TOLEDO HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: TOLEDO HOSPITAL (EIN 34-4428256)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-12
IRS object ID: 201223179349302967
Schema version: 2011v1.2
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 K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-12T19:16:26-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE STE 2000	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	462045108	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428256	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE TOLEDO HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TOLE	NameControl
Phone	4192914000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2142 N COVE BLVD	AddressLine1
City	TOLEDO	City
State	OH	State
ZIP Code	43606	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KEVIN C WEBB	Name
Title	PRESIDENT	Title
Phone	4192917460	Phone
Date Signed	2012-11-12	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	2011	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 TOLEDO HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KEVIN C WEBB	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2142 N COVE BLVD	AddressLine1
City	TOLEDO	City
State	OH	State
ZIP Code	43606	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1648984225	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PROMEDICA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1907	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND REFERRAL CENTER PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC WITHIN NORTHWEST OHIO.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	23	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	5621	TotalNbrEmployees
Total Nbr Volunteers	826	TotalNbrVolunteers
Total Gross UBI	5207558	TotalGrossUBI
Net Unrelated Business Txbl Income	2236110	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5923883	ContributionsGrantsPriorYear
Contributions Grants Current Year	6078037	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	625281474	ProgramServiceRevenuePriorYear
Program Service Revenue CY	667074296	ProgramServiceRevenueCY
Investment Income Prior Year	18787855	InvestmentIncomePriorYear
Investment Income Current Year	18180884	InvestmentIncomeCurrentYear
Other Revenue Prior Year	23622700	OtherRevenuePriorYear
Other Revenue Current Year	19988167	OtherRevenueCurrentYear
Total Revenue Prior Year	673615912	TotalRevenuePriorYear
Total Revenue Current Year	711321384	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	26360534	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	33422090	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	255868326	SalariesEtcPriorYear
Salaries Etc Current Year	306969933	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	370061087	OtherExpensePriorYear
Other Expenses Current Year	366831920	OtherExpensesCurrentYear
Total Expenses Prior Year	652289947	TotalExpensesPriorYear
Total Expenses Current Year	707223943	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	21325965	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4097441	RevenuesLessExpensesCY
Total Assets BOY	1225415157	TotalAssetsBOY
Total Assets EOY	1347893540	TotalAssetsEOY
Total Liabilities BOY	562090638	TotalLiabilitiesBOY
Total Liabilities EOY	715731470	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	663324519	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	632162070	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	AS AN INTEGRAL PART OF THE PROMEDICA HEALTH SYSTEM, WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION AND SUPERIOR SERVICE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	515192073	Expense
Grants	33422090	Grants
Revenue	652146836	Revenue
Description	THE TOLEDO 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	32116011	Expense
Description	CONSISTENT WITH OUR MISSION, THE TOLEDO 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	48315450	Expense
Revenue	21796614	Revenue
Description	CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, MEDICAL EDUCATION, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	1756699	Expense
Revenue	1865698	Revenue
Description	OPERATES A HEALTH CLUB FACILITY.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1756699	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	1865698	TotalOfOtherProgramServiceRev
Total Program Service Expense	597380233	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	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	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
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	406	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5621	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	23	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	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 RD	AddressLine1
City	MAUMEE	City
State	OH	State
ZIP Code	43537	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MARIANNE BALLAS
TRUSTEE	1.00	X	0	0	0
RHONDIA BLACK
TRUSTEE	1.00	X	0	0	0
HOLLY BRISTOLL
TRUSTEE	1.00	X	0	275885	54564
DEVAN CAPUR
TRUSTEE	1.00	X	0	0	0
PARISS COLEMAN II
TRUSTEE	1.00	X	0	0	0
TODD COOPERIDER MD
TRUSTEE	1.00	X	0	107167	3202
CLEVES DELP
TRUSTEE	1.00	X	0	0	0
JOHNNIE EARLY II PHD RPH
TRUSTEE	1.00	X	0	0	0
DONALD FINNEGAN
TRUSTEE	1.00	X	0	0	0
CHARLES HEID
EX OFFICIO	1.00	X	0	0	0
NANCY KABAT
TRUSTEE	1.00	X	0	0	0
SARAH MCHUGH
TRUSTEE	1.00	X	0	0	0
ROBERTA MILLER
TRUSTEE	1.00	X	0	0	0
CHARLES PRICE MD
TRUSTEE	1.00	X	0	0	0
JAMES SILK JR
TRUSTEE	1.00	X	0	0	0
C MICHAEL SMITH
TRUSTEE	1.00	X	0	0	0
BARBARA STEELE
EX OFFICIO	1.00	X	0	1217274	93122
HARVEY TOLSON
TRUSTEE	1.00	X	0	0	0
JEFFREY TWYMAN
TRUSTEE	1.00	X	0	0	0
J TYO
TRUSTEE	1.00	X	0	0	0
RONALD WAINZ MD
TRUSTEE	1.00	X	34160	473446	20327
KEVIN WEBB PHD
PRESIDENT/EX OFFICIO	40.00	X	0	484095	64786	X
ROBERT LACLAIR
CHAIRPERSON	1.00	X	0	0	0	X
KATHLEEN HANLEY
TREASURER	1.00		0	668728	106672	X
JEFFREY KUHN
SECRETARY	1.00		0	514238	70869	X
ERIN JAYNES
VP PAT. CARE SVS., TTH	40.00		0	203973	39978		X
NEERAJ KANWAL MD
VP MED. AFFAIRS, TTH	40.00		0	367803	51834		X
GARY AKENBERGER
SR. VP FINANCE	1.00		0	341951	71630		X
MICHAEL WILKINS
COO, PHS, HVI	40.00		0	186076	50721		X
MICHAEL BIGGIN
LEAD PHYSICIAN ASSISTANT	40.00		177446	0	29685			X
ANTHONY J COMEROTA
DIR. JOBST VASC. INST.	40.00		567908	0	29169			X
MICHAEL FLANNERY
PERFUSIONIST	40.00		173024	0	28448			X
JEFFREY R LEWIS
ASSOC. DIR. ED. FAM. PRACT.	40.00		176743	0	42195			X
TIMOTHY A MCCOY
PHYSICIAN ASST. - SPECIAL	40.00		178490	0	28485			X
KATHLEEN CARLSON
FORMER OFFICER	0.00		0	392662	15000				X
RANDALL SCHIMMOELLER
FORMER KEY EMPLOYEE	0.00		0	295373	43231				X
DARRIN ARQUETTE
FORMER KEY EMPLOYEE	0.00		0	137172	36854				X
LORI FERGUSON
FORMER KEY EMPLOYEE	40.00		0	182050	43256				X
ROBERT FREDRICK MD
FORMER KEY EMPLOYEE	0.00		0	442049	70565				X
ALAN SATTLER
FORMER KEY EMPLOYEE	0.00		0	346300	67281				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1307771	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	6636242	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1061874	TotalOtherCompensation
Number Individuals GT100 K	95	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LATHROP CO
460 W DUSSEL DR	MAUMEE	OH	43537	GENERAL CONTRACTOR	13364549
CROTHALL LAUNDRY SERVICES
13028 COLLECTIONS CENTER DR	CHICAGO	IL	60693	LINEN SERVICE	5209052
BOSTLEMAN CORP
7142 NIGHTINGALE LN	HOLLAND	OH	43528	CONSTRUCTION	4068880
METRO AVIATION
PO BOX 7008	SHREVEPORT	LA	71137	AVIATION SERVICE	3681025
ANESTHESIOLOGY CONSULTANTS OF TOLEDO IN
2914 S REPUBLIC BLVD	TOLEDO	OH	43615	ANESTHESIOLOGY PHYSICIANS	3556145

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	57	NumberOfContractorsGT100K
Related Organizations	4194827	RelatedOrganizations
Government Grants	1107790	GovernmentGrants
All Other Contributions	775420	AllOtherContributions
Total Contributions	6078037	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SERV. REV.	622110	660504176	655987232	4516944
RENT REV. FROM AFFIL.	531120	5303585			$5,303,585
MEMBERSHIP REVENUE	713940	1266535	1266535

Field	Value	IRS element (for citing)
Total Program Service Revenue	667074296	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2559245	TotalRevenueColumn
Exclusion	$2,559,245	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	160954	TotalRevenueColumn
Exclusion	$160,954	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3207489	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2587228	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	620261	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	620261	TotalRevenueColumn
Unrelated Business Revenue	55843	UnrelatedBusinessRevenue
Exclusion	$564,418	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	949706961	Securities
Other	178070	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	934397455	Securities
Other	26891	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	15309506	Securities
Other	151179	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	15460685	TotalRevenueColumn
Exclusion	$15,460,685	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	829021	GrossSalesOfInventory
Cost Of Goods Sold	651267	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	177754	TotalRevenueColumn
Exclusion	$177,754	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PHARMACY	622110	14155019	13986150	168869
DIETARY AND OTHER	722212	4575784	4569231	6553
SECTION 337(D) GAIN	900099	459349		459349

Field	Value	IRS element (for citing)
Total Other Revenue	19190152	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	711321384	TotalRevenueColumn
Related Or Exempt Function Income	675809148	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5207558	UnrelatedBusinessRevenue
Exclusion	$24,226,641	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	33422090	Total
Program Services	33422090	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	34160	Total
Program Services	22160	ProgramServices
Management And General	12000	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	243003429	Total
Program Services	170833265	ProgramServices
Management And General	72170164	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8955100	Total
Program Services	6928689	ProgramServices
Management And General	2026411	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	36589015	Total
Program Services	25722078	ProgramServices
Management And General	10866937	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	18388229	Total
Program Services	12926924	ProgramServices
Management And General	5461305	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	124276	Total
Program Services	124276	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1401375	Total
Program Services	1401375	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	648492	Total
Management And General	648492	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	25571	Total
Management And General	25571	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	824559	Total
Program Services	824559	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54437873	Total
Program Services	45879339	ProgramServices
Management And General	8558534	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1951097	Total
Program Services	1560878	ProgramServices
Management And General	390219	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4887876	Total
Program Services	4887876	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8881307	Total
Program Services	8881307	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10850053	Total
Program Services	8680044	ProgramServices
Management And General	2170009	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1017705	Total
Program Services	746181	ProgramServices
Management And General	271524	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	13905480	Total
Program Services	13905480	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	37233850	Total
Program Services	37233850	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7947525	Total
Program Services	6358020	ProgramServices
Management And General	1589505	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	92900537	92900537	0
DRUGS	47513739	47513739	0
BAD DEBT EXPENSE	31235829	31235829	0
INTERCOMPANY SERVICES	26786697	25123938	1662759

