Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
THE TOLEDO HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2142 N COVE BLVD
 
Room/suite
City or town, state or country, and ZIP + 4
TOLEDO, OH43606
D Employer identification number

34-4428256
E Telephone number

G Gross receipts $ 1,604,696,334
F Name and address of principal officer:
KEVIN C WEBB
2142 N COVE BLVD
TOLEDO,OH43606
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.PROMEDICA.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1907
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND REFERRAL CENTER PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC WITHIN NORTHWEST OHIO.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 38
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 30
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 5,286
6 Total number of volunteers (estimate if necessary) .... 6 723
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 4,881,146
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 1,829,826
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 6,386,551 5,923,883
9 Program service revenue (Part VIII, line 2g) ......... 591,253,463 625,281,474
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 11,750,112 18,787,855
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 26,329,514 23,622,700
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 635,719,640 673,615,912
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 19,982,197 26,360,534
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) 248,785,833 255,868,326
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet246,133    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 347,760,757 370,061,087
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 616,528,787 652,289,947
19 Revenue less expenses. Subtract line 18 from line 12...... 19,190,853 21,325,965
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,199,837,707 1,225,415,157
21 Total liabilities (Part X, line 26)............ 599,176,853 562,090,638
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 600,660,854 663,324,519
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION AND SUPERIOR SERVICE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 515,178,668 including grants of $ 26,360,534 ) (Revenue $ 619,648,553 )
THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 38,205,426 including grants of $   ) (Revenue $   )
CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.
4c (Code:   ) (Expenses $ 46,122,847 including grants of $   ) (Revenue $ 21,985,134 )
CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, PROFESSIONAL EDUCATION, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $ 6,481,793 )
ATHLETIC CLUB MEMBERSHIP REVENUE AND RENTAL REVENUE FROM AFFILIATES.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $ 6,481,793 )
4e Total program service expensesMediumBullet$ 599,506,941
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
380
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
5,286
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
38
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
30
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OH
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ANNE ROSPO
5901 MONCLOVA RD
MAUMEE,OH43537
(419) 891-8504
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) NANCY ATKINS
TRUSTEE
 1.00 X           0 0 0
(2) ANNE BAKER PHD
TRUSTEE
 1.00 X           0 0 0
(3) STEPHEN BAZELEY MD
TRUSTEE
 1.00 X           0 86,752 866
(4) RHONDIA BLACK
TRUSTEE
 1.00 X           0 0 0
(5) DEVAN CAPUR
TRUSTEE
 1.00 X           0 0 0
(6) PARISS COLEMAN II
TRUSTEE
 1.00 X           0 0 0
(7) CLEVES DELP
TRUSTEE
 1.00 X           0 0 0
(8) JOAN DURGIN
TRUSTEE
 1.00 X           0 0 0
(9) JOHNNIE EARLY II PHD RPH
TRUSTEE
 1.00 X           0 0 0
(10) DONALD FINNEGAN
TRUSTEE
 1.00 X           0 0 0
(11) GARY FITZPATRICK
TRUSTEE
 1.00 X           0 0 0
(12) CHARLES HEID
TRUSTEE
 1.00 X           0 0 0
(13) SANDRA HYLANT
TRUSTEE
 1.00 X           0 0 0
(14) NANCY KABAT
TRUSTEE
 1.00 X           0 0 0
(15) COLLEEN LANGENDERFER
TRUSTEE
 1.00 X           0 0 0
(16) RITA MANSOUR
EX OFFICIO
 1.00 X           0 0 0
(17) SARAH MCHUGH
TRUSTEE
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) LAURA NOBLE
TRUSTEE
 1.00 X           0 0 0
(19) MARY ELLEN PIZZA MD
TRUSTEE
 1.00 X           0 174,042 6,497
(20) CHARLES PRICE MD
TRUSTEE
 1.00 X           0 0 0
(21) GARRY ROBERTS
TRUSTEE
 1.00 X           0 0 0
(22) LARRY RUFFIN
TRUSTEE
 1.00 X           0 0 0
(23) JAMES SILK JR
TRUSTEE
 1.00 X           0 0 0
(24) C MICHAEL SMITH
TRUSTEE
 1.00 X           0 0 0
(25) STEPHEN STAELIN
EX OFFICIO
 1.00 X           0 0 0
(26) BARBARA STEELE
EX OFFICIO
 1.00 X           0 767,506 84,913
(27) TODD TIBBITS
TRUSTEE
 1.00 X           0 0 0
(28) HARVEY TOLSON
TRUSTEE
 1.00 X           0 0 0
(29) JEFFREY TWYMAN
TRUSTEE
 1.00 X           0 0 0
(30) J TYO
TRUSTEE
 1.00 X           0 0 0
(31) DIRK VANHEYST
TRUSTEE
 1.00 X           0 0 0
(32) ROBERT LACLAIR
CHAIRPERSON TTH
 1.00 X   X       0 0 0
(33) KEVIN WEBB PHD
PRESIDENT TTH/TCH EX OFF
 40.00 X   X       0 430,308 53,931
(34) PIERRE VAUTHY MD
TRUSTEE
 1.00 X           162,604 485,180 49,113
(35) LEWIS WAGNER
TRUSTEE
 1.00 X           0 0 0
(36) KARA YOKUM
TRUSTEE
 1.00 X           0 0 0
(37) TIMOTHY SCHLACHTER
CHAIRPERSON TCH
 1.00 X   X       0 0 0
(38) RONALD WAINZ MD
TRUSTEE
 1.00 X           187,336 0 0
(39) KATHLEEN HANLEY
TREASURER
 1.00     X       0 571,584 87,366
(40) JEFFREY KUHN
SECRETARY
 1.00     X       0 433,955 64,541
(41) MICHAEL WILKINS
VP PROFESSIONAL SVCS
 40.00       X     0 169,216 42,256
(42) LORI FERGUSON
VP PATIENT CARE TCH
 40.00       X     0 152,556 36,065
(43) ERIN JAYNES
VP PATIENT CARE TTH
 40.00       X     0 187,954 35,700
(44) NEERAJ KANWAL MD
VP MED AFFAIRS
 40.00       X     0 357,625 42,159
(45) GARY AKENBERGER
SR VP FINANCE
 1.00       X     0 306,678 52,386
(46) HOLLY BRISTOLL
PRESIDENT, WOSH
 40.00       X     0 244,866 45,082
(47) DARRIN ARQUETTE
VP OPS, WOSH
 40.00       X     0 155,349 33,860
(48) ANTHONY COMEROTA
DIR. JOBST VASCULAR CTR.
 40.00         X   547,358 0 40,149
(49) SHIRLEY BODI
ASSOC. DIR. FAMILY PRAC
 40.00         X   176,416 0 33,909
(50) TIMOTHY MCCOY
PHYSICIAN ASST-CARDIO
 40.00         X   173,172 0 32,605
(51) JEFFREY LEWIS
ASSOC. DIR. ED FAMILY PR
 40.00         X   172,054 0 48,443
(52) DONALD HICKEY
ASSOC. DIR. ED FAMILY PR
 40.00         X   170,693 0 34,532
(53) ALAN SATTLER
FORMER KEY EMPLOYEE
 0.00           X 0 307,099 53,734
(54) ROBERT FREDRICK MD
FORMER KEY EMPLOYEE
 0.00           X 0 404,058 58,716
(55) RANDALL SCHIMMOELLER
FORMER KEY EMPLOYEE
 0.00           X 0 253,908 38,290
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,589,633 5,488,636 975,113
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet81
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
LATHROP COMPANY INC
460 W DUSSEL DR
MAUMEE,OH43537 		GENERAL CONTRACTOR 4,253,890
ANESTHESIOLOGY CONSULTANTS OF TOLEDO IN
2914 S REPUBLIC BLVD
TOLEDO,OH43615 		ANESTHESIOLOGY PHYSICIANS 3,555,729
METRO AVIATION INC
PO BOX 7008
SHREVEPORT,LA71137 		AVIATION 3,413,322
CROTHALL LAUNDRY SERVICES
13028 COLLECTIONS CENTER DR
CHICAGO,IL60693 		LINEN 2,836,571
TOLEDO CRITICAL CARE ASSOCIATION
4841 MONROE ST STE 350
TOLEDO,OH43623 		ICU PHYSICIANS 1,489,200
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet62
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 11,888
d Related organizations...1d 3,282,679
e Government grants (contributions)1e 1,711,364
f All other contributions, gifts, grants, and
similar amounts not included above1f 		917,952
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 5,923,883
Program Service Revenue Business Code
2a NET PATIENT SERV. REV. 622,110 618,799,681 614,129,034 4,670,647  
b RENTAL REV. FROM AFF. 531,120 5,177,095 5,157,985 19,110  
c MEMBERSHIP REVENUE 713,940 1,304,698 1,304,698    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 625,281,474
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 4,680,214     4,680,214
4 Income from investment of tax-exempt bond proceeds..MediumBullet 862,059     862,059
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 1,294,982  
b Less: rental expenses 1,544,025  
c Rental income or (loss) -249,043  
d Net rental income or (loss).......MediumBullet -249,043 -169,063 -79,980  
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 940,572,161 1,362,967
b Less: cost or other basis and sales expenses 927,487,766 1,201,780
c Gain or (loss) 13,084,395 161,187
d Net gain or (loss)..........MediumBullet 13,245,582     13,245,582
8a Gross income from fundraising events (not including
$ 11,888
of contributions reported on line 1c). See Part IV, line 18 ...
a 21,136
b Less: direct expenses ...b 17,140
c Net income or (loss) from fundraising events..MediumBullet 3,996   3,996
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...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 1,081,916
b Less: cost of goods sold ..b 829,711
c Net income or (loss) from sales of inventory..MediumBullet 252,205     252,205
Miscellaneous Revenue Business Code
11a PHARMACY 622,110 13,991,138 13,728,348 262,790  
b DIETARY AND OTHER 722,212 6,079,336 6,070,757 8,579  
c INVESTMENT IN SUBS. 621,110 3,545,068 3,545,068    
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 23,615,542
12 Total revenue. See Instructions....MediumBullet 673,615,912 643,766,827 4,881,146 19,044,056
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
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 26,360,534 26,360,534
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 .... 349,940 277,940 72,000  
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 202,602,164 181,076,577 21,305,087 220,500
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 6,479,566 5,796,620 682,946  
9 Other employee benefits ....... 31,146,695 27,863,833 3,282,862  
10 Payroll taxes ........... 15,289,961 13,678,399 1,611,562  
11 Fees for services (non-employees):        
a Management ...... 135,251 135,251    
b Legal ......... 949,541 949,541    
c Accounting ...........        
d Lobbying ........... 24,351   24,351  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 1,554,693 1,554,693    
g Other .......... 46,885,539 40,021,440 6,864,099  
12 Advertising and promotion .... 859,165 679,806 169,950 9,409
13 Office expenses ....... 97,524,952 97,234,509 287,092 3,351
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 9,564,351 7,334,420 2,229,801 130
17 Travel ............ 564,692 414,052 150,640  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 10,426,104 10,426,104    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 35,642,695 35,458,573 184,122  
23 Insurance .............. 9,201,033 7,360,826 1,840,207  
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 ALLOC. 76,816,318 65,528,444 11,287,874 0
b DRUGS 39,209,880 39,209,880 0 0
c PROVISION FOR BAD DEBT 23,516,427 23,516,427 0 0
d LEASES 5,502,270 4,189,948 1,312,322  
e RENTAL EXPENSE -1,544,025 -1,544,025 0 0
f All other expenses 13,227,850 11,983,149 1,231,958 12,743
25 Total functional expenses. Add lines 1 through 24f 652,289,947 599,506,941 52,536,873 246,133
26 Joint costs. Check here MediumBullet 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 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 8,114,444 1 11,082,074
2 Savings and temporary cash investments ....... 22,456,783 2 21,902,453
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 95,952,385 4 98,062,727
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 .............. 7,531,169 8 9,063,301
9 Prepaid expenses and deferred charges ............ 821,428 9 1,345,394
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 723,796,180
b Less: accumulated depreciation. ..... 10b 425,803,418 309,631,892 10c 297,992,762
11 Investments—publicly traded securities .......... 341,091,592 11 392,227,015
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 10,251,202 14 10,153,570
15 Other assets. See Part IV, line 11 ........... 403,986,812 15 383,585,861
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,199,837,707 16 1,225,415,157
Liabilities 17 Accounts payable and accrued expenses . 78,199,517 17 81,570,437
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 431,896,978 20 420,926,668
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 .. 4,400,000 23 3,300,000
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 84,680,358 25 56,293,533
26 Total liabilities. Add lines 17 through 25..... 599,176,853 26 562,090,638
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 453,675,575 27 499,902,256
28 Temporarily restricted net assets ..... 137,468,302 28 153,359,870
29 Permanently restricted net assets ..... 9,516,977 29 10,062,393
Organizations that do not follow SFAS 117, check here MediumBullet 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 ..... 600,660,854 33 663,324,519
34 Total liabilities and net assets/fund balances ..... 1,199,837,707 34 1,225,415,157
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
673,615,912
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
652,289,947
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
21,325,965
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
600,660,854
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
41,337,700
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
663,324,519
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow 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
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
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)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(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?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
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.") .            
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......            
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.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
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.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
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...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
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.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
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 (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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—
Special Rules
......................... 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)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
THE TOLEDO HOSPITAL
  		Employer identification number

