CYTotalExpensesAmt
PY Revenues Less Expenses$6,129,942PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,936,877CYRevenuesLessExpensesAmt
Total Assets BOY$132,533,628TotalAssetsBOYAmt
Total Assets EOY$134,897,769TotalAssetsEOYAmt
Total Liabilities BOY$67,375,219TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,094,531TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$65,158,409NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$68,803,238NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBAY PARK COMMUNITY HOSPITAL IS DEDICATED TO PREMIER SERVICE, COMMITTED TO SUPERIOR QUALITY, AND DEVOTED TO OUR PATIENTS AND FAMILIES. OUR VALUES INCLUDE: COLLABORATION - WORKING TOGETHER AS A TEAM, INTERNALLY WITH EMPLOYEES, PHYSICIANS, PATIENTS AND FAMILIES, AND EXTERNALLY WITH OTHER COMMUNITY AND HEALTH-RELATED ORGANIZATIONS; COMMUNITY-BASED - A LOCALLY OWNED COMMUNITY RESOURCE, GUIDED BY CONSTITUENT NEEDS; COMPASSION - CONCERN AND UNDERSTANDING FOR OTHERS WITH COMMITMENT TO HELP; EXCELLENCE - SUPERIOR PERFORMANCE AND OUTCOMES; INTEGRITY - HONESTY, SINCERITY AND ACCOUNTABILITY; STEWARDSHIP - SOUND MANAGEMENT OF RESOURCES FOR THE BENEFIT OF THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$56,462,494ExpenseAmt
Grant$3,892,790GrantAmt
Revenue$76,867,279RevenueAmt
DescBAY PARK COMMUNITY HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,070,777ExpenseAmt
DescCONSISTENT WITH OUR MISSION, BAY PARK COMMUNITY HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,747,383ExpenseAmt
Revenue$567,069RevenueAmt
DescCONSISTENT WITH OUR MISSION, BAY PARK COMMUNITY HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND SUBSIDIZED HEALTH SERVICES. - SEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$63,280,654TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
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 Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee612EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members21GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN HANSENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4198918505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 MONCLOVA ROADAddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 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
RAVI K ADUSUMILLI MD
TRUSTEE1.0040.00Yes (X)$0$639,806$31,551
TIM A AULT
TRUSTEE1.000.00Yes (X)$0$0$0
EDWARD J BARDI PHD
TRUSTEE1.000.00Yes (X)$0$0$0
JACQUELINE M BONEY
TRUSTEE1.000.00Yes (X)$0$0$0
MARK C ELLIOTT
TRUSTEE1.000.00Yes (X)$0$0$0
ERIC W HEINTSCHEL
TRUSTEE1.000.00Yes (X)$0$0$0
KEVIN J KWIATKOWSKI
EX OFFICIO1.000.00Yes (X)$0$0$0
AMY P LEVINE MD
TRUSTEE1.000.00Yes (X)$0$0$0
JOSEPH J LUZAR
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL P MCALEAR
TRUSTEE1.000.00Yes (X)$0$0$0
ALAN R MILLER
TRUSTEE1.000.00Yes (X)$0$0$0
LINDA L MOSS
TRUSTEE1.000.00Yes (X)$0$0$0
WAYNE R NAULT
TRUSTEE1.000.00Yes (X)$0$0$0
LONNY J RIVERA
TRUSTEE1.000.00Yes (X)$0$0$0
TARA S ROBINSON MD
TRUSTEE1.000.00Yes (X)$13,333$1,250$0
KATHLEEN M STEINGRABER
TRUSTEE1.000.00Yes (X)$0$0$0
LEWIS JOHN WAGNER
TRUSTEE1.000.00Yes (X)$0$0$0
KEVIN C WEBB PHD
EX OFFICIO1.0050.00Yes (X)$0$575,645$49,020
RUSSELL D ZIMMERMAN
TRUSTEE1.000.00Yes (X)$0$0$0
HOLLY L BRISTOLL
PRESIDENT, EX OFFICIO40.002.00Yes (X)$0$322,854$53,301Yes (X)
LAWRENCE L SCHAFFER
CHAIRPERSON1.000.00Yes (X)$0$0$0Yes (X)
KATHLEEN S HANLEY
TREASURER (THRU 5/14)0.5050.50$0$704,046$822,147Yes (X)
ALAN M SATTLER
TREASURER0.5052.50$0$438,639$68,941Yes (X)
JEFFREY C KUHN
SECRETARY0.5050.00$0$532,963$69,020Yes (X)
KEN ARMSTRONG
COO, HVI0.5041.00$0$258,291$62,856Yes (X)
SCOTT FOUGHT
VP FINANCE0.5041.00$0$185,747$37,661Yes (X)
PAULA GRIEB
VP PATIENT CARE, BPCH40.000.00$0$152,701$16,823Yes (X)
SUSAN SOMMER
NURSE MIDWIFE40.000.00$145,917$0$39,562Yes (X)
KAY SMITH
DIRECTOR, PATIENT CARE40.000.00$138,589$0$25,213Yes (X)
SANDRA NUZUM
NURSE MIDWIFE40.000.00$122,913$0$19,558Yes (X)
TARI CECIL
DIRECTOR, PHARMACY SERVICES40.000.00$122,206$0$23,543Yes (X)
BONNIE FINTEL
NURSE MIDWIFE, ACUTE CARE40.000.00$110,130$0$16,467Yes (X)
GARY AKENBERGER
FORMER KEY EMPLOYEE0.0044.00$0$342,500$69,169Yes (X)
THOMAS BORER
FORMER KEY EMPLOYEE0.0040.00$0$171,376$47,127Yes (X)
MAURINE WEIS
FORMER KEY EMPLOYEE0.0040.00$0$206,103$36,576Yes (X)
WILLIAM MUELLER
FORMER OFFICER0.0040.00$0$312,189$40,420Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$653,088TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,844,110TotReportableCompRltdOrgAmt
Total Other Compensation$1,528,955TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RUDOLPH LIBBE INC
6494 LATCHA RDWALBRIDGEOH434659738CONSTRUCTION SERVICES$1,079,496
OMNI HEALTH SERVICES LTD
14848 ROACHTON ROADPERRYSBURGOH43551EMERGENCY ROOM PHYSICIANS$457,162
CROTHALL LAUNDRY SERVICES
13028 COLLECTIONS CENTER DRCHICAGOIL60693LINEN SERVICES$367,816
PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO
LLC 5901 MONCLOVA RDMAUMEEOH43537PHYSICIAN SERVICES$251,736
PROMEDICA SURGICAL SRVCS CO-MANAGEMENT C
LLC 5901 MONCLOVA RDMAUMEEOH43537PHYSICIAN SERVICES$236,844
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$131,371RelatedOrganizationsAmt
All Other Contributions$29,041AllOtherContributionsAmt
Total Contributions$160,412TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$75,696,795$75,696,795
AFFIL. ORG. RENT. REV.531120$385,557$385,557
FieldValueIRS element (for citing)
Total Program Service Revenue$76,082,352TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,172,788TotalRevenueColumnAmt
Exclusion$1,172,788ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$287,178RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$337,940RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$50,762RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$50,762TotalRevenueColumnAmt
Exclusion-$50,762ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,433,531SecuritiesAmt
Other$76,800OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$19,530,880SecuritiesAmt
Other$70,822OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$902,651SecuritiesAmt
Other$5,978OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$908,629TotalRevenueColumnAmt
Exclusion$908,629ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$890FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$890TotalRevenueColumnAmt
Exclusion$890ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$113,039GrossSalesOfInventoryAmt
Cost Of Goods Sold$150,246CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$37,207TotalRevenueColumnAmt
Exclusion-$37,207ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EHR INCENTIVE900099$1,281,562$1,281,562
CAFETERIA722514$217,358$217,358
MEDICAL STAFF FEES622110$60,150$60,150

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$397,588TotalRevenueColumnAmt
Related Or Exempt Func Income$395,841RelatedOrExemptFuncIncomeAmt
Exclusion$1,747ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,956,658OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,193,760TotalRevenueColumnAmt
Related Or Exempt Func Income$77,434,348RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,599,000ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,892,790TotalAmt
Program Services$3,892,790ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,333TotalAmt
Management And General$13,333ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,213,362TotalAmt
Program Services$21,014,689ProgramServicesAmt
Management And General$6,198,673ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,429,134TotalAmt
Program Services$1,079,657ProgramServicesAmt
Management And General$349,477ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,477,762TotalAmt
Program Services$2,570,877ProgramServicesAmt
Management And General$906,885ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,666,612TotalAmt
Program Services$1,250,043ProgramServicesAmt
Management And General$416,569ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$100,865TotalAmt
Program Services$67,107ProgramServicesAmt
Management And General$33,758ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$86,534TotalAmt
