TOLEDO HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: TOLEDO HOSPITAL (EIN 34-4428256)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201143189349302149
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T10:00:12-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428256	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	KEVIN C WEBB	Name
Title	PRESIDENT	Title
Phone	4192917460	Phone
Date Signed	2011-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SHAWNA M JIMENEZ	Name
Phone	3174648600	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	1604696334	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PROMEDICA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1907	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND REFERRAL CENTER PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC WITHIN NORTHWEST OHIO.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	38	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	30	NbrIndependentVotingMembers
Total Nbr Employees	5286	TotalNbrEmployees
Total Nbr Volunteers	723	TotalNbrVolunteers
Total Gross UBI	4881146	TotalGrossUBI
Net Unrelated Business Txbl Income	1829826	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6386551	ContributionsGrantsPriorYear
Contributions Grants Current Year	5923883	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	591253463	ProgramServiceRevenuePriorYear
Program Service Revenue CY	625281474	ProgramServiceRevenueCY
Investment Income Prior Year	11750112	InvestmentIncomePriorYear
Investment Income Current Year	18787855	InvestmentIncomeCurrentYear
Other Revenue Prior Year	26329514	OtherRevenuePriorYear
Other Revenue Current Year	23622700	OtherRevenueCurrentYear
Total Revenue Prior Year	635719640	TotalRevenuePriorYear
Total Revenue Current Year	673615912	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	19982197	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	26360534	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	248785833	SalariesEtcPriorYear
Salaries Etc Current Year	255868326	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	246133	TotalFundrsngExpCurrentYear
Other Expense Prior Year	347760757	OtherExpensePriorYear
Other Expenses Current Year	370061087	OtherExpensesCurrentYear
Total Expenses Prior Year	616528787	TotalExpensesPriorYear
Total Expenses Current Year	652289947	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	19190853	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	21325965	RevenuesLessExpensesCY
Total Assets BOY	1199837707	TotalAssetsBOY
Total Assets EOY	1225415157	TotalAssetsEOY
Total Liabilities BOY	599176853	TotalLiabilitiesBOY
Total Liabilities EOY	562090638	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	600660854	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	663324519	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION AND SUPERIOR SERVICE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	515178668	Expense
Grants	26360534	Grants
Revenue	619648553	Revenue
Description	THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	38205426	Expense
Description	CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	46122847	Expense
Revenue	21985134	Revenue
Description	CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, PROFESSIONAL EDUCATION, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Revenue	6481793	Revenue
Description	ATHLETIC CLUB MEMBERSHIP REVENUE AND RENTAL REVENUE FROM AFFILIATES.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Rev	6481793	TotalOfOtherProgramServiceRev
Total Program Service Expense	599506941	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	380	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5286	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	38	NbrVotingGoverningBodyMembers
Number Independent Voting Members	30	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ANNE ROSPO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4198918504	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5901 MONCLOVA RD	AddressLine1
City	MAUMEE	City
State	OH	State
ZIP Code	43537	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
NANCY ATKINS
TRUSTEE	1.00	X	0	0	0
ANNE BAKER PHD
TRUSTEE	1.00	X	0	0	0
STEPHEN BAZELEY MD
TRUSTEE	1.00	X	0	86752	866
RHONDIA BLACK
TRUSTEE	1.00	X	0	0	0
DEVAN CAPUR
TRUSTEE	1.00	X	0	0	0
PARISS COLEMAN II
TRUSTEE	1.00	X	0	0	0
CLEVES DELP
TRUSTEE	1.00	X	0	0	0
JOAN DURGIN
TRUSTEE	1.00	X	0	0	0
JOHNNIE EARLY II PHD RPH
TRUSTEE	1.00	X	0	0	0
DONALD FINNEGAN
TRUSTEE	1.00	X	0	0	0
GARY FITZPATRICK
TRUSTEE	1.00	X	0	0	0
CHARLES HEID
TRUSTEE	1.00	X	0	0	0
SANDRA HYLANT
TRUSTEE	1.00	X	0	0	0
NANCY KABAT
TRUSTEE	1.00	X	0	0	0
COLLEEN LANGENDERFER
TRUSTEE	1.00	X	0	0	0
RITA MANSOUR
EX OFFICIO	1.00	X	0	0	0
SARAH MCHUGH
TRUSTEE	1.00	X	0	0	0
LAURA NOBLE
TRUSTEE	1.00	X	0	0	0
MARY ELLEN PIZZA MD
TRUSTEE	1.00	X	0	174042	6497
CHARLES PRICE MD
TRUSTEE	1.00	X	0	0	0
GARRY ROBERTS
TRUSTEE	1.00	X	0	0	0
LARRY RUFFIN
TRUSTEE	1.00	X	0	0	0
JAMES SILK JR
TRUSTEE	1.00	X	0	0	0
C MICHAEL SMITH
TRUSTEE	1.00	X	0	0	0
STEPHEN STAELIN
EX OFFICIO	1.00	X	0	0	0
BARBARA STEELE
EX OFFICIO	1.00	X	0	767506	84913
TODD TIBBITS
TRUSTEE	1.00	X	0	0	0
HARVEY TOLSON
TRUSTEE	1.00	X	0	0	0
JEFFREY TWYMAN
TRUSTEE	1.00	X	0	0	0
J TYO
TRUSTEE	1.00	X	0	0	0
DIRK VANHEYST
TRUSTEE	1.00	X	0	0	0
ROBERT LACLAIR
CHAIRPERSON TTH	1.00	X	0	0	0	X
KEVIN WEBB PHD
PRESIDENT TTH/TCH EX OFF	40.00	X	0	430308	53931	X
PIERRE VAUTHY MD
TRUSTEE	1.00	X	162604	485180	49113
LEWIS WAGNER
TRUSTEE	1.00	X	0	0	0
KARA YOKUM
TRUSTEE	1.00	X	0	0	0
TIMOTHY SCHLACHTER
CHAIRPERSON TCH	1.00	X	0	0	0	X
RONALD WAINZ MD
TRUSTEE	1.00	X	187336	0	0
KATHLEEN HANLEY
TREASURER	1.00		0	571584	87366	X
JEFFREY KUHN
SECRETARY	1.00		0	433955	64541	X
MICHAEL WILKINS
VP PROFESSIONAL SVCS	40.00		0	169216	42256		X
LORI FERGUSON
VP PATIENT CARE TCH	40.00		0	152556	36065		X
ERIN JAYNES
VP PATIENT CARE TTH	40.00		0	187954	35700		X
NEERAJ KANWAL MD
VP MED AFFAIRS	40.00		0	357625	42159		X
GARY AKENBERGER
SR VP FINANCE	1.00		0	306678	52386		X
HOLLY BRISTOLL
PRESIDENT, WOSH	40.00		0	244866	45082		X
DARRIN ARQUETTE
VP OPS, WOSH	40.00		0	155349	33860		X
ANTHONY COMEROTA
DIR. JOBST VASCULAR CTR.	40.00		547358	0	40149			X
SHIRLEY BODI
ASSOC. DIR. FAMILY PRAC	40.00		176416	0	33909			X
TIMOTHY MCCOY
PHYSICIAN ASST-CARDIO	40.00		173172	0	32605			X
JEFFREY LEWIS
ASSOC. DIR. ED FAMILY PR	40.00		172054	0	48443			X
DONALD HICKEY
ASSOC. DIR. ED FAMILY PR	40.00		170693	0	34532			X
ALAN SATTLER
FORMER KEY EMPLOYEE	0.00		0	307099	53734				X
ROBERT FREDRICK MD
FORMER KEY EMPLOYEE	0.00		0	404058	58716				X
RANDALL SCHIMMOELLER
FORMER KEY EMPLOYEE	0.00		0	253908	38290				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1589633	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5488636	TotalReportableCompFrmRltdOrgs
Total Other Compensation	975113	TotalOtherCompensation
Number Individuals GT100 K	81	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LATHROP COMPANY INC
460 W DUSSEL DR	MAUMEE	OH	43537	GENERAL CONTRACTOR	4253890
ANESTHESIOLOGY CONSULTANTS OF TOLEDO IN
2914 S REPUBLIC BLVD	TOLEDO	OH	43615	ANESTHESIOLOGY PHYSICIANS	3555729
METRO AVIATION INC
PO BOX 7008	SHREVEPORT	LA	71137	AVIATION	3413322
CROTHALL LAUNDRY SERVICES
13028 COLLECTIONS CENTER DR	CHICAGO	IL	60693	LINEN	2836571
TOLEDO CRITICAL CARE ASSOCIATION
4841 MONROE ST STE 350	TOLEDO	OH	43623	ICU PHYSICIANS	1489200

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	62	NumberOfContractorsGT100K
Fundraising Events	11888	FundraisingEvents
Related Organizations	3282679	RelatedOrganizations
Government Grants	1711364	GovernmentGrants
All Other Contributions	917952	AllOtherContributions
Total Contributions	5923883	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERV. REV.	622110	618799681	614129034	4670647
RENTAL REV. FROM AFF.	531120	5177095	5157985	19110
MEMBERSHIP REVENUE	713940	1304698	1304698

Field	Value	IRS element (for citing)
Total Program Service Revenue	625281474	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4680214	TotalRevenueColumn
Exclusion	$4,680,214	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	862059	TotalRevenueColumn
Exclusion	$862,059	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1294982	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1544025	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-249043	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-249043	TotalRevenueColumn
Related Or Exempt Function Income	-169063	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-79980	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	940572161	Securities
Other	1362967	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	927487766	Securities
Other	1201780	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	13084395	Securities
