PROMEDICA HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PROMEDICA HEALTH SYSTEM INC (EIN 34-1517671)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-12
IRS object ID: 201313169349304491
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 D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-12T13:55:31-06:00	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	462045108	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	341517671	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PROMEDICA HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PROM	NameControl
Phone	4198918505	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 RICHARDS ROAD	AddressLine1
City	TOLEDO	City
State	OH	State
ZIP Code	43607	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KATHLEEN S HANLEY	Name
Title	TREASURER	Title
Phone	4194693832	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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KATHLEEN S HANLEY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1801 RICHARDS ROAD	AddressLine1
City	TOLEDO	City
State	OH	State
ZIP Code	43607	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	411002455	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PROMEDICA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	28	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	1418	TotalNbrEmployees
Total Nbr Volunteers	22	TotalNbrVolunteers
Total Gross UBI	-18034	TotalGrossUBI
Net Unrelated Business Txbl Income	-18034	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	29097251	ContributionsGrantsPriorYear
Contributions Grants Current Year	39720713	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	151113784	ProgramServiceRevenuePriorYear
Program Service Revenue CY	370847696	ProgramServiceRevenueCY
Investment Income Prior Year	184365	InvestmentIncomePriorYear
Investment Income Current Year	-27188	InvestmentIncomeCurrentYear
Other Revenue Prior Year	156578	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	180551978	TotalRevenuePriorYear
Total Revenue Current Year	410541221	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	15037827	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	13548480	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	82361076	SalariesEtcPriorYear
Salaries Etc Current Year	106877876	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	69259536	OtherExpensePriorYear
Other Expenses Current Year	69546698	OtherExpensesCurrentYear
Total Expenses Prior Year	166658439	TotalExpensesPriorYear
Total Expenses Current Year	189973054	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13893539	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	220568167	RevenuesLessExpensesCY
Total Assets BOY	1788012710	TotalAssetsBOY
Total Assets EOY	2027376048	TotalAssetsEOY
Total Liabilities BOY	156541270	TotalLiabilitiesBOY
Total Liabilities EOY	170797973	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1631471440	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1856578075	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	BASED IN TOLEDO, OHIO, PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. IT IS GUIDED BY ITS CORE VALUES OF COMPASSION, INNOVATION, TEAMWORK, AND EXCELLENCE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	146924509	Expense
Grants	13548480	Grants
Revenue	370664454	Revenue
Description	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTH CARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6061361	Expense
Revenue	183242	Revenue
Description	CONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM, INC. PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH SERVICES AND COMMUNITY BENEFIT OPERATIONS, AND CASH-IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	152985870	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	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	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	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	1	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	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	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	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	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	1	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	280	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1418	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	28	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	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	0	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	0	LocalChapters
