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)
MediumBullet Do not enter social security numbers on this form as it may be made public.
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OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
BCheck if applicable:
CName of organization
PROMEDICA HEALTH SYSTEM INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
100 MADISON AVE ATTN TAX DEPARTM
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TOLEDO, OH43604
D Employer identification number

34-1517671
E Telephone number

G Gross receipts $ 481,111,885
F Name and address of principal officer:
STEVEN M CAVANAUGH
100 MADISON AVE
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: 1986
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 10
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 2,654
6 Total number of volunteers (estimate if necessary) ............. 6 576
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 966,083
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 173,467,676 4,231,236
9 Program service revenue (Part VIII, line 2g) ......... 286,923,935 420,344,098
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 18,793,514 1,076,167
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,270,238 2,763,847
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 481,455,363 428,415,348
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 38,148,846 13,863,254
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) 173,958,487 168,338,041
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).... 1,386,531,315 164,323,642
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,598,638,648 346,524,937
19 Revenue less expenses. Subtract line 18 from line 12....... -1,117,183,285 81,890,411
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,579,413,759 2,707,280,136
21 Total liabilities (Part X, line 26)............. 234,435,053 282,313,641
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,344,978,706 2,424,966,495
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: BASED IN TOLEDO, OHIO, PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. IT IS GUIDED BY ITS CORE VALUES OF COMPASSION, INNOVATION, TEAMWORK, AND EXCELLENCE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 278,310,711 including grants of $ 13,863,254 ) (Revenue $ 421,669,938 )
PROMEDICA HEALTH SYSTEM, INC. (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTHCARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet278,310,711
Form 990 (2019)
Form 990 (2019)
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 V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
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
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
Yes
 
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
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
242
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 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
2,654
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBR , CH , CI , EZ , GR , HU , ID , IS , JA , KS , NI , PL , SW , TU
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
Yes
 
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 (2019)
Form 990 (2019)
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
11
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
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
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
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
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:
MediumBulletCONNIE DOWNS100 MADISON AVE   TOLEDO,OH43604 (567) 585-8505
Form 990 (2019)
Form 990 (2019)
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.

See instructions for the order in which to list the persons above.
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) RANDALL OOSTRA......................................................................
PHS PRES. & CEO, EX OFFICIO
 40.00
.................
21.00 		X   X       3,848,858 0 938,751
(2) ROBERT W LACLAIR......................................................................
CHAIRMAN
 1.00
.................
10.00 		X   X       0 0 0
(3) EMMETT T BOYLE JR MD......................................................................
EX OFFICIO
 1.00
.................
46.00 		X           0 585,938 27,531
(4) STEPHANIE M COLE MD......................................................................
TRUSTEE
 1.00
.................
41.00 		X           0 553,566 26,205
(5) PRAVEEN K TAMIRISA MD......................................................................
TRUSTEE
 1.00
.................
40.00 		X           0 354,359 17,591
(6) MARY ELLEN K PIZZA MD......................................................................
TRUSTEE
 1.00
.................
40.00 		X           0 187,990 1,806
(7) ANN M HUSTON......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(8) BRIAN KENNEDY......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(9) DANIEL FARRELL......................................................................
EX OFFICIO
 1.00
.................
1.00 		X           0 0 0
(10) DAVID SNAVELY......................................................................
EX OFFICIO
 1.00
.................
6.00 		X           0 0 0
(11) ELIZABETH BRADY......................................................................
EX OFFICIO
 1.00
.................
1.00 		X           0 0 0
(12) EMORY SCHMIDT......................................................................
EX OFFICIO
 1.00
.................
6.00 		X           0 0 0
(13) EVON EBEID......................................................................
TRUSTEE
 1.00
.................
6.00 		X           0 0 0
(14) HUSSIEN SHOUSHER......................................................................
TRUSTEE
 1.00
.................
6.00 		X           0 0 0
(15) JAMES A HOFFMAN......................................................................
EX OFFICIO
 1.00
.................
0.00 		X           0 0 0
(16) JAMES F WHITE JR......................................................................
EX OFFICIO
 1.00
.................
2.00 		X           0 0 0
(17) KAREN S CALENDER RN......................................................................
EX OFFICIO
 1.00
.................
2.00 		X           0 0 0
Form 990 (2019)
Form 990 (2019)
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) KEVIN J SAUDER........................................................................
EX OFFICIO
 1.00
.......................0.00 		X           0 0 0
(19) KURT L DARROW........................................................................
EX OFFICIO
 1.00
.......................2.00 		X           0 0 0
(20) LARRY PETERSON........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           0 0 0
(21) LESLIE CHAPMAN........................................................................
TRUSTEE
 1.00
.......................7.00 		X           0 0 0
(22) LISA A MCDUFFIE MSSA LISW-S........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(23) LISA HAWKER........................................................................
EX OFFICIO
 1.00
.......................8.00 		X           0 0 0
(24) MARCY BROWN........................................................................
TRUSTEE
 1.00
.......................8.00 		X           0 0 0
(25) MERCEDES T KERR........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(26) MICHAEL HYLANT........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(27) MICHAEL MCMURRAY........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(28) NANCY KABAT........................................................................
EX OFFICIO
 1.00
.......................8.00 		X           0 0 0
(29) PATRICK BOWE........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(30) PAUL JOHN FENTON MD........................................................................
TRUSTEE
 1.00
.......................0.00 		X           0 0 0
(31) SHANKHA MITRA........................................................................
TRUSTEE
 1.00
.......................1.00 		X           0 0 0
(32) STEPHEN H STAELIN........................................................................
EX OFFICIO
 1.00
.......................8.00 		X           0 0 0
(33) THOMAS J WINSTON........................................................................
EX OFFICIO
 1.00
.......................1.00 		X           0 0 0
(34) WILLIAM MCDONNELL........................................................................
TRUSTEE
 1.00
.......................8.00 		X           0 0 0
(35) STEVEN M CAVANAUGH........................................................................
TREASURER (BEG 06/03/19)
 1.00
.......................60.00 		    X       0 2,049,453 6,413
(36) JEFFREY KUHN........................................................................
SECRETARY
 40.00
.......................21.00 		    X       1,542,825 0 255,983
(37) MICHAEL BROWNING........................................................................
TREASURER (THRU 06/03/19)
 40.00
.......................21.00 		    X       1,216,014 0 3,813
(38) LEE W HAMMERLING MD........................................................................
CHIEF ACADEMIC OFFICER, PRES.
 40.00
.......................4.00 		      X     2,031,816 0 323,226
(39) KAREN STRAUSS........................................................................
CHIEF OPERATING OFFICER
 40.00
.......................3.00 		      X     1,784,023 0 211,595
(40) KEVIN C WEBB PHD........................................................................
CHIEF ACUTE & POST ACUTE OFF
 40.00
.......................15.00 		      X     1,375,143 0 235,820
(41) LORI JOHNSTON........................................................................
PRES, PROMEDICA INSURANCE COR
 40.00
.......................1.00 		      X     1,239,710 0 205,565
(42) ROBIN WHITNEY........................................................................
CHIEF STRATEGIC PLANNING & REAL ESTATE
 40.00
.......................3.00 		      X     443,791 0 35,067
(43) LESLIE THOMPSON........................................................................
CHIEF HUMAN RESOURCE OFFICER
 40.00
.......................0.00 		      X     400,930 0 35,515
(44) HOLLY BRISTOLL........................................................................
CHIEF INT OFFICER ACADEMIC AFF
 40.00
.......................2.00 		        X   781,586 0 160,719
(45) DANIEL K CASSAVAR MD........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   676,200 0 22,618
(46) KENT BISHOP........................................................................
CMO PROMEDICA PHYSICIANS AND ACUTE CARE
 40.00
.......................2.00 		        X   593,064 20,842 35,108
(47) JOHN RANDOLPH........................................................................
CHIEF INFO OFFICER
 40.00
.......................0.00 		        X   610,700 0 17,249
(48) NEERAJ K KANWAL MD........................................................................
SR VP, INPT & RETAIL PHARMACY
 40.00
.......................2.00 		        X   524,931 0 40,223
(49) GARY W AKENBERGER........................................................................
FORMER OFFICER
 0.00
.......................49.00 		          X 450,803 0 44,563
(50) ALAN M SATTLER........................................................................
FORMER OFFICER
 40.00
.......................0.00 		          X 347,990 0 44,375
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 17,868,384 3,752,148 2,689,736
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 MediumBullet195
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
TRIMEDX INC

5451 LAKEVIEW PARKWAY S DRIVE
INDIANAPOLIS,IN46268 		HEALTHCARE EQUIPMENT SERVICES 21,762,799
REINO LINEN SERVICES INC

119 SOUTH MAIN ST
GIBSONBURG,OH43431 		LINEN SERVICES 6,365,357
MICROSOFT LICENSING GP

6100 NEIL RD
RENO,NV89511 		SOFTWARE LICENSING 4,368,813
SODEXO AMERICA INC DBA SODEXO INC & AFFI

4880 PAYSPHERE CR
CHICAGO,IL60674 		FOOD SERVICES 4,365,844
EPIC SYSTEMS CORPORATION

1979 MILKY WAY
VERONA,WI53593 		EHR SOFTWARE 3,296,557
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet157
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 45,596
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 3,923,574
e Government grants (contributions)1e 262,066
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 4,231,236
Program Service RevenueAmt Business Code
2a ADMIN SUPPORT SERVICES 551114 332,424,878 332,180,878 244,000  
b INVESTMENT IN AFFILIAT 551114 87,680,904 87,680,904    
c CPR TRAINING CENTER 900099 140,293 140,293    
d COMMUNITY WELLNESS 900099 97,823 97,823    
e EDUCATION 900099 200 200    
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 420,344,098
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 1,004,475   -384,843 1,389,318
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   2,214,393 6a
b Less: rental expenses   2,191,442 6b
c Rental income or (loss)   22,951 6c
d Net rental income or (loss).......MediumBullet 22,951     22,951
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 44,200,044 6,376,743 7a
b Less: cost or other basis and sales expenses 44,264,174 6,240,921 7b
c Gain or (loss) -64,130 135,822 7c
d Net gain or (loss).........MediumBullet 71,692 -64,130   135,822
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a DIETARY 722514 821,172 342,832 478,340  
b PARKING 812930 776,182 147,596 628,586  
c MEDICAL RECORDS 900099 323,379 323,379    
d All other revenue .... 820,163 820,163    
e Total. Add lines 11a–11d ...... MediumBullet 2,740,896
12 Total revenue. See instructions.....MediumBullet 428,415,348 421,669,938 966,083 1,548,091
Form 990 (2019)
Form 990 (2019)
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 .... 13,863,254 13,863,254
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, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 16,128,443 12,902,754 3,225,689  
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........ 121,360,182 97,088,146 24,272,036  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 2,334,845 1,867,876 466,969  
9 Other employee benefits ....... 20,688,224 16,550,579 4,137,645  
10 Payroll taxes ........... 7,826,347 6,261,078 1,565,269  
11 Fees for services (non-employees):        
a Management ...... 6,500 5,200 1,300  
b Legal ......... 491,216   491,216  
c Accounting ........... 1,581,321   1,581,321  
d Lobbying ........... 143,860 143,860    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 65,789   65,789  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 10,911,201 8,728,961 2,182,240  
12 Advertising and promotion .... 4,829,905 3,863,924 965,981  
13 Office expenses ....... 7,625,786 6,100,629 1,525,157  
14 Information technology ...... 41,933,354 33,546,683 8,386,671  
15 Royalties ..        
16 Occupancy ........... 7,889,628 6,311,702 1,577,926  
17 Travel ............ 1,641,094 1,312,875 328,219  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 6,172,710 4,938,168 1,234,542  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 33,912,042 27,129,634 6,782,408  
23 Insurance ...        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a ACADEMIC AFFILIATION 36,648,228 29,318,582 7,329,646  
b MINOR EQUIPMENT 3,002,075 2,401,660 600,415  
c EMPLOYEE GIFTS & AWARDS 1,260,629 1,008,503 252,126  
d UBI TAXES 13,000 13,000    
e All other expenses 6,195,304 4,953,643 1,241,661  
25 Total functional expenses. Add lines 1 through 24e 346,524,937 278,310,711 68,214,226 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 (2019)
Form 990 (2019)
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 ........ 19,576,423 1 2,451,472
2 Savings and temporary cash investments .........   2 500,000
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net .............   4  
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
2,026,035 5 2,574,646
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 11,366,384 7 10,503,084
8 Inventories for sale or use ............ 124,338 8 452,044
9 Prepaid expenses and deferred charges ...... 33,627,953 9 27,670,221
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 350,183,992
b Less: accumulated depreciation 10b 140,969,925 235,415,297 10c 209,214,067
11 Investments—publicly traded securities . 39,514,017 11 33,376,251
12 Investments—other securities. See Part IV, line 11 ..... 65,208,055 12 74,765,403
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14 1,132,192
15 Other assets. See Part IV, line 11 ........... 2,172,555,257 15 2,344,640,756
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,579,413,759 16 2,707,280,136
Liabilities 17 Accounts payable and accrued expenses ..... 97,553,903 17 92,439,101
18 Grants payable ...   18  
19 Deferred revenue ......... 2,000,000 19 2,000,000
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 7,025,918 23 5,449,595
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 127,855,232 25 182,424,945
26 Total liabilities. Add lines 17 through 25.. 234,435,053 26 282,313,641
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,324,638,221 27 2,404,159,784
28 Net assets with donor restrictions ........... 20,340,485 28 20,806,711
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 2,344,978,706 32 2,424,966,495
33 Total liabilities and net assets/fund balances ........ 2,579,413,759 33 2,707,280,136
Form 990 (2019)
Form 990 (2019)
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
428,415,348
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
346,524,937
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
81,890,411
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,344,978,706
5
Net unrealized gains (losses) on investments ...............
5
799,318
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
-2,701,940
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,424,966,495
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
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 instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 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 ...............................17
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
(A) BAY PARK COMMUNITY HOSPITAL
  		341883132 3   No 0 0
(B) COMMUNITY HEALTH CENTER OF BRANCH COUNTY
  		386108110 3   No 0 0
(C) DEFIANCE HOSPITAL INC
  		344446484 3   No 0 0
(D) EMMA L BIXBY MEDICAL CENTER
  		382796005 3   No 0 0
(E) FOSTORIA HOSPITAL ASSOCIATION
  		340898745 3   No 0 0
(F) HERRICK MEMORIAL HOSPITAL INC
  		383049015 3   No 0 0
(G) MEMORIAL HOSPITAL
  		344430849 3   No 0 0
(H) MERCY MEMORIAL HOSPITAL CORPORATION
  		381984289 3   No 0 0
(I) THE TOLEDO HOSPITAL
  		344428256 3   No 0 0
(J) KAITLYN'S COTTAGE INC
  		454781053 10   No 0 0
(K) LENAWEE LONG TERM CARE
  		382879330 10   No 0 0
(L) MONROE COMMUNITY HEALTH SERVICES
  		382934134 10   No 0 0
(M) PROMEDICA CONTINUING CARE SERVICES CORPORATION
  		344492440 10   No 0 0
(N) PROMEDICA PHYSICIAN GROUP
  		341899439 10   No 0 0
(O) TOLEDO DISTRICT NURSE ASSOCIATION
  		344427949 10   No 0 0
(P) VISITING NURSE HOSPICE AND HEALTH CARE
  		341831624 10   No 0 0
(Q) HCR MANORCARE INC
  		825373223 10   No 0 0
Total
17
 0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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
 
No
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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
 
No
b
A family member of a person described in (a) above?
11b
 
No
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
 
No
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
 
No
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, 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 2019. 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 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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
PART IV, SECTION A, LINE 1: PROMEDICA HEALTH SYSTEM, INC. (34-1517671) AFFILIATES DESIGNATED BY CLASS AND PURPOSE LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2).
PART IV, SECTION C, LINE 1 PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT OF AN INTEGRATED HEALTH CARE DELIVERY NETWORK MADE UP OF AN AFFILIATED GROUP OF EXEMPT ORGANIZATIONS WHICH INCLUDES HOSPITALS, HEALTH CARE PROVIDERS, CONTINUING CARE SERVICES, SPECIALIZED HEALTH SERVICES, ENTITIES PROVIDING SUPPORT SERVICES, AND FOUNDATIONS. PHS PROVIDES OVERALL DIRECTION, MANAGEMENT, AND CONTROL TO ITS FIRST TIER SUBSIDIARIES, INCLUDING PROMEDICA INDEMNITY CORPORATION, AND INDIRECTLY THROUGH ITS FIRST TIER SUBSIDIARIES, TO ALL AFFILIATED SECOND TIER SUBSIDIARIES OF EACH FIRST TIER SUBSIDIARY. THE ACTIVITIES OF PHS SUPPORT THE EXEMPT PURPOSES OF THE AFFILIATED ORGANIZATIONS IN THE PHS NETWORK AND ENHANCE AND IMPROVE THE DELIVERY OF EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY THE PHS NETWORK. CONTROL AND MANAGEMENT EFFECCTIVELY IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ALL SUBSIDIARY ORGANIZATIONS THROUGH RESERVED POWERS. PHS HAS RESERVED POWERS IN EACH SUBSIDIARY'S CODE OF REGULATIONS OR BYLAWS ALONG WITH THE RIGHT TO APPROVE CERTAIN ACTIONS OF EACH SUBSIDIARY'S BOARD OF TRUSTEES. THE FIRST TIER SUBSIDIARIES HAVE IN TURN RESERVED SIMILAR POWERS OVER THE SECOND TIER SUBSIDIARIES TO INTEGRATE OVERALL DIRECTION, MANAGEMENT, AND CONTROL. THE RESERVED POWERS AND OVERALL SYSTEM CONTROL ENSURE THAT PHS WILL BE RESPONSIVE TO THE NEEDS OF EACH SUPPORTED ORGANIZATION. PHS IS AN INTEGRAL PART OF THE PHS NETWORK. PHS QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ALL ORGANIZATIONS THAT ARE EXEMPT AFFILIATED MEMBERS OF PHS. COMMON SUPERVISION AND CONTROL ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF PHS. THERE HAS ALSO BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN PHS ITS SUPPORTED ORGANIZATIONS AND A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS AS A RESULT OF THIS RELATIONSHIP SUPPORTING COMMON CONTROL CONSISTENT WITH TYPE II SUPPORTING ORGANIZATION CLASSIFICATION. PHS HAS MANTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATION'S OPERATIONS.
Schedule A (Form 990 or 990-EZ) 2019


