Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
PROMEDICA HEALTH SYSTEM INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1801 RICHARDS ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TOLEDO, OH43607
D Employer identification number

34-1517671
E Telephone number

G Gross receipts $ 525,856,031
F Name and address of principal officer:
ALAN M SATTLER
1801 RICHARDS ROAD
TOLEDO,OH43607
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.PROMEDICA.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1986
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 26
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 16
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 1,756
6 Total number of volunteers (estimate if necessary) ............. 6 23
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -30,525
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -30,525
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 39,720,713 31,963,182
9 Program service revenue (Part VIII, line 2g) ......... 370,847,696 492,978,592
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -27,188 -41,800
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 316,631
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 410,541,221 525,216,605
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,548,480 16,199,856
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) 106,877,876 121,852,089
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 69,546,698 81,819,321
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 189,973,054 219,871,266
19 Revenue less expenses. Subtract line 18 from line 12....... 220,568,167 305,345,339
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,027,376,048 2,336,327,449
21 Total liabilities (Part X, line 26)............. 170,797,973 112,363,421
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,856,578,075 2,223,964,028
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: BASED IN TOLEDO, OHIO, PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. IT IS GUIDED BY ITS CORE VALUES OF COMPASSION, INNOVATION, TEAMWORK, AND EXCELLENCE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 173,219,409 including grants of $ 16,199,856 ) (Revenue $ 493,056,152 )
PROMEDICA HEALTH SYSTEM, INC. (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTH CARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 3,997,328 including grants of $   ) (Revenue $ 237,744 )
CONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM, INC. PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet177,216,737
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
335
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,756
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletPL , GR , HU , TU , CH , JA , KS , ID , BR
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
26
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OH
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletMARTIN DANSACK5901 MONCLOVA RDMAUMEEOH43537 (419) 891-8501
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JAMES D ARMSTRONG........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           0 0 0
(2) BRUCE A BARNETT MD........................................................................
TRUSTEE
 1.00
.......................40.00 		X           0 472,476 23,293
(3) PAUL D BERLACHER MD........................................................................
TRUSTEE
 1.00
.......................40.00 		X           0 730,185 92,223
(4) EMMETT T BOYLE JR MD........................................................................
TRUSTEE
 1.00
.......................41.00 		X           315 475,766 28,039
(5) ELIZABETH C BRADY........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           0 0 0
(6) ROBERT J CHIRDON........................................................................
EX OFFICIO
 1.00
.......................7.00 		X           0 0 0
(7) PARISS M COLEMAN II........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           0 0 0
(8) KAREN P DAVIS PHD........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(9) PETER DZIAD MD........................................................................
TRUSTEE
 1.00
.......................40.00 		X           0 612,446 33,569
(10) RUSSELL J EBEID........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(11) DANIEL W FARRELL JR........................................................................
EX OFFICIO
 1.00
.......................3.00 		X           0 0 0
(12) BENJAMIN Z HEYWOOD........................................................................
EX OFFICIO
 1.00
.......................0.00 		X           0 0 0
(13) DAVID S HICKMAN........................................................................
EX OFFICIO
 1.00
.......................2.00 		X           0 0 0
(14) THOMAS M HOUSTON MD........................................................................
TRUSTEE
 1.00
.......................41.00 		X           0 159,548 12,907
(15) RICHARD C HYLANT........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(16) LLOYD A JACOBS MD........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(17) ROBERT W LACLAIR........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) RITA N A MANSOUR........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           315 0 0
(19) SARAH A MCHUGH........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           0 0 0
(20) SAMANTHA M MUCHA MD........................................................................
TRUSTEE
 1.00
.......................42.00 		X           0 495,653 41,354
(21) JOSEPH D NAPOLI........................................................................
EX OFFICIO
 1.00
.......................7.00 		X           0 0 0
(22) JAMES L NORTH MD........................................................................
TRUSTEE
 1.00
.......................40.00 		X           0 200,043 33,965
(23) LARRY C PETERSON........................................................................
EX OFFICIO
 1.00
.......................2.00 		X           0 0 0
(24) MARNA I RAMNATH RN........................................................................
EX OFFICIO
 1.00
.......................0.00 		X           0 0 0
(25) ANNE T RUCH MD........................................................................
TRUSTEE
 1.00
.......................40.00 		X           0 427,549 24,766
(26) LAWRENCE L SCHAFFER........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           0 0 0
(27) EMORY M SCHMIDT........................................................................
EX OFFICIO
 1.00
.......................2.00 		X           0 0 0
(28) DAVID A SNAVELY........................................................................
EX OFFICIO
 1.00
.......................0.00 		X           0 0 0
(29) RANDALL OOSTRA........................................................................
PRESIDENT
 40.00
.......................15.50 		X   X       1,364,902 0 272,358
(30) STEPHEN H STAELIN........................................................................
CHAIRPERSON
 1.00
.......................10.00 		X   X       479 0 0
(31) JAMES M MURRAY........................................................................
VICE CHAIR
 1.00
.......................0.00 		X   X       0 0 0
(32) KATHLEEN S HANLEY........................................................................
TREASURER
 40.00
.......................12.00 		    X       700,133 0 104,802
(33) JEFFREY C KUHN........................................................................
SECRETARY
 40.00
.......................11.50 		    X       521,270 0 73,952
(34) GARY AKENBERGER........................................................................
SR. VP FINANCE, PHS
 40.00
.......................4.50 		      X     336,133 0 72,295
(35) MARTIN DANSACK........................................................................
VP ACCTG & TAXATION, PHS
 40.00
.......................1.50 		      X     191,469 0 35,079
(36) THOMAS DELLA-FLORA........................................................................
VP INFORMATION SVCS., PHS
 40.00
.......................0.00 		      X     208,073 0 265,219
(37) ROBERT FREDRICK........................................................................
SR. VP ACADEMIC AFFAIRS
 40.00
........................50 		      X     406,784 0 70,378
(38) LEE W HAMMERLING MD........................................................................
CMO & PRESIDENT, PPCS
 40.00
.......................9.00 		      X     760,695 0 77,446
(39) A DAVID JAMES........................................................................
PRESIDENT, POPULATION HEALTH
 40.00
.......................0.00 		      X     332,964 0 18,037
(40) JEFFREY KELLER........................................................................
VP HR OPERATIONS, PHS
 40.00
.......................0.00 		      X     218,081 0 431,157
(41) KATHLEEN KRUEGER........................................................................
PRES., SUPPLY CHAIN & SR. VP QPMS
 40.00
.......................0.00 		      X     283,781 0 29,678
(42) ROSE ANN LAURETO........................................................................
CHIEF INFORMATION OFFICER
 40.00
.......................1.00 		      X     389,392 0 13,942
(43) WILLIAM MUELLER........................................................................
CHIEF PHARMACY OFFICER
 40.00
.......................1.00 		      X     336,231 0 40,793
(44) SUSAN PAYDEN........................................................................
VP TREASURY, PHS
 40.00
.......................0.00 		      X     225,848 0 53,094
(45) BARBARA PETEE........................................................................
CHIEF ADV., GOV. & COMM. REL.
 40.00
.......................0.00 		      X     307,122 0 43,446