34-4428256
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




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
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 II
Name of organization
THE TOLEDO HOSPITAL
  		Employer identification number

34-4428256
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
THE TOLEDO HOSPITAL
  		Employer identification number

34-4428256
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		 (c)
Use 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		 (c)
Use 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		 (c)
Use 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		 (c)
Use 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:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
24,351
j
Total. lines 1c through 1i ...................................
24,351
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE TOLEDO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
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 .......    
5
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? ............
6
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. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
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)? ....................................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, 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 ................. 11,556,355 52,556,353 64,112,708
b Buildings ................   418,190,552 246,650,257 171,540,295
c Leasehold improvements ............   6,965,507 6,759,140 206,367
d Equipment ................   204,771,233 160,204,128 44,567,105
e Other .................   29,756,180 12,189,893 17,566,287
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 297,992,762
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 2,100,010
(2) RESTRICTED FUNDS 163,422,263
(3) BOND INDENTURE AGREEMENT 32,666,394
(4) OTHER SEGREGATED INVESTMENTS 8,532,930
(5) DEFERRED BOND ISSUE COSTS 2,782,554
(6) INVESTMENTS IN AFFILIATES AND OTHER 15,303,321
(7) INTERCOMPANY DEBT FROM RELATED ENTITIES 158,778,389


Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 383,585,861
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
DUE TO AFFILIATES 14,420,264
ESTIMATED THIRD PARTY SETTLEMENT 19,908,024
INTEREST RATE SWAP 7,187,942
ASBESTOS REMEDIATION 6,376,597
CAPITAL LEASES 108,858
DEFERRED COMPENSATION 8,291,848



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 56,293,533
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

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: THE TOLEDO HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (PHS). THE FOLLOWING FOOTNOTE REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740). PHS DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2010 AND 2009. IT IS PHS'S POLICY TO CLASSIFY THE EXPENSE RELATED TO INTEREST AND PENALTIES TO BE PAID ON UNDERPAYMENTS OF INCOME TAXES WITHIN GENERAL AND ADMINISTRATIVE EXPENSES. THERE ARE NO PENALTIES OR INTEREST ACCRUED IN THE STATEMENTS OF OPERATIONS.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow 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
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GOLF OUTING
(event type) 		(b) Event #2