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	1	CompensationProcessCEO
Compensation Process Other	1	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	BRIAN HANSEN	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4198918505	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (67 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
JAMES ARMSTRONG
EX OFFICIO	1.00	1.00	X	0	0	0
BRUCE BARNETT MD
TRUSTEE	1.00	40.00	X	0	471999	17360
PAUL BERLACHER MD
TRUSTEE	1.00	40.00	X	0	705721	20448
EMMETT BOYLE JR MD
EX OFFICIO	1.00	1.00	X	0	0	0
ELIZABETH BRADY
EX OFFICIO	1.00	1.00	X	0	0	0
ROBERT CHIRDON
EX OFFICIO	1.00	7.00	X	0	0	0
PARISS COLEMAN II
TRUSTEE	1.00	1.00	X	0	0	0
KAREN DAVIS PHD
TRUSTEE	1.00	0.00	X	0	0	0
ROBERT DEROSA
TRUSTEE	1.00	40.00	X	0	815729	19054
H LEE DUNN JR
EX OFFICIO	1.00	0.00	X	0	0	0
FRANK DUVAL
EX OFFICIO	1.00	0.00	X	0	0	0
PETER DZIAD MD
TRUSTEE	1.00	40.00	X	938	706186	17000
RUSSELL EBEID
TRUSTEE	1.00	0.00	X	0	0	0
DANIEL FARRELL JR
EX OFFICIO	1.00	3.00	X	0	0	0
BENJAMIN HEYWOOD
EX OFFICIO	1.00	0.00	X	0	0	0
DAVID HICKMAN
EX OFFICIO	1.00	2.00	X	0	0	0
THOMAS HOUSTON MD
TRUSTEE	1.00	41.00	X	0	308436	22168
RICHARD HYLANT
TRUSTEE	1.00	0.00	X	0	0	0
LLOYD JACOBS MD
TRUSTEE	1.00	0.00	X	0	0	0
ROBERT LACLAIR
EX OFFICIO	1.00	0.00	X	0	0	0
RITA MANSOUR
EX OFFICIO	1.00	1.00	X	315	0	0
SARAH MCHUGH
EX OFFICIO	1.00	1.00	X	0	0	0
DONALD MENNEL
TRUSTEE	1.00	1.00	X	0	0	0
SAMANTHA MUCHA MD
TRUSTEE	1.00	40.00	X	0	495281	22155
JAMES MURRAY
EX OFFICIO	1.00	0.00	X	0	0	0
JOSEPH NAPOLI
EX OFFICIO	1.00	0.00	X	0	0	0
JAMES NORTH MD
TRUSTEE	1.00	40.00	X	0	212858	15765
MARNA RAMNATH RN
EX OFFICIO	1.00	0.00	X	0	0	0
CLAUDE ROWLEY
TRUSTEE	1.00	2.00	X	0	0	0
DAVID SNAVELY
EX OFFICIO	1.00	0.00	X	0	0	0
RANDALL OOSTRA
PRESIDENT, EX OFFICIO	40.00	12.00	X	1309341	0	256213	X
STEPHEN STAELIN
CHAIRPERSON, EX OFFICIO	1.00	10.00	X	479	0	0	X
LARRY PETERSON
VICE CHAIR, EX OFFICIO	1.00	2.00	X	816	0	0	X
KATHLEEN HANLEY
TREASURER	40.00	12.00		675864	0	105620	X
JEFFREY KUHN
SECRETARY	40.00	11.50		531308	0	62161	X
GARY AKENBERGER
SR. VP, FINANCE PHS	40.00	5.00		321867	0	69112		X
KENNETH ARMSTRONG
SR. VP, INFO SYSTEMS, PHS	40.00	0.00		271054	0	46768		X
DAWN BUSKEY
PRESIDENT, WOSH	40.00	1.00		292528	0	47905		X
MARTIN DANSACK
VP ACCT AND TAX, PHS	40.00	1.00		209696	0	34272		X
ROBERT FREDRICK
SR. VP ACADEMIC AFFAIRS	40.00	0.50		447584	0	66235		X
LEE HAMMERLING MD
CMO, PRESIDENT PPCS	40.00	8.00		728567	0	74310		X
A DAVID JAMES
CHIEF QUAL. AND CLIN. INT.	40.00	0.00		436702	0	29261		X
JEFFREY KELLER
VP COMP. AND BENEFITS	40.00	0.00		216430	0	36584		X
KATHLEEN KRUEGER
PRESIDENT, SUPPLY CHAIN	40.00	0.00		258158	0	26439		X
SUSAN PAYDEN
VP, TREASURY PHS	40.00	0.00		209529	0	46990		X
BARBARA PETEE
CHIEF ADV., GOV. & COMM.	40.00	2.00		293048	0	44514		X
ARTURO POLIZZI
CHIEF HUM. RESOURCE OFF.	40.00	2.00		379667	0	46693		X
JOHN RANDOLPH
PRESIDENT, PIC	40.00	0.00		603718	0	96252		X
GLADEEN ROBERTS
PRESIDENT, NUR. CENT. EXC.	40.00	0.00		448450	0	613704		X
ALAN SATTLER
PRESIDENT, ACUTE CARE	40.00	5.00		329237	0	66764		X
SHEILA SCHWARTZ
CHIEF PHILANTHROPIC OFF.	40.00	2.00		342495	0	49184		X
DAVID SELMAN
CHIEF INFO. AND TECH. OFF.	40.00	2.00		410136	0	401458		X
BARBARA STEELE
PRESIDENT, ACUTE CARE	40.00	11.00		845937	0	36826		X
RONALD WACHSMAN
SR. VP MANAGED CARE	40.00	1.00		279158	0	58511		X
KEVIN WEBB
PRESIDENT, ACUTE CARE	40.00	4.00		453037	0	57666		X
WILLIAM MUELLER
COO, PPG	1.00	40.50		391020	0	38327			X
DANIEL WAKEMAN
PRESIDENT, ST. LUKE'S	1.00	42.00		369481	0	37888			X
NEERAJ KANWAL