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	24258079	Total
Program Services	20267799	ProgramServices
Management And General	3990280	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	707223943	Total
Program Services	597380233	ProgramServices
Management And General	109843710	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11082074	BOY
EOY	6717948	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21902453	BOY
EOY	17225350	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	98062727	BOY
EOY	115282759	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9063301	BOY
EOY	9147206	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1345394	BOY
EOY	1404668	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	815824195	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	463716680	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	297992762	BOY
EOY	352107515	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	392227015	BOY
EOY	370384245	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	10153570	BOY
EOY	11104173	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	383585861	BOY
EOY	464519676	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1225415157	BOY
EOY	1347893540	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	81570437	BOY
EOY	91576722	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	420926668	BOY
EOY	546069310	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3300000	BOY
EOY	5784743	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56293533	BOY
EOY	72300695	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	562090638	BOY
EOY	715731470	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	499902256	BOY
EOY	473190931	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	153359870	BOY
EOY	149548509	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10062393	BOY
EOY	9422630	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	663324519	BOY
EOY	632162070	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1225415157	BOY
EOY	1347893540	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4097441	ReconcilationRevenueExpenses
Reconcilation Other Changes	-35259890	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

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	$25,571	OtherActivitiesAmount
Total Lobbying Expenditures IIB	25571	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	THE TOLEDO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING ACTIVITIES BY THE ASSOCIATIONS.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10062393	BeginningOfYearBalance
Investment Earnings Or Losses	-639763	InvestmentEarningsOrLosses
End Of Year Balance	9422630	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9516977	BeginningOfYearBalance
Contributions	1800	Contributions
Investment Earnings Or Losses	543616	InvestmentEarningsOrLosses
End Of Year Balance	10062393	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8315521	BeginningOfYearBalance
Investment Earnings Or Losses	1201456	InvestmentEarningsOrLosses
End Of Year Balance	9516977	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11136115	BeginningOfYearBalance
Contributions	50000	Contributions
Investment Earnings Or Losses	-2870094	InvestmentEarningsOrLosses
Administrative Expenses	500	AdministrativeExpenses
End Of Year Balance	8315521	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	11556355	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	57751549	OtherCostOrOtherBasis
Book Value	69307904	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	466335766	OtherCostOrOtherBasis
Depreciation	270267293	Depreciation
Book Value	196068473	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6967084	OtherCostOrOtherBasis
Depreciation	6830915	Depreciation
Book Value	136169	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	236475935	OtherCostOrOtherBasis
Depreciation	172721513	Depreciation
Book Value	63754422	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	36737506	OtherCostOrOtherBasis
Depreciation	13896959	Depreciation
Book Value	22840547	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	352107515	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	1311294
RESTRICTED FUNDS	158902509
BOND INDENTURE AGREEMENT	104542768
OTHER SEGREGATED INVESTMENTS	8676182
DEFERRED BOND ISSUE COSTS	3596758
INVESTMENTS IN AFFILIATES AND OTHER	7350775
INTERCOMPANY DEBT FROM RELATED ENTITIES	180139390

Field	Value	IRS element (for citing)
Total Book Value Other Assets	464519676	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$12,827,756
ESTIMATED THIRD PARTY SETTLEMENT	$25,139,873
DEFERRED COMPENSATION	$8,491,355
INTEREST RATE SWAP	$17,590,593
ASBESTOS REMEDIATION	$7,454,000
CAPITAL LEASES	$52,567
DEFERRED INCOME TAXES AND OTHER	$744,551

Field	Value	IRS element (for citing)
Total Of Amounts	72300695	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT THE TOLEDO HOSPITAL CONSISTENT WITH DONOR INTENT.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE TOLEDO HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM 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, 2011 AND 2010. FOR THE YEAR ENDING DECEMBER 31, 2011, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $2,080,000. THE INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AMOUNTED TO $308,000. THE TOLEDO HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2011 AND 2010.

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	14168092	TotalCommunityBenefitExpense
Net Community Benefit Expense	14168092	NetCommunityBenefitExpense
Percent Of Total Expense	0.02100	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	101870900	TotalCommunityBenefitExpense
Direct Offsetting Revenue	84447277	DirectOffsettingRevenue
Net Community Benefit Expense	17423623	NetCommunityBenefitExpense
Percent Of Total Expense	0.02580	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	826740	TotalCommunityBenefitExpense
Direct Offsetting Revenue	302444	DirectOffsettingRevenue
Net Community Benefit Expense	524296	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	116865732	TotalCommunityBenefitExpense
Direct Offsetting Revenue	84749721	DirectOffsettingRevenue
Net Community Benefit Expense	32116011	NetCommunityBenefitExpense
Percent Of Total Expense	0.04760	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5871243	TotalCommunityBenefitExpense
Direct Offsetting Revenue	371235	DirectOffsettingRevenue
Net Community Benefit Expense	5500008	NetCommunityBenefitExpense
Percent Of Total Expense	0.00810	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15960548	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10604244	DirectOffsettingRevenue
Net Community Benefit Expense	5356304	NetCommunityBenefitExpense
Percent Of Total Expense	0.00790	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25407447	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10821135	DirectOffsettingRevenue
Net Community Benefit Expense	14586312	NetCommunityBenefitExpense
Percent Of Total Expense	0.02160	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1018177	TotalCommunityBenefitExpense
Net Community Benefit Expense	1018177	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58035	TotalCommunityBenefitExpense
Net Community Benefit Expense	58035	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	48315450	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21796614	DirectOffsettingRevenue
Net Community Benefit Expense	26518836	NetCommunityBenefitExpense
Percent Of Total Expense	0.03920	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	165181182	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106546335	DirectOffsettingRevenue
Net Community Benefit Expense	58634847	NetCommunityBenefitExpense
Percent Of Total Expense	0.08680	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$31,235,829	BadDebtExpenseAmount
Amount Attributable To	3298128	AmountAttributableTo
Amount Reimbursed By Medicare	116637272	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	126764826	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10127554	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 (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership
1 PROMEDICA CARDIOVASCULAR CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES	0.31990	0.57840
2 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES	0.27470	0.56040
3 REYNOLDS ROAD SURGICAL CENTER LLC
SURGICAL CENTER	0.64960	0.34320
4 PARKWAY SURGERY CENTER LTD
SURGICAL CENTER	0.45450	0.49490
5 NORTHWEST OHIO DEDICATED BREAST MRI LLC
MEDICAL DIAGNOSTIC	0.50000	0.48150	0.01850
6 WEST CENTRAL SURGICAL CENTER LLC
SURGICAL CENTER	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
THE TOLEDO HOSPITAL
1	2142 NORTH COVE BLVD	TOLEDO	OH	43606	X	X	X	X	X	X
WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL
2	2901 N REYNOLDS RD	TOLEDO	OH	43615	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
THE TOLEDO HOSPITAL
1	1	1	200.000000000000	1	400.000000000000	1	X	1	1	X	X	X	1	0	1	X	0	0
WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL
2	1	1	200.000000000000	1	400.000000000000	1	X	1	1	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	43	NumberOfOtherFacilities

