MCLAREN ST LUKES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MCLAREN ST LUKES (EIN 34-4428232)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-12
IRS object ID: 201313169349304666
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	2013-11-12T14:18:39-06:00	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	344428232	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	STLU	NameControl
Phone	4198935911	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	DANIEL L WAKEMAN	Name
Title	PRESIDENT	Title
Phone	4198935911	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 ST LUKE'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DANIEL L WAKEMAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	239324644	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PROMEDICA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1906	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	ST. LUKE'S HOSPITAL, TOGETHER WITH ITS MEDICAL STAFF, IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARE AND COMPASSION, THROUGH THE USE OF TECHNOLOGICALLY ADVANCED MEDICAL AND SURGICAL SERVICES, WHILE FOSTERING THE WELLNESS OF THOSE IT SERVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1601	TotalNbrEmployees
Total Nbr Volunteers	319	TotalNbrVolunteers
Total Gross UBI	1337	TotalGrossUBI
Net Unrelated Business Txbl Income	-872	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	10200696	ContributionsGrantsPriorYear
Contributions Grants Current Year	10234668	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	173447117	ProgramServiceRevenuePriorYear
Program Service Revenue CY	165637279	ProgramServiceRevenueCY
Investment Income Prior Year	3221093	InvestmentIncomePriorYear
Investment Income Current Year	3559245	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1966501	OtherRevenuePriorYear
Other Revenue Current Year	1553650	OtherRevenueCurrentYear
Total Revenue Prior Year	188835407	TotalRevenuePriorYear
Total Revenue Current Year	180984842	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1015497	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	393096	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	79626483	SalariesEtcPriorYear
Salaries Etc Current Year	83334491	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	94587203	OtherExpensePriorYear
Other Expenses Current Year	82456018	OtherExpensesCurrentYear
Total Expenses Prior Year	175229183	TotalExpensesPriorYear
Total Expenses Current Year	166183605	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13606224	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14801237	RevenuesLessExpensesCY
Total Assets BOY	200475684	TotalAssetsBOY
Total Assets EOY	215222913	TotalAssetsEOY
Total Liabilities BOY	88736420	TotalLiabilitiesBOY
Total Liabilities EOY	91152666	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	111739264	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	124070247	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	ST. LUKE'S HOSPITAL, TOGETHER WITH ITS MEDICAL STAFF, IS COMMITTED TO PROVIDING QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARE AND COMPASSION, THROUGH THE USE OF TECHNOLOGICALLY ADVANCED MEDICAL AND SURGICAL SERVICES, WHILE FOSTERING THE WELLNESS OF THOSE IT SERVES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	133461795	Expense
Grants	393096	Grants
Revenue	165332071	Revenue
