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PROMEDICA HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PROMEDICA HEALTH SYSTEM INC (EIN 34-1517671)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-12
IRS object ID
201243179349302964
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-12T18:32:00-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 2000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code462045108ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341517671EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROMNameControl
Phone4198918505Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 RICHARDS ROADAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKATHLEEN S HANLEYName
TitleTREASURERTitle
Phone4194693832Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSHAWNA M JIMENEZName
PTINP01222873PTIN
Phone3174648600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHLEEN S HANLEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11801 RICHARDS ROADAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts186925232GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PROMEDICA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROMEDICA HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM...INNOVATIVE, SERVICE-ORIENTED, COST-EFFECTIVE WITH SUPERIOR QUALITY; WORKING WITH PHYSICIANS, HEALTH CARE PROVIDERS, BUSINESSES AND THE COMMUNITY TO IMPROVE HEALTH.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1146TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI26838TotalGrossUBI
Net Unrelated Business Txbl Income23254NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15815720ContributionsGrantsPriorYear
Contributions Grants Current Year29097251ContributionsGrantsCurrentYear
Program Service Revenue Prior Year344145191ProgramServiceRevenuePriorYear
Program Service Revenue CY151113784ProgramServiceRevenueCY
Investment Income Prior Year119330InvestmentIncomePriorYear
Investment Income Current Year184365InvestmentIncomeCurrentYear
Other Revenue Prior Year24023OtherRevenuePriorYear
Other Revenue Current Year156578OtherRevenueCurrentYear
Total Revenue Prior Year360104264TotalRevenuePriorYear
Total Revenue Current Year180551978TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8231329GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15037827GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year76748161SalariesEtcPriorYear
Salaries Etc Current Year82361076SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year58384033OtherExpensePriorYear
Other Expenses Current Year69259536OtherExpensesCurrentYear
Total Expenses Prior Year143363523TotalExpensesPriorYear
Total Expenses Current Year166658439TotalExpensesCurrentYear
Revenues Less Expenses Prior Year216740741RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13893539RevenuesLessExpensesCY
Total Assets BOY1792676848TotalAssetsBOY
Total Assets EOY1788012710TotalAssetsEOY
Total Liabilities BOY126984007TotalLiabilitiesBOY
Total Liabilities EOY156541270TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1665692841NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1631471440NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROMEDICA HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM...INNOVATIVE, SERVICE-ORIENTED, COST-EFFECTIVE WITH SUPERIOR QUALITY; WORKING WITH PHYSICIANS, HEALTHCARE PROVIDERS, BUSINESSES AND THE COMMUNITY TO IMPROVE HEALTH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense125069638Expense
Grants10927347Grants
Revenue152576345Revenue
DescriptionPROMEDICA HEALTH SYSTEM (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTH CARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM. - SEE SCHEDULE O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4110480Expense
Grants4110480Grants
DescriptionCONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH SERVICES AND COMMUNITY BENEFIT OPERATIONS, AND CASH-IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.Description
FieldValueIRS element (for citing)
Total Program Service Expense129180118TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096140NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1146NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIAN HANSENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4198918505TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15901 MONCLOVA RDAddressLine1
CityMAUMEECity
StateOHState
ZIP Code43537ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (64 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SR ROSEMARY ABRAMOVICH OP
TRUSTEE1.00X2500000
BRUCE BARNETT MD
TRUSTEE1.00X04765985391