Management And General$86,534ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,952TotalAmt
Management And General$4,952ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$194,347TotalAmt
Management And General$194,347ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,216,089TotalAmt
Program Services$3,834,760ProgramServicesAmt
Management And General$1,381,329ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$196,615TotalAmt
Program Services$21,981ProgramServicesAmt
Management And General$174,634ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$773,442TotalAmt
Program Services$445,310ProgramServicesAmt
Management And General$328,132ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,418,660TotalAmt
Management And General$1,418,660ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,043,151TotalAmt
Program Services$1,844,171ProgramServicesAmt
Management And General$198,980ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$109,367TotalAmt
Program Services$26,328ProgramServicesAmt
Management And General$83,039ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,475,310TotalAmt
Program Services$2,475,310ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,526,996TotalAmt
Program Services$5,084,836ProgramServicesAmt
Management And General$442,160ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$696,529TotalAmt
Program Services$631,314ProgramServicesAmt
Management And General$65,215ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$8,843,761$8,843,761
INTERCOMPANY SERVICES$4,592,804$4,225,380$367,424
DRUGS$2,382,879$2,382,879
LICENSES AND FEES$1,316,583$1,211,256$105,327

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,585,006TotalAmt
Program Services$2,378,205ProgramServicesAmt
Management And General$206,801ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$76,256,883TotalAmt
Program Services$63,280,654ProgramServicesAmt
Management And General$12,976,229ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,397,393BOYAmt
EOY$5,545,993EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$200,000BOYAmt
EOY$200,000EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,104,968BOYAmt
EOY$10,836,370EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,614,762BOYAmt
EOY$1,586,210EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$197,940BOYAmt
EOY$350,168EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$112,884,309LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$58,201,601LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$55,937,926BOYAmt
EOY$54,682,708EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$54,069,652BOYAmt
EOY$60,212,678EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$197,145BOYAmt
EOY$168,539EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,813,842BOYAmt
EOY$1,315,103EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$132,533,628BOYAmt
EOY$134,897,769EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,630,988BOYAmt
EOY$6,551,422EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,744,231BOYAmt
EOY$59,543,109EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,375,219BOYAmt
EOY$66,094,531EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$64,491,850BOYAmt
EOY$68,175,216EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$666,559BOYAmt
EOY$628,022EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,158,409BOYAmt
EOY$68,803,238EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$132,533,628BOYAmt
EOY$134,897,769EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,936,877ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$253,511NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$38,537OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$4,952OtherActivitiesAmt
Total Lobbying Expenditures$4,952TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,424,359OtherCostOrOtherBasisAmt
Book Value$5,424,359BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,278,112OtherCostOrOtherBasisAmt
Depreciation$33,979,933DepreciationAmt
Book Value$41,298,179BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,698OtherCostOrOtherBasisAmt
Depreciation$39,329DepreciationAmt
Book Value$30,369BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,718,940OtherCostOrOtherBasisAmt
Depreciation$23,984,565DepreciationAmt
Book Value$7,734,375BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$393,200OtherCostOrOtherBasisAmt
Depreciation$197,774DepreciationAmt
Book Value$195,426BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$54,682,708TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$1,542,554
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$2,181,596
INTEREST RATE SWAP$484,853
INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL$55,334,106
FieldValueIRS element (for citing)
Total Liability$59,543,109TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationBAY PARK COMMUNITY HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS). THE FOLLOWING REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740. EXCEPT AS NOTED BELOW, PHS DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2014 AND 2013. FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $9,027,000 AND $1,059,000, RESPECTIVELY. THE SUBSIDIARY RECOGNIZED A CREDIT FOR INTEREST AND PENALTIES WITHIN THE INCOME TAX EXPENSE LINE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS RELATED TO UNRECOGNIZED TAX BENEFITS OF $1,000 AND $20,000 AS OF DECEMBER 31, 2014 AND 2013, RESPECTIVELY. BAY PARK COMMUNITY HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2014 AND 2013.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,441,861TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,441,861NetCommunityBenefitExpnsAmt
Total Expense0.01890TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,095,344TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,467,676DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,627,668NetCommunityBenefitExpnsAmt
Total Expense0.04760TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,375TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,127DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,248NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,539,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,468,803DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,070,777NetCommunityBenefitExpnsAmt
Total Expense0.06650TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,932TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,932NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,710,451TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$567,069DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,143,382NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,747,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$567,069DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,180,314NetCommunityBenefitExpnsAmt
Total Expense0.01550TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,286,963TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,035,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,251,091NetCommunityBenefitExpnsAmt
Total Expense0.08200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,585,651BadDebtExpenseAmt
Bad Debt Expense Attributable$1,864,093BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,002,886ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,742,259CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,739,373MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PROMEDICA CARDIOVASCULAR CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.028000.014200.44550
2 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.053200.22340
3 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.057700.10580
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAY PARK COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12801 BAY PARK DRIVEAddressLine1Txt
CityOREGONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43616ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
