2011-11-10T16:36:47-06:00 2010-12-31 DELOITTE TAX LLP 111 MONUMENT CIRCLE STE 2000 INDIANAPOLIS IN 462045108 990 2010-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4198918505 1801 RICHARD ROAD TOLEDO OH 43607 KATHLEEN S HANLEY 4194693832 2011-11-10 1 SHAWNA M JIMENEZ 3174648600 2010 2016-03-07 17:11:31Z KATHLEEN S HANLEY 1801 RICHARD ROAD TOLEDO OH 43607 367724662 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. 22 15 990 18 22957 19761 6315025 15815720 369829541 344145191 81479 119330 25310 24023 376251355 360104264 3846323 8231329 0 0 76765581 76748161 0 0 0 47763064 58384033 128374968 143363523 247876387 216740741 1468640586 1792676848 135034714 126984007 1333605872 1665692841 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. 0 0 95585682 6000000 344145191 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. 4518024 2231329 CONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH AND WELLNESS SERVICES AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O. 100103706 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 246 0 1 990 1 1 1 0 0 0 0 1 1 0 0 0 0 X 22 15 1 0 0 0 1 0 1 1 1 0 1 1 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 0 0 0 BRUCE BARNETT MD 1.00 X 0 508594 20986 EMMETT BOYLE JR MD 1.00 X 0 0 0 ROBERT CHIRDON 1.00 X 0 0 0 ROBERT DEROSA MD 1.00 X 0 795943 32051 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 372016 31157 DANIEL FARRELL JR 1.00 X 0 0 0 DAVID HICKMAN 1.00 X 0 0 0 THOMAS HOUSTONMD 1.00 X 0 502649 19697 LLOYD JACOBS MD 1.00 X 0 0 0 DONALD KELLERMEYER 1.00 X 0 0 0 KATHLEEN KRUEGER 40.00 X 28495 0 1953 DONALD MENNEL 1.00 X 0 0 0 JAMES MURRAY 1.00 X 0 0 0 JOSEPH NAPOLI 1.00 X 0 0 0 MICHAEL OSWANSKI MD 1.00 X 0 440565 37033 ARTHUR PURINTON II 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 1055080 0 144585 LARRY PETERSON 1.00 X X 0 0 0 STEPHEN STAELIN 1.00 X X 0 0 0 KATHLEEN HANLEY 40.00 X 571583 0 87366 JEFFREY KUHN 40.00 X 433955 0 64541 BARBARA STEELE 40.00 X 767506 0 84913 LEE HAMMERLING MD 40.00 X 654244 0 78042 JOHN RANDOLF 40.00 X 540529 0 83688 KEVIN WEBB 40.00 X 430308 0 53931 ROBERT REITER MD 40.00 X 417534 0 63047 DAVID SELMAN 40.00 X 416005 0 64450 JOHN HORNS 40.00 X 416959 0 55966 ROBERT FREDRICK 40.00 X 404058 0 58716 GLADEEN ROBERTS 40.00 X 392279 0 52362 CHARLES MCDOWELL 40.00 X 394534 0 31590 STEPHEN MOONEY 40.00 X 381578 0 41710 KATHLEEN CARLSON 40.00 X 346383 0 49448 SHEILA SCHWARTZ 40.00 X 328258 0 52079 GARY AKENBERGER 40.00 X 306678 0 52386 ARTURO POLIZZI 40.00 X 274795 0 51113 RONALD WACHSMAN 40.00 X 265476 0 50992 BARBARA PETEE 40.00 X 256120 0 59138 THOMAS DELLA-FLORA 40.00 X 215017 0 46716 SUSAN PAYDEN 40.00 X 213088 0 50273 KENNETH ARMSTRONG 40.00 X 208635 0 49104 NEERAJ KANWAL 40.00 X 357625 0 42159 LORI JOHNSTON 40.00 X 312594 0 49431 TIMOTHY JAKACKI 40.00 X 307326 0 54714 ALAN SATTLER 40.00 X 307099 0 53734 GARY CATES 40.00 X 279690 0 48236 ALAN BRASS 0.00 X 1518420 0 33674 ALBERT BIANCO 0.00 X 205920 0 31165 MARTIN DANSACK 0.00 X 171625 0 42440 JOHN MEIER 0.00 X 272157 0 48533 RANDALL SCHIMMOELLER 0.00 X 253908 0 38290 CYNTHIA SCHRIEFER 0.00 X 196353 0 42658 13901814 2619767 2054067 39 1 1 0 MCKESSON PHARMACEUTICAL 38220 PLYMOUTH RD LIVONIA MI 481501050 SOFTWARE SUPPORT 53571851 MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 606930001 SOFTWARE SUPPORT 7169419 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 LAB TESTING 4333772 MCDERMOTT WILL & EMERY 227 W MONROE ST STE 440 CHICAGO IL 606065096 LEGAL