Form990
Click to see attachment
Department of the TreasuryInternal 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)
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OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
BCheck if applicable:
CName of organization
THE TOLEDO HOSPITAL
 
 
Doing business as
PROMEDICA TOLEDO HOSPITAL
 
Number and street (or P.O. box if mail is not delivered to street address)
100 MADISON AVE ATTN TAX DEPARTMENT
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TOLEDO, OH43604
D Employer identification number

34-4428256
E Telephone number

G Gross receipts $ 992,364,808
F Name and address of principal officer:
STEVEN M CAVANAUGH
100 MADISON AVE ATTN TAX DEPARTMENT
TOLEDO,OH43604
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: 1907
M State of legal domicile: OH
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND THE ADULT TERTIARY FACILITY OF PROMEDICA HEALTH SYSTEM, INC. PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC OF NORTHWEST OHIO AND SOUTHEAST MICHIGAN.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 25
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 6,724
6 Total number of volunteers (estimate if necessary) ............. 6 325
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,315,895
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 1,866,357
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 15,767,287 89,189,769
9 Program service revenue (Part VIII, line 2g) ......... 792,287,580 866,522,660
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 29,743,899 11,041,961
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 16,637,311 10,487,870
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 854,436,077 977,242,260
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 140,635,397 42,770,841
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) 344,776,858 360,191,243
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).... 484,855,195 485,372,729
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 970,267,450 888,334,813
19 Revenue less expenses. Subtract line 18 from line 12....... -115,831,373 88,907,447
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,438,331,354 1,915,205,543
21 Total liabilities (Part X, line 26)............. 1,110,030,755 2,499,131,567
22 Net assets or fund balances. Subtract line 21 from line 20..... 328,300,599 -583,926,024
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
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Signature of officer Date
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Type or print name and title
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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 (2018)
Form 990 (2018)
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: AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION, AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION AND SUPERIOR SERVICE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the 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 $ 660,030,318 including grants of $ 42,770,841 ) (Revenue $ 838,635,075 )
THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 57,116,519 including grants of $   ) (Revenue $   )
CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.
4c (Code:   ) (Expenses $ 70,413,557 including grants of $   ) (Revenue $ 22,322,125 )
CONSISTENT WITH OUR MISSION, THE TOLEDO HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND DONATIONS. - SEE SCHEDULE O.
(Code:   ) (Expenses $ 2,087,197 including grants of $   ) (Revenue $ 1,901,240 )
OPERATES A HEALTH CLUB FACILITY.
4d Other program services (Describe in Schedule O.)
(Expenses $ 2,087,197 including grants of $   ) (Revenue $ 1,901,240 )
4e Total program service expensesMediumBullet789,647,591
Form 990 (2018)
Form 990 (2018)
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 IClick to see attachment.............
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 IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
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 IIIClick 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
Yes
 
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
 
No
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.........
14b
 
No
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 IV.....
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...
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) ....Click to see attachment
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............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic 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 or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) 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 "Yes," complete Schedule L, Part II................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or 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
 
No
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
 
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
349
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
 
Form 990 (2018)
Form 990 (2018)
Page 5
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
6,724
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
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
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
25
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
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
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
Yes
 
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
Yes
 
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
Yes
 
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
 
No
b
Other officers or key employees of the organization ................
15b
 
No
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
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A 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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSTANTON E RISSER100 MADISON AVE   TOLEDO,OH43604 (567) 585-3618
Form 990 (2018)
Form 990 (2018)
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) ADRIENNE J GREEN......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(2) AHED T NAHHAS MD......................................................................
TRUSTEE
1.00
.................
2.00
X           11,379 16,079 0
(3) ALANA GRACE HATCHER......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(4) ARTURO POLIZZI......................................................................
PRES., EX OFFICIO (THRU 10/21/18)
1.00
.................
42.00
X   X       0 637,534 26,604
(5) BRADLEY J TOFT......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(6) CHARLES A PARCHER......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(7) CHARLES MICHAEL SMITH......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(8) DAVID SCOTT MIERZWIAK MD......................................................................
TRUSTEE
1.00
.................
42.00
X           0 495,889 296,721
(9) DEBORAH A GUNTSCH MD......................................................................
TRUSTEE
1.00
.................
42.00
X           15,000 318,222 27,753
(10) JAMES F WEBER......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(11) JAY P MORGAN......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(12) JOSEPH D NAPOLI......................................................................
TRUSTEE
1.00
.................
9.00
X           0 0 0
(13) KEVIN C WEBB PHD......................................................................
EX OFFICIO
1.00
.................
55.00
X           0 825,525 58,089
(14) LEE W HAMMERLING MD......................................................................
TRUSTEE
1.00
.................
44.00
X           0 1,071,298 54,694
(15) LISA G HAWKER......................................................................
EX OFFICIO
1.00
.................
3.00
X           0 0 0
(16) MARLON P KISER......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
(17) MARTIN P SUTTER......................................................................
TRUSTEE
1.00
.................
2.00
X           0 0 0
Form 990 (2018)
Form 990 (2018)
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) NANCY PARIS KABAT........................................................................
CHAIRPERSON
1.00
.......................3.00
X   X       0 0 0
(19) NEERAJ K KANWAL MD........................................................................
PRES., EX OFFICIO (BEG 12/01/18)
1.00
.......................44.50
X   X       0 595,108 57,232
(20) RAVI K ADUSUMILLI MD........................................................................
TRUSTEE
1.00
.......................42.00
X           0 575,273 53,027
(21) RICHARD D LANTZ........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(22) RICHARD L MUNK MD........................................................................
TRUSTEE
1.00
.......................42.00
X           0 101,519 27,348
(23) RICHARD S SWEENEY........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(24) ROBERT F WOOD MD........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(25) ROBERT P SCHLATTER........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(26) SUSAN K STAELIN........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(27) THOMAS GEORGE PADANILAM MD........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(28) TIMOTHY M HUSTED MD........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(29) WILLIAM C NOWICKI........................................................................
VICE-CHAIR (THRU 01/30/18)
1.00
.......................2.00
X   X       0 0 0
(30) WILLIAM J LANGE........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(31) WILLIAM R MCDONNELL........................................................................
VICE-CHAIR (BEG 01/30/18)
1.00
.......................3.00
X   X       0 0 0
(32) JEFFREY C KUHN........................................................................
SECRETARY
0.50
.......................53.50
    X       0 809,040 69,385
(33) MICHAEL P BROWNING........................................................................
TREASURER
0.50
.......................51.50
    X       0 1,246,637 81,854
(34) RANDALL OOSTRA........................................................................
PHS PRES & CEO, EX OFFICIO
0.50
.......................55.50
    X       0 2,904,245 157,073
(35) ALISON S AVENDT........................................................................
VP, OPERATIONS TTH & PRES, PTN
0.50
.......................40.00
      X     0 237,976 206,520
(36) ANN M KUJAWA........................................................................
VP PROMEDICA CANCER INSTITUTE
0.50
.......................42.00
      X     0 199,621 47,254
(37) DARRIN M ARQUETTE........................................................................
SR. VP, NEURO, HEART AND VASC
0.50
.......................46.50
      X     0 314,477 60,173
(38) DAVID BREWER........................................................................
ADMIN DIR., ACUTE CARE FINANCE
0.50
.......................40.50
      X     0 158,741 54,517
(39) DAWN BUSKEY........................................................................
PRES, REGIONAL ACUTE CARE MI
0.50
.......................44.50
      X     0 482,931 50,274
(40) DEANA L SIEVERT........................................................................
SR. VP, PAT CARE/CNO, SYSTEM
0.50
.......................44.50
      X     0 403,997 122,688
(41) GARY W AKENBERGER........................................................................
COO, ACUTE CARE & SVP, DIAG
0.50
.......................44.50
      X     0 548,253 64,476
(42) KENT E BISHOP MD........................................................................
CXO & CMO, PPG & ACUTE CARE
0.50
.......................51.50
      X     0 559,579 53,747
(43) MIKE M ARISS........................................................................
VP, OPERATIONAL SERVICES
0.50
.......................45.00
      X     0 252,351 32,018
(44) PAULA L GRIEB........................................................................
VP, PAT CARE/ASSOC CNO, METRO
0.50
.......................41.00
      X     0 264,298 23,064
(45) SCOTT FOUGHT........................................................................
VP, FINANCE, ACUTE CARE OPS
0.50
.......................45.50
      X     0 354,288 60,945
(46) THADIUS L WADSWORTH........................................................................
VP SURGICAL SERVICES OPERATION
0.50
.......................45.00
      X     0 188,374 21,125
(47) FEDOR LURIE........................................................................
ASSOC. DIR. RESEARCH ED. VASC.
40.00
.......................0.00
        X   214,112 0 40,589
(48) JAMES STEHLIK........................................................................
PERFUSIONIST
40.00
.......................0.00
        X   182,140 0 36,303
(49) JOSHUA OVENS........................................................................
RN, CRITICAL CARE TRANSPORT
40.00
.......................0.00
        X   199,316 0 55,008
(50) KEVIN FLEMING........................................................................
MANAGER, PERFUSION
40.00
.......................0.00
        X   189,255 0 56,761
(51) SVEN GALLO........................................................................
SR. MEDICAL PHYSICIST
40.00
.......................0.00
        X   185,838 0 50,030
(52) ALAN M SATTLER........................................................................
FORMER OFFICER
0.00
.......................40.00
          X 0 162,522 54,541
(53) JOSEPH SFERRA........................................................................
FORMER KEY EMPLOYEE
0.00
.......................40.00
          X 0 750,890 2,746
(54) KATHLEEN S HANLEY........................................................................
FORMER OFFICER
0.00
.......................0.00
          X 0 1,569,411 0
(55) LORI FERGUSON........................................................................
FORMER KEY EMPLOYEE
0.50
.......................40.00
          X 117,701 0 21,280
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,114,741 16,044,078 2,023,839
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet127
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
LATHROP COMPANY INC

460 WEST DUSSEL DR
MAUMEE,OH435374205
GENERAL CONTRACTING 120,357,607
RUDOLPH LIBBE INC

6494 LATCHA RD
WALBRIDGE,OH43465
GENERAL CONTRACTING 11,005,644
UNIVERSITY OF TOLEDO

DEPT L674
COLUMBUS,OH43260
EDUCATION & PHYSICIANS 9,729,010
METRO AVIATION INC

PO BOX 7008
SHREVEPORT,LA71137
AVIATION SERVICES 5,278,712
MAYO CLINIC

200 FIRST STREET SW
ROCHESTER,MN55905
LAB TESTING 3,553,925
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet62
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 85,151,862
e Government grants (contributions)1e 2,020,241
f All other contributions, gifts, grants, and similar amounts not included above1f 2,017,666
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 89,189,769
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICES 622110 854,743,824 851,964,517 2,779,307  
b AFFIL. ORG. RENT REV. 531120 10,330,875     10,330,875
c MEMBERSHIP REVENUE 713940 1,447,961 1,447,961    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet 866,522,660
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 10,817,755   -227,669 11,045,424
4 Income from investment of tax-exempt bond proceedsMediumBullet 164,103     164,103
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   4,033,117
b Less: rental expenses   4,125,669
c Rental income or (loss)   -92,552
d Net rental income or (loss)......MediumBullet -92,552   -4,038 -88,514
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 300,277 10,324,404
b Less: cost or other basis and sales expenses 957,832 9,606,746
c Gain or (loss) -657,555 717,658
d Net gain or (loss).....MediumBullet 60,103     60,103
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a 22,699
b Less: direct expenses ...b 9,641
c Net income or (loss) from fundraising events..MediumBullet 13,058   13,058
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 775,767
b Less: cost of goods sold ..b 422,660
c Net income or (loss) from sales of inventory..MediumBullet 353,107     353,107
Business Code Miscellaneous Revenue
11a DIETARY 722514 3,878,196 3,878,196    
b PHARMACY 446110 1,921,914 1,921,266 648  
c EDUCATION 611710 825,067 825,067    
d All other revenue .... 3,589,080 2,821,433 767,647  
e Total. Add lines 11a–11d ...... MediumBullet 10,214,257
12 Total revenue. See Instructions......MediumBullet 977,242,260 862,858,440 3,315,895 21,878,156
Form 990 (2018)
Form 990 (2018)
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 domestic organizations and domestic governments. See Part IV, line 21 42,770,841 42,770,841
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 26,379 26,379    
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 292,891,940 238,185,628 54,706,312  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 10,141,516 7,887,911 2,253,605  
9 Other employee benefits ....... 34,416,689 26,336,124 8,080,565  
10 Payroll taxes ........... 22,714,719 18,579,555 4,135,164  
11 Fees for services (non-employees):        
a Management ...... 44,270 38,867 5,403  
b Legal ......... 1,007,159   1,007,159  
c Accounting ........... 527,219   527,219  
d Lobbying ........... 29,083   29,083  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 42,566   42,566  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 98,514,714 96,544,419 1,970,295  
12 Advertising and promotion .... 3,464,036 324,183 3,139,853  
13 Office expenses ....... 7,395,492 4,614,404 2,781,088  
14 Information technology ...... 3,096,573 318,231 2,778,342  
15 Royalties ..        
16 Occupancy ........... 19,711,899 18,235,637 1,476,262  
17 Travel ............ 1,465,066 627,832 837,234  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 12,481,146 12,481,146    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 62,159,699 49,257,727 12,901,972  
23 Insurance ... 4,088,307 4,006,541 81,766  
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 MEDICAL SUPPLIES 115,062,715 115,062,715    
b INTERCOMPANY SERVICES 65,973,140 64,653,677 1,319,463  
c DRUGS 60,239,065 60,239,065    
d UBI TAXES 800,000 800,000    
e All other expenses 29,270,580 28,656,709 613,871  
25 Total functional expenses. Add lines 1 through 24e 888,334,813 789,647,591 98,687,222 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 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 77,009,694 1 11,689,929
2 Savings and temporary cash investments ......... 6,118,446 2 6,258,427
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 153,280,893 4 162,439,847
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  
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 1,558,146
8 Inventories for sale or use ........ 7,547,300 8 12,969,082
9 Prepaid expenses and deferred charges ...... 1,732,593 9 2,419,536
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,705,877,964
b Less: accumulated depreciation 10b 826,767,625 700,262,306 10c 879,110,339
11 Investments—publicly traded securities . 5,285,717 11 249,091,504
12 Investments—other securities. See Part IV, line 11 ..... 11,644,645 12 31,721,034
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 18,113,172 14 18,024,601
15 Other assets. See Part IV, line 11 ........... 457,336,588 15 539,923,098
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,438,331,354 16 1,915,205,543
Liabilities 17 Accounts payable and accrued expenses ..... 75,439,050 17 102,383,797
18 Grants payable ...   18  
19 Deferred revenue ......... 10,252,000 19  
20 Tax-exempt bond liabilities ......... 623,714,672 20 792,366,076
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 .. 332,601,744 23 1,527,624,885
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 68,023,289 25 76,756,809
26 Total liabilities. Add lines 17 through 25.. 1,110,030,755 26 2,499,131,567
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 132,454,119 27 -808,383,976
28 Temporarily restricted net assets ........... 185,171,803 28 195,710,092
29 Permanently restricted net assets 10,674,677 29 28,747,860
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 ........... 328,300,599 33 -583,926,024
34 Total liabilities and net assets/fund balances ........ 1,438,331,354 34 1,915,205,543
Form 990 (2018)
Form 990 (2018)
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
977,242,260
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
888,334,813
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
88,907,447
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
328,300,599
5
Net unrealized gains (losses) on investments ...............
5
-2,959,913
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
-998,174,157
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-583,926,024
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
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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 VI.)..            
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 section 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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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 VI.) ..            
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2018 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2018
(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2019. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2018


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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

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






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
THE TOLEDO HOSPITAL
 
Employer identification number
34-4428256
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


(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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2018)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

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

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
29,083
j
Total. Add lines 1c through 1i ....................................................................................................
29,083
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: THE TOLEDO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS.
Schedule C (Form 990 or 990EZ) 2018


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," on 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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)
Revenue included on 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
Revenue included on 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) 2018

Schedule D (Form 990) 2018
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" on 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, for escrow or custodial account liability? ...
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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 10,674,678 9,839,115 9,891,715 10,484,815 10,560,195
b Contributions ... 21,592,265   -19,454 1,188 4,397
c Net investment earnings, gains, and losses -3,519,082 835,563 -33,146 -594,288 -79,777
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ...... 28,747,861 10,674,678 9,839,115 9,891,715 10,484,815
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 Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on 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)
Yes
 
(ii) related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
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" on 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 ..... 2,307,791 54,126,486 56,434,277
b Buildings ....   875,875,632 509,512,903 366,362,729
c Leasehold improvements   7,205,592 7,186,706 18,886
d Equipment ....   400,958,995 284,612,001 116,346,994
e Other .....   365,403,468 25,456,015 339,947,453
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 879,110,339
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on 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........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 39,207,998
(2) OTHER RECEIVABLES 4,851,322
(3) BENEFICIAL INTEREST IN FOUNDATION 222,132,985
(4) OTHER SEGREGATED INVESTMENTS 40,583,583
(5) INTERCOMPANY DEBT FROM RELATED ENTITIES 226,657,739
(6) ESTIMATED THIRD PARTY RECEIVABLE 6,489,471
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 539,923,098
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
DUE TO AFFILIATES 52,334,744
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE 8,787,352
ASSET REMEDIATION OBLIGATION 9,925,511
DEFERRED COMPENSATION 4,034,303
PLEDGES PAYABLE 1,255,000
PENSION PLAN LIABILITY 291,624
DEFERRED INCOME TAXES 128,275
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 76,756,809
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) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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 V, LINE 4: THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT THE TOLEDO HOSPITAL CONSISTENT WITH DONOR INTENT.
Schedule D (Form 990) 2018


Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2018
Schedule G (Form 990 or 990-EZ) 2018
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

PTN BOWLING FUNDRAISER
(event type)
(b) Event #2

PTN GOLF FUNDRAISER
(event type)
(c) Other events

 
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

10,074

12,625

 

22,699

2

Less: Contributions . . . .

 

 

 

 
3 Gross income (line 1 minus
line 2) . . . . . .

10,074

12,625

 

22,699



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . . 436 759   1,195
6 Rent/facility costs . . . . 1,498 5,903   7,401
7 Food and beverages . . .   85   85
8 Entertainment . . . . 150     150
9 Other direct expenses . . . 250 560   810
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 9,641
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 13,058
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

 

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2018
Schedule G (Form 990 or 990-EZ) 2018
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2018
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    6,173,339   6,173,339 0.680 %
b Medicaid (from Worksheet 3, column a) . . . . .     179,363,601 127,420,421 51,943,180 5.710 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     94,139 103,650 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     185,631,079 127,524,071 58,116,519 6.390 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     11,355,421 1,583,265 9,772,156 1.070 %
f Health professions education (from Worksheet 5) . . .     38,763,626 16,758,809 22,004,817 2.420 %
g Subsidized health services (from Worksheet 6) . . . .     18,021,825 3,840,899 14,180,926 1.560 %
h Research (from Worksheet 7) .     139,152 139,152    
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,133,533   2,133,533 0.230 %
j Total. Other Benefits . .     70,413,557 22,322,125 48,091,432 5.280 %
k Total. Add lines 7d and 7j .     256,044,636 149,846,196 106,207,951 11.670 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
53,021,994
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
9,219,996
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
152,774,720
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
157,447,303
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-4,672,583
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
 
PHYSICIAN SERVICES 25.000 % 3.000 % 57.000 %
22 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
 
PHYSICIAN SERVICES 32.380 % 0.950 % 40.950 %
33 REYNOLDS ROAD SURGICAL CENTER LLC
 
SURGICAL CENTER 74.380 % 3.570 % 19.930 %
44 NORTHWEST OHIO DEDICATED BREAST MRI LLC
 
MEDICAL DIAGNOSTIC 50.000 %   50.000 %
55 WEST CENTRAL SURGICAL CENTER LLC
 
SURGICAL CENTER 50.000 %   50.000 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 THE TOLEDO HOSPITAL
2142 NORTH COVE BLVD
TOLEDO,OH43606
WWW.PROMEDICA.ORG
1226
X X X X   X X     A
2 WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL
2901 N REYNOLDS RD
TOLEDO,OH43615
WWW.PROMEDICA.ORG
1501
X X               A
3 ARROWHEAD BEHAVIORAL HEALTH
1725 TIMBERLINE ROAD
MAUMEE,OH43537
WWW.ARROWHEADBEHAVIORAL.COM
1543
X               PSYCHIATRIC / SUBSTANCE ABUSE FACILITY B
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
 