Other Facilities OtherFacilities (43 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD	TOLEDO	OH	43606	GROUND AND AIR TRANSPORT
NORTHWEST OHIO CARDIOLOGY
2940 N MCCORD RD	TOLEDO	OH	43615	CARDIOLOGY
PROMEDICA LABS
2141 GIANT ST	TOLEDO	OH	43606	LAB
ENDOSCOPY CENTER
3439 GRANITE CIRCLE	TOLEDO	OH	43617	ENDOSCOPY
HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DR	TOLEDO	OH	43623	RADIOLOGY
TOLEDO HOSPITAL TOTAL REHAB AT CENTER FO
2150 W CENTRAL AVE	TOLEDO	OH	43606	PHYSICAL THERAPY
MONROE CARDIOLOGY TESTING CENTER
730 N MACOMB ST	MONROE	MI	48162	CARDIOLOGY
PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIRCLE SUITE 120	MAUMEE	OH	43537	RADIOLOGY
PROMEDICA HEALTH CENTER WEST
3740 W SYLVANIA AVE	TOLEDO	OH	43623	LAB
SPORTSCARE AT WILDWOOD MEDICAL CENTER
2865 N REYNOLDS RD SUITE 110	TOLEDO	OH	43615	PHYSICAL THERAPY
PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIRCLE SUITE 120	MAUMEE	OH	43537	LAB
PROMEDICA HEALTH CENTER WOODLEY
3909 WOODLEY RD SUITE 450	TOLEDO	OH	43606	LAB
NWO SLEEP DISORDER CENTER AT TOLEDO
2121 HUGHES DR	TOLEDO	OH	43623	SLEEP DISORDER
PROMEDICA PERRYSBURG
1601 BRIGHAM DR SUITE 180	PERRYSBURG	OH	43551	RADIOLOGY
PROMEDICA HEALTH CTR PORT SYLVANIA
7140 PORT SYLVANIA SUITE 550	TOLEDO	OH	43617	LAB
PERRYSBURG MEDICAL CTR
1601 BRIGHAM DR SUITE 180	PERRYSBURG	OH	43551	LAB
CENTER FOR HEALTH SVCS
2150 W CENTRAL AVE	TOLEDO	OH	43606	LAB
TOLEDO HOSPITAL AT CONRAD JOBST TOWER
2109 HUGHES DR SUITE 130	TOLEDO	OH	43606	LAB
CENTER FOR WOUND CARE OF NW OHIO
3110 W CENTRAL AVE	TOLEDO	OH	43606	WOUND CARE
JULIE MILLER DO
2150 W CENTRAL AVE	TOLEDO	OH	43606	PHYSICAL MEDICINE
PROMEDICA PORT SYLVANIA
7140 PORT SYLVANIA SUITE 550	TOLEDO	OH	43617	RADIOLOGY
PROMEDICA HEALTH CTR WEST
3740 W SYLVANIA AVE	TOLEDO	OH	43623	RADIOLOGY
PROMEDICA HEALTH CTR WOODLEY
3909 WOODLEY RD SUITE 450	TOLEDO	OH	43606	RADIOLOGY
PROMEDICA HEALTH CTR LAMBERTVILLE
7579 SECOR RD	LAMBERTVILLE	MI	48114	LAB
TOLEDO HOSPITAL OF CONRAD JOBST TOWER
2109 HUGHES DR SUITE 130	TOLEDO	OH	43606	RADIOLOGY
WW KNIGHT CLINIC
2051 W CENTRAL AVE	TOLEDO	OH	43606	FAMILY MEDICINE CLINIC
PROMEDICA WILDWOOD
2865 N REYNOLDS RD SUITE 130	TOLEDO	OH	43615	RADIOLOGY
PROMEDICA LABS MCCORD RD
3020 N MCCORD RD SUITE 101	TOLEDO	OH	43615	LAB
TOTAL REHAB OF MAUMEE ARROWHEAD
650 BEAVER CREEK CIRCLE SUITE 210	MAUMEE	OH	43537	PHYSICAL THERAPY
TOLEDO HOSPITAL CARDIAC TESTING CTR
1601 BRIGHAM DR	PERRYSBURG	OH	43551	CARDIOLOGY
PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIRCLE	SWANTON	OH	43558	LAB
TOTAL REHAB AT PERRYSBURG
1601 BRIGHAM DR SUITE 100	PERRYSBURG	OH	43551	PHYSICAL THERAPY
CENTER FOR HEALTH SVCS
2150 W CENTRAL	TOLEDO	OH	43606	RADIOLOGY
PROMEDICA LABS HARROUN RD
4848 HOLLAND-SYLVANIA RD	SYLVANIA	OH	43560	LAB
PROMEDICA LABS WESTGATE MEADOW
3516 W CENTRAL AVE	TOLEDO	OH	43606	LAB
ARTHRITIS AND OSTEOPOROSIS CENTER
2109 HUGHES SUITE 160	TOLEDO	OH	43606	PHYSICAL THERAPY
CHS WOMEN
2150 W CENTRAL	TOLEDO	OH	43606	WOMENS CARE CLINIC
URGENT CARE CENTER
4235 SECOR RD	TOLEDO	OH	43623	URGENT CARE
PROMEDICA ROSSFORD
1209 DIXIE HWY	ROSSFORD	OH	43460	RADIOLOGY
CHS INTERNAL MEDICINE
2150 W CENTRAL	TOLEDO	OH	43606	INTERNAL MEDICINE
PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIRCLE	SWANTON	OH	43558	RADIOLOGY
PROMEDICA WILDWOOD
2865 N REYNOLDS RD SUITE 130	TOLEDO	OH	43615	LAB
CHS HEMOPHILIA
2150 W CENTRAL	TOLEDO	OH	43606	HEMOPHILIA CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
PART I, LINE 6A: THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7: THE TOLEDO HOSPITAL CALCULATED THE COST OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES NET COMMUNITY BENEFIT OF $811,800 ATTRIBUTABLE TO AN OUTPATIENT CLINIC.
PART I, L7 COL(F): THE TOLEDO HOSPITAL INCLUDED $31,235,829 OF BAD DEBT EXPENSE ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED THIS BAD DEBT EXPENSE FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7, COLUMN(F).
PART III, LINE 4: THE TOLEDO 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 AGED ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. THE TOLEDO 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. THE FOLLOWING NARRATIVE ADDRESSING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS INCLUDED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS FOR PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (SYSTEM). - THE SYSTEM MAINTAINS AN ALLOWANCE FOR LOSSES BASED ON THE EXPECTED COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE.- THE SYSTEM ASSESSES COLLECTABILITY OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL AND CURRENT COLLECTION EXPERIENCE, AS WELL AS CURRENT PAYER MIX AND ACCOUNTS RECEIVABLE AGING TRENDS.
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.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2011 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF NECESSARY. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS, SUCH AS SERVICES AND CLINICS.
PART III, LINE 9B: FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE MONTHLY BILLING STATEMENTS. 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 ARE 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 DEMONSTRATES 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 HAS CONDUCTED BI-ANNUAL REGIONAL 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 OF COUNTY HEALTH DEPARTMENTS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH PLAN 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. STAKEHOLDER INTERVIEWSHEALTH DEPARTMENT INTERVIEWS ARE CONDUCTED BY TELEPHONE TO OBTAIN COUNTY HEALTH DEPARTMENT FEEDBACK RELATED TO: 1) THE TOP THREE HEALTH ISSUES FOR THE COUNTY, 2) CURRENT COUNTY PROGRAMS AND 3) PERCEIVED HEALTH CARE GAPS IN THE COUNTY. BECAUSE OF THE EXPERT ROLE THE COUNTY HEALTH DEPARTMENTS PLAY IN THEIR COMMUNITY, THEY HAVE A DEFINED PERCEPTION OF THE HEALTH AND HEALTH CARE NEEDS OF THEIR COMMUNITIES, AND MAY ALSO PROVIDE A FOCUS TO WHAT MAY OTHERWISE BE A LENGTHY DISSERTATION OF FACTS.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 HEALTH SYSTEM 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 COMMUNICATE THE FINANCIAL ASSISTANCE POLICY TO UNINSURED PATIENTS AND ATTEMPT TO HAVE A PATIENT FINANCIAL ADVOCATE 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. INFORMATION AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE VIA THE PROMEDICA WEB SITE. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4: THE TOLEDO HOSPITAL, LOCATED IN TOLEDO, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY WITH A POPULATION OF APPROXIMATELY 571,000. APPROXIMATELY, 14% OF THE SERVICE AREA IS AGE 65 OR OVER; 40% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS $47,000; 46% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 55% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 442,000 WITH 10.7% OF FAMILIES BELOW THE POVERTY LEVEL AND A 23.1% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 19% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2011 WAS 9.7%. THE LEADING CAUSES OF DEATH IN THE SERVICE AREA, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, STROKE, LUNG, UNINTENTIONAL INJURIES/ACCIDENTS, AND DIABETES. ACCORDING TO 2012 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 72 OF 88 COUNTIES FOR HEALTH OUTCOMES, 62 OF 88 FOR MORTALITY, AND 70 OF 88 FOR MORBIDITY. THERE ARE FOURTEEN HOSPITALS WITHIN A SIX COUNTY AREA SURROUNDING TOLEDO, OH: 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, BAY PARK COMMUNITY HOSPITAL, UNIVERSITY OF TOLEDO MEDICAL CENTER, ST. LUKE'S HOSPITAL, MERCY MEMORIAL, WOOD COUNTY HOSPITAL, AND HENRY COUNTY HOSPITAL.
