Form990
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
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 $ 190,258,047
F Name and address of principal officer:
LOUIS ROBICHAUX
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 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 1,952
6 Total number of volunteers (estimate if necessary) ............. 6 182
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 225,442
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,573,336 2,866,536
9 Program service revenue (Part VIII, line 2g) ......... 268,020,694 182,491,713
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 738,503 226,340
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,201,607 1,490,017
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 274,534,140 187,074,606
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 8,340,827 5,329,489
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) 194,653,572 185,685,689
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).... 186,357,772 192,135,502
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 389,352,171 383,150,680
19 Revenue less expenses. Subtract line 18 from line 12....... -114,818,031 -196,076,074
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,870,044,058 3,990,273,616
21 Total liabilities (Part X, line 26)............. 320,789,026 1,552,676,332
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,549,255,032 2,437,597,284
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
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Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
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 $ 297,953,159 including grants of $ 5,329,489 ) (Revenue $ 184,228,907 )
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 expensesMediumBullet297,953,159
Form 990 (2021)
Form 990 (2021)
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 Rev. Proc. 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.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
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 (2021)
Form 990 (2021)
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
 
No
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 the 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 line 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 on 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
10,371
b
Enter the number of Forms W-2G included on 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 (2021)
Form 990 (2021)
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
1,952
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 the 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
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
15
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
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
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 on 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 on 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 on 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
 
No
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
 
 
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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletJENNIFER SARPALIUS100 MADISON AVE   TOLEDO,OH43604 (567) 585-5652
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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 the 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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) ROBERT W LACLAIR......................................................................
CHAIRMAN
 1.00
.................
4.00 		X   X       0 0 0
(2) RANDALL OOSTRA......................................................................
EX OFFICIO, PHS PRES. & CEO
 39.00
.................
16.00 		X   X       7,155,772 0 300,344
(3) KURT L DARROW......................................................................
EX OFFICIO
 1.00
.................
0.00 		X           0 0 0
(4) LISA G HAWKER......................................................................
EX OFFICIO
 1.00
.................
1.00 		X           40,000 40,000 0
(5) JAMES A HOFFMAN......................................................................
EX OFFICIO
 1.00
.................
0.00 		X           40,000 40,000 0
(6) KEVIN J SAUDER......................................................................
EX OFFICIO
 1.00
.................
0.00 		X           0 0 0
(7) STEPHEN H STAELIN......................................................................
EX OFFICIO
 1.00
.................
2.00 		X           0 0 0
(8) JAMES F WHITE JR......................................................................
EX OFFICIO
 1.00
.................
2.00 		X           0 0 0
(9) THOMAS J WINSTON......................................................................
EX OFFICIO
 1.00
.................
1.00 		X           0 0 0
(10) MAURICE A JONES......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(11) LISA A MCDUFFIE MSSA LISW-S......................................................................
TRUSTEE
 1.00
.................
0.00 		X           30,000 30,000 0
(12) SHANKHA MITRA......................................................................
TRUSTEE
 1.00
.................
1.00 		X           0 0 0
(13) RAVI NARRA MD......................................................................
TRUSTEE, PHYSICIAN
 1.00
.................
40.00 		X           29,150 418,949 26,688
(14) ANN L RHEE MD FACOG......................................................................
TRUSTEE, PHYSICIAN
 1.00
.................
40.00 		X           0 734,847 25,619
(15) MARYJANE A WURTH MS......................................................................
TRUSTEE
 1.00
.................
0.00 		X           0 0 0
(16) JEFFREY C KUHN......................................................................
SECRETARY, CHIEF LEGAL OFFICER
 39.00
.................
16.00 		    X       1,347,615 0 68,186
(17) STEVEN M CAVANAUGH......................................................................
TREASURER, CFO
 39.00
.................
16.00 		    X       3,497,904 0 60,660
Form 990 (2021)
Form 990 (2021)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) ARTURO POLIZZI........................................................................
CHIEF OPERATING OFFICER
 50.00
.......................0.00 		      X     1,230,742 0 25,127
(19) KAREN STRAUSS........................................................................
COO, (PARTIAL YEAR)
 50.00
.......................0.00 		      X     2,182,936 0 55,124
(20) DAWN M BUSKEY........................................................................
PRESIDENT, ACUTE CARE
 49.00
.......................5.00 		      X     805,499 0 49,161
(21) LEE W HAMMERLING MD........................................................................
CHIEF ACADEMIC OFFICER, PRES.
 50.00
.......................0.00 		      X     1,121,520 0 22,918
(22) LESLIE THOMPSON........................................................................
CHIEF HUMAN RESOURCE OFFICER
 50.00
.......................0.00 		      X     960,015 0 34,028
(23) LORI A JOHNSTON........................................................................
PRES, PROMEDICA INSURANCE COR
 48.00
.......................1.00 		      X     1,347,678 0 74,356
(24) ROBIN L WHITNEY........................................................................
CHIEF STRATEGIC PLANNING/REAL ESTATE
 50.00
.......................0.00 		      X     757,301 0 25,601
(25) DAVID PARKER........................................................................
PRESIDENT PROMEDICA SENIOR CA
 49.00
.......................5.00 		        X   1,921,499 0 15,313
(26) KENT EDWARD BISHOP MD........................................................................
CMO PROMEDICA PHYSICIANS
 39.00
.......................1.00 		        X   876,481 0 57,622
(27) MATTHEW KANG........................................................................
CFO PROMEDICA SENIOR CARE
 49.00
.......................1.00 		        X   854,217 0 30,573
(28) ANGELA BRANDT........................................................................
PRESIDENT PROMEDICA SENIOR CARE
 49.00
.......................6.00 		        X   827,767 0 26,535
(29) GREGORY KASPER........................................................................
PRES. JOBST VASCULAR INSTITUTE
 40.00
.......................0.00 		        X   744,324 0 35,056
(30) ALAN M SATTLER........................................................................
FORMER TREASURER, VP BUSINESS DEV.
 40.00
.......................0.00 		          X 269,627 0 37,223
(31) GARY W AKENBERGER........................................................................
FORMER TREASURER, COO, METRO REGION
 40.00
.......................0.00 		          X 525,467 0 38,467
(32) KEVIN C WEBB PHD........................................................................
FORMER CHIEF ACUTE OFFICER
 0.00
.......................0.00 		          X 438,239 0 9,616
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 27,003,753 1,263,796 1,018,217
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 MediumBullet309
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
ENGIE INSIGHT SERVICES INC