(46) ARTURO POLIZZI........................................................................
CHIEF HR OFFICER & COO, TTH
 40.00
........................50 		      X     464,992 0 56,186
(47) STEPHEN SADOWSKI........................................................................
DEPUTY GENERAL COUNSEL
 40.00
.......................0.00 		      X     199,007 0 23,880
(48) ALAN M SATTLER........................................................................
PRESIDENT, ACUTE CARE
 40.00
.......................5.00 		      X     368,665 0 70,139
(49) BARBARA S STEELE........................................................................
ACTING CHIEF PHILAN. OFFICER
 40.00
.......................2.00 		      X     995,064 0 1,169,436
(50) KAREN L STRAUSS........................................................................
CHIEF MKT., STRAT., & COMM.
 40.00
.......................2.00 		      X     257,071 0 19,348
(51) KAREN VAHALIK........................................................................
VP INFORMATION SVCS., ACUTE CARE
 40.00
.......................0.00 		      X     196,139 0 41,892
(52) RONALD WACHSMAN........................................................................
SR. VP, MANAGED CARE
 40.00
.......................0.00 		      X     283,861 0 332,287
(53) KEVIN C WEBB PHD........................................................................
PRESIDENT, ACUTE CARE
 40.00
.......................5.00 		      X     483,405 0 52,701
(54) LORI JOHNSTON........................................................................
PRESIDENT AND CAO, PPG
 1.00
.......................42.00 		        X   332,483 0 55,470
(55) KHURRAM KAMRAN........................................................................
VP, MEDICAL OPERATIONS, ACUTE CARE
 1.00
.......................40.00 		        X   316,185 157,105 41,049
(56) NEERAJ KANWAL........................................................................
VP MED. AFFAIRS, TTH
 1.00
.......................40.00 		        X   352,548 0 49,057
(57) JOHN RANDOLPH........................................................................
PRESIDENT, PARAMOUNT INSURANCE CORP
 40.00
.......................0.00 		        X   616,810 0 99,246
(58) DANIEL L WAKEMAN........................................................................
PRESIDENT, ST. LUKE'S HOSPITAL
 1.00
.......................42.00 		        X   363,617 0 38,920
(59) KEN ARMSTRONG........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................41.50 		          X 319,143 0 50,383
(60) DAWN BUSKEY........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................40.00 		          X 296,424 0 50,903
(61) JOHN HORNS........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................0.00 		          X 168,775 0 0
(62) JOHN MEIER........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 330,743 986 44,322
(63) ROBERT REITER........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 512,956 0 0
(64) GLADEEN ROBERTS PHD........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................0.00 		          X 349,550 0 17,029
(65) RANDALL SCHIMMOELLER........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................42.00 		          X 295,577 0 35,607
(66) SHEILA D SCHWARTZ........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................2.00 		          X 176,025 0 22,774
(67) DAVID SELMAN........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................0.00 		          X 283,327 0 20,235
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 14,546,354 3,731,757 4,182,656
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet144
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MCKESSON TECHNOLOGIES INCPO BOX 98347CHICAGOIL60693 SOFTWARE SUPPORT 5,704,842
ENTERPRISE SOFTWARE DEPLOYMENT5151 MONROE ST STE 101TOLEDOOH43623 SOFTWARE DEPLOYMENT 5,332,547
MAYO CLINIC200 FIRST STREET SWROCHESTERMN55905 LAB TESTING 4,993,290
CROTHALL LAUNDRY SERVICES LIMA1010 E HIGH STREETLIMAOH45804 LINEN SERVICES 4,445,212
LEIDOS HEALTH LLC705 EAST MAIN STWESTFIELDIN46074 CONSULTING SERVICES 4,188,169
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet128
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 31,559,885
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		403,297
g Noncash contributions included in lines
1a-1f:$ 		1,089
h Total. Add lines 1a-1f.......MediumBullet 31,963,182
Program Service RevenueAmt Business Code
2a INVEST. IN AFFILIATES 551114 286,995,740 286,995,740    
b ADMIN. SUPPORT SERV. 551114 205,579,619 205,579,619    
c COMMUNITY WELLNESS 900099 237,745 237,745    
d CPR TRAINING CENTER 900099 156,558 156,558    
e NURSING EDUCATION 900099 8,930 8,930    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 492,978,592
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet -56,178   -31,852 -24,326
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 653,804  
b Less: cost or other basis and sales expenses 636,087 3,339
c Gain or (loss) 17,717 -3,339
d Net gain or (loss)..........MediumBullet 14,378     14,378
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..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a MEDICAL RECORDS 900099 315,304 315,304    
b MANAGEMENT FEE 541610 1,327   1,327  
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 316,631
12 Total revenue. See Instructions......MediumBullet 525,216,605 493,293,896 -30,525 -9,948
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 16,156,856 16,156,856
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 43,000 43,000
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 13,199,736 13,199,736    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 88,067,953 67,814,415 20,253,538  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 3,886,240 3,108,992 777,248  
9 Other employee benefits ....... 10,658,264 8,526,611 2,131,653  
10 Payroll taxes ........... 6,039,896 4,831,917 1,207,979  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 688,465   688,465  
c Accounting ........... 1,920,969   1,920,969  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 21,458,927 17,167,142 4,291,785  
12 Advertising and promotion .... 3,760,666 3,175,833 584,833  
13 Office expenses ....... 5,410,631 4,328,505 1,082,126  
14 Information technology ...... 26,963,522 21,570,818 5,392,704  
15 Royalties ..        
16 Occupancy ........... 1,093,946 875,157 218,789  
17 Travel ............ 1,423,830 1,139,064 284,766  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 15,552,254 12,441,803 3,110,451  
23 Insurance ..............        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MINOR EQUIPMENT 1,777,576 1,422,061 355,515 0
b DUES & SUBSCRIPTIONS 617,141 493,713 123,428 0
c EQUIPMENT RENTAL 346,335 277,068 69,267 0
d RECRUITMENT 321,254 257,003 64,251 0
e All other expenses 483,805 387,043 96,762  
25 Total functional expenses. Add lines 1 through 24e 219,871,266 177,216,737 42,654,529 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 1,804,745 1 6,912,741
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 1,211 4 4,027
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5 87,501
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 20,899,942 9 19,021,184
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 134,642,977
b Less: accumulated depreciation ..... 10b 86,522,467 42,892,577 10c 48,120,510
11 Investments—publicly traded securities .......... 15,196,266 11 1,608,262
12 Investments—other securities. See Part IV, line 11 ..... 32,789,681 12 38,274,987
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,913,791,626 15 2,222,298,237
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 2,027,376,048 16 2,336,327,449
Liabilities 17 Accounts payable and accrued expenses ......... 61,696,220 17 71,339,296
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 109,101,753 25 41,024,125
26 Total liabilities. Add lines 17 through 25......... 170,797,973 26 112,363,421
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 1,856,334,765 27 2,223,623,128
28 Temporarily restricted net assets ........... 243,310 28 340,900
29 Permanently restricted net assets ...........   29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 1,856,578,075 33 2,223,964,028
34 Total liabilities and net assets/fund balances ........ 2,027,376,048 34 2,336,327,449
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
525,216,605
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
219,871,266
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
305,345,339
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,856,578,075
5
Net unrealized gains (losses) on investments ...............
5
3,902,544
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
58,138,070
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,223,964,028
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
(A) BAY PARK COMMUNITY HOSPITAL
  		341883132 3   No Yes   Yes   0
(B) DEFIANCE HOSPITAL INC
  		344446484 3   No Yes   Yes   0
(C) EMMA L BIXBY MEDICAL CENTER
  		382796005 3   No Yes   Yes   0
(D) FLOWER HOSPITAL
  		344428794 3   No Yes   Yes   0
(E) FOSTORIA HOSPITAL ASSOCIATION
  		340898745 3   No Yes   Yes   0
(F) HERRICK MEMORIAL HOSPITAL INC
  		383049015 3   No Yes   Yes   0
(G) LENAWEE LONG TERM CARE
  		382879330 9   No Yes   Yes   0
(H) PROMEDICA CONTINUING CARE SERVICES CORPORATION
  		344492440 9   No Yes   Yes   0
(I) PROMEDICA PHYSICIAN GROUP
  		341899439 9   No Yes   Yes   0
(J) ST LUKE'S HOSPITAL
  		344428232 3   No Yes   Yes   10,000,000
(K) THE TOLEDO HOSPITAL
  		344428256 3   No Yes   Yes   0
(L) TOLEDO DISTRICT NURSE ASSOCIATION
  		344427949 9   No Yes   Yes   0
(M) VISITING NURSE HOSPICE & HEALTH CARE
  		341831624 9   No Yes   Yes   0
(N) KAITLYN'S COTTAGE INC
  		454781053 9   No Yes   Yes   0
Total 10,000,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
PROMEDICA HEALTH SYSTEM INC
  		Employer identification number

