TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DAVID NEDRICH CHAIRMAN	4.0	X	X
(2) THOMAS P O'DONNELL FIRST VICE CHAIRMAN	4.0	X	X
(3) JOSEPH TAL SECOND VICE CHAIRMAN	4.0	X	X
(4) JACK C KRISE JR TREASURER	4.0	X	X
(5) JOANN MASON SECRETARY	4.0	X	X
(6) ALEX I KOLER FIRST ASSISTANT TREASURER	4.0	X	X
(7) NANCY E HATGAS SECOND ASSISTANT TREASURER	4.0	X	X
(8) SHARON MARTIN ASSISTANT SECRETARY	4.0	X	X
(9) KENT A GEIST IMMEDIATE PAST CHAIRMAN	4.0	X
(10) ERIC MOORE MEMBER-AT-LARGE	4.0	X
(11) JACQUELINE M PATTON MEMBER-AT-LARGE	4.0	X
(12) JOHN H BUNDY DIRECTOR	4.0	X
(13) MATTHEW FRANTZ DO DIRECTOR	4.0	X
(14) JENNIFER LASKY DIRECTOR	4.0	X
(15) SAMUEL W PAGANO MD DIRECTOR	4.0	X
(16) LOUIS D RIPEPI JR DIRECTOR	4.0	X
(17) DONNA THOMAS DIRECTOR	4.0	X

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Robert Bartholomew Jr Trustee	4.0	X					0	0	0
(19) Scott D Curtis trustee	4.0	X					0	0	0
(20) Jack P Marschall Trustee	4.0	X					0	0	0
(21) Salvatore P Sidoti DPM trustee-Physician Director	4.0	X					0	0	0
(22) TERRENCE DEIS PRESIDENT / CEO	40.0		X				306,884	0	31,567
(23) BARRY FRANKLIN EXEC VICE PRESIDENT / CFO	40.0		X				241,158	0	23,375
(24) PAM FALASCO VICE PRESIDENT, CNO	40.0		X				155,518	0	8,133
(25) RICHARD JACOBS VICE PRESIDENT, MEDICAL AFFAIR	40.0			X			247,670	0	6,123
(26) Kathi O'Connor Vice President	40.0				X		138,319	0	27,319
(27) Robert Schmidt OR First Asst	40.0				X		124,127	0	16,346
(28) Melissa Nemeth Family Nurse Practitioner	40.0				X		124,143	0	7,877
(29) Kevin Zupancic Department Director	40.0				X		118,656	0	15,172
(30) Paula Crossmock Pharmacist	40.0				X		111,422	0	25,253
(31) Patricia A Ruflin Former Officer						X	0	105,780	0

(A) Name and business address	(B) Description of services	(C) Compensation
Anesthesia Associates PLL PO Box 1458 PAINESVILLE,OH44077	Anesthesia Mgmt	1,453,000
Hospitalist Management Group PO Box 645037 CINCINNATI,OH452645037	Physician Management	539,413
RT 82 Enterprises LTD PO Box 74761 CLEVELAND,OH44194	LEASING COMPANY	330,750
Martinsek Thacker LPA 2330 One Cleveland Center1375 E 9T CLEVELAND,OH44114	LEGAL	264,560
Heartwise LLC 6525 Powers Blvd Suite 301 PARMA,OH44129	Cardiovascular mgmt	216,100
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 10