1990 POST OAK BLVD STE 1900
HOUSTON,TX77056 		BILL PAYER SERVICES 76,858,406
SODEXO INC AND AFFILIATES

9801 WASHINGTONIAN BLVD
GAITHERSBURG,MD20878 		FOOD SERVICES 59,149,595
LEADERSTAT

1322B MANNING PKWY
POWELL,OH43065 		PURCHASED SERVICES, MEDICAL STAFF 39,364,506
AMN HEALTHCARE INC

8840 CYPRESS WATERS BLVD SUITE 300
DALLAS,TX75019 		PURCHASED SERVICES, MEDICAL STAFF 32,122,190
HOSPICELINK

2145 HIHGLAND AVE S SUITE 110
BIRMINGHAM,AL35205 		PURCHASED SERVICES, MEDICAL STAFF 29,697,818
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1,276
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 2,318,496
e Government grants (contributions)1e 398,733
f All other contributions, gifts, grants, and similar amounts not included above1f 149,307
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 2,866,536
Program Service RevenueAmt Business Code
2a ADMIN SUPPORT SERVICES 551114 331,390,369 331,284,279 106,090  
b MEDICAL RECORD COPIES 900099 477,055 477,055    
c CPR TRAINING CENTER 900099 84,057 84,057    
d INVEST IN AFFILIATES 551114 -149,459,768 -149,459,768    
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 182,491,713
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 226,340   -509,187 735,527
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   2,201,635 6a
b Less: rental expenses   3,183,441 6b
c Rental income or (loss)   -981,806 6c
d Net rental income or (loss).......MediumBullet -981,806     -981,806
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
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 GROCERY SALES 445100 1,240,040 1,155,474 84,566  
b PARKING 812930 644,976 348,790 296,186  
c DIETARY 722514 249,642 1,855 247,787  
d All other revenue .... 337,165 337,165    
e Total. Add lines 11a–11d ...... MediumBullet 2,471,823
12 Total revenue. See instructions.....MediumBullet 187,074,606 184,228,907 225,442 -246,279
Form 990 (2021)
Form 990 (2021)
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 .... 5,329,489 5,329,489
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 ........... 21,261,638 8,692,004 12,569,634  
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........ 134,467,961 107,574,369 26,893,592  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 7,271,470 5,817,176 1,454,294  
9 Other employee benefits ....... 13,155,674 10,524,539 2,631,135  
10 Payroll taxes ........... 9,528,946 7,623,157 1,905,789  
11 Fees for services (non-employees):        
a Management ...... 4,500   4,500  
b Legal ......... 5,182,656   5,182,656  
c Accounting ........... 1,488,458   1,488,458  
d Lobbying ........... 127,299   127,299  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 12,775,960 10,220,768 2,555,192  
12 Advertising and promotion .... 8,618,316 6,894,653 1,723,663  
13 Office expenses ....... 9,794,022 7,835,218 1,958,804  
14 Information technology ...... 55,358,284 44,286,627 11,071,657  
15 Royalties ..        
16 Occupancy ........... 6,223,852 4,979,082 1,244,770  
17 Travel ............ 1,005,166 804,133 201,033  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 6,172,882   6,172,882  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 29,279,588 23,423,670 5,855,918  
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 44,674,337 44,674,337    
b MINOR EQUIPMENT 4,736,423 3,789,138 947,285  
c TAXES 2,616,614 2,093,291 523,323  
d EMPLOYEE APPRECIATION 875,529 700,423 175,106  
e All other expenses 3,201,616 2,691,085 510,531  
25 Total functional expenses. Add lines 1 through 24e 383,150,680 297,953,159 85,197,521 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 (2021)
Form 990 (2021)
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 ........ 861,089 1 171,714,316
2 Savings and temporary cash investments ......... 229,597,000 2 13,023,307
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net .............   4 4,759,136
5 Loans and other receivables from 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 .......
2,574,646 5  
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 ........... 10,551,697 7 13,985,341
8 Inventories for sale or use ............ 49,306 8 22,161
9 Prepaid expenses and deferred charges ...... 46,546,061 9 47,526,232
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 401,653,591
b Less: accumulated depreciation 10b 202,152,693 199,091,562 10c 199,500,898
11 Investments—publicly traded securities . 2,590,375 11 3,092,795
12 Investments—other securities. See Part IV, line 11 ..... 89,154,624 12 100,314,334
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 710,024 14 396,760
15 Other assets. See Part IV, line 11 ........... 2,288,317,674 15 3,435,938,336
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,870,044,058 16 3,990,273,616
Liabilities 17 Accounts payable and accrued expenses ..... 122,098,734 17 1,483,284,850
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 .. 3,611,840 23 3,192,899
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 193,078,452 25 64,198,583
26 Total liabilities. Add lines 17 through 25.. 320,789,026 26 1,552,676,332
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 .......... 2,527,102,848 27 2,412,648,494
28 Net assets with donor restrictions ........... 22,152,184 28 24,948,790
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 ........... 2,549,255,032 32 2,437,597,284
33 Total liabilities and net assets/fund balances ........ 2,870,044,058 33 3,990,273,616
Form 990 (2021)
Form 990 (2021)
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
187,074,606
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
383,150,680
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-196,076,074
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,549,255,032
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
1,959
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
84,416,366
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,437,597,284
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 on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


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

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
2021
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 ...............................33
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) HCR MANORCARE INC
  		825373223 10   No 0 0
(G) HERRICK MEMORIAL HOSPITAL INC
  		383049015 3   No 0 0
(H) KAITLYN'S COTTAGE INC
  		454781053 10   No 0 0
(I) LENAWEE LONG TERM CARE
  		382879330 10   No 0 0
(J) MANOR CARE OF GIG HARBOR WA ASSOCIATION
  		260624719 10   No 0 0
(K) MANOR CARE OF LACEY WA ASSOCIATION
  		260624391 10   No 0 0
(L) MANOR CARE OF LYNNWOOD WA ASSOCIATION
  		260624675 10   No 0 0
(M) MANOR CARE OF SALMON CREEK WA ASSOCIATION
  		260624375 10   No 0 0
(N) MANOR CARE OF SPOKANE WA ASSOCIATION
  		260624687 10   No 0 0
(O) MANOR CARE OF TACOMA WA ASSOCIATION
  		260624696 10   No 0 0
(P) MEMORIAL HOSPITAL
  		344430849 3   No 0 0
(Q) MEMORIAL PROFESSIONAL SERVICES
  		273763993 10   No 0 0
(R) MERCY MEMORIAL HOSPITAL CORPORATION
  		381984289 3   No 0 0
(S) MONROE COMMUNITY HEALTH SERVICES
  		382934134 10   No 0 0
(T) PROMEDICA CENTRAL PHYSICIANS
  		341881137 10   No 0 0
(U) PROMEDICA CHILDRENS SPECIALISTS
  		208734161 10   No 0 0
(V) PROMEDICA CONTINUING CARE SERVICES CORPORATION
  		344492440 10   No 0 0
(W) PROMEDICA GENITO-URINARY SURGEONS
  		461120436 10   No 0 0
(X) PROMEDICA MONROE CARDIOLOGY
  		272920342 10   No 0 0
(Y) PROMEDICA MONROE PHYSICIANS
  		461111822 10   No 0 0
(Z) PROMEDICA MULTI SPECIALTY PHYSICIANS
  		454976786 10   No 0 0
(AA) PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
  		263888045 10   No 0 0
(AB) PROMEDICA PHYSICIAN GROUP
  		341899439 10   No 0 0
(AC) PROMEDICA PHYSICIANS AT HOME INC
  		852181349 10   No 0 0
(AD) PROMEDICA PRIMARY CARE PROVIDERS
  		831731861 10   No 0 0
(AE) THE TOLEDO HOSPITAL
  		344428256 3   No 0 0
(AF) TOLEDO DISTRICT NURSE ASSOCIATION
  		344427949 10   No 0 0
(AG) VISITING NURSE HOSPICE AND HEALTH CARE
  		341831624 10   No 0 0
Total
33
 0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 5 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) 2021

Schedule A (Form 990) 2021
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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
Yes
 
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
Yes
 
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) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
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 on 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 on 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) 2021

Schedule A (Form 990) 2021
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

Schedule A (Form 990) 2021
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 0.015 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 0.035 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) 2021

Schedule A (Form 990) 2021
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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.
PART IV, SECTION A, LINE 2 PROMEDICA HEALTH SYSTEM, INC. PROVIDES SUPPORT FOR THE FOLLOWING ENTITIES THAT CURRENTLY HAVE NOT RECEIVED AN IRS DETERMINATION OF STATUS. THE 1023 APPLICATION FORMS FOR THESE ENTITIES ARE IN THE FINAL STEP OF REVIEW PRIOR TO BEING ELECTRONICALLY FILED. - PROMEDICA CHILDREN'S SPECIALISTS FEIN 20-8734161 - PROMEDICA PHYSICIANS AT HOME, INC FEIN 85-2181349 - PROMEDICA MULTI SPECIALTY PHYSCIANS FEIN 45-4976786
PART IV, SECTION A, LINE 5A PROMEDICA HEALTH SYSTEM, INC. ADDED THE FOLLOWING SUPPORTED ORGANIZATIONS DURING TAX YEAR 2021: ENTITIES CONVERTED TO NON-PROFIT CORPORATIONS FROM DISREGARDED NON-PROFIT LLC: - PROMEDICA SENIOR CARE OF PISCATAWAY NJ, INC. FEIN 86-1179270 - PROMEDICA MULTI SPECIALTY PHYSICIANS FEIN 45-4976786 THE SUPPORTED ORGANIZATIONS ADDED FALL WITHIN THE CLASS DESCRIBED WITHIN THE ORGANIZATIONS GOVERNING DOCUMENT, THEREFORE, NO AMENDMENT WAS MADE.
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
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
2021
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) (2021)
Schedule B (Form 990) (2021) 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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
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SCHEDULE C
(Form 990)

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
2021
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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
 
127,299
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 ....................................................................................................
127,299
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) 2021


Additional Data


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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
2021
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) 2021

