MCLAREN ST LUKES: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MCLAREN ST LUKES (EIN 34-4428232)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-13
IRS object ID: 201443179349305424
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-13T15:35:01-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE STE 2000	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428232	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	STLU	BusinessNameControlTxt
Phone	4198935911	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5901 MONCLOVA ROAD	AddressLine1
City	MAUMEE	City
State	OH	State
ZIP Code	43537	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL L WAKEMAN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	4198935911	PhoneNum
Signature	2014-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SAMANTHA BOKORI	PreparerPersonNm
PTIN	P01057347	PTIN
Phone	3174648600	PhoneNum
Preparation	2014-10-27	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PROMEDICA ST LUKE'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	DANIEL L WAKEMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5901 MONCLOVA ROAD	AddressLine1
City	MAUMEE	City
State	OH	State
ZIP Code	43537	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$202,013,719	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1906	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	ST. LUKE'S HOSPITAL, TOGETHER WITH ITS MEDICAL STAFF, IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARE AND COMPASSION, THROUGH THE USE OF TECHNOLOGICALLY ADVANCED MEDICAL AND SURGICAL SERVICES, WHILE FOSTERING THE WELLNESS OF THOSE IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1585	TotalEmployeeCnt
Total Volunteers	309	TotalVolunteersCnt
Total Gross UBI	$195	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$53	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,234,668	PYContributionsGrantsAmt
CY Contributions Grants	$10,412,864	CYContributionsGrantsAmt
PY Program Service Revenue	$165,637,279	PYProgramServiceRevenueAmt
CY Program Service Revenue	$155,377,352	CYProgramServiceRevenueAmt
PY Investment Income	$3,559,245	PYInvestmentIncomeAmt
CY Investment Income	$2,245,477	CYInvestmentIncomeAmt
PY Other Revenue	$1,553,650	PYOtherRevenueAmt
CY Other Revenue	$4,485,944	CYOtherRevenueAmt
PY Total Revenue	$180,984,842	PYTotalRevenueAmt
CY Total Revenue	$172,521,637	CYTotalRevenueAmt
PY Grants And Similar Paid	$393,096	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,326,993	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$83,334,491	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$86,789,225	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$82,456,018	PYOtherExpensesAmt
CY Other Expenses	$82,978,468	CYOtherExpensesAmt
PY Total Expenses	$166,183,605	PYTotalExpensesAmt
CY Total Expenses	$171,094,686	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,801,237	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,426,951	CYRevenuesLessExpensesAmt
Total Assets BOY	$215,222,913	TotalAssetsBOYAmt
Total Assets EOY	$229,104,194	TotalAssetsEOYAmt
Total Liabilities BOY	$91,152,666	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$64,898,621	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$124,070,247	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$164,205,573	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ST. LUKE'S HOSPITAL, TOGETHER WITH ITS MEDICAL STAFF, IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARE AND COMPASSION, THROUGH THE USE OF TECHNOLOGICALLY ADVANCED MEDICAL AND SURGICAL SERVICES, WHILE FOSTERING THE WELLNESS OF THOSE IT SERVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$137,849,819	ExpenseAmt
Grant	$1,326,993	GrantAmt
Revenue	$156,385,225	RevenueAmt
Desc	ST. LUKE'S HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,198,823	ExpenseAmt
Desc	CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,401,272	ExpenseAmt
Revenue	$2,351,733	RevenueAmt
Desc	CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$150,449,914	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	112	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1585	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	26	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRIAN HANSEN	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	4198918505	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5901 MONCLOVA ROAD	AddressLine1
City	MAUMEE	City
State	OH	State
ZIP Code	43537	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEPHEN M BAUERLE
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES E A BLACK II
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LARRY M BOWER PHD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
ARTHUR D DEPOMPEI SPHR CCP
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LOUITO C EDJE MD
DIRECTOR	1.00	40.00	Yes (X)	$0	$209,898	$27,076
ROBERT C FRIESS DO
DIRECTOR	1.00	0.00	Yes (X)	$7,500	$0	$0
TIMOTHY L GOLIGOSKI
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CRYSTAL R GOVEIA MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
THOMAS M HOUSTON MD
DIRECTOR	1.00	41.00	Yes (X)	$0	$159,548	$12,907
RAJENDRA R KATTAR MD
DIRECTOR	1.00	40.00	Yes (X)	$15,000	$670,755	$92,747
RICARDO A KING
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
ROSE ANN LAURETO
DIRECTOR	1.00	40.00	Yes (X)	$0	$389,392	$13,942
SCOTT M LIBBE
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LALAINE E MATTISON MD
DIRECTOR	1.00	0.00	Yes (X)	$720	$0	$0
JOSEPH J O'HARA JR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
RICHARD A PAAT MD FACP
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
BARBARA J PETEE
DIRECTOR	1.00	41.00	Yes (X)	$0	$307,122	$43,446
EDWARD J SHULTZ
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
CYNTHIA B SMITH
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
SESINANDO R TORRES MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DIANA F WAUGH
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
BARBARA A MANG
EX OFFICIO	1.00	1.00	Yes (X)	$0	$0	$0
KEVIN C WEBB PHD
EX OFFICIO	1.00	44.00	Yes (X)	$0	$483,405	$52,701
DANIEL L WAKEMAN
PRESIDENT, EX OFFICIO	40.00	3.00	Yes (X)	$0	$363,617	$38,920	Yes (X)
JOHN BACHEY
CHAIRPERSON	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
DALE J SEYMOUR
VICE CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
JEFFREY C KUHN
SECRETARY	0.50	51.00		$0	$521,270	$73,952	Yes (X)
KATHLEEN S HANLEY
TREASURER	0.50	51.50		$0	$700,133	$104,802	Yes (X)
GARY AKENBERGER
SR. VP FINANCE, PHS	0.50	44.00		$0	$336,133	$72,295		Yes (X)
KEN ARMSTRONG
COO, HVI	0.50	41.00		$0	$319,143	$50,383		Yes (X)
LORI JOHNSTON
VP FINANCE & OPS, SLH	0.50	42.50		$0	$332,483	$55,470		Yes (X)
THERESA KONWINSKI
VP PATIENT CARE, SLH	40.00	0.00		$0	$170,658	$226,586		Yes (X)
DANIEL P SCHWANKE
COO, SLH	40.00	1.00		$0	$273,026	$52,609		Yes (X)
DAVID CHEN
PHARMACY MANAGER	40.00	0.00		$119,267	$0	$21,081			Yes (X)
KHALED EL-SAYED
CARDIO SURGICAL ASSISTANT II	40.00	0.00		$115,741	$0	$24,154			Yes (X)
JENNIFER GRABARCZYK
CHIEF CLINICAL PHARMACIST	40.00	0.00		$117,165	$0	$14,115			Yes (X)
KELLY MCGRAIN
STAFF PHARMACIST	40.00	0.00		$114,131	$0	$7,450			Yes (X)
JEFFERY STEER
CARDIO SURGICAL ASSISTANT II	40.00	0.00		$114,322	$0	$15,708			Yes (X)
MIKE WILKINS
FORMER KEY EMPLOYEE	0.00	40.00		$0	$116,852	$12,990				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$603,846	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,353,435	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,013,334	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SOUTHWEST ANESTHESIA SERV
300 DAVE COWEN DR 6TH FLOOR	NEWPORT	KY	410714563	ANESTHESIA SERVICES	$2,669,656
UNIVERSITY OF TOLEDO
3000 ARLINGTON	TOLEDO	OH	43614	PHYSICIAN SERVICES	$2,295,489
SPIEKER CO
8350 FREMONT PIKE	PERRYSBURG	OH	43551	GENERAL CONSTRUCTION	$2,272,772
OHIO HOSPITAL ASSOCIATION
155 E BROAD ST SUITE 301	COLUMBUS	OH	432153620	TEMPORARY AGENCY STAFFING	$1,389,989
UNIVERSITY OF TOLEDO PHYSICIANS
3355 GLENDALE RD 3RD FLOOR	TOLEDO	OH	43614	PHYSICIAN SERVICES	$1,137,147

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,375,729	RelatedOrganizationsAmt
Government Grants	$1,831	GovernmentGrantsAmt
All Other Contributions	$35,304	AllOtherContributionsAmt
Noncash Contributions	$945	NoncashContributionsAmt
Total Contributions	$10,412,864	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICES	622110	$154,858,550	$154,858,355	$195
AFFIL. ORG. RENT REV.	531120	$518,802			$518,802

Field	Value	IRS element (for citing)
Total Program Service Revenue	$155,377,352	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,336,737	TotalRevenueColumnAmt