Other	161187	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	13245582	TotalRevenueColumn
Exclusion	$13,245,582	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	21136	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	11888	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	17140	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	3996	TotalRevenueColumn
Exclusion	$3,996	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	1081916	GrossSalesOfInventory
Cost Of Goods Sold	829711	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	252205	TotalRevenueColumn
Exclusion	$252,205	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PHARMACY	622110	13991138	13728348	262790
DIETARY AND OTHER	722212	6079336	6070757	8579
INVESTMENT IN SUBS.	621110	3545068	3545068

Field	Value	IRS element (for citing)
Total Other Revenue	23615542	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	673615912	TotalRevenueColumn
Related Or Exempt Function Income	643766827	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4881146	UnrelatedBusinessRevenue
Exclusion	$19,044,056	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	26360534	Total
Program Services	26360534	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	349940	Total
Program Services	277940	ProgramServices
Management And General	72000	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	202602164	Total
Program Services	181076577	ProgramServices
Management And General	21305087	ManagementAndGeneral
Fundraising	220500	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6479566	Total
Program Services	5796620	ProgramServices
Management And General	682946	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	31146695	Total
Program Services	27863833	ProgramServices
Management And General	3282862	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15289961	Total
Program Services	13678399	ProgramServices
Management And General	1611562	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	135251	Total
Program Services	135251	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	949541	Total
Program Services	949541	ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	24351	Total
Management And General	24351	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1554693	Total
Program Services	1554693	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	46885539	Total
Program Services	40021440	ProgramServices
Management And General	6864099	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	859165	Total
Program Services	679806	ProgramServices
Management And General	169950	ManagementAndGeneral
Fundraising	9409	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	97524952	Total
Program Services	97234509	ProgramServices
Management And General	287092	ManagementAndGeneral
Fundraising	3351	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9564351	Total
Program Services	7334420	ProgramServices
Management And General	2229801	ManagementAndGeneral
Fundraising	130	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	564692	Total
Program Services	414052	ProgramServices
Management And General	150640	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	10426104	Total
Program Services	10426104	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	35642695	Total
Program Services	35458573	ProgramServices
Management And General	184122	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9201033	Total
Program Services	7360826	ProgramServices
Management And General	1840207	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
OVERHEAD/OTHER ALLOC.	76816318	65528444	11287874	0
DRUGS	39209880	39209880	0	0
PROVISION FOR BAD DEBT	23516427	23516427	0	0
LEASES	5502270	4189948	1312322
RENTAL EXPENSE	-1544025	-1544025	0	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	13227850	Total
Program Services	11983149	ProgramServices
Management And General	1231958	ManagementAndGeneral
Fundraising	12743	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	652289947	Total
Program Services	599506941	ProgramServices
Management And General	52536873	ManagementAndGeneral
Fundraising	246133	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8114444	BOY
EOY	11082074	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22456783	BOY
EOY	21902453	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	95952385	BOY
EOY	98062727	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7531169	BOY
EOY	9063301	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	821428	BOY
EOY	1345394	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	723796180	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	425803418	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	309631892	BOY
EOY	297992762	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	341091592	BOY
EOY	392227015	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	10251202	BOY
EOY	10153570	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	403986812	BOY
EOY	383585861	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1199837707	BOY
EOY	1225415157	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	78199517	BOY
EOY	81570437	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	431896978	BOY
EOY	420926668	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4400000	BOY
EOY	3300000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	84680358	BOY
EOY	56293533	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	599176853	BOY
EOY	562090638	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	453675575	BOY
EOY	499902256	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	137468302	BOY
EOY	153359870	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9516977	BOY
EOY	10062393	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	600660854	BOY
EOY	663324519	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1199837707	BOY
EOY	1225415157	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	21325965	ReconcilationRevenueExpenses
Reconcilation Other Changes	41337700	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$24,351	OtherActivitiesAmount
Total Lobbying Expenditures IIB	24351	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	THE TOLEDO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	11556355	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	52556353	OtherCostOrOtherBasis
Book Value	64112708	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	418190552	OtherCostOrOtherBasis
Depreciation	246650257	Depreciation
Book Value	171540295	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6965507	OtherCostOrOtherBasis
Depreciation	6759140	Depreciation
Book Value	206367	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	204771233	OtherCostOrOtherBasis
Depreciation	160204128	Depreciation
Book Value	44567105	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29756180	OtherCostOrOtherBasis
Depreciation	12189893	Depreciation
Book Value	17566287	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	297992762	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	2100010
RESTRICTED FUNDS	163422263
BOND INDENTURE AGREEMENT	32666394
OTHER SEGREGATED INVESTMENTS	8532930
DEFERRED BOND ISSUE COSTS	2782554
INVESTMENTS IN AFFILIATES AND OTHER	15303321
INTERCOMPANY DEBT FROM RELATED ENTITIES	158778389

Field	Value	IRS element (for citing)
Total Book Value Other Assets	383585861	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$14,420,264
ESTIMATED THIRD PARTY SETTLEMENT	$19,908,024
INTEREST RATE SWAP	$7,187,942
ASBESTOS REMEDIATION	$6,376,597
CAPITAL LEASES	$108,858
DEFERRED COMPENSATION	$8,291,848

Field	Value	IRS element (for citing)
Total Of Amounts	56293533	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE TOLEDO HOSPITAL 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.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF OUTING	NameOfEvent1
Gross Receipts Event1	14869	GrossReceiptsEvent1
Charitable Contributions Event1	888	CharitableContributionsEvent1
Gross Revenue Event1	13981	GrossRevenueEvent1
Cash Prizes Event1	275	CashPrizesEvent1
Rent Facility Costs Event1	8790	RentFacilityCostsEvent1
Other Direct Expenses Event1	344	OtherDirectExpensesEvent1
Name Of Event2	RED, WHITE & DUEL	NameOfEvent2
Gross Receipts Event2	18155	GrossReceiptsEvent2
Charitable Contributions Event2	11000	CharitableContributionsEvent2
Gross Revenue Event2	7155	GrossRevenueEvent2
Cash Prizes Event2	2000	CashPrizesEvent2
Food And Beverage Event2	3730	FoodAndBeverageEvent2
Entertainment Event2	1300	EntertainmentEvent2
Other Direct Expenses Event2	701	OtherDirectExpensesEvent2
Gross Receipts Total	33024	GrossReceiptsTotal
Charitable Contributions Total	11888	CharitableContributionsTotal
Gross Revenue Total Events	21136	GrossRevenueTotalEvents