PAUL BERLACHER
TRUSTEE1.00X072321266232
EMMETT BOYLE JR MD
EX OFFICIO1.00X000
ELIZABETH BRADY
TRUSTEE1.00X000
ROBERT CHIRDON
EX OFFICIO1.00X000
PARISS COLEMAN II
TRUSTEE1.00X000
ROBERT DEROSA MD
TRUSTEE1.00X082918618541
H LEE DUNN JR
EX OFFICIO1.00X000
FRANK DUVAL
EX OFFICIO1.00X000
PETER DZIAD MD
TRUSTEE1.00X045193517793
DANIEL FARRELL JR
TRUSTEE1.00X000
DAVID HICKMAN
EX OFFICIO1.00X000
THOMAS HOUSTON MD
TRUSTEE1.00X051007516425
LLOYD JACOBS MD
TRUSTEE1.00X000
ROBERT LACLAIR
EX OFFICIO1.00X000
RITA MANSOUR
EX OFFICIO1.00X000
DONALD MENNEL
TRUSTEE1.00X000
SAMANTHA MUCHA
TRUSTEE1.00X049459122037
JAMES MURRAY
EX OFFICIO1.00X000
JOSEPH NAPOLI
EX OFFICIO1.00X000
ARTHUR PURINTON II
TRUSTEE1.00X000
MARNA RAMNATH
TRUSTEE1.00X000
CLAUDE ROWLEY
TRUSTEE1.00X000
DAVID SNAVELY
EX OFFICIO1.00X000
CHRIS THORNBERRY
TRUSTEE1.00X000
RANDALL OOSTRA
PRESIDENT/EX OFFICIO40.00X12847490261966X
LARRY PETERSON
CHAIRPERSON/EX OFFICIO1.00X000X
STEPHEN STAELIN
V-CHAIRPERSON/EX OFFICIO1.00X000X
KATHLEEN HANLEY
TREASURER40.006687290106672X
JEFFREY KUHN
SECRETARY40.00514238070870X
GARY AKENBERGER
SR. VP FINANCE40.00341951071630X
KENNETH ARMSTRONG
SR. VP INFO. SYSTEMS40.00204453054436X
KATHLEEN CARLSON
ASSOC. CMO & SR. VP CI40.00392662015000X
THOMAS DELLA-FLORA
VP INFO. SVCS.40.00202684052793X
ROBERT FREDRICK
ASSOC. CMO & SR. VP AA40.00442049070565X
LEE HAMMERLING MD
CMP & PRES. PPG40.00719108089915X
A DAVID JAMES
CHIEF QUALITY OFFICER40.00340093027189X
JEFFREY KELLER
VP HR OPS.40.00235390050041X
STEPHEN MOONEY
PRES. PROMEDICA HEALTH NW40.00430521049906X
SUSAN PAYDEN
VP TREASURY40.00211709057331X
BARBARA PETEE
CHIEF COMM. OFFICER40.00312899068986X
ARTURO POLIZZI
CHIEF HR OFFICER40.00307260066639X
JOHN RANDOLPH
PRES. PIC & CHIEF CS40.00612029098433X
ROBERT REITER
ASSOC. CMO40.00304474029360X
GLADEEN ROBERTS
PRES. NURSING CTR.40.00413884062271X
SHEILA SCHWARTZ
CHIEF PHILANTHROPIC40.00336784053941X
DAVID SELMAN
CHIEF INFO. & TECH.40.00443766071752X
BARBARA STEELE
PRES. ACUTE CARE40.001217274093122X
RONALD WACHSMAN
SR. VP MANAGED CARE40.00291084065092X
KEVIN WEBB
PRES. TTH & TCH, COO PHVI40.00484095064786X
NEERAJ KANWAL
VP MEDICAL AFFAIRS40.00367802051834X
ALAN SATTLER
PRES. FH40.00346300067281X
LORI JOHNSTON
SR. VP FIN. & OPS., SLH40.00325525058034X
TIMOTHY JAKACKI
PRES. BH & HH40.00322448070163X
GARY CATES
PRES. DH40.00309389046693X
ALAN BRASS
FORMER CEO EMERITUS0.0074281100X
ALBERT BIANCO
FORMER KEY EMPLOYEE0.0022886801105X
MARTIN DANSACK
FORMER KEY EMPLOYEE40.00192461044754X
JOHN HORNS
FORMER KEY EMPLOYEE0.0052358302605X
CHARLES MCDOWELL
FORMER KEY EMPLOYEE0.0059324501665X
JOHN MEIER
FORMER KEY EMPLOYEE0.00263378064664X
RANDALL SCHIMMOELLER
FORMER KEY EMPLOYEE0.00295373043231X
CYNTHIA SCHRIEFER
FORMER KEY EMPLOYEE40.00200280058528X
FieldValueIRS element (for citing)
Total Reportable Comp From Org15448348TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3485597TotalReportableCompFrmRltdOrgs
Total Other Compensation2309672TotalOtherCompensation
Number Individuals GT100 K118NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCKESSON PHARMACEUTICAL
38220 PLYMOUTH RDLIVONIAMI481501050SOFTWARE SUPPORT66861077
MCKESSON TECHNOLOGIES INC
PO BOX 98347CHICAGOIL606930001SOFTWARE SUPPORT8366915
MCDERMOTT WILL & EMERY
227 W MONROE ST STE 440CHICAGOIL606065096LEGAL SERVICES5531642
HART ASSOCIATES INC
1915 INDIAN WOOD CIRCLEMAUMEEOH43537ADVERTISING5281449
MAYO CLINIC
200 FIRST STREET SWROCHESTERMI55905LAB TESTING4387499
FieldValueIRS element (for citing)
Number Of Contractors GT100 K53NumberOfContractorsGT100K
Related Organizations29097251RelatedOrganizations
Total Contributions29097251TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
ADMIN. SUPPORT SERV.621110153718978153718978
INVEST. IN AFFILIATES900099-2605194-1272373-$1,332,821
FieldValueIRS element (for citing)
Total Program Service Revenue151113784TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column92690TotalRevenueColumn
Exclusion$92,690ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6463780Securities
Other1149Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6356258Securities
Other16996Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities107522Securities
Other-15847Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column91675TotalRevenueColumn
Exclusion$91,675ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEEDescription
Business Code541610BusinessCode
Total Revenue Column26838TotalRevenueColumn
Unrelated Business Revenue26838UnrelatedBusinessRevenue

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column129740TotalRevenueColumn
