TOLEDO HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TOLEDO HOSPITAL (EIN 34-4428256)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-08
IRS object ID
202203129349302475
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-08T12:18:05-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344428256EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE TOLEDO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTOLEBusinessNameControlTxt
Phone4192525772PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVE ATTN TAX DEPARTMAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOUIS ROBICHAUXPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4192525772PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLOUISPersonFirstNm
Person LastROBICHAUXPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Preparer PersonPreparerPersonGrp

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLOUIS ROBICHAUXPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVE ATTN TAX DEPARTMENTAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,778,304,806GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND THE ADULT TERTIARY FACILITY OF PROMEDICA HEALTH SYSTEM, INC. PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC OF NORTHWEST OHIO AND SOUTHEAST MICHIGAN.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee8298TotalEmployeeCnt
Total Volunteers279TotalVolunteersCnt
Total Gross UBI$2,237,138TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$668,881NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$52,682,314PYContributionsGrantsAmt
CY Contributions Grants$23,604,534CYContributionsGrantsAmt
PY Program Service Revenue$1,110,165,661PYProgramServiceRevenueAmt
CY Program Service Revenue$1,291,859,234CYProgramServiceRevenueAmt
PY Investment Income-$18,491,763PYInvestmentIncomeAmt
CY Investment Income$52,021,492CYInvestmentIncomeAmt
PY Other Revenue$8,271,724PYOtherRevenueAmt
CY Other Revenue$6,115,642CYOtherRevenueAmt
PY Total Revenue$1,152,627,936PYTotalRevenueAmt
CY Total Revenue$1,373,600,902CYTotalRevenueAmt
PY Grants And Similar Paid$774,334PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$25,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$479,150,594PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$538,565,419CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$667,352,019PYOtherExpensesAmt
CY Other Expenses$671,373,987CYOtherExpensesAmt
PY Total Expenses$1,147,276,947PYTotalExpensesAmt
CY Total Expenses$1,209,964,406CYTotalExpensesAmt
PY Revenues Less Expenses$5,350,989PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$163,636,496CYRevenuesLessExpensesAmt
Total Assets BOY$2,740,360,333TotalAssetsBOYAmt
Total Assets EOY$2,477,516,014TotalAssetsEOYAmt
Total Liabilities BOY$2,783,305,295TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,652,639,862TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$42,944,962NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$175,123,848NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION, AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION, AND SUPERIOR SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$968,767,980ExpenseAmt
Grant$25,000GrantAmt
Revenue$1,283,375,195RevenueAmt
DescTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$547,116ExpenseAmt
Revenue$724,792RevenueAmt
DescTHE TOLEDO HOSPITAL OPERATES A HEALTH CLUB FACILITY. - SEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$969,315,096TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee8298EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER SARPALIUSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5675855652PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVEAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
WILLIAM R MCDONNELL
CHAIRMAN1.001.00Yes (X)Yes (X)$0$0$0
DAWN M BUSKEY
PRES., EX OFFICIO1.0054.00Yes (X)Yes (X)$0$805,499$49,161
JAMES H BRENNAN JR
EX OFFICIO1.001.00Yes (X)$0$0$0
MARK FOX
EX OFFICIO1.000.00Yes (X)$0$0$0
MATTHEW KANG
EX OFFICIO, CFO SENIOR CARE1.0050.00Yes (X)$0$854,217$30,573
MARGARET G RESSNER
EX OFFICIO (PARTIAL YEAR)1.000.00Yes (X)$0$0$0
RAVI K ADUSUMILLI MD
TRUSTEE, PHYSICIAN1.0040.00Yes (X)$0$575,150$22,493
JAMES BINGLE
TRUSTEE (PARTIAL YEAR), PHYSICIAN1.0040.00Yes (X)$0$201,773$505
AARON A BUERK MD
TRUSTEE, PHYSICIAN1.0040.00Yes (X)$0$833,581$20,609
RODNEY L EASON JR
TRUSTEE1.000.00Yes (X)$0$0$0
ADRIENNE J GREEN
TRUSTEE (PARTIAL YEAR)1.000.00Yes (X)$0$0$0
TIMOTHY M HUSTED MD
TRUSTEE1.000.00Yes (X)$0$0$0
JACQUELINE HYLANT BERENWEIG
TRUSTEE1.000.00Yes (X)$0$0$0
AMIR A KHAN
TRUSTEE1.000.00Yes (X)$0$0$0
MARLON P KISER
TRUSTEE1.000.00Yes (X)$0$0$0
WILLIAM J LANGE
TRUSTEE1.000.00Yes (X)$0$0$0
RICHARD D LANTZ
TRUSTEE (PARTIAL YEAR)1.000.00Yes (X)$0$0$0
SARAH A MCHUGH
TRUSTEE1.000.00Yes (X)$0$0$0
THOMAS GEORGE PADANILAM MD
TRUSTEE, PHYSICIAN1.0040.00Yes (X)$0$606,477$26,868
CHARLES A PARCHER
TRUSTEE1.000.00Yes (X)$0$0$0
ROBERT P SCHLATTER
TRUSTEE1.000.00Yes (X)$0$0$0
CHARLES MICHAEL SMITH
TRUSTEE1.000.00Yes (X)$0$0$0
SUSAN K STAELIN
TRUSTEE1.000.00Yes (X)$0$0$0
MARTIN P SUTTER
TRUSTEE (PARTIAL YEAR)1.000.00Yes (X)$0$0$0
SARA M SWISHER
TRUSTEE1.000.00Yes (X)$0$0$0
BRADLEY J TOFT
TRUSTEE (PARTIAL YEAR)1.000.00Yes (X)$0$0$0
JOAN UHL-BROWNE
TRUSTEE (PARTIAL YEAR)1.000.00Yes (X)$0$0$0
DARRELL J WACHOWIAK RN BSN MHA
TRUSTEE, PRES. FLOWER HOSPITAL1.0040.00Yes (X)$0$213,495$28,402
THADIUS L WADSWORTH MBA BSN RN C
TRUSTEE, PRES. BAY PARK1.0040.00Yes (X)$0$247,127$12,891
ERICH L WEINLANDER
TRUSTEE1.000.00Yes (X)$0$0$0
RANDALL OOSTRA
PHS PRES. & CEO1.0055.00Yes (X)$0$7,155,772$300,344
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER1.0055.00Yes (X)$0$1,347,615$68,186
STEVEN M CAVANAUGH
TREASURER, CFO1.0055.00Yes (X)$0$3,497,904$60,660
DEANA SIEVERT
SR VP, PAT CARE/CNO, SYSTEM1.0054.00$0$530,514$33,176Yes (X)
GARY W AKENBERGER
COO, ACUTE CARE & SVP, DIAG0.0050.00$0$525,467$38,467Yes (X)
QIN-SHENG CHEN
SR. MEDICAL PHYSICIST40.000.00$286,874$0$21,335Yes (X)
KATE GATES
PHYSICIAN16.0024.00$287,047$284,083$19,899Yes (X)
JAMES BURNS
SR. MEDICAL PHYSICIST40.000.00$246,244$0$27,992Yes (X)
JOSHUA OVENS
RN CRITICAL CARE TRANSPORT40.000.00$238,192$0$30,605Yes (X)
FEDOR LURIE
ASSOC DIR RESEARCH ED VASC40.000.00$230,625$0$22,550Yes (X)
ALAN M SATTLER
FORMER TREASURER, VP BUSINESS DEV.0.0040.00$0$269,627$37,223Yes (X)
ARTURO POLIZZI
FORMER PRESIDENT, COO0.0040.00$0$1,230,742$25,127Yes (X)
KEVIN C WEBB PHD
FORMER CHIEF ACUTE OFFICER0.000.00$0$438,239$9,616Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,288,982TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$19,617,282TotReportableCompRltdOrgAmt
Total Other Compensation$886,682TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K459IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$4,455,815RelatedOrganizationsAmt
Government Grants$17,024,249GovernmentGrantsAmt
All Other Contributions$2,124,470AllOtherContributionsAmt
Total Contributions$23,604,534TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$1,277,797,088$1,277,229,441$567,647
AFFIL. ORG. RENT REV.531120$12,633,854$12,633,854
MEMBERSHIP REVENUE713940$724,792$724,792
MANAGEMENT FEES541610$703,500$703,500
FieldValueIRS element (for citing)
Total Program Service Revenue$1,291,859,234TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,035,654TotalRevenueColumnAmt
Unrelated Business Revenue$1,493,913UnrelatedBusinessRevenueAmt
Exclusion$25,541,741ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,416,782RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,346,493RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$70,289RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,289TotalRevenueColumnAmt
Exclusion$70,289ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$426,971,759SecuritiesAmt
Other$66,065OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$402,002,467SecuritiesAmt
Other$49,519OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$24,969,292SecuritiesAmt
Other$16,546OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,985,838TotalRevenueColumnAmt
Exclusion$24,985,838ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$732,946GrossSalesOfInventoryAmt
Cost Of Goods Sold$305,425CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$427,521TotalRevenueColumnAmt
Exclusion$427,521ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY446110$1,927,641$1,752,063$175,578
LAB541380$1,130,644$1,130,644
SCHOOL NURSE BILLING900099$262,288$262,288

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,297,259TotalRevenueColumnAmt
Related Or Exempt Func Income$2,297,259RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,617,832OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,373,600,902TotalRevenueColumnAmt
Related Or Exempt Func Income$1,284,099,987RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,237,138UnrelatedBusinessRevenueAmt
Exclusion$63,659,243ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt
Program Services$25,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$445,133,915TotalAmt
Program Services$379,353,070ProgramServicesAmt
Management And General$65,780,845ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,330,018TotalAmt
Program Services$12,212,362ProgramServicesAmt
Management And General$2,117,656ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$44,352,707TotalAmt
Program Services$37,798,368ProgramServicesAmt
Management And General$6,554,339ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,748,779TotalAmt
Program Services$29,613,686ProgramServicesAmt
Management And General$5,135,093ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,217,316TotalAmt
Management And General$1,217,316ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,970,026TotalAmt
Management And General$2,970,026ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$915,392TotalAmt
Management And General$915,392ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$36,141TotalAmt
Management And General$36,141ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,214,892TotalAmt
Management And General$2,214,892ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$178,437,604TotalAmt
Program Services$130,295,849ProgramServicesAmt
Management And General$48,141,755ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,961,408TotalAmt
Program Services$225,396ProgramServicesAmt
Management And General$3,736,012ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,664,239TotalAmt
Program Services$663,672ProgramServicesAmt
Management And General$11,000,567ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,618,141TotalAmt
Program Services$1,074,000ProgramServicesAmt
Management And General$544,141ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,212,497TotalAmt
Program Services$19,303,372ProgramServicesAmt
Management And General$1,909,125ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$883,071TotalAmt
Program Services$50,245ProgramServicesAmt
Management And General$832,826ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,515,265TotalAmt
Program Services$32,515,265ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,097,217TotalAmt
Program Services$63,962,922ProgramServicesAmt
Management And General$9,134,295ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,418,509TotalAmt
Program Services$8,570,843ProgramServicesAmt
Management And General$847,666ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$126,952,047$126,952,047
DRUGS$88,624,364$88,624,364
PROVIDER TAXES$32,572,743$32,572,743
UBI TAXES$200,000$200,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$82,863,115TotalAmt
Program Services$5,301,892ProgramServicesAmt
Management And General$77,561,223ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,209,964,406TotalAmt
Program Services$969,315,096ProgramServicesAmt
Management And General$240,649,310ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$185,104,121BOYAmt
EOY$67,251,880EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,422,335BOYAmt
EOY$7,137,055EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$159,235,222BOYAmt
EOY$187,954,137EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,109,391BOYAmt
EOY$7,617,124EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,333,257BOYAmt
EOY$21,797,986EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,387,951BOYAmt
EOY$9,643,363EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,778,640,103LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$977,238,508LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$845,949,684BOYAmt
EOY$801,401,595EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$837,644,957BOYAmt
EOY$807,834,216EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,007,034BOYAmt
EOY$9,536,303EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$28,610,457BOYAmt
EOY$41,526,995EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$635,555,924BOYAmt
EOY$515,815,360EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,740,360,333BOYAmt
EOY$2,477,516,014EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$242,296,631BOYAmt
EOY$188,183,567EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$896,100EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$780,439,191BOYAmt
EOY$743,696,840EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,513,550,926BOYAmt
EOY$1,507,246,649EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$246,018,547BOYAmt
EOY$212,616,706EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,783,305,295BOYAmt