Cash Prizes Total Events	2275	CashPrizesTotalEvents
Rent Facility Costs Total Events	8790	RentFacilityCostsTotalEvents
Food And Beverage Total Events	3730	FoodAndBeverageTotalEvents
Entertainment Total Events	1300	EntertainmentTotalEvents
Other Direct Expenses Total Events	1045	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	17140	DirectExpenseSummaryEvents
Net Income Summary	3996	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12047384	TotalCommunityBenefitExpense
Net Community Benefit Expense	12047384	NetCommunityBenefitExpense
Percent Of Total Expense	0.01920	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96984823	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71093958	DirectOffsettingRevenue
Net Community Benefit Expense	25890865	NetCommunityBenefitExpense
Percent Of Total Expense	0.04120	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	479097	TotalCommunityBenefitExpense
Direct Offsetting Revenue	211920	DirectOffsettingRevenue
Net Community Benefit Expense	267177	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	109511304	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71305878	DirectOffsettingRevenue
Net Community Benefit Expense	38205426	NetCommunityBenefitExpense
Percent Of Total Expense	0.06080	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5799079	TotalCommunityBenefitExpense
Direct Offsetting Revenue	314911	DirectOffsettingRevenue
Net Community Benefit Expense	5484168	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14360304	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10143205	DirectOffsettingRevenue
Net Community Benefit Expense	4217099	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25195313	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11527018	DirectOffsettingRevenue
Net Community Benefit Expense	13668295	NetCommunityBenefitExpense
Percent Of Total Expense	0.02170	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	754256	TotalCommunityBenefitExpense
Net Community Benefit Expense	754256	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13895	TotalCommunityBenefitExpense
Net Community Benefit Expense	13895	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46122847	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21985134	DirectOffsettingRevenue
Net Community Benefit Expense	24137713	NetCommunityBenefitExpense
Percent Of Total Expense	0.03830	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	155634151	TotalCommunityBenefitExpense
Direct Offsetting Revenue	93291012	DirectOffsettingRevenue
Net Community Benefit Expense	62343139	NetCommunityBenefitExpense
Percent Of Total Expense	0.09910	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,635,449	BadDebtExpenseAmount
Amount Attributable To	893181	AmountAttributableTo
Amount Reimbursed By Medicare	118154991	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	130002528	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11847537	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 PROMEDICA CARDIOVASCULAR CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES	0.31880	0.00000	0.59420
2 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES	0.27470	0.03300	0.52750
3 REYNOLDS ROAD SURGICAL CENTER LLC
SURGICAL CENTER	0.64960	0.00000	0.34320
4 NW OHIO DEDICATED BREAST MRI LLC
MEDICAL DIAGNOSTIC	0.50000	0.01850	0.48150
5 PARKWAY SURGERY CENTER LTD
SURGICAL CENTER	0.45450	0.01010	0.48990
6 WEST CENTRAL SURGICAL CENTER LLC
SURGICAL CENTER	0.50000	0.00000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	41	NumberOfOtherFacilities

Other Facilities OtherFacilities (41 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD	TOLEDO	OH	43606	GROUND AND AIR TRANSPORT
NORTHWEST OHIO CARDIOLOGY
2940 N MCCORD RD	TOLEDO	OH	43515	CARDIOLOGY
PROMEDICA LABS
2141 GIANT ST	TOLEDO	OH	43606	LAB
ENDOSCOPY CENTER
3439 GRANITE CIRCLE	TOLEDO	OH	43617	ENDOSCOPY
HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DR	TOLEDO	OH	43623	RADIOLOGY
TOLEDO HOSP TOTAL REHAB AT CTR FOR HEALT
2150 W CENTRAL AVE	TOLEDO	OH	43606	PHYSICAL THERAPY
PROMEDICA HEALTH CTR ARROWHEAD
660 BEAVER CREEK CIRCLE 120	MAUMEE	OH	43537	RADIOLOGY
PROMEDICA HEALTH CTR WEST
3740 W SYLVANIA AVE	TOLEDO	OH	43623	LAB
SPORTSCARE AT WILDWOOD MEDICAL CTR
2865 N REYNOLDS 110	TOLEDO	OH	43615	PHYSICAL THERAPY
PROMEDICA HEALTH CTR ARROWHEAD
660 BEAVER CREEK CIRCLE 120	MAUMEE	OH	43537	LAB
PROMEDICA HEALTH CTR WOODLEY
3909 WOODLEY RD 450	TOLEDO	OH	43606	LAB
NW OHIO SLEEP DISORDER CTR AT TOLEDO
2121 HUGHES DR	TOLEDO	OH	43623	SLEEP DISORDER
PROMEDICA PERRYSBURG
1601 BRIGHAM DR 180	PERRYSBURG	OH	43551	RADIOLOGY
PROMEDICA HEALTH CTR PORT SYLVANIA
7140 PORT SYLVANIA 550	TOLEDO	OH	43617	LAB
PERRYSBURG MEDICAL CENTER
1601 BRIGHAM DR 180	PERRYSBURG	OH	43551	LAB
CENTER FOR HEALTH SVCS
2150 W CENTRAL AVE	TOLEDO	OH	43606	LAB
TOLEDO HOSP AT CONRAD JOBST TOWER
2109 HUGHES SUITE 130	TOLEDO	OH	43606	LAB
CENTER FOR WOUND CARE NW OHIO
3110 W CENTRAL AVE SUITE A	TOLEDO	OH	43606	WOUND CARE
JULIE MILLER DO
2150 W CENTRAL AVE	TOLEDO	OH	43606	PHYSICAL MEDICINE
PROMEDICA PORT SYLVANIA
7140 PORT SYLVANIA 550	TOLEDO	OH	43617	RADIOLOGY
PROMEDICA HEALTH CTR WEST
3740 W SYLVANIA AVE	TOLEDO	OH	43623	RADIOLOGY
PROMEDICA HEALTH CTR WOODLEY
3909 WOODLEY RD 450	TOLEDO	OH	43606	RADIOLOGY
PROMEDICA HEALTH CTR LAMBERTVILLE
7579 SECOR RD	LAMBERTVILLE	MI	48144	LAB
TOLEDO HOSP AT CONRAD JOBST TOWER
2109 HUGHES SUITE 130	TOLEDO	OH	43606	RADIOLOGY
WW KNIGHT CLINIC
2051 W CENTRAL AVE	TOLEDO	OH	43606	FAMILY MEDICINE CENTER
PROMEDICA WILDWOOD
2865 N REYNOLDS RD 130	TOLEDO	OH	43615	RADIOLOGY
PROMEDICA LABS MCCORD RD
3020 N MCCORD RD 101	TOLEDO	OH	43615	LAB
TOTAL REHAB AT MAUMEE ARROWHEAD
650 BEAVER CREEK CIRCLE 210	MAUMEE	OH	43537	PHYSICAL THERAPY
PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIRCLE	SWANTON	OH	43558	LAB
TOTAL REHAB AT PERRYSBURG
1601 BRIGHAM DR 100	PERRYSBURG	OH	43551	PHYSICAL THERAPY
CENTER FOR HEALTH SVCS
2150 W CENTRAL	TOLEDO	OH	43606	RADIOLOGY
PROMEDICA LABS HARROUN RD
4848 HOLLAND-SYLVANIA RD	SYLVANIA	OH	43560	LAB
PROMEDICA LABS WESTGATE MEADOW
3516 W CENTRAL	TOLEDO	OH	43606	LAB
ARTHRITIS AND OSTEOPOROSIS CENTER
2109 HUGHES SUITE 160	TOLEDO	OH	43606	PHYSICAL THERAPY
CHS WOMENS
2150 W CENTRAL	TOLEDO	OH	43606	WOMEN'S CARE
URGENT CARE CENTER
4235 SECOR RD	TOLEDO	OH	43623	URGENT CARE
PROMEDICA ROSSFORD
1209 DIXIE HWY	ROSSFORD	OH	43460	RADIOLOGY
CHS INTERNAL MEDICINE
2150 W CENTRAL	TOLEDO	OH	43606	INTERNAL MEDICINE
PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIRCLE	SWANTON	OH	43558	RADIOLOGY
PROMEDICA WILDWOOD
2865 N REYNOLDS RD 130	TOLEDO	OH	43615	LAB
CHS HEMOPHILIA
2150 W CENTRAL	TOLEDO	OH	43606	HEMOPHILIA

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
PART I, LINE 6A: THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7: THE TOLEDO HOSPITAL CALCULATED THE COST OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR HOSPITAL SHARED SERVICES IS ALSO CALCULATED AND INCLUDED FOR EACH PROGRAM INDICATED IN OTHER BENEFITS.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES NET COMMUNITY BENEFIT OF $737,858 ATTRIBUTABLE TO OUTPATIENT CLINIC.
PART I, L7 COL(F): THE TOLEDO HOSPITAL INCLUDED $23,516,427 OF BAD DEBT EXPENSE ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED THIS BAD DEBT EXPENSE FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7F.
PART III, LINE 4: THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR AGED ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF CHARITY CARE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT, THAT WAS NOT COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT. THE COST OF THE BAD DEBT EXPENSE AND ESTIMATE OF POSSIBLE CHARITY CARE WITHIN BAD DEBT EXPENSE IS DETERMINED USING THE COST-TO-CHARGE RATIO AS DERIVED BY SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE FOLLOWING NARRATIVE ADDRESSING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS INCLUDED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS FOR PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (SYSTEM). - THE SYSTEM MAINTAINS AN ALLOWANCE FOR LOSSES BASED ON THE EXPECTED COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE.- THE SYSTEM ASSESSES COLLECTABILITY OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL AND CURRENT COLLECTION EXPERIENCE, AS WELL AS CURRENT PAYER MIX AND ACCOUNTS RECEIVABLE AGING TRENDS.
PART III, LINE 8: MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORN BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, MANDATED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS THAT PROVIDED BY AN EMPLOYER. - MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2010 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF NECESSARY. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS, SUCH AS SERVICES AND CLINICS.