34-1517671
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
PROMEDICA HEALTH SYSTEM INC
  		Employer identification number

34-1517671
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
PROMEDICA HEALTH SYSTEM INC
  		Employer identification number

34-1517671
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a 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.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (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 XIII, the text of the footnote to its financial statements that describes these items.
b
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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,958,385 1,958,385
b Buildings ................   8,417,309 1,576,230 6,841,079
c Leasehold improvements ............   2,525,901 802,889 1,723,012
d Equipment ................   117,090,544 84,143,348 32,947,196
e Other .................   4,650,838   4,650,838
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 48,120,510
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INVESTMENT IN AFFILIATES 2,134,411,847
(2) DUE FROM AFFILIATES 64,588,175
(3) DEFERRED COMPENSATION 22,373,325
(4) OTHER NON-CURRENT ASSET 778,428
(5) OTHER RECEIVABLES 146,462




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,222,298,237
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
DUE TO AFFILIATES 9,814,920
DEFERRED COMPENSATION 22,373,325
PENSION LIABILITY 8,057,452
CONTINGENT LIABILITIES 778,428





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 41,024,125
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 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  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 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  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: PROMEDICA HEALTH SYSTEM, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS). THE FOLLOWING REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740. EXCEPT AS NOTED BELOW, PHS DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 AND 2012. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $1,059,000 AND $1,552,000, RESPECTIVELY. THE SUBSIDIARY RECOGNIZED A CREDIT FOR INTEREST AND PENALTIES WITHIN THE INCOME TAX EXPENSE LINE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS RELATED TO UNRECOGNIZED TAX BENEFITS OF $20,000 AND $117,000 AS OF DECEMBER 31, 2013 AND 2012, RESPECTIVELY. PROMEDICA HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 AND 2012.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
CENTRAL AMERICA & THE CARIBBEAN     INVESTMENTS   99,485,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 99,485,000
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 99,485,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number
34-1517671
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ST LUKE'S HOSPITAL
5901 MONCLOVA RD
MAUMEE,OH43537 		34-4428232 501(C)(3) 10,000,000       OPERATING GRANT
(2) ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RD
MAUMEE,OH43537 		34-1292849 501(C)(3) 6,333       OPERATING GRANT
(3) PROMEDICA FOUNDATION
2142 NORTH COVE BLVD
TOLEDO,OH43606 		34-1517672 501(C)(3) 83,684       OPERATING GRANT
(4) ADRIAN HIGH SCHOOL
785 RIVERSIDE AVE
ADRIAN,MI49221 		38-6002265 501(C)(3) 5,500       CHARITABLE DONATION
(5) AMERICAN CANCER SOCIETY
740 COMMERCE DR SUITE B
PERRYSBURG,OH43551 		13-1788491 501(C)(3) 10,550       CHARITABLE DONATION
(6) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX752843543 		13-5613797 501(C)(3) 13,000       CHARITABLE DONATION
(7) AMERICAN RED CROSS
644 SUMMIT ST
FOSTORIA,OH44830 		31-1352067 501(C)(3) 8,000       CHARITABLE DONATION
(8) BITTERSWEET FARMS
12660 ARCHBOLD-WHITEHOUSE RD
WHITEHOUSE,OH43571 		34-1218722 501(C)(3) 5,250       CHARITABLE DONATION
(9) BOYS AND GIRLS CLUBS OF TOLEDO
2250 N DETROIT AVE
TOLEDO,OH43606 		34-4427933 501(C)(3) 20,500       CHARITABLE DONATION
(10) CEDAR CREEK CHURCH
29129 LIME CITY ROAD
PERRYSBURG,OH43551 		34-1789315 501(C)(3) 15,000       CHARITABLE DONATION
(11) CHRIST EPISCOPAL CHURCH OF BRADENTON
4030 MANATEE AVENUE WEST
BRADENTON,FL342051717 		59-0917217 501(C)(3) 10,300       CHARITABLE DONATION
(12) CITY OF TOLEDO
1 GOVERNMENT CENTER
TOLEDO,OH43604 		34-6401447 GOV'T ENTITY 10,250       CHARITABLE DONATION
(13) CYSTIC FIBROSIS FOUNDATION
2265 LIVERNOISE SUITE 410
TROY,MI480831606 		38-1723341 501(C)(3) 7,000       CHARITABLE DONATION
(14) ERNST & YOUNG FOUNDATION
200 PLAZA DR
SECAUCUS,NJ07094 		13-6094489 501(C)(3) 15,000       CHARITABLE DONATION
(15) GASPARILLA ISLAND CONSERVATION & IMPROVEMENTS ASSOCIATION
PO BOX 446
BOCA GRANDE,FL33921 		23-7097778 501(C)(3) 6,000       CHARITABLE DONATION
(16) TOLEDO SCIENCE CENTER DBA IMAGINATION STATION
ONE DISCOVERY WAY
TOLEDO,OH436041579 		31-1337258 501(C)(3) 7,500       CHARITABLE DONATION
(17) JUNIOR LEAGUE OF TOLEDO
3454 OAK VALLEY COURT SUITE 1000
TOLEDO,OH43606 		34-0902282 501(C)(3) 7,500       CHARITABLE DONATION
(18) KIDS UNLIMITED
8927 ROYAL OAK DR
HOLLAND,OH43528 		20-4487408 501(C)(3) 10,000       CHARITABLE DONATION
(19) LENAWEE COMMUNITY FOUNDATION
PO BOX 142
TECUMSEH,MI49286 		38-6095474 501(C)(3) 8,000       CHARITABLE DONATION
(20) MERCY COLLEGE OF NORTHWEST OHIO
2221 MADISON AVE
TOLEDO,OH43624 		34-1726619 501(C)(3) 100,000       CHARITABLE DONATION
(21) LIMA MEMORIAL HOSPITAL FOUNDATION
1001 BELLEFONTAINE RD
LIMA,OH45804 		34-1707570 501(C)(3) 10,000       CHARITABLE DONATION
(22) LOURDES COLLEGE
6832 CONVENT BLVD
SYLVANIA,OH43560 		34-1226547 501(C)(3) 21,650       CHARITABLE DONATION
(23) MAKE A WISH FOUNDATION
405 MADISON AVE
TOLEDO,OH43604 		34-1430961 501(C)(3) 11,000       CHARITABLE DONATION
(24) MARCH OF DIMES
10806 KENWOOD RD
CINCINNATI,OH45242 		13-1846366 501(C)(3) 26,500       CHARITABLE DONATION
(25) MAUMEE VALLEY COUNTRY DAY
1715 S REYNOLDS RD
TOLEDO,OH436141499 		34-4431301 501(C)(3) 7,250       CHARITABLE DONATION
(26) NORTHWEST OHIO SCHOLARSHIP FUND
1933 SPIELBUSCH AVE
TOLEDO,OH436045360 		31-1639134 501(C)(3) 17,000       CHARITABLE DONATION
(27) OHIO CANCER RESEARCH ASSOCIATES
50 W BROAD ST SUITE 1132
COLUMBUS,OH432153388 		31-1038309 501(C)(3) 10,000       CHARITABLE DONATION
(28) RONALD MCDONALD HOUSE OF TOLEDO
3883 MONROE ST
TOLEDO,OH43606 		34-1349742 501(C)(3) 2,006,000       CHARITABLE DONATION
(29) FORT LAUDERDALE ROTARY 1090 FOUNDATION INC
PO BOX 266495
FORT LAUDERDALE,FL33326 		23-7247846 501(C)(3) 6,000       CHARITABLE DONATION
(30) SANDUSKY COUNTY ECONOMIC DEVELOPMENT CORP
2511 COUNTRYSIDE DR STE C
FREMONT,OH43420 		34-1424666 501(C)(3) 20,000       CHARITABLE DONATION
(31) ST FRANCIS DE SALES HIGH SCHOOL
2323 W BANCROFT ST
TOLEDO,OH43607 		34-4465715 501(C)(3) 30,300       CHARITABLE DONATION
(32) ST JOHN'S JESUIT HIGH SCHOOL
5901 AIRPORT HIGHWAY
TOLEDO,OH436157399 		34-0966076 501(C)(3) 7,000       CHARITABLE DONATION
(33) THE TOLEDO SYMPHONY
1838 PARKWOOD AVE
TOLEDO,OH436242502 		34-4005365 501(C)(3) 384,250       CHARITABLE DONATION
(34) THE TOLEDO ZOO
PO BOX 140130
TOLEDO,OH436140801 		34-4440256 501(C)(3) 27,200       CHARITABLE DONATION
(35) TOLEDO CLASSIC INC
4405 DORR ST
TOLEDO,OH436072139 		34-1499072 501(C)(3) 20,900       CHARITABLE DONATION
(36) TOLEDO COMMUNITY FOUNDATION
300 MADISON AVE
TOLEDO,OH43604 		23-7284004 501(C)(3) 1,274,200       CHARITABLE DONATION
(37) LIBRARY LEGACY FOUNDATION OF THE TOLEDO-LUCAS COUNTY PUBLIC LIBRARY
325 MICHIGAN ST
TOLEDO,OH436241628 		34-1632308 501(C)(3) 7,367       CHARITABLE DONATION
(38) TOLEDO MUSEUM OF ART
2445 MONROE ST
TOLEDO,OH43620 		34-4434678 501(C)(3) 1,039,750       CHARITABLE DONATION
(39) TOLEDO OPERA
425 JEFFERSON AVE SUITE 601
TOLEDO,OH436041066 		34-6556139 501(C)(3) 25,000       CHARITABLE DONATION
(40) TOLEDO ROCKETS SPORT PROGRAM
2801 W BANCROFT ST MS302
TOLEDO,OH43606 		43-0998586 501(C)(3) 82,500       CHARITABLE DONATION
(41) UNITED WAY
424 JACKSON ST
TOLEDO,OH43604 		34-4427947 501(C)(3) 61,000       CHARITABLE DONATION
(42) UNIVERSITY OF TOLEDO
2801 BANCROFT
