TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) EDWARD BARDI PHD TRUSTEE	1.00	X		0	0	0
(2) BRIAN BUCHER TRUSTEE	1.00	X		0	0	0
(3) GARY COLLINS MD TRUSTEE	40.00	X		347,555	0	38,316
(4) ROBERT GRAY TRUSTEE	1.00	X		0	0	0
(5) THEODORE HAHN TRUSTEE	1.00	X		0	0	0
(6) JONATHAN HARDING TRUSTEE	1.00	X		0	0	0
(7) KENNETH JOYCE TRUSTEE	1.00	X		0	0	0
(8) JANE MILLER TRUSTEE	1.00	X		0	0	0
(9) JAMES MURRAY TRUSTEE	1.00	X		0	0	0
(10) RANDALL OOSTRA EX OFFICIO	1.00	X		0	1,055,080	144,585
(11) LARRY PETERSON EX OFFICIO	1.00	X		0	0	0
(12) EMORY SCHMIDT TRUSTEE	1.00	X		0	0	0
(13) C MICHAEL SMITH TRUSTEE	1.00	X		0	0	0
(14) LEE HAMMERLING MD PRESIDENT/EX OFFICIO	40.00	X	X	0	654,244	78,042
(15) ROBERT CHIRDON CHAIRPERSON	1.00	X	X	0	0	0
(16) KATHLEEN HANLEY TREASURER	1.00		X	0	571,582	87,366
(17) JEFFREY KUHN SECRETARY	1.00		X	0	433,955	64,541

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	4,029,353	4,029,353
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	783,877	783,877
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	87,115,135	69,545,806	17,569,329
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	2,806,105	2,240,014	566,091
9	Other employee benefits .......	3,662,832	2,924,662	738,170
10	Payroll taxes ...........	4,129,439	3,303,551	825,888
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........
12	Advertising and promotion ....	251,497	201,197	50,300
13	Office expenses .......	7,109,200	6,957,884	151,316
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	1,393,802	1,115,042	278,760
17	Travel ............	747,314	597,851	149,463
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	1,048,733	1,048,733
23	Insurance ..............	3,666,195	3,482,885	183,310
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	OVERHEAD/OTHER ALLOCATI	7,589,289	4,834,962	2,754,327
b	BILLING	5,016,084	5,016,084	0	0
c	BAD DEBTS	3,422,540	2,738,032	684,508	0
d	PURCHASED SERVICES	3,043,256	3,043,256	0	0
e	UTILITIES	626,123	500,898	125,225	0
f	All other expenses	2,514,845	2,011,876	502,969
25	Total functional expenses. Add lines 1 through 24f	138,955,619	114,375,963	24,579,656	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	3,343,599	1	6,769,428
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	9,080,656	4	8,572,388
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	1,191,723	8	1,297,383
9	Prepaid expenses and deferred charges ............	679,262	9	965,776
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	12,269,143
b	Less: accumulated depreciation. .....	10b	8,515,274	4,222,505	10c	3,753,869
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........	980,474	14	863,772
15	Other assets. See Part IV, line 11 ...........	5,817,632	15	11,948,780
16	Total assets. Add lines 1 through 15 (must equal line 34)...	25,315,851	16	34,171,396
	17	Accounts payable and accrued expenses .	11,029,064	17	14,682,981
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	20,119,323	25	19,451,793
26	Total liabilities. Add lines 17 through 25.....	31,148,387	26	34,134,774
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	-5,832,536	27	36,622
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	-5,832,536	33	36,622
34	Total liabilities and net assets/fund balances .....	25,315,851	34	34,171,396

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

PROMEDICA PHYSICIAN GROUP

Employer identification number

34-1899439

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	13,480,000	17,550,000	22,220,000	15,424,000	15,150,000	83,824,000
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......	65,122,732	81,681,262	88,934,353	115,134,807	129,946,527	480,819,681
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.	78,602,732	99,231,262	111,154,353	130,558,807	145,096,527	564,643,681
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...						0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.						0
c	Add lines 7a and 7b..						0
8	Public Support (Subtract line 7c from line 6.)						564,643,681

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...	78,602,732	99,231,262	111,154,353	130,558,807	145,096,527	564,643,681
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	29,145	47,391	54,882	43,932	57,112	232,462
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	29,145	47,391	54,882	43,932	57,112	232,462
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)	29,837					29,837
13	Total support (Add lines 9, 10c, 11 and 12.).	78,661,714	99,278,653	111,209,235	130,602,739	145,153,639	564,905,980

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

99.950 %

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

99.950 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

0.040 %

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

0.040 %

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation
SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: OTHER INCOME

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

PROMEDICA PHYSICIAN GROUP

Employer identification number

34-1899439

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization PROMEDICA PHYSICIAN GROUP
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization PROMEDICA PHYSICIAN GROUP
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
PROMEDICA PHYSICIAN GROUP

Employer identification number

34-1899439

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PROMEDICA PHYSICIAN GROUP

Employer identification number

34-1899439

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................	273,444			273,444
c	Leasehold improvements ............		1,358,257	762,437	595,820
d	Equipment ................		10,045,564	7,520,329	2,525,235
e	Other .................		591,878	232,508	359,370
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........					3,753,869

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFLILIATES				11,387,870
(2) OTHER RECEIVABLES				560,910







Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				11,948,780

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
DUE TO AFFILIATES		13,750,169
MALPRACTICE TAIL LIABILITY		5,701,624







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		19,451,793
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	PROMEDICA PHYSICIAN GROUP 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.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
PROMEDICA PHYSICIAN GROUP

Employer identification number
34-1899439

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) PROMEDICA PHYSICIANS AND CONTINUUM CORPORATION5855 MONROE ST SYVANIA,OH43560	34-1880767	501(C)(3)	4,029,353	OPERATING GRANT