State License1178StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAY PARK COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PROMEDICA.ORG/CHNAOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BAY PARK COMMUNITY HOSPITALPART V, SECTION B, LINE 5: BAY PARK COMMUNITY HOSPITAL (THE "HOSPITAL FACILITY") TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE PERSONS INCLUDED STAFF OF TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH AND RECOVERY SERVICES BOARD OF LUCAS COUNTY, AND VARIOUS LOCAL HOSPITAL STAFF INVOLVED IN COMMUNITY HEALTH PROGRAMMING. THE HOSPITAL FACILITY CONSULTED WITH THESE PERSONS THROUGH MEETINGS AND ALSO VIA EMAIL CORRESPONDENCE. ADDITIONALLY, THE HOSPITAL FACILITY CONSULTED WITH OTHER ORGANIZATIONS AND OTHER GROUPS IN CONDUCTING ITS MOST RECENT CHNA. THESE CONSULTING INDIVIDUALS REPRESENTED THE FOLLOWING ORGANIZATIONS:- AMERICAN CANCER SOCIETY - BEHAVIORAL CONNECTIONS OF WOOD COUNTY- BENTON-CARROLL-SALEM SCHOOLS- BOWLING GREEN STATE UNIVERSITY - CHILDREN'S RESOURCE CENTER- CONGREGATIONAL NURSE PROJECT- ERIE-OTTAWA MENTAL HEALTH AND RECOVERY BOARD - EXCHANGE CLUB- FAMILY & CHILDREN FIRST COUNCIL - HOSPITAL COUNCIL OF NW OHIO - LUCAS COUNTY EDUCATIONAL SERVICE CENTER- LUCAS COUNTY FAMILY & CHILDREN FIRST COUNCIL - LUCAS COUNTY HELP ME GROW - LUCAS COUNTY JOB & FAMILY SERVICES - LUCAS COUNTY JUVENILE COURT- MAGRUDER HOSPITAL - MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY - MERCY CHILDREN'S HOSPITAL- MERCY HEALTH CARE - MERCY ST. ANNE HOSPITAL- MERCY ST. CHARLES HOSPITAL- MERCY ST. VINCENT MEDICAL CENTER- NATIONAL ASSOCIATION OF LOCAL BOARDS OF HEALTH (NALBOH) - OTTAWA COUNTY BOARD OF MR/DD - OTTAWA COUNTY DEPT. OF JOB & FAMILY SERVICES - OTTAWA COUNTY HEALTH DEPARTMENT - OTTAWA COUNTY PROBATE COURT- OTTAWA COUNTY SENIOR RESOURCES - PARISH NURSE ASSOCIATION- PORT CLINTON CITY SCHOOLS- ST. LUKE'S HOSPITAL- PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL)- RIVERVIEW HEALTHCARE CAMPUS - SENIOR RESOURCES - TOLEDO COMMUNITY FOUNDATION- TOLEDO PUBLIC SCHOOLS- TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT - UNITED WAY OF GREATER TOLEDO - UNITED WAY OF WOOD COUNTY - UNIVERSITY OF TOLEDO - UNIVERSITY OF TOLEDO MEDICAL CENTER- WOOD COUNTY ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH- WOOD COUNTY BOARD OF DEVELOPMENTAL DISABILITIES- WOOD COUNTY BOARD OF HEALTH - WOOD COUNTY COMMITTEE ON AGING- WOOD COUNTY DISTRICT ADVISORY COUNCIL- WOOD COUNTY ECONOMIC DEVELOPMENT COMMISSION- WOOD COUNTY EDUCATIONAL SERVICE CENTER- WOOD COUNTY FAMILY & CHILD ABUSE PREVENTION- WOOD COUNTY HEALTH DEPARTMENT - WOOD COUNTY HOSPITAL - WOOD COUNTY JOB & FAMILY SERVICES- WOOD COUNTY JUVENILE COURT- WOOD COUNTY PARK DISTRICT- YWCA (CHILDCARE)
BAY PARK COMMUNITY HOSPITALPART V, SECTION B, LINE 11: PROMEDICA BAY PARK COMMUNITY HOSPITAL WILL SPECIFICALLY IMPLEMENT PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - OBESITY/NUTRITION- HEART DISEASE- CANCER- TOBACCO USE - MENTAL HEALTH/BULLYING ACTIONS TAKEN DURING 2014 TO ADDRESS THE ABOVE IDENTIFIED NEEDS ARE INCLUDED BELOW:HEALTH NEED IDENTIFIED: OBESITY/NUTRITIONSTRATEGY #1 - IMPLEMENT NUTRITION PROGRAM TO INCLUDE WEIGHT LOSS, COOKING AND ACTIVITY TOOLS AT COMMUNITY SITES/SECURE FUNDING.ACTIONS TAKEN:- SECURED FUNDING FOR OBESITY/NUTRITION PROGRAMS THROUGH THE BAY PARK HOSPITAL FOUNDATION IN THE AMOUNT OF $44,736.- IMPLEMENTED NUTRITION PROGRAM TO INCLUDE WEIGHT LOSS, COOKING AND ACTIVITY TOOLS AT OREGON CITY SCHOOLS, NORTHWOOD SCHOOLS, ST. KATERI CATHOLIC SCHOOLS.- COMMUNITY PARTNERS' SITES, INCLUDING: EASTERN COMMUNITY YMCA, EAST TOLEDO FAMILY CENTER (ETFC, BOYS & GIRLS CLUB, EAST TOLEDO CLUB (B&GC) AND SERVED 548 PARTICIPANTS.HEALTH NEED IDENTIFIED: HEART DISEASESTRATEGY #1 - DEVELOP COMMUNITY PARTNERSHIPSACTIONS TAKEN:- DEVELOPED COMMUNITY PARTNERSHIP(S) WITH PROMEDICA HEART AND VASCULAR INSTITUTE AND AMERICAN HEART ASSOCIATIONSTRATEGY #2 - SECURE FUNDING FOR EXPANSION OF ADDITIONAL SCREENINGS AND COMMUNITY INITIATIVES.ACTIONS TAKEN:- SECURED $5,000 OF FUNDING FOR STROKE CERTIFICATION WHICH INCLUDES SCREENINGS AND COMMUNITY INITIATIVES.STRATEGY #3 - EDUCATE THE COMMUNITY ABOUT STROKE RECOGNITION AND EARLY ACTION MINIMIZING BRAIN DAMAGE AT 2 COMMUNITY EVENTS. COMMUNITY EVENTS INCLUDE WORKING WITH THE AREA OF AGING, CHURCHES, SENIOR COMMUNITY CENTERS, ASSISTED LIVING COMMUNITIES, SCHOOLS, PROMEDICA FACEBOOK, AND PROMEDICA PHYSICIAN OFFICES.ACTIONS TAKEN:- EDUCATED THE COMMUNITY ABOUT STROKE RECOGNITION AND EARLY ACTION MINIMIZING BRAIN DAMAGE AT 10 COMMUNITY EDUCATIONAL SESSIONS INCLUDING: WOMEN'S WELLNESS, EMPLOYEE SCREENINGS, WELLNESS FAIRS AT MULTIPLE SKILLED NURSING FACILITIES, STRIKE OUT STROKE, THE AMERICAN HEART ASSOCIATION, AND TWO EVENTS FOR EMS DEPARTMENTS. THE TOTAL NUMBER RECEIVING VASCULAR SCREENING AT THE EDUCATIONAL SESSIONS AND HEALTH FAIRS WAS OVER 500.HEALTH NEED IDENTIFIED: CANCER STRATEGY #1 - INCREASE NUMBER OF WELLNESS AND SCREENING EVENTS FROM YEAR ONE.ACTIONS TAKEN:- INCREASED NUMBER OF WELLNESS AND SCREENING EVENTS FROM YEAR ONE TO A TOTAL OF 12 EVENTS IN 2014.STRATEGY #2 - INVESTIGATE OPPORTUNITIES FOR FUNDING OF COLON CANCER INITIATIVES/SECURE FUNDINGACTIONS TAKEN:- INVESTIGATED AND SECURED SYSTEM FUNDING FOR COLON CANCER INITIATIVES BY EXPANDING ENDOSCOPY SUITE AT BAY PARK COMMUNITY HOSPITAL. CONDUCTED 1,044 COLONOSCOPIES IN 2014.HEALTH NEED IDENTIFIED: TOBACCO USESTRATEGY #1 - ESTABLISH MARKETING PLAN AND PRESENCE OF EXISTING PROGRAMS.ACTIONS TAKEN:- ESTABLISHED MARKETING PLAN AND DETERMINED THE PRESENCE OF EXISTING PROGRAMS INCLUDING PROMEDICA TOBACCO TREATMENT PROGRAMS AT TOLEDO AND ST. LUKE'S AND BAY PARK COMMUNITY HOSPITALS, AS WELL AS MERCY HOSPITALS.STRATEGY #2 - INVESTIGATE PARTNERING WITH CORPORATIONS IN OUR COMMUNITY/SECURE FUNDING.ACTIONS TAKEN:- INVESTIGATED PARTNERING WITH CORPORATIONS IN OUR COMMUNITY RESULTING IN SECURED FUNDING THROUGH FOSTERING HEALTHY COMMUNITY COALITION.HEALTH NEED IDENTIFIED: MENTAL HEALTH/BULLYING STRATEGY #1 - PARTNER WITH EXISTING COMMUNITY PARTNER TO IMPLEMENT OR ASSIST WITH EVIDENCE BASED BULLYING PREVENTION PROGRAM AT THE ELEMENTARY SCHOOL LEVEL.ACTIONS TAKEN:- CURRENT PROGRAMS IDENTIFIED, INCLUDING OREGON POLICE, PREVENTING BULLYING = CREATING SAFETY, PROMEDICA TEEN PEP, AND UNIVERSITY OF TOLEDO ANTI-BULLYING TASK FORCE.- PARTNERED WITH EXISTING COMMUNITY PARTNERS: CARDINAL STRITCH ST. KATERI CATHOLIC SCHOOL, CLAY HIGH SCHOOL, NORTHWOOD HIGH SCHOOL TO IMPLEMENT EVIDENCE BASED BULLYING PREVENTION PROGRAMS AT THESE RESPECTIVE SCHOOLS.STRATEGY #2 - SECURE FUNDINGACTIONS TAKEN:- SECURED FUNDING FOR TEEN PEP PROGRAM EXPANSION THROUGH THE BAY PARK COMMUNITY HOSPITAL FOUNDATION IN THE AMOUNT OF $20,948.BAY PARK COMMUNITY HOSPITAL DID NOT ADDRESS ALL OF THE SPECIFIC NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AS THESE AREAS EITHER ARE ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. ALTHOUGH PROMEDICA PHYSICIANS AND OTHER PROGRAMS ADDRESS THE HEALTH NEEDS OF PATIENTS AS NEEDED, THE NEEDS SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS PLAN, INCLUDE (*INDICATES PROMEDICA HAS, OR PARTICIPATES IN, COMMUNITY OUTREACH PROGRAMS ADDRESSING THESE ISSUES):- HEALTH STATUS - ADDRESSED AT PHYSICIAN VISITS; TOLEDO LUCAS COUNTY MINORITY HEALTH COALITION*, HEALTHY LUCAS COUNTY*- HEALTH CARE COVERAGE - TOLEDO LUCAS COUNTY CARENET*; PARAMOUNT HEALTH CARE*; MEDICAID EXPANSION*- HEALTH CARE ACCESS - PARAMOUNT HEALTH CARE*; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT*; NEIGHBORHOOD HEALTH ASSOCIATION- ASTHMA - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA TOLEDO CHILDREN'S HOSPITAL ASTHMA PROGRAM; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT; AMERICAN LUNG ASSOCIATION- ALCOHOL USE - ADDRESSED AT PHYSICIAN VISITS- CANCER - ADDRESSED AT PHYSICIAN VISITS; AMERICAN CANCER SOCIETY*; NORTHWEST OHIO KOMEN*; LUCAS COUNTY COLORECTAL CANCER COALITION*- CARDIOVASCULAR HEALTH - PROMEDICA HEART & VASCULAR INSTITUTE; PROMEDICA WELLNESS - HEALTH SCREENINGS AND EDUCATION; AMERICAN HEART ASSOCIATION*; SYLVANIA EXPO*; BEDFORD