VP MED. AFFAIRS, TTH	1.00	40.00		352522	0	44398			X
LORI JOHNSTON
VP OPS & FINANCE, SLH	1.00	41.00		336557	0	52567			X
TIMOTHY JAKACKI
PRESIDENT BMC & HMH	1.00	41.00		300395	0	67525			X
KATHLEEN CARLSON
FORMER KEY EMPLOYEE	0.00	0.00		254988	0	149				X
JOHN MEIER
FORMER KEY EMPLOYEE	40.00	0.00		283341	42735	47825				X
STEPHEN MOONEY
FORMER KEY EMPLOYEE	0.00	0.00		393710	0	117738				X
ROBERT REITER
FORMER KEY EMPLOYEE	0.00	0.00		115849	0	7917				X
RANDALL SCHIMMOELLER
FORMER KEY EMPLOYEE	0.00	42.00		279047	0	34968				X
CYNTHIA SCHRIEFER
FORMER KEY EMPLOYEE	0.00	0.00		125552	0	13522				X
THOMAS DELLA-FLORA
FORMER KEY EMPLOYEE	40.00	0.00		205279	0	47851				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	13703800	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3758945	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3018067	TotalOtherCompensation
Number Individuals GT100 K	134	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
MCKESSON PHARMACEUTICAL
38220 PLYMOUTH RD	LIVONIA	MI	481501050	SOFTWARE SUPPORT	68176806
MCKESSON TECHNOLOGIES INC
PO BOX 98347	CHICAGO	IL	606930001	SOFTWARE SUPPORT	18511589
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MI	55905	LAB TESTING	5180612
HART ASSOCIATES INC
1915 INDIAN WOOD CIRCLE	MAUMEE	OH	43537	ADVERTISING	3355750
MAXIT HEALTHCARE HOLDINGS LLC
PO BOX 808	WESTFIELD	IN	46074	CONSULTING SERVICES	3030955

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	66	NumberOfContractorsGT100K
Related Organizations	39671264	RelatedOrganizations
All Other Contributions	49449	AllOtherContributions
Total Contributions	39720713	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INVEST. IN AFFILIATES	551114	193260508	193260508
ADMIN. SUPPORT SERV.	551114	177376622	177376622
COMMUNITY WELLNESS	900099	183242	183242
NURSING EDUCATION	900099	27324	27324

Field	Value	IRS element (for citing)
Total Program Service Revenue	370847696	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	12246	TotalRevenueColumn
Unrelated Business Revenue	-18034	UnrelatedBusinessRevenue
Exclusion	$30,280	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	421800	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	433586	Securities
Other	27648	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-11786	Securities
Other	-27648	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-39434	TotalRevenueColumn
Exclusion	-$39,434	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	410541221	TotalRevenueColumn
Related Or Exempt Function Income	370847696	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-18034	UnrelatedBusinessRevenue
Exclusion	-$9,154	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	13506680	Total
Program Services	13506680	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	41800	Total
Program Services	41800	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	12669501	Total
Program Services	12669501	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	76686394	Total
Program Services	58815215	ProgramServices
Management And General	17871179	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3775802	Total
Program Services	3020642	ProgramServices
Management And General	755160	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8573546	Total
Program Services	6858837	ProgramServices
Management And General	1714709	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5172633	Total
Program Services	4138106	ProgramServices
Management And General	1034527	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	311740	Total
Management And General	311740	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1816098	Total
Management And General	1816098	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18094355	Total
Program Services	14475484	ProgramServices
Management And General	3618871	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2598531	Total
Program Services	2078825	ProgramServices
Management And General	519706	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5055498	Total
Program Services	4044398	ProgramServices