TOLEDO,OH43606 		34-6555110 501(C)(3) 316,233       CHARITABLE DONATION
(43) WGTE PUBLIC BROADCASTING FOUNDATION OF NOW
136 HURON ST PO BOX 30
TOLEDO,OH43697 		34-6554586 501(C)(3) 15,500       CHARITABLE DONATION
(44) YWCA
1018 JEFFERSON AVENUE
TOLEDO,OH43604 		34-4428265 501(C)(3) 26,750       CHARITABLE DONATION
(45) REGIONAL GROWTH PARTNERSHIP
300 MADISON AVE SUITE 270
TOLEDO,OH43604 		34-1823833 501(C)(6) 100,000       CHARITABLE DONATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
44
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) EDUCATIONAL ASSISTANCE 26 43,000      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: AS THE PARENT COMPANY OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE POLICIES EXIST TO ENSURE THAT THE APPROVAL AND DISTRIBUTION OF FOUNDATION FUNDS ARE CONSISTENT WITH THE APPROVED SUPPORTED ORGANIZATION STRATEGIC PLAN AND DOCUMENTED DONOR INTENT. ALL REQUESTS FOR FUNDS MUST BE SUBMITTED ON THE "FUND UTILIZATION REQUEST" FORM AND INCLUDE WRITTEN SUPPORTING DOCUMENTATION AND APPROPRIATE APPROVALS DEPENDING ON THE DOLLAR AMOUNT OF THE REQUEST. ON A MONTHLY BASIS, A REPORT LISTING ALL FUND DISTRIBUTIONS IS DISTRIBUTED TO THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF PHILANTHROPIC OFFICER. AS THE PARENT COMPANY OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used 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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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 (E) amounts for that individual.
(A) Name and Title (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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)BRUCE A BARNETT MDTRUSTEE (i)
(ii)		 0
466,549 		0
0 		0
5,927 		0
17,000 		0
6,293 		0
495,769 		0
0
(2)PAUL D BERLACHER MDTRUSTEE (i)
(ii)		 0
573,493 		0
120,006 		0
36,686 		0
67,000 		0
25,223 		0
822,408 		0
0
(3)EMMETT T BOYLE JR MDTRUSTEE (i)
(ii)		 315
444,781 		0
0 		0
30,985 		0
7,650 		0
20,389 		315
503,805 		0
0
(4)PETER DZIAD MDTRUSTEE (i)
(ii)		 0
494,619 		0
81,141 		0
36,686 		0
17,000 		0
16,569 		0
646,015 		0
0
(5)THOMAS M HOUSTON MDTRUSTEE (i)
(ii)		 0
158,637 		0
0 		0
911 		0
0 		0
12,907 		0
172,455 		0
0
(6)SAMANTHA M MUCHA MDTRUSTEE (i)
(ii)		 0
480,031 		0
0 		0
15,622 		0
17,000 		0
24,354 		0
537,007 		0
0
(7)JAMES L NORTH MDTRUSTEE (i)
(ii)		 0
170,206 		0
13,384 		0
16,453 		0
8,500 		0
25,465 		0
234,008 		0
0
(8)ANNE T RUCH MDTRUSTEE (i)
(ii)		 0
402,859 		0
0 		0
24,690 		0
17,000 		0
7,766 		0
452,315 		0
0
(9)RANDALL OOSTRAPRESIDENT (i)
(ii)		 909,149
0 		397,620
0 		58,133
0 		258,503
0 		13,855
0 		1,637,260
0 		0
0
(10)KATHLEEN S HANLEYTREASURER (i)
(ii)		 460,254
0 		196,212
0 		43,667
0 		89,856
0 		14,946
0 		804,935
0 		0
0
(11)JEFFREY C KUHNSECRETARY (i)
(ii)		 355,991
0 		144,956
0 		20,323
0 		52,946
0 		21,006
0 		595,222
0 		0
0
(12)GARY AKENBERGERSR. VP FINANCE, PHS (i)
(ii)		 224,600
0 		79,130
0 		32,403
0 		49,671
0 		22,624
0 		408,428
0 		0
0
(13)MARTIN DANSACKVP ACCTG & TAXATION, PHS (i)
(ii)		 148,893
0 		33,835
0 		8,741
0 		21,888
0 		13,191
0 		226,548
0 		0
0
(14)THOMAS DELLA-FLORAVP INFORMATION SVCS., PHS (i)
(ii)		 126,870
0 		39,803
0 		41,400
0 		248,642
0 		16,577
0 		473,292
0 		0
0
(15)ROBERT FREDRICKSR. VP ACADEMIC AFFAIRS (i)
(ii)		 306,560
0 		78,328
0 		21,896
0 		62,676
0 		7,702
0 		477,162
0 		0
0
(16)LEE W HAMMERLING MDCMO & PRESIDENT, PPCS (i)
(ii)		 497,534
0 		217,001
0 		46,160
0 		62,534
0 		14,912
0 		838,141
0 		0
0
(17)A DAVID JAMESPRESIDENT, POPULATION HEALTH (i)
(ii)		 192,600
0 		116,705
0 		23,659
0 		17,470
0 		567
0 		351,001
0 		0
0
(18)JEFFREY KELLERVP HR OPERATIONS, PHS (i)
(ii)		 175,379
0 		39,175
0 		3,527
0 		424,291
0 		6,866
0 		649,238
0 		0
0
(19)KATHLEEN KRUEGERPRES., SUPPLY CHAIN & SR. VP QPMS (i)
(ii)		 208,483
0 		69,441
0 		5,857
0 		15,784
0 		13,894
0 		313,459
0 		0
0
(20)ROSE ANN LAURETOCHIEF INFORMATION OFFICER (i)
(ii)		 339,741
0 		25,000
0 		24,651
0 		7,650
0 		6,292
0 		403,334
0 		0
0
(21)WILLIAM MUELLERCHIEF PHARMACY OFFICER (i)
(ii)		 241,031
0 		78,820
0 		16,380
0 		26,692
0 		14,101
0 		377,024
0 		3,890
0
(22)SUSAN PAYDENVP TREASURY, PHS (i)
(ii)		 167,197
0 		56,234
0 		2,417
0 		32,276
0 		20,818
0 		278,942
0 		15,084
0
(23)BARBARA PETEECHIEF ADV., GOV. & COMM. REL. (i)
(ii)		 201,118
0 		93,086
0 		12,918
0 		42,772
0 		674
0 		350,568
0 		0
0
(24)ARTURO POLIZZICHIEF HR OFFICER & COO, TTH (i)
(ii)		 297,513
0 		159,204
0 		8,275
0 		36,854
0 		19,332
0 		521,178
0 		29,804
0
(25)STEPHEN SADOWSKIDEPUTY GENERAL COUNSEL (i)
(ii)		 197,087
0 		25
0 		1,895
0 		6,001
0 		17,879
0 		222,887
0 		0
0
(26)ALAN M SATTLERPRESIDENT, ACUTE CARE (i)
(ii)		 254,760
0 		75,691
0 		38,214
0 		47,884
0 		22,255
0 		438,804
0 		0
0
(27)BARBARA S STEELEACTING CHIEF PHILAN. OFFICER (i)
(ii)		 699,260
0 		228,373
0 		67,431
0 		1,162,120
0 		7,316
0 		2,164,500
0 		0
0
(28)KAREN L STRAUSSCHIEF MKT., STRAT., & COMM. (i)
(ii)		 247,635
0 		0
0 		9,436
0 		8,834
0 		10,514
0 		276,419
0 		0
0
(29)KAREN VAHALIKVP INFORMATION SVCS., ACUTE CARE (i)
(ii)		 144,904
0 		49,430
0 		1,805
0 		30,895
0 		10,997
0 		238,031
0 		0
0
(30)RONALD WACHSMANSR. VP, MANAGED CARE (i)
(ii)		 146,266
0 		59,268
0 		78,327
0 		318,013
0 		14,274
0 		616,148
0 		0
0
(31)KEVIN C WEBB PHDPRESIDENT, ACUTE CARE (i)
(ii)		 375,870
0 		97,758
0 		9,777
0 		40,158
0 		12,543
0 		536,106
0 		0
0
(32)LORI JOHNSTONPRESIDENT AND CAO, PPG (i)
(ii)		 243,222
0 		74,193
0 		15,068
0 		36,630
0 		18,840
0 		387,953
0 		0
0
(33)KHURRAM KAMRANVP, MEDICAL OPERATIONS, ACUTE CARE (i)
(ii)		 257,858
157,105 		55,845
0 		2,482
0 		16,554
0 		24,495
0 		357,234
157,105 		0
0
(34)NEERAJ KANWALVP MED. AFFAIRS, TTH (i)
(ii)		 285,896
0 		60,847
0 		5,805
0 		25,981
0 		23,076
0 		401,605
0 		0
0
(35)JOHN RANDOLPHPRESIDENT, PARAMOUNT INSURANCE CORP (i)
(ii)		 419,506
0 		168,269
0 		29,035
0 		79,151
0 		20,095
0 		716,056
0 		0
0
(36)DANIEL L WAKEMANPRESIDENT, ST. LUKE'S HOSPITAL (i)
(ii)		 277,038
0 		83,578
0 		3,001
0 		24,522
0 		14,398
0 		402,537
0 		0
0
(37)KEN ARMSTRONGFORMER KEY EMPLOYEE (i)
(ii)		 205,206
0 		111,806
0 		2,131
0 		37,776
0 		12,607
0 		369,526
0 		14,685
0
(38)DAWN BUSKEYFORMER KEY EMPLOYEE (i)
(ii)		 215,582
0 		71,538
0 		9,304
0 		39,864
0 		11,039
0 		347,327
0 		0
0
(39)JOHN HORNSFORMER KEY EMPLOYEE (i)
(ii)		 0
0 		0
0 		168,775
0 		0
0 		0
0 		168,775
0 		0
0
(40)JOHN MEIERFORMER KEY EMPLOYEE (i)
(ii)		 264,543
986 		60,475
0 		5,725
0 		33,379
0 		10,943
0 		375,065
986 		14,517
0
(41)ROBERT REITERFORMER KEY EMPLOYEE (i)
(ii)		 0
0 		0
0 		512,956
0 		0
0 		0
0 		512,956
0 		0
0
(42)GLADEEN ROBERTS PHDFORMER KEY EMPLOYEE (i)
(ii)		 0
0 		69,502
0 		280,048
0 		2,403
0 		14,626
0 		366,579
0 		280,908
0
(43)RANDALL SCHIMMOELLERFORMER KEY EMPLOYEE (i)
(ii)		 208,818
0 		62,744
0 		24,015
0 		22,966
0 		12,641
0 		331,184
0 		0
0
(44)SHEILA D SCHWARTZFORMER KEY EMPLOYEE (i)
(ii)		 50,590
0 		105,509
0 		19,926
0 		22,134
0 		640
0 		198,799
0 		0
0
(45)DAVID SELMANFORMER KEY EMPLOYEE (i)
(ii)		 0
0 		54,305
0 		229,022
0 		6,669
0 		13,566
0 		303,562
0 		228,600
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS 5 TERMED EMPLOYEES INCLUDED IN TAXABLE COMPENSATION 4 ACTIVE EMPLOYEES INCLUDED IN TAXABLE COMPENSATION
PART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. THOMAS DELLA-FLORA - $39,741 GLADEEN ROBERTS, PHD - $280,908 DAVID SELMAN - $228,600 RONALD WACHSMAN - $49,937
PART I, LINE 4B: ALL EMPLOYEES AND AMOUNTS LISTED ARE VOLUNTARY DEFERRALS OR COMPANY CONTRIBUTIONS TO VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. WILLIAM MUELLER - $3,901 ROBERT REITER - $512,956
PART I, LINE 6: CERTAIN LISTED PERSONS RECEIVE INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS.
PART I, LINE 7: AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) INTEGRATED DELIVERY SYSTEM DEVELOPMENT; 2) COMMUNITY SERVICE; 3) QUALITY, SAFETY AND SERVICE; 4) FINANCIAL RESPONSIBILITY; AND 5) WORKFORCE DEVELOPMENT.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





