FOSTORIA HOSPITAL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FOSTORIA HOSPITAL ASSOCIATION (EIN 34-0898745)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201303169349304305
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-12T13:08:13-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340898745 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOSTORIA HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FOST | NameControl |
| Phone | 4194357734 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 VAN BUREN STREET | AddressLine1 |
| City | FOSTORIA | City |
| State | OH | State |
| ZIP Code | 448300907 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HOLLY BRISTOLL | Name |
| Title | PRESIDENT | Title |
| Phone | 4194357734 | Phone |
| Date Signed | 2013-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHAWNA M JIMENEZ | Name |
| PTIN | P01222873 | PTIN |
| Phone | 3174648600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROMEDICA FOSTORIA COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | HOLLY BRISTOLL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 VAN BUREN STREET | AddressLine1 |
| City | FOSTORIA | City |
| State | OH | State |
| ZIP Code | 448300907 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 92319793 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PROMEDICA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1930 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | FOSTORIA HOSPITAL ASSOCIATION IS AN ACUTE CARE HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO ALL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 316 | TotalNbrEmployees |
| Total Nbr Volunteers | 101 | TotalNbrVolunteers |
| Total Gross UBI | 2468371 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -142570 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1072591 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 747052 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41151317 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 39651139 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1676112 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1907519 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2639552 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2878851 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46539572 | TotalRevenuePriorYear |
| Total Revenue Current Year | 45184561 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 853231 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 434092 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16240334 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17569756 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22987115 | OtherExpensePriorYear |
| Other Expenses Current Year | 21107975 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 40080680 | TotalExpensesPriorYear |
| Total Expenses Current Year | 39111823 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6458892 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6072738 | RevenuesLessExpensesCY |
| Total Assets BOY | 83583202 | TotalAssetsBOY |
| Total Assets EOY | 89802731 | TotalAssetsEOY |
| Total Liabilities BOY | 17746318 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15731888 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 65836884 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 74070843 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | FOSTORIA HOSPITAL ASSOCIATION WILL PROVIDE QUALITY, COST-EFFECTIVE HEALTHCARE TO FOSTORIA AND ITS SURROUNDING COMMUNITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 25738241 | Expense |
| Grants | 434092 | Grants |
| Revenue | 39887058 | Revenue |
| Description | FOSTORIA HOSPITAL ASSOCIATION, IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3479474 | Expense |
| Description | CONSISTENT WITH OUR MISSION, FOSTORIA HOSPITAL ASSOCIATION PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 203053 | Expense |
| Revenue | 44040 | Revenue |
| Description | CONSISTENT WITH OUR MISSION, FOSTORIA HOSPITAL ASSOCIATION PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 29420768 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 316 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANNE ROSPO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4198918504 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| DAMON ALT | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| WALTER ELROD MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| LUCY GODDARD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| BRUCE HECK MD | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| JOHN IRWIN | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| MATTHEW MEYERS | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| BARBARA PETEE | ||||||||||
| TRUSTEE | 1.00 | 41.00 | X | 0 | 293048 | 44514 | ||||
| BROOK PIPER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| WILLIAM REINECK | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| AARON SMITH | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 200 | 0 | ||||
| RONALD WACHSMAN | ||||||||||
| TRUSTEE | 1.00 | 40.00 | X | 0 | 279158 | 58511 | ||||
| CHRISTOPHER WIDMAN | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| JASON YOAKAM | ||||||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| ASISH BASU MD | ||||||||||
| EX OFFICIO | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| HOLLY BRISTOLL | ||||||||||
| EX OFFICIO | 1.00 | 41.00 | X | 0 | 297785 | 50786 | ||||
| BARBARA STEELE | ||||||||||
| EX OFFICIO | 1.00 | 50.00 | X | 0 | 845937 | 36826 | ||||
| DANIEL SCHWANKE | ||||||||||
| PRESIDENT, EX OFFICIO | 40.00 | 0.00 | X | 0 | 233290 | 46748 | X | |||
| DONALD MENNEL | ||||||||||
| CHAIRPERSON, EX OFFICIO | 1.00 | 1.00 | X | 0 | 0 | 0 | X | |||
| JEREMY WHIPPLE | ||||||||||
| CHAIR ELECT | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |||
| KATHLEEN HANLEY | ||||||||||
| TREASURER | 0.50 | 51.50 | 0 | 675864 | 105620 | X | ||||
| JEFFREY KUHN | ||||||||||
| SECRETARY | 0.50 | 51.00 | 0 | 531308 | 62161 | X | ||||
| GARY AKENBERGER | ||||||||||
| SR. VP FINANCE, PHS | 0.50 | 44.50 | 0 | 321867 | 69112 | X | ||||
| MARY CLEMONS | ||||||||||
| CRNA | 40.00 | 0.00 | 133642 | 54152 | 15985 | X | ||||
| STEVE VOLPE | ||||||||||
| DIRECTOR REHAB SERVICES | 40.00 | 0.00 | 117766 | 0 | 21419 | X | ||||
| THOMAS BORER | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | 0 | 155884 | 38027 | X | ||||
| ALAN SATTLER | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 45.00 | 0 | 329237 | 66764 | X | ||||
| KEN SWINT | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | 0 | 154925 | 27594 | X | ||||
| TIMOTHY JAKACKI | ||||||||||
| FORMER OFFICER | 0.00 | 41.00 | 0 | 300395 | 67525 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 251408 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4473050 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 711592 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WHITTA CONSTRUCTION | |||||
| 1200 MCDOUGAL STREET | FOSTORIA | OH | 44830 | GENERAL CONTRACTOR | 1348801 |
| COMPREHENSIVE PHARMACY SERVICES | |||||