Management And General	1011100	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	19524467	Total
Program Services	15619574	ProgramServices
Management And General	3904893	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1200489	Total
Program Services	960391	ProgramServices
Management And General	240098	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1358056	Total
Program Services	1086445	ProgramServices
Management And General	271611	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6131	Total
Program Services	4905	ProgramServices
Management And General	1226	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13744345	Total
Program Services	10995476	ProgramServices
Management And General	2748869	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS	2826586	2261269	565317
MINOR EQUIPMENT	2335207	1868166	467041
RECRUITMENT	401214	320971	80243
LICENSES AND FEES	110635	88508	22127

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	163346	Total
Program Services	130677	ProgramServices
Management And General	32669	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	189973054	Total
Program Services	152985870	ProgramServices
Management And General	36987184	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1122030	BOY
EOY	1804745	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1329	BOY
EOY	1211	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	60091	BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	19478430	BOY
EOY	20899942	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	116363753	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	73471176	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	30318206	BOY
EOY	42892577	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	666917	BOY
EOY	15095761	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1710929251	BOY
EOY	1911427487	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	25436456	BOY
EOY	35254325	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1788012710	BOY
EOY	2027376048	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	37606009	BOY
EOY	51042524	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	118935261	BOY
EOY	119755449	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	156541270	BOY
EOY	170797973	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1631163443	BOY
EOY	1856334765	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	307997	BOY
EOY	243310	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1631471440	BOY
EOY	1856578075	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1788012710	BOY
EOY	2027376048	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	220568167	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1964136	ReconciliationUnrealizedInvest
Reconcilation Other Changes	2574332	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)
Supporting Organization509a3	X	SupportingOrganization509a3
Supporting Org509a3 Type3 Func Int	X	SupportingOrg509a3Type3FuncInt
Certification Checkbox	X	CertificationCheckbox
Contrib By Controlling Individual	0	ContribByControllingIndividual
Contribution By Related Party	0	ContributionByRelatedParty
Contrib By35 Controlled Entity	0	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (14 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	Supported Organization NotifiedSupportedOrganizationNotified	Organized In USOrganizedInUS	AmountAmount
BAY PARK COMMUNITY HOSPITAL
341883132	3	0	1	1	$0
DEFIANCE HOSPITAL INC
344446484	3	0	1	1	$0
EMMA L BIXBY MEDICAL CENTER
382796005	3	0	1	1	$0
FLOWER HOSPITAL
344428794	3	0	1	1	$0
FOSTORIA HOSPITAL ASSOCIATION
340898745	3	0	1	1	$0
HERRICK MEMORIAL HOSPITAL INC
383049015	3	0	1	1	$0
LENAWEE LONG TERM CARE
382879330	9	0	1	1	$0
PROMEDICA CONTINUING CARE SERVICES CORP
344492440	9	0	1	1	$0
PROMEDICA PHYSICIAN GROUP
341899439	9	0	1	1	$0
ST LUKE'S HOSPITAL
344428232	3	0	1	1	$10,000,000
THE TOLEDO HOSPITAL
344428256	3	0	1	1	$0
TOLEDO DISTRICT NURSE ASSOCIATION
344427949	9	0	1	1	$0
VISITING NURSE HOSPICE & HEALTH CARE
341831624	9	0	1	1	$0
KAITLYN'S COTTAGE INC
454781053	9	0	1	1	$0

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	14	TotalNumberOfSupportedOrgs