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

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) PART V PART V PART V   X 87,501 87,501   No Yes   Yes  
Total ......Small Bullet $ 87,501
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SEE PART V
  		SEE PART V 44,337 SEE PART V   No
(2) SEE PART V SEE PART V 109,244 SEE PART V   No
(3) SEE PART V SEE PART V 168,323 SEE PART V   No
(4) SEE PART V SEE PART V 3,230,925 SEE PART V   No
(5) SEE PART V SEE PART V 250,000 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCH L, PART II, LOANS TO AND FROM INTERESTED PERSONS: (A) NAME OF PERSON: RANDALL OOSTRA, PRESIDENT(B) RELATIONSHIP WITH ORGANIZATION: RANDALL OOSTRA IS PRESIDENT AND CEO OF PROMEDICA HEALTH SYSTEM, INC.(C) PURPOSE OF LOAN: LIFE INSURANCE PREMIUM PAYMENTS(D) LOAN TO OR FROM THE ORGANIZATION: LOAN FROM THE ORGANIZATION(E) ORIGINAL PRINCIPAL AMOUNT: $87,501(F) BALANCE DUE: $87,501(G) IN DEFAULT? = NO(H) APPROVED BY BOARD OR COMMITTEE? = YES(I) WRITTEN AGREEMENT? = YES
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: TYLER CHIRDON(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TYLER CHIRDON IS A FAMILY MEMBER OF ROBERT J. CHIRDON (EX OFFICIO).(C) AMOUNT OF TRANSACTION: $44,337(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: DAVID WOLFF(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID WOLFF IS A FAMILY MEMBER OF KATHLEEN S. HANLEY (TREASURER).(C) AMOUNT OF TRANSACTION: $109,244(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: COOPER & KOWALSKI, LPA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: PARISS M. COLEMAN, II (EX OFFICIO) IS AN OFFICER AND GREATER THAN 5% OWNER OF COOPER & KOWALSKI, LPA.(C) AMOUNT OF TRANSACTION: $168,323(D) DESCRIPTION OF TRANSACTION: LEGAL SERVICES(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: HYLANT GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RICHARD C. HYLANT (TRUSTEE) IS AN OFFICER AND GREATER THAN 5% OWNER OF HYLANT GROUP.(C) AMOUNT OF TRANSACTION: $3,230,925(D) DESCRIPTION OF TRANSACTION: INSURANCE(E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: EMMETT T. BOYLE, JR., MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMMETT T. BOYLE, JR., MD IS A BOARD MEMBER OF PROMEDICA HEALTH SYSTEM, INC.(C) AMOUNT OF TRANSACTION: $250,000(D) DESCRIPTION OF TRANSACTION: PROMEDICA HEALTH SYSTEM, INC. IS IN A JOINT VENTURE WITH EMMETT T. BOYLE, JR., MD AND OTHERS(E) SHARING OF ORGANIZATION REVENUES? = NO
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF NOT LESS THAN THREE (3) TRUSTEES NOR MORE THAN SEVEN (7) TRUSTEES. WITHIN THESE PARAMETERS, THE COMPOSITION OF THE EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE VICE CHAIRPERSON/CHAIR ELECT, THE CHIEF EXECUTIVE OFFICER AND SUCH OTHER TRUSTEES AS DESIGNATED BY THE GOVERNANCE COMMITTEE. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE PROMEDICA HEALTH SYSTEM, INC. BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. ONE BOARD MEMBER, DR. LLOYD A. JACOBS, MD, HAS VOTING PRIVILEGES LIMITED TO ACADEMIC ISSUES ONLY.
FORM 990, PART VI, SECTION A, LINE 6 AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS INDIVIDUALS AS ITS MEMBERS THAT SERVE AS ITS BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER OF PROMEDICA HEALTH SYSTEM, INC. IS ITS BOARD OF TRUSTEES. ALL CORPORATE ACTIONS REQUIRE APPROVAL BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11 UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT OR A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE WITHIN 30 DAYS OF NOTIFICATION. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED, COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT, AND A LIST OF ALL NEW EMPLOYEES HIRED DURING THE PREVIOUS 12 MONTHS. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19 PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9: PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 58,138,070.
FORM 990, PART VI, SECTION B, LINE 16B: JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS) INCLUDE PROVISIONS TO PROTECT PHS' TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2013 TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. PROMEDICA'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THIS IS REFLECTED IN OUR FOUR CORE VALUES, INCLUDING: COMPASSION - WE TREAT OUR PATIENTS AND EACH OTHER WITH RESPECT, INTEGRITY AND DIGNITY; INNOVATION - WE CONTINUALLY SEARCH TO FIND A BETTER WAY FORWARD; TEAMWORK - WE PARTNER WITH OTHERS BECAUSE WE ARE BETTER TOGETHER THAN APART; AND EXCELLENCE - WE STRIVE TO BE THE BEST IN ALL WE DO. PROMEDICA AND ITS AFFILIATES COMPRISE 320 SITES, MORE THAN 1,800 PHYSICIANS AND APPROXIMATELY 15,000 EMPLOYEES AND VOLUNTEERS. DURING 2013, PROMEDICA DISCHARGED 69,357 INPATIENTS AND SERVED MORE THAN 1,394,807 OUTPATIENTS, WHILE HANDLING 269,606 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2013, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $3.01 BILLION. WE ALSO CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. ADDITIONALLY, OUR PHYSICIANS, LEADERSHIP TEAM MEMBERS AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING, PROVIDING MONTHLY HEALTH LECTURES AT LOCAL SENIOR CENTERS, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE GOODS TO NUMEROUS LOCAL FOOD PANTRIES AND CHURCHES - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); AND ST. LUKE'S HOSPITAL. IN 2013, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH MORE THAN 550 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS; THEY HELP PROMEDICA TO BROADEN THE CARE WE OFFER AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2013, PARAMOUNT ADVANTAGE BEGAN PROVIDING MEDICAID COVERAGE IN ALL OF OHIO'S 88 COUNTIES. TO SUPPORT THESE EFFORTS PARAMOUNT OPENED FIELD OFFICES IN CLEVELAND, COLUMBUS AND THE CINCINNATI/DAYTON AREA. - ACADEMIC HEALTH CENTER CORPORATION, AN ACADEMIC RELATIONSHIP BETWEEN PROMEDICA AND THE UNIVERSITY OF TOLEDO, CONTINUED TO PROMOTE RESEARCH AND EDUCATION THROUGHOUT THE REGION. PROMEDICA HAS ADDITIONAL ACADEMIC RELATIONSHIPS WITH NUMEROUS OTHER INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - TWELVE CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES FOR THEIR RESPECTIVE HOSPITALS/BUSINESS UNITS AND FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE FLOWER HOSPITAL CAMPUS. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR THE HEALTH AND WELL-BEING OF OTHERS, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH MORE THAN 300 LOCAL NONPROFIT AGENCIES AND ORGANIZATIONS IN 2013 THAT HAD VALUES AND MISSIONS SIMILAR TO OUR OWN. PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, A FEW EXAMPLES FROM 2013 INCLUDE THE FOLLOWING:
- PROMEDICA SPONSORED A SCHOOL-BASED FOOD DRIVE CHALLENGE AS PART OF ITS COME TO THE TABLE INITIATIVE. SCHOOLS RAISED MORE THAN 17,000 POUNDS OF NON-PERISHABLE FOOD ITEMS FOR COMMUNITY FOOD PROGRAMS ACROSS PROMEDICA'S SERVICE AREA. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 70 CENTRAL-CITY TEENS AGES 16 19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - PROMEDICA SYSTEM GRANTS SUBMITTED AN APPLICATION FOR $24 MILLION OVER THREE YEARS TO THE CMS HEALTH CARE INNOVATION AWARDS, ROUND 2. THE PROPOSED POPULATION HEALTH MODEL INTEGRATES EVIDENCE-BASED CLINICAL PROGRAMS AND COMMUNITY SERVICES INCLUDING EDUCATION AND OUTREACH, WELLNESS AND PREVENTION, SOCIAL SUPPORT SERVICES, CASE AND DISEASE MANAGEMENT, HOME CARE COORDINATION AND TELEMEDICINE, CLINICAL PHARMACY - MEDICATION ADHERENCE, AND CARE NAVIGATION AS MEANS FOR IMPROVING COMMUNITY HEALTH AND WELL-BEING. - PROMEDICA FURTHER ENHANCED ITS RELATIONSHIP WITH CLEVELAND CLINIC IN 2013, SIGNING A MEMORANDUM OF UNDERSTANDING TO DEVELOP A HEALTH SYSTEM AFFILIATION THAT WILL ALLOW THE TWO ORGANIZATIONS TO CREATE A CLINICALLY ALIGNED NETWORK FOCUSED ON PROVIDING HIGH-QUALITY, COST-EFFECTIVE AND TECHNOLOGICALLY ADVANCED CLINICAL SERVICES. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY BY INTRODUCING A PILOT PROGRAM FOR CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES MEET QUARTERLY OVER A 12-MONTH PERIOD WITH A DIETITIAN IN A PHYSICIAN'S OFFICE OR OUTPATIENT CLINIC TO RECEIVE NUTRITION COUNSELING AND ASK QUESTIONS. EACH CHILD'S BMI AND RESPONSES TO A HEALTH QUESTIONNAIRE WILL BE COMPARED BEFORE, DURING AND AFTER THE 12-MONTH PERIOD TO DETERMINE THE PROGRAM'S EFFECTIVENESS. - COORDINATED THROUGH OUR ADVOCACY DEPARTMENT, PROMEDICA CONTINUED TO PROVIDE HEALTH AND NUTRITION EDUCATION TO ELEMENTARY SCHOOL CHILDREN IN GRADES 1 - 6. THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM IS DESIGNED TO EMPOWER STUDENTS AND THEIR PARENTS/GUARDIANS TO MAKE HEALTHY CHOICES ABOUT FOOD AND EXERCISE. - PROMEDICA PHYSICIANS EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING 88 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2013. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED APPROXIMATELY 8,000 FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA ESTABLISHED A FOOD RECLAMATION PROGRAM IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS THE TOLEDO AND FLOWER HOSPITALS, PROVIDING MORE THAN 70,000 POUNDS OF REPACKAGED, UN-SERVED FOOD TO COMMUNITY FEEDING SITES. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, THE FOURTH ANNUAL SURVIVOR CELEBRATION FOR CANCER SURVIVORS, FRIENDS AND CAREGIVERS, AND SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN RACE(R) FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - THROUGH ITS ADVOCACY FUND, PROMEDICA CONTINUED TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH BASIC NECESSITIES THAT DIRECTLY IMPACT INDIVIDUALS' HEALTH AND WELL-BEING. THIS SUPPORT AMOUNTED TO GRANTS TOTALING NEARLY $400,000 IN 2013. - PROMEDICA BEGAN CONSTRUCTION OF THE 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER. OPENING IN 2014, THE FACILITY IS NAMED FOR A YOUNG GIRL WHO DIED FROM JUVENILE DIABETES BEFORE HER FAMILY EVEN KNEW SHE HAD THE DISEASE. LOCATED ON THE CAMPUS OF THE TOLEDO HOSPITAL, IT WILL BRING DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER IN ONE CONVENIENT LOCATION TO SERVE ALL COMMUNITY MEMBERS WORKING TO MANAGE THEIR DIABETES. - FLOWER HOSPITAL BEGAN RENOVATIONS TO ADD PRIVATE PATIENT ROOMS FOR INPATIENTS AND EXPAND ITS PSYCHIATRIC CARE UNIT. - PROMEDICA CONTINUING CARE SERVICES CORPORATION, IN PARTNERSHIP WITH PARAMOUNT INSURANCE, BEGAN OFFERING TELEHEALTH MONITORING SERVICES TO ELIGIBLE HOME-CARE PATIENTS TO REDUCE HOSPITAL READMISSIONS BY CAREFUL DAILY MONITORING OF VITAL STATISTICS, NUTRITION AND MEDICATION ADHERENCE. - WITH OTHER COMMUNITY PARTNERS, PROMEDICA INTRODUCED THE WITNESS TO HUNGER PHOTO EXHIBIT AT THE TOLEDO MUSEUM OF ART. PHOTOS WERE TAKEN BY INDIVIDUALS FACING HUNGER IN THEIR DAILY LIVES TO DEMONSTRATE ITS IMPACT ON FAMILIES, CHILDREN AND OLDER ADULTS IN OUR COMMUNITY. - BAY PARK COMMUNITY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, FLOWER HOSPITAL, ST. LUKE'S HOSPITAL, THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL), AND WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL) SUCCESSFULLY COMPLETED THE 90-DAY REPORTING PERIOD TO VERIFY ADOPTION OF ELECTRONIC HEALTH RECORDS (EHRS). BESIDES IMPROVING BOTH CARE AND CARE COORDINATION, EHRS ARE EXPECTED TO ENSURE ADEQUATE PRIVACY AND SECURITY FOR PERSONAL HEALTH INFORMATION. THEY ALSO AIM TO REDUCE HEALTH DISPARITIES AND IMPROVE POPULATION AND PUBLIC HEALTH. - PROMEDICA PHYSICIANS INTRODUCED ITS NEW PROMEDICA PATIENT PORTAL AT ALL PRIMARY CARE AND SPECIALIST PRACTICES. THE PATIENT PORTAL IS A FREE AND SECURE PLATFORM FOR PATIENTS TO SCHEDULE APPOINTMENTS, MONITOR HEALTH RECORDS, AND OBTAIN CERTAIN LAB TEST RESULTS FROM THE CONVENIENCE OF THEIR OWN HOME COMPUTER. - PROMEDICA PHYSICIANS OPENED PROMEDICA AFTERHOURS IN PERRYSBURG, PROVIDING RESIDENTS WITH DIAGNOSIS AND TREATMENT FOR NON-EMERGENCY MEDICAL ISSUES AS WELL AS PRESCRIPTION SERVICES. PROVIDING NEW OPTIONS FOR MEDICAL CARE WHEN PHYSICIAN OFFICES NORMALLY ARE CLOSED, AFTERHOURS IS STAFFED BY PROMEDICA PHYSICIANS CERTIFIED NURSE PRACTITIONERS AND IS OPEN NIGHTS, WEEKENDS AND HOLIDAYS 365 DAYS A YEAR. - PROMEDICA EMPLOYEES PLEDGED MORE THAN $500,000 TO THE UNITED WAY CAMPAIGN IN 2013, SUPPORTING NUMEROUS COMMUNITY PROGRAMS AND SERVICES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. - PROMEDICA COLLABORATED WITH TOLEDO PUBLIC SCHOOLS' TOLEDO EARLY COLLEGE HIGH SCHOOL (TECHS) TO DEVELOP CURRICULUM FOR STUDENTS INTERESTED IN HEALTHCARE CAREERS AS PART OF THE STEMM (SCIENCE, TECHNOLOGY, ENGINEERING, MATHEMATICS, AND MEDICINE) PROGRAM. IN 2013, PROMEDICA CONTRIBUTED $129,920,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITIES WE SERVE. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $45,598,000 IN 2013. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; COLLEGE SCHOLARSHIPS FOR STUDENTS ENTERING HEALTHCARE CAREERS; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $30,212,000 IN FINANCIAL ASSISTANCE FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2013 WAS $27,571,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 NOTED ABOVE.
FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO MEDICAL CENTER, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. ADDITIONALLY DURING 2013, PROMEDICA PROVIDED $54,110,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2013 WAS $93,196,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONS PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (THE SYSTEM) PREPARES ITS COMMUNITY BENEFIT REPORTS USING REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY THE SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE MEDICAL OR HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, THE SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE FEDERAL POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. THE SYSTEM INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE SYSTEM. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR INTERNSHIPS AND RESIDENCY EDUCATION, THE PROVISION OF A CLINICAL SETTING FOR UNDERGRADUATE/VOCATIONAL TRAINING FOR STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR EDUCATION THAT IS LINKED TO COMMUNITY SERVICES AND HEALTH IMPROVEMENT. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET PATIENT DEMAND. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR THE SYSTEM IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND/OR THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON WORK TIME; AS WELL AS DONATION OF FOOD, EQUIPMENT AND SUPPLIES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) COBRA VENTURES LLC
5901 MONCLOVA RD
MAUMEE,OH43537
20-4671613 		LAND LEASING OH 10,243 91,159 ST LUKE'S HOSPITAL FOUNDATION
 