BUSINESS ASSOCIATION*; COMMUNITY STROKE WORKSHOP*; WESTGATE CHAPEL WORKSHOP*; SENIOR SAFETY DAY AT TOLEDO POLICE DEPARTMENT*- DIABETES - PROMEDICA DIABETES CENTER; DIABETES YOUTH SERVICES*; JUVENILE DIABETES RESEARCH FOUNDATION; AMERICAN DIABETES ASSOCIATION- MEN'S HEALTH - ADDRESSED AT PHYSICIAN VISITS; AFRICAN AMERICAN MALE WELLNESS WALK*- MENTAL HEALTH - ADDRESSED AT PHYSICIAN VISITS; HOSPITALS; NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI); MENTAL HEALTH AND RECOVERY SERVICES BOARD*; UNISON, ZEPF CENTER; HARBOR*; PROMEDICA FLOWER HOSPITAL DEPRESSION SCREENINGS; UNIVERSITY CHURCH HEALTH FAIR*; ELEANOR KAHLE SENIOR CENTER*; SUICIDE COALITION WORKSHOP*; RADIO PROGRAM ON SENIOR SENSE*; CHRYSLER EMPLOYEE HEALTH FAIR*; EPWORTH UNITED METHODIST CHURCH PRESENTATION*- PREVENTIVE SCREENINGS AND IMMUNIZATIONS - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA WELLNESS*; NORTHWEST OHIO KOMEN*; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT; SCHOOLS- PERCEIVED QUALITY OF LIFE- SEXUAL BEHAVIOR - ADDRESSED AT PHYSICIAN VISITS; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT; AIDS RESOURCE CENTER; RYAN WHITE PROGRAM; PARTNERS FOR SUCCESSFUL YOUTH- SUBSTANCE ABUSE - ADDRESSED AT PHYSICIAN VISITS; ARROWHEAD BEHAVIORAL HEALTH*; HARBOR*; UNISON, ZEPF CENTER, LUCAS COUNTY MENTAL HEALTH & RECOVERY SERVICES BOARD; SYLVANIA COMMUNITY ACTION DAY - COMMUNITY DRUG TAKE BACK DAY; RED RIBBON WEEK- TOBACCO USE - PROMEDICA TOBACCO TREATMENT CENTERS; AMERICAN CANCER SOCIETY*; AMERICAN LUNG ASSOCIATION; FOSTERING HEALTHY COMMUNITIES*; LUCAS COUNTY TOBACCO COALITION- WEIGHT STATUS - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA WELLNESS HEALTH SCREENINGS AND EDUCATION; AMERICAN HEART ASSOCIATION*; YMCA OF GREATER TOLEDO; LIVE WELL TOLEDO*; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT HEALTHY YOUTH AND FAMILIES COALITION*- WOMEN'S HEALTH - ADDRESSED AT PHYSICIAN VISITS; NORTHWEST OHIO KOMEN*; BREAST AND CERVICAL CANCER PROGRAM*; LUCAS COUNTY FAMILY COUNCIL MATERNAL HEALTH COMMITTEE; HADDASAH- YOUTH SAFETY - PROMEDICA SAFE KIDS; PREVENTING BULLYING = CREATING SAFETY COALITION*; FOSTERING HEALTHIER COMMUNITIES*; SCHOOLS; LAW ENFORCEMENT- YOUTH VIOLENCE - PROMEDICA TEEN PEP; SCHOOLS; LAW ENFORCEMENT- YOUTH PERCEPTIONS - HARBOR*; UNISON; ZEPF CENTER- ORAL HEALTH - DENTAL CENTER OF NORTHWEST OHIO*; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT- EARLY CHILDHOOD (0-5 YEARS) ISSUES - LUCAS COUNTY EARLY CHILDHOOD COORDINATING COMMITTEE; PATHWAYS*; HELP ME GROW*; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT*; ADELANTE NOSOTROS; HEARTBEAT OF TOLEDO; EARLY HEADSTART; POLLY FOX ACADEMY; READ FOR LITERACY*; LUCAS COUNTY CHILDREN'S SERVICES; FAMILY AND CHILD ABUSE PREVENTION CENTER- MIDDLE CHILDHOOD (6-11 YEARS) ISSUES - SCHOOLS; SAFE ROUTES TO SCHOOL*; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT; AFTERSCHOOL ALLIANCE*; PROMEDICA SAFE KIDS*; PREVENTING BULLYING = CREATING SAFETY COALITION*; PARTNERS IN EDUCATION*; YMCA/JCC OF GREATER TOLEDO; WEEKEND BACKPACK PROGRAMS*; LUCAS COUNTY CHILDREN'S SERVICES; FAMILY AND CHILD ABUSE PREVENTION CENTER- FAMILY FUNCTIONING/NEIGHBORHOODS - TPS HUB SCHOOLS*, FAMILY AND CHILD ABUSE PREVENTION CENTER*; LIVE WELL TOLEDO*; WSOS COMMUNITY ACTION; EAST TOLEDO FAMILY CENTER*- NEIGHBORHOOD AND COMMUNITY CHARACTERISTICS - LIVE WELL TOLEDO*- PARENTAL HEALTH - BABY UNIVERSITY; PATHWAYS*TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.
BAY PARK COMMUNITY HOSPITALPART V, SECTION B, LINE 16I: A COPY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE BY MAIL UPON REQUEST.
BAY PARK COMMUNITY HOSPITALPART V, SECTION B, LINE 20E: IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE IN ORDER TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE.
BAY PARK COMMUNITY HOSPITAL:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/FINANCIALASSISTANCEBAY PARK COMMUNITY HOSPITAL:PART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/FINANCIALASSISTANCE
BAY PARK COMMUNITY HOSPITAL:PART V, SECTION B, LINE 20B: A PATIENT FINANCIAL ADVOCATE (PFA) IS ASSIGNED TO EACH PATIENT WHO HAS BEEN ADMITTED TO THE HOSPITAL FACILITY TO NOTIFY THE INDIVIDUAL OF THE FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
BAY PARK COMMUNITY HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:SEE PART V, SECTION C
BAY PARK COMMUNITY HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:SEE PART V, SECTION C
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NORTHWEST OHIO CARDIOLOGY
2751 BAY PARK DROREGONOH43616CARDIOLOGY
CENTER FOR WOUND CARE OF NW OHIO
2751 BAY PARK DR SUITE 100OREGONOH43616WOUND CARE
PROMEDICA LAB ROSSFORD
1209 DIXIE HWYROSSFORDOH43460RADIOLOGY
BAY PARK DIAGNOSTICS SUTTON CTR
1854 E PERRY STPORT CLINTONOH43452RADIOLOGY
PROMEDICA POINT PLACE
4805 SUDER RDTOLEDOOH43611RADIOLOGY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:BAY PARK COMMUNITY HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:BAY PARK COMMUNITY HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART III, LINE 2:BAY PARK COMMUNITY HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:BAY PARK COMMUNITY HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 16 AND 17 OF THE ATTACHED PROMEDICA HEALTHCARE OBLIGATED GROUP COMBINED FINANCIAL STATEMENTS.
PART III, LINE 8:MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, MANDATED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS THAT PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.BAY PARK COMMUNITY HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2014 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS, SUCH AS SERVICES AND CLINICS.
PART III, LINE 9B:FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETE, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2:PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: HEART DISEASE, CANCERS, AND STROKE, DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CARDIOVASCULAR DISEASE, CANCERS AND OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, ORTHOPAEDICS AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNISURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:BAY PARK COMMUNITY HOSPITAL, LOCATED IN OREGON, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND WOOD COUNTIES WITH A POPULATION OF APPROXIMATELY 235,000. APPROXIMATELY, 14% OF THE SERVICE AREA IS AGE 65 OR OVER; 40% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS $42,000; 50% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 60% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 438,000 WITH APPROXIMATELY 11% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 31% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 18% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2014 WAS 8.0%. THE LEADING CAUSES OF DEATH IN THE SERVICE AREA, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, LUNG DISEASE, STROKE, DIABETES, CANCER, ALZHEIMER'S AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO 2014 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 68 OF 88 COUNTIES FOR HEALTH OUTCOMES, 59 OF 88 FOR MORTALITY, AND 71 OF 88 FOR MORBIDITY. WOOD COUNTY HAS A POPULATION OF APPROXIMATELY 128,000 WITH APPROXIMATELY 5% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 15% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 13% OF WOOD COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR WOOD COUNTY IN 2014 WAS 6.9%. ACCORDING TO 2014 COUNTY HEALTH RANKINGS, WOOD COUNTY RANKED 6 OF 88 COUNTIES FOR HEALTH OUTCOMES, 5 OF 88 FOR MORTALITY, AND 16 OF 88 FOR MORBIDITY. THERE ARE FOURTEEN HOSPITALS WITHIN A SIX COUNTY AREA AROUND OREGON, HERRICK MEMORIAL HOSPITAL, INC., EMMA L. BIXBY MEDICAL CENTER, FULTON COUNTY HEALTH CENTER, COMMUNITY HOSPITALS AND WELLNESS CENTERS - ARCHBOLD, FLOWER HOSPITAL, ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, ST. CHARLES MERCY HOSPITAL, THE TOLEDO HOSPITAL, UNIVERSITY OF TOLEDO MEDICAL CENTER, ST. LUKE'S HOSPITAL, MERCY MEMORIAL-MONROE, WOOD COUNTY HOSPITAL, AND H.B. MAGRUDER MEMORIAL HOSPITAL - PORT CLINTON.