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, THE ZEPF CENTER, SWANTON AREA COMMUNITY COALITION, ANTHONY WAYNE SCHOOLS, OTTAWA HILLS LOCAL SCHOOLS, SYLVANIA SCHOOLS, PROMEDICA (ALL LUCAS COUNTY HOSPITALS), MERCY, MERCY PEDIATRICIAN, YWCA CHILDCARE, EARLY CHILDHOOD COORDINATING COMMITTEE (EC3), LUCAS COUNTY FAMILY COUNCIL, AND LUCAS COUNTY FAMILY FIRST COUNCIL.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
PART V, SECTION B FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 3: ARROWHEAD BEHAVIORAL HEALTH
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT SURVEY PROCESSES, LUCAS COUNTY CONDUCTED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESS TO DEVELOP A COUNTY STRATEGIC PLAN, UTILIZING THE MAPP PROCESS THAT INCLUDES FOUR ASSESSMENTS: COMMUNITY THEMES & STRENGTHS, FORCES OF CHANGE, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT AND THE COMMUNITY HEALTH STATUS ASSESSMENT. THESE FOUR ASSESSMENTS WERE USED BY THE RESPECTIVE COUNTY CHIP COMMITTEES TO PRIORITIZE SPECIFIC HEALTH ISSUES AND POPULATION GROUPS WHICH ARE THE FOUNDATION OF THE PLAN. A RESOURCE ASSESSMENT AND GAP ANALYSIS WAS PART OF THIS FORMAL PROCESS. THE FINAL CHIP PLANS WERE APPROVED BY THE RESPECTIVE COUNTY CHIP STRATEGIC PLANNING COMMITTEES. THE HOSPITAL THEN UTILIZED THESE DATA AND PLANS TO DEVELOP THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN. FEEDBACK FROM THE LOCAL HEALTH DEPARTMENT WAS REQUESTED AFTER THE HOSPITAL PLAN WAS DRAFTED. PERSONS WHO REPRESENTED THE LUCAS COUNTY COMMUNITY THROUGH THESE PROCESSES INCLUDED: TOLEDO FIRE AND RESCUE DEPARTMENT, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, LUCAS COUNTY JUVENILE COURT, UNIVERSITY OF TOLEDO, TOLEDO PUBLIC SCHOOLS, SPRINGFIELD TOWNSHIP FIRE, LIVE WELL TOLEDO, CITY OF TOLEDO - DEPARTMENT OF NEIGHBORHOODS, HOSPITAL COUNCIL OF NORTHWEST OHIO, LUCAS COUNTY CHILDREN SERVICES, WHITEHOUSE, PROMEDICA, LUCAS COUNTY EMA, CENTER FOR HOPE, NEIGHBORHOOD HEALTH ASSOCIATION, HARBOR BEHAVIORAL HEALTH, BOWLING GREEN STATE UNIVERSITY, HEALTHY LUCAS COUNTY, ADELANTE, SYLVANIA TOWNSHIP FIRE DEPARTMENT, MERCY HEALTH, LOURDES UNIVERSITY, ASPIRE, UNITED WAY OF GREATER TOLEDO, MOBILE CARE GROUP, CARENET, TOLEDO COMMUNITY FOUNDATION, OREGON CITY, ST. LUKE'S HOSPITAL, UT MPH INTERNS, MENTAL HEALTH AND RECOVERY SERVICES BOARD, JERUSALEM TOWNSHIP FIRE, BRIGHTSIDE, AND THE ZEPF CENTER.
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, AND WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL.
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2016 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 11: THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- TRAUMA - EDUCATION AND FALL PREVENTION- CARDIOVASCULAR DISEASETHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019.THE TOLEDO HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH STATUS PERCEPTIONS, HEALTH CARE COVERAGE/ACCESS/UTILIZATION, CANCER, DIABETES, ARTHRITIS, ASTHMA AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS/OBESITY, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE HEALTH AND SCREENINGS, SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ADULT SEXUAL BEHAVIOR, ADULT PREGNANCY, QUALITY OF LIFE, SOCIAL ISSUES, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, ORAL HEALTH, MINORITY HEALTH, YOUTH WEIGHT, YOUTH TOBACCO USE, YOUTH ALCOHOL AND DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SAFETY AND VIOLENCE, CHILDREN'S HEALTH STATUS, CHILDREN DIAGNOSED WITH ASTHMA, CHILDREN DIAGNOSED WITH ADHD/ADD, CHILDREN DIAGNOSED WITH VISION PROBLEMS THAT CANNOT BE CORRECTED, CHILDREN'S HEALTH ACCESS, EARLY CHILDHOOD HEALTH, MIDDLE CHILDHOOD HEALTH, FAMILY FUNCTIONING/NEIGHBORHOODS, AND PARENT HEALTH.THE TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: TRAUMA - EDUCATION AND FALL PREVENTIONSTRATEGY #1 - PROVIDE FREE CONTINUING MEDICAL EDUCATION, IN VARIOUS CATEGORIES, TO EMS (EMERGENCY MEDICAL SERVICES) PROVIDERS TO IMPROVE THE CARE PROVIDED TO PATIENT AT THE SCENE PRIOR TO TRANSPORTATION TO A HOSPITAL.ACTIONS TAKEN:- OVER 41 SESSIONS WITH 312 PARTICIPANTS PROVIDED IN FREE CONTINUING MEDICAL EDUCATION. SOME TOPICS INCLUDED GERIATRIC PSYCHIATRIC ISSUES, NARCOTIC OVERDOSE, ORTHOPEDIC ASPECTS OF EMERGENCY CARE, PEDIATRIC TRAUMA, STROKE UPDATE, AND SPINAL MOTION RESTRICTION.STRATEGY #2 - PROVIDE MATTER OF BALANCE AND OTHER FALL PREVENTION EDUCATION IN THE COMMUNITY.ACTIONS TAKEN:- PROMEDICA HOME HEALTH CARE COMMUNITY OUTREACH ACTIVITIES PROVIDED EDUCATION AT SEVEN (7) LOCAL VENUES WITH OVER 1,576 COMMUNITY MEMBERS IN ATTENDANCE. EVENTS INCLUDED, BUT NOT LIMITED TO OREGON CITY HEALTH FAIR, SENIOR SAFETY DAY, LITTLE BOO AT THE ZOO, GO RED LUNCH, AREA ON AGING CAREGIVER SERIES, FALL PREVENTION, AND STAND BY YOUR MAN.STRATEGY #3 - PROVIDE HOME SAFETY ASSESSMENTS FOR ALL PROMEDICA HOME CARE PATIENTS.ACTIONS TAKEN:- PROMEDICA HOME CARE PROVIDED HOME SAFETY ASSESSMENTS AND BASIC FALL PREVENTION EDUCATION, FREE OF CHARGE, FOR ALL PROMEDICA HOME HEALTH CARE ADMISSIONS IN 2018, WITH 13,104 HOME ASSESSMENTS PERFORMED.HEALTH NEED IDENTIFIED: CARDIOVASCULAR DISEASESTRATEGY #1 - PROVIDE FREE HANDS ONLY CPR (CARDIOPULMONARY RESUSCITATION) EDUCATION TO THE PUBLIC DURING AT LEAST FOUR COMMUNITY EVENTS EACH YEAR.ACTIONS TAKEN:- PROVIDED HANDS ONLY CPR TRAINING AT TEN (10) COMMUNITY EVENTS INCLUDING, BUT NOT LIMITED TO, PROMEDICA HEALTH & WELLNESS CENTER, FREDERICK DOUGLAS CENTER, DA SHOP BARBER SHOP, BEVERLY ELEMENTARY SCHOOL, URBAN RIB OFF-JUNCTION COALITION, GROOMED BARBERSHOP, WARREN AME CHURCH ANNUAL MEETING, FLETCHER'S BARBERSHOP AND FOSTER'S BARBERSHOP. 3,887 PARTICIPANTS WERE TAUGHT HANDS ONLY CPR.STRATEGY #2 - PROVIDE FREE CONSULTATION TO HIGH SCHOOLS, UPON REQUEST, TO MEET NEW FEDERAL STANDARD THAT ALL STUDENTS WILL HAVE CPR EDUCATION PRIOR TO HIGH SCHOOL GRADUATION. ACTIONS TAKEN:- TEN (10) TOLEDO PUBLIC SCHOOLS WERE ASSISTED IN MEETING CPR REQUIREMENT, WITH 3,202 STUDENTS TRAINED.
TOLEDO CHILDREN'S HOSPITAL (OPERATING WITHIN AND AS PART OF THE TOLEDO HOSPITAL) CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- DECREASE INFANT MORTALITY- DECREASE YOUTH MENTAL HEALTH ISSUES AND BULLYING- DECREASE HEART DISEASE AND OTHER CHRONIC DISEASES - INCREASE HEALTHY WEIGHT STATUS- INJURY PREVENTION/SAFETY- INCREASE SCHOOL READINESSTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019.TOLEDO CHILDREN'S HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: TOBACCO USE, ALCOHOL CONSUMPTION, MARIJUANA AND OTHER DRUG USE, VIOLENCE ISSUES, YOUTH PERCEPTIONS, CHILD HEALTH AND FUNCTIONAL STATUS, FAMILY FUNCTIONING/NEIGHBORHOOD AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO CHILDREN'S HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: DECREASE INFANT MORTALITYSTRATEGY #1 - REFER APPROPRIATE PATIENTS TO THE SAFE SLEEP CRIB PROGRAM AT THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT TO RECEIVE A PORTABLE CRIB FOR HELP ME GROW AND PATHWAYS PARTICIPANTS. A) PROVIDE ACCESS TO SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH CHILDREN LESS THAN 12 MONTHS OF AGE. B) PROVIDE FOLLOW UP ASSESSMENT TO FAMILIES RECEIVING A PORTABLE CRIB TO ENSURE SAFE SLEEP PRACTICES AND USE OF THE CRIB.C) EXPAND PROGRAM BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN: - 196 SAFE SLEEP CRIB REFERRALS WERE MADE TO HELP ME GROW/PATHWAYS PROGRAM.- 156 FOLLOW UP ASSESSMENTS WERE COMPLETED ON PARTICIPANTS REFERRED TO CLASSES.- NUMBER OF PATIENTS SERVED INCREASED OVER PREVIOUS YEAR (181 REFERRALS WERE MADE AND 139 FOLLOW UP ASSESSMENTS WERE COMPLETED IN 2017).STRATEGY #2 - PROVIDE SAFE SLEEP SACKS AND EDUCATION ON USE TO LOW INCOME CAREGIVERS WITH NEWBORN INFANTS WHEN APPROPRIATE.A) NUMBER OF SLEEP SACKS PROVIDED TO INFANTS WITHOUT A SLEEP SACK.B) EXPAND PROGRAM, AS POSSIBLE.ACTIONS TAKEN:- 136 SLEEP SACKS WERE PROVIDED FOR INFANTS WITHOUT A SLEEP SACK.- NUMBER OF SLEEP SACKS PROVIDED INCREASED OVER PREVIOUS YEAR (92 WERE DISTRIBUTED IN 2017).STRATEGY #3 - PROVIDE ASSESSMENT USING THE REPRODUCTIVE LIFE PLAN AND EDUCATION ON BIRTH SPACING (INFANT MORTALITY IS REDUCED IF BIRTH SPACING OF AT LEAST 18 MONTHS BETWEEN CHILDREN PLANNING TAKES PLACE) FOR ALL WOMEN ENROLLED IN TOLEDO HEALTHY TOMORROWS (THT) OB PATHWAYS PROGRAM.ACTIONS TAKEN:- 388 REPRODUCTIVE LIFE PLAN ASSESSMENTS COMPLETED.STRATEGY #4 - EDUCATE PREGNANT WOMEN IN THE BENEFITS OF BREASTFEEDING THEIR NEWBORN AND SUPPORT THEIR DECISION IF CHOOSING TO BREASTFEED.A) EXPAND TRAINING FOR TOLEDO HEALTHY TOMORROWS (THT) PATHWAYS AND HELP ME GROW STAFF IN THE BENEFITS OF BREASTFEEDING, ESPECIALLY WITH AFRICAN AMERICAN MOTHERS AT LEAST UNTIL THEIR NEWBORN IS 6 WEEKS OLD. INITIATE BREASTFEEDING EDUCATION WITH PREGNANT PROGRAM WOMEN ENROLLED IN THE THT PATHWAYS PROGRAM.B) PROMOTE BREASTFEEDING THROUGH EDUCATION AND SUPPORT OF PARTICIPANTS OF THT PATHWAYS AND ADD THE THT HELP ME GROW PROGRAM.C) INCREASE THE NUMBER OF INFANTS BEING BREASTFED WHOSE MOTHERS ARE ENROLLED IN THT PATHWAYS AND HELP ME GROW.D) CONTINUE TO OFFER AT LEAST FOUR (4) BREASTFEEDING EDUCATION CLASSES EACH MONTH THROUGH WOMENS, INFANTS AND CHILDREN (WIC).E) MAKE REFERRALS TO WIC LACTATION CONSULTANT AND WIC BREASTFEEDING STAFF.F) DISCUSS BREASTFEEDING WITH EACH PREGNANT WIC PARTICIPANT AND ENCOURAGE ATTENDANCE AT THE BREASTFEEDING EDUCATION CLASS.G) CONTACT BREASTFEEDING MOTHERS AND OFFER SUPPORT AS WELL AS TO ANSWER BREASTFEEDING QUESTIONS.ACTIONS TAKEN: - 389 PREGNANT WOMEN RECEIVED BREASTFEEDING PROMOTION EDUCATION THAT WAS PROVIDED DURING HOME VISITING TO PROGRAM PARTICIPANTS.- 216 NEWBORNS WERE BREASTFED IN THEIR FIRST 6 WEEKS AFTER DELIVERY.- 148 INFANTS WERE BREASTFED BEYOND 6 WEEKS AFTER DELIVERY.- 731 CONTACTS WERE MADE TO PREGNANT AND BREASTFEEDING MOTHERS BY LACTATION CONSULTANTS INCLUDING 46 BREASTFEEDING EDUCATION CLASSES OFFERED WITH 264 IN ATTENDANCE, AND 642 INDIVIDUALLY SEEN BY CONSULTANTS (BABIES-R-US CLASSES WERE NOT HELD AS THEY CLOSED.)- 41% OF WOMEN RECEIVING WIC (WOMEN, INFANT AND CHILDREN PROGRAM) THROUGH TOLEDO AND TOLEDO CHILDREN'S HOSPITALS ARE BREASTFEEDING. ALL WOMEN RECEIVING WIC WERE ENCOURAGED TO ATTEND THE BREASTFEEDING EDUCATION CLASS.HEALTH NEED IDENTIFIED: DECREASE YOUTH MENTAL HEALTH ISSUES AND BULLYINGSTRATEGY #1 - DECREASE BULLYING, SUICIDE, AND DATING VIOLENCE THROUGH AWARENESS AND PREVENTION PROGRAMS IN YOUTHS 12-18 YEARS.A) EACH SCHOOL YEAR THE TEEN PEERS EDUCATING PEERS (PEP) PROGRAM WILL BE OFFERED TO 12 CORE SCHOOLS IN LUCAS COUNTY. THE PROGRAM ADDRESSES TEEN DATING VIOLENCE, SEXUAL ASSAULT AND BULLYING PREVENTION.B) ONE ADDITIONAL SCHOOL WILL BE ADDED EACH YEAR PER GRANT FUNDING. PRIORITY WILL BE GIVEN TO ELEMENTARY SCHOOL INCLUSION AND REACHING YOUNGER STUDENTS VIA IMPLEMENTATION IN ELEMENTARY SCHOOL OR DELIVERING OLDER PEER LED EDUCATION (HIGH SCHOOL TO ELEMENTARY STUDENTS).C) PROGRAM LEAD WILL AS CO-CHAIR, COLLABORATE WITH THE LUCAS COUNTY SUICIDE PREVENTION COALITION (OTHER PARTNERS IN THE COALITION INCLUDE MERCY OUTREACH, THE UNIVERSITY OF TOLEDO, NAMI OF GREATER TOLEDO, LUCAS COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARD) TO DESIGN AND IMPLEMENT A TEEN AMBASSADOR PROGRAM WHICH WILL TRAIN AND UTILIZE SEVERAL STUDENTS FROM EACH PARTICIPATING SCHOOL TO PROMOTE SOCIAL MEDIA CAMPAIGNS AND AWARENESS ABOUT DEPRESSION AND SUICIDE PREVENTION, THUS REDUCING MENTAL HEALTH/SUICIDE STIGMA IN THEIR SCHOOLS. LUCAS COUNTY SUICIDE PREVENTION COALITION COORDINATOR (EMPLOYEE CONTRACTED THROUGH NAMI) WILL PROVIDE ONGOING OVERSIGHT, MANAGEMENT AND CONSULTATION TO SCHOOLS AND/OR STUDENTS PARTICIPATING IN NEWLY CREATED TEEN AMBASSADOR PROGRAM.D) PROGRAM LEAD WILL SERVE ON BRAVE (BULLYING RESOURCES AND ANTI-VIOLENCE EDUCATION) COMMITTEE, WHICH WAS CREATED BASED ON THE CHIP. BRAVE PARTNERING AGENCIES INCLUDE UT, TPS AND NAMI; COMMITTEE MISSION IS TO EXPAND COORDINATED ANTI-BULLYING EDUCATION AS WELL AS SUICIDE PREVENTION AND THREAT ASSESSMENT EDUCATION TO COMMUNITY SCHOOLS AND AGENCIES, PARENT GROUPS AND TEENS.E) NO LOCAL INITIATIVE/COALITION OR STRATEGIC PLAN EXISTS TO ADDRESS TEEN SEXUAL OR DATING VIOLENCE SPECIFICALLY. PROGRAM STAFF WILL PARTICIPATE IN CREATING A COMMUNITY COLLABORATIVE GROUP TO ADDRESS TEEN DATING VIOLENCE AND TEEN SEXUAL ASSAULT.
ACTIONS TAKEN: - TEEN PEP FUNDED BY OHIO DEPARTMENT OF HEALTH (ODH). ODH FUNDED PROGRAMS RECEIVE OUTCOME MEASUREMENT EVALUATION GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION EMPOWERMENT EVALUATION CONTRACTOR, DR. SANDRA ORTEGA, FOR ALL PROGRAM OUTCOME MEASURES. RESULTS INCLUDED: 14 SCHOOLS PARTICIPATED, 140 TEEN PEER LEADERS WERE TRAINED, AND 1,888 CLASSROOM PARTICIPANTS GRADES 9-12 PARTICIPATED. NO ADDITIONAL ELEMENTARY SCHOOLS WERE ADDED IN 2018 DUE TO DECREASE IN OHIO DEPARTMENT OF HEALTH (ODH) GRANT FUNDING.- THE NUMBER OF LCSPC (LUCAS COUNTY SUICIDE PREVENTION COALITION) TEEN AMBASSADOR PROGRAMS FOR 2018 WAS 20 SCHOOLS AND 33 STUDENT AMBASSADORS.- BRAVE COALITION DISBANDED PRIMARILY BECAUSE THE ORIGINAL OBJECTIVES OF THE COALITION/3-YEAR STRATEGIC GOALS HAD BEEN MET, AND MEMBERS OF THE COALITION WENT ON TO CONTINUE THE MISSION EITHER ON THEIR OWN OR THROUGH OTHER LIKE-MINDED COALITIONS SUCH AS THE LUCAS COUNTY SUICIDE PREVENTION COALITION AND TEEN PEP, WITH EACH SCHOOL NOW RESPONSIBLE TO REPORT A PLAN TO ADDRESS THIS ISSUE.- AS A LOCAL INITIATIVE, THE LUCAS COUNTY YOUTH SEXUAL AND INTIMATE PARTNER VIOLENCE COALITION WAS CREATED IN RESPONSE TO AN IDENTIFIED GAP FOR SUCH COMMUNITY COLLABORATION SURROUNDING TWO VERY IMPORTANT NEEDS IN THE TOLEDO AREA. THE COALITION HAS NOT DEVELOPED A FORMAL STRATEGIC PLAN, OPTING INSTEAD TO FOCUS ON PROMOTING YOUTH CULTURE CHANGE VIA SOCIAL MEDIA. YOUTH SPEND MUCH OF THEIR TIME ON VARIOUS SOCIAL MEDIA OUTLETS AND THIS WAS IDENTIFIED AS THE BEST WAY TO BOTH REACH LOCAL YOUTH AND IMPACT THEIR IDEAS AND KNOWLEDGE ABOUT SEXUAL ASSAULT AND TEEN DATING VIOLENCE. IN 2018, ITS FOURTH YEAR, THE COALITION HAS HOSTED 3 TEEN FOCUS GROUPS IN THE TOLEDO AREA WITH VARIOUS YOUTH FROM DIVERSE POPULATIONS WITH THE GOAL OF INVOLVING YOUTH IN THE CREATION OF SEXUAL AND INTIMATE PARTNER VIOLENCE PREVENTION MESSAGING. FROM THESE FOCUS GROUPS, THE COALITION HAS SUCCESSFULLY STARTED UP BOTH A FACEBOOK AND INSTAGRAM PAGE THAT HIGHLIGHT AND PROMOTE PREVENTION MESSAGING SURROUNDING THESE TOPICS. WE STARTED OUR SOCIAL MEDIA CAMPAIGN IN FEBRUARY 2018 DURING TEEN DATING VIOLENCE AWARENESS MONTH.STRATEGY #2 - EACH YEAR UP TO FOUR ELEMENTARY SCHOOLS WILL BE GIVEN BULLYING PREVENTION EDUCATION VIA OLDER TRAINED PEER LEADERS (HIGH SCHOOL TEAMS) OR FROM 7TH/8TH GRADE TRAINED TEEN LEADERS IN THEIR BUILDING. MEASUREMENT TO INCLUDE:A) NUMBER OF ELEMENTARY/MIDDLE SCHOOLS THAT HIGH SCHOOL LEADERS PRESENTED TO. B) NUMBER OF TRAINED YOUTH LEADERS IN NEWLY ADDED ELEMENTARY SCHOOLS (WHERE APPLICABLE). C) NUMBER OF ELEMENTARY STUDENTS RECEIVING PEER LED EDUCATION. ACTIONS TAKEN: - OHIO DEPARTMENT OF HEALTH CONTRACTOR FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION GUIDES EMPOWERMENT EVALUATION FOR ALL PROGRAM OUTCOME MEASURES.- EIGHT (8) SCHOOLS PARTICIPATED IN PRESENTATIONS.- EIGHT (8) TEEN PEER LEADERS WERE TRAINED.- 384 CLASSROOM PARTICIPANTS IN GRADES 1-6 PARTICIPATED IN PROGRAM.- ADDITIONAL SCHOOLS WERE NOT ADDED IN 2018 PER GRANT FUNDING DECREASED IN ODH FUNDS.STRATEGY #3 - PROVIDE TRAUMA-INFORMED TRAINING TO PROMEDICA TOLEDO CHILDREN HOSPITAL STAFF THAT PROVIDES CARE TO YOUTH (0-18 YEARS). THIS WILL HELP ENHANCE PATIENT-CENTERED CARE, WHICH WILL POSITIVELY IMPACT YOUTH MENTAL HEALTH. A) DEVELOP TRAUMA-INFORMED TRAININGS (BASED ON SAMHSA CURRICULUM) FOR DIFFERENT HOSPITAL STAFF/PROVIDER GROUPS.B) PILOT TRAININGS AND CORRECT AS NECESSARY.ACTIONS TAKEN:- ONE EDUCATIONAL EVENT WAS SCHEDULED IN THE FALL OF 2018 BUT WAS CANCELED. EVENTS ARE NOW SCHEDULED FOR 2019 AND ADDITIONAL EVENTS ARE SCHEDULED FOR HOSPITAL/PROVIDER GROUPS.STRATEGY #4 - THE LUCAS COUNTY TRAUMA INFORMED CARE COALITION (LCTIC) CREATED IN LATE 2014, IS A COUNTY WIDE COALITION WHOSE MISSION IS TO INCREASE AWARENESS AND PRACTICE OF TRAUMA INFORMED CARE (TIC) IN THE COMMUNITY. MEMBERSHIP INCLUDES STAFF FROM TOLEDO CHILDREN'S HOSPITAL, COMMUNITY MENTAL HEALTH CENTERS, THE LUCAS COUNTY MENTAL HEALTH RECOVERY SERVICES BOARD, DOMESTIC VIOLENCE SHELTERS, UNIVERSITY OF TOLEDO, UTMC, TOLEDO POLICE DEPARTMENT AND EMS, NAMI, UNITED WAY, AND MANY OTHERS. THE WORK OF THE LCTIC WILL HELP TO IMPROVE YOUTH MENTAL HEALTH THROUGH:A) EDUCATING MENTAL HEALTH PROFESSIONALS HOW TO PROVIDE MORE APPROPRIATE TRAUMA INFORMED SERVICES TO YOUTH WHO HAVE TRAUMA HISTORIES.B) EMPOWERING CONSUMERS, PARENTS, AND COMMUNITY MEMBERS TO BETTER UNDERSTAND HOW TO ACCESS APPROPRIATE TRAUMA INFORMED SERVICES FOR YOUTH WHO HAVE EXPERIENCED TRAUMA.C) ASSESS LEARNING DURING TRAUMA PRESENTATIONS BY USING A PRE AND POST MEASURE DURING PRESENTATIONS, COLLECT DATA. MAKE CHANGES AS NECESSARY.D) COLLECTING AND PROVIDING DATA ON THE OTHER ACTIVITIES OF THE TRAUMA COALITION AND ITS IMPACT ON SPREADING TRAUMA INFORMED KNOWLEDGE TO THE COMMUNITY. CONTINUE TO DEVELOP AND FIND VETTED TRAUMA RESOURCES TO LINK TO THE WEBSITE AND/OR TO DISSEMINATE TO THE COMMUNITY. TRACK NUMBER OF RESOURCES LINKED TO WEBSITE AND DISSEMINATED TO THE COMMUNITY. USE WEBSITE COUNTERS TO TRACK NUMBER OF WEBSITE VISITORS AND NUMBER OF RESOURCE DOWNLOADS.ACTIONS TAKEN:- 386 PROFESSIONALS IN THE COMMUNITY WERE TRAINED IN TRAUMA INFORMED CARE (TIC).- TRAUMA COALITION WEBSITE WAS DEVELOPED AND RUNNING. VETTED TRAUMA RESOURCES WERE PLACED ON THE WEBSITE EMPOWERING VISITORS (I.E. CONSUMERS, PARENTS AND COMMUNITY MEMBERS) TO OBTAIN APPROPRIATE TRAUMA INFORMED SERVICES.- PRE AND POST ASSESSMENT OF TRAUMA INFORMED CARE PROVIDED TO 222 OF THE MENTAL HEALTH PROFESSIONALS TRAINED.- 95% OF PARTICIPANTS AGREED/STRONGLY AGREED THEY UNDERSTOOD THE DEFINITION OF TRAUMA, PREVALENCE OF TRAUMA, EFFECTS OF TRAUMA, AND WAYS THEY COULD BE MORE TRAUMA-INFORMED.- 91% OF PARTICIPANTS AGREED/STRONGLY AGREED THEY UNDERSTOOD THE THREE E'S OF TRAUMA AND THE FOUR R'S OF A TRAUMA INFORMED PROGRAM.- 91% OF PARTICIPANTS AGREED/STRONGLY AGREED THAT THEY UNDERSTOOD SAMHSA'S 6 PRINCIPLES IN TIC. RESULTS WERE PROVIDED TO THE TRAUMA COALITION.HEALTH NEED IDENTIFIED: DECREASE HEART DISEASE AND OTHER CHRONIC DISEASES STRATEGY #1 - IMPROVE PATIENT/FAMILY KNOWLEDGE OF ASTHMA MANAGEMENT AND INCREASE THEIR PARTICIPATION IN SELF-CARE THROUGH EDUCATION.A) IMPLEMENT EVIDENCE BASED ASTHMA DISEASE MANAGEMENT PROGRAM UTILIZED AT PROMEDICA TOLEDO CHILDREN'S HOSPITAL FOR ASTHMA EDUCATION AT THE PEDIATRIC AMBULATORY DEPARTMENT.B) UTILIZE RESPIRATORY THERAPISTS TRAINED TO PROVIDE CONSISTENT ASTHMA EDUCATION TO PARENTS AND CHILDREN WITH ASTHMA.C) PROVIDE ASTHMA EDUCATION 2 DAYS PER WEEK TO ALL PARENTS OF ASTHMATIC CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT.D) PROVIDE THE ASTHMA INSTRUCTION BOOKLET TO PARENTS RECEIVING EDUCATION.E) PROVIDE AN ASTHMA ACTION PLAN TO ALL PARENTS OF CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT WITH A DIAGNOSIS OF ASTHMA.F) MONITOR CHILDREN WHO RECEIVE EDUCATION FOR FREQUENCY OF ASTHMA RELATED HOSPITALIZATIONS AND/OR ED VISITS DURING THIS INITIAL YEAR.G) PROMOTE PEDIATRIC AMBULATORY ASTHMA EDUCATION & MANAGEMENT AS A MODEL TO OTHER PEDIATRIC OFFICES TO INCREASE ASTHMA MANAGEMENT ACCESS FOR ALL CHILDREN WITH ASTHMA.H) EXPAND PROGRAM BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN:- ASTHMA EDUCATION WAS PROVIDED TO 505 PATIENTS IN THE PEDIATRIC AMBULATORY DEPARTMENTS.- ACTION PLANS WERE GIVEN TO 375 PARENTS OF CHILDREN IN THE PEDIATRIC AMBULATORY DEPARTMENT WITH AN ASTHMA DIAGNOSIS.- THIS IS A THREE (3) YEAR PLAN THAT WILL BE UPDATED IN 2020.
STRATEGY #2 - DECREASE ASTHMA RELATED HOSPITAL ADMISSIONS AND EMERGENCY DEPARTMENT (ED) VISITS.A) WILL MONITOR ALL TOLEDO PEDIATRIC PRIMARY PATIENTS WHO RECEIVE ASTHMA EDUCATION FOR FREQUENCY OF ASTHMA RELATED HOSPITALIZATIONS AND/OR ED VISITS.B) EDUCATION WILL CONSIST OF TEACHING AND PRACTICING HEALTHY BEHAVIORS TO INCREASE NUMBER OF ASTHMA PATIENTS RETURNING FOR FOLLOW UP CARE AND MEDICATION REFILLS ON ROUTINE BASIS.C) UTILIZE HOME CARE NURSES TO PROVIDE HOME EVALUATIONS AND FOLLOW UP CARE FOR ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION, IMPLEMENTATION OF MANAGEMENT SKILLS AND UNDERSTANDING OF NEED TO TAKE MEDICATIONS AS ORDERED.D) PATIENTS WILL FOLLOW UP IN PEDIATRIC AMBULATORY OFFICE FOR FOLLOW UP AS NEEDED WITH RESPIRATORY THERAPIST ASTHMA EDUCATOR FOR MONITORING FAMILY/CHILD'S UNDERSTANDING AND ONGOING MANAGEMENT OF EDUCATION. RESPIRATORY THERAPIST WILL RE-EDUCATE AS NEEDED.E) EXPAND PROGRAM BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN:- MONITORED NUMBER OF ASTHMA HOSPITALIZATIONS/ED VISITS FROM 2018. THE < 7 DAY READMISSION RATE HAS DECREASED FROM 0.5% IN 2017 TO 0.25% IN 2018. THE PERCENTAGE OF < 7 DAY REVISITS HAS INCREASED FROM 2.4% TO AN AVERAGE OF 2.5%. THE PERCENTAGE OF < 30 DAY REVISITS TO THE ED HAVE REMAINED UNCHANGED AT 3.5% AND HAS DECREASED FOR < 60 DAYS FROM 3.6% IN 2017 TO 2.5% IN 2018. - DEVELOPED MEASURES TO IDENTIFY INCREASING ASTHMA RECHECKS IN 2018. IDENTIFIED THAT PRIMARY CARE PHYSICIANS WERE NOT REFERRING ASTHMA PATIENTS TO HOME CARE CONSISTENTLY FOR HOME CARE NURSING FOLLOW UP PER NAEEP GUIDELINES 2007 REPORT. RE-EDUCATION HAS OCCURRED IN 2018 AND THEN ANNUALLY FOR UTILIZATION OF HOME CARE. ASTHMA EDUCATORS ARE TO PROVIDE FEEDBACK TO NURSES/PCP OF FAMILIES THAT WOULD BENEFIT FROM FOLLOW UP ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION AND HOME ASTHMA MANAGEMENT SKILLS AND MEDICATION USAGE.- THE OFFICE HAS REDESIGNED THE SCHEDULING OF ASTHMA PATIENTS TO COINCIDE WITH THE DAYS THE RESPIRATORY THERAPISTS ARE AVAILABLE.- INCREASED NUMBER OF ASTHMA PATIENTS RETURNING FOR ASTHMA RECHECKS PER YEAR, RESULTING IN CAPTURING ASTHMA PATIENTS WHILE IN OFFICE AND ABLE TO SCHEDULE NEXT APPOINTMENT BEFORE LEAVING.STRATEGY #3 - IMPROVE MANAGEMENT OF ASTHMA FOR CHILDREN AT PROMEDICA TOLEDO CHILDREN'S HOSPITAL AND ASSOCIATED OUTPATIENT AREAS.A) CONTINUE TO ASSESS CARE AND EDUCATION PROVIDED TO PEDIATRIC PATIENTS WITH ASTHMA, AND THEIR FAMILIES; MAKE CHANGES AS NEEDED TO MEET THE NEEDS OF THIS POPULATION AND COMMUNITY.B) ACTIVELY WORK TO BECOME CERTIFIED BY THE JOINT COMMISSION FOR OUTPATIENT PEDIATRIC ASTHMA DISEAS MANAGEMENT; MAKING PROMEDICA TOLEDO CHILDREN'S HOSPITAL ONLY HOSPITAL IN NATION TO HOLD DUAL INPATIENT AND OUTPATIENT CERTIFICATION.ACTIONS TAKEN:- TCH MAINTAINS ACCREDITATION BY THE JOINT COMMISSION FOR ASTHMA DISEASE MANAGEMENT, PROVIDING THE HIGHEST LEVEL OF CARE. BELOW ARE THE INDICATORS WE MONITOR PER JOINT COMMISSION RECOMMENDATIONS:- 95% INPATIENT TOBACCO EDUCATION- 20% OUTPATIENT TOBACCO EDUCATION- 91% INPATIENT HOME MANAGEMENT PLAN OF CARE- 59% OUTPATIENT ACTION PLAN- 97% INPATIENT INFLUENZA SCREENINGSTRATEGY #4 - IMPROVE ACCESS TO PEDIATRIC PRIMARY CARE PHYSICIANS AT THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL CLINIC.A) OFFER SAME DAY APPOINTMENTS FOR SICK NEW PATIENTS.B) MONITOR ACCESS TO CARE REPORT TO DETERMINE LENGTH OF TIME NEW PATIENTS MUST WAIT FOR APPOINTMENT AND ADD AVAILABLE PHYSICIAN HOURS AS NEEDED.ACTIONS TAKEN:- PHYSICIAN HOURS WERE NOT INCREASED IN 2018, ACCESS TO CARE IS MONITORED WITH PLANS TO INCREASE HOURS IF IMPROVEMENT TO ACCESS TO CARE IS NEEDED.- 1,459 NEW PATIENTS ATTENDED THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC IN 2018. SAME DAY APPOINTMENTS WERE OFFERED FOR SICK, NEW PATIENTS.- ACCESS TO CARE REPORT WAS COMPILED QUARTERLY TO MONITOR ACCESS TO CARE AND MODIFY, AS NEEDED, TO IMPROVE ACCESS TO CARE.STRATEGY #5 - INCREASE CHILDHOOD IMMUNIZATION RATES.A) PROMEDICA TOLEDO CHILDREN'S HOSPITAL (TCH) WILL PROVIDE NURSE COVERAGE IN COLLABORATION WITH THE LUCAS COUNTY HEALTH DEPARTMENT "SHOTS FOR TOTS" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN.B) THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO OFFER FREE "VACCINES FOR KIDS" PER THE STATE GUIDELINES TO ALL ELIGIBLE CHILDREN. THE STATE REGISTRY WILL BE UPDATED AT EACH VISIT WHERE SHOTS ARE GIVEN.C) THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC WILL CONTINUE TO TAKE EVERY OPPORTUNITY AT VISITS TO UPDATE CHILDREN'S IMMUNIZATIONS.ACTIONS TAKEN:- TCH PROVIDED 132 NURSING HOURS TO "SHOTS FOR TOTS" PROGRAM IN THE COMMUNITY. (PLEASE NOTE THAT TCH PEDIATRIC AMBULATORY DEPARTMENT RECEIVES VACCINES FROM THE OHIO DEPARTMENT OF HEALTH VACCINES FOR CHILDREN'S (VFC) PROGRAM AT NO COST. CHILDREN WHO MEET THE VFC REQUIREMENTS ARE PROVIDED VACCINES AT NO CHARGE. MEDICAID REIMBURSES A FEE FOR NURSE ADMINISTRATION OF EACH VACCINE.)- FREE VACCINES WERE OFFERED THROUGH THE "VACCINES FOR KIDS" PROGRAM.- 62% OF CHILDREN WERE IMMUNIZED BY AGE 2 IN THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL PRIMARY CARE CLINIC.HEALTH NEED IDENTIFIED: INCREASE HEALTHY WEIGHT STATUSSTRATEGY #1 - INCREASE THE NUTRITION EDUCATION OFFERINGS TO CHILDREN AND PARENTS IN PROMEDICA TOLEDO CHILDREN'S HOSPITAL SERVICE AREA.A) CONTINUE TO DONATE NUTREXITY BOARD GAMES TO AREA ELEMENTARY SCHOOLS AND AFTER-SCHOOL PROGRAMS.B) THE FINALIZED PROMEDICA CHILDHOOD OBESITY CARE PLAN WILL BE DISTRIBUTED TO ALL PROMEDICA PEDIATRIC PRIMARY CARE PRACTICES AND FAMILY MEDICINE PRACTICES IN YEARS 2 AND 3. 1) EDUCATION WILL BE GIVEN TO PROVIDERS RELATED TO ADDRESSING CHILDHOOD OBESITY WITHIN THE CLINIC SETTING. 2) PRACTICES WILL BE PROVIDED WITH HEALTHY BEHAVIORS HANDOUTS TO PROVIDE TO PATIENTS.ACTIONS TAKEN:- NUTREXITY GAMES WERE DONATED TO SCHOOLS AND COMMUNITY ORGANIZATIONS IN 2015 AND 2016 TO PROVIDE CONTINUOUS ACCESS TO THIS EDUCATIONAL PROGRAM AT THE SCHOOLS. IN LIEU OF PROVIDING THAT PROGRAM, COMMUNITY MEMBERS WERE EDUCATED THROUGH ALTERNATIVE PROGRAMS, INCLUDING: FIVE (5) COOKING MATTERS AT THE STORE HEALTHY GROCERY STORE TOURS WERE COMPLETED IN 2018 WITH 40 TOTAL PARTICIPANTS.