| 6409 QUAIL HOLLOW ROAD | MEMPHIS | TN | 38120 | PHARMACY MANAGEMENT | 1134770 |
| EMERGENCY PHYSICIANS OF NW OHIO | |||||
| PO BOX 12490 | TOLEDO | OH | 43606 | EMERGENCY PHYSICIANS | 701667 |
| FENG NIE MD | |||||
| 9149 TURFWAY BEND | POWELL | OH | 43065 | ANESTHESIOLOGIST | 319550 |
| ANYSE J STOREY MD LLC | |||||
| 1614 S BYRNE RD SUITE GG | TOLEDO | OH | 43614 | UROLOGIST | 200000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 617939 | RelatedOrganizations |
| Government Grants | 115852 | GovernmentGrants |
| All Other Contributions | 13261 | AllOtherContributions |
| Total Contributions | 747052 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICES | 622110 | 39416723 | 39416723 |
| OTHER DEPT. REVENUE | 622110 | 234416 | 234416 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 39651139 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 795114 | TotalRevenueColumn |
| Exclusion | $795,114 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 250730 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 120209 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 130521 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130521 | TotalRevenueColumn |
| Exclusion | $130,521 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 48126928 | Securities |
| Other | 500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 47012413 | Securities |
| Other | 2610 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1114515 | Securities |
| Other | -2110 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1112405 | TotalRevenueColumn |
| Exclusion | $1,112,405 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| RETAIL PHARMACY | 446110 | 2387292 | 2387292 | |
| EHR INCENTIVE | 900099 | 279959 | 279959 | |
| CATERING | 722320 | 81079 | 81079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2748330 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45184561 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39931098 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2468371 | UnrelatedBusinessRevenue |
| Exclusion | $2,038,040 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 434092 | Total |
| Program Services | 434092 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13212362 | Total |
| Program Services | 8722156 | ProgramServices |
| Management And General | 4490206 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 433170 | Total |
| Program Services | 285958 | ProgramServices |
| Management And General | 147212 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2820104 | Total |
| Program Services | 1861695 | ProgramServices |
| Management And General | 958409 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1104120 | Total |
| Program Services | 728886 | ProgramServices |
| Management And General | 375234 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1755812 | Total |
| Program Services | 1689102 | ProgramServices |
| Management And General | 66710 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64570 | Total |
| Management And General | 64570 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46329 | Total |
| Program Services | 15745 | ProgramServices |
| Management And General | 30584 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4320 | Total |
| Management And General | 4320 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133171 | Total |
| Management And General | 133171 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3426604 | Total |
| Program Services | 2514606 | ProgramServices |
| Management And General | 911998 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303647 | Total |
| Program Services | 200453 | ProgramServices |
| Management And General | 103194 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365316 | Total |
| Program Services | 241164 | ProgramServices |
| Management And General | 124152 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 766119 | Total |
| Program Services | 505754 | ProgramServices |
| Management And General | 260365 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1231852 | Total |
| Program Services | 808859 | ProgramServices |
| Management And General | 422993 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136949 | Total |
| Program Services | 78175 | ProgramServices |
| Management And General | 58774 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 503851 | Total |
| Program Services | 332618 | ProgramServices |
| Management And General | 171233 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2740806 | Total |
| Program Services | 1809346 | ProgramServices |
| Management And General | 931460 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 476046 | Total |
| Program Services | 314262 | ProgramServices |
| Management And General | 161784 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 7194270 | 7189564 | 4706 |
| INTERCOMPANY SERVICES | 1526075 | 1406150 | 119925 |
| FOOD | 231982 | 151438 | 80544 |
| TRANSCRIPTION | 52247 | 52247 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148009 | Total |
| Program Services | 78498 | ProgramServices |
| Management And General | 69511 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39111823 | Total |
| Program Services | 29420768 | ProgramServices |
| Management And General | 9691055 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1360 | BOY |
| EOY | 1360 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3865512 | BOY |
| EOY | 3221708 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6271685 | BOY |
| EOY | 6210398 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 75000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 905468 | BOY |
| EOY | 1005032 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275243 | BOY |
| EOY | 302480 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43878717 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24773144 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18788353 | BOY |
| EOY | 19105573 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52523601 | BOY |
| EOY | 58417198 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 951980 | BOY |
| EOY | 1463982 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83583202 | BOY |
| EOY | 89802731 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3130387 | BOY |
| EOY | 2252317 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -14125 | BOY |
| EOY | 21626 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352392 | BOY |
| EOY | 94160 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14277664 | BOY |
| EOY | 13363785 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17746318 | BOY |
| EOY | 15731888 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63274808 | BOY |
| EOY | 71681943 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1718181 | BOY |
| EOY | 1545005 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 843895 | BOY |
| EOY | 843895 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65836884 | BOY |
| EOY | 74070843 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83583202 | BOY |