RED, WHITE & DUEL
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 14,869 18,155   33,024
2 Less: Charitable
contributions . . . 		888 11,000   11,888
3 Gross income (line 1
minus line 2) . . . 		13,981 7,155   21,136
VerticalDirectExpenses 4 Cash prizes . . . 275 2,000   2,275
5 Non-cash prizes . .        
6 Rent/facility costs . . 8,790     8,790
7 Food and beverages . .   3,730   3,730
8 Entertainment . . .   1,300   1,300
9 Other direct expenses . 344 701   1,045
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 17,140
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 3,996
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    12,047,384   12,047,384 1.920 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    96,984,823 71,093,958 25,890,865 4.120 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     479,097 211,920 267,177 0.040 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    109,511,304 71,305,878 38,205,426 6.080 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    5,799,079 314,911 5,484,168 0.870 %
f Health professions education
(from Worksheet 5) .. 		    14,360,304 10,143,205 4,217,099 0.670 %
g Subsidized health services
(from Worksheet 6) .. 		    25,195,313 11,527,018 13,668,295 2.170 %
h Research (from Worksheet 7)     754,256   754,256 0.120 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    13,895   13,895 0 %
jTotal Other Benefits ...     46,122,847 21,985,134 24,137,713 3.830 %
kTotal. Add lines 7d and 7j. ..     155,634,151 93,291,012 62,343,139 9.910 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
5,635,449
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
893,181
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
118,154,991
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
130,002,528
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-11,847,537
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 PROMEDICA CARDIOVASCULAR CO-MANAGEMENT CO LLC
  		PHYSICIAN SERVICES 31.880 % 0 % 59.420 %
22 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
  		PHYSICIAN SERVICES 27.470 % 3.300 % 52.750 %
33 REYNOLDS ROAD SURGICAL CENTER LLC
  		SURGICAL CENTER 64.960 % 0 % 34.320 %
44 NW OHIO DEDICATED BREAST MRI LLC
  		MEDICAL DIAGNOSTIC 50.000 % 1.850 % 48.150 %
55 PARKWAY SURGERY CENTER LTD
  		SURGICAL CENTER 45.450 % 1.010 % 48.990 %
66 WEST CENTRAL SURGICAL CENTER LLC
  		SURGICAL CENTER 50.000 % 0 % 50.000 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 TOLEDO HOSPITAL
2142 N COVE BLVD
TOLEDO,OH43606 		X X X X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?41
Name and address Type of Facility (Describe)
1 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
2 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
3 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
4 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
5 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
6 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
7 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
8 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
9 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
10 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
11 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
12 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
13 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
14 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
30 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
31 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
32 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
33 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
34 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
35 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
36 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
37 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
38 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
39 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
40 PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
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TOLEDO,OH43606 		GROUND AND AIR TRANSPORT
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 6A: THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
    PART I, LINE 7: THE TOLEDO HOSPITAL CALCULATED THE COST OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR HOSPITAL SHARED SERVICES IS ALSO CALCULATED AND INCLUDED FOR EACH PROGRAM INDICATED IN OTHER BENEFITS.
    PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES NET COMMUNITY BENEFIT OF $737,858 ATTRIBUTABLE TO OUTPATIENT CLINIC.
    PART I, L7 COL(F): THE TOLEDO HOSPITAL INCLUDED $23,516,427 OF BAD DEBT EXPENSE ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED THIS BAD DEBT EXPENSE FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7F.
    PART III, LINE 4: THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR AGED ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF CHARITY CARE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT, THAT WAS NOT COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT. THE COST OF THE BAD DEBT EXPENSE AND ESTIMATE OF POSSIBLE CHARITY CARE WITHIN BAD DEBT EXPENSE IS DETERMINED USING THE COST-TO-CHARGE RATIO AS DERIVED BY SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE FOLLOWING NARRATIVE ADDRESSING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS INCLUDED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS FOR PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (SYSTEM). - THE SYSTEM MAINTAINS AN ALLOWANCE FOR LOSSES BASED ON THE EXPECTED COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE.- THE SYSTEM ASSESSES COLLECTABILITY OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL AND CURRENT COLLECTION EXPERIENCE, AS WELL AS CURRENT PAYER MIX AND ACCOUNTS RECEIVABLE AGING TRENDS.
    PART III, LINE 8: MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORN BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, MANDATED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS THAT PROVIDED BY AN EMPLOYER. - MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2010 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF NECESSARY. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS, SUCH AS SERVICES AND CLINICS.
    PART III, LINE 9B: FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE MONTHLY BILLING STATEMENTS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS ARE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT. PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, OR RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
    PART VI, LINE 2: PROMEDICA HEALTH SYSTEM DEMONSTRATES A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA CONDUCTS BI-ANNUAL REGIONAL NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS OF COUNTY HEALTH DEPARTMENTS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH PLAN ARE DEVELOPED.PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. STAKEHOLDER INTERVIEWSHEALTH DEPARTMENT INTERVIEWS ARE CONDUCTED BY TELEPHONE TO OBTAIN COUNTY HEALTH DEPARTMENT FEEDBACK RELATED TO: 1) THE TOP THREE HEALTH ISSUES FOR THE COUNTY, 2) CURRENT COUNTY PROGRAMS AND 3) PERCEIVED HEALTH CARE GAPS IN THE COUNTY. BECAUSE OF THE EXPERT ROLE THE COUNTY HEALTH DEPARTMENTS PLAY IN THEIR COMMUNITY, THEY HAVE A DEFINED PERCEPTION OF THE HEALTH AND HEALTH CARE NEEDS OF THEIR COMMUNITIES, AND MAY ALSO PROVIDE A FOCUS TO WHAT MAY OTHERWISE BE A LENGTHY DISSERTATION OF FACTS. PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: HEART DISEASE, CANCERS AND STROKE, DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CARDIOVASCULAR DISEASE, CANCERS AND OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. IN ADDITION, PROMEDICA HEALTH SYSTEM'S STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, ORTHOPAEDICS AND NEUROLOGY.
    PART VI, LINE 3: THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT ALL PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL COMMUNICATE THE FINANCIAL ASSISTANCE POLICY TO UNINSURED PATIENTS AND ATTEMPT TO HAVE A PATIENT FINANCIAL ADVOCATE CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ALL ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. INFORMATION AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE VIA THE PROMEDICA WEB SITE. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