Schedule D (Form 990) 2021
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 ..... 701,400 15,208,607 15,910,007
b Buildings .... 4,365,507 97,543,115 18,442,501 83,466,121
c Leasehold improvements   3,876,755 2,308,045 1,568,710
d Equipment ....   256,984,504 174,530,699 82,453,805
e Other .....   22,973,703 6,871,448 16,102,255
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 199,500,898
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)INVESTMENT IN AFFILIATES 1,566,411,197
(2)DUE FROM AFFILIATES 1,708,565,440
(3)OTHER SEGREGATED INVESTMENTS 140,101
(4)OTHER NON-CURRENT ASSETS 32,863,794
(5)OTHER RECEIVABLES 1,007,772
(6)BENEFICIAL INTEREST IN FOUNDATION 24,911,687
(7)DEFERRED COMPENSATION 102,038,345
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 3,435,938,336
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 64,198,583
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) 2021

Schedule D (Form 990) 2021
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) 2021


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
2021
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) ALZHEIMERS ASSOCIATION
2500 N REYNOLDS RD
TOLEDO,OH43615 		34-1423768 501(C)(3) 47,110 0     CHARITABLE DONATION
(2) AMERICAN CANCER SOCIETY
135 CHESTERFIELD STE 100
MAUMEE,OH43537 		13-1788491 501(C)(3) 18,500 0     CHARITABLE DONATION
(3) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231 		13-5613797 501(C)(3) 13,500 0     CHARITABLE DONATION
(4) ARTS COMMISSION OF GREATER TOL
1838 PARKWOOD AVE
TOLEDO,OH43604 		34-1358701 501(C)(3) 228,550 0     CHARITABLE DONATION
(5) BLACK SWAMP BIRD OBSERVATORY
13551 WEST STATE ROUTE 2
OAK HARBOR,OH43449 		34-1702076 501(C)(3) 10,000 0     CHARITABLE DONATION
(6) CHERRY STREET MISSION
105 17TH ST
TOLEDO,OH43604 		34-1133369 501(C)(3) 53,500 0     CHARITABLE DONATION
(7) CHILDRENS HUNGER ALLIANCE
1105 SCHROCK ROAD STE 505
COLUMBUS,OH43229 		23-7303509 501(C)(3) 6,000 0     CHARITABLE DONATION
(8) CITY OF FOSTORIA
PO BOX 1007
FOSTORIA,OH44830 		34-6400520 GOV'T ENTITY 7,143 0     CHARITABLE DONATION
(9) COLUMBIA UNIVERSITY
622 WEST 113 STREET
NEW YORK,NY10025 		13-5598093 501(C)(3) 22,500 0     CHARITABLE DONATION
(10) CROSWELL OPERA HOUSE
129 E MAUMEE ST
ADRIAN,MI49221 		38-6144993 501(C)(3) 50,000 0     CHARITABLE DONATION
(11) DOWNTOWN TOLEDO IMPROVEMENT DISTRICT
300 MADISON AVENUE SUITE 0110
TOLEDO,OH43604 		20-3888380 501(C)(3) 26,000 0     CHARITABLE DONATION
(12) DRS TIMING
PO BOX 194
DELTA,OH43515 		47-3963806   20,000 0     CHARITABLE DONATION
(13) ERNST & YOUNG LLP
200 PLAZA DR SUITE 2222
SECAUCUS,NJ07094 		34-6565596   20,000 0     CHARITABLE DONATION
(14) GOODWILL INDUSTRIES OF NW OHIO
1120 MADISON AVE
TOLEDO,OH43604 		34-4434288 501(C)(3) 189,884 0     CHARITABLE DONATION
(15) GREAT LAKES COMMUNITY ACTION
127 N FRONT ST
FREMONT,OH43420 		34-0975934 501(C)(3) 55,000 0     CHARITABLE DONATION
(16) HOPE TOLEDO
300 MADISON AVE STE 1400A
TOLEDO,OH43604 		85-2018307 501(C)(3) 676,800 0     CHARITABLE DONATION
(17) HOSPITAL COUNCIL OF NWO
3231 CENTRAL PARK WEST DR SUITE 200
TOLEDO,OH43617 		34-1116795 501(C)(3) 74,000 0     CHARITABLE DONATION
(18) INVERNESS CLUB
4601 DORR STREET
TOLEDO,OH43615 		34-4269760 501(C)(3) 112,500 0     CHARITABLE DONATION
(19) JUMPSTART INC
6701 CARNEGIE AVE STE 100
CLEVELAND,OH44103 		34-1398522 501(C)(3) 350,000 0     CHARITABLE DONATION
(20) LENAWEE COMMUNITY FOUNDATION
606 N EVANS ST
TECUMSEH,MI49286 		38-6095474 501(C)(3) 186,417 0     CHARITABLE DONATION
(21) LENAWEE ECONOMIC DEVELOPMENT
5285 W US HWY 223
ADRIAN,MI42921 		38-0284520 501(C)(3) 250,000 0     CHARITABLE DONATION
(22) LIMA MEMORIAL HOSPITAL
1001 BELLEFONTAINE AVE
LIMA,OH45804 		34-1883284 501(C)(3) 25,000 0     CHARITABLE DONATION
(23) LOCAL INITIATIVES SUPPORT CORP
245 N SUPERIOR
TOLEDO,OH43604 		13-3030229 501(C)(3) 40,000 0     CHARITABLE DONATION
(24) LPGA TOURNAMENT PROPERTIES
100 INTERNATIONAL GOLF DRIVE
DAYTONA BEACH,FL32124 		27-1317091   50,000 0     CHARITABLE DONATION
(25) MONROE COUNTY CHAMBER OF
PO BOX 626
MONROE,MI48161 		38-1566376 501(C)(3) 6,000 0     CHARITABLE DONATION
(26) NORTHWESTERN OHIO
1933 E SECOND ST
DEFIANCE,OH43512 		34-0971599 501(C)(3) 55,000 0     CHARITABLE DONATION
(27) OREGON SCHOOLS FOUNDATION
5721 SEAMAN RD
OREGON,OH43616 		34-1691643 501(C)(3) 7,500 0     CHARITABLE DONATION
(28) RUTHERFORD B HAYES PRESIDENTAL CENTER
SPIEGEL GROVE
FREMONT,OH43420 		34-6502740 501(C)(3) 10,500 0     CHARITABLE DONATION
(29) SP JERMAIN HISTORICAL GOLF FOUNDATION
7150 GRANITE CIRCLE SUITE 203
TOLEDO,OH43617 		81-4358288 501(C)(3) 25,000 0     CHARITABLE DONATION
(30) ST FRANCIS DE SALES HIGH SCHOOL
2323 W BANCROFT ST
TOLEDO,OH43607 		34-4465715 501(C)(3) 152,500 0     CHARITABLE DONATION
(31) SUSAN G KOMEN BREAST CANCER
PO BOX 8489
TOLEDO,OH43612 		75-1835298 501(C)(3) 17,500 0     CHARITABLE DONATION
(32) SYLVANIA AREA CHAMBER OF COMMERCE
5632 N MAIN ST
SYLVANIA,OH43560 		34-1138033 501(C)(3) 10,000 0     CHARITABLE DONATION
(33) THE ALLIANCE TO END HUNGER
50 F STREET NW SUITE 500
WASHINGTON,DC20001 		20-2803848 501(C)(3) 22,500 0     CHARITABLE DONATION
(34) THE FOUNDATION AT MONROE
1555 S RAISINVILLE RD
MONROE,MI48161 		38-3442216 501(C)(3) 30,000 0     CHARITABLE DONATION
(35) THE TOLEDO POLICE FOUNDATION
2222 CENTENNIAL RD
TOLEDO,OH43617 		83-2572993 501(C)(3) 122,500 0     CHARITABLE DONATION
(36) THE TOLEDO SYMPHONY
1838 PARKWOOD AVE
TOLEDO,OH43697 		34-4005365 501(C)(3) 8,250 0     CHARITABLE DONATION
(37) TOLEDO AREA HUMANE SOCIETY
1920 INDIAN WOODS CIRCLE
MAUMEE,OH43537 		34-4429093 501(C)(3) 25,000 0     CHARITABLE DONATION
(38) TOLEDO COMMUNITY FOUNDATION
300 MADISON AVE STE 1300
TOLEDO,OH43604 		23-7284004 501(C)(3) 81,000 0     CHARITABLE DONATION
(39) TOLEDO CULTURAL ARTS CENTER
410 ADAMS ST
TOLEDO,OH43604 		34-1385037 501(C)(3) 25,000 0     CHARITABLE DONATION
(40) TOLEDO JEEP FEST (STELLANTIS)
ONE GOVERNMENT CENTER STE 800
TOLEDO,OH43604 		  57,500 0     CHARITABLE DONATION
(41) TOLEDO LUCAS COUNTY HOMELESSNESS BOARD
1220 MADISON AVENUE
TOLEDO,OH43604 		72-1604255 501(C)(3) 20,000 0     CHARITABLE DONATION
(42) TOLEDO MUSEUM OF ART
2445 MONROE ST
TOLEDO,OH43620 		34-4434678 501(C)(3) 527,500 0     CHARITABLE DONATION
(43) TOLEDO OPERA
406 ADAMS ST
TOLEDO,OH43604 		34-6556139 501(C)(3) 31,000 0     CHARITABLE DONATION
(44) TOLEDO PHYSICIANS OF INDIAN ORIGIN
PO BOX 27
MAUMEE,OH43537 		82-4385037 501(C)(3) 7,500 0     CHARITABLE DONATION
(45) TOLEDO ROADRUNNERS CLUB
PO BOX 5656
TOLEDO,OH43613 		34-1237238 501(C)(3) 15,000 0     CHARITABLE DONATION
(46) TUTORSMART
1609 N SUMMIT ST
TOLEDO,OH43604 		82-3147832 501(C)(3) 100,000 0     CHARITABLE DONATION
(47) UNIVERSITY OF TOLEDO
2801 W BANCROFT
TOLEDO,OH43606 		34-6556011 501(C)(3) 9,200 0     CHARITABLE DONATION
(48) WASHINGTON LOCAL SCHOOLS FOUNDATION
3505 W LINCOLNSHIRE BLVD
TOLEDO,OH43606 		86-1805590 501(C)(3) 90,000 0     CHARITABLE DONATION
(49) YWCA
1018 JEFFERSON AVE
TOLEDO,OH43624 		34-4428265 501(C)(3) 1,155,000 0     CHARITABLE DONATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
50
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
7
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
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) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" 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
2021
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
Yes
 