Description	ST. LUKE'S HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	5096908	Expense
Description	CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	5604560	Expense
Revenue	544261	Revenue
Description	CONSISTENT WITH OUR MISSION, ST. LUKE'S HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	144163263	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	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	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	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	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	133	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1601	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	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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 (32 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
STEPHEN BAUERLE
DIRECTOR	1.00	0.00	X	0	0	0
ARTHUR DEPOMPEI SPHR CCP
DIRECTOR	1.00	0.00	X	0	0	0
LOUITO EDJE MD
DIRECTOR	1.00	40.00	X	7500	201702	18070
ROBERT FRIESS DO
DIRECTOR	1.00	0.00	X	0	0	0
TIMOTHY GOLIGOSKI
DIRECTOR	1.00	0.00	X	0	0	0
THOMAS HOUSTON MD
DIRECTOR	1.00	41.00	X	0	308436	22168
RAJENDRA KATTAR MD
DIRECTOR	1.00	40.00	X	0	697847	20939
RICARDO KING
DIRECTOR	1.00	1.00	X	0	0	0
SCOTT LIBBE
DIRECTOR	1.00	0.00	X	0	0	0
LALAINE MATTISON MD
DIRECTOR	1.00	0.00	X	0	4770	0
JOSEPH O'HARA JR
DIRECTOR	1.00	0.00	X	0	0	0
RICHARD PAAT MD FACP
DIRECTOR	1.00	0.00	X	0	0	0
BARBARA PETEE
DIRECTOR	1.00	41.00	X	0	293048	44514
EDWARD SHULTZ
DIRECTOR	1.00	1.00	X	0	0	0
CYNTHIA SMITH
DIRECTOR	1.00	0.00	X	0	0	0
DIANA WAUGH
DIRECTOR	1.00	0.00	X	0	0	0
DALE SEYMOUR
EX OFFICIO	1.00	1.00	X	0	0	0
BARBARA STEELE
EX OFFICIO	1.00	50.00	X	0	845937	36826
KEVIN WEBB
EX OFFICIO	1.00	43.00	X	0	453037	57666
DANIEL WAKEMAN
PRESIDENT, EX OFFICIO	40.00	2.00	X	0	369481	37888	X
JAMES BLACK II
CHAIRPERSON	1.00	1.00	X	0	0	0	X
JOHN BACHEY
VICE CHAIR	1.00	1.00	X	0	0	0	X
JEFFREY KUHN
SECRETARY	0.50	51.00		0	531308	62161	X
KATHLEEN HANLEY
TREASURER	0.50	51.50		0	675864	105620	X
LORI JOHNSTON
VP OPS. & FINANCE, SLH	40.00	1.00		0	336557	52567		X
THERESA KONWINSKI
VP PATIENT CARE SVCS., SLH	40.00	0.00		0	165673	40347		X
MICHAEL WILKINS
COO H & V INST.	0.50	41.00		0	249647	40740		X
KHALED A EL-SAYED
CARD SURG. ASST. II	40.00	0.00		117251	0	24439			X
JENNIFER L GRABARCZYK
CHIEF CLINICAL PHARMACIST	40.00	0.00		116361	0	19885			X
KELLY MCGRAIN
STAFF PHARMACIST	40.00	0.00		113820	0	8215			X
JANET S RUSZKIEWICZ
PHARMACY MANAGER	40.00	0.00		123443	0	49009			X
LISA M WINCEK
STAFF PHARMACIST	40.00	0.00		113454	0	30183			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	591829	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5133307	TotalReportableCompFrmRltdOrgs
Total Other Compensation	671237	TotalOtherCompensation
Number Individuals GT100 K	13	NumberIndividualsGT100K
Formers Listed	0	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
SOUTHWEST ANESTHESIA SERV
300 DAVE COWEN DR 6TH FLOOR	NEWPORT	KY	410714563	ANESTHESIA SERVICES	2311750
SPIEKER CO
8350 FREMONT PIKE	PERRYSBURG	OH	43551	GENERAL CONSTRUCTION	2209329
TORRENCE SOUND EQUIPMENT
29050 GLENWOOD RD	PERRYSBURG	OH	43551	EQUIPMENT INSTALLATION	1495098
UNIVERSITY OF TOLEDO
3000 ARLINGTON	TOLEDO	OH	43614	PHYSICIAN SERVICES	1266249
TURNER ELECTRIC CO
8530 W CENTRAL AVE SUITE 1	SYLVANIA	OH	43560	CONSTRUCTION/ELECTRICAL	1067126