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
2019
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

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






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
PROMEDICA HEALTH SYSTEM INC
  		Employer identification number
34-1517671
Part I
Contributors
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
PROMEDICA HEALTH SYSTEM INC
  		Employer identification number

34-1517671
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
PROMEDICA HEALTH SYSTEM INC
  		Employer identification number

34-1517671
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) (2019)

Additional Data


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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
2019
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
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
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) 2019

Schedule C (Form 990 or 990-EZ) 2019
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) 2016 (b) 2017 (c) 2018 (d) 2019 (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) 2019


Schedule C (Form 990 or 990-EZ) 2019
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)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
143,860
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? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
143,860
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: PROMEDICA HEALTH SYSTEM, INC. PAID FEES TO STRATEGIC HEALTH CARE - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


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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 instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 FASB 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 FASB 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 FASB 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) 2019

Schedule D (Form 990) 2019
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 ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term 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)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" 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 ..... 165,857 15,511,470 15,677,327
b Buildings .... 8,568,196 71,729,698 10,039,493 70,258,401
c Leasehold improvements   3,884,460 1,649,375 2,235,085
d Equipment ....   239,301,148 128,314,360 110,986,788
e Other .....   11,023,163 966,697 10,056,466
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 209,214,067
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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)INVESTMENT IN AFFILIATES 2,048,339,639
(2)DUE FROM AFFILIATES 184,508,745
(3)OTHER SEGREGATED INVESTMENTS 139,831
(4)OTHER NON-CURRENT ASSETS 35,546,552
(5)OTHER RECEIVABLES 9,581,106
(6)BENEFICIAL INTEREST IN FOUNDATION 20,820,923
(7)DEFERRED COMPENSATION 45,703,960
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,344,640,756
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  
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 182,424,945
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) 2019

Schedule D (Form 990) 2019
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
Schedule D (Form 990) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
EAST ASIA AND THE PACIFIC 0 0 UNRELATED TRADE OR BUSINESS   50,798
SOUTH ASIA 0 0 UNRELATED TRADE OR BUSINESS   11,912
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 62,710
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 62,710
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART I, LINE 3: THE EXPENDITURES REPORTED IN COLUMN (F) WERE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.
PART III ACCOUNTING METHOD:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2019
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
2019
Open to Public
Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number
34-1517671
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to 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) 577 FOUNDATION
577 E FRONT ST
PERRYSBURG,OH43551 		34-1591869 501(C)(3) 5,000       CHARITABLE DONATION
(2) AARP FOUNDATION
601 E STREET NW A4-403
WASHINGTON,DC20049 		52-0794300 501(C)(3) 9,522       CHARITABLE DONATION
(3) ADRIAN COLLEGE
110 SOUTH MADISON
ADRIAN,MI49221 		38-1357980 501(C)(3) 10,800       CHARITABLE DONATION
(4) ALZHEIMERS ASSOCIATION
2500 N REYNOLDS RD
TOLEDO,OH43615 		34-1423768 501(C)(3) 15,000       CHARITABLE DONATION
(5) AMERICAN CANCER SOCIETY
135 CHESTERFIELD STE 100
MAUMEE,OH43537 		13-1788491 501(C)(3) 22,500       CHARITABLE DONATION
(6) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231 		13-5613797 501(C)(3) 20,000       CHARITABLE DONATION
(7) AMERICAN RED CROSS
PO BOX 73013
CHICAGO,IL60673 		31-1352067 501(C)(3) 25,000       CHARITABLE DONATION
(8) ARTS COMMISSION OF GREATER TOL
1838 PARKWOOD AVE
TOLEDO,OH43604 		34-1358701 501(C)(3) 260,000       CHARITABLE DONATION
(9) AXESSPOINTE COMMUNITY HEALTH CENTER INC
1400 S ARLINGTON ST STE 38
AKRON,OH44306 		34-1735884 501(C)(3) 27,828       CHARITABLE DONATION
(10) BLACK SWAMP BIRD OBSERVATORY
13551 WEST STATE ROUTE 2
OAK HARBOR,OH43449 		34-1702076 501(C)(3) 7,500       CHARITABLE DONATION
(11) BOYS AND GIRLS CLUBS OF TOLEDO
2250 N DETROIT AVE
TOLEDO,OH43606 		34-4427933 501(C)(3) 6,250       CHARITABLE DONATION
(12) CHERRY STREET MISSION
105 17TH ST
TOLEDO,OH43604 		34-1133369 501(C)(3) 5,000       CHARITABLE DONATION
(13) CITY OF FOSTORIA
PO BOX 1007
FOSTORIA,OH44830 		82-4733173 GOV'T ENTITY 7,143       CHARITABLE DONATION
(14) CITY OF TOLEDO
ONE GOVERNMENT CENTER SUITE 2100
TOLEDO,OH43804 		34-6401447 GOV'T ENTITY 28,000       CHARITABLE DONATION
(15) CLEATS UP LLC
145 CHESTERFIELD LANE
MAUMEE,OH43537 		82-4733173   5,000       CHARITABLE DONATION
(16) COMMITTEE FOR CHILDREN
PO BOX 2202
TOLEDO,OH43603 		83-1318481 501(C)(3) 10,500       CHARITABLE DONATION
(17) COMPASS COMMUNITY HEALTH
1634 11TH STREET
PORTSMOUTH,OH45662 		45-5385046 501(C)(3) 22,000       CHARITABLE DONATION
(18) COMPASSION HEALTH TOLEDO
1638 BROADWAY ST
TOLEDO,OH43609 		47-3197108 501(C)(3) 50,000       CHARITABLE DONATION
(19) CROSSROAD HEALTH CENTER
5 EAST LIBERTY
CINCINNATI,OH45202 		31-1321054 501(C)(3) 44,928       CHARITABLE DONATION
(20) CROSWELL OPERA HOUSE
129 E MAUMEE ST
ADRIAN,MI49221 		38-6144993 501(C)(3) 5,000       CHARITABLE DONATION
(21) DEFIANCE COLLEGE
701 N CLINTON ST
DEFIANCE,OH43512 		34-4430762 501(C)(3) 5,000       CHARITABLE DONATION
(22) ERNST & YOUNG LLP
200 PLAZA DR SUITE 2222
SECAUCUS,NJ07094 		34-6565596   40,000       CHARITABLE DONATION
(23) FAIRFIELD COMMUMITY HEALTH CENTER
207 SOUTH BROAD ST
LANCASTER,OH43130 		27-1092132 501(C)(3) 39,881       CHARITABLE DONATION
(24) FAMILY MEDICAL CENTER OF MICH
8765 LEWIS AVE
TEMPERANCE,MI48182 		38-2308659 501(C)(3) 5,000       CHARITABLE DONATION
(25) FIVE RIVERS HEALTH CENTERS
2261 PHILADELPHIA DR STE 200
DAYTON,OH45406 		45-0914398 501(C)(3) 500,000       CHARITABLE DONATION
(26) GABBY'S LADDER
431 E ELM AVE
MONROE,MI48162 		38-3564824 501(C)(3) 10,875       CHARITABLE DONATION
(27) GIVEHEAR
130 WEST MAIN STREET
FORT WAYNE,IN46802 		45-2803181 501(C)(3) 25,000       CHARITABLE DONATION
(28) GOOD GRIEF OF NORTHWEST
7015 SPRING MEADOWS DRIVE WEST
HOLLAND,OH43528 		46-0765319 501(C)(3) 15,000       CHARITABLE DONATION
(29) HISTORIC SOUTH INITIATIVE
PO BOX 1008
TOLEDO,OH43697 		47-1691856 501(C)(3) 6,600       CHARITABLE DONATION
(30) HOPE COMMUNITY CENTER
431 BAKER ST
ADRIAN,MI49221 		38-2177974 501(C)(3) 10,000       CHARITABLE DONATION
(31) HYLANT FAMILY FOUNDATION
PO BOX 1687
TOLEDO,OH43603 		46-4379091 501(C)(3) 7,500       CHARITABLE DONATION
(32) INVERNESS CLUB
4601 DORR STREET
TOLEDO,OH43615 		34-4269760 501(C)(3) 30,000       CHARITABLE DONATION
(33) JUMPSTART INC
6701 CARNEGIE AVE STE 100
CLEVELAND,OH44103 		34-1398522 501(C)(3) 175,000       CHARITABLE DONATION
(34) LENAWEE COMMUNITY FOUNDATION
606 N EVANS ST
TECUMSEH,MI49286 		38-6095474 501(C)(3) 31,340       CHARITABLE DONATION
(35) LEUKEMIA & LYMPHOMA SOCIETY
23297 COMMERCE PARK
CLEVELAND,OH44122 		13-5644916 501(C)(3) 26,100       CHARITABLE DONATION
(36) LIMA MEMORIAL HOSPITAL
1001 BELLEFONTAINE AVE
LIMA,OH45804 		34-1883284 501(C)(3) 25,000       CHARITABLE DONATION
(37) LOCAL INITIATIVES SUPPORT CORP
245 N SUPERIOR
TOLEDO,OH43604 		13-3030229 501(C)(3) 12,500       CHARITABLE DONATION
(38) LOWER LIGHTS CHRISTIAN
1160 WEST BROAD ST
COLUMBUS,OH43222 		31-1810355 501(C)(3) 249,500       CHARITABLE DONATION
(39) LPGA TOURNAMENT PROPERTIES ONE LLC
100 INTERNATIONAL GOLF DRIVE
DAYTONA BEACH,FL32124 		62-1370922   104,894       CHARITABLE DONATION
(40) LUCAS COUNTY SHERIFF'S OFFICE DRUG ABUSE REPONSE TEAM INC
1622 SPIELBUSCH AVE
TOLEDO,OH43604 		81-5075376 501(C)(3) 15,000       CHARITABLE DONATION
(41) LUCAS COUNTY TREASURER
ONE GOVERNMENT CENTER STE 800
TOLEDO,OH43604 		34-6400806 GOV'T ENTITY 15,000       CHARITABLE DONATION
(42) MARCH OF DIMES
1500 W 3RD AVE STE 303
COLUMBUS,OH43212 		31-4414879 501(C)(3) 17,110       CHARITABLE DONATION
(43) MIRACLE LEAGUE OF NW OHIO
843 ELK RIDGE DRIVE
NORTHWOOD,OH43619 		20-4979084 501(C)(3) 25,000       CHARITABLE DONATION
(44) MONROE COUNTY CHAMBER OF COMMERCE
PO BOX 626
MONROE,MI48161 		38-1566376 501(C)(3) 5,500       CHARITABLE DONATION
(45) MONROE STREET NEIGHBORHOOD CENTER
3613 MONROE
TOLEDO,OH43606 		34-1925952 501(C)(3) 5,000       CHARITABLE DONATION
(46) NAMI OF GREATER TOLEDO
2753 WEST CENTRAL AVE
TOLEDO,OH43606 		34-1723306 501(C)(3) 5,000       CHARITABLE DONATION
(47) NATIONAL MUSEUM OF THE GREAT LAKES
1707 FRONT ST
TOLEDO,OH43605 		35-6549217 501(C)(3) 7,500       CHARITABLE DONATION
(48) NEIGHBORHOOD HEALTH CARE
2415 AUBURN AVE
CINCINNATI,OH45219 		34-1300581 501(C)(3) 99,058       CHARITABLE DONATION
(49) OHIO CANCER RESEARCH ASSOCIATE
85 E GAY ST 700
COLUMBUS,OH43215 		31-1038309 501(C)(3) 10,000       CHARITABLE DONATION
(50) ONE YOGA LLC
3007 VALLEY VIEW DRIVE
OTTAWA HILLS,OH43606 		68-0605274   25,000       CHARITABLE DONATION
(51) OPEN DOOR MINISTRY
2825 CHERRY ST
TOLEDO,OH43608 		34-1555495 501(C)(3) 25,000       CHARITABLE DONATION
(52) OTTAWA HILLS FOUNDATION
2125 RICHARDS RD
TOLEDO,OH43606 		34-1476780 501(C)(3) 37,625       CHARITABLE DONATION
(53) PRIMARYONE HEALTH
1800 WATERMARK DR STE 420
COLUMBUS,OH43215 		31-1533908 501(C)(3) 379,723       CHARITABLE DONATION
(54) PROMEDICA FOUNDATION
444 N SUMMIT STREET
TOLEDO,OH43604 		34-1517672 501(C)(3) 3,139,163       OPERATING GRANT
(55) REGIONAL GROWTH PARTNERSHIP
300 MADISON AVE STE 270
TOLEDO,OH43604 		34-1823833 501(C)(3) 100,000       CHARITABLE DONATION
(56) RIDGEWAY CHURCH OF THE NAZARENE
6886 RIDGE HWY
BRITTON,MI49229 		23-7454511 501(C)(3) 5,000       CHARITABLE DONATION
(57) RONALD MCDONALD HOUSE OF NW OH
3883 MONROE ST
TOLEDO,OH43606 		34-1349742 501(C)(3) 253,650       CHARITABLE DONATION
(58) RUTHERFORD B HAYES PRESIDENTAL CENTER
SPIEGEL GROVE
FREMONT,OH43420 		34-6502740 501(C)(3) 10,500       CHARITABLE DONATION
(59) SCHEDEL ARBORETUM & GARDENS
19255 W PORTAGE RIVER S RD
ELMORE,OH43416 		34-6557721 501(C)(3) 7,500       CHARITABLE DONATION
(60) SEAGATE CONVENTION CENTRE RENOVATIONS
401 JEFFERSON AVE
TOLEDO,OH43604 		34-1388178 501(C)(3) 5,000,000       CHARITABLE DONATION
(61) SHARE THE WARMTH
PO BOX 726
ADRIAN,MI49221 		81-5143616 501(C)(3) 5,560       CHARITABLE DONATION
(62) SISTERS SERVANTS OF THE IMMACULATE HEART OF MARY
610 WEST ELM AVENUE
MONROE,MI48162 		38-1359581 501(C)(3) 5,500       CHARITABLE DONATION
(63) ST FRANCIS DE SALES HIGH SCHOOL
2323 W BANCROFT ST
TOLEDO,OH43607 		34-4465715 501(C)(3) 450,000       CHARITABLE DONATION
(64) ST MARY CATHOLIC CENTRAL ENDOWMENT FUND
108 WEST ELM AVE
MONROE,MI48162 		23-7312553 501(C)(3) 15,750       CHARITABLE DONATION
(65) ST URSULA ACADEMY
4025 INDIAN RD
TOLEDO,OH43606 		34-0873639 501(C)(3) 14,000       CHARITABLE DONATION
(66) SUSAN G KOMEN BREAST CANCER FOUNDATION INC
PO BOX 8489
TOLEDO,OH43612 		34-1793460 501(C)(3) 20,500       CHARITABLE DONATION
(67) SYLVANIA YOUTH HOCKEY INC
7060 SYLVANIA AVE
SYLVANIA,OH43560 		46-2859736 501(C)(3) 5,000       CHARITABLE DONATION
(68) THE TOLEDO SYMPHONY
1838 PARKWOOD AVE
TOLEDO,OH43697 		34-4005365 501(C)(3) 153,504       CHARITABLE DONATION
(69) THE VICTORY CENTER
5532 W CENTRAL AVE STE B
TOLEDO,OH43615 		34-1767997 501(C)(3) 10,900       CHARITABLE DONATION
(70) TOLEDO 2020
PO BOX 520
TOLEDO,OH43606 		83-3043641 501(C)(3) 20,000       CHARITABLE DONATION
(71) TOLEDO AIR SHOW FOUNDATION INC
ONE SEAGATE SUITE 2650
TOLEDO,OH43604 		81-1585020 501(C)(3) 25,000       CHARITABLE DONATION
(72) TOLEDO CLASSIC INC
4405 DORR ST
TOLEDO,OH43607 		34-1499072 501(C)(3) 30,000       CHARITABLE DONATION
(73) TOLEDO CLUB
PO BOX 565
TOLEDO,OH43604 		34-1750385   101,000       CHARITABLE DONATION
(74) TOLEDO COMMUNITY FOUNDATION
300 MADISON AVE STE 1300
TOLEDO,OH43604 		23-7284004 501(C)(3) 683,917       CHARITABLE DONATION
(75) TOLEDO CULTURAL ARTS CENTER
410 ADAMS ST
TOLEDO,OH43604 		34-1385037 501(C)(3) 25,000       CHARITABLE DONATION
(76) TOLEDO MUSEUM OF ART
2445 MONROE ST
TOLEDO,OH43620 		34-4434678 501(C)(3) 300,500       CHARITABLE DONATION
(77) TOLEDO OPERA
406 ADAMS ST
TOLEDO,OH43604 		34-6556139 501(C)(3) 77,500       CHARITABLE DONATION
(78) TOLEDO PHYSICIANS OF INDIAN ORIGIN
PO BOX 27
MAUMEE,OH43537 		82-4385037 501(C)(3) 10,000       CHARITABLE DONATION
(79) TOLEDO PUBLIC SCHOOLS FND
420 E MANHATTAN BLVD ROOM 110
TOLEDO,OH43608 		34-6401449 501(C)(3) 210,000       CHARITABLE DONATION
(80) TOLEDO ROADRUNNERS CLUB
PO BOX 5656
TOLEDO,OH43613 		34-1237238 501(C)(3) 15,000       CHARITABLE DONATION
(81) TOLEDO ROWING CLUB
8 MAIN ST
TOLEDO,OH43605 		34-1899756 501(C)(3) 5,000       CHARITABLE DONATION
(82) TOTAL PACKAGE GLOBAL
3450 W CENTRAL AVE
TOLEDO,OH43606 		99-9999999   5,000       CHARITABLE DONATION
(83) TRULYTOLEDO INC
5800 MONROE STREET
SYLVANIA,OH43560 		84-1745754 501(C)(3) 10,000       CHARITABLE DONATION
(84) UNISON BEHAVIORAL HEALTH GROUP
1425 STARR AVE
TOLEDO,OH43605 		34-1103536 501(C)(3) 5,000       CHARITABLE DONATION
(85) UNITED WAY OF GREATER TOLEDO
424 JACKSON ST
TOLEDO,OH43604 		34-4427947 501(C)(3) 10,000       CHARITABLE DONATION
(86) UNIVERSITY OF TOLEDO
2801 W BANCROFT
TOLEDO,OH43606 		34-6401483 501(C)(3) 107,775       CHARITABLE DONATION
(87) VEDANTA SOCIETY OF ST LOUIS
205 S SKINKER BLVD
ST LOUIS,MO63105 		43-6053079 501(C)(3) 10,750       CHARITABLE DONATION
(88) YMCA
1226 WOODSDALE PK
TOLEDO,OH43614 		34-4428262 501(C)(3) 7,000       CHARITABLE DONATION
(89) YWCA
1018 JEFFERSON AVE
TOLEDO,OH43624 		34-4428265 501(C)(3) 17,125       CHARITABLE DONATION
(90) ZEST OF TOLEDO INC
953 PHILLIPS AVE
TOLEDO,OH43612 		82-4401053 501(C)(3) 10,000       CHARITABLE DONATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
84
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
6
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
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 THE PARENT COMPANY OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.
Schedule I (Form 990) 2019



Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" 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
2019
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed 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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed 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) 2019

Schedule J (Form 990) 2019
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
1RANDALL OOSTRA
PHS PRES. & CEO, EX OFFICIO 		(i)

(ii)		 1,952,660
-------------
0 		1,856,635
-------------
0 		39,563
-------------
0 		919,062
-------------
0 		19,689
-------------
0 		4,787,609
-------------
0 		0
-------------
0
2EMMETT T BOYLE JR MD
EX OFFICIO 		(i)

(ii)		 0
-------------
562,876 		0
-------------
0 		0
-------------
23,062 		0
-------------
0 		0
-------------
27,531 		0
-------------
613,469 		0
-------------
0
3STEPHANIE M COLE MD
TRUSTEE 		(i)

(ii)		 0
-------------
489,851 		0
-------------
62,195 		0
-------------
1,520 		0
-------------
0 		0
-------------
26,205 		0
-------------
579,771 		0
-------------
0
4PRAVEEN K TAMIRISA MD
TRUSTEE 		(i)

(ii)		 0
-------------
324,765 		0
-------------
0 		0
-------------
29,594 		0
-------------
0 		0
-------------
17,591 		0
-------------
371,950 		0
-------------
0
5MARY ELLEN K PIZZA MD
TRUSTEE 		(i)

(ii)		 0
-------------
103,424 		0
-------------
71,294 		0
-------------
13,272 		0
-------------
0 		0
-------------
1,806 		0
-------------
189,796 		0
-------------
0
6STEVEN M CAVANAUGH
TREASURER (BEG 06/03/19) 		(i)

(ii)		 0
-------------
1,277,261 		0
-------------
772,192 		0
-------------
0 		0
-------------
0 		0
-------------
6,413 		0
-------------
2,055,866 		0
-------------
0
7JEFFREY KUHN
SECRETARY 		(i)

(ii)		 645,968
-------------
0 		843,953
-------------
0 		52,904
-------------
0 		239,428
-------------
0 		16,555
-------------
0 		1,798,808
-------------
0 		0
-------------
0
8MICHAEL BROWNING
TREASURER (THRU 06/03/19) 		(i)

(ii)		 514,787
-------------
0 		677,898
-------------
0 		23,329
-------------
0 		0
-------------
0 		3,813
-------------
0 		1,219,827
-------------
0 		0
-------------
0
9LEE W HAMMERLING MD
CHIEF ACADEMIC OFFICER, PRES. 		(i)

(ii)		 679,231
-------------
0 		1,286,134
-------------
0 		66,451
-------------
0 		300,014
-------------
0 		23,212
-------------
0 		2,355,042
-------------
0 		0
-------------
0
10KAREN STRAUSS
CHIEF OPERATING OFFICER 		(i)

(ii)		 839,722
-------------
0 		893,246
-------------
0 		51,055
-------------
0 		191,906
-------------
0 		19,689
-------------
0 		1,995,618
-------------
0 		0
-------------
0
11KEVIN C WEBB PHD
CHIEF ACUTE & POST ACUTE OFF 		(i)

(ii)		 578,513
-------------
0 		783,928
-------------
0 		12,702
-------------
0 		219,114
-------------
0 		16,706
-------------
0 		1,610,963
-------------
0 		0
-------------
0
12LORI JOHNSTON
PRES, PROMEDICA INSURANCE COR 		(i)

(ii)		 428,341
-------------
0 		759,397
-------------
0 		51,972
-------------
0 		177,722
-------------
0 		27,843
-------------
0 		1,445,275
-------------
0 		0
-------------
0
13ROBIN WHITNEY
CHIEF STRATEGIC PLANNING & REAL ESTA 		(i)

(ii)		 324,800
-------------
0 		91,900
-------------
0 		27,091
-------------
0 		10,609
-------------
0 		24,458
-------------
0 		478,858
-------------
0 		0
-------------
0
14LESLIE THOMPSON
CHIEF HUMAN RESOURCE OFFICER 		(i)

(ii)		 295,512
-------------
0 		100,000
-------------
0 		5,418
-------------
0 		7,538
-------------
0 		27,977
-------------
0 		436,445
-------------
0 		0
-------------
0
15HOLLY BRISTOLL
CHIEF INT OFFICER ACADEMIC AFF 		(i)

(ii)		 313,017
-------------
0 		460,646
-------------
0 		7,923
-------------
0 		133,371
-------------
0 		27,348
-------------
0 		942,305
-------------
0 		0
-------------
0
16DANIEL K CASSAVAR MD
PHYSICIAN 		(i)

(ii)		 0
-------------
0 		135,200
-------------
0 		541,000
-------------
0 		0
-------------
0 		22,618
-------------
0 		698,818
-------------
0 		0
-------------
0
17KENT BISHOP
CMO PROMEDICA PHYSICIANS AND ACUTE C 		(i)

(ii)		 502,953
-------------
20,292 		41,800
-------------
0 		48,311
-------------
550 		14,000
-------------
0 		20,937
-------------
171 		628,001
-------------
21,013 		0
-------------
0
18JOHN RANDOLPH
CHIEF INFO OFFICER 		(i)

(ii)		 0
-------------
0 		114,300
-------------
0 		496,400
-------------
0 		0
-------------
0 		17,249
-------------
0 		627,949
-------------
0 		0
-------------
0
19NEERAJ K KANWAL MD
SR VP, INPT & RETAIL PHARMACY 		(i)

(ii)		 427,545
-------------
0 		93,400
-------------
0 		3,986
-------------
0 		18,431
-------------
0 		21,792
-------------
0 		565,154
-------------
0 		0
-------------
0
20GARY W AKENBERGER
FORMER OFFICER 		(i)

(ii)		 355,163
-------------
0 		90,077
-------------
0 		5,563
-------------
0 		22,535
-------------
0 		22,028
-------------
0 		495,366
-------------
0 		0
-------------
0
21ALAN M SATTLER
FORMER OFFICER 		(i)

(ii)		 198,731
-------------
0 		139,306
-------------
0 		9,953
-------------
0 		17,597
-------------
0 		26,778
-------------
0 		392,365
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS 1 KEY EMPLOYEE - INCLUDED IN TAXABLE COMPENSATION HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE 1 KEY EMPLOYEE - INCLUDED IN TAXABLE COMPENSATION PERSONAL SERVICES 2 OFFICERS - INCLUDED IN TAXABLE COMPENSATION 5 KEY EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 2 FORMER OFFICERS - INCLUDED IN TAXABLE COMPENSATION
PART I, LINES 4A-B 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: DANIEL CASSAVAR $541,000.20 JOHN RANDOLPH $496,400.06 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: LEE W. HAMMERLING, M.D. $30,501.27
PART I, LINE 7 AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE ENGAGEMENT; 3) GROWTH; 4) QUALITY AND SAFETY; AND 5) PROFITABILITY.
SCHEDULE J, SUPPLEMENTAL INFORMATION: 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) 2019

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 instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 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 the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) RANDALL OOSTRA PRESIDENT AND CEO LIFE INSURANCE PREMIUM PAYMENTS   X 2,574,646 2,574,646   No Yes   Yes  
Total ...............Small Bullet $ 2,574,646
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) 2019
Schedule L (Form 990 or 990-EZ) 2019
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) KRISTINA EBEID
  		FAMILY MEMBER OF EVON EBEID (TRUSTEE) 60,196 EMPLOYMENT   No
(2) JUSTIN HAMMERLING
  		FAMILY MEMBER OF LEE W. HAMMERLING, MD (KEY EMPLOYEE) 156,558 EMPLOYMENT   No
(3) TAD PETERSON
  		FAMILY MEMBER OF LARRY C. PETERSON (TRUSTEE) 41,060 EMPLOYMENT   No
(4) CAITLIN OOSTRA
  		FAMILY MEMBER OF RANDALL OOSTRA (PRESIDENT, EX OFFICIO) 54,275 EMPLOYMENT   No
(5) JOHN-CLAUDE ACAMPA
  		FAMILY MEMBER OF DAVID A. SNAVELY (TRUSTEE) 78,246 EMPLOYMENT   No
(6) THOMAS SNAVELY
  		FAMILY MEMBER OF DAVID A. SNAVELY (TRUSTEE) 52,169 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

34-1517671
Return Reference Explanation
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 2019 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 2,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, APPROXIMATELY 56,000 EMPLOYEES AND VOLUNTEERS. DURING 2019, PROMEDICA DISCHARGED 76,720 INPATIENTS AND SERVED 1,328,919 OUTPATIENTS, WHILE HANDLING 286,827 EMERGENCY VISITS SYSTEM-WIDE AS WELL AS 103,927 URGENT CARE VISITS. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. WE 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 HEALTH AND WELLNESS PROGRAMMING AT AREA BARBER SHOPS AND OTHER COMMUNITY GATHERINGS, 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 - 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 2019 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 950 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 2019, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 208,000 MEMBERS ACROSS 54 OHIO 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. - THIRTEEN CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES SUPPORTING PROMEDICA ACUTE AND POST-ACUTE FACILITIES AS WELL AS PROJECTS AND PROGRAMS OF PROMEDICA. 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 2019 THAT HAVE 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 2019 INCLUDE THE FOLLOWING: - IN 2019, PROMEDICA EARNED THE GOLD AWARD FOR EXCELLENCE, FOR THE SECOND YEAR IN A ROW, 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. - ADDITIONALLY, PROMEDICA TOLEDO HOSPITAL WAS NAMED ONE OF AMERICA'S 50 BEST HOSPITALS FOR THE SECOND YEAR IN A ROW AND PARAMOUNT ADVANTAGE MEDICAID EARNED 4 OUT OF STARS FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), MAKING IT THE TOP RATED MEDICAID PLAN IN OHIO. - AFTER THREE YEARS OF CONSTRUCTION, THE NEW GENERATIONS TOWER, ON THE CAMPUS OF PROMEDICA TOLEDO HOSPITAL, OPENED ITS DOORS IN JULY 2019. THE NEW 500,000 SQUARE FOOT BED TOWER OFFERS 309 PRIVATE PATIENT ROOMS, AND GIVES CAREGIVERS ACCESS TO INNOVATIVE TECHNOLOGY SO THEY CAN PROVIDE SAFE, EXCEPTIONAL CARE IN STATE-OF-THE-ART PATIENT ROOMS. - PROMEDICA CONTINUES TO EMPHASIZE A CULTURE OF SAFETY ACROSS ITS HOSPITALS AND OUTPATIENT SERVICES. THE YEAR-END SERIOUS SAFETY EVENT RATE (SSER) WAS 1.29, WITH A SERIOUS SAFETY EVENT (SSE) OCCURRING SOMEWHERE IN THE SYSTEM EVERY 4.1 DAYS. PROMEDICA CONTINUED TO GROW AS AN ACADEMIC HEALTH CENTER, WITH MORE THAN 200 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 2019. THIS MARKED THE FOURTH WAVE OF INTEGRATION OF LEARNERS AT PROMEDICA UNDER THE ACADEMIC AFFILIATION WITH UT COM, THE AFFILIATION IS FOCUSED ON RECRUITING AND RETAINING THE BEST AND BRIGHTEST FACULTY, STUDENTS AND RESEARCHERS; DEVELOPING A PREMIER ACADEMIC MEDICAL CENTER AT PROMEDICA TOLEDO AND EBEID CHILDREN'S HOSPITALS; CULTIVATING A HOMEGROWN PIPELINE OF MEDICAL TALENT; INCREASING MEDICAL RESEARCH AND INNOVATION; AND FACILITATING COMMUNITY GROWTH AND DEVELOPMENT. WORK CONTINUED THROUGH 2019 ON THE NEW LENAWEE COUNTY HOSPITAL, TO BE NAMED THE PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL, WHICH IS SCHEDULED TO OPEN IN SEPTEMBER 2020. THE NEW HOSPITAL WILL REPLACE BOTH PROMEDICA BIXBY AND HERRICK HOSPITALS WHEN IT IS COMPLETED. THE NEW HOSPITAL WILL BE OVER 200,000 SQUARE FEET WITH 40 SURGICAL BEDS, 10 CRITICAL CARE BEDS, FOUR OPERATING ROOMS, THREE MINOR PROCEDURE ROOMS, 27 EMERGENCY ROOMS, AND EIGHT LABOR AND DELIVERY ROOMS. 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. AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED THE SYSTEM-WIDE UPGRADE TO THE NEW EPIC FEBRUARY/MAY 2019 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. PROMEDICA TEAMED UP WITH THE UNIVERSITY OF TOLEDO COLLEGE OF NURSING (UT CON) TO LAUNCH A COMMUNITY-WIDE CAMPAIGN TO RAISE AWARENESS OF THE CRITICAL ROLE NURSES PLAY IN ALL ASPECTS OF THE HEALTHCARE INDUSTRY. THE NEW NURSING NOW ORGANIZATION IS GLOBAL MOVEMENT THAT AIMS TO IMPROVE HEALTH BY RAISING THE PROFILE AND STATUS OF NURSING WORLDWIDE. 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.
FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) PROMEDICA CANCER INSTITUTE'S (PCI) COMMUNITY OUTREACH INCLUDED CANCER SCREENINGS AND EDUCATION TO THE MOST VULNERABLE IN OUR COMMUNITY. SUCH PROGRAMS INCLUDED PROMEDICA'S MEN'S HEALTH AND WELLNESS AT THE BARBERSHOP, WHICH PROVIDED 183 MEN WITH PROSTATE AND COLORECTAL CANCER EDUCATION, AND TENT CITY, WHICH SUPPORTS THE COUNTY'S UNHOUSED RESIDENTS, WHERE 27 WOMEN RECEIVED CLINICAL BREAST EXAMS. 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, LEUKEMIA & LYMPHOMA SOCIETY LIGHT THE NIGHT, OVER THE EDGE FOR VICTORY, AND HOCKEY FIGHTS CANCER. PROMEDICA AND THE TOLEDO ZOO PARTNERED TO RENOVATE THE ZOO'S MORE THAN 80-YEAR-OLD MUSEUM OF SCIENCE. RENOVATIONS WERE COMPLETED IN SPRING 2019 WITH A FOCUS ON BIODIVERSITY THROUGHOUT THE COURSE OF HISTORY IN NORTHWEST OHIO. PROMEDICA WAS THE LEAD SPONSOR FOR THE THIRD ANNUAL SUMMER CONCERT SERIES IN 2019. 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 ITS THIRD FOOD CLINIC AT PROMEDICA BAY PARK HOSPITAL IN 2019 AND CONTINUES TO OPERATE TWO OTHER FOOD CLINICS ONE AT THE PROMEDICA HEALTH AND WELLNESS CENTER AND THE OTHER AT PROMEDICA'S CENTER FOR HEALTH SERVICES. THE FOOD CLINICS 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 2019, MORE THAN 11,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,600 UNIQUE HOUSEHOLDS, IN EFFORTS TO HELP REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 91,748 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 275,242 MEALS. PROMEDICA'S SENIOR CARE DIVISION (HCR MANORCARE) IMPLEMENTED MEALS-TO-GO, A FOOD ASSISTANCE PROGRAM THAT PROVIDES PATIENTS WITH A SHELF-STABLE SUPPLY OF FOOD AFTER A LENGTHY SKILLED NURSING STAY. THE PROGRAM BEGAN AS A PILOT IN THE DETROIT, MICH., AREA BEFORE EXPANDING TO OTHER FACILITIES ACROSS THE COUNTRY BY THE END OF 2020. 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 GROWN AT PROMEDICA FARMS OR AT ANY OF THE VEGGIE MOBILE STOPS. IN 2019, NEARLY 750 POUNDS OF FRESH PRODUCE WAS GROWN AT PROMEDICA FARMS AND 75 PATIENTS WHO 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 NEARLY 700 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 2019, 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 TEAMED UP WITH LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TOLEDO TO CREATE THE YR16 INITIATIVE TO HELP INDIVIDUALS IN TOLEDO FIND SAFE AND AFFORDABLE HOUSING. SAFE AND AFFORDABLE HOUSING FOR RESIDENTS IN UNDERSERVED NEIGHBORHOODS IS JUST ONE OF THE KEY SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT PROMEDICA IS ADDRESSING WITH LISC AND OTHER COMMUNITY PARTNERS. AS PART OF ITS INTEGRATION WITH HCR MANORCARE, IN 2019 PROMEDICA ESTABLISHED ITS HEALTHY AGING INSTITUTE. THE INSTITUTE HAS THREE AREAS OF FOCUS: INNOVATION AND RESEARCH, EDUCATION AND TRAINING, AND ADVOCACY EFFORTS INCLUDING A JOINT NATIONAL SUMMIT IN WASHINGTON, D.C. WITH THE AARP FOUNDATION, TO BRING ATTENTION TO SENIOR ISOLATION AND DISCUSS WAYS COMMUNITIES CAN ADDRESS THIS ISSUE. PROMEDICA AND COLUMBIA GAS OF OHIO ANNOUNCED A $50,000 GRANT FROM NISOURCE CHARITABLE FOUNDATION TO SUPPORT THE EBEID NEIGHBORHOOD PROMISE. THE GRANT WILL BE USED FOR A HOUSING AND DEVELOPMENT PRESERVATION PROGRAM TO ASSIST WITH HOUSING NEEDS OF TOLEDO'S UPTOWN NEIGHBORHOOD. PROMEDICA ALSO ESTABLISHED A PARTNERSHIP WITH SOCIALLY DETERMINED, A HEALTHCARE DATA ANALYTICS COMPANY, TO CREATE THE EBEID DATA NERVE CENTER. THE CENTER WILL FOCUS ON THE NEEDS OF SPECIFIC PATIENT COHORTS THAT COULD BENEFIT FROM STANDARDIZED INTERVENTIONS DESIGNED TO IMPROVE HEALTHCARE OUTCOMES AND REDUCE COSTS. PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 19 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. YOUTH ALSO ATTENDED THE LEADERSHIP DEVELOPMENT INSTITUTE, WHICH FOCUSED ON LEADERSHIP, COMMUNICATION, FINANCIAL MANAGEMENT AND OTHER IMPORTANT PERSONAL AND PROFESSIONAL DEVELOPMENT SKILLS. 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 2019, PROMEDICA CONTRIBUTED $307,430,000 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 SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $91,160,000 IN 2019. 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 $11,525,000 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 2019 WAS $58,908,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $307,430,000 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 2019, PROMEDICA PROVIDED $207,825,000 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 2019 WAS $102,582,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $307,430,000 NOTED ABOVE.
FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) 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 600% 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.
FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE JANUARY 22, 2019, PROMEDICA HEALTH SYSTEM, INC. REVISED ITS GOVERNING DOCUMENTS TO I) CHANGE THE SIZE OF ITS BOARD FROM 3-30 MEMBERS TO 9-13 MEMBERS; AND II) ELIMINATE THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7B PROMEDICA HEALTH SYSTEM, INC. (PHS) IS GOVERNED BY ITS BOARD OF TRUSTEES. ALL CORPORATE ACTIONS REQUIRE APPROVAL BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES. THE PHS EXECUTIVE COMMITTEE, WHICH WAS COMPRISED OF BETWEEN FIVE TO TEN PHS BOARD MEMBERS, WAS AUTHORIZED BY THE PHS BOARD OF TRUSTEES TO ACT IN THE INTERIM BETWEEN MEETINGS WITH THE EXCEPTION OF SPECIFIC DUTIES RESERVED FOR THE FULL BOARD OF TRUSTEES. THE PHS EXECUTIVE COMMITTEE WAS ELIMINATED JANUARY 22, 2019, SO ONLY EXISTED FOR 22 DAYS IN 2019 (AND TOOK NO ACTION DURING THIS PERIOD).
FORM 990, PART VI, SECTION B, LINE 11B PREPARATION OF THE 990 RETURNS OF PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE SUPERVISED BY THE ORGANIZATION'S TAX DEPARTMENT AND REVIEWED BY THE CORPORATE TAX DIRECTOR AND FINANCE LEADERSHIP. COPIES OF THE FORM 990 ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. THE 990 IS 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 AFFILIATED 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 AN 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 IS 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 OR 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 GROUND FOR SANCTION UP TO AND INCLUDING TERMINATION OF 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 PROMEDICA HEALTH SYSTEM, INC.'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'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.
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 XI, LINE 9: PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 20,586,707. BENEFICIAL INTEREST IN FOUNDATION 466,105. TRANSFERS BETWEEN RELATED ENTITIES -23,754,752.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
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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
2019
Open to Public Inspection
Name of the organization
PROMEDICA HEALTH SYSTEM INC
 