PART VI, LINE 5: IN 2011, THERE WERE 378 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM (PROMEDICA). OF THESE, 100% LIVED WITHIN PROMEDICA'S 27 COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO, WHERE PROMEDICA'S TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. ADDITIONAL REPRESENTATION IS COMPRISED OF DIVERSE MEMBERS, INCLUDING 58 PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, FROM NORTHWEST OHIO AND SOUTHEAST MICHIGAN, ALL RESIDING WITHIN PROMEDICA'S SERVICE AREA. - 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 VOLUNTARILY. IN 2011, PROMEDICA BOARD MEMBERS GAVE AN ESTIMATED 20,000 HOURS IN SERVICE TO THE ORGANIZATION, WHICH EQUATES TO AN APPROXIMATE CONTRIBUTION OF $1.5 MILLION TO OUR COMMUNITIES.- PROMEDICA'S MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MEETS THOSE QUALIFICATIONS MAY RECEIVE PRIVILEGES.- PROMEDICA'S ACADEMIC RELATIONSHIP WITH THE UNIVERSITY OF TOLEDO CONTINUED TO GROW IN 2011. FURTHER COLLABORATION INCREASED THE NUMBER OF NEW CLINICAL TRIALS AVAILABLE TO PATIENTS TO MORE THAN 400 TRIALS, ALONG WITH ADDITIONAL MEDICAL RESIDENCY EDUCATION AND ROTATIONS AT PROMEDICA FACILITIES, WHICH NEARLY DOUBLED IN 2011. PROMEDICA ALSO HAS OTHER ACADEMIC RELATIONSHIPS WITH NUMEROUS INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE, AS WELL AS NURSING SCHOOLS THROUGHOUT THE REGION. - TO HELP MEET FUTURE WORKFORCE SHORTAGES, PROMEDICA'S FLOWER HOSPITAL ANNOUNCED A $1 MILLION COMMITMENT TO LOURDES UNIVERSITY IN SYLVANIA, OHIO FOR A CRNA PROGRAM.- DURING 2011, PROMEDICA EXPANDED ITS ADVOCACY EFFORTS WITHIN THE COMMUNITIES IT SERVES, INCLUDING THE FIELDS OF GREEN SCHOLARSHIP PROGRAM DESIGNED TO TARGET CHILDHOOD OBESITY. FOR EXAMPLE, IN 2011 PROMEDICA FOCUSED ON HUNGER AS A COMMUNITY HEALTH ISSUE AND SO CHALLENGED HIGH SCHOOL JUNIORS AND SENIORS TO DEVELOP A COMMUNITY-BASED PROGRAM THAT WOULD ALLEVIATE HUNGER IN THEIR OWN COMMUNITY. STUDENTS WERE INSTRUCTED TO WORK WITH A COMMUNITY PARTNER TO DEVELOP THEIR PLAN AND EXPLAIN HOW IT COULD BE IMPLEMENTED BOTH IN THEIR OWN COMMUNITY, AS WELL AS IN OTHER COMMUNITIES ACROSS THE PROMEDICA SERVICE AREA. COLLEGE SCHOLARSHIPS, WHICH TOTALED NEARLY $14,000, WERE AWARDED TO STUDENTS ON THE WINNING TEAMS, AND THEIR SCHOOLS ALSO RECEIVED A MONETARY AWARD TO USE TOWARD SCIENCE CURRICULA. THE WINNING TEAM'S ENTRY, AS WELL AS PROMOTIONAL AND NUTRITION EDUCATION MATERIALS, WILL BE IMPLEMENTED IN 2012 IN SELECT COMMUNITIES. - FURTHER, THE HEALTHY CONVERSATION MAPS(R) PROGRAM FOR CHILDREN IN GRADES 1 THROUGH 6, AS WELL AS THEIR PARENTS/GUARDIANS, CONTINUED TO BE IMPLEMENTED ACROSS THE REGION. THE HEALTHY CONVERSATION MAPS(R) INITIATIVE IS A PREVENTIVE, INTERACTIVE HEALTH COURSE DESIGNED TO HELP COMBAT THE GROWING ISSUE OF CHILDHOOD OBESITY IN OUR NORTHWEST OHIO AND SOUTHEAST MICHIGAN COMMUNITIES. PROMEDICA EMPLOYEES FACILITATED THIS PROGRAM USING AN EDUCATIONAL TOOL KIT THAT CONSISTED OF A LEARNING MAP VISUAL, ACTIVITY CARDS AND A FACILITATOR GUIDE DESIGNED TO INITIATE DISCUSSIONS THAT PROMOTE POSITIVE BEHAVIORAL CHANGE WITH REGARD TO NUTRITION AND EXERCISE. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA PARTNERED WITH THE NATIONAL ALLIANCE TO END HUNGER AND WORKED WITH LOCAL ORGANIZATIONS TO FEED AREA FAMILIES AND RAISE THE AWARENESS OF HUNGER WITHIN OUR COMMUNITIES. FOR EXAMPLE, PROMEDICA WORKED CLOSELY WITH UNITED WAY AND YMCA IN THE METRO TOLEDO AREA TO PROVIDE A SUMMER FEEDING PROGRAM FOR SCHOOL AGE CHILDREN. MEALS SERVED BETWEEN JUNE AND AUGUST INCREASED FROM 1,500 IN 2010 TO 45,000 IN 2011.- PROMEDICA ALSO INCREASED ITS COMMUNITY CONTRIBUTIONS THROUGH ITS PROMEDICA ADVOCACY FUND WHICH PROVIDES ASSISTANCE WITH FOOD, CLOTHING AND SHELTER FOR RESIDENTS THROUGHOUT NORTHWEST OHIO AND SOUTHEAST MICHIGAN. IN 2011, NEARLY $500,000 WAS PRESENTED TO 12 LOCAL, NONPROFIT SERVICE ORGANIZATIONS SO THEY COULD MORE READILY PROVIDE PROGRAMS TO MEET BASIC NEEDS THAT IMPACT THE HEALTH AND WELL-BEING OF THE INDIVIDUALS THEY SERVE.- BASED ON COMMUNITY NEEDS, IN 2011 PROMEDICA OPENED THE MONROE CANCER CENTER, A JOINT VENTURE WITH MERCY MEMORIAL HOSPITAL SYSTEM AND DETROIT'S KARMANOS CANCER CENTER, TO OFFER EXPANDED SERVICES TO ONCOLOGY PATIENTS IN SOUTHEAST MICHIGAN. ADDITIONALLY, WE OPENED PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL, WHICH, TO PRIMARILY ADDRESS THE NEEDS OF AGING BABY BOOMERS, SOLELY SERVES ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES UNDER ONE ROOF.- PROMEDICA ALSO OFFERED FREE MONTHLY VASCULAR SCREENINGS FOR OLDER ADULTS THROUGH JOBST VASCULAR CENTER TO AID IN THE DETECTION OF VASCULAR DISEASE THAT MAY LEAD TO STROKE OR PERIPHERAL ARTERIAL DISEASE. ADDITIONALLY, A MYRIAD OF FREE HEALTH SCREENINGS WERE PROVIDED THROUGHOUT PROMEDICA'S 27-COUNTY SERVICE AREA, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. THE PROMEDICA CANCER INSTITUTE OFFERED FREE SKIN CANCER AND PROSTATE CANCER SCREENINGS IN 2011 FOR THE GENERAL PUBLIC AT OUR COMMUNITY HOSPITALS.- THROUGH THE TOLEDO/LUCAS COUNTY CARENET PROGRAM, PROMEDICA, ALONG WITH MERCY HEALTH PARTNERS, CONTINUED TO PROVIDE HEALTHCARE SERVICES TO LOW-INCOME, UNINSURED RESIDENTS INELIGIBLE FOR PUBLIC PROGRAMS. IN THE METRO-TOLEDO AREA, THESE SERVICES HAVE TOTALED $112 MILLION OF COORDINATED CARE, IN ADDITION TO MORE THAN $1 MILLION TO CARENET'S OPERATING BUDGET, SINCE THE PROGRAM BEGAN IN 2003. PROMEDICA AND MERCY ALSO HAVE PROVIDED NEARLY 91,500 OUTPATIENT SERVICES OVER THE PAST EIGHT YEARS, PLUS THOUSANDS OF INPATIENT SERVICES, IN- AND OUTPATIENT SURGERIES, SPECIALTY CLINICS, AND EMERGENCY CARE FREE OF CHARGE. TOTAL PRIMARY CARE APPOINTMENTS REACHED A COMBINED TOTAL OF 50,000 IN 2011.
PART VI, LINE 6: - PROMEDICA HEALTH SYSTEM (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. PROMEDICA CONSISTS OF MORE THAN 14,300 EMPLOYEES AND NEARLY 1,700 HEALTHCARE PROVIDERS, INCLUDING MORE THAN 400 PROVIDERS EMPLOYED BY PROMEDICA PHYSICIANS, WHO HAVE JOINED TOGETHER TO FORM A NETWORK ACROSS MORE THAN 300 PROMEDICA FACILITIES IN 27 COUNTIES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. THEY SHARE RESOURCES, SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES, TO HELP INCREASE AREA RESIDENTS' ACCESS TO HIGH-QUALITY CARE, WHILE ALSO STRIVING TO REDUCE THE COST OF HEALTH CARE BY PROVIDING IT IN THE MOST APPROPRIATE SETTING. - IN 2011, PROMEDICA RECORDED 3.3 MILLION PATIENT ENCOUNTERS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF NEARLY $118.5 MILLION IN 2011, FROM FREE COMMUNITY HEALTH SCREENINGS AND HEALTH FAIRS TO A FREE SPEAKERS BUREAU COMPRISED OF MEDICAL EXPERTS AND MUCH MORE. IN ADDITION, PROMEDICA OFFERED A NUMBER OF COLLEGE SCHOLARSHIPS FOR STUDENTS SEEKING A CAREER IN HEALTH CARE, AS WELL AS ASSISTING OTHER NONPROFITS WITH SIMILAR MISSIONS THROUGH THE PROMEDICA ADVOCACY FUND SO THAT THEY COULD SUSTAIN OR GROW THEIR COMMUNITY SERVICES TO IMPROVE THE HEALTH AND WELL-BEING OF AREA RESIDENTS.- PROMEDICA'S MEMBERS AND AFFILIATES 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, LIMA MEMORIAL HOSPITAL, AND PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF TOLEDO HOSPITAL; PROMEDICA PHYSICIANS, A NETWORK OF MORE THAN 400 PROMEDICA PHYSICIANS AND MIDLEVEL PROVIDERS; PROMEDICA CONTINUING CARE SERVICES, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION, HOME CARE, LABORATORY, AND PHARMACY; AND THE ACADEMIC HEALTH CENTER CORPORATION, WITH FAMILY MEDICINE, SPORTS CARE, VASCULAR SURGERY, AND PHARMACY RESIDENCY PROGRAMS.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, MONTHLY, BIWEEKLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2011 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 900 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED. THERE WERE 5,500 PHYSICIANS WHO PARTICIPATED IN EDUCATIONAL PROGRAMS, AND 6,625 NON-PHYSICIANS (I.E., ALLIED HEALTHCARE PROFESSIONALS).- PROMEDICA PRODUCED TWO ISSUES OF YOUR HEALTH. OUR MISSION MAGAZINE IN 2011, DISTRIBUTED TO APPROXIMATELY 360,000 HOMES WITHIN ITS 27-COUNTY SERVICE AREA. THIS COMMUNICATIONS TACTIC SERVED TO EDUCATE CONSUMERS ON A VARIETY OF HEALTHCARE TOPICS THROUGH PHYSICIAN COLUMNS AND FEATURE STORIES ON TOPICS INCLUDING ASTHMA, AGING, CANCER, HEART HEALTH, AND ORTHOPAEDICS.- ADDITIONALLY, PROMEDICA EXPANDED ITS SOCIAL MEDIA PRESENCE BY GROWING THE PROMEDICA WELLNESS FACEBOOK PAGE WITH NEW EXPERTS AND CONTENT TO ENGAGE "FRIENDS" ON HEALTH-RELATED TOPICS SUCH AS EXERCISE AND NUTRITION. NEW TWITTER AND YOUTUBE CHANNELS PROVIDED COMPLIMENTARY HEALTH AND NUTRITION CONTENT, WHILE A NEW FACEBOOK PAGE FOR TOLEDO CHILDREN'S HOSPITAL FOCUSED ON THE HEALTH AND WELL-BEING OF FAMILIES AND CHILDREN.- DURING 2011, PROMEDICA'S 12 FOUNDATIONS RAISED MORE THAN $7.5 MILLION FOR PHILANTHROPY IN SUPPORT OF OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. ALL OF PROMEDICA'S FOUNDATIONS ARE SEPARATE 501(C)(3) ORGANIZATIONS, AND ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT THEIR RESPECTIVE ORGANIZATION'S PATIENTS AND FAMILIES, AS WELL AS THE COMMUNITY, THROUGH HEALTH-RELATED PROGRAMS, SERVICES AND EQUIPMENT THAT HAVE BEEN IDENTIFIED THROUGH AN ASSESSMENT OF COMMUNITY NEEDS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
PROMEDICA CONTINUING CARE SERVICES CORP
2142 N COVE BLVD	TOLEDO	OH	43606	344492440	501(C)(3)	2000000	OPERATING SUPPORT
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS RD	TOLEDO	OH	43607	341517671	501(C)(3)	16000000	OPERATING SUPPORT
PROMEDICA FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341517672	501(C)(3)	989055	OPERATING SUPPORT
PROMEDICA PHYSICIAN GROUP
5855 MONROE ST	SYLVANIA	OH	43560	341899439	501(C)(3)	11000000	OPERATING SUPPORT
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
5855 MONROE ST	SYLVANIA	OH	43560	341880767	501(C)(3)	3375000	OPERATING SUPPORT
TOLEDO SEAGATE FOODBANK NW OH
526 HIGH ST	TOLEDO	OH	43609	510252948	501(C)(3)	13044	CHARITABLE DONATION
WGTE PUBLIC BROADCASTING
1270 S DETROIT	TOLEDO	OH	43614	346554586	501(C)(3)	36700	CHARITABLE DONATION