Related Or Exempt Function Income129740RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue156578TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column180551978TotalRevenueColumn
Related Or Exempt Function Income152576345RelatedOrExemptFunctionIncome
Unrelated Business Revenue26838UnrelatedBusinessRevenue
Exclusion-$1,148,456ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total14997327Total
Program Services14997327ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total40500Total
Program Services40500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total12389581Total
Program Services12389581ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54437883Total
Program Services41180557ProgramServices
Management And General13257326ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4558836Total
Program Services3647069ProgramServices
Management And General911767ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6766454Total
Program Services5413163ProgramServices
Management And General1353291ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4208322Total
Program Services3366658ProgramServices
Management And General841664ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7250658Total
Management And General7250658ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1774185Total
Management And General1774185ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total29810861Total
Program Services23848689ProgramServices
Management And General5962172ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6853059Total
Program Services5482447ProgramServices
Management And General1370612ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4658029Total
Program Services3726423ProgramServices
Management And General931606ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total866294Total
Program Services693035ProgramServices
Management And General173259ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total965214Total
Program Services772171ProgramServices
Management And General193043ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6311Total
Program Services5049ProgramServices
Management And General1262ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11445040Total
Program Services9156032ProgramServices
Management And General2289008ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSCRIPTIONS7894756315801578950
RECRUITMENT367270293816734540

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4473140Total
Program Services3536021ProgramServices
Management And General937119ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total166658439Total
Program Services129180118ProgramServices
Management And General37478321ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY1122030EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1115BOY
EOY1329EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY560898BOY
EOY60091EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17785127BOY
EOY19478430EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis91120942LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec60802736LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32178257BOY
EOY30318206EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1722898BOY
EOY666917EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1714088876BOY
EOY1710929251EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26339677BOY
EOY25436456EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1792676848BOY
EOY1788012710EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29581293BOY
EOY37606009EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY97402714BOY
EOY118935261EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY126984007BOY
EOY156541270EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1665457341BOY
EOY1631163443EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY235500BOY
EOY307997EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1665692841BOY
EOY1631471440EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1792676848BOY
EOY1788012710EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13893539ReconcilationRevenueExpenses
Reconcilation Other Changes-48114940ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (13 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
BAY PARK COMMUNITY HOSPITAL
3418831323011$0
DEFIANCE HOSPITAL INC
3444464843011$0
EMMA L BIXBY MEDICAL CENTER
3827960053011$0
FLOWER HOSPITAL
3444287943011$0
FOSTORIA HOSPITAL ASSOCIATION
3408987453011$0
HERRICK MEMORIAL HOSPITAL INC
3830490153011$0
LENAWEE LONG TERM CARE
3828793309011$0
PROMEDICA CONTINUING CARE SERVICES CORP
3444924409011$0
PROMEDICA PHYSICIAN GROUP
3418994399011$0