STRATEGY #2 - ADDRESS FOOD INSECURITY AMONG PATIENTS. A) TWO (2) ADDITIONAL PROMEDICA PRACTICES WILL BE TRAINED TO REFER FOOD INSECURE PATIENTS TO PROMEDICA'S FOOD PHARMACY, WHICH PROVIDES HEALTHY FOOD ON A MONTHLY BASIS TO PATIENTS.B) ALL PATIENTS AT TCH WILL BE SCREENED FOR FOOD INSECURITY PRIOR TO DISCHARGE AND WERE OFFERED AN EMERGENCY FOOD BAG UPON DISCHARGE.C) TOLEDO HOSPITAL/TOLEDO CHILDREN'S HOSPITAL WILL TAKE PART IN THE SUMMER FOOD SERVICE PROGRAM AS A SUMMER MEAL SITE PROVIDING FREE MEALS FOR CHILDREN AGES 1-18.ACTIONS TAKEN:- ZERO (0) ADDITIONAL PROMEDICA PRACTICES WERE TRAINED IN CHILDHOOD OBESITY. FOCUS HAS SHIFTED TO ADDRESSING FOOD INSECURITY IN 2018, WITH EDUCATION BEING A PART OF THE FOOD CLINIC.- 27 TRAINED PROVIDERS AND PRACTICES ARE REFERRING TO THE FOOD CLINIC.- SIX (6) NEW PRACTICES WERE TRAINED IN 2018.- THE FOOD CLINIC IS PARTNERING WITH WIC TO INCREASE PARTICIPATION IN BOTH WIC AND FOOD CLINIC PROGRAMS.- 1,941 FAMILIES WITH CHILDREN WERE SERVED BY THE PROMEDICA FOOD CLINIC. 58% OF THE FAMILIES HAVE CHILDREN UNDER 18 AT HOME.- RESULTS FROM FOOD PHARMACY STUDY AND EMR DATA RESEARCH WERE COMPLETED IN 2018 FROM A SUBSET OF MEDICAID PATIENTS INDICATED THAT INDIVIDUALS UTILIZING THE FOOD CLINIC PROGRAM SAW A 28.6% REDUCTION IN ER VISITS AND 5.1% REDUCTION IN MEDICAL COSTS WHEN COMPARING ONE (1) YEAR AFTER USING THE FOOD CLINIC PROGRAM TO ONE YEAR PRIOR.- ALL TCH PATIENTS WERE SCREENED FOR FOOD INSECURITY WITH 96 EMERGENCY FOOD BAGS PROVIDED TO TCH PATIENTS AT DISCHARGE.- 378 MEALS WERE SERVED AT THE TOLEDO HOSPITAL'S SUMMER MEALS PROGRAM.STRATEGY #3 - PROVIDE EDUCATION AND AWARENESS TO CHILDREN AND FAMILIES ON CHILD OBESITY AND HEALTHY SUPPLEMENTAL FOODS THROUGH THE PROMEDICA TOLEDO CHILDREN'S HOSPITAL WIC PROGRAM.A) CONDUCT INDIVIDUAL NUTRITION ASSESSMENTS FOR WIC PARTICIPANTS. TAILOR INDIVIDUAL WIC FOOD PACKAGE TO BEST MEET EACH PARTICIPANT'S INDIVIDUAL NUTRITION NEEDS AND/OR GOALS.B) MAKE REFERRALS TO PHYSICIAN, AS INDICATED BY WIC POLICIES AND PROCEDURES.C) PROVIDE BREASTFEEDING EDUCATION CLASSES.D) EDUCATE ON LIMITING JUICE AND EMPTY CALORIE FOODS AND REPLACE WITH ECONOMICAL HEALTHY FOODS.E) EDUCATE PARENT/CAREGIVER ON HOW TO EXTEND FOOD DOLLARS AND OFFERS HEALTHY, INEXPENSIVE MEAL IDEAS.F) PROVIDE FARMER MARKET COUPONS, TO ELIGIBLE WIC PARTICIPANTS, (JULY THROUGH SEPTEMBER) TO HELP INCREASE FRESH FRUIT AND VEGETABLE INTAKE.ACTIONS TAKEN:- 12,303 CHILDREN AND CAREGIVERS WERE ASSESSED AND EDUCATED THROUGH THE WIC PROGRAM.- ALL WIC PATIENTS ARE REQUIRED TO HAVE DIET ASSESSMENTS TWICE A YEAR.- BASED ON DIET ASSESSMENT FINDINGS, PHYSICIAN REFERRALS WERE MADE.- 46 BREASTFEEDING EDUCATION CLASSES WERE PROVIDED THROUGH THE CENTER FOR HEALTH SERVICES (CHS) CLINIC BASED WIC PROGRAM. APPROXIMATELY 731 PARTICIPATED.- PARENTS/CAREGIVERS WERE EDUCATED ON HOW TO EXTEND FOOD DOLLARS AND WERE OFFERED HEALTHY AND INEXPENSIVE MEAL IDEAS. FAMILIES WERE ALSO EDUCATED ON LIMITING JUICE AND EMPTY CALORIE FOODS AND HOW TO REPLACE WITH ECONOMICAL HEALTHY FOODS.- 1,024 FARMER MARKET COUPONS WERE GIVEN TO ELIGIBLE WIC PARTICIPANTS THROUGH THE WIC PROGRAM.HEALTH NEED IDENTIFIED: INJURY PREVENTION/SAFETYSTRATEGY #1 - PROMEDICA TOLEDO CHILDREN'S HOSPITAL IN PARTNERSHIP WITH STATE FARM WILL CONDUCT A DISTRACTED DRIVING PROGRAM THAT WILL EDUCATE HIGH SCHOOL STUDENTS AND THE COMMUNITY ON THE DANGERS OF DISTRACTED DRIVING AND THE IMPORTANCE TO SPEAK UP IF FEELING UNSAFE WITH OTHER DRIVERS (BASED ON FUNDING AVAILABILITY). CONDUCT PROGRAM FOR AT LEAST 5 HIGH SCHOOLS AND AT LEAST 2 COMMUNITY LOCATIONS.ACTIONS TAKEN:- PROMOTED AND FACILITATED DISTRACTED DRIVING PRESENTATIONS FOR FIVE (5) HIGH SCHOOLS (NORTHVIEW HIGH SCHOOL, START HIGH SCHOOL, PENTA CAREER CENTER, ST. FRANCIS HIGH SCHOOL, AND TOLEDO TECHNOLOGY ACADEMY) IN LUCAS COUNTY AND GREATER TOLEDO AREA AND TWO (2) UNIVERSITIES (LOURDES UNIVERSITY AND UNIVERSITY OF TOLEDO) RESULTING IN SEVEN (7) SCHOOLS PARTICIPATING. 1,351 PARTICIPANTS WERE EDUCATED AT PRESENTATIONS, AND 400 PARTICIPANTS USED THE DISTRACTED DRIVER SIMULATOR.- DISTRACTED DRIVING EDUCATION PROVIDED AT NINE (9) COMMUNITY LOCATIONS IN 2018 (TOLEDO AUTO SHOW (4 DAYS), PROMEDICA STEAM PLANT (2 TIMES), PROMEDICA JUNCTION BUILDING, CARTEENS (2 TIMES), LUCAS COUNTY FAIR, EASTERN STAR BAPTIST CHURCH, HOLLAND BRANCH LIBRARY). APPROXIMATELY 250 TEENS AND ADULTS USED THE DISTRACTED DRIVING SIMULATOR AND OVER 1,351 PEOPLE WERE REACHED THROUGH IN-DIRECT EDUCATION AT THESE EVENTS.STRATEGY #2 - KISS (KIDS IN SAFE SEATS)/OBB (OHIO BUCKLES BUCKEYES)/SAFE KIDS BUCKLE UP CAR SEAT PROGRAMS WILL EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF PROPER CAR SEAT USE AT TOLEDO CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND SAFE KIDS BUCKLE UP COMMUNITY EVENTS. PROVIDE AT LEAST 50 OPPORTUNITIES FOR PARENTS AND CAREGIVERS TO RECEIVE CAR SEAT INFORMATION.ACTIONS TAKEN:- CONDUCTED 77 CAR SEAT CHECKUP EVENTS THROUGHOUT THE GREATER TOLEDO AREA.STRATEGY #3 - KISS/OBB/SAFE KIDS BUCKLE UP WILL PROVIDE ACCESS TO CAR SEATS AND BOOSTER SEATS TO LOW-INCOME FAMILIES AT TOLEDO CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND SAFE KIDS BUCKLE UP COMMUNITY EVENTS. DISTRIBUTE AT LEAST 120 CAR SEATS TO LOW-INCOME FAMILIES.ACTIONS TAKEN:- 10 KISS/OBB/SAFE KIDS "BUCKLE UP" PRESENTATIONS WERE HELD.- 332 CAR SEATS AND BOOSTER SEATS WERE PROVIDED TO LOW INCOME FAMILIES.- 346 CAR SEATS WERE CHECKED FOR SAFE INSTALLATION.STRATEGY #4 - SAFE ROUTES TO SCHOOL PROGRAM WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE BENEFITS OF WALKING AND BICYCLING TO SCHOOL IN GROUPS AS A WAY TO HAVE A SAFER NEIGHBORHOOD.ACTIONS TAKEN:- PRESENTED TO 13 CLASSROOMS ON PEDESTRIAN AND BICYCLE SAFETY. THE TOTAL NUMBER OF CHILDREN RECEIVING THIS EDUCATION WAS 425.STRATEGY #5 - SAFE KIDS GREATER TOLEDO WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE BENEFITS OF WALKING AND BICYCLING TO SCHOOL IN GROUPS AS A WAY TO HAVE A SAFER NEIGHBORHOOD. PROMOTE NATIONAL BIKE TO SCHOOL DAY WITH AT LEAST ONE SCHOOL IN LUCAS COUNTY.ACTIONS TAKEN: - PROMOTED INTERNATIONAL WALK TO SCHOOL (150 PARTICIPANTS; 1 SCHOOL; 2 PRESENTATIONS) WITH MORE FOCUS ON BIKE TO SCHOOL DAY (100 PARTICIPANTS; 1 SCHOOL) AND PRESENTED 13 CLASSROOM PRESENTATIONS ON PEDESTRIAN AND BICYCLE SAFETY.STRATEGY #6 - PROMEDICA TOLEDO CHILDREN'S HOSPITAL COMMUNITY OUTREACH/SAFE KIDS HOME SAFETY AND TOLEDO HEALTHY TOMORROWS HELP ME GROW PROGRAMS WILL EDUCATE PARENTS, CAREGIVERS AND THE COMMUNITY ON HOME SAFETY ISSUES INCLUDING ACCIDENTAL POISONINGS SAFETY, MEDICATION SAFETY, WATER SAFETY, FALLS, FIRE, BURN, ETC. DIRECTLY EDUCATE AT LEAST 175 INDIVIDUALS THROUGH PRESENTATIONS AND EDUCATIONAL SESSIONS; INDIRECTLY EDUCATE THOUSANDS MORE THROUGH SOCIAL MEDIA, TRADITIONAL MEDIA AND BROCHURES.ACTIONS TAKEN: - CONDUCTED EDUCATIONAL PRESENTATIONS TO PARENTS/CAREGIVERS AND OTHER PROFESSIONALS WITH 187 PARTICIPANTS.STRATEGY #7 - TCH COMMUNITY OUTREACH/SAFE KIDS HOME SAFETY AND TOLEDO HEALTHY TOMORROWS HELP ME GROW PROGRAMS WILL PROVIDE SAFETY ITEMS AND EDUCATIONAL MATERIALS TO LOW-INCOME FAMILIES TO REDUCE OR PREVENT HOME-RELATED INJURIES. PROVIDE HOME SAFETY ITEMS/KITS TO AT LEAST 40 LOW-INCOME HOUSEHOLDS.ACTIONS TAKEN:- TOLEDO HEALTHY TOMORROWS HELP ME GROW AND PATHWAYS PROGRAMS PROVIDED HOME SAFETY ASSESSMENTS, AND/OR EDUCATION TO 140 LOW INCOME FAMILIES IN 2018. THROUGH THE PROGRAM 250 ITEMS WERE DISTRIBUTED.
STRATEGY #8 - ASSESS AND PROVIDE SAFETY ITEMS TO HOMES LACKING SMOKE/CARBON MONOXIDE (CO) DETECTORS, FIRE EXTINGUISHERS, CHILD SAFETY GATES, DOOR LOCKS, ETC. PARTNER WITH AMERICAN RED CROSS TO REQUEST AND INSTALL SMOKE/CO DETECTORS IN HOMES WITHOUT THEM. FOLLOW UP WITH POST ASSESSMENT TO ENSURE ITEMS ARE BEING USED AND INSTALLED/USED CORRECTLY.A) COMPLETE WRITTEN ASSESSMENT OF HOME AND NEED FOR SAFETY ITEMS. B) DISTRIBUTE NEEDED SAFETY ITEMS AND EDUCATE ON USE. C) COMPLETE WRITTEN FOLLOW UP ASSESSMENT ON INSTALLATION AND CORRECT USE OF SAFETY ITEMS PROVIDED.ACTIONS TAKEN:- CHILD/HOME SAFETY ASSESSMENTS WERE COMPLETED WITH 341 COMPLETED ASSESSMENTS FOR HOME SAFETY ITEMS, 16 SMOKE/CO DETECTORS PROVIDED BY THE AMERICAN RED CROSS, AND 82 FOLLOW UP ASSESSMENTS COMPLETED.STRATEGY #9 - SAFE KIDS SPORTS SAFETY AND TOLEDO CHILDREN'S HOSPITAL TRAUMA DEPARTMENT WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS-RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSION CLINIC AND AREA SCHOOLS. EDUCATE AT LEAST 75 PARTICIPANTS AT PRESENTATIONS AND EVENTS.ACTIONS TAKEN:- CONDUCTED EDUCATIONAL PRESENTATIONS TO PARENTS/CAREGIVERS AND OTHER PROFESSIONALS ON SPORTS SAFETY ISSUES WITH 24 EDUCATIONAL PRESENTATIONS AND 495 TOTAL PARTICIPANTS.STRATEGY #10 - TOLEDO CHILDREN'S HOSPITAL TRAUMA DEPARTMENT WILL ASSIST SCHOOLS AND MEDICAL PROFESSIONALS WITH "RETURN 2PLAY AND "RETURN TO LEARN" POLICY AND PROCEDURE ADOPTION BY PROVIDING EDUCATIONAL MATERIALS AND SESSIONS. PROVIDE INFORMATION TO AT LEAST FIVE SCHOOLS OR MEDICAL PROFESSIONALS.ACTIONS TAKEN:- PROVIDED "RETURN 2PLAY AND "RETURN TO LEARN" MATERIALS AND EDUCATIONAL SESSIONS TO 42 SCHOOLS AND 100 MEDICAL AND/OR SCHOOL PROFESSIONALS.HEALTH NEED IDENTIFIED: INCREASE SCHOOL READINESSSTRATEGY #1 - PROMOTE READING TO YOUNG CHILDREN THROUGH THE TOLEDO HEALTHY TOMORROWS/HELP ME GROW PROGRAM ON AN ONGOING BASIS.A) EDUCATE YOUNG LOW INCOME PARENTS ABOUT PARENTING AND THE BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS.B) PROVIDE FREE CHILDREN'S BOOKS AT HOME VISITS. 1) INCREASE FAMILIES IMPACTED BY ADDING THT PATHWAYS HOME VISITORS' ALSO PROVIDING LITERACY EDUCATION AND BOOKS TO FAMILIES.ACTIONS TAKEN:- EDUCATION PROVIDED TO 429 YOUNG LOW INCOME PARENTS AND 907 BOOKS WERE PROVIDED.STRATEGY #2 - PROVIDE AGE SPECIFIC DEVELOPMENTAL SCREENING FROM BIRTH TO AGE 3 FOR CHILDREN ENROLLED IN THT/HELP ME GROW PROGRAM. A) SCREEN ALL INFANTS AND CHILDREN TO AGE 3 YEARS WITH AGE APPROPRIATE AGES AND STAGES, THIRD EDITION.B) REFER ALL CHILDREN TO EARLY INTERVENTION THROUGH ESTABLISHED PROCEDURE IF SCREENING DETERMINES NEED FOR EVALUATION.ACTIONS TAKEN:- 480 SCREENINGS WERE COMPLETED, AND 27 REFERRALS WERE MADE TO EARLY INTERVENTION.GROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 1 -- THE TOLEDO HOSPITALPART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX
GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL PART V, SECTION B, LINE 11: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- HUNGER - OBESITYTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019.WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH CARE COVERAGE PERCEPTIONS, HEALTH CARE ACCESS AND UTILIZATION, CARDIOVASCULAR HEALTH, CANCER, DIABETES, ARTHRITIS, ASTHMA, TOBACCO USE, ALCOHOL CONSUMPTION AND DRUG USE, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND HEALTH SCREENINGS, ADULT SEXUAL BEHAVIOR, ADULT PREGNANCY OUTCOMES, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, SOCIAL ISSUES (EXCEPT HUNGER), MENTAL HEALTH AND SUICIDE, ORAL HEALTH, MINORITY HEALTH, HEALTH ISSUES SPECIFIC TO YOUTH AND CHILDREN, YOUTH WEIGHT, YOUTH TOBACCO USE, YOUTH ALCOHOL AND DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SAFETY AND VIOLENCE, CHILDREN'S HEALTH STATUS, CHILDREN DIAGNOSED WITH ASTHMA, CHILDREN DIAGNOSED WITH ADHD/ADD, CHILDREN DIAGNOSED WITH VISION PROBLEMS THAT CANNOT BE CORRECTED, CHILDREN'S HEALTH ACCESS, EARLY CHILDHOOD HEALTH, MIDDLE CHILDHOOD HEALTH, FAMILY FUNCTIONING/NEIGHBORHOODS, AND PARENT HEALTH.WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: HUNGERSTRATEGY #1 - SCREEN INPATIENTS ON ADMISSION FOR FOOD INSECURITY, AND PROVIDE FOOD TO TAKE HOME AT DISCHARGE IF FOOD INSECURITY IS IDENTIFIED.ACTIONS TAKEN: - ZERO (0) PATIENTS AT WILDWOOD SCREENED POSITIVE FOR FOOD INSECURITY IN 2018. A TOTAL OF 114 PATIENTS AT THE TOLEDO HOSPITAL (THAT WILDWOOD OPERATES UNDER) WERE PROVIDED WITH EMERGENCY FOOD BOXES AT DISCHARGE IN 2018.STRATEGY #2 - SCREEN OUTPATIENTS IN SPECIFIC PROMEDICA PRIMARY CARE OFFICES FOR FOOD INSECURITY, AND PROVIDE A REFERRAL TO A PROMEDICA FOOD PHARMACY AND/OR PROVIDE A LISTING OF FOOD AGENCIES TO ASSIST PATIENTS WITH FOOD ACCESS.ACTIONS TAKEN:- 1,424 UNIQUE HOUSEHOLDS, WITH NO CHILDREN, WERE SERVED AT THE PROMEDICA FOOD CLINIC (PHARMACY) IN 2018.HEALTH NEED IDENTIFIED: OBESITYSTRATEGY #1 - PROVIDE FREE COOKING MATTERS PROGRAMMING TO PARENTS AND FAMILIES THROUGHOUT THE COMMUNITY. COOKING MATTERS IS A 6-WEEK HEALTHY EATING AND COOKING CLASS FOR LOW-INCOME FAMILIES, WHICH WILL BE OFFERED AT THE PROMEDICA EBEID INSTITUTE'S TEACHING KITCHEN.ACTIONS TAKEN:- SIX (6) EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- 61 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.STRATEGY #2 - PROVIDE FREE COOKING MATTERS AT THE STORE PROGRAMMING TO PARENTS AND FAMILIES. COOKING MATTERS AT THE STORE IS A ONE-TIME, EDUCATIONAL GROCERY STORE TOUR TEACHING HEALTHY EATING ON A BUDGET.ACTIONS TAKEN: - FIVE (5) EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- 40 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.STRATEGY #3 - PROVIDE PHYSICAL ACTIVITY EDUCATION AS PART OF THE PROGRAMMING AT THE EBEID INSTITUTE FOR POPULATION HEALTH.ACTIONS TAKEN: - 12 EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- 600 PARTICIPANTS PARTICIPATED IN EDUCATIONAL SESSIONS.GROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPXGROUP A-FACILITY 2 -- WILDWOOD ORTHOPAEDIC & SPINE HOSPITALPART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX
GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 7A: THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/FLOWER-HOSPITAL/DOCUMENTS/PROMEDICA%20TOLEDO%20FLOWER%20WILDWOOD%20AND%20ARROWHEAD%20BEHAVIORAL%20HOSPITALS%202016%20JOINT%20COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT.PDFGROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 11: ARROWHEAD BEHAVIORAL HEALTH CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2016 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- SUBSTANCE ABUSE- MENTAL HEALTHTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF THE TAX YEAR 2016; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2017-2019.ARROWHEAD BEHAVIORAL HEALTH DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2016 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2016 IMPLEMENTATION PLAN INCLUDE: HEALTH CARE PERCEPTIONS/COVERAGE/ACCESS/UTILIZATION, CARDIOVASCULAR HEALTH, DIABETES, CANCER, ARTHRITIS, ASTHMA, AND OTHER RESPIRATORY DISEASES, WEIGHT STATUS, TOBACCO USE, ALCOHOL AND DRUG USE, ORAL HEALTH, WOMEN'S HEALTH, MEN'S HEALTH, PREVENTIVE MEDICINE AND ENVIRONMENTAL HEALTH, ADULT SEXUAL BEHAVIOR AND PREGNANCY OUTCOMES, ADULT MENTAL HEALTH, QUALITY OF LIFE, SOCIAL CONTEXT AND SAFETY, MENTAL HEALTH AND SUICIDE, YOUTH HEALTH OR CHILD HEALTH, YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH PERCEPTIONS, MATERNAL INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.ARROWHEAD BEHAVIORAL HEALTH DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2018 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2016:HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 - PROVIDE DRUG/ALCOHOL SCREENINGS VIA MOBILE ASSESSMENTS AT LOCAL EMERGENCY ROOMS, LUCAS COUNTY JAIL, SKILLED NURSING FACILITIES AND MEDICAL REHAB CENTERS.ACTIONS TAKEN:- PROVIDED EIGHT (8) DRUG/ALCOHOL SCREENINGS VIA MOBILE ASSESSMENTS AT LOCAL EMERGENCY ROOMS, LUCAS COUNTY JAIL, SKILLED NURSING FACILITIES AND MEDICAL REHAB CENTERS.STRATEGY #2 - PROVIDE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS, WHEN NEEDED.ACTIONS TAKEN: - PROVIDED FREE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS, WHEN NEEDED. STRATEGY #3 - CONTINUE ONGOING COLLABORATION WITH LUCAS COUNTY DART (DRUG ABUSE RESPONSE TEAM).ACTIONS TAKEN: - HAD ONGOING COLLABORATION WITH LUCAS COUNTY DART PROGRAM THROUGHOUT 2018 THROUGH COMMUNITY LIAISON PARTICIPATION.STRATEGY #4 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES, INCLUDING: RELAPSE PREVENTION, ALCOHOLICS ANONYMOUS AND NAMI FAMILY TO FAMILY.ACTIONS TAKEN:- 30 EDUCATIONAL SESSIONS WERE PROVIDED IN 2018.- UNKNOWN (NUMEROUS) PARTICIPANTS WERE IN EDUCATIONAL SESSIONS IN 2018.HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES.ACTIONS TAKEN: - PARTICIPATED IN 30 COMMUNITY AWARENESS/EDUCATION ACTIVITIES IN 2018.STRATEGY #2 - CONTINUE TO PROVIDE INPATIENT CARE TO UNINSURED PATIENTS REGARDLESS OF ABILITY TO PAY.ACTIONS TAKEN:- PROVIDED INPATIENT CARE TO 29 OF UNINSURED PATIENTS IN 2018.STRATEGY #3 - CONTINUE SCREENING, EDUCATION AND WORKFORCE DEVELOPMENT OFFERED TO THE COMMUNITY TOGETHER WITH PROMEDICA FLOWER HOSPITAL PSYCHIATRIC SERVICES.ACTIONS TAKEN: - ARROWHEAD BEHAVIORAL HEALTH STAFF PARTICIPATED IN MULTIPLE NAMI (NATIONAL ALLIANCE FOR MENTAL ILLNESS) EVENTS, INCLUDING DONATION OF $2,500 FOR A SPONSORSHIP FOR THE NAMI WALK. ARROWHEAD BEHAVIORAL HEALTH ALSO HOSTED THE NAMI FAMILY-TO-FAMILY COMMUNITY GROUPS DURING THE SPRING AND FALL SESSIONS.GROUP B-FACILITY 3 -- ARROWHEAD BEHAVIORAL HEALTHPART V, SECTION B, LINE 20E: PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS: - PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITY TO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THE PATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENT MAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IF THE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOES NOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICES AND PHONE CALLS FOR MULTIPLE MONTHS
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?71
Name and address Type of Facility (describe)
1 1 - PROMEDICA HICKMAN CANCER CENTER
5300 HARROUN RD STE 010
SYLVANIA,OH43560
ONCOLOGY
2 2 - PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVD
TOLEDO,OH43606
GROUND AND AIR TRANSPORT
3 3 - PARKWAY SURGERY CENTER
2120 W CENTRAL AVE
TOLEDO,OH43606
SURGICAL CENTER/LAB
4 4 - ENDOSCOPY CENTER
5700 MONROE ST
SYLVANIA,OH43560
ENDOSCOPY
5 5 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109
SYLVANIA,OH43560
LAB & RADIOLOGY
6 6 - NORTHWEST OHIO CARDIOLOGY
2940 N MCCORD RD
TOLEDO,OH43615
CARDIOLOGY
7 7 - WEST CENTRAL SURGICAL CENTER
7055 W CENTRAL AVE
TOLEDO,OH43617
SURGERY CENTER
8 8 - PROMEDICA CHILDREN'S AUTISM CENTER
2040 W CENTRAL
TOLEDO,OH43606
AUTISM CENTER
9 9 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109
SYLVANIA,OH43560
LAB
10 10 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109
SYLVANIA,OH43560
PULMONARY FUNCTION
11 11 - PROMEDICA HEALTH & WELLNESS CENTER
5700 MONROE ST SUITE 109
SYLVANIA,OH43560
RADIOLOGY
12 12 - HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DR
TOLEDO,OH43606
RADIOLOGY
13 13 - PROMEDICA LABS
3120 W CENTRAL AVE STE 300
TOLEDO,OH43606
CHECK LAB OR RAD
14 14 - TOLEDO CHILDREN'S HEART CENTER
2121 HUGHES DR
TOLEDO,OH43606
CARDIOLOGY
15 15 - CENTER FOR WOUND CARE OF NW OHIO
3110 CENTRAL AVE STE A
TOLEDO,OH43606
WOUND CARE
16 16 - SPORTSCARE AT WILDWOOD MEDICAL CENTER
2865 N REYNOLDS RD STE 110
TOLEDO,OH43615
PHYSICAL THERAPY
17 17 - TOTAL REHAB PEDIATRICS
4041 W SYLVANIA AVE STE 100
TOLEDO,OH43623
PHYSICAL THERAPY
18 18 - PROMEDICA WILDWOOD
2865 N REYNOLDS RD
TOLEDO,OH43615
RADIOLOGY
19 19 - TOTAL REHAB WILDWOOD
2865 N REYNOLDS RD STE 101
TOLEDO,OH43615
PHYSICAL THERAPY
20 20 - PROMEDICA NEUROSCIENCE CENTER
2130 W CENTRAL AVE
TOLEDO,OH43606
NEUROSCIENCE
21 21 - JOBST VASCULAR INSTITUTE - TOLEDO
2109 HUGHES DR
TOLEDO,OH43606
VASCULAR
22 22 - MONROE CARDIOLOGY TESTING CENTER
730 N MACOMB ST
MONROE,OH48162
CARDIOLOGY
23 23 - CHS PEDIATRICS
2150 W CENTRAL AVE 2ND FLOOR
TOLEDO,OH43606
PEDIATRICS
24 24 - TOLEDO HOSPITAL TOTAL REHAB AT CTR
2150 W CENTRAL AVE
TOLEDO,OH43606
PHYSICAL THERAPY
25 25 - PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIR STE 120
MAUMEE,OH43537
LAB
26 26 - PROMEDICA VASCULAR LAB - SYLVANIA
5700 MONROE ST
SYLVANIA,OH43560
VASCULAR
27 27 - PERRYSBURG MEDICAL CTR
1601 BRIGHAM DR STE 180
PERRYSBURG,OH43551
LAB
28 28 - CENTER FOR HEALTH SVCS
2150 W CENTRAL AVE RM H
TOLEDO,OH43606
LAB
29 29 - TOLEDO HOSPITAL AT CONRAD JOBST TOWER
2109 HUGHES DR 1ST FLOOR
TOLEDO,OH43606
LAB
30 30 - TOTAL REHAB AT PERRYSBURG
1601 BRIGHAM DR
PERRYSBURG,OH43551
PHYSICAL THERAPY
31 31 - PROMEDICA HEALTH CENTER ARROWHEAD
660 BEAVER CREEK CIRCLE
MAUMEE,OH43537
RADIOLOGY
32 32 - CHS WOMENS
2150 W CENTRAL AVE
TOLEDO,OH43606
WOMENS CARE
33 33 - TOLEDO HOSPITAL CARDIAC TESTING CTR
1601 BRIGHAM DR
PERRYSBURG,OH43551
CARDIOLOGY
34 34 - HARRIS MCINTOSH RADIOLOGY
2121 HUGHES DR
TOLEDO,OH43606
PULMONARY
35 35 - TOTAL REHAB AT MAUMEE ARROWHEAD
660 BEAVER CREEK CIRCLE
MAUMEE,OH43537
PHYSICAL THERAPY
36 36 - PROMEDICA HEALTH CTR LAMBERTVILLE
7579 SECOR RD
LAMBERTVILLE,OH48144
LAB
37 37 - PROMEDICA LABS MCCORD RD
3020 N MCCORD RD STE 101
TOLEDO,OH43615
LAB
38 38 - PROMEDICA LAB - TOLEDO HOSPITAL
2100 W CENTRAL AVE
TOLEDO,OH43606
LAB
39 39 - PROMEDICA LABS
2141 GIANT ST
TOLEDO,OH43606
LAB
40 40 - TOLEDO HOSPITAL FAMILY RESIDENCY
2100 W CENTRAL AVE SUITE 200
TOLEDO,OH43606
FAMILY MEDICINE CENTER
41 41 - PROMEDICA WILDWOOD
2865 N REYNOLDS RD SUITE 150
TOLEDO,OH43615
LAB
42 42 - PROMEDICA PERRYSBURG
1601 BRIGHAM DR
PERRYSBURG,OH43551
LAB
43 43 - PROMEDICA MAUMEE ONCOLOGY
5805 MONCLOVA RD
MAUMEE,OH43537
ONCOLOGY
44 44 - FLOWER MOB LAB
5308 HARROUN RD STE 0050
SYLVANIA,OH43560
LAB
45 45 - PROMEDICA LAB - POINT PLACE
4805 SUDER RD
TOLEDO,OH43611
LAB
46 46 - PROMEDICA PERRYSBURG - VASCULAR
1601 BRIGHAM DR
PERRYSBURG,OH43551
VASCULAR
47 47 - PROMEDICA PERRYSBURG
1601 BRIGHAM DR
PERRYSBURG,OH43551
RADIOLOGY
48 48 - NWO BREAST MRI
2121 HUGHES DR SUITE 300
TOLEDO,OH43606
RADIOLOGY
49 49 - PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIRCLE
SWANTON,OH43558
LAB
50 50 - PROMEDICA ROSSFORD
1215 GRASSY LANE
ROSSFORD,OH43460
LAB
51 51 - PROMEDICA WELLNESS CENTER
5700 MONROE ST
SYLVANIA,OH43560
PULMONARY FUNCTION
52 52 - PROMEDICA LAB - TOLEDO HOSP MED COMPLX
2100 W CENTRAL AVE
TOLEDO,OH43606
LAB
53 53 - PROMEDICA CENTER FOR HEALTH SERVICES - R
2150 W CENTRAL AVE
TOLEDO,OH43606
WOMENS CARE
54 54 - PROMEDICA HEMATOLOGYONCOLOGY ASSOC
5308 HARROUN RD STE 0055
SYLVANIA,OH43560
CANCER CARE
55 55 - JOBST ANTICOAGULATION - TOLEDO
2109 HUGHES DR
TOLEDO,OH43606
ANTICOAGULATION CLINIC
56 56 - PROMEDICA HEALTH CENTER - EAST
3156 DUSTIN RD STE 102
OREGON,OH43616
LAB
57 57 - PROMEDICA PHYSICIANS GENERAL SURGERY BAR
5700 MONROE ST
SYLVANIA,OH43560
BARIATRIC
58 58 - PROMEDICA MARY ELLEN FALZONE DIABETES CE
2100 W CENTRAL AVE
TOLEDO,OH43606
DIABETES CARE
59 59 - PROMEDICA MEDICAL CENTER
445 W 4TH STREET
FOSTORIA,OH44830
LAB
60 60 - PROMEDICA PHYSICIANS GYNOONCOLOGY
2109 HUGHES DR STE 820
TOLEDO,OH43606
WOMENS CARE
61 61 - JULIE MILLER DO
2150 W CENTRAL AVE
TOLEDO,OH43606
PHYSICAL MEDICINE
62 62 - SPORTSCARE AT PROFESSIONAL PARK
4848 HOLLAND-SYLVANIA AVE STE 202
SYLVANIA,OH43560
PHYSICAL THERAPY
63 63 - TOTAL REHAB AT SPRING MEADOWS
6855 SPRING VALLEY DR STE 155
HOLLAND,OH43528
PHYSICAL THERAPY
64 64 - TOTAL REHAB - PROMEDICA OWENS CORNING
1 OWENS CORNING PARKWAY
TOLEDO,OH43659
PHYSICAL THERAPY
65 65 - TOTAL REHAB AT BEDFORD
2000 W DEAN RD
TEMPERANCE,OH48182
PHYSICAL THERAPY
66 66 - PROMEDICA NORTHWEST OHIO HEMOPHILIA CENT
2109 HUGHES DR STE 860
TOLEDO,OH43606
HEMOPHILIA
67 67 - CHS HEMOPHILIA
2150 W CENTRAL AVE
TOLEDO,OH43606
HEMOPHILIA
68 68 - PROMEDICA PHYSICIANS ORTHO SURGERY
5300 HARROUN RD STE 118
SYLVANIA,OH43560
RADIOLOGY
69 69 - PROMEDICA DIABETES & NUTRITION EDU
3110 W CENTRAL AVE
TOLEDO,OH43606
DIABETES CARE
70 70 - RENAL CARE GROUP DIALYSIS
3100 W CENTRAL AVE STE 100
TOLEDO,OH43606
DIALYSIS
71 71 - CHS OCCUHEALTH
2142 NORTH COVE BLVD
TOLEDO,OH43606
LAB
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A: THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7: THE TOLEDO HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART III, LINE 2: THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3: THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4: PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 19 AND 20 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION.
PART III, LINE 8: MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2018 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
PART III, LINE 9B: FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2: PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3: THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4: THE TOLEDO HOSPITAL, LOCATED IN TOLEDO, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 802,000. APPROXIMATELY, 17% OF THE SERVICE AREA IS AGE 65 OR OVER; 37% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000; 42% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 47% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 430,000 WITH APPROXIMATELY 18% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 30% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 13% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2018 WAS 5.1%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, LUNG DISEASE, STROKE, DIABETES, CANCER, ALZHEIMER'S AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO 2018 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 66 OF 88 COUNTIES FOR HEALTH OUTCOMES, 62 OF 88 FOR LENGTH OF LIFE, AND 71 OF 88 FOR QUALITY OF LIFE. THERE ARE THIRTEEN HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., MONROE REGIONAL HOSPITAL, AND FULTON COUNTY HEALTH CENTER.
PART VI, LINE 5: THE TOLEDO HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2018:- THERE WERE MORE THAN 340 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), INCLUDING ITS SUBSIDIARIES. OF THOSE BOARD MEMBERS, 99% LIVED WITHIN PROMEDICA'S 27-COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. EACH BOARD WAS COMPRISED OF DIVERSE MEMBERS, INCLUDING, IN THE AGGREGATE, 42% WOMEN, 15% RACIAL/ETHNIC MINORITIES, AND 20% PHYSICIANS. - PROMEDICA DID NOT COMPENSATE BOARD MEMBERS FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER BUSINESS UNITS. BOARD MEMBERS' DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, WERE PERFORMED ON A VOLUNTEER BASIS. - PROMEDICA'S MEDICAL STAFF PRIVILEGES WERE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MET THOSE QUALIFICATIONS WAS GRANTED PRIVILEGES, UPON THEIR REQUEST.- AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED THE SYSTEM-WIDE UPGRADE TO THE NEW EPIC 2018 PLATFORM. THE UPGRADE ALLOWS PROMEDICA TO TAKE ADVANTAGE OF ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT.- PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. SCREENINGS WERE ALSO EXPANDED TO HOSPITAL INPATIENTS, USING THE SAME QUESTIONS. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE.- FREE MAMMOGRAMS AND LUNG CANCER SCREENINGS WERE PROVIDED WITH THE GOAL OF EARLY DETECTION. ADDITIONALLY, COLORECTAL CANCER EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED FOR THOSE AT RISK. SUN SAFETY EDUCATION WAS PROVIDED TO ELEMENTARY SCHOOL CHILDREN TO HELP PREVENT FUTURE CASES OF SKIN CANCER, AS WELL.- PROMEDICA'S FOUNDATION RAISED FUNDS FOR PHILANTHROPY IN SUPPORT OF PROMEDICA'S MISSION TO IMPROVE HEALTH AND WELL-BEING. ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES WERE CONDUCTED TO RAISE FUNDS THAT SUPPORT PATIENTS AND FAMILIES, AS WELL AS LOCAL COMMUNITIES. NEEDS OF LOCAL COMMUNITIES INCLUDING, BUT NOT LIMITED TO HEALTH-RELATED PROGRAMS, SERVICES, EQUIPMENT, AND FACILITY CONSTRUCTION/RENOVATION ARE IDENTIFIED, IN PART, THROUGH A COMMUNITY NEEDS ASSESSMENT.
PART VI, LINE 6: PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2018 PROMEDICA WAS COMPRISED OF MORE THAN 57,000 EMPLOYEES, APPROXIMATELY 2,500 VOLUNTEERS AND MORE THAN 2,600 HEALTHCARE PROVIDERS, INCLUDING APPROXIMATELY 900 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP (PPG), WHO FORM A PROVIDER NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. IN 2018:- PROMEDICA MEMBERS INCLUDED: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL D/B/A PROMEDICA BAY PARK HOSPITAL; EMMA L. BIXBY MEDICAL CENTER D/B/A PROMEDICA BIXBY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC. D/B/A PROMEDICA HERRICK HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL; DEFIANCE HOSPITAL, INC. D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION D/B/A PROMEDICA MONROE REGIONAL HOSPITAL; MEMORIAL HOSPITAL D/B/A PROMEDICA MEMORIAL HOSPITAL; COMMUNITY HEALTH CENTER OF BRANCH COUNTY D/B/A PROMEDICA COLDWATER REGIONAL HOSPITAL; PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION.- PROMEDICA MANAGED APPROXIMATELY 1.9 MILLION PPG EMPLOYED PROVIDER ENCOUNTERS, 62,000 SURGERIES, 7,800 BIRTHS, AND 345,000 EMERGENCY ROOM VISITS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF OVER $266,410,000, WHICH INCLUDED FREE HEALTH SCREENINGS, PARTICIPATION IN PUBLIC HEALTH FAIRS, MEDICAL LECTURES AT AREA SENIOR CENTERS, AND NUTRITION EDUCATION IN ELEMENTARY SCHOOLS, PLUS MUCH MORE. - PROMEDICA CONTINUED TO OPERATE TWO FOOD CLINICS - ONE AT THE PROMEDICA HEALTH AND WELLNESS CENTER AND THE OTHER AT PROMEDICA'S CENTER FOR HEALTH SERVICES - TO SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEMSELVES AND THEIR FAMILY FROM EITHER FOOD CLINIC. AS PART OF THE PROGRAM, EACH PATIENT RECEIVED TWO TO THREE DAYS OF SUPPLEMENTAL FOOD. THROUGH DECEMBER 2018, THERE WERE MORE THAN 10,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,300 UNIQUE HOUSEHOLDS, IN EFFORTS TO HELP REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 78,255 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 234,765 MEALS. - PROMEDICA BIXBY AND HERRICK HOSPITALS PROVIDED THE $5 VEGGIE MOBILE VOUCHERS TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. THESE PATIENTS COULD REDEEM THEM FOR FRESH PRODUCE AT ANY OF THE VEGGIE MOBILE STOPS. IN 2018, NEARLY 100 PATIENTS IDENTIFIED AS FOOD INSECURE WERE PROVIDED A FOOD BOX AND VEGGIE MOBILE VOUCHERS UPON DISCHARGE.- PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. SCREENINGS WERE ALSO EXPANDED TO HOSPITAL INPATIENTS, USING THE SAME QUESTIONS. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE. PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDED BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES AND A FINANCIAL OPPORTUNITY CENTER TO PROVIDE FINANCIAL COUNSELING FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD.- PROMEDICA ANNOUNCED ITS PARTNERSHIP WITH THE NATIONAL NON-PROFIT LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TO INVEST $10 MILLION EACH AS PART OF THE EBEID NEIGHBORHOOD PROMISE INITIATIVE BEGUN IN 2017. WORK HAS BEGUN IN TOLEDO'S UPTOWN NEIGHBORHOOD, WHERE PROMEDICA AND LISC ALREADY WORK TOGETHER TO OPERATE THE FINANCIAL OPPORTUNITY CENTER (FOC) HOUSED AT THE EBEID CENTER. NEW PROJECTS INCLUDE REDEVELOPING A VACANT BUILDING INTO RETAIL AND OFFICE SPACE, AND TRANSFORMING A NEARBY VACANT BUILDING FOR COMMERCIAL AND RESIDENTIAL USE. ADDITIONALLY, PROMEDICA IS PARTNERING WITH GOODWILL INDUSTRIES OF NORTHWEST OHIO TO ADD A JOB-TRAINING COMPONENT TO ITS EBEID NEIGHBORHOOD PROMISE. - BIWEEKLY, MONTHLY AND ANNUAL PROGRAMS FOR HEALTH PROFESSIONS EDUCATION (CONTINUING MEDICAL EDUCATION) WERE OFFERED THROUGHOUT 2018. MORE THAN 1,500 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED TO PROMEDICA PHYSICIAN GROUP PROVIDERS, MEDICAL STAFF MEMBERS, NURSES, AND OTHER ALLIED HEALTH PROFESSIONALS.
Schedule H (Form 990) 2018
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number
34-4428256
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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
noncash assistance
(h) Purpose of grant
or assistance
(1) PROMEDICA CONTINUING CARE SERVICES CORPORATION
100 MADISON AVE
TOLEDO,OH43604
34-4492440 501(C)(3) 3,674,497       OPERATING GRANT
(2) PROMEDICA HEALTH SYSTEM INC
100 MADISON AVE
TOLEDO,OH43604
34-1517671 501(C)(3) 23,000,000       OPERATING GRANT
(3) PROMEDICA PHYSICIAN GROUP
100 MADISON AVE
TOLEDO,OH43604
34-1899439 501(C)(3) 15,000,000       OPERATING GRANT
(4) PROMEDICA FOUNDATION
444 N SUMMIT ST
TOLEDO,OH43604
34-1517672 501(C)(3) 1,095,119       OPERATING GRANT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
4
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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 AN AFFILIATE 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) 2018