    PART VI, LINE 4: THE TOLEDO HOSPITAL, LOCATED IN TOLEDO, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY WITH A POPULATION OF APPROXIMATELY 620,000. APPROXIMATELY, 13% OF THE SERVICE AREA IS AGE 65 OR OVER; 39% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS $48,000; 45% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; UNEMPLOYMENT RATE IS 9.4%; 53% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 440,000 WITH 10.7% OF FAMILIES BELOW THE POVERTY LEVEL AND A 23% MEDICAID ELIGIBLE RATE. LUCAS COUNTY HAS 61 CENSUS TRACTS DESIGNATED AS MEDICALLY UNDERSERVED AREAS OR MEDICALLY UNDERSERVED POPULATIONS. APPROXIMATELY 12% OF LUCAS COUNTY IS UNINSURED. FOR LEADING CAUSES OF DEATH, THE LUCAS COUNTY AGE ADJUSTED MORTALITY RATES DUE TO HEART DISEASE, CANCER, STROKE, LUNG, UNINTENTIONAL INJURIES/ACCIDENTS, AND DIABETES ARE HIGHER THAN THE STATE AND NATIONAL RATES. ACCORDING TO 2011 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 72 OF 88 COUNTIES FOR HEALTH OUTCOMES, 65 OF 88 FOR MORTALITY, AND 70 OF 88 FOR MORBIDITY. THERE ARE FOURTEEN HOSPITALS WITHIN A SIX COUNTY AREA AROUND TOLEDO, HERRICK MEDICAL CENTER, EMMA L. BIXBY MEDICAL CENTER, FULTON COUNTY HEALTH CENTER, COMMUNITY HOSPITALS AND WELLNESS CENTERS - ARCHBOLD, FLOWER HOSPITAL, ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, UNIVERSITY OF TOLEDO MEDICAL CENTER, ST. LUKE'S HOSPITAL, MERCY MEMORIAL, WOOD COUNTY HOSPITAL, AND H.B. MAGRUDER MEMORIAL HOSPITAL.
    PART VI, LINE 6: - IN 2010, THERE WERE 387 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM. OF THESE, 100% LIVED WITHIN PROMEDICA'S 27-COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO, WHERE PROMEDICA'S TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. ADDITIONAL REPRESENTATION IS COMPRISED OF DIVERSE RESIDENTS FROM NORTHWEST OHIO AND SOUTHEAST MICHIGAN, ALL RESIDING WITHIN OUR SERVICE AREA. - BOARD MEMBERS ARE NOT COMPENSATED BY PROMEDICA FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER HEALTHCARE FACILITIES; THEIR DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, ARE PERFORMED VOLUNTARILY. IN 2010, PROMEDICA BOARD MEMBERS GAVE AN ESTIMATED 20,000 HOURS IN SERVICE TO THE ORGANIZATION.- WITH REGARD TO PROMEDICA'S MEDICAL STAFF, PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MEETS THOSE QUALIFICATIONS MAY RECEIVE PRIVILEGES.- PROMEDICA'S ACADEMIC PROGRAMS AND RELATIONSHIPS INCLUDE A NEW ACADEMIC RELATIONSHIP WITH THE UNIVERSITY OF TOLEDO THAT SEEKS TO COORDINATE AND EXPAND THE EDUCATIONAL AND RESEARCH ACTIVITIES IN THE REGION AND INCLUDES GRADUATE MEDICAL EDUCATION, UNDERGRADUATE MEDICAL EDUCATION, NURSING, ALLIED HEALTH, PHARMACY, CONTINUING MEDICAL EDUCATION AND RESEARCH. PROMEDICA HAS ADDITIONAL ACADEMIC RELATIONSHIPS WITH NUMEROUS OTHER INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. - DURING 2010, PROMEDICA OFFERED NUMEROUS ADVOCACY EFFORTS WITHIN THE COMMUNITIES WE SERVE. ONE MAJOR INITIATIVE INCLUDED FIELDS OF GREEN, A SCHOLARSHIP PROGRAM DESIGNED TO TARGET CHILDHOOD OBESITY. SPECIFICALLY, IN 2010 HIGH SCHOOL STUDENT TEAMS FROM THROUGHOUT PROMEDICA'S SERVICE AREA DESIGNED HEALTHY BREAKFAST PLANS FOR HOME AND SCHOOL, CREATED SPECIFICALLY FOR ELEMENTARY SCHOOL CHILDREN. THE MEAL PLAN HAD TO INCLUDE FIVE BREAKFASTS THAT COULD BE PREPARED AT HOME AND FIVE BREAKFASTS THAT COULD BE PROVIDED BY THE SCHOOL. STUDENTS WERE ALSO REQUIRED TO INCLUDE HEALTH AND NUTRITION INFORMATION FOR PARENTS TO HELP EDUCATE THEM ON WAYS TO PREVENT CHILDHOOD OBESITY. COLLEGE SCHOLARSHIPS, WHICH TOTALED NEARLY $20,000, WERE AWARDED TO STUDENTS ON THE WINNING TEAMS, AND THEIR SCHOOLS ALSO RECEIVED A MONETARY AWARD TO USE TOWARD THEIR SCIENCE CURRICULA. THE WINNING TEAM'S MENUS AND PARENT EDUCATION WERE THEN USED TO CREATE A BROCHURE FOR PROMEDICA'S ADVOCACY DEPARTMENT TO SHARE WITH AREA SCHOOLS, AS WELL AS PUBLICLY ONLINE. - ALSO, THE HEALTHY CONVERSATION MAPS PROGRAM CONTINUED TO GROW IN 2010, WITH THE ADDITION OF MODULES FOR CHILDREN IN GRADES 1 - 3 TO COMPLEMENT THE LEARNING TOOLS ALREADY PROVIDED FOR CHILDREN (AND THEIR PARENTS) IN GRADES 4 - 6. THE HEALTHY CONVERSATION MAPS INITIATIVE IS A PREVENTIVE, INTERACTIVE HEALTH COURSE DESIGNED TO HELP COMBAT THE GROWING ISSUE OF CHILDHOOD OBESITY IN OUR COMMUNITY. PROMEDICA EMPLOYEES HELPED FACILITATE THIS PROGRAM USING AN EDUCATIONAL TOOL KIT THAT CONSISTED OF A LEARNING MAP VISUAL, ACTIVITY CARDS AND A FACILITATOR GUIDE DESIGNED TO INITIATE DISCUSSIONS THAT PROMOTE POSITIVE BEHAVIORAL CHANGE WITH REGARD TO NUTRITION AND EXERCISE. - PROMEDICA ALSO AWARDED ITS FIRST CONTRIBUTIONS THROUGH THE PROMEDICA ADVOCACY FUND TO HELP PROVIDE ASSISTANCE WITH FOOD, CLOTHING AND SHELTER FOR RESIDENTS THROUGHOUT OUR SERVICE AREA. NEARLY $500,000 WAS PRESENTED TO EIGHT LOCAL, NON-PROFIT SERVICE ORGANIZATIONS FOR PROGRAMS SUCH AS WEEKENDER BACKPACKS THAT PROVIDE ELEMENTARY SCHOOL STUDENTS IN NEED WITH SHELF-TO-TABLE FOOD FOR WEEKEND CONSUMPTION; AND SEED MONEY TO ESTABLISH A NEW SOUP KITCHEN FOR THE HILLSDALE, MICHIGAN COMMUNITY. - FURTHER, IN 2010 PROMEDICA OFFERED FREE MONTHLY VASCULAR SCREENINGS FOR OLDER ADULTS TO AID IN THE DETECTION OF VASCULAR DISEASE THAT MAY LEAD TO STROKE OR PERIPHERAL ARTERIAL DISEASE. ADDITIONALLY A MYRIAD OF FREE HEALTH SCREENINGS WERE PROVIDED THROUGHOUT PROMEDICA'S 27-COUNTY SERVICE AREA, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. THE PROMEDICA CANCER INSTITUTE OFFERED FREE SKIN CANCER AND PROSTATE CANCER SCREENINGS IN 2010 FOR THE GENERAL PUBLIC AT OUR COMMUNITY HOSPITALS.
    PART VI, LINE 7: - PROMEDICA HEALTH SYSTEM IS A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. PROMEDICA CONSISTS OF APPROXIMATELY 14,000 EMPLOYEES AND NEARLY 1,700 HEALTHCARE PROVIDERS WHO HAVE JOINED TOGETHER TO FORM A NETWORK ACROSS MORE THAN 300 PROMEDICA FACILITIES IN 27 COUNTIES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. THEY SHARE RESOURCES-SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS AND PROCESSES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES-TO HELP INCREASE AREA RESIDENTS' ACCESS TO HIGH-QUALITY CARE, WHILE ALSO STRIVING TO REDUCE THE COST OF HEALTH CARE BY PROVIDING IT IN THE MOST APPROPRIATE SETTING. - IN 2010, PROMEDICA RECORDED 2.6 MILLION PATIENT VISITS. IN ADDITION TO PROVIDING CARE WITHIN OUR FACILITIES, PROMEDICA CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF NEARLY $116.4 MILLION IN 2010, FROM FREE COMMUNITY HEALTH SCREENINGS AND HEALTH FAIRS, TO A FREE SPEAKERS BUREAU COMPRISED OF MEDICAL EXPERTS. IN ADDITION, PROMEDICA OFFERED A NUMBER OF COLLEGE SCHOLARSHIPS FOR STUDENTS SEEKING A CAREER IN HEALTH CARE.- PROMEDICA'S MEMBERS AND AFFILIATES INCLUDE: THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL, FLOWER HOSPITAL, BAY PARK COMMUNITY HOSPITAL, BIXBY MEDICAL CENTER, HERRICK MEDICAL CENTER, FOSTORIA COMMUNITY HOSPITAL, DEFIANCE REGIONAL MEDICAL CENTER, ST. LUKE'S HOSPITAL, AND LIMA MEMORIAL HOSPITAL; PROMEDICA PHYSICIAN GROUP, A PREMIERE NETWORK OF MORE THAN 310 PROMEDICA PHYSICIANS AND MIDLEVEL PROVIDERS; PROMEDICA CONTINUING CARE SERVICES, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION, HOME CARE, RADIOLOGY, LABORATORY, AND PHARMACY; AND THE ACADEMIC HEALTH CENTER CORPORATION WITH FAMILY MEDICINE, SPORTS CARE, VASCULAR MEDICINE, AND PHARMACY RESIDENCY PROGRAMS.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, MONTHLY, BIWEEKLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2010 FOR CONTINUING MEDICAL EDUCATION CREDIT. MORE THAN 865 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED. THERE WERE 5,000 PHYSICIANS WHO PARTICIPATED IN EDUCATIONAL PROGRAMS, AND 6,625 NON-PHYSICIANS (I.E., ALLIED HEALTH CARE PROFESSIONALS).- PROMEDICA PRODUCED THREE ISSUES OF YOUR HEALTH. OUR MISSION MAGAZINE IN 2010, DISTRIBUTED TO NEARLY 400,000 HOMES WITHIN OUR 27-COUNTY SERVICE AREA. THIS COMMUNICATIONS TACTIC SERVED TO EDUCATE CONSUMERS ON A VARIETY OF HEALTHCARE TOPICS THROUGH PHYSICIAN COLUMNS AND FEATURE STORIES ON TOPICS SUCH AS CANCER, DIABETES, OBESITY, AND HEART HEALTH.- ADDITIONALLY, A PROMEDICA WELLNESS FACEBOOK PAGE WAS CREATED AS PART OF OUR INTERACTIVE SOCIAL MEDIA STRATEGY, WITH EXPERTS ENGAGING "FRIENDS" ON HEALTH-RELATED TOPICS SUCH AS EXERCISE AND NUTRITION.- DURING 2010, PROMEDICA'S 12 FOUNDATIONS RAISED MORE THAN $6.6 MILLION FOR PHILANTHROPY IN SUPPORT OF OUR MISSION. ALL OF PROMEDICA'S FOUNDATIONS ARE SEPARATE 501(C)3 ORGANIZATIONS, AND ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT THEIR RESPECTIVE ORGANIZATION'S PATIENTS AND FAMILIES, AS WELL AS THE COMMUNITY, THROUGH HEALTH-RELATED PROGRAMS, SERVICES AND EQUIPMENT THAT HAVE BEEN IDENTIFIED THROUGH AN ASSESSMENT OF COMMUNITY NEEDS.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
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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
THE TOLEDO HOSPITAL
 