ST LUKE'S HOSPITAL
3444282323011$10,000,000
THE TOLEDO HOSPITAL
3444282563011$0
TOLEDO DISTRICT NURSE ASSOCIATION
3444279497011$0
VISITING NURSE HOSPICE & HEALTH CARE
3418316249011$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs13TotalNumberOfSupportedOrgs
Sum Of Amounts10000000SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1958385OtherCostOrOtherBasis
Book Value1958385BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9013273OtherCostOrOtherBasis
Depreciation1979516Depreciation
Book Value7033757BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1463968OtherCostOrOtherBasis
Depreciation535813Depreciation
Book Value928155BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis78055241OtherCostOrOtherBasis
Depreciation58287407Depreciation
Book Value19767834BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis630075OtherCostOrOtherBasis
Book Value630075BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30318206TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN AFFILIATED COMPANIES1696169065C
SELF INSURANCE/DEFERRED COMPENSATION14760186F
FieldValueIRS element (for citing)
Total Of Book Value Securities1710929251TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$15,165,251
PROFESSIONAL LIABILITY & WORKERS COMPENSATION$11,567,088
OTHER CURRENT LIABILITIES$30,144
DEFERRED COMPENSATION$14,689,192
PENSION$76,030,512
ASBESTOS REMEDIATION$194,646
CONTINGENT LIABILITIES$1,258,428
FieldValueIRS element (for citing)
Total Of Amounts118935261TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationPROMEDICA HEALTH SYSTEM 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. PROMEDICA HEALTH SYSTEM DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2011 AND 2010.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (42 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ADRIAN REA LITERACY CENTER
1269 E SIENA HEIGHTS DRIVEADRIANMI49221208394932501(C)(3)5000CHARITABLE DONATION
ADRIAN SYMPHONY ORCHESTRA
110 S MADISON STREETADRIANMI492212575382435775501(C)(3)7100CHARITABLE DONATION
ALLIANCE FOR PAIRED DONATION
3661 BRIARFIELD BLVD 105MAUMEEOH43537205196689501(C)(3)5000CHARITABLE DONATION
AMERICAN CANCER SOCIETY
740 COMMERCE DRIVE SUITE BPERRYSBURGOH43551131788491501(C)(3)13050CHARITABLE DONATION
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX752843543135613797501(C)(3)15000CHARITABLE DONATION
AUTO DEALERS UNITED FOR KIDS
1605 INDIAN WOOD CIRCLEMAUMEEOH43537200466596501(C)(3)5000CHARITABLE DONATION
BOYS AND GIRLS CLUBS OF TOLEDO
2250 N DETROIT AVENUETOLEDOOH43606344427933501(C)(3)15000CHARITABLE DONATION
CARDINAL STRITCH HIGH SCHOOL
3225 PICKLE ROADOREGONOH436164099340891884501(C)(3)5500CHARITABLE DONATION
CEDAR CREEK CHRUCH
29129 LIME CITY ROADPERRYSBURGOH43551341789315501(C)(3)5000CHARITABLE DONATION
CITY OF MAUMEE - FINANCE DEPARTMENT
400 CONANT STREETMAUMEEOH435373374346400847GOV'T ENTITY5000CHARITABLE DONATION
CITY OF TOLEDO - DEPARTMENT OF POLICE OPERATIONS
1 GOVERNMENT CENTERTOLEDOOH43604346401447GOV'T ENTITY6000CHARITABLE DONATION
CROSWELL OPERA HOUSE
129 E MAUMEE STREETADRIANMI49221386144993501(C)(3)5250CHARITABLE DONATION
EAST TOLEDO FAMILY CENTER
1020 VARLAND AVENUETOLEDOOH43605344429426501(C)(3)6750CHARITABLE DONATION
EASTERN MAUMEE BAY CHAMBER OF COMMERCE
2460 NAVARRE AVENUEOREGONOH43616341393190501(C)(6)5750CHARITABLE DONATION
ERNST & YOUNG FOUNDATION
200 PLAZA DRIVESECAUCUSNJ07094136094489501(C)(3)10000CHARITABLE DONATION
HUDSON EDUCATIONAL FOUNDATION
PO BOX 101HUDSONMI49247382572811501(C)(3)6300CHARITABLE DONATION
KIDNEY FOUNDATION OF NW OHIO
3100 CENTRAL AVENUETOLEDOOH43606341133682501(C)(3)6500CHARITABLE DONATION
KIDS UNLIMITED
8927 ROYAL OAK DRIVEHOLLANDOH43528204487408501(C)(3)12500CHARITABLE DONATION
LENAWEE COMMUNITY FOUNDATION
PO BOX 142TECUMSEHMI49286386095474501(C)(3)6200CHARITABLE DONATION
LIMA MEMORIAL HOSPITAL FOUNDATION
1001 BELLEFONTAINE ROADLIMAOH45804341707570501(C)(3)10000CHARITABLE DONATION
LOURDES COLLEGE
6832 CONVENT BLVDSYLVANIAOH43560341226547501(C)(3)12000CHARITABLE DONATION
MAKE A WISH FOUNDATION
405 MADISON AVENUE SUITE 210TOLEDOOH43604341430961501(C)(3)12000CHARITABLE DONATION
MCCORD ROAD CHRISTIAN CHURCH
4765 MCCORD ROADSYLVANIAOH43560341096073501(C)(3)15000CHARITABLE DONATION
MUSCULAR DYSTROPHY ASSOCIATION
3300 EAST SUNRISE DRIVETUCSONAZ857183299131665552501(C)(3)5000CHARITABLE DONATION
NATIONAL FOOTBALL FOUNDATION
433 LAS COLINAS BLVD EASTIRVINGTX75039510226347501(C)(3)20000CHARITABLE DONATION
NEW LIFE CENTER INC
3487 S LINDEN ROADFLINTMI48507743203599501(C)(3)5000CHARITABLE DONATION
PROMEDICA FOUNDATION
2142 N COVE BLVDTOLEDOOH436063896341517672501(C)(3)85670OPERATING GRANT