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PROMEDICA PHYSICIAN GROUP

Employer identification number

34-1899439

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) GARY COLLINS MD	(i) (ii)	245,550 0	102,005 0	0 0	17,000 0	21,316 0	385,871 0	0 0
(2) RANDALL OOSTRA	(i) (ii)	0 750,000	0 290,072	0 15,008	0 126,108	0 18,477	0 1,199,665	0 0
(3) LEE HAMMERLING MD	(i) (ii)	0 467,445	0 179,582	0 7,217	0 63,805	0 14,237	0 732,286	0 0
(4) KATHLEEN HANLEY	(i) (ii)	0 414,848	0 151,504	0 5,230	0 69,789	0 17,577	0 658,948	0 0
(5) JEFFREY KUHN	(i) (ii)	0 309,314	0 113,370	0 11,271	0 46,608	0 17,933	0 498,496	0 0
(6) DAVID JAMES MD	(i) (ii)	355,001 0	25,000 0	3,955 0	7,350 0	6,700 0	398,006 0	0 0
(7) ROBERT FREDRICK MD	(i) (ii)	0 328,733	0 74,926	0 399	0 45,993	0 12,723	0 462,774	0 0
(8) DAWN BUSKEY	(i) (ii)	0 192,363	0 39,801	0 5,990	0 30,084	0 12,395	0 280,633	0 0
(9) KIM MCCLURE	(i) (ii)	0 135,660	0 22,421	0 7,400	0 26,275	0 2,595	0 194,351	0 0
(10) MICHAEL MORONT MD	(i) (ii)	909,536 25,000	43,175 0	23,529 0	17,000 0	17,775 0	1,011,015 25,000	0 0
(11) ROBERT DEROSA MD	(i) (ii)	505,200 0	77,352 0	213,391 0	17,000 0	15,051 0	827,994 0	0 0
(12) FOUAD BUTTO MD	(i) (ii)	405,240 0	337,901 0	45,479 0	57,524 0	18,540 0	864,684 0	0 0
(13) SHIRAZ SUNDERJI MD	(i) (ii)	747,837 0	0 0	0 0	17,000 0	16,153 0	780,990 0	0 0
(14) MICHAEL HOEFLINGER MD	(i) (ii)	738,637 0	0 0	0 0	10,732 0	9,928 0	759,297 0	0 0
(15) GARY AKENBERGER	(i) (ii)	0 234,600	0 60,931	0 11,147	0 37,437	0 14,949	0 359,064	0 0
(16) MARTIN DANSACK	(i) (ii)	0 144,795	0 25,982	0 848	0 27,392	0 15,048	0 214,065	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	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. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR.
	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 J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