Employer identification number
34-4428256
Part I
General Information on Grants and Assistance
1
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? ....................................
2
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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) PROMEDICA HEALTH SYSTEM1801 RICHARDS RD
TOLEDO,OH43607 		34-1517671 501(C)(3) 10,800,000       OPERATING SUPPORT
(2) PROMEDICA CONTINUING CARE SERVICES2142 N COVE BLVD
TOLEDO,OH43606 		34-4492440 501(C)(3) 2,500,000       OPERATING SUPPORT
(3) PROMEDICA PHYSICIANS GROUP5855 MONROE ST
SYLVANIA,OH43560 		34-1899439 501(C)(3) 13,000,000       OPERATING SUPPORT
(4) TOLEDO HOSPITAL FOUNDATION2142 N COVE BLVD
TOLEDO,OH43606 		34-1517672 501(C)(3) 24,936       OPERATING SUPPORT
(5) TOLEDO CHILDREN'S HOSPITAL FOUNDATION2142 N COVE BLVD
TOLEDO,OH43606 		34-1901463 501(C)(3) 35,598       OPERATING SUPPORT














2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
5
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

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


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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
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
 
 
2
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? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) MARY ELLEN PIZZA MD (i)
(ii)		 0
112,861 		0
60,666 		0
515 		0
3,406 		0
3,091 		0
180,539 		0
0
(2) BARBARA STEELE (i)
(ii)		 0
554,195 		0
203,265 		0
10,046 		0
75,144 		0
9,769 		0
852,419 		0
0
(3) KEVIN WEBB PHD (i)
(ii)		 0
329,460 		0
94,895 		0
5,953 		0
43,612 		0
10,319 		0
484,239 		0
0
(4) PIERRE VAUTHY MD (i)
(ii)		 160,727
460,000 		0
25,000 		1,877
180 		0
32,725 		0
16,388 		162,604
534,293 		0
0
(5) RONALD WAINZ MD (i)
(ii)		 187,336
0 		0
0 		0
0 		0
0 		0
0 		187,336
0 		0
0
(6) KATHLEEN HANLEY (i)
(ii)		 0
414,848 		0
151,504 		0
5,232 		0
69,789 		0
17,577 		0
658,950 		0
0
(7) JEFFREY KUHN (i)
(ii)		 0
309,314 		0
113,370 		0
11,271 		0
46,608 		0
17,933 		0
498,496 		0
0
(8) MICHAEL WILKINS (i)
(ii)		 0
153,000 		0
16,216 		0
0 		0
22,390 		0
19,866 		0
211,472 		0
0
(9) LORI FERGUSON (i)
(ii)		 0
132,600 		0
19,956 		0
0 		0
26,730 		0
9,335 		0
188,621 		0
0
(10) ERIN JAYNES (i)
(ii)		 0
163,200 		0
24,754 		0
0 		0
22,084 		0
13,616 		0
223,654 		0
0
(11) NEERAJ KANWAL MD (i)
(ii)		 0
277,440 		0
80,185 		0
0 		0
24,288 		0
17,871 		0
399,784 		0
27,700
(12) GARY AKENBERGER (i)
(ii)		 0
234,600 		0
60,931 		0
11,147 		0
37,437 		0
14,949 		0
359,064 		0
0
(13) HOLLY BRISTOLL (i)
(ii)		 0
190,159 		0
54,707 		0
0 		0
32,442 		0
12,640 		0
289,948 		0
0
(14) DARRIN ARQUETTE (i)
(ii)		 0
111,084 		0
35,954 		0
8,311 		0
19,958 		0
13,902 		0
189,209 		0
14,949
(15) ANTHONY COMEROTA (i)
(ii)		 365,957
0 		0
0 		181,401
0 		20,825
0 		19,324
0 		587,507
0 		0
0
(16) SHIRLEY BODI (i)
(ii)		 169,208
0 		0
0 		7,208
0 		21,416
0 		12,493
0 		210,325
0 		0
0
(17) TIMOTHY MCCOY (i)
(ii)		 160,251
0 		0
0 		12,921
0 		14,509
0 		18,096
0 		205,777
0 		0
0
(18) JEFFREY LEWIS (i)
(ii)		 170,223
0 		0
0 		1,831
0 		24,493
0 		23,950
0 		220,497
0 		0
0
(19) DONALD HICKEY (i)
(ii)		 170,693
0 		0
0 		0
0 		18,224
0 		16,308
0 		205,225
0 		0
0
(20) ALAN SATTLER (i)
(ii)		 0
229,500 		0
60,857 		0
16,742 		0
39,535 		0
14,199 		0
360,833 		0
0
(21) ROBERT FREDRICK MD (i)
(ii)		 0
328,733 		0
74,926 		0
399 		0
45,993 		0
12,723 		0
462,774 		0
0
(22) RANDALL SCHIMMOELLER (i)
(ii)		 0
209,408 		0
44,500 		0
0 		0
22,315 		0
15,975 		0
292,198 		0
0
Schedule J (Form 990) 2010

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. NEERAJ KANWAL $27,700 DARRIN ARQUETTE $14,949
  PART I, LINE 7 AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) INTEGRATED DELIVERY SYSTEM DEVELOPMENT; 2) COMMUNITY SERVICE; 3) QUALITY, SAFETY AND SERVICE; 4) FINANCIAL RESPONSIBILITY; AND 5) WORKFORCE DEVELOPMENT. THE BONUS IS A PERCENTAGE OF BASE PAY APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE.
Schedule J (Form 990) 2010

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number
34-4428256
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A SERIES 2005 BONDS - SEE PART V FOR DETAIL
  		549310SZ4 04-28-2005 188,935,192 SEE PART V X     X   X
B SERIES 2008 BONDS - SEE PART V FOR DETAIL
  		549310TU4 05-15-2008 183,217,907 SEE PART V   X   X   X
C CITY OF MAUMEE
  		34-6400847 577494EA1 08-25-2004 16,080,016 SEE PART V   X   X   X
D CITY OF MAUMEE
  		34-6400847   11-21-2007 4,150,000 SEE PART V   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 143,490,000   8,915,000 2,461,908
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 197,109,556 186,621,348 16,080,016 4,150,000
4 Gross proceeds in reserve funds . . 297,655 139 1,831,687  
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,902,630 2,224,707 308,175  
8 Credit enhancement from proceeds. 3,105,891 133,953 385,123  
9 Working capital expenditures from proceeds . . 137,116   137,116  
10 Capital expenditures from proceeds . . 129,409,278 14,220,748   4,150,000
11 Other spent proceeds . . 62,691,757 130,326,750 15,249,602  
12 Other unspent proceeds. . . 39,715,190 39,715,190    
13 Year of substantial completion . . . 2007 2004 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue?   X   X X     X
16 Has the final allocation of proceeds been made? . . X     X X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X     X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X     X X  
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X     X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.370 % 0.270 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . . 0.370 % 0.270 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X   X     X   X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X     X   X   X
b Name of provider . UBS
  		 
  		 
  		 
 
c Term of hedge . . 29.600000000000      
d Was the hedge superintegrated? .   X            
e Was a hedge terminated? .   X            
4a Were gross proceeds invested in a GIC? . X     X   X   X
b Name of provider . JP MORGAN
  		 
  		 
  		 
 
c Term of GIC . . 2.800000000000      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . X              
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K SUPPLENTAL INFORMATION   PART I: SERIES 2005 BOND DETAIL ISSUER NAME: SERIES 2005 A1 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310SZ4 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: 52,200,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005 A2 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TA8 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $37,500,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005 A-3 - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TB6 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $25,000,000 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 279 BED PATIENT TOWER ON THE CAMPUS OF TOLEDO HOSPITAL. FINANCE THE COST OF ACQUISITION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES. MATURITY: MATURED ISSUER NAME: SERIES 2005B OH - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TS9 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $57,410,192 PURPOSE: REFUND SERIES 1993 TOLEDO HOSPITAL BONDS ISSUED JULY 1, 1993. MATURITY: 11/15/2021 ISSUER NAME: SERIES 2005 MI B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PAX6 DATE ISSUED: APRIL 28, 2005 ISSUE PRICE: $16,825,000 PURPOSE: FINANCE A 23,550 SQUARE FOOT ADDITION AND OTHER RENOVATION ON THE CAMPUS OF HERRICK MEDICAL CENTER IN MICHIGAN. REFUND THE LENAWEE LONG TERM CARE SERIES 1994A BONDS ISSUED 8-01-1994 MATURITY: MATURED SERIES 2008 BOND DETAIL ISSUER NAME: 2008 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TT7 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 62,500,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. MATURITY: 11/15/2034 ISSUER NAME: 2008 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TU4 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 52,855,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. FINANCE THE CONSTRUCTION AND EQUIPPING OF A 36 BED ORTHOPEDIC HOSPITAL. MATURITY: 11/15/2040 ISSUER NAME: 2008 SERIES C - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PAY4 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 16,645,000 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005B BONDS. MATURITY: 11/15/2035 ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310YV2 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 33,803,818 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. FINANCE ACQUISITION OF A CT, MRI AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA COMMUNITY HOSPITAL. MATURITY: 11/15/2038 ISSUER NAME: 2008 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310TW0 DATE ISSUED: MAY 15, 2008 ISSUE PRICE: 17,414,088 PURPOSE: REFINANCE A PORTION OF THE BANK LOAN USED TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2005A BONDS. FINANCE THE ACQUISITION OF A CT, MRT AND CERTAIN OTHER EQUIPMENT ON THE CAMPUS OF FOSTORIA COMMUNITY HOSPITAL. MATURITY: 11/15/2040 ISSUER NAME: CITY OF MAUMEE ISSUER EIN: 34-6400847 CUSIP#: 577494DX, 577494DY, 577494DZ, 577494EA DATE ISSUED: AUGUST 25, 2004 ISSUE PRICE: 15,670,000 PURPOSE: REFUND SERIES 1994 BONDS- JUNE 1, 1994 ISSUER NAME: CITY OF MAUMEE ISSUER EIN: 34-6400847 CUSIP#: NONE DATE ISSUED: NOVEMBER 21, 2007 ISSUE PRICE: 4,150,000 PURPOSE: FINANCE ACQUISION OF DA-VINCI SURGICAL SYSTEM PART I, COLUMN (E) DIFFERENCES BETWEEN THE ISSUE PRICE SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART II, COLUMN (A), LINE 4 $297,655 IS IN A DEBT SERVICE FUND. PART II, COLUMN (B), LINE 4 $139 IS IN A DEBT SERVICE FUND. PART II, COLUMN (C), LINE 4 OF THE $1,831,687 SHOWN, $1,608,002 IS IN A DEBT SERVICE RESERVE FUND AND $223,685 IS IN A DEBT SERVICE FUND.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) TOLSON INVESTMENTS
  		SEE PART V 723,818 SEE PART V   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
    SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: TOLSON INVESTMENTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATIONS:MORE THAN 35% OWNED BY HARVEY TOLSON, TRUSTEE(C) AMOUNT OF TRANSACTION $ 723,818(D) DESCRIPTION OF TRANSACTION: RENTAL PROPERTY(E) SHARING OF ORGANIZATION REVENUES? = NO
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