ST FRANCIS DE SALES HIGH
2323 W BANCROFT STREETTOLEDOOH43607344465715501(C)(3)16650CHARITABLE DONATION
ST LUKE'S HOSPITAL
5901 MONCLOVA RDMAUMEEOH43537344428232501(C)(3)10000000OPERATING GRANT
CHURCH ON STRAYER ROAD
3000 STRAYER ROADMAUMEEOH43537620484177501(C)(3)5019CHARITABLE DONATION
SUSAN G KOMEN BREAST CANCER FOUNDATION
PO BOX 650309DALLASTX752650309781835298501(C)(3)5000CHARITABLE DONATION
THE TOLEDO SYMPHONY
1838 PARKWOOD AVENUE 310TOLEDOOH436242502344005365501(C)(3)506450CHARITABLE DONATION
TOLEDO COMMUNITY FOUNDATION
300 MADISON AVENUETOLEDOOH43604237284004501(C)(3)2100500CHARITABLE DONATION
TOLEDO MUSEUM OF ART
2445 MONROE STREETTOLEDOOH43620344434678501(C)(3)66050CHARITABLE DONATION
TOLEDO OPERA
425 JEFFERSON AVE SUITE 601TOLEDOOH436041066346556139501(C)(3)25000CHARITABLE DONATION
TOLEDO WALLEYE
406 WASHINGTON STREETTOLEDOOH43604208815642N/A137500CORPORATE SPONSORSHIP
UNITED WAY
424 JACKSON STREETTOLEDOOH43604344427947501(C)(3)10200CHARITABLE DONATION
UNIVERSITY OF TOLEDO
2801 BANCROFTTOLEDOOH43606346555110501(C)(3)32800CHARITABLE DONATION
YMCA
6465 SYLVANIA AVENUESYLVANIAOH43560344428262501(C)(3)14450CHARITABLE DONATION
YWCA
1018 JEFFERSON AVENUETOLEDOOH43604344428265501(C)(3)10000CHARITABLE DONATION
RONALD MCDONALD HOUSE OF NW OH
3883 MONROE STTOLEDOOH43606341349742501(C)(3)1004000CHARITABLE DONATION
HOSPICE OF LENAWEE INC
1903 WOLF CREEK HWYADRIANMI49221382414012501(C)(3)500000CHARITABLE DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants40TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATIONAL ASSISTANCETypeOfGrant
Number Of Recipients28NumberOfRecipients
Amount Of Cash Grant40500AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: AS THE PARENT COMPANY OF PROMEDICA HEALTH SYSTEM (PHS), CORPORATE POLICIES EXIST TO ENSURE THAT THE APPROVAL AND DISTRIBUTION OF FOUNDATION FUNDS ARE CONSISTENT WITH THE APPROVED SUPPORTED ORGANIZATION STRATEGIC PLAN AND DOCUMENTED DONOR INTENT. ALL REQUESTS FOR FUNDS MUST BE SUBMITTED ON THE "FUND UTILIZATION REQUEST" FORM AND INCLUDE WRITTEN SUPPORTING DOCUMENTATION AND APPROPRIATE APPROVALS DEPENDING ON THE DOLLAR AMOUNT OF THE REQUEST. ON A MONTHLY BASIS A REPORT LISTING ALL FUND DISTRIBUTIONS IS DISTRIBUTED TO THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF PHILANTHROPIC OFFICER. AS THE PARENT COMPANY, PROMEDICA HEALTH SYSTEM (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

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (42 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRUCE BARNETT MD
047039904523016760005391048198900
PAUL BERLACHER
05467620160145016305050000016232078944400
ROBERT DEROSA MD
05052000118691020529500018541084772700
PETER DZIAD MD
0300000033610011832500017793046972800
THOMAS HOUSTON MD
027515000023492506314010111052650000
SAMANTHA MUCHA
0494591000000022037051662800
RANDALL OOSTRA
8000000469179015570024036202160401546715000
KATHLEEN HANLEY
4642000199713048160846640220080775401000
JEFFREY KUHN
34628001537500142080506540202160585108000
GARY AKENBERGER
239292092964096950497720218580413581000
KENNETH ARMSTRONG
174147030306000385450158910258889000
KATHLEEN CARLSON
117484089466018571201484501550407662000
THOMAS DELLA-FLORA
166338036346000353120174810255477000
ROBERT FREDRICK
335308010631204290571710133940512614000
LEE HAMMERLING MD
4896000222406071020696940202210809023000
A DAVID JAMES
3388890001204019600075890367282000
JEFFREY KELLER
17085006312101419041350086910285431000
STEPHEN MOONEY
22846501172430848130292480206580480427000
SUSAN PAYDEN
166464045245000396620176690269040000
BARBARA PETEE
18849001125130118960657870319903818850427780
ARTURO POLIZZI
236808061657087950490980175410373899000
JOHN RANDOLPH
40793601914930126000764420219910710462000
ROBERT REITER
1636370939670468700292830770333834000
GLADEEN ROBERTS
28090801118110211650441120181590476155000
SHEILA SCHWARTZ
234090093269094250354340185070390725000
DAVID SELMAN
3048370129406095230492020225500515518000
BARBARA STEELE
554195025885804042210797770133450131039602762710
RONALD WACHSMAN
209016078750033180458080192840356176000
KEVIN WEBB
3360490143228048180441510206350548881000
NEERAJ KANWAL
282989084813000284340234000419636000
ALAN SATTLER
2340900102319098910462730210080413581000
LORI JOHNSTON
241129084396000382290198050383559000
TIMOTHY JAKACKI
2184840909000130640488280213350392611000
GARY CATES
2094350889290110250320480146450356082000
ALAN BRASS
00007428110000074281106992740
ALBERT BIANCO
0040917018795100011050229973000
MARTIN DANSACK
147691042963018070277060170480237215000
JOHN HORNS
00121778040180500026050526188000
CHARLES MCDOWELL
00119803047344200016650594910000