Exclusion	$1,336,737	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$32,542	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$32,542	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,542	TotalRevenueColumnAmt
Exclusion	$32,542	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$30,372,815	SecuritiesAmt
Other	$28,007	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$29,443,915	SecuritiesAmt
Other	$48,167	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$928,900	SecuritiesAmt
Other	-$20,160	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$908,740	TotalRevenueColumnAmt
Exclusion	$908,740	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
EHR INCENTIVE	900099	$2,765,242	$2,765,242
CAFETERIA	722514	$545,943		$545,943
MED STAFF/AUX./GIFT	900099	$443,408	$443,408

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$698,809	TotalRevenueColumnAmt
Related Or Exempt Func Income	$669,953	RelatedOrExemptFuncIncomeAmt
Exclusion	$28,856	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,453,402	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$172,521,637	TotalRevenueColumnAmt
Related Or Exempt Func Income	$158,736,958	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$195	UnrelatedBusinessRevenueAmt
Exclusion	$3,371,620	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,282,746	TotalAmt
Program Services	$1,282,746	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$44,247	TotalAmt
Program Services	$44,247	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$23,220	TotalAmt
Program Services	$720	ProgramServicesAmt
Management And General	$22,500	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$71,350,524	TotalAmt
Program Services	$58,847,407	ProgramServicesAmt
Management And General	$12,503,117	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,119,936	TotalAmt
Program Services	$1,738,348	ProgramServicesAmt
Management And General	$381,588	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,374,911	TotalAmt
Program Services	$6,867,427	ProgramServicesAmt
Management And General	$1,507,484	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,920,634	TotalAmt
Program Services	$4,035,692	ProgramServicesAmt
Management And General	$884,942	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$415,323	TotalAmt
Management And General	$415,323	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$138,083	TotalAmt
Management And General	$138,083	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,342	TotalAmt
Management And General	$8,342	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$223,664	TotalAmt
Management And General	$223,664	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,193,654	TotalAmt
Program Services	$17,355,756	ProgramServicesAmt
Management And General	$1,837,898	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$580,782	TotalAmt
Program Services	$377,508	ProgramServicesAmt
Management And General	$203,274	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,515,263	TotalAmt
Program Services	$1,057,911	ProgramServicesAmt
Management And General	$457,352	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,190,681	TotalAmt
Program Services	$1,971,613	ProgramServicesAmt
Management And General	$219,068	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,562,746	TotalAmt
Program Services	$3,206,471	ProgramServicesAmt
Management And General	$356,275	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$218,788	TotalAmt
Program Services	$50,108	ProgramServicesAmt
Management And General	$168,680	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$89,341	TotalAmt
Program Services	$80,407	ProgramServicesAmt
Management And General	$8,934	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,953,072	TotalAmt
Program Services	$8,057,765	ProgramServicesAmt
Management And General	$895,307	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,330,363	TotalAmt
Program Services	$1,197,327	ProgramServicesAmt
Management And General	$133,036	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$25,291,147	$25,283,931	$7,216
DRUGS	$7,745,898	$7,745,898
INTERCOMPANY SERVICES	$4,153,476	$4,153,476
EQUIPMENT RENTAL	$2,216,647	$2,216,647

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,151,198	TotalAmt
Program Services	$4,878,509	ProgramServicesAmt
Management And General	$272,689	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$171,094,686	TotalAmt
Program Services	$150,449,914	ProgramServicesAmt
Management And General	$20,644,772	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,568,820	BOYAmt
EOY	$3,096,089	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,303,961	BOYAmt
EOY	$23,547,170	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,361,982	BOYAmt
EOY	$3,321,328	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,649,240	BOYAmt
EOY	$1,919,357	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$603,974	BOYAmt
EOY	$388,463	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$122,269,705	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$27,096,859	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,572,265	BOYAmt
EOY	$95,172,846	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$60,867,382	BOYAmt
EOY	$71,730,035	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,867,406	BOYAmt
EOY	$2,888,573	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$104,590	BOYAmt
EOY	$104,590	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,323,293	BOYAmt
EOY	$26,935,743	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$215,222,913	BOYAmt
EOY	$229,104,194	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,425,267	BOYAmt
EOY	$13,541,051	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$75,727,399	BOYAmt
EOY	$51,357,570	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,152,666	BOYAmt
EOY	$64,898,621	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$106,510,106	BOYAmt
EOY	$143,946,117	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,560,141	BOYAmt
EOY	$20,259,456	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,070,247	BOYAmt
EOY	$164,205,573	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$215,222,913	BOYAmt
EOY	$229,104,194	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,426,951	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,024,456	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$31,683,919	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,342	OtherActivitiesAmt
Total Lobbying Expenditures	$8,342	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ST. LUKE'S HOSPITAL PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$995,000	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,368,660	OtherCostOrOtherBasisAmt
Book Value	$5,363,660	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,664,481	OtherCostOrOtherBasisAmt
Depreciation	$9,919,022	DepreciationAmt
Book Value	$60,745,459	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$525,999	OtherCostOrOtherBasisAmt
Depreciation	$59,838	DepreciationAmt
Book Value	$466,161	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,174,112	OtherCostOrOtherBasisAmt
Depreciation	$15,636,239	DepreciationAmt
Book Value	$18,537,873	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,541,453	OtherCostOrOtherBasisAmt
Depreciation	$1,481,760	DepreciationAmt
Book Value	$10,059,693	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$95,172,846	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$3,498,079
OTHER RECEIVABLES	$398,035
THIRD PARTY PAYOR RECEIVABLE	$2,712,806
DEFERRED COSTS	$61,929
SERVICE FUNDS	$12,886
BENEFICIAL INTEREST IN FOUNDATION	$20,252,008

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$26,935,743	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$22,803,129
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE	$15,834,958
ASBESTOS REMEDIATION	$103,549
DUE TO AFFILIATES	$10,333,891
INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL	$1,817,334
MALPRACTICE TAIL LIABILITY	$464,709

Field	Value	IRS element (for citing)
Total Liability	$51,357,570	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ST. LUKE'S 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, 2013 AND 2012. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $1,059,000 AND $1,552,000, 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 $20,000 AND $117,000 AS OF DECEMBER 31, 2013 AND 2012, RESPECTIVELY. ST. LUKE'S HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 AND 2012.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,091,810	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,091,810	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,185,869	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,091,900	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,093,969	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,044	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,306,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,108,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,198,823	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,807	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132,807	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,343,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,173,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,170,083	NetCommunityBenefitExpnsAmt