EOY$2,652,639,862EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$326,484,394BOYAmt
EOY-$480,013,500EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$283,539,432BOYAmt
EOY$304,889,652EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$42,944,962BOYAmt
EOY-$175,123,848EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,740,360,333BOYAmt
EOY$2,477,516,014EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$163,636,496ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,047,790NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$306,863,172OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$36,141OtherActivitiesAmt
Total Lobbying Expenditures$36,141TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE TOLEDO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCATION AND THE OHIO HOSPITAL ASSOCATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,317,596BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$3,131,916InvestmentEarningsOrLossesAmt
End Year Balance$36,451,512EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$32,425,291BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$890,305InvestmentEarningsOrLossesAmt
End Year Balance$33,317,596EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,747,861BeginningYearBalanceAmt
Contributions$8,000ContributionsAmt
Investment Earnings Or Losses$3,669,430InvestmentEarningsOrLossesAmt
End Year Balance$32,425,291EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,674,678BeginningYearBalanceAmt
Contributions$21,592,265ContributionsAmt
Investment Earnings Or Losses-$3,519,082InvestmentEarningsOrLossesAmt
End Year Balance$28,747,861EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,839,115BeginningYearBalanceAmt
Investment Earnings Or Losses$835,563InvestmentEarningsOrLossesAmt
End Year Balance$10,674,678EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,366,930OtherCostOrOtherBasisAmt
Book Value$52,366,930BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,252,005,150OtherCostOrOtherBasisAmt
Depreciation$617,219,977DepreciationAmt
Book Value$634,785,173BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,764,347OtherCostOrOtherBasisAmt
Depreciation$3,754,274DepreciationAmt
Book Value$10,073BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$407,967,373OtherCostOrOtherBasisAmt
Depreciation$318,982,841DepreciationAmt
Book Value$88,984,532BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,536,303OtherCostOrOtherBasisAmt
Depreciation$37,281,416DepreciationAmt
Book Value$25,254,887BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$801,401,595TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$5,551,708
BENEFICIAL INTEREST IN FOUNDATION$302,553,092
OTHER SEGREGATED INVESTMENTS$7,396,859
INTERCOMPANY DEBT FROM RELATED ENTITIES$186,311,145
THIRD PARTY PAYER RECEIVABLE$11,552,266
GRANTS RESEARCH FUND$2,450,290
FieldValueIRS element (for citing)
Total Book Value Other Assets$515,815,360TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATES$130,861,968
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$8,899,330
ASSET REMEDIATION OBLIGATION$10,767,686
DEFERRED COMPENSATION$4,555,352
PENSION PLAN LIABILITY$157,122
OPERATING LEASE LIABILITY$18,256,044
OTHER LIABILITIES$39,119,204
FieldValueIRS element (for citing)
Total Liability$212,616,706TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT THE TOLEDO HOSPITAL CONSISTENT WITH DONOR INTENT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,474,346TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,474,346NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$262,212,645TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$184,221,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$77,991,407NetCommunityBenefitExpnsAmt
Total Expense0.06450TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$91,977DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,265NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$268,790,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$184,313,215DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,477,018NetCommunityBenefitExpnsAmt
Total Expense0.06990TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,334,253TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$881,056DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,453,197NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,764,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,655,444DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,109,117NetCommunityBenefitExpnsAmt
Total Expense0.02320TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,303,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,045,761DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,257,266NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$287,129TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$287,129NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$659,075TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$659,075NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,348,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,582,261DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,765,784NetCommunityBenefitExpnsAmt
Total Expense0.03520TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$342,138,278TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$214,895,476DirectOffsettingRevenueAmt
Net Community Benefit Expns$127,242,802NetCommunityBenefitExpnsAmt
Total Expense0.10510TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$150,472TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$150,472NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$418,553TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$418,553NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,286,686TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,286,686NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,701TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,701NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$446,208TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$446,208NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$174,504TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$174,504NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,480,124TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,480,124NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$61,930,966BadDebtExpenseAmt
Bad Debt Expense Attributable$3,498,097BadDebtExpenseAttributableAmt
Reimbursed By Medicare$179,674,126ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$199,222,306CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,548,180MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.350000.060000.51000
2 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT
PHYSICIAN SERVICES0.452800.009400.40560
3 REYNOLD ROAD SURGICAL CENTER LLC
SURGICAL CENTER0.630000.049900.27020
4 NORTHWEST OHIO DEDICATED BREAST MRI LLC
MEDICAL DIAGNOSTIC0.500000.000000.50000
5 WEST CENTRAL SURGICAL CENTER LLC
SURGICAL CENTER0.500000.000000.25000
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
THE TOLEDO HOSPITAL
12142 NORTH COVE BLVDTOLEDOOH43606WWW.PROMEDICA.ORG1226Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
FLOWER HOSPITAL
25200 HARROUN RDSYLVANIAOH43560WWW.PROMEDICA.ORG1227Yes (X)Yes (X)Yes (X)Yes (X)A
WILDWOOD ORTHOPAEDIC HOSPITAL
32901 N REYNOLDS RDTOLEDOOH43615WWW.PROMEDICA.ORG1501Yes (X)Yes (X)A
ARROWHEAD BEHAVIORAL HEALTH
41725 TIMBERLINE RDMAUMEEOH43537WWW.ARROWHEADBEHAVIORAL.COM1543Yes (X)BPSYCHIATRIC/ SUBSTANCE ABUSE FACILITY

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther Actions TakenOtherActionsTakenIndNo Emergency CareNoEmergencyCareIndProspective Medicare MedicaidProspectiveMedicareMedicaidInd
REPORTING GROUP A
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)Yes (1)19Yes (1)SEE PART V, SECTION C0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
REPORTING GROUP B
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)Yes (1)19Yes (1)SEE PART V, SECTION C0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)000Yes (X)Yes (X)Yes (X)

Supplemental Information SupplementalInformationGrp (29 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: FLOWER HOSPITAL, - FACILITY 3: WILDWOOD ORTHOPAEDIC HOSPITAL
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, FLOWER HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 11:THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - TRAUMA- EDUCATION - MENTAL HEALTH/SUBSTANCE ABUSE THIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2020-2022. THE TOLEDO HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE ADULT: HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, , ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS,YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERCEPTIONS OF SUBSTANCE ABUSE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, YOUTH VIOLENCE; CHILD; HEALTH AND FUNCTION STATUS, CHILD CARE HEALTH ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2019: HEALTH NEED IDENTIFIED: TRAUMA EDUCATION STRATEGY #1 - PROVIDE AT LEAST FOUR (4) FREE, "STOP THE BLEED" TRAININGS AND EDUCATION TO COMMUNITY ORGANIZATIONS PER YEAR.ACTIONS TAKEN: - IN 2021, 22 "STOP THE BLEED" TRAININGS SESSIONS WERE CONDUCTED, WITH 15 KITS DISTRIBUTED AND 489 TOTAL PARTICIPANTS.STRATEGY #2 - PROVIDE AT LEAST TEN FREE CONTINUING MEDICAL EDUCATION TO LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS PER YEARACTIONS TAKEN:- IN 2021, 50 FREE CONTINUING MEDICAL EDUCATION SESSIONS WERE PROVIDE TO 526 LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS TO IMPROVE MEDICAL CARE AT THE SCENE OF INJURY OR EMEGENCY.STRATEGY #3 - ASSESS INDIVIDUALS FOR FALL PREVENTION AND PROVIDE CONNECTIONS TO RESOURCES IN THE COMMUNITY.ACTIONS TAKEN: - IN 2021, 8,635 INDIVIDUALS WERE ASSESSED FOR FALL RISK AND PROVIDED EDUCATION IN THE TOLEDO HOSPITAL EMERGENCY DEPARTMENT (ED).- 27 REFERRALS WERE MADE TO COMMUNITY RESOURCES.- THE PERCENTAGE OF COMPLIANCE OF FALL RISK ASSESSMENTS IN THE ED WAS 67% THE PLAN TO IMPROVE THIS COMPLIANCE PERCENTAGE INCLUDES NURSING AND PROVIDER EDUCATION, AS WELL AS INCLUDING INPATIENT NURSING AND CARE COORDINATION TEAM. HEALTH NEED IDENTIFIED: MENTAL HEALTH/SUBSTANCE ABUSE STRATEGY #1 - DEPLOYMENT OF FREE NARCAN KITS TO PATIENTS AND FAMILIES IN THE ED WHO ARE AT RISK FOR OVERDOSEACTIONS TAKEN:- 875 FREE NARCAN KITS WERE DISTRIBUTED TO PATIENT AND FAMILIES IN THE ED WHO WERE AT RISK FOR OVERDOSE.STRATEGY #2 - PROVIDE AT LEAST TWO FREE EDUCATIONAL CLASSES IN THE COMMUNITY ON MOCK HEROIN OVERDOSE ACTIONS TAKEN: - THREE (3) EDUCATIONAL SESSESION WERE OFFERED, TWO SESSIONS AT LOURDES COLLEGE AMD ONE SESSION AT UNIVERSITY OF TOLEDO, WITH 88 TOTAL PARTICIPANTS. RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL, FORMERLY TOLEDO CHILDREN'S HOSPITAL (OPERATING WITHIN AND AS PART OF THE TOLEDOHOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- MENTAL HEALTH/SUBSTANCE ABUSE- INFANT MORTALITY/MATERNAL HEALTH- INJURY PREVENTION/SAFETY- CHRONIC DISEASE ASTHMA AND FOOD INSECURITY- INCREASE SCHOOL READINESSTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS, 2020-2022. RUSSEL J. EBEID CHILDREN'S HOSPITAL (ECH), DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2019 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH 3STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH VIOLENCE, CHILD HEALTH AND FUNCTION STATUS, MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. RUSSELL J. EBEID CHILDREN'S HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN2019:HEALTH NEED IDENTIFIED: MENTAL HEALTH/SUBSTANCE ABUSESTRATEGY #1 - CONDUCT EPIC AUDIT OF SCREENS COMPLETED AND % WITH APPROPRIATE FOLLOW THROUGH. SCREENS WILL BE AUDITED TO DETERMINE HOW MANY WERE COMPLETED AND HANDLED APPROPRIATELY ACCORDING TO RISK LEVEL. CULLEN CENTER WILL SCREEN ALL CLIENTS FOR SUICIDE RISK AND REFER AS APPROPRIATE.ACTIONS TAKEN: - AUDIT SHOWED 90% COMPLIANCE WITH DATA SHARED WITH STAFF TO IMPROVE COMPLIANCE. STRATEGY #2 IMPROVE YOUTH MENTAL HEALTH THROUGH:1. PROVIDE TRAUMA AND TRAUMA INFORMED TRAININGS TO RUSSELL J. EBEID CHILDREN'S HOSPITAL STAFF, PROFESSIONALS, AND COMMUNITY MEMBERS AT LARGE TO HELP THEM PROVIDE APPROPRIATE TRAUMA INFORMED SERVICES TO YOUTH WHO HAVE HISTORIES OF TRAUMA.2. PROVIDE TRAUMA INFORMED PARENTING GROUPS TO PARENTS OF CHILDREN WITH HISTORIES OF TRAUMA.3. PROVIDE RISK PREVENTION PROGRAM, HIP HOP HEALTH, TO AT-RISK TEENS, AND, ALSO PROVIDE EDUCATION FOR OTHER PROVIDERS WHO PROVIDE PREVENTION PROGRAMS FOR AT-RISK YOUTH.ACTIONS TAKEN: - 28 COMMUNITY AND HOSPITAL ZOOM TRAININGS WERE PROVIDED, WITH 1,022 PARTICIPANTS TRAINED.- 90% OF PARTICIPANTS REPORTED AN INCREASE IN KNOWLEDGE AFTER THE ZOOM TRAINING.-TWO 6-WEEK LONG TRAUMA INFORMED PARENTING SUPPORT GROUPS WERE HELD FOR 41 CAREGIVERS.- FOURTEEN (14) AT RISK TEENS WERE PROVIDED EDUCATION DURING A 14 WEEK GROUP. STRATEGY #3 - PROVIDE PEER-LED BULLYING/VIOLENCE PREVENTION AWARENESS EDUCATION TO ELEMENTARY AND MIDDLE SCHOOL AGED KIDS. HAVE A POSITIVE IMPACT ON PEER BULLYING BY PROVIDING EDUCATION TO SCHOOLS (Y1-500 YOUTH, Y2-750 YOUTH, Y3-1000 YOUTH).ACTIONS TAKEN: - 374 STUDENT LEADERS RECEIVED MULTI-SESSION TRAININGS ON BYSTANDER INTERVENTION IN 2021.- 1,892 STUDENTS RECEIVED PEER LED EDUCATION ON HOW THEY CAN REDUCE BULLYING IN THEIR SCHOOLS.- EDUCATED PEERS VIA SOCIAL MEDIA MESSAGING CAMPAIGNS CENTERED AROUND BYSTANDER INTERVENTION, BULLYING PREVENTION, INCREASING KINDNESS, MENTAL HEALTH AWARENESS AND DE-STIGMATIZATION, WITH 2017 TOTAL REACH.