JOHN MEIER
225767037611000483970162670328042000
RANDALL SCHIMMOELLER
21930007560304700226970205340338604000
CYNTHIA SCHRIEFER
170286029994000462580122700258808000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1APART I, LINE 1A: TRAVEL FOR COMPANIONS 1 CEO INCLUDED IN TAXABLE COMPENSATION 2 BOARD MEMBERS INCLUDED IN TAXABLE COMPENSATION TAX INDEMNIFICATION AND GROSS UP PAYMENTS 2 PRESIDENTS INCLUDED IN TAXABLE COMPENSATION 3 SEVERANCE EMPLOYEES INCLUDED IN TAXABLE COMPENSATION HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE 2 PRESIDENTS INCLUDED IN TAXABLE COMPENSATION
PART IIIPART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. KATHLEEN CARLSON $155,247 STEPHEN MOONEY $40,317 ALBERT BIANCO $169,497 JOHN HORNS $335,655 CHARLES MCDOWELL $317,139SUPPLEMENTAL INFORMATION
PART IIIPART 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. JEFFREY KELLER $20,060 BARBARA PETEE $49,305 BARBARA STEELE $347,092 ALAN BRASS $742,811SUPPLEMENTAL INFORMATION
PART IIIPART 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SEE PART V
SEE PART V187142SEE PART V0
SEE PART V
SEE PART V87313SEE PART V0
SEE PART V
SEE PART V53249SEE PART V0
SEE PART V
SEE PART V140688SEE PART V0

Form990 Schedule L Part V Form990ScheduleLPartV (4 entries)

IdentifierIdentifierExplanationExplanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: COOPER & KOWALSKI(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: PARISS COLEMAN, II (TRUSTEE) IS GREATER THAN 5% SHAREHOLDER.(C) AMOUNT OF TRANSACTION: $187,142(D) DESCRIPTION OF TRANSACTION: LEGAL SERVICES(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: TIM PETEE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TIM PETEE IS A FAMILY MEMBER OF BARBARA PETEE (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $87,313(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: MARK BRASS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MARK BRASS IS A FAMILY MEMBER OF ALAN BRASS (FORMER OFFICER).(C) AMOUNT OF TRANSACTION: $53,249(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: DAVID WOLFF(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID WOLFF IS A FAMILY MEMBER OF KATHLEEN HANLEY (TREASURER).(C) AMOUNT OF TRANSACTION: $140,688(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF NOT LESS THAN THREE (3) TRUSTEES NOR MORE THAN SEVEN (7) TRUSTEES. WITHIN THESE PARAMETERS, THE COMPOSITION OF THE EXECUTIVE COMMITTEE SHALL INCLUDE THE CHAIRPERSON, THE VICE CHAIRPERSON/CHAIR ELECT, THE CHIEF EXECUTIVE OFFICER AND SUCH OTHER TRUSTEES AS SHALL BE DESIGNATED BY THE BOARD DEVELOPMENT COMMITTEE. ALL EXECUTIVE COMMITTEE MEMBERS ARE PHS BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE ALL OF THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. ONE BOARD MEMBER, DR. LLOYD JACOBS, HAS VOTING PRIVILEGES LIMITED TO ACADEMIC ISSUES ONLY.
FORM 990, PART VI, SECTION A, LINE 2THE 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. BRUCE BARNETT PAUL BERLACHER ROBERT DEROSA PETER DZIAD THOMAS HOUSTON SAMANTHA MUCHA RANDALL OOSTRA KATHLEEN HANLEY JEFFREY KUHN GARY AKENBERGER KENNETH ARMSTRONG KATHLEEN CARLSON THOMAS DELLA-FLORA ROBERT FREDRICK LEE HAMMERLING A DAVID JAMES JEFFREY KELLER STEPHEN MOONEY SUSAN PAYDEN BARBARA PETEE ARTURO POLIZZI JOHN RANDOLPH ROBERT REITER GLADEEN ROBERTS SHEILA SCHWARTZ DAVID SELMAN BARBARA STEELE RONALD WACHSMAN KEVIN WEBB
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS INDIVIDUALS AS ITS MEMBERS THAT SERVE AS ITS BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER OF PROMEDICA HEALTH SYSTEM, INC. IS ITS BOARD OF TRUSTEES. ALL CORPORATE ACTIONS REQUIRE APPROVAL BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11UNDER 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 OR A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CPROMEDICA 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 B, LINE 15EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VII:BRUCE BARNETT - 40 HOURS PAUL BERLACHER - 40 HOURS ROBERT DEROSA - 40 HOURS PETER DZIAD - 40 HOURS THOMAS HOUSTON - 40 HOURS SAMANTHA MUCHA - 40 HOURS JOHN MEIER - 40 HOURS RANDALL SCHIMMOELLER - 40 HOURSAVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS DURING THE YEAR:
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -71,968. PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -48,042,972. TOTAL TO FORM 990, PART XI, LINE 5: -48,114,940.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART III, LINE 4: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 HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS
- 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.