SERVICES 4203627 HART ASSOCIATES INC 1915 INDIAN WOOD CIRCLE MAUMEE OH 43537 ADVERTISING 3346451 19 15720 15800000 15815720 INVEST. IN AFFILIATES 900099 208785954 208785954 ADMIN. SUPPORT SERV. 621110 135359237 135359237 344145191 9249 9249 7707593 7597512 110081 110081 110081 23952 15720 22886 1066 1066 MANAGEMENT FEE 541610 22957 22957 22957 360104264 344145191 22957 120396 8187129 8187129 44200 44200 11242798 11242798 51850393 39536495 12313898 3003491 2167369 836122 6860691 5419236 1441455 3790788 3032630 758158 5770060 5770060 1590669 1590669 25288153 20230522 5057631 7075372 5660298 1415074 4303343 3442674 860669 895076 716061 179015 703052 562442 140610 2112 1690 422 9099296 8189366 909930 DUES & SUBSCRIPTIONS 723190 578552 144638 RECRUITMENT 214298 171439 42859 PROV FOR FED INC TAX 14908 14908 2704504 2163603 540901 143363523 100103706 43259817 0 3217689 4968 1115 2240738 560898 17111969 17785127 81617957 49439700 30410562 32178257 1656833 1722898 1386951805 1714088876 27046022 26339677 1468640586 1792676848 26677058 29581293 108357656 97402714 135034714 126984007 X 1333432092 1665457341 173780 235500 1333605872 1665692841 1468640586 1792676848 X 216740741 115346228 X X 0 1 1 X 0 X X X 0 0 0 BAY PARK COMMUNITY HOSPITAL 341883132 3 0 1 1 0 PHS VENTURES FKA BVPH VENTURES INC 341880473 9 0 1 1 0 DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL MEDICAL CENTER 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 ASSOC DBA FOSTORIA COMMUNITY HOSPITAL 340898745 3 0 1 1 0 HERRICK MEMORIAL HOSPITAL INC DBA HERRICK MEDICAL CENTER 383049015 3 0 1 1 0 LENAWEE LONG TERM CARE DBA PROVINCIAL HOUSE OF ADRIAN 382879330 9 0 1 1 0 PROMEDICA CONTINUING CARE SERVICES 344492440 9 0 1 1 1000000 PROMEDICA PHYSICIANS GROUP INC 341899439 9 0 1 1 0 ST LUKE'S HOSPITAL 344428232 3 0 1 1 0 THE TOLEDO HOSPITAL 344428256 3 0 1 1 0 TOLEDO DISTRICT NURSE ASSOC DBA VISITING NURSE SERVICE 344427949 7 0 1 1 0 VISITING NURSE HOSPICE & HEALTH CARE 341831624 9 0 1 1 0 14 1000000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1958385 1958385 9034701 1764137 7270564 1463968 428646 1035322 69053941 47246917 21807024 106962 106962 32178257 SELF INSURANCE/DEFERRED COMPENSATION 15314616 F INVESTMENT IN AFFILIATED COMPANIES 1698774260 C 1714088876 DUE TO AFFILIATES 19476153 PROFESSIONAL LIABILITY & WORKERS COMPENSATION 11881504 OTHER CURRENT LIABILITIES 30144 DEFERRED COMPENSATION 15143610 PENSION 49184540 ASBESTOS REMEDIATION 188335 CONTINGENT LIABILITIES 1498428 97402714 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 FOOTNOTE REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740). PHS DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2010 AND 2009. IT IS PHS'S POLICY TO CLASSIFY THE EXPENSE RELATED TO INTEREST AND PENALTIES TO BE PAID ON UNDERPAYMENTS OF INCOME TAXES WITHIN GENERAL AND ADMINISTRATIVE EXPENSES. THERE ARE NO PENALTIES OR INTEREST ACCRUED IN THE STATEMENTS OF OPERATIONS. L/S GOLF OUTING 39672 15720 23952 7652 15234 39672 15720 23952 7652 15234 22886 1066 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) 6000 CHARITABLE DONATION AMERICAN CANCER SOCIETY 740 COMMERCE DRIVE SUITE B PERRYSBURG OH 43551 131788491 501(C)(3) 13620 CHARITABLE DONATION AMERICAN HEART ASSOCIATION 1701 WOODLANDS SUITE 200 MAUMEE OH 43537 135613797 501(C)(3) 11250 CHARITABLE DONATION AMERICAN RED CROSS 644 SUMMIT STREET FOSTORIA OH 44830 311352067 501(C)(3) 15000 CHARITABLE DONATION BATES COLLEGE 2 ANDREWS STREET LEWISTON ME 04240 