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 United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,029,558		1,029,558
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	72,046,686	62,114,807	9,931,879
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,928,124	2,946,093	982,031
9	Other employee benefits .......	10,796,563	8,097,422	2,699,141
10	Payroll taxes ...........	5,308,283	3,981,212	1,327,071
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	537,452		537,452
c	Accounting ...........	122,750		122,750
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	7,343,819	5,507,864	1,835,955
12	Advertising and promotion ....	908,516	681,387	227,129
13	Office expenses .......	391,519	293,639	97,880
14	Information technology ......	2,187,520	1,640,640	546,880
15	Royalties ..	0
16	Occupancy ...........	4,912,049	3,684,037	1,228,012
17	Travel ............	101,199	75,899	25,300
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	42,991	32,243	10,748
20	Interest ...........	1,617,451	1,213,088	404,363
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	10,552,137	10,552,137
23	Insurance ..............	1,406,271	1,054,703	351,568
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	SUPPLIES	36,399,759	27,299,819	9,099,940
b	EQUIPMENT RENTAL AND MAINT.	15,437,407	11,578,055	3,859,352
c	PROVISION FOR BAD DEBTS	3,097,376	2,323,035	774,341	0
d	DUES	287,311	215,483	71,828
e
f	All other expenses	194,535	145,901	48,634
25	Total functional expenses. Add lines 1 through 24f	178,649,276	143,437,464	35,211,812	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	11,062,220	1	9,069,733
2	Savings and temporary cash investments .......	0	2	0
3	Pledges and grants receivable, net .........	0	3	0
4	Accounts receivable, net .........	20,756,759	4	19,695,035
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
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 ..........	0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	4,259,076	8	3,968,911
9	Prepaid expenses and deferred charges ............	1,290,760	9	1,551,017
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	230,969,655
b	Less: accumulated depreciation. .....	10b	153,621,819	79,235,638	10c	77,347,836
11	Investments—publicly traded securities ..........	13,874,772	11	13,568,750
12	Investments—other securities. See Part IV, line 11 ......	39,919,223	12	40,474,947
13	Investments—program-related. See Part IV, line 11 ..	0	13	0
14	Intangible assets .........	1,973,774	14	1,973,774
15	Other assets. See Part IV, line 11 ...........	12,446,036	15	15,361,874
16	Total assets. Add lines 1 through 15 (must equal line 34)...	184,818,258	16	183,011,877
	17	Accounts payable and accrued expenses .	37,553,561	17	43,301,883
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	56,290,000	20	54,365,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	19,585,272	25	26,750,430
26	Total liabilities. Add lines 17 through 25.....	113,428,833	26	124,417,313
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	68,165,146	27	55,521,896
28	Temporarily restricted net assets .....	3,224,279	28	3,072,668
29	Permanently restricted net assets .....	0	29	0
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	71,389,425	33	58,594,564
34	Total liabilities and net assets/fund balances .....	184,818,258	34	183,011,877

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

Parma Community General Hospital

Employer identification number

34-0827442

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Type I

Type II

Type III - Functionally integrated

Type III - Other

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

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

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

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

Yes

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

11g(i)

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

11g(ii)

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

11g(iii)

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

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

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

Section C. Computation of Public Support Percentage

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

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

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

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

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2011

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Parma Community General Hospital

Employer identification number

34-0827442

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

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

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

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

Yes No

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

Part V

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

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

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	12,110,143		12,110,143
b	Buildings ................	126,034,729	82,995,872	43,038,857
c	Leasehold improvements ............	7,404,770	2,997,184	4,407,585
d	Equipment ................	83,472,744	67,628,762	15,843,982
e	Other .................	1,947,269	0	1,947,269
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				77,347,836

Schedule D (Form 990) 2011

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) CASH AND CASH EQUIVALENTS	12,617,528	F
(B) GOVERNMENT SECURITIES	12,460,640	F
(C) ACCRUED INTEREST	281,326	F
(D) CORPORATE BONDS	15,115,453	F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	40,474,947

Part VIII

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

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









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

Part IX

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

(a) Description				(b) Book value
(1) UNAMORTIZED BOND FINANC. COST				578,708
(2) OTHER CURRENT ASSETS				1,895,969
(3) BENEFICIAL INTEREST IN FDN.				3,072,668
(4) RECEIVABLE FROM AFFILIATE				8,889,934
(5) OTHER ASSETS				924,595




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				15,361,874

Part X

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

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
SELF INSURANCE		7,900,000
ESTIMATED 3RD PARTY SETTLEMENT		1,799,448
LONG TERM DISABILITY PAYABLE		2,524,100
OTHER LIABILITIES		2,674,861
INTEREST RATE SWAP		6,294,796
INVESTMENT IN AFFILIATES		3,793,020
LEASE PAYABLE		1,764,205


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		26,750,430
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) 2011

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	183,046,326
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	178,649,276
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	4,397,050
4	Net unrealized gains (losses) on investments ..........................	4	-45,370
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8	-17,146,542
9	Total adjustments (net). Add lines 4 through 8 .........................	9	-17,191,912
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	-12,794,862