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: AS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM (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	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

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
HOLLY BRISTOLL
0	193962	0	81923	0	0	0	37508	0	17056	0	330449	0	0
BARBARA STEELE
0	554195	0	258858	0	404221	0	79777	0	13345	0	1310396	0	276271
RONALD WAINZ MD
34160	309922	0	11004	0	152520	0	0	0	20327	34160	493773	0	0
KEVIN WEBB PHD
0	336049	0	143228	0	4818	0	44151	0	20635	0	548881	0	0
KATHLEEN HANLEY
0	464200	0	199713	0	4815	0	84664	0	22008	0	775400	0	0
JEFFREY KUHN
0	346280	0	153750	0	14208	0	50653	0	20216	0	585107	0	0
ERIN JAYNES
0	149818	0	30473	0	23682	0	21832	0	18146	0	243951	0	0
NEERAJ KANWAL MD
0	282989	0	84814	0	0	0	28434	0	23400	0	419637	0	0
GARY AKENBERGER
0	239292	0	92964	0	9695	0	49772	0	21858	0	413581	0	0
MICHAEL WILKINS
0	162820	0	23256	0	0	0	28576	0	22145	0	236797	0	0
MICHAEL BIGGIN
130165	0	0	0	47281	0	14198	0	15487	0	207131	0	0	0
ANTHONY J COMEROTA
408539	0	0	0	159369	0	15925	0	13244	0	597077	0	0	0
MICHAEL FLANNERY
85656	0	0	0	87368	0	12047	0	16401	0	201472	0	0	0
JEFFREY R LEWIS
176743	0	0	0	0	0	23958	0	18237	0	218938	0	0	0
TIMOTHY A MCCOY
163450	0	0	0	15040	0	11932	0	16553	0	206975	0	0	0
KATHLEEN CARLSON
0	117484	0	89466	0	185712	0	14845	0	155	0	407662	0	0
RANDALL SCHIMMOELLER
0	219300	0	75603	0	470	0	22697	0	20534	0	338604	0	0
DARRIN ARQUETTE
0	113306	0	21304	0	2562	0	20467	0	16387	0	174026	0	0
LORI FERGUSON
0	135252	0	44806	0	1992	0	34607	0	8649	0	225306	0	11387
ROBERT FREDRICK MD
0	335308	0	106312	0	429	0	57171	0	13394	0	512614	0	0
ALAN SATTLER
0	234090	0	102319	0	9891	0	46273	0	21008	0	413581	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3	PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF THE TOLEDO 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 III	PART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. ERIN JAYNES $16,646 KATHLEEN CARLSON $155,247	SUPPLEMENTAL INFORMATION
PART III	PART I, LINE 4B: ALL EMPLOYEES AND AMOUNTS LISTED ARE VOLUNTARY DEFERRALS OR COMPANY CONTRIBUTIONS TO VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. LORI FERGUSON $19,569 BARBARA STEELE $347,092	SUPPLEMENTAL INFORMATION
PART III	PART I, LINE 7: AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) INTEGRATED DELIVERY SYSTEM DEVELOPMENT; 2) COMMUNITY SERVICE; 3) QUALITY, SAFETY AND SERVICE; 4) FINANCIAL RESPONSIBILITY; AND 5) WORKFORCE DEVELOPMENT. THE BONUS IS A PERCENTAGE OF BASE PAY APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	Issuer EINIssuerEIN
SERIES 2005 BONDS - SEE PART VI FOR DETAIL
549310SZ4	2005-04-28	188935192	SEE PART VI	1	0	0
SERIES 2008 BONDS - SEE PART VI FOR DETAIL
549310TT7	2008-05-15	183217907	SEE PART VI	1	0	0
CITY OF MAUMEE
577494EA1	2004-08-25	16080016	SEE PART VI	0	0	0	346400847
CITY OF MAUMEE
NONEAVAIL	2007-11-01	4150000	SEE PART VI	0	0	0	346400847

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Working Capital ExpendituresWorkingCapitalExpenditures
146550000	197109556	1902630	3105891	129409278	62691757	2007	1	0	1	1
132000000	186791298	2224707	133953	54105888	130326750	2011	1	0	0	1	37637
10505000	16080016	308175	385123		15249602	2004	0	1	1	1	1677794	137116
3326746	4150000			4150000		2008	0	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	1	1	0.00000	0.00000	0.00000	1
1	1	1	1	1	0.00090	0.00000	0.00090	1
0	1	1	0					1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
UBS
0	1	1	29.600000000000	0	0	1	JP MORGAN	2.800000000000	1	0	1
(no name)
0	1	0				0				0	1
(no name)
0	0	0				0				0	0
(no name)
0	0	0				0				0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE K SUPPLENTAL INFORMATION	PART I: SERIES 2005 BOND DETAIL ISSUER NAME: SERIES 2005 A-1 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310SZ4 DATE ISSUED: 04/28/2005 ISSUE PRICE: $52,200,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005 A-2 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TA8 DATE ISSUED: 04/28/2005 ISSUE PRICE: $37,500,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005 A-3 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TB6 DATE ISSUED: 04/28/2005 ISSUE PRICE: $25,000,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005B OH - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TS9 DATE ISSUED: 04/28/2005 ISSUE PRICE: $57,410,192 PURPOSE: REFUND SERIES 1993 TOLEDO HOSPITAL BONDS ISSUED 07/29/1993. MATURITY: 11/15/2021 ISSUER NAME: SERIES 2005 MI B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PAX6 DATE ISSUED: 04/28/2005 ISSUE PRICE: $16,825,000 PURPOSE: FINANCE A 23,550 SQUARE FOOT ADDITION AND OTHER RENOVATION ON THE CAMPUS OF HERRICK MEDICAL CENTER IN MICHIGAN. REFUND THE LENAWEE LONG TERM CARE SERIES 1994A BONDS ISSUED 08/31/1994. MATURITY: MATURED SERIES 2008 BOND DETAIL ISSUER NAME: 2008 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TT7 DATE ISSUED: 05/15/2008 CONVERTED 03/31/2011 ISSUE PRICE: $62,500,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. MATURITY: 11/15/2034 ISSUER NAME: 2008 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TU4 DATE ISSUED: 05/15/2008 ISSUE PRICE: $52,855,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. FINANCE THE CONSTRUCTION AND EQUIPPING OF A 36 BED ORTHOPEDIC HOSPITAL. MATURITY: MATURED ISSUER NAME: 2008 SERIES C - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP #: 52601PAY4 DATE ISSUED: 05/15/2008 ISSUE PRICE: $16,645,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005B BONDS ISSUED 04/28/2005. MATURITY: MATURED ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: 549310YV2 DATE ISSUED: 05/15/2008 ISSUE PRICE: $33,803,818 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. FINANCE ACQUISITION OF A CT, MRI AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA COMMUNITY HOSPITAL. MATURITY: 11/15/2038 ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: 549310TW0 DATE ISSUED: 05/15/2008 ISSUE PRICE: $17,414,088 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN ISSUED 03/17/2008 USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS ISSUED 04/28/2005. FINANCE THE ACQUISITION OF A CT, MRI AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA COMMUNITY HOSPITAL. MATURITY: 11/15/2040 SERIES 2011 BOND DETAIL ISSUER NAME: 2011 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310UL2 & 549310UJ7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $180,148,535 PURPOSE: REFINANCE THE PROMEDICA HEALTHCARE 2008B BONDS ISSUED 05/15/2008. FINANCE THE COST OF ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP. MATURITY: 11/15/2041 ISSUER NAME: 2011 SERIES B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PBE7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $16,903,082 PURPOSE: REFINANCE THE REDEMPTION OF THE PROMEDICA HEALTH CARE OBLIGATED GROUP SERIES 2008C BONDS ISSUED 05/15/2008. MATURITY: 11/15/2035 ISSUER NAME: 2011 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 05/25/2011 ISSUE PRICE: $29,645,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 07/01/1999. MATURITY: 11/15/2019 ISSUER NAME: 2011 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VD9 DATE ISSUED: 12/01/2011 ISSUE PRICE: $142,575,271 PURPOSE: TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE REMAINING OUTSTANDING MATURITIES OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2030 ISSUER NAME: 2011 SERIES E - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PB56 DATE ISSUED: 12/01/2011 ISSUE PRICE: $9,429,057 PURPOSE: REFINANCE THE EARLY OPTIONAL REDEMPTION OF THE LENAWEE HEALTH ALLIANCE OBLIGATED GROUP SERIES 1999A BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2028 ISSUER NAME: CITY OF MAUMEE ISSUER EIN: 34-6400847 CUSIP #: 577494DX, 577494DY, 577494DZ, 577494EA DATE ISSUED: 08/25/2004 ISSUE PRICE: $16,080,016 PURPOSE: REFUND SERIES 1994 BONDS - 06/01/1994. ISSUER NAME: CITY OF MAUMEE ISSUER EIN: 34-6400847 CUSIP #: NONE DATE ISSUED: 11/21/2007 ISSUE PRICE: $4,150,000 PURPOSE: FINANCE ACQUISITION OF A DA-VINCI SURGICAL SYSTEM. ISSUER NAME: COUNTY OF LUCAS, OHIO ISSUER EIN: 34-6400806 CUSIP #: 549310TT7 DATE ISSUED: 03/31/2011 ISSUE PRICE: $62,500,000 PURPOSE: DEEMED REFUNDING (REISSUANCE) OF SERIES 2008A BONDS ISSUED 05/15/2008. PART I, COLUMN (E): DIFFERENCES BETWEEN THE ISSUE PRICE SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART II, COLUMN (B), LINE 4, SERIES 2008 BONDS: $37,637 IS IN A DEBT SERVICE FUND. PART II, COLUMN (C), LINE 4, CITY OF MAUMEE BONDS: $1,677,794 IS IN A DEBT SERVICE RESERVE FUND. PART II, COLUMN (B), LINE 4, SERIES 2011 C BONDS: $20,492 IS IN A DEBT SERVICE FUND. PART III, COLUMN (C), LINE 7, CITY OF MAUMEE BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE CITY OF MAUMEE BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. HAD COMPLETION OF PART III BEEN REQUIRED, LINE 7 WOULD HAVE BEEN ANSWERED "YES" FOR THESE BONDS. PART III, COLUMN (B), LINE 7, COUNTY OF LUCAS, OHIO BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE COUNTY OF LUCAS, OHIO BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. HAD COMPLETION OF PART III BEEN REQUIRED, LINE 7 WOULD HAVE BEEN ANSWERED "YES" FOR THESE BONDS.
	PART III, COLUMN (C), LINE 7, SERIES 2011 D & E BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE SERIES 2011 D & E BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. HAD COMPLETION OF PART III BEEN REQUIRED, LINE 7 WOULD HAVE BEEN ANSWERED "YES" FOR THESE BONDS.
	PART V: THE ORGANIZATION IS IN THE PROCESS OF REVISING ITS WRITTEN PROCEDURES SO AS TO ADDRESS THESE MATTERS, BUT THAT PROJECT HAD NOT BEEN COMPLETED AS OF THIS FILING.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	Issuer EINIssuerEIN
SERIES 2011 A & B BONDS - SEE PART VI FOR DETAIL
549310UL2	2011-02-09	197051617	SEE PART VI	0	0	0
COUNTY OF LUCAS OHIO
NONEAVAIL	2011-05-25	29645000	SEE PART VI	0	0	0	346400806
SERIES 2011 D & E BONDS - SEE PART VI FOR DETAIL
549310VD9	2011-12-01	152004328	SEE PART VI	0	0	0
COUNTY OF LUCAS OHIO
549310TT7	2011-03-31	62500000	SEE PART VI	0	0	0	346400806