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Related Organizations	10205051	RelatedOrganizations
Government Grants	7156	GovernmentGrants
All Other Contributions	22461	AllOtherContributions
Noncash Contributions	716	NoncashContributions
Total Contributions	10234668	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SERVICES	622110	165037230	165035893	1337
RENT FROM AFFIL. ORG.	531120	600049			$600,049

Field	Value	IRS element (for citing)
Total Program Service Revenue	165637279	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1698999	TotalRevenueColumn
Exclusion	$1,698,999	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	31173	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	31173	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	31173	TotalRevenueColumn
Exclusion	$31,173	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	59782702	Securities
Other	417346	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	58089267	Securities
Other	250535	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1693435	Securities
Other	166811	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1860246	TotalRevenueColumn
Exclusion	$1,860,246	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722514	626952	$626,952
MED STAFF/AUX./GIFT	900099	463147		463147
PHARMACY	446110	55086	$55,086

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	377292	TotalRevenueColumn
Related Or Exempt Function Income	377292	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	1522477	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	180984842	TotalRevenueColumn
Related Or Exempt Function Income	165876332	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1337	UnrelatedBusinessRevenue
Exclusion	$4,872,505	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	332151	Total
Program Services	332151	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	60945	Total
Program Services	60945	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7500	Total
Management And General	7500	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	65672190	Total
Program Services	55093109	ProgramServices
Management And General	10579081	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3162928	Total
Program Services	2656860	ProgramServices
Management And General	506068	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9702901	Total
Program Services	8150437	ProgramServices
Management And General	1552464	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4788972	Total
Program Services	4025228	ProgramServices
Management And General	763744	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	321677	Total
Management And General	321677	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	178650	Total
Management And General	178650	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	14245	Total
Management And General	14245	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	179970	Total
Management And General	179970	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19698215	Total
Program Services	15294002	ProgramServices
Management And General	4404213	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	328886	Total
Program Services	213776	ProgramServices
Management And General	115110	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5813737	Total
Program Services	4613796	ProgramServices
Management And General	1199941	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1965716	Total
Program Services	1769144	ProgramServices
Management And General	196572	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1953037	Total
Program Services	1757733	ProgramServices
Management And General	195304	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	189531	Total
Program Services	34243	ProgramServices
Management And General	155288	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	152210	Total
Program Services	136989	ProgramServices
Management And General	15221	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8555399	Total
Program Services	7699859	ProgramServices
Management And General	855540	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1182911	Total
Program Services	1064620	ProgramServices
Management And General	118291	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	33409353	33405893	3460
INTERCOMPANY SERVICES	3172138	3172138
LICENSES AND FEES	2611135	2611135
FOOD	1147068	1147068

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1582140	Total
Program Services	924137	ProgramServices
Management And General	658003	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	166183605	Total
Program Services	144163263	ProgramServices
Management And General	22020342	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6586961	BOY
EOY	3557066	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	20926908	BOY
EOY	21303961	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3403551	BOY
EOY	3361982	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1716493	BOY
EOY	1649240	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1161868	BOY
EOY	603974	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	112618942	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	18546677	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	87974980	BOY
EOY	94072265	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	53758740	BOY
EOY	60867382	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3188116	BOY
EOY	3711641	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	104590	BOY
EOY	104590	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	21653477	BOY
EOY	25990812	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	200475684	BOY
EOY	215222913	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	13764856	BOY
EOY	15222891	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	823254	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	74148310	BOY
EOY	75929775	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	88736420	BOY
EOY	91152666	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	96162256	BOY
EOY	106510106	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15577008	BOY
EOY	17560141	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	111739264	BOY
EOY	124070247	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	200475684	BOY
EOY	215222913	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14801237	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3531319	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-6001573	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	$14,245	OtherActivitiesAmount
Total Lobbying Expenditures IIB	14245	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4368660	OtherCostOrOtherBasis
Book Value	4368660	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70437494	OtherCostOrOtherBasis
Depreciation	6876709	Depreciation
Book Value	63560785	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	362208	OtherCostOrOtherBasis
Depreciation	23250	Depreciation
Book Value	338958	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28132275	OtherCostOrOtherBasis
Depreciation	10801600	Depreciation
Book Value	17330675	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9318305	OtherCostOrOtherBasis
Depreciation	845118	Depreciation
Book Value	8473187	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	94072265	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	3738626
OTHER ACCOUNTS RECEIVABLE	3832295
INVESTMENTS IN AFFILIATES	667518
DEFERRED COSTS	129487
SERVICE FUNDS	69901
BENEFICIAL INTEREST IN FOUNDATION	17552985