010211781 501(C)(3) 25000 CHARITABLE DONATION BOYS AND GIRLS CLUBS OF TOLEDO 2250 N DETROIT AVENUE TOLEDO OH 43606 344427933 501(C)(3) 5000 CHARITABLE DONATION CHERRY STREET MISSION 105 17TH STREET TOLEDO OH 43604 341133369 501(C)(3) 6000 CHARITABLE DONATION EASTERN MAUMEE BAY CHAMBER OF COMMERCE 2460 NAVARRE AVENUE OREGON OH 43616 341393190 501(C)(6) 5750 CHARITABLE DONATION ERIE SHORES COUNCIL BSA PO BOX 337 TOLEDO OH 436970337 237208560 501(C)(3) 10000 CHARITABLE DONATION ERNST & YOUNG FOUNDATION 200 PLAZA DRIVE SECAUCUS NJ 07094 136094489 501(C)(3) 6000 CHARITABLE DONATION FARMER'S MARKET ASSOCIATION OF TOLEDO PO BOX 9294 TOLEDO OH 436979294 341734446 N/A 5000 CHARITABLE DONATION HOPE LUTHERAN CHURCH 2201 SECOR ROAD TOLEDO OH 43606 344436840 501(C)(3) 5000 CHARITABLE DONATION HUDSON EDUCATIONAL FUND PO BOX 101 HUDSON MI 49247 382572811 501(C)(3) 6000 CHARITABLE DONATION IMAGINATION STATION ONE DISCOVERY WAY TOLEDO OH 436041579 311337258 501(C)(3) 401500 CHARITABLE DONATION JUNIOR LEAGUE OF TOLEDO LLC 3454 OAK ALLEY COURT SUITE 1000 TOLEDO OH 436061354 340902282 501(C)(3) 7500 CHARITABLE DONATION KIDS UNLIMITED 8927 ROYAL OAK DRIVE HOLLAND OH 43528 204487408 501(C)(3) 20000 CHARITABLE DONATION LIMA MEMORAIL HOSPITAL FOUNDATION 1001 BELLEFONTAINE ROAD LIMA OH 45804 341707570 501(C)(3) 5000 CHARITABLE DONATION LOCAL INITIATIVES SUPPORT CORPORATION 245 N SUPERIOR 2ND FLOOR TOLEDO OH 43604 133030229 501(C)(3) 12500 CHARITABLE DONATION LOURDES COLLEGE 6832 CONVENT BLVD SYLVANIA OH 43560 341226547 501(C)(3) 7500 CHARITABLE DONATION MAKE A WISH FOUNDATION 405 MADISON AVENUE SUITE 210 TOLEDO OH 43604 341430961 501(C)(3) 5500 CHARITABLE DONATION MARCH OF DIMES 5425 WARNER ROAD SUITE 10 CLEVELAND OH 44125 131846366 501(C)(3) 10000 CHARITABLE DONATION MCCORD ROAD CHRISTIAN CHURCH 4765 MCCORD ROAD SYLVANIA OH 43560 341096073 501(C)(3) 15000 CHARITABLE DONATION MUSCULAR DYSTROPHY ASSOCIATION 5425 SOUTHWYCK BLVD 105 TOLEDO OH 43614 131665552 501(C)(3) 5000 CHARITABLE DONATION NYU SCHOOL OF MEDICINECANCER INSTITUTE 522 FIRST AVE SMILOW RM 1101 NEW YORK NY 10016 133971298 501(C)(3) 5000 CHARITABLE DONATION PREVENT BLINDNESS OHIO 2200 JEFFERSON AVE SUITE 2020 TOLEDO OH 43604 316063433 501(C)(3) 15000 CHARITABLE DONATION RONALD MCDONALD HOUSE OF NW OHIO 3883 MONROE STREET TOLEDO OH 43606 341349742 501(C)(3) 5000 CHARITABLE DONATION ST BERNARD PROJECT 8324 PARC PLACE CHALMETTE LA 70043 262189665 501(C)(3) 5000 CHARITABLE DONATION ST FRANCIS DE SALES HIGH 2323 W BANCROFT STREET TOLEDO OH 43607 344465715 501(C)(3) 10000 CHARITABLE DONATION ST URSULA ACADEMY 4025 INDIAN ROAD TOLEDO OH 43606 340873639 501(C)(3) 11000 CHARITABLE DONATION ST WENDELIN HIGH SCHOOLS 533 N COUNTYLINE ROAD FOSTORIA OH 44830 341564536 501(C)(3) 5150 CHARITABLE DONATION THE TOLEDO SYMPHONY 1838 PARKWOOD AVENUE 310 TOLEDO OH 436242502 344005365 501(C)(3) 39750 CHARITABLE DONATION TOLEDO ZOO PO BOX 140130 TOLEDO OH 436140801 344440256 501(C)(3) 31000 CHARITABLE DONATION TOLEDO COMMUNITY FOUNDATION 300 MADISON AVENUE SUITE 1300 TOLEDO OH 43604 237284004 501(C)(3) 1041500 CHARITABLE DONATION TOLEDO CULTURAL ARTS CENTER 410 ADAMS STREET TOLEDO OH 43604 341385037 501(C)(3) 5250 CHARITABLE DONATION TOLEDO MUSEUM OF ART 2445 MONROE STREET TOLEDO OH 43620 344434678 501(C)(3) 46250 CHARITABLE DONATION TOLEDO PUBLIC SCHOOLS FOUNDATION 420 E MANHATTAN BLVD TOLEDO OH 43608 341558705 501(C)(3) 8000 CHARITABLE DONATION TOLEDO REPERTOIRE THEATRE 406 ADAMS STREET TOLEDO OH 