Total Expense	0.02400	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,906,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$177,983	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,728,461	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,188	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,188	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,401,272	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,351,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,049,539	NetCommunityBenefitExpnsAmt
Total Expense	0.03490	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,708,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,459,859	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,248,362	NetCommunityBenefitExpnsAmt
Total Expense	0.05910	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,074	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,074	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,757	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,831	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,922,998	BadDebtExpenseAmt
Bad Debt Expense Attributable	$496,483	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$43,153,431	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,233,079	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,079,648	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 OHIO CARE AMBULATORY SURGICAL CENTER LLC DBA SURGICARE
AMBULATORY SURGERY CENTER	0.59840	0.00000	0.40160
2 ST LUKE'S PHYSICIAN HOSPITAL ORGANIZATION INC
PHYSICAN HOSPITAL OGANIZATION	0.50000	0.00910	0.49090

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5901 MONCLOVA RD	AddressLine1
City	MAUMEE	City
State	OH	State
ZIP Code	43537	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
State License	1224	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.PROMEDICA.ORG/CHNA	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ST. LUKE'S HOSPITAL

PART V, SECTION B, LINE 3: ST. LUKE'S 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 THE TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY, AND 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 CONSULTED WITH OTHER ORGANIZATIONS AND OTHER GROUPS IN CONDUCTING ITS MOST RECENT CHNA. THESE CONSULTING INDIVIDUALS REPRESENTED THE FOLLOWING ORGANIZATIONS:- UNIVERSITY OF TOLEDO- YMCA LIVE WELL TOLEDO - TOLEDO PUBLIC SCHOOL NURSES - MERCY HEALTH PARTNERS - LUCAS COUNTY EDUCATIONAL SERVICE CENTER- TOLEDO - LUCAS COUNTY HEALTH DEPARTMENT - HELP ME GROW, LUCAS COUNTY FAMILY COUNCIL - NORTHWEST OHIO CONGREGATIONAL NURSE ASSOCIATION - FAMILY & CHILDREN FIRST COUNCIL - MENTAL HEALTH RECOVERY AND SERVICES BOARD OF LUCAS COUNTY - LUCAS COUNTY TOBACCO COALITION - TOLEDO COMMUNITY FOUNDATION- AMERICAN CANCER SOCIETY - PROMEDICA HEALTH SYSTEM- YWCA - OHIO DEPARTMENT OF HEALTH- HOME VISITING & TRAINING COORDINATOR, LUCAS COUNTY - ST. VINCENT MERCY MEDICAL CENTER - GRACE COMMUNITY CENTER - JUVENILE COURT, LUCAS COUNTY - JOB & FAMILY SERVICES, LUCAS COUNTY - HOSPITAL COUNCIL OF NORTHWEST OHIO- TOLEDO-LUCAS COUNTY CARENET - UNITED WAY OF GREATER TOLEDO- EXCHANGE CLUB- TOLEDO PUBLIC SCHOOLS BOARD OF EDUCATION- BOWLING GREEN STATE UNIVERSITY

ST. LUKE'S HOSPITAL

PART V, SECTION B, LINE 7: ST. LUKE'S HOSPITAL SPECIFICALLY IMPLEMENTED PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CARDIOVASCULAR HEALTH - STROKE- CANCER SCREENINGS - SKIN AND COLORECTAL- GERIATRIC-RELATED INITIATIVES - NUTRITION AND DEMENTIA- LUNG DISEASE - CHRONIC OBSTRUCTIVE PULMONARY DISORDER/ DISEASE- DIABETESST. LUKE'S 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; MINORITY HEALTH COALITION*, HEALTHY LUCAS COUNTY*- HEALTH CARE COVERAGE - TOLEDO LUCAS COUNTY CARENET*; PARAMOUNT HEALTH CARE*- CARDIOVASCULAR HEALTH - PROMEDICA HEART & VASCULAR INSTITUTE; PROMEDICA WELLNESS; AMERICAN HEART ASSOCIATION* - CANCER-AMERICAN CANCER ASSOCIATION*; PROMEDICA CANCER INSTITUTE- DIABETES - PROMEDICA DIABETES EDUCATION- ARTHRITIS - ADDRESSED AT PHYSICIAN VISITS; ARTHRITIS FOUNDATION- ASTHMA - ADDRESSED AT PHYSICIAN VISITS; ST. LUKE'S HOSPITAL RESPIRATORY CARE PROGRAMS- ADULT WEIGHT STATUS - PROMEDICA WELLNESS; WEIGHT WATCHERS- TOBACCO USE - PROMEDICA TOBACCO TREATMENT CENTERS- ALCOHOL AND DRUG USE - ADDRESSED AT PHYSICIAN VISITS- WOMEN'S HEALTH - ADDRESSED AT PHYSICIAN VISITS; NORTHWEST OHIO SUSAN G. KOMEN FOUNDATION*; PROMEDICA CANCER INSTITUTE- MEN'S HEALTH - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA CANCER INSTITUTE; AFRICAN AMERICAN MALE WELLNESS WALK*- MENTAL HEALTH - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA DEPRESSION SCREENINGS; NATIONAL ALLIANCE ON MENTAL HEALTH- PREVENTIVE SCREENINGS AND IMMUNIZATIONS - ADDRESSED AT PHYSICIAN VISITS; KOMEN*; MINORITY HEALTH COALITION*- ADULT SEXUAL BEHAVIOR - ADDRESSED AT PHYSICIAN VISITS - PERCEIVED QUALITY OF LIFE - YOUTH TOBACCO USE - PROMEDICA TOBACCO TREATMENT PROGRAMS; SUBSTANCE ABUSE INTERVENTION LEAGUE (SAIL)*; LUCAS COUNTY TOBACCO COALITION*- YOUTH ALCOHOL AND DRUG USE - SUBSTANCE ABUSE INTERVENTION LEAGUE (SAIL)*; LUCAS COUNTY TOBACCO COALITION*- YOUTH SEXUAL BEHAVIOR - ADDRESSED AT PHYSICIAN VISITS; TOLEDO LUCAS COUNTY HEALTH DEPARTMENT; YOUTH ADVOCACY ALLIANCE*- YOUTH MENTAL HEALTH - ADDRESSED AT PHYSICIAN VISITS; PREVENT BULLYING = CREATING SAFETY COALITION*- YOUTH SAFETY AND VIOLENCE - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA TEEN PEP; PROMEDICA SAFE KIDS- CHILDREN'S HEALTH STATUS - ADDRESSED AT PHYSICIAN VISITS - CHILDREN'S HEALTH ACCESS - TOLEDO LUCAS COUNTY HEALTH DEPARTMENT; PARAMOUNT HEALTH CARE*- EARLY (AGES 0-5) CHILDHOOD HEALTH - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA SAFE KIDS, HELP ME GROW; PATHWAYS*; HEALTHY LUCAS COUNTY EARLY CHILDHOOD TASK FORCE*; READ FOR LITERACY/CREATING YOUNG READERS*- MIDDLE (AGES 6-11) CHILDHOOD HEALTH - ADDRESSED AT PHYSICIAN VISITS; PROMEDICA SAFE KIDS; PARTNERS IN EDUCATION*- FAMILY FUNCTIONING/NEIGHBORHOODS - ADDRESSED AT PHYSICIAN VISITS; LIVE WELL TOLEDO*- PARENT HEALTH - TOLEDO LUCAS COUNTY CARENET*, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, NEIGHBORHOOD HEALTH ASSOCIATIONTO 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.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
REGENCY CT RADIOLOGY SERVICES
3000 REGENCY COURT SUITE 105	TOLEDO	OH	43623	RADIOLOGY
FALLEN TIMBERS RADIOLOGY
5757 MONCLOVA RD SUITE 31	MAUMEE	OH	43537	RADIOLOGY
WATERVILLE SATELLITE LAB
900 WATERVILLE-MONCLOVA RD SUITE B	WATERVILLE	OH	43566	LAB
FALLEN TIMBERS LAB
5757 MONCLOVA RD SUITE 16	MAUMEE	OH	43537	LAB
FAMILY MEDICINE CENTER
6005 MONCLOVA RD	MAUMEE	OH	43537	FAMILY MEDICINE CENTER
DIABETES CARE CENTER
MONCLOVA RD	MAUMEE	OH	43537	DIABETES CARE
STARBRIGHT CLINIC
2855 STARBRIGHT BLVD	PERRYSBURG	OH	43551	OCCUPATIONAL MEDICINE
PERRYSBURG RADIOLOGY SERVICES
1103 VILLAGE SQUARE DR SUITE 200	PERRYSBURG	OH	43551	RADIOLOGY
PERRYSBURG SATELLITE LAB
1103 VILLAGE SQUARE DR SUITE 201	PERRYSBURG	OH	43551	LAB
SWANTON REHAB
1 TURTLE CREEK CIRCLE	SWANTON	OH	43558	PHYSICAL THERAPY
WATERVILLE REHAB
900 WATERVILLE-MONCLOVA RD SUITE B	WATERVILLE	OH	43566	PHYSICAL THERAPY
RIVER ROAD SATELLITE LAB
28442 E RIVER RD SUITE 101	PERRYSBURG	OH	43551	LAB
SUNFOREST CT RADIOLOGY
3900 SUNFOREST COURT SUITE 136	TOLEDO	OH	43623	RADIOLOGY
PAIN CENTER
MONCLOVA RD	MAUMEE	OH	43537	PAIN CENTER
PERRYSBURG REHAB
1103 VILLAGE SQUARE DR	PERRYSBURG	OH	43551	PHYSICAL THERAPY
VESTIBULAR CLINIC
6005 MONCLOVA RD SUITE 360	MAUMEE	OH	43537	VESTIBULAR CLINIC
STARBRIGHT REHAB
2855 STARBRIGHT BLVD	PERRYSBURG	OH	43551	PHYSICAL THERAPY
OREGON RADIOLOGY SERVICES
3113 DUSTIN RD SUITE A	OREGON	OH	43616	RADIOLOGY
GERIATRIC CENTER
6005 MONCLOVA RD	MAUMEE	OH	43537	GERIATRIC CENTER
TOBACCO TREATMENT CENTER
MONCLOVA RD	MAUMEE	OH	43537	TOBACCO TREATMENT
OHIOCARE AMBULATORY SURGICAL CENTER
5959 MONCLOVA RD	MAUMEE	OH	43537	SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	ST. LUKE'S HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	ST. LUKE'S 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 II, COMMUNITY BUILDING ACTIVITIES:	ST. LUKE'S HOSPITAL PROMOTED THE HEALTH OF ITS COMMUNITY BY SUPPORTING VARIOUS LOCAL ORGANIZATIONS THAT ENGAGE IN COMMUNITY BUILDING ACTIVITIES.