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund
197692885	2337157	69714460	125641268	1	0	1
29645000	263825	29381175		1	1	1	20492
152004328	1505879	150498449		1	1	1
62500000		62500000		1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	1	1	1	1	0.00210	0.00000	0.00210	1
0	1	1	1	1	1	0.00060	0.00000	0.00060	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	1
0	1	0	0	0	1
0	0	0	0	0	1
0	1	0	0	0	1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SEE PART V
SEE PART V	325000	SEE PART V	0
SEE PART V
SEE PART V	723819	SEE PART V	0
SEE PART V
SEE PART V	3556145	SEE PART V	0
SEE PART V
SEE PART V	811287	SEE PART V	0

Form990 Schedule L Part V Form990ScheduleLPartV (4 entries)

IdentifierIdentifier	ExplanationExplanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: TRA INVESTMENT CLUB(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CHARLES PRICE, MD (TRUSTEE) IS TREASURER OF TRA INVESTMENT CLUB.(D) DESCRIPTION OF TRANSACTION: THE TOLEDO HOSPITAL IS IN A JOINT VENTURE WITH TRA INVESTMENT CLUB.
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: TOLSON INVESTMENTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MORE THAN 35% OF TOLSON INVESTMENTS IS OWNED BY HARVEY TOLSON (TRUSTEE).(D) DESCRIPTION OF TRANSACTION: RENTAL PROPERTY
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: ANESTHESIOLOGY CONSULTANTS OF TOLEDO, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TODD COOPERIDER, MD (TRUSTEE) IS GREATER THAN 5% OWNER OF ANESTHESIOLOGY CONSULTANTS OF TOLEDO, INC.(D) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES FOR ANESTHESIA SERVICES
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: FIFTH THIRD BANK(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ROBERT LACLAIRE (CHAIRPERSON) IS AN OFFICER OF FIFTH THIRD BANK.(D) DESCRIPTION OF TRANSACTION: FINANCING AND INVESTMENT FEES