Employer identification number

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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) MIDWEST CARDIOVASCULAR CONSULTANTS LLC
100 MADISON AVE
TOLEDO,OH43604
61-1448753 		EMPLOYS PHYSICIANS OH 0 736,336 PROMEDICA PHYSICIAN GROUP INC
 
(2) IST THEATRE LLC
100 MADISON AVE
TOLEDO,OH43604
 COMMUNITY ARTS FACILITY OH 0 3,554,701 PROMEDICA HEALTH SYSTEM INC
 
(3) PROMEDICA HICKMAN CANCER CENTER PHARMACY LLC
100 MADISON AVE
TOLEDO,OH43604
 PHARMACY OH 104,465,623 0 THE TOLEDO HOSPITAL
 
(4) PROMEDICA PHARMACY GROUP LLC
100 MADISON AVE
TOLEDO,OH43604
36-4949156 		PHARMACY OH 0 0 PROMEDICA CONTINUUM SERVICES
 
(5) FORT INDUSTRY JV PARTNER LLC
100 MADISON AVE
TOLEDO,OH43604
84-4675266 		HOLDS INVESTMENTS OH 0 8,540,000 PROMEDICA HEALTH SYSTEM INC
 
(6) HCRMC-PROMEDICA LLC
333 N SUMMIT ST
TOLEDO,OH43604
46-1343453 		NURSING AND REHAB SERVICES DE -2,185,288 12,184,508 MANOR CARE HEALTH SERVICES OF TOLEDO OH LLC
 
(7) PROMEDICA CENTRAL PHYSICIANS LLC
100 MADISON AVE
TOLEDO,OH43604
34-1881137 		EMPLOYS PHYSICIANS OH 387,466,023 296,438,519 PROMEDICA PHYSICIAN GROUP INC
 
(8) PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
100 MADISON AVE
TOLEDO,OH43604
26-3888045 		EMPLOYS PHYSICIANS OH 18,301,472 -105,269,559 PROMEDICA PHYSICIAN GROUP INC
 
(9) THE PHARMACY COUNTER LLC
100 MADISON AVE
TOLEDO,OH43604
27-1325141 		MEDICAL EQUIPMENT & PHARMACY OH 65,105,182 99,954,514 PROMEDICA PHYSICIAN GROUP INC
 
(10) WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN
ADRIAN,MI49221
38-3164818 		FACILITY LEASING MI 119,263 1,724,405 EMMA L BIXBY MEDICAL CENTER
 
(11) PROMEDICA MONROE CARDIOLOGY PLLC
100 MADISON AVE
TOLEDO,OH43604
27-2920342 		EMPLOYS PHYSICIANS MI 889,668 -6,438,944 PROMEDICA PHYSICIAN GROUP INC
 
(12) ERIE WEST HOSPICE & PALLIATIVE CARE LTD
100 MADISON AVE
TOLEDO,OH43604
20-5752995 		PROVIDES HOSPICE CARE OH 5,497,909 7,841,474 PROMEDICA CONTINUUM SERVICES
 
(13) PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
100 MADISON AVE
TOLEDO,OH43604
45-3230331 		PRACTICE MANAGEMENT OH 0 -3,618,834 PROMEDICA PHYSICIAN GROUP INC
 
(14) PROMEDICA SURGICAL SERVICES LLC
100 MADISON AVE
TOLEDO,OH43604
 EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP INC
 
(15) MISSION POINTE GOLF COURSE LLC
2142 NORTH COVE
TOLEDO,OH43606
 GOLF COURSE MI 0 0 PROMEDICA FOUNDATION
 
(16) PROMEDICA INNOVATIONS LLC
100 MADISON AVE
TOLEDO,OH43604
30-1221601 		INVESTMENT COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(17) PROMEDICA GENITO-URINARY SURGEONS LLC
100 MADISON AVE
TOLEDO,OH43604
46-1120436 		EMPLOYS PHYSICIANS OH 5,873,200 -23,434,097 PROMEDICA PHYSICIAN GROUP INC
 
(18) PROMEDICA MONROE PHYSICIANS PLLC
100 MADISON AVE
TOLEDO,OH43604
46-1111822 		EMPLOYS PHYSICIANS MI 11,895,015 -23,671,344 PROMEDICA PHYSICIAN GROUP INC
 
(19) PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVE
TOLEDO,OH43604
45-4976786 		EMPLOYS PHYSICIANS OH 0 154,765 PROMEDICA PHYSICIAN GROUP INC
 
(20) PROMEDICA HOSPITALISTS LLC
100 MADISON AVE
TOLEDO,OH43604
 EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP INC
 
(21) PROMEDICA HOSPITALISTS PLLC
100 MADISON AVE
TOLEDO,OH43604
 EMPLOYS PHYSICIANS MI 0 0 PROMEDICA PHYSICIAN GROUP INC
 
(22) MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVE
FREMONT,OH43420
20-5763680 		EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP INC
 
(23) MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVE
FREMONT,OH43420
27-3763993 		EMPLOYS PHYSICIANS OH 13,381,935 -24,321,708 PROMEDICA PHYSICIAN GROUP INC
 
(24) PHS VENTURES LLC
100 MADISON AVE
TOLEDO,OH43604
34-1880473 		HEALTH CARE MANAGEMENT SERVICES DE 0 0 PROMEDICA HEALTH SYSTEM INC
 
(25) 300 MADISON BUILDING LLC
100 MADISON AVE
TOLEDO,OH43604
82-2062486 		REAL ESTATE OH 2,185,490 17,703,607 PROMEDICA HEALTH SYSTEM INC
 
(26) MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVE
TOLEDO,OH43604
 REAL ESTATE OH 0 6,885 PROMEDICA HEALTH SYSTEM INC
 
(27) PHS INVESTMENTS LLC
100 MADISON AVE
TOLEDO,OH43604
 INVESTMENT COMPANY OH 2,564,760 22,447,708 THE TOLEDO HOSPITAL
 
(28) PROMEDICA INTERNATIONAL LLC
100 MADISON AVE
TOLEDO,OH43604
83-2427163 		CONSULTING SERVICES OH 144,100 0 PROMEDICA HEALTH SYSTEM INC
 
(29) PROMEDICA ACTIVE MOBILITY LLC
100 MADISON AVE
TOLEDO,OH43604
81-5178173 		DURABLE MEDICAL EQUIPMENT OH 159,929 194,981 PROMEDICA HEALTH SYSTEM INC
 
(30) 1611 MONROE INVESTORS LLC
100 MADISON AVE
TOLEDO,OH43604
 REAL ESTATE OH 0 308,507 PROMEDICA HEALTH SYSTEM INC
 
(31) BALL PARK PROPERTIES LLC
100 MADISON AVE
TOLEDO,OH43604
82-3954332 		REAL ESTATE OH 0 1,118,158 PROMEDICA HEALTH SYSTEM INC
 
(32) PROMEDICA PRIMARY CARE PROVIDERS LLC
100 MADISON AVE
TOLEDO,OH43604
83-1731861 		EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP INC
 
(33) KAPIOS LLC
2865 N REYNOLDS RD
TOLEDO,OH43615
81-2624635 		SOFTWARE DEVELOPMENT OH 90,319 0 PROMEDICA HEALTH SYSTEM INC
 
(34) PROMEDICA NATURAL WELLNESS LLC
100 MADISON AVE
TOLEDO,OH43604
82-1587026 		NATURAL WELLNESS PRODUCTS OH 0 16,500 PROMEDICA HEALTH SYSTEM INC
 
(35) ANCILLARY SERVICES MANAGEMENT LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1636874 		MEDICAL SUPPLIES OH 0 0 HCR HEALTHCARE LLC
 
(36) ARDEN COURTS OF ARLINGTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624126 		ASSISTED LIVING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(37) ARDEN COURTS OF HAMDEN CT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625105 		ASSISTED LIVING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(38) 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
 
(39) ARDEN COURTS OF LOUISVILLE KY LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622079 		ASSISTED LIVING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(40) HCR CANTERBURY VILLAGE LLC
333 N SUMMIT ST
TOLEDO,OH43604
38-2032536 		SKILLED NURSING FACILITY DE 0 0 HCR HEALTHCARE LLC
 
(41) HCR HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624435 		HOLDING COMPANY DE 0 0 HCR MANORCARE INC
 
(42) HCR II HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1250342 		HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(43) HCR III HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624411 		HOLDING COMPANY DE 0 0 HCR II HEALTHCARE LLC
 
(44) HCR IV HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1283803 		HOLDING COMPANY DE 0 0 HCR III HEALTHCARE LLC
 
(45) HEARTLAND CARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
32-0091717 		HOLDING COMPANY OH 0 0 HCR MANOR CARE SERVICES LLC
 
(46) HEARTLAND EMPLOYMENT SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1903270 		EMPLOYMENT SERVICES OH 0 0 HCR HEALTHCARE LLC
 
(47) 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
 
(48) MANOR CARE AVIATION LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-1462072 		AVIATION DE 0 0 HCR HEALTHCARE LLC
 
(49) MANOR CARE OF DELAWARE COUNTY LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-1916053 		HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(50) 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
 
(51) MANOR CARE OF WINTER PARK FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
36-2899194 		SKILLED NURSING FACILITY DE 30,065 52,974 WINTER PARK NURSING CENTER LLC
 
(52) MANOR CARE SUPPLY LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-2055097 		PURCHASING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(53) MANORCARE HEALTH SERVICES OF OKLAHOMA LLC
333 N SUMMIT ST
TOLEDO,OH43604
52-2055078 		HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(54) MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
90-0904333 		HOLDING COMPANY DE 0 0 HCR HEALTHCARE LLC
 
(55) PROMEDICA OF ADRIAN MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
38-3985660 		SKILLED NURSING FACILITY DE 0 174,888 MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
 
(56) PROMEDICA OF SYLVANIA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1771805 		SKILLED NURSING FACILITY DE 2,398,322 2,980,176 MANORCARE HEALTH SERVICES OF TOLEDO OH LLC
 
(57) REHABILITATION ADMINISTRATION LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1295825 		REHABILITATION SERVICES DE 0 0 HEARTLAND REHABILITATION SERVICES LLC
 
(58) SPRINGHOUSE OF BETHESDA MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622235 		ASSISTED LIVING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(59) SPRINGHOUSE OF SILVER SPRING MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622508 		ASSISTED LIVING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(60) WINTER PARK NURSING CENTER LLC
333 N SUMMIT ST
TOLEDO,OH43604
37-1019107 		HOLDING COMPANY DE 0 0 MANORCARE HEALTH SERVICES LLC
 
(61) AMERICAN REHABILITATION GROUP LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1284533 		OUTPATIENT REHABILITATION DE 839,878 68,000 REHABILITATION ADMINISTRATION LLC
 
(62) HCR HOME HEALTH CARE AND HOSPICE LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1787978 		HOLDING COMPANY OH 0 0 HCR HEALTHCARE LLC
 
(63) HCR MANOR CARE SERVICES OF FLORIDA III LLC
333 N SUMMIT ST
TOLEDO,OH43604
45-2507279 		HOSPICE SERVICE FL 15,832,514 0 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(64) HCR MANOR CARE SERVICES OF FLORIDA LLC
333 N SUMMIT ST
TOLEDO,OH43604
74-3193136 		HOSPICE SERVICE FL 6,785,299 621,242 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(65) HCR MANOR CARE SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1838217 		ADMINISTRATIVE SERVICES OH 1,572,282 201,035,602 HCR HEALTHCARE LLC
 
(66) HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC
333 N SUMMIT ST
TOLEDO,OH43604
65-0666550 		OUTPATIENT REHABILITATION FL 19,614,832 2,014,379 HEARTLAND REHABILITATION SERVICES LLC
 
(67) HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1305723 		SKILLED NURSING FACILITY DE 27,125,758 11,632,269 HCR HEALTHCARE LLC
 
(68) HEARTLAND HOME CARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1787895 		HOME HEALTH CARE SERVICE OH 29,609,446 4,669,269 HEARTLAND REHABILITATION SERVICES LLC
 
(69) HEARTLAND HOME HEALTH CARE SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1787967 		HOME HEALTH CARE SERVICE OH 2,431,094 536,691 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(70) HEARTLAND HOSPICE SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1788398 		HOSPICE SERVICE OH 355,102,905 65,663,113 HCR HOME HEALTH CARE AND HOSPICE LLC
 
(71) HEARTLAND REHABILITATION EXTENSION SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
81-2116419 		OUTPATIENT REHABILITATION DE 2,721,752 570,500 HEARTLAND REHABILITATION SERVICES LLC
 
(72) HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC
333 N SUMMIT ST
TOLEDO,OH43604
59-2504386 		OUTPATIENT REHABILITATION FL 0 0 HEARTLAND REHABILITATION SERVICES LLC
 
(73) HEARTLAND REHABILITATION SERVICES OF KENTUCKY LLC
333 N SUMMIT ST
TOLEDO,OH43604
61-1301414 		OUTPATIENT REHABILITATION DE 5,214,772 429,919 REHABILITATION ADMINISTRATION LLC
 
(74) HEARTLAND REHABILITATION SERVICES OF MICHIGAN LLC
333 N SUMMIT ST
TOLEDO,OH43604
30-0535129 		OUTPATIENT REHABILITATION DE 185,831 15,692 HEARTLAND REHABILITATION SERVICES LLC
 
(75) HEARTLAND REHABILITATION SERVICES OF NEW JERSEY LLC
333 N SUMMIT ST
TOLEDO,OH43604
22-2137595 		OUTPATIENT REHABILITATION DE 1,965,100 257,774 HEARTLAND REHABILITATION SERVICES LLC
 
(76) HEARTLAND REHABILITATION SERVICES OF OHIO LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1479648 		OUTPATIENT REHABILITATION OH 2,096,295 181,802 HEARTLAND REHABILITATION SERVICES LLC
 
(77) HEARTLAND REHABILITATION SERVICES OF VIRGINIA LLC
333 N SUMMIT ST
TOLEDO,OH43604
54-1508699 		OUTPATIENT REHABILITATION DE 13,680,736 1,598,193 HEARTLAND REHABILITATION SERVICES LLC
 