Field	Value	IRS element (for citing)
Total Book Value Other Assets	25990812	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
RESERVE FOR INSURANCE CLAIM	$579,083
PENSION LIABILITY	$58,006,453
ASBESTOS REMEDIATION	$102,322
DUE TO AFFILIATES	$5,258,214
INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL	$3,578,336
ESTIMATED THIRD PARTY SETTLEMENT	$8,405,367

Field	Value	IRS element (for citing)
Total Of Amounts	75929775	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	ST. LUKE'S HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS). THE FOLLOWING REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740. EXCEPT AS NOTED BELOW, PHS DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 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. ST. LUKE'S HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012 AND 2011.	Explanation

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	2352951	TotalCommunityBenefitExpense
Net Community Benefit Expense	2352951	NetCommunityBenefitExpense
Percent Of Total Expense	0.01420	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13462028	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10724947	DirectOffsettingRevenue
Net Community Benefit Expense	2737081	NetCommunityBenefitExpense
Percent Of Total Expense	0.01650	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12458	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5582	DirectOffsettingRevenue
Net Community Benefit Expense	6876	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15827437	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10730529	DirectOffsettingRevenue
Net Community Benefit Expense	5096908	NetCommunityBenefitExpense
Percent Of Total Expense	0.03070	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	253319	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3247	DirectOffsettingRevenue
Net Community Benefit Expense	250072	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4727284	TotalCommunityBenefitExpense
Direct Offsetting Revenue	381600	DirectOffsettingRevenue
Net Community Benefit Expense	4345684	NetCommunityBenefitExpense
Percent Of Total Expense	0.02610	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	557201	TotalCommunityBenefitExpense
Direct Offsetting Revenue	159414	DirectOffsettingRevenue
Net Community Benefit Expense	397787	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	66756	TotalCommunityBenefitExpense
Net Community Benefit Expense	66756	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5604560	TotalCommunityBenefitExpense
Direct Offsetting Revenue	544261	DirectOffsettingRevenue
Net Community Benefit Expense	5060299	NetCommunityBenefitExpense
Percent Of Total Expense	0.03040	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21431997	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11274790	DirectOffsettingRevenue
Net Community Benefit Expense	10157207	NetCommunityBenefitExpense
Percent Of Total Expense	0.06110	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	489	TotalCommunityBuildingExpense
Net Community Building Expense	489	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	46506	TotalCommunityBuildingExpense
Net Community Building Expense	46506	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	2644	TotalCommunityBuildingExpense
Net Community Building Expense	2644	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	49639	TotalCommunityBuildingExpense
Net Community Building Expense	49639	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$12,763,600	BadDebtExpenseAmount
Amount Attributable To	195326	AmountAttributableTo
Amount Reimbursed By Medicare	45967158	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	50908589	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4941431	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 (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 OHIO CARE AMBULATORY SURGICAL CENTER LLC DBA SURGICARE
AMBULATORY SURGERY CENTER	0.59380	0.00000	0.40620
2 ST LUKE'S PHYSICIAN HOSPITAL ORGANIZATION INC
PHYSICIAN HOSPITAL ORGANIZATION	0.50000	0.01550	0.48450

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	ST LUKE'S HOSPITAL	BusinessNameLine1

Address Address

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

Field	Value	IRS element (for citing)
Website Address	WWW.PROMEDICA.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
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	ST LUKE'S HOSPITAL	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	21	NumberOfOtherFacilities