PART III, LINE 9B: FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE MONTHLY BILLING STATEMENTS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS ARE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT. PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, OR RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2: PROMEDICA HEALTH SYSTEM DEMONSTRATES A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA CONDUCTS BI-ANNUAL REGIONAL NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS OF COUNTY HEALTH DEPARTMENTS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH PLAN ARE DEVELOPED.PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. STAKEHOLDER INTERVIEWSHEALTH DEPARTMENT INTERVIEWS ARE CONDUCTED BY TELEPHONE TO OBTAIN COUNTY HEALTH DEPARTMENT FEEDBACK RELATED TO: 1) THE TOP THREE HEALTH ISSUES FOR THE COUNTY, 2) CURRENT COUNTY PROGRAMS AND 3) PERCEIVED HEALTH CARE GAPS IN THE COUNTY. BECAUSE OF THE EXPERT ROLE THE COUNTY HEALTH DEPARTMENTS PLAY IN THEIR COMMUNITY, THEY HAVE A DEFINED PERCEPTION OF THE HEALTH AND HEALTH CARE NEEDS OF THEIR COMMUNITIES, AND MAY ALSO PROVIDE A FOCUS TO WHAT MAY OTHERWISE BE A LENGTHY DISSERTATION OF FACTS. PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: HEART DISEASE, CANCERS AND STROKE, DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CARDIOVASCULAR DISEASE, CANCERS AND OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. IN ADDITION, PROMEDICA HEALTH SYSTEM'S STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, ORTHOPAEDICS AND NEUROLOGY.
PART VI, LINE 3: THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT ALL PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL COMMUNICATE THE FINANCIAL ASSISTANCE POLICY TO UNINSURED PATIENTS AND ATTEMPT TO HAVE A PATIENT FINANCIAL ADVOCATE CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ALL ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. INFORMATION AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE VIA THE PROMEDICA WEB SITE. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4: THE TOLEDO HOSPITAL, LOCATED IN TOLEDO, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY WITH A POPULATION OF APPROXIMATELY 620,000. APPROXIMATELY, 13% OF THE SERVICE AREA IS AGE 65 OR OVER; 39% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS $48,000; 45% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; UNEMPLOYMENT RATE IS 9.4%; 53% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 440,000 WITH 10.7% OF FAMILIES BELOW THE POVERTY LEVEL AND A 23% MEDICAID ELIGIBLE RATE. LUCAS COUNTY HAS 61 CENSUS TRACTS DESIGNATED AS MEDICALLY UNDERSERVED AREAS OR MEDICALLY UNDERSERVED POPULATIONS. APPROXIMATELY 12% OF LUCAS COUNTY IS UNINSURED. FOR LEADING CAUSES OF DEATH, THE LUCAS COUNTY AGE ADJUSTED MORTALITY RATES DUE TO HEART DISEASE, CANCER, STROKE, LUNG, UNINTENTIONAL INJURIES/ACCIDENTS, AND DIABETES ARE HIGHER THAN THE STATE AND NATIONAL RATES. ACCORDING TO 2011 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 72 OF 88 COUNTIES FOR HEALTH OUTCOMES, 65 OF 88 FOR MORTALITY, AND 70 OF 88 FOR MORBIDITY. THERE ARE FOURTEEN HOSPITALS WITHIN A SIX COUNTY AREA AROUND TOLEDO, HERRICK MEDICAL CENTER, EMMA L. BIXBY MEDICAL CENTER, FULTON COUNTY HEALTH CENTER, COMMUNITY HOSPITALS AND WELLNESS CENTERS - ARCHBOLD, FLOWER HOSPITAL, ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, UNIVERSITY OF TOLEDO MEDICAL CENTER, ST. LUKE'S HOSPITAL, MERCY MEMORIAL, WOOD COUNTY HOSPITAL, AND H.B. MAGRUDER MEMORIAL HOSPITAL.
PART VI, LINE 6: - IN 2010, THERE WERE 387 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM. OF THESE, 100% LIVED WITHIN PROMEDICA'S 27-COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO, WHERE PROMEDICA'S TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. ADDITIONAL REPRESENTATION IS COMPRISED OF DIVERSE RESIDENTS FROM NORTHWEST OHIO AND SOUTHEAST MICHIGAN, ALL RESIDING WITHIN OUR SERVICE AREA. - BOARD MEMBERS ARE NOT COMPENSATED BY PROMEDICA FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER HEALTHCARE FACILITIES; THEIR DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, ARE PERFORMED VOLUNTARILY. IN 2010, PROMEDICA BOARD MEMBERS GAVE AN ESTIMATED 20,000 HOURS IN SERVICE TO THE ORGANIZATION.- WITH REGARD TO PROMEDICA'S MEDICAL STAFF, PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MEETS THOSE QUALIFICATIONS MAY RECEIVE PRIVILEGES.- PROMEDICA'S ACADEMIC PROGRAMS AND RELATIONSHIPS INCLUDE A NEW ACADEMIC RELATIONSHIP WITH THE UNIVERSITY OF TOLEDO THAT SEEKS TO COORDINATE AND EXPAND THE EDUCATIONAL AND RESEARCH ACTIVITIES IN THE REGION AND INCLUDES GRADUATE MEDICAL EDUCATION, UNDERGRADUATE MEDICAL EDUCATION, NURSING, ALLIED HEALTH, PHARMACY, CONTINUING MEDICAL EDUCATION AND RESEARCH. 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. - DURING 2010, PROMEDICA OFFERED NUMEROUS ADVOCACY EFFORTS WITHIN THE COMMUNITIES WE SERVE. ONE MAJOR INITIATIVE INCLUDED FIELDS OF GREEN, A SCHOLARSHIP PROGRAM DESIGNED TO TARGET CHILDHOOD OBESITY. SPECIFICALLY, IN 2010 HIGH SCHOOL STUDENT TEAMS FROM THROUGHOUT PROMEDICA'S SERVICE AREA DESIGNED HEALTHY BREAKFAST PLANS FOR HOME AND SCHOOL, CREATED SPECIFICALLY FOR ELEMENTARY SCHOOL CHILDREN. THE MEAL PLAN HAD TO INCLUDE FIVE BREAKFASTS THAT COULD BE PREPARED AT HOME AND FIVE BREAKFASTS THAT COULD BE PROVIDED BY THE SCHOOL. STUDENTS WERE ALSO REQUIRED TO INCLUDE HEALTH AND NUTRITION INFORMATION FOR PARENTS TO HELP EDUCATE THEM ON WAYS TO PREVENT CHILDHOOD OBESITY. COLLEGE SCHOLARSHIPS, WHICH TOTALED NEARLY $20,000, WERE AWARDED TO STUDENTS ON THE WINNING TEAMS, AND THEIR SCHOOLS ALSO RECEIVED A MONETARY AWARD TO USE TOWARD THEIR SCIENCE CURRICULA. THE WINNING TEAM'S MENUS AND PARENT EDUCATION WERE THEN USED TO CREATE A BROCHURE FOR PROMEDICA'S ADVOCACY DEPARTMENT TO SHARE WITH AREA SCHOOLS, AS WELL AS PUBLICLY ONLINE. - ALSO, THE HEALTHY CONVERSATION MAPS PROGRAM CONTINUED TO GROW IN 2010, WITH THE ADDITION OF MODULES FOR CHILDREN IN GRADES 1 - 3 TO COMPLEMENT THE LEARNING TOOLS ALREADY PROVIDED FOR CHILDREN (AND THEIR PARENTS) IN GRADES 4 - 6. THE HEALTHY CONVERSATION MAPS INITIATIVE IS A PREVENTIVE, INTERACTIVE HEALTH COURSE DESIGNED TO HELP COMBAT THE GROWING ISSUE OF CHILDHOOD OBESITY IN OUR COMMUNITY. PROMEDICA EMPLOYEES HELPED FACILITATE THIS PROGRAM USING AN EDUCATIONAL TOOL KIT THAT CONSISTED OF A LEARNING MAP VISUAL, ACTIVITY CARDS AND A FACILITATOR GUIDE DESIGNED TO INITIATE DISCUSSIONS THAT PROMOTE POSITIVE BEHAVIORAL CHANGE WITH REGARD TO NUTRITION AND EXERCISE. - PROMEDICA ALSO AWARDED ITS FIRST CONTRIBUTIONS THROUGH THE PROMEDICA ADVOCACY FUND TO HELP PROVIDE ASSISTANCE WITH FOOD, CLOTHING AND SHELTER FOR RESIDENTS THROUGHOUT OUR SERVICE AREA. NEARLY $500,000 WAS PRESENTED TO EIGHT LOCAL, NON-PROFIT SERVICE ORGANIZATIONS FOR PROGRAMS SUCH AS WEEKENDER BACKPACKS THAT PROVIDE ELEMENTARY SCHOOL STUDENTS IN NEED WITH SHELF-TO-TABLE FOOD FOR WEEKEND CONSUMPTION; AND SEED MONEY TO ESTABLISH A NEW SOUP KITCHEN FOR THE HILLSDALE, MICHIGAN COMMUNITY. - FURTHER, IN 2010 PROMEDICA OFFERED FREE MONTHLY VASCULAR SCREENINGS FOR OLDER ADULTS TO AID IN THE DETECTION OF VASCULAR DISEASE THAT MAY LEAD TO STROKE OR PERIPHERAL ARTERIAL DISEASE. ADDITIONALLY A MYRIAD OF FREE HEALTH SCREENINGS WERE PROVIDED THROUGHOUT PROMEDICA'S 27-COUNTY SERVICE AREA, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. THE PROMEDICA CANCER INSTITUTE OFFERED FREE SKIN CANCER AND PROSTATE CANCER SCREENINGS IN 2010 FOR THE GENERAL PUBLIC AT OUR COMMUNITY HOSPITALS.