COMMUNITY BENEFIT DEFINITIONSPROMEDICA 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COBRA VENTURES LLC
5901 MONCLOVA RDMAUMEEOH43537204671613LAND LEASINGOH399084429ST LUKE'S HOSPITAL FOUNDATION
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560611448753EMPLOYS PHYSICIANSOH2870362670378PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341881137EMPLOYS PHYSICIANSOH8002303723688638PROMEDICA PHYSICIAN GROUP
PROMEDICA EAST PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341881145EMPLOYS PHYSICIANSOH52004662720878PROMEDICA PHYSICIAN GROUP
PROMEDICA ORTHOPEDIC PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560208050622EMPLOYS PHYSICIANSOH28539301705850PROMEDICA PHYSICIAN GROUP
PROMEDICA SOUTH PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341898679EMPLOYS PHYSICIANSOH30820172171850PROMEDICA PHYSICIAN GROUP
PROMEDICA WEST PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341893773EMPLOYS PHYSICIANSOH111058766316416PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560263888045EMPLOYS PHYSICIANSOH26904881566293PROMEDICA PHYSICIAN GROUP
PROMEDICA GI PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560263015991EMPLOYS PHYSICIANSOH52215272111516PROMEDICA PHYSICIAN GROUP
PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560270978204EMPLOYS PHYSICIANSOH4198965-234568PROMEDICA PHYSICIAN GROUP
WELLCARE PHYSICIANS LLC
5901 MONCLOVA RDMAUMEEOH43537611528443EMPLOYS PHYSICIANSOH130740681922268PROMEDICA PHYSICIAN GROUP
PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560271401750EMPLOYS PHYSICIANSOH3840654-1884310PROMEDICA PHYSICIAN GROUP
PROMEDICA ENT LLC
5855 MONROE STSYLVANIAOH43560272404505EMPLOYS PHYSICIANSOH4469531-236054PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
5855 MONROE STSYLVANIAOH43560271325141MEDICAL EQUIPMENT & PHARMACYOH3112589010494044PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LNADRIANMI49221383164818FACILITY LEASINGMI2913071162453EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE STSYLVANIAOH43560272920342EMPLOYS PHYSICIANSMI2180730264026PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LLC
5855 MONROE STSYLVANIAOH43560205752995PROVIDES HOSPICE CAREOH13929138504860PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
PROMEDICA ANESTHESIA CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560453251737EMPLOYS PHYSICIANSOH30736721261011PROMEDICA PHYSICIAN GROUP
PROMEDICA CRITICAL CARE LLC
5855 MONROE STSYLVANIAOH43560275165922EMPLOYS PHYSICIANSOH1568519103327PROMEDICA PHYSICIAN GROUP
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
5855 MONROE STSYLVANIAOH43560453230331PRACTICE MANAGEMENTOH25893972513741PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
5855 MONROE STSYLVANIAOH43560341899439EMPLOYS PHYSICIANSOH00PROMEDICA PHYSICIAN GROUP

Form990 Schedule R Part II Form990ScheduleRPartII (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DROREGONOH43616341883132HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM1
BAY PARK COMMUNITY HOSPITAL FOUNDATION
2801 BAY PARK DROREGONOH43616341901462FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
BIXBY COMMUNITY HEALTH FOUNDATION
818 RIVERSIDE AVEADRIANMI49221382691494FOUNDATIONMI501(C)(3)11B, IIEMMA L BIXBY MEDICAL CENTER1
CARE ENTERPRISES
5901 MONCLOVA RDMAUMEEOH43537341366709FACILITY LEASINGOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)11D, III-ODEFIANCE HOSPITAL INC1
DEFIANCE HOSPITAL FOUNDATION INC
1200 RALSTONDEFIANCEOH43512341559647FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
DEFIANCE HOSPITAL INC
1200 RALSTONDEFIANCEOH43512344446484HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM1
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVEADRIANMI49221382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM1
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI49221382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)11B, IIEMMA L BIXBY MEDICAL CENTER1
FLOWER HOSPITAL
5200 HARROUN RDSYLVANIAOH43560344428794HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM1
FLOWER HOSPITAL FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341556730FOUNDATIONOH501(C)(3)7PROMEDICA HEALTH SYSTEM1
FOSTORIA COMMUNITY HOSPITAL FOUNDATION
PO BOX 907FOSTORIAOH44830341805993FOUNDATIONOH501(C)(3)11A, IFOSTORIA HOSPITAL ASSOCIATION1
FOSTORIA HOSPITAL ASSOCIATION
PO BOX 907FOSTORIAOH44830340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM1
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)11A, IFOSTORIA HOSPITAL ASSOCIATION1
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)11B, IIHERRICK MEMORIAL HOSPITAL INC1
HERRICK MEDICAL CENTER FOUNDATION
500 E POTTAWATAMIE STTECUMSEHMI49286383076106FOUNDATIONMI501(C)(3)11B, IIHERRICK MEMORIAL HOSPITAL INC1
HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE STTECUMSEHMI49286383049015HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM1
LENAWEE LONG TERM CARE
700 LAKESHORE TRADRIANMI49221382879330LONG TERM CAREMI501(C)(3)9EMMA L BIXBY MEDICAL CENTER1
PROMEDICA CONTINUING CARE SERVICES CORP
5855 MONROE STSYLVANIAOH43560344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)9PROMEDICA PHYSICIANS & CONTINUUM SERVICES1
PROMEDICA CONTINUING CARE SERVICES CORP FOUNDATION
5855 MONROE STSYLVANIAOH43560341901457FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVETOLEDOOH43606260324790COURIER SERVICEOH501(C)(3)11B, IIPROMEDICA PHYSICIANS & CONTINUUM SERVICES1
