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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T18:32:00-06:00 | 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 | 341517671 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROMEDICA HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROM | NameControl |
| Phone | 4198918505 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 RICHARDS ROAD | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43607 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHLEEN S HANLEY | Name |
| Title | TREASURER | Title |
| Phone | 4194693832 | Phone |
| Date Signed | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KATHLEEN S HANLEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 RICHARDS ROAD | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 186925232 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PROMEDICA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | PROMEDICA HEALTH SYSTEM, 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 Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1146 | TotalNbrEmployees |
| Total Nbr Volunteers | 21 | TotalNbrVolunteers |
| Total Gross UBI | 26838 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 23254 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 15815720 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 29097251 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 344145191 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 151113784 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 119330 | InvestmentIncomePriorYear |
| Investment Income Current Year | 184365 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 24023 | OtherRevenuePriorYear |
| Other Revenue Current Year | 156578 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 360104264 | TotalRevenuePriorYear |
| Total Revenue Current Year | 180551978 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 8231329 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 15037827 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 76748161 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 82361076 | 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 | 58384033 | OtherExpensePriorYear |
| Other Expenses Current Year | 69259536 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 143363523 | TotalExpensesPriorYear |
| Total Expenses Current Year | 166658439 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 216740741 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 13893539 | RevenuesLessExpensesCY |
| Total Assets BOY | 1792676848 | TotalAssetsBOY |
| Total Assets EOY | 1788012710 | TotalAssetsEOY |
| Total Liabilities BOY | 126984007 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 156541270 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1665692841 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1631471440 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROMEDICA 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 125069638 | Expense |
| Grants | 10927347 | Grants |
| Revenue | 152576345 | Revenue |
| Description | PROMEDICA 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4110480 | Expense |
| Grants | 4110480 | Grants |
| Description | CONSISTENT 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 129180118 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 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 | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 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 | 140 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1146 | 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 | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN HANSEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4198918505 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MONCLOVA RD | AddressLine1 |
| City | MAUMEE | City |
| State | OH | State |
| ZIP Code | 43537 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (64 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 |
|---|---|---|---|---|---|---|---|---|---|
| SR ROSEMARY ABRAMOVICH OP | |||||||||
| TRUSTEE | 1.00 | X | 25000 | 0 | 0 | ||||
| BRUCE BARNETT MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 476598 | 5391 | ||||