Sum Of Amounts	10000000	SumOfAmounts

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 D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1958385	OtherCostOrOtherBasis
Book Value	1958385	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8271511	OtherCostOrOtherBasis
Depreciation	1360413	Depreciation
Book Value	6911098	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1664077	OtherCostOrOtherBasis
Depreciation	651394	Depreciation
Book Value	1012683	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102408551	OtherCostOrOtherBasis
Depreciation	71459369	Depreciation
Book Value	30949182	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2061229	OtherCostOrOtherBasis
Book Value	2061229	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	42892577	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN AFFILIATED COMPANIES	1893703260	C
SELF INSURANCE/DEFERRED COMPENSATION	17724227	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1911427487	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$21,840,126
PROFESSIONAL LIABILITY & WORKERS COMPENSATION	$10,653,696
DEFERRED COMPENSATION	$17,623,723
PENSION	$68,619,476
CONTINGENT LIABILITIES	$1,018,428

Field	Value	IRS element (for citing)
Total Of Amounts	119755449	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X, LINE 2:	ReturnReference
Explanation	PROMEDICA HEALTH SYSTEM, INC. 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 YEARS 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. PROMEDICA HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012 AND 2011.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Type Of Activities Conducted	INVESTMENT	TypeOfActivitiesConducted
Total Expenditures	77495409	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	77495409	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	77495409	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (34 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ST LUKE'S HOSPITAL
5901 MONCLOVA ROAD	MAUMEE	OH	43537	344428232	501(C)(3)	10000000	OPERATING GRANT
PROMEDICA FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	436063896	341517672	501(C)(3)	97810	OPERATING GRANT
AMERICAN CANCER SOCIETY
740 COMMERCE DR SUITE B	PERRYSBURG	OH	43551	131788491	501(C)(3)	9550	CHARITABLE DONATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	752843543	135613797	501(C)(3)	25500	CHARITABLE DONATION
AMERICAN RED CROSS
644 SUMMIT ST	FOSTORIA	OH	44830	311352067	501(C)(3)	8750	CHARITABLE DONATION
BOYS AND GIRLS CLUBS OF TOLEDO
2250 N DETROIT AVE	TOLEDO	OH	43606	344427933	501(C)(3)	30000	CHARITABLE DONATION
CHERRY STREET MISSON
105 17TH STREET	TOLEDO	OH	43604	341133369	501(C)(3)	6000	CHARITABLE DONATION
DIABETES YOUTH SERVICES
5871 MONCLOVA RD	MAUMEE	OH	43537	341967194	501(C)(3)	7500	CHARITABLE DONATION
EAST TOLEDO FAMILY CENTER
1020 VARLAND AVE	TOLEDO	OH	43605	344429426	501(C)(3)	7000	CHARITABLE DONATION
EASTERN MAUMEE BAY CHAMBER OF COMMERCE
2460 NAVARRE AVE	TOLEDO	OH	43616	341393190	501(C)(6)	5750	CHARITABLE DONATION
ERNST & YOUNG FOUNDATION
200 PLAZA DR	SECAUCUS	NJ	07094	136094489	501(C)(3)	15000	CHARITABLE DONATION
GLASS ART SOCIETY
6512 23RD AVE NW SUITE 329	SEATTLE	WA	98117	222207869	501(C)(3)	7500	CHARITABLE DONATION
GREATER FOSTORIA COMMUNITY FOUNDATION INC
112 MAIN ST	FOSTORIA	OH	44830	341946282	501(C)(3)	6500	CHARITABLE DONATION
HOSPICE OF LENAWEE INC
1903 WOLF CREEK HWY	ADRIAN	MI	49221	382414012	501(C)(3)	500200	CHARITABLE DONATION
TOLEDO SCIENCE CENTER DBA IMAGINATION STATION
ONE DISCOVERY WAY	TOLEDO	OH	436041579	311337258	501(C)(3)	20500	CHARITABLE DONATION
JUNIOR LEAGUE OF TOLEDO
3454 OAK VALLEY COURT SUITE 1000	TOLEDO	OH	436061354	340902282	501(C)(3)	5800	CHARITABLE DONATION
KIDNEY FOUNDATION OF NW OHIO
3100 CENTRAL AVE	TOLEDO	OH	43606	341133682	501(C)(3)	6500	CHARITABLE DONATION
KIDS UNLIMITED
8927 ROYAL OAK DR	HOLLAND	OH	43528	204487408	501(C)(3)	15000	CHARITABLE DONATION
LIMA MEMORIAL HOSPITAL FOUNDATION
1001 BELLEFONTAINE RD	LIMA	OH	45804	341707570	501(C)(3)	10000	CHARITABLE DONATION
LOURDES UNIVERSITY