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
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2   CHARLES HEID AND HOLLI BRISTOLL HAVE A FAMILY RELATIONSHIP. THE FOLLOWING OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE EMPLOYEES OF PROMEDICA HEALTH SYSTEM OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED PROMEDICA HEALTH SYSTEM BOARDS. MARY ELLEN PIZZA BARBARA STEELE PIERRE VAUTHY KEVIN WEBB KATHLEEN HANLEY JEFFREY KUHN NEERAJ KANWAL GARY AKENBERGER HOLLY BRISTOLL ERIN JAYNES MICHAEL WILKINS DARRIN ARQUETTE LORI FERGUSON STEPHEN BAZELEY
FORM 990, PART VI, SECTION A, LINE 6   AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A   PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL., AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B   WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, AND (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11   UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE APPROPRIATE DIRECTOR OF FINANCE. AFTER DIRECTOR OF FINANCE APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF DIRECTORS AND ARE REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
  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 EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT.
  FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
  FORM 990, PART VI, SECTION C, LINE 19 PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
  FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MARY ELLEN PIZZA - 40 HOURS BARBARA STEELE - 40 HOURS PIERRE VAUTHY - 40 HOURS KATHLEEN HANLEY - 40 HOURS JEFFREY KUHN - 40 HOURS GARY AKENBERGER - 40 HOURS ALAN SATTLER - 40 HOURS RANDALL SCHIMMOELLER - 40 HOURS ROBERT FREDRICK - 40 HOURS STEPHEN BAZELEY - 40 HOURS
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 22,251,348. PRIOR PERIOD ADJUSTMENTS: 3,023,788. BENEFICIAL INTEREST IN FOUNDATION 16,434,232. OTHER -371,668. TOTAL TO FORM 990, PART XI, LINE 5: 41,337,700.
  FORM 990, PART XII, LINE 2A - 2D: THE TOLEDO HOSPITAL IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (PHS) WHICH ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE PHS AUDIT/COMPLIANCE COMMITTEE WHICH PROVIDES ASSISTANCE TO THE PHS BOARD OF TRUSTEES IN FULFILLING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINS FREE AND OPEN COMMUNICATION BETWEEN THE COMMITTEE, THE DIRECTOR OF INTERNAL AUDIT/COMPLIANCE, THE INDEPENDENT AUDITORS AND MANAGEMENT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. MAJOR RESPONSIBILITIES OF THE AUDIT/COMPLIANCE COMMITTEE INCLUDE: - ANNUALLY, APPROVE THE ENGAGEMENT OF THE EXTERNAL AUDITOR, INCLUDING RELATED SCOPE, FEES AND REPORTS. - REVIEW WITH MANAGEMENT AND THE INDEPENDENT AUDITORS THE ANNUAL FINANCIAL STATEMENTS AND RESULTS OF THE AUDIT, INCLUDING REQUIRED MATTERS TO BE COMMUNICATED TO THE COMMITTEE BY THE INDEPENDENT AUDITORS UNDER GENERALLY ACCEPTED AUDITING STANDARDS. - DISCUSS WITH THE EXTERNAL AUDITORS THEIR INDEPENDENCE FROM MANAGEMENT AND THE ORGANIZATION AND THE MATTERS INCLUDED IN WRITTEN DISCLOSURE REQUIRED BY THE INDEPENDENCE STANDARDS BOARD. - OVERSEE MANAGEMENT ACTION PLANS RESULTING FROM EXTERNAL MANAGEMENT LETTER.
  FORM 990, PART VI, SECTION B, LINE 16B: PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES (PHS) JOINT VENTURE OPERATING AGREEMENTS ARE NEGOTIATED WITH OTHER MEMBERS OF THE JOINT VENTURE TO ENSURE THAT ADEQUATE SAFEGUARDS ARE IN PLACE TO PROTECT PHS' EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PROMEDICA HEALTH SYSTEM CONTINUALLY ENSURES THAT ITS EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
PROMEDICA HEALTH SYSTEM - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4: ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2010 TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. PROMEDICA'S 2010 MISSION AS AN INTEGRATED DELIVERY SYSTEM WAS TO BE INNOVATIVE, SERVICE-ORIENTED AND COST-EFFECTIVE WITH SUPERIOR QUALITY, WORKING WITH PHYSICIANS, HEALTHCARE PROVIDERS, BUSINESSES, AND THE COMMUNITY TO IMPROVE HEALTH. OUR SIX CORE VALUES INCLUDE: COLLABORATION-WORKING TOGETHER WITH MUTUAL RESPECT; COMMUNITY-BASED-LOCALLY OWNED, GUIDED BY CONSTITUENT NEEDS AND BUSINESS IMPERATIVES; COMPASSION-CONCERN AND UNDERSTANDING FOR OTHERS WITH COMMITMENT TO HELP; EXCELLENCE-SUPERIOR PERFORMANCE AND OUTCOMES; INTEGRITY-HONESTY, SINCERITY AND ACCOUNTABILITY; AND STEWARDSHIP-SOUND MANAGEMENT OF RESOURCES ON BEHALF OF PROMEDICA AND THE COMMUNITY. PROMEDICA AND ITS AFFILIATES COMPRISE 306 SITES, AND APPROXIMATELY 1,644 PHYSICIANS AND 14,000 EMPLOYEES AND VOLUNTEERS. DURING 2010, PROMEDICA SERVED 61,929 INPATIENTS AND 1,217,176 OUTPATIENTS, WHILE HANDLING 225,814 EMERGENCY CENTER VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2010, FOR EVERY ONE DOLLAR OF PROMEDICA REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $2.4 BILLION. WE ALSO CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. ADDITIONALLY, OUR PHYSICIANS, LEADERSHIP TEAM MEMBERS AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS-SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING, PROVIDING MONTHLY HEALTH LECTURES AT LOCAL SENIOR CENTERS, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE GOODS TO NUMEROUS LOCAL FOOD PANTRIES AND CHURCHES-UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL (LOCATED WITHIN THE TOLEDO HOSPITAL), FLOWER HOSPITAL, FOSTORIA COMMUNITY HOSPITAL, DEFIANCE REGIONAL MEDICAL CENTER, BAY PARK COMMUNITY HOSPITAL, HERRICK MEDICAL CENTER, EMMA L. BIXBY MEDICAL CENTER, AND ST. LUKE'S HOSPITAL. EFFECTIVE SEPTEMBER 1, 2010, ST. LUKE'S HOSPITAL, ST. LUKE'S HOSPITAL FOUNDATION, AND CARE ENTERPRISES JOINED PROMEDICA, OFFERING RESIDENTS IN SOUTHWESTERN LUCAS COUNTY WITH OPTIONS FOR EXPANDED ACCESS TO SPECIALIZED HEALTHCARE SERVICES. IN 2010, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP, WITH MORE THAN 310 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS; THEY HELP PROMEDICA TO BROADEN THE CARE WE OFFER SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO, RANKED IN THE TOP 100 PRIVATE PLANS IN THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE'S (NCQA) HEALTH INSURANCE PLAN RANKINGS FOR 2010 - 2011. - THE ACADEMIC HEALTH CENTER CORPORATION, AN ALLIANCE WITH THE UNIVERSITY OF TOLEDO, TO PROMOTE RESEARCH AND EDUCATION THROUGHOUT THE REGION. PROMEDICA HAS ADDITIONAL ACADEMIC RELATIONSHIPS WITH NUMEROUS OTHER INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - TWELVE CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES FOR THEIR RESPECTIVE HOSPITALS AND CONTINUING CARE FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE FLOWER HOSPITAL CAMPUS. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, CARDIOVASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR MEANS OR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR HEALTH CARE, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH 298 LOCAL NONPROFIT AGENCIES AND ORGANIZATIONS IN 2010 THAT HAD VALUES AND MISSIONS SIMILAR TO OURS.
    PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, JUST A FEW EXAMPLES FROM 2010 INCLUDE THE FOLLOWING: - PROMEDICA, ALONG WITH MERCY MEMORIAL HOSPITAL OF MONROE, MICHIGAN, AND THE BARBARA ANN KARMANOS CANCER CENTER OF DETROIT, BECAME EQUAL PARTNERS IN A JOINT VENTURE TO ESTABLISH A NEW CANCER TREATMENT FACILITY IN MONROE. IT WILL BE THE FIRST INTEGRATED CANCER CENTER IN THE AREA OFFERING MEDICAL AND RADIATION ONCOLOGY SERVICES UNDER ONE ROOF. - HERRICK MEDICAL CENTER OPENED A NEW WOMEN'S HEALTH CENTER THAT OFFERS SPECIALIZED SERVICES FOR WOMEN SUCH AS DIGITAL MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST CANCER SURGERY, BONE DENSITY SCANS, HEART AND VASCULAR HEALTH SERVICES, A MIDLIFE WOMEN'S CLINIC, AND MORE. - JOBST VASCULAR CENTER HELD PUBLIC SCREENINGS ONE DAY PER MONTH TO PROVIDE VASCULAR SCREENINGS AT NO CHARGE. - THE HICKMAN CANCER CENTER AT BIXBY MEDICAL CENTER RECEIVED A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. - BIXBY ALSO BECAME THE FIRST HOSPITAL IN MICHIGAN TO OFFER A NEW MINIMALLY INVASIVE PROCEDURE FOR LUMBAR CANAL STENOSIS. MINIMALLY INVASIVE LUMBAR DECOMPRESSION (MILD(R)), IS LESS PAINFUL AND OFFERS A SIGNIFICANTLY SHORTER RECOVERY PERIOD FOR PATIENTS SUFFERING FROM STENOSIS. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY LOCALLY THROUGH ITS FIELDS OF GREEN CAMPAIGN. IN 2010, STUDENT TEAMS FROM PROMEDICA'S SERVICE AREA CREATED HEALTHY BREAKFAST MEAL PLANS FOR ELEMENTARY SCHOOL CHILDREN AS PART OF A COLLEGE SCHOLARSHIP COMPETITION. EACH MEMBER OF THE WINNING TEAM RECEIVED A $5,000 COLLEGE SCHOLARSHIP FROM PROMEDICA; SECOND- AND THIRD-PLACE SCHOLARSHIP AWARDS ALSO WERE PRESENTED, AND EACH WINNING SCHOOL RECEIVED A CASH AWARD FOR ITS HEALTH AND SCIENCES CURRICULA. - THROUGH ITS ADVOCACY DEPARTMENT, PROMEDICA CONTINUED ITS HEALTH EDUCATION PROGRAM FOR ELEMENTARY SCHOOL CHILDREN BY ADDING MODULES FOR GRADES 1 - 3 TO COMPLEMENT THOSE USED FOR CHILDREN IN GRADES 4 - 6. THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM IS DESIGNED TO EMPOWER STUDENTS AND THEIR PARENTS TO MAKE LIFELONG, HEALTHY CHOICES ABOUT FOOD AND EXERCISE. - ELECTRONIC DOCUMENTATION AND CHARTING AT THE BEDSIDE WAS IMPLEMENTED AT BAY PARK COMMUNITY HOSPITAL, REPLACING THE PAPER CHART. THIS TECHNOLOGY UPGRADE IS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD THAT ALSO WILL BE ACTIVATED AT PROMEDICA'S OTHER HOSPITALS SYSTEM-WIDE IN COMING YEARS. - PROMEDICA CANCER INSTITUTE PRESENTED THE NEXT STEP/CHAMPS PROGRAMS, WHICH OFFERED SUPPORT AND ACTIVITIES FOR CHILDREN WHO HAD A FAMILY MEMBER DIAGNOSED WITH CANCER. - DEFIANCE REGIONAL MEDICAL CENTER SUCCESSFULLY COMPLETED ITS THREE-YEAR, RE-VERIFICATION SURVEY AS A LEVEL III TRAUMA CENTER FOR THE DEFIANCE COMMUNITY. - PROMEDICA PHYSICIAN GROUP EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING 38 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2010. - BAY PARK COMMUNITY HOSPITAL HOSTED ITS 6TH ANNUAL SPRING INTO WELLNESS PROGRAM DEVOTED TO WOMEN'S HEALTH ISSUES BY PROVIDING FREE HEALTH SCREENINGS AND WELLNESS PRESENTATIONS. - THE GOERLICH CENTER, PART OF PROMEDICA CONTINUING CARE SERVICES CORPORATION, COMPLETED ITS EXPANSION AND RENOVATION BY ADDING 12 ROOMS FOR ALZHEIMER'S PATIENTS, AS WELL TWO NEW MULTI-PURPOSE ROOMS FOR PATIENTS AND FAMILIES, AND BUILDING A NEW GAZEBO AND MEMORY GARDEN FOR FAMILIES. - PROMEDICA CONTINUING CARE SERVICES CORPORATION PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED THOUSANDS OF FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE AND CHOLESTEROL, BODY MASS AND BONE DENSITY. - FLOWER HOSPITAL RECEIVED CERTIFICATION FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER, SIGNIFYING THAT FLOWER OFFERS HIGH-QUALITY CARE TO MEET THE UNIQUE AND SPECIALIZED NEEDS OF STROKE PATIENTS. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, AS WELL AS SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN(R) RACE FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - PROMEDICA ESTABLISHED AN ADVOCACY FUND TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH FOOD, CLOTHING AND SHELTER. IN 2010, PROMEDICA CONTRIBUTED $116,442,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY SIGNIFICANTLY AFFECTING MEMBERS OF THE COMMUNITIES WE SERVE. INCLUDED IN PROMEDICA'S 2010 COMMUNITY BENEFIT IS 12 MONTHS OF ST. LUKE'S HOSPITAL COMMUNITY BENEFIT EXPENDITURES OF $11,382,000. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $43,536,000 IN 2010. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; COLLEGE SCHOLARSHIPS FOR STUDENTS ENTERING HEALTHCARE CAREERS; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $22,916,000 IN FINANCIAL ASSISTANCE (FORMERLY CALLED CHARITY CARE) FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2010 WAS $19,717,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $116,442,000 NOTED ABOVE. FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. IN 2010, PROMEDICA MANAGED 6,169 CLINIC VISITS AND 6,052 INPATIENT/ER/OUTPATIENT VISITS. ADDITIONALLY DURING 2010, PROMEDICA PROVIDED $49,990,000 OF COMMUNITY BENEFIT THROUGH THE COST-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICAID PATIENTS. PROMEDICA'S TOTAL COST-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICARE PATIENTS DURING 2010 WAS $46,538,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $116,442,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA PROVIDES SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 500% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS CHARITABLE MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE CHARITY SERVICES; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
THE TOLEDO HOSPITAL - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS   THE TOLEDO HOSPITAL IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. FOR MORE THAN 130 YEARS, THE TOLEDO HOSPITAL (TTH) HAS SERVED METRO TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 794-BED HOSPITAL IS STAFFED BY MORE THAN 4,800 EMPLOYEES. TTH OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH APPROXIMATELY 1,300 PRIMARY CARE AND SPECIALTY PHYSICIANS. THE RENAISSANCE TOWER AT TTH HOUSES 224 PRIVATE ADULT AND PEDIATRIC PATIENT ROOMS, LARGE VISITOR WAITING AREAS THAT ARE FAMILY-CENTERED, ADVANCED SURGICAL INTENSIVE CARE AND NEWBORN INTENSIVE CARE UNITS, A CHILDREN'S CANCER CENTER, AND A ROOFTOP HELIPAD. TTH OFFERS A NUMBER OF KEY SERVICE LINES FOR THE METRO TOLEDO AREA SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES A FERTILITY CLINIC AND LEVEL III PERINATAL UNIT; JOBST VASCULAR CENTER; AND A LEVEL I TRAUMA CENTER. IN ADDITION, PROMEDICA'S EICU TECHNOLOGY IS HOUSED AND MONITORED AT TTH; A BARIATRICS PROGRAM PROVIDES OPTIONS FOR SURGICAL WEIGHT LOSS TO PATIENTS WHO ARE CRITICALLY OVERWEIGHT; AND THE TOLEDO HOSPITAL BREAST CARE CENTER IS RECOGNIZED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDICS DEPARTMENTS, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 82,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY; RADIOLOGY; AND PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. TTH ALSO HOUSES TOLEDO CHILDREN'S HOSPITAL (TCH), PROMEDICA'S PEDIATRIC TERTIARY HOSPITAL. TCH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS, FROM NEWBORNS THROUGH AGE 18. TCH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS, WHILE A NEWBORN INTENSIVE CARE PHYSICIAN AND A PEDIATRIC HOSPITALIST ARE ON DUTY 24 HOURS A DAY. IN 2010, NATIONAL RESEARCH CORPORATION (NRC) SELECTED TTH AS THE REGION'S CONSUMER CHOICE AWARD-WINNER FOR THE 15TH CONSECUTIVE YEAR. NRC PRESENTS THE AWARD ANNUALLY TO THE MOST PREFERRED HOSPITALS IN 250 U.S. MARKETS. ADDITIONALLY, BOTH THE TOLEDO HOSPITAL (TTH) AND TOLEDO CHILDREN'S HOSPITAL (TCH) RECEIVED OHIO PARTNERSHIP FOR EXCELLENCE (OPE) SILVER-LEVEL AWARDS AS PART OF THE OHIO AWARD FOR EXCELLENCE PROGRAM. THE PROGRAM IS BASED ON THE BALDRIGE ASSESSMENT PROCESS AND IS THE BENCHMARK FOR ORGANIZATIONAL PERFORMANCE IMPROVEMENT ACROSS THE STATE. IN 2010, TTH SERVED 32,325 INPATIENTS; 612,966 OUTPATIENTS; AND 82,431 EMERGENCY CENTER PATIENTS. TTH CONTRIBUTED $62,343,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, CHARITY CARE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, TTH CONTRIBUTED $24,138,000 TO THE COMMUNITY DURING 2010. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - FREE HEALTH EDUCATION LECTURES ON DISEASE IDENTIFICATION AND TREATMENT OPTIONS-WITH AN EMPHASIS ON INDIVIDUAL ACCOUNTABILITY-CONDUCTED AT AREA SENIOR CENTERS, LOCAL BUSINESSES AND IN SCHOOLS. - TTH AORTIC CENTER, WHICH COMBINES CARDIOVASCULAR SURGERY, VASCULAR SURGERY AND CARDIOLOGY - A COLLABORATIVE PROGRAM BETWEEN TTH AND JOBST VASCULAR CENTER TO PROVIDE A NEW LEVEL OF EXPERTISE IN AORTIC DISEASE TREATMENT AND MANAGEMENT. - THE AUTISM COLLABORATIVE - A COLLABORATION BETWEEN TCH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES - TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH A VARIETY OF DISEASE ISSUES AND TO OFFER SOCIAL SERVICES INFORMATION. - THE FIRST STEPS AND TEEN PEP PROGRAMS TO EXTEND CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS. - FREE AND LOW-COST OUTPATIENT CLINICS THAT OFFER A WIDE ARRAY OF HEALTH SERVICES INCLUDING FLU CLINICS, IMMUNIZATIONS, VASCULAR SCREENINGS, AND TREATMENT OF MINOR ILLNESSES THAT MIGHT NOT REQUIRE AN EMERGENCY CENTER VISIT BUT STILL REQUIRE MEDICAL ATTENTION. - PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZE THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TTH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE (PREVIOUSLY CALLED CHARITY CARE) TO THE COMMUNITY DURING 2010, OF WHICH $12,047,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TTH'S COST OF BAD DEBT FOR 2010 WAS $5,635,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $62,343,000 INDICATED ABOVE. TTH PROVIDED $26,158,000 OF INDIRECT COMMUNITY SUPPORT WHICH REPRESENTS THE COSTS-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICAID PATIENTS. IN 2010, THE TOTAL COSTS-NOT REIMBURSED BY THE GOVERNMENT-FOR TREATING MEDICARE PATIENTS WAS $16,922,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $62,343,000 NOTED ABOVE. DURING 2010, TTH EXPENDED $155,734,000 IN NET PAYROLL, PROVIDING 4,823 JOBS IN NORTHWEST OHIO. A TOTAL OF $9,921,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES.
COMMUNITY BENEFIT DEFINITIONS   PROMEDICA HEALTH SYSTEM AND ITS SUBSIDIARIES (THE SYSTEM) PREPARES ITS COMMUNITY BENEFIT REPORTS IN ACCORDANCE WITH THE REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION AND CONSISTENT WITH FORM 990 REPORTING. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY THE SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTH CARE SERVICES - ENHANCE THE HEALTH OF THE COMMUNITY - ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, THE SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 500% OF THE POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERMENT SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL PROGRAMS SUCH AS MEDICAID. THE SYSTEM INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE SYSTEM. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR INTERNSHIPS AND RESIDENCY EDUCATION, THE PROVISION OF A CLINICAL SETTING FOR UNDERGRADUATE/VOCATIONAL TRAINING FOR STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR STAFF EDUCATION THAT IS LINKED TO COMMUNITY SERVICES AND HEALTH IMPROVEMENT. SUBSIDIZED HEALTH SERVICES SUBSIDISED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES, OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE TO MEET PATIENT DEMAND. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. THE AMOUNT REPORTED FOR THE SYSTEM IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS FINANCIAL CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND/OR THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON HOSPITAL WORK TIME, DONATION OF FOOD, EQUIPMENT, AND SUPPLIES.
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:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
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
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) PROMEDICA PHYSICIAN GROUP