| EOY | 89802731 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6072738 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2334397 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -173176 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $4,320 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 4320 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | PART II-B, LINE 1, LOBBYING ACTIVITIES: FOSTORIA COMMUNITY HOSPITAL PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 861508 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1997 | InvestmentEarningsOrLosses |
| End Of Year Balance | 863505 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 861594 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -86 | InvestmentEarningsOrLosses |
| End Of Year Balance | 861508 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 859729 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1865 | InvestmentEarningsOrLosses |
| End Of Year Balance | 861594 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 857059 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2670 | InvestmentEarningsOrLosses |
| End Of Year Balance | 859729 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 857059 | BeginningOfYearBalance |
| End Of Year Balance | 857059 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.02850 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.97150 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 193416 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1671887 | OtherCostOrOtherBasis |
| Book Value | 1865303 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1850955 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 24141502 | OtherCostOrOtherBasis |
| Depreciation | 12284429 | Depreciation |
| Book Value | 13708028 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14861244 | OtherCostOrOtherBasis |
| Depreciation | 11942642 | Depreciation |
| Book Value | 2918602 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1159713 | OtherCostOrOtherBasis |
| Depreciation | 546073 | Depreciation |
| Book Value | 613640 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19105573 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $915,170 |
| THIRD PARTY RESERVES | $1,222,590 |
| MEDICAL MALPRACTICE TAIL | $211,867 |
| INTEREST RATE SWAP | $169,579 |
| ASBESTOS REMEDIATION | $1,144,978 |
| INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL | $9,699,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13363785 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT FOSTORIA HOSPITAL ASSOCIATION CONSISTENT WITH DONOR INTENT. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | FOSTORIA HOSPITAL ASSOCIATION 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, 2012 AND 2011. FOR THE YEAR ENDED DECEMBER 31, 2012 AND 2011, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $1,552,000 AND $2,080,000, RESPECTIVELY. THE SUBSIDIARY RECOGNIZED A CREDIT FOR INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS OF ($117,000) AS OF DECEMBER 31, 2012 AND AN EXPENSE OF $308,000 AS OF DECEMBER 31, 2011 WITHIN THE INCOME TAX EXPENSE LINE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. FOSTORIA HOSPITAL ASSOCIATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012 AND 2011. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1271335 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1271335 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7025373 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4817234 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2208139 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05650 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8296708 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4817234 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3479474 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08900 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 146849 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44040 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 102809 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12504 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12504 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43700 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 43700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 203053 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44040 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 159013 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8499761 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4861274 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3638487 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09300 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1538 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1538 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 961 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 961 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2499 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2499 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,949,115 | BadDebtExpenseAmount |
| Amount Attributable To | 252951 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11392713 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11187723 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 204990 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NWO HEALTH PARTNERS LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OUTPATIENT URGENT CARE | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.10000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.20000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOSTORIA HOSPITAL ASSOCATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 VAN BUREN STREET | AddressLine1 |
| City | FOSTORIA | City |
| State | OH | State |
| ZIP Code | 448300907 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PROMEDICA.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOSTORIA HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| TOTAL REHAB AT FOSTORIA COMMUNITY HOSP | ||||
| 610 PLAZA DRIVE | FOSTORIA | OH | 44830 | PHYSICAL THERAPY |
| NORTHWEST OHIO MEDICAL INST | ||||
| 3101 WEST US 224 | TIFFIN | OH | 44883 | LAB |
| TOTAL REHAB AT BOWLING GREEN | ||||
| 1096 N MAIN STREET | BOWLING GREEN | OH | 43402 | PHYSICAL THERAPY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 6A: FOSTORIA HOSPITAL ASSOCIATION REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT. |
| PART I, LINE 7: FOSTORIA HOSPITAL ASSOCIATION CALCULATED THE COST OF CHARITY CARE 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: FOSTORIA HOSPITAL ASSOCIATION PROMOTED THE HEALTH OF ITS COMMUNITY BY SUPPORTING VARIOUS LOCAL ORGANIZATIONS THAT ENGAGE IN COMMUNITY BUILDING ACTIVITIES. |