PART VI, LINE 5:IN 2014, THERE WERE 515 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA). OF THESE, 100% LIVED WITHIN PROMEDICA'S 27-COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. TRUSTEE REPRESENTATION IS COMPRISED OF DIVERSE MEMBERS, INCLUDING 82 PHYSICIANS, FROM NORTHWEST OHIO AND SOUTHEAST MICHIGAN; ALL TRUSTEES RESIDE WITHIN PROMEDICA'S SERVICE REGION IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. - BOARD MEMBERS ARE NOT COMPENSATED BY PROMEDICA FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER BUSINESS UNITS; THEIR DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, ARE PERFORMED ON A VOLUNTEER BASIS. IN 2014, PROMEDICA BOARD MEMBERS GAVE APPROXIMATELY 27,090 HOURS IN SERVICE TO THE ORGANIZATION, WHICH EQUATES TO AN ESTIMATED CONTRIBUTION OF APPROXIMATELY $3 MILLION TO OUR COMMUNITIES.- PROMEDICA'S MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MEETS THOSE QUALIFICATIONS MAY BE GRANTED PRIVILEGES.- THE PROMEDICA BIOREPOSITORY HAS COLLECTED MORE THAN 200 BLOOD AND TISSUE SAMPLES DONATED BY PATIENTS TO ADVANCE RESEARCH IN AREAS OF NEW TREATMENTS, PREVENTION AND CURES FOR CANCER AND OTHER MEDICAL CONDITIONS. - THE PROMEDICA ADVOCACY FUND PROVIDED GRANTS TOTALING NEARLY $375,000 TO MORE THAN A DOZEN NONPROFIT ORGANIZATIONS, HELPING THEM PROVIDE FOOD, CLOTHING AND SHELTER TO AT-RISK INDIVIDUALS IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN.- PROMEDICA CONTINUED ITS CHILDHOOD OBESITY PILOT PROGRAM, WHICH FOCUSED ON CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES MET QUARTERLY OVER A 12-MONTH PERIOD WITH A DIETITIAN IN A PHYSICIAN'S OFFICE OR OUTPATIENT CLINIC TO RECEIVE NUTRITION COUNSELING AND ASK QUESTIONS. EACH CHILD'S BMI AND RESPONSES TO A HEALTH QUESTIONNAIRE WERE COLLECTED BEFORE, DURING AND AFTER THE 12-MONTH PERIOD TO DETERMINE THE PROGRAM'S EFFECTIVENESS. - PROMEDICA CONTINUED TO IMPLEMENT ITS FOOD RECLAMATION PROGRAM IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS THE TOLEDO AND FLOWER HOSPITALS, PROVIDING MORE THAN 160,000 POUNDS OF REPACKAGED, UN-SERVED FOOD TO COMMUNITY FEEDING SITES. THE TOLEDO MUD HENS AND OWENS COMMUNITY COLLEGE ARE THE NEWEST PARTNERS TO JOIN THE INITIATIVE.- PROMEDICA OPENED ITS 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER IN FEBRUARY 2014. THE FACILITY BRINGS DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER, PROVIDING COORDINATED CARE IN ONE CONVENIENT LOCATION TO SERVE COMMUNITY MEMBERS LEARNING TO MANAGE THEIR DIABETES.- PROMEDICA ALSO OFFERED FREE VASCULAR SCREENINGS FOR OLDER ADULTS THROUGH JOBST VASCULAR CENTER TO AID IN THE DETECTION OF VASCULAR DISEASE, WHICH MAY LEAD TO STROKE OR PERIPHERAL ARTERIAL DISEASE. NEARLY 8,000 ADDITIONAL HEALTH SCREENINGS WERE PROVIDED TO COMMUNITY MEMBERS THROUGHOUT 2014, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. ADDITIONALLY, THE PROMEDICA CANCER INSTITUTE OFFERED FREE SKIN CANCER AND PROSTATE CANCER SCREENINGS FOR THE GENERAL PUBLIC AT PROMEDICA HOSPITALS.
PART VI, LINE 6:PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2014, PROMEDICA WAS COMPRISED OF 17,000 EMPLOYEES, APPROXIMATELY 2,700 VOLUNTEERS AND MORE THAN 2,300 HEALTHCARE PROVIDERS, INCLUDING MORE THAN 800 PROVIDERS EMPLOYED BY PROMEDICA PHYSICIANS, WHO HAVE JOINED TOGETHER TO FORM A NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO HELP ENSURE AREA RESIDENTS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. - PROMEDICA MEMBERS INCLUDE: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); FLOWER HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL D/B/A PROMEDICA BAY PARK HOSPITAL; EMMA L. BIXBY MEDICAL CENTER D/B/A PROMEDICA BIXBY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC. D/B/A PROMEDICA HERRICK HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL; DEFIANCE HOSPITAL, INC. D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL; ST. LUKE'S HOSPITAL D/B/A PROMEDICA ST. LUKE'S HOSPITAL; PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; MEMORIAL HOSPITAL D/B/A PROMEDICA MEMORIAL HOSPITAL; PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIANS, A NETWORK OF SYSTEM-EMPLOYED PHYSICIANS AND MIDLEVEL PROVIDERS; AND PROMEDICA CONTINUING SERVICES, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION, AND HOME CARE.- IN 2014, PROMEDICA MANAGED MORE THAN 4.5 MILLION PATIENT ENCOUNTERS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF NEARLY $149 MILLION, WHICH INCLUDED FREE HEALTH SCREENINGS AND PUBLIC HEALTH FAIRS TO MEDICAL LECTURES AT AREA SENIOR CENTERS AND IN ELEMENTARY SCHOOLS, PLUS MUCH MORE.- IN ADDITION, THE PROMEDICA ADVOCACY FUND ASSISTED LOCAL NONPROFIT AGENCIES WITH SIMILAR MISSIONS THROUGH DONATIONS TOTALING NEARLY $375,000. AS IN PRIOR YEARS, EMPHASIS WAS PLACED ON ORGANIZATIONS WORKING TO ENSURE BASIC NEEDS SUCH AS CLOTHING, SHELTER AND FOOD AS THESE ARE TIED CLOSELY TO PROMEDICA'S MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, MONTHLY, BIWEEKLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2014 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 1,570 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED. THERE WERE APPROXIMATELY 8,000 PHYSICIANS WHO PARTICIPATED IN EDUCATIONAL PROGRAMS, AND APPROXIMATELY 7,800 NON-PHYSICIANS (I.E., ALLIED HEALTH PROFESSIONALS).- PROMEDICA'S FOUNDATIONS RAISED NEARLY $10 MILLION FOR PHILANTHROPY IN SUPPORT OF THE SYSTEM'S MISSION TO IMPROVE HEALTH AND WELL-BEING. ALL OF PROMEDICA'S FOUNDATIONS ARE SEPARATE ORGANIZATIONS, AND ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT THEIR RESPECTIVE PATIENTS AND FAMILIES, AS WELL AS THE LOCAL COMMUNITY, THROUGH HEALTH-RELATED PROGRAMS, SERVICES, EQUIPMENT, AND FACILITY CONSTRUCTION/RENOVATION THAT HAVE BEEN IDENTIFIED, IN PART, THROUGH A COMMUNITY NEEDS ASSESSMENT.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PROMEDICA FOUNDATION
2142 NORTH COVE BLVDTOLEDOOH43606341517672501(C)(3)$64,343OPERATING GRANT
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS ROADTOLEDOOH43607341517671501(C)(3)$3,828,447OPERATING GRANT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
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 Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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
RAVI K ADUSUMILLI MD
TRUSTEE$0$494,463$0$127,606$0$17,737$0$10,633$0$20,918$0$671,357$0$0
KEVIN C WEBB PHD
EX OFFICIO$0$399,505$0$147,572$0$28,568$0$36,188$0$12,832$0$624,665$0$0
HOLLY L BRISTOLL
PRESIDENT, EX OFFICIO$0$230,778$0$79,392$0$12,684$0$38,317$0$14,984$0$376,155$0$0
KATHLEEN S HANLEY
TREASURER (THRU 5/14)$0$457,284$0$200,510$0$46,252$0$805,713$0$16,434$0$1,526,193$0$0
ALAN M SATTLER
TREASURER$0$309,066$0$97,460$0$32,113$0$48,009$0$20,932$0$507,580$0$0
JEFFREY C KUHN
SECRETARY$0$363,111$0$157,073$0$12,779$0$45,715$0$23,305$0$601,983$0$0
KEN ARMSTRONG
COO, HVI$0$202,426$0$53,712$0$2,153$0$38,952$0$23,904$0$321,147$0$0
SCOTT FOUGHT
VP FINANCE$0$151,019$0$28,209$0$6,519$0$18,737$0$18,924$0$223,408$0$0
PAULA GRIEB
VP PATIENT CARE, BPCH$0$128,046$0$21,467$0$3,188$0$12,251$0$4,572$0$169,524$0$0
SUSAN SOMMER
NURSE MIDWIFE$143,418$0$300$0$2,199$0$23,078$0$16,484$0$185,479$0$0$0
KAY SMITH
DIRECTOR, PATIENT CARE$137,246$0$300$0$1,043$0$15,807$0$9,406$0$163,802$0$0$0
GARY AKENBERGER
FORMER KEY EMPLOYEE$0$238,713$0$69,268$0$34,519$0$48,981$0$20,188$0$411,669$0$0
THOMAS BORER
FORMER KEY EMPLOYEE$0$144,292$0$23,693$0$3,391$0$23,235$0$23,892$0$218,503$0$0
MAURINE WEIS
FORMER KEY EMPLOYEE$0$153,379$0$47,609$0$5,115$0$17,662$0$18,914$0$242,679$0$5,860
WILLIAM MUELLER
FORMER OFFICER$0$239,650$0$65,088$0$7,451$0$24,047$0$16,373$0$352,609$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF BAY PARK COMMUNITY HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BELIGIBLE 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: WILLIAM MUELLER $2,704 MAURINE WEIS $11,627

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 BAY PARK COMMUNITY HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF BAY PARK COMMUNITY HOSPITAL, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BWHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11UNDER 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 THE RESPECTIVE COMPANY'S PRESIDENT 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 ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE WITHIN 30 DAYS OF NOTIFICATION. 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, COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT, AND A LIST OF ALL NEW EMPLOYEES HIRED DURING THE PREVIOUS 12 MONTHS. 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.