436041402 344403900 501(C)(3) 5000 CHARITABLE DONATION UNITED WAY 424 JACKSON STREET TOLEDO OH 43604 344427947 501(C)(3) 10000 CHARITABLE DONATION UNIVERSITY OF TOLEDO 2801 BANCROFT TOLEDO OH 43606 346555110 501(C)(3) 14650 CHARITABLE DONATION WGTE PUBLIC BROADCASTING 1270 SOUTH DETROIT AVENUE TOLEDO OH 43614 346554586 501(C)(3) 8750 CHARITABLE DONATION YMCA 6465 SYLVANIA AVENUE SYLVANIA OH 43560 344428262 501(C)(3) 12600 CHARITABLE DONATION YWCA 1018 JEFFERSON AVENUE TOLEDO OH 43604 344428265 501(C)(3) 10000 CHARITABLE DONATION PROMEDICA CONTINUING CARE SERVICES CORPORATION 5855 MONROE STREET SYLVANIA OH 43560 344492440 501(C)(3) 1000000 OPERATING GRANT ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA ROAD MAUMEE OH 43537 341292849 501(C)(3) 5000000 OPERATING GRANT PCCS FOUNDATION 5855 MONROE STREET SYLVANIA OH 43560 341901457 501(C)(3) 10250 CHARITABLE DONATION TOLEDO CHILDREN'S HOSPITAL FOUNDATION 2142 NORTH COVE BLVD TOLEDO OH 43606 341901463 501(C)(3) 28920 CHARITABLE DONATION FLOWER HOSPITAL FOUNDATION 2142 NORTH COVE BLVD TOLEDO OH 43606 341556730 501(C)(3) 11615 CHARITABLE DONATION BAY PARK COMMUNITY HOSPITAL FOUNDATION 2801 BAY PARK DRIVE OREGON OH 43616 341901462 501(C)(3) 7225 CHARITABLE DONATION 47 2 EDUCATION ASSISTANCE 34 44200 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, 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 OPERATING 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 POLICIES AND PROCEDURES. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 BRUCE BARNETT MD 0 480161 0 25000 0 3433 0 17000 0 3986 0 529580 0 0 ROBERT DEROSA MD 0 505200 0 77352 0 213391 0 17000 0 15051 0 827994 0 0 PETER DZIAD MD 0 300000 0 22537 0 49479 0 17000 0 14157 0 403173 0 0 THOMAS HOUSTONMD 0 480653 0 0 0 21996 0 10023 0 9674 0 522346 0 0 MICHAEL OSWANSKI MD 0 345038 0 0 0 95527 0 17000 0 20033 0 477598 0 0 RANDALL OOSTRA 750000 0 290072 0 15008 0 126108 0 18477 0 1199665 0 0 0 KATHLEEN HANLEY 414848 0 151504 0 5231 0 69789 0 17577 0 658949 0 0 0 JEFFREY KUHN 309314 0 113370 0 11271 0 46608 0 17933 0 498496 0 0 0 BARBARA STEELE 554195 0 203265 0 10046 0 75144 0 9769 0 852419 0 0 0 LEE HAMMERLING MD 467445 0 179582 0 7217 0 63805 0 14237 0 732286 0 0 0 JOHN RANDOLF 399937 0 126097 0 14495 0 66351 0 17337 0 624217 0 0 0 KEVIN WEBB 329460 0 94895 0 5953 0 43612 0 10319 0 484239 0 0 0 ROBERT REITER MD 333691 0 83843 0 0 0 44112 0 18935 0 480581 0 0 0 DAVID SELMAN 298861 0 109369 0 7775 0 45353 0 19097 0 480455 0 0 0 JOHN HORNS 282305 0 107157 0 27497 0 33075 0 22891 0 472925 0 0 0 ROBERT FREDRICK 328733 0 74926 0 399 0 45993 0 12723 0 462774 0 0 0 GLADEEN ROBERTS 275400 0 101844 0 15035 0 40758 0 11604 0 444641 0 0 0 CHARLES MCDOWELL 277776 0 102483 0 14275 0 22050 0 9540 0 426124 0 0 0 STEPHEN MOONEY 268782 0 91528 0 21268 0 28175 0 13535 0 423288 0 0 0 KATHLEEN CARLSON 267383 0 79000 0 0 0 37862 0 11586 0 395831 0 0 0 SHEILA SCHWARTZ 229500 0 85658 0 13100 0 34749 0 17330 0 380337 0 0 0 GARY AKENBERGER 234600 0 60931 0 11147 0 37437 0 14949 0 359064 0 0 0 ARTURO POLIZZI 208200 0 63992 0 2603 0 33958 0 17155 0 325908 0 29966 0 RONALD WACHSMAN 204918 0 54705 0 5853 0 35205 0 15787 0 316468 0 0 0 BARBARA PETEE 183000 0 59033 0 14087 0 55675 0 3463 0 315258 0 0 0 THOMAS DELLA-FLORA 163076 0 51941 0 0 0 28962 0 17754 0 261733 0 21419 0 SUSAN PAYDEN 163200 0 49888 0 0 0 33840 0 16433 0 263361 0 22372 0 KENNETH ARMSTRONG 163200 0 45435 0 0 0 32904 0 16200 0 257739 0 21834 0 NEERAJ KANWAL 277440 0 