| PAUL BERLACHER | |||||||||
| TRUSTEE | 1.00 | X | 0 | 723212 | 66232 | ||||
| EMMETT BOYLE JR MD | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| ELIZABETH BRADY | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ROBERT CHIRDON | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| PARISS COLEMAN II | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ROBERT DEROSA MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 829186 | 18541 | ||||
| H LEE DUNN JR | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| FRANK DUVAL | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| PETER DZIAD MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 451935 | 17793 | ||||
| DANIEL FARRELL JR | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID HICKMAN | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| THOMAS HOUSTON MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 510075 | 16425 | ||||
| LLOYD JACOBS MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ROBERT LACLAIR | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| RITA MANSOUR | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| DONALD MENNEL | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| SAMANTHA MUCHA | |||||||||
| TRUSTEE | 1.00 | X | 0 | 494591 | 22037 | ||||
| JAMES MURRAY | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| JOSEPH NAPOLI | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| ARTHUR PURINTON II | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| MARNA RAMNATH | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| CLAUDE ROWLEY | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID SNAVELY | |||||||||
| EX OFFICIO | 1.00 | X | 0 | 0 | 0 | ||||
| CHRIS THORNBERRY | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| RANDALL OOSTRA | |||||||||
| PRESIDENT/EX OFFICIO | 40.00 | X | 1284749 | 0 | 261966 | X | |||
| LARRY PETERSON | |||||||||
| CHAIRPERSON/EX OFFICIO | 1.00 | X | 0 | 0 | 0 | X | |||
| STEPHEN STAELIN | |||||||||
| V-CHAIRPERSON/EX OFFICIO | 1.00 | X | 0 | 0 | 0 | X | |||
| KATHLEEN HANLEY | |||||||||
| TREASURER | 40.00 | 668729 | 0 | 106672 | X | ||||
| JEFFREY KUHN | |||||||||
| SECRETARY | 40.00 | 514238 | 0 | 70870 | X | ||||
| GARY AKENBERGER | |||||||||
| SR. VP FINANCE | 40.00 | 341951 | 0 | 71630 | X | ||||
| KENNETH ARMSTRONG | |||||||||
| SR. VP INFO. SYSTEMS | 40.00 | 204453 | 0 | 54436 | X | ||||
| KATHLEEN CARLSON | |||||||||
| ASSOC. CMO & SR. VP CI | 40.00 | 392662 | 0 | 15000 | X | ||||
| THOMAS DELLA-FLORA | |||||||||
| VP INFO. SVCS. | 40.00 | 202684 | 0 | 52793 | X | ||||
| ROBERT FREDRICK | |||||||||
| ASSOC. CMO & SR. VP AA | 40.00 | 442049 | 0 | 70565 | X | ||||
| LEE HAMMERLING MD | |||||||||
| CMP & PRES. PPG | 40.00 | 719108 | 0 | 89915 | X | ||||
| A DAVID JAMES | |||||||||
| CHIEF QUALITY OFFICER | 40.00 | 340093 | 0 | 27189 | X | ||||
| JEFFREY KELLER | |||||||||
| VP HR OPS. | 40.00 | 235390 | 0 | 50041 | X | ||||
| STEPHEN MOONEY | |||||||||
| PRES. PROMEDICA HEALTH NW | 40.00 | 430521 | 0 | 49906 | X | ||||
| SUSAN PAYDEN | |||||||||
| VP TREASURY | 40.00 | 211709 | 0 | 57331 | X | ||||
| BARBARA PETEE | |||||||||
| CHIEF COMM. OFFICER | 40.00 | 312899 | 0 | 68986 | X | ||||
| ARTURO POLIZZI | |||||||||
| CHIEF HR OFFICER | 40.00 | 307260 | 0 | 66639 | X | ||||
| JOHN RANDOLPH | |||||||||
| PRES. PIC & CHIEF CS | 40.00 | 612029 | 0 | 98433 | X | ||||
| ROBERT REITER | |||||||||
| ASSOC. CMO | 40.00 | 304474 | 0 | 29360 | X | ||||
| GLADEEN ROBERTS | |||||||||
| PRES. NURSING CTR. | 40.00 | 413884 | 0 | 62271 | X | ||||
| SHEILA SCHWARTZ | |||||||||
| CHIEF PHILANTHROPIC | 40.00 | 336784 | 0 | 53941 | X | ||||
| DAVID SELMAN | |||||||||
| CHIEF INFO. & TECH. | 40.00 | 443766 | 0 | 71752 | X | ||||
| BARBARA STEELE | |||||||||
| PRES. ACUTE CARE | 40.00 | 1217274 | 0 | 93122 | X | ||||
| RONALD WACHSMAN | |||||||||
| SR. VP MANAGED CARE | 40.00 | 291084 | 0 | 65092 | X | ||||
| KEVIN WEBB | |||||||||
| PRES. TTH & TCH, COO PHVI | 40.00 | 484095 | 0 | 64786 | X | ||||
| NEERAJ KANWAL | |||||||||
| VP MEDICAL AFFAIRS | 40.00 | 367802 | 0 | 51834 | X | ||||
| ALAN SATTLER | |||||||||
| PRES. FH | 40.00 | 346300 | 0 | 67281 | X | ||||
| LORI JOHNSTON | |||||||||
| SR. VP FIN. & OPS., SLH | 40.00 | 325525 | 0 | 58034 | X | ||||