FORM 990, PART VI, SECTION B, LINE 15BAY PARK COMMUNITY HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF BAY PARK COMMUNITY HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMMITTEE 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 XI, LINE 9:BENEFICIAL INTEREST IN FOUNDATION -38,537.
FORM 990, PART IV, LINE 24A:BAY PARK COMMUNITY HOSPITAL IS A HEALTH FACILITY THAT IS A SUBSIDIARY OF PROMEDICA HEALTH SYSTEM, INC. (PHS). BAY PARK COMMUNITY HOSPITAL HOLDS AN INTERCOMPANY NOTE PAYABLE TO THE TOLEDO HOSPITAL, WHICH IS ALSO A SUBSIDIARY OF PHS. THE NOTE PAYABLE REPRESENTS BAY PARK COMMUNITY HOSPITAL'S PORTION OF TAX-EXEMPT BONDS ISSUED BY PROMEDICA HEALTHCARE OBLIGATED GROUP.
FORM 990, PART VI, SECTION B, LINE 16B:JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (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 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 2014 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 2,100 PHYSICIANS AND APPROXIMATELY 17,000 EMPLOYEES AND VOLUNTEERS. DURING 2014, PROMEDICA DISCHARGED 72,595 INPATIENTS AND SERVED MORE THAN 1,407,416 OUTPATIENTS, WHILE HANDLING 305,747 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2014, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 34 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $3.7 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. ADDITIONALLY, OUR PHYSICIANS, LEADERSHIP TEAM MEMBERS AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING, 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); FLOWER HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); MEMORIAL HOSPITAL; AND ST. LUKE'S HOSPITAL. IN 2014, 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 MORE THAN 800 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 2014, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 220,000 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 MORE THAN 300 LOCAL NONPROFIT AGENCIES AND ORGANIZATIONS IN 2014 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 2014 INCLUDE THE FOLLOWING:
- PROMEDICA SIGNED A DEFINITIVE AGREEMENT WITH MERCY MEMORIAL HOSPITALCORPORATION IN MONROE, MICHIGAN, WITH THE HEALTH SYSTEM BECOMING A MEMBER OF PROMEDICA EFFECTIVE JAN. 1, 2015. BY SHARING RESOURCES AND CLINICAL EXPERTISE, THE JOINDER HELPS BROADEN THE DEPTH AND BREADTH OF OUR SERVICES FOR RESIDENTS OF SOUTHEASTERN MICHIGAN. - PROMEDICA FORMED A JOINT OPERATING COMPANY (JOC) WITH LOCAL BEHAVIORAL HEALTH PROVIDER HARBOR TO ADDRESS A GROWING COMMUNITY NEED FOR MENTAL HEALTH SERVICES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. THE JOC WILL HELP INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND ENHANCE CARE THROUGH A MORE INTEGRATED, COORDINATED MODEL. - PROMEDICA SPONSORED A SCHOOL-BASED FOOD DRIVE CHALLENGE AS PART OF ITS COME TO THE TABLE INITIATIVE. SCHOOLS HAVE RAISED MORE THAN 24,000 POUNDS OF NON-PERISHABLE FOOD ITEMS OVER THE PAST TWO YEARS FOR COMMUNITY FOOD PROGRAMS ACROSS PROMEDICA'S SERVICE AREA. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 74 CENTRAL-CITY TEENS AGES 16-19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - PROMEDICA CONTINUED ITS CHILDHOOD OBESITY PILOT PROGRAM, WHICH FOCUSED ON CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES MET QUARTERLY OVER A 12-MONTH PERIOD WITH A DIETITIAN IN A PHYSICIAN'S OFFICE OR OUTPATIENT CLINIC TO RECEIVE NUTRITION COUNSELING AND ASK QUESTIONS. EACH CHILD'S BMI AND RESPONSES TO A HEALTH QUESTIONNAIRE WERE COLLECTED BEFORE, DURING AND AFTER THE 12-MONTH PERIOD TO DETERMINE THE PROGRAM'S EFFECTIVENESS. - COORDINATED THROUGH OUR ADVOCACY DEPARTMENT, PROMEDICA CONTINUED TO PROVIDE HEALTH AND NUTRITION EDUCATION TO ELEMENTARY SCHOOL CHILDREN IN GRADES 1 - 6. THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM IS DESIGNED TO EMPOWER STUDENTS AND THEIR PARENTS/GUARDIANS TO MAKE HEALTHY CHOICES ABOUT FOOD AND EXERCISE. - PROMEDICA PHYSICIANS EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING MORE THAN 95 NEW PRIMARY CARE PHYSICIANS, SPECIALISTS AND ADVANCED PRACTICE PROVIDERS IN 2014. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED NEARLY 8,000 FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA CONTINUED TO IMPLEMENT A FOOD RECLAMATION PROGRAM IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS THE TOLEDO AND FLOWER HOSPITALS, PROVIDING MORE THAN 160,000 POUNDS OF REPACKAGED, UN-SERVED FOOD TO COMMUNITY FEEDING SITES. THE TOLEDO MUD HENS AND OWENS COMMUNITY COLLEGE ARE THE NEWEST PARTNERS TO JOIN THE INITIATIVE. - MORE THAN 150 PEOPLE JOINED PROMEDICA AND THE ALLIANCE TO END HUNGER IN FEBRUARY IN WASHINGTON D.C. TO DISCUSS HOW HUNGER AFFECTS AMERICANS' HEALTH AND WELL-BEING AS WELL AS WAYS TO ADDRESS AND SOLVE THE HUNGER PROBLEM. BASED ON PROMEDICA'S COME TO THE TABLE INITIATIVE TO ADDRESS HUNGER AS A HEALTH ISSUE, THE NATIONAL SUMMIT FEATURED AN ARRAY OF SPEAKERS ON HUNGER AND HEALTH AS THE PARTNERS CONTINUE WORKING TO END U.S. HUNGER BY ENCOURAGING JOINT EFFORTS NATIONWIDE. THE SUCCESS OF THE PROGRAM PROMPTED ADDITIONAL REGIONAL HUNGER SUMMITS - IN CHICAGO IN MAY, AND ATLANTA IN NOVEMBER - FEATURING GUEST SPEAKERS AND OTHER AGENCIES ADDRESSING HUNGER THROUGHOUT THE COUNTRY. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN CANCER; EDUCATION SESSIONS ON COLON CANCER; THE FIFTH ANNUAL SURVIVOR CELEBRATIONS FOR CANCER SURVIVORS, FRIENDS AND CAREGIVERS; AND SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN(R) RACE FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - PROMEDICA RETAIL GROUP (PROMEDICA FLOWER MARKET) - A STAND-ALONE RETAIL BUSINESS LOCATED NEAR THE CAMPUS OF THE TOLEDO HOSPITAL - BEGAN HOSTING MONTHLY GARDEN GROCER "FIRST FRIDAY" EVENTS TO DISCUSS GOOD NUTRITION AND OFFER HEALTHY COOKING DEMONSTRATIONS ALONG WITH RECIPES AND OTHER HANDOUTS. THE EVENTS WERE HELD THE FIRST FRIDAY OF EACH MONTH AND FEATURED TIPS AND ADVICE FROM PROMEDICA'S CLINICAL DIETITIANS. - 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 NEARLY $375,000 IN 2014. - PROMEDICA OPENED ITS 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER IN FEBRUARY 2014. THE FACILITY IS NAMED FOR A YOUNG GIRL WHO DIED FROM JUVENILE DIABETES BEFORE HER FAMILY EVEN KNEW SHE HAD THE DISEASE. LOCATED ON THE CAMPUS OF THE TOLEDO HOSPITAL, THE CENTER OFFERS DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER IN ONE CONVENIENT LOCATION TO SERVE ALL COMMUNITY MEMBERS WORKING TO MANAGE THEIR DIABETES. - FLOWER HOSPITAL COMPLETED EXPANSION OF ITS PSYCHIATRIC CARE UNIT IN MARCH. THE ADDITION INCLUDES 18 INPATIENT ROOMS, A COMMON SPACE FOR PATIENTS AND SPECIAL SECURITY MEASURES TO PROVIDE ADDED PROTECTION FOR THIS PATIENT POPULATION. PROMEDICA IS COMMITTED TO EXPANDING BEHAVIORAL HEALTH SERVICES SYSTEM-WIDE TO MEET THE NEEDS OF OUR COMMUNITIES. - THE TOLEDO AND TOLEDO CHILDREN'S HOSPITALS COMPLETED CONSTRUCTION OF NEW IMAGING AND INPATIENT PHARMACY CENTERS IN THE EXISTING RENAISSANCE TOWER. LOCATED ON THE FIRST LEVEL, THE NEW RADIOLOGY SPACE PROVIDES A CENTRALIZED LOCATION FOR ALL RADIOLOGY SERVICES, EXCLUDING BREAST CARE. THE SPACE ALSO FEATURES A LAB DRAW SITE, WHILE A NEW INPATIENT PHARMACY LOCATION PROVIDES OPERATIONAL EFFICIENCIES AND IMPROVED WORKFLOW TO BETTER SERVE OUR PATIENTS AND CAREGIVERS. - ST. LUKE'S HOSPITAL'S EMERGENCY DEPARTMENT RENOVATION WAS COMPLETED, ENHANCING PATIENT PRIVACY AND COMFORT WHILE IMPROVING DEPARTMENT WORKFLOW FOR CAREGIVERS AND PATIENTS ALIKE. - PROMEDICA HOME HEALTH CARE'S ER2HOME PROGRAM LAUNCHED AT FLOWER HOSPITAL IS DESIGNED TO AVOID HOSPITAL READMISSIONS FOR HIGH-RISK, HIGH-COST PATIENTS WHO COME TO THE EMERGENCY CENTER. THROUGH ER2HOME, PATIENTS RECEIVE A 30-DAY INTENSIVE SKILLED NURSING AND TELEHEALTH MONITORING PROGRAM TO HELP THEM BETTER MANAGE THEIR HEALTH CONDITION. - PROMEDICA SIGNED A MULTI-YEAR