PROMEDICA PHYSICIAN GROUP

Employer identification number

34-1899439

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2		THE FOLLOWING OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE EMPLOYEES OF PROMEDICA HEALTH SYSTEM OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED PROMEDICA HEALTH SYSTEM BOARDS. DAWN BUSKEY GARY COLLINS ROBERT FREDRICK LEE HAMMERLING KATHLEEN HANLEY DAVID JAMES JEFFREY KUHN KIM MCCLURE RANDALL OOSTRA
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 PROMEDICA PHYSICIANS & CONTINUUM SERVICES, WHICH CONTROLS THE SOLE SHAREHOLDER OF PROMEDICA PHYSICIANS GROUP. PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF PROMEDICA PHYSICIANS GROUP, 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.
	FORM 990, PART VI, SECTION B, LINE 12C	PROMEDICA HEALTH SYSTEM AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE DIRECTOR, AUDIT/COMPLIANCE. SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO)/CHIEF COMPLIANCE OFFICER (CCO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE DIRECTOR, AUDIT/COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT/COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT/COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO/CCO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION, AS WELL AS AN ATTACHMENT WITH A FULL LISTING OF THE BOARD MEMBERS DISCLOSURES AND THE TOTAL AMOUNT OF FINANCIAL ACTIVITY IN THE PRECEDING 12 MONTHS BETWEEN PHS AND THE BOARD MEMBERS/AFFILIATES. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBERS CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE WITHIN 30 DAYS OF NOTIFICATION. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE DIRECTOR, AUDIT/COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED, COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT/COMPLIANCE DEPARTMENT, AND A LIST OF ALL NEW EMPLOYEES HIRED DURING THE PREVIOUS 12 MONTHS. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE DIRECTOR, AUDIT/COMPLIANCE AND THE CHIEF HUMAN RESOURCES OFFICER AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO/CCO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT/COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEES CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT.
	FORM 990, PART VI, SECTION B, LINE 15	EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
	FORM 990, PART VI, SECTION C, LINE 19	PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	REALIZED LOSS RECOGNIZED ON SALE OF LAND HELD FOR INVESTMENT 141,441. INHERENT CONTRIBUTION OF NET ASSETS -216,927. TOTAL TO FORM 990, PART XI, LINE 5: -75,486.
	FORM 990, PART XII, LINE 2A - 2D:	PROMEDICA PHYSICIAN GROUP IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (PHS) WHICH ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE PHS AUDIT/COMPLIANCE COMMITTEE WHICH PROVIDES ASSISTANCE TO THE PHS BOARDS OF TRUSTEES IN FULFILLING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINS FREE AND OPEN COMMUNICATION BETWEEN THE COMMITTEE, THE DIRECTOR OF INTERNAL AUDIT/COMPLIANCE, THE INDEPENDENT AUDITORS AND MANAGEMENT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. MAJOR RESPONSIBILITIES OF THE AUDIT/COMPLIANCE COMMITTEE INCLUDE: - ANNUALLY, APPROVE THE ENGAGEMENT OF THE EXTERNAL AUDITOR, INCLUDING RELATED SCOPE, FEES AND REPORTS. - REVIEW WITH MANAGEMENT AND THE INDEPENDENT AUDITORS THE ANNUAL FINANCIAL STATEMENTS AND RESULTS OF THE AUDIT, INCLUDING REQUIRED MATTERS TO BE COMMUNICATED TO THE COMMITTEE BY THE INDEPENDENT AUDITORS UNDER GENERALLY ACCEPTED AUDITING STANDARDS. - DISCUSS WITH THE EXTERNAL AUDITORS THEIR INDEPENDENCE FROM MANAGEMENT AND THE ORGANIZATION AND THE MATTERS INCLUDED IN WRITTEN DISCLOSURE REQUIRED BY THE INDEPENDENCE STANDARDS BOARD. - OVERSEE MANAGEMENT ACTION PLANS RESULTING FROM EXTERNAL MANAGEMENT LETTER.
	FORM 990, PART VII:	AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS DURING THE YEAR: GARY AKENBERGER - 40 HOURS KATHLEEN HANLEY - 40 HOURS JEFFREY KUHN - 40 HOURS RANDALL OOSTRA - 40 HOURS
PROMEDICA HEALTH SYSTEM - STATEMENT OF PROGRAM SERVICE ACCOMPLISMENTS	FORM 990, PART III, LINE 4:	ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2010 TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. PROMEDICA'S 2010 MISSION AS AN INTEGRATED DELIVERY SYSTEM WAS TO BE INNOVATIVE, SERVICE-ORIENTED AND COST-EFFECTIVE WITH SUPERIOR QUALITY, WORKING WITH PHYSICIANS, HEALTHCARE PROVIDERS, BUSINESSES, AND THE COMMUNITY TO IMPROVE HEALTH. OUR SIX CORE VALUES INCLUDE: COLLABORATION-WORKING TOGETHER WITH MUTUAL RESPECT; COMMUNITY-BASED-LOCALLY OWNED, GUIDED BY CONSTITUENT NEEDS AND BUSINESS IMPERATIVES; COMPASSION-CONCERN AND UNDERSTANDING FOR OTHERS WITH COMMITMENT TO HELP; EXCELLENCE-SUPERIOR PERFORMANCE AND OUTCOMES; INTEGRITY-HONESTY, SINCERITY AND ACCOUNTABILITY; AND STEWARDSHIP-SOUND MANAGEMENT OF RESOURCES ON BEHALF OF PROMEDICA AND THE COMMUNITY. PROMEDICA AND ITS AFFILIATES COMPRISE 306 SITES, AND APPROXIMATELY 1,644 PHYSICIANS AND 14,000 EMPLOYEES AND VOLUNTEERS. DURING 2010, PROMEDICA SERVED 61,929 INPATIENTS AND 1,217,176 OUTPATIENTS, WHILE HANDLING 225,814 EMERGENCY CENTER VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2010, FOR EVERY ONE DOLLAR OF PROMEDICA REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $2.4 BILLION. WE ALSO CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. ADDITIONALLY, OUR PHYSICIANS, LEADERSHIP TEAM MEMBERS AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS-SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING, PROVIDING MONTHLY HEALTH LECTURES AT LOCAL SENIOR CENTERS, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE GOODS TO NUMEROUS LOCAL FOOD PANTRIES AND CHURCHES-UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL (LOCATED WITHIN THE TOLEDO HOSPITAL), FLOWER HOSPITAL, FOSTORIA COMMUNITY HOSPITAL, DEFIANCE REGIONAL MEDICAL CENTER, BAY PARK COMMUNITY HOSPITAL, HERRICK MEDICAL CENTER, EMMA L. BIXBY MEDICAL CENTER, AND ST. LUKE'S HOSPITAL. EFFECTIVE SEPTEMBER 1, 2010, ST. LUKE'S HOSPITAL, ST. LUKE'S HOSPITAL FOUNDATION, AND CARE ENTERPRISES JOINED PROMEDICA, OFFERING RESIDENTS IN SOUTHWESTERN LUCAS COUNTY WITH OPTIONS FOR EXPANDED ACCESS TO SPECIALIZED HEALTHCARE SERVICES. IN 2010, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP, WITH MORE THAN 310 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS; THEY HELP PROMEDICA TO BROADEN THE CARE WE OFFER SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO, RANKED IN THE TOP 100 PRIVATE PLANS IN THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE'S (NCQA) HEALTH INSURANCE PLAN RANKINGS FOR 2010 - 2011. - THE ACADEMIC HEALTH CENTER CORPORATION, AN ALLIANCE WITH THE UNIVERSITY OF TOLEDO, TO PROMOTE RESEARCH AND EDUCATION THROUGHOUT THE REGION. PROMEDICA HAS ADDITIONAL ACADEMIC RELATIONSHIPS WITH NUMEROUS OTHER INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - TWELVE CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES FOR THEIR RESPECTIVE HOSPITALS AND CONTINUING CARE FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE FLOWER HOSPITAL CAMPUS. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, CARDIOVASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR MEANS OR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR HEALTH CARE, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH 298 LOCAL NONPROFIT AGENCIES AND ORGANIZATIONS IN 2010 THAT HAD VALUES AND MISSIONS SIMILAR TO OURS.
		PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, JUST A FEW EXAMPLES FROM 2010 INCLUDE THE FOLLOWING: - PROMEDICA, ALONG WITH MERCY MEMORIAL HOSPITAL OF MONROE, MICHIGAN, AND THE BARBARA ANN KARMANOS CANCER CENTER OF DETROIT, BECAME EQUAL PARTNERS IN A JOINT VENTURE TO ESTABLISH A NEW CANCER TREATMENT FACILITY IN MONROE. IT WILL BE THE FIRST INTEGRATED CANCER CENTER IN THE AREA OFFERING MEDICAL AND RADIATION ONCOLOGY SERVICES UNDER ONE ROOF. - HERRICK MEDICAL CENTER OPENED A NEW WOMEN'S HEALTH CENTER THAT OFFERS SPECIALIZED SERVICES FOR WOMEN SUCH AS DIGITAL MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST CANCER SURGERY, BONE DENSITY SCANS, HEART AND VASCULAR HEALTH SERVICES, A MIDLIFE WOMEN'S CLINIC, AND MORE. - JOBST VASCULAR CENTER HELD PUBLIC SCREENINGS ONE DAY PER MONTH TO PROVIDE VASCULAR SCREENINGS AT NO CHARGE. - THE HICKMAN CANCER CENTER AT BIXBY MEDICAL CENTER RECEIVED A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. - BIXBY ALSO BECAME THE FIRST HOSPITAL IN MICHIGAN TO OFFER A NEW MINIMALLY INVASIVE PROCEDURE FOR LUMBAR CANAL STENOSIS. MINIMALLY INVASIVE LUMBAR DECOMPRESSION (MILD(R)), IS LESS PAINFUL AND OFFERS A SIGNIFICANTLY SHORTER RECOVERY PERIOD FOR PATIENTS SUFFERING FROM STENOSIS. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY LOCALLY THROUGH ITS FIELDS OF GREEN CAMPAIGN. IN 2010, STUDENT TEAMS FROM PROMEDICA'S SERVICE AREA CREATED HEALTHY BREAKFAST MEAL PLANS FOR ELEMENTARY SCHOOL CHILDREN AS PART OF A COLLEGE SCHOLARSHIP COMPETITION. EACH MEMBER OF THE WINNING TEAM RECEIVED A $5,000 COLLEGE SCHOLARSHIP FROM PROMEDICA; SECOND- AND THIRD-PLACE SCHOLARSHIP AWARDS ALSO WERE PRESENTED, AND EACH WINNING SCHOOL RECEIVED A CASH AWARD FOR ITS HEALTH AND SCIENCES CURRICULA. - THROUGH ITS ADVOCACY DEPARTMENT, PROMEDICA CONTINUED ITS HEALTH EDUCATION PROGRAM FOR ELEMENTARY SCHOOL CHILDREN BY ADDING MODULES FOR GRADES 1 - 3 TO COMPLEMENT THOSE USED FOR CHILDREN IN GRADES 4 - 6. THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM IS DESIGNED TO EMPOWER STUDENTS AND THEIR PARENTS TO MAKE LIFELONG, HEALTHY CHOICES ABOUT FOOD AND EXERCISE. - ELECTRONIC DOCUMENTATION AND CHARTING AT THE BEDSIDE WAS IMPLEMENTED AT BAY PARK COMMUNITY HOSPITAL, REPLACING THE PAPER CHART. THIS TECHNOLOGY UPGRADE IS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD THAT ALSO WILL BE ACTIVATED AT PROMEDICA'S OTHER HOSPITALS SYSTEM-WIDE IN COMING YEARS. - PROMEDICA CANCER INSTITUTE PRESENTED THE NEXT STEP/CHAMPS PROGRAMS, WHICH OFFERED SUPPORT AND ACTIVITIES FOR CHILDREN WHO HAD A FAMILY MEMBER DIAGNOSED WITH CANCER. - DEFIANCE REGIONAL MEDICAL CENTER SUCCESSFULLY COMPLETED ITS THREE-YEAR, RE-VERIFICATION SURVEY AS A LEVEL III TRAUMA CENTER FOR THE DEFIANCE COMMUNITY. - PROMEDICA PHYSICIAN GROUP EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING 38 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2010. - BAY PARK COMMUNITY HOSPITAL HOSTED ITS 6TH ANNUAL SPRING INTO WELLNESS PROGRAM DEVOTED TO WOMEN'S HEALTH ISSUES BY PROVIDING FREE HEALTH SCREENINGS AND WELLNESS PRESENTATIONS. - THE GOERLICH CENTER, PART OF PROMEDICA CONTINUING CARE SERVICES CORPORATION, COMPLETED ITS EXPANSION AND RENOVATION BY ADDING 12 ROOMS FOR ALZHEIMER'S PATIENTS, AS WELL TWO NEW MULTI-PURPOSE ROOMS FOR PATIENTS AND FAMILIES, AND BUILDING A NEW GAZEBO AND MEMORY GARDEN FOR FAMILIES. - PROMEDICA CONTINUING CARE SERVICES CORPORATION PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED THOUSANDS OF FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE AND CHOLESTEROL, BODY MASS AND BONE DENSITY. - FLOWER HOSPITAL RECEIVED CERTIFICATION FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER, SIGNIFYING THAT FLOWER OFFERS HIGH-QUALITY CARE TO MEET THE UNIQUE AND SPECIALIZED NEEDS OF STROKE PATIENTS. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, AS WELL AS SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN(R) RACE FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - PROMEDICA ESTABLISHED AN ADVOCACY FUND TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH FOOD, CLOTHING AND SHELTER. IN 2010, PROMEDICA CONTRIBUTED $116,442,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY SIGNIFICANTLY AFFECTING MEMBERS OF THE COMMUNITIES WE SERVE. INCLUDED IN PROMEDICA'S 2010 COMMUNITY BENEFIT IS 12 MONTHS OF ST. LUKE'S HOSPITAL COMMUNITY BENEFIT EXPENDITURES OF $11,382,000. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $43,536,000 IN 2010. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; COLLEGE SCHOLARSHIPS FOR STUDENTS ENTERING HEALTHCARE CAREERS; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $22,916,000 IN FINANCIAL ASSISTANCE (FORMERLY CALLED CHARITY CARE) FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2010 WAS $19,717,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $116,442,000 NOTED ABOVE. FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. IN 2010, PROMEDICA MANAGED 6,169 CLINIC VISITS AND 6,052 INPATIENT/ER/OUTPATIENT VISITS. ADDITIONALLY DURING 2010, PROMEDICA PROVIDED $49,990,000 OF COMMUNITY BENEFIT THROUGH THE COST-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICAID PATIENTS. PROMEDICA'S TOTAL COST-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICARE PATIENTS DURING 2010 WAS $46,538,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $116,442,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA PROVIDES SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 500% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS CHARITABLE MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE CHARITY SERVICES; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
PROMEDICA PHYSICIAN GROUP - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS		SERVING INDIVIDUALS AND FAMILIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, PROMEDICA PHYSICIAN GROUP (PPG) OFFERS A LARGE SELECTION OF PHYSICIANS WHO PROVIDE MEDICAL CARE AND OTHER HEALTHCARE SERVICES VIA AN INTEGRATED APPROACH THROUGH WHICH THEY COLLABORATE WITH OTHER PROVIDERS. THIS INTEGRATED DELIVERY IS MORE COST-EFFECTIVE THAN TRADITIONAL DELIVERY SYSTEMS AND HELPS TO ENSURE PATIENTS HAVE READY ACCESS TO CARE IN THE MOST APPROPRIATE SETTING. PPG IS PART 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. PPG'S WELL-EQUIPPED FACILITIES ARE LOCATED IN MORE THAN 123 OFFICES, AND OUR NETWORK IS COMPRISED OF MORE THAN 315 HEALTHCARE PROVIDERS WHOSE SPECIALTIES INCLUDE-BUT ARE NOT LIMITED TO-FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY (OB/GYN), PEDIATRICS, CARDIOLOGY, GASTROENTEROLOGY, AND ORTHOPAEDICS. DURING 2010, 38 NEW PPG PHYSICIANS WERE RECRUITED, PROVIDING CARE TO MEET IDENTIFIED COMMUNITY NEEDS, INCLUDING OFFERING SPECIALTY CARE IN RURAL COMMUNITIES. PROMEDICA PHYSICIAN GROUP TREATED MORE THAN 1,018,000 PATIENTS IN 2010. IN 2010, PPG CONTRIBUTED $6,996,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, CHARITY CARE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICE ACTIVITIES, PPG CONTRIBUTED $5,000 TO THE COMMUNITY. PPG ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE (PREVIOUSLY CALLED CHARITY CARE) TO THE COMMUNITY DURING 2010, OF WHICH $660,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF 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 WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. PPG'S COST OF BAD DEBT FOR 2010 TOTALED $1,914,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $6,996,000 NOTED ABOVE. FURTHER, PPG PROVIDED $6,331,000 OF INDIRECT COMMUNITY BENEFIT THROUGH COSTS-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICAID PATIENTS. ALSO IN 2010, THE TOTAL COSTS-NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $7,900,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $6,996,000 NOTED ABOVE. DURING 2010, PPG EXPENDED $65,884,000 IN NET PAYROLL, PROVIDING 983 JOBS. A TOTAL OF $6,023,000 WAS WITHHELD FROM EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, PPG 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, PROMEDICA PROVIDES THESE HEALTHCARE SERVICES; RECRUITS AND TRAINS HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDES APPROPRIATE CHARITY SERVICES; OFFERS SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENTS FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONS		PROMEDICA HEALTH SYSTEM AND ITS SUBSIDIARIES (THE SYSTEM) PREPARES ITS COMMUNITY BENEFIT REPORTS IN ACCORDANCE WITH THE REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION AND CONSISTENT WITH FORM 990 REPORTING. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY THE SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTH CARE SERVICES - ENHANCE THE HEALTH OF THE COMMUNITY - ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, THE SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 500% OF THE POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERMENT SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL PROGRAMS SUCH AS MEDICAID. THE SYSTEM INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE SYSTEM. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR INTERNSHIPS AND RESIDENCY EDUCATION, THE PROVISION OF A CLINICAL SETTING FOR UNDERGRADUATE/VOCATIONAL TRAINING FOR STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR STAFF EDUCATION THAT IS LINKED TO COMMUNITY SERVICES AND HEALTH IMPROVEMENT. SUBSIDIZED HEALTH SERVICES SUBSIDISED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES, OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE TO MEET PATIENT DEMAND. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. THE AMOUNT REPORTED FOR THE SYSTEM IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS FINANCIAL CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND/OR THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON HOSPITAL WORK TIME, DONATION OF FOOD, EQUIPMENT, AND SUPPLIES.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