| TIMOTHY JAKACKI | |||||||||
| PRES. BH & HH | 40.00 | 322448 | 0 | 70163 | X | ||||
| GARY CATES | |||||||||
| PRES. DH | 40.00 | 309389 | 0 | 46693 | X | ||||
| ALAN BRASS | |||||||||
| FORMER CEO EMERITUS | 0.00 | 742811 | 0 | 0 | X | ||||
| ALBERT BIANCO | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 228868 | 0 | 1105 | X | ||||
| MARTIN DANSACK | |||||||||
| FORMER KEY EMPLOYEE | 40.00 | 192461 | 0 | 44754 | X | ||||
| JOHN HORNS | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 523583 | 0 | 2605 | X | ||||
| CHARLES MCDOWELL | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 593245 | 0 | 1665 | X | ||||
| JOHN MEIER | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 263378 | 0 | 64664 | X | ||||
| RANDALL SCHIMMOELLER | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 295373 | 0 | 43231 | X | ||||
| CYNTHIA SCHRIEFER | |||||||||
| FORMER KEY EMPLOYEE | 40.00 | 200280 | 0 | 58528 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 15448348 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3485597 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2309672 | TotalOtherCompensation |
| Number Individuals GT100 K | 118 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCKESSON PHARMACEUTICAL | |||||
| 38220 PLYMOUTH RD | LIVONIA | MI | 481501050 | SOFTWARE SUPPORT | 66861077 |
| MCKESSON TECHNOLOGIES INC | |||||
| PO BOX 98347 | CHICAGO | IL | 606930001 | SOFTWARE SUPPORT | 8366915 |
| MCDERMOTT WILL & EMERY | |||||
| 227 W MONROE ST STE 440 | CHICAGO | IL | 606065096 | LEGAL SERVICES | 5531642 |
| HART ASSOCIATES INC | |||||
| 1915 INDIAN WOOD CIRCLE | MAUMEE | OH | 43537 | ADVERTISING | 5281449 |
| MAYO CLINIC | |||||
| 200 FIRST STREET SW | ROCHESTER | MI | 55905 | LAB TESTING | 4387499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 53 | NumberOfContractorsGT100K |
| Related Organizations | 29097251 | RelatedOrganizations |
| Total Contributions | 29097251 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| ADMIN. SUPPORT SERV. | 621110 | 153718978 | 153718978 | |
| INVEST. IN AFFILIATES | 900099 | -2605194 | -1272373 | -$1,332,821 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 151113784 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 92690 | TotalRevenueColumn |
| Exclusion | $92,690 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6463780 | Securities |
| Other | 1149 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6356258 | Securities |
| Other | 16996 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 107522 | Securities |
| Other | -15847 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 91675 | TotalRevenueColumn |
| Exclusion | $91,675 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MANAGEMENT FEE | Description |
| Business Code | 541610 | BusinessCode |
| Total Revenue Column | 26838 | TotalRevenueColumn |
| Unrelated Business Revenue | 26838 | UnrelatedBusinessRevenue |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129740 | TotalRevenueColumn |
| Related Or Exempt Function Income | 129740 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 156578 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 180551978 | TotalRevenueColumn |
| Related Or Exempt Function Income | 152576345 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 26838 | UnrelatedBusinessRevenue |
| Exclusion | -$1,148,456 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14997327 | Total |
| Program Services | 14997327 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40500 | Total |
| Program Services | 40500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12389581 | Total |
| Program Services | 12389581 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54437883 | Total |
| Program Services | 41180557 | ProgramServices |
| Management And General | 13257326 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4558836 | Total |
| Program Services | 3647069 | ProgramServices |
| Management And General | 911767 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6766454 | Total |
| Program Services | 5413163 | ProgramServices |
| Management And General | 1353291 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4208322 | Total |
| Program Services | 3366658 | ProgramServices |