PART III, LINE 2:	ST. LUKE'S 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:	ST. LUKE'S HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF CHARITY CARE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:	PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 15 AND 16 OF THE ATTACHED PROMEDICA 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.ST. LUKE'S HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2013 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF NECESSARY. 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. 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, OR RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION. 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 NEUROLOGY.
PART VI, LINE 3:	THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT ALL 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. ALL ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE. 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:	ST. LUKE'S HOSPITAL, LOCATED IN MAUMEE, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS AND WOOD COUNTIES WITH A POPULATION OF APPROXIMATELY 351,000. APPROXIMATELY, 15% OF THE SERVICE AREA IS AGE 65 OR OVER; 39% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $49,000; 40% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 52% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 438,000 WITH APPROXIMATELY 11% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 26% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 15% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2013 WAS 8.0%. THE LEADING CAUSES OF DEATH IN THE SERVICE AREA, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART 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 11% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 11% OF WOOD COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR WOOD COUNTY IN 2013 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 MAUMEE, 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, BAY PARK COMMUNITY HOSPITAL, MERCY MEMORIAL-MONROE, WOOD COUNTY HOSPITAL, AND HENRY COUNTY HOSPITAL.
PART VI, LINE 5:	IN 2013, THERE WERE 453 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 67 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 2013, PROMEDICA BOARD MEMBERS GAVE APPROXIMATELY 13,590 HOURS IN SERVICE TO THE ORGANIZATION, WHICH EQUATES TO AN ESTIMATED CONTRIBUTION OF MORE THAN $975,000 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.- PROMEDICA PHYSICIANS, WHICH CONSISTS OF APPROXIMATELY 550 PHYSICIANS AND MIDLEVEL PROVIDERS, INTRODUCED ITS NEW PATIENT PORTAL AT ALL PRIMARY CARE AND SPECIALIST PRACTICES. THE PORTAL IS A FREE AND SECURE PLATFORM FOR PATIENTS TO SCHEDULE APPOINTMENTS, MONITOR HEALTH RECORDS AND OBTAIN CERTAIN LAB TEST RESULTS FROM THE CONVENIENCE OF THEIR PERSONAL COMPUTER. - THROUGH PROMEDICA'S ACADEMIC RELATIONSHIP WITH THE UNIVERSITY OF TOLEDO (UT), THE ACADEMIC HEALTH CENTER'S BIOREPOSITORY COLLECTED NEARLY 200 BLOOD AND TISSUE SAMPLES DONATED BY PATIENTS TO ADVANCE RESEARCH IN AREAS OF NEW TREATMENTS, PREVENTION AND CURES FOR CANCER, DIABETES, ALZHEIMER'S DISEASE AND OTHER MEDICAL CONDITIONS. - THE PROMEDICA ADVOCACY FUND PROVIDED GRANTS TOTALING NEARLY $400,000 TO MORE THAN A DOZEN NONPROFIT ORGANIZATIONS, HELPING THEM PROVIDE FOOD, CLOTHING AND SHELTER TO AT-RISK INDIVIDUALS IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN.- BASED ON RESULTS FROM ITS COMMUNITY HEALTH ASSESSMENTS, PROMEDICA ADVOCACY SPONSORED A SERIES OF PUBLIC SERVICE ANNOUNCEMENTS RELATED TO TOBACCO USE AND SMOKING CESSATION. LOCAL DENTIST LAUREN CZERNIAK, PROMEDICA RESPIRATORY THERAPIST AND TOBACCO TREATMENT SPECIALIST LINDA MORRIS, AND NICK VITUCCI, HEAD COACH OF THE TOLEDO WALLEYE HOCKEY TEAM, COVERED VARIOUS TOPICS RELATED TO SMOKING AND TOBACCO USE. THE SPOTS AIRED OVER SEVERAL MONTHS ON MULTIPLE BUCKEYE CABLE-TV CHANNELS DURING THE FIRST HALF OF 2013.- CONTINUING ITS INITIATIVE TO FIGHT CHILDHOOD OBESITY, PROMEDICA LAUNCHED A PILOT PROGRAM FOR CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES BEGAN MEETING 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 WILL BE COMPARED BEFORE, DURING AND AFTER THE 12-MONTH PERIOD TO DETERMINE THE PROGRAM'S EFFECTIVENESS.- AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA ESTABLISHED A FOOD RECLAMATION PROGRAM IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS PROMEDICA FLOWER AND TOLEDO HOSPITALS, WHICH PROVIDED MORE THAN 70,000 POUNDS OF REPACKAGED, UNSERVED FOOD TO COMMUNITY FEEDING SITES.- PROMEDICA BEGAN CONSTRUCTION OF THE 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER, WHICH WILL BRING DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER, PROVIDING COORDINATED CARE IN ONE CONVENIENT LOCATION TO SERVE COMMUNITY MEMBERS LEARNING TO MANAGE THEIR DIABETES.- PROMEDICA CONTINUING CARE SERVICES CORPORATION, THROUGH PROMEDICA HOME CARE, IN PARTNERSHIP WITH PARAMOUNT, BEGAN OFFERING TELEHEALTH MONITORING SERVICES TO ELIGIBLE HOME-CARE PATIENTS TO HELP REDUCE HOSPITAL READMISSIONS BY CAREFUL DAILY MONITORING OF VITAL STATISTICS, NUTRITION AND MEDICATION ADHERENCE.- 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. APPROXIMATELY 8,000 ADDITIONAL HEALTH SCREENINGS WERE PROVIDED TO COMMUNITY MEMBERS THROUGHOUT 2013, 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 2013, PROMEDICA WAS COMPRISED OF NEARLY 15,000 EMPLOYEES, APPROXIMATELY 2,200 VOLUNTEERS AND MORE THAN 1,800 HEALTHCARE PROVIDERS, INCLUDING MORE THAN 550 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; PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIANS, A NETWORK OF SYSTEM-EMPLOYED PHYSICIANS AND MIDLEVEL PROVIDERS; PROMEDICA CONTINUING CARE SERVICES, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION, AND HOME CARE; AND THE ACADEMIC HEALTH CENTER CORPORATION, WITH MEDICAL RESIDENCY PROGRAMS IN FAMILY MEDICINE, SPORTS CARE, VASCULAR SURGERY, AND PHARMACOLOGY.