PROMEDICA PHYSICIAN GROUP

Employer identification number

34-1899439

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) COBRA VENTURES LLC 5901 MONCLOVA RD MAUMEE,OH43537 20-4671613	LAND LEASING	OH	3,776	81,368	ST LUKE'S HOSPITAL FOUNDATION
(2) MIDWEST CARDIOVASCULAR CONSULTANTS LLC 5855 MONROE ST SYLVANIA,OH43560 61-1448753	EMPLOYS PHYSICIANS	OH	2,656,840	849,076	PROMEDICA PHYSICIAN GROUP
(3) PROMEDICA CENTRAL PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 34-1881137	EMPLOYS PHYSICIANS	OH	78,394,522	12,670,114	PROMEDICA PHYSICIAN GROUP
(4) PROMEDICA EAST PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 34-1881145	EMPLOYS PHYSICIANS	OH	4,786,708	1,701,245	PROMEDICA PHYSICIAN GROUP
(5) PROMEDICA ORTHOPEDIC PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 20-8050622	EMPLOYS PHYSICIANS	OH	2,772,527	2,500,589	PROMEDICA PHYSICIAN GROUP
(6) PROMEDICA SOUTH PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 34-1898679	EMPLOYS PHYSICIANS	OH	3,026,817	1,374,952	PROMEDICA PHYSICIAN GROUP
(7) PROMEDICA WEST PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 34-1893773	EMPLOYS PHYSICIANS	OH	10,604,327	5,384,008	PROMEDICA PHYSICIAN GROUP
(8) PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC 5855 MONROE ST SYLVANIA,OH43560 26-3888045	EMPLOYS PHYSICIANS	OH	26,913,715	5,413,477	PROMEDICA PHYSICIAN GROUP
(9) PROMEDICA GI PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 26-3015991	EMPLOYS PHYSICIANS	OH	4,938,596	1,761,225	PROMEDICA PHYSICIAN GROUP
(10) PROMEDICA CARDIOTHORACIC PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 27-0978204	EMPLOYS PHYSICIANS	OH	4,231,885	-131,431	PROMEDICA PHYSICIAN GROUP
(11) WELLCARE PHYSICIANS LLC 5901 MONCLOVA RD MAUMEE,OH43537 61-1528443	PHYSICIAN PRACTICES	OH	5,244,990	2,590,295	PROMEDICA PHYSICIAN GROUP
(12) PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC 5855 MONROE ST SYLVANIA,OH43560 27-1401750	EMPLOYS PHYSICIANS	OH	1,470,779	41,682	PROMEDICA PHYSICIAN GROUP
(13) PROMEDICA ENT LLC 5855 MONROE ST SYLVANIA,OH43560 27-2404505	EMPLOYS PHYSICIANS	OH	0	16,163	PROMEDICA PHYSICIAN GROUP
(14) THE PHARMACY COUNTER LLC 5855 MONROE ST SYLVANIA,OH43560 27-1325141	MEDICAL EQUIPMENT & PHARMACY	OH	30,763,669	12,690,612	PROMEDICA CONTINUING CARE SERVICES CORP
(15) WOLF CREEK ASSOCIATES LLC 901 KIMOLE LN ADRIAN,MI49221 38-3164818	FACILITY LEASING	MI	287,858	1,252,203	EMMA L BIXBY MEDICAL CENTER
(16) PROMEDICA MONROE CARDIOLOGY PLLC 5855 MONROE ST SYLVANIA,OH43560 27-2920342	EMPLOYS PHYSICIANS	MI	0	0	PROMEDICA PHYSICIAN GROUP