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	CHARLES HEID AND HOLLY BRISTOLL HAVE A FAMILY RELATIONSHIP. THE FOLLOWING OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE EMPLOYEES OF PROMEDICA HEALTH SYSTEM OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED PROMEDICA HEALTH SYSTEM BOARDS. HOLLY BRISTOLL TODD COOPERIDER BARBARA STEELE RONALD WAINZ KEVIN WEBB KATHLEEN HANLEY JEFFREY KUHN ERIN JAYNES NEERAJ KANWAL GARY AKENBERGER MICHAEL WILKINS
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 THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
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 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'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 DIRECTORS 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 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 ASSOC. V.P., AUDIT/COMPLIANCE. 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)/CHIEF COMPLIANCE OFFICER (CCO), 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 ASSOC. 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/CCO. 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 ASSOC. 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 ASSOC. 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/CCO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT/COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, SECTION C, LINE 19	PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VII:	HOLLY BRISTOLL - 40 HOURS TODD COOPERIDER - 40 HOURS BARBARA STEELE - 40 HOURS RONALD WAINZ - 40 HOURS KATHLEEN HANLEY - 40 HOURS JEFFREY KUHN - 40 HOURS GARY AKENBERGER - 40 HOURS RANDALL SCHIMMOELLER - 40 HOURS DARRIN ARQUETTE - 40 HOURS ROBERT FREDRICK - 40 HOURS ALAN SATTLER - 40 HOURS	AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS DURING THE YEAR:
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -38,424,901. PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -1,120,263. BENEFICIAL INTEREST IN FOUNDATION -4,107,966. MERGER OF WHOLLY-OWNED SUBSIDIARY 8,552,612. SECTION 337(D) GAIN -459,349. OTHER 299,977. TOTAL TO FORM 990, PART XI, LINE 5: -35,259,890.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART VI, SECTION B, LINE 15:	THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF THE TOLEDO 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 B, LINE 16B:	PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (PHS) JOINT VENTURE OPERATING AGREEMENTS ARE NEGOTIATED WITH OTHER MEMBERS OF THE JOINT VENTURE TO ENSURE THAT ADEQUATE SAFEGUARDS ARE IN PLACE TO PROTECT PHS' 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. PROMEDICA HEALTH SYSTEM CONTINUALLY ENSURES THAT ITS EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART III, LINE 4:	PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM (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 2011 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 1,674 PHYSICIANS AND 14,300 EMPLOYEES AND VOLUNTEERS. DURING 2011, PROMEDICA DISCHARGED 71,717 INPATIENTS AND SERVED MORE THAN 1,362,377 OUTPATIENTS, WHILE HANDLING 267,124 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2011, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $2.54 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, 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 2011, 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, WITH MORE THAN 400 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, EARNED AN EXCELLENT RATING FOR ITS COMMERCIAL AND ELITE PRODUCTS, AND PARAMOUNT ADVANTAGE RETAINED ITS COMMENDABLE RATING, AS REPORTED IN CONSUMER REPORTS. - 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, CARDIAC, 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 2011 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, JUST A FEW EXAMPLES FROM 2011 INCLUDE THE FOLLOWING:
	- PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF THE TOLEDO HOSPITAL, OPENED AS PROMEDICA'S FIRST ALL-DIGITAL ACUTE CARE FACILITY, MAKING EXTENSIVE USE OF INFORMATION TECHNOLOGY TO IMPROVE PATIENT OUTCOMES. - PROMEDICA'S JOINT VENTURE WITH MERCY MEMORIAL HOSPITAL OF MONROE, MICHIGAN, ESTABLISHED A NEW CANCER TREATMENT FACILITY IN MONROE, HELPING TO MAKE FULL ARRAY CANCER CARE MORE ACCESSIBLE TO PATIENTS IN SOUTHEAST MICHIGAN. - FLOWER HOSPITAL AND LOURDES UNIVERSITY ANNOUNCED THAT, THROUGH THE HOSPITAL'S MCKESSON MEMORIAL FUND, $1 MILLION OVER 10 YEARS WILL BE DONATED TO LOURDES' MASTER OF SCIENCE IN NURSING / NURSE ANESTHESIA PROGRAM. THE DONATED FUNDS WILL BE USED TO HELP MEET GROWING DEMAND FOR THESE SPECIALIZED NURSING SKILLS ACROSS THE REGION. - THE PHARMACY COUNTER OFFERED PATIENTS RXMAP, A STATE-OF-THE-ART ROBOTICS SYSTEM TO REDUCE MEDICATION ERRORS AND HELP INDIVIDUALS REMEMBER WHEN TO TAKE MULTIPLE MEDICATIONS SO THEY REMAIN ON SCHEDULE. - TO ADDRESS THE GROWING NEED FOR AUTISM SERVICES IN OUR COMMUNITY, TOLEDO CHILDREN'S HOSPITAL JOINED A COMMUNITY-WIDE PARTNERSHIP KNOWN AS THE GREAT LAKES COLLABORATIVE FOR AUTISM. THIS NEW INITIATIVE IS THE FIRST OF ITS KIND IN THE AREA AND WILL ALLOW THOSE WITH AUTISM AND THEIR FAMILIES TO SEEK THE BEST POSSIBLE RESOURCES AND CARE. - DEFIANCE HOSPITAL FOUNDATION, PART OF THE PROMEDICA FOUNDATION, RAISED MORE THAN $1.6 MILLION FOR KAITLYN'S COTTAGE, A RESPITE CARE CENTER WHERE CHILDREN WITH SPECIAL NEEDS CAN SPEND A FEW HOURS OR A COUPLE OF DAYS IN A SAFE AND COMPASSIONATE ENVIRONMENT. - PROMEDICA HOSPICE, A SERVICE OF PROMEDICA PHYSICIANS AND CONTINUUM SERVICES, EXPANDED ITS ABILITY TO PROVIDE PALLIATIVE AND END-OF-LIFE CARE BY SIGNING A JOINDER AGREEMENT WITH ERIE WEST HOSPICE AND PALLIATIVE CARE. - THROUGH A GRANT FROM THE NORTHWEST OHIO AFFILIATE OF SUSAN G. KOMEN(R) FOR THE CURE, PROMEDICA CANCER INSTITUTE LAUNCHED A HEALTH EDUCATION SERIES CALLED BREAST CANCER SURVIVORSHIP. THE PROGRAM INCLUDED FOUR FREE WORKSHOPS FOCUSED ON SURVIVING BREAST CANCER AND FEATURING PANEL DISCUSSIONS WITH BREAST CANCER SURVIVORS. - 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. EACH MEMBER OF THE WINNING TEAM RECEIVED A $5,000 COLLEGE SCHOLARSHIP FROM PROMEDICA AND THE STUDENTS' WINNING SCHOOL RECEIVED A CASH AWARD FOR ITS HEALTH AND SCIENCES CURRICULA. - COORDINATED THROUGH ITS 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 PHYSICIAN GROUP EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING 47 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2011. - PROMEDICA CONTINUING CARE SERVICES CORPORATION PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED THOUSANDS OF FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE AND CHOLESTEROL, BODY MASS 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 METRO-TOLEDO SCHOOL CHILDREN, INCREASING THE NUMBER OF MEALS SERVED FROM 1,500 IN 2010 TO 45,000 IN 2011. - THE TOLEDO HOSPITAL STROKE PROGRAM ACHIEVED ACCREDITATION AS A PRIMARY STROKE CENTER FROM THE JOINT COMMISSION, CONSIDERED A NATIONAL GOLD SEAL OF APPROVAL FOR MEETING SPECIFIC TREATMENT GUIDELINES FOR STROKE PATIENTS. - FLOWER HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION / AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE BRONZE PERFORMANCE ACHIEVEMENT AWARD FOR DEMONSTRATING A COMMITMENT TO IMPROVED CARE FOR STROKE PATIENTS. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, AS WELL AS 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. - THE TOLEDO HOSPITAL'S BREAST CARE CENTER ADDED THE LUMAGEM(TM) MOLECULAR BREAST IMAGING SYSTEM TO IMPROVE EARLY DETECTION OF BREAST CANCER IN AT-RISK WOMEN. IN 2011, PROMEDICA CONTRIBUTED $118,483,000 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 $44,685,000 IN 2011. 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 $27,755,000 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 2011 WAS $23,259,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $118,483,000 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 2011, PROMEDICA PROVIDED $46,043,000 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 2011 WAS $62,811,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $118,483,000 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.
	THE TOLEDO HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTS THE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. FOR MORE THAN 130 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METRO TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 794-BED HOSPITAL IS STAFFED BY MORE THAN 4,800 EMPLOYEES. TH OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH APPROXIMATELY 1,300 PRIMARY CARE AND SPECIALTY PHYSICIANS. THE RENAISSANCE TOWER AT TH HOUSES 224 PRIVATE ADULT AND PEDIATRIC PATIENT ROOMS, LARGE VISITOR WAITING AREAS THAT ARE FAMILY-CENTERED, ADVANCED SURGICAL INTENSIVE CARE AND NEWBORN INTENSIVE CARE UNITS, A CHILDREN'S CANCER CENTER, AND A ROOFTOP HELIPAD. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICE LINES FOR THE METRO-TOLEDO AREA SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES ITS FERTILITY CLINIC AND LEVEL III PERINATAL UNIT; JOBST VASCULAR CENTER; AND A LEVEL I TRAUMA CENTER. FURTHER, PROMEDICA'S EICU(R) TECHNOLOGY IS HOUSED AND MONITORED AT TH; THE TH BARIATRICS PROGRAM EARNED DISTINCTION AS A BARIATRIC SURGERY CENTER OF EXCELLENCE FROM THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY; AND TH BREAST CARE CENTER IS RECOGNIZED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDICS DEPARTMENTS, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 86,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY; RADIOLOGY; AND PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. TOLEDO CHILDREN'S HOSPITAL, OPERATING AS PART OF TH, PROVIDES PEDIATRIC TERTIARY CARE. TOLEDO CHILDREN'S HOSPITAL (TCH) EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS, FROM NEWBORNS THROUGH AGE 18. TCH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS, WHILE A NEWBORN INTENSIVE CARE PHYSICIAN AND A PEDIATRIC HOSPITALIST ARE ON DUTY 24 HOURS A DAY. IN 2011, NATIONAL RESEARCH CORPORATION (NRC) SELECTED TH AS THE REGION'S CONSUMER CHOICE AWARD-WINNER FOR THE 16TH CONSECUTIVE YEAR. NRC PRESENTS THE AWARD ANNUALLY TO THE MOST PREFERRED HOSPITALS IN 250 U.S. MARKETS. ADDITIONALLY, BOTH TH AND TCH WERE REACCREDITED AS A LEVEL I TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS AND TH'S STROKE PROGRAM ACHIEVED ACCREDITATION AS A PRIMARY STROKE CENTER FROM THE JOINT COMMISSION. A NEW DIVISION OF TH, PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL OPENED ITS DOORS IN 2011. THIS ALL-DIGITAL, ACUTE CARE FACILITY PROVIDES INPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS AND SOLELY SERVES ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES UNDER ONE ROOF. IN 2011, TH SERVED 33,149 INPATIENTS; 613,213 OUTPATIENTS; AND 86,393 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $58,635,000 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, RESEARCH ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, TH CONTRIBUTED $26,519,000 TO THE COMMUNITY DURING 2011. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - FREE HEALTH EDUCATION LECTURES ON DISEASE IDENTIFICATION AND TREATMENT OPTIONS - WITH AN EMPHASIS ON INDIVIDUAL ACCOUNTABILITY - CONDUCTED AT AREA SENIOR CENTERS, LOCAL BUSINESSES AND IN SCHOOLS. - TH AORTIC CENTER, WHICH COMBINES CARDIOVASCULAR SURGERY, VASCULAR SURGERY AND CARDIOLOGY - A COLLABORATIVE PROGRAM BETWEEN TH AND JOBST VASCULAR CENTER TO PROVIDE A NEW LEVEL OF EXPERTISE IN AORTIC DISEASE TREATMENT AND MANAGEMENT. - THE AUTISM COLLABORATIVE - A COLLABORATION BETWEEN TCH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES - TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH A VARIETY OF DISEASE ISSUES AND TO OFFER SOCIAL SERVICES INFORMATION. - THE FIRST STEPS (FOR NEW PARENTS AT-RISK) AND TEEN PEP (DATING ABUSE/VIOLENCE-PREVENTION) PROGRAMS TO EXTEND CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS. - FREE AND LOW-COST OUTPATIENT CLINICS THAT OFFER A WIDE ARRAY OF HEALTH SERVICES INCLUDING FLU CLINICS, IMMUNIZATIONS, VASCULAR SCREENINGS, AND TREATMENT OF MINOR ILLNESSES THAT MIGHT NOT REQUIRE AN EMERGENCY CENTER VISIT BUT STILL REQUIRE MEDICAL ATTENTION. - PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - FREE SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZE THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2011, OF WHICH $14,168,000 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 THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2011 WAS $7,238,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $58,635,000 INDICATED ABOVE. TH PROVIDED $17,948,000 OF COMMUNITY SUPPORT WHICH REPRESENTS THE COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. IN 2011, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $30,103,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $58,635,000 NOTED ABOVE. DURING 2011, TH EXPENDED $164,897,000 IN NET PAYROLL, PROVIDING 4,864 JOBS IN NORTHWEST OHIO. A TOTAL OF $10,607,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, TH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
	COMMUNITY BENEFIT DEFINITIONS PROMEDICA HEALTH SYSTEM 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 OR 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 HEALTH CARE SERVICE - ENHANCE THE HEALTH OF THE COMMUNITY - ADVANCE MEDICAL OR HEALTH CARE 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 BELOW 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 INCLUDES 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 WOULD OTHERWISE NOT BE AVAILABLE TO MEET PATIENT DEMAND. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. THE AMOUNT REPORTED FOR THE SYSTEM IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN KIND CONTRIBUTIONS FINANCIAL 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 HOSPITAL WORK TIME, DONATION OF FOOD, EQUIPMENT, AND SUPPLIES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (21 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	3990	84429	ST LUKE'S HOSPITAL FOUNDATION
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	611448753	EMPLOYS PHYSICIANS	OH	2870362	670378	PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341881137	EMPLOYS PHYSICIANS	OH	80023037	23688638	PROMEDICA PHYSICIAN GROUP
PROMEDICA EAST PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341881145	EMPLOYS PHYSICIANS	OH	5200466	2720878	PROMEDICA PHYSICIAN GROUP
PROMEDICA ORTHOPEDIC PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	208050622	EMPLOYS PHYSICIANS	OH	2853930	1705850	PROMEDICA PHYSICIAN GROUP
PROMEDICA SOUTH PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341898679	EMPLOYS PHYSICIANS	OH	3082017	2171850	PROMEDICA PHYSICIAN GROUP
PROMEDICA WEST PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341893773	EMPLOYS PHYSICIANS	OH	11105876	6316416	PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	263888045	EMPLOYS PHYSICIANS	OH	26904881	566293	PROMEDICA PHYSICIAN GROUP
PROMEDICA GI PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	263015991	EMPLOYS PHYSICIANS	OH	5221527	2111516	PROMEDICA PHYSICIAN GROUP
PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	270978204	EMPLOYS PHYSICIANS	OH	4198965	-234568	PROMEDICA PHYSICIAN GROUP
WELLCARE PHYSICIANS LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	611528443	EMPLOYS PHYSICIANS	OH	13074068	1922268	PROMEDICA PHYSICIAN GROUP
PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	271401750	EMPLOYS PHYSICIANS	OH	3840654	-1884310	PROMEDICA PHYSICIAN GROUP
PROMEDICA ENT LLC
5855 MONROE ST	SYLVANIA	OH	43560	272404505	EMPLOYS PHYSICIANS	OH	4469531	-236054	PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
5855 MONROE ST	SYLVANIA	OH	43560	271325141	MEDICAL EQUIPMENT & PHARMACY	OH	31125890	10494044	PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN	ADRIAN	MI	49221	383164818	FACILITY LEASING	MI	291307	1162453	EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE ST	SYLVANIA	OH	43560	272920342	EMPLOYS PHYSICIANS	MI	2180730	264026	PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LLC
5855 MONROE ST	SYLVANIA	OH	43560	205752995	PROVIDES HOSPICE CARE	OH	1392913	8504860	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
PROMEDICA ANESTHESIA CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	453251737	EMPLOYS PHYSICIANS	OH	3073672	1261011	PROMEDICA PHYSICIAN GROUP
PROMEDICA CRITICAL CARE LLC
5855 MONROE ST	SYLVANIA	OH	43560	275165922	EMPLOYS PHYSICIANS	OH	1568519	103327	PROMEDICA PHYSICIAN GROUP
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
5855 MONROE ST	SYLVANIA	OH	43560	453230331	PRACTICE MANAGEMENT	OH	2589397	2513741	PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
5855 MONROE ST	SYLVANIA	OH	43560	341899439	EMPLOYS PHYSICIANS	OH	0	0	PROMEDICA PHYSICIAN GROUP