CONTRACT TO IMPLEMENT EPIC ENTERPRISE SOLUTIONS SYSTEM-WIDE. THE NEW CONTRACT WILL MOVE PROMEDICA TO A MORE INTEGRATED ELECTRONIC HEALTH RECORD (EHR) PLATFORM THAT WILL FURTHER ENABLE ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF THE SERVICE. - PROMEDICA PHYSICIANS OPENED A SECOND PROMEDICA AFTERHOURS LOCATION IN OREGON, OHIO PROVIDING RESIDENTS WITH DIAGNOSIS AND TREATMENT FOR NON-EMERGENCY MEDICAL ISSUES AS WELL AS PRESCRIPTION SERVICES. PROVIDING NEW OPTIONS FOR MEDICAL CARE WHEN PHYSICIAN OFFICES NORMALLY ARE CLOSED, AFTERHOURS IS STAFFED BY PROMEDICA PHYSICIANS CERTIFIED NURSE PRACTITIONERS AND IS OPEN NIGHTS, WEEKENDS AND HOLIDAYS - 365 DAYS A YEAR. - PROMEDICA EMPLOYEES PLEDGED MORE THAN $400,000 TO THE UNITED WAY CAMPAIGN IN 2014, SUPPORTING NUMEROUS COMMUNITY PROGRAMS AND SERVICES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. - PROMEDICA'S CULTURE OF SAFETY PROGRAM WAS EXPANDED THROUGH IMPLEMENTATION OF ERROR PREVENTION TRAINING FOR EMPLOYEES SYSTEM-WIDE. BY YEAR END, MORE THAN 90 PERCENT OF PHYSICIANS AND MORE THAN 13,000 ACUTE CARE EMPLOYEES HAD COMPLETED ERROR PREVENTION TRAINING. THE PATH TO SAFE, PATIENT-CENTERED CARE AND SERVICE IS DESIGNED TO ENGAGE PATIENTS AND FAMILIES AND IMPROVE CARE COORDINATION TO DELIVER BETTER OUTCOMES AND SERVICES ACROSS THE SYSTEM. IN 2014, PROMEDICA CONTRIBUTED $148,727,000 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 $51,018,000 IN 2014. 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; COLLEGE SCHOLARSHIPS FOR STUDENTS ENTERING HEALTHCARE CAREERS; AND MANY OTHER COMMUNITY-BASED INITIATIVES.
PROMEDICA ALSO CONTRIBUTED $20,165,000 IN FINANCIAL ASSISTANCE FOR PATIENTSWHO 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 2014 WAS $24,864,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $148,727,000 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 2014, PROMEDICA PROVIDED $77,544,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2014 WAS $89,329,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $148,727,000 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.
BAY PARK COMMUNITY HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTSBAY PARK COMMUNITY HOSPITAL (D/B/A PROMEDICA BAY PARK HOSPITAL) 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 A PATIENT'S ABILITY TO PAY. PROMEDICA BAY PARK HOSPITAL (BPH) IS LOCATED EAST OF THE MAUMEE RIVER. THE 276,000-SQUARE-FOOT FACILITY INCLUDES A TREATMENT AND DIAGNOSTIC CENTER FOR GENERAL MEDICAL/SURGICAL AND CRITICAL CARE SERVICES, OBSTETRICS, PEDIATRICS, SHORT-STAY SURGERY, LABORATORY AND X-RAY, CARDIOPULMONARY SERVICES, A CENTER FOR SLEEP DISORDERS, AN OUTPATIENT DIABETES PROGRAM, ENDOSCOPY CENTER, AND A FULL-SERVICE EMERGENCY CENTER. IN ADDITION TO THE 91-BED HOSPITAL, BPH'S CAMPUS ALSO INCLUDES A PROFESSIONAL OFFICE BUILDING FOR PHYSICIAN OFFICES, A WOUND CARE CLINIC AND OUTPATIENT REHABILITATION. ADDITIONAL SERVICES ARE OFFERED THROUGH TERTIARY CARE BY THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL. IN 2014, THE HOSPITAL SERVED 3,659 INPATIENTS AND 71,151 OUTPATIENTS. ADDITIONALLY, 29,365 PEOPLE SOUGHT CARE THROUGH BPH'S EMERGENCY CENTER IN 2014. THE HOSPITAL CONTRIBUTED $6,251,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, AND OTHER COMMUNITY BENEFIT OPERATIONS, BPH CONTRIBUTED $1,180,000 TO THE COMMUNITY DURING 2014. INCLUDED IN THIS AMOUNT ARE THE FOLLOWING: - THE 3RD ANNUAL WOMEN'S WELLNESS DAY WITH 120 REGISTERED ATTENDEES TAKING PART IN HEALTH EDUCATION, SCREENINGS AND MEETING WITH VENDORS. - FREE BLOOD PRESSURE SCREENINGS, SCHOOL PHYSICAL EXAMINATIONS AND HEALTH RISK APPRAISALS. FOR EXAMPLE, THE NURSING TEAM AT BPH SUPPORTED THE OREGON SENIOR CENTER BY PROVIDING FREE MONTHLY BLOOD PRESSURE SCREENINGS TO ITS MEMBERS. - MONTHLY VASCULAR SCREENINGS FOR OLDER ADULTS OFFERED AT BPH DIAGNOSTIC DEPARTMENT TO HELP PATIENTS REDUCE THEIR RISK OF STROKE AND PERIPHERAL ARTERIAL DISEASE. - SELF-HEALTH MANAGEMENT PROGRAMS, SUCH AS DISEASE AND DISABILITY SUPPORT GROUPS, AS WELL AS PATIENT AND FAMILY SUPPORT GROUPS. - BREAST EXAMS AND MAMMOGRAMS FOR UNINSURED OR UNDERINSURED WOMEN, FUNDED BY A GRANT FROM THE LOCAL AFFILIATE OF SUSAN G. KOMEN. BPH ALSO ENCOURAGES ITS EMPLOYEES TO PARTICIPATE IN COMMUNITY ACTIVITIES THROUGH ORGANIZATIONS SUCH AS: - EAST TOLEDO FAMILY CENTER, - EASTERN MAUMEE BAY CHAMBER OF COMMERCE, - OREGON ECONOMIC DEVELOPMENT FOUNDATION, - OREGON SENIOR CENTER, - ROSSFORD BUSINESS ASSOCIATION, AND - AMERICAN CANCER SOCIETY/RELAY FOR LIFE IN OREGON, OHIO. BPH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2014, OF WHICH $1,442,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. BPH COST OF BAD DEBT FOR 2014 WAS $1,003,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $6,251,000 NOTED ABOVE. FURTHER, BPH PROVIDED $3,629,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. ALSO IN 2014, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $5,535,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $6,251,000 NOTED ABOVE. DURING 2014, BPH EXPENDED $17,059,000 IN NET PAYROLL, PROVIDING 485 JOBS. A TOTAL OF $1,098,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, BPH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONSPROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (THE SYSTEM) PREPARES ITS COMMUNITY BENEFIT REPORTS USING REPORTING 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 THE SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE MEDICAL OR HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, THE SYSTEM 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 FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. THE SYSTEM 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 THE SYSTEM'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 DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE SYSTEM. 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 INTERNSHIPS AND RESIDENCY EDUCATION, THE PROVISION OF A CLINICAL SETTING FOR UNDERGRADUATE/VOCATIONAL TRAINING FOR STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR EDUCATION THAT IS LINKED TO COMMUNITY SERVICES AND HEALTH IMPROVEMENT. 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 PATIENT DEMAND. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR THE SYSTEM 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/OR THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON WORK TIME; AS WELL AS DONATION OF FOOD, EQUIPMENT AND SUPPLIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COBRA VENTURES LLC
5901 MONCLOVA RDMAUMEEOH43537204671613LAND LEASINGOH$5,320$90,714ST LUKE'S HOSPITAL FOUNDATION
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560611448753EMPLOYS PHYSICIANSOH$0$534,176PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341881137EMPLOYS PHYSICIANSOH$183,766,608$201,173,402PROMEDICA PHYSICIAN GROUP
PROMEDICA EAST PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341881145EMPLOYS PHYSICIANSOH$8,548,443-$216,940PROMEDICA PHYSICIAN GROUP
PROMEDICA ORTHOPEDIC PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560208050622EMPLOYS PHYSICIANSOH$3,005,634-$1,465,225PROMEDICA PHYSICIAN GROUP
PROMEDICA SOUTH PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341898679EMPLOYS PHYSICIANSOH$3,208,029$527,953PROMEDICA PHYSICIAN GROUP
PROMEDICA WEST PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341893773EMPLOYS PHYSICIANSOH$14,427,121-$3,018,823PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560263888045EMPLOYS PHYSICIANSOH$30,673,335-$32,259,756PROMEDICA PHYSICIAN GROUP
PROMEDICA GI PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560263015991EMPLOYS PHYSICIANSOH$9,033,278-$10,550,415PROMEDICA PHYSICIAN GROUP
PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560270978204EMPLOYS PHYSICIANSOH$4,458,099-$4,736,913PROMEDICA PHYSICIAN GROUP