(2) MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE ST
SYLVANIA,OH43560
61-1448753 		EMPLOYS PHYSICIANS OH 0 585,466 PROMEDICA PHYSICIAN GROUP
 
(3) PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
34-1881137 		EMPLOYS PHYSICIANS OH 123,454,722 107,979,144 PROMEDICA PHYSICIAN GROUP
 
(4) PROMEDICA EAST PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
34-1881145 		EMPLOYS PHYSICIANS OH 5,723,952 1,859,699 PROMEDICA PHYSICIAN GROUP
 
(5) PROMEDICA ORTHOPEDIC PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
20-8050622 		EMPLOYS PHYSICIANS OH 3,421,359 720,044 PROMEDICA PHYSICIAN GROUP
 
(6) PROMEDICA SOUTH PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
34-1898679 		EMPLOYS PHYSICIANS OH 2,877,606 2,239,631 PROMEDICA PHYSICIAN GROUP
 
(7) PROMEDICA WEST PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
34-1893773 		EMPLOYS PHYSICIANS OH 12,634,300 3,120,379 PROMEDICA PHYSICIAN GROUP
 
(8) PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE ST
SYLVANIA,OH43560
26-3888045 		EMPLOYS PHYSICIANS OH 32,620,946 -5,312,940 PROMEDICA PHYSICIAN GROUP
 
(9) PROMEDICA GI PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
26-3015991 		EMPLOYS PHYSICIANS OH 8,901,260 -2,506,912 PROMEDICA PHYSICIAN GROUP
 
(10) PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
27-0978204 		EMPLOYS PHYSICIANS OH 5,256,798 -173,251 PROMEDICA PHYSICIAN GROUP
 
(11) WELLCARE PHYSICIANS LLC
5901 MONCLOVA RD
MAUMEE,OH43537
61-1528443 		EMPLOYS PHYSICIANS OH 15,374,731 2,903,032 PROMEDICA PHYSICIAN GROUP
 
(12) PROMEDICA HEMATOLOGY-ONCOLOGY PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
27-1401750 		EMPLOYS PHYSICIANS OH 4,275,009 -2,016,759 PROMEDICA PHYSICIAN GROUP
 
(13) PROMEDICA ENT LLC
5855 MONROE ST
SYLVANIA,OH43560
27-2404505 		EMPLOYS PHYSICIANS OH 2,846,948 255,567 PROMEDICA PHYSICIAN GROUP
 
(14) THE PHARMACY COUNTER LLC
5855 MONROE ST
SYLVANIA,OH43560
27-1325141 		MEDICAL EQUIPMENT & PHARMACY OH 47,035,814 16,743,293 PROMEDICA PHYSICIAN GROUP
 
(15) WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN
ADRIAN,MI49221
38-3164818 		FACILITY LEASING MI 131,512 1,118,636 EMMA L BIXBY MEDICAL CENTER
 
(16) PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE ST
SYLVANIA,OH43560
27-2920342 		EMPLOYS PHYSICIANS MI 2,694,521 -445,866 PROMEDICA PHYSICIAN GROUP
 
(17) ERIE WEST HOSPICE & PALLIATIVE CARE LLC
5855 MONROE ST
SYLVANIA,OH43560
20-5752995 		PROVIDES HOSPICE CARE OH 2,710,535 8,545,046 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
(18) PROMEDICA ANESTHESIA CONSULTANTS LLC
5855 MONROE ST
SYLVANIA,OH43560
45-3251737 		EMPLOYS PHYSICIANS OH 30,039,933 3,690,549 PROMEDICA PHYSICIAN GROUP
 
(19) PROMEDICA CRITICAL CARE LLC
5855 MONROE ST
SYLVANIA,OH43560
27-5165922 		EMPLOYS PHYSICIANS OH 4,291,585 -829,757 PROMEDICA PHYSICIAN GROUP
 
(20) PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
5855 MONROE ST
SYLVANIA,OH43560
45-3230331 		PRACTICE MANAGEMENT OH 81,676 1,625,759 PROMEDICA PHYSICIAN GROUP
 
(21) PROMEDICA SURGICAL SERVICES LLC
5855 MONROE ST
SYLVANIA,OH43560
 EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(22) MISSION POINTE GOLF COURSE LLC
2142 NORTH COVE
TOLEDO,OH43606
 GOLF COURSE OH 0 493,717 PROMEDICA FOUNDATION
 
(23) PROMEDICA INNOVATIONS LLC
1801 RICHARDS RD
TOLEDO,OH43607
 INVESTMENT COMPANY OH -69,166 464,347 PROMEDICA HEALTH SYSTEM INC
 
(24) PROMEDICA GENITO-URINARY SURGEONS LLC
5855 MONROE ST
SYLVANIA,OH43560
46-1120436 		EMPLOYS PHYSICIANS OH 12,617,702 2,080,190 PROMEDICA PHYSICIAN GROUP
 
(25) PROMEDICA MONROE PHYSICIANS PLLC
5855 MONROE ST
SYLVANIA,OH43560
46-1111822 		EMPLOYS PHYSICIANS MI 726,713 31,358 PROMEDICA PHYSICIAN GROUP
 
(26) PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
45-4976786 		EMPLOYS PHYSICIANS OH 0 160,552 PROMEDICA PHYSICIAN GROUP
 
(27) PROMEDICA HOSPITALISTS LLC
5855 MONROE ST
SYLVANIA,OH43560
 EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(28) PROMEDICA HOSPITALISTS PLLC
5855 MONROE ST
SYLVANIA,OH43560
 EMPLOYS PHYSICIANS MI 0 0 PROMEDICA PHYSICIAN GROUP
 
Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) BAY PARK COMMUNITY HOSPITAL

2801 BAY PARK DR

OREGON,OH43616
34-1883132 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(2) CARE ENTERPRISES INC

5901 MONCLOVA RD

MAUMEE,OH43537
34-1366709 		FACILITY LEASING OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(3) DEFIANCE HOSPITAL AUXILIARY

1200 RALSTON

DEFIANCE,OH43512
51-0173779 		HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 11D, III-O DEFIANCE HOSPITAL INC
 
Yes
 
(4) DEFIANCE HOSPITAL INC

1200 RALSTON

DEFIANCE,OH43512
34-4446484 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(5) EMMA L BIXBY MEDICAL CENTER

818 RIVERSIDE AVE

ADRIAN,MI49221
38-2796005 		HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(6) EMMA L BIXBY MEDICAL CENTER AUXILIARY

818 RIVERSIDE AVE

ADRIAN,MI49221
38-2149602 		HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 11B, II EMMA L BIXBY MEDICAL CENTER
 
Yes
 
(7) FLOWER HOSPITAL

5200 HARROUN RD

SYLVANIA,OH43560
34-4428794 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(8) FOSTORIA HOSPITAL ASSOCIATION

501 VAN BUREN STREET

FOSTORIA,OH44830
34-0898745 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(9) FOSTORIA HOSPITAL AUXILIARY

PO BOX 907

FOSTORIA,OH44830
34-6517634 		HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 11A, I FOSTORIA HOSPITAL ASSOCIATION
 
Yes
 
(10) HERRICK MEDICAL CENTER AUXILIARY

500 E POTTAWATAMIE ST

TECUMSEH,MI49286
38-3076105 		HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 11B, II HERRICK MEMORIAL HOSPITAL INC
 
Yes
 
(11) HERRICK MEMORIAL HOSPITAL INC

500 E POTTAWATAMIE ST

TECUMSEH,MI49286
38-3049015 		HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(12) LENAWEE LONG TERM CARE

700 LAKESHIRE TR

ADRIAN,MI49221
38-2879330 		LONG TERM CARE MI 501(C)(3) 9 EMMA L BIXBY MEDICAL CENTER
 
Yes
 
(13) PROMEDICA CONTINUING CARE SERVICES CORP

5855 MONROE ST

SYLVANIA,OH43560
34-4492440 		LONG TERM AND HOME HEALTH CARE OH 501(C)(3) 9 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(14) PROMEDICA COURIER SERVICES INC

3170 W CENTRAL AVE

TOLEDO,OH43606
26-0324790 		COURIER SERVICE OH 501(C)(3) 11B, II PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(15) PHS VENTURES