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
Yes
 
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) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
EX OFFICIO, PHS PRES. & CEO 		(i)

(ii)		 1,956,043
-------------
0 		5,028,392
-------------
0 		171,337
-------------
0 		283,814
-------------
0 		16,530
-------------
0 		7,456,116
-------------
0 		0
-------------
0
2STEVEN M CAVANAUGH
TREASURER, CFO 		(i)

(ii)		 1,300,553
-------------
0 		2,196,109
-------------
0 		1,242
-------------
0 		35,041
-------------
0 		25,619
-------------
0 		3,558,564
-------------
0 		0
-------------
0
3KAREN STRAUSS
COO, (PARTIAL YEAR) 		(i)

(ii)		 997,941
-------------
0 		1,175,748
-------------
0 		9,247
-------------
0 		32,726
-------------
0 		22,398
-------------
0 		2,238,060
-------------
0 		0
-------------
0
4DAVID PARKER
PRESIDENT PROMEDICA SENIOR CA 		(i)

(ii)		 1,116,902
-------------
0 		534,563
-------------
0 		270,034
-------------
0 		0
-------------
0 		15,313
-------------
0 		1,936,812
-------------
0 		0
-------------
0
5LORI A JOHNSTON
PRES, PROMEDICA INSURANCE COR 		(i)

(ii)		 690,361
-------------
0 		650,107
-------------
0 		7,210
-------------
0 		53,452
-------------
0 		20,904
-------------
0 		1,422,034
-------------
0 		0
-------------
0
6JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER 		(i)

(ii)		 724,534
-------------
0 		616,992
-------------
0 		6,089
-------------
0 		53,463
-------------
0 		14,723
-------------
0 		1,415,801
-------------
0 		0
-------------
0
7ARTURO POLIZZI
CHIEF OPERATING OFFICER 		(i)

(ii)		 927,363
-------------
0 		300,000
-------------
0 		3,379
-------------
0 		0
-------------
0 		25,127
-------------
0 		1,255,869
-------------
0 		0
-------------
0
8LEE W HAMMERLING MD
CHIEF ACADEMIC OFFICER, PRES. 		(i)

(ii)		 7,047
-------------
0 		372,654
-------------
0 		741,819
-------------
0 		0
-------------
0 		22,918
-------------
0 		1,144,438
-------------
0 		0
-------------
0
9LESLIE THOMPSON
CHIEF HUMAN RESOURCE OFFICER 		(i)

(ii)		 533,155
-------------
0 		421,442
-------------
0 		5,418
-------------
0 		9,580
-------------
0 		24,448
-------------
0 		994,043
-------------
0 		0
-------------
0
10KENT EDWARD BISHOP MD
CMO PROMEDICA PHYSICIANS 		(i)

(ii)		 608,651
-------------
0 		264,508
-------------
0 		3,322
-------------
0 		35,095
-------------
0 		22,527
-------------
0 		934,103
-------------
0 		0
-------------
0
11MATTHEW KANG
CFO PROMEDICA SENIOR CARE 		(i)

(ii)		 567,481
-------------
0 		285,926
-------------
0 		810
-------------
0 		8,577
-------------
0 		21,996
-------------
0 		884,790
-------------
0 		0
-------------
0
12DAWN M BUSKEY
PRESIDENT, ACUTE CARE 		(i)

(ii)		 545,228
-------------
0 		256,990
-------------
0 		3,281
-------------
0 		32,280
-------------
0 		16,881
-------------
0 		854,660
-------------
0 		0
-------------
0
13ANGELA BRANDT
PRESIDENT PROMEDICA SENIOR CARE 		(i)

(ii)		 505,278
-------------
0 		315,704
-------------
0 		6,785
-------------
0 		12,350
-------------
0 		14,185
-------------
0 		854,302
-------------
0 		0
-------------
0
14ROBIN L WHITNEY
CHIEF STRATEGIC PLANNING/REAL ESTATE 		(i)

(ii)		 421,186
-------------
0 		329,803
-------------
0 		6,312
-------------
0 		11,267
-------------
0 		14,334
-------------
0 		782,902
-------------
0 		0
-------------
0
15GREGORY KASPER
PRES. JOBST VASCULAR INSTITUTE 		(i)

(ii)		 540,019
-------------
0 		203,063
-------------
0 		1,242
-------------
0 		11,034
-------------
0 		24,022
-------------
0 		779,380
-------------
0 		0
-------------
0
16ANN L RHEE MD FACOG
TRUSTEE, PHYSICIAN 		(i)

(ii)		 0
-------------
502,274 		0
-------------
231,331 		0
-------------
1,242 		0
-------------
0 		0
-------------
25,619 		0
-------------
760,466 		0
-------------
0
17GARY W AKENBERGER
FORMER TREASURER, COO, METRO REGION 		(i)

(ii)		 387,188
-------------
0 		133,715
-------------
0 		4,564
-------------
0 		20,943
-------------
0 		17,524
-------------
0 		563,934
-------------
0 		0
-------------
0
18RAVI NARRA MD
TRUSTEE, PHYSICIAN 		(i)

(ii)		 29,150
-------------
296,799 		0
-------------
120,608 		0
-------------
1,542 		0
-------------
0 		0
-------------
26,688 		29,150
-------------
445,637 		0
-------------
0
19KEVIN C WEBB PHD
FORMER CHIEF ACUTE OFFICER 		(i)

(ii)		 0
-------------
0 		438,239
-------------
0 		0
-------------
0 		8,700
-------------
0 		916
-------------
0 		447,855
-------------
0 		0
-------------
0
20ALAN M SATTLER
FORMER TREASURER, VP BUSINESS DEV. 		(i)