Other Facilities OtherFacilities (21 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
REGENCY CT RADIOLOGY SERVICES
3000 REGENCY COURT SUITE 105	TOLEDO	OH	43623	RADIOLOGY
FALLEN TIMBERS RADIOLOGY
5757 MONCLOVA RD SUITE 31	MAUMEE	OH	43537	RADIOLOGY
WATERVILLE SATELLITE LAB
900 WATERVILLE-MONCLOVA RD SUITE B	WATERVILLE	OH	43566	LAB
FALLEN TIMBERS LAB
5757 MONCLOVA RD SUITE 16	MAUMEE	OH	43537	LAB
DIABETES CARE CENTER
MONCLOVA RD	MAUMEE	OH	43537	DIABETES CARE
SUNFOREST CT RADIOLOGY
3900 SUNFOREST COURT SUITE 136	TOLEDO	OH	43623	RADIOLOGY
FAMILY MEDICINE CENTER
6005 MONCLOVA RD	MAUMEE	OH	43537	FAMILY MEDICINE CENTER
STARBRIGHT CLINIC
2855 STARBRIGHT BLVD	PERRYSBURG	OH	43551	OCCUPATIONAL MEDICINE
PERRYSBURG SATELLITE LAB
1103 VILLAGE SQUARE DR SUITE 201	PERRYSBURG	OH	43551	LAB
PERRYSBURG RADIOLOGY SERVICES
1103 VILLAGE SQUARE DR SUITE 200	PERRYSBURG	OH	43551	RADIOLOGY
SWANTON REHAB
1 TURTLE CREEK CIRCLE	SWANTON	OH	43558	PHYSICAL THERAPY
WATERVILLE REHAB
900 WATERVILLE-MONCLOVA RD SUITE B	WATERVILLE	OH	43566	PHYSICAL THERAPY
RIVER ROAD SATELLITE LAB
28442 E RIVER RD SUITE 101	PERRYSBURG	OH	43551	LAB
OREGON RADIOLOGY SERVICES
3113 DUSTIN RD SUITE A	OREGON	OH	43616	RADIOLOGY
PERRYSBURG REHAB
1103 VILLAGE SQUARE DR	PERRYSBURG	OH	43551	PHYSICAL THERAPY
PAIN CENTER
MONCLOVA RD	MAUMEE	OH	43537	PAIN CENTER
VESTIBULAR CLINIC
6005 MONCLOVA RD SUITE 360	MAUMEE	OH	43537	VESTIBULAR CLINIC
STARBRIGHT REHAB
2855 STARBRIGHT BLVD	PERRYSBURG	OH	43551	PHYSICAL THERAPY
GERIATRIC CENTER
6005 MONCLOVA RD	MAUMEE	OH	43537	GERIATRIC CENTER
WATERVILLE IMAGING-MAMMOGRAPHY
900 WATERVILLE-MONCLOVA RD SUITE B	WATERVILLE	OH	43566	RADIOLOGY
TOBACCO TREATMENT CENTER
MONCLOVA RD	MAUMEE	OH	43537	TOBACCO TREATMENT