| Management And General | 841664 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7250658 | Total |
| Management And General | 7250658 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1774185 | Total |
| Management And General | 1774185 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29810861 | Total |
| Program Services | 23848689 | ProgramServices |
| Management And General | 5962172 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6853059 | Total |
| Program Services | 5482447 | ProgramServices |
| Management And General | 1370612 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4658029 | Total |
| Program Services | 3726423 | ProgramServices |
| Management And General | 931606 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 866294 | Total |
| Program Services | 693035 | ProgramServices |
| Management And General | 173259 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 965214 | Total |
| Program Services | 772171 | ProgramServices |
| Management And General | 193043 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6311 | Total |
| Program Services | 5049 | ProgramServices |
| Management And General | 1262 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11445040 | Total |
| Program Services | 9156032 | ProgramServices |
| Management And General | 2289008 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DUES & SUBSCRIPTIONS | 789475 | 631580 | 157895 | 0 |
| RECRUITMENT | 367270 | 293816 | 73454 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4473140 | Total |
| Program Services | 3536021 | ProgramServices |
| Management And General | 937119 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166658439 | Total |
| Program Services | 129180118 | ProgramServices |
| Management And General | 37478321 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1122030 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1115 | BOY |
| EOY | 1329 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560898 | BOY |
| EOY | 60091 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17785127 | BOY |
| EOY | 19478430 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 91120942 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 60802736 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32178257 | BOY |
| EOY | 30318206 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1722898 | BOY |
| EOY | 666917 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1714088876 | BOY |
| EOY | 1710929251 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26339677 | BOY |
| EOY | 25436456 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1792676848 | BOY |
| EOY | 1788012710 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29581293 | BOY |
| EOY | 37606009 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97402714 | BOY |
| EOY | 118935261 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126984007 | BOY |
| EOY | 156541270 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1665457341 | BOY |
| EOY | 1631163443 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 235500 | BOY |
| EOY | 307997 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1665692841 | BOY |
| EOY | 1631471440 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1792676848 | BOY |
| EOY | 1788012710 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 13893539 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -48114940 | 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 | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (13 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| BAY PARK COMMUNITY HOSPITAL | |||||
| 341883132 | 3 | 0 | 1 | 1 | $0 |
| DEFIANCE HOSPITAL INC | |||||
| 344446484 | 3 | 0 | 1 | 1 | $0 |
| EMMA L BIXBY MEDICAL CENTER | |||||
| 382796005 | 3 | 0 | 1 | 1 | $0 |
| FLOWER HOSPITAL | |||||
| 344428794 | 3 | 0 | 1 | 1 | $0 |
| FOSTORIA HOSPITAL ASSOCIATION | |||||
| 340898745 | 3 | 0 | 1 | 1 | $0 |
| HERRICK MEMORIAL HOSPITAL INC | |||||
| 383049015 | 3 | 0 | 1 | 1 | $0 |
| LENAWEE LONG TERM CARE | |||||
| 382879330 | 9 | 0 | 1 | 1 | $0 |
| PROMEDICA CONTINUING CARE SERVICES CORP | |||||
| 344492440 | 9 | 0 | 1 | 1 | $0 |
| PROMEDICA PHYSICIAN GROUP | |||||
| 341899439 | 9 | 0 | 1 | 1 | $0 |
| ST LUKE'S HOSPITAL | |||||