(78) HEARTLAND REHABILITATION SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1280619 		OUTPATIENT REHABILITATION OH 2,374,070 362,463 HCR HEALTHCARE LLC
 
(79) HEARTLAND SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
34-1760503 		HOLDING COMPANY OH 0 28,847,119 HCR HEALTHCARE LLC
 
(80) HEARTLAND THERAPY PROVIDER NETWORK LLC
333 N SUMMIT ST
TOLEDO,OH43604
37-1027432 		OUTPATIENT REHABILITATION DE 377,794 75,846 HCR HEALTHCARE LLC
 
(81) IN HOME HEALTH LLC
333 N SUMMIT ST
TOLEDO,OH43604
41-1458213 		HOME HEALTH CARE SERVICE MN 221,483,544 22,798,793 MANORCARE HEALTH SERVICES LLC
 
(82) INDUSTRIAL WASTES LLC
333 N SUMMIT ST
TOLEDO,OH43604
25-1457630 		REAL ESTATE DE 0 477,790 HCR HEALTHCARE LLC
 
(83) MANOR CARE OF LACEY WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624391 		SKILLED NURSING FACILITY DE 9,884,874 2,627,300 MANORCARE HEALTH SERVICES LLC
 
(84) MANOR CARE OF SALMON CREEK WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624375 		SKILLED NURSING FACILITY DE 12,619,842 2,686,332 MANORCARE HEALTH SERVICES LLC
 
(85) MANORCARE HEALTH SERVICES LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-1305666 		SKILLED NURSING FACILITY DE 67,059,139 30,895,335 HCR HEALTHCARE LLC
 
(86) MILESTONE HEALTHCARE LLC
333 N SUMMIT ST
TOLEDO,OH43604
75-2592398 		MEDICAL STAFFING DE 23,135,833 3,997,062 HEARTLAND REHABILITATION SERVICES LLC
 
(87) PORTFOLIO ONE LLC
333 N SUMMIT ST
TOLEDO,OH43604
22-1604502 		SKILLED NURSING FACILITY OH 14,118,573 1,956,181 HCR HEALTHCARE LLC
 
(88) ARDEN COURTS OF AKRON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623857 		ASSISTED LIVING FACILITY DE 2,113,027 361,591 HCR IV HEALTHCARE LLC
 
(89) ARDEN COURTS OF ALLENTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623965 		ASSISTED LIVING FACILITY DE 3,667,410 281,390 HCR III HEALTHCARE LLC
 
(90) ARDEN COURTS OF ANNANDALE VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624314 		ASSISTED LIVING FACILITY DE 4,748,932 278,762 HCR IV HEALTHCARE LLC
 
(91) ARDEN COURTS OF AUSTIN TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624145 		ASSISTED LIVING FACILITY DE 2,717,343 91,462 HCR IV HEALTHCARE LLC
 
(92) ARDEN COURTS OF AVON CT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625113 		ASSISTED LIVING FACILITY DE 2,383,088 329,371 HCR III HEALTHCARE LLC
 
(93) ARDEN COURTS OF BINGHAM FARMS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622828 		ASSISTED LIVING FACILITY DE 2,919,042 196,624 HCR IV HEALTHCARE LLC
 
(94) ARDEN COURTS OF CHERRY HILL NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623009 		ASSISTED LIVING FACILITY DE 3,879,658 338,171 HCR III HEALTHCARE LLC
 
(95) ARDEN COURTS OF DELRAY BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625237 		ASSISTED LIVING FACILITY DE 3,995,276 457,193 HCR III HEALTHCARE LLC
 
(96) ARDEN COURTS OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625405 		ASSISTED LIVING FACILITY DE 3,043,600 166,574 HCR IV HEALTHCARE LLC
 
(97) ARDEN COURTS OF FARMINGTON CT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625092 		ASSISTED LIVING FACILITY DE 4,542,685 237,268 HCR III HEALTHCARE LLC
 
(98) ARDEN COURTS OF FT MYERS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625314 		ASSISTED LIVING FACILITY DE 3,040,654 518,258 HCR III HEALTHCARE LLC
 
(99) ARDEN COURTS OF GENEVA IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625428 		ASSISTED LIVING FACILITY DE 4,229,289 222,812 HCR IV HEALTHCARE LLC
 
(100) ARDEN COURTS OF GLEN ELLYN IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625418 		ASSISTED LIVING FACILITY DE 1,797,438 317,967 HCR IV HEALTHCARE LLC
 
(101) ARDEN COURTS OF JEFFERSON HILLS PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624075 		ASSISTED LIVING FACILITY DE 4,068,113 321,284 HCR III HEALTHCARE LLC
 
(102) ARDEN COURTS OF KENSINGTON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622568 		ASSISTED LIVING FACILITY DE 5,744,260 347,352 HCR III HEALTHCARE LLC
 
(103) ARDEN COURTS OF KENWOOD OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623245 		ASSISTED LIVING FACILITY DE 2,752,330 289,455 HCR IV HEALTHCARE LLC
 
(104) ARDEN COURTS OF KING OF PRUSSIA PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624032 		ASSISTED LIVING FACILITY DE 3,968,944 396,047 HCR III HEALTHCARE LLC
 
(105) ARDEN COURTS OF LARGO FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625141 		ASSISTED LIVING FACILITY DE 3,570,405 493,177 HCR III HEALTHCARE LLC
 
(106) ARDEN COURTS OF LIVONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622866 		ASSISTED LIVING FACILITY DE 3,793,905 252,415 HCR IV HEALTHCARE LLC
 
(107) ARDEN COURTS OF MONROEVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623898 		ASSISTED LIVING FACILITY DE 3,986,225 297,560 HCR III HEALTHCARE LLC
 
(108) ARDEN COURTS OF NORTHBROOK IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625378 		ASSISTED LIVING FACILITY DE 4,074,284 90,998 HCR IV HEALTHCARE LLC
 
(109) ARDEN COURTS OF PALM HARBOR FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625222 		ASSISTED LIVING FACILITY DE 4,233,976 429,556 HCR III HEALTHCARE LLC
 
(110) ARDEN COURTS OF PALOS HEIGHTS IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625390 		ASSISTED LIVING FACILITY DE 3,975,584 323,892 HCR IV HEALTHCARE LLC
 
(111) ARDEN COURTS OF PARMA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623801 		ASSISTED LIVING FACILITY DE 3,985,002 212,366 HCR IV HEALTHCARE LLC
 
(112) ARDEN COURTS OF PIKESVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622121 		ASSISTED LIVING FACILITY DE 4,392,566 308,182 HCR III HEALTHCARE LLC
 
(113) ARDEN COURTS OF POTOMAC MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622198 		ASSISTED LIVING FACILITY DE 3,578,434 529,765 HCR III HEALTHCARE LLC
 
(114) ARDEN COURTS OF RICHARDSON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624214 		ASSISTED LIVING FACILITY DE 3,959,768 252,306 HCR IV HEALTHCARE LLC
 
(115) ARDEN COURTS OF SAN ANTONIO TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624189 		ASSISTED LIVING FACILITY DE 3,448,046 254,006 HCR IV HEALTHCARE LLC
 
(116) ARDEN COURTS OF SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625246 		ASSISTED LIVING FACILITY DE 2,913,686 341,999 HCR III HEALTHCARE LLC
 
(117) ARDEN COURTS OF SEMINOLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625266 		ASSISTED LIVING FACILITY DE 3,734,618 546,008 HCR III HEALTHCARE LLC
 
(118) ARDEN COURTS OF SILVER SPRING MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622164 		ASSISTED LIVING FACILITY DE 4,566,743 221,892 HCR III HEALTHCARE LLC
 
(119) ARDEN COURTS OF SOUTH HOLLAND IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622045 		ASSISTED LIVING FACILITY DE 3,018,882 115,258 HCR IV HEALTHCARE LLC
 
(120) ARDEN COURTS OF STERLING HEIGHTS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622772 		ASSISTED LIVING FACILITY DE 2,755,822 177,315 HCR IV HEALTHCARE LLC
 
(121) ARDEN COURTS OF TAMPA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625330 		ASSISTED LIVING FACILITY DE 3,686,680 438,736 HCR III HEALTHCARE LLC
 
(122) ARDEN COURTS OF TOWSON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622661 		ASSISTED LIVING FACILITY DE 3,577,536 352,337 HCR III HEALTHCARE LLC
 
(123) ARDEN COURTS OF W ORANGE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622938 		ASSISTED LIVING FACILITY DE 5,660,548 280,085 HCR III HEALTHCARE LLC
 
(124) ARDEN COURTS OF W PALM BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625258 		ASSISTED LIVING FACILITY DE 3,609,989 586,494 HCR III HEALTHCARE LLC
 
(125) ARDEN COURTS OF WAYNE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622912 		ASSISTED LIVING FACILITY DE 4,621,330 377,228 HCR III HEALTHCARE LLC
 
(126) ARDEN COURTS OF WESTLAKE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623289 		ASSISTED LIVING FACILITY DE 4,663,905 247,315 HCR IV HEALTHCARE LLC
 
(127) ARDEN COURTS OF WILMINGTON DE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625127 		ASSISTED LIVING FACILITY DE 4,726,495 393,877 HCR III HEALTHCARE LLC
 
(128) ARDEN COURTS OF WINTER SPRINGS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625340 		ASSISTED LIVING FACILITY DE 4,331,958 525,670 HCR III HEALTHCARE LLC
 
(129) ARDEN COURTS OF YARDLEY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623944 		ASSISTED LIVING FACILITY DE 5,274,145 367,262 HCR III HEALTHCARE LLC
 
(130) ARDEN COURTS-ANDERSON OF CINCINNATI OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623677 		ASSISTED LIVING FACILITY DE 3,808,990 365,003 HCR IV HEALTHCARE LLC
 
(131) ARDEN COURTS-BAINBRIDGE OF CHAGRIN FALLS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623202 		ASSISTED LIVING FACILITY DE 5,242,728 251,147 HCR IV HEALTHCARE LLC
 
(132) ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624353 		ASSISTED LIVING FACILITY DE 4,901,722 115,266 HCR IV HEALTHCARE LLC
 
(133) ARDEN COURTS-LELY PALMS OF NAPLES FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625279 		ASSISTED LIVING FACILITY DE 3,135,725 501,365 HCR III HEALTHCARE LLC
 
(134) ARDEN COURTS-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623920 		ASSISTED LIVING FACILITY DE 3,750,857 272,383 HCR III HEALTHCARE LLC
 
(135) ARDEN COURTS-SUSQUEHANNA OF HARRISBURG PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624065 		ASSISTED LIVING FACILITY DE 4,134,524 355,633 HCR III HEALTHCARE LLC
 
(136) ARDEN COURTS-WARMINSTER OF HATBORO PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623869 		ASSISTED LIVING FACILITY DE 3,648,518 242,311 HCR III HEALTHCARE LLC
 
(137) ARDEN COURTS OF WHIPPANY NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623155 		ASSISTED LIVING FACILITY DE 3,767,702 517,701 HCR III HEALTHCARE LLC
 
(138) CHRISTOPHER EAST HEALTH CARE CENTER OF LOUISVILLE KY LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619900 		SKILLED NURSING FACILITY DE -6,097 0 HCR IV HEALTHCARE LLC
 
(139) COLUMBIA REHABILITATION AND NURSING CENTER-COLUMBIA SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623408 		OUTPATIENT REHABILITATION DE 9,757,653 2,006,730 HCR III HEALTHCARE LLC
 
(140) DEVON MANOR-DEVON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622826 		SKILLED NURSING FACILITY DE -45,972 0 HCR III HEALTHCARE LLC
 
(141) DONAHOE MANOR-BEDFORD PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623108 		SKILLED NURSING FACILITY DE 6,269,264 790,799 HCR III HEALTHCARE LLC
 
(142) FOSTRIAN COURTS ASSISTED LIVING-FLUSHING MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622894 		SKILLED NURSING FACILITY DE 1,271,278 91,564 HCR IV HEALTHCARE LLC
 
(143) HAMPTON HOUSE-WILKES-BARRE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610244 		SKILLED NURSING FACILITY DE 8,094,538 1,577,029 HCR III HEALTHCARE LLC
 
(144) HEARTLAND OF BOYNTON BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623523 		SKILLED NURSING FACILITY DE 10,695,010 1,407,882 HCR III HEALTHCARE LLC
 
(145) HEARTLAND OF ADELPHI MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620015 		SKILLED NURSING FACILITY DE 13,709,635 2,641,097 HCR III HEALTHCARE LLC
 
(146) HEARTLAND OF ALLEN PARK MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611286 		SKILLED NURSING FACILITY DE 15,447,064 2,641,572 HCR IV HEALTHCARE LLC
 
(147) HEARTLAND OF ANN ARBOR MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612384 		SKILLED NURSING FACILITY DE 17,770,633 2,836,128 HCR IV HEALTHCARE LLC
 
(148) HEARTLAND OF AUSTIN TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624533 		SKILLED NURSING FACILITY DE -32,639 61,022 HCR IV HEALTHCARE LLC
 
(149) HEARTLAND OF BATTLE CREEK MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612206 		SKILLED NURSING FACILITY DE 5,697,388 989,172 HCR IV HEALTHCARE LLC
 
(150) HEARTLAND OF BECKLEY WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625053 		SKILLED NURSING FACILITY DE 118,456 0 HCR IV HEALTHCARE LLC
 
(151) HEARTLAND OF BEDFORD TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624511 		SKILLED NURSING FACILITY DE 2,529 0 HCR IV HEALTHCARE LLC
 
(152) HEARTLAND OF BELLEFONTAINE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609497 		SKILLED NURSING FACILITY DE -11,307 188,301 HCR IV HEALTHCARE LLC
 
(153) HEARTLAND OF BOCA RATON FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623949 		SKILLED NURSING FACILITY DE 11,996,079 1,906,578 HCR III HEALTHCARE LLC
 
(154) HEARTLAND OF BROOKSVILLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623416 		SKILLED NURSING FACILITY DE 48,498 0 HCR III HEALTHCARE LLC
 
(155) HEARTLAND OF BUCYRUS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614610 		SKILLED NURSING FACILITY DE 5,922,615 755,745 HCR IV HEALTHCARE LLC
 
(156) HEARTLAND OF CANTON IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0604153 		SKILLED NURSING FACILITY DE -17,700 0 HCR IV HEALTHCARE LLC
 
(157) HEARTLAND OF CANTON MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620527 		SKILLED NURSING FACILITY DE 18,802,025 2,622,394 HCR IV HEALTHCARE LLC
 
(158) HEARTLAND OF CENTERBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614447 		SKILLED NURSING FACILITY DE 7,857 0 HCR IV HEALTHCARE LLC
 
(159) HEARTLAND OF CENTERVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609683 		SKILLED NURSING FACILITY DE 8,536,549 1,452,701 HCR IV HEALTHCARE LLC
 
(160) HEARTLAND OF CHAMPAIGN IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615806 		SKILLED NURSING FACILITY DE 10,810 0 HCR IV HEALTHCARE LLC
 
(161) HEARTLAND OF CHILLICOTHE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609311 		SKILLED NURSING FACILITY DE 8,583,778 1,206,966 HCR IV HEALTHCARE LLC
 
(162) HEARTLAND OF CLARKSBURG WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625029 		SKILLED NURSING FACILITY DE 120,062 0 HCR IV HEALTHCARE LLC
 
(163) HEARTLAND OF DEARBORN HEIGHTS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611231 		SKILLED NURSING FACILITY DE 13,677,339 1,617,969 HCR IV HEALTHCARE LLC
 
(164) HEARTLAND OF DECATUR IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615541 		SKILLED NURSING FACILITY DE -5,854 0 HCR IV HEALTHCARE LLC
 
(165) HEARTLAND OF EATON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609364 		SKILLED NURSING FACILITY DE -1,000 0 HCR IV HEALTHCARE LLC
 
(166) HEARTLAND OF FORT MYERS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623726 		SKILLED NURSING FACILITY DE 12,721,275 1,304,802 HCR III HEALTHCARE LLC
 
(167) HEARTLAND OF GALESBURG IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624455 		SKILLED NURSING FACILITY DE 6,210,367 657,107 HCR IV HEALTHCARE LLC
 
(168) HEARTLAND OF GRAND RAPIDS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611403 		SKILLED NURSING FACILITY DE -3,791 189,804 HCR IV HEALTHCARE LLC
 
(169) HEARTLAND OF GREENVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614250 		SKILLED NURSING FACILITY DE 12,525 16,206 HCR IV HEALTHCARE LLC
 
(170) HEARTLAND OF HENRY IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614845 		SKILLED NURSING FACILITY DE 5,973,172 788,083 HCR IV HEALTHCARE LLC
 
(171) HEARTLAND OF HILLSBORO OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609351 		SKILLED NURSING FACILITY DE 7,580,309 1,075,801 HCR IV HEALTHCARE LLC
 
(172) HEARTLAND OF HOLLAND MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611679 		SKILLED NURSING FACILITY DE -13,554 9,486 HCR IV HEALTHCARE LLC
 
(173) HEARTLAND OF HYATTSVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619980 		SKILLED NURSING FACILITY DE 13,108,975 2,167,005 HCR III HEALTHCARE LLC
 
(174) HEARTLAND OF IONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611974 		SKILLED NURSING FACILITY DE -11,467 143,186 HCR IV HEALTHCARE LLC
 
(175) HEARTLAND OF JACKSON MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611756 		SKILLED NURSING FACILITY DE -17,543 0 HCR IV HEALTHCARE LLC
 
(176) HEARTLAND OF JACKSON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614303 		SKILLED NURSING FACILITY DE -34,816 39,736 HCR IV HEALTHCARE LLC
 
(177) HEARTLAND OF JACKSONVILLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623590 		SKILLED NURSING FACILITY DE 10,323,308 2,095,666 HCR III HEALTHCARE LLC
 
(178) HEARTLAND OF KALAMAZOO MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612121 		SKILLED NURSING FACILITY DE -18,820 0 HCR IV HEALTHCARE LLC
 
(179) HEARTLAND OF KENDALL FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623392 		SKILLED NURSING FACILITY DE 8,527 60,793 HCR III HEALTHCARE LLC
 