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation
PART I, LINE 6A: ST. LUKE'S HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7: ST. LUKE'S HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART II: ST. LUKE'S HOSPITAL PROMOTED THE HEALTH OF ITS COMMUNITY BY SUPPORTING VARIOUS LOCAL ORGANIZATIONS THAT ENGAGE IN COMMUNITY BUILDING ACTIVITIES.
PART III, LINE 2: ST. LUKE'S HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. PART III, LINE 3: ST. LUKE'S HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF CHARITY CARE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.PART III, LINE 4: PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 15 AND 16 OF THE ATTACHED PROMEDICA HEALTHCARE OBLIGATED GROUP COMBINED FINANCIAL STATEMENTS.
PART III, LINE 8: MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, MANDATED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS THAT PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.ST. LUKE'S HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2012 MEDICARE COST REPORTS, AS FILED, 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: ST. LUKE'S HOSPITAL, LOCATED IN MAUMEE, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS AND WOOD COUNTIES WITH A POPULATION OF APPROXIMATELY 277,000. APPROXIMATELY, 14% OF THE SERVICE AREA IS AGE 65 OR OVER; 39% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $47,000; 40% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 51% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 440,000 WITH APPROXIMATELY 11% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 27% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 15% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2012 WAS 8%. THE LEADING CAUSES OF DEATH IN THE SERVICE AREA, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, CHRONIC LOWER RESPIRATORY DISEASE, STROKE, UNINTENTIONAL INJURIES/ACCIDENTS, AND ALZHEIMER'S. ACCORDING TO 2013 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 68 OF 88 COUNTIES FOR HEALTH OUTCOMES, 59 OF 88 FOR MORTALITY, AND 75 OF 88 FOR MORBIDITY. WOOD COUNTY HAS A POPULATION OF APPROXIMATELY 126,000 WITH APPROXIMATELY 5% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 12% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 12% OF WOOD COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR WOOD COUNTY IN 2012 WAS 6.9%. ACCORDING TO 2013 COUNTY HEALTH RANKINGS, WOOD COUNTY RANKED 7 OF 88 COUNTIES FOR HEALTH OUTCOMES, 5 OF 88 FOR MORTALITY, AND 18 OF 88 FOR MORBIDITY. THERE ARE FOURTEEN HOSPITALS WITHIN A SIX COUNTY AREA AROUND MAUMEE: HERRICK MEMORIAL HOSPITAL, INC., EMMA L. BIXBY MEDICAL CENTER, FULTON COUNTY HEALTH CENTER, COMMUNITY HOSPITALS AND WELLNESS CENTERS - ARCHBOLD, FLOWER HOSPITAL, ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, ST. CHARLES MERCY HOSPITAL, THE TOLEDO HOSPITAL, UNIVERSITY OF TOLEDO MEDICAL CENTER, BAY PARK COMMUNITY HOSPITAL, MERCY MEMORIAL-MONROE, WOOD COUNTY HOSPITAL, AND HENRY COUNTY HOSPITAL.
PART VI, LINE 5: IN 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 (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA ROAD	MAUMEE	OH	43537	341292849	501(C)(3)	269661	OPERATING SUPPORT
ISOH IMPACT
25182 W RIVER ROAD	PERRYSBURG	OH	43551	341470104	501(C)(3)		MEDICAL SUPPLY DONATIONS	49605	FMV	MED. SUPPLIES

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	DIRECT CASH ASSISTANCE	TypeOfGrant
Number Of Recipients	33	NumberOfRecipients
Amount Of Cash Grant	60945	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 AN AFFILIATE OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.	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
LOUITO EDJE MD
DIRECTOR	7500	201460	0	0	0	242	0	6623	0	11447	7500	219772	0	0
THOMAS HOUSTON MD
DIRECTOR	0	299002	0	0	0	9434	0	14828	0	7340	0	330604	0	0
RAJENDRA KATTAR MD
DIRECTOR	0	663847	0	34000	0	0	0	17000	0	3939	0	718786	0	0
BARBARA PETEE
DIRECTOR	0	197260	0	81579	0	14209	0	43851	0	663	0	337562	0	0
BARBARA STEELE
EX OFFICIO	0	565279	0	231321	0	49337	0	31364	0	5462	0	882763	0	0
KEVIN WEBB
EX OFFICIO	0	342770	0	107032	0	3235	0	41789	0	15877	0	510703	0	0
DANIEL WAKEMAN
PRESIDENT, EX OFFICIO	0	280935	0	88546	0	0	0	25734	0	12154	0	407369	0	0
JEFFREY KUHN
SECRETARY	0	353206	0	170216	0	7886	0	46771	0	15390	0	593469	0	0
KATHLEEN HANLEY
TREASURER	0	473484	0	195800	0	6580	0	88731	0	16889	0	781484	0	0
LORI JOHNSTON
VP OPS. & FINANCE, SLH	0	245952	0	90605	0	0	0	35988	0	16579	0	389124	0	0
THERESA KONWINSKI
VP PATIENT CARE SVCS., SLH	0	135232	0	30441	0	0	0	32641	0	7706	0	206020	0	0
MICHAEL WILKINS
COO H & V INST.	0	200000	0	49647	0	0	0	24558	0	16182	0	290387	0	20061
JANET S RUSZKIEWICZ
PHARMACY MANAGER	118429	0	0	0	5014	0	48229	0	780	0	172452	0	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 ST. LUKE'S HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINE 4B