5855 MONROE ST

SYLVANIA,OH43560
34-1899439 		PHYSICIAN HEALTH CARE SERVICES OH 501(C)(3) 9 PROMEDICA PHYSICIANS & CONTINUUM SERVICES
 
Yes
 
(29) ST LUKE'S HOSPITAL

5901 MONCLOVA RD

MAUMEE,OH43537
34-4428232 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM
 
Yes
 
(30) ST LUKE'S HOSPITAL FOUNDATION

5901 MONCLOVA RD

MAUMEE,OH43537
34-1292849 		FOUNDATION OH 501(C)(3) 11B, II 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
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 V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No 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
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
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 CONTINUING CARE SERVICES CORP

 B 2,500,000 FMV
(2) PROMEDICA HEALTH SYSTEM

 B 10,800,000 FMV
(3) PROMEDICA PHYSICIAN GROUP

 B 13,000,000 FMV
(4) ACADEMIC HEALTH CENTER CORPORATION

 C 887,530 FMV
(5) THE TOLEDO HOSPITAL FOUNDATION

 C 2,074,133 FMV
(6) TOLEDO CHILDREN'S HOSPITAL FOUNDATION

 C 319,646 FMV
(7) PROMEDICA CONTINUING CARE SERVICES CORP

 I 401,622 FMV
(8) PROMEDICA HEALTH SYSTEM

 I 1,304,539 FMV
(9) PROMEDICA PHYSICIANS & CONTINUUM SERVICES

 I 461,579 FMV
(10) PROMEDICA PHYSICIAN GROUP

 I 7,471,305 FMV
(11) EMMA L BIXBY MEDICAL CENTER

 J 182,354 FMV
(12) CENTRAL REGION PROPERTIES

 J 55,476 FMV
(13) DEFIANCE HOSPITAL INC DBA DEFINANCE REGIONAL MEDICAL CENTER

 N 55,743 FMV
(14) FOSTORIA HOSPITAL ASSOCIATION DBA FOSTORIA COMMUNITY HOSPITAL

 N 176,868 FMV
(15) BAY PARK COMMUNITY HOSPITAL

 N 826,074 FMV
(16) FLOWER HOSPITAL

 N 918,628 FMV
(17) PROMEDICA PHYSICIAN GROUP

 N 166,413 FMV
(18) PROMEDICA CONTINUING CARE SERVICES CORP

 N 228,988 FMV
(19) DEFIANCE HOSPITAL INC DBA DEFINANCE REGIONAL MEDICAL CENTER

 P 730,418 FMV
(20) FOSTORIA HOSPITAL ASSOCIATION DBA FOSTORIA COMMUNITY HOSPITAL

 P 592,688 FMV
(21) BAY PARK COMMUNITY HOSPITAL

 P 1,502,285 FMV
(22) EMMA L BIXBY MEDICAL CENTER

 P 1,187,781 FMV
(23) HERRICK MEMORIAL HOSPITAL

 P 369,394 FMV
(24) FLOWER HOSPITAL

 P 2,984,758 FMV
(25) PROMEDICA CONTINUING CARE SERVICES CORP

 P 119,844 FMV
(26) VISITING NURSE HOSPICE

 P 78,238 FMV
(27) PROMEDICA NORTH REGION FKA LENAWEE HEALTH CARE ALLIANCE

 P 155,395 FMV
(28) PROMEDICA HEALTH SYSTEM

 P 9,599,793 FMV
(29) PROMEDICA PHYSICIAN GROUP

 P 204,774 FMV
(30) FLOWER HOSPITAL

 O 2,555,483 FMV
(31) PROMEDICA CONTINUING CARE SERVICES CORP

 O 71,592 FMV
(32) PROMEDICA HEALTH SYSTEM

 O 72,774,742 FMV
(33) PROMEDICA INSURANCE CORPORATION

 O 2,572,258 FMV
(34) PROMEDICA COURIER SERVICES INC

 O 1,537,144 FMV
(35) PROMEDICA PHYSICIAN GROUP

 O 27,079,187 FMV
Schedule R (Form 990) 2010
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 V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
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


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