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on 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
 
 
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
 
 
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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on 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" on 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) 2018

Schedule J (Form 990) 2018
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 on 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 in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1ARTURO POLIZZI
PRES., EX OFFICIO (THRU 10/21/18)
(i)

(ii)
0
-------------
377,515
0
-------------
244,500
0
-------------
15,519
0
-------------
0
0
-------------
26,604
0
-------------
664,138
0
-------------
0
2DAVID SCOTT MIERZWIAK MD
TRUSTEE
(i)

(ii)
0
-------------
221,344
0
-------------
151,300
0
-------------
123,245
0
-------------
255,915
0
-------------
40,806
0
-------------
792,610
0
-------------
66,600
3DEBORAH A GUNTSCH MD
TRUSTEE
(i)

(ii)
15,000
-------------
222,022
0
-------------
92,867
0
-------------
3,333
0
-------------
0
0
-------------
27,753
15,000
-------------
345,975
0
-------------
0
4KEVIN C WEBB PHD
EX OFFICIO
(i)

(ii)
0
-------------
553,892
0
-------------
261,069
0
-------------
10,564
0
-------------
28,858
0
-------------
29,231
0
-------------
883,614
0
-------------
0
5LEE W HAMMERLING MD
TRUSTEE
(i)

(ii)
0
-------------
704,232
0
-------------
308,500
0
-------------
58,566
0
-------------
11,000
0
-------------
43,694
0
-------------
1,125,992
0
-------------
23,822
6NEERAJ K KANWAL MD
PRES., EX OFFICIO (BEG 12/01/18)
(i)

(ii)
0
-------------
332,073
0
-------------
214,000
0
-------------
49,035
0
-------------
20,851
0
-------------
36,381
0
-------------
652,340
0
-------------
0
7RAVI K ADUSUMILLI MD
TRUSTEE
(i)

(ii)
0
-------------
537,239
0
-------------
0
0
-------------
38,034
0
-------------
0
0
-------------
53,027
0
-------------
628,300
0
-------------
0
8JEFFREY C KUHN
SECRETARY
(i)

(ii)
0
-------------
540,493
0
-------------
238,408
0
-------------
30,139
0
-------------
40,353
0
-------------
29,032
0
-------------
878,425
0
-------------
0
9MICHAEL P BROWNING
TREASURER
(i)

(ii)
0
-------------
703,353
0
-------------
516,162
0
-------------
27,122
0
-------------
25,025
0
-------------
56,829
0
-------------
1,328,491
0
-------------
0
10RANDALL OOSTRA
PHS PRES & CEO, EX OFFICIO
(i)

(ii)
0
-------------
1,514,553
0
-------------
1,012,405
0
-------------
377,287
0
-------------
122,095
0
-------------
34,978
0
-------------
3,061,318
0
-------------
0
11ALISON S AVENDT
VP, OPERATIONS TTH & PRES, PTN
(i)

(ii)
0
-------------
114,844
0
-------------
40,500
0
-------------
82,632
0
-------------
206,043
0
-------------
477
0
-------------
444,496
0
-------------
0
12ANN M KUJAWA
VP PROMEDICA CANCER INSTITUTE
(i)

(ii)
0
-------------
157,825
0
-------------
39,400
0
-------------
2,396
0
-------------
10,229
0
-------------
37,025
0
-------------
246,875
0
-------------
0
13DARRIN M ARQUETTE
SR. VP, NEURO, HEART AND VASC
(i)

(ii)
0
-------------
221,026
0
-------------
91,800
0
-------------
1,651
0
-------------
11,201
0
-------------
48,972
0
-------------
374,650
0
-------------
0
14DAVID BREWER
ADMIN DIR., ACUTE CARE FINANCE
(i)

(ii)
0
-------------
147,185
0
-------------
3,500
0
-------------
8,056
0
-------------
5,836
0
-------------
48,681
0
-------------
213,258
0
-------------
0
15DAWN BUSKEY
PRES, REGIONAL ACUTE CARE MI
(i)

(ii)
0
-------------
309,070
0
-------------
170,635
0
-------------
3,226
0
-------------
24,168
0
-------------
26,106
0
-------------
533,205
0
-------------
75,000
16DEANA L SIEVERT
SR. VP, PAT CARE/CNO, SYSTEM
(i)

(ii)
0
-------------
245,666
0
-------------
143,500
0
-------------
14,831
0
-------------
81,382
0
-------------
41,306
0
-------------
526,685
0
-------------
75,000
17GARY W AKENBERGER
COO, ACUTE CARE & SVP, DIAG
(i)

(ii)
0
-------------
331,601
0
-------------
172,000
0
-------------
44,652
0
-------------
27,580
0
-------------
36,896
0
-------------
612,729
0
-------------
75,000
18KENT E BISHOP MD
CXO & CMO, PPG & ACUTE CARE
(i)

(ii)
0
-------------
543,307
0
-------------
0
0
-------------
16,272
0
-------------
0
0
-------------
53,747
0
-------------
613,326
0
-------------
0
19MIKE M ARISS
VP, OPERATIONAL SERVICES
(i)

(ii)
0
-------------
183,976
0
-------------
59,700
0
-------------
8,675
0
-------------
5,095
0
-------------
26,923
0
-------------
284,369
0
-------------
0
20PAULA L GRIEB
VP, PAT CARE/ASSOC CNO, METRO
(i)

(ii)
0
-------------
184,859
0
-------------
53,300
0
-------------
26,139
0
-------------
9,304
0
-------------
13,760
0
-------------
287,362
0
-------------
0
21SCOTT FOUGHT
VP, FINANCE, ACUTE CARE OPS
(i)

(ii)
0
-------------
258,064
0
-------------
67,597
0
-------------
28,627
0
-------------
14,276
0
-------------
46,669
0
-------------
415,233
0
-------------
0
22THADIUS L WADSWORTH
VP SURGICAL SERVICES OPERATION
(i)

(ii)
0
-------------
164,477
0
-------------
23,400
0
-------------
497
0
-------------
4,748
0
-------------
16,377
0
-------------
209,499
0
-------------
0
23FEDOR LURIE
ASSOC. DIR. RESEARCH ED. VASC.
(i)

(ii)
212,781
-------------
0
0
-------------
0
1,331
-------------
0
5,497
-------------
0
35,092
-------------
0
254,701
-------------
0
0
-------------
0
24JAMES STEHLIK
PERFUSIONIST
(i)

(ii)
179,818
-------------
0
0
-------------
0
2,322
-------------
0
6,571
-------------
0
29,732
-------------
0
218,443
-------------
0
0
-------------
0
25JOSHUA OVENS
RN, CRITICAL CARE TRANSPORT
(i)

(ii)
194,893
-------------
0
1,241
-------------
0
3,182
-------------
0
7,224
-------------
0
47,784
-------------
0
254,324
-------------
0
0
-------------
0
26KEVIN FLEMING
MANAGER, PERFUSION
(i)

(ii)
188,172
-------------
0
0
-------------
0
1,083
-------------
0
9,776
-------------
0
46,985
-------------
0
246,016
-------------
0
0
-------------
0
27SVEN GALLO
SR. MEDICAL PHYSICIST
(i)

(ii)
178,919
-------------
0
0
-------------
0
6,919
-------------
0
4,760
-------------
0
45,270
-------------
0
235,868
-------------
0
0
-------------
0
28ALAN M SATTLER
FORMER OFFICER
(i)

(ii)
0
-------------
148,474
0
-------------
11,047
0
-------------
3,001
0
-------------
8,443
0
-------------
46,098
0
-------------
217,063
0
-------------
0
29JOSEPH SFERRA
FORMER KEY EMPLOYEE
(i)

(ii)
0
-------------
648,141
0
-------------
100,000
0
-------------
2,749
0
-------------
0
0
-------------
2,746
0
-------------
753,636
0
-------------
99,900
30KATHLEEN S HANLEY
FORMER OFFICER
(i)

(ii)
0
-------------
0
0
-------------
0
0
-------------
1,569,411
0
-------------
0
0
-------------
0
0
-------------
1,569,411
0
-------------
1,569,411
31LORI FERGUSON
FORMER KEY EMPLOYEE
(i)

(ii)
0
-------------
0
0
-------------
0
117,701
-------------
0
0
-------------
0
21,280
-------------
0
138,981
-------------
0
0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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 3 PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF THE TOLEDO HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4A: UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR 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. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: ALISON S. AVENDT $38,633 DAVID SCOTT MIERZWIAK, MD $80,815 LORI FERGUSON $121,182
PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED 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. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KATHLEEN S. HANLEY $1,569,411 LEE W. HAMMERLING, MD $23,822 IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.
Schedule J (Form 990) 2018
Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number
34-4428256
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A COUNTY OF LUCAS OHIO
 
34-6400806 549310VL1 09-30-2015 45,586,125 SEE PART VI   X   X   X
B SERIES 2011 A & B BONDS - SEE PART VI
 
549310UL2 02-09-2011 197,051,617 SEE PART VI X     X   X
C SERIES 2011 D & E BONDS - SEE PART VI
 
549310VD9 12-01-2011 152,004,328 SEE PART VI X     X   X
D COUNTY OF LUCAS OHIO
 
34-6400806 000000000 12-29-2017 299,500,000 SEE PART VI   X   X   X
COUNTY OF LUCAS OHIO
 
34-6400806 549310VM9 12-29-2017 142,500,000 SEE PART VI   X   X   X
COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY
 
38-6005798 000000000 12-29-2017 24,945,000 SEE PART VI   X   X   X
COUNTY OF LUCAS OHIO
 
34-6400806 549310WE6 10-25-2018 261,485,311 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 80,000,000 815,000 8,710,000  
2 Amount of bonds legally defeased ..............   193,935,000 40,300,000  
3 Total proceeds of issue .................. 45,598,957 199,572,288 152,004,328 299,500,000
4 Gross proceeds in reserve funds ............. 645      
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   24,123,799   235,977,596
7 Issuance costs from proceeds ............... 586,084 2,337,157 1,505,879 4,263
8 Credit enhancement from proceeds .............     839,544  
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 45,012,873 127,520,671 107,835,809  
11 Other spent proceeds ............. 62,500,000 69,714,460 150,498,449 68,273,140
12 Other unspent proceeds .............     62,263,290  
13 Year of substantial completion ............. 2018 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X X  
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X      
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0.010 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0 % 0 % 0.010 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X      
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X   X X  
b Exception to rebate? ........   X   X X     X
c No rebate due? .........   X X     X   X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, SUPPLEMENTAL INFORMATION: PART I: SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2011 BOND DETAIL ISSUER NAME: 2011 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310UL2 & 549310UJ7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $180,148,535 PURPOSE: REFINANCE THE PROMEDICA HEALTHCARE 2008B BONDS ISSUED 05/15/2008. FINANCE THE COST OF ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP. MATURITY: 11/15/2041 ISSUER NAME: 2011 SERIES B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PBE7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $16,903,082 PURPOSE: REFINANCE THE REDEMPTION OF THE PROMEDICA HEALTH CARE OBLIGATED GROUP SERIES 2008C BONDS ISSUED 05/15/2008. MATURITY: 11/15/2035 ISSUER NAME: 2011 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VD9 DATE ISSUED: 12/01/2011 ISSUE PRICE: $142,575,271 PURPOSE: TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE REMAINING OUTSTANDING MATURITIES OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2030 ISSUER NAME: 2011 SERIES E - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PB56 DATE ISSUED: 12/01/2011 ISSUE PRICE: $9,429,057 PURPOSE: REFINANCE THE EARLY OPTIONAL REDEMPTION OF THE LENAWEE HEALTH ALLIANCE OBLIGATED GROUP SERIES 1999A BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2028 SERIES 2017 BOND DETAIL ISSUER NAME: 2017 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $54,710,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008D BONDS ISSUED 05/15/2008. MATURITY: 11/15/2040 ISSUER NAME: 2017 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $120,010,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $84,980,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $39,800,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011. MATURITY: 11/15/2029 ISSUER NAME: 2017 SERIES F AND G - COUNTY OF LUCAS, OHIO ISSUER EIN: 34-6400806 CUSIP: 549310VM9 DATE ISSUED: 12/29/2017 ISSUE PRICE: $142,500,000 PURPOSE: TO REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008A BONDS ISSUED 5/15/2008 AND TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2034 ISSUER NAME: 2017 SERIES H - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN : 38-6005798 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $24,945,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011B & 2011E BONDS ISSUED 02/09/2011 & 12/01/2011. FORM 8038 FOR THIS ISSUE ERRONEOUSLY REPORTS THAT THE BONDS ALSO REFUNDED SERIES 2008D ISSUED 5/15/2008, BUT THAT REPORTING WAS IN ERROR. MATURITY: 11/15/2035 SERIES 2018 BOND DETAIL ISSUER NAME: 2018 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN : 34-6400806 CUSIP #: 549310WE6 DATE ISSUED: 10/25/2018 ISSUE PRICE: $261,485,311 PURPOSE: REFINANCING THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011C BONDS ISSUED 5/25/2011 & 2017G BONDS ISSUED 12/29/2017 AND FINANCE THE CONSTRUCTION AND EQUIPPING OF REPLACEMENT HOSPITAL CAMPUS ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2048 PART I, LINE C OF ENTITY 2, COLUMN (C): ENTERED HERE IS THE CUSIP FOR THE LATEST MATURITY; THIS INFORMATION WAS INADVERTENTLY OMITTED FROM THE FORM 8038 FOR THE ISSUE. PART I, COLUMN (E): DIFFERENCES BETWEEN THE ISSUE PRICES SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART III, COLUMN (C), SERIES 2011 D & E BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE SERIES 2011 D & E BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. PART IV, COLUMN (B), LINE 2C, SERIES 2011 A & B BONDS: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/22/2016. PART IV, LINE 6: CERTAIN OF THESE BOND ISSUES CONSTITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
Schedule K (Form 990) 2018