| 344428232 | 3 | 0 | 1 | 1 | $10,000,000 |
| THE TOLEDO HOSPITAL | |||||
| 344428256 | 3 | 0 | 1 | 1 | $0 |
| TOLEDO DISTRICT NURSE ASSOCIATION | |||||
| 344427949 | 7 | 0 | 1 | 1 | $0 |
| VISITING NURSE HOSPICE & HEALTH CARE | |||||
| 341831624 | 9 | 0 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 13 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 10000000 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1958385 | OtherCostOrOtherBasis |
| Book Value | 1958385 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9013273 | OtherCostOrOtherBasis |
| Depreciation | 1979516 | Depreciation |
| Book Value | 7033757 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1463968 | OtherCostOrOtherBasis |
| Depreciation | 535813 | Depreciation |
| Book Value | 928155 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 78055241 | OtherCostOrOtherBasis |
| Depreciation | 58287407 | Depreciation |
| Book Value | 19767834 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 630075 | OtherCostOrOtherBasis |
| Book Value | 630075 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30318206 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN AFFILIATED COMPANIES | 1696169065 | C |
| SELF INSURANCE/DEFERRED COMPENSATION | 14760186 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 1710929251 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 118935261 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | PROMEDICA 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (42 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ADRIAN REA LITERACY CENTER | |||||||
| 1269 E SIENA HEIGHTS DRIVE | ADRIAN | MI | 49221 | 208394932 | 501(C)(3) | 5000 | CHARITABLE DONATION |
| ADRIAN SYMPHONY ORCHESTRA | |||||||
| 110 S MADISON STREET | ADRIAN | MI | 492212575 | 382435775 | 501(C)(3) | 7100 | CHARITABLE DONATION |
| ALLIANCE FOR PAIRED DONATION | |||||||
| 3661 BRIARFIELD BLVD 105 | MAUMEE | OH | 43537 | 205196689 | 501(C)(3) | 5000 | CHARITABLE DONATION |
| AMERICAN CANCER SOCIETY | |||||||
| 740 COMMERCE DRIVE SUITE B | PERRYSBURG | OH | 43551 | 131788491 | 501(C)(3) | 13050 | CHARITABLE DONATION |
| AMERICAN HEART ASSOCIATION | |||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 752843543 | 135613797 | 501(C)(3) | 15000 | CHARITABLE DONATION |
| AUTO DEALERS UNITED FOR KIDS | |||||||
| 1605 INDIAN WOOD CIRCLE | MAUMEE | OH | 43537 | 200466596 | 501(C)(3) | 5000 | CHARITABLE DONATION |
| BOYS AND GIRLS CLUBS OF TOLEDO | |||||||
| 2250 N DETROIT AVENUE | TOLEDO | OH | 43606 | 344427933 | 501(C)(3) | 15000 | CHARITABLE DONATION |
| CARDINAL STRITCH HIGH SCHOOL | |||||||
| 3225 PICKLE ROAD | OREGON | OH | 436164099 | 340891884 | 501(C)(3) | 5500 | CHARITABLE DONATION |
| CEDAR CREEK CHRUCH | |||||||
| 29129 LIME CITY ROAD | PERRYSBURG | OH | 43551 | 341789315 | 501(C)(3) | 5000 | CHARITABLE DONATION |
| CITY OF MAUMEE - FINANCE DEPARTMENT | |||||||
| 400 CONANT STREET | MAUMEE | OH | 435373374 | 346400847 | GOV'T ENTITY | 5000 | CHARITABLE DONATION |
| CITY OF TOLEDO - DEPARTMENT OF POLICE OPERATIONS | |||||||
| 1 GOVERNMENT CENTER | TOLEDO | OH | 43604 | 346401447 | GOV'T ENTITY | 6000 | CHARITABLE DONATION |
| CROSWELL OPERA HOUSE | |||||||
| 129 E MAUMEE STREET | ADRIAN | MI | 49221 | 386144993 | 501(C)(3) | 5250 | CHARITABLE DONATION |
| EAST TOLEDO FAMILY CENTER | |||||||
| 1020 VARLAND AVENUE | TOLEDO | OH | 43605 | 344429426 | 501(C)(3) | 6750 | CHARITABLE DONATION |
| EASTERN MAUMEE BAY CHAMBER OF COMMERCE | |||||||
| 2460 NAVARRE AVENUE | OREGON | OH | 43616 | 341393190 | 501(C)(6) | 5750 | CHARITABLE DONATION |
| ERNST & YOUNG FOUNDATION | |||||||
| 200 PLAZA DRIVE | SECAUCUS | NJ | 07094 | 136094489 | 501(C)(3) | 10000 | CHARITABLE DONATION |
| HUDSON EDUCATIONAL FOUNDATION | |||||||
| PO BOX 101 | HUDSON | MI | 49247 | 382572811 | 501(C)(3) | 6300 | CHARITABLE DONATION |
| KIDNEY FOUNDATION OF NW OHIO | |||||||
| 3100 CENTRAL AVENUE | TOLEDO | OH | 43606 | 341133682 | 501(C)(3) | 6500 | CHARITABLE DONATION |
| KIDS UNLIMITED | |||||||
| 8927 ROYAL OAK DRIVE | HOLLAND | OH | 43528 | 204487408 | 501(C)(3) | 12500 | CHARITABLE DONATION |
| LENAWEE COMMUNITY FOUNDATION | |||||||
| PO BOX 142 | TECUMSEH | MI | 49286 | 386095474 | 501(C)(3) | 6200 | CHARITABLE DONATION |