- IN 2013, PROMEDICA MANAGED MORE THAN 4 MILLION PATIENT ENCOUNTERS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF NEARLY $130 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 $400,000. 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 2013 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 1,570 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED. THERE WERE APPROXIMATELY 6,600 PHYSICIANS WHO PARTICIPATED IN EDUCATIONAL PROGRAMS, AND NEARLY 11,000 NON-PHYSICIANS (I.E., ALLIED HEALTH PROFESSIONALS).- PROMEDICA LAUNCHED ITS HEALTH CONNECT WEBSITE TO HELP PROVIDE HEALTH AND WELLNESS INFORMATION, NEWS AND COMMUNITY PROGRAMS AND SERVICES, AND INTERESTING HEALTH RELATED GUIDELINES TO COMMUNITY MEMBERS IN A CONVERSATIONAL, INTERACTIVE AND ENGAGING FORMAT. - PROMEDICA'S FOUNDATIONS RAISED NEARLY $8 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. - IN 2013, PROMEDICA FURTHER ENHANCED ITS RELATIONSHIP WITH THE CLEVELAND CLINIC BY SIGNING A MEMORANDUM OF UNDERSTANDING TO DEVELOP A HEALTH SYSTEM AFFILIATION THAT WILL ALLOW THE TWO ORGANIZATIONS TO CREATE A CLINICALLY ALIGNED NETWORK FOCUSED ON PROVIDING HIGH-QUALITY, COST-EFFECTIVE AND TECHNOLOGICALLY ADVANCED CLINICAL SERVICES IN THEIR RESPECTIVE COMMUNITIES.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PROMEDICA PHYSICIAN GROUP
5855 MONROE STREET	SYLVANIA	OH	43560	341899439	501(C)(3)	$1,000,000	OPERATING SUPPORT
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA ROAD	MAUMEE	OH	43537	341292849	501(C)(3)	$278,806	OPERATING SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	DIRECT CASH ASSISTANCE	GrantTypeTxt
Recipient	20	RecipientCnt
Cash Grant	$44,247	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LOUITO C EDJE MD
DIRECTOR	$0	$209,197	$0	$0	$0	$701	$0	$13,131	$0	$13,945	$0	$236,974	$0	$0
THOMAS M HOUSTON MD
DIRECTOR	$0	$158,637	$0	$0	$0	$911	$0	$0	$0	$12,907	$0	$172,455	$0	$0
RAJENDRA R KATTAR MD
DIRECTOR	$15,000	$516,817	$0	$120,006	$0	$33,932	$0	$67,000	$0	$25,747	$15,000	$763,502	$0	$0
ROSE ANN LAURETO
DIRECTOR	$0	$339,741	$0	$25,000	$0	$24,651	$0	$7,650	$0	$6,292	$0	$403,334	$0	$0
BARBARA J PETEE
DIRECTOR	$0	$201,118	$0	$93,086	$0	$12,918	$0	$42,772	$0	$674	$0	$350,568	$0	$0
KEVIN C WEBB PHD
EX OFFICIO	$0	$375,870	$0	$97,758	$0	$9,777	$0	$40,158	$0	$12,543	$0	$536,106	$0	$0
DANIEL L WAKEMAN
PRESIDENT, EX OFFICIO	$0	$277,038	$0	$83,578	$0	$3,001	$0	$24,522	$0	$14,398	$0	$402,537	$0	$0
JEFFREY C KUHN
SECRETARY	$0	$355,991	$0	$144,956	$0	$20,323	$0	$52,946	$0	$21,006	$0	$595,222	$0	$0
KATHLEEN S HANLEY
TREASURER	$0	$460,254	$0	$196,212	$0	$43,667	$0	$89,856	$0	$14,946	$0	$804,935	$0	$0
GARY AKENBERGER
SR. VP FINANCE, PHS	$0	$224,600	$0	$79,130	$0	$32,403	$0	$49,671	$0	$22,624	$0	$408,428	$0	$0
KEN ARMSTRONG
COO, HVI	$0	$205,206	$0	$111,806	$0	$2,131	$0	$37,776	$0	$12,607	$0	$369,526	$0	$14,685
LORI JOHNSTON
VP FINANCE & OPS, SLH	$0	$243,222	$0	$74,193	$0	$15,068	$0	$36,630	$0	$18,840	$0	$387,953	$0	$0
THERESA KONWINSKI
VP PATIENT CARE, SLH	$0	$135,531	$0	$28,331	$0	$6,796	$0	$216,890	$0	$9,696	$0	$397,244	$0	$0
DANIEL P SCHWANKE
COO, SLH	$0	$181,592	$0	$88,713	$0	$2,721	$0	$32,224	$0	$20,385	$0	$325,635	$0	$32,546
MIKE WILKINS
FORMER KEY EMPLOYEE	$0	$37,303	$0	$44,520	$0	$35,029	$0	$11,253	$0	$1,737	$0	$129,842	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF ST. LUKE'S 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 4B

ALL EMPLOYEES AND AMOUNTS LISTED ARE VOLUNTARY DEFERRALS OR COMPANY CONTRIBUTIONS TO VARIOUS NON-QUALIFIED 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. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SEE PART V
SEE PART V	$2,669,656	SEE PART V	0
SEE PART V
SEE PART V	$110,875	SEE PART V	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SOUTHWEST ANESTHESIA SERVICES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ROBERT FRIESS, DO (DIRECTOR) IS A GREATER THAN 5% OWNER OF SOUTHWEST ANESTHESIA SERVICES.(C) AMOUNT OF TRANSACTION: $2,669,656(D) DESCRIPTION OF TRANSACTION: ANESTHESIA SERVICES.(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: NORTHWEST OHIO CARDIOLOGY CONSULTANTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RAJENDRA R. KATTAR, MD (DIRECTOR) IS AN OFFICER OF NORTHWEST OHIO CARDIOLOGY CONSULTANTS. (C) AMOUNT OF TRANSACTION: $110,875(D) DESCRIPTION OF TRANSACTION: CARDIOLOGIST MEDICAL SERVICES.(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF ST. LUKE'S HOSPITAL OR IS THE SOLE MEMBER OF THE SOLE MEMBER OF ST. LUKE'S HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF ST. LUKE'S HOSPITAL, AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY ST. LUKE'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11	UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES 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 15	ST. LUKE'S HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF ST. LUKE'S HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19	PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 11G	PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 8,433,020. MANAGEMENT AND GENERAL EXPENSES 166,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,599,288. GENERAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,922,736. MANAGEMENT AND GENERAL EXPENSES 1,671,630. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,594,366.
FORM 990, PART XI, LINE 9:	PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 28,984,896. BENEFICIAL INTEREST IN FOUNDATION 2,699,023.