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	166,006,026
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-45,370
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d	-16,994,930
e	Add lines 2a through 2d .....................			2e	-17,040,300
3	Subtract line 2e from line 1.....................			3	183,046,326
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 must equal Form 990, Part I, line 12.) ......			5	183,046,326

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1	178,649,276
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	178,649,276
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 must equal Form 990, Part I, line 18.) ......		5	178,649,276

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
ASC 740		Effective January 1, 2007, the Association adopted guidance included in ASC 740 Accounting for Uncertainty of Income Taxes, which prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. Based on an analysis prepared by the Association, it was determined that the application had no material effect on the recorded tax assets and liabilities or statements of operations of the Association
RECONCILIATION OF CHANGE IN NET ASSETS - OTHER	SCH D PART XI, LINE 8	Change in Fair Value of Derivative Instruments (4,720,883) Loss on Investment in Subsidiaries (4,246,019) Increase in Pension Liability (8,120,354) Net Assets Released From Restriction For Property And Equipment Acquisition 92,326 Change In Beneficial Interest In Foundation (151,612) ---------- Total Change in Net Assets (17,146,542) ==========
RECONCILIATION OF REVENUE - OTHER	SCH D PART XII, LINE 2D	Change in Fair Value of Derivative Instruments 4,720,883 Loss on Investment in Subsidiaries 4,246,019 Increase in Pension Liability 8,120,354 Capital Donations (92,326) Total --------- 16,994,930 ========

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2011

Open to Public Inspection

Name of the organization

Parma Community General Hospital

Employer identification number

34-0827442

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	3,969,067	0	3,969,067	2.260 %
b Medicaid (from Worksheet 3, column a) .....	10,247,191	7,481,938	2,765,253	1.580 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	14,216,258	7,481,938	6,734,320	3.840 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	683,577	152,140	531,437	0.300 %
f Health professions education (from Worksheet 5) ..	667,856	464,920	202,936	0.120 %
g Subsidized health services (from Worksheet 6) ..	4,012,828	1,757,694	2,255,134	1.280 %
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....
jTotal Other Benefits ...	5,364,261	2,374,754	2,989,507	1.700 %
kTotal. Add lines 7d and 7j. ..	19,580,519	9,856,692	9,723,827	5.540 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(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	1,061,287	1,021,547	39,740	0.020 %
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	1,061,287	1,021,547	39,740	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

2,348,177

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

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

Enter total revenue received from Medicare (including DSH and IME).....

73,694,934

Enter Medicare allowable costs of care relating to payments on line 5.....

71,464,803

Subtract line 6 from line 5. This is the surplus or (shortfall)........

2,230,131

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	PARMA COMMUNITY GENERAL HOSPITAL 7007 POWERS BLVD PARMA,OH44129	X	X	X

Schedule H (Form 990) 2011

Page

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)

PARMA COMMUNITY GENERAL HOSPITAL

Name of Hospital Facility:

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 2011)
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 the community health 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 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	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a 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 Needs Assessment
	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 and 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	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	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	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

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	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	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)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	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		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?11
Name and address		Type of Facility (describe)
1	Medical Arts Center 3 6525 Powers Blvd Parma,OH44129	Cancer Center
2	Surgicenter 6505 Powers Blvd Parma,OH44129	Ambulatory SRG. CTR.
3	Seasons Of Life Residential Hospice 9511 W Pleasant Valley Road Parma,OH44129	Residential Hospice
4	Health Education Center 7300 State Road Parma,OH44134	Health Education, Child & Elder Care
5	Wellpointe Pavilion 303 E Royalton Road Broadview Hts,OH44147	Diagnostic and Therapy Center
6	Ridge Park Square 7575 Northcliff Ave Brooklyn,OH44144	Diagnostic Imaging
7	Health Education Center 7300 State Rd Parma,OH44129	HEALTH EDUCATION, CHILD AND ELDER CENTER
8	Medicare Arts Center 4 6115 Powers Blvd Parma,OH44129	Diagnostic Imaging
9	Community Express Care of Parma Hospital 8191 Columbia Rd Olmsted Falls,OH44138	In-Store Clinic
10	Community Express Care of Parma Hospital 6160 Brecksville Rd Independence,OH44131	In-Store Clinic
11	Community Express Care of Parma Hospital 6476 York Rd Parma Heights,OH44130	In-Store Clinic