| LIMA MEMORIAL HOSPITAL FOUNDATION | |||||||
| 1001 BELLEFONTAINE ROAD | LIMA | OH | 45804 | 341707570 | 501(C)(3) | 10000 | CHARITABLE DONATION |
| LOURDES COLLEGE | |||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 341226547 | 501(C)(3) | 12000 | CHARITABLE DONATION |
| MAKE A WISH FOUNDATION | |||||||
| 405 MADISON AVENUE SUITE 210 | TOLEDO | OH | 43604 | 341430961 | 501(C)(3) | 12000 | CHARITABLE DONATION |
| MCCORD ROAD CHRISTIAN CHURCH | |||||||
| 4765 MCCORD ROAD | SYLVANIA | OH | 43560 | 341096073 | 501(C)(3) | 15000 | CHARITABLE DONATION |
| MUSCULAR DYSTROPHY ASSOCIATION | |||||||
| 3300 EAST SUNRISE DRIVE | TUCSON | AZ | 857183299 | 131665552 | 501(C)(3) | 5000 | CHARITABLE DONATION |
| NATIONAL FOOTBALL FOUNDATION | |||||||
| 433 LAS COLINAS BLVD EAST | IRVING | TX | 75039 | 510226347 | 501(C)(3) | 20000 | CHARITABLE DONATION |
| NEW LIFE CENTER INC | |||||||
| 3487 S LINDEN ROAD | FLINT | MI | 48507 | 743203599 | 501(C)(3) | 5000 | CHARITABLE DONATION |
| PROMEDICA FOUNDATION | |||||||
| 2142 N COVE BLVD | TOLEDO | OH | 436063896 | 341517672 | 501(C)(3) | 85670 | OPERATING GRANT |
| ST FRANCIS DE SALES HIGH | |||||||
| 2323 W BANCROFT STREET | TOLEDO | OH | 43607 | 344465715 | 501(C)(3) | 16650 | CHARITABLE DONATION |
| ST LUKE'S HOSPITAL | |||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 344428232 | 501(C)(3) | 10000000 | OPERATING GRANT |
| CHURCH ON STRAYER ROAD | |||||||
| 3000 STRAYER ROAD | MAUMEE | OH | 43537 | 620484177 | 501(C)(3) | 5019 | CHARITABLE DONATION |
| SUSAN G KOMEN BREAST CANCER FOUNDATION | |||||||
| PO BOX 650309 | DALLAS | TX | 752650309 | 781835298 | 501(C)(3) | 5000 | CHARITABLE DONATION |
| THE TOLEDO SYMPHONY | |||||||
| 1838 PARKWOOD AVENUE 310 | TOLEDO | OH | 436242502 | 344005365 | 501(C)(3) | 506450 | CHARITABLE DONATION |
| TOLEDO COMMUNITY FOUNDATION | |||||||
| 300 MADISON AVENUE | TOLEDO | OH | 43604 | 237284004 | 501(C)(3) | 2100500 | CHARITABLE DONATION |
| TOLEDO MUSEUM OF ART | |||||||
| 2445 MONROE STREET | TOLEDO | OH | 43620 | 344434678 | 501(C)(3) | 66050 | CHARITABLE DONATION |
| TOLEDO OPERA | |||||||
| 425 JEFFERSON AVE SUITE 601 | TOLEDO | OH | 436041066 | 346556139 | 501(C)(3) | 25000 | CHARITABLE DONATION |
| TOLEDO WALLEYE | |||||||
| 406 WASHINGTON STREET | TOLEDO | OH | 43604 | 208815642 | N/A | 137500 | CORPORATE SPONSORSHIP |
| UNITED WAY | |||||||
| 424 JACKSON STREET | TOLEDO | OH | 43604 | 344427947 | 501(C)(3) | 10200 | CHARITABLE DONATION |
| UNIVERSITY OF TOLEDO | |||||||
| 2801 BANCROFT | TOLEDO | OH | 43606 | 346555110 | 501(C)(3) | 32800 | CHARITABLE DONATION |
| YMCA | |||||||
| 6465 SYLVANIA AVENUE | SYLVANIA | OH | 43560 | 344428262 | 501(C)(3) | 14450 | CHARITABLE DONATION |
| YWCA | |||||||
| 1018 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 344428265 | 501(C)(3) | 10000 | CHARITABLE DONATION |
| RONALD MCDONALD HOUSE OF NW OH | |||||||
| 3883 MONROE ST | TOLEDO | OH | 43606 | 341349742 | 501(C)(3) | 1004000 | CHARITABLE DONATION |
| HOSPICE OF LENAWEE INC | |||||||
| 1903 WOLF CREEK HWY | ADRIAN | MI | 49221 | 382414012 | 501(C)(3) | 500000 | CHARITABLE DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 40 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EDUCATIONAL ASSISTANCE | TypeOfGrant |
| Number Of Recipients | 28 | NumberOfRecipients |
| Amount Of Cash Grant | 40500 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: AS THE PARENT COMPANY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (42 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRUCE BARNETT MD | |||||||||||||
| 0 | 470399 | 0 | 4523 | 0 | 1676 | 0 | 0 | 0 | 5391 | 0 | 481989 | 0 | 0 |
| PAUL BERLACHER | |||||||||||||
| 0 | 546762 | 0 | 160145 | 0 | 16305 | 0 | 50000 | 0 | 16232 | 0 | 789444 | 0 | 0 |
| ROBERT DEROSA MD | |||||||||||||
| 0 | 505200 | 0 | 118691 | 0 | 205295 | 0 | 0 | 0 | 18541 | 0 | 847727 | 0 | 0 |
| PETER DZIAD MD | |||||||||||||
| 0 | 300000 | 0 | 33610 | 0 | 118325 | 0 | 0 | 0 | 17793 | 0 | 469728 | 0 | 0 |
| THOMAS HOUSTON MD | |||||||||||||
| 0 | 275150 | 0 | 0 | 0 | 234925 | 0 | 6314 | 0 | 10111 | 0 | 526500 | 0 | 0 |
| SAMANTHA MUCHA | |||||||||||||
| 0 | 494591 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22037 | 0 | 516628 | 0 | 0 |