6832 CONVENT BLVD	SYLVANIA	OH	43560	341226547	501(C)(3)	14250	CHARITABLE DONATION
MAKE A WISH FOUNDATION
405 MADISON AVE	TOLEDO	OH	43604	341430961	501(C)(3)	15750	CHARITABLE DONATION
OHIO CANCER RESEARCH ASSOCIATES
50 W BROAD ST SUITE 1132	COLUMBUS	OH	432153388	311038309	501(C)(3)	30000	CHARITABLE DONATION
RONALD MCDONALD HOUSE OF TOLEDO
3883 MONROE ST	TOLEDO	OH	43606	341349742	501(C)(3)	1004500	CHARITABLE DONATION
ST FRANCIS DE SALES HIGH SCHOOL
2323 W BANCROFT ST	TOLEDO	OH	43607	344465715	501(C)(3)	41650	CHARITABLE DONATION
SUSAN G KOMEN BREAST CANCER FOUNDATION INC
3100 W CENTRAL AVE SUITE 235	TOLEDO	OH	43606	781835298	501(C)(3)	32500	CHARITABLE DONATION
THE TOLEDO SYMPHONY
1838 PARKWOOD AVE	TOLEDO	OH	436242502	344005365	501(C)(3)	40550	CHARITABLE DONATION
TOLEDO COMMUNITY FOUNDATION
300 MADISON AVE	TOLEDO	OH	43604	237284004	501(C)(3)	890200	CHARITABLE DONATION
TOLEDO MUSEUM OF ART
2445 MONROE ST	TOLEDO	OH	43620	344434678	501(C)(3)	16250	CHARITABLE DONATION
TOLEDO PUBLIC SCHOOLS FOUNDATION
420 E MANHATTAN BLVD	TOLEDO	OH	43608	341558705	501(C)(3)	103500	CHARITABLE DONATION
TOLEDO ROTARY FOUNDATION
101 N SUMMIT ST SUITE 436	TOLEDO	OH	43604	341934738	501(C)(3)	10000	CHARITABLE DONATION
UNITED WAY
424 JACKSON ST	TOLEDO	OH	43604	344427947	501(C)(3)	72500	CHARITABLE DONATION
UNIVERSITY OF TOLEDO
2801 BANCROFT	TOLEDO	OH	43606	346555110	501(C)(3)	88027	CHARITABLE DONATION
URBAN 6 FOUNDATION
1100 S HOLLAND SYLVANIA	HOLLAND	OH	43528	270727190	501(C)(3)	5750	CHARITABLE DONATION
YMCA
6465 SYLVANIA AVE	SYLVANIA	OH	43560	344428262	501(C)(3)	54150	CHARITABLE DONATION

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	33	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EDUCATIONAL ASSISTANCE	TypeOfGrant
Number Of Recipients	27	NumberOfRecipients
Amount Of Cash Grant	41800	AmountOfCashGrant

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 THE PARENT COMPANY PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE POLICIES EXIST TO ENSURE THAT THE APPROVAL AND DISTRIBUTION OF FOUNDATION FUNDS ARE CONSISTENT WITH THE APPROVED SUPPORTED ORGANIZATION STRATEGIC PLAN AND DOCUMENTED DONOR INTENT. ALL REQUESTS FOR FUNDS MUST BE SUBMITTED ON THE "FUND UTILIZATION REQUEST" FORM AND INCLUDE WRITTEN SUPPORTING DOCUMENTATION AND APPROPRIATE APPROVALS DEPENDING ON THE DOLLAR AMOUNT OF THE REQUEST. ON A MONTHLY BASIS A REPORT LISTING ALL FUND DISTRIBUTIONS IS DISTRIBUTED TO THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF PHILANTHROPIC OFFICER. AS THE PARENT COMPANY, PROMEDICA HEALTH SYSTEM, INC. (PHS) CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	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	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (42 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
BRUCE BARNETT MD
TRUSTEE	0	451300	0	4623	0	16076	0	17000	0	360	0	489359	0	0
PAUL BERLACHER MD
TRUSTEE	0	666221	0	39500	0	0	0	17000	0	3448	0	726169	0	0
ROBERT DEROSA
TRUSTEE	0	776229	0	39500	0	0	0	17000	0	2054	0	834783	0	0
PETER DZIAD MD
TRUSTEE	938	666686	0	17896	0	21604	0	17000	0	0	938	723186	0	0
THOMAS HOUSTON MD
TRUSTEE	0	299002	0	0	0	9434	0	14828	0	7340	0	330604	0	0
SAMANTHA MUCHA MD
TRUSTEE	0	478281	0	13869	0	3131	0	17000	0	5155	0	517436	0	0
JAMES NORTH MD
TRUSTEE	0	204738	0	8120	0	0	0	8500	0	7265	0	228623	0	0
RANDALL OOSTRA
PRESIDENT, EX OFFICIO	846000	0	433200	0	30141	0	244878	0	11335	0	1565554	0	0	0
KATHLEEN HANLEY
TREASURER	473484	0	195800	0	6580	0	88731	0	16889	0	781484	0	0	0
JEFFREY KUHN
SECRETARY	353206	0	170216	0	7886	0	46771	0	15390	0	593469	0	0	0
GARY AKENBERGER
SR. VP, FINANCE PHS	244078	0	68605	0	9184	0	51390	0	17722	0	390979	0	0	0
KENNETH ARMSTRONG
SR. VP, INFO SYSTEMS, PHS	205000	0	66054	0	0	0	34914	0	11854	0	317822	0	0	0
DAWN BUSKEY
PRESIDENT, WOSH	213304	0	70921	0	8303	0	39173	0	8732	0	340433	0	0	0
MARTIN DANSACK
VP ACCT AND TAX, PHS	150645	0	56079	0	2972	0	23100	0	11172	0	243968	0	20228	0
ROBERT FREDRICK
SR. VP ACADEMIC AFFAIRS	335308	0	110786	0	1490	0	60253	0	5982	0	513819	0	0	0
LEE HAMMERLING MD
CMO, PRESIDENT PPCS	509392	0	212125	0	7050	0	61661	0	12649	0	802877	0	0	0