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number
34-4428256
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A COUNTY OF LUCAS OHIO
 
34-6400806 549310VL1 09-30-2015 45,586,125 SEE PART VI   X   X   X
B SERIES 2011 A & B BONDS - SEE PART VI
 
549310UL2 02-09-2011 197,051,617 SEE PART VI X     X   X
C SERIES 2011 D & E BONDS - SEE PART VI
 
549310VD9 12-01-2011 152,004,328 SEE PART VI X     X   X
D COUNTY OF LUCAS OHIO
 
34-6400806 000000000 12-29-2017 299,500,000 SEE PART VI   X   X   X
COUNTY OF LUCAS OHIO
 
34-6400806 549310VM9 12-29-2017 142,500,000 SEE PART VI   X   X   X
COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY
 
38-6005798 000000000 12-29-2017 24,945,000 SEE PART VI   X   X   X
COUNTY OF LUCAS OHIO
 
34-6400806 549310WE6 10-25-2018 261,485,311 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 80,000,000 815,000 8,710,000  
2 Amount of bonds legally defeased ..............   193,935,000 40,300,000  
3 Total proceeds of issue .................. 45,598,957 199,572,288 152,004,328 299,500,000
4 Gross proceeds in reserve funds ............. 645      
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   24,123,799   235,977,596
7 Issuance costs from proceeds ............... 586,084 2,337,157 1,505,879 4,263
8 Credit enhancement from proceeds .............     839,544  
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 45,012,873 127,520,671 107,835,809  
11 Other spent proceeds ............. 62,500,000 69,714,460 150,498,449 68,273,140
12 Other unspent proceeds .............     62,263,290  
13 Year of substantial completion ............. 2018 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X X  
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X      
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0.010 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0 % 0 % 0.010 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X      
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X   X X  
b Exception to rebate? ........   X   X X     X
c No rebate due? .........   X X     X   X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, SUPPLEMENTAL INFORMATION: PART I: SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2011 BOND DETAIL ISSUER NAME: 2011 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310UL2 & 549310UJ7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $180,148,535 PURPOSE: REFINANCE THE PROMEDICA HEALTHCARE 2008B BONDS ISSUED 05/15/2008. FINANCE THE COST OF ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN OTHER OHIO HEALTHCARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP. MATURITY: 11/15/2041 ISSUER NAME: 2011 SERIES B - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PBE7 DATE ISSUED: 02/09/2011 ISSUE PRICE: $16,903,082 PURPOSE: REFINANCE THE REDEMPTION OF THE PROMEDICA HEALTH CARE OBLIGATED GROUP SERIES 2008C BONDS ISSUED 05/15/2008. MATURITY: 11/15/2035 ISSUER NAME: 2011 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VD9 DATE ISSUED: 12/01/2011 ISSUE PRICE: $142,575,271 PURPOSE: TO FINANCE THE EARLY OPTIONAL REDEMPTION OF THE REMAINING OUTSTANDING MATURITIES OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 1999 BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2030 ISSUER NAME: 2011 SERIES E - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN: 38-6005798 CUSIP#: 52601PB56 DATE ISSUED: 12/01/2011 ISSUE PRICE: $9,429,057 PURPOSE: REFINANCE THE EARLY OPTIONAL REDEMPTION OF THE LENAWEE HEALTH ALLIANCE OBLIGATED GROUP SERIES 1999A BONDS ISSUED 04/01/1999 AND 07/26/1999. MATURITY: 11/15/2028 SERIES 2017 BOND DETAIL ISSUER NAME: 2017 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $54,710,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008D BONDS ISSUED 05/15/2008. MATURITY: 11/15/2040 ISSUER NAME: 2017 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $120,010,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $84,980,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $39,800,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011. MATURITY: 11/15/2029 ISSUER NAME: 2017 SERIES F AND G - COUNTY OF LUCAS, OHIO ISSUER EIN: 34-6400806 CUSIP: 549310VM9 DATE ISSUED: 12/29/2017 ISSUE PRICE: $142,500,000 PURPOSE: TO REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008A BONDS ISSUED 5/15/2008 AND TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2034 ISSUER NAME: 2017 SERIES H - COUNTY OF LENAWEE HOSPITAL FINANCE AUTHORITY ISSUER EIN : 38-6005798 CUSIP #: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $24,945,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011B & 2011E BONDS ISSUED 02/09/2011 & 12/01/2011. FORM 8038 FOR THIS ISSUE ERRONEOUSLY REPORTS THAT THE BONDS ALSO REFUNDED SERIES 2008D ISSUED 5/15/2008, BUT THAT REPORTING WAS IN ERROR. MATURITY: 11/15/2035 SERIES 2018 BOND DETAIL ISSUER NAME: 2018 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN : 34-6400806 CUSIP #: 549310WE6 DATE ISSUED: 10/25/2018 ISSUE PRICE: $261,485,311 PURPOSE: REFINANCING THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011C BONDS ISSUED 5/25/2011 & 2017G BONDS ISSUED 12/29/2017 AND FINANCE THE CONSTRUCTION AND EQUIPPING OF REPLACEMENT HOSPITAL CAMPUS ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2048 PART I, LINE C OF ENTITY 2, COLUMN (C): ENTERED HERE IS THE CUSIP FOR THE LATEST MATURITY; THIS INFORMATION WAS INADVERTENTLY OMITTED FROM THE FORM 8038 FOR THE ISSUE. PART I, COLUMN (E): DIFFERENCES BETWEEN THE ISSUE PRICES SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART III, COLUMN (C), SERIES 2011 D & E BONDS: PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE SERIES 2011 D & E BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES. PART IV, COLUMN (B), LINE 2C, SERIES 2011 A & B BONDS: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/22/2016. PART IV, LINE 6: CERTAIN OF THESE BOND ISSUES CONSTITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
Schedule K (Form 990) 2018

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.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting 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) 2018
Schedule L (Form 990 or 990-EZ) 2018
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 40,264 SEE PART V   No
(2) SEE PART V
 
SEE PART V 26,574 SEE PART V   No
(3) SEE PART V
 
SEE PART V 42,698 SEE PART V   No
(4) SEE PART V
 
SEE PART V 1,341,475 SEE PART V   No
(5) SEE PART V
 
SEE PART V 746,518 SEE PART V   No
(6) SEE PART V
 
SEE PART V 317,486 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: CHRISTINE WEBER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: CHRISTINE WEBER IS A FAMILY MEMBER OF JAMES F. WEBER (TRUSTEE).(C) AMOUNT OF TRANSACTION: $40,264(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: FAITH SUTTER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: FAITH SUTTER IS A FAMILY MEMBER OF MARTIN P. SUTTER (TRUSTEE).(C) AMOUNT OF TRANSACTION: $26,574(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: LISA TOFT(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: LISA TOFT IS A FAMILY MEMBER OF BRADLEY J. TOFT (TRUSTEE).(C) AMOUNT OF TRANSACTION: $42,698(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $1,341,475(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $746,518(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: SUBSTANTIAL CONTRIBUTOR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: SUBSTANTIAL CONTRIBUTOR(C) AMOUNT OF TRANSACTION: $317,486(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION REVENUES? = NO
Schedule L (Form 990 or 990-EZ) 2018


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

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OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 THOMAS GEORGE PADANILAM, MD AND DAWN BUSKEY HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6 AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11B 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 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 SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE 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 SOC SURVEYS (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 COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, 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 SURVEY RESULTS 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, EXCLUDING EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES AND SPECIFICALLY IDENTIFIED HOURLY EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. 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 AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. 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, THE CHIEF HUMAN RESOURCE OFFICER, 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. EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE AND THE CHIEF OPERATING OFFICER FOR PROMEDICA PHYSICIAN GROUP (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PHYSICIANS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PHYSICIAN STANDARD OF CONDUCT AND THE PHYSICIAN CERTIFICATION STATEMENT WHICH THE NEW PHYSICIAN IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PHYSICIAN AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE APPROPRIATE PHYSICIAN BY THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE IN ADVANCE OF THE POSTING. THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE.
FORM 990, PART VI, SECTION B, LINE 15 THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. 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 VI, SECTION B, LINE 16B: JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S 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 IX, LINE 11G GENERAL FEES: PROGRAM SERVICE EXPENSES 33,294,854. MANAGEMENT AND GENERAL EXPENSES 679,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,974,341. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 39,911,379. MANAGEMENT AND GENERAL EXPENSES 814,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,725,898. NON-PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,502. MANAGEMENT AND GENERAL EXPENSES 112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,614. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,578,950. MANAGEMENT AND GENERAL EXPENSES 154,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,733,622. SERVICE CONTRACTOR FEES: PROGRAM SERVICE EXPENSES 3,209,285. MANAGEMENT AND GENERAL EXPENSES 65,496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,274,781. LAUNDRY FEES: PROGRAM SERVICE EXPENSES 3,383,635. MANAGEMENT AND GENERAL EXPENSES 69,054. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,452,689. TEMP AGENCY FEES: PROGRAM SERVICE EXPENSES 9,160,814. MANAGEMENT AND GENERAL EXPENSES 186,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,347,769.
FORM 990, PART XI, LINE 9: PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -84,066. BENEFICIAL INTEREST IN FOUNDATION -17,133,801. SECTION 337(D) GAIN -591,289. TRANSFER OF NET ASSETS FROM FLOWER HOSPITAL 125,228,431. TRANSFER OF NET ASSETS FROM HCR MANORCARE, INC. 32,906,568. TRANSFER OF NET ASSETS TO PROMEDICA HEALTH SYSTEM, INC. -1,156,000,000. REVERSAL OF PRIOR YEAR GRANTS 17,500,000.
FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - 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 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. 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 2018 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 MORE THAN 600 SITES, MORE THAN 2,000 PHYSICIANS AND APPROXIMATELY 57,000 EMPLOYEES AND VOLUNTEERS. DURING 2018, PROMEDICA DISCHARGED 65,585 INPATIENTS AND SERVED 1,259,585 OUTPATIENTS, WHILE HANDLING 294,959 EMERGENCY VISITS SYSTEM-WIDE AS WELL AS 92,795 URGENT CARE VISITS AND MORE THAN 1,456 VIRTUAL VISITS THROUGH PROMEDICA ONDEMAND. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2018, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 27 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $4.0 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. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, 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 FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS 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); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; MEMORIAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY. IN 2018 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 900 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS. TOGETHER, THIS GROUP HELPS PROMEDICA BROADEN THE CARE WE OFFER TO AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2018, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 248,000 MEMBERS ACROSS ALL OF OHIO'S 88 COUNTIES. - 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 PROMEDICA FLOWER HOSPITAL CAMPUS AND THE MARY ELLEN FALZONE DIABETES CENTER ON THE CAMPUS OF PROMEDICA TOLEDO HOSPITAL. 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 APPROXIMATELY 300 NONPROFIT AGENCIES AND ORGANIZATIONS ACROSS OUR REGION IN 2018 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 2018 INCLUDE THE FOLLOWING: - IN JULY 2018, PROMEDICA ACQUIRED THE OPERATIONS OF HCR MANORCARE, INC. (EIN: 27-4239231). CONCURRENTLY, A JOINT VENTURE WAS FORMED BETWEEN HCR MANORCARE, INC. (EIN: 82-5373223, FORMERLY SUBURBAN HEALTHCO, INC.) AND A REAL ESTATE INVESTMENT TRUST (REIT) WHICH ACQUIRED THE REAL PROPERTY USED IN HCR MANORCARE, INC.'S OPERATIONS. AS THE OPERATOR, HCR MANORCARE, INC. (EIN: 82-5373223) ENTERED INTO AN AMENDED AND RESTATED MASTER LEASE WITH THE JOINT VENTURE FOR THE REAL PROPERTY. HCR MANORCARE, INC. IS A LEADING PROVIDER OF SHORT-TERM, POST-ACUTE CARE SERVICES AND LONG-TERM CARE, WITH A NETWORK OF MORE THAN 400 ASSISTED LIVING FACILITIES, SKILLED NURSING AND REHABILITATION CENTERS, MEMORY CARE COMMUNITIES, OUTPATIENT REHABILITATION CLINICS, AND HOSPICE AND HOME HEALTH AGENCIES. THE ACQUISITION POSITIONS PROMEDICA AS ONE OF THE TOP 15 LARGEST U.S. HEALTH SYSTEMS IN THE NATION, ALLOWING US TO EXPAND THE CONTINUUM OF CARE AND ENHANCE THE HEALTH AND WELL-BEING OF AMERICA'S AGING POPULATION. - PROMEDICA EARNED THE GOLD AWARD FOR EXCELLENCE FROM THE PARTNERSHIP FOR EXCELLENCE (TPE) FOLLOWING A RIGOROUS EVALUATION OF PROMEDICA'S APPLICATION BASED ON CRITERIA OF THE BALDRIGE FRAMEWORK FOR EXCELLENCE. APPLICANTS ARE EVALUATED IN SEVEN AREAS DEFINED BY THE FRAMEWORK, INCLUDING: LEADERSHIP; STRATEGY; CUSTOMERS; MEASUREMENT, ANALYSIS AND KNOWLEDGE MANAGEMENT; WORKFORCE; OPERATIONS; AND RESULTS. - IN ADDITION TO SYSTEM RECOGNITION, PROMEDICA MEMORIAL HOSPITAL RECEIVED THE 2018 PLATINUM GOVERNOR'S AWARD FOR EXCELLENCE FROM THE PARTNERSHIP FOR EXCELLENCE, THE HIGHEST HONOR FOR PERFORMANCE EXCELLENCE IN OUR REGION. - A NEW NEUROSCIENCES CENTER ON THE PROMEDICA TOLEDO HOSPITAL CAMPUS OPENED ITS DOORS TO PATIENTS IN 2018. PROMEDICA PHYSICIANS, NEUROLOGISTS, AND NEUROSURGEONS AS WELL AS UNIVERSITY OF TOLEDO (UT) NEUROLOGISTS AND NEUROSURGEONS HAVE ALL RELOCATED TO THIS ONE COLLABORATIVE SPACE AS AN EXTENSION OF PROMEDICA'S ACADEMIC AFFILIATION WITH THE UT COLLEGE OF MEDICINE. - PROMEDICA ANNOUNCED IT IS TEAMING UP WITH THE NATIONAL NON-PROFIT LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TO INVEST $10 MILLION EACH AS PART OF THE EBEID NEIGHBORHOOD PROMISE INITIATIVE BEGUN IN 2017. WORK WILL BEGIN IN TOLEDO'S UPTOWN NEIGHBORHOOD WHERE PROMEDICA AND LISC ALREADY WORK TOGETHER TO OPERATE THE FINANCIAL OPPORTUNITY CENTER (FOC) HOUSED AT THE EBEID CENTER. ADDITIONALLY, PROMEDICA ANNOUNCED THAT IT IS PARTNERING WITH GOODWILL INDUSTRIES OF NORTHWEST OHIO TO ADD A JOB-TRAINING COMPONENT TO ITS EBEID NEIGHBORHOOD PROMISE. - THE GENERATIONS OF CARE PROJECT CAPITAL CAMPAIGN, FOR THE NEW BED TOWER ON THE PROMEDICA TOLEDO HOSPITAL CAMPUS, RECEIVED A $2.5 MILLION DONATION FROM TOUCHSTONE WEALTH PARTNERS. THE GENERATIONS TOWER WILL OPEN TO PATIENTS IN SUMMER 2019, EQUIPPED WITH THE LATEST MEDICAL TECHNOLOGY AND EQUIPMENT, AND OFFERING ALL PRIVATE PATIENT ROOMS, HELPING TO ADVANCE PROMEDICA'S MISSION NOW AND WELL INTO THE FUTURE.
- PROMEDICA RECEIVED A $500,000 DONATION FROM KEYBANK TOWARD THE EBEID NEIGHBORHOOD PROMISE THAT WILL SUPPORT THE FINANCIAL OPPORTUNITY CENTER (FOC) PROGRAM, AS WELL AS OTHER HEALTH EFFORTS AT THE CENTER AND FOR THE COMMUNITY. - PROMEDICA CONTINUES TO EMPHASIZE A CULTURE OF SAFETY ACROSS ITS HOSPITALS AND OUTPATIENT SERVICES. THE YEAR-END SERIOUS SAFETY EVENT RATE (SSER) WAS 0.82, WITH A SERIOUS SAFETY EVENT (SSE) OCCURRING SOMEWHERE IN THE SYSTEM EVERY 6.3 DAYS. - PROMEDICA CONTINUED TO GROW AS AN ACADEMIC HEALTH CENTER, WITH MORE THAN 125 RESIDENTS AND FELLOWS FROM THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES (UT COM) JOINING THE RESIDENCY PROGRAM AT PROMEDICA TOLEDO HOSPITAL IN 2018. THIS MARKS THE THIRD WAVE OF INTEGRATION OF LEARNERS AT PROMEDICA UNDER THE ACADEMIC AFFILIATION WITH UT COM, WITH PROMEDICA NOW HOSTING FOUR TIMES THE NUMBER OF RESIDENTS AND FELLOWS THAN BEFORE THE AFFILIATION WAS SIGNED. - THE PROMEDICA HEART RHYTHM CENTER OPENED AT PROMEDICA TOLEDO HOSPITAL IN 2018 TO ENSURE THAT PATIENTS WITH HEART RHYTHM CONDITIONS HAVE ACCESS TO THE HIGHEST QUALITY AND MOST ADVANCED CARE. THE 6,500 SQUARE-FOOT CENTER FEATURES THREE DEDICATED ELECTROPHYSIOLOGY LABS AND NEW EQUIPMENT INCLUDING THREE TYPES OF 3D-CARDIAC IMAGING. - IN 2018, COMMUNITY HEALTH CENTER OF BRANCH COUNTY, BECAME PROMEDICA'S 13TH HOSPITAL. THE HOSPITAL, DOING BUSINESS AS PROMEDICA COLDWATER REGIONAL HOSPITAL, SERVES THE COLDWATER, MICHIGAN COMMUNITY PROVIDING COMPASSIONATE CARE AND OUTSTANDING CLINICAL OUTCOMES, WHILE SUPPORTING THE PROMEDICA MISSION TO IMPROVE HEALTH AND WELL-BEING. - THE NEW LENAWEE COUNTY HOSPITAL, TO BE NAMED THE PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL, COMMEMORATED THE HIGHEST STEEL BEAM BEING PLACED ATOP THE FACILITY WITH A "TOPPING OFF" CEREMONY. THE 205,000 SQUARE FOOT FACILITY WILL REPLACE BOTH PROMEDICA BIXBY AND HERRICK HOSPITALS WHEN IT IS COMPLETED. THE NEW FACILITY WILL FEATURE 58 ACUTE CARE BEDS AND A 28-BED EMERGENCY CENTER, AS WELL AS DEDICATED BEHAVIORAL HEALTH BEDS, INPATIENT AND OUTPATIENT SURGERY CENTERS, AND A WOMEN'S HEALTH CENTER, ALONG WITH MANY OTHERS. THE HOSPITAL IS NAMED FOR THE HICKMAN FAMILY, WHO MADE THE LARGEST DONATION IN THE HISTORY OF PROMEDICA TO HELP US BETTER SERVE THE LENAWEE COUNTY COMMUNITY. - PROMEDICA GRANTS SECURED $336,000 FROM THE MICHIGAN HEALTH ENDOWMENT FUND TO BE USED TO ESTABLISH A FARM ON THE NEW HOSPITAL CAMPUS IN LENAWEE COUNTY. THE FUND SUPPORTS EFFORTS TO IMPROVE THE QUALITY OF HEALTH CARE WHILE REDUCING COSTS AND ADVANCING HEALTH AND WELLNESS. THE NEW PROMEDICA GROWS PROGRAM WILL CONSIST OF GROWING ORGANIC PRODUCE YEAR-ROUND ON A 3-ACRE FARM. THE FARM WILL INCLUDE EDUCATIONAL SPACE FOR YOUTH, A THERAPEUTIC HEALING SPACE FOR PATIENTS AND SENIORS, AND A SANCTUARY OF QUIET REFLECTION FOR STAFF AND THE COMMUNITY. - PROMEDICA AND SONIC HEALTHCARE USA ENTERED INTO A JOINT VENTURE THROUGH ITS RESPECTIVE SUBSIDIARIES. THE JOINT VENTURE PROVIDES A GROWTH OPPORTUNITY FOR PROMEDICA, AS IT EXTENDS OUR FOOTPRINT ACROSS OHIO, MICHIGAN, AND INDIANA FOR LABORATORY SERVICES. - AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED THE SYSTEM-WIDE UPGRADE TO THE NEW EPIC 2018 PLATFORM. THE UPGRADE ALLOWS PROMEDICA TO TAKE ADVANTAGE OF SOME OF THE MANY ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT. - THE UNIVERSITY OF TOLEDO (UT) COLLEGE OF NURSING AND PROMEDICA EXPANDED THEIR PARTNERSHIP TO ADDRESS NURSING EDUCATION AS WELL AS CURRENT AND FUTURE HEALTHCARE INDUSTRY CHALLENGES. THE PLANNED PARTNERSHIP WILL FOCUS ON ENHANCING UNDERGRADUATE AND GRADUATE NURSING EDUCATION. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS ACROSS THE REGION THAT INCLUDED FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - PROMEDICA CANCER INSTITUTE'S (PCI) COMMUNITY OUTREACH INCLUDED CANCER SCREENINGS AND EDUCATION TO THE MOST VULNERABLE IN OUR COMMUNITY. FREE SCREENING MAMMOGRAMS AS WELL AS LUNG CANCER SCREENINGS WERE PROVIDED FOR EARLY DETECTION. COLORECTAL CANCER EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY, WHILE SUN SAFETY EDUCATION WAS PROVIDED TO ELEMENTARY SCHOOL CHILDREN TO HELP PREVENT FUTURE CASES OF SKIN CANCER. PCI ALSO HOSTED ANNUAL CANCER SURVIVOR CELEBRATIONS FOR SURVIVORS, FRIENDS AND CAREGIVERS ACROSS THE REGION AND SPONSORED COMMUNITY EVENTS INCLUDING THE ANNUAL NW OHIO SUSAN G. KOMEN, RACE FOR THE CURE AND AMERICAN CANCER SOCIETY RELAY FOR LIFE IN LUCAS COUNTY. - PROMEDICA AND THE TOLEDO ZOO ANNOUNCED A PARTNERSHIP TO RENOVATE THE ZOO'S MORE THAN 80-YEAR-OLD MUSEUM OF SCIENCE. RENOVATIONS ARE EXPECTED TO BE COMPLETED IN SPRING 2019 WITH A FOCUS ON BIODIVERSITY THROUGHOUT THE COURSE OF HISTORY IN NORTHWEST OHIO. - PROMEDICA WAS THE LEAD SPONSOR FOR THE SECOND ANNUAL SUMMER CONCERT SERIES IN 2018. THE WEEKLY CONCERTS TOOK PLACE AT THE RENOVATED PROMENADE PARK, IN DOWNTOWN TOLEDO, FROM JUNE THROUGH SEPTEMBER AND FEATURED A VARIETY OF LOCAL AND NATIONAL MUSICIANS AND MUSIC GENRES. - PROMEDICA OPENED THE MAUMEE CANCER CENTER IN 2018 TO PROVIDE HIGH-QUALITY CANCER CARE CLOSE TO HOME FOR MAUMEE RESIDENTS. CLINICAL SERVICES AT THE CENTER INCLUDE MEDICAL AND RADIATION ONCOLOGY, CARE NAVIGATION, AND A WIDE RANGE OF SUPPORT PROGRAMS SUCH AS SOCIAL WORK, NUTRITION COUNSELING WITH DIETITIANS, HEALING CARE PROGRAMS, AND GENETIC COUNSELING. THROUGH THE CENTER, PATIENTS NOW HAVE ACCESS TO THE PROMEDICA CANCER INSTITUTE'S COMPLETE SPECTRUM OF CANCER CARE SERVICES AND RESOURCES. - PROMEDICA HOSTED ITS FIRST SOCIAL DETERMINANTS OF HEALTH RESEARCH CONFERENCE IN 2018. MORE THAN 250 PHYSICIANS, EXECUTIVES, CLINICIANS, AND COMMUNITY LEADERS ATTENDED THE FULL-DAY CONFERENCE, WHICH WAS FOCUSED ON USING RESEARCH TO VALIDATE HOW PROMEDICA IS IMPROVING OUTCOMES AND REDUCING COSTS VIA ITS SOCIAL DETERMINANTS OF HEALTH (SDOH) INTERVENTIONS. - PROMEDICA CONTINUES TO OPERATE TWO FOOD CLINICS - ONE AT THE PROMEDICA HEALTH AND WELLNESS CENTER AND THE OTHER AT PROMEDICA'S CENTER FOR HEALTH SERVICES - TO SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEM AND THEIR FAMILY FROM THIS LOCATION OR THE ORIGINAL FOOD PHARMACY LOCATED AT PROMEDICA'S CENTER FOR HEALTH SERVICES. AS PART OF THE PROGRAM, EACH PATIENT RECEIVES TWO TO THREE DAYS OF SUPPLEMENTAL FOOD FOR THEIR FAMILY. THROUGH DECEMBER 2018, MORE THAN 10,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,300 UNIQUE HOUSEHOLDS, IN EFFORTS TO HELP REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 78,255 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 234,765 MEALS. - FOR ITS MICHIGAN PATIENTS, PROMEDICA OFFERED VEGGIE MOBILE VOUCHERS TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. PROMEDICA BIXBY AND HERRICK HOSPITALS PROVIDE THE $5 VOUCHERS SO PATIENTS CAN REDEEM THEM FOR FRESH PRODUCE AT ANY OF THE VEGGIE MOBILE STOPS. IN 2018, NEARLY 100 PATIENTS IDENTIFIED AS FOOD INSECURE WERE PROVIDED A FOOD BOX AND VEGGIE MOBILE VOUCHERS UPON DISCHARGE. - PROMEDICA'S FINANCIAL OPPORTUNITY CENTER (FOC), PROVIDED EDUCATION AND COUNSELING TO APPROXIMATELY 1,000 INDIVIDUALS. HOUSED IN THE EBEID INSTITUTE, FOC HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING, AS WELL AS FREE TAX PREPARATION THROUGH THE OHIO BENEFIT BANK. FOC ALSO OFFERS A DIGITAL LITERACY SERIES TO ASSIST INDIVIDUALS WISHING TO IMPROVE THEIR COMPUTER LITERACY AND SKILLS TO BE MORE MARKETABLE TO PROSPECTIVE EMPLOYERS. IN 2018, PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. SCREENINGS ALSO WERE EXPANDED TO HOSPITAL INPATIENTS, USING THE SAME QUESTIONS. PATIENTS WHO SCREEN POSITIVE FOR ANY OF THE FACTORS ARE CONNECTED TO NECESSARY COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 34 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 INNOVATION'S BUSINESS INCUBATOR ALLOWS CLIENT COMPANIES IN THE HEALTHCARE FIELD TO ACCELERATE DEVELOPMENT AND COMMERCIALIZATION OF MEDICAL DEVICES AND HEALTH INFORMATION TECHNOLOGY TO IMPROVE PATIENT CARE LOCALLY AND NATIONALLY.
IN 2018, PROMEDICA CONTRIBUTED $266,410,000 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 ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $72,488,000 IN 2018. 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; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $12,791,000 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 2018 WAS $54,439,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $266,410,000 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 2018, PROMEDICA PROVIDED $181,131,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2018 WAS $116,399,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $266,410,000 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.
THE TOLEDO HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTS THE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. FOR MORE THAN 130 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METROPOLITAN TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 792-BED HOSPITAL OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS ADVANCE PRACTICE PROVIDERS. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICES TO THE METRO-TOLEDO AREA, SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES MATERNAL-FETAL MEDICINE AND A LEVEL III PERINATAL UNIT; JOBST VASCULAR INSTITUTE; PROMEDICA BREAST CARE; AND A LEVEL I TRAUMA CENTER. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDIC DEPARTMENTS, A NATIONALLY RECOGNIZED BARIATRIC PROGRAM, A CERTIFIED COMPREHENSIVE STROKE CENTER, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 100,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY, RADIOLOGY, AS WELL AS PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. PROMEDICA TOLEDO CHILDREN'S HOSPITAL (TCH), OPERATING AS PART OF TH, PROVIDES PEDIATRIC TERTIARY CARE. TCH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS UNDER THE AGE OF 18. TCH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WHILE A NEWBORN INTENSIVE CARE UNIT INCLUDES A NEONATAL PHYSICIAN AND PEDIATRIC HOSPITALIST WHO ARE ON DUTY 24 HOURS A DAY. OTHER TCH SPECIALTY SERVICES INCLUDE A PEDIATRIC CANCER CENTER, ASTHMA TREATMENT AND EDUCATION SERVICES, PEDIATRIC PSYCHIATRY, AND A DEDICATED LEVEL II PEDIATRIC TRAUMA CENTER. IN 2018, TH CONTINUED CONSTRUCTION OF ITS NEW GENERATIONS BED TOWER. THE NEW FACILITY WILL BE 13 STORIES TALL WITH MORE 300 PATIENT BEDS AND WILL OFFER IMPROVED ACCESS FOR PATIENTS WHILE PROVIDING THE LATEST TECHNOLOGY AND PROCESSES TO ENSURE A SAFE, HIGH QUALITY ENVIRONMENT FOR PATIENT CARE AND HEALING. THE GENERATIONS TOWER IS EXPECTED TO OPEN FOR PATIENT CARE IN SUMMER 2019. IN 2018, TH WAS NAMED ONE OF AMERICA'S 50 BEST HOSPITALS BY HEALTHGRADES. THE AWARD RECOGNIZES THE TOP 2% OF HOSPITALS IN THE NATION FOR EXHIBITING CLINICAL EXCELLENCE FOR AT LEAST FOUR CONSECUTIVE YEARS. ADDITIONALLY, BECKER'S NAMED TH TO ITS LIST OF 100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT HEART PROGRAMS AS WELL AS ITS LIST OF 100 HOSPITALS WITH GREAT WOMEN'S HEALTH PROGRAMS. ADDITIONALLY, IN 2018 PROMEDICA FLOWER HOSPITAL (FH) LEGALLY BECAME A DIVISION OF TOLEDO HOSPITAL AND THE HICKMAN CANCER CENTER BECAME A DEPARTMENT OF TOLEDO HOSPITAL. THE CHANGES HELPS TO CONSOLIDATE METRO REGION OPERATIONS FOR GREATER COST EFFICIENCY, WHILE INCREASING ACCESS TO SERVICE A GREATER NUMBER OF PATIENTS WHO WOULD OTHERWISE FIND CHALLENGES IN AFFORDING TREATMENT AND CARE. A DIVISION OF TH, PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (WOSH) IS AN ALL-DIGITAL, 42-BED ACUTE CARE FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS AND OTHERS WHO EXPERIENCE CHRONIC PAIN FROM JOINT DISEASE. THIS UNIQUE, FREE-STANDING HOSPITAL SERVES ONLY ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES ALL IN ONE CONVENIENT AND EASILY ACCESSIBLE LOCATION. AGAIN IN 2018, WOSH RECEIVED NATIONAL RECOGNITION WITH THE PRESS GANEY GUARDIAN OF EXCELLENCE AWARD, PRESENTED TO ORGANIZATIONS SCORING IN THE 95TH PERCENTILE OR HIGHER FOR PATIENT EXPERIENCE METRICS. IN 2018, TH SERVED 33,546 INPATIENTS; 465,017 OUTPATIENTS; AND 91,792 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $106,198,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, TH CONTRIBUTED $48,091,000 TO THE COMMUNITY DURING 2018. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - THE COME TO THE TABLE INITIATIVE THAT PROVIDES 24 HOURS' WORTH OF FOOD TO PATIENTS WHO QUALIFY FOR FOOD INSECURITY BY COMPLETING A QUESTIONNAIRE. - THE AUTISM COLLABORATIVE - A COLLABORATION BETWEEN TCH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES - TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH MANAGING CHRONIC DISEASE AND TO OFFER SOCIAL SERVICES INFORMATION. - WITH THE GOAL OF IMPROVING INFANT MORTALITY RATES IN OUR REGION, A NURSING MOTHERS SUPPORT GROUP IS OFFERED AT NO CHARGE THROUGHOUT THE YEAR. - THE TEEN PEP (PEERS EDUCATING PEERS) PROGRAM EXTENDS CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS, BY ENCOURAGING TEENS TO TALK WITH THEIR PEERS ABOUT IMPORTANT TOPICS SUCH AS TEEN RELATIONSHIPS, BULLYING, AND PHYSICAL AND EMOTIONAL ABUSE. - FREE AND LOW-COST OUTPATIENT CLINICS THAT OFFER A WIDE ARRAY OF HEALTH SERVICES INCLUDING IMMUNIZATIONS, VASCULAR SCREENINGS AND TREATMENT OF MINOR ILLNESSES THAT MIGHT NOT REQUIRE AN EMERGENCY CENTER VISIT BUT STILL REQUIRE MEDICAL ATTENTION. - PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - FREE SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZES THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2018, OF WHICH $6,173,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2018 WAS $9,736,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $106,198,000 INDICATED ABOVE. FURTHER, TH PROVIDED $51,934,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. ALSO IN 2018, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $33,650,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $106,198,000 NOTED ABOVE. DURING 2018, TH EXPENDED $181,151,000 IN NET PAYROLL, PROVIDING 4,529 JOBS IN NORTHWEST OHIO. A TOTAL OF $11,285,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, TH DEMONSTRATES PROMEDICA'S 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 (PROMEDICA) PREPARES ITS COMMUNITY BENEFIT REPORTS CONSISTENT WITH 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 PROMEDICA RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, PROMEDICA 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 GOVERNMENT MEANS-TESTED PROGRAMS SUCH AS MEDICAID. PROMEDICA 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 PROMEDICA'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 GENERALLY DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY PROMEDICA. 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 ALL EDUCATIONAL PROGRAMS PROMEDICA IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. 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 COMMUNITY NEEDS. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR PROMEDICA 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 THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS 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) 2018