(180) HEARTLAND OF KETTERING OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609231 		SKILLED NURSING FACILITY DE 8,990,299 1,163,490 HCR IV HEALTHCARE LLC
 
(181) HEARTLAND OF KEYSER WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624987 		SKILLED NURSING FACILITY DE 123,233 0 HCR IV HEALTHCARE LLC
 
(182) HEARTLAND OF LAUDERHILL FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623998 		SKILLED NURSING FACILITY DE -141 63,888 HCR III HEALTHCARE LLC
 
(183) HEARTLAND OF MACOMB IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624476 		SKILLED NURSING FACILITY DE 5,621,754 843,565 HCR IV HEALTHCARE LLC
 
(184) HEARTLAND OF MADEIRA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609604 		SKILLED NURSING FACILITY DE -10,238 0 HCR IV HEALTHCARE LLC
 
(185) HEARTLAND OF MARIETTA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609259 		SKILLED NURSING FACILITY DE 6,990,028 1,078,593 HCR IV HEALTHCARE LLC
 
(186) HEARTLAND OF MARION OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613105 		SKILLED NURSING FACILITY DE 11,835,994 1,269,108 HCR IV HEALTHCARE LLC
 
(187) HEARTLAND OF MARTINSBURG WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625081 		SKILLED NURSING FACILITY DE 220,614 0 HCR IV HEALTHCARE LLC
 
(188) HEARTLAND OF MARYSVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609393 		SKILLED NURSING FACILITY DE -17,681 0 HCR IV HEALTHCARE LLC
 
(189) HEARTLAND OF MENTOR OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610122 		SKILLED NURSING FACILITY DE 10,904,511 1,932,624 HCR IV HEALTHCARE LLC
 
(190) HEARTLAND OF MIAMISBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0794075 		SKILLED NURSING FACILITY DE 8,341,817 1,600,311 HCR IV HEALTHCARE LLC
 
(191) HEARTLAND OF MOLINE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624491 		SKILLED NURSING FACILITY DE 11,412,256 1,345,365 HCR IV HEALTHCARE LLC
 
(192) HEARTLAND OF NORMAL IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615386 		SKILLED NURSING FACILITY DE 33,202 0 HCR IV HEALTHCARE LLC
 
(193) HEARTLAND OF ORANGE PARK FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623613 		SKILLED NURSING FACILITY DE 11,423,803 1,864,388 HCR III HEALTHCARE LLC
 
(194) HEARTLAND OF OREGON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609590 		SKILLED NURSING FACILITY DE -65,791 114,662 HCR IV HEALTHCARE LLC
 
(195) HEARTLAND OF PAXTON IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614884 		SKILLED NURSING FACILITY DE 28,857 0 HCR IV HEALTHCARE LLC
 
(196) HEARTLAND OF PEORIA IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615478 		SKILLED NURSING FACILITY DE 10,931 0 HCR IV HEALTHCARE LLC
 
(197) HEARTLAND OF PERRYSBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609189 		SKILLED NURSING FACILITY DE 10,392,751 1,645,063 HCR IV HEALTHCARE LLC
 
(198) HEARTLAND OF PIQUA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609466 		SKILLED NURSING FACILITY DE -16,194 3,564 HCR IV HEALTHCARE LLC
 
(199) HEARTLAND OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610260 		SKILLED NURSING FACILITY DE 15,031,984 2,582,481 HCR III HEALTHCARE LLC
 
(200) HEARTLAND OF PLATTEVILLE WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624818 		SKILLED NURSING FACILITY DE 27,923 0 HCR III HEALTHCARE LLC
 
(201) HEARTLAND OF PORTSMOUTH OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609290 		SKILLED NURSING FACILITY DE -5,833 21,537 HCR IV HEALTHCARE LLC
 
(202) HEARTLAND OF RAINELLE WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625009 		SKILLED NURSING FACILITY DE 83,656 0 HCR IV HEALTHCARE LLC
 
(203) HEARTLAND OF SAGINAW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612275 		SKILLED NURSING FACILITY DE -7,539 0 HCR IV HEALTHCARE LLC
 
(204) HEARTLAND OF SAN ANTONIO TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623701 		SKILLED NURSING FACILITY DE 2,787 8,228 HCR IV HEALTHCARE LLC
 
(205) HEARTLAND OF SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623968 		SKILLED NURSING FACILITY DE 13,523,040 2,001,772 HCR III HEALTHCARE LLC
 
(206) HEARTLAND OF SPRINGFIELD OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609416 		SKILLED NURSING FACILITY DE 30,909 0 HCR IV HEALTHCARE LLC
 
(207) HEARTLAND OF TAMARAC FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623500 		SKILLED NURSING FACILITY DE -6,631 83,229 HCR III HEALTHCARE LLC
 
(208) HEARTLAND OF THREE RIVERS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612325 		SKILLED NURSING FACILITY DE 7,685,198 898,843 HCR IV HEALTHCARE LLC
 
(209) HEARTLAND OF URBANA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614353 		SKILLED NURSING FACILITY DE -14,888 0 HCR IV HEALTHCARE LLC
 
(210) HEARTLAND OF WEST BLOOMFIELD MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611547 		SKILLED NURSING FACILITY DE -11,585 202,831 HCR IV HEALTHCARE LLC
 
(211) HEARTLAND OF WATERVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609511 		SKILLED NURSING FACILITY DE -25,116 0 HCR IV HEALTHCARE LLC
 
(212) HEARTLAND OF WAUSEON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614568 		SKILLED NURSING FACILITY DE -30,037 21,809 HCR IV HEALTHCARE LLC
 
(213) HEARTLAND OF WEST HOUSTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623684 		SKILLED NURSING FACILITY DE -18,779 0 HCR IV HEALTHCARE LLC
 
(214) HEARTLAND OF WHITEHALL MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612438 		SKILLED NURSING FACILITY DE -4,160 0 HCR IV HEALTHCARE LLC
 
(215) HEARTLAND OF ZEPHYRHILLS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623476 		SKILLED NURSING FACILITY DE 10,716,076 1,447,936 HCR III HEALTHCARE LLC
 
(216) HEARTLAND VILLAGE OF WESTERVILLE OH (NC) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609323 		SKILLED NURSING FACILITY DE 11,376,510 1,729,776 HCR IV HEALTHCARE LLC
 
(217) HEARTLAND VILLAGE OF WESTERVILLE OH (RC) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609337 		SKILLED NURSING FACILITY DE 3,837,889 355,292 HCR IV HEALTHCARE LLC
 
(218) HEARTLAND-BEAVERCREEK OF DAYTON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609445 		SKILLED NURSING FACILITY DE 9,023,514 1,544,690 HCR IV HEALTHCARE LLC
 
(219) HEARTLAND-BRIARWOOD MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611711 		SKILLED NURSING FACILITY DE 12,248,269 2,268,699 HCR IV HEALTHCARE LLC
 
(220) HEARTLAND-CHARLESTON OF HANAHAN SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623167 		SKILLED NURSING FACILITY DE 10,552,237 4,205,348 HCR III HEALTHCARE LLC
 
(221) HEARTLAND-CRESTVIEW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611487 		SKILLED NURSING FACILITY DE -13,044 0 HCR IV HEALTHCARE LLC
 
(222) HEARTLAND-DORVIN OF LIVONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611095 		SKILLED NURSING FACILITY DE 49,167 138,696 HCR IV HEALTHCARE LLC
 
(223) HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613145 		SKILLED NURSING FACILITY DE 16,084 0 HCR IV HEALTHCARE LLC
 
(224) HEARTLAND-FOSTRIAN OF FLUSHING MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611818 		SKILLED NURSING FACILITY DE 11,688,819 1,553,631 HCR IV HEALTHCARE LLC
 
(225) HEARTLAND-GEORGIAN BLOOMFIELD OF BLOOMFIELD HILLS MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611630 		SKILLED NURSING FACILITY DE -30,428 0 HCR IV HEALTHCARE LLC
 
(226) HEARTLAND-GEORGIAN EAST OF GROSSE POINTE MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611334 		SKILLED NURSING FACILITY DE 10,490,002 1,813,169 HCR IV HEALTHCARE LLC
 
(227) HEARTLAND-GREENVIEW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611920 		SKILLED NURSING FACILITY DE -31,937 200,852 HCR IV HEALTHCARE LLC
 
(228) HEARTLAND-HAMPTON OF BAY CITY MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611865 		SKILLED NURSING FACILITY DE 5,630,888 696,126 HCR IV HEALTHCARE LLC
 
(229) HEARTLAND-HOLLY GLEN OF TOLEDO OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614404 		SKILLED NURSING FACILITY DE -18,232 0 HCR IV HEALTHCARE LLC
 
(230) HEARTLAND-INDIAN LAKE OF LAKEVIEW OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614489 		SKILLED NURSING FACILITY DE -17,359 0 HCR IV HEALTHCARE LLC
 
(231) HEARTLAND-KNOLLVIEW MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612021 		SKILLED NURSING FACILITY DE -9,417 73,366 HCR IV HEALTHCARE LLC
 
(232) HEARTLAND-LANSING OF BRIDGEPORT OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609376 		SKILLED NURSING FACILITY DE 10,997 0 HCR IV HEALTHCARE LLC
 
(233) HEARTLAND-MIAMI LAKES OF HIALEAH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623652 		SKILLED NURSING FACILITY DE -6,347 78,524 HCR III HEALTHCARE LLC
 
(234) HEARTLAND-MT AIRY OF CINCINNATI OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610060 		SKILLED NURSING FACILITY DE 119,560 0 HCR IV HEALTHCARE LLC
 
(235) HEARTLAND-OAKLAND MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620480 		SKILLED NURSING FACILITY DE 20,107,372 3,016,102 HCR IV HEALTHCARE LLC
 
(236) HEARTLAND-PEWAUKEE OF WAUKESHA WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624873 		SKILLED NURSING FACILITY DE -3,928 0 HCR III HEALTHCARE LLC
 
(237) HEARTLAND-PLYMOUTH COURT MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610995 		SKILLED NURSING FACILITY DE -24,092 355,371 HCR IV HEALTHCARE LLC
 
(238) HEARTLAND-PRESTON COUNTY OF KINGWOOD WV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625067 		SKILLED NURSING FACILITY DE 118,798 0 HCR IV HEALTHCARE LLC
 
(239) HEARTLAND-PRESTWICK IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619176 		SKILLED NURSING FACILITY DE 1,022 0 HCR IV HEALTHCARE LLC
 
(240) HEARTLAND-PROSPERITY OAKS OF PALM BEACH GARDENS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623909 		SKILLED NURSING FACILITY DE 11,528,091 1,545,349 HCR III HEALTHCARE LLC
 
(241) HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619009 		ASSISTED LIVING FACILITY DE -38,572 0 HCR IV HEALTHCARE LLC
 
(242) HEARTLAND-RIVERVIEW OF SOUTH POINT OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609484 		SKILLED NURSING FACILITY DE 9,049,419 1,076,416 HCR IV HEALTHCARE LLC
 
(243) HEARTLAND-SOUTH JACKSONVILLE OF JACKSONVILLE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623559 		SKILLED NURSING FACILITY DE 10,647,447 1,946,831 HCR III HEALTHCARE LLC
 
(244) HEARTLAND-UNIVERSITY OF LIVONIA MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611184 		SKILLED NURSING FACILITY DE 10,651,153 1,341,459 HCR IV HEALTHCARE LLC
 
(245) HEARTLAND-VICTORIAN VILLAGE OF COLUMBUS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609432 		SKILLED NURSING FACILITY DE 199,492 0 HCR IV HEALTHCARE LLC
 
(246) HEARTLAND-WASHINGTON MANOR OF KENOSHA WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624859 		SKILLED NURSING FACILITY DE -28,830 0 HCR III HEALTHCARE LLC
 
(247) HEARTLAND-WILLOW LANE OF BUTLER MO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612474 		SKILLED NURSING FACILITY DE -19,659 0 HCR III HEALTHCARE LLC
 
(248) HEARTLAND-WILLOWBROOK OF HOUSTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624408 		SKILLED NURSING FACILITY DE -67,256 0 HCR IV HEALTHCARE LLC
 
(249) HEARTLAND-WOODRIDGE OF FAIRFIELD OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609646 		SKILLED NURSING FACILITY DE 96,853 0 HCR IV HEALTHCARE LLC
 
(250) HOLIDAY NURSING CENTER-CENTER TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624488 		SKILLED NURSING FACILITY DE -20,680 0 HCR IV HEALTHCARE LLC
 
(251) KENSINGTON MANOR-SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623931 		SKILLED NURSING FACILITY DE 7,862,640 1,195,912 HCR III HEALTHCARE LLC
 
(252) LEXINGTON REHABILITATION AND NURSING CENTER-LEXINGTON SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623428 		OUTPATIENT REHABILITATION DE 28,635 0 HCR III HEALTHCARE LLC
 
(253) MANOR CARE OF FOUNTAIN VALLEY CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622988 		SKILLED NURSING FACILITY DE 18,871,502 2,541,021 HCR IV HEALTHCARE LLC
 
(254) MANOR CARE NURSING CENTER OF SARASOTA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624159 		SKILLED NURSING FACILITY DE 15,615,163 1,622,118 HCR III HEALTHCARE LLC
 
(255) MANOR CARE OF ABERDEEN SD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623462 		SKILLED NURSING FACILITY DE -3,654 0 HCR IV HEALTHCARE LLC
 
(256) MANOR CARE OF AKRON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610034 		SKILLED NURSING FACILITY DE -22,438 0 HCR IV HEALTHCARE LLC
 
(257) MANOR CARE OF ALEXANDRIA VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624590 		SKILLED NURSING FACILITY DE 9,394,445 1,935,437 HCR IV HEALTHCARE LLC
 
(258) MANOR CARE OF ALLENTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610673 		SKILLED NURSING FACILITY DE 13,409,754 2,413,335 HCR III HEALTHCARE LLC
 
(259) MANOR CARE OF ANDERSON IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619221 		SKILLED NURSING FACILITY DE -15,276 0 HCR IV HEALTHCARE LLC
 
(260) MANOR CARE OF ARLINGTON VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624619 		SKILLED NURSING FACILITY DE 15,469,921 2,786,514 HCR IV HEALTHCARE LLC
 
(261) MANOR CARE OF BARBERTON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609528 		SKILLED NURSING FACILITY DE 7,872,886 1,079,548 HCR IV HEALTHCARE LLC
 
(262) MANOR CARE OF BETHEL PARK PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622002 		SKILLED NURSING FACILITY DE 12,881,152 1,624,316 HCR III HEALTHCARE LLC
 
(263) MANOR CARE OF BETHESDA MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620122 		SKILLED NURSING FACILITY DE 10,330,120 1,478,364 HCR III HEALTHCARE LLC
 
(264) MANOR CARE OF BETHLEHEM PA (2021) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614878 		SKILLED NURSING FACILITY DE 17,584,815 3,096,341 HCR III HEALTHCARE LLC
 
(265) MANOR CARE OF BETHLEHEM PA (2029) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621845 		SKILLED NURSING FACILITY DE 16,962,485 2,779,442 HCR III HEALTHCARE LLC
 
(266) MANOR CARE OF BOCA RATON FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624217 		SKILLED NURSING FACILITY DE 16,452,200 1,951,627 HCR III HEALTHCARE LLC
 
(267) MANOR CARE OF BOULDER CO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623287 		SKILLED NURSING FACILITY DE 13,870,574 1,570,905 HCR IV HEALTHCARE LLC
 
(268) MANOR CARE OF BOYNTON BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624241 		SKILLED NURSING FACILITY DE 17,193,982 2,724,196 HCR III HEALTHCARE LLC
 
(269) MANOR CARE OF CAMP HILL PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623070 		SKILLED NURSING FACILITY DE 11,591,479 2,387,319 HCR III HEALTHCARE LLC
 
(270) MANOR CARE OF CARLISLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610623 		SKILLED NURSING FACILITY DE 12,327,406 2,175,215 HCR III HEALTHCARE LLC
 
(271) MANOR CARE OF CEDAR RAPIDS IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624378 		SKILLED NURSING FACILITY DE 8,275,998 1,108,304 HCR III HEALTHCARE LLC
 
(272) MANOR CARE OF CHAMBERSBURG PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614915 		SKILLED NURSING FACILITY DE 16,876,849 3,640,958 HCR III HEALTHCARE LLC
 
(273) MANOR CARE OF CHERRY HILL NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612749 		SKILLED NURSING FACILITY DE -54,214 0 HCR III HEALTHCARE LLC
 
(274) MANOR CARE OF CHEVY CHASE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620158 		SKILLED NURSING FACILITY DE 14,602,023 1,913,664 HCR III HEALTHCARE LLC
 
(275) MANOR CARE OF CITRUS HEIGHTS CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622564 		SKILLED NURSING FACILITY DE 22,667,131 3,822,220 HCR IV HEALTHCARE LLC
 
(276) MANOR CARE OF DALLAS TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623497 		SKILLED NURSING FACILITY DE -46,365 0 HCR IV HEALTHCARE LLC
 
(277) MANOR CARE OF DALLASTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614534 		SKILLED NURSING FACILITY DE 16,829,723 2,739,652 HCR III HEALTHCARE LLC
 
(278) MANOR CARE OF DAVENPORT IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624394 		SKILLED NURSING FACILITY DE 6,629,094 1,000,907 HCR III HEALTHCARE LLC
 
(279) MANOR CARE OF DELRAY BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624068 		SKILLED NURSING FACILITY DE 12,581,986 1,819,787 HCR III HEALTHCARE LLC
 
(280) MANOR CARE OF DENVER CO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623262 		SKILLED NURSING FACILITY DE 12,440,191 2,372,437 HCR IV HEALTHCARE LLC
 
(281) MANOR CARE OF DUBUQUE IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624416 		SKILLED NURSING FACILITY DE 7,474,908 1,008,056 HCR III HEALTHCARE LLC
 
(282) MANOR CARE OF DUNEDIN FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624190 		SKILLED NURSING FACILITY DE 13,495,689 1,540,936 HCR III HEALTHCARE LLC
 