PART VI, LINE 7: - PROMEDICA HEALTH SYSTEM IS A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. PROMEDICA CONSISTS OF APPROXIMATELY 14,000 EMPLOYEES AND NEARLY 1,700 HEALTHCARE PROVIDERS WHO HAVE JOINED TOGETHER TO FORM A NETWORK ACROSS MORE THAN 300 PROMEDICA FACILITIES IN 27 COUNTIES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. THEY SHARE RESOURCES-SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS AND PROCESSES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES-TO HELP INCREASE AREA RESIDENTS' ACCESS TO HIGH-QUALITY CARE, WHILE ALSO STRIVING TO REDUCE THE COST OF HEALTH CARE BY PROVIDING IT IN THE MOST APPROPRIATE SETTING. - IN 2010, PROMEDICA RECORDED 2.6 MILLION PATIENT VISITS. IN ADDITION TO PROVIDING CARE WITHIN OUR FACILITIES, PROMEDICA CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF NEARLY $116.4 MILLION IN 2010, FROM FREE COMMUNITY HEALTH SCREENINGS AND HEALTH FAIRS, TO A FREE SPEAKERS BUREAU COMPRISED OF MEDICAL EXPERTS. IN ADDITION, PROMEDICA OFFERED A NUMBER OF COLLEGE SCHOLARSHIPS FOR STUDENTS SEEKING A CAREER IN HEALTH CARE.- PROMEDICA'S MEMBERS AND AFFILIATES INCLUDE: THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL, FLOWER HOSPITAL, BAY PARK COMMUNITY HOSPITAL, BIXBY MEDICAL CENTER, HERRICK MEDICAL CENTER, FOSTORIA COMMUNITY HOSPITAL, DEFIANCE REGIONAL MEDICAL CENTER, ST. LUKE'S HOSPITAL, AND LIMA MEMORIAL HOSPITAL; PROMEDICA PHYSICIAN GROUP, A PREMIERE NETWORK OF MORE THAN 310 PROMEDICA PHYSICIANS AND MIDLEVEL PROVIDERS; PROMEDICA CONTINUING CARE SERVICES, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION, HOME CARE, RADIOLOGY, LABORATORY, AND PHARMACY; AND THE ACADEMIC HEALTH CENTER CORPORATION WITH FAMILY MEDICINE, SPORTS CARE, VASCULAR MEDICINE, AND PHARMACY RESIDENCY PROGRAMS.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, MONTHLY, BIWEEKLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2010 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 865 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED. THERE WERE 5,000 PHYSICIANS WHO PARTICIPATED IN EDUCATIONAL PROGRAMS, AND 6,625 NON-PHYSICIANS (I.E., ALLIED HEALTH CARE PROFESSIONALS).- PROMEDICA PRODUCED THREE ISSUES OF YOUR HEALTH. OUR MISSION MAGAZINE IN 2010, DISTRIBUTED TO NEARLY 400,000 HOMES WITHIN OUR 27-COUNTY SERVICE AREA. THIS COMMUNICATIONS TACTIC SERVED TO EDUCATE CONSUMERS ON A VARIETY OF HEALTHCARE TOPICS THROUGH PHYSICIAN COLUMNS AND FEATURE STORIES ON TOPICS SUCH AS CANCER, DIABETES, OBESITY, AND HEART HEALTH.- ADDITIONALLY, A PROMEDICA WELLNESS FACEBOOK PAGE WAS CREATED AS PART OF OUR INTERACTIVE SOCIAL MEDIA STRATEGY, WITH EXPERTS ENGAGING "FRIENDS" ON HEALTH-RELATED TOPICS SUCH AS EXERCISE AND NUTRITION.- DURING 2010, PROMEDICA'S 12 FOUNDATIONS RAISED MORE THAN $6.6 MILLION FOR PHILANTHROPY IN SUPPORT OF OUR MISSION. ALL OF PROMEDICA'S FOUNDATIONS ARE SEPARATE 501(C)3 ORGANIZATIONS, AND ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT THEIR RESPECTIVE ORGANIZATION'S PATIENTS AND FAMILIES, AS WELL AS THE COMMUNITY, THROUGH HEALTH-RELATED PROGRAMS, SERVICES AND EQUIPMENT THAT HAVE BEEN IDENTIFIED THROUGH AN ASSESSMENT OF COMMUNITY NEEDS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
PROMEDICA HEALTH SYSTEM
1801 RICHARDS RD	TOLEDO	OH	43607	341517671	501(C)(3)	10800000	OPERATING SUPPORT
PROMEDICA CONTINUING CARE SERVICES
2142 N COVE BLVD	TOLEDO	OH	43606	344492440	501(C)(3)	2500000	OPERATING SUPPORT
PROMEDICA PHYSICIANS GROUP
5855 MONROE ST	SYLVANIA	OH	43560	341899439	501(C)(3)	13000000	OPERATING SUPPORT
TOLEDO HOSPITAL FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341517672	501(C)(3)	24936	OPERATING SUPPORT
TOLEDO CHILDREN'S HOSPITAL FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341901463	501(C)(3)	35598	OPERATING SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: AS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE POLICIES AND PROCEDURES.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARY ELLEN PIZZA MD
0	112861	0	60666	0	515	0	3406	0	3091	0	180539	0	0
BARBARA STEELE
0	554195	0	203265	0	10046	0	75144	0	9769	0	852419	0	0
KEVIN WEBB PHD
0	329460	0	94895	0	5953	0	43612	0	10319	0	484239	0	0
PIERRE VAUTHY MD
160727	460000	0	25000	1877	180	0	32725	0	16388	162604	534293	0	0
RONALD WAINZ MD
187336	0	0	0	0	0	0	0	0	0	187336	0	0	0
KATHLEEN HANLEY
0	414848	0	151504	0	5232	0	69789	0	17577	0	658950	0	0
JEFFREY KUHN
0	309314	0	113370	0	11271	0	46608	0	17933	0	498496	0	0
MICHAEL WILKINS
0	153000	0	16216	0	0	0	22390	0	19866	0	211472	0	0
LORI FERGUSON
0	132600	0	19956	0	0	0	26730	0	9335	0	188621	0	0
ERIN JAYNES
0	163200	0	24754	0	0	0	22084	0	13616	0	223654	0	0
NEERAJ KANWAL MD
0	277440	0	80185	0	0	0	24288	0	17871	0	399784	0	27700
GARY AKENBERGER
0	234600	0	60931	0	11147	0	37437	0	14949	0	359064	0	0
HOLLY BRISTOLL
0	190159	0	54707	0	0	0	32442	0	12640	0	289948	0	0
DARRIN ARQUETTE
0	111084	0	35954	0	8311	0	19958	0	13902	0	189209	0	14949
ANTHONY COMEROTA
365957	0	0	0	181401	0	20825	0	19324	0	587507	0	0	0
SHIRLEY BODI
169208	0	0	0	7208	0	21416	0	12493	0	210325	0	0	0
TIMOTHY MCCOY
160251	0	0	0	12921	0	14509	0	18096	0	205777	0	0	0
JEFFREY LEWIS
170223	0	0	0	1831	0	24493	0	23950	0	220497	0	0	0
DONALD HICKEY
170693	0	0	0	0	0	18224	0	16308	0	205225	0	0	0
ALAN SATTLER
0	229500	0	60857	0	16742	0	39535	0	14199	0	360833	0	0
ROBERT FREDRICK MD
0	328733	0	74926	0	399	0	45993	0	12723	0	462774	0	0
RANDALL SCHIMMOELLER
0	209408	0	44500	0	0	0	22315	0	15975	0	292198	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
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. NEERAJ KANWAL $27,700 DARRIN ARQUETTE $14,949
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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	Issuer EINIssuerEIN
SERIES 2005 BONDS - SEE PART V FOR DETAIL
549310SZ4	2005-04-28	188935192	SEE PART V	1	0	0
SERIES 2008 BONDS - SEE PART V FOR DETAIL
549310TU4	2008-05-15	183217907	SEE PART V	0	0	0
CITY OF MAUMEE
577494EA1	2004-08-25	16080016	SEE PART V	0	0	0	346400847
CITY OF MAUMEE
	2007-11-21	4150000	SEE PART V	0	0	0	346400847

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent	Working Capital ExpendituresWorkingCapitalExpenditures
143490000	197109556	297655	1902630	3105891	129409278	62691757	2007	1	0	1	1
	186621348	139	2224707	133953	14220748	130326750		1	0	0	1	39715190
8915000	16080016	1831687	308175	385123		15249602	2004	0	1	1	1		137116
2461908	4150000				4150000		2008	0	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	1	0.00370	0.00370	1
1	1	1	1	0.00270	0.00270	1