FORM 990, PART IV, LINE 24A:	ST. LUKE'S HOSPITAL IS A HEALTH FACILITY THAT IS A SUBSIDIARY OF PROMEDICA HEALTH SYSTEM, INC. (PHS). ST. LUKE'S HOSPITAL HOLDS AN INTERCOMPANY NOTE PAYABLE TO THE TOLEDO HOSPITAL, WHICH IS ALSO A SUBSIDIARY OF PHS. THE NOTE PAYABLE REPRESENTS ST. LUKE'S 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. AND 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 2013 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 320 SITES, MORE THAN 1,800 PHYSICIANS AND APPROXIMATELY 15,000 EMPLOYEES AND VOLUNTEERS. DURING 2013, PROMEDICA DISCHARGED 69,357 INPATIENTS AND SERVED MORE THAN 1,394,807 OUTPATIENTS, WHILE HANDLING 269,606 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2013, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $3.01 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); AND ST. LUKE'S HOSPITAL. IN 2013, 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 550 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS; THEY HELP PROMEDICA TO BROADEN THE CARE WE OFFER AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2013, PARAMOUNT ADVANTAGE BEGAN PROVIDING MEDICAID COVERAGE IN ALL OF OHIO'S 88 COUNTIES. TO SUPPORT THESE EFFORTS PARAMOUNT OPENED FIELD OFFICES IN CLEVELAND, COLUMBUS AND THE CINCINNATI/DAYTON AREA. - ACADEMIC HEALTH CENTER CORPORATION, AN ACADEMIC RELATIONSHIP BETWEEN PROMEDICA AND THE UNIVERSITY OF TOLEDO, CONTINUED TO PROMOTE RESEARCH AND EDUCATION THROUGHOUT THE REGION. PROMEDICA HAS ADDITIONAL ACADEMIC RELATIONSHIPS WITH NUMEROUS OTHER INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. - 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. 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 2013 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 2013 INCLUDE THE FOLLOWING:
- PROMEDICA SPONSORED A SCHOOL-BASED FOOD DRIVE CHALLENGE AS PART OF ITS	COME TO THE TABLE INITIATIVE. SCHOOLS RAISED MORE THAN 17,000 POUNDS OF NON-PERISHABLE FOOD ITEMS FOR COMMUNITY FOOD PROGRAMS ACROSS PROMEDICA'S SERVICE AREA. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 70 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 SYSTEM GRANTS SUBMITTED AN APPLICATION FOR $24 MILLION OVER THREE YEARS TO THE CMS HEALTH CARE INNOVATION AWARDS, ROUND 2. THE PROPOSED POPULATION HEALTH MODEL INTEGRATES EVIDENCE-BASED CLINICAL PROGRAMS AND COMMUNITY SERVICES INCLUDING EDUCATION AND OUTREACH, WELLNESS AND PREVENTION, SOCIAL SUPPORT SERVICES, CASE AND DISEASE MANAGEMENT, HOME CARE COORDINATION AND TELEMEDICINE, CLINICAL PHARMACY - MEDICATION ADHERENCE, AND CARE NAVIGATION AS MEANS FOR IMPROVING COMMUNITY HEALTH AND WELL-BEING. - PROMEDICA FURTHER ENHANCED ITS RELATIONSHIP WITH CLEVELAND CLINIC IN 2013, SIGNING A MEMORANDUM OF UNDERSTANDING TO DEVELOP A HEALTH SYSTEM AFFILIATION THAT WILL ALLOW THE TWO ORGANIZATIONS TO CREATE A CLINICALLY ALIGNED NETWORK FOCUSED ON PROVIDING HIGH-QUALITY, COST-EFFECTIVE AND TECHNOLOGICALLY ADVANCED CLINICAL SERVICES. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY BY INTRODUCING A PILOT PROGRAM FOR CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES MEET 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 WILL BE COMPARED 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 88 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2013. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED APPROXIMATELY 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 ESTABLISHED A FOOD RECLAMATION PROGRAM IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS THE TOLEDO AND FLOWER HOSPITALS, PROVIDING MORE THAN 70,000 POUNDS OF REPACKAGED, UN-SERVED FOOD TO COMMUNITY FEEDING SITES. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, THE FOURTH ANNUAL SURVIVOR CELEBRATION FOR CANCER SURVIVORS, FRIENDS AND CAREGIVERS, AND SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN RACE(R) FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - 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 $400,000 IN 2013. - PROMEDICA BEGAN CONSTRUCTION OF THE 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER. OPENING IN 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, IT WILL BRING DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER IN ONE CONVENIENT LOCATION TO SERVE ALL COMMUNITY MEMBERS WORKING TO MANAGE THEIR DIABETES. - FLOWER HOSPITAL BEGAN RENOVATIONS TO ADD PRIVATE PATIENT ROOMS FOR INPATIENTS AND EXPAND ITS PSYCHIATRIC CARE UNIT. - PROMEDICA CONTINUING CARE SERVICES CORPORATION, IN PARTNERSHIP WITH PARAMOUNT INSURANCE, BEGAN OFFERING TELEHEALTH MONITORING SERVICES TO ELIGIBLE HOME-CARE PATIENTS TO REDUCE HOSPITAL READMISSIONS BY CAREFUL DAILY MONITORING OF VITAL STATISTICS, NUTRITION AND MEDICATION ADHERENCE. - WITH OTHER COMMUNITY PARTNERS, PROMEDICA INTRODUCED THE WITNESS TO HUNGER PHOTO EXHIBIT AT THE TOLEDO MUSEUM OF ART. PHOTOS WERE TAKEN BY INDIVIDUALS FACING HUNGER IN THEIR DAILY LIVES TO DEMONSTRATE ITS IMPACT ON FAMILIES, CHILDREN AND OLDER ADULTS IN OUR COMMUNITY. - BAY PARK COMMUNITY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, FLOWER HOSPITAL, ST. LUKE'S HOSPITAL, THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL), AND WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL) SUCCESSFULLY COMPLETED THE 90-DAY REPORTING PERIOD TO VERIFY ADOPTION OF ELECTRONIC HEALTH RECORDS (EHRS). BESIDES IMPROVING BOTH CARE AND CARE COORDINATION, EHRS ARE EXPECTED TO ENSURE ADEQUATE PRIVACY AND SECURITY FOR PERSONAL HEALTH INFORMATION. THEY ALSO AIM TO REDUCE HEALTH DISPARITIES AND IMPROVE POPULATION AND PUBLIC HEALTH. - PROMEDICA PHYSICIANS INTRODUCED ITS NEW PROMEDICA PATIENT PORTAL AT ALL PRIMARY CARE AND SPECIALIST PRACTICES. THE PATIENT PORTAL IS A FREE AND SECURE PLATFORM FOR PATIENTS TO SCHEDULE APPOINTMENTS, MONITOR HEALTH RECORDS, AND OBTAIN CERTAIN LAB TEST RESULTS FROM THE CONVENIENCE OF THEIR OWN HOME COMPUTER. - PROMEDICA PHYSICIANS OPENED PROMEDICA AFTERHOURS IN PERRYSBURG, 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 $500,000 TO THE UNITED WAY CAMPAIGN IN 2013, SUPPORTING NUMEROUS COMMUNITY PROGRAMS AND SERVICES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. - PROMEDICA COLLABORATED WITH TOLEDO PUBLIC SCHOOLS' TOLEDO EARLY COLLEGE HIGH SCHOOL (TECHS) TO DEVELOP CURRICULUM FOR STUDENTS INTERESTED IN HEALTHCARE CAREERS AS PART OF THE STEMM (SCIENCE, TECHNOLOGY, ENGINEERING, MATHEMATICS, AND MEDICINE) PROGRAM. IN 2013, PROMEDICA CONTRIBUTED $129,920,000 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, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $45,598,000 IN 2013. 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 $30,212,000 IN FINANCIAL ASSISTANCE FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2013 WAS $27,571,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 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 2013, PROMEDICA PROVIDED $54,110,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2013 WAS $93,196,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 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.