ALL EMPLOYEES AND AMOUNTS LISTED ARE VOLUNTARY DEFERRALS OR COMPANY CONTRIBUTIONS TO VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SEE PART V	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	SEE PART V	Relationship
Amount Of Transaction	2311750	AmountOfTransaction
Description Of Transaction	SEE PART V	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	Identifier
Explanation	(A) NAME OF PERSON: SOUTHWEST ANESTHESIA SERVICES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ROBERT FRIESS, DO (DIRECTOR) IS A GREATER THAN 5% SHAREHOLDER OF SOUTHWEST ANESTHESIA SERVICES.(D) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES FOR ANESTHESIA SERVICES.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 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 ST. LUKE'S HOSPITAL OR IS THE SOLE MEMBER OF THE SOLE MEMBER OF ST. LUKE'S HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF ST. LUKE'S HOSPITAL, AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY ST. LUKE'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11	UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION, 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.
	ST. LUKE'S HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF ST. LUKE'S HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19	PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASE SERVICES CONTRACTED PHYSICIANS: PROGRAM SERVICE EXPENSES 8,947,875. MANAGEMENT AND GENERAL EXPENSES 109,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,057,372. GENERAL PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 6,346,127. MANAGEMENT AND GENERAL EXPENSES 4,294,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,640,843.	OTHER FEES
FORM 990, PART XI, LINE 9:	PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -7,977,551. BENEFICIAL INTEREST IN FOUNDATION 1,975,978.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART IV, LINE 24A:	ST. LUKE'S HOSPITAL IS A HEALTH FACILITY THAT IS A SUBSIDIARY OF PROMEDICA HEALTH SYSTEM, INC. (PHS). ST. LUKE'S HOSPITAL HOLDS AN INTERCOMPANY NOTE PAYABLE TO THE TOLEDO HOSPITAL, WHICH IS ALSO A SUBSIDIARY OF PHS. THE NOTE PAYABLE REPRESENTS ST. LUKE'S HOSPITAL'S PORTION OF TAX-EXEMPT BONDS ISSUED BY PROMEDICA HEALTHCARE OBLIGATED GROUP.
FORM 990, PART VI, SECTION B, LINE 16B:	JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS) INCLUDE PROVISIONS TO PROTECT PHS' 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.
	ST. LUKE'S HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTS ST. LUKE'S HOSPITAL (D/B/A PROMEDICA ST. LUKE'S HOSPITAL) IS A MEMBER OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. A 300-BED FACILITY IN MAUMEE, OHIO, PROMEDICA ST. LUKE'S HOSPITAL (SLH) HAS APPROXIMATELY 1,500 EMPLOYEES WHO PROVIDE EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; OUTPATIENT PHYSICAL, OCCUPATIONAL AND CARDIAC REHABILITATION; CRITICAL CARE; CARDIOLOGY; LABOR AND DELIVERY; AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. SLH'S CAMPUS ALSO IS HOME TO THE DIABETES CARE CENTER, THE OHIO HEARING AND BALANCE INSTITUTE AND THE NORTHWEST OHIO ONCOLOGY CENTER FOR OUTPATIENT CANCER CARE, AS WELL AS A TOBACCO TREATMENT CENTER. IN 2012, SLH ACHIEVED CERTIFICATION AS A CHEST PAIN CENTER FROM THE NATIONAL SOCIETY OF CHEST PAIN CENTERS. SLH SERVED 11,735 INPATIENTS AND 226,094 OUTPATIENTS IN 2012. FURTHER, 42,117 INDIVIDUALS SOUGHT EMERGENCY CARE AT SLH. THE HOSPITAL CONTRIBUTED $10,157,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, SLH CONTRIBUTED $5,060,000 TO THE COMMUNITY DURING 2012. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: - PARTICIPATION IN THE AMERICAN MEDICINE CHEST CHALLENGE, A MEDICATION DROP-OFF EVENT, WHERE COMMUNITY MEMBERS DROP OFF EXPIRED AND UNUSED MEDICATIONS TO SAFELY DISPOSE OF DRUGS THAT POTENTIALLY MAY BE ABUSED. - DIABETES EDUCATION PROGRAMS OFFERED WEEKLY, AS WELL AS SUPPORT GROUPS FOR INDIVIDUALS RECENTLY DIAGNOSED WITH DIABETES. - SPONSORSHIP OF THE AMERICAN HEART ASSOCIATION'S WEAR RED EVENT IN SUPPORT OF WOMEN'S HEART HEALTH, AS WELL AS STRONG PARTICIPATION IN THE HEART WALK IN SUPPORT OF OVERALL HEART HEALTH. - HEALTH SCREENINGS FOR BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL AT LOCAL FAIRS AND COMMUNITY EVENTS, AS WELL AS FIRST AID COVERAGE FOR SPECIAL EVENTS. - SCREENINGS FOR SKIN, BREAST AND PROSTATE CANCER. - TOBACCO CESSATION PROGRAMS AND SUPPORT GROUPS FOR COMMUNITY MEMBERS WISHING TO QUIT SMOKING AND TOBACCO USE. - A COURTESY VAN PROVIDED TO PATIENTS NEEDING TRANSPORTATION TO AND FROM THE HOSPITAL FOR APPOINTMENTS AND TESTING. - SENIOR SERVICE EDUCATION PROGRAMS COVERING TOPICS SUCH AS HEART DISEASE, OSTEOPOROSIS, HEARING LOSS, AND STROKE PREVENTION. SLH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2012, OF WHICH $2,353,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. SLH'S COST OF BAD DEBT FOR 2012 WAS $4,074,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $10,157,000 NOTED ABOVE. FURTHER, SLH PROVIDED $2,744,000 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 $7,684,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $10,157,000 NOTED ABOVE. DURING 2012, SLH EXPENDED $55,435,000 IN NET PAYROLL, PROVIDING 1,378 JOBS IN NORTHWEST OHIO. A TOTAL OF $2,641,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, SLH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
	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.	COMMUNITY BENEFIT DEFINITIONS

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	341899439	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 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
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 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	1	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	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 (18 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ST LUKE'S HOSPITAL FOUNDATION
B	269661	FMV
PROMEDICA HEALTH SYSTEM INC
C	10000000	FMV
ST LUKE'S HOSPITAL FOUNDATION
C	205051	FMV
CARE ENTERPRISES INC
D	242568	FMV
CARE ENTERPRISES INC
J	81247	FMV
CARE ENTERPRISES INC
K	480103	FMV
WATERVILLE MEDICAL CENTER LLC
K	60100	FMV
FLOWER HOSPITAL
O	76014	FMV
PROMEDICA COURIER SERVICES INC
O	65604	FMV
CARE ENTERPRISES INC
O	101906	FMV
THE TOLEDO HOSPITAL
P	1394439	FMV
PROMEDICA COURIER SERVICES INC
P	75054	FMV
PROMEDICA PHYSICIAN GROUP
P	2428966	FMV
PROMEDICA HEALTH SYSTEM INC
P	13107691	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
P	668214	FMV
PROMEDICA HEALTH SYSTEM INC
Q	304289	FMV
PROMEDICA PHYSICIAN GROUP
Q	739607	FMV
CARE ENTERPRISES INC
Q	396120	FMV