| PART III, LINE 2: FOSTORIA HOSPITAL ASSOCIATION'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: FOSTORIA HOSPITAL ASSOCIATION 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 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: FOSTORIA HOSPITAL ASSOCIATION USED THE MEDICARE ALLOWABLE COSTS PER ITS 2012 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.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. COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION PLANSPROMEDICA HAS CONDUCTED BI-ANNUAL HEALTH NEEDS ASSESSMENTS AND DETERMINED AN IMPLEMENTATION PLAN TO MEET THE NEEDS OF THE COMMUNITY SERVED USING THIS ASSESSMENT. THE INFORMATION IS SHARED WITH HOSPITAL LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. COMMUNITY GOALS ARE SET BASED ON THESE DATA AND ASSESSMENTS.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: FOSTORIA HOSPITAL ASSOCIATION, LOCATED IN FOSTORIA, OHIO, SERVES AN AREA PRIMARILY AROUND SENECA COUNTY WITH A POPULATION OF APPROXIMATELY 23,000. APPROXIMATELY, 16% OF THE SERVICE AREA IS AGE 65 OR OVER; 39% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $40,000; 61% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 58% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. SENECA COUNTY HAS A POPULATION OF APPROXIMATELY 56,000 WITH 6.1% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 20% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 15% OF SENECA COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR SENECA COUNTY IN 2012 WAS 7.5%. THE LEADING CAUSES OF DEATH IN THE SERVICE AREA, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, STROKE, LUNG DISEASE, DIABETES, CANCER, ALZHEIMER'S AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO THE 2013 COUNTY HEALTH RANKINGS, SENECA COUNTY RANKED 18 OF 88 COUNTIES FOR HEALTH OUTCOMES, 20 OF 88 FOR MORTALITY, AND 15 OF 88 FOR MORBIDITY. THERE ARE FOUR HOSPITALS WITHIN A FOUR COUNTY AREA AROUND FOSTORIA: MERCY HOSPITAL-TIFFIN, BLANCHARD VALLEY HOSPITAL-FINDLAY, WOOD COUNTY HOSPITAL-BOWLING GREEN, AND MEMORIAL HOSPITAL-FREMONT. |
| PART VI, LINE 5: IN 2012, THERE WERE 429 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 65 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 2012, PROMEDICA BOARD MEMBERS GAVE A RECORDED 12,543 HOURS IN SERVICE TO THE ORGANIZATION, WHICH EQUATES TO AN APPROXIMATE CONTRIBUTION OF MORE THAN $903,000 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, THE SYSTEM'S NETWORK OF MORE THAN 400 EMPLOYED PHYSICIANS AND MIDLEVEL PROVIDERS, WAS SELECTED BY CMS TO PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM FOR MEETING QUALITY AND COST-SAVING METRICS.- FURTHER, ALL 24 OF PROMEDICA PHYSICIANS' PRIMARY CARE SITES AND THEIR 70 DOCTORS RECEIVED NCQA RECOGNITION AS PATIENT-CENTERED MEDICAL HOMES IN 2012.- PROMEDICA'S ACADEMIC RELATIONSHIP WITH THE UNIVERSITY OF TOLEDO (UT) CONTINUED TO EXPAND, THE RESULTS OF WHICH INCLUDE IMPROVED PATIENT CARE. IN ADDITION TO UT MEDICAL RESIDENCY EDUCATION AND ROTATIONS CONDUCTED AT PROMEDICA HOSPITALS, THROUGH THE ACADEMIC HEALTH CENTER PROMEDICA AND UT OPENED A NEW BIOREPOSITORY TO ADVANCE RESEARCH OF CHRONIC DISEASES SUCH AS ONCOLOGY, DIABETES AND ALZHEIMER'S DISEASE. - WITH STRONG PHILANTHROPIC SUPPORT, PROMEDICA OPENED KAITLYN'S COTTAGE ON THE CAMPUS OF DEFIANCE HOSPITAL FOR INDIVIDUALS AGED 16 40 WITH DISABILITIES. THE NEW FACILITY OFFERS RESPITE CARE FOR YOUNG ADULTS, AS WELL AS PROVIDES SUPPORT FOR FAMILY MEMBERS AND OTHER CAREGIVERS.- ICARE, PROMEDICA'S PLATFORM FOR THE ELECTRONIC HEALTH RECORD, COMPLETED 71 GO-LIVE EVENTS IN 2012; THE SYSTEM IS WORKING TOWARD BEING FULLY DIGITIZED IN 2014.- THE PROMEDICA ADVOCACY FUND PROVIDED GRANTS TOTALING $447,280 TO 17 NONPROFIT ORGANIZATIONS TO HELP THEM OFFER FOOD, CLOTHING AND SHELTER TO AT-RISK INDIVIDUALS IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN.- PROMEDICA BEGAN WORKING MORE CLOSELY ON PROJECTS IN THE 43609 ZIP CODE TO HELP ALLEVIATE POVERTY AND HUNGER IN THIS UNDERSERVED AREA OF TOLEDO. PARTNERSHIPS INCLUDED AN ENGLISH-AS-A-SECOND-LANGUAGE PROGRAM WITH READ FOR LITERACY AND ADELANTE, A LATINO RESOURCE CENTER; PROGRAMING WITH A NEWLY OPENED BOYS AND GIRLS CLUB; AND ASSISTANCE FOR THE SOUTH TOLEDO COMMUNITY CENTER.- AT PROMEDICA'S REQUEST AND THROUGH OFFICE SPACE AND TECHNICAL SUPPORT, THE CHILDREN'S HUNGER ALLIANCE (CHA) OPENED AN OFFICE IN TOLEDO. CHA PROVIDED TECHNICAL SUPPORT TO FACILITATE TOLEDO PUBLIC SCHOOLS' (TPS) PILOT UNIVERSAL BREAKFAST PROGRAM IN SPRING 2012; AFTER TREMENDOUS SUCCESS, THE PROGRAM WAS EXPANDED TO ALL TPS K - 8 SCHOOLS FOR THE 2012 2013 SCHOOL YEAR. IN ADDITION, CHA WAS A SPONSOR OF THE USDA AFTER-SCHOOL MEAL PROGRAM AND PROVIDED HEALTHY AFTER-SCHOOL MEALS AND SNACKS TO PROGRAMS ACROSS THE COMMUNITY. - FOUR PUBLIC SERVICE ANNOUNCEMENTS (PSAS) WERE PRODUCED AND FILMED BY PROMEDICA ADVOCACY IN SUPPORT OF THE TOLEDO - LUCAS COUNTY MINORITY HEALTH COMMISSION, USING THE THEME, "IT'S YOUR RESPONSIBILITY." THE FIRST TV SPOT FEATURED DONI MILLER, CEO OF THE NEIGHBORHOOD HEALTH ASSOCIATION, ENCOURAGING WOMEN TO SEEK PRE-NATAL CARE AS SOON AS THEY KNOW THEY ARE PREGNANT. THE SECOND PSA FEATURED RONATA BRYANT, COORDINATOR OF THE MINORITY HEALTH COMMISSION, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, URGING WOMEN TO RECEIVE APPROPRIATE HEALTH SCREENINGS. A THIRD PSA WAS FILMED AT THE SOFIA QUINTERO ARTS AND CULTURAL CENTER AND FEATURED JOE BALDERAS, DIRECTOR OF THE CENTER, WHO PROVIDED TIPS ON REDUCING RISKS ASSOCIATED WITH DIABETES. AND, THE FOURTH SPOT FEATURED BRIAN DOLSEY, MD, PROMEDICA PHYSICIANS, DISCUSSING THE IMPORTANCE OF MANAGING BLOOD PRESSURE. PROMEDICA SPONSORED THESE FOUR PSAS OVER SEVERAL MONTHS ON MULTIPLE BUCKEYE CABLE-TV CHANNELS.- IN 2012, NEARLY 1,400 CHILDREN RECEIVED THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM (DEVELOPED AND PRODUCED BY PROMEDICA) TO EDUCATE THEM ON HEALTHFUL EATING HABITS AND OTHER HEALTHY BEHAVIORS TO HELP REDUCE CHILDHOOD OBESITY. THESE PROGRAMS WERE PROVIDED AT TOLEDO PUBLIC SCHOOLS, AREA PAROCHIAL SCHOOLS, SUMMER CAMPS, AND SUMMER MEAL PROGRAM LOCATIONS THROUGHOUT GREATER TOLEDO. FURTHER, THE PROMEDICA HEALTHY KIDS CONVERSATION MAP(R) PROGRAM WAS OFFERED TO THE TOLEDO PUBLIC SCHOOL PHYSICAL EDUCATION TEACHERS FOR THE 2011 - 2012 SCHOOL YEAR, WITH 21 PHYSICAL EDUCATION TEACHERS SIGNING UP TO RECEIVE THIS FREE EDUCATIONAL PROGRAM AND 15 NEW ELEMENTARY SCHOOLS INTERESTED IN PARTICIPATING IN THE PROGRAM DURING THE 2012 - 2013 SCHOOL YEAR. - PROMEDICA DONATED $100,000 TO TOLEDO PUBLIC SCHOOLS TO HELP CREATE THE MEDICINE ARM OF THE ALREADY ESTABLISHED STEMM (SCIENCE, TECHNOLOGY, ENGINEERING, MATHEMATICS, AND MEDICINE) PROGRAM. PROMEDICA PHYSICIANS AND EMPLOYEES PROVIDED A FREE MONTHLY LECTURE SERIES FOR THE TOLEDO EARLY HIGH SCHOOL STEMM PROGRAM, BEGINNING WITH THE 2012 - 2013 SCHOOL YEAR, TO DISCUSS VARIOUS CAREERS IN HEALTH CARE IN ORDER TO HELP ATTRACT HIGH SCHOOL STUDENTS TO HEALTHCARE CAREERS.- 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 11,125 ADDITIONAL HEALTH SCREENINGS WERE PROVIDED TO COMMUNITY MEMBERS THROUGHOUT 2012, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. AND, THE PROMEDICA CANCER INSTITUTE OFFERED FREE SKIN CANCER AND PROSTATE CANCER SCREENINGS FOR THE GENERAL PUBLIC AT PROMEDICA'S COMMUNITY 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 2012, PROMEDICA WAS COMPRISED OF 12,537 EMPLOYEES, 2,021 VOLUNTEERS AND 1,664 HEALTHCARE PROVIDERS, INCLUDING MORE THAN 400 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 SERVICES, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION, HOME CARE, LABORATORY, AND PHARMACY; AND THE ACADEMIC HEALTH CENTER CORPORATION, WITH MEDICAL RESIDENCY PROGRAMS IN FAMILY MEDICINE, SPORTS CARE, VASCULAR SURGERY, AND PHARMACY.