ST. LUKE'S HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTS	ST. LUKE'S HOSPITAL (D/B/A PROMEDICA ST. LUKE'S HOSPITAL) IS A MEMBER OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. A 300-BED FACILITY IN MAUMEE, OHIO, PROMEDICA ST. LUKE'S HOSPITAL (SLH) HAS 1,307 EMPLOYEES WHO PROVIDE EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; OUTPATIENT PHYSICAL, OCCUPATIONAL AND CARDIAC REHABILITATION; CRITICAL CARE; CARDIOLOGY; LABOR AND DELIVERY; AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. SLH'S CAMPUS ALSO IS HOME TO THE OHIO HEARING AND BALANCE INSTITUTE AND THE NORTHWEST OHIO ONCOLOGY CENTER FOR OUTPATIENT CANCER CARE, AS WELL AS A SLEEP DISORDERS CLINIC AND TOBACCO TREATMENT CENTER. IN 2013, SLH ALSO RECEIVED CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. SLH SERVED 11,129 INPATIENTS AND 230,892 OUTPATIENTS IN 2013. FURTHER, 40,427 INDIVIDUALS SOUGHT EMERGENCY CARE AT SLH. THE HOSPITAL CONTRIBUTED $10,248,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, SLH CONTRIBUTED $6,049,000 TO THE COMMUNITY DURING 2013. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: - PARTICIPATION IN THE AMERICAN MEDICINE CHEST CHALLENGE, A MEDICATION DROP-OFF EVENT, WHERE COMMUNITY MEMBERS DROP OFF EXPIRED AND UNUSED MEDICATIONS TO SAFELY DISPOSE OF DRUGS THAT POTENTIALLY MAY BE ABUSED. - DIABETES EDUCATION PROGRAMS OFFERED WEEKLY, AS WELL AS SUPPORT GROUPS FOR INDIVIDUALS RECENTLY DIAGNOSED WITH DIABETES. - SPONSORSHIP OF THE AMERICAN HEART ASSOCIATION'S WEAR RED EVENT IN SUPPORT OF WOMEN'S HEART HEALTH, AS WELL AS STRONG PARTICIPATION IN THE HEART WALK IN SUPPORT OF OVERALL HEART HEALTH. - HEALTH SCREENINGS FOR BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL AT LOCAL FAIRS AND COMMUNITY EVENTS, AS WELL AS FIRST AID COVERAGE FOR SPECIAL EVENTS. - SCREENINGS FOR SKIN, BREAST AND PROSTATE CANCER. - TOBACCO CESSATION PROGRAMS AND SUPPORT GROUPS FOR COMMUNITY MEMBERS WISHING TO QUIT SMOKING AND TOBACCO USE. - A COURTESY VAN PROVIDED TO PATIENTS NEEDING TRANSPORTATION TO AND FROM THE HOSPITAL FOR APPOINTMENTS AND TESTING. - SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS HEART DISEASE, OSTEOPOROSIS, HEARING LOSS, AND STROKE PREVENTION. SLH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2013, OF WHICH $2,092,000 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. SLH'S COST OF BAD DEBT FOR 2013 WAS $4,316,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $10,248,000 NOTED ABOVE. FURTHER, SLH PROVIDED $2,107,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. ALSO IN 2013, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $10,200,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $10,248,000 NOTED ABOVE. DURING 2013, SLH EXPENDED $44,523,000 IN NET PAYROLL, PROVIDING 1,307 JOBS IN NORTHWEST OHIO. A TOTAL OF $2,634,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, SLH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONS	PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (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 (28 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
COBRA VENTURES LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	204671613	LAND LEASING	OH	$10,243	$91,159	ST LUKE'S HOSPITAL FOUNDATION
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	611448753	EMPLOYS PHYSICIANS	OH	$0	$585,466	PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341881137	EMPLOYS PHYSICIANS	OH	$123,454,721	$107,979,144	PROMEDICA PHYSICIAN GROUP
PROMEDICA EAST PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341881145	EMPLOYS PHYSICIANS	OH	$5,723,952	$1,859,699	PROMEDICA PHYSICIAN GROUP
PROMEDICA ORTHOPEDIC PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	208050622	EMPLOYS PHYSICIANS	OH	$3,421,359	$720,044	PROMEDICA PHYSICIAN GROUP
PROMEDICA SOUTH PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341898679	EMPLOYS PHYSICIANS	OH	$2,877,606	$2,239,631	PROMEDICA PHYSICIAN GROUP
PROMEDICA WEST PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341893773	EMPLOYS PHYSICIANS	OH	$12,634,300	$3,120,379	PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	263888045	EMPLOYS PHYSICIANS	OH	$32,620,946	-$5,312,940	PROMEDICA PHYSICIAN GROUP
PROMEDICA GI PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	263015991	EMPLOYS PHYSICIANS	OH	$8,901,260	-$2,506,912	PROMEDICA PHYSICIAN GROUP
PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	270978204	EMPLOYS PHYSICIANS	OH	$5,256,798	-$173,251	PROMEDICA PHYSICIAN GROUP
WELLCARE PHYSICIANS LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	611528443	EMPLOYS PHYSICIANS	OH	$15,374,731	$2,903,032	PROMEDICA PHYSICIAN GROUP
PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	271401750	EMPLOYS PHYSICIANS	OH	$4,275,009	-$2,016,759	PROMEDICA PHYSICIAN GROUP
PROMEDICA ENT LLC
5855 MONROE ST	SYLVANIA	OH	43560	272404505	EMPLOYS PHYSICIANS	OH	$2,846,948	$255,567	PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
5855 MONROE ST	SYLVANIA	OH	43560	271325141	MEDICAL EQUIPMENT & PHARMACY	OH	$47,035,814	$16,743,293	PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN	ADRIAN	MI	49221	383164818	FACILITY LEASING	MI	$131,512	$1,118,636	EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE ST	SYLVANIA	OH	43560	272920342	EMPLOYS PHYSICIANS	MI	$2,694,521	-$445,866	PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LLC
5855 MONROE ST	SYLVANIA	OH	43560	205752995	PROVIDES HOSPICE CARE	OH	$2,710,535	$8,545,046	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
PROMEDICA ANESTHESIA CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	453251737	EMPLOYS PHYSICIANS	OH	$30,039,933	$3,690,549	PROMEDICA PHYSICIAN GROUP
PROMEDICA CRITICAL CARE LLC
5855 MONROE ST	SYLVANIA	OH	43560	275165922	EMPLOYS PHYSICIANS	OH	$4,291,585	-$829,757	PROMEDICA PHYSICIAN GROUP
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
5855 MONROE ST	SYLVANIA	OH	43560	453230331	PRACTICE MANAGEMENT	OH	$81,676	$1,625,759	PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
5855 MONROE ST	SYLVANIA	OH	43560		EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP
MISSION POINTE GOLF COURSE LLC
2142 NORTH COVE	TOLEDO	OH	43606		GOLF COURSE	OH	$0	$493,717	PROMEDICA FOUNDATION
PROMEDICA INNOVATIONS LLC
1801 RICHARDS RD	TOLEDO	OH	43607		INVESTMENT COMPANY	OH	-$69,166	$464,347	PROMEDICA HEALTH SYSTEM INC
PROMEDICA GENITO-URINARY SURGEONS LLC
5855 MONROE ST	SYLVANIA	OH	43560	461120436	EMPLOYS PHYSICIANS	OH	$12,617,702	$2,080,190	PROMEDICA PHYSICIAN GROUP
PROMEDICA MONROE PHYSICIANS PLLC
5855 MONROE ST	SYLVANIA	OH	43560	461111822	EMPLOYS PHYSICIANS	MI	$726,713	$31,358	PROMEDICA PHYSICIAN GROUP
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	454976786	EMPLOYS PHYSICIANS	OH	$0	$160,552	PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS LLC
5855 MONROE ST	SYLVANIA	OH	43560		EMPLOYS PHYSICIANS	OH	$0	$0	PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS PLLC
5855 MONROE ST	SYLVANIA	OH	43560		EMPLOYS PHYSICIANS	MI	$0	$0	PROMEDICA PHYSICIAN GROUP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DR	OREGON	OH	43616	341883132	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
CARE ENTERPRISES INC
5901 MONCLOVA RD	MAUMEE	OH	43537	341366709	FACILITY LEASING	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTON	DEFIANCE	OH	43512	510173779	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	11D, III-O	DEFIANCE HOSPITAL INC	Yes (1)