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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
THE TOLEDO HOSPITAL
 
Employer identification number

34-4428256
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (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) MIDWEST CARDIOVASCULAR CONSULTANTS LLC
100 MADISON AVE
TOLEDO,OH43604
61-1448753
EMPLOYS PHYSICIANS OH 0 736,336 PROMEDICA PHYSICIAN GROUP
 
(2) PROMEDICA CENTRAL PHYSICIANS LLC
100 MADISON AVE
TOLEDO,OH43604
34-1881137
EMPLOYS PHYSICIANS OH 354,649,647 181,933,294 PROMEDICA PHYSICIAN GROUP
 
(3) PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
100 MADISON AVE
TOLEDO,OH43604
26-3888045
EMPLOYS PHYSICIANS OH 17,769,096 -80,836,806 PROMEDICA PHYSICIAN GROUP
 
(4) THE PHARMACY COUNTER LLC
100 MADISON AVE
TOLEDO,OH43604
27-1325141
MEDICAL EQUIPMENT & PHARMACY OH 56,708,108 20,301,908 PROMEDICA PHYSICIAN GROUP
 
(5) WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN
ADRIAN,MI49221
38-3164818
FACILITY LEASING MI 119,263 1,642,312 EMMA L BIXBY MEDICAL CENTER
 
(6) PROMEDICA MONROE CARDIOLOGY PLLC
100 MADISON AVE
TOLEDO,OH43604
27-2920342
EMPLOYS PHYSICIANS MI 980,675 -4,689,889 PROMEDICA PHYSICIAN GROUP
 
(7) ERIE WEST HOSPICE & PALLIATIVE CARE LTD
100 MADISON AVE
TOLEDO,OH43604
20-5752995
PROVIDES HOSPICE CARE OH 4,904,176 11,613,404 PROMEDICA CONTINUUM SERVICES
 
(8) PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
100 MADISON AVE
TOLEDO,OH43604
45-3230331
PRACTICE MANAGEMENT OH 0 -3,618,016 PROMEDICA PHYSICIAN GROUP
 
(9) PROMEDICA SURGICAL SERVICES LLC
100 MADISON AVE
TOLEDO,OH43604
EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(10) MISSION POINTE GOLF COURSE LLC
2142 NORTH COVE
TOLEDO,OH43606
GOLF COURSE OH 0 394,588 PROMEDICA FOUNDATION
 
(11) PROMEDICA INNOVATIONS LLC
100 MADISON AVE
TOLEDO,OH43604
INVESTMENT COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(12) PROMEDICA GENITO-URINARY SURGEONS LLC
100 MADISON AVE
TOLEDO,OH43604
46-1120436
EMPLOYS PHYSICIANS OH 5,837,695 -17,434,894 PROMEDICA PHYSICIAN GROUP
 
(13) PROMEDICA MONROE PHYSICIANS PLLC
100 MADISON AVE
TOLEDO,OH43604
46-1111822
EMPLOYS PHYSICIANS MI 10,180,701 -12,596,368 PROMEDICA PHYSICIAN GROUP
 
(14) PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVE
TOLEDO,OH43604
45-4976786
EMPLOYS PHYSICIANS OH 0 162,176 PROMEDICA PHYSICIAN GROUP
 
(15) PROMEDICA HOSPITALISTS LLC
100 MADISON AVE
TOLEDO,OH43604
EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(16) PROMEDICA HOSPITALISTS PLLC
100 MADISON AVE
TOLEDO,OH43604
EMPLOYS PHYSICIANS MI 0 0 PROMEDICA PHYSICIAN GROUP
 
(17) MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVE
FREMONT,OH43420
20-5763680
EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(18) MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVE
FREMONT,OH43420
27-3763993
EMPLOYS PHYSICIANS OH 11,357,703 -13,164,795 PROMEDICA PHYSICIAN GROUP
 
(19) PHS VENTURES LLC
100 MADISON AVE
TOLEDO,OH43604
34-1880473
HEALTH CARE MANAGEMENT SERVICES DE 0 0 PROMEDICA HEALTH SYSTEM INC
 
(20) 300 MADISON BUILDING LLC
100 MADISON AVE
TOLEDO,OH43604
82-2062486
REAL ESTATE OH 2,478,025 16,935,384 PROMEDICA HEALTH SYSTEM INC
 
(21) MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVE
TOLEDO,OH43604
REAL ESTATE OH 0 3,915,257 PROMEDICA HEALTH SYSTEM INC
 
(22) PHS INVESTMENTS LLC
100 MADISON AVE
TOLEDO,OH43604
INVESTMENT COMPANY OH 0 19,882,948 THE TOLEDO HOSPITAL
 
(23) PROMEDICA INTERNATIONAL LLC
100 MADISON AVE
TOLEDO,OH43604
CONSULTING SERVICES OH 785,700 0 PROMEDICA HEALTH SYSTEM INC
 
(24) PROMEDICA ACTIVE MOBILITY LLC
100 MADISON AVE
TOLEDO,OH43604
81-5178173
DURABLE MEDICAL EQUIPMENT OH 217,481 35,124 PROMEDICA HEALTH SYSTEM INC
 
(25) 1611 MONROE INVESTORS LLC
100 MADISON AVE
TOLEDO,OH43604
REAL ESTATE OH 0 151,840 PROMEDICA HEALTH SYSTEM INC
 
(26) BALL PARK PROPERTIES LLC
100 MADISON AVE
TOLEDO,OH43604
82-3954332
REAL ESTATE OH 0 1,118,158 PROMEDICA HEALTH SYSTEM INC
 
(27) PROMEDICA PRIMARY CARE PROVIDERS LLC
100 MADISON AVE
TOLEDO,OH43604
83-1731861
EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(28) TOLEDO RIVERFRONT HOTEL LLC
100 MADISON AVE
TOLEDO,OH43604
47-2211190
REAL ESTATE OH 517,083 8,774,753 PROMEDICA HEALTH SYSTEM INC
 
(29) KAPIOS LLC
2865 N REYNOLDS RD
TOLEDO,OH43615
81-2624635
SOFTWARE DEVELOPMENT OH -331,796 193,400 PROMEDICA HEALTH SYSTEM INC
 
(30) ANCILLARY SERVICES MANAGEMENT LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1636874
MEDICAL SUPPLIES OH 0 0 HCR HEALTHCARE LLC
 
(31) ARDEN COURTS OF ARLINGTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624126
ASSISTED LIVING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(32) ARDEN COURTS OF HAMDEN CT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625105
ASSISTED LIVING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(33) ARDEN COURTS OF HAZEL CREST IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621940
ASSISTED LIVING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(34) ARDEN COURTS OF LOUISVILLE KY LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622079
ASSISTED LIVING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(35) HCR CANTERBURY VILLAGE LLC
333 N SUMMIT ST
TOLEDO,OH43604
38-2032536
SKILLED NURSING FACILITY DE 0 0 HCR HEALTHCARE LLC
 
(36) HCR HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624435
HOLDING COMPANY DE 0 0 HCR MANORCARE INC
 
(37) HCR II HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1250342
HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(38) HCR III HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624411
HOLDING COMPANY DE 0 0 HCR II HEALTHCARE LLC
 
(39) HCR IV HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1283803
HOLDING COMPANY DE 0 0 HCR III HEALTHCARE LLC
 
(40) HEARTLAND CARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
32-0091717
HOLDING COMPANY OH 0 0 HCR MANOR CARE SERVICES LLC
 
(41) HEARTLAND EMPLOYMENT SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1903270
EMPLOYMENT SERVICES OH 0 0 HCR HEALTHCARE LLC
 
(42) HEARTLAND-OAK PAVILION OF CINCINNATI OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614533
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(43) MANOR CARE AVIATION LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-1462072
AVIATION DE 0 0 HCR HEALTHCARE LLC
 
(44) MANOR CARE OF DELAWARE COUNTY LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-1916053
HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(45) MANOR CARE OF OKLAHOMA CITY (NORTHWEST) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610163
SKILLED NURSING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(46) MANOR CARE OF WINTER PARK FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
36-2899194
SKILLED NURSING FACILITY DE 0 0 WINTER PARK NURSING CENTER LLC
 
(47) MANOR CARE SUPPLY LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-2055097
PURCHASING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(48) MANORCARE HEALTH SERVICES OF OKLAHOMA LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-2055078
HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(49) MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
90-0904333
HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(50) PROMEDICA OF ADRIAN MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
38-3985660
SKILLED NURSING FACILITY DE 0 0 MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
 
(51) PROMEDICA OF SYLVANIA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1771805
SKILLED NURSING FACILITY DE 0 0 MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
 
(52) REHABILITATION ADMINISTRATION LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1295825
REHABILITATION SERVICES DE 0 0 HEARTLAND REHABILITATION SERVICES LLC
 
(53) SPRINGHOUSE OF BETHESDA MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622235
ASSISTED LIVING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(54) SPRINGHOUSE OF SILVER SPRING MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622508
ASSISTED LIVING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(55) WINTER PARK NURSING CENTER LLC
333 N SUMMIT ST
TOLEDO,OH43604
37-1019107
HOLDING COMPANY DE 0 0 MANORCARE HEALTH SERVICES LLC
 
(56) AMERICAN REHABILITATION GROUP LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1284533
OUTPATIENT REHABILITATION DE 357,897 0 REHABILITATION ADMINISTRATION LLC
 
(57) HCR HOME HEALTH CARE AND HOSPICE LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1787978
HOLDING COMPANY OH 0 0 HCR HEALTHCARE LLC
 
(58) HCR MANOR CARE SERVICES OF FLORIDA III LLC
333 N SUMMIT ST
TOLEDO,OH43604
45-2507279
HOSPICE SERVICE FL 7,601,384 0 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(59) HCR MANOR CARE SERVICES OF FLORIDA LLC
333 N SUMMIT ST
TOLEDO,OH43604
74-3193136
HOSPICE SERVICE FL 2,547,629 836,753 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(60) HCR MANOR CARE SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1838217
ADMINISTRATIVE SERVICES OH 599,756 161,295,137 HCR HEALTHCARE LLC
 
(61) HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC
333 N SUMMIT ST
TOLEDO,OH43604
65-0666550
OUTPATIENT REHABILITATION FL 6,836,271 1,442,008 HEARTLAND REHABILITATION SERVICES LLC
 
(62) HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1305723
SKILLED NURSING FACILITY DE 11,516,998 12,455,542 HCR HEALTHCARE LLC
 
(63) HEARTLAND HOME CARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1787895
HOME HEALTH CARE SERVICE OH 13,557,751 4,231,835 HEARTLAND REHABILITATION SERVICES LLC
 
(64) HEARTLAND HOME HEALTH CARE SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1787967
HOME HEALTH CARE SERVICE OH 1,060,030 593,380 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(65) HEARTLAND HOSPICE SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1788398
HOSPICE SERVICE OH 147,578,096 49,934,309 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(66) HEARTLAND REHABILITATION EXTENSION SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
81-2116419
OUTPATIENT REHABILITATION DE 1,017,906 483,609 HEARTLAND REHABILITATION SERVICES LLC
 
(67) HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC
333 N SUMMIT ST
TOLEDO,OH43604
59-2504386
OUTPATIENT REHABILITATION FL 3,679,481 1,105,318 HEARTLAND REHABILITATION SERVICES LLC
 
(68) HEARTLAND REHABILITATION SERVICES OF KENTUCKY LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1301414
OUTPATIENT REHABILITATION DE 2,082,011 432,938 REHABILITATION ADMINISTRATION LLC
 
(69) HEARTLAND REHABILITATION SERVICES OF MICHIGAN LLC
333 N SUMMIT ST
TOLEDO,OH43604
30-0535129
OUTPATIENT REHABILITATION DE 93,947 24,753 HEARTLAND REHABILITATION SERVICES LLC
 
(70) HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC
333 N SUMMIT ST
TOLEDO,OH43604
22-2137595
OUTPATIENT REHABILITATION DE 867,058 292,792 HEARTLAND REHABILITATION SERVICES LLC
 
(71) HEARTLAND REHABILITATION SERVICES OF OHIO LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1479648
OUTPATIENT REHABILITATION OH 898,549 324,393 HEARTLAND REHABILITATION SERVICES LLC
 
(72) HEARTLAND REHABILITATION SERVICES OF VIRGINIA LLC
333 N SUMMIT ST
TOLEDO,OH43604
54-1508699
OUTPATIENT REHABILITATION DE 1,644,895 447,583 HEARTLAND REHABILITATION SERVICES LLC
 
(73) HEARTLAND REHABILITATION SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1280619
OUTPATIENT REHABILITATION OH 958,156 327,878 HCR HEALTHCARE LLC
 
(74) HEARTLAND SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1760503
HOLDING COMPANY OH 0 34,918,396 HCR HEALTHCARE LLC
 
(75) HEARTLAND THERAPY PROVIDER NETWORK LLC
333 N SUMMIT ST
TOLEDO,OH43604
37-1027432
OUTPATIENT REHABILITATION DE 130,485 57,156 HCR HEALTHCARE LLC
 
(76) IN HOME HEALTH LLC
333 N SUMMIT ST
TOLEDO,OH43604
41-1458213
HOME HEALTH CARE SERVICE MN 88,661,581 26,905,184 MANORCARE HEALTH SERVICES LLC
 
(77) INDUSTRIAL WASTES LLC
333 N SUMMIT ST
TOLEDO,OH43604
25-1457630
REAL ESTATE DE 0 119,760 HCR HEALTHCARE LLC
 
(78) MANOR CARE OF LACEY WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624391
SKILLED NURSING FACILITY DE 6,346,828 2,662,465 MANORCARE HEALTH SERVICES LLC
 
(79) MANOR CARE OF SALMON CREEK WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624375
SKILLED NURSING FACILITY DE 8,380,593 2,860,598 MANORCARE HEALTH SERVICES LLC
 
(80) MANORCARE HEALTH SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1305666
SKILLED NURSING FACILITY DE 29,454,418 36,766,648 HCR HEALTHCARE LLC
 
(81) MILESTONE HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
75-2592398
MEDICAL STAFFING DE 9,458,894 3,690,676 HEARTLAND REHABILITATION SERVICES LLC
 
(82) PORTFOLIO ONE LLC
333 N SUMMIT ST
TOLEDO,OH43604
22-1604502
SKILLED NURSING FACILITY OH 5,772,775 2,178,718 HCR HEALTHCARE LLC
 
(83) ARDEN COURTS OF AKRON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623857
ASSISTED LIVING FACILITY DE 1,031,626 125,145 HCR IV HEALTHCARE LLC
 
(84) ARDEN COURTS OF ALLENTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623965
ASSISTED LIVING FACILITY DE 1,502,508 168,523 HCR III HEALTHCARE LLC
 
(85) ARDEN COURTS OF ANNANDALE VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624314
ASSISTED LIVING FACILITY DE 2,315,691 148,596 HCR IV HEALTHCARE LLC
 
(86) ARDEN COURTS OF AUSTIN TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624145
ASSISTED LIVING FACILITY DE 1,025,560 73,192 HCR IV HEALTHCARE LLC
 
(87) ARDEN COURTS OF AVON CT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625113
ASSISTED LIVING FACILITY DE 1,018,425 87,237 HCR III HEALTHCARE LLC
 
(88) ARDEN COURTS OF BINGHAM FARMS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622828
ASSISTED LIVING FACILITY DE 1,459,700 171,004 HCR IV HEALTHCARE LLC
 
(89) ARDEN COURTS OF CHERRY HILL NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623009
ASSISTED LIVING FACILITY DE 1,707,003 245,920 HCR III HEALTHCARE LLC
 
(90) ARDEN COURTS OF DELRAY BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625237
ASSISTED LIVING FACILITY DE 1,650,566 167,328 HCR III HEALTHCARE LLC
 
(91) ARDEN COURTS OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625405
ASSISTED LIVING FACILITY DE 1,270,152 111,021 HCR IV HEALTHCARE LLC
 
(92) ARDEN COURTS OF FARMINGTON CT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625092
ASSISTED LIVING FACILITY DE 1,571,345 95,573 HCR III HEALTHCARE LLC
 
(93) ARDEN COURTS OF FT MYERS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625314
ASSISTED LIVING FACILITY DE 1,275,216 204,006 HCR III HEALTHCARE LLC
 
(94) ARDEN COURTS OF GENEVA IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625428
ASSISTED LIVING FACILITY DE 1,715,410 104,899 HCR IV HEALTHCARE LLC
 
(95) ARDEN COURTS OF GLEN ELLYN IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625418
ASSISTED LIVING FACILITY DE 788,946 115,398 HCR IV HEALTHCARE LLC
 
(96) ARDEN COURTS OF JEFFERSON HILLS PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624075
ASSISTED LIVING FACILITY DE 1,718,387 164,734 HCR III HEALTHCARE LLC
 
(97) ARDEN COURTS OF KENSINGTON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622568
ASSISTED LIVING FACILITY DE 2,307,631 136,099 HCR III HEALTHCARE LLC
 
(98) ARDEN COURTS OF KENWOOD OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623245
ASSISTED LIVING FACILITY DE 1,089,007 119,433 HCR IV HEALTHCARE LLC
 
(99) ARDEN COURTS OF KING OF PRUSSIA PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624032
ASSISTED LIVING FACILITY DE 1,768,271 300,563 HCR III HEALTHCARE LLC
 
(100) ARDEN COURTS OF LARGO FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625141
ASSISTED LIVING FACILITY DE 1,438,088 207,538 HCR III HEALTHCARE LLC
 
(101) ARDEN COURTS OF LIVONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622866
ASSISTED LIVING FACILITY DE 1,547,718 200,154 HCR IV HEALTHCARE LLC
 
(102) ARDEN COURTS OF MONROEVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623898
ASSISTED LIVING FACILITY DE 1,651,324 229,530 HCR III HEALTHCARE LLC
 
(103) ARDEN COURTS OF NORTHBROOK IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625378
ASSISTED LIVING FACILITY DE 1,659,213 72,769 HCR IV HEALTHCARE LLC
 
(104) ARDEN COURTS OF PALM HARBOR FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625222
ASSISTED LIVING FACILITY DE 1,715,777 160,045 HCR III HEALTHCARE LLC
 
(105) ARDEN COURTS OF PALOS HEIGHTS IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625390
ASSISTED LIVING FACILITY DE 1,496,914 160,775 HCR IV HEALTHCARE LLC
 
(106) ARDEN COURTS OF PARMA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623801
ASSISTED LIVING FACILITY DE 1,636,023 126,253 HCR IV HEALTHCARE LLC
 
(107) ARDEN COURTS OF PIKESVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622121
ASSISTED LIVING FACILITY DE 1,811,739 226,979 HCR III HEALTHCARE LLC
 
(108) ARDEN COURTS OF POTOMAC MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622198
ASSISTED LIVING FACILITY DE 1,585,371 167,883 HCR III HEALTHCARE LLC
 
(109) ARDEN COURTS OF RICHARDSON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624214
ASSISTED LIVING FACILITY DE 1,436,555 149,305 HCR IV HEALTHCARE LLC
 
(110) ARDEN COURTS OF SAN ANTONIO TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624189
ASSISTED LIVING FACILITY DE 1,448,958 217,237 HCR IV HEALTHCARE LLC
 
(111) ARDEN COURTS OF SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625246
ASSISTED LIVING FACILITY DE 1,514,233 93,167 HCR III HEALTHCARE LLC
 
(112) ARDEN COURTS OF SEMINOLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625266
ASSISTED LIVING FACILITY DE 1,586,505 210,850 HCR III HEALTHCARE LLC
 
(113) ARDEN COURTS OF SILVER SPRING MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622164
ASSISTED LIVING FACILITY DE 1,676,433 99,248 HCR III HEALTHCARE LLC
 
(114) ARDEN COURTS OF SOUTH HOLLAND IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622045
ASSISTED LIVING FACILITY DE 1,224,034 78,562 HCR IV HEALTHCARE LLC
 
(115) ARDEN COURTS OF STERLING HEIGHTS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622772
ASSISTED LIVING FACILITY DE 1,354,384 142,940 HCR IV HEALTHCARE LLC
 
(116) ARDEN COURTS OF TAMPA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625330
ASSISTED LIVING FACILITY DE 1,296,073 194,751 HCR III HEALTHCARE LLC
 
(117) ARDEN COURTS OF TOWSON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622661
ASSISTED LIVING FACILITY DE 1,592,511 103,316 HCR III HEALTHCARE LLC
 
(118) ARDEN COURTS OF W ORANGE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622938
ASSISTED LIVING FACILITY DE 2,357,550 193,121 HCR III HEALTHCARE LLC
 
(119) ARDEN COURTS OF W PALM BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625258
ASSISTED LIVING FACILITY DE 1,637,004 272,272 HCR III HEALTHCARE LLC
 
(120) ARDEN COURTS OF WAYNE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622912
ASSISTED LIVING FACILITY DE 2,045,949 286,955 HCR III HEALTHCARE LLC
 
(121) ARDEN COURTS OF WESTLAKE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623289
ASSISTED LIVING FACILITY DE 1,769,581 161,572 HCR IV HEALTHCARE LLC
 
(122) ARDEN COURTS OF WILMINGTON DE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625127
ASSISTED LIVING FACILITY DE 1,916,646 251,469 HCR III HEALTHCARE LLC
 
(123) ARDEN COURTS OF WINTER SPRINGS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625340
ASSISTED LIVING FACILITY DE 1,679,315 172,294 HCR III HEALTHCARE LLC
 
(124) ARDEN COURTS OF YARDLEY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623944
ASSISTED LIVING FACILITY DE 1,758,955 282,618 HCR III HEALTHCARE LLC
 
(125) ARDEN COURTS-ANDERSON OF CINCINNATI OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623677
ASSISTED LIVING FACILITY DE 1,899,465 188,795 HCR IV HEALTHCARE LLC
 