WELLCARE PHYSICIANS LLC
5901 MONCLOVA RDMAUMEEOH43537611528443EMPLOYS PHYSICIANSOH$15,132,363$6,251,117PROMEDICA PHYSICIAN GROUP
PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560271401750EMPLOYS PHYSICIANSOH$3,977,621-$5,216,293PROMEDICA PHYSICIAN GROUP
PROMEDICA ENT LLC
5855 MONROE STSYLVANIAOH43560272404505EMPLOYS PHYSICIANSOH$1,810,346-$1,237,123PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
5855 MONROE STSYLVANIAOH43560271325141MEDICAL EQUIPMENT & PHARMACYOH$55,156,717$15,766,325PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LNADRIANMI49221383164818FACILITY LEASINGMI$279,165$1,185,111EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE STSYLVANIAOH43560272920342EMPLOYS PHYSICIANSMI$2,568,582-$1,082,904PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LLC
5855 MONROE STSYLVANIAOH43560205752995PROVIDES HOSPICE CAREOH$2,796,665$7,159,564PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
PROMEDICA ANESTHESIA CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560453251737EMPLOYS PHYSICIANSOH$30,289,341-$20,847,530PROMEDICA PHYSICIAN GROUP
PROMEDICA CRITICAL CARE LLC
5855 MONROE STSYLVANIAOH43560275165922EMPLOYS PHYSICIANSOH$4,706,125-$4,923,207PROMEDICA PHYSICIAN GROUP
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
5855 MONROE STSYLVANIAOH43560453230331PRACTICE MANAGEMENTOH$93,971$78,774PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
5855 MONROE STSYLVANIAOH43560EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
MISSION POINTE GOLF COURSE LLC
2142 NORTH COVETOLEDOOH43606GOLF COURSEOH$0$406,069PROMEDICA FOUNDATION
PROMEDICA INNOVATIONS LLC
1801 RICHARDS RDTOLEDOOH43607INVESTMENT COMPANYOH-$627,870$836,477PROMEDICA HEALTH SYSTEM INC
PROMEDICA GENITO-URINARY SURGEONS LLC
5855 MONROE STSYLVANIAOH43560461120436EMPLOYS PHYSICIANSOH$12,215,066-$6,078,309PROMEDICA PHYSICIAN GROUP
PROMEDICA MONROE PHYSICIANS PLLC
5855 MONROE STSYLVANIAOH43560461111822EMPLOYS PHYSICIANSMI$553,582-$501,343PROMEDICA PHYSICIAN GROUP
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560454976786EMPLOYS PHYSICIANSOH$0$159,481PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS LLC
5855 MONROE STSYLVANIAOH43560EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS PLLC
5855 MONROE STSYLVANIAOH43560EMPLOYS 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$0$0PROMEDICA PHYSICIAN GROUP
PHS VENTURES LLC
1801 RICHARDS RDTOLEDOOH43607341880473HEALTH CARE MANAGEMENT SERVICESDE$0$0PROMEDICA HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CARE ENTERPRISES INC
5901 MONCLOVA RDMAUMEEOH43537341366709FACILITY LEASINGOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)11D, 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)11B, 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)11A, IFOSTORIA HOSPITAL ASSOCIATIONYes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)11B, 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)9EMMA L BIXBY MEDICAL CENTERYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
5855 MONROE STSYLVANIAOH43560344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVETOLEDOOH43606260324790COURIER SERVICEOH501(C)(3)11B, IIPROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS RDTOLEDOOH43607341517671PARENT COMPANY OF HEALTH SYSTEMOH501(C)(3)11B, II0N/A
PHS VENTURES
1801 RICHARDS RDTOLEDOOH43607341880473HEALTH CARE MANAGEMENT SERVICESOH501(C)(3)11C, III-FIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
5855 MONROE STSYLVANIAOH43560341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIAN GROUP
5855 MONROE STSYLVANIAOH43560341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
ST LUKE'S HOSPITAL
5901 MONCLOVA RDMAUMEEOH43537344428232HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RDMAUMEEOH43537341292849FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341517672FOUNDATIONOH501(C)(3)11B, 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)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE STSYLVANIAOH43560341831624HOSPICE HOME CAREOH501(C)(3)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
KAITLYN'S COTTAGE INC
1260 RALSTON AVEDEFIANCEOH43512454781053RESPITE CAREOH501(C)(3)9DEFIANCE HOSPITAL INCYes (1)
MEMORIAL HOSPITAL
715 SOUTH TAFT AVEFREMONTOH43420344430849HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP
818 RIVERSIDE AVEADRIANMI49221382972398FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERRELATED$15,825$1,196,3380Yes (1)0.64600
REYNOLDS RD SURGICAL CENTER LLC
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$642,865$2,632,389000.65040
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RDMAUMEEOH43537320160784FACILITY LEASINGOHCARE ENTERPRISES INCRELATED$8,237$768,144000.70000
NORTHWEST OHIO DEDICATED BREAST MRI LLC
5901 MONCLOVA RDMAUMEEOH43537260679898MEDICAL DIAGNOSTICSOHTHE TOLEDO HOSPITALRELATED$149,057$524,190000.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$302,421$2,977,8390Yes (1)0.50000
OHIO CARE AMBULATORY SURGICAL CENTER LLC
5959 MONCLOVA RDMAUMEEOH43537341863472AMBULATORY SURGICAL CENTEROHST LUKE'S HOSPITALRELATED$137,982$1,227,515000.57570
LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC
818 RIVERSIDE AVEADRIANMI49221383605511PHYSICIAN MANAGEMENT SERVICESMIEMMA L BIXBY MEDICAL CENTERRELATED$83,151$262,8240Yes (1)0.50000
PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
5901 MONCLOVA RDMAUMEEOH43537461989695PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCRELATED$874,703$934,742000.51920
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVEFREMONTOH43420204066818REAL ESTATEOHMEMORIAL HOSPITALRELATED$4,086$310,627000.50000
SURGICAL INSTITUTE OF MONROE LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIPROMEDICA PHYSICIANS AND CONTINUUM SERVICESRELATED$4,026,218000.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
CARE HOLDINGS
5901 MONCLOVA RDMAUMEEOH43537341796790HOLDING COMPANYOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERC1.00000Yes (1)$49,679$1,056,484
LHA PHYSICIAN SERVICES CORPORATION
818 RIVERSIDE AVEADRIANMI49221611451576PHYSICIAN BILLINGMIEMMA L BIXBY MEDICAL CENTERC1.00000Yes (1)-$16,737$44,878
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RDMAUMEEOH43537061811760PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
5855 MONROE STSYLVANIAOH43560383322278PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC1.00000Yes (1)-$1,555,757-$3,682,110
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)$38,468,000$425,832,000
PROMEDICA NORTH PHYSICIAN CORPORATION
5855 MONROE STSYLVANIAOH43560383482148PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC1.00000Yes (1)$203,340
PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION
5855 MONROE STSYLVANIAOH43560341887065PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA PHYSICIANS AND CONTINUUM SERVICESC1.00000Yes (1)
PROMEDICA RETAIL GROUP INC
3890 MONROE STTOLEDOOH43606341159928FLORISTOHPROMEDICA PHYSICIANS AND CONTINUUM SERVICESC1.00000Yes (1)$20,020$1,906,368
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMIHERRICK MEMORIAL DEVELOPMENT CORPC0.71800Yes (1)-$70$45,040
MEMORIAL MEDICAL CENTER INC
715 SOUTH TAFT AVEFREMONTOH43420340939146RENTAL REAL ESTATEOHMEMORIAL HOSPITALC1.00000Yes (1)-$211,938
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 Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
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 Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROMEDICA HEALTH SYSTEM INC
B$3,828,447FMV
PROMEDICA FOUNDATION
B$64,343FMV
PROMEDICA FOUNDATION
C$131,371FMV
PROMEDICA PHYSICIAN GROUP
J$363,006FMV
ST LUKE'S HOSPITAL
O$224,498FMV
THE TOLEDO HOSPITAL
P$2,036,733FMV
PROMEDICA COURIER SERVICES INC
P$81,668FMV
PROMEDICA HEALTH SYSTEM INC
P$11,937,505FMV
PROMEDICA PHYSICIAN GROUP
P$2,992,977FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
P$252,367FMV