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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 7		Parma Hospital calculated the cost of charity care and means-tested programs using the cost-to-charge ratio derived from Schedule H, worksheet 2. The cost of other benefits was calculated using the hospital's cost accounting system. Part I, Line 7, Column F The bad debt included on form 990, Part IX, Line 25, column (A) but subtracting for the purposes of calculating the percentage report on line 7F is $3,087,376.
Part II		As a community hospital, Parma Hospital has a very singular purpose of serving, supporting and advocating for our local communities. This happens through direct health care services, but it also happens through economic development. Parma Hospital is the second largest employer in the city of Parma. A significant number of those employees live within Parma Hospital's six founding communities, and extended service area communities. Parma Hospital proudly supports the Parma Area Chamber of Commerce and surrounding chambers as well as the economic development efforts of the local municipalities. Research has shown the direct relationship between environmental conditions and public health so Parma Hospital understands its importance to be an economic driver in the community. Schools are another area where Parma Hospital focuses its community building activities. Supporting the school systems directly and indirectly as well as individual classroom programming enhances educational opportunities for area youth. Additionally, Parma Hospital has partnered with area teachers and other community organization to raise awareness with regard to health and wellness efforts. Part III, Line 4 The cost of bad debt is calculated using a cost to charge ratio. Annual allowances are made for estimated doubtful accounts based on historical experience and adjusted for economic conditions.
Part III, Line 8		Medicare cost reported on Line 6 is derived from the hospital's cost accounting system.
Part III, Line 9B		If a patient qualifies for a 100 % financial assistance discount, collection of the account is not pursued. If a patient receives a partial discount for financial assistance, any remaining balance is treated in accordance with the hospital's collection policy. A payment plan can be established to assist them in meeting their obligation. Part V, Section B, line 19d When determining the maximum amount the hospital will charge FAB - eligible individuals as well as other patients without insurance, the hospital uses either Medicare rates, flat rates or a percentage discount depending on the service provided. These fees are set at or below commercial rates for similar services.
Part VI, Line 2, Needs Assessment		Parma Hospital uses several resources to determine the healthcare needs of the community in which it serves. The Hospital works with the Cuyahoga County Board of Health, the Academy of Medicine, Cuyahoga Community College, the Parma Area Collaborative Family Services, local schools, the Y.M.C.A. and others to coordinate community wellness and education programs.
Part VI, Line 3, Patient Education of Eligibility for Assistance		Parma Community General Hospital (PCGH) is committed to providing free care under the Ohio Hospital Care Assurance Program (HCAP) as well as additional charity care and financial assistance to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation. During patient registrations, self pay patients are given a Financial Assistance Application and an explanation of the form and the Ohio Hospital Care Assurance Program. Applications are also sent to patients with a copy of their bill. The PCGH Customer Service Center also mails charity applications upon patient request. In addition to these efforts, our website publicizes our Hospital Charity and Financial Assistance Policy. The hospital also works directly with Parma Health Ministry, a program supported by the Hospital's Foundation, to provide members of our community who are experiencing economic hardship with access to appropriate medical care. Care provided through the ministry is provided free of charge and reported in the Hospital's charity amounts.
Part VI, Line 4, Community Information		Parma Community General Hospital is an independent, not-for-profit hospital founded in 1961 by six communities in southwestern Cuyahoga county. The hospital serves more than 350,000 people in southern Cuyahoga and northern Medina counties. The majority of the Hospital's patients come from the cities of Parma, Parma Heights, Seven Hills, Middleburg Heights, North Royalton and Independence.
Part VI, Line 5, Promotion of Community Health		A strong sense of community is evident at Parma Hospital. So much so that the feeling throughout the organization is that we are the community, taking care of the community. It starts at the foundation. Each of Parma Hospital's six founding communities are represented on the Board of Directors. Mayors from each city appoint members of their respective communities to the Board. The medical staff of Parma Hospital is an open medical staff, and largely made up of independent physicians. 2011 was a milestone year for Parma Hospital as we celebrated our 50th anniversary and there is an impressive history of award-winning care we've been recognized for along the way. Some of the most notable are Becker's 20 Best Community Hospitals; numerous HealthGrades awards for clinical excellence, including being named the Number One Hospital in Ohio for Coronary Intervention Procedures; and the Gold Seal of Approval by the Joint Commission for stroke care and joint replacement. Proud accomplishments also include a heart attack treatment record door-to-balloon time of 9 minutes, being the official hospital of the Lake Erie Monsters hockey team, and offering technological advancements like robot-assisted surgery in our community members' own backyard. Parma Hospital has been on the forefront of developing programs that help an aging population live long, active independent lives. Designed as an alternative to nursing homes, Parma Hospital's ElderCenter participants, ranging in age from 18 to 100+ with varying ability levels, receive a personalized plan of care tailored to meet his or her individual social, emotional, recreational, physical and mental needs along with medication management and support groups. ElderCenter programming includes 1) The Club - A weekly retreat for individuals experiencing mild memory loss, The Club provides a structured social program that meets every weekday. Members may have mild cognitive impairment or be entering the early stages of Alzheimer's Disease, suffering some losses such as job skills, social status, initiative and judgment.; 2) Club S.O.D.A. - A daily program of Service, Opportunities & Development for Active Young Adults who can benefit from a structured, supervised program, Club S.O.D.A. is designed for members ages 18 to 49; 3) Designed Around You (D.A.Y.) - Another innovative program initiated by ElderCenter, D.A.Y. provides eight weeks of graduated day care to ease the transition between a hospital stay and returning to community living. Outreach is another emphasis of our community health promotion, whether its blood pressure screenings, flu vaccinations, support group or wellness initiatives like the local 5k runs, Parma Hospital is invested in helping the community maintain its good health, as well as aiding those when they are ill or injured.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Parma Community General Hospital