(283) MANOR CARE OF EASTON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621877 		SKILLED NURSING FACILITY DE 17,873,458 3,157,559 HCR III HEALTHCARE LLC
 
(284) MANOR CARE OF ELGIN IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615951 		SKILLED NURSING FACILITY DE -4,121 0 HCR IV HEALTHCARE LLC
 
(285) MANOR CARE OF ELIZABETHTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622774 		SKILLED NURSING FACILITY DE -65,672 2,508 HCR III HEALTHCARE LLC
 
(286) MANOR CARE OF ELK GROVE VILLAGE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0618782 		SKILLED NURSING FACILITY DE 18,832,611 2,111,387 HCR IV HEALTHCARE LLC
 
(287) MANOR CARE OF FARGO ND LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612718 		SKILLED NURSING FACILITY DE -12,026 0 HCR IV HEALTHCARE LLC
 
(288) MANOR CARE OF FLORISSANT MO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612550 		SKILLED NURSING FACILITY DE -454 0 HCR III HEALTHCARE LLC
 
(289) MANOR CARE OF FOND DU LAC WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624802 		SKILLED NURSING FACILITY DE -13,264 680 HCR III HEALTHCARE LLC
 
(290) MANOR CARE OF FORT WORTH TX (NRH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623538 		SKILLED NURSING FACILITY DE -11,151 2,022 HCR IV HEALTHCARE LLC
 
(291) MANOR CARE OF FORT WORTH TX (NW) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623570 		SKILLED NURSING FACILITY DE -29,662 26,214 HCR IV HEALTHCARE LLC
 
(292) MANOR CARE OF FT MYERS FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624272 		SKILLED NURSING FACILITY DE 11,772,914 1,580,305 HCR III HEALTHCARE LLC
 
(293) MANOR CARE OF GIG HARBOR WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624719 		SKILLED NURSING FACILITY DE 6,002,034 1,321,571 HCR IV HEALTHCARE LLC
 
(294) MANOR CARE OF GREEN BAY WI (EAST) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624767 		SKILLED NURSING FACILITY DE -2,606 0 HCR III HEALTHCARE LLC
 
(295) MANOR CARE OF GREEN BAY WI (WEST) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624786 		SKILLED NURSING FACILITY DE -8,599 0 HCR III HEALTHCARE LLC
 
(296) MANOR CARE OF HEMET CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623107 		SKILLED NURSING FACILITY DE 18,428,739 3,676,624 HCR IV HEALTHCARE LLC
 
(297) MANOR CARE OF HINSDALE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615984 		SKILLED NURSING FACILITY DE 21,677,003 4,083,716 HCR IV HEALTHCARE LLC
 
(298) MANOR CARE OF HOMEWOOD IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614920 		SKILLED NURSING FACILITY DE 13,737,797 2,238,645 HCR IV HEALTHCARE LLC
 
(299) MANOR CARE OF HUNTINGDON VALLEY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610582 		SKILLED NURSING FACILITY DE 10,641,800 1,942,496 HCR III HEALTHCARE LLC
 
(300) MANOR CARE OF INDY (SOUTH) IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619623 		SKILLED NURSING FACILITY DE 9,717,744 1,567,276 HCR IV HEALTHCARE LLC
 
(301) MANOR CARE OF JERSEY SHORE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614957 		SKILLED NURSING FACILITY DE 9,381,980 1,911,848 HCR III HEALTHCARE LLC
 
(302) MANOR CARE OF KANKAKEE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615706 		SKILLED NURSING FACILITY DE 5,163 0 HCR IV HEALTHCARE LLC
 
(303) MANOR CARE OF KING OF PRUSSIA PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610645 		SKILLED NURSING FACILITY DE 14,571,983 2,121,235 HCR III HEALTHCARE LLC
 
(304) MANOR CARE OF KINGSFORD MI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0611592 		SKILLED NURSING FACILITY DE 9,779,302 1,212,621 HCR IV HEALTHCARE LLC
 
(305) MANOR CARE OF KINGSTON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615323 		SKILLED NURSING FACILITY DE 12,666,434 1,969,241 HCR III HEALTHCARE LLC
 
(306) MANOR CARE OF LANCASTER PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621637 		SKILLED NURSING FACILITY DE 14,306,151 2,840,277 HCR III HEALTHCARE LLC
 
(307) MANOR CARE OF LAURELDALE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615380 		SKILLED NURSING FACILITY DE 17,423,571 3,168,792 HCR III HEALTHCARE LLC
 
(308) MANOR CARE OF LEBANON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615358 		SKILLED NURSING FACILITY DE 13,897,760 2,516,954 HCR III HEALTHCARE LLC
 
(309) MANOR CARE OF LIBERTYVILLE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615859 		SKILLED NURSING FACILITY DE 14,016,285 1,870,846 HCR IV HEALTHCARE LLC
 
(310) MANOR CARE OF LYNNWOOD WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624675 		SKILLED NURSING FACILITY DE 9,101,466 1,881,590 HCR IV HEALTHCARE LLC
 
(311) MANOR CARE OF MARIETTA GA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624336 		SKILLED NURSING FACILITY DE 14,709,218 2,120,754 HCR III HEALTHCARE LLC
 
(312) MANOR CARE OF MAYFIELD HEIGHTS OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609565 		SKILLED NURSING FACILITY DE -72,397 0 HCR IV HEALTHCARE LLC
 
(313) MANOR CARE OF MCMURRAY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614341 		SKILLED NURSING FACILITY DE 10,877,516 1,377,221 HCR III HEALTHCARE LLC
 
(314) MANOR CARE OF MIDWEST CITY OK LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610183 		SKILLED NURSING FACILITY DE -73,592 0 HCR III HEALTHCARE LLC
 
(315) MANOR CARE OF MINOT ND LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612693 		SKILLED NURSING FACILITY DE -2,408 0 HCR IV HEALTHCARE LLC
 
(316) MANOR CARE OF MONROEVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614497 		SKILLED NURSING FACILITY DE 12,125,555 1,824,138 HCR III HEALTHCARE LLC
 
(317) MANOR CARE OF MOUNTAINSIDE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612791 		SKILLED NURSING FACILITY DE 13,234,450 2,255,610 HCR III HEALTHCARE LLC
 
(318) MANOR CARE OF NAPERVILLE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615638 		SKILLED NURSING FACILITY DE 45,200 65,408 HCR IV HEALTHCARE LLC
 
(319) MANOR CARE OF NAPLES FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624049 		SKILLED NURSING FACILITY DE 11,404,133 1,456,956 HCR III HEALTHCARE LLC
 
(320) MANOR CARE OF NEW PROVIDENCE NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612827 		SKILLED NURSING FACILITY DE 8,556 947 HCR III HEALTHCARE LLC
 
(321) MANOR CARE OF NORTH OLMSTED OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610082 		SKILLED NURSING FACILITY DE 106,999 61,648 HCR IV HEALTHCARE LLC
 
(322) MANOR CARE OF NORTHBROOK IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0618960 		SKILLED NURSING FACILITY DE 299,714 7,186 HCR IV HEALTHCARE LLC
 
(323) MANOR CARE OF OAK LAWN (EAST) IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615929 		SKILLED NURSING FACILITY DE 14,735,039 2,422,407 HCR IV HEALTHCARE LLC
 
(324) MANOR CARE OF OAK LAWN (WEST) IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0616038 		SKILLED NURSING FACILITY DE 16,616,784 3,096,362 HCR IV HEALTHCARE LLC
 
(325) MANOR CARE OF OKLAHOMA CITY (SOUTHWEST) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610197 		SKILLED NURSING FACILITY DE -69,124 0 HCR III HEALTHCARE LLC
 
(326) MANOR CARE OF PALM DESERT CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623221 		SKILLED NURSING FACILITY DE 19,330,871 3,484,211 HCR IV HEALTHCARE LLC
 
(327) MANOR CARE OF PALM HARBOR FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624018 		SKILLED NURSING FACILITY DE 19,571,781 2,316,608 HCR III HEALTHCARE LLC
 
(328) MANOR CARE OF PALOS HEIGHTS (WEST) IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0618879 		SKILLED NURSING FACILITY DE 13,294,758 1,051,299 HCR IV HEALTHCARE LLC
 
(329) MANOR CARE OF PALOS HEIGHTS IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615889 		SKILLED NURSING FACILITY DE 19,551,786 3,524,276 HCR IV HEALTHCARE LLC
 
(330) MANOR CARE OF PARMA OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609661 		SKILLED NURSING FACILITY DE 11,061,792 1,547,388 HCR IV HEALTHCARE LLC
 
(331) MANOR CARE OF PINEHURST NC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612589 		SKILLED NURSING FACILITY DE 3,596 19,871 HCR III HEALTHCARE LLC
 
(332) MANOR CARE OF PLANTATION FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624255 		SKILLED NURSING FACILITY DE -3,772 70,137 HCR III HEALTHCARE LLC
 
(333) MANOR CARE OF POTOMAC MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620187 		SKILLED NURSING FACILITY DE 20,144,229 2,976,525 HCR III HEALTHCARE LLC
 
(334) MANOR CARE OF POTTSTOWN PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615421 		SKILLED NURSING FACILITY DE 10,677,192 1,468,868 HCR III HEALTHCARE LLC
 
(335) MANOR CARE OF POTTSVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615453 		SKILLED NURSING FACILITY DE 9,199,555 2,001,173 HCR III HEALTHCARE LLC
 
(336) MANOR CARE OF RENO NV LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613035 		SKILLED NURSING FACILITY DE 7,674 16,664 HCR IV HEALTHCARE LLC
 
(337) MANOR CARE OF ROLLING MEADOWS IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619150 		SKILLED NURSING FACILITY DE -585 57,590 HCR IV HEALTHCARE LLC
 
(338) MANOR CARE OF SAN ANTONIO (NORTH) TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623600 		SKILLED NURSING FACILITY DE 4,350 0 HCR IV HEALTHCARE LLC
 
(339) MANOR CARE OF SHAWANO WI LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624831 		SKILLED NURSING FACILITY DE 0 0 HCR III HEALTHCARE LLC
 
(340) MANOR CARE OF SILVER SPRING MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620058 		SKILLED NURSING FACILITY DE 14,542,364 2,231,590 HCR III HEALTHCARE LLC
 
(341) MANOR CARE OF SINKING SPRING PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621908 		SKILLED NURSING FACILITY DE 18,125,439 3,341,174 HCR III HEALTHCARE LLC
 
(342) MANOR CARE OF SOUTH HOLLAND IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615010 		SKILLED NURSING FACILITY DE 23,190 173,235 HCR IV HEALTHCARE LLC
 
(343) MANOR CARE OF SOUTH OGDEN UT LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624547 		SKILLED NURSING FACILITY DE -426 0 HCR IV HEALTHCARE LLC
 
(344) MANOR CARE OF SPOKANE WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624687 		SKILLED NURSING FACILITY DE 7,636,164 1,459,711 HCR IV HEALTHCARE LLC
 
(345) MANOR CARE OF SPRINGFIELD MO LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612506 		SKILLED NURSING FACILITY DE -706 0 HCR III HEALTHCARE LLC
 
(346) MANOR CARE OF SUNBURY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615499 		SKILLED NURSING FACILITY DE 9,971,029 1,730,841 HCR III HEALTHCARE LLC
 
(347) MANOR CARE OF SUNNYVALE CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623034 		SKILLED NURSING FACILITY DE 19,197,376 2,896,500 HCR IV HEALTHCARE LLC
 
(348) MANOR CARE OF TACOMA WA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624696 		SKILLED NURSING FACILITY DE 8,893,506 1,235,019 HCR IV HEALTHCARE LLC
 
(349) MANOR CARE OF TOPEKA KS LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619810 		SKILLED NURSING FACILITY DE 79,393 0 HCR IV HEALTHCARE LLC
 
(350) MANOR CARE OF TOWSON LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620456 		SKILLED NURSING FACILITY DE 13,617,049 1,761,874 HCR III HEALTHCARE LLC
 
(351) MANOR CARE OF TUCSON AZ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622500 		SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(352) MANOR CARE OF TULSA OK LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610215 		SKILLED NURSING FACILITY DE -81,955 0 HCR III HEALTHCARE LLC
 
(353) MANOR CARE OF VENICE FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624092 		SKILLED NURSING FACILITY DE 12,670,800 1,764,124 HCR III HEALTHCARE LLC
 
(354) MANOR CARE OF VOORHEES NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612955 		SKILLED NURSING FACILITY DE 11,491,163 1,546,547 HCR III HEALTHCARE LLC
 
(355) MANOR CARE OF W PALM BEACH FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624142 		SKILLED NURSING FACILITY DE 10,946,789 1,517,440 HCR III HEALTHCARE LLC
 
(356) MANOR CARE OF WALNUT CREEK CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623196 		SKILLED NURSING FACILITY DE 23,929,269 3,079,498 HCR IV HEALTHCARE LLC
 
(357) MANOR CARE OF WATERLOO IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624363 		SKILLED NURSING FACILITY DE 7,437,848 1,140,315 HCR III HEALTHCARE LLC
 
(358) MANOR CARE OF WEBSTER TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623637 		SKILLED NURSING FACILITY DE -47,048 0 HCR IV HEALTHCARE LLC
 
(359) MANOR CARE OF WEST DES MOINES IA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624438 		SKILLED NURSING FACILITY DE 7,307,729 1,133,709 HCR III HEALTHCARE LLC
 
(360) MANOR CARE OF WEST READING PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615529 		SKILLED NURSING FACILITY DE 14,073,071 2,780,675 HCR III HEALTHCARE LLC
 
(361) MANOR CARE OF WESTERVILLE OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609626 		SKILLED NURSING FACILITY DE 30,971 0 HCR IV HEALTHCARE LLC
 
(362) MANOR CARE OF WESTMONT IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619027 		SKILLED NURSING FACILITY DE 124,833 28,996 HCR IV HEALTHCARE LLC
 
(363) MANOR CARE OF WHEATON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620376 		SKILLED NURSING FACILITY DE 10,375,126 1,677,921 HCR III HEALTHCARE LLC
 
(364) MANOR CARE OF WICHITA KS LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619870 		SKILLED NURSING FACILITY DE 2,447 0 HCR IV HEALTHCARE LLC
 
(365) MANOR CARE OF WILLIAMSPORT PA (NORTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621747 		SKILLED NURSING FACILITY DE 10,108,269 2,121,244 HCR III HEALTHCARE LLC
 
(366) MANOR CARE OF WILLIAMSPORT PA (SOUTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621778 		SKILLED NURSING FACILITY DE 7,874,261 1,820,683 HCR III HEALTHCARE LLC
 
(367) MANOR CARE OF WILLOUGHBY OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610097 		SKILLED NURSING FACILITY DE 11,982,731 1,601,851 HCR IV HEALTHCARE LLC
 
(368) MANOR CARE OF WILMETTE IL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0615773 		SKILLED NURSING FACILITY DE 0 0 HCR IV HEALTHCARE LLC
 
(369) MANOR CARE OF WILMINGTON DE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623367 		SKILLED NURSING FACILITY DE 15,767,121 2,091,313 HCR III HEALTHCARE LLC
 
(370) MANOR CARE OF YARDLEY PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614171 		SKILLED NURSING FACILITY DE 17,220,894 2,968,430 HCR III HEALTHCARE LLC
 
(371) MANOR CARE OF YEADON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621815 		SKILLED NURSING FACILITY DE 16,991,638 2,476,006 HCR III HEALTHCARE LLC
 
(372) MANOR CARE OF YORK PA (NORTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622887 		SKILLED NURSING FACILITY DE 14,696,493 2,674,061 HCR III HEALTHCARE LLC
 
(373) MANOR CARE OF YORK PA (SOUTH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622947 		SKILLED NURSING FACILITY DE 14,428,438 2,733,402 HCR III HEALTHCARE LLC
 
(374) MANOR CARE REHABILITATION CENTER OF DECATUR GA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624293 		OUTPATIENT REHABILITATION DE 14,192,825 1,786,235 HCR III HEALTHCARE LLC
 
(375) MANOR CARE-BELDEN VILLAGE OF CANTON OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0613074 		SKILLED NURSING FACILITY DE -18,370 0 HCR IV HEALTHCARE LLC
 
(376) MANOR CARE-CARROLLWOOD OF TAMPA FL LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624118 		SKILLED NURSING FACILITY DE -4,234 0 HCR III HEALTHCARE LLC
 
(377) MANOR CARE-DULANEY MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619923 		SKILLED NURSING FACILITY DE 5,932 64,527 HCR III HEALTHCARE LLC
 
(378) MANOR CARE-EUCLID BEACH OF CLEVELAND OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0609550 		SKILLED NURSING FACILITY DE 85,584 0 HCR IV HEALTHCARE LLC
 
(379) MANOR CARE-FAIR OAKS OF FAIRFAX VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624605 		SKILLED NURSING FACILITY DE 15,547,420 2,203,327 HCR IV HEALTHCARE LLC
 
(380) MANOR CARE-GREENTREE OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622713 		SKILLED NURSING FACILITY DE 16,403,219 2,753,898 HCR III HEALTHCARE LLC
 
(381) MANOR CARE-IMPERIAL OF RICHMOND VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624643 		SKILLED NURSING FACILITY DE 10,819,138 1,825,696 HCR IV HEALTHCARE LLC
 
(382) MANOR CARE-KINGSTON COURT OF YORK PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610561 		SKILLED NURSING FACILITY DE 13,975,929 2,281,662 HCR III HEALTHCARE LLC
 
(383) MANOR CARE-LANSDALE OF MONTGOMERYVILLE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0614451 		SKILLED NURSING FACILITY DE 13,689,052 2,143,410 HCR III HEALTHCARE LLC
 
(384) MANOR CARE-LARGO MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620266 		SKILLED NURSING FACILITY DE 12,962,459 2,179,699 HCR III HEALTHCARE LLC
 
(385) MANOR CARE- LELY PALMS OF NAPLES FL (SH) LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0625295 		ASSISTED LIVING FACILITY DE 6,454,270 1,974,964 HCR III HEALTHCARE LLC
 