DEFIANCE HOSPITAL INC
1200 RALSTON	DEFIANCE	OH	43512	344446484	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVE	ADRIAN	MI	49221	382796005	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVE	ADRIAN	MI	49221	382149602	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	11B, II	EMMA L BIXBY MEDICAL CENTER	Yes (1)
FLOWER HOSPITAL
5200 HARROUN RD	SYLVANIA	OH	43560	344428794	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN STREET	FOSTORIA	OH	44830	340898745	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907	FOSTORIA	OH	44830	346517634	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	11A, I	FOSTORIA HOSPITAL ASSOCIATION	Yes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383076105	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	11B, II	HERRICK MEMORIAL HOSPITAL INC	Yes (1)
HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383049015	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
LENAWEE LONG TERM CARE
700 LAKESHIRE TR	ADRIAN	MI	49221	382879330	LONG TERM CARE	MI	501(C)(3)	9	EMMA L BIXBY MEDICAL CENTER	Yes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
5855 MONROE ST	SYLVANIA	OH	43560	344492440	LONG TERM AND HOME HEALTH CARE	OH	501(C)(3)	9	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	Yes (1)
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVE	TOLEDO	OH	43606	260324790	COURIER SERVICE	OH	501(C)(3)	11B, II	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	Yes (1)
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS RD	TOLEDO	OH	43607	341517671	PARENT COMPANY OF HEALTH SYSTEM	OH	501(C)(3)	11C, III-FI		0	N/A
PHS VENTURES
1801 RICHARDS RD	TOLEDO	OH	43607	341880473	HEALTH CARE MANAGEMENT SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM INC	Yes (1)
ACADEMIC HEALTH CENTER CORPORATION
2142 N COVE BLVD	TOLEDO	OH	43606	341887062	MEDICAL EDUCATION & RESEARCH	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR	BURLINGTON	VT	05401	341931936	PROFESSIONAL & GENERAL LIABILITY	VT	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
5855 MONROE ST	SYLVANIA	OH	43560	341880767	PHYSICIAN MANAGEMENT SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA PHYSICIAN GROUP
5855 MONROE ST	SYLVANIA	OH	43560	341899439	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	9	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	Yes (1)
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RD	MAUMEE	OH	43537	341292849	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341517672	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
THE TOLEDO HOSPITAL
2142 N COVE BLVD	TOLEDO	OH	43606	344428256	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREET	TOLEDO	OH	43624	344427949	SKILLED HOME CARE	OH	501(C)(3)	9	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	Yes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE ST	SYLVANIA	OH	43560	341831624	HOSPICE HOME CARE	OH	501(C)(3)	9	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	Yes (1)
KAITLYN'S COTTAGE INC
1260 RALSTON AVE	DEFIANCE	OH	43512	454781053	RESPITE CARE	OH	501(C)(3)	9	DEFIANCE HOSPITAL INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP
818 RIVERSIDE AVE	ADRIAN	MI	49221	382972398	FACILITY LEASING	MI	EMMA L BIXBY MEDICAL CENTER	RELATED	$5,040	$1,191,758	0	Yes (1)	0.64600
REYNOLDS RD SURGICAL CENTER LLC
2865 N REYNOLDS RD	TOLEDO	OH	43615	311569454	FREESTANDING AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	$625,202	$2,576,269	0	0	0.69340
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	320160784	FACILITY LEASING	OH	CARE ENTERPRISES INC	RELATED	$17,500	$792,802	0	0	0.70000
NORTHWEST OHIO DEDICATED BREAST MRI LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	260679898	MEDICAL DIAGNOSTICS	OH	THE TOLEDO HOSPITAL	RELATED	$51,989	$367,075	0	0	0.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRAL	TOLEDO	OH	43617	200088459	AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	$138,512	$3,011,429	0	Yes (1)	0.50000
OHIO CARE AMBULATORY SURGICAL CENTER LLC
5959 MONCLOVA RD	MAUMEE	OH	43537	341863472	AMBULATORY SURGICAL CENTER	OH	ST LUKE'S HOSPITAL	RELATED	$72,709	$943,946	0	0	0.60320
LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC
818 RIVERSIDE AVE	ADRIAN	MI	49221	383605511	PHYSICIAN MANAGEMENT SERVICES	MI	EMMA L BIXBY MEDICAL CENTER	RELATED	$90,413	$182,244	0	Yes (1)	0.50000
PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	461989695	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM INC	RELATED	$552,421	$590,193	0	0	0.50940

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
CARE HOLDINGS
5901 MONCLOVA RD	MAUMEE	OH	43537	341796790	HOLDING COMPANY	OH	PROMEDICA HEALTH SYSTEM INC	C	1.00000	Yes (1)
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TR	ADRIAN	MI	49221	383146907	FACILITY LEASING	MI	EMMA L BIXBY MEDICAL CENTER	C	1.00000	Yes (1)	$54,728	$1,021,086
LHA PHYSICIAN SERVICES CORPORATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	611451576	PHYSICIAN BILLING	MI	EMMA L BIXBY MEDICAL CENTER	C	1.00000	Yes (1)	-$103,722	$85,903
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RD	MAUMEE	OH	43537	061811760	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM INC	C	1.00000	Yes (1)	-$24,835
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
5855 MONROE ST	SYLVANIA	OH	43560	383322278	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	1.00000	Yes (1)	-$299,008	$11,176,039
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	341570675	HEALTH CARE INSURANCE	OH	PROMEDICA HEALTH SYSTEM INC	C	1.00000	Yes (1)	$14,873,000	$286,849,000
PROMEDICA NORTH PHYSICIAN CORPORATION
5855 MONROE ST	SYLVANIA	OH	43560	383482148	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	1.00000	Yes (1)		$203,340
PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION
5855 MONROE ST	SYLVANIA	OH	43560	341887065	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	C	1.00000	Yes (1)		$404,501
PROMEDICA RETAIL GROUP INC
3890 MONROE ST	TOLEDO	OH	43606	341159928	FLORIST	OH	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	C	1.00000	Yes (1)	$29,726	$1,690,747
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	383639616	FACILITY MANAGEMENT	MI	HERRICK MEMORIAL DEVELOPMENT CORP	C	0.71800	Yes (1)	$26	$51,070

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

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST LUKE'S HOSPITAL FOUNDATION
B	$278,806	FMV
PROMEDICA PHYSICIAN GROUP
B	$1,000,000	FMV
PROMEDICA HEALTH SYSTEM INC
C	$10,000,000	FMV
ST LUKE'S HOSPITAL FOUNDATION
C	$375,729	FMV
CARE ENTERPRISES INC
D	$223,800	FMV
CARE ENTERPRISES INC
J	$83,511	FMV
CARE ENTERPRISES INC
K	$535,663	FMV
WATERVILLE MEDICAL CENTER LLC
K	$60,100	FMV
BAY PARK COMMUNITY HOSPITAL
O	$120,120	FMV
THE TOLEDO HOSPITAL
O	$201,400	FMV
FLOWER HOSPITAL
O	$93,465	FMV
PROMEDICA COURIER SERVICES INC
O	$78,690	FMV
PROMEDICA HEALTH SYSTEM INC
O	$54,300	FMV
CARE ENTERPRISES INC
O	$100,150	FMV
THE TOLEDO HOSPITAL
P	$1,120,633	FMV
PROMEDICA COURIER SERVICES INC
P	$94,628	FMV
PROMEDICA HEALTH SYSTEM INC
P	$15,886,243	FMV
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
P	$104,436	FMV
PROMEDICA PHYSICIAN GROUP
P	$2,942,243	FMV
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
P	$571,921	FMV
THE TOLEDO HOSPITAL
Q	$94,073	FMV
PROMEDICA PHYSICIAN GROUP
Q	$736,588	FMV
CARE ENTERPRISES INC
Q	$405,661	FMV