0	0	0	1			1
0	1	0	1			1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	PART I: SERIES 2005 BOND DETAIL ISSUER NAME: SERIES 2005 A1 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310SZ4 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: 52,200,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005 A2 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TA8 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $37,500,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005 A-3 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TB6 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $25,000,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005B OH - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TS9 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $57,410,192 PURPOSE: REFUND SERIES 1993 TOLEDO HOSPITAL BONDS ISSUED JULY 1, 1993. MATURITY: 11/15/2021 ISSUER NAME: SERIES 2005 MI B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PAX6 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $16,825,000 PURPOSE: FINANCE A 23,550 SQUARE FOOT ADDITION AND OTHER RENOVATION ON THE CAMPUS OF HERRICK MEDICAL CENTER IN MICHIGAN. REFUND THE LENAWEE LONG TERM CARE SERIES 1994A BONDS ISSUED 8-01-1994 MATURITY: MATURED SERIES 2008 BOND DETAIL ISSUER NAME: 2008 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TT7 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 62,500,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. MATURITY: 11/15/2034 ISSUER NAME: 2008 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TU4 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 52,855,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. FINANCE THE CONSTRUCTION AND EQUIPPING OF A 36 BED ORTHOPEDIC HOSPITAL. MATURITY: 11/15/2040 ISSUER NAME: 2008 SERIES C - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PAY4 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 16,645,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005B BONDS. MATURITY: 11/15/2035 ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310YV2 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 33,803,818 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. FINANCE ACQUISITION OF A CT, MRI AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA COMMUNITY HOSPITAL. MATURITY: 11/15/2038 ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TW0 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 17,414,088 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. FINANCE THE ACQUISITION OF A CT, MRT AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA COMMUNITY HOSPITAL. MATURITY: 11/15/2040 ISSUER NAME: CITY OF MAUMEE ISSUER EIN: 34-6400847 CUSIP#: 577494DX, 577494DY, 577494DZ, 577494EA DATE ISSUED: AUGUST 25, 2004 ISSUE PRICE: 15,670,000 PURPOSE: REFUND SERIES 1994 BONDS- JUNE 1, 1994 ISSUER NAME: CITY OF MAUMEE ISSUER EIN: 34-6400847 CUSIP#: NONE DATE ISSUED: NOVEMBER 21, 2007 ISSUE PRICE: 4,150,000 PURPOSE: FINANCE ACQUISION OF DA-VINCI SURGICAL SYSTEM PART I, COLUMN (E) DIFFERENCES BETWEEN THE ISSUE PRICE SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART II, COLUMN (A), LINE 4 $297,655 IS IN A DEBT SERVICE FUND. PART II, COLUMN (B), LINE 4 $139 IS IN A DEBT SERVICE FUND. PART II, COLUMN (C), LINE 4 OF THE $1,831,687 SHOWN, $1,608,002 IS IN A DEBT SERVICE RESERVE FUND AND $223,685 IS IN A DEBT SERVICE FUND.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	TOLSON INVESTMENTS	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	SEE PART V	Relationship
Amount Of Transaction	723818	AmountOfTransaction
Description Of Transaction	SEE PART V	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: TOLSON INVESTMENTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATIONS:MORE THAN 35% OWNED BY HARVEY TOLSON, TRUSTEE(C) AMOUNT OF TRANSACTION $ 723,818(D) DESCRIPTION OF TRANSACTION: RENTAL PROPERTY(E) SHARING OF ORGANIZATION REVENUES? = NO	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	CHARLES HEID AND HOLLI BRISTOLL HAVE A FAMILY RELATIONSHIP. THE FOLLOWING OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE EMPLOYEES OF PROMEDICA HEALTH SYSTEM OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED PROMEDICA HEALTH SYSTEM BOARDS. MARY ELLEN PIZZA BARBARA STEELE PIERRE VAUTHY KEVIN WEBB KATHLEEN HANLEY JEFFREY KUHN NEERAJ KANWAL GARY AKENBERGER HOLLY BRISTOLL ERIN JAYNES MICHAEL WILKINS DARRIN ARQUETTE LORI FERGUSON STEPHEN BAZELEY
FORM 990, PART VI, SECTION A, LINE 6	AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL., AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, AND (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11	UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE 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 PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
	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 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 12C
	EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.	FORM 990, PART VI, SECTION B, LINE 15
	PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
	AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MARY ELLEN PIZZA - 40 HOURS BARBARA STEELE - 40 HOURS PIERRE VAUTHY - 40 HOURS KATHLEEN HANLEY - 40 HOURS JEFFREY KUHN - 40 HOURS GARY AKENBERGER - 40 HOURS ALAN SATTLER - 40 HOURS RANDALL SCHIMMOELLER - 40 HOURS ROBERT FREDRICK - 40 HOURS STEPHEN BAZELEY - 40 HOURS	FORM 990, PART VII:
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 22,251,348. PRIOR PERIOD ADJUSTMENTS: 3,023,788. BENEFICIAL INTEREST IN FOUNDATION 16,434,232. OTHER -371,668. TOTAL TO FORM 990, PART XI, LINE 5: 41,337,700.	FORM 990, PART XI, LINE 5:
	THE TOLEDO HOSPITAL 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 BOARD 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.	FORM 990, PART XII, LINE 2A - 2D:
	PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (PHS) JOINT VENTURE OPERATING AGREEMENTS ARE NEGOTIATED WITH OTHER MEMBERS OF THE JOINT VENTURE TO ENSURE THAT ADEQUATE SAFEGUARDS ARE IN PLACE TO PROTECT PHS' EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PROMEDICA HEALTH SYSTEM CONTINUALLY ENSURES THAT ITS EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.	FORM 990, PART VI, SECTION B, LINE 16B:
PROMEDICA HEALTH SYSTEM - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 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.	FORM 990, PART III, LINE 4:
	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.