- IN 2012, PROMEDICA MANAGED NEARLY 4 MILLION PATIENT ENCOUNTERS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF OVER $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, PROMEDICA ASSISTED 17 NONPROFIT AGENCIES WITH SIMILAR MISSIONS THROUGH THE PROMEDICA ADVOCACY FUND SO THAT THEY COULD SUSTAIN OR GROW THEIR COMMUNITY SERVICES; ENSURING BASIC NEEDS SUCH AS CLOTHING, SHELTER AND FOOD ARE CLOSELY TIED TO IMPROVING THE HEALTH AND WELL-BEING OF LOCAL RESIDENTS AND, THEREFORE, HELPS TO ADVANCE PROMEDICA'S MISSION.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, MONTHLY, BIWEEKLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2012 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 1,050 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED. THERE WERE APPROXIMATELY 7,100 PHYSICIANS WHO PARTICIPATED IN EDUCATIONAL PROGRAMS, AND NEARLY 11,500 NON-PHYSICIANS (I.E., ALLIED HEALTH PROFESSIONALS).- PROMEDICA PRODUCED THREE ISSUES OF YOUR HEALTH MAGAZINE IN 2012, WHICH WERE DISTRIBUTED TO APPROXIMATELY 350,000 HOMES WITHIN ITS 27-COUNTY SERVICE AREA. THIS PUBLICATION SERVED TO EDUCATE CONSUMERS ON A VARIETY OF HEALTHCARE TOPICS THROUGH PHYSICIAN COLUMNS AND FEATURE STORIES ON TOPICS INCLUDING CANCER DETECTION AND TREATMENT, WOMEN'S AND CHILDREN'S HEALTH, GOOD NUTRITION, AND IDENTIFYING AND TREATING MENTAL HEALTH ISSUES AMONG VARIOUS AGE GROUPS.- PROMEDICA EXPANDED ITS SOCIAL MEDIA PRESENCE BY ADDING FACEBOOK PAGES FOR EACH OF ITS HOSPITALS, PHYSICIANS GROUP, TOLEDO ATHLETIC FACILITY, AND CANCER INSTITUTE. THESE PAGES PROVIDE INFORMATIVE HEALTH CONTENT FOR A WIDE RANGE OF CONSUMERS AND INTERESTS. ANOTHER NEW FACEBOOK PAGE FOCUSED ON EMPLOYEE CULTURE AND ENGAGEMENT, HIGHLIGHTING EMPLOYEE ACCOMPLISHMENTS AND SHARING VARIOUS FORMS OF INDIVIDUAL AND GROUP/TEAM RECOGNITION. AND, A LINKEDIN PAGE FOR PROMEDICA WAS CREATED IN 2012 TO PROMOTE JOB OPPORTUNITIES TO EXTERNAL CANDIDATES, ESPECIALLY FOR HARD-TO-FILL POSITIONS SUCH AS NURSES, PHARMACISTS AND PHYSICAL THERAPISTS.- PROMEDICA'S FOUNDATIONS RAISED NEARLY $10 MILLION FOR PHILANTHROPY IN SUPPORT OF THE SYSTEM'S MISSION TO IMPROVE HEALTH AND WELL-BEING. ALL OF PROMEDICA'S FOUNDATIONS ARE SEPARATE ORGANIZATIONS, AND ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT THEIR RESPECTIVE PATIENTS AND FAMILIES, AS WELL AS THE LOCAL COMMUNITY, THROUGH HEALTH-RELATED PROGRAMS, SERVICES, EQUIPMENT, AND FACILITY CONSTRUCTION/RENOVATION THAT HAVE BEEN IDENTIFIED, IN PART, THROUGH A COMMUNITY NEEDS ASSESSMENT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| PROMEDICA PHYSICIAN GROUP | |||||||
| 5585 MONROE STREET | SYLVANIA | OH | 43560 | 341899439 | 501(C)(3) | 50000 | OPERATING GRANT |
| PROMEDICA FOUNDATION | |||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 341517672 | 501(C)(3) | 184092 | OPERATING GRANT |
| PROMEDICA HEALTH SYSTEM INC | |||||||
| 1801 RICHARDS ROAD | TOLEDO | OH | 43607 | 341517671 | 501(C)(3) | 200000 | OPERATING GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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 POLICIES AND PROCEDURES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARBARA PETEE | ||||||||||||||
| TRUSTEE | 0 | 197260 | 0 | 81579 | 0 | 14209 | 0 | 43851 | 0 | 663 | 0 | 337562 | 0 | 0 |
| RONALD WACHSMAN | ||||||||||||||
| TRUSTEE | 0 | 213196 | 0 | 58671 | 0 | 7291 | 0 | 46565 | 0 | 11946 | 0 | 337669 | 0 | 0 |
| HOLLY BRISTOLL | ||||||||||||||
| EX OFFICIO | 0 | 197841 | 0 | 82902 | 0 | 17042 | 0 | 39519 | 0 | 11267 | 0 | 348571 | 0 | 0 |
| BARBARA STEELE | ||||||||||||||
| EX OFFICIO | 0 | 565279 | 0 | 231321 | 0 | 49337 | 0 | 31364 | 0 | 5462 | 0 | 882763 | 0 | 0 |
| DANIEL SCHWANKE | ||||||||||||||
| PRESIDENT, EX OFFICIO | 0 | 177222 | 0 | 56068 | 0 | 0 | 0 | 30436 | 0 | 16312 | 0 | 280038 | 0 | 0 |
| KATHLEEN HANLEY | ||||||||||||||
| TREASURER | 0 | 473484 | 0 | 195800 | 0 | 6580 | 0 | 88731 | 0 | 16889 | 0 | 781484 | 0 | 0 |
| JEFFREY KUHN | ||||||||||||||
| SECRETARY | 0 | 353206 | 0 | 170216 | 0 | 7886 | 0 | 46771 | 0 | 15390 | 0 | 593469 | 0 | 0 |
| GARY AKENBERGER | ||||||||||||||
| SR. VP FINANCE, PHS | 0 | 244078 | 0 | 68605 | 0 | 9184 | 0 | 51390 | 0 | 17722 | 0 | 390979 | 0 | 0 |
| MARY CLEMONS | ||||||||||||||
| CRNA | 115655 | 49639 | 0 | 0 | 17987 | 4513 | 4151 | 822 | 10976 | 36 | 148769 | 55010 | 0 | 0 |
| THOMAS BORER | ||||||||||||||
| FORMER KEY EMPLOYEE | 0 | 126041 | 0 | 29657 | 0 | 186 | 0 | 22853 | 0 | 15174 | 0 | 193911 | 0 | 0 |
| ALAN SATTLER | ||||||||||||||
| FORMER KEY EMPLOYEE | 0 | 238772 | 0 | 77226 | 0 | 13239 | 0 | 48894 | 0 | 17870 | 0 | 396001 | 0 | 0 |
| KEN SWINT | ||||||||||||||
| FORMER KEY EMPLOYEE | 0 | 150219 | 0 | 4706 | 0 | 0 | 0 | 16654 | 0 | 10940 | 0 | 182519 | 0 | 0 |
| TIMOTHY JAKACKI | ||||||||||||||
| FORMER OFFICER | 0 | 222854 | 0 | 72427 | 0 | 5114 | 0 | 49674 | 0 | 17851 | 0 | 367920 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 3 | PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF FOSTORIA HOSPITAL ASSOCIATION, 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 COMPENSATON PLANS DURING THE YEAR. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PART V | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Organization | PART V | RelationshipWithOrganization |
| Purpose Of Loan | PART V | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $75,000 | OriginalPrincipalAmount |
| Balance Due | 75000 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 75000 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PART V | |||
| PART V | 114172 | PART V | 0 |
| PART V | |||
| PART V | 703767 | PART V | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV (3 entries)
| ExplanationExplanation |
|---|
| SCH L, PART II, LOANS TO AND FROM INTERESTED PERSONS:(A) NAME OF PERSON: NWO ORTHOPEDIC AND SPORTS CORPORATION(B) RELATIONSHIP WITH ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY BRUCE HECK, MD (TRUSTEE) AND FAMILY MEMBERS(C) PURPOSE OF LOAN: PHYSICIAN RECRUITMENT(D) LOAN TO OR FROM THE ORGANIZATION: LOAN FROM THE ORGANIZATION(E) ORIGINAL PRINCIPAL AMOUNT: $75,000(F) BALANCE DUE: $75,000(G) IN DEFAULT? = NO(H) APPROVED BY BOARD OR COMMITTEE? = YES(I) WRITTEN AGREEMENT? = YES |
| SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: NWO ORTHOPEDIC AND SPORTS CORPORATION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BRUCE HECK, MD (TRUSTEE) IS A GREATER THAN 5% OWNER OF NWO ORTHOPEDIC AND SPORTS CORPORATION.(C) AMOUNT OF TRANSACTION: $114,172(D) DESCRIPTION OF TRANSACTION: FOSTORIA HOSPITAL ASSOCIATION IS IN A JOINT VENTURE WITH NWO ORTHOPEDIC AND SPORTS CORPORATION(E) SHARING OF ORGANIZATION REVENUES? = NO |
| SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: EMERGENCY PHYSICIANS OF NORTHWEST OHIO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WALTER ELROD, MD (TRUSTEE) IS AN OFFICER AND GREATER THAN 5% OWNER OF EMERGENCY PHYSICIANS OF NORTHWEST OHIO.(C) AMOUNT OF TRANSACTION: $703,767(D) DESCRIPTION OF TRANSACTION: EMERGENCY MEDICAL SERVICES(E) SHARING OF ORGANIZATION REVENUES? = NO |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 FOSTORIA HOSPITAL ASSOCIATION OR IS THE SOLE MEMBER OF THE SOLE MEMBER OF FOSTORIA HOSPITAL ASSOCIATION. 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 FOSTORIA HOSPITAL ASSOCIATION, AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY FOSTORIA HOSPITAL ASSOCIATION. | |