(386) MANOR CARE-LINDEN VILLAGE OF LEBANON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0621960 		SKILLED NURSING FACILITY DE 3,090,597 317,926 HCR III HEALTHCARE LLC
 
(387) MANOR CARE-NORTH HILLS OF PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610604 		SKILLED NURSING FACILITY DE 17,337,526 3,091,828 HCR III HEALTHCARE LLC
 
(388) MANOR CARE-PIKE CREEK OF WILMINGTON DE LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623346 		SKILLED NURSING FACILITY DE 21,549,669 3,224,542 HCR III HEALTHCARE LLC
 
(389) MANOR CARE-ROCKY RIVER OF CLEVELAND OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610139 		SKILLED NURSING FACILITY DE 41,593 0 HCR IV HEALTHCARE LLC
 
(390) MANOR CARE-ROLAND PARK MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620341 		SKILLED NURSING FACILITY DE 11,414,955 2,022,318 HCR III HEALTHCARE LLC
 
(391) MANOR CARE-ROSSVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620310 		SKILLED NURSING FACILITY DE 16,243,417 2,743,821 HCR III HEALTHCARE LLC
 
(392) MANOR CARE-RUXTON MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620431 		SKILLED NURSING FACILITY DE 18,668,883 3,378,734 HCR III HEALTHCARE LLC
 
(393) MANOR CARE-SHARPVIEW OF HOUSTON TX LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623656 		SKILLED NURSING FACILITY DE 33,716 0 HCR IV HEALTHCARE LLC
 
(394) MANOR CARE-STRATFORD HALL OF RICHMOND VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624664 		SKILLED NURSING FACILITY DE 14,857,311 2,056,424 HCR IV HEALTHCARE LLC
 
(395) MANOR CARE-SUMMER TRACE OF CARMEL IN LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619716 		SKILLED NURSING FACILITY DE 8,242,823 1,200,110 HCR IV HEALTHCARE LLC
 
(396) MANOR CARE-TICE VALLEY CA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622591 		SKILLED NURSING FACILITY DE 18,669,586 2,764,247 HCR IV HEALTHCARE LLC
 
(397) MANOR CARE-WEST DEPTFORD OF PAULSBORO NJ LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0612993 		SKILLED NURSING FACILITY DE 14,478,849 1,864,039 HCR III HEALTHCARE LLC
 
(398) MANOR CARE-WOODBRIDGE VALLEY MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620223 		SKILLED NURSING FACILITY DE -13,915 90,616 HCR III HEALTHCARE LLC
 
(399) MANOR CARE OF OVERLAND PARK KS LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0619843 		SKILLED NURSING FACILITY DE -30,476 0 HCR IV HEALTHCARE LLC
 
(400) MEDICAL CARE CENTER-LYNCHBURG VA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0624567 		SKILLED NURSING FACILITY DE 9,761,761 1,441,294 HCR IV HEALTHCARE LLC
 
(401) OAKMONT EAST-GREENVILLE SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623316 		SKILLED NURSING FACILITY DE 9,561,313 1,540,579 HCR III HEALTHCARE LLC
 
(402) OAKMONT OF UNION SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623208 		SKILLED NURSING FACILITY DE 7,837,626 1,203,226 HCR III HEALTHCARE LLC
 
(403) OAKMONT WEST-GREENVILLE SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623335 		SKILLED NURSING FACILITY DE 10,456,661 1,373,467 HCR III HEALTHCARE LLC
 
(404) OLD ORCHARD HEALTH CARE CENTER-EASTON PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623007 		SKILLED NURSING FACILITY DE 18,771,066 3,601,035 HCR III HEALTHCARE LLC
 
(405) PERRYSBURG COMMONS SENIOR HOUSING-PERRYSBURG OH LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623264 		ASSISTED LIVING FACILITY DE 2,532,476 246,432 HCR IV HEALTHCARE LLC
 
(406) SHADYSIDE NURSING AND REHABILITATION CENTER-PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610325 		SKILLED NURSING FACILITY DE 11,482,067 1,441,966 HCR III HEALTHCARE LLC
 
(407) SKY VUE TERRACE-PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610347 		SKILLED NURSING FACILITY DE 7,535,887 1,179,990 HCR III HEALTHCARE LLC
 
(408) SPRINGHOUSE OF PIKESVILLE MD LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0620079 		SKILLED NURSING FACILITY DE 4,114,911 381,433 HCR III HEALTHCARE LLC
 
(409) TWINBROOK MEDICAL CENTER-ERIE PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610373 		SKILLED NURSING FACILITY DE 55,824 0 HCR III HEALTHCARE LLC
 
(410) WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0610542 		SKILLED NURSING FACILITY DE 17,669,548 2,345,012 HCR III HEALTHCARE LLC
 
(411) WEST ASHLEY REHABILITATION AND NURSING CENTER-CHARLESTON SC LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0623364 		SKILLED NURSING FACILITY DE 9,232,596 1,772,132 HCR III HEALTHCARE LLC
 
(412) WHITEHALL BOROUGH-PITTSBURGH PA LLC
333 N SUMMIT ST
TOLEDO,OH43604
26-0622805 		SKILLED NURSING FACILITY DE 17,423,123 2,559,799 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
100 MADISON AVE

TOLEDO,OH43604
34-1883132 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(2)COMMUNITY HEALTH CENTER OF BRANCH COUNTY
100 MADISON AVE

TOLEDO,OH43604
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
100 MADISON AVE

TOLEDO,OH43604
34-4446484 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(5)EMMA L BIXBY MEDICAL CENTER
100 MADISON AVE

TOLEDO,OH43604
38-2796005 		HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(6)EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVE

ADRIAN,MI43604
38-2149602 		HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 12B, II EMMA L BIXBY MEDICAL CENTER
 
Yes
 
(7)FOSTORIA HOSPITAL ASSOCIATION
100 MADISON AVE

TOLEDO,OH43604
34-0898745 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(8)FOSTORIA HOSPITAL AUXILIARY
PO BOX 907

FOSTORIA,OH44830
34-6517634 		HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 10 FOSTORIA HOSPITAL ASSOCIATION
 
Yes
 
(9)HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
82-5373223 		SKILLED NURSING FACILITIES OH 501(C)(3) 10 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(10)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
 
(11)HERRICK MEMORIAL HOSPITAL INC
100 MADISON AVE

TOLEDO,OH43604
38-3049015 		HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(12)KAITLYN'S COTTAGE INC
100 MADISON AVE

TOLEDO,OH43604
45-4781053 		RESPITE CARE OH 501(C)(3) 10 DEFIANCE HOSPITAL INC
 
Yes
 
(13)LENAWEE LONG TERM CARE
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
38-2879330 		LONG TERM CARE MI 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(14)MEMORIAL HOSPITAL
100 MADISON AVE

TOLEDO,OH43604
34-4430849 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(15)MERCY MEMORIAL HOSPITAL CORPORATION
100 MADISON AVE

TOLEDO,OH43604
38-1984289 		HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(16)MONROE COMMUNITY HEALTH SERVICES
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
38-2934134 		LONG TERM CARE MI 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(17)PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR

MAUMEE,OH43537
20-3376102 		HEALTH INSURANCE OH 501(C)(3) 10 PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
 
Yes
 
(18)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
 
(19)PROMEDICA CONTINUUM SERVICES
100 MADISON AVE

TOLEDO,OH43604
34-1880767 		PHYSICIAN MANAGEMENT SERVICES OH 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(20)PROMEDICA COURIER SERVICES INC
100 MADISON AVE

TOLEDO,OH43604
26-0324790 		COURIER SERVICE OH 501(C)(3) 12B, II PROMEDICA CONTINUUM SERVICES
 
Yes
 
(21)MANOR CARE OF LYNNWOOD WA ASSOCIATION
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
26-0624675 		SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(22)MANOR CARE OF SPOKANE WA ASSOCIATION
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
26-0624687 		SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(23)MANOR CARE OF TACOMA WA ASSOCIATION
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
26-0624696 		SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(24)MANOR CARE OF GIG HARBOR WA ASSOCIATION
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
26-0624719 		SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(25)MANOR CARE OF LACEY WA ASSOCIATION
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
26-0624391 		SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(26)MANOR CARE OF SALMON CREEK WA ASSOCIATION
PO BOX 10086 ATTN TAX-5

TOLEDO,OH43699
26-0624375 		SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
(27)PROMEDICA FOUNDATION
444 N SUMMIT ST

TOLEDO,OH43604
34-1517672 		FOUNDATION OH 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(28)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
(29)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
 
(30)PROMEDICA PHYSICIAN GROUP INC
100 MADISON AVE

TOLEDO,OH43604
34-1899439 		PHYSICIAN HEALTH CARE SERVICES OH 501(C)(3) 10 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(31)THE TOLEDO HOSPITAL
100 MADISON AVE

TOLEDO,OH43604
34-4428256 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(32)VISITING NURSE HOSPICE AND HEALTH CARE
100 MADISON AVE

TOLEDO,OH43604
34-1831624 		HOSPICE HOME CARE OH 501(C)(3) 10 PROMEDICA CONTINUUM SERVICES
 
Yes
 
(33)HCR MANORCARE FOUNDATION INC
444 N SUMMIT ST

TOLEDO,OH43604
52-2031975 		FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION
 
Yes
 
(34)HEARTLAND HOSPICE MEMORIAL FUND INC
444 N SUMMIT ST

TOLEDO,OH43604
27-0497199 		FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION
 
Yes
 
(35)THE HUG FUND
444 N SUMMIT ST

TOLEDO,OH43604
20-2272848 		FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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 LTD

2865 N REYNOLDS RD
TOLEDO,OH43615
31-1569454 		FREESTANDING AMBULATORY SURGICAL CENTER OH THE TOLEDO HOSPITAL
  		RELATED 511,620 1,729,260   No     No 63.000 %
(2) NORTHWEST OHIO DEDICATED BREAST MRI LLC

100 MADISON AVE
TOLEDO,OH43604
26-0679898 		MEDICAL DIAGNOSTICS OH THE TOLEDO HOSPITAL
  		RELATED -613,661 1,253,948   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 654,618 3,442,936   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 473,243 670,061   No     No 50.900 %
(5) EAST-WEST HOLDINGS LTD

715 SOUTH TAFT AVE
FREMONT,OH43420
20-4066818 		REAL ESTATE OH MEMORIAL HOSPITAL
  		RELATED -176 278,049   No     No 50.000 %
(6) THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC

1051 S TELEGRAPH RD
MONROE,MI48161
27-0843485 		AMBULATORY SURGICAL CENTER MI PROMEDICA CONTINUUM SERVICES
  		RELATED -118,408 3,404,667   No     No 55.900 %
(7) PROMEDICA MASTER TENANT LLC

100 MADISON AVE
TOLEDO,OH43604
47-5288490 		REAL ESTATE OH PROMEDICA MANAGER MEMBER LLC
  		RELATED -5,362 225,028   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 -353,705 41,521,692   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 1,383,770   No     No 66.660 %
(10) HCRMC-PROMEDICA JV LLC

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43604
46-1343453 		NURSING AND REHAB SERVICES DE MANOR CARE HEALTH SERVICES OF TOLEDO OH LLC
  		RELATED -199,789 9,548,146   No   Yes   100.000 %
(11) MERCYMANOR PARTNERSHIP

PO BOX 10086 ATTN TAX-5
TOLEDO,PA43604
52-1931012 		SKILLED NURSING PA MANOR CARE OF DELAWARE COUNTY LLC
  		RELATED -13,406 110,778   No   Yes   50.000 %
(12) NORMAN SPECIALTY HOSPITAL LLC

PO BOX 10086 ATTN TAX-5
TOLEDO,DE43604
42-1627672 		HEALTH CARE DE MANOR CARE HEALTH SERVICES OF OKLAHOMA LLC
  		RELATED -391,047     No   Yes   60.500 %
(13) PROMEDICA PATHOLOGY LABORATORIES LLC

2130 W CENTRAL AVE STE 300
TOLEDO,OH43606
83-1022842 		CLINICAL LABORATORY DE THE TOLEDO HOSPITAL
  		RELATED 1,922,359 72,435,344   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 74,545 1,120,556 100.000 %   No
(2) PROMEDICA CENTRAL CORPORATION OF MICHIGAN

100 MADISON AVE
TOLEDO,OH43604
38-3322278 		PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP INC
  		C -7,383,080 7,408,642 100.000 %   No
(3) PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES

1901 INDIAN WOOD CIR
MAUMEE,OH43537
34-1570675 		HEALTH CARE INSURANCE OH PROMEDICA HEALTH SYSTEM INC
  		C 527,769,598 349,588,322 100.000 %   No
(4) PROMEDICA NORTH PHYSICIAN CORPORATION

100 MADISON AVE
TOLEDO,OH43604
38-3482148 		PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP INC
  		C   149,134 100.000 %   No
(5) PROMEDICA RETAIL GROUP INC

3890 MONROE ST
TOLEDO,OH43606
34-1159928 		FLORIST OH PROMEDICA CONTINUUM SERVICES
  		C     100.000 %   No
(6) HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION

818 RIVERSIDE AVE
ADRIAN,MI49221
38-3639616 		FACILITY MANAGEMENT MI HERRICK MEMORIAL DEVELOPMENT CORP
  		C 36 41,818 71.800 %   No
(7) PROMEDICA HEALTH NETWORK INC

100 MADISON AVE
TOLEDO,OH43604
47-4006496 		PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
  		C 438,847 2,444,310 100.000 %   No
(8) MONROE HEALTH VENTURES INC

718 N MACOMB
MONROE,MI48164
38-2704426 		PHARMACY MI MERCY MEMORIAL HOSPITAL CORPORATION
  		C     100.000 %   No
(9) PROMEDICA MANAGER MEMBER LLC

100 MADISON AVE
TOLEDO,OH43604
47-5168737 		REAL ESTATE OH PROMEDICA HEALTH SYSTEM INC
  		C -4,241 30,990,896 100.000 %   No
(10) MANOR CARE INSURANCE INC

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43604
98-0428947 		INSURANCE UT HCR HEALTHCARE LLC
  		C -42,847   100.000 %   No
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
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
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
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) PROMEDICA FOUNDATION

 B 3,139,163 FMV
(2) PROMEDICA FOUNDATION

 C 3,923,574 FMV
(3) THE TOLEDO HOSPITAL

 K 1,736,423 FMV
(4) PROMEDICA MASTER TENANT

 K 1,739,147 FMV
(5) MERCY MEMORIAL HOSPITAL CORPORATION

 O 232,034 FMV
(6) PROMEDICA INDEMNITY CORPORATION

 O 181,649 FMV
(7) THE TOLEDO HOSPITAL

 O 55,435 FMV
(8) PROMEDICA COURIER SERVICES INC

 P 121,018 FMV
(9) PROMEDICA INDEMNITY CORPORATION

 P 11,375,999 FMV
(10) PROMEDICA INSURANCE CORP INC & SUBSIDIARIES

 P 919,018 FMV
(11) PROMEDICA PHYSICIAN GROUP

 P 479,909 FMV
(12) THE TOLEDO HOSPITAL

 P 2,732,159 FMV
(13) BAY PARK COMMUNITY HOSPITAL

 Q 12,920,419 FMV
(14) COMMUNITY HEALTH CENTER OF BRANCH COUNTY

 Q 1,206,607 FMV
(15) DEFIANCE HOSPITAL INC

 Q 9,547,551 FMV
(16) EMMA L BIXBY MEDICAL CENTER

 Q 12,618,053 FMV
(17) FOSTORIA HOSPITAL ASSOCIATION

 Q 5,717,341 FMV
(18) HCR MANORCARE

 Q 700,027 FMV
(19) HERRICK MEMORIAL HOSPITAL INC

 Q 6,651,948 FMV
(20) LENAWEE CLINICAL PARTNERS

 Q 100,000 FMV
(21) MEMORIAL HOSPITAL

 Q 7,738,841 FMV
(22) MERCY MEMORIAL HOSPITAL CORPORATION

 Q 19,649,689 FMV
(23) PROMEDICA CONTINUING CARE SERVICES CORPORATION

 Q 7,928,129 FMV
(24) PROMEDICA FOUNDATION

 Q 4,542,582 FMV
(25) PROMEDICA HEALTH NETWORK

 Q 173,466 FMV
(26) PROMEDICA INDEMNITY CORPORATION

 Q 341,445 FMV
(27) PROMEDICA INSURANCE CORP INC & SUBSIDIARIES

 Q 28,496,780 FMV
(28) PROMEDICA PHYSICIAN GROUP

 Q 65,943,130 FMV
(29) THE TOLEDO HOSPITAL

 Q 185,778,503 FMV
(30) MERCY MEMORIAL HOSPITAL CORPORATION

 R 12,142,857 FMV
(31) EMMA L BIXBY MEDICAL CENTER

 R 6,750,000 FMV
(32) PROMEDICA PHYSICIAN GROUP

 R 23,000,000 FMV
(33) DEFIANCE HOSPITAL INC

 S 35,000,000 FMV
(34) FOSTORIA HOSPITAL ASSOCIATION

 S 22,500,000 FMV
(35) MEMORIAL HOSPITAL

 S 17,500,000 FMV
(36) COMMUNITY HEALTH CENTER OF BRANCH COUNTY

 S 10,000,000 FMV
(37) BAY PARK COMMUNITY HOSPITAL

 S 31,000,000 FMV
(38) MERCY MEMORIAL HOSPITAL CORPORATION

 S 22,500,000 FMV
(39) EMMA L BIXBY MEDICAL CENTER

 S 6,500,000 FMV
(40) HERRICK MEMORIAL HOSPITAL INC

 S 15,500,000 FMV
(41) THE TOLEDO HOSPITAL

 S 491,000,000 FMV
(42) PROMEDICA CONTINUING CARE SERVICES CORPORATION

 S 35,000,000 FMV
(43) VISITING NURSE HOSPICE & HEALTH CARE

 S 6,000,000 FMV
(44) LENAWEE LONG TERM CARE

 S 3,000,000 FMV
(45) PROMEDICA PHYSICIAN GROUP

 S 15,000,000 FMV
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019
Schedule R (Form 990) 2019
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) 2019

Additional Data


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