Employer identification number

34-0827442

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(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 as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) TERRENCE DEIS	(i) (ii)	296,622 0	0 0	10,262 0	8,308 0	26,074 0	341,266 0	0 0
(2) BARRY FRANKLIN	(i) (ii)	238,782 0	0 0	2,376 0	0 0	25,820 0	266,978 0	0 0
(3) PAM FALASCO	(i) (ii)	153,219 0	0 0	2,299 0	1,546 0	8,158 0	165,222 0	0 0
(4) RICHARD JACOBS	(i) (ii)	246,400 0	0 0	1,270 0	0 0	8,422 0	256,092 0	0 0
(5) Kathi O'Connor	(i) (ii)	134,428 0	0 0	3,891 0	1,442 0	27,287 0	167,048 0	0 0
(6) Patricia A Ruflin	(i) (ii)	0 0	0 0	0 105,780	0 0	0 0	0 105,780	0 105,780

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
Parma Community General Hospital

Employer identification number
34-0827442

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
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	PARMA OH HOSP IMPROVE REV 2006 ISSUE A BONDS	34-0827442	0701747CW	06-01-2006	38,995,000	Advance Refund Prior Bonds	X			X		X
B	PARMA OH HOSP IMPROVE REV 2006 ISSUE B BONDS	34-0827442	701747CX3	06-01-2006	26,010,000	Purchase Assets from Port. Aut		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	0		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0
3 Total proceeds of issue . . . . . . . . . . . . .	38,995,000		26,010,000
4 Gross proceeds in reserve funds . . . . . . . .	0		219,793
5 Capitalized interest from proceeds . . . . . . . . . .	0		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		0
7 Issuance costs from proceeds . . . . . . . . . . .	0		0
8 Credit enhancement from proceeds . . . . . . . . . .	0		0
9 Working capital expenditures from proceeds . . . . . . .	279,980		2,204,001
10 Capital expenditures from proceeds . . . . . . . . . .	0		11,703,919
11 Other spent proceeds . . . . . . . . . . .	0		0
12 Other unspent proceeds . . . . . . . . . . .	0		0
13 Year of substantial completion . . . . . . . . . . .	2007		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . .	X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2011