80185 0 0 0 24288 0 17871 0 399784 0 27700 0 LORI JOHNSTON 236401 0 62623 0 13570 0 34694 0 14737 0 362025 0 0 0 TIMOTHY JAKACKI 214200 0 62686 0 30440 0 36061 0 18653 0 362040 0 0 0 ALAN SATTLER 229500 0 60857 0 16742 0 39535 0 14199 0 360833 0 0 0 GARY CATES 205328 0 66248 0 8114 0 34792 0 13444 0 327926 0 0 0 ALAN BRASS 0 0 0 0 1518420 0 28175 0 5499 0 1552094 0 0 0 ALBERT BIANCO 169497 0 36423 0 0 0 16345 0 14820 0 237085 0 0 0 MARTIN DANSACK 144795 0 25982 0 848 0 27392 0 15048 0 214065 0 0 0 JOHN MEIER 221340 0 50401 0 416 0 36444 0 12089 0 320690 0 32954 0 RANDALL SCHIMMOELLER 209408 0 44500 0 0 0 22315 0 15975 0 292198 0 0 0 CYNTHIA SCHRIEFER 166947 0 29406 0 0 0 34671 0 7987 0 239011 0 0 0 PART I, LINE 1A SUPPLEMENTAL INFORMATION PART III PART I, LINE 1A: TAX INDEMNIFICATION AND GROSS UP PAYMENTS 2 PRESIDENTS 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 EMPLOYEES EMPLOYMENT AND SEPARATION FROM PROMEDICA. ALAN BRASS $1,459,288 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. ARTURO POLIZZI $29,966 THOMAS DELLA-FLORA $21,419 SUSAN PAYDEN $22,372 KENNETH ARMSTRONG $21,834 JOHN MEIER, MD $32,954 NEERAJ KANWAL $27,700 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. KELLERMEYER COMPANY SEE PART V 286396 SEE PART V 0 COREY CANTU SEE PART V 40020 SEE PART V 0 TIM PETEE SEE PART V 88864 SEE PART V 0 MARK BRASS SEE PART V 53684 SEE PART V 0 DAVID WOLFF SEE PART V 129808 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KELLERMEYER COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONALD KELLERMEYER (TRUSTEE) HAS A FAMILY RELATIONSHIP WITH JILL KELGER (CEO).(C) AMOUNT OF TRANSACTION $286,396(D) DESCRIPTION OF TRANSACTION: KELLERMEYER COMPANY PROVIDES SUPPLIES TO PROMEDICA HEALTH SYSTEM.(E)SHARING OF ORGANIZATION REVENUES? = NO SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: CORY CANTU(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CORY CANTU IS A FAMILY MEMBER OF PAMELA JENSEN (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION $40,020(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(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 $88,864(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 CEO, EMERITUS).(C) AMOUNT OF TRANSACTION $53,684(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 (CFO).(C) AMOUNT OF TRANSACTION $129,808(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. FORM 990, PART VI, SECTION A, LINE 2 KATHLEEN KRUEGER AND LARRY PETERSON HAVE A BUSINESS RELATIONSHIP. KATHLEEN KRUEGER AND DAVID SNAVELY HAVE A BUSINESS RELATIONSHIP. THE FOLLOWING OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE EMPLOYEES OF PROMEDICA HEALTH SYSTEM OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED PROMEDICA HEALTH SYSTEM BOARDS. BRUCE BARNETT ROBERT DEROSA PETER DZIAD KATHLEEN KRUEGER MICHAEL OSWANSKI RANDALL OOSTRA KATHLEEN HANLEY THOMAS HOUSTON JEFFREY KUHN BARBARA STEELE LEE HAMMERLING JOHN RANDOLF KEVIN WEBB ROBERT REITER DAVID SELMAN JOHN HORNS ROBERT FREDRICK GLADEEN ROBERTS CHARLES MCDOWELL STEPHEN MOONEY KATHLEEN CARLSON SHEILA SCHWARTZ GARY AKENBERGER ARTURO POLIZZI RONALD WACHSMAN BARBARA PETEE THOMAS DELLA-FLORA SUSAN PAYDEN KENNETH ARMSTRONG 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 SYSTEMS, 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 APPROPRIATE DIRECTOR OF FINANCE. AFTER DIRECTOR OF FINANCE 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 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 DIRECTOR, 