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) BAY PARK COMMUNITY HOSPITAL 2801 BAY PARK DR OREGON,OH43616 34-1883132	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	Yes
(2) BAY PARK COMMUNITY HOSPITAL FOUNDATION 2801 BAY PARK DR OREGON,OH43616 34-1901462	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(3) BIXBY COMMUNITY HEALTH FOUNDATION 818 RIVERSIDE AVE ADRIAN,MI49221 38-2691494	FOUNDATION	MI	501(C)(3)	11B, II	EMMA L BIXBY MEDICAL CENTER	Yes
(4) CARE ENTERPRISES INC 5901 MONCLOVA RD MAUMEE,OH43537 34-1366709	FACILITY LEASING	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(5) DEFIANCE HOSPITAL AUXILIARY 1200 RALSTON DEFIANCE,OH43512 51-0173779	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	11D, III-O	DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL HOSPITAL	Yes
(6) DEFIANCE HOSPITAL FOUNDATION INC 1200 RALSTON DEFIANCE,OH43512 34-1559647	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(7) DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL MEDICAL CENTER 1200 RALSTON DEFIANCE,OH43512 34-4446484	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	Yes
(8) EMMA L BIXBY MEDICAL CENTER 818 RIVERSIDE AVE ADRIAN,MI49221 38-2796005	HOSPITAL	MI	501(C)(3)	3	PROMEDICA NORTH REGION	Yes
(9) EMMA L BIXBY MEDICAL CENTER AUXILIARY 818 RIVERSIDE AVE ADRIAN,MI49221 38-2149602	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	11B, II	EMMA L BIXBY MEDICAL CENTER	Yes
(10) FLOWER HOSPITAL 5200 HARROUN RD SYLVANIA,OH43560 34-4428794	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	Yes
(11) FLOWER HOSPITAL FOUNDATION 2142 N COVE BLVD TOLEDO,OH43606 34-1556730	FOUNDATION	OH	501(C)(3)	7	PROMEDICA HEALTH SYSTEM	Yes
(12) FOSTORIA COMMUNITY HOSPITAL FOUNDATION PO BOX 907 FOSTORIA,OH44830 34-1805993	FOUNDATION	OH	501(C)(3)	11A, I	FOSTORIA HOSPITAL ASSOC DBA FOSTORIA COMMUNITY HOSPITAL	Yes
(13) FOSTORIA HOSPITAL ASSOC DBA FOSTORIA COMMUNITY HOSPITAL PO BOX 907 FOSTORIA,OH44830 34-0898745	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	Yes
(14) FOSTORIA HOSPITAL AUXILIARY PO BOX 907 FOSTORIA,OH44830 34-6517634	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	11A, I	FOSTORIA HOSPITAL ASSOC DBA FOSTORIA COMMUNITY HOSPITAL	Yes
(15) HERRICK MEDICAL CENTER AUXILIARY 500 E POTTAWATAMIE ST TECUMSEH,MI49286 38-3076105	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	11B, II	HERRICK MEMORIAL HOSPITAL DBA HERRICK MEDICAL CENTER	Yes
(16) HERRICK MEDICAL CENTER FOUNDATION 500 E POTTAWATAMIE ST TECUMSEH,MI49286 38-3076106	FOUNDATION	MI	501(C)(3)	11B, II	HERRICK MEMORIAL HOSPITAL DBA HERRICK MEDICAL CENTER	Yes
(17) HERRICK MEMORIAL HOSPITAL INC DBA HERRICK MEDICAL CENTER 500 E POTTAWATAMIE ST TECUMSEH,MI49286 38-3049015	HOSPITAL	MI	501(C)(3)	3	PROMEDICA NORTH REGION	Yes
(18) LENAWEE LONG TERM CARE DBA PROVINCIAL HOUSE OF ADRIAN 700 LAKESHORE TR ADRIAN,MI49221 38-2879330	LONG TERM CARE	MI	501(C)(3)	9	PROMEDICA NORTH REGION	Yes
(19) PROMEDICA CONTINUING CARE SERVICES CORP 5855 MONROE ST SYLVANIA,OH43560 34-4492440	LONG TERM AND HOME HEALTH CARE	OH	501(C)(3)	9	PROMEDICA HEALTH SYSTEM	Yes
(20) PROMEDICA CONTINUING CARE SERVICES CORP FOUNDATION 5855 MONROE ST SYLVANIA,OH43560 34-1901457	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(21) PROMEDICA COURIER SERVICES INC 3170 W CENTRAL AVE TOLEDO,OH43606 26-0324790	COURIER SERVICE	OH	501(C)(3)	11B, II	PROMEDICA CONTINUING CARE SERVICES CORP	Yes
(22) PROMEDICA HEALTH SYSTEM INC 1801 RICHARDS RD TOLEDO,OH43607 34-1517671	PARENT COMPANY OF HEALTH SYSTEM	OH	501(C)(3)	11C, III-FI	N/A		No
(23) PHS VENTURES FKA BVPH VENTURES INC 1801 RICHARDS RD TOLEDO,OH43607 34-1880473	HEALTH CARE MANAGEMENT SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM	Yes
(24) ACADEMIC HEALTH CENTER CORPORATION 2142 N COVE BLVD TOLEDO,OH43606 34-1887062	MEDICAL EDUCATION & RESEARCH	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(25) PROMEDICA INDEMNITY CORP ONE CHURCH ST 5TH FLOOR BURLINGTON,VT05401 34-1931936	PROFESSIONAL & GENERAL LIABILITY	VT	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(26) PROMEDICA NORTH REGION INC 818 RIVERSIDE AVE ADRIAN,MI49221 38-3307345	MANAGES DELIVERY OF HEALTH SYSTEM	MI	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(27) PROMEDICA PHYSICIANS & CONTINUUM SERVICES 5855 MONROE ST SYLVANIA,OH43560 34-1880767	MANAGES PHYSICIAN SERVICES	OH	501(C)(3)	11C, III-FI	PROMEDICA HEALTH SYSTEM	Yes
(28) ST LUKE'S HOSPITAL 5901 MONCLOVA RD MAUMEE,OH43537 34-4428232	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	Yes
(29) ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA RD MAUMEE,OH43537 34-1292849	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(30) THE TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO,OH43606 34-4428256	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM	Yes