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 of bond-financed property? . . . . . . . . .		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .	X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
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 . .	0%		0.00000%		%		%
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 . . . . . . .	0.00000%		0.00000%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0.00000%		%		%
7 Does the bond issue meet the private security or payment test? . . .	X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	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
2 Is the bond issue a variable rate issue?	X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X
b Name of provider . . . . . . . .	MERRILL LYNCHB OF A		MERRILL LYNCHB OF A
c Term of hedge . . . . . . . .	25.		25.
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X
b Name of provider . . . . . .	0		0
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X
6 Did the bond issue qualify for an exception to rebate? .		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

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

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

Parma Community General Hospital

Employer identification number

34-0827442

Identifier	Return Reference	Explanation
2011 REPORT		Parma Community General Hospital is a not-for-profit acute care hospital. The Hospital provides healthcare services to the community of Parma, Ohio and surrounding areas. The hospital provided $10,186,045 in charity care in 2011. The Hospital operates a 24 hour emergency room, facilitates the advancement of medical education, and provides various community health services at no charge to the public including health education classes, speeches, facilities for education and training of various healthcare professionals and articles published in area newspapers and magazines. During 2011, the hospital had 14,987 admissions; 48,643 emergency room visits; 4,029 outpatient surgical procedures; 25,411 home healthcare visits; and 419 newborn deliveries.
990 Review Process	990 Part VI, line 11B	THE DATA AND INFORMATION NECESSARY TO PREPARE THE FORM 990 WAS COMPILED BY PARMA COMMUNITY GENERAL HOSPITALS ACCOUNTING GROUP. KPMG AS EXTERNAL TAX PREPARERS, USED THIS INFORMATION TO PREPARE THE FORM 990. THE FINANCE DIRECTOR AND CFO PROVIDE CORRECTIONS IF NECESSARY. THE COMPLETED FORM 990, INCLUDING REQUIRED SCHEDULES, IS THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
CONFLICT OF INTEREST POLICY	990 PART VI, LINE 12	AN ANNUAL CONFLICT OF INTEREST LETTER IS PROVIDED TO OFFICERS, TRUSTEES, AND CERTAIN EMPLOYEES, AND IS REQUIRED TO BE COMPLETED AND SIGNED BY EACH INDIVIDUAL.
COMPENSATION	990 PART VI, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF THE EXECUTIVES OF THE ORGANIZATION. THE COMMITTEE HAS ACCESS TO RECOGNIZED SURVEYS, REPORTS, AND OTHER INFORMATION RELATED TO COMPARABLE POSITIONS.
Disclosure	990 Part VI, Line 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
990 Part XI, Line 2B		THE PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION AND SUBSIDIARIES FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS BY KPMG.
990 Part XI, Line 5		Loss on investments in subsidiaries (4,246,019) Net unrealized gains and losses on trading securities (45,370) Change in fair value of derivative instruments (4,720,883) Incresase in pension liability (8,120,354) Net assets released from restriction for property and Equipment acquisition 92,326 Change in beneficial interest in Foundation (151,612) ------------ Total (1,191,911)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Parma Community General Hospital

Employer identification number

34-0827442

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Parma Hospital Healthcare Foundation 7007 Powers Blvd Parma,OH44129 34-1626664	SUPPORT ORG	OH	501(C)(3)	11, TYPE 1	NA		No
(2) Royalton Senior Living Inc 7007 Powers Blvd Parma,OH44129 56-2314071	ELDERLY CARE	OH	501(C)(3)	9	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2011

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	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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) PRL Corporation 7007 Powers Blvd Parma,OH44129 34-1499245	BUILDING MGMT	OH	NA	C Corp	-1,768,161	22,767,969	100.000 %
(2) Powers Professional Corporation 7007 Powers Blvd Parma,OH44129 34-1735290	MEDICAL SERVI	OH	NA	C Corp	-2,425,166	4,210,706	100.000 %

Schedule R (Form 990) 2011

Page 3

Part V

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

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

Yes

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

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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

Yes

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) PRL CORPORATION (GUARANTEE)	d	12,310,000	Debt Balance
(2) PRL CORPORATION (APIC)	b	109,330	2011 Activity
(3) PRL CORPORATION (MGMT FEE)	r	122,500	2011 Activity
(4) PRL CORPORATION (Rental Income)	a	175,900	2011 Activity
(5) Powers Professional Corp (MGMT FEE)	r	46,330	2011 Activity
(6) Powers Professional Corp (Transfer to PPC)	q	1,713,481	2011 Activity