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 11:FLOWER HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- MENTAL HEALTH- CANCERTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2020-2022.FLOWER HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS,YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE; YOUTH PERCEPTIONS, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. FLOWER HOSPITAL TOOK THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - ADVOCACY & CAPACITY BUILDINGA. SPONSOR A BI-ANNUAL CONFERENCE TO HELP PROVIDERS BETTER SERVE PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS.ACTIONS TAKEN: - ONE (1) CONFERENCE WAS HELD IN 2021, THE BIANNUAL ANNUAL PSYCHIATRIC SYMPOSIUM, WITH 129 PARTICIPANTS. (NOTE: PARTICIPANTS PAID TO ATTEND THE CONFERENCE FOR CEU'S.)B. JOIN OR CREATE THREE ADVOCACY ACTIVITIES EACH YEAR THAT SUPPORT LOCAL, STATE, OR NATIONAL EFFORTS TO HELP PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS.ACTIONS TAKEN: - THE ADMINISTRATIVE DIRECTOR OF FLOWER PSYCHIATRIC SERVICES, OR THEIR REPRESENTATIVE, ATTENDED VARIOUS COUNTY OR STATE MENTAL HEALTH BOARD AND RELATED MEETINGS, FOR A TOTAL OF 119 HOURS OF ADVOCACY WORK.- FLOWER HOSPITAL FUNDED A .PART-TIME NAMI FAMILY NAVIGATOR WHO PARTICIPATED IN 28 MENTAL HEALTH ADVOCACY EVENTS, WITH 269 PARTICIPANTS.- FLOWER HOSPITAL STAFF PARTICIPATED IN THE NAMI WALK IN WHICH 62 EMPLOYEES PARTICIPATED AND RAISED $2,888. THESE FUNDS WILL GO NAMI TOLEDO CHAPTER TO HELP SUPPORT THE COMMUNITY INITIATIVE OF MENTAL HEALTH EDUCATION AND SUPPORT FOR PATIENTS AND FAMILIES.STRATEGY #2 A. MAINTAIN A FAMILY SUPPORT GROUP FOR PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSISACTIONS TAKEN:- THERE WERE 308 PARTICIPANTS IN FAMILY SUPPORT GROUP INITIATIVES. B. PARTNER WITH COMMUNITY GROUPS TO INCREASE COMMUNITY ORGANIZATION'S STAFFING THAT PROVIDES SYSTEM AND RESOURCE NAVIGATION SUPPORT TO PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSISACTIONS TAKEN: - PARTICIPATED IN OREGON CITY FAIR AND SUICIDE PREVENTION "OUT OF THE DARKNESS" TO SERVE 197 PERSONS.PROMEDICA-FUNDED A PART TIME FAMILY NAVIGATOR IN COLLABORATION WITH THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) WHO WORKED 1040 HOURS (BASELINE 2019 0 HOURS).C. PARTNER WITH COMMUNITY GROUPS TO CREATE INFORMATION AND REFERRAL RESOURCES FOR PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: - THE DIRECTOR OF FLOWER HOSPITAL PSYCHIATRY DEPARTMENT AND THE NAMI TEAM UPDATED THE NORTHWEST OHIO MENTAL HEALTH RESOURCE GUIDE. THIS RESOURCE GUIDE IS AVAILABLE FREE ONLINE FOR PRINTING, SOCIAL MEDIA/WEB SUPPORT, ETC. AVAILABLE ONLINE: HTTPS://WWW.PROMEDICA.ORG/PUBLIC%20DOCUMENTS/MEDICAL-SERVICES/BEHAVIORAL-HEALTH/NW_OHIO_MENTAL_HEALTH_RESOURCE.PDF AND IN PRINT THROUGH PROMEDICA, (THESE BOOKLETS ARE DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS, ETC.). STRATEGY #3 - EDUCATION: HOLD FIVE EDUCATIONAL SESSIONS EACH YEAR THAT PROVIDE EDUCATION AND INFORMATION ON VARIOUS TOPICS AND ISSUES THAT ARE IMPORTANT TO PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: - A TOTAL OF 50 EDUCATIONAL SESSIONS WERE HELD, WITH 211 PARTICIPANTS.HEALTH NEED IDENTIFIED: CANCERSTRATEGY #1 - ADVOCACY & CAPACITY BUILDING: WORK WITH SALONS AND BARBERSHOP OWNERS TO PROVIDE EDUCATION AND RESOURCES TO INCREASE HEALTH EQUITY IN THE COMMUNITIES THEY SERVE.ACTIONS TAKEN: - AS PART OF V-PROJECT (COVID VACCINE) EDUCATION MATERIALS WITH 1,200 THERMOMETERS AND HAND SANITIZERS WERE DISTRIBUTED TO SALON AND BARBERSHOP CUSTOMERS TO INCREASE COVID VACCINES AND PREVENT SPREAD OF COVID IN THESE MINORITY AND UNDERSERVED POPULATIONS.- STAFF PARTICIPATED IN 31 ADVOCACY AND CAPACITY BUILDING MEETINGSSTRATEGY #2 - PROGRAMMING: EDUCATE THE COMMUNITY ON EARLY DETECTION OF BREAST AND PROSTATE CANCER THROUGH AT LEAST TWO EDUCATIONAL PROGRAMS PER YEAR.ACTIONS TAKEN:- NINE (9) EDUCATIONAL SESSIONS WERE PROVIDED IN THE COMMUNITY TO INCREASE KNOWLEDGE OF EARLY DETECTION OF CANCER WITH A TOTAL OF 1,179 PARTICIPANTS.STRATEGY #3 - EDUCATION: PROVIDE EDUCATION ON HEALTH TOPICS TO REDUCE THE INCIDENCE OF LATE TERM CANCER DIAGNOSIS. ACTIONS TAKEN:- EIGHTEEN (18) SALON AND BARBERSHOPS PARTICIPATED IN EDUCATION SESSIONS TO EDUCATE THEIR CUSTOMERS ON CANCER SCREENING EDUCATION. THESE SHOPS WERE LOCATED IN UNDERSERVED, HIGH MINORITY ZIP CODES. - 1,255 AMERICAN CANCER SOCIETY CANCER PREVENTION RESOURCE GUIDES WERE DISTRIBUTED BY SALONS AND BARBERSHOPS TO IMPROVE AWARENESS AND ACCESS TO RELATED RESOURCES.
GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 11:WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- HUNGER- OBESITYTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2020-2022.WILDWOOD HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT TOBACCO USE, ADULT DRUG USE, ADULT ALCOHOL CONSUMPTION, ADULT SEXUAL BEHAVIOR, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE; YOUTH PERCEPTIONS, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: HUNGERSTRATEGY #1 - SCREEN INPATIENTS ON ADMISSION FOR FOOD INSECURITY, AND PROVIDE FOOD TO TAKE HOME AT DISCHARGE, IF FOOD INSECURITY IS IDENTIFIED.ACTIONS TAKEN:- IN 2021, WITH TOLEDO HOSPITAL, 521 INPATIENTS SCREENED POSITIVE FOR FOOD INSECURITY, AND 89 FOOD AT DISCHARGE BOXES WITH COMMUNITY FOOD RESOURCE LISTINGS, WERE PROVIDED. PATIENTS HAVE THE OPTION OF DECLINING THE FOOD AT DISCHARGE BOX.STRATEGY #2 - SCREEN OUTPATIENTS IN SPECIFIC PROMEDICA PRIMARY CARE OFFICES FOR FOOD INSECURITY AND PROVIDE A REFERRAL TO A PROMEDICA FOOD PHARMACY AND/OR PROVIDE A LISTING OF FOOD AGENCIES TO ASSIST PATIENTS WITH FOOD ACCESS.ACTIONS TAKEN:- 1,658 UNIQUE HOUSEHOLDS WITHOUT CHILDREN WERE SERVED BY THE CENTER FOR HEALTH SERVICES AND PROMEDICA HEALTH AND WELLNESS CENTER FOOD CLINICS IN 2021. PATIENTS ARE REFERRED BY THEIR PROMEDICA PRIMARY CARE PROVIDER AND MAY VISIT THE FOOD CLINICS ONCE A MONTH FOR 2-3 DAYS OF HEALTHY FOOD.HEALTH NEED IDENTIFIED: OBESITYSTRATEGY #1 - PROVIDE FREE COOKING MATTERS PROGRAMMING TO PARENTS AND FAMILIES THROUGHOUT THE COMMUNITY. COOKING MATTERS IS A 6-WEEK HEALTHY EATING AND COOKING CLASS FOR LOW-INCOME FAMILIES, WHICH WILL BE OFFERED AT THE PROMEDICA EBEID CENTER'S TEACHING KITCHEN.ACTIONS TAKEN:- THROUGH THE EBEID NEIGHBORHOOD PROMISE, TWO (2) COOKING MATTERS CLASS SERIES WERE COMPLETED AT THE EBEID CENTER IN 2021, WITH 34 PARTICIPANTS. THE EBEID CENTER IS A PARTNER PROGRAM IN URBAN TOLEDO. - FIFTY (50) NUTRITION BITES, A HEALTHY EATING NEWSLETTER WITH FITNESS TIPS, WERE DISTRIBUTED MONTHLY BY THE MARKET ON THE GREEN GROCERY STORE, LOCATED IN URBAN TOLEDO, FOR A TOTAL OF 600 DISTRIBUTED IN 2021.STRATEGY #2 - PROVIDE FREE COOKING MATTERS AT THE STORE PROGRAMMING TO PARENTS AND FAMILIES. COOKING MATTERS AT THE STORE IS A ONE-TIME, EDUCATIONAL GROCERY STORE TOUR TEACHING HEALTHY EATING ON A BUDGET.ACTIONS TAKEN:- IN LIEU OF THE GROCERY STORE TOUR THAT WAS PREVIOUSLY OFFERED, AND NOT WELL PARTICPATED IN, VIRTUAL COOKING CLASSES WERE PROVIDED BY THE RD THROUGH THE EBEID CENTER, VIA THE EBEID CENTER FACEBOOK PAGE, WITH 1,080 VIDEO VIEWS.STRATEGY #3 - PROVIDE PHYSICAL ACTIVITY EDUCATION AS PART OF THE PROGRAMMING AT THE EBEID CENTER.ACTIONS TAKEN:- THROUGH THE EBEID NEIGHBORHOOD PROMISE PROGRAM, ONE UPTOWN WALK AND ROLL EVENT WAS HELD WITH A TOTAL OF 175 PARTICIPANTS, TO INCREASE PHYSICAL ACTIVITY IN THE NEIGHBORHOOD.- 600 EDUCATIONAL FLYERS, ON PHYSICAL ACTIVITY WERE SENT TO MARKET ON THE GREEN FOR DISTRIBUTION TO THEIR CUSTOMERS.
PART V, SECTION BFACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:- FACILITY 4: ARROWHEAD BEHAVIORAL HEALTH
GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, & WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL.
GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 11:ARROWHEAD BEHAVIORAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, THEREFORE THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS, 2020-2022:- SUBSTANCE ABUSE- MENTAL HEALTHARROWHEAD BEHAVIORAL HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN INCLUDE: ADULT HEALTHCARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE, YOUTH PERCEPTION, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. ARROWHEAD BEHAVIORAL HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 FREE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS (WHEN NEEDED).ACTIONS TAKEN: - NO COST TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS WERE PROVIDED TO 51 INDIVIDUALS.STRATEGY #2 - COLLABORATION WITH TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT TO PROVIDE NO COST HEPATITIS A VACCINATIONS TO INDIVIDUALS IN HIGH RISK POPULATIONS.ACTIONS TAKEN:- DUE TO COVID RESTRICTIONS THIS ACTIVITY DID NOT TAKE PLACE IN 2021, PER THE HEALTH DEPARTMENT.STRATEGY #3 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES, INCLUDING: RELAPSE PREVENTION, ALCOHOLICS ANONYMOUS AND NAMI FAMILY TO FAMILY. ACTIONS TAKEN:- 5/21/21 PARTICIPATED IN ANGEL WALK TO PROVIDE EDUCATION TO APPROXIMATELY 500 ATTENDEES.- 9/14/21 PROVIDED EDUCATION TO APPROXIMATELY 50 PARTICIPANTS AT ROAD TO RECOVERY.- 11/9/21 PROVIDED EDUCATION TO APPROXIMATELY 20 PARTICIPANTS AT WOOD COUNTY ARC TOWN HALL.HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES TO INCREASE EDUCATION AND AWARENESS TO THE COMMUNITY ABOUT MENTAL HEALTH AND MENTAL HEALTH RESOURCES.ACTIONS TAKEN: DISTRIBUTED MATERIALS FOCUSING ON DEPRESSION, ANXIETY AND SUBSTANCE USE DISORDERS AT THE FOLLOWING EVENTS:- 7/8/21 PARTICIPATED IN AFRICAN AMERICAN LEADERSHIP INITIATIVE WITH NAMI WITH APPROXIMATELY 50 PARTICIPANTS- 8/28/2021 PARTICIPATED IN WALK THE WORD MINISTRY WITH NAMI WITH APPROXIMATELY 50 PARTICIPANTS- 9/14/2021 PARTICIPATED WITH ROAD TO RECOVERY WITH APPROXIMATELY 30 PARTICIPANTS- 11/9/2021 PARTICIPATED IN OWENS COMUNITY COLLEGE "ART WITH IMPACT" EVENT WITH APPROXIMATELY 55 PARTICIPANTS- 1/11/2021 PARTICIPATED IN AMERICAN RED CROSS VETEREN'S EVENT WITH APPROXIMATELY 1000 PARTICIPANTS
GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 20E:PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS:- PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITYTO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THEPATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENTMAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IFTHE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOESNOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICESAND PHONE CALLS FOR MULTIPLE MONTHS
PART V, SECTION B, LINE 7ATHE 2019 CHNA FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE AND ARROWHEAD BEHAVIORAL HOSPITALS CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-FLOWER-WILDWOOD-AND-ARROWHEAD-HOSPITALS-2019-JOINT-CHNA.PDFTHE 2019 CHNA FOR PROMEDICA TOLEDO CHILDREN'S HOSPITAL CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-CHILDRENS-HOSPITAL-2019-CHNA.PDF
PART V, SECTION B, LINE 10ATHE 2020-2020 CHNA IMPLEMENTATION PLAN FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE AND ARROWHEAD BEHAVIORAL HOSPITALS CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-FLOWER-WILDWOOD-AND-ARROWHEAD-BEHAVIORAL-HOSPITALS-2019-JOINT-CHNA-IMPLEMENTATION-PLAN-2020-2022-(1).PDFTHE 2020-2020 CHNA IMPLEMENTATION PLAN FOR PROMEDICA TOLEDO CHILDREN'S HOSPITAL CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-CHILDRENS-HOSPITAL-2019-CHNA-IMPLEMENTATION-PLAN-2020-2022.PDF
PART V, SECTION B, LINE 16A:THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/PATIENT-RESOURCES/UNINSURED_DISCOUNT_POLICY.PDF
PART V, SECTION B, LINE 16B:THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/PATIENT-RESOURCES/FINANCIAL_ASSISTANCE_APPLICATION.PDF
PART V, SECTION B, LINE 16C:A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/PATIENT-RESOURCES/PLAIN_LANGUAGE_FINANCIAL_ASSISTANCE.PDF
RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:STRATEGY #4 - DEMONSTRATE CHANGE AS EVIDENCED BY PARTICIPANT RETROSPECTIVE TESTING. INCREASE CONFIDENCE LEVEL "YOUR PEERS ARE MAKING FUN OF A CLASSMATE. HOW CONFIDENT ARE YOU THAT YOU WOULD STAND UP FOR THE PERSON EVEN IF YOU DID NOT KNOW THEM?" (Y1-10%, Y2-15%, Y3-20%).ACTIONS TAKEN:- TRACKED CONFIDENCE LEVEL OF TEENS. TEEN LEADERS DEMONSTRATED AN 84% OVERALL INCREASE IN THEIR CONFIDENCE LEVEL FOR INTERVENING (BYSTANDER INTERVENTION). DATA COLLECTED ONCE/ANNUALLY AT CONCLUSION OF SCHOOL YEAR MAY/JUNE.STRATEGY #5: 1. PROVIDE ANTENATAL EDUCATION BY NEONATAL NURSE PRACTITIONER FROM NEONATAL INTENSIVE CARE UNIT (NICU) ABOUT MATERNAL BONDING AND THE USE OF NON-PHARMACOLOGICAL BUNDLE ITEMS TO DECREASE THE NEED FOR PHARMACOLOGICAL TREATMENT FOR NEONATAL ABSTINENCE SYNDROME (NAS) STRESSING THE IMPORTANCE OF THE USE OF MATERNAL BREAST MILK IN THE NAS POPULATION. 2. CONTINUE CONSULTS AT CENTER FOR HEALTH SERVICES (CHS) AS ORDERED BY PRIMARY CARE PROVIDER/OBSTETRICIAN.3. CONTINUE PARTICIPATION AT THE MONTHLY "MOM'S GROUP" MEETINGS AT ZEPF CENTER.ACTIONS TAKEN: -NINE (9) NEONATAL ABSTINENCE SYNDROME (NAS) CONSULTS WERE COMPLETED AT THE CENTER FOR HEALTH SERVICES (CHS) IN 2021 WHERE A NEONATAL NURSE PRACTITIONER FROM THE NEONATAL INTENSIVE CARE UNIT (NICU) INSTRUCTED NEW MOTHERS ABOUT MATERNAL BONDING AND THE USE OF NON-PHARMACOLOGICAL BUNDLE ITEMS TO DECREASE THE NEED FOR PHARMACOLOGICAL TREATMENT FOR NAS, AND STRESSING THE IMPORTANCE OF THE USE OF MATERNAL BREAST MILK IN THE NAS POPULATION. -A LICENSED THERAPIST EDUCATED THREE (3) INDIVIDUALS AT MOM'S GROUP AT ZEPF MENTAL HEALTH CENTER. IN JANUARY AND FEBRUARY, STAFF WAS UNABLE TO HOLD MEETINGS DUE TO COVID RESTRICTIONS. PREVIOUSLY ATTEMPTED ZOOM MEETING FOR "MOM'S GROUP" AT THE ZEPF CENTER, BUT DUE TO MULTIPLE FACTORS THIS ONLINE GROUP WAS NOT SUCCESSFUL, AND DISCONTINUED.HEALTH NEED IDENTIFIED: INFANT MORTALITY/MATERNAL HEALTHSTRATEGY #1 SAFE SLEEP1. PROVIDE ACCESS TO SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH CHILDREN LESS THAN 12 MONTHS OF AGE AND REFER PARENTS TO CLASSES AS APPROPRIATE. PROVIDE ASSESSMENTS TO FAMILIES RECEIVING PORTABLE CRIB TO ENSURE SAFE SLEEP PRACTICES AND USE OF CRIB.2. PROVIDE SAFE SLEEP SACKS AND SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH NEWBORN INFANTS WHEN APPROPRIATE.3. EXPAND AS POSSIBLE BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN:NOTE: ALL NEW MOTHERS RECEIVE EDUCATION ON SAFE SLEEP DURING THEIR DELIVERY STAY IN THE HOSPITAL.-SAFE SLEEP ASSESSMENT WAS PROVIDED TO 19 FAMILIES RECEIVING PORTABLE CRIBS TO ENSURE SAFE SLEEP PRACTICES. - SAFE SLEEP SACKS AND SAFE SLEEP EDUCATION WAS PROVIDED TO 32 LOW INCOME CAREGIVERS WITH NEWBORN INFANTS.STRATEGY #2 BREASTFEEDING 1. TH/ECH WOMEN, INFANT AND CHILDREN SUPPLEMENTAL FOOD PROGRAM (WIC) DIETITIANS AND SUPPORT STAFF DISCUSS BREASTFEEDING WITH EACH PREGNANT/BREASTFEEDING WOMAN, ENROLLED IN THE TH/ECH WIC PROGRAM, AND ENCOURAGE ATTENDANCE TO THE FREE, UNLIMITED, BREASTFEEDING EDUCATION CLASSES. 2. OFFER BREASTFEEDING EDUCATION CLASSES TO EACH PREGNANT/BREASTFEEDING WOMAN ENROLLED IN THE WIC PROGRAM.3. MAKE REFERRALS TO WIC LACTATION CONSULTANT AND WIC BREASTFEEDING STAFF.4. WIC PEER BREASTFEEDING COUNSELOR CONTACTS THE TH/ECH BREASTFEEDING MOMS TO OFFER SUPPORT AND ANSWER BREASTFEEDING QUESTIONS.5. EDUCATE PREGNANT WOMEN PARTICIPATING IN PATHWAYS AND HMG HOME VISITING PROGRAMS REGARDING BREASTFEEDING AND/OR FEEDING BREASTMILK DURING HOME VISITS AND USE LACTATION CONSULTANTS IF NEEDED TO SUSTAIN INFANTS RECEIVING BREASTMILK UNTIL AT LEAST 5 WEEKS OLD. INCORPORATE THE ODH BREASTFEEDING/BREAST MILK INITIATIVE MATERIALS. ACTIONS TAKEN:- THE NUMBER OF PREGNANT/BREASTFEEDING WOMEN ENROLLED IN TH/ECH WIC PROGRAM WAS 1,873.- ECH PROVIDED FREE BREASTFEEDING CLASSES THROUGH WIC WITH A TOTAL OF 76 WOMEN ATTENDING. - ECH WIC PEER BREASTFEEDING COUNSELOR CONTACTS, TO EDUCATE AND ENCOURAGE, BREASTFEEDING MOMS (VIA TEXTS, IN PERSON, PHONE CALLS) WAS 18,059 TOTAL CONTACTS.- PROMOTED BREASTFEEDING THROUGH EDUCATION AND SUPPORT TO 100% PARTICIPANTS OF PATHWAYS AND HELP ME GROW PROGRAM FOR A TOTAL OF 32 PARTICANTS. THE ECH CERTIFIED LACTATION COUNSELOR REFERRED THESE PATIENTS TO HEALTH DEPARTMENT LACTATION CONSULTANT.- THE NUMBER OF INFANTS WHO RECEIVED BREASTMILK UNTIL AT LEAST FIVE WEEKS OF AGE WAS 41. HEALTH NEED IDENTIFIED: INJURY PREVENTION STRATEGY #11. KIDS IN SAFE SEATS (KISS) AND OHIO BUCKLES BUCKEYES (OBB) PROGRAMS WILL EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF PROPER CAR SEAT USE AT RUSSELL J. EBEID CHILDREN'S HOSPITAL FITTING STATIONS AND COMMUNITY CAR SEAT CHECK EVENTS.2. PROVIDE OPPORTUNITIES FOR PARENTS AND CAREGIVERS TO RECEIVE CAR SEAT INFORMATION (Y1-40, Y2-50, Y3-60).3. KISS AND OBB PROGRAMS WILL PROVIDE ACCESS TO CAR SEATS AND BOOSTER SEATS TO LOW INCOME FAMILIES AT RUSSELL J. CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND COMMUNITY EVENTS AND WE WILL DISTRIBUTE TO LOW INCOME FAMILIES.4. PROMOTE AND FACILITATE AT LEAST 2 TRAININGS PER YEAR TO INCREASE THE NUMBER OF CHILD SAFETY TECHNICIANS TRAINED (Y1-16, Y2-18, Y3-20).ACTIONS TAKEN: -ECH STAFF EDUCATED 832 INDIVIDUALS ON CAR SEAT SAFETY THROUGH 8 EVENTS WITH 83 FITTING STATIONS, AND 360 CAR SEATS WERE CHECKED. -ECH STAFF PROVIDED 19 CAR SEAT PRESENTATIONS WITH 187 PARTICIPANTS-240 NO COST OR GRANT FUNDED CAR SEATS WERE DISTRIBUTED TO FAMILIES.- ECH STAFF PROVIDED CHILD PASSENGER SAFETY TRAINING (CPST) WITH 33 TOTAL PEOPLE TRAINED.STRATEGY #2 INCREASE AWARENESS OF DISTRACTED DRIVING DANGERS.1. PROMOTE AND FACILITATE DISTRACTED DRIVING PRESENTATIONS FOR LOCAL HIGH SCHOOLS AND COMMUNITY LOCATIONS THROUGHOUT NORTHWEST OHIO.2. CONDUCT DISTRACTED DRIVING PROGRAMMING FOR HIGH SCHOOLS (Y1-3, Y2-5, Y3-6) AND AT COMMUNITY LOCATIONS (Y1-1, Y2-2, Y3-3).ACTIONS TAKEN:- APPROXIMATELY 1,017 PEOPLE WERE PROVIDED DISTRACTED DRIVING EDUCATION AND OFFERED USE OF DISTRACTED DRIVING SIMULATOR.-IN LIEU OF ONSITE HIGH SCHOOL DISTRACTED DRIVING PROGRAMMING, SOCIAL MEDIA OUTREACH INCLUDED 25 POSTS WITH 2,969 PEOPLE REACHED (NO IN-PERSON PROGRAMS FROM MARCH-DECEMBER DUE TO COVID SCHOOL RESTRICTIONS).STRATEGY #3 INCREASE ACCESS TO SAFETY ITEMS AND PROVIDE EDCUATION ON CHILD/HOME SAFETY. 1. R CHILDREN'S HOSPITAL (ECH) TRAUMA DEPT. AND SAFE KIDS GREATER TOLEDO WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSIONS CLINIC, AND AREA SCHOOLS. EDUCATE AT LEAST 50 PARTICIPANTS AT PRESENTATIONS AND EVENTS (Y1-50 Y2,3-75). NOTE: THIS IS A DUPLICATE STRATEGY TO STRATEGY 5 (#1) BELOW, AND WILL ONLY BE REPORTED HERE, IN ACTIONS TAKEN.2. ECH COMMUNITY OUTREACH/SAFE KIDS GREATER TOLEDO AND TOLEDO HEALTHY TOMORROWS WILL EDUCATE PARENTS, CAREGIVERS, AND THE COMMUNITY ON HOME SAFETY ISSUES INCLUDING ACCIDENTAL POISONINGS, MEDICATION SAFETY, WATER SAFETY, FALLS, FIRE, BURN, ETC.3. DIRECTLY EDUCATE INDIVIDUALS (Y1-150, Y2-175, Y3-185) THROUGH PRESENTATIONS AND EDUCATIONAL SESSIONS; INDIRECTLY EDUCATE THOUSANDS MORE THROUGH AT SOCIAL MEDIA POSTS, TRADITIONAL MEDIA AND BROCHURES (Y1-5, Y2-10, Y3-15).ACTIONS TAKEN:-ECH EDUCATED 1,039 INDIVIDUALS AT PRESENTATIONS AND EVENTS RELATED TO CONCUSSIONS, SKILLS AND DRILLS AND TNCC.-69 FAMILIES PARTICIPATED IN HOME SAFETY PROGRAMS WITH 157 SAFETY ITEMS WERE DISTRIBUTED TO THESE FAMILIES.-A REACH OF 251,868 WAS ATTAINED WITH A SOCIAL MEDIA CAMPAIGN FOR NATIONAL DISTRACTED DRIVING AWARENESS MONTH IN APRIL 2021.STRATEGY #4 - IMPROVE SAFETY OF CHILDREN WHO WALK OR BIKE TO SCHOOL.1. ECH COMMUNITY OUTREACH/SAFE KIDS GREATER TOLEDO AND SAFE ROUTES TO SCHOOL (PROGRAMS) WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE FACILITATE WALK TO SCHOOL DAY AND BIKE TO SCHOOL DAY WITH LOCAL SCHOOLS AND EDUCATE ON SAFE WALKING/BIKE PRACTICES AND BENEFITS OF GOING TO SCHOOL IN GROUPS (Y1&2-50 CHILDREN, Y3-60 CHILDREN).ACTIONS TAKEN:- PROVIDED WALK TO SCHOOL DAY AT HAWKINS ELEMENTARY WITH APPROXIMATELY 100 STUDENTS PARTICIPATING. PROVIDED SAFE /TRICK OR TREATING EDUCATION AT "BOO AT THE ZOO" WITH APPROXIMATELY 3000 PARTICIPANTS.STRATEGY #5 - INCREASE AWARENESS OF CONCUSSION PREVENTION AND SPORTS RELATED INJURIES.1. RUSSELL J. EBEID CHILDREN'S HOSPITAL TRAUMA DEPT. AND SAFE KIDS GREATER TOLEDO WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSIONS CLINIC, AND AREA SCHOOLS (Y1-AT LEAST 50 PARTICIPANTS, Y2&3-AT LEAST 75 PARTICIPANTS). NOTE: THIS IS A DUPLICATE STRATEGY TO STRATEGY 3 (#1) ABOVE AND IS REPORTED THERE.2. RUSSEL J. EBEID CHILDREN'S HOSPITAL TRAUMA DEPT. WILL ASSIST SCHOOLS AND MEDICAL PROFESSIONALS WITH RETURN2PLAY AND RETURN TO LEARN POLICY AND PROCEDURE ADOPTION BY PROVIDING EDUCATIONAL MATERIALS AND SESSIONS (Y1-AT LEAST 4 SCHOOLS OR MEDICAL PROFESSIONALS, Y2-5, Y3-6).
RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:ACTIONS TAKEN: -ECH TRAUMA DEPARTMENT HELD EDUCATIONAL SESSIONS ON VARIOUS TRAUMA RELATED CHILD INJURIES, REPORTED IN STRATEGY #4 ABOVE.-ECH TRAUMA DEPARTMENT PROVIDED EDUCATION TO 225 INDIVUIDUALS ON RETURN2PLAY AND RETURN TO LEARN.STRATEGY #6 - DEVELOP AND IMPLEMENT SAFETY EDUCATION FOR CHILDREN AND PARENTS OF CHILDREN WITH AUTISM (YEAR 1-AT LEAST 2 EVENTS, YEAR 2-4 EVENTS, YEAR 3-6 EVENTS).ACTIONS TAKEN:-NO EDUCATION WAS PROVIDED TO THIS GROUP IN 2021 - IN PERSON EVENTS WERE DIFFICULT TO SCHEDULE DUE TO COVID GROUP RESTRICTIONS.HEALTH NEED IDENTIFIED: CHRONIC DISEASE/ASTHMA/FOOD INSECURITYSTRATEGY #1 - RUSSELL J. EBEID CHILDREN'S HOSPITAL WILL PROVIDE NURSE COVERAGE IN COLLABORATION WITH THE LUCAS COUNTY HEALTH DEPARTMENT "SHOTS FOR TOTS" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN.ACTIONS TAKEN: - RUSSEL J. EBEID CHILDREN'S HOSPITAL PROVIDED NURSE COVERAGE AT ONE EVENT SERVING FOUR (4) CHILDREN AT "SHOTS FOR TOTS" PROGRAM AT WEST TOLEDO YMCA.STRATEGY # 2 - INCREASE ACCESS TO ASTHMA EDUCATIONAL PROGRAMS AND INTERVENTIONAL HEALTHCARE. IMPROVE ASTHMA MANAGEMENT FOR CHILDREN. INCREASE UTILIZATION OF CARE FOR HIGHER RISK CHILDREN WITH ASTHMA.1. UTILIZE EVIDENCE BASED ASTHMA DISEASE MANAGEMENT PROGRAM UTILIZED AT PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL FOR ASTHMA EDUCATION AT THE PEDIATRIC AMBULATORY DEPARTMENT.2. UTILIZE RESPIRATORY THERAPISTS TRAINED TO PROVIDE CONSISTENT ASTHMA EDUCATION TO PARENTS AND CHILDREN WITH ASTHMA AND PROVIDE ACTION PLANS.3. PROVIDE ASTHMA EDUCATION 2 DAYS PER WEEK TO ALL PARENTS OF ASTHMATIC CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT AND PROVIDE ASTHMA INSTRUCTION BOOKLET TO THOSE RECEIVING EDUCATION. 4. SURVEY PARENTS/PATIENTS AFTER ASTHMA EDUCATION TO ASSESS PERCEPTION OF CARE.5. UTILIZE HOME CARE NURSES TO PROVIDE HOME EVALUATIONS AND FOLLOW UP CARE FOR ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION, IMPLEMENTATION OF MANAGEMENT SKILLS AND UNDERSTANDING OF NEED TO TAKE MEDICATIONS AS ORDERED. WILL MAKE HOME HEALTH REFERRAL IF PATIENT ANSWERS YES TO HOSPITALIZATION IN LAST YEAR.ACTIONS TAKEN: - EVIDENCE BASED ASTHMA EDUCATION PROVIDED IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS TO 2,247 PATIENTS/FAMILIES. THESE ARE FREE EDUCATIONAL SESSIONS AT PATIENTS AND FAMILY ONE ON ONE APPOINTMENT. -66 PATIENTS WITH A POSITIVE HIGH-RISK ASTHMA SCREEN WERE REFERRED FOR ASTHMA EDUCATION. FREE SCREENING; NO CHARGE. -2374 ACTION PLANS WERE GIVEN TO PARENTS OF CHILDREN IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS WITH AN ASTHMA DIAGNOSIS. FREE ACTION PLAN AT NO CHARGE.-PATIENTS RECEIVE EDUCATION AT EVERY VISIT - NO PATIENTS RETURNED FOR EDUCATION OR SOUGHT CLASS INSTRUCTION, ALTHOUGH WE OFFER MORE EDUCATION IF NEEDED. -COMPLIANCE AUDITS OF PEDIATRIC PATIENT CHARTS ARE PERFORMED AND EDUCATION IS PROVIDED TOO STAFF AND RESIDENTS, AS NEEDED TO IMPROVE COMPLIANCE.STRATEGY #3 - DECREASE ASTHMA-RELATED HOSPITAL ADMISSIONS AND ED VISITS BY IMPROVED FAMILY/CHILD KNOWLEDGE AND APPROPRIATE MANAGEMENT OF CHILD'S ASTHMA.1. PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL AND OUTPATIENT PRACTICES HAVE BEEN CERTIFIED BY THE JOINT COMMISSION FOR PEDIATRIC ASTHMA DISEASE MANAGEMENT AND IS THE ONLY HOSPITAL IN OHIO WITH THIS DISTINCTION. THIS TEAM MEETS REGULARLY TO EVALUATE PROGRESS BASED ON TARGET GOALS.2. PROVIDE EVIDENCED BASED EDUCATION TO PATIENTS USING QUALITY MEASURES TO DETERMINE SUCCESS. A. UTILIZE ASTHMA ORDER SETS IN PEDIATRIC EMERGENCY DEPARTMENT.B. UTILIZE ASTHMA ORDER SETS IN PEDIATRIC INPATIENT UNITC. UTILIZE ASTHMA ORDER SETS AT PULMONARY CLINIC AT PEDS AMBULATORY CLINIC (MEANT TO STATE PEDIATRIC ICU)3. PROVIDE ASTHMA INSTRUCTION BOOKLETS TO THOSE RECEIVING PARENT EDUCATION AND CONDUCT EVALUATIONS. 4. PROVIDE ASTHMA ACTION PLAN TO ALL PATIENTS AND FAMILIES WITH ASTHMA DIAGNOSIS FROM PROMEDICA RUSSELL J. EBEID CHILDRENS HOSPITAL AND MONITOR NUMBER OF PATIENTS SEEN IN ED WITHIN 7 OR 30 DAYS FROM LAST ED VISIT.ACTIONS TAKEN:- # OF PATIENTS IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS RECEIVING ASTHMA EDUCATION WAS 2347- # OF PATIENTS WITH POSITIVE HIGH-RISK ASTHMA SCREEN REFERRED FOR ASTHMA EDUCATION WAS 66- # OF ACTION PLANS GIVEN TO PARENTS OF CHILDREN IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS WITH AN ASTHMA DIAGNOSIS WAS 2347- ZER0 (0) PATIENTS RETURNED FOR ADDITIONAL EDUCATION OR CLASS INSTRUCTION.- 99% OF PARENTS ANSWERED "YES" TO THEY WERE GIVEN ENOUGH TIME WITH EDUCATOR TO GET QUESTIONS ANSWERED% OF PATIENTS RECEIVING APPROPRIATE ORDER SETS AND EDUCATION, PER CRITERIA:- 91.125% OF ED PATIENTS WERE GIVEN ASTHMA ORDER SETS- 92.5% OF INPATIENTS WERE GIVEN ASTHMA ORDER SETS- 85.675% OF ASTHMA ORDER SETS USED IN PEDIATRIC INTENSIVE CARE UNIT - 95.8% OF PATIENTS RECEIVED HOME MEDICAL PLAN OF CARE- 96.5% OF HIGH-RISK ASTHMA SCREENS COMPLETED ON INPATIENTS- 91.87% OF INPATIENT TOBACCO CESSATION EDUCATION COMPLETED- 99.75% COMPLETION OF INPATIENT INFLUENZA SCREENING COMPLETED- 99.075% INPATIENT SATISFACTION WITH "ALL YOUR QUESTIONS ANSWERED"- 98.9% OF PARENTS OF PATIENTS WITH ASTHMA RECEIVED EDUCATIONSTRATEGY #4 - ASSESS FOOD INSECURITY FOR EACH WIC PARTICIPANT DURING ALL WIC CERTIFICATION APPOINTMENTS. YEAR 1 (2020)1. REVIEW ALL HEALTH HISTORY FORMS AT EACH WIC CERTIFICATION APPOINTMENT AND ADDRESS THE QUESTION THAT INDICATES FOOD INSECURITY.2. DISCUSS THE PROMEDICA HEALTH SYSTEM FOOD CLINIC WITH EACH FOOD INSECURE FAMILY. STAFF ALSO PHYSICALLY WALK WIC PATIENTS DOWN TO THE CHS FOOD CLINIC. IF THE FOOD CLINIC IS CLOSED, WE OFFER HOURS OF OPERATION AND SUGGEST THAT ALL PROMEDICA HEALTH SYSTEM PATIENTS OBTAIN A REFERRAL TO THE FOOD CLINIC FROM THEIR PRIMARY PHYSICIAN.3. YEAR 2 AND 3 (2021-2022) EVALUATE PROGRAM TO DETERMINE ANY CHANGES NEEDED.ACTIONS TAKEN:- 351 PATIENTS HAD POSITIVE/AT RISK RESPONSES TO FOOD INSECUITY QUESTIONS ASKED AT WIC CERTIFICATION APPOINTMENT. -DISCUSSED PATIENTS DESIRE FOR A REFERRAL TO THE PROMEDICA FOOD CLINIC WITH 158 PATIENTS WERE DIRECTED TO THE FOOD CLINIC FOR MONTHLY FOOD FOR HOUSEHOLD FOR 2-3 DAYS OF FOOD. BASED ON PATIENT FEEDBACK FROM PATIENTS, THE REMAINDER OF THE PATIENTS DECLINED A REFERRAL TO THE FOOD CLINICS DUE TO FOOD STAMP/SNAP BENEFITS, IN ADDITION TO FREE UNIVERSAL BREAKFAST AND LUNCH AT SCHOOLS.STRATEGY #5 PROMEDICA ECH AMBULATORY PEDIATRIC PRACTICES WILL CONTINUE TO SCREEN ALL PATIENTS FOR FOOD INSECURITY AND REFER PATIENTS TO THE PROMEDICA FOOD CLINIC. THE FOOD CLINIC PROVIDES ACCESS TO HEALTHY FOOD AND NUTRITION EDUCATION FOR PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. THE FOOD CLINIC WILL PROVIDE CONTINUED EDUCATION/TRAINING TO PRACTICES ON ADDRESSING FOOD INSECURITY. ALL PATIENTS REFERRED TO THE FOOD CLINIC WILL BE OFFERED NUTRITION COUNSELING AND NUTRITION RESOURCES.1. THE FOOD CLINIC WILL EXPLORE WAYS TO INCREASE EDUCATION THROUGH IMPROVED COMMUNICATION WITH PROVIDERS AND INCREASED EDUCATION OPPORTUNITIES. 2. YEARS 2 AND 3 (2021-2022) EVALUATE FOOD CLINIC PROGRAM EXPANSION TO PROVIDE SERVICES TO ADDITIONAL PRACTICES AND PATIENTS. REFINE NUTRITION EDUCATION OPPORTUNITIES PROVIDED THROUGH THE FOOD CLINIC. 3. YEARS 2 AND 3 (2021-2022) ALL PATIENTS/FAMILIES AT ECH WILL BE SCREENED FOR FOOD INSECURITY PRI - OR TO DISCHARGE AND WILL BE OFFERED AN EMERGENCY FOOD BAG UPON DISCHARGE.4. YEAR 1 (2020) - CONTINUE TO PROVIDE FOOD BAGS AT DISCHARGE FOR PATIENTS IDENTIFIED AS FOOD INSECURE. YEARS 2 AND 3 (2021-2022) - EVALUATE FOOD SECURITY SCREENING RATES TO DETERMINE NEED FOR ADDITIONAL TRAINING ACROSS ECH STAFF. ACTIONS TAKEN:- ALL METRO TOLEDO ONCOLOGY PROVIDERS WERE TRAINED TO REFER PATIENTS TO THE FOOD CLINIC, WHO HAD POSITIVE FOOD INSECURITY SCREENING. - 12,592 FOOD INSECURITY SCREENS WERE CONDUCTED AT CENTER FOR HEALTH SERVICES (CHS) PEDIATRIC PRACTICE IN 2021- 789 REFERRALS WERE WRITTEN TO THE FOOD CLINIC FROM CHS PEDIATRIC PRACTICES IN 2021.- 1,127 UNIQUE HOUSEHOLDS WITH CHILDREN WERE SERVED BY THE CHS AND PROMEDICA HEALTH AND WELLNESS FOOD CLINICS IN 2021.- ALL NEW PATIENTS ARE OFFERED NUTRITION EDUCATION BY REGISTERED DIETITIAN AND PROVIDED WITH WRITTEN EDUCATION AND FOOD RESOURCES IN THE COMMUNITY.- 60 FOOD AT DISCHARGE FOOD BAGS WERE PROVIDED TO FOOD INSECURE FAMILIES AT ECH IN 2021.
RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:HEALTH NEED IDENTIFIED: INCREASE SCHOOL READINESS1. EDUCATE LOW INCOME PARENTS ABOUT PARENTING AND BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS AND PROVIDE FREE CHILDREN'S BOOKS TO HOMES.A. YEAR 1 (2020) - TOLEDO HEALTHY TOMORROWS (THT)/HELP ME GROW (HMG) HOME VISITORS PROVIDE LITERACY EDUCATION AND BOOKS TO FAMILIES.B. YEAR 2 THRU 3 (2021-2022) - CONTINUE EDUCATION AND BOOK DISTRIBUTION WITH FAMILIES ENROLLED IN THT PROGRAMS AND PROVIDE RESOURCES FOR FAMILIES TO CONTINUE LITERACY ACTIVITIES AFTER DISCHARGED FROM THT PROGRAMS.2. PROVIDE AGE SPECIFIC DEVELOPMENTAL SCREENING FROM BIRTH TO AGE 3 FOR CHILDREN ENROLLED IN THT/HMG PROGRAMS.3. YEARS 1 THRU 3 (2020-2022)SCREEN ALL INFANTS AND CHILDREN TO AGE 3 YEARS OLD WITH AGE APPROPRIATE AGES AND STAGES, THIRD EDITION AND REFER ALL CHILDREN TO EARLY INTERVENTION THROUGH ESTABLISHED PROCEDURE IF SCREENING DETERMINES NEED FOR EVALUATION.ACTIONS TAKEN: -PROVIDED EDUCATION ABOUT READING AND DISTRIBUTED BOOKS DURING HOME VISITS, BETWEEN THE TWO HOME VISITING PROGRAMS, 452 FAMILIES EDUCATED. WITH 884 BOOKS DISTRIBUTED.- SCREENED 297CHILDREN ENROLLED IN THT/HMG PROGRAM WITH AGES AND STAGES ASSESSMENT. - 23 REFERRALS WERE MADE TO EARLY INTERVENTION THROUGH THESE HOME VISIT ASSESSMENTS.
FieldValueIRS element (for citing)
Facility57FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (57 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PROMEDICA HICKMAN CANCER CENTER
5300 HARROUN RD STE 010SYLVANIAOH435602182ONCOLOGY
2 - PARKWAY SURGERY CENTER
2120 W CENTRAL AVETOLEDOOH436063834SURGERY/LAB
3 - ENDOSCOPY CENTER
5700 MONROE ST UNIT 102SYLVANIAOH435602767ENDOSCOPY
4 - PROMEDICA MAUMEE ONCOLOGY
5805 MONCLOVA RDMAUMEEOH435371839ONCOLOGY
5 - HARRIS-MCINTOSH RADIOLOGYEBEID CHILDRENS
2121 HUGHES DRTOLEDOOH436063845RADIOLOGY/CARDIOLOGY/PULMONARY
6 - PROMEDICA LABS
2130 W CENTRAL AVE STE 300TOLEDOOH436062920LAB
7 - PROMEDICA HEALTH AND WELLNESS CENTER
5700 MONROE STSYLVANIAOH435602779LAB & RADIOLOGY
8 - NORTHWEST OHIO CARDIOLOGY
2940 N MCCORD RDTOLEDOOH436151753CARDIOLOGY
9 - PROMEDICA NEUROSCIENCE CENTER
2130 W CENTRAL AVETOLEDOOH436063818NEUROSCIENCE
10 - SPORTSCARE AT WILDWOOD MEDICAL CTR
2865 N REYNOLDS RD STE 110TOLEDOOH436152069PHYSICAL THERAPY
11 - PMV CARDIOVASCULAR
5705 MONCLOVA RD STE 201MAUMEEOH435371877CARDIAC TESTING
12 - TOLEDO HOSP TOTAL REHAB AT CTR FOR HEALTH
2150 W CENTRAL AVENUETOLEDOOH436063834PHYSICAL THERAPY/WOMEN'S CARE/INFUSION CENTER/PEDIATRICS
13 - FLOWER MOB LAB
5308 HARROUN RD STE 0050SYLVANIAOH435602193LAB
14 - TOTAL REHAB PEDIATRICS
4041 W SYLVANIA AVE STE 100TOLEDOOH436234465PHYSICAL THERAPY
15 - PERRYSBURG MEDICAL CTR
1601 BRIGHAM DR 180PERRYSBURGOH435517118LAB/RADIOLOGY
16 - PROMEDICA HEALTH CTR ARROWHEAD
660 BEAVER CREEK CIR STE 120MAUMEEOH435371745LAB/RADIOLOGY/PT
17 - PAT METRO PAT CLINIC
3500 EXECUTIVE PKWYTOLEDOOH436061319LAB
18 - PROMEDICA VISION ASSOCIATES AMB SURGERY
3330 MEIJER DR STE 2TOLEDOOH436173103EYE CARE
19 - CENTER FOR HEALTH SVCSREHABRADIOLOGYWOM
2150 W CENTRAL AVENUE ROOM HTOLEDOOH436063859LAB
20 - JOBST VASCULAR VASCULAR INSTITUTE
2109 HUGHES DR STE 500TOLEDOOH436063856VASCULAR
21 - TOTAL REHAB AT PERRYSBURG
1601 BRIGHAM DR 100PERRYSBURGOH435517121PHYSICAL THERAPY
22 - PROMEDICA WILDWOODTOTAL REHAB WILDWOOD
2865 N REYNOLDS RD SUITE 150TOLEDOOH436152069LAB & RADIOLOGY
23 - MONROE CARDIOLOGY TESTING CENTER
730 N MACOMB ST 429MONROEMI481622904CARDIOLOGY
24 - TOLEDO HOSP AT CONRAD JOBST TOWER
2109 HUGHES DR STE 130TOLEDOOH436063856LAB
25 - PROMEDICA FREESTANDING EMERGENCY ROOM-URGE
1075 MEDICAL CENTER PKWYMAUMEEOH435371904EMERGENCY/URGENT CARE
26 - TOLEDO HOSPITAL CARDIAC TESTING CENTER
1601 BRIGHAM DR 120PERRYSBURGOH435517121PHYSICAL THERAPY/CARDIOLOGY/VASCULAR
27 - PROMEDICA VASCULAR LAB - SYLVANIA
5700 MONROE ST UNIT 309SYLVANIAOH435602767VASCULAR
28 - TOTAL REHAB AT BEDFORD
2000 W DEAN RDTEMPERANCEMI481829427PHYSICAL THERAPY
29 - PROMEDICA TOLEDO HOSPITAL - INFANT MONITOR
2121 HUGHES DR STE 850TOLEDOOH436063845INFANT MONITORING
30 - SPORTSCARE AT PROFESSIONAL PARK
4848 N HOLLAND SYLVANIA RD STE 202SYLVANIAOH435602148PHYSICAL THERAPY
31 - TOTAL REHAB AT SPRING MEADOWS
6855 SPRING VALLEY DR STE 155HOLLANDOH435289374PHYSICAL THERAPY
32 - TOTAL REHAB AT MAUMEE ARROWHEAD
660 BEAVER CREEK CIR STE 210MAUMEEOH435371745PHYSICAL THERAPY
33 - PROMEDICA LABS MCCORD RD
3020 N MCCORD RD 101TOLEDOOH436151701LAB
34 - PROMEDICA SECOR RD LAB
7300 SECOR RD STE 6LAMBERTVILLEMI481449360LAB
35 - PROMEDICA HEARING CTR
5300 HARROUN RD SUITE 218SYLVANIAOH435602168AUDIOLOGY
36 - TFL METRO PAT CLINIC
5300 HARROUN RD STE 202 226SYLVANIAOH435602146LAB
37 - PROMEDICA WELLNESS CENTER - PULMONARY FUNC
5700 MONROE ST STE 307SYLVANIAOH435602768PULMONARY
38 - PROMEDICA LAB - TOLEDO HOSPITAL MEDICAL
2100 W CENTRAL AVE STE 130TOLEDOOH436063800LAB
39 - JOBST ANTICOAGULATION - TOLEDO
2109 HUGHES DR STE 550TOLEDOOH436065103ANTICOAGULATION CLINIC
40 - PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIR STE ESWANTONOH435588591LAB
41 - PROMEDICA LAB - POINT PLACE
4805 SUDER RDTOLEDOOH436111800LAB
42 - PROMEDICA HEALTH CENTER - EAST
3156 DUSTIN RD STE102OREGONOH436164342LAB
43 - PROMEDICA ROSSFORD
1215 GRASSY LANEROSSFORDOH434601525LAB
44 - PROMEDICA MEDICAL CENTER
455 W 4TH STREETFOSTORIAOH448301849LAB
45 - PROMEDICA MARY ELLEN FALZONE DIABETES
2100 W CENTRAL AVE STE 120TOLEDOOH436063800DIABETES CARE
46 - PROMEDICA PHYSICIANS GENERAL SURGERY
5700 MONROE STSYLVANIAOH435602767BARIATRIC
47 - PCJ HEART FAILURE CLINIC
2109 HUGHES DRTOLEDOOH436063856HEART FAILURE CLINIC
48 - PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVDTOLEDOOH436063895GROUND AND AIR TRANSPORT
49 - TOTAL REHAB- PROMEDICA OWENS CORNING
1 OWENS CORNING PARKWAYTOLEDOOH436591000PHYSICAL THERAPY
50 - PROMEDICA WELLNESS SERVICES-MAUMEE
1789 INDIAN WOOD CIRCLE STE 210MAUMEEOH435374022COMMUNITY EDUCATION
51 - REMOTE
1801 RICHARDS RDTOLEDOOH436071037ACUTE CARE AT HOME
52 - PROMEDICA NORTHWEST OHIO HEMOPHILIA CENT
2109 HUGHES DR STE 860TOLEDOOH436065114HEMOPHILIA
53 - PROMEDICA HEALTH AND WELLNESS CENTER
5700 MONROE ST STE 100SYLVANIAOH435602767VASCULAR
54 - PROMEDICA HEMATOLOGYONCOLOGY ASSOC
5308 HARROUN RD STE 0055SYLVANIAOH435602174CANCER CARE
55 - RENAL CARE GROUP DIALYSIS
3100 W CENTRAL AVE STE 100TOLEDOOH436062924DIALYSIS
56 - CHS OCCUHEALTH
2142 NORTH COVE BLVDTOLEDOOH436063895CHECK LAB OR RAD
57 - CENTER FOR WOUND CARE OF NW OHIO
3110 W CENTRAL AVENUE SUITE ATOLEDOOH436062956WOUND CARE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:THE TOLEDO HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART II, COMMUNITY BUILDING ACTIVITIES:THE TOLEDO HOSPITAL PROMOTED THE HEALTH OF ITS COMMUNITY BY SUPPORTING LOCAL ORGANIZATIONS AND ACTIVITIES THAT ENGAGE IN COMMUNITY BUILDING ACTIVITIES.