THE TOLEDO HOSPITAL - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	THE TOLEDO HOSPITAL IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN 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. FOR MORE THAN 130 YEARS, THE TOLEDO HOSPITAL (TTH) HAS SERVED METRO TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 794-BED HOSPITAL IS STAFFED BY MORE THAN 4,800 EMPLOYEES. TTH OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH APPROXIMATELY 1,300 PRIMARY CARE AND SPECIALTY PHYSICIANS. THE RENAISSANCE TOWER AT TTH HOUSES 224 PRIVATE ADULT AND PEDIATRIC PATIENT ROOMS, LARGE VISITOR WAITING AREAS THAT ARE FAMILY-CENTERED, ADVANCED SURGICAL INTENSIVE CARE AND NEWBORN INTENSIVE CARE UNITS, A CHILDREN'S CANCER CENTER, AND A ROOFTOP HELIPAD. TTH OFFERS A NUMBER OF KEY SERVICE LINES FOR THE METRO TOLEDO AREA SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES A FERTILITY CLINIC AND LEVEL III PERINATAL UNIT; JOBST VASCULAR CENTER; AND A LEVEL I TRAUMA CENTER. IN ADDITION, PROMEDICA'S EICU TECHNOLOGY IS HOUSED AND MONITORED AT TTH; A BARIATRICS PROGRAM PROVIDES OPTIONS FOR SURGICAL WEIGHT LOSS TO PATIENTS WHO ARE CRITICALLY OVERWEIGHT; AND THE TOLEDO HOSPITAL BREAST CARE CENTER IS RECOGNIZED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDICS DEPARTMENTS, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 82,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY; RADIOLOGY; AND PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. TTH ALSO HOUSES TOLEDO CHILDREN'S HOSPITAL (TCH), PROMEDICA'S PEDIATRIC TERTIARY HOSPITAL. TCH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS, FROM NEWBORNS THROUGH AGE 18. TCH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS, WHILE A NEWBORN INTENSIVE CARE PHYSICIAN AND A PEDIATRIC HOSPITALIST ARE ON DUTY 24 HOURS A DAY. IN 2010, NATIONAL RESEARCH CORPORATION (NRC) SELECTED TTH AS THE REGION'S CONSUMER CHOICE AWARD-WINNER FOR THE 15TH CONSECUTIVE YEAR. NRC PRESENTS THE AWARD ANNUALLY TO THE MOST PREFERRED HOSPITALS IN 250 U.S. MARKETS. ADDITIONALLY, BOTH THE TOLEDO HOSPITAL (TTH) AND TOLEDO CHILDREN'S HOSPITAL (TCH) RECEIVED OHIO PARTNERSHIP FOR EXCELLENCE (OPE) SILVER-LEVEL AWARDS AS PART OF THE OHIO AWARD FOR EXCELLENCE PROGRAM. THE PROGRAM IS BASED ON THE BALDRIGE ASSESSMENT PROCESS AND IS THE BENCHMARK FOR ORGANIZATIONAL PERFORMANCE IMPROVEMENT ACROSS THE STATE. IN 2010, TTH SERVED 32,325 INPATIENTS; 612,966 OUTPATIENTS; AND 82,431 EMERGENCY CENTER PATIENTS. TTH CONTRIBUTED $62,343,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, CHARITY CARE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, TTH CONTRIBUTED $24,138,000 TO THE COMMUNITY DURING 2010. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - FREE HEALTH EDUCATION LECTURES ON DISEASE IDENTIFICATION AND TREATMENT OPTIONS-WITH AN EMPHASIS ON INDIVIDUAL ACCOUNTABILITY-CONDUCTED AT AREA SENIOR CENTERS, LOCAL BUSINESSES AND IN SCHOOLS. - TTH AORTIC CENTER, WHICH COMBINES CARDIOVASCULAR SURGERY, VASCULAR SURGERY AND CARDIOLOGY - A COLLABORATIVE PROGRAM BETWEEN TTH AND JOBST VASCULAR CENTER TO PROVIDE A NEW LEVEL OF EXPERTISE IN AORTIC DISEASE TREATMENT AND MANAGEMENT. - THE AUTISM COLLABORATIVE - A COLLABORATION BETWEEN TCH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES - TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH A VARIETY OF DISEASE ISSUES AND TO OFFER SOCIAL SERVICES INFORMATION. - THE FIRST STEPS AND TEEN PEP PROGRAMS TO EXTEND CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS. - FREE AND LOW-COST OUTPATIENT CLINICS THAT OFFER A WIDE ARRAY OF HEALTH SERVICES INCLUDING FLU CLINICS, IMMUNIZATIONS, VASCULAR SCREENINGS, AND TREATMENT OF MINOR ILLNESSES THAT MIGHT NOT REQUIRE AN EMERGENCY CENTER VISIT BUT STILL REQUIRE MEDICAL ATTENTION. - PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZE THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TTH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE (PREVIOUSLY CALLED CHARITY CARE) TO THE COMMUNITY DURING 2010, OF WHICH $12,047,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TTH'S COST OF BAD DEBT FOR 2010 WAS $5,635,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $62,343,000 INDICATED ABOVE. TTH PROVIDED $26,158,000 OF INDIRECT COMMUNITY SUPPORT WHICH REPRESENTS THE COSTS-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICAID PATIENTS. IN 2010, THE TOTAL COSTS-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICARE PATIENTS WAS $16,922,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $62,343,000 NOTED ABOVE. DURING 2010, TTH EXPENDED $155,734,000 IN NET PAYROLL, PROVIDING 4,823 JOBS IN NORTHWEST OHIO. A TOTAL OF $9,921,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
COBRA VENTURES LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	204671613	LAND LEASING	OH	3776	81368	ST LUKE'S HOSPITAL FOUNDATION
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	611448753	EMPLOYS PHYSICIANS	OH	2656840	849076	PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341881137	EMPLOYS PHYSICIANS	OH	78394522	12670114	PROMEDICA PHYSICIAN GROUP
PROMEDICA EAST PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341881145	EMPLOYS PHYSICIANS	OH	4786708	1701245	PROMEDICA PHYSICIAN GROUP
PROMEDICA ORTHOPEDIC PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	208050622	EMPLOYS PHYSICIANS	OH	2772527	2500589	PROMEDICA PHYSICIAN GROUP
PROMEDICA SOUTH PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341898679	EMPLOYS PHYSICIANS	OH	3026817	1374952	PROMEDICA PHYSICIAN GROUP
PROMEDICA WEST PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	341893773	EMPLOYS PHYSICIANS	OH	10604327	5384008	PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE ST	SYLVANIA	OH	43560	263888045	EMPLOYS PHYSICIANS	OH	26913715	5413477	PROMEDICA PHYSICIAN GROUP
PROMEDICA GI PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	263015991	EMPLOYS PHYSICIANS	OH	4938596	1761225	PROMEDICA PHYSICIAN GROUP
PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	270978204	EMPLOYS PHYSICIANS	OH	4231885	-131431	PROMEDICA PHYSICIAN GROUP
WELLCARE PHYSICIANS LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	611528443	PHYSICIAN PRACTICES	OH	5244990	2590295	PROMEDICA PHYSICIAN GROUP
PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC
5855 MONROE ST	SYLVANIA	OH	43560	271401750	EMPLOYS PHYSICIANS	OH	1470779	41682	PROMEDICA PHYSICIAN GROUP
PROMEDICA ENT LLC
5855 MONROE ST	SYLVANIA	OH	43560	272404505	EMPLOYS PHYSICIANS	OH	0	16163	PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
5855 MONROE ST	SYLVANIA	OH	43560	271325141	MEDICAL EQUIPMENT & PHARMACY	OH	30763669	12690612	PROMEDICA CONTINUING CARE SERVICES CORP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN	ADRIAN	MI	49221	383164818	FACILITY LEASING	MI	287858	1252203	EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE ST	SYLVANIA	OH	43560	272920342	EMPLOYS PHYSICIANS	MI	0	0	PROMEDICA PHYSICIAN GROUP

Form990 Schedule R Part II Form990ScheduleRPartII (34 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DR	OREGON	OH	43616	341883132	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	1
BAY PARK COMMUNITY HOSPITAL FOUNDATION
2801 BAY PARK DR	OREGON	OH	43616	341901462	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
BIXBY COMMUNITY HEALTH FOUNDATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	382691494	FOUNDATION	MI	501(C)(3)	11B, II	EMMA L BIXBY MEDICAL CENTER	1
CARE ENTERPRISES INC
5901 MONCLOVA RD	MAUMEE	OH	43537	341366709	FACILITY LEASING	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTON	DEFIANCE	OH	43512	510173779	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	11D, III-O	DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL HOSPITAL	1
DEFIANCE HOSPITAL FOUNDATION INC
1200 RALSTON	DEFIANCE	OH	43512	341559647	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL MEDICAL CENTER
1200 RALSTON	DEFIANCE	OH	43512	344446484	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	1
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVE	ADRIAN	MI	49221	382796005	HOSPITAL	MI	501(C)(3)	3	PROMEDICA NORTH REGION	1
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVE	ADRIAN	MI	49221	382149602	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	11B, II	EMMA L BIXBY MEDICAL CENTER	1
FLOWER HOSPITAL
5200 HARROUN RD	SYLVANIA	OH	43560	344428794	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	1