PHS VENTURES FKA BVPH VENTURES INC
1801 RICHARDS RDTOLEDOOH43607341880473HEALTH CARE MANAGEMENT SERVICESOH501(C)(3)11C, III-FIPROMEDICA HEALTH SYSTEM1
ACADEMIC HEALTH CENTER CORPORATION
2142 N COVE BLVDTOLEDOOH43606341887062MEDICAL EDUCATION & RESEARCHOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
PROMEDICA NORTH REGION INC
818 RIVERSIDE AVEADRIANMI49221383307345MANAGES DELIVERY OF HEALTH SYSTEMMI501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
5855 MONROE STSYLVANIAOH43560341880767MANAGES PHYSICIAN SERVICESOH501(C)(3)11C, III-FIPROMEDICA HEALTH SYSTEM1
PROMEDICA PHYSICIAN GROUP
5855 MONROE STSYLVANIAOH43560341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)9PROMEDICA PHYSICIANS & CONTINUUM SERVICES1
ST LUKE'S HOSPITAL
5901 MONCLOVA RDMAUMEEOH43537344428232HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM1
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RDMAUMEEOH43537341292849FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
THE TOLEDO HOSPITAL
2142 N COVE BLVDTOLEDOOH43606344428256HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM1
PROMEDICA FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341517672FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
TOLEDO CHILDREN'S HOSPITAL FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341901463FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM1
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREETTOLEDOOH43624344427949SKILLED HOME CAREOH501(C)(3)7PROMEDICA PHYSICIANS & CONTINUUM SERVICES1
VISITING NURSE HOSPICE AND HEALTH CARE
383 W DUSSEL DRIVEMAUMEEOH43537341831624HOSPICE HOME CAREOH501(C)(3)9PROMEDICA PHYSICIANS & CONTINUUM SERVICES1

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP
818 RIVERSIDE AVEADRIANMI49221382972398FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERRELATED317571285556010.64600
REYNOLDS RD SURGICAL CENTER LLC
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED10159222856976000.64960
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RDMAUMEEOH43537320160784FACILITY LEASINGOHCARE ENTERPRISES INCRELATED25759824921000.70000

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
CARE HOLDINGS
5901 MONCLOVA RDMAUMEEOH43537341796790HOLDING COMPANYOHPROMEDICA HEALTH SYSTEMC1.00000
CENTRAL REGION PROPERTIES INC
2142 N COVE BLVDTOLEDOOH43606341059809FACILITY LEASINGOHTHE TOLEDO HOSPITALC1.00000-367000
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERC1.000001221563401
LHA PHYSICIAN SERVICES CORPORATION
818 RIVERSIDE AVEADRIANMI49221611451576PHYSICIAN BILLINGMIEMMA L BIXBY MEDICAL CENTERC1.00000-93594275288
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RDMAUMEEOH43537061811760PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEMC1.00000-316225787
PROMEDICA CENTRAL CORPORATION OF MI INC
5855 MONROE STSYLVANIAOH43560383322278PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC1.00000-7748897118533
PROMEDICA FOUNDATION
1801 RICHARDS RDTOLEDOOH43607341901465FOUNDATIONOHPROMEDICA HEALTH SYSTEMC1.00000
PROMEDICA HEALTH EDUCATION & RESEARCH FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341930876FOUNDATIONOHPROMEDICA HEALTH SYSTEMC1.00000
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHPROMEDICA HEALTH SYSTEMC1.0000026798000258924000
PROMEDICA NORTH PHYSICIAN CORPORATION
5855 MONROE STSYLVANIAOH43560383482148PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC1.00000203340
PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION
5855 MONROE STSYLVANIAOH43560341887065PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA PHYSICIANS AND CONTINUUM SERVICESC1.00000404501
PROMEDICA RETAIL GROUP INC
3890 MONROE STTOLEDOOH43606341159928FLORISTOHPROMEDICA PHYSICIANS AND CONTINUUM SERVICESC1.0000050451195233
TOLEDO HOSPITAL LOCAL PROVIDER UNIT
2142 N COVE BLVDTOLEDOOH43606341586739PHYSICIAN SERVICESOHTHE TOLEDO HOSPITALC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (33 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST LUKE'S HOSPITAL
B10000000FMV
PROMEDICA FOUNDATION
B85670FMV
DEFIANCE HOSPITAL INC
C1500000FMV
FOSTORIA HOSPITAL ASSOCIATION
C500000FMV
BAY PARK COMMUNITY HOSPITAL
C1000000FMV
EMMA L BIXBY MEDICAL CENTER
C1502000FMV
HERRICK MEMORIAL HOSPITAL INC
C1500000FMV
THE TOLEDO HOSPITAL
C16000000FMV
FLOWER HOSPITAL
C7000000FMV
PROMEDICA FOUNDATION
C95251FMV
THE TOLEDO HOSPITAL
J1515396FMV
THE TOLEDO HOSPITAL
N379816FMV
DEFIANCE HOSPITAL INC
N82041FMV
THE TOLEDO HOSPITAL
O8821433FMV
FLOWER HOSPITAL
O56271FMV
ST LUKE'S HOSPITAL
O320027FMV
PROMEDICA INDEMNITY CORPORATION
O11334216FMV
DEFIANCE HOSPITAL INC
P6717850FMV
FOSTORIA HOSPITAL ASSOCIATION
P5032747FMV
BAY PARK COMMUNITY HOSPITAL
P10445979FMV
EMMA L BIXBY MEDICAL CENTER
P11278370FMV
HERRICK MEMORIAL HOSPITAL INC
P138530FMV
THE TOLEDO HOSPITAL
P74265578FMV
FLOWER HOSPITAL
P21715140FMV
ST LUKE'S HOSPITAL
P3632515FMV
PROMEDICA CONTINUING CARE SERVICES CORPORATION
P7758335FMV
LENAWEE LONG TERM CARE
P552316FMV
PROMEDICA NORTH REGION INC
P3920235FMV
PROMEDICA INDEMNITY CORPORATION
P555964FMV
PROMEDICA FOUNDATION
P376110FMV
BIXBY COMMUNITY HEALTH FOUNDATION
P76341FMV
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
P14159367FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
P18318862FMV