(ii)		 210,556
-------------
0 		50,619
-------------
0 		8,452
-------------
0 		10,550
-------------
0 		26,673
-------------
0 		306,850
-------------
0 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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 FIRST-CLASS OR CHARTER TRAVEL 1 OFFICER- NOT INCLUDED IN TAXABLE COMPENSATION 1 KEY EMPLOYEE- NOT INCLUDED IN TAXABLE COMPENSATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS 2 KEY EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 1 OFFICERS - INCLUDED IN TAXABLE COMPENSATION 1 HIGHEST COMPENSATED EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 1 FORMER OFFICER - INCLUDED IN TAXABLE COMPENSATION PERSONAL SERVICES 2 OFFICERS - INCLUDED IN TAXABLE COMPENSATION 6 KEY EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 2 HIGHEST COMPENSATED 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: LEE W. HAMMERLING, M.D. $741,415.41 DAVID PARKER $268,557.66 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. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII.
PART I, LINE 6 CERTAIN LISTED PERSONS RECEIVED INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS.
PART I, LINE 7 AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF FINANCIAL AND NON-FINANCIAL GOALS, POTENTIALLY IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE ENGAGEMENT; 3) GROWTH; 4) QUALITY AND SAFETY; AND 5) PROFITABILITY. LORI A. JOHNSTON RECEIVED A DISCRETIONARY BONUS BASED ON EXCEPTIONAL PERFORMANCE.
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) 2021

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990)
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
2021
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
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
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) JUSTIN HAMMERLING
  		FAMILY MEMBER OF LEE W. HAMMERLING, MD (KEY EMPLOYEE) 227,715 EMPLOYED VP, TELEHEALTH   No
(2) CAITLIN OOSTRA
  		FAMILY MEMBER OF RANDALL OOSTRA (PRESIDENT, EX OFFICIO) 65,418 EMPLOYED SR. COMMUNICATION SPECIALIST   No
(3) BRAD LACLAIR
  		FAMILY MEMBER OF ROBERT W. LACLAIR EX OFFICIO AND CHAIRMAN) 135,731 EMPLOYED ASSOCIATE VICE PRESIDENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


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SCHEDULE O
(Form 990)