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 DIRECTOR, 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 MEMBERS 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 MEMBERS 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 DIRECTOR, 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 DIRECTOR, 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 EMPLOYEES 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: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: BRUCE BARNETT - 40 HOURS ROBERT DEROSA - 40 HOURS PETER DZIAD - 40 HOURS MICHAEL OSWANSKI - 40 HOURS THOMAS HOUSTON - 40 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,788,404. PRIOR PERIOD ADJUSTMENTS -6,148,930. INHERENT CONTRIBUTION OF ACQUIRED ASSETS 116,584,842. TRANSFERS FROM SUBSIDIARY 3,121,912. TOTAL TO FORM 990, PART XI, LINE 5: 115,346,228. FORM 990, PART XII, LINE 2A-2D: PROMEDICA HEALTH SYSTEM, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (PHS) WHICH ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE PHS AUDIT/COMPLIANCE COMMITTEE WHICH PROVIDES ASSISTANCE TO THE PHS BOARDS OF TRUSTEES IN FULFILLING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINS FREE AND OPEN COMMUNICATION BETWEEN THE COMMITTEE, THE DIRECTOR OF INTERNAL AUDIT/COMPLIANCE, THE INDEPENDENT AUDITORS AND MANAGEMENT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. MAJOR RESPONSIBILITIES OF THE AUDIT/COMPLIANCE COMMITTEE INCLUDE: - ANNUALLY, APPROVE THE ENGAGEMENT OF THE EXTERNAL AUDITOR, INCLUDING RELATED SCOPE, FEES AND REPORTS. - REVIEW WITH MANAGEMENT AND THE INDEPENDENT AUDITORS THE ANNUAL FINANCIAL STATEMENTS AND RESULTS OF THE AUDIT, INCLUDING REQUIRED MATTERS TO BE COMMUNICATED TO THE COMMITTEE BY THE INDEPENDENT AUDITORS UNDER GENERALLY ACCEPTED AUDITING STANDARDS. - DISCUSS WITH THE EXTERNAL AUDITORS THEIR INDEPENDENCE FROM MANAGEMENT AND THE ORGANIZATION AND THE MATTERS INCLUDED IN WRITTEN DISCLOSURE REQUIRED BY THE INDEPENDENCE STANDARDS BOARD. - OVERSEE MANAGEMENT ACTION PLANS RESULTING FROM EXTERNAL MANAGEMENT LETTER. PROMEDICA HEALTH SYSTEM - STATEMENT OF 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 2010 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 2010 MISSION AS AN INTEGRATED DELIVERY SYSTEM WAS TO BE INNOVATIVE, SERVICE-ORIENTED AND COST-EFFECTIVE WITH SUPERIOR QUALITY, WORKING WITH PHYSICIANS, HEALTHCARE PROVIDERS, BUSINESSES, AND THE COMMUNITY TO IMPROVE HEALTH. OUR SIX CORE VALUES INCLUDE: COLLABORATION-WORKING TOGETHER WITH MUTUAL RESPECT; COMMUNITY-BASED-LOCALLY OWNED, GUIDED BY CONSTITUENT NEEDS AND BUSINESS IMPERATIVES; COMPASSION-CONCERN AND UNDERSTANDING FOR OTHERS WITH COMMITMENT TO HELP; EXCELLENCE-SUPERIOR PERFORMANCE AND OUTCOMES; INTEGRITY-HONESTY, SINCERITY AND ACCOUNTABILITY; AND STEWARDSHIP-SOUND MANAGEMENT OF RESOURCES ON BEHALF OF PROMEDICA AND THE COMMUNITY. PROMEDICA AND ITS AFFILIATES COMPRISE 306 SITES, AND APPROXIMATELY 1,644 PHYSICIANS AND 14,000 EMPLOYEES AND VOLUNTEERS. DURING 2010, PROMEDICA SERVED 61,929 INPATIENTS AND 1,217,176 OUTPATIENTS, WHILE HANDLING 225,814 EMERGENCY CENTER VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2010, FOR EVERY ONE DOLLAR OF PROMEDICA REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $2.4 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 (LOCATED WITHIN THE TOLEDO HOSPITAL), FLOWER HOSPITAL, FOSTORIA COMMUNITY HOSPITAL, DEFIANCE REGIONAL MEDICAL CENTER, BAY PARK COMMUNITY HOSPITAL, HERRICK MEDICAL CENTER, EMMA L. BIXBY