| 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, AS WELL AS AN ATTACHMENT WITH A FULL LISTING OF THE BOARD MEMBER'S DISCLOSURES AND THE TOTAL AMOUNT OF FINANCIAL ACTIVITY IN THE PRECEDING 12 MONTHS BETWEEN PHS AND THE BOARD MEMBERS/AFFILIATES. 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 THE CHIEF HUMAN RESOURCES OFFICER 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. | |
| FOSTORIA HOSPITAL ASSOCIATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF FOSTORIA HOSPITAL ASSOCIATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. | ||
| FORM 990, PART VI, SECTION C, LINE 19 | PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | FUND BALANCE ACTIVITY -27,959. BENEFICIAL INTEREST IN FOUNDATION -145,217. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART IV, LINE 24A: | FOSTORIA HOSPITAL ASSOCIATION IS A HEALTH FACILITY THAT IS A SUBSIDIARY OF PROMEDICA HEALTH SYSTEM, INC. (PHS). FOSTORIA HOSPITAL ASSOCIATION HOLDS AN INTERCOMPANY NOTE PAYABLE TO THE TOLEDO HOSPITAL, WHICH IS ALSO A SUBSIDIARY OF PHS. THE NOTE PAYABLE REPRESENTS FOSTORIA HOSPITAL ASSOCIATION'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: | 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 2012 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 306 SITES, AND APPROXIMATELY 1,798 PHYSICIANS AND 15,368 EMPLOYEES AND VOLUNTEERS. DURING 2012, PROMEDICA DISCHARGED 70,961 INPATIENTS AND SERVED MORE THAN 1,374,110 OUTPATIENTS, WHILE HANDLING 276,718 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2012, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $2.81 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 2012, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH MORE THAN 500 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, WITH EXCELLENT MEMBER SATISFACTION RATINGS AMONG ALL PATIENT POPULATIONS. IN 2012, THE OHIO DEPARTMENT OF JOB AND FAMILY SERVICES CHOSE PARAMOUNT ADVANTAGE TO PROVIDE MEDICAID COVERAGE IN ALL OF OHIO'S 88 COUNTIES BEGINNING IN 2013. - 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 2012 THAT HAD VALUES AND MISSIONS SIMILAR TO OURS. 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 2012 INCLUDE THE FOLLOWING: | PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS |
| - IN COLLABORATION WITH MANY OTHER NONPROFIT COMMUNITY ORGANIZATIONS, PROMEDICA OPENED AN AUTISM CENTER THAT PROVIDES EARLY DIAGNOSIS AND INTERVENTION, MULTIDISCIPLINARY RESOURCES AND FAMILY SUPPORT. - PROMEDICA WAS SELECTED AS ONE OF 13 NATIONAL SHARE OUR STRENGTH: NO KID HUNGRY ALLIES TO ADDRESS CHILDHOOD HUNGER. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 35 CENTRAL-CITY TEENS AGES 16 19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY, WHERE THEY WORKED A TOTAL OF 7,000 HOURS IN SUMMER 2012 TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - PROMEDICA SYSTEM GRANTS CONTINUED TO AGGRESSIVELY PURSUE GRANT FUNDING FOR HEALTH-RELATED COMMUNITY PROGRAMS, SUCH AS SECURING A $66,035 GRANT FROM THE U.S.D.A. MARKETING SERVICE FOR A FARMERS MARKET PROGRAM, WHICH ENABLES LOCAL GROWERS TO REACH RESIDENTS OF LENAWEE COUNTY, MICHIGAN, WHO HAVE LIMITED ACCESS TO HEALTHY PRODUCE. - PROMEDICA ENTERED INTO A COLLABORATIVE BUSINESS RELATIONSHIP WITH CLEVELAND CLINIC AS PART OF A NATIONAL INNOVATION ALLIANCE NETWORK TO HELP COMMERCIALIZE MEDICAL INNOVATIONS FOR FUTURE PATIENT TECHNOLOGY, MEDICAL DEVICES AND OTHER TREATMENT ADVANCEMENTS. - PROMEDICA ICARE, THE FOUNDATION FOR OUR ELECTRONIC MEDICAL RECORD, COMPLETED 71 GO-LIVE EVENTS, TOTALING 197 ACROSS OUR HEALTHCARE SYSTEM IN 2012. - PROMEDICA PHYSICIANS WAS SELECTED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TO PARTICIPATE IN ITS MEDICARE SHARED SAVINGS PROGRAM, WHICH REWARDS PROVIDERS FOR MEETING SPECIFIC QUALITY AND COST-SAVING METRICS THROUGH ACCOUNTABLE CARE ORGANIZATIONS. - ALL OF OUR PROMEDICA PHYSICIANS' PRIMARY CARE SITES RECEIVED NCQA RECOGNITION IN 2012 AS PATIENT-CENTERED MEDICAL HOMES; THIS TOTALED 24 SITES AND 70 PHYSICIANS. - TOLEDO HOSPITAL OPENED A NEW $10-MILLION NEURO ICU AND DEDICATED STROKE UNIT. - PROMEDICA HEART AND VASCULAR INSTITUTES BEGAN OFFERING A NEW, NONSURGICAL HEART VALVE REPLACEMENT PROCEDURE - TAVR. - NEW DAVINCI ROBOTIC SYSTEMS WERE INSTALLED, AND TRAINING PROVIDED, IN SEVERAL OF PROMEDICA HOSPITALS TO OFFER THE LATEST SURGICAL TECHNIQUES TO APPROPRIATE PATIENTS; THIS WILL HELP TO REDUCE LENGTH OF STAY AND RECOVERY TIMES. - PROMEDICA'S TRANSITIONAL CARE UNIT RECEIVED A FIVE-STAR QUALITY RATING FROM CMS, PLACING IT AMONG THE TOP 20% OF NURSING HOMES IN OHIO. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY LOCALLY THROUGH ITS FIELDS OF GREEN CAMPAIGN, BY ADDRESSING THE PROBLEM OF HUNGER AS A HEALTH ISSUE IN ITS ANNUAL SCHOLARSHIP COMPETITION FOR HIGH SCHOOL STUDENTS. - 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 60 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2012. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED APPROXIMATELY 11,125 FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA PARTNERED WITH UNITED WAY OF GREATER TOLEDO AND THE YMCA TO PROVIDE A SUMMER FEEDING PROGRAM FOR MORE THAN 1,000 METRO-TOLEDO SCHOOL CHILDREN. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, A ROBUST SURVIVORSHIP PROGRAM AND SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN(R) RACE 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 $500,000 IN 2012. - PROMEDICA EMPLOYEES PLEDGED MORE THAN $514,000 TO THE UNITED WAY CAMPAIGN IN 2012, NEARLY 50% MORE THAN IN 2011. - PROMEDICA PRESENTED A $100,000 GRANT TO TOLEDO PUBLIC SCHOOLS FOR A FOUR-YEAR SCIENCE, TECHNOLOGY, ENGINEERING, MATH, AND MEDICINE (STEMM) TRACK FOR HIGH SCHOOL STUDENTS. IN 2012, PROMEDICA CONTRIBUTED $130,403,000 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 $51,786,000 IN 2012. 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 $25,710,000 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 2012 WAS $24,721,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $130,403,000 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 COLLEGE OF MEDICINE, 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 2012, PROMEDICA PROVIDED $52,907,000 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 2012 WAS $89,828,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $130,403,000 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 PROVIDES 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. | ||