Schedule R (Form 990) 2011

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

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

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

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Parma Community General Hospital is a not-for-profit acute care hospital. The hospital provides healthcare services to the community of Parma, OH and surrounding areas.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	17
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	2,220
6	Total number of volunteers (estimate if necessary) ....	6	385
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	605,489
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-3,344

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	178,752,551	177,400,865
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,358,179	925,400
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,754,185	4,720,061
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	184,864,915	183,046,326
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	94,010,975	93,109,214
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	92,618,097	85,540,062
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	186,629,072	178,649,276
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,764,157	4,397,050
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	184,818,258	183,011,877
21	Total liabilities (Part X, line 26).............	113,428,833	124,417,313
22	Net assets or fund balances. Subtract line 21 from line 20.....	71,389,425	58,594,564

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	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 91,799,977 including grants of $ ) (Revenue $ 113,536,554 )
	Nursing Services including patient care areas, operating and recovery room, central supply, outpatient and emergency room visits, adult patient days 68,562; surgical procedures 12,229; home health care visits 25,411; and emergency room visits 48,643.

4b	(Code: ) (Expenses $ 51,637,487 including grants of $ ) (Revenue $ 63,864,311 )
	Other Professional Services including laboratory, radiology, pharmacy, technical services, house staff and medical records. Laboratory procedures 1,055,139; radiology procedures 138,759; and technical service procedures 399,446.

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 143,437,464

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,567,897	105,780	161,165

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

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	IN PATIENT		621,500	94,300,361	94,300,361
b	OUT PATIENT		621,500	60,042,241	60,042,241
c	EMERGENCY		621,500	19,212,186	19,212,186
d	HOME HEALTH CARE		621,610	3,846,077	3,846,077
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			177,400,865
3	Investment income (including dividends, interest
	and other similar amounts).....			371,752			371,752
4	Income from investment of tax-exempt bond proceeds..			574,990			574,990
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents		288,714
b	Less: rental expenses
c	Rental income or (loss)		288,714
d	Net rental income or (loss).......			288,714			288,714
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		28,788
b	Less: cost or other basis and sales expenses		50,130
c	Gain or (loss)		-21,342
d	Net gain or (loss)..........			-21,342			-21,342
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
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...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA		900,099	702,430			702,430
b	PURCHASE DISCOUNTS		900,099	508,455			508,455
c	ADULT CARE		900,099	810,040			810,040
d	All other revenue ....			2,410,422	842,506	605,489	962,427
e	Total. Add lines 11a–11d ......			4,431,347
12	Total revenue. See Instructions....			183,046,326	178,243,371	605,489	4,197,466


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			11,062,220	1	9,069,733
2	Savings and temporary cash investments .......			0	2	0
3	Pledges and grants receivable, net .........			0	3	0
4	Accounts receivable, net .........			20,756,759	4	19,695,035
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
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 ..........			0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			4,259,076	8	3,968,911
9	Prepaid expenses and deferred charges ............			1,290,760	9	1,551,017
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	230,969,655
b	Less: accumulated depreciation. .....	10b	153,621,819	79,235,638	10c	77,347,836
11	Investments—publicly traded securities ..........			13,874,772	11	13,568,750
12	Investments—other securities. See Part IV, line 11 ......			39,919,223	12	40,474,947
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets .........			1,973,774	14	1,973,774
15	Other assets. See Part IV, line 11 ...........			12,446,036	15	15,361,874
16	Total assets. Add lines 1 through 15 (must equal line 34)...			184,818,258	16	183,011,877
17	Accounts payable and accrued expenses .			37,553,561	17	43,301,883
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			56,290,000	20	54,365,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			19,585,272	25	26,750,430
26	Total liabilities. Add lines 17 through 25.....			113,428,833	26	124,417,313
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			68,165,146	27	55,521,896
28	Temporarily restricted net assets .....			3,224,279	28	3,072,668
29	Permanently restricted net assets .....			0	29	0
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			71,389,425	33	58,594,564
34	Total liabilities and net assets/fund balances .....			184,818,258	34	183,011,877