(126) ARDEN COURTS-BAINBRIDGE OF CHAGRIN FALLS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623202
ASSISTED LIVING FACILITY DE 1,977,662 195,675 HCR IV HEALTHCARE LLC
 
(127) ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624353
ASSISTED LIVING FACILITY DE 1,979,567 83,368 HCR IV HEALTHCARE LLC
 
(128) ARDEN COURTS-LELY PALMS OF NAPLES FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625279
ASSISTED LIVING FACILITY DE 1,516,410 198,295 HCR III HEALTHCARE LLC
 
(129) ARDEN COURTS-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623920
ASSISTED LIVING FACILITY DE 1,542,450 136,809 HCR III HEALTHCARE LLC
 
(130) ARDEN COURTS-SUSQUEHANNA OF HARRISBURG PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624065
ASSISTED LIVING FACILITY DE 1,661,906 212,943 HCR III HEALTHCARE LLC
 
(131) ARDEN COURTS-WARMINSTER OF HATBORO PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623869
ASSISTED LIVING FACILITY DE 1,397,480 150,712 HCR III HEALTHCARE LLC
 
(132) ARDEN COURTS OF WHIPPANY NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623155
ASSISTED LIVING FACILITY DE 1,287,566 215,472 HCR III HEALTHCARE LLC
 
(133) CHRISTOPHER EAST HEALTH CARE CENTER OF LOUISVILLE KY LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619900
SKILLED NURSING FACILITY DE -2,103 6,097 HCR IV HEALTHCARE LLC
 
(134) COLUMBIA REHABILITATION AND NURSING CENTER-COLUMBIA SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623408
OUTPATIENT REHABILITATION DE 3,818,328 1,662,629 HCR III HEALTHCARE LLC
 
(135) DEVON MANOR-DEVON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622826
SKILLED NURSING FACILITY DE 0 45,972 HCR III HEALTHCARE LLC
 
(136) DONAHOE MANOR-BEDFORD PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623108
SKILLED NURSING FACILITY DE 2,651,327 935,535 HCR III HEALTHCARE LLC
 
(137) FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622894
SKILLED NURSING FACILITY DE 561,361 59,714 HCR IV HEALTHCARE LLC
 
(138) HAMPTON HOUSE-WILKES-BARRE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610244
SKILLED NURSING FACILITY DE 3,218,534 1,713,249 HCR III HEALTHCARE LLC
 
(139) HEARTLAND OF BOYNTON BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623523
SKILLED NURSING FACILITY DE 4,425,436 1,218,132 HCR III HEALTHCARE LLC
 
(140) HEARTLAND OF ADELPHI MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620015
SKILLED NURSING FACILITY DE 5,847,325 2,453,062 HCR III HEALTHCARE LLC
 
(141) HEARTLAND OF ALLEN PARK MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611286
SKILLED NURSING FACILITY DE 6,566,504 2,115,831 HCR IV HEALTHCARE LLC
 
(142) HEARTLAND OF ANN ARBOR MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612384
SKILLED NURSING FACILITY DE 7,465,249 3,041,311 HCR IV HEALTHCARE LLC
 
(143) HEARTLAND OF AUSTIN TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624533
SKILLED NURSING FACILITY DE 310,859 458,239 HCR IV HEALTHCARE LLC
 
(144) HEARTLAND OF BATTLE CREEK MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612206
SKILLED NURSING FACILITY DE 2,365,104 900,006 HCR IV HEALTHCARE LLC
 
(145) HEARTLAND OF BECKLEY WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625053
SKILLED NURSING FACILITY DE 2,923 0 HCR IV HEALTHCARE LLC
 
(146) HEARTLAND OF BEDFORD TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624511
SKILLED NURSING FACILITY DE 208,279 85,969 HCR IV HEALTHCARE LLC
 
(147) HEARTLAND OF BELLEFONTAINE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609497
SKILLED NURSING FACILITY DE 2,203,715 326,390 HCR IV HEALTHCARE LLC
 
(148) HEARTLAND OF BOCA RATON FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623949
SKILLED NURSING FACILITY DE 4,880,221 1,567,009 HCR III HEALTHCARE LLC
 
(149) HEARTLAND OF BROOKSVILLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623416
SKILLED NURSING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(150) HEARTLAND OF BUCYRUS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614610
SKILLED NURSING FACILITY DE 2,518,435 702,813 HCR IV HEALTHCARE LLC
 
(151) HEARTLAND OF CANTON IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0604153
SKILLED NURSING FACILITY DE 1,408,288 325,285 HCR IV HEALTHCARE LLC
 
(152) HEARTLAND OF CANTON MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620527
SKILLED NURSING FACILITY DE 8,461,874 3,376,143 HCR IV HEALTHCARE LLC
 
(153) HEARTLAND OF CENTERBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614447
SKILLED NURSING FACILITY DE 16 0 HCR IV HEALTHCARE LLC
 
(154) HEARTLAND OF CENTERVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609683
SKILLED NURSING FACILITY DE 3,463,994 1,224,480 HCR IV HEALTHCARE LLC
 
(155) HEARTLAND OF CHAMPAIGN IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615806
SKILLED NURSING FACILITY DE 2,355,667 595,879 HCR IV HEALTHCARE LLC
 
(156) HEARTLAND OF CHILLICOTHE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609311
SKILLED NURSING FACILITY DE 3,769,323 1,081,912 HCR IV HEALTHCARE LLC
 
(157) HEARTLAND OF CLARKSBURG WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625029
SKILLED NURSING FACILITY DE -53 0 HCR IV HEALTHCARE LLC
 
(158) HEARTLAND OF DEARBORN HEIGHTS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611231
SKILLED NURSING FACILITY DE 4,908,389 1,661,957 HCR IV HEALTHCARE LLC
 
(159) HEARTLAND OF DECATUR IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615541
SKILLED NURSING FACILITY DE 1,506,101 368,034 HCR IV HEALTHCARE LLC
 
(160) HEARTLAND OF EATON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609364
SKILLED NURSING FACILITY DE -1,119 0 HCR IV HEALTHCARE LLC
 
(161) HEARTLAND OF FORT MYERS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623726
SKILLED NURSING FACILITY DE 5,658,908 1,777,363 HCR III HEALTHCARE LLC
 
(162) HEARTLAND OF GALESBURG IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624455
SKILLED NURSING FACILITY DE 2,550,484 743,397 HCR IV HEALTHCARE LLC
 
(163) HEARTLAND OF GRAND RAPIDS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611403
SKILLED NURSING FACILITY DE 319,372 252,513 HCR IV HEALTHCARE LLC
 
(164) HEARTLAND OF GREENVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614250
SKILLED NURSING FACILITY DE 1,997,078 326,584 HCR IV HEALTHCARE LLC
 
(165) HEARTLAND OF HENRY IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614845
SKILLED NURSING FACILITY DE 2,602,637 572,088 HCR IV HEALTHCARE LLC
 
(166) HEARTLAND OF HILLSBORO OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609351
SKILLED NURSING FACILITY DE 3,475,320 1,071,332 HCR IV HEALTHCARE LLC
 
(167) HEARTLAND OF HOLLAND MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611679
SKILLED NURSING FACILITY DE 0 23,039 HCR IV HEALTHCARE LLC
 
(168) HEARTLAND OF HYATTSVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619980
SKILLED NURSING FACILITY DE 5,582,764 2,367,288 HCR III HEALTHCARE LLC
 
(169) HEARTLAND OF IONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611974
SKILLED NURSING FACILITY DE 243,176 279,540 HCR IV HEALTHCARE LLC
 
(170) HEARTLAND OF JACKSON MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611756
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(171) HEARTLAND OF JACKSON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614303
SKILLED NURSING FACILITY DE 2,231,996 177,886 HCR IV HEALTHCARE LLC
 
(172) HEARTLAND OF JACKSONVILLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623590
SKILLED NURSING FACILITY DE 4,394,621 1,742,763 HCR III HEALTHCARE LLC
 
(173) HEARTLAND OF KALAMAZOO MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612121
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(174) HEARTLAND OF KENDALL FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623392
SKILLED NURSING FACILITY DE 1,842,824 41,961 HCR III HEALTHCARE LLC
 
(175) HEARTLAND OF KETTERING OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609231
SKILLED NURSING FACILITY DE 3,675,808 1,035,642 HCR IV HEALTHCARE LLC
 
(176) HEARTLAND OF KEYSER WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624987
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(177) HEARTLAND OF LAUDERHILL FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623998
SKILLED NURSING FACILITY DE 1,188,178 0 HCR III HEALTHCARE LLC
 
(178) HEARTLAND OF MACOMB IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624476
SKILLED NURSING FACILITY DE 2,541,398 750,063 HCR IV HEALTHCARE LLC
 
(179) HEARTLAND OF MADEIRA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609604
SKILLED NURSING FACILITY DE 3,288,999 725,455 HCR IV HEALTHCARE LLC
 
(180) HEARTLAND OF MARIETTA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609259
SKILLED NURSING FACILITY DE 3,315,880 877,449 HCR IV HEALTHCARE LLC
 
(181) HEARTLAND OF MARION OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613105
SKILLED NURSING FACILITY DE 5,314,000 1,336,440 HCR IV HEALTHCARE LLC
 
(182) HEARTLAND OF MARTINSBURG WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625081
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(183) HEARTLAND OF MARYSVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609393
SKILLED NURSING FACILITY DE 51,096 0 HCR IV HEALTHCARE LLC
 
(184) HEARTLAND OF MENTOR OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610122
SKILLED NURSING FACILITY DE 4,475,700 1,485,605 HCR IV HEALTHCARE LLC
 
(185) HEARTLAND OF MIAMISBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0794075
SKILLED NURSING FACILITY DE 3,207,755 1,460,710 HCR IV HEALTHCARE LLC
 
(186) HEARTLAND OF MOLINE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624491
SKILLED NURSING FACILITY DE 4,811,537 1,261,983 HCR IV HEALTHCARE LLC
 
(187) HEARTLAND OF NORMAL IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615386
SKILLED NURSING FACILITY DE 1,911,332 343,831 HCR IV HEALTHCARE LLC
 
(188) HEARTLAND OF ORANGE PARK FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623613
SKILLED NURSING FACILITY DE 5,037,490 1,876,032 HCR III HEALTHCARE LLC
 
(189) HEARTLAND OF OREGON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609590
SKILLED NURSING FACILITY DE 3,537,767 740,673 HCR IV HEALTHCARE LLC
 
(190) HEARTLAND OF PAXTON IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614884
SKILLED NURSING FACILITY DE 1,162,199 140,835 HCR IV HEALTHCARE LLC
 
(191) HEARTLAND OF PEORIA IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615478
SKILLED NURSING FACILITY DE 1,755,048 388,841 HCR IV HEALTHCARE LLC
 
(192) HEARTLAND OF PERRYSBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609189
SKILLED NURSING FACILITY DE 4,550,267 1,348,123 HCR IV HEALTHCARE LLC
 
(193) HEARTLAND OF PIQUA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609466
SKILLED NURSING FACILITY DE 2,502,901 297,321 HCR IV HEALTHCARE LLC
 
(194) HEARTLAND OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610260
SKILLED NURSING FACILITY DE 6,256,027 2,350,871 HCR III HEALTHCARE LLC
 
(195) HEARTLAND OF PLATTEVILLE WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624818
SKILLED NURSING FACILITY DE 1,325,127 93,532 HCR III HEALTHCARE LLC
 
(196) HEARTLAND OF PORTSMOUTH OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609290
SKILLED NURSING FACILITY DE 3,574,131 751,680 HCR IV HEALTHCARE LLC
 
(197) HEARTLAND OF RAINELLE WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625009
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(198) HEARTLAND OF SAGINAW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612275
SKILLED NURSING FACILITY DE -161 0 HCR IV HEALTHCARE LLC
 
(199) HEARTLAND OF SAN ANTONIO TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623701
SKILLED NURSING FACILITY DE 377,785 340,148 HCR IV HEALTHCARE LLC
 
(200) HEARTLAND OF SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623968
SKILLED NURSING FACILITY DE 5,775,561 1,670,368 HCR III HEALTHCARE LLC
 
(201) HEARTLAND OF SPRINGFIELD OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609416
SKILLED NURSING FACILITY DE 3,011,017 708,683 HCR IV HEALTHCARE LLC
 
(202) HEARTLAND OF TAMARAC FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623500
SKILLED NURSING FACILITY DE 1,851,238 275,171 HCR III HEALTHCARE LLC
 
(203) HEARTLAND OF THREE RIVERS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612325
SKILLED NURSING FACILITY DE 3,264,886 634,037 HCR IV HEALTHCARE LLC
 
(204) HEARTLAND OF URBANA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614353
SKILLED NURSING FACILITY DE 0 59,006 HCR IV HEALTHCARE LLC
 
(205) HEARTLAND OF WEST BLOOMFIELD MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611547
SKILLED NURSING FACILITY DE -7,984 263,361 HCR IV HEALTHCARE LLC
 
(206) HEARTLAND OF WATERVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609511
SKILLED NURSING FACILITY DE 4,050,108 648,845 HCR IV HEALTHCARE LLC
 
(207) HEARTLAND OF WAUSEON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614568
SKILLED NURSING FACILITY DE 1,431,768 247,386 HCR IV HEALTHCARE LLC
 
(208) HEARTLAND OF WEST HOUSTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623684
SKILLED NURSING FACILITY DE 0 18,779 HCR IV HEALTHCARE LLC
 
(209) HEARTLAND OF WHITEHALL MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612438
SKILLED NURSING FACILITY DE 213,969 0 HCR IV HEALTHCARE LLC
 
(210) HEARTLAND OF ZEPHYRHILLS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623476
SKILLED NURSING FACILITY DE 4,607,616 1,272,744 HCR III HEALTHCARE LLC
 
(211) HEARTLAND VILLAGE OF WESTERVILLE OH (NC) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609323
SKILLED NURSING FACILITY DE 4,704,520 1,222,279 HCR IV HEALTHCARE LLC
 
(212) HEARTLAND VILLAGE OF WESTERVILLE OH (RC) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609337
SKILLED NURSING FACILITY DE 1,598,239 224,857 HCR IV HEALTHCARE LLC
 
(213) HEARTLAND-BEAVERCREEK OF DAYTON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609445
SKILLED NURSING FACILITY DE 3,315,570 1,157,761 HCR IV HEALTHCARE LLC
 
(214) HEARTLAND-BRIARWOOD MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611711
SKILLED NURSING FACILITY DE 5,218,853 1,595,879 HCR IV HEALTHCARE LLC
 
(215) HEARTLAND-CHARLESTON OF HANAHAN SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623167
SKILLED NURSING FACILITY DE 4,155,282 1,797,665 HCR III HEALTHCARE LLC
 
(216) HEARTLAND-CRESTVIEW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611487
SKILLED NURSING FACILITY DE 150,557 0 HCR IV HEALTHCARE LLC
 
(217) HEARTLAND-DORVIN OF LIVONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611095
SKILLED NURSING FACILITY DE 34,028 110,557 HCR IV HEALTHCARE LLC
 
(218) HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613145
SKILLED NURSING FACILITY DE 21 0 HCR IV HEALTHCARE LLC
 
(219) HEARTLAND-FOSTRIAN OF FLUSHING MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611818
SKILLED NURSING FACILITY DE 5,344,718 2,330,962 HCR IV HEALTHCARE LLC
 
(220) HEARTLAND-GEORGIAN BLOOMFIELD OF BLOOMFIELD HILLS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611630
SKILLED NURSING FACILITY DE 75,066 177,136 HCR IV HEALTHCARE LLC
 
(221) HEARTLAND-GEORGIAN EAST OF GROSSE POINTE MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611334
SKILLED NURSING FACILITY DE 4,381,607 1,801,523 HCR IV HEALTHCARE LLC
 
(222) HEARTLAND-GREENVIEW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611920
SKILLED NURSING FACILITY DE 45,856 311,944 HCR IV HEALTHCARE LLC
 
(223) HEARTLAND-HAMPTON OF BAY CITY MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611865
SKILLED NURSING FACILITY DE 2,371,829 771,893 HCR IV HEALTHCARE LLC
 
(224) HEARTLAND-HOLLY GLEN OF TOLEDO OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614404
SKILLED NURSING FACILITY DE 2,531,891 374,892 HCR IV HEALTHCARE LLC
 
(225) HEARTLAND-INDIAN LAKE OF LAKEVIEW OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614489
SKILLED NURSING FACILITY DE 0 22,304 HCR IV HEALTHCARE LLC
 
(226) HEARTLAND-KNOLLVIEW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612021
SKILLED NURSING FACILITY DE 111,647 312,812 HCR IV HEALTHCARE LLC
 
(227) HEARTLAND-LANSING OF BRIDGEPORT OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609376
SKILLED NURSING FACILITY DE -176 0 HCR IV HEALTHCARE LLC
 
(228) HEARTLAND-MIAMI LAKES OF HIALEAH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623652
SKILLED NURSING FACILITY DE 1,716,842 185,223 HCR III HEALTHCARE LLC
 
(229) HEARTLAND-MT AIRY OF CINCINNATI OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610060
SKILLED NURSING FACILITY DE -66 0 HCR IV HEALTHCARE LLC
 
(230) HEARTLAND-OAKLAND MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620480
SKILLED NURSING FACILITY DE 8,922,093 3,329,722 HCR IV HEALTHCARE LLC
 
(231) HEARTLAND-PEWAUKEE OF WAUKESHA WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624873
SKILLED NURSING FACILITY DE 2,633,206 129,136 HCR III HEALTHCARE LLC
 
(232) HEARTLAND-PLYMOUTH COURT MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610995
SKILLED NURSING FACILITY DE 115,538 442,699 HCR IV HEALTHCARE LLC
 
(233) HEARTLAND-PRESTON COUNTY OF KINGWOOD WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625067
SKILLED NURSING FACILITY DE -3,880 0 HCR IV HEALTHCARE LLC
 
(234) HEARTLAND-PRESTWICK IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619176
SKILLED NURSING FACILITY DE 370,884 0 HCR IV HEALTHCARE LLC
 
(235) HEARTLAND-PROSPERITY OAKS OF PALM BEACH GARDENS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623909
SKILLED NURSING FACILITY DE 4,565,973 1,066,290 HCR III HEALTHCARE LLC
 
(236) HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619009
ASSISTED LIVING FACILITY DE 3,099,707 333,293 HCR IV HEALTHCARE LLC
 
(237) HEARTLAND-RIVERVIEW OF SOUTH POINT OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609484
SKILLED NURSING FACILITY DE 3,734,965 1,050,785 HCR IV HEALTHCARE LLC
 
(238) HEARTLAND-SOUTH JACKSONVILLE OF JACKSONVILLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623559
SKILLED NURSING FACILITY DE 4,723,751 2,039,377 HCR III HEALTHCARE LLC
 
(239) HEARTLAND-UNIVERSITY OF LIVONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611184
SKILLED NURSING FACILITY DE 4,512,610 1,420,315 HCR IV HEALTHCARE LLC
 
(240) HEARTLAND-VICTORIAN VILLAGE OF COLUMBUS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609432
SKILLED NURSING FACILITY DE -291 0 HCR IV HEALTHCARE LLC
 
(241) HEARTLAND-WASHINGTON MANOR OF KENOSHA WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624859
SKILLED NURSING FACILITY DE 2,785,221 288,448 HCR III HEALTHCARE LLC
 
(242) HEARTLAND-WILLOW LANE OF BUTLER MO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612474
SKILLED NURSING FACILITY DE 0 19,659 HCR III HEALTHCARE LLC
 
(243) HEARTLAND-WILLOWBROOK OF HOUSTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624408
SKILLED NURSING FACILITY DE 9,984 64,522 HCR IV HEALTHCARE LLC
 
(244) HEARTLAND-WOODRIDGE OF FAIRFIELD OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609646
SKILLED NURSING FACILITY DE 4,749,613 654,166 HCR IV HEALTHCARE LLC
 
(245) HOLIDAY NURSING CENTER-CENTER TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624488
SKILLED NURSING FACILITY DE 0 20,680 HCR IV HEALTHCARE LLC
 
(246) KENSINGTON MANOR-SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623931
SKILLED NURSING FACILITY DE 3,120,236 1,007,571 HCR III HEALTHCARE LLC
 
(247) LEXINGTON REHABILITATION AND NURSING CENTER-LEXINGTON SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623428
OUTPATIENT REHABILITATION DE 0 0 HCR III HEALTHCARE LLC
 
(248) MANOR CARE OF FOUNTAIN VALLEY CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622988
SKILLED NURSING FACILITY DE 7,802,947 2,510,139 HCR IV HEALTHCARE LLC
 
(249) MANOR CARE NURSING CENTER OF SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624159
SKILLED NURSING FACILITY DE 6,701,089 1,356,329 HCR III HEALTHCARE LLC
 
(250) MANOR CARE OF ABERDEEN SD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623462
SKILLED NURSING FACILITY DE -12,474 8,471 HCR IV HEALTHCARE LLC
 
(251) MANOR CARE OF AKRON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610034
SKILLED NURSING FACILITY DE 2,986,647 672,087 HCR IV HEALTHCARE LLC
 
(252) MANOR CARE OF ALEXANDRIA VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624590
SKILLED NURSING FACILITY DE 3,809,637 1,222,573 HCR IV HEALTHCARE LLC
 
(253) MANOR CARE OF ALLENTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610673
SKILLED NURSING FACILITY DE 5,828,744 2,961,195 HCR III HEALTHCARE LLC
 
(254) MANOR CARE OF ANDERSON IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619221
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(255) MANOR CARE OF ARLINGTON VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624619
SKILLED NURSING FACILITY DE 5,787,032 2,059,964 HCR IV HEALTHCARE LLC
 
(256) MANOR CARE OF BARBERTON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609528
SKILLED NURSING FACILITY DE 3,396,300 1,178,734 HCR IV HEALTHCARE LLC
 
(257) MANOR CARE OF BETHEL PARK PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622002
SKILLED NURSING FACILITY DE 5,410,193 2,048,823 HCR III HEALTHCARE LLC
 
(258) MANOR CARE OF BETHESDA MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620122
SKILLED NURSING FACILITY DE 4,187,377 1,209,415 HCR III HEALTHCARE LLC
 
(259) MANOR CARE OF BETHLEHEM PA (2021) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614878
SKILLED NURSING FACILITY DE 7,551,038 4,035,422 HCR III HEALTHCARE LLC
 
(260) MANOR CARE OF BETHLEHEM PA (2029) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621845
SKILLED NURSING FACILITY DE 7,232,630 3,572,893 HCR III HEALTHCARE LLC
 
(261) MANOR CARE OF BOCA RATON FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624217
SKILLED NURSING FACILITY DE 6,926,170 1,957,617 HCR III HEALTHCARE LLC
 
(262) MANOR CARE OF BOULDER CO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623287
SKILLED NURSING FACILITY DE 5,895,656 1,488,677 HCR IV HEALTHCARE LLC
 
(263) MANOR CARE OF BOYNTON BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624241
SKILLED NURSING FACILITY DE 7,074,478 2,393,813 HCR III HEALTHCARE LLC
 
(264) MANOR CARE OF CAMP HILL PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623070
SKILLED NURSING FACILITY DE 4,544,977 2,499,660 HCR III HEALTHCARE LLC
 
(265) MANOR CARE OF CARLISLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610623
SKILLED NURSING FACILITY DE 5,254,466 2,609,613 HCR III HEALTHCARE LLC
 
(266) MANOR CARE OF CEDAR RAPIDS IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624378
SKILLED NURSING FACILITY DE 3,680,960 1,149,016 HCR III HEALTHCARE LLC
 
(267) MANOR CARE OF CHAMBERSBURG PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614915
SKILLED NURSING FACILITY DE 7,200,386 3,710,223 HCR III HEALTHCARE LLC
 
(268) MANOR CARE OF CHERRY HILL NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612749
SKILLED NURSING FACILITY DE 0 54,214 HCR III HEALTHCARE LLC
 
(269) MANOR CARE OF CHEVY CHASE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620158
SKILLED NURSING FACILITY DE 6,185,609 1,610,840 HCR III HEALTHCARE LLC
 
(270) MANOR CARE OF CITRUS HEIGHTS CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622564
SKILLED NURSING FACILITY DE 9,107,366 3,584,142 HCR IV HEALTHCARE LLC
 
(271) MANOR CARE OF DALLAS TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623497
SKILLED NURSING FACILITY DE -4,504 45,192 HCR IV HEALTHCARE LLC
 
(272) MANOR CARE OF DALLASTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614534
SKILLED NURSING FACILITY DE 6,926,112 3,312,780 HCR III HEALTHCARE LLC
 
(273) MANOR CARE OF DAVENPORT IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624394
SKILLED NURSING FACILITY DE 2,796,870 976,674 HCR III HEALTHCARE LLC
 
(274) MANOR CARE OF DELRAY BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624068
SKILLED NURSING FACILITY DE 5,501,210 1,591,827 HCR III HEALTHCARE LLC
 
(275) MANOR CARE OF DENVER CO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623262
SKILLED NURSING FACILITY DE 5,695,931 2,106,835 HCR IV HEALTHCARE LLC
 
(276) MANOR CARE OF DUBUQUE IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624416
SKILLED NURSING FACILITY DE 3,286,295 1,013,219 HCR III HEALTHCARE LLC
 
(277) MANOR CARE OF DUNEDIN FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624190
SKILLED NURSING FACILITY DE 5,369,064 1,424,683 HCR III HEALTHCARE LLC
 
(278) MANOR CARE OF EASTON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621877
SKILLED NURSING FACILITY DE 7,716,907 3,607,188 HCR III HEALTHCARE LLC
 
(279) MANOR CARE OF ELGIN IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615951
SKILLED NURSING FACILITY DE 24,788 0 HCR IV HEALTHCARE LLC
 
(280) MANOR CARE OF ELIZABETHTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622774
SKILLED NURSING FACILITY DE 12,319 347,549 HCR III HEALTHCARE LLC
 
(281) MANOR CARE OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0618782
SKILLED NURSING FACILITY DE 9,446,125 2,641,647 HCR IV HEALTHCARE LLC
 
(282) MANOR CARE OF FARGO ND LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612718
SKILLED NURSING FACILITY DE 1,842,410 427,166 HCR IV HEALTHCARE LLC
 
(283) MANOR CARE OF FLORISSANT MO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612550
SKILLED NURSING FACILITY DE 100,784 49,269 HCR III HEALTHCARE LLC
 
(284) MANOR CARE OF FOND DU LAC WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624802
SKILLED NURSING FACILITY DE 1,503,096 191,183 HCR III HEALTHCARE LLC
 
(285) MANOR CARE OF FORT WORTH TX (NRH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623538
SKILLED NURSING FACILITY DE 276,262 0 HCR IV HEALTHCARE LLC
 
(286) MANOR CARE OF FORT WORTH TX (NW) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623570
SKILLED NURSING FACILITY DE 220,260 172,830 HCR IV HEALTHCARE LLC
 
(287) MANOR CARE OF FT MYERS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624272
SKILLED NURSING FACILITY DE 4,930,242 1,219,504 HCR III HEALTHCARE LLC
 
(288) MANOR CARE OF GIG HARBOR WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624719
SKILLED NURSING FACILITY DE 3,791,837 1,281,888 HCR IV HEALTHCARE LLC
 
(289) MANOR CARE OF GREEN BAY WI (EAST) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624767
SKILLED NURSING FACILITY DE 1,210,037 240,914 HCR III HEALTHCARE LLC
 
(290) MANOR CARE OF GREEN BAY WI (WEST) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624786
SKILLED NURSING FACILITY DE 1,664,572 213,250 HCR III HEALTHCARE LLC
 
(291) MANOR CARE OF HEMET CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623107
SKILLED NURSING FACILITY DE 7,778,694 2,497,433 HCR IV HEALTHCARE LLC
 
(292) MANOR CARE OF HINSDALE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615984
SKILLED NURSING FACILITY DE 9,224,477 3,897,288 HCR IV HEALTHCARE LLC
 
(293) MANOR CARE OF HOMEWOOD IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614920
SKILLED NURSING FACILITY DE 5,617,197 1,306,944 HCR IV HEALTHCARE LLC
 
(294) MANOR CARE OF HUNTINGDON VALLEY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610582
SKILLED NURSING FACILITY DE 4,542,855 2,352,592 HCR III HEALTHCARE LLC
 
(295) MANOR CARE OF INDY (SOUTH) IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619623
SKILLED NURSING FACILITY DE 4,230,915 1,318,322 HCR IV HEALTHCARE LLC
 
(296) MANOR CARE OF JERSEY SHORE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614957
SKILLED NURSING FACILITY DE 4,160,543 2,247,249 HCR III HEALTHCARE LLC
 
(297) MANOR CARE OF KANKAKEE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615706
SKILLED NURSING FACILITY DE -3,361 0 HCR IV HEALTHCARE LLC
 
(298) MANOR CARE OF KING OF PRUSSIA PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610645
SKILLED NURSING FACILITY DE 5,951,070 3,238,851 HCR III HEALTHCARE LLC
 