Form990 Schedule R Part II Form990ScheduleRPartII (34 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	1
BAY PARK COMMUNITY HOSPITAL FOUNDATION
2801 BAY PARK DR	OREGON	OH	43616	341901462	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
BIXBY COMMUNITY HEALTH FOUNDATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	382691494	FOUNDATION	MI	501(C)(3)	11B, II	EMMA L BIXBY MEDICAL CENTER	1
CARE ENTERPRISES
5901 MONCLOVA RD	MAUMEE	OH	43537	341366709	FACILITY LEASING	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	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 FOUNDATION INC
1200 RALSTON	DEFIANCE	OH	43512	341559647	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
DEFIANCE HOSPITAL INC
1200 RALSTON	DEFIANCE	OH	43512	344446484	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	1
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVE	ADRIAN	MI	49221	382796005	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	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	1
FLOWER HOSPITAL FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341556730	FOUNDATION	OH	501(C)(3)	7	PROMEDICA HEALTH SYSTEM	1
FOSTORIA COMMUNITY HOSPITAL FOUNDATION
PO BOX 907	FOSTORIA	OH	44830	341805993	FOUNDATION	OH	501(C)(3)	11A, I	FOSTORIA HOSPITAL ASSOCIATION	1
FOSTORIA HOSPITAL ASSOCIATION
PO BOX 907	FOSTORIA	OH	44830	340898745	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	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 MEDICAL CENTER FOUNDATION
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383076106	FOUNDATION	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	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 CONTINUING CARE SERVICES CORP FOUNDATION
5855 MONROE ST	SYLVANIA	OH	43560	341901457	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	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 FKA BVPH VENTURES INC
1801 RICHARDS RD	TOLEDO	OH	43607	341880473	HEALTH CARE MANAGEMENT SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM	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	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	1
PROMEDICA NORTH REGION INC
818 RIVERSIDE AVE	ADRIAN	MI	49221	383307345	MANAGES DELIVERY OF HEALTH SYSTEM	MI	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
5855 MONROE ST	SYLVANIA	OH	43560	341880767	MANAGES PHYSICIAN SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM	1
PROMEDICA PHYSICIAN GROUP
5855 MONROE ST	SYLVANIA	OH	43560	341899439	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	9	PROMEDICA PHYSICIANS & CONTINUUM SERVICES	1
ST LUKE'S HOSPITAL
5901 MONCLOVA RD	MAUMEE	OH	43537	344428232	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	1
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RD	MAUMEE	OH	43537	341292849	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
PROMEDICA FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341517672	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
TOLEDO CHILDREN'S HOSPITAL FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341901463	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREET	TOLEDO	OH	43624	344427949	SKILLED HOME CARE	OH	501(C)(3)	7	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

Form990 Schedule R Part III Form990ScheduleRPartIII (3 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	31757	1285556	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	1015922	2856976	0	0	0.64960
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	320160784	FACILITY LEASING	OH	CARE ENTERPRISES INC	RELATED	25759	824921	0	0	0.70000

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 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	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets
CARE HOLDINGS
5901 MONCLOVA RD	MAUMEE	OH	43537	341796790	HOLDING COMPANY	OH	PROMEDICA HEALTH SYSTEM	C	1.00000
CENTRAL REGION PROPERTIES INC
2142 N COVE BLVD	TOLEDO	OH	43606	341059809	FACILITY LEASING	OH	THE TOLEDO HOSPITAL	C	1.00000	-367000
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TR	ADRIAN	MI	49221	383146907	FACILITY LEASING	MI	EMMA L BIXBY MEDICAL CENTER	C	1.00000	1221	563401
LHA PHYSICIAN SERVICES CORPORATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	611451576	PHYSICIAN BILLING	MI	EMMA L BIXBY MEDICAL CENTER	C	1.00000	-93594	275288
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RD	MAUMEE	OH	43537	061811760	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM	C	1.00000	-3162	25787
PROMEDICA CENTRAL CORPORATION OF MI INC
5855 MONROE ST	SYLVANIA	OH	43560	383322278	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	1.00000	-774889	7118533
PROMEDICA FOUNDATION
1801 RICHARDS RD	TOLEDO	OH	43607	341901465	FOUNDATION	OH	PROMEDICA HEALTH SYSTEM	C	1.00000
PROMEDICA HEALTH EDUCATION & RESEARCH FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341930876	FOUNDATION	OH	PROMEDICA HEALTH SYSTEM	C	1.00000
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	341570675	HEALTH CARE INSURANCE	OH	PROMEDICA HEALTH SYSTEM	C	1.00000	26798000	258924000
PROMEDICA NORTH PHYSICIAN CORPORATION
5855 MONROE ST	SYLVANIA	OH	43560	383482148	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	1.00000		203340
PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION
5855 MONROE ST	SYLVANIA	OH	43560	341887065	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	C	1.00000		404501
PROMEDICA RETAIL GROUP INC
3890 MONROE ST	TOLEDO	OH	43606	341159928	FLORIST	OH	PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	C	1.00000	5045	1195233
TOLEDO HOSPITAL LOCAL PROVIDER UNIT
2142 N COVE BLVD	TOLEDO	OH	43606	341586739	PHYSICIAN SERVICES	OH	THE TOLEDO HOSPITAL	C	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	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	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (37 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
PROMEDICA CONTINUING CARE SERVICES CORP
B	2000000	FMV
PROMEDICA HEALTH SYSTEM INC
B	16000000	FMV
PROMEDICA FOUNDATION
B	989055	FMV
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
B	3375000	FMV
PROMEDICA PHYSICIAN GROUP
B	11000000	FMV
ACADEMIC HEALTH CENTER CORPORATION
C	729100	FMV
PROMEDICA FOUNDATION
C	3465727	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
I	431147	FMV
PROMEDICA HEALTH SYSTEM INC
I	1515396	FMV
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
I	461579	FMV
PROMEDICA PHYSICIAN GROUP
I	4277442	FMV
FOSTORIA HOSPITAL ASSOCIATION
N	84896	FMV
BAY PARK COMMUNITY HOSPITAL
N	442632	FMV
FLOWER HOSPITAL
N	831331	FMV
PROMEDICA PHYSICIAN GROUP
N	62200	FMV
PROMEDICA HEALTH SYSTEM INC
N	379816	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
N	84168	FMV
EMMA L BIXBY MEDICAL CENTER
O	182709	FMV
FLOWER HOSPITAL
O	112418	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
O	109566	FMV
PROMEDICA COURIER SERVICES INC
O	1724296	FMV
PROMEDICA HEALTH SYSTEM INC
O	74265578	FMV
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
O	94766	FMV
PROMEDICA PHYSICIAN GROUP
O	34323264	FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
O	3084593	FMV
DEFIANCE HOSPITAL INC
P	779543	FMV
FOSTORIA HOSPITAL ASSOCIATION
P	407706	FMV
BAY PARK COMMUNITY HOSPITAL
P	2315646	FMV
EMMA L BIXBY MEDICAL CENTER
P	1338622	FMV
HERRICK MEMORIAL HOSPITAL INC
P	642501	FMV
FLOWER HOSPITAL
P	2038587	FMV
ST LUKE'S HOSPITAL
P	437168	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
P	101271	FMV
PROMEDICA NORTH REGION INC
P	53785	FMV
PROMEDICA HEALTH SYSTEM INC
P	8821433	FMV
PROMEDICA PHYSICIAN GROUP
P	205618	FMV
CENTRAL REGION PROPERTIES INC
R	8552612	BOOK VALUE