A DAVID JAMES
CHIEF QUAL. AND CLIN. INT.	353437	0	81896	0	1369	0	25064	0	4197	0	465963	0	0	0
JEFFREY KELLER
VP COMP. AND BENEFITS	174267	0	40081	0	2082	0	31216	0	5368	0	253014	0	0	0
KATHLEEN KRUEGER
PRESIDENT, SUPPLY CHAIN	188700	0	61938	0	7520	0	15168	0	11271	0	284597	0	0	0
SUSAN PAYDEN
VP, TREASURY PHS	169793	0	39736	0	0	0	30703	0	16287	0	256519	0	0	0
BARBARA PETEE
CHIEF ADV., GOV. & COMM.	197260	0	81579	0	14209	0	43851	0	663	0	337562	0	0	0
ARTURO POLIZZI
CHIEF HUM. RESOURCE OFF.	251544	0	110264	0	17859	0	31264	0	15429	0	426360	0	0	0
JOHN RANDOLPH
PRESIDENT, PIC	416095	0	174923	0	12700	0	79258	0	16994	0	699970	0	0	0
GLADEEN ROBERTS
PRESIDENT, NUR. CENT. EXC.	169625	0	122082	0	156743	0	597602	0	16102	0	1062154	0	0	0
ALAN SATTLER
PRESIDENT, ACUTE CARE	238772	0	77226	0	13239	0	48894	0	17870	0	396001	0	0	0
SHEILA SCHWARTZ
CHIEF PHILANTHROPIC OFF.	238772	0	97991	0	5732	0	37208	0	11976	0	391679	0	0	0
DAVID SELMAN
CHIEF INFO. AND TECH. OFF.	158281	0	129922	0	121933	0	386646	0	14812	0	811594	0	0	0
BARBARA STEELE
PRESIDENT, ACUTE CARE	565279	0	231321	0	49337	0	31364	0	5462	0	882763	0	0	0
RONALD WACHSMAN
SR. VP MANAGED CARE	213196	0	58671	0	7291	0	46565	0	11946	0	337669	0	0	0
KEVIN WEBB
PRESIDENT, ACUTE CARE	342770	0	107032	0	3235	0	41789	0	15877	0	510703	0	0	0
WILLIAM MUELLER
COO, PPG	240011	0	144620	0	6389	0	27846	0	10481	0	429347	0	70714	0
DANIEL WAKEMAN
PRESIDENT, ST. LUKE'S	280935	0	88546	0	0	0	25734	0	12154	0	407369	0	0	0
NEERAJ KANWAL
VP MED. AFFAIRS, TTH	288649	0	61437	0	2436	0	26509	0	17889	0	396920	0	0	0
LORI JOHNSTON
VP OPS & FINANCE, SLH	245952	0	90605	0	0	0	35988	0	16579	0	389124	0	0	0
TIMOTHY JAKACKI
PRESIDENT BMC & HMH	222854	0	72427	0	5114	0	49674	0	17851	0	367920	0	0	0
KATHLEEN CARLSON
FORMER KEY EMPLOYEE	0	0	0	0	254988	0	0	0	149	0	255137	0	0	0
JOHN MEIER
FORMER KEY EMPLOYEE	230282	42735	53059	0	0	0	38903	0	8922	0	331166	42735	0	0
STEPHEN MOONEY
FORMER KEY EMPLOYEE	0	0	115899	0	277811	0	105445	0	12293	0	511448	0	0	0
ROBERT REITER
FORMER KEY EMPLOYEE	0	0	0	0	115849	0	7917	0	0	0	123766	0	0	0
RANDALL SCHIMMOELLER
FORMER KEY EMPLOYEE	223686	0	51623	0	3738	0	23554	0	11414	0	314015	0	0	0
CYNTHIA SCHRIEFER
FORMER KEY EMPLOYEE	47431	0	70047	0	8074	0	13063	0	459	0	139074	0	22509	0
THOMAS DELLA-FLORA
FORMER KEY EMPLOYEE	169665	0	35614	0	0	0	34118	0	13733	0	253130	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	PART I, LINE 1A: TRAVEL FOR COMPANIONS 1 CEO INCLUDED IN TAXABLE COMPENSATION 2 BOARD MEMBERS INCLUDED IN TAXABLE COMPENSATION TAX INDEMNIFICATION AND GROSS UP PAYMENTS 1 SEVERANCE EMPLOYEE INCLUDED IN TAXABLE COMPENSATION 2 TERMED EMPLOYEES INCLUDED IN TAXABLE COMPENSATION
PART III	PART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. KATHLEEN CARLSON $254,988 STEPHEN MOONEY $268,782 DAVID SELMAN $109,904 GLADEEN ROBERTS $111,283	SUPPLEMENTAL INFORMATION
PART III	PART I, LINE 4B: ALL EMPLOYEES AND AMOUNTS LISTED ARE VOLUNTARY DEFERRALS OR COMPANY CONTRIBUTIONS TO VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR.	SUPPLEMENTAL INFORMATION
PART III	PART I, LINE 6: CERTAIN LISTED PERSONS RECEIVE INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS.	SUPPLEMENTAL INFORMATION
PART III	PART I, LINE 7: AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) INTEGRATED DELIVERY SYSTEM DEVELOPMENT; 2) COMMUNITY SERVICE; 3) QUALITY, SAFETY AND SERVICE; 4) FINANCIAL RESPONSIBILITY; AND 5) WORKFORCE DEVELOPMENT.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SEE PART V
SEE PART V	153209	SEE PART V	0
SEE PART V
SEE PART V	25443	SEE PART V	0
SEE PART V
SEE PART V	77439	SEE PART V	0
SEE PART V
SEE PART V	3129406	SEE PART V	0
SEE PART V
SEE PART V	33308	SEE PART V	0

Form990 Schedule L Part V Form990ScheduleLPartV (5 entries)