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
2021
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 2021 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 FIVE 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; EXCELLENCE - WE STRIVE TO BE THE BEST IN ALL WE DO; AND LEARNING WE CONTINUOUSLY PURSUE KNOWLEDGE AND EDUCATION TO ENHANCE OUR ORGANIZATIONAL AND PERSONAL CAPABILITIES. PROMEDICA AND ITS AFFILIATES COMPRISE MORE THAN 400 SITES, MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, APPROXIMATELY 43,000 EMPLOYEES AND NEARLY 850 VOLUNTEERS. DURING 2021, PROMEDICA DISCHARGED 59,623 INPATIENTS AND SERVED 1,126,344 OUTPATIENTS, WHILE HANDLING 262,640 EMERGENCY VISITS SYSTEM-WIDE. 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. PROMEDICA HAS BEEN NATIONALLY RECOGNIZED FOR ITS ADVOCACY PROGRAMS AND EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. 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 FOR OUR COMMUNITIES , GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, 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; RUSSELL J. EBEID 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; EMMA L. BIXBY MEDICAL CENTER, MEMORIAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY. IN 2021 PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH APPROXIMATELY 1,200 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. NEARLY 190 NEW PHYSICIANS AND ADVANCED PRACTICE PROVIDERS JOINED PPG IN 2021. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2021, NEARLY 650,000 HEALTH PLAN MEMBERS WERE COVERED IN OHIO, MICHIGAN, INDIANA, KENTUCKY, PENNSYLVANIA, AND WEST VIRGINIA. - 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 SERVICES 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 THAT HAVE VALUES AND MISSIONS SIMILAR TO OUR OWN. IN SPITE OF THE ONGOING PANDEMIC, PROMEDICA CONTINUES TO IMPROVE 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 2021 INCLUDE THE FOLLOWING: - THROUGHOUT 2021, PROMEDICA PROVIDED ACCESS TO THE COVID-19 VACCINE THROUGH EMPLOYEE VACCINE CLINICS FOR OUR TIER 1A EMPLOYEES. THE ORGANIZATION ALSO PARTICIPATED IN NUMEROUS COMMUNITY COVID VACCINE CLINICS ACROSS NORTHWEST OHIO AND SOUTHERN MICHIGAN, BOTH AT ACUTE CARE LOCATIONS AND AT MASS VACCINE SITES. THE SENIOR CARE DIVISION PARTNERED WITH CVS HEALTH TO PROVIDE VACCINES TO EMPLOYEES AND PATIENTS OR RESIDENTS AT THEIR FACILITIES ACROSS THE COUNTRY. - IN THE METRO TOLEDO AREA, PROMEDICA ALSO WORKED CLOSELY WITH LUCAS COUNTY DEPARTMENT OF HEALTH OFFICIALS TO ASSIST WITH MASS COVID VACCINE CLINICS AS WELL AS CLINICS IN UNDERSERVED AREAS OF THE COMMUNITY WHERE VACCINE HESITANCY WAS AN ONGOING CONCERN. ONE OF THE PROJECTS PROMEDICA HELPED SPEARHEAD WAS THE V PROJECT, WHICH WORKED ACROSS THE NORTHWEST OHIO COMMUNITY TO INCREASE VACCINE PARTICIPATION. THE V PROJECT HELPED TO BRING RESOURCES TO PEOPLE IN ZIP CODES THAT HAD LOWER VACCINATION PARTICIPATION RATES WITH THE GOAL OF EASING ANY BARRIERS THAT MAY HAVE PROHIBITED THEM FROM PREVIOUSLY GETTING THEIR VACCINE. - PROMEDICA ALSO ALLOCATED 20% OF THE VACCINES IT RECEIVED TO UNDERSERVED COMMUNITIES. THIS LED TO OTHER OPPORTUNITIES SUCH AS THE PARTNERSHIP WITH THE FIRST CHURCH OF GOD ON COLLINGWOOD IN TOLEDO. LED BY THE PPG CLINICAL OPERATIONS TEAM, VARIOUS TEAMS FROM ACROSS PROMEDICA CAME TOGETHER AND HELD VACCINATION CLINICS ON SUNDAYS. PROMEDICA ALSO EXPANDED PARTICIPATION IN COMMUNITY MASS COVID VACCINE CLINICS AT AN ARE UAW HALL TO REACH A LARGER PROPORTION OF THE UNDERSERVED COMMUNITIES. - ADDITIONALLY, PROMEDICA'S ACUTE CARE FACILITIES TREATED MORE THAN 7,700 COVID POSITIVE OR SUSPECTED INPATIENTS AND AN ADDITIONAL 4,500 OUTPATIENTS SEEN IN EMERGENCY DEPARTMENTS OR TREATED WITH MONOCLONAL ANTIBODIES TO REDUCE SEVERITY OF COVID IN SOME PATIENTS. - PROMEDICA'S SENIOR CARE DIVISION CARED FOR MORE THAN 12,000 PATIENTS AND RESIDENTS ACROSS ITS SKILLED NURSING, ASSISTED LIVING AND MEMORY CARE FACILITIES. - PROMEDICA RECEIVED THE PARTNERSHIP FOR EXCELLENCE (TPE) PLATINUM LEVEL GOVERNOR'S AWARD FOR EXCELLENCE FOR 2021, THE HIGHEST LEVEL AWARD GIVEN BY TPE. THE AWARD REPRESENTS THE HIGHEST HONOR FOR PERFORMANCE EXCELLENCE THROUGH INNOVATION, RESULTS AND VISIONARY LEADERSHIP USING THE BALDRIGE EXCELLENCE FRAMEWORK. PROMEDICA IS ONE OF THE LARGEST ORGANIZATIONS IN TPE HISTORY TO BE RECOGNIZED WITH THE GOVERNOR'S AWARD. TPE IS THE BALDRIGE-BASED STATE PROGRAM FOR OHIO, INDIANA AND WEST VIRGINIA. - IN 2021, PROMEDICA TOLEDO HOSPITAL WAS NAMED ONE OF THE BEST HOSPITALS IN THE UNITED STATES FOR CLINICAL EXCELLENCE BY HEALTHGRADES. INCLUDED IN THE TOLEDO HOSPITAL RECOGNITION ARE PROMEDICA RUSSELL J. EBEID CHILDREN'S HOSPITAL, WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL AND FLOWER HOSPITAL. COLLECTIVELY, THEY ACHIEVED THE TOP 50 HOSPITAL RECOGNITION AS WELL AS RECOGNITION AS A TOP 50 HOSPITAL FOR CARDIAC SURGERY. ADDITIONALLY, PARAMOUNT ADVANTAGE MEDICAID AGAIN WAS RANKED THE TOP-RATED MEDICAID PLAN IN OHIO BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). - PROMEDICA CONTINUED TO EMPHASIZE A CULTURE OF SAFETY ACROSS ITS HOSPITALS AND OUTPATIENT SERVICES. THE YEAR-END SERIOUS SAFETY EVENT RATE (SSER) WAS 1.20, WITH A SERIOUS SAFETY EVENT (SSE) OCCURRING SOMEWHERE IN THE SYSTEM EVERY 4.1 DAYS.
FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) PROMEDICA CONTINUED TO GROW AS AN ACADEMIC HEALTH CENTER, WITH HUNDREDS OF RESIDENTS AND FELLOWS FROM THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES (UT COM) JOINING THE RESIDENCY PROGRAM AT PROMEDICA TOLEDO HOSPITAL THROUGH 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. IN 2021, THE UT COM DENTAL RESIDENCY PROGRAM RELOCATED TO THE PROMEDICA TOLEDO HOSPITAL AND RUSSELL J. EBEID CHILDREN'S HOSPITAL CAMPUS AS PART OF ITS ACADEMIC AFFILIATION WITH PROMEDICA. THE RESIDENCY PROGRAM WAS FOUNDED IN 1978. PROMEDICA ANNOUNCED ITS NEW PARTNERSHIP WITH BITWISE INDUSTRIES, A FRESNO, CALIFORNIA-BASED TECH COMPANY, TO LAUNCH AN INNOVATION CENTER IN TOLEDO, OHIO. THE INNOVATION CENTER WILL FOCUS ON ACCELERATING PARTNERSHIP, SUPPORTING WORKFORCE DEVELOPMENT IN THE COMMUNITY, AND FACILITATING TECHNOLOGY INNOVATION. AS A TOLEDO-BASED ANCHOR INSTITUTION AND NATIONAL LEADER IN THE SOCIAL DETERMINANTS OF HEALTH, PROMEDICA'S INVESTMENT IN THE INNOVATION CENTER BUILDS UPON THE WORK WE HAVE BEEN DOING AS PART OF THE PROMEDICA EBEID NEIGHBORHOOD PROMISE IN THE UPTOWN TOLEDO NEIGHBORHOOD. PROMEDICA SENIOR CARE WELCOMED NINE POWERBACK REHABILITATION CENTERS TO ITS FAMILY OF SKILLED NURSING AND REHABILITATION CENTERS. POWERBACK CENTERS ARE PURPOSE-BUILT, STATE OF THE ART REHABILITATION CENTERS DESIGNED FOR CLINICALLY COMPLEX PATIENTS AND THOSE PATIENTS WHO REQUIRE SKILLED NURSING AND REHABILITATION THERAPY SERVICES TO SAFELY AND SUCCESSFULLY RETURN HOME. AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED TWO SYSTEM-WIDE UPGRADES TO THE NEWEST EPIC PLATFORM. THE UPGRADES ALLOW PROMEDICA TO TAKE ADVANTAGE OF SOME OF THE MANY ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT. PROMEDICA CANCER INSTITUTE (PCI) COMPLETED MORE THAN 3,300 LUNG CANCER SCREENINGS, NEARLY 55,000 SCREENING MAMMOGRAMS AND NEARLY 13,000 SCREENING COLONOSCOPIES., ADDITIONALLY, PCI CONTINUES TO BE INSTRUMENTAL IN HELPING PROMEDICA IMPLEMENT MONOCLONAL ANTIBODY TREATMENT AT ITS INFUSION CENTERS FOR COVID-19 PATIENTS TO IMPROVE SYMPTOM MANAGEMENT. IN 2021, APPROXIMATELY 8,000 DOSES OF THE TREATMENT WERE PROVIDED. ADDITIONALLY, THE PROMEDICA CANCER INSTITUTE IS THE ONLY CANCER PROGRAM IN THE REGION TO MAINTAIN ALL FOUR MAJOR ACCREDITATIONS, INCLUDING THE AMERICAN COLLEGE OF RADIOLOGY, THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, QUALITY ONCOLOGY PRACTICE INITIATIVE, AND THE NATION ACCREDITATION PROGRAM FOR BREAST CENTERS. DESPITE THE PANDEMIC, PROMEDICA CONTINUED TO SPONSOR COMMUNITY EVENTS THAT WERE HELD VIRTUALLY OR AT SOCIALLY DISTANCED LEVELS OUTDOORS. THESE INCLUDED THE NORTHWEST OHIO HEART WALK, THE LEUKEMIA AND LYMPHOMA SOCIETY LIGHT THE NIGHT, THE WALK TO END ALZHEIMER'S, AND OVER THE EDGE FOR VICTORY TO SUPPORT CANCER PATIENTS AND SURVIVORS. PROMEDICA ALSO SPONSORED THE LADIES PROFESSIONAL GOLF ASSOCIATION INTERNATIONAL SOLHEIM CUP TOURNAMENT IN TOLEDO, OHIO, DURING THE SUMMER. IT WAS THE LARGEST EVENT TO COME TO DOWNTOWN TOLEDO AND SURROUNDING COMMUNITIES AND GENERATED APPROXIMATELY $30 MILLION OF REVENUE TO THE CITY AND ITS BUSINESSES. THE EVENT INCLUDED OPENING CEREMONIES THAT DREW THOUSANDS OF PEOPLE TO THE AREA WITH A FEATURED PERFORMANCE BY GWEN STEFANI. AS PART OF ITS EFFORTS AS A NATIONAL LEADER IN THE SOCIAL DETERMINANTS OF HEALTH (SDOH), PROMEDICA ANNOUNCED A NEW PARTNERSHIP WITH GREEN & HEALTHY HOME INITIATIVE IN SEVERAL U.S. CITIES TO MAKE HOME MODIFICATIONS THAT CAN IMPROVE HEALTH OUTCOMES AND REDUCE HEALTHCARE COSTS FOR LOWER-INCOME FAMILIES. THE PARTNERSHIP IS PROMEDICA'S FIRST INVESTMENT FROM THE PROMEDICA IMPACT FUND, WHICH IS PART OF A COMMITMENT TO TRANSFORM HOW HEALTH CARE IS DEFINED, DELIVERED AND FUNDED. PROMEDICA'S FINANCIAL OPPORTUNITY CENTER (FOC), PROVIDED EDUCATION AND COUNSELING TO HUNDREDS OF COMMUNITY MEMBERS. 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. THROUGHOUT THE YEAR 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. IN 2021, PROMEDICA CONTINUED TO EXPAND ITS COMMITMENT TO THE SOCIAL DETERMINANTS OF HEALTH (SDOH) BY CONTINUING ITS WORK WITH PROMEDICA FARMS AND THE VEGGIE MOBILE IN LENAWEE COUNTY, WHICH NOW PROVIDES A LIVING LABORATORY FOR YOUTH, SENIORS AND FAMILIES, A THERAPEUTIC HEALING SPACE FOR PATIENTS AND STAFF OF PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL, AND FRESH, LOCALLY GROWN FOOD TO MEMBERS OF THE LENAWEE COMMUNITY. PROMEDICA OPENED THE PROMEDICA TOLEDO HOSPITAL EMERGENCY AND URGENT CARE IN 2021. THE NEW FACILITY COMBINES ALL THE CONVENIENCE OF AN URGENT CARE WITH ALL THE EXPERTISE OF AN ER UNDER ONE ROOF. THE FACILITY IS THE FIRST FREESTANDING, COMBINED ER AND URGENT CARE IN LUCAS COUNTY. THIS HYBRID MODEL BENEFITS PATIENTS BY TAKING THE GUESSWORK OUT OF GETTING THE CARE THEY NEED WHEN THEY NEED IT. THE FACILITY IS EQUIPPED TO HANDLE ALL LEVELS OF URGENT AND EMERGENCY CARE, AND PATIENTS ONLY WILL BE BILLED FOR THE LEVEL OF CARE THEY NEED. PROMEDICA ALSO BROKE GROUND ON A NEW MEDICAL OFFICE BUILDING TO EXPAND ITS MEDICAL CAMPUS AND CLINICAL SERVICES CURRENTLY OFFERED IN THE PERRYSBURG, OHIO, AREA. THE 80,000 SQUARE FOOT MEDICAL OFFICE BUILDING WILL FEATURE 95 EXAM ROOMS AND 41 PHYSICIAN OFFICES AND WILL COMPLEMENT THE EXISTING SERVICES PROMEDICA ALREADY PROVIDES INCLUDING ALLERGY/IMMUNOLOGY, EAR NOSE AND THROAT, PEDIATRICS, AND WOMEN'S HEALTH. IT WILL ALSO FEATURE A STATE-OF-THE-ART CANCER CARE CENTER THAT WILL PROVIDE CANCER SERVICES, INCLUDING MEDICAL ONCOLOGY, BOTH OPEN AND PRIVATE CHEMOTHERAPY AND INFUSION SERVICES, AND RADIATION THERAPY. THE FACILITY IS SCHEDULED TO OPEN IN SPRING 2023. PROMEDICA CONTINUES TO EXPAND ITS OPTIONS FOR HOSPITAL-LEVEL CARE IN THE COMFORT OF A PATIENT'S HOME. PROMEDICA ACUTE CARE AT HOME COMBINES PROMEDICA'S EXTENSIVE NETWORK OF IN-HOME CARE PROVIDERS WITH A SOPHISTICATED TECHNOLOGY PLATFORM TO DELIVER SEAMLESS AND EFFECTIVE CARE AT HOME FOR PATIENTS WITH SELECT CHRONIC CONDITIONS OR DIAGNOSES SUCH AS HEART FAILURE, PNEUMONIA OR COPD. IN 2021, PROMEDICA ACUTE CARE AT HOME EXPANDED ITS SERVICES TO INCLUDE CARE FOR SELECT ONCOLOGY PATIENTS BY COLLABORATING THE PROMEDICA CANCER CENTER. THE CARE TEAM CONSISTS OF PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, AND MAY INCLUDE OTHER HEALTHCARE PROFESSIONALS, SUCH AS PHYSICAL OR OCCUPATIONAL THERAPISTS, AS NEEDED. IN 2021, PROMEDICA CONTRIBUTED $259,433,000 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 $53,525,000 IN 2021. 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.
FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) PROMEDICA ALSO CONTRIBUTED $12,476,000 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 2021 WAS $57,729,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $259,433,000 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 2021, PROMEDICA PROVIDED $193,432,000 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 2021 WAS $196,184,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $259,433,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, MEDICALLY NECESSARY SERVICES ARE PROVIDED AT DISCOUNTED RATES BASED ON A SLIDING SCALE DEPENDING ON INCOME LEVEL AND INSURANCE STATUS. 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 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.
FORM 990, PART VI, SECTION B, LINE 11B THE 990 RETURNS OF PROMEDICA HEALTH SYSTEM, INC. (PHS) AND ITS SUBSIDIARIES ARE PREPARED BY THE PHS TAX DEPARTMENT WITH THE ASSISTANCE OF FINANCE. THE RETURNS ARE REVIEWED BY THE AVP OF TAX BEFORE BEING PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS FROM THE BOARD ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. FINAL RETURNS ARE PROVIDED TO A PRINCIPAL OFFICER FOR SIGNATURE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL BONUS-ELIGIBLE SENIOR LEADERSHIP AND SPECIFICALLY IDENTIFIED ADDITIONAL EMPLOYEES, 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 PROVIDERS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PROVIDERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PROVIDER CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER FOR PROMEDICA PHYSICIAN GROUP, INC. (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE OFFICE OF THE PROMEDICA HEALTH SYSTEM, INC. ("PHS") V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PROVIDER CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE PHS AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PROVIDERS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PROVIDER STANDARD OF CONDUCT AND THE PROVIDER CERTIFICATION STATEMENT WHICH THE NEW PROVIDER IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE PHS 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 PROVIDER 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 IDENTIFIED PROVIDER BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, WILL PROVIDE THE PROVIDER-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 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 1,286,550. BENEFICIAL INTEREST IN FOUNDATION 2,796,848. TRANSFERS BETWEEN RELATED ENTITIES 321,410,600. JOINDER NET ASSET ADJUSTMENT -12,142,857. NET TRANSFER OF ASSETS TO HCR MANORCARE, INC. -2,574,646. LOSS FROM INVESTMENT IN AFFILIATE -226,360,129.
FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
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) 1611 MONROE INVESTORS LLC
100 MADISON AVE
TOLEDO,OH43604
 REAL ESTATE OH 0 308,507 PROMEDICA HEALTH SYSTEM INC
 