(31) THE TOLEDO HOSPITAL FOUNDATION 2142 N COVE BLVD TOLEDO,OH43606 34-1517672	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(32) TOLEDO CHILDREN'S HOSPITAL FOUNDATION 2142 N COVE BLVD TOLEDO,OH43606 34-1901463	FOUNDATION	OH	501(C)(3)	11B, II	PROMEDICA HEALTH SYSTEM	Yes
(33) TOLEDO DISTRICT NURSE ASSOCIATION 1946 N 13TH STREET TOLEDO,OH43624 34-4427949	SKILLED HOME CARE	OH	501(C)(3)	7	PROMEDICA CONTINUING CARE SERVICES CORP	Yes
(34) VISITING NURSE HOSPICE AND HEALTH CARE 383 W DUSSEL DRIVE MAUMEE,OH43537 34-1831624	HOSPICE HOME CARE	OH	501(C)(3)	9	PROMEDICA CONTINUING CARE SERVICES CORP	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP 818 RIVERSIDE AVE ADRIAN,MI49221 38-2972398	FACILITY LEASING	MI	EMMA L BIXBY MEDICAL CENTER	RELATED	37,863	1,303,421		No		Yes		64.600 %
(2) REYNOLDS RD SURGICAL CENTER LLC 2865 N REYNOLDS RD TOLEDO,OH43615 31-1569454	FREESTANDING AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	789,008	2,760,995		No			No	64.960 %
(3) WATERVILLE MEDICAL CENTER LLC 5901 MONCLOVA RD MAUMEE,OH43537 32-0160784	FACILITY LEASING	OH	CARE ENTERPRISES INC	RELATED	6,045	921,810		No			No	70.000 %
(4) WEST CENTRAL SURGICAL CENTER 7055 W CENTRAL AVE TOLEDO,OH43617 20-0088459	FREESTANDING AMBULATORY SURGICAL CENTER	OH	THE TOLEDO HOSPITAL	RELATED	-6,231	2,773,150		No		Yes		50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) CARE HOLDINGS 5901 MONCLOVA RD MAUMEE,OH43537 34-1796790	HOLDING COMPANY	OH	PROMEDICA HEALTH SYSTEM	C			100.000 %
(2) CENTRAL REGION PROPERTIES INC 2142 N COVE BLVD TOLEDO,OH43606 34-1059809	FACILITY LEASING	OH	THE TOLEDO HOSPITAL	C	879,937	18,524,765	100.000 %
(3) HERRICK MEMORIAL DEVELOPMENT CORP 500 E POTTAWATAMIE TR ADRIAN,MI49221 38-3146907	FACILITY LEASING	MI	PROMEDICA NORTH REGION	C	13,359	600,657	100.000 %
(4) LHA PHYSICIAN SERVICES CORPORATION 818 RIVERSIDE AVE ADRIAN,MI49221 61-1451576	PHYSICIAN BILLING	MI	EMMA L BIXBY MEDICAL CENTER	C	-13,972	386,789	100.000 %
(5) PHYSICIANS ADVANTAGE MSO 5901 MONCLOVA RD MAUMEE,OH43537 06-1811760	PHYSICIAN PRACTICE MANAGEMENT	OH	PROMEDICA HEALTH SYSTEM	C	-929	28,949	100.000 %
(6) PROMEDICA CENTRAL CORPORATION OF MI INC 5855 MONROE ST SYLVANIA,OH43560 38-3322278	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C	104,075	5,664,567	100.000 %
(7) PROMEDICA FOUNDATION 1801 RICHARDS RD TOLEDO,OH43607 34-1901465	FOUNDATION	OH	PROMEDICA HEALTH SYSTEM	C			100.000 %
(8) PROMEDICA HEALTH EDUCATION & RESEARCH FOUNDATION 2142 N COVE BLVD TOLEDO,OH43606 34-1930876	FOUNDATION	OH	PROMEDICA HEALTH SYSTEM	C			100.000 %
(9) PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES 1901 INDIAN WOOD CIR MAUMEE,OH43537 34-1570675	HEALTH CARE INSURANCE	OH	PROMEDICA HEALTH SYSTEM	C	3,509,000	230,740,000	100.000 %
(10) PROMEDICA NORTH PHYSICIAN CORPORATION 5855 MONROE ST SYLVANIA,OH43560 38-3482148	PHYSICIAN HEALTH CARE SERVICES	OH	PROMEDICA PHYSICIAN GROUP	C		203,340	100.000 %
(11) PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION 5855 MONROE ST SYLVANIA,OH43560 34-1887065	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA PHYSICIANS & CONTINUUM SERVICES	C		404,501	100.000 %
(12) PROMEDICA PHYSICIAN CORPORATION 5855 MONROE ST SYLVANIA,OH43560 34-1757084	PHYSICIAN MANAGEMENT SERVICES	OH	PROMEDICA HEALTH SYSTEM	C			100.000 %
(13) PROMEDICA RETAIL GROUP INC 3890 MONROE ST TOLEDO,OH43606 34-1159928	FLORIST	OH	PROMEDICA CONTINUING CARE SERVICES CORP	C	-94,251	929,550	100.000 %
(14) TOLEDO HOSPITAL LOCAL PROVIDER UNIT 2142 N COVE BLVD TOLEDO,OH43606 34-1586739	PHYSICIAN SERVICES	OH	THE TOLEDO HOSPITAL	C			100.000 %
(15) ST LUKE'S PHYSICIAN HOSPITAL ORGANIZATION 5901 MONCLOVA RD MAUMEE,OH43537 34-1781420	PHYSICIAN MANAGEMENT SERVICES	OH	ST LUKE'S HOSPITAL	C	-3,430	6,732	50.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) PROMEDICA PHYSICIANS AND CONTINUUM SERVICES	B	4,029,353	FMV
(2) DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL MEDICAL CENTER	C	533,332	FMV
(3) FOSTORIA HOSPITAL ASSOCIATION DBA FOSTORIA COMMUNITY HOSPITAL	C	350,000	FMV
(4) BAY PARK COMMUNITY HOSPITAL	C	366,668	FMV
(5) THE TOLEDO HOSPITAL	C	13,000,000	FMV
(6) ST LUKE'S HOSPITAL	C	900,000	FMV
(7) DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL MEDICAL CENTER	J	455,857	FMV
(8) FOSTORIA HOSPITAL ASSOCIATION DBA FOSTORIA COMMUNITY HOSPITAL	J	142,997	FMV
(9) BAY PARK COMMUNITY HOSPITAL	J	544,155	FMV
(10) THE TOLEDO HOSPITAL	J	7,471,305	FMV
(11) FLOWER HOSPITAL	J	320,182	FMV
(12) CARE ENTERPRISES	J	389,556	FMV
(13) PROMEDICA CARDIOVASCULAR CO-MGMT	N	93,060	FMV
(14) THE TOLEDO HOSPITAL	N	166,413	FMV
(15) THE TOLEDO HOSPITAL	O	204,774	FMV
(16) FLOWER HOSPITAL	O	132,445	FMV
(17) ST LUKE'S HOSPITAL	O	399,531	FMV
(18) PROMEDICA HEALTH SYSTEM	O	538,523	FMV
(19) PROMEDICA INSURANCE CORPORATION	O	549,385	FMV
(20) DEFIANCE HOSPITAL INC DBA DEFIANCE REGIONAL MEDICAL CENTER	P	2,351,716	FMV
(21) FOSTORIA HOSPITAL ASSOCIATION DBA FOSTORIA COMMUNITY HOSPITAL	P	446,683	FMV
(22) BAY PARK COMMUNITY HOSPITAL	P	1,742,677	FMV
(23) THE TOLEDO HOSPITAL	P	27,079,187	FMV
(24) FLOWER HOSPITAL	P	2,788,972	FMV