| RANDALL OOSTRA | |||||||||||||
| 800000 | 0 | 469179 | 0 | 15570 | 0 | 240362 | 0 | 21604 | 0 | 1546715 | 0 | 0 | 0 |
| KATHLEEN HANLEY | |||||||||||||
| 464200 | 0 | 199713 | 0 | 4816 | 0 | 84664 | 0 | 22008 | 0 | 775401 | 0 | 0 | 0 |
| JEFFREY KUHN | |||||||||||||
| 346280 | 0 | 153750 | 0 | 14208 | 0 | 50654 | 0 | 20216 | 0 | 585108 | 0 | 0 | 0 |
| GARY AKENBERGER | |||||||||||||
| 239292 | 0 | 92964 | 0 | 9695 | 0 | 49772 | 0 | 21858 | 0 | 413581 | 0 | 0 | 0 |
| KENNETH ARMSTRONG | |||||||||||||
| 174147 | 0 | 30306 | 0 | 0 | 0 | 38545 | 0 | 15891 | 0 | 258889 | 0 | 0 | 0 |
| KATHLEEN CARLSON | |||||||||||||
| 117484 | 0 | 89466 | 0 | 185712 | 0 | 14845 | 0 | 155 | 0 | 407662 | 0 | 0 | 0 |
| THOMAS DELLA-FLORA | |||||||||||||
| 166338 | 0 | 36346 | 0 | 0 | 0 | 35312 | 0 | 17481 | 0 | 255477 | 0 | 0 | 0 |
| ROBERT FREDRICK | |||||||||||||
| 335308 | 0 | 106312 | 0 | 429 | 0 | 57171 | 0 | 13394 | 0 | 512614 | 0 | 0 | 0 |
| LEE HAMMERLING MD | |||||||||||||
| 489600 | 0 | 222406 | 0 | 7102 | 0 | 69694 | 0 | 20221 | 0 | 809023 | 0 | 0 | 0 |
| A DAVID JAMES | |||||||||||||
| 338889 | 0 | 0 | 0 | 1204 | 0 | 19600 | 0 | 7589 | 0 | 367282 | 0 | 0 | 0 |
| JEFFREY KELLER | |||||||||||||
| 170850 | 0 | 63121 | 0 | 1419 | 0 | 41350 | 0 | 8691 | 0 | 285431 | 0 | 0 | 0 |
| STEPHEN MOONEY | |||||||||||||
| 228465 | 0 | 117243 | 0 | 84813 | 0 | 29248 | 0 | 20658 | 0 | 480427 | 0 | 0 | 0 |
| SUSAN PAYDEN | |||||||||||||
| 166464 | 0 | 45245 | 0 | 0 | 0 | 39662 | 0 | 17669 | 0 | 269040 | 0 | 0 | 0 |
| BARBARA PETEE | |||||||||||||
| 188490 | 0 | 112513 | 0 | 11896 | 0 | 65787 | 0 | 3199 | 0 | 381885 | 0 | 42778 | 0 |
| ARTURO POLIZZI | |||||||||||||
| 236808 | 0 | 61657 | 0 | 8795 | 0 | 49098 | 0 | 17541 | 0 | 373899 | 0 | 0 | 0 |
| JOHN RANDOLPH | |||||||||||||
| 407936 | 0 | 191493 | 0 | 12600 | 0 | 76442 | 0 | 21991 | 0 | 710462 | 0 | 0 | 0 |
| ROBERT REITER | |||||||||||||
| 163637 | 0 | 93967 | 0 | 46870 | 0 | 29283 | 0 | 77 | 0 | 333834 | 0 | 0 | 0 |
| GLADEEN ROBERTS | |||||||||||||
| 280908 | 0 | 111811 | 0 | 21165 | 0 | 44112 | 0 | 18159 | 0 | 476155 | 0 | 0 | 0 |
| SHEILA SCHWARTZ | |||||||||||||
| 234090 | 0 | 93269 | 0 | 9425 | 0 | 35434 | 0 | 18507 | 0 | 390725 | 0 | 0 | 0 |
| DAVID SELMAN | |||||||||||||
| 304837 | 0 | 129406 | 0 | 9523 | 0 | 49202 | 0 | 22550 | 0 | 515518 | 0 | 0 | 0 |
| BARBARA STEELE | |||||||||||||
| 554195 | 0 | 258858 | 0 | 404221 | 0 | 79777 | 0 | 13345 | 0 | 1310396 | 0 | 276271 | 0 |
| RONALD WACHSMAN | |||||||||||||
| 209016 | 0 | 78750 | 0 | 3318 | 0 | 45808 | 0 | 19284 | 0 | 356176 | 0 | 0 | 0 |
| KEVIN WEBB | |||||||||||||
| 336049 | 0 | 143228 | 0 | 4818 | 0 | 44151 | 0 | 20635 | 0 | 548881 | 0 | 0 | 0 |
| NEERAJ KANWAL | |||||||||||||
| 282989 | 0 | 84813 | 0 | 0 | 0 | 28434 | 0 | 23400 | 0 | 419636 | 0 | 0 | 0 |
| ALAN SATTLER | |||||||||||||
| 234090 | 0 | 102319 | 0 | 9891 | 0 | 46273 | 0 | 21008 | 0 | 413581 | 0 | 0 | 0 |
| LORI JOHNSTON | |||||||||||||
| 241129 | 0 | 84396 | 0 | 0 | 0 | 38229 | 0 | 19805 | 0 | 383559 | 0 | 0 | 0 |
| TIMOTHY JAKACKI | |||||||||||||
| 218484 | 0 | 90900 | 0 | 13064 | 0 | 48828 | 0 | 21335 | 0 | 392611 | 0 | 0 | 0 |
| GARY CATES | |||||||||||||
| 209435 | 0 | 88929 | 0 | 11025 | 0 | 32048 | 0 | 14645 | 0 | 356082 | 0 | 0 | 0 |
| ALAN BRASS | |||||||||||||
| 0 | 0 | 0 | 0 | 742811 | 0 | 0 | 0 | 0 | 0 | 742811 | 0 | 699274 | 0 |
| ALBERT BIANCO | |||||||||||||
| 0 | 0 | 40917 | 0 | 187951 | 0 | 0 | 0 | 1105 | 0 | 229973 | 0 | 0 | 0 |
| MARTIN DANSACK | |||||||||||||
| 147691 | 0 | 42963 | 0 | 1807 | 0 | 27706 | 0 | 17048 | 0 | 237215 | 0 | 0 | 0 |
| JOHN HORNS | |||||||||||||
| 0 | 0 | 121778 | 0 | 401805 | 0 | 0 | 0 | 2605 | 0 | 526188 | 0 | 0 | 0 |
| CHARLES MCDOWELL | |||||||||||||
| 0 | 0 | 119803 | 0 | 473442 | 0 | 0 | 0 | 1665 | 0 | 594910 | 0 | 0 | 0 |
| JOHN MEIER | |||||||||||||
| 225767 | 0 | 37611 | 0 | 0 | 0 | 48397 | 0 | 16267 | 0 | 328042 | 0 | 0 | 0 |
| RANDALL SCHIMMOELLER | |||||||||||||
| 219300 | 0 | 75603 | 0 | 470 | 0 | 22697 | 0 | 20534 | 0 | 338604 | 0 | 0 | 0 |
| CYNTHIA SCHRIEFER | |||||||||||||