(299) MANOR CARE OF KINGSFORD MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611592
SKILLED NURSING FACILITY DE 4,460,343 1,363,142 HCR IV HEALTHCARE LLC
 
(300) MANOR CARE OF KINGSTON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615323
SKILLED NURSING FACILITY DE 5,372,005 2,533,654 HCR III HEALTHCARE LLC
 
(301) MANOR CARE OF LANCASTER PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621637
SKILLED NURSING FACILITY DE 6,066,219 3,242,054 HCR III HEALTHCARE LLC
 
(302) MANOR CARE OF LAURELDALE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615380
SKILLED NURSING FACILITY DE 6,779,879 3,352,233 HCR III HEALTHCARE LLC
 
(303) MANOR CARE OF LEBANON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615358
SKILLED NURSING FACILITY DE 5,744,913 2,856,436 HCR III HEALTHCARE LLC
 
(304) MANOR CARE OF LIBERTYVILLE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615859
SKILLED NURSING FACILITY DE 6,427,475 1,690,491 HCR IV HEALTHCARE LLC
 
(305) MANOR CARE OF LYNNWOOD WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624675
SKILLED NURSING FACILITY DE 5,949,273 1,936,882 HCR IV HEALTHCARE LLC
 
(306) MANOR CARE OF MARIETTA GA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624336
SKILLED NURSING FACILITY DE 6,318,740 1,493,649 HCR III HEALTHCARE LLC
 
(307) MANOR CARE OF MAYFIELD HEIGHTS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609565
SKILLED NURSING FACILITY DE 4,424,503 669,343 HCR IV HEALTHCARE LLC
 
(308) MANOR CARE OF MCMURRAY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614341
SKILLED NURSING FACILITY DE 4,648,710 1,405,196 HCR III HEALTHCARE LLC
 
(309) MANOR CARE OF MIDWEST CITY OK LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610183
SKILLED NURSING FACILITY DE 0 73,621 HCR III HEALTHCARE LLC
 
(310) MANOR CARE OF MINOT ND LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612693
SKILLED NURSING FACILITY DE 0 2,408 HCR IV HEALTHCARE LLC
 
(311) MANOR CARE OF MONROEVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614497
SKILLED NURSING FACILITY DE 5,298,063 2,166,633 HCR III HEALTHCARE LLC
 
(312) MANOR CARE OF MOUNTAINSIDE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612791
SKILLED NURSING FACILITY DE 5,185,444 1,772,092 HCR III HEALTHCARE LLC
 
(313) MANOR CARE OF NAPERVILLE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615638
SKILLED NURSING FACILITY DE 2,098,065 258,153 HCR IV HEALTHCARE LLC
 
(314) MANOR CARE OF NAPLES FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624049
SKILLED NURSING FACILITY DE 4,997,355 1,570,434 HCR III HEALTHCARE LLC
 
(315) MANOR CARE OF NEW PROVIDENCE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612827
SKILLED NURSING FACILITY DE 759,722 351,546 HCR III HEALTHCARE LLC
 
(316) MANOR CARE OF NORTH OLMSTED OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610082
SKILLED NURSING FACILITY DE 3,453,034 800,733 HCR IV HEALTHCARE LLC
 
(317) MANOR CARE OF NORTHBROOK IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0618960
SKILLED NURSING FACILITY DE 3,806,340 823,205 HCR IV HEALTHCARE LLC
 
(318) MANOR CARE OF OAK LAWN (EAST) IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615929
SKILLED NURSING FACILITY DE 6,060,268 2,464,476 HCR IV HEALTHCARE LLC
 
(319) MANOR CARE OF OAK LAWN (WEST) IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0616038
SKILLED NURSING FACILITY DE 6,401,108 2,358,084 HCR IV HEALTHCARE LLC
 
(320) MANOR CARE OF OKLAHOMA CITY (SOUTHWEST) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610197
SKILLED NURSING FACILITY DE -187 59,718 HCR III HEALTHCARE LLC
 
(321) MANOR CARE OF PALM DESERT CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623221
SKILLED NURSING FACILITY DE 8,725,576 2,816,692 HCR IV HEALTHCARE LLC
 
(322) MANOR CARE OF PALM HARBOR FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624018
SKILLED NURSING FACILITY DE 8,358,111 2,209,486 HCR III HEALTHCARE LLC
 
(323) MANOR CARE OF PALOS HEIGHTS (WEST) IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0618879
SKILLED NURSING FACILITY DE 4,906,373 865,076 HCR IV HEALTHCARE LLC
 
(324) MANOR CARE OF PALOS HEIGHTS IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615889
SKILLED NURSING FACILITY DE 8,380,350 2,453,909 HCR IV HEALTHCARE LLC
 
(325) MANOR CARE OF PARMA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609661
SKILLED NURSING FACILITY DE 4,272,062 1,422,233 HCR IV HEALTHCARE LLC
 
(326) MANOR CARE OF PINEHURST NC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612589
SKILLED NURSING FACILITY DE -4,600 182,229 HCR III HEALTHCARE LLC
 
(327) MANOR CARE OF PLANTATION FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624255
SKILLED NURSING FACILITY DE 1,545,895 142,037 HCR III HEALTHCARE LLC
 
(328) MANOR CARE OF POTOMAC MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620187
SKILLED NURSING FACILITY DE 8,243,687 2,742,571 HCR III HEALTHCARE LLC
 
(329) MANOR CARE OF POTTSTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615421
SKILLED NURSING FACILITY DE 4,476,317 2,278,769 HCR III HEALTHCARE LLC
 
(330) MANOR CARE OF POTTSVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615453
SKILLED NURSING FACILITY DE 4,690,643 2,813,544 HCR III HEALTHCARE LLC
 
(331) MANOR CARE OF RENO NV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613035
SKILLED NURSING FACILITY DE 310,711 554,402 HCR IV HEALTHCARE LLC
 
(332) MANOR CARE OF ROLLING MEADOWS IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619150
SKILLED NURSING FACILITY DE 2,320,805 443,823 HCR IV HEALTHCARE LLC
 
(333) MANOR CARE OF SAN ANTONIO (NORTH) TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623600
SKILLED NURSING FACILITY DE -768 0 HCR IV HEALTHCARE LLC
 
(334) MANOR CARE OF SHAWANO WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624831
SKILLED NURSING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(335) MANOR CARE OF SILVER SPRING MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620058
SKILLED NURSING FACILITY DE 6,119,659 1,749,854 HCR III HEALTHCARE LLC
 
(336) MANOR CARE OF SINKING SPRING PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621908
SKILLED NURSING FACILITY DE 7,356,904 3,785,117 HCR III HEALTHCARE LLC
 
(337) MANOR CARE OF SOUTH HOLLAND IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615010
SKILLED NURSING FACILITY DE 4,171,065 838,906 HCR IV HEALTHCARE LLC
 
(338) MANOR CARE OF SOUTH OGDEN UT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624547
SKILLED NURSING FACILITY DE 0 3,614 HCR IV HEALTHCARE LLC
 
(339) MANOR CARE OF SPOKANE WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624687
SKILLED NURSING FACILITY DE 4,836,326 1,587,647 HCR IV HEALTHCARE LLC
 
(340) MANOR CARE OF SPRINGFIELD MO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612506
SKILLED NURSING FACILITY DE 208,554 583,711 HCR III HEALTHCARE LLC
 
(341) MANOR CARE OF SUNBURY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615499
SKILLED NURSING FACILITY DE 4,238,474 2,354,700 HCR III HEALTHCARE LLC
 
(342) MANOR CARE OF SUNNYVALE CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623034
SKILLED NURSING FACILITY DE 8,096,075 2,407,414 HCR IV HEALTHCARE LLC
 
(343) MANOR CARE OF TACOMA WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624696
SKILLED NURSING FACILITY DE 6,205,419 1,840,600 HCR IV HEALTHCARE LLC
 
(344) MANOR CARE OF TOPEKA KS LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619810
SKILLED NURSING FACILITY DE 2,550,889 441,601 HCR IV HEALTHCARE LLC
 
(345) MANOR CARE OF TOWSON LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620456
SKILLED NURSING FACILITY DE 5,612,691 1,743,016 HCR III HEALTHCARE LLC
 
(346) MANOR CARE OF TUCSON AZ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622500
SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(347) MANOR CARE OF TULSA OK LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610215
SKILLED NURSING FACILITY DE -14 103,422 HCR III HEALTHCARE LLC
 
(348) MANOR CARE OF VENICE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624092
SKILLED NURSING FACILITY DE 5,567,619 1,802,710 HCR III HEALTHCARE LLC
 
(349) MANOR CARE OF VOORHEES NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612955
SKILLED NURSING FACILITY DE 4,509,313 1,568,960 HCR III HEALTHCARE LLC
 
(350) MANOR CARE OF W PALM BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624142
SKILLED NURSING FACILITY DE 4,543,083 1,356,189 HCR III HEALTHCARE LLC
 
(351) MANOR CARE OF WALNUT CREEK CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623196
SKILLED NURSING FACILITY DE 9,766,923 3,370,555 HCR IV HEALTHCARE LLC
 
(352) MANOR CARE OF WATERLOO IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624363
SKILLED NURSING FACILITY DE 3,112,911 1,058,995 HCR III HEALTHCARE LLC
 
(353) MANOR CARE OF WEBSTER TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623637
SKILLED NURSING FACILITY DE 1,703 24,880 HCR IV HEALTHCARE LLC
 
(354) MANOR CARE OF WEST DES MOINES IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624438
SKILLED NURSING FACILITY DE 2,899,506 849,477 HCR III HEALTHCARE LLC
 
(355) MANOR CARE OF WEST READING PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615529
SKILLED NURSING FACILITY DE 5,915,278 2,982,491 HCR III HEALTHCARE LLC
 
(356) MANOR CARE OF WESTERVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609626
SKILLED NURSING FACILITY DE 5,153,032 1,096,790 HCR IV HEALTHCARE LLC
 
(357) MANOR CARE OF WESTMONT IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619027
SKILLED NURSING FACILITY DE 2,351,565 246,188 HCR IV HEALTHCARE LLC
 
(358) MANOR CARE OF WHEATON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620376
SKILLED NURSING FACILITY DE 4,489,867 1,262,691 HCR III HEALTHCARE LLC
 
(359) MANOR CARE OF WICHITA KS LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619870
SKILLED NURSING FACILITY DE 1,675,180 702,882 HCR IV HEALTHCARE LLC
 
(360) MANOR CARE OF WILLIAMSPORT PA (NORTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621747
SKILLED NURSING FACILITY DE 4,311,268 2,265,326 HCR III HEALTHCARE LLC
 
(361) MANOR CARE OF WILLIAMSPORT PA (SOUTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621778
SKILLED NURSING FACILITY DE 3,111,291 1,861,434 HCR III HEALTHCARE LLC
 
(362) MANOR CARE OF WILLOUGHBY OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610097
SKILLED NURSING FACILITY DE 4,931,002 1,588,985 HCR IV HEALTHCARE LLC
 
(363) MANOR CARE OF WILMETTE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615773
SKILLED NURSING FACILITY DE 7,148 0 HCR IV HEALTHCARE LLC
 
(364) MANOR CARE OF WILMINGTON DE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623367
SKILLED NURSING FACILITY DE 6,269,461 2,024,956 HCR III HEALTHCARE LLC
 
(365) MANOR CARE OF WINTER PARK FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
36-2899194
SKILLED NURSING FACILITY DE 1,285,200 238,061 WINTER PARK NURSING CENTER LLC
 
(366) MANOR CARE OF YARDLEY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614171
SKILLED NURSING FACILITY DE 6,933,272 3,359,755 HCR III HEALTHCARE LLC
 
(367) MANOR CARE OF YEADON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621815
SKILLED NURSING FACILITY DE 7,422,114 3,687,025 HCR III HEALTHCARE LLC
 
(368) MANOR CARE OF YORK PA (NORTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622887
SKILLED NURSING FACILITY DE 5,812,804 2,665,126 HCR III HEALTHCARE LLC
 
(369) MANOR CARE OF YORK PA (SOUTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622947
SKILLED NURSING FACILITY DE 5,932,573 2,707,165 HCR III HEALTHCARE LLC
 
(370) MANOR CARE REHABILITATION CENTER OF DECATUR GA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624293
OUTPATIENT REHABILITATION DE 6,067,369 2,131,599 HCR III HEALTHCARE LLC
 
(371) MANOR CARE-BELDEN VILLAGE OF CANTON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613074
SKILLED NURSING FACILITY DE 2,353,891 510,937 HCR IV HEALTHCARE LLC
 
(372) MANOR CARE-CARROLLWOOD OF TAMPA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624118
SKILLED NURSING FACILITY DE 1,602,031 235,023 HCR III HEALTHCARE LLC
 
(373) MANOR CARE-DULANEY MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619923
SKILLED NURSING FACILITY DE -13,642 673,160 HCR III HEALTHCARE LLC
 
(374) MANOR CARE-EUCLID BEACH OF CLEVELAND OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609550
SKILLED NURSING FACILITY DE 3,844,163 681,162 HCR IV HEALTHCARE LLC
 
(375) MANOR CARE-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624605
SKILLED NURSING FACILITY DE 5,356,088 1,638,625 HCR IV HEALTHCARE LLC
 
(376) MANOR CARE-GREENTREE OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622713
SKILLED NURSING FACILITY DE 7,006,292 2,539,023 HCR III HEALTHCARE LLC
 
(377) MANOR CARE-IMPERIAL OF RICHMOND VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624643
SKILLED NURSING FACILITY DE 5,024,471 1,676,365 HCR IV HEALTHCARE LLC
 
(378) MANOR CARE-KINGSTON COURT OF YORK PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610561
SKILLED NURSING FACILITY DE 5,380,550 2,328,848 HCR III HEALTHCARE LLC
 
(379) MANOR CARE-LANSDALE OF MONTGOMERYVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614451
SKILLED NURSING FACILITY DE 5,571,413 2,799,865 HCR III HEALTHCARE LLC
 
(380) MANOR CARE-LARGO MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620266
SKILLED NURSING FACILITY DE 5,297,867 2,044,403 HCR III HEALTHCARE LLC
 
(381) MANOR CARE- LELY PALMS OF NAPLES FL (SH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625295
ASSISTED LIVING FACILITY DE 2,687,841 681,478 HCR III HEALTHCARE LLC
 
(382) MANOR CARE-LINDEN VILLAGE OF LEBANON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621960
SKILLED NURSING FACILITY DE 1,183,605 119,892 HCR III HEALTHCARE LLC
 
(383) MANOR CARE-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610604
SKILLED NURSING FACILITY DE 6,977,380 2,528,473 HCR III HEALTHCARE LLC
 
(384) MANOR CARE-PIKE CREEK OF WILMINGTON DE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623346
SKILLED NURSING FACILITY DE 8,477,987 2,961,737 HCR III HEALTHCARE LLC
 
(385) MANOR CARE-ROCKY RIVER OF CLEVELAND OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610139
SKILLED NURSING FACILITY DE -5,495 12,548 HCR IV HEALTHCARE LLC
 
(386) MANOR CARE-ROLAND PARK MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620341
SKILLED NURSING FACILITY DE 4,889,032 1,968,398 HCR III HEALTHCARE LLC
 
(387) MANOR CARE-ROSSVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620310
SKILLED NURSING FACILITY DE 6,449,428 2,827,548 HCR III HEALTHCARE LLC
 
(388) MANOR CARE-RUXTON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620431
SKILLED NURSING FACILITY DE 7,956,409 3,413,366 HCR III HEALTHCARE LLC
 
(389) MANOR CARE-SHARPVIEW OF HOUSTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623656
SKILLED NURSING FACILITY DE -650 0 HCR IV HEALTHCARE LLC
 
(390) MANOR CARE-STRATFORD HALL OF RICHMOND VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624664
SKILLED NURSING FACILITY DE 6,565,257 2,122,703 HCR IV HEALTHCARE LLC
 
(391) MANOR CARE-SUMMER TRACE OF CARMEL IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619716
SKILLED NURSING FACILITY DE 3,431,906 1,120,512 HCR IV HEALTHCARE LLC
 
(392) MANOR CARE-TICE VALLEY CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622591
SKILLED NURSING FACILITY DE 8,037,193 2,763,872 HCR IV HEALTHCARE LLC
 
(393) MANOR CARE-WEST DEPTFORD OF PAULSBORO NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612993
SKILLED NURSING FACILITY DE 5,816,269 1,685,649 HCR III HEALTHCARE LLC
 
(394) MANOR CARE-WOODBRIDGE VALLEY MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620223
SKILLED NURSING FACILITY DE -3,853 366,641 HCR III HEALTHCARE LLC
 
(395) MANOR CARE OF OVERLAND PARK KS LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619843
SKILLED NURSING FACILITY DE 0 29,038 HCR IV HEALTHCARE LLC
 
(396) MEDICAL CARE CENTER-LYNCHBURG VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624567
SKILLED NURSING FACILITY DE 3,848,309 1,169,941 HCR IV HEALTHCARE LLC
 
(397) OAKMONT EAST-GREENVILLE SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623316
SKILLED NURSING FACILITY DE 3,744,385 1,162,696 HCR III HEALTHCARE LLC
 
(398) OAKMONT OF UNION SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623208
SKILLED NURSING FACILITY DE 3,383,194 1,137,734 HCR III HEALTHCARE LLC
 
(399) OAKMONT WEST-GREENVILLE SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623335
SKILLED NURSING FACILITY DE 4,185,275 1,242,794 HCR III HEALTHCARE LLC
 
(400) OLD ORCHARD HEALTH CARE CENTER-EASTON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623007
SKILLED NURSING FACILITY DE 7,642,801 3,674,733 HCR III HEALTHCARE LLC
 
(401) PERRYSBURG COMMONS SENIOR HOUSING-PERRYSBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623264
ASSISTED LIVING FACILITY DE 1,043,257 191,375 HCR IV HEALTHCARE LLC
 
(402) SHADYSIDE NURSING AND REHABILITATION CENTER-PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610325
SKILLED NURSING FACILITY DE 5,128,889 1,809,040 HCR III HEALTHCARE LLC
 
(403) SKY VUE TERRACE-PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610347
SKILLED NURSING FACILITY DE 3,300,600 1,163,693 HCR III HEALTHCARE LLC
 
(404) SPRINGHOUSE OF PIKESVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620079
SKILLED NURSING FACILITY DE 1,278,636 217,578 HCR III HEALTHCARE LLC
 
(405) TWINBROOK MEDICAL CENTER-ERIE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610373
SKILLED NURSING FACILITY DE -3,514 94,025 HCR III HEALTHCARE LLC
 
(406) WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610542
SKILLED NURSING FACILITY DE 7,751,617 3,651,622 HCR III HEALTHCARE LLC
 
(407) WEST ASHLEY REHABILITATION AND NURSING CENTER-CHARLESTON SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623364
SKILLED NURSING FACILITY DE 3,774,027 1,461,347 HCR III HEALTHCARE LLC
 
(408) WHITEHALL BOROUGH-PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622805
SKILLED NURSING FACILITY DE 7,185,892 2,413,868 HCR III HEALTHCARE LLC
 
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)COMMUNITY HEALTH CENTER OF BRANCH COUNTY
274 E CHICAGO ST

COLDWATER,MI49036
38-6108110
HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(3)DEFIANCE HOSPITAL AUXILIARY
1200 RALSTON

DEFIANCE,OH43512
51-0173779
HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 10 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) 12B, 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) 10 FOSTORIA HOSPITAL ASSOCIATION
 
Yes
 
(10)HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43604
82-5373223
SKILLED NURSING FACILITIES OH 501(C)(3) 10 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(11)HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE ST

TECUMSEH,MI49286
38-3076105
HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 12B, II HERRICK MEMORIAL HOSPITAL INC
 
Yes
 
(12)HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE ST

TECUMSEH,MI49286
38-3049015
HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(13)KAITLYN'S COTTAGE INC
1260 RALSTON AVE

DEFIANCE,OH43512
45-4781053
RESPITE CARE OH 501(C)(3) 10 DEFIANCE HOSPITAL INC
 
Yes
 
(14)LENAWEE LONG TERM CARE
700 LAKESHIRE TR

ADRIAN,MI49221
38-2879330
LONG TERM CARE MI 501(C)(3) 10 EMMA L BIXBY MEDICAL CENTER
 
Yes
 
(15)MEMORIAL HOSPITAL
715 SOUTH TAFT AVE

FREMONT,OH43420
34-4430849
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(16)MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMB

MONROE,MI48162
38-1984289
HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(17)MONROE CANCER CENTER
800 STEWART RD

MONROE,MI48162
27-1302183
CANCER CENTER MI 501(C)(3) 10 MERCY MEMORIAL HOSPITAL CORPORATION
 
Yes
 
(18)MONROE COMMUNITY HEALTH SERVICES
718 N MACOMB

MONROE,MI48162
38-2934134
LONG TERM CARE MI 501(C)(3) 10 MERCY MEMORIAL HOSPITAL CORPORATION
 
Yes
 
(19)PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR

MAUMEE,OH43537
20-3376102
HEALTH INSURANCE OH 501(C)(3) 10 PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
 
Yes
 
(20)PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVE

TOLEDO,OH43604
34-4492440
LONG TERM AND HOME HEALTH CARE OH 501(C)(3) 10 PROMEDICA CONTINUUM SERVICES
 
Yes
 
(21)PROMEDICA CONTINUUM SERVICES
100 MADISON AVE

TOLEDO,OH43604
34-1880767
PHYSICIAN MANAGEMENT SERVICES OH 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(22)PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVE

TOLEDO,OH43606
26-0324790
COURIER SERVICE OH 501(C)(3) 12B, II PROMEDICA CONTINUUM SERVICES
 
Yes
 
(23)PROMEDICA FOUNDATION
444 N SUMMIT ST

TOLEDO,OH43604
34-1517672
FOUNDATION OH 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(24)PROMEDICA HEALTH SYSTEM INC
100 MADISON AVE

TOLEDO,OH43604
34-1517671
PARENT COMPANY OF HEALTH SYSTEM OH 501(C)(3) 12B, II N/A
 
No
(25)PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR

BURLINGTON,VT05401
34-1931936
PROFESSIONAL & GENERAL LIABILITY VT 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(26)PROMEDICA PHYSICIAN GROUP
100 MADISON AVE

TOLEDO,OH43604
34-1899439
PHYSICIAN HEALTH CARE SERVICES OH 501(C)(3) 10 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(27)TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREET

TOLEDO,OH43624
34-4427949
SKILLED HOME CARE OH 501(C)(3) 10 PROMEDICA CONTINUUM SERVICES
 
Yes
 
(28)VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE ST

SYLVANIA,OH43560
34-1831624
HOSPICE HOME CARE OH 501(C)(3) 10 PROMEDICA CONTINUUM SERVICES
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) REYNOLDS ROAD SURGICAL CENTER LLC

2865 N REYNOLDS RD
TOLEDO,OH43615
31-1569454
FREESTANDING AMBULATORY SURGICAL CENTER OH THE TOLEDO HOSPITAL
 
RELATED 776,837 2,023,248   No     No 74.380 %
(2) NORTHWEST OHIO DEDICATED BREAST MRI LLC

100 MADISON AVE
TOLEDO,OH43604
26-0679898
MEDICAL DIAGNOSTICS OH THE TOLEDO HOSPITAL
 
RELATED 336,554 952,999   No     No 50.000 %
(3) WEST CENTRAL SURGICAL CENTER LLC

7055 W CENTRAL
TOLEDO,OH43617
20-0088459
AMBULATORY SURGICAL CENTER OH THE TOLEDO HOSPITAL
 
RELATED 359,382 3,292,102   No   Yes   50.000 %
(4) PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC

100 MADISON AVE
TOLEDO,OH43604
46-1989695
PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
 
RELATED 819,457 742,776   No     No 51.430 %
(5) EAST-WEST HOLDINGS LTD

715 SOUTH TAFT AVE
FREMONT,OH43420
20-4066818
REAL ESTATE OH MEMORIAL HOSPITAL
 
RELATED 5,652 290,844   No     No 50.000 %
(6) SURGICAL INSTITUTE OF MONROE LLC

1051 S TELEGRAPH RD
MONROE,MI48161
27-0843485
AMBULATORY SURGICAL CENTER MI PROMEDICA CONTINUUM SERVICES
 
RELATED -210,859 3,336,375   No     No 55.990 %
(7) PROMEDICA MASTER TENANT LLC

100 MADISON AVE
TOLEDO,OH43604
47-5288490
REAL ESTATE OH PROMEDICA MANAGER MEMBER LLC
 
RELATED -8,484 99,042   No   Yes   1.000 %
(8) PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC

100 MADISON AVE
TOLEDO,OH43604
47-3163945
REAL ESTATE OH PROMEDICA MANAGER MEMBER LLC
 
RELATED -361,523 42,429,986   No   Yes   90.000 %
(9) ROCKET VENTURE FUND II LLC

2865 N REYNOLDS RD STE 220
TOLEDO,OH43615
47-5603627
INVESTMENT FUND OH PROMEDICA HEALTH SYSTEM INC
 
RELATED -17,026 833,243   No     No 66.660 %
(10) KAPIOS LLC

2865 N REYNOLDS RD
TOLEDO,OH43615
81-2624635
SOFTWARE DEVELOPMENT OH PROMEDICA HEALTH SYSTEM INC
 
UNRELATED -252,106 366,573   No     No 100.000 %
(11) HCRMC-PROMEDICA JV LLC

333 N SUMMIT STREET
TOLEDO,OH43604
46-1343453
NURSING AND REHAB SERVICES DE MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
 
RELATED -214,736 11,761,142   No   Yes   91.210 %
(12) MERCYMANOR PARTNERSHIP

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43604
52-1931012
SKILLED NURSING PA MANOR CARE OF DELAWARE COUNTY LLC
 
RELATED 2,161,826 124,799   No   Yes   50.000 %
(13) NORMAN SPECIALTY HOSPITAL LLC

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43604
42-1627672
HEALTH CARE DE MANORCARE HEALTH SERVICES OF OKLAHOMA LLC
 
RELATED -113,690     No   Yes   60.500 %
(14) PROMEDICA PATHOLOGY LABORATORIES LLC

2130 W CENTRAL AVE STE 300
TOLEDO,OH43606
83-1022842
CLINICAL LABORATORY DE THE TOLEDO HOSPITAL
 
RELATED 711,991 42,273,516   No     No 51.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HERRICK MEMORIAL DEVELOPMENT CORP

500 E POTTAWATAMIE TR
ADRIAN,MI49221
38-3146907
FACILITY LEASING MI EMMA L BIXBY MEDICAL CENTER
 
C 76,263 1,011,261 100.000 % Yes  
(2) PROMEDICA CENTRAL CORPORATION OF MICHIGAN

100 MADISON AVE
TOLEDO,OH43604
38-3322278
PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP
 
C -7,573,074 7,815,812 100.000 % Yes  
(3) PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES

1901 INDIAN WOOD CIR
MAUMEE,OH43537
34-1570675
HEALTH CARE INSURANCE OH PROMEDICA HEALTH SYSTEM INC
 
C 75,748,553 395,567,114 100.000 % Yes  
(4) PROMEDICA NORTH PHYSICIANS CORPORATION

100 MADISON AVE
TOLEDO,OH43604
38-3482148
PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP
 
C   149,134 100.000 % Yes  
(5) PROMEDICA RETAIL GROUP INC

3890 MONROE ST
TOLEDO,OH43606
34-1159928
FLORIST OH PROMEDICA CONTINUUM SERVICES
 
C -265,124 965,581 100.000 % Yes  
(6) HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION

818 RIVERSIDE AVE
ADRIAN,MI49221
38-3639616
FACILITY MANAGEMENT MI HERRICK MEMORIAL DEVELOPMENT CORP
 
C 73 54,773 71.800 % Yes  
(7) PROMEDICA HEALTH NETWORK INC

100 MADISON AVE
TOLEDO,OH43604
47-4006496
PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
 
C -306,751 83,546 100.000 % Yes  
(8) MONROE HEALTH VENTURES

718 N MACOMB
MONROE,MI48164
38-2704426
PHARMACY MI MERCY MEMORIAL HOSPITAL CORPORATION
 
C     100.000 % Yes  
(9) PROMEDICA MANAGER MEMBER LLC

100 MADISON AVE
TOLEDO,OH43604
47-5168737
REAL ESTATE OH PROMEDICA HEALTH SYSTEM INC
 
C -12,740 31,358,211 100.000 % Yes  
(10) MANOR CARE INSURANCE INC

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43604
98-0428947
INSURANCE UT HCR HEALTHCARE LLC
 
C 71,248 27,797,572 100.000 % Yes  
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
Yes
 
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
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
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
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
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) REYNOLDS ROAD SURGICAL CENTER LLC

A 157,500 FMV





Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 2018
Schedule R (Form 990) 2018
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) 2018

Additional Data


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