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROMEDICA PHYSICIAN GROUP IS A PART OF THE PHYSICIAN SERVICES COMPONENT OF THE PROMEDICA HEALTH SYSTEMS INTEGRATED DELIVERY SYSTEM AND PROVIDES HEALTH CARE SERVICES TO IMPROVE THE HEALTH CARE OF THE COMMUNITY IT SERVES BY MAKING HEALTH CARE SERVICES AVAILABLE IN A MORE EFFICIENT AND COST EFFECTIVE MANNER.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1,247
6	Total number of volunteers (estimate if necessary) ....	6	12
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	15,424,000	15,150,000
9	Program service revenue (Part VIII, line 2g) .........	115,134,807	129,946,527
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-3,039	-226,060
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,290	29,796
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	130,567,058	144,900,263
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	11,942,363	4,029,353
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	85,082,333	98,497,388
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	34,619,131	36,428,878
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	131,643,827	138,955,619
19	Revenue less expenses. Subtract line 18 from line 12......	-1,076,769	5,944,644
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	25,315,851	34,171,396
21	Total liabilities (Part X, line 26)............	31,148,387	34,134,774
22	Net assets or fund balances. Subtract line 21 from line 20 .....	-5,832,536	36,622

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 107,385,084 including grants of $ 4,029,353 ) (Revenue $ 129,946,527 )
	PROMEDICA PHYSICIAN GROUP IS A PHYSICIAN SERVICES ORGANIZATION THAT PROVIDES SERVICE-ORIENTED, COST-EFFECTIVE HEALTH CARE SERVICES TO THE GENERAL PUBLIC AT A LOCAL LEVEL BY PEOPLE WHO WORK AND LIVE IN THE COMMUNITY THEY SERVE. - SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 6,990,879 including grants of $ ) (Revenue $ )
	CONSISTENT WITH OUR MISSION, PROMEDICA PHYSICIAN GROUP PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 114,375,963

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) DAVID JAMES MD SR VP, ASSOC CMO	40.00	X			383,956	0	14,050
(19) ROBERT FREDRICK MD SR VP, ASSOC CMO	40.00	X			0	404,058	58,716
(20) DAWN BUSKEY SR VP OPS & BUS DEVEL	40.00	X			0	238,154	42,479
(21) KIM MCCLURE VP FINANCE	40.00	X			0	165,481	28,870
(22) MICHAEL MORONT MD PHYSICIAN	40.00		X		976,240	25,000	34,775
(23) ROBERT DEROSA MD PHYSICIAN	40.00		X		795,943	0	32,051
(24) FOUAD BUTTO MD PHYSICIAN	40.00		X		788,620	0	76,064
(25) SHIRAZ SUNDERJI MD PHYSICIAN	40.00		X		747,837	0	33,153
(26) MICHAEL HOEFLINGER MD PHYSICIAN	40.00		X		738,637	0	20,660
(27) GARY AKENBERGER FORMER KEY EMPLOYEE	1.00			X	0	306,678	52,386
(28) MARTIN DANSACK FORMER KEY EMPLOYEE	0.00			X	0	171,625	42,440

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,778,788	4,025,857	848,494

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		15,150,000
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			15,150,000
			Business Code
2a	NET PATIENT REVENUE		621,110	102,178,235	102,178,235
b	PHYSICIAN SPEC. COVERA		621,110	26,162,035	26,162,035
c	OTHER DEPT. REVENUE		621,110	1,606,257	1,606,257
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			129,946,527
3	Investment income (including dividends, interest
	and other similar amounts).....
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	57,112
b	Less: rental expenses	27,316
c	Rental income or (loss)	29,796
d	Net rental income or (loss).......			29,796			29,796
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		312,030
b	Less: cost or other basis and sales expenses		538,090
c	Gain or (loss)		-226,060
d	Net gain or (loss)..........			-226,060			-226,060
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions....			144,900,263	129,946,527	0	-196,264


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			3,343,599	1	6,769,428
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			9,080,656	4	8,572,388
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			1,191,723	8	1,297,383
9	Prepaid expenses and deferred charges ............			679,262	9	965,776
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	12,269,143
b	Less: accumulated depreciation. .....	10b	8,515,274	4,222,505	10c	3,753,869
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........			980,474	14	863,772
15	Other assets. See Part IV, line 11 ...........			5,817,632	15	11,948,780
16	Total assets. Add lines 1 through 15 (must equal line 34)...			25,315,851	16	34,171,396
17	Accounts payable and accrued expenses .			11,029,064	17	14,682,981
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			20,119,323	25	19,451,793
26	Total liabilities. Add lines 17 through 25.....			31,148,387	26	34,134,774
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			-5,832,536	27	36,622
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			-5,832,536	33	36,622
34	Total liabilities and net assets/fund balances .....			25,315,851	34	34,171,396