IdentifierIdentifier	ExplanationExplanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: DAVID WOLFF(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID WOLFF IS A FAMILY MEMBER OF KATHLEEN HANLEY (TREASURER).(C) AMOUNT OF TRANSACTION: $153,209(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: TYLER CHIRDON(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TYLER CHIRDON IS A FAMILY MEMBER OF ROBERT CHIRDON (EX OFFICIO).(C) AMOUNT OF TRANSACTION: $25,443(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: TIMOTHY PETEE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TIMOTHY PETEE IS A FAMILY MEMBER OF BARBARA PETEE (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $77,439(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: HYLANT GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RICHARD HYLANT (TRUSTEE) IS AN OFFICER AND GREATER THAN 5% OWNER OF HYLANT GROUP.(C) AMOUNT OF TRANSACTION: $3,129,406(D) DESCRIPTION OF TRANSACTION: INSURANCE(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: KELLY KRUEGER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: KELLY KRUEGER IS A FAMILY MEMBER OF KATHLEEN KRUEGER (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $33,308(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF NOT LESS THAN THREE (3) TRUSTEES NOR MORE THAN SEVEN (7) TRUSTEES. WITHIN THESE PARAMETERS, THE COMPOSITION OF THE EXECUTIVE COMMITTEE SHALL INCLUDE THE CHAIRPERSON, THE VICE CHAIRPERSON/CHAIR ELECT, THE CHIEF EXECUTIVE OFFICER AND SUCH OTHER TRUSTEES AS SHALL BE DESIGNATED BY THE BOARD DEVELOPMENT COMMITTEE. ALL EXECUTIVE COMMITTEE MEMBERS ARE PROMEDICA HEALTH SYSTEM, INC. BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE ALL OF THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. ONE BOARD MEMBER, DR. LLOYD JACOBS, HAS VOTING PRIVILEGES LIMITED TO ACADEMIC ISSUES ONLY.
FORM 990, PART VI, SECTION A, LINE 6	AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS INDIVIDUALS AS ITS MEMBERS THAT SERVE AS ITS BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBER OF PROMEDICA HEALTH SYSTEMS, INC. IS ITS BOARD OF TRUSTEES. ALL CORPORATE ACTIONS REQUIRE APPROVAL BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES.
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 OR A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION, 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.
FORM 990, PART VI, SECTION B, LINE 15	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:	PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 2,487,147. FUND BALANCE ACTIVITY 87,185.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART IV, SECTION B, LINE 16B:	JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS) INCLUDE PROVISIONS TO PROTECT PHS' 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.
	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
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 ASSOCIATION
501 VAN BUREN STREET	FOSTORIA	OH	44830	340898745	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
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	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	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 (28 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
PROMEDICA FOUNDATION
B	97810	FMV
ST LUKE'S HOSPITAL
B	10000000	FMV
FOSTORIA HOSPITAL ASSOCIATION
C	200000	FMV
PROMEDICA FOUNDATION
C	221264	FMV
BAY PARK COMMUNITY HOSPITAL
C	500000	FMV
DEFIANCE HOSPITAL INC
C	500000	FMV
EMMA L BIXBY MEDICAL CENTER
C	1000000	FMV
FLOWER HOSPITAL
C	8750000	FMV
THE TOLEDO HOSPITAL
C	28500000	FMV
THE TOLEDO HOSPITAL
K	1515296	FMV
PROMEDICA COURIER SERVICES INC
P	96112	FMV
ST LUKE'S HOSPITAL
P	304289	FMV
THE TOLEDO HOSPITAL
P	10128267	FMV
PROMEDICA INDEMNITY CORPORATION
P	11430552	FMV
PROMEDICA PHYSICIAN GROUP
Q	183482	FMV
PROMEDICA INDEMNITY CORPORATION
Q	489408	FMV
PROMEDICA FOUNDATION
Q	632558	FMV
HERRICK MEMORIAL HOSPITAL INC
Q	4844596	FMV
FOSTORIA HOSPITAL ASSOCIATION
Q	5913612	FMV
DEFIANCE HOSPITAL INC
Q	8192366	FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
Q	8942784	FMV
BAY PARK COMMUNITY HOSPITAL
Q	12309967	FMV
ST LUKE'S HOSPITAL
Q	13107691	FMV
EMMA L BIXBY MEDICAL CENTER
Q	13423729	FMV
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
Q	17390275	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
Q	18475015	FMV
FLOWER HOSPITAL
Q	24826610	FMV
THE TOLEDO HOSPITAL
Q	84450239	FMV