1801 RICHARDS RD

TOLEDO,OH43607
34-1880473 		HEALTH CARE MANAGEMENT SERVICES OH 501(C)(3) 11C, III-FI PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(16) ACADEMIC HEALTH CENTER CORPORATION

2142 N COVE BLVD

TOLEDO,OH43606
34-1887062 		MEDICAL EDUCATION & RESEARCH OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(17) PROMEDICA INDEMNITY CORP

ONE CHURCH ST 5TH FLOOR

BURLINGTON,VT05401
34-1931936 		PROFESSIONAL & GENERAL LIABILITY VT 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(18) PROMEDICA PHYSICIANS AND CONTINUUM SERVICES

5855 MONROE ST

SYLVANIA,OH43560
34-1880767 		PHYSICIAN MANAGEMENT SERVICES OH 501(C)(3) 11C, III-FI PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(19) PROMEDICA PHYSICIAN GROUP

5855 MONROE ST

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

5901 MONCLOVA RD

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

5901 MONCLOVA RD

MAUMEE,OH43537
34-1292849 		FOUNDATION OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(22) PROMEDICA FOUNDATION

2142 N COVE BLVD

TOLEDO,OH43606
34-1517672 		FOUNDATION OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(23) THE TOLEDO HOSPITAL

2142 N COVE BLVD

TOLEDO,OH43606
34-4428256 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(24) TOLEDO DISTRICT NURSE ASSOCIATION

1946 N 13TH STREET

TOLEDO,OH43624
34-4427949 		SKILLED HOME CARE OH 501(C)(3) 9 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(25) VISITING NURSE HOSPICE AND HEALTH CARE

5855 MONROE ST

SYLVANIA,OH43560
34-1831624 		HOSPICE HOME CARE OH 501(C)(3) 9 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(26) KAITLYN'S COTTAGE INC

1260 RALSTON AVE

DEFIANCE,OH43512
45-4781053 		RESPITE CARE OH 501(C)(3) 9 DEFIANCE HOSPITAL INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP

818 RIVERSIDE AVE
ADRIAN,MI49221
38-2972398 		FACILITY LEASING MI EMMA L BIXBY MEDICAL CENTER
  		RELATED 5,040 1,191,758   No   Yes   64.440 %
(2) REYNOLDS RD SURGICAL CENTER LLC

2865 N REYNOLDS RD
TOLEDO,OH43615
31-1569454 		FREESTANDING AMBULATORY SURGICAL CENTER OH THE TOLEDO HOSPITAL
  		RELATED 625,202 2,576,269   No     No 69.340 %
(3) WATERVILLE MEDICAL CENTER LLC

5901 MONCLOVA RD
MAUMEE,OH43537
32-0160784 		FACILITY LEASING OH CARE ENTERPRISES INC
  		RELATED 17,500 792,802   No     No 70.000 %
(4) NORTHWEST OHIO DEDICATED BREAST MRI LLC

5901 MONCLOVA RD
MAUMEE,OH43537
26-0679898 		MEDICAL DIAGNOSTICS OH THE TOLEDO HOSPITAL
  		RELATED 51,989 367,075   No     No 50.000 %
(5) WEST CENTRAL SURGICAL CENTER LLC

7055 W CENTRAL
TOLEDO,OH43617
20-0088459 		AMBULATORY SURGICAL CENTER OH THE TOLEDO HOSPITAL
  		RELATED 138,512 3,011,429   No   Yes   50.000 %
(6) OHIO CARE AMBULATORY SURGICAL CENTER LLC

5959 MONCLOVA RD
MAUMEE,OH43537
34-1863472 		AMBULATORY SURGICAL CENTER OH ST LUKE'S HOSPITAL
  		RELATED 74,709 943,946   No     No 60.320 %
(7) LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC

818 RIVERSIDE AVE
ADRIAN,MI49221
38-3605511 		PHYSICIAN MANAGEMENT SERVICES MI EMMA L BIXBY MEDICAL CENTER
  		RELATED 90,403 182,244   No   Yes   50.000 %
(8) PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC

5901 MONCLOVA RD
MAUMEE,OH43537
46-1989695 		PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
  		RELATED 552,421 590,193   No     No 50.950 %
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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CARE HOLDINGS

5901 MONCLOVA RD
MAUMEE,OH43537
34-1796790 		HOLDING COMPANY OH PROMEDICA HEALTH SYSTEM INC
  		C     100.000 % Yes  
(2) HERRICK MEMORIAL DEVELOPMENT CORP

500 E POTTAWATAMIE TR
ADRIAN,MI49221
38-3146907 		FACILITY LEASING MI EMMA L BIXBY MEDICAL CENTER
  		C 54,728 1,021,086 100.000 % Yes  
(3) LHA PHYSICIAN SERVICES CORPORATION

818 RIVERSIDE AVE
ADRIAN,MI49221
61-1451576 		PHYSICIAN BILLING MI EMMA L BIXBY MEDICAL CENTER
  		C -103,722 85,903 100.000 % Yes  
(4) PHYSICIANS ADVANTAGE MSO

5901 MONCLOVA RD
MAUMEE,OH43537
06-1811760 		PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
  		C -24,835   100.000 % Yes  
(5) PROMEDICA CENTRAL CORPORATION OF MICHIGAN

5855 MONROE ST
SYLVANIA,OH43560
38-3322278 		PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP
  		C -299,008 11,176,039 100.000 % Yes  
(6) PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES

1901 INDIAN WOOD CIR
MAUMEE,OH43537
34-1570675 		HEALTH CARE INSURANCE OH PROMEDICA HEALTH SYSTEM INC
  		C 14,873,000 286,849,000 100.000 % Yes  
(7) PROMEDICA NORTH PHYSICIAN CORPORATION

5855 MONROE ST
SYLVANIA,OH43560
38-3482148 		PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP
  		C   203,340 100.000 % Yes  
(8) PROMEDICA PHYSICIAN HOSPITAL ORGANIZATION

5855 MONROE ST
SYLVANIA,OH43560
34-1887065 		PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
  		C   404,501 100.000 % Yes  
(9) PROMEDICA RETAIL GROUP INC

3890 MONROE ST
TOLEDO,OH43606
34-1159928 		FLORIST OH PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
  		C 29,726 1,690,747 100.000 % Yes  
(10) HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION

818 RIVERSIDE AVE
ADRIAN,MI49221
38-3639616 		FACILITY MANAGEMENT MI HERRICK MEMORIAL DEVELOPMENT CORP
  		C 26 51,070 71.800 % Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ST LUKE'S HOSPITAL

 B 10,000,000 FMV
(2) PROMEDICA FOUNDATION

 B 83,684 FMV
(3) THE TOLEDO HOSPITAL

 C 24,625,000 FMV
(4) FLOWER HOSPITAL

 C 6,875,000 FMV
(5) PROMEDICA FOUNDATION

 C 59,885 FMV
(6) PROMEDICA INDEMNITY CORPORATION

 F 8,000,000 FMV
(7) THE TOLEDO HOSPITAL

 K 1,826,388 FMV
(8) EMMA L BIXBY MEDICAL CENTER

 O 185,765 FMV
(9) HERRICK MEMORIAL HOSPITAL INC

 O 51,576 FMV
(10) ST LUKE'S HOSPITAL

 O 54,300 FMV
(11) DEFIANCE HOSPITAL INC

 P 70,085 FMV
(12) THE TOLEDO HOSPITAL

 P 11,813,022 FMV
(13) FLOWER HOSPITAL

 P 55,833 FMV
(14) PROMEDICA COURIER SERVICES INC

 P 100,506 FMV
(15) PROMEDICA INDEMNITY CORPORATION

 P 8,687,551 FMV
(16) DEFIANCE HOSPITAL INC

 Q 9,495,213 FMV
(17) FOSTORIA HOSPITAL ASSOCIATION

 Q 7,097,130 FMV
(18) BAY PARK COMMUNITY HOSPITAL

 Q 13,344,799 FMV
(19) EMMA L BIXBY MEDICAL CENTER

 Q 14,035,636 FMV
(20) HERRICK MEMORIAL HOSPITAL INC

 Q 6,404,444 FMV
(21) THE TOLEDO HOSPITAL

 Q 94,847,819 FMV
(22) FLOWER HOSPITAL

 Q 30,446,420 FMV
(23) ST LUKE'S HOSPITAL

 Q 15,886,243 FMV
(24) PROMEDICA CONTINUING CARE SERVICES CORPORATION

 Q 10,382,367 FMV
(25) PROMEDICA INDEMNITY CORPORATION

 Q 523,594 FMV
(26) PROMEDICA FOUNDATION

 Q 652,475 FMV
(27) PROMEDICA PHYSICIANS AND CONTINUUM SERVICES

 Q 20,095,587 FMV
(28) PROMEDICA PHYSICIAN GROUP

 Q 183,558 FMV
(29) PROMEDICA INSURANCE CORP INC & SUBSIDIARIES

 Q 19,071,333 FMV
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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