MEDICAL CENTER, AND ST. LUKE'S HOSPITAL. EFFECTIVE SEPTEMBER 1, 2010, ST. LUKE'S HOSPITAL, ST. LUKE'S HOSPITAL FOUNDATION, AND CARE ENTERPRISES JOINED PROMEDICA, OFFERING RESIDENTS IN SOUTHWESTERN LUCAS COUNTY WITH OPTIONS FOR EXPANDED ACCESS TO SPECIALIZED HEALTHCARE SERVICES. IN 2010, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP, WITH MORE THAN 310 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS; THEY HELP PROMEDICA TO BROADEN THE CARE WE OFFER SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO, RANKED IN THE TOP 100 PRIVATE PLANS IN THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE'S (NCQA) HEALTH INSURANCE PLAN RANKINGS FOR 2010 - 2011. - THE ACADEMIC HEALTH CENTER CORPORATION, AN ALLIANCE WITH THE UNIVERSITY OF TOLEDO, 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 AND CONTINUING CARE FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE FLOWER HOSPITAL CAMPUS. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, CARDIOVASCULAR, 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 MEANS OR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR HEALTH CARE, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH 298 LOCAL NONPROFIT AGENCIES AND ORGANIZATIONS IN 2010 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 2010 INCLUDE THE FOLLOWING: - PROMEDICA, ALONG WITH MERCY MEMORIAL HOSPITAL OF MONROE, MICHIGAN, AND THE BARBARA ANN KARMANOS CANCER CENTER OF DETROIT, BECAME EQUAL PARTNERS IN A JOINT VENTURE TO ESTABLISH A NEW CANCER TREATMENT FACILITY IN MONROE. IT WILL BE THE FIRST INTEGRATED CANCER CENTER IN THE AREA OFFERING MEDICAL AND RADIATION ONCOLOGY SERVICES UNDER ONE ROOF. - HERRICK MEDICAL CENTER OPENED A NEW WOMEN'S HEALTH CENTER THAT OFFERS SPECIALIZED SERVICES FOR WOMEN SUCH AS DIGITAL MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST CANCER SURGERY, BONE DENSITY SCANS, HEART AND VASCULAR HEALTH SERVICES, A MIDLIFE WOMEN'S CLINIC, AND MORE. - JOBST VASCULAR CENTER HELD PUBLIC SCREENINGS ONE DAY PER MONTH TO PROVIDE VASCULAR SCREENINGS AT NO CHARGE. - THE HICKMAN CANCER CENTER AT BIXBY MEDICAL CENTER RECEIVED A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. - BIXBY ALSO BECAME THE FIRST HOSPITAL IN MICHIGAN TO OFFER A NEW MINIMALLY INVASIVE PROCEDURE FOR LUMBAR CANAL STENOSIS. MINIMALLY INVASIVE LUMBAR DECOMPRESSION (MILD(R)), IS LESS PAINFUL AND OFFERS A SIGNIFICANTLY SHORTER RECOVERY PERIOD FOR PATIENTS SUFFERING FROM STENOSIS. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY LOCALLY THROUGH ITS FIELDS OF GREEN CAMPAIGN. IN 2010, STUDENT TEAMS FROM PROMEDICA'S SERVICE AREA CREATED HEALTHY BREAKFAST MEAL PLANS FOR ELEMENTARY SCHOOL CHILDREN AS PART OF A COLLEGE SCHOLARSHIP COMPETITION. EACH MEMBER OF THE WINNING TEAM RECEIVED A $5,000 COLLEGE SCHOLARSHIP FROM PROMEDICA; SECOND- AND THIRD-PLACE SCHOLARSHIP AWARDS ALSO WERE PRESENTED, AND EACH WINNING SCHOOL RECEIVED A CASH AWARD FOR ITS HEALTH AND SCIENCES CURRICULA. - THROUGH ITS ADVOCACY DEPARTMENT, PROMEDICA CONTINUED ITS HEALTH EDUCATION PROGRAM FOR ELEMENTARY SCHOOL CHILDREN BY ADDING MODULES FOR GRADES 1 - 3 TO COMPLEMENT THOSE USED FOR CHILDREN IN GRADES 4 - 6. THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM IS DESIGNED TO EMPOWER STUDENTS AND THEIR PARENTS TO MAKE LIFELONG, HEALTHY CHOICES ABOUT FOOD AND EXERCISE. - ELECTRONIC DOCUMENTATION AND CHARTING AT THE BEDSIDE WAS IMPLEMENTED AT BAY PARK COMMUNITY HOSPITAL, REPLACING THE PAPER CHART. THIS TECHNOLOGY UPGRADE