2012-11-12T18:32:00-06:00 2011-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE STE 2000 INDIANAPOLIS IN 462045108 990 2011-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4198918505 1801 RICHARDS ROAD TOLEDO OH 43607 KATHLEEN S HANLEY 4194693832 2012-11-12 1 SHAWNA M JIMENEZ P01222873 3174648600 2011 2016-02-24 21:20:13Z KATHLEEN S HANLEY 1801 RICHARDS ROAD TOLEDO OH 43607 186925232 0 X WWW.PROMEDICA.ORG X 1986 OH 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. 25 16 1146 21 26838 23254 15815720 29097251 344145191 151113784 119330 184365 24023 156578 360104264 180551978 8231329 15037827 0 0 76748161 82361076 0 0 0 58384033 69259536 143363523 166658439 216740741 13893539 1792676848 1788012710 126984007 156541270 1665692841 1631471440 X 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. 0 0 125069638 10927347 152576345 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. 4110480 4110480 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. 129180118 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 140 0 1 1146 1 1 1 0 0 0 0 0 0 0 0 0 X 25 16 1 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X BRIAN HANSEN 4198918505 5901 MONCLOVA RD MAUMEE OH 43537 X SR ROSEMARY ABRAMOVICH OP 1.00 X 25000 0 0 BRUCE BARNETT MD 1.00 X 0 476598 5391 PAUL BERLACHER 1.00 X 0 723212 66232 EMMETT BOYLE JR MD 1.00 X 0 0 0 ELIZABETH BRADY 1.00 X 0 0 0 ROBERT CHIRDON 1.00 X 0 0 0 PARISS COLEMAN II 1.00 X 0 0 0 ROBERT DEROSA MD 1.00 X 0 829186 18541 H LEE DUNN JR 1.00 X 0 0 0 FRANK DUVAL 1.00 X 0 0 0 PETER DZIAD MD 1.00 X 0 451935 17793 DANIEL FARRELL JR 1.00 X 0 0 0 DAVID HICKMAN 1.00 X 0 0 0 THOMAS HOUSTON MD 1.00 X 0 510075 16425 LLOYD JACOBS MD 1.00 X 0 0 0 ROBERT LACLAIR 1.00 X 0 0 0 RITA MANSOUR 1.00 X 0 0 0 DONALD MENNEL 1.00 X 0 0 0 SAMANTHA MUCHA 1.00 X 0 494591 22037 JAMES MURRAY 1.00 X 0 0 0 JOSEPH NAPOLI 1.00 X 0 0 0 ARTHUR PURINTON II 1.00 X 0 0 0 MARNA RAMNATH 1.00 X 0 0 0 CLAUDE ROWLEY 1.00 X 0 0 0 DAVID SNAVELY 1.00 X 0 0 0 CHRIS THORNBERRY 1.00 X 0 0 0 RANDALL OOSTRA 40.00 X X 1284749 0 261966 LARRY PETERSON 1.00 X X 0 0 0 STEPHEN STAELIN 1.00 X X 0 0 0 KATHLEEN HANLEY 40.00 X 668729 0 106672 JEFFREY KUHN 40.00 X 514238 0 70870 GARY AKENBERGER 40.00 X 341951 0 71630 KENNETH ARMSTRONG 40.00 X 204453 0 54436 KATHLEEN CARLSON 40.00 X 392662 0 15000 THOMAS DELLA-FLORA 40.00 X 202684 0 52793 ROBERT FREDRICK 40.00 X 442049 0 70565 LEE HAMMERLING MD 40.00 X 719108 0 89915 A DAVID JAMES 40.00 X 340093 0 27189 JEFFREY KELLER 40.00 X 235390 0 50041 STEPHEN MOONEY 40.00 X 430521 0 49906 SUSAN PAYDEN 40.00 X 211709 0 57331 BARBARA PETEE 40.00 X 312899 0 68986 ARTURO POLIZZI 40.00 X 307260 0 66639 JOHN RANDOLPH 40.00 X 612029 0 98433 ROBERT REITER 40.00 X 304474 0 29360 GLADEEN ROBERTS 40.00 X 413884 0 62271 SHEILA SCHWARTZ 40.00 X 336784 0 53941 DAVID SELMAN 40.00 X 443766 0 71752 BARBARA STEELE 40.00 X 1217274 0 93122 RONALD WACHSMAN 40.00 X 291084 0 65092 KEVIN WEBB 40.00 X 484095 0 64786 NEERAJ KANWAL 40.00 X 367802 0 51834 ALAN SATTLER 40.00 X 346300 0 67281 LORI JOHNSTON 40.00 X 325525 0 58034 TIMOTHY JAKACKI 40.00 X 322448 0 70163 GARY CATES 40.00 X 309389 0 46693 ALAN BRASS 0.00 X 742811 0 0 ALBERT BIANCO 0.00 X 228868 0 1105 MARTIN DANSACK 40.00 X 192461 0 44754 JOHN HORNS 0.00 X 523583 0 2605 CHARLES MCDOWELL 0.00 X 593245 0 1665 JOHN MEIER 0.00 X 263378 0 64664 RANDALL SCHIMMOELLER 0.00 X 295373 0 43231 CYNTHIA SCHRIEFER 40.00 X 200280 0 58528 15448348 3485597 2309672 118 1 1 0 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 53 29097251 29097251 ADMIN. SUPPORT SERV. 621110 153718978 153718978 INVEST. IN AFFILIATES 900099 -2605194 -1272373 -1332821 151113784 92690 92690 6463780 1149 6356258 16996 107522 -15847 91675 91675 MANAGEMENT FEE 541610 26838 26838 129740 129740 156578 180551978 152576345 26838 -1148456 14997327 14997327 40500 40500 12389581 12389581 54437883 41180557 13257326 4558836 3647069 911767 6766454 5413163 1353291 4208322 3366658 841664 7250658 7250658 1774185 1774185 29810861 23848689 5962172 6853059 5482447 1370612 4658029 3726423 931606 866294 693035 173259 965214 772171 193043 6311 5049 1262 11445040 9156032 2289008 DUES & SUBSCRIPTIONS 789475 631580 157895 0 RECRUITMENT 367270 293816 73454 0 4473140 3536021 937119 166658439 129180118 37478321 0 1122030 1115 1329 560898 60091 17785127 19478430 91120942 60802736 32178257 30318206 1722898 666917 1714088876 1710929251 26339677 25436456 1792676848 1788012710 29581293 37606009 97402714 118935261 126984007 156541270 X 1665457341 1631163443 235500 307997 0 1665692841 1631471440 1792676848 1788012710 X 13893539 -48114940 X 0 1 1 X 0 X X X 0 0 0 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 10000000 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 13 10000000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1958385 1958385 9013273 1979516 7033757 1463968 535813 928155 78055241 58287407 19767834 630075 630075 30318206 INVESTMENT IN AFFILIATED COMPANIES 1696169065 C SELF INSURANCE/DEFERRED COMPENSATION 14760186 F 1710929251 DUE TO AFFILIATES 15165251 PROFESSIONAL LIABILITY & WORKERS COMPENSATION 11567088 OTHER CURRENT LIABILITIES 30144 DEFERRED COMPENSATION 14689192 PENSION 76030512 ASBESTOS REMEDIATION 194646 CONTINGENT LIABILITIES 1258428 118935261 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. 1 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 40 2 EDUCATIONAL ASSISTANCE 28 40500 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 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 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 SUPPLEMENTAL INFORMATION 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. 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 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 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. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS DURING THE YEAR: 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 CHANGES IN NET ASSETS OR FUND BALANCES: 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. PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS 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 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. 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