| FOSTORIA HOSPITAL ASSOCIATION PROGRAM SERVICE ACCOMPLISHMENTS FOSTORIA HOSPITAL ASSOCIATION (D/B/A PROMEDICA FOSTORIA COMMUNITY 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. ACCREDITED BY THE JOINT COMMISSION, PROMEDICA FOSTORIA COMMUNITY HOSPITAL (FCH) IS A 25-BED, ACUTE CARE HOSPITAL IN NORTHWEST OHIO WITH A STAFF OF MORE THAN 200 EMPLOYEES. IN ADDITION TO OFFERING EMERGENCY CARE, GENERAL SURGERY, INPATIENT SERVICES, AND OUTPATIENT TREATMENT, FCH HAS A BROAD RANGE OF OUTPATIENT SERVICES THAT INCLUDE CARDIAC AND PULMONARY REHABILITATION; SPECIAL IMAGING; RADIOLOGY AND LABORATORY SERVICES; AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. THE HOSPITAL ALSO PROVIDES HEALTH SERVICES THAT OTHER SIMILARLY SIZED, RURAL HOSPITALS DO NOT, INCLUDING A SLEEP TESTING UNIT, HEMODIALYSIS, HOME HEALTH CARE, WELLNESS PROGRAMS, AND A RETAIL PHARMACY. THIS LEVEL OF EXPERTISE AND COMMITMENT TO THE COMMUNITY HELPED FCH EARN RECOGNITION AS ONE OF THE NATION'S TOP 100 CRITICAL ACCESS HOSPITALS FOR 2011 - 2012 HOSPITAL STRENGTH INDEX THROUGH IVANTAGE HEALTH ANALYTICS. FURTHER, FCH OPENED A NEW CANCER AND INFUSION CENTER IN 2012, IMPROVING PATIENT ACCESS AND ENSURING A COMFORTABLE SETTING FOR ONCOLOGY PATIENTS AND THEIR FAMILIES - A $710,000 INVESTMENT. IN 2012, FCH SERVED 1,242 INPATIENTS AND 66,962 OUTPATIENTS. ADDITIONALLY, 15,481 INDIVIDUALS SOUGHT EMERGENCY CARE AT FCH. THE HOSPITAL CONTRIBUTED $3,638,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, FCH CONTRIBUTED $159,000 TO THE COMMUNITY DURING 2012. ADDITIONALLY, 2012 OUTREACH PROGRAMS INCLUDED THE ANNUAL HEALTHY, WEALTHY & WISE HEALTH FAIR; THE ANNUAL RED DRESS LUNCHEON (A WOMEN'S HEART-HEALTH EDUCATION LUNCHEON IN FEBRUARY) TO BENEFIT THE AMERICAN HEART ASSOCIATION; PARTICIPATION IN NUMEROUS INDUSTRY AND AGENCY-SPONSORED HEALTH FAIRS; ATHLETIC TRAINING FOR CERTIFIED ATHLETIC TRAINERS AT TWO FOSTORIA COMMUNITY SCHOOLS; SPORTS PHYSICAL CLINICS FOR JUNIOR AND SENIOR HIGH SCHOOL ATHLETES; HEALTH SCREENINGS AND VACCINATION CLINICS FOR COMMUNITY MEMBERS; AND EDUCATIONAL SCHOLARSHIPS FOR SEVERAL AREA STUDENTS TOWARD THEIR STUDIES IN HEALTH CARE, THROUGH THE FCH FOUNDATION. FCH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2012, OF WHICH $1,271,000 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. FCH'S COST OF BAD DEBT FOR 2012 WAS $1,055,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $3,638,000 NOTED ABOVE. FURTHER, FCH PROVIDED $2,208,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. ALSO IN 2012, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $156,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $3,638,000 NOTED ABOVE. DURING 2012, FCH PROVIDED 272 JOBS THROUGH DIRECT EMPLOYMENT, EXPENDING $10,180,000 IN NET PAYROLL. A TOTAL OF $540,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, FCH 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 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 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
Form990 Schedule R Part I Form990ScheduleRPartI (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| COBRA VENTURES LLC | |||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 204671613 | LAND LEASING | OH | 4162 | 84060 | ST LUKE'S HOSPITAL FOUNDATION |
| MIDWEST CARDIOVASCULAR CONSULTANTS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 611448753 | EMPLOYS PHYSICIANS | OH | 2620101 | 257761 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA CENTRAL PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341881137 | EMPLOYS PHYSICIANS | OH | 110286329 | 22013362 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA EAST PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341881145 | EMPLOYS PHYSICIANS | OH | 5321776 | 2132911 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA ORTHOPEDIC PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 208050622 | EMPLOYS PHYSICIANS | OH | 2738752 | 1006774 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA SOUTH PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341898679 | EMPLOYS PHYSICIANS | OH | 3040985 | 1949844 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA WEST PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341893773 | EMPLOYS PHYSICIANS | OH | 12489882 | 4770917 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 263888045 | EMPLOYS PHYSICIANS | OH | 28134855 | 5464173 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA GI PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 263015991 | EMPLOYS PHYSICIANS | OH | 7894231 | 1049190 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA CARDIOTHORACIC PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 270978204 | EMPLOYS PHYSICIANS | OH | 5501987 | 664108 | PROMEDICA PHYSICIAN GROUP |
| WELLCARE PHYSICIANS LLC | |||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 611528443 | EMPLOYS PHYSICIANS | OH | 13614704 | 2510023 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 271401750 | EMPLOYS PHYSICIANS | OH | 3890340 | 198396 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA ENT LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 272404505 | EMPLOYS PHYSICIANS | OH | 3582772 | 593090 | PROMEDICA PHYSICIAN GROUP |
| THE PHARMACY COUNTER LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 271325141 | MEDICAL EQUIPMENT & PHARMACY | OH | 37999387 | 11039701 | PROMEDICA PHYSICIAN GROUP |
| WOLF CREEK ASSOCIATES LLC | |||||||||
| 901 KIMOLE LN | ADRIAN | MI | 49221 | 383164818 | FACILITY LEASING | MI | 286755 | 1140448 | EMMA L BIXBY MEDICAL CENTER |
| PROMEDICA MONROE CARDIOLOGY PLLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 272920342 | EMPLOYS PHYSICIANS | MI | 2778419 | 599851 | PROMEDICA PHYSICIAN GROUP |
| ERIE WEST HOSPICE & PALLIATIVE CARE LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 205752995 | PROVIDES HOSPICE CARE | OH | 3599956 | 8545277 | PROMEDICA PHYSICIANS AND CONTINUUM SERVICES |
| PROMEDICA ANESTHESIA CONSULTANTS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 453251737 | EMPLOYS PHYSICIANS | OH | 26293050 | 3615082 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA CRITICAL CARE LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 275165922 | EMPLOYS PHYSICIANS | OH | 4122931 | 413886 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 453230331 | PRACTICE MANAGEMENT | OH | 252770 | 2572026 | 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 | 677873 | 533145 | PROMEDICA FOUNDATION | |
| PROMEDICA INNOVATIONS LLC | |||||||||
| 1801 RICHARDS RD | TOLEDO | OH | 43607 | INVESTMENT COMPANY | OH | -23486 | 476514 | PROMEDICA HEALTH SYSTEM INC | |
| PROMEDICA GENITO-URINARY SURGEONS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 461120436 | EMPLOYS PHYSICIANS | OH | 4043138 | 3525183 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA MONROE PHYSICIANS PLLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 461111822 | EMPLOYS PHYSICIANS | MI | 185307 | 112852 | PROMEDICA PHYSICIAN GROUP |
| PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC | |||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 454976786 | EMPLOYS PHYSICIANS | OH | 532097 | 204610 | 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 | |
Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAY PARK COMMUNITY HOSPITAL | |||||||||||
| 2801 BAY PARK DR | OREGON | OH | 43616 | 341883132 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | 1 | |
| CARE ENTERPRISES | |||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341366709 | FACILITY LEASING | OH | 501(C)(3) | 11B, II | PROMEDICA HEALTH SYSTEM INC | 1 | |