FLOWER HOSPITAL FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341556730	FOUNDATION	OH	501(C)(3)	7	PROMEDICA HEALTH SYSTEM	1
FOSTORIA COMMUNITY HOSPITAL FOUNDATION
PO BOX 907	FOSTORIA	OH	44830	341805993	FOUNDATION	OH	501(C)(3)	11A, I	FOSTORIA HOSPITAL ASSOC DBA FOSTORIA COMMUNITY HOSPITAL	1
FOSTORIA HOSPITAL ASSOC DBA FOSTORIA COMMUNITY HOSPITAL
PO BOX 907	FOSTORIA	OH	44830	340898745	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	1
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907	FOSTORIA	OH	44830	346517634	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	11A, I	FOSTORIA HOSPITAL ASSOC DBA FOSTORIA COMMUNITY HOSPITAL	1
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383076105	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	11B, II	HERRICK MEMORIAL HOSPITAL DBA HERRICK MEDICAL CENTER	1
HERRICK MEDICAL CENTER FOUNDATION
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383076106	FOUNDATION	MI	501(C)(3)	11B, II	HERRICK MEMORIAL HOSPITAL DBA HERRICK MEDICAL CENTER	1
HERRICK MEMORIAL HOSPITAL INC DBA HERRICK MEDICAL CENTER
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383049015	HOSPITAL	MI	501(C)(3)	3	PROMEDICA NORTH REGION	1
LENAWEE LONG TERM CARE DBA PROVINCIAL HOUSE OF ADRIAN
700 LAKESHORE TR	ADRIAN	MI	49221	382879330	LONG TERM CARE	MI	501(C)(3)	9	PROMEDICA NORTH REGION	1
PROMEDICA CONTINUING CARE SERVICES CORP
5855 MONROE ST	SYLVANIA	OH	43560	344492440	LONG TERM AND HOME HEALTH CARE	OH	501(C)(3)	9	PROMEDICA HEALTH SYSTEM	1
PROMEDICA CONTINUING CARE SERVICES CORP FOUNDATION
5855 MONROE ST	SYLVANIA	OH	43560	341901457	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVE	TOLEDO	OH	43606	260324790	COURIER SERVICE	OH	501(C)(3)	11B, II	PROMEDICA CONTINUING CARE SERVICES CORP	1
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS RD	TOLEDO	OH	43607	341517671	PARENT COMPANY OF HEALTH SYSTEM	OH	501(C)(3)	11C, III-FI		0	N/A
PHS VENTURES FKA BVPH VENTURES INC
1801 RICHARDS RD	TOLEDO	OH	43607	341880473	HEALTH CARE MANAGEMENT SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM	1
ACADEMIC HEALTH CENTER CORPORATION
2142 N COVE BLVD	TOLEDO	OH	43606	341887062	MEDICAL EDUCATION & RESEARCH	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR	BURLINGTON	VT	05401	341931936	PROFESSIONAL & GENERAL LIABILITY	VT	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
PROMEDICA NORTH REGION INC
818 RIVERSIDE AVE	ADRIAN	MI	49221	383307345	MANAGES DELIVERY OF HEALTH SYSTEM	MI	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
5855 MONROE ST	SYLVANIA	OH	43560	341880767	MANAGES PHYSICIAN SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM	1
PROMEDICA PHYSICIAN GROUP
5855 MONROE ST	SYLVANIA	OH	43560	341899439	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	9	PROMEDICA PHYSICIANS & CONTINUUM SERVICES	1
ST LUKE'S HOSPITAL
5901 MONCLOVA RD	MAUMEE	OH	43537	344428232	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	1
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RD	MAUMEE	OH	43537	341292849	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
THE TOLEDO HOSPITAL FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341517672	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
TOLEDO CHILDREN'S HOSPITAL FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341901463	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	1
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREET	TOLEDO	OH	43624	344427949	SKILLED HOME CARE	OH	501(C)(3)	7	PROMEDICA CONTINUING CARE SERVICES CORP	1
VISITING NURSE HOSPICE AND HEALTH CARE
383 W DUSSEL DRIVE	MAUMEE	OH	43537	341831624	HOSPICE HOME CARE	OH	501(C)(3)	9	PROMEDICA CONTINUING CARE SERVICES CORP	1

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP
818 RIVERSIDE AVE	ADRIAN	MI	49221	382972398	FACILITY LEASING	MI	EMMA L BIXBY MEDICAL CENTER	RELATED	37863	1303421	0	1	0.64600
REYNOLDS RD SURGICAL CENTER LLC
2865 N REYNOLDS RD	TOLEDO	OH	43615	311569454	FREESTANDING AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	789008	2760995	0	0	0.64960
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RD	MAUMEE	OH	43537	320160784	FACILITY LEASING	OH	CARE ENTERPRISES INC	RELATED	6045	921810	0	0	0.70000
WEST CENTRAL SURGICAL CENTER
7055 W CENTRAL AVE	TOLEDO	OH	43617	200088459	FREESTANDING AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	-6231	2773150	0	1	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets
CARE HOLDINGS
5901 MONCLOVA RD	MAUMEE	OH	43537	341796790	HOLDING COMPANY	OH	PROMEDICA HEALTH SYSTEM	C	1.00000
CENTRAL REGION PROPERTIES INC
2142 N COVE BLVD	TOLEDO	OH	43606	341059809	FACILITY LEASING	OH	THE TOLEDO HOSPITAL	C	1.00000	879937	18524765
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TR	ADRIAN	MI	49221	383146907	FACILITY LEASING	MI	PROMEDICA NORTH REGION	C	1.00000	13359	600657
LHA PHYSICIAN SERVICES CORPORATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	611451576	PHYSICIAN BILLING	MI	EMMA L BIXBY MEDICAL CENTER	C	1.00000	-13972	386789
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RD	MAUMEE	OH	43537	061811760	PHYSICIAN PRACTICE MANAGEMENT	OH	PROMEDICA HEALTH SYSTEM	C	1.00000	-929	28949
PROMEDICA CENTRAL CORPORATION OF MI INC
5855 MONROE ST	SYLVANIA	OH	43560	383322278	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	1.00000	104075	5664567
PROMEDICA FOUNDATION
1801 RICHARDS RD	TOLEDO	OH	43607	341901465	FOUNDATION	OH	PROMEDICA HEALTH SYSTEM	C	1.00000
PROMEDICA HEALTH EDUCATION & RESEARCH FOUNDATION
2142 N COVE BLVD	TOLEDO	OH	43606	341930876	FOUNDATION	OH	PROMEDICA HEALTH SYSTEM	C	1.00000
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	341570675	HEALTH CARE INSURANCE	OH	PROMEDICA HEALTH SYSTEM	C	1.00000	3509000	230740000
PROMEDICA NORTH PHYSICIAN CORPORATION
5855 MONROE ST	SYLVANIA	OH	43560	383482148	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	1.00000		203340
PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION
5855 MONROE ST	SYLVANIA	OH	43560	341887065	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA PHYSICIANS & CONTINUUM SERVICES	C	1.00000		404501
PROMEDICA PHYSICIAN CORPORATION
5855 MONROE ST	SYLVANIA	OH	43560	341757084	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM	C	1.00000
PROMEDICA RETAIL GROUP INC
3890 MONROE ST	TOLEDO	OH	43606	341159928	FLORIST	OH	PROMEDICA CONTINUING CARE SERVICES CORP	C	1.00000	-94251	929550
TOLEDO HOSPITAL LOCAL PROVIDER UNIT
2142 N COVE BLVD	TOLEDO	OH	43606	341586739	PHYSICIAN SERVICES	OH	THE TOLEDO HOSPITAL	C	1.00000
ST LUKE'S PHYSICIAN HOSPITAL ORGANIZATION
5901 MONCLOVA RD	MAUMEE	OH	43537	341781420	PHYSICIAN MANAGEMENT SERVICES	OH	ST LUKE'S HOSPITAL	C	0.50000	-3430	6732

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (35 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
PROMEDICA CONTINUING CARE SERVICES CORP
B	2500000	FMV
PROMEDICA HEALTH SYSTEM
B	10800000	FMV
PROMEDICA PHYSICIAN GROUP
B	13000000	FMV
ACADEMIC HEALTH CENTER CORPORATION
C	887530	FMV
THE TOLEDO HOSPITAL FOUNDATION
C	2074133	FMV
TOLEDO CHILDREN'S HOSPITAL FOUNDATION
C	319646	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
I	401622	FMV
PROMEDICA HEALTH SYSTEM
I	1304539	FMV
PROMEDICA PHYSICIANS & CONTINUUM SERVICES
I	461579	FMV
PROMEDICA PHYSICIAN GROUP
I	7471305	FMV
EMMA L BIXBY MEDICAL CENTER
J	182354	FMV
CENTRAL REGION PROPERTIES
J	55476	FMV
DEFIANCE HOSPITAL INC DBA DEFINANCE REGIONAL MEDICAL CENTER
N	55743	FMV
FOSTORIA HOSPITAL ASSOCIATION DBA FOSTORIA COMMUNITY HOSPITAL
N	176868	FMV
BAY PARK COMMUNITY HOSPITAL
N	826074	FMV
FLOWER HOSPITAL
N	918628	FMV
PROMEDICA PHYSICIAN GROUP
N	166413	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
N	228988	FMV
DEFIANCE HOSPITAL INC DBA DEFINANCE REGIONAL MEDICAL CENTER
P	730418	FMV
FOSTORIA HOSPITAL ASSOCIATION DBA FOSTORIA COMMUNITY HOSPITAL
P	592688	FMV
BAY PARK COMMUNITY HOSPITAL
P	1502285	FMV
EMMA L BIXBY MEDICAL CENTER
P	1187781	FMV
HERRICK MEMORIAL HOSPITAL
P	369394	FMV
FLOWER HOSPITAL
P	2984758	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
P	119844	FMV
VISITING NURSE HOSPICE
P	78238	FMV
PROMEDICA NORTH REGION FKA LENAWEE HEALTH CARE ALLIANCE
P	155395	FMV
PROMEDICA HEALTH SYSTEM
P	9599793	FMV
PROMEDICA PHYSICIAN GROUP
P	204774	FMV
FLOWER HOSPITAL
O	2555483	FMV
PROMEDICA CONTINUING CARE SERVICES CORP
O	71592	FMV
PROMEDICA HEALTH SYSTEM
O	72774742	FMV
PROMEDICA INSURANCE CORPORATION
O	2572258	FMV
PROMEDICA COURIER SERVICES INC
O	1537144	FMV
PROMEDICA PHYSICIAN GROUP
O	27079187	FMV