| 170286 | 0 | 29994 | 0 | 0 | 0 | 46258 | 0 | 12270 | 0 | 258808 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | PART I, LINE 1A: TRAVEL FOR COMPANIONS 1 CEO INCLUDED IN TAXABLE COMPENSATION 2 BOARD MEMBERS INCLUDED IN TAXABLE COMPENSATION TAX INDEMNIFICATION AND GROSS UP PAYMENTS 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 III | PART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. KATHLEEN CARLSON $155,247 STEPHEN MOONEY $40,317 ALBERT BIANCO $169,497 JOHN HORNS $335,655 CHARLES MCDOWELL $317,139 | 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. JEFFREY KELLER $20,060 BARBARA PETEE $49,305 BARBARA STEELE $347,092 ALAN BRASS $742,811 | 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 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 | 187142 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | 87313 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | 53249 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | 140688 | 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: 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 ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF NOT LESS THAN THREE (3) TRUSTEES NOR MORE THAN SEVEN (7) TRUSTEES. WITHIN THESE PARAMETERS, THE COMPOSITION OF THE EXECUTIVE COMMITTEE SHALL INCLUDE THE CHAIRPERSON, THE VICE CHAIRPERSON/CHAIR ELECT, THE CHIEF EXECUTIVE OFFICER AND SUCH OTHER TRUSTEES AS SHALL BE DESIGNATED BY THE BOARD DEVELOPMENT COMMITTEE. ALL EXECUTIVE COMMITTEE MEMBERS ARE 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 2 | 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. 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 6 | AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS INDIVIDUALS AS ITS MEMBERS THAT SERVE AS ITS BOARD OF TRUSTEES. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER OF PROMEDICA HEALTH 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 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 OR A PRINCIPAL OFFICER 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 B, LINE 15 | EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. | |
| FORM 990, PART VI, SECTION C, LINE 19 | PROMEDICA HEALTH SYSTEM 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 HOURS | AVERAGE 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 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 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 |
| THE TOLEDO HOSPITAL | ||||||||||
| 2142 N COVE BLVD | TOLEDO | OH | 43606 | 344428256 | HOSPITAL | OH | 501(C)(3) | 3 | 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (33 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST LUKE'S HOSPITAL | ||
| B | 10000000 | FMV |
| PROMEDICA FOUNDATION | ||
| B | 85670 | FMV |
| DEFIANCE HOSPITAL INC | ||
| C | 1500000 | FMV |
| FOSTORIA HOSPITAL ASSOCIATION | ||
| C | 500000 | FMV |
| BAY PARK COMMUNITY HOSPITAL | ||
| C | 1000000 | FMV |
| EMMA L BIXBY MEDICAL CENTER | ||
| C | 1502000 | FMV |
| HERRICK MEMORIAL HOSPITAL INC | ||
| C | 1500000 | FMV |
| THE TOLEDO HOSPITAL | ||
| C | 16000000 | FMV |
| FLOWER HOSPITAL | ||
| C | 7000000 | FMV |
| PROMEDICA FOUNDATION | ||
| C | 95251 | FMV |
| THE TOLEDO HOSPITAL | ||
| J | 1515396 | FMV |
| THE TOLEDO HOSPITAL | ||
| N | 379816 | FMV |
| DEFIANCE HOSPITAL INC | ||
| N | 82041 | FMV |
| THE TOLEDO HOSPITAL | ||
| O | 8821433 | FMV |
| FLOWER HOSPITAL | ||
| O | 56271 | FMV |
| ST LUKE'S HOSPITAL | ||
| O | 320027 | FMV |
| PROMEDICA INDEMNITY CORPORATION | ||
| O | 11334216 | FMV |
| DEFIANCE HOSPITAL INC | ||
| P | 6717850 | FMV |
| FOSTORIA HOSPITAL ASSOCIATION | ||
| P | 5032747 | FMV |
| BAY PARK COMMUNITY HOSPITAL | ||
| P | 10445979 | FMV |
| EMMA L BIXBY MEDICAL CENTER | ||
| P | 11278370 | FMV |
| HERRICK MEMORIAL HOSPITAL INC | ||
| P | 138530 | FMV |
| THE TOLEDO HOSPITAL | ||
| P | 74265578 | FMV |
| FLOWER HOSPITAL | ||
| P | 21715140 | FMV |
| ST LUKE'S HOSPITAL | ||
| P | 3632515 | FMV |
| PROMEDICA CONTINUING CARE SERVICES CORPORATION | ||
| P | 7758335 | FMV |
| LENAWEE LONG TERM CARE | ||
| P | 552316 | FMV |
| PROMEDICA NORTH REGION INC | ||
| P | 3920235 | FMV |
| PROMEDICA INDEMNITY CORPORATION | ||
| P | 555964 | FMV |
| PROMEDICA FOUNDATION | ||
| P | 376110 | FMV |
| BIXBY COMMUNITY HEALTH FOUNDATION | ||
| P | 76341 | FMV |
| PROMEDICA PHYSICIANS & CONTINUUM SERVICES | ||
| P | 14159367 | FMV |
| PROMEDICA INSURANCE CORP INC & SUBSIDIARIES | ||
| P | 18318862 | FMV |