| DEFIANCE HOSPITAL AUXILIARY | |||||||||||
| 1200 RALSTON | DEFIANCE | OH | 43512 | 510173779 | HOSPITAL / FOUNDATION SUPPORT | OH | 501(C)(3) | 11D, III-O | DEFIANCE HOSPITAL INC | 1 | |
| DEFIANCE HOSPITAL INC | |||||||||||
| 1200 RALSTON | DEFIANCE | OH | 43512 | 344446484 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | 1 | |
| EMMA L BIXBY MEDICAL CENTER | |||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 382796005 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | 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 | 1 | |
| FLOWER HOSPITAL | |||||||||||
| 5200 HARROUN RD | SYLVANIA | OH | 43560 | 344428794 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | 1 | |
| FOSTORIA HOSPITAL AUXILIARY | |||||||||||
| PO BOX 907 | FOSTORIA | OH | 44830 | 346517634 | HOSPITAL / FOUNDATION SUPPORT | OH | 501(C)(3) | 11A, I | FOSTORIA HOSPITAL ASSOCIATION | 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 | 1 | |
| HERRICK MEMORIAL HOSPITAL INC | |||||||||||
| 500 E POTTAWATAMIE ST | TECUMSEH | MI | 49286 | 383049015 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | 1 | |
| LENAWEE LONG TERM CARE | |||||||||||
| 700 LAKESHORE TR | ADRIAN | MI | 49221 | 382879330 | LONG TERM CARE | MI | 501(C)(3) | 9 | EMMA L BIXBY MEDICAL CENTER | 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 & CONTINUUM SERVICES | 1 | |
| PROMEDICA COURIER SERVICES INC | |||||||||||
| 3170 W CENTRAL AVE | TOLEDO | OH | 43606 | 260324790 | COURIER SERVICE | OH | 501(C)(3) | 11B, II | PROMEDICA PHYSICIANS & CONTINUUM SERVICES | 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 | 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 | 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 | 1 | |
| PROMEDICA PHYSICIANS & CONTINUUM SERVICES | |||||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341880767 | PHYSICIAN MANAGEMENT SERVICES | OH | 501(C)(3) | 11C, III-FI | PROMEDICA HEALTH SYSTEM INC | 1 | |
| PROMEDICA PHYSICIAN GROUP | |||||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341899439 | PHYSICIAN HEALTH CARE SERVICES | OH | 501(C)(3) | 9 | PROMEDICA PHYSICIANS & CONTINUUM SERVICES | 1 | |
| ST LUKE'S HOSPITAL | |||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 344428232 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | 1 | |
| ST LUKE'S HOSPITAL FOUNDATION | |||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341292849 | FOUNDATION | OH | 501(C)(3) | 11B, II | PROMEDICA HEALTH SYSTEM INC | 1 | |
| THE TOLEDO HOSPITAL | |||||||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 344428256 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | 1 | |
| PROMEDICA FOUNDATION | |||||||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 341517672 | FOUNDATION | OH | 501(C)(3) | 11B, II | PROMEDICA HEALTH SYSTEM INC | 1 | |
| TOLEDO DISTRICT NURSE ASSOCIATION | |||||||||||
| 1946 N 13TH STREET | TOLEDO | OH | 43624 | 344427949 | SKILLED HOME CARE | OH | 501(C)(3) | 9 | PROMEDICA PHYSICIANS & CONTINUUM SERVICES | 1 | |
| VISITING NURSE HOSPICE AND HEALTH CARE | |||||||||||
| 383 W DUSSEL DRIVE | MAUMEE | OH | 43537 | 341831624 | HOSPICE HOME CARE | OH | 501(C)(3) | 9 | PROMEDICA PHYSICIANS & CONTINUUM SERVICES | 1 | |
| KAITLYN'S COTTAGE INC | |||||||||||
| 1260 RALSTON AVE | DEFIANCE | OH | 43512 | 454781053 | RESPITE CARE | OH | 501(C)(3) | 9 | DEFIANCE HOSPITAL INC | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP | |||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 382972398 | FACILITY LEASING | MI | EMMA L BIXBY MEDICAL CENTER | RELATED | -3045 | 1215277 | 0 | 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 | 849171 | 2428028 | 0 | 0 | 0.67000 |
| WATERVILLE MEDICAL CENTER LLC | |||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 320160784 | FACILITY LEASING | OH | CARE ENTERPRISES INC | RELATED | 9151 | 804239 | 0 | 0 | 0.70000 |
| NORTHWEST OHIO DEDICATED BREAST MRI LLC | |||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 260679898 | MEDICAL DIAGNOSTICS | OH | THE TOLEDO HOSPITAL | RELATED | 10503 | 398666 | 0 | 0 | 0.50000 |
| WEST CENTRAL SURGICAL CENTER LLC | |||||||||||||
| 7055 W CENTRAL | TOLEDO | OH | 43617 | 200088459 | AMBULATORY SURGICAL CENTER | OH | THE TOLEDO HOSPITAL | RELATED | 574701 | 2954296 | 0 | 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 | 61341 | 840248 | 0 | 0 | 0.59400 |
| LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC | |||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383605511 | PHYSICIAN MANAGEMENT SERVICES | MI | EMMA L BIXBY MEDICAL CENTER | RELATED | 12696 | 121447 | 0 | 1 | 0.50000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARE HOLDINGS | ||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 341796790 | HOLDING COMPANY | OH | PROMEDICA HEALTH SYSTEM INC | C | 1.00000 | 1 | ||
| HERRICK MEMORIAL DEVELOPMENT CORP | ||||||||||||
| 500 E POTTAWATAMIE TR | ADRIAN | MI | 49221 | 383146907 | FACILITY LEASING | MI | EMMA L BIXBY MEDICAL CENTER | C | 1.00000 | 1 | 1557 | 545721 |
| LHA PHYSICIAN SERVICES CORPORATION | ||||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 611451576 | PHYSICIAN BILLING | MI | EMMA L BIXBY MEDICAL CENTER | C | 1.00000 | 1 | -72654 | 189096 |
| PHYSICIANS ADVANTAGE MSO | ||||||||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 061811760 | PHYSICIAN MANAGEMENT SERVICES | OH | PROMEDICA HEALTH SYSTEM INC | C | 1.00000 | 1 | -952 | 24835 |
| PROMEDICA CENTRAL CORPORATION OF MI INC | ||||||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 383322278 | PHYSICIAN HEALTH CARE SERVICES | OH | PROMEDICA PHYSICIAN GROUP | C | 1.00000 | 1 | 411900 | 12952564 |
| 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 | 1 | -6220000 | 247313000 |
| PROMEDICA NORTH PHYSICIAN CORPORATION | ||||||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 383482148 | PHYSICIAN HEALTH CARE SERVICES | OH | PROMEDICA PHYSICIAN GROUP | C | 1.00000 | 1 | 203340 | |
| PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION | ||||||||||||
| 5855 MONROE ST | SYLVANIA | OH | 43560 | 341887065 | PHYSICIAN MANAGEMENT SERVICES | OH | PROMEDICA PHYSICIANS AND CONTINUUM SERVICES | C | 1.00000 | 1 | 404501 | |
| PROMEDICA RETAIL GROUP INC | ||||||||||||
| 3890 MONROE ST | TOLEDO | OH | 43606 | 341159928 | FLORIST | OH | PROMEDICA PHYSICIANS AND CONTINUUM SERVICES | C | 1.00000 | 1 | 22296 | 1421714 |
| TOLEDO HOSPITAL LOCAL PROVIDER UNIT | ||||||||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 341586739 | PHYSICIAN SERVICES | OH | THE TOLEDO HOSPITAL | C | 1.00000 | 1 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PROMEDICA FOUNDATION | ||
| B | 184092 | FMV |
| PROMEDICA HEALTH SYSTEM INC | ||
| B | 200000 | FMV |
| PROMEDICA FOUNDATION | ||
| C | 617939 | FMV |
| PROMEDICA PHYSICIAN GROUP | ||
| J | 199407 | FMV |
| PROMEDICA PHYSICIAN GROUP | ||
| P | 1000807 | FMV |
| PROMEDICA INSURANCE CORP INC & SUBSIDIARIES | ||
| P | 120107 | FMV |
| PROMEDICA COURIER SERVICES INC | ||
| P | 79257 | FMV |
| PROMEDICA HEALTH SYSTEM INC | ||
| P | 5913612 | FMV |
| THE TOLEDO HOSPITAL | ||
| P | 490339 | FMV |
| THE TOLEDO HOSPITAL | ||
| Q | 55490 | FMV |