(2) 300 MADISON BUILDING LLC
100 MADISON AVE
TOLEDO,OH43604
82-2062486 		REAL ESTATE OH 1,898,090 28,012,852 PROMEDICA HEALTH SYSTEM INC
 
(3) BALL PARK PROPERTIES LLC
100 MADISON AVE
TOLEDO,OH43604
82-3954332 		REAL ESTATE OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(4) IST THEATRE LLC
100 MADISON AVE
TOLEDO,OH43604
 COMMUNITY ARTS FACILITY OH 0 3,554,701 PROMEDICA HEALTH SYSTEM INC
 
(5) KAPIOS LLC
2865 N REYNOLDS RD
TOLEDO,OH43615
81-2624635 		SOFTWARE DEVELOPMENT OH 0 424,254 PROMEDICA HEALTH SYSTEM INC
 
(6) MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVE
TOLEDO,OH43604
 REAL ESTATE OH 0 6,885 PROMEDICA HEALTH SYSTEM INC
 
(7) PHS TOLEDO INNOVATION CENTER HOLDINGS LLC
100 MADISON AVE
TOLEDO,OH43604
87-1433009 		HOLDING COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(8) PHS VENTURES LLC
100 MADISON AVE
TOLEDO,OH43604
34-1880473 		HEALTH CARE MANAGEMENT SERVICES DE 0 0 PROMEDICA HEALTH SYSTEM INC
 
(9) PROMEDICA ACTIVE MOBILITY LLC
100 MADISON AVE
TOLEDO,OH43604
81-5178173 		DURABLE MEDICAL EQUIPMENT OH 0 191,890 PROMEDICA HEALTH SYSTEM INC
 
(10) PROMEDICA INTERNATIONAL LLC
100 MADISON AVE
TOLEDO,OH43604
83-2427163 		CONSULTING SERVICES OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(11) PROMEDICA NATURAL WELLNESS LLC
100 MADISON AVE
TOLEDO,OH43604
82-1587026 		NATURAL WELLNESS PRODUCTS OH 150,740 241,743 PROMEDICA HEALTH SYSTEM INC
 
(12) TOLEDO INNOVATION CENTER LANDLOARD LLC
100 MADISON AVE
TOLEDO,OH43604
87-1277852 		HOLDING COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(13) TOLEDO INNOVATION CENTER MANAGER LLC
100 MADISON AVE
TOLEDO,OH43604
87-1343313 		HOLDING COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(14) TOLEDO INNOVATION CENTER MASTER TENANT LLC
100 MADISON AVE
TOLEDO,OH43604
87-1364401 		HOLDING COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(15) TOLEDO INNOVATION LEVERAGED LENDER LLC
100 MADISON AVE
TOLEDO,OH43604
87-1386349 		HOLDING COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
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 FOUNDATION INC
444 N SUMMIT ST

TOLEDO,OH43604
52-2031975 		FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION
 
Yes
 
(10)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
 
(11)HEARTLAND HOSPICE MEMORIAL FUND INC
444 N SUMMIT ST

TOLEDO,OH43604
27-0497199 		FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION
 
Yes
 
(12)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
 
(13)HERRICK MEMORIAL HOSPITAL INC
100 MADISON AVE

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

TOLEDO,OH43604
45-4781053 		RESPITE CARE OH 501(C)(3) 10 DEFIANCE HOSPITAL INC
 
Yes
 
(15)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
 
(16)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
 
(17)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
 
(18)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
 
(19)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
 
(20)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
 
(21)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
 
(22)MEMORIAL HOSPITAL
100 MADISON AVE

TOLEDO,OH43604
34-4430849 		HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(23)MEMORIAL PROFESSIONAL SERVICES
100 MADISON AVE

TOLEDO,OH43604
27-3763993 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(24)MERCY MEMORIAL HOSPITAL CORPORATION
100 MADISON AVE

TOLEDO,OH43604
38-1984289 		HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(25)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
 
(26)PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR

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

TOLEDO,OH43604
34-1881137 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(28)PROMEDICA CHILDRENS SPECIALISTS
100 MADISON AVE

TOLEDO,OH43604
20-8734161 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(29)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
 