IS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD THAT ALSO WILL BE ACTIVATED AT PROMEDICA'S OTHER HOSPITALS SYSTEM-WIDE IN COMING YEARS. - PROMEDICA CANCER INSTITUTE PRESENTED THE NEXT STEP/CHAMPS PROGRAMS, WHICH OFFERED SUPPORT AND ACTIVITIES FOR CHILDREN WHO HAD A FAMILY MEMBER DIAGNOSED WITH CANCER. - DEFIANCE REGIONAL MEDICAL CENTER SUCCESSFULLY COMPLETED ITS THREE-YEAR, RE-VERIFICATION SURVEY AS A LEVEL III TRAUMA CENTER FOR THE DEFIANCE COMMUNITY. - PROMEDICA PHYSICIAN GROUP EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING 38 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2010. - BAY PARK COMMUNITY HOSPITAL HOSTED ITS 6TH ANNUAL SPRING INTO WELLNESS PROGRAM DEVOTED TO WOMEN'S HEALTH ISSUES BY PROVIDING FREE HEALTH SCREENINGS AND WELLNESS PRESENTATIONS. - THE GOERLICH CENTER, PART OF PROMEDICA CONTINUING CARE SERVICES CORPORATION, COMPLETED ITS EXPANSION AND RENOVATION BY ADDING 12 ROOMS FOR ALZHEIMER'S PATIENTS, AS WELL TWO NEW MULTI-PURPOSE ROOMS FOR PATIENTS AND FAMILIES, AND BUILDING A NEW GAZEBO AND MEMORY GARDEN FOR FAMILIES. - 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. - FLOWER HOSPITAL RECEIVED CERTIFICATION FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER, SIGNIFYING THAT FLOWER OFFERS HIGH-QUALITY CARE TO MEET THE UNIQUE AND SPECIALIZED NEEDS OF 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. - PROMEDICA ESTABLISHED AN ADVOCACY FUND TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH FOOD, CLOTHING AND SHELTER. IN 2010, PROMEDICA CONTRIBUTED $116,442,000 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 SIGNIFICANTLY AFFECTING MEMBERS OF THE COMMUNITIES WE SERVE. INCLUDED IN PROMEDICA'S 2010 COMMUNITY BENEFIT IS 12 MONTHS OF ST. LUKE'S HOSPITAL COMMUNITY BENEFIT EXPENDITURES OF $11,382,000. 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 $43,536,000 IN 2010. 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 $22,916,000 IN FINANCIAL ASSISTANCE (FORMERLY CALLED CHARITY CARE) 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 2010 WAS $19,717,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $116,442,000 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. IN 2010, PROMEDICA MANAGED 6,169 CLINIC VISITS AND 6,052 INPATIENT/ER/OUTPATIENT VISITS. ADDITIONALLY DURING 2010, PROMEDICA PROVIDED $49,990,000 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 2010 WAS $46,538,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $116,442,000 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 500% 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 CHARITABLE 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 CHARITY SERVICES; 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 IN ACCORDANCE WITH THE REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION AND CONSISTENT WITH FORM 990 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 SERVICES - 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 500% OF THE 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 GOVERMENT SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL 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 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 STRATEGY AND OPERATIONS. 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 STAFF EDUCATION THAT IS LINKED TO COMMUNITY SERVICES AND HEALTH IMPROVEMENT. SUBSIDIZED HEALTH SERVICES SUBSIDISED 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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