(30)PROMEDICA CONTINUUM SERVICES
100 MADISON AVE

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

TOLEDO,OH43604
26-0324790 		COURIER SERVICE OH 501(C)(3) 12B, II PROMEDICA CONTINUUM SERVICES
 
Yes
 
(32)PROMEDICA FOUNDATION
444 N SUMMIT ST

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

TOLEDO,OH43604
46-1120436 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(34)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
(35)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
 
(36)PROMEDICA MONROE CARDIOLOGY
100 MADISON AVE

TOLEDO,OH43604
27-2920342 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(37)PROMEDICA MONROE PHYSICIANS
100 MADISON AVE

TOLEDO,OH43604
46-1111822 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(38)PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVE

TOLEDO,OH43604
45-4976786 		PHYSICIAN HEALTH CARE SERVICES OH 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(39)PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
100 MADISON AVE

TOLEDO,OH43604
26-3888045 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(40)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
 
(41)PROMEDICA PHYSICIANS AT HOME INC
100 MADISON AVE

TOLEDO,OH43604
85-2181349 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(42)PROMEDICA PRIMARY CARE PROVIDERS
100 MADISON AVE

TOLEDO,OH43604
83-1731861 		PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC
 
Yes
 
(43)THE HUG FUND
444 N SUMMIT ST

TOLEDO,OH43604
20-2272848 		FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION
 
Yes
 
(44)THE TOLEDO HOSPITAL
100 MADISON AVE

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

TOLEDO,OH43604
34-1831624 		HOSPICE HOME CARE OH 501(C)(3) 10 HCR MANORCARE INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) EAST-WEST HOLDINGS LTD

715 SOUTH TAFT AVE
FREMONT,OH43420
20-4066818 		REAL ESTATE OH N/A
         No     No  
(2) AIR DIVERTER SOLUTIONS LLC

100 MADISON AVE
TOLEDO,OH43604
85-3725776 		DEVELOPMENT OH N/A
         No     No  
(3) MERCYMANOR PARTNERSHIP

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43604
52-1931012 		SKILLED NURSING PA N/A
         No   Yes    
(4) NORMAN SPECIALTY HOSPITAL LLC

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43604
42-1627672 		HEALTH CARE DE N/A
         No   Yes    
(5) NORTHWEST OHIO DEDICATED BREAST MRI LLC

100 MADISON AVE
TOLEDO,OH43604
26-0679898 		MEDICAL DIAGNOSTICS OH N/A
         No     No  
(6) PROMEDICA MASTER TENANT LLC

100 MADISON AVE
TOLEDO,OH43604
47-5288490 		REAL ESTATE OH PROMEDICA MANAGER MEMBER LLC
  		RELATED -1,992 88,630   No   Yes   1.000 %
(7) PROMEDICA PATHOLOGY LABORATORIES LLC

2130 W CENTRAL AVE STE 300
TOLEDO,OH43606
83-1022842 		CLINICAL LABORATORY DE N/A
         No     No  
(8) PROMEDICA SENIOR CARE OF GEORGIA LLC

100 MADISON AVE
TOLEDO,OH43604
87-1802834 		SKILLED NURSING OH PROMEDICA HEALTH SYSTEM INC
  		RELATED       No   Yes   90.000 %
(9) PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC

100 MADISON AVE
TOLEDO,OH43604
46-1989695 		PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
  		RELATED 301,536 280,522   No     No 45.280 %
(10) REYNOLDS ROAD SURGICAL CENTER LTD

2865 N REYNOLDS RD
TOLEDO,OH43615
31-1569454 		FREESTANDING AMBULATORY SURGICAL CENTER OH N/A
         No     No  
(11) THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC

1051 S TELEGRAPH RD
MONROE,MI48161
27-0843485 		AMBULATORY SURGICAL CENTER MI N/A
         No     No  
(12) WEST CENTRAL SURGICAL CENTER LLC

7055 W CENTRAL
TOLEDO,OH43617
20-0088459 		AMBULATORY SURGICAL CENTER OH N/A
         No   Yes    
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 N/A
 C         No
(2) HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION

818 RIVERSIDE AVE
ADRIAN,MI49221
38-3639616 		FACILITY MANAGEMENT MI N/A
 C         No
(3) MONROE HEALTH VENTURES INC

718 N MACOMB
MONROE,MI48164
38-2704426 		PHARMACY MI N/A
 C         No
(4) PROMEDICA AT HOME INC

100 MADISON AVE
TOLEDO,OH43604
85-2320857 		PHYSICAN SUPPORT MI N/A
 C         No
(5) PROMEDICA CENTRAL CORPORATION OF MICHIGAN

100 MADISON AVE
TOLEDO,OH43604
38-3322278 		PHYSICIAN HEALTH CARE SERVICES OH N/A
 C         No
(6) PROMEDICA HEALTH NETWORK INC

100 MADISON AVE
TOLEDO,OH43604
47-4006496 		PHYSICIAN MANAGEMENT SERVICES OH N/A
 C         No
(7) PROMEDICA INNOVATIONS LLC

100 MADISON AVE
TOLEDO,OH43604
30-1221601 		INVESTMENT COMPANY OH N/A
 C         No
(8) PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES

1901 INDIAN WOOD CIR
MAUMEE,OH43537
34-1570675 		HEALTH CARE INSURANCE OH N/A
 C         No
(9) PROMEDICA MANAGER MEMBER LLC

100 MADISON AVE
TOLEDO,OH43604
47-5168737 		REAL ESTATE OH N/A
 C         No
(10) PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC

PO BOX 10086 ATTN TAX-5
TOLEDO,OH43699
86-1179270 		SKILLED NURSING NJ N/A
 C         No
(11) PROMEDICA NORTH PHYSICIAN CORPORATION

100 MADISON AVE
TOLEDO,OH43604
38-3482148 		PHYSICIAN HEALTH CARE SERVICES OH N/A
 C         No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BAY PARK COMMUNITY HOSPITAL

 P 10,806,708 FMV
(2) COMMUNITY HEALTH CENTER OF BRANCH COUNTY

 P 5,476,554 FMV
(3) DEFIANCE HOSPITAL INC

 P 8,580,237 FMV
(4) EMMA L BIXBY MEDICAL CENTER

 P 13,694,923 FMV
(5) FOSTORIA HOSPITAL ASSOCIATION

 P 4,912,191 FMV
(6) HCR MANORCARE INC

 P 45,486,133 FMV
(7) HCR MANORCARE INC

 Q 187,788 FMV
(8) HERRICK MEMORIAL HOSPITAL INC

 P 75,198 FMV
(9) LENAWEE CLINICAL PARTNERS

 P 106,090 FMV
(10) MEMORIAL HOSPITAL

 P 6,719,301 FMV
(11) MEMORIAL PROFESSIONAL SERVICES

 Q 456,948 FMV
(12) MERCY MEMORIAL HOSPITAL CORPORATION

 B 12,142,857 FMV
(13) MERCY MEMORIAL HOSPITAL CORPORATION

 P 18,648,179 FMV
(14) PROMEDICA AT HOME INC

 J 114,740 FMV
(15) PROMEDICA CENTRAL PHYSICIANS

 Q 57,693,246 FMV
(16) PROMEDICA CONTINUING CARE SERVICES CORPORATION

 Q 476,977 FMV
(17) PROMEDICA CONTINUUM SERVICES

 Q 195,161 FMV
(18) PROMEDICA COURIER SERVICES INC

 Q 137,357 FMV
(19) PROMEDICA FOUNDATION

 C 1,123,095 FMV
(20) PROMEDICA FOUNDATION

 P 645,796 FMV
(21) PROMEDICA HEALTH NETWORK

 P 413,337 FMV
(22) PROMEDICA INDEMNITY CORPORATION

 O 192,003 FMV
(23) PROMEDICA INDEMNITY CORPORATION

 P 357,058 FMV
(24) PROMEDICA INSURANCE COMPANY

 P 19,195,797 FMV
(25) PROMEDICA INSURANCE COMPANY

 Q 686,328 FMV
(26) PROMEDICA MASTER TENANT LLC

 K 1,809,409 FMV
(27) PROMEDICA PHYSICIAN GROUP

 P 231,729 FMV
(28) THE TOLEDO HOSPITAL

 K 286,484 FMV
(29) THE TOLEDO HOSPITAL

 P 174,439,340 FMV
(30) THE TOLEDO HOSPITAL

 Q 148,089 FMV
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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