PART III, LINE 2:THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 18 AND 19 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION.
PART III, LINE 8:MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM. - THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS. - MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER. - MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2021 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
PART III, LINE 9B:FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2:PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:THE TOLEDO HOSPITAL, WITH LOCATIONS IN THE TOLEDO, OHIO METROPOLITAN AREA, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 650,000. APPROXIMATELY, 14% OF THE SERVICE AREA IS AGE 65 OR OVER; 60% IS BETWEEN AGE 18 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000; 89% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 50% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 431,000 WITH APPROXIMATELY 18% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 32% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 8% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2021 WAS 3.9%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, COVID, UNINTENTIONAL INJURIES/ACCIDENTS, LUNG DISEASE, ALZHEIMER'S, AND DIABETES. ACCORDING TO 2021 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 72 OF 88 COUNTIES FOR HEALTH OUTCOMES, 69 OF 88 FOR LENGTH OF LIFE, AND 77 OF 88 FOR QUALITY OF LIFE. THERE ARE THIRTEEN HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., MONROE REGIONAL HOSPITAL, AND FULTON COUNTY HEALTH CENTER.
PART VI, LINE 5:THE TOLEDO HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2021:- THERE WERE APPROXIMATELY 300 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), SERVING ON MORE THAN 25 DIFFERENT BOARDS, COMMITTEES, COUNCILS AND FOUNDATIONS. OF THOSE BOARD MEMBERS, MOST LIVE WITHIN PROMEDICA'S OHIO AND MICHIGAN ACUTE CARE SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN THE GREATER TOLEDO AREA WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. BOARD MEMBERSHIP IS COMPOSED OF 43% FEMALES, 20% PHYSICIANS, 11% UNDER THE AGE OF 40, AND 18% RACIAL OR ETHNIC MINORITIES. - PROMEDICA NON-PARENT BOARD MEMBERS' DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, WERE PERFORMED ON A VOLUNTEER BASIS. - PROMEDICA'S MEDICAL STAFF PRIVILEGES WERE EXTENDED TO ALL QUALIFIED PHYSICIANS AT OUR METRO TOLEDO AND REGIONAL HOSPITALS. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MET THOSE QUALIFICATIONS WAS GRANTED PRIVILEGES, UPON THEIR REQUEST.- AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED TWO SYSTEM-WIDE UPGRADES TO THE 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 PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE.- 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. - PROMEDICA SENIOR CARE SKILLED NURSING FACILITIES AND HOME HEALTH AND HOSPICE AGENCIES PROVIDE UNIQUE SERVICES TO VETERANS, HOLIDAY SUPPORT, SUPPORT GROUPS, AND WORKSHOPS TO ANYONE IN THE COMMUNITY WHO NEEDS ADDITIONAL HELP TO GET THROUGH THE LOSS OF A LOVED ONE. PATIENTS AND RESIDENTS' WISHES ARE GRANTED THROUGH THE ORGANIZATION'S HEART'S DESIRE PROGRAM. THROUGH GRANTS FROM THE HOSPICE MEMORIAL FUND, GRIEF CAMPS FOR CHILDREN AND ADULTS ARE OFFERED AS WELL AS EDUCATIONAL SESSIONS AND LIFE CELEBRATION EVENTS. THE FUND ALSO PROVIDES STABILIZING RESOURCES FOR HOSPICE PATIENTS AND FAMILIES IN FINANCIAL DISTRESS DUE TO THE LACK OF OR REDUCTION IN INCOME FROM TERMINAL ILLNESS OR DISEASE.- 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 THE METRO TOLEDO AREA, PROMEDICA 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.
PART VI, LINE 6:PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A NATIONWIDE, MISSION-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2021 PROMEDICA WAS COMPRISED OF MORE THAN 45,000 EMPLOYEES, NEARLY 850 VOLUNTEERS AND MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERSINCLUDING APPROXIMATELY 1,200 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP ('PPG")WHO FORM A PROVIDER NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. IN 2021:- PROMEDICA MEMBERS AND AFFILIATE HOSPITALS INCLUDED: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL D/B/A PROMEDICA BAY PARK HOSPITAL; EMMA L. BIXBY MEDICAL CENTER D/B/A PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL,; FOSTORIA HOSPITAL ASSOCIATION D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL; DEFIANCE HOSPITAL, INC. D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION D/B/A PROMEDICA MONROE REGIONAL HOSPITAL; MEMORIAL HOSPITAL D/B/A PROMEDICA MEMORIAL HOSPITAL; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY D/B/A PROMEDICA COLDWATER REGIONAL HOSPITAL. PROMEDICA ALSO INCLUDES PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION AS WELL AS HUNDREDS OF SKILLED NURSING AND REHABILITATION CENTERS, ASSISTED LIVING FACILITIES AND MEMORY CARE COMMUNITIES, ALL UNDER THE PROMEDICA SENIOR CARE/HCR MANORCARE UMBRELLA.- PROMEDICA MANAGED APPROXIMATELY 2.28 MILLION PPG EMPLOYED PROVIDER ENCOUNTERS, 57,200 SURGERIES, 6,000 BIRTHS, AND MORE THAN 262,600 EMERGENCY ROOM VISITS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF OVER $259,433,000.- PROMEDICA CONTINUED TO OPERATE THREE COMMUNITY FOOD CLINICS, LOCATED AT PROMEDICA BAY PARK HOSPITAL, THE PROMEDICA HEALTH AND WELLNESS CENTER AND PROMEDICA'S CENTER FOR HEALTH SERVICES, TO SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEMSELVES AND THEIR FAMILY FROM ONE OF THESE FOOD CLINICS. AS PART OF THE PROGRAM, PATIENTS CAN RECEIVE TWO TO THREE DAYS OF SUPPLEMENTAL FOOD. THROUGH DECEMBER 2021, APPROXIMATELY 5,794 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 2,093 UNIQUE HOUSEHOLDS, FURTHERED PROMEDICA'S EFFORTS TO REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 44,100 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 132,300 MEALS.- FOR ITS MICHIGAN PATIENTS, PROMEDICA PARTNERED WITH THE SOUTH MICHIGAN FOOD BANK TO DISTRIBUTE FOOD RESOURCES TO PROMEDICA PHYSICIANS GROUP OFFICES FOR PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY. IN 2021, 49 PEOPLE WERE SUPPORTED BY THE INITIATIVE. PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL PROVIDE THE $5 VOUCHERS AT DISCHARGE SO PATIENTS CAN REDEEM FRESH PRODUCE FROM THE VEGGIE MOBILE THAT IS SOURCED FROM PROMEDICA FARMS, LOCAL GROWERS, AND A WHOLESALER. IN 2021, NEARLY 2,560 POUNDS OF PRODUCE WAS GROWN AT PROMEDICA FARMS, 21 PATIENTS IDENTIFIED AS FOOD INSECURE REDEEMED A VOUCHER ISSUED BY A PHYSICIAN OR DISCHARGE PLANNING, AND AN ADDITIONAL 4 PATIENTS WERE PROVIDED A FOOD BOX AND VEGGIE VOUCHER UPON DISCHARGE. - PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDED BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES AND A FINANCIAL OPPORTUNITY CENTER TO PROVIDE FINANCIAL COUNSELING FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. ADDITIONALLY, TWO NEW FINANCIAL OPPORTUNITY CENTERS (FOC) WERE OPENED IN FREMONT AND DEFIANCE, OHIO. MUCH LIKE THE FOC LOCATED IN UPTOWN TOLEDO, THE NEW LOCATIONS OFFER SERVICES AND ASSIST LOW TO MODERATE-INCOME FAMILIES WITH SECURING LIVING WAGE JOBS, BUILDING CREDIT, REDUCING DEBT, AND GAINING WEALTH. THE FOC ALSO HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING AS WELL AS FREE TAX PREPARATION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1444 N SUMMIT STAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Recipient EIN341517672RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$24,527CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantOPERATING GRANTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RANDALL OOSTRA
PHS PRES. & CEO$0$1,956,043$0$5,028,392$0$171,337$0$283,814$0$16,530$0$7,456,116$0$0
STEVEN M CAVANAUGH
TREASURER, CFO$0$1,300,553$0$2,196,109$0$1,242$0$35,041$0$25,619$0$3,558,564$0$0
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER$0$724,534$0$616,992$0$6,089$0$53,463$0$14,723$0$1,415,801$0$0
ARTURO POLIZZI
FORMER PRESIDENT, COO$0$927,363$0$300,000$0$3,379$0$0$0$25,127$0$1,255,869$0$0
MATTHEW KANG
EX OFFICIO, CFO SENIOR CARE$0$567,481$0$285,926$0$810$0$8,577$0$21,996$0$884,790$0$0
DAWN M BUSKEY
PRES., EX OFFICIO$0$545,228$0$256,990$0$3,281$0$32,280$0$16,881$0$854,660$0$0
AARON A BUERK MD
TRUSTEE, PHYSICIAN$0$811,134$0$22,085$0$362$0$0$0$20,609$0$854,190$0$0
THOMAS GEORGE PADANILAM MD
TRUSTEE, PHYSICIAN$0$606,227$0$0$0$250$0$0$0$26,868$0$633,345$0$0
RAVI K ADUSUMILLI MD
TRUSTEE, PHYSICIAN$0$479,881$0$91,453$0$3,816$0$0$0$22,493$0$597,643$0$0
KATE GATES
PHYSICIAN$222,047$284,054$65,000$0$0$29$0$0$15,612$4,287$302,659$288,370$0$0
GARY W AKENBERGER
COO, ACUTE CARE & SVP, DIAG$0$387,188$0$133,715$0$4,564$0$20,943$0$17,524$0$563,934$0$0
DEANA SIEVERT
SR VP, PAT CARE/CNO, SYSTEM$0$330,172$0$190,593$0$9,749$0$10,552$0$22,624$0$563,690$0$0
KEVIN C WEBB PHD
FORMER CHIEF ACUTE OFFICER$0$0$0$438,239$0$0$0$8,700$0$916$0$447,855$0$0
QIN-SHENG CHEN
SR. MEDICAL PHYSICIST$276,693$0$350$0$9,831$0$5,720$0$15,615$0$308,209$0$0$0
ALAN M SATTLER
FORMER TREASURER, VP BUSINESS DEV.$0$210,556$0$50,619$0$8,452$0$10,550$0$26,673$0$306,850$0$0
JAMES BURNS
SR. MEDICAL PHYSICIST$241,446$0$350$0$4,448$0$9,836$0$18,156$0$274,236$0$0$0
JOSHUA OVENS
RN CRITICAL CARE TRANSPORT$210,505$0$27,563$0$124$0$6,048$0$24,557$0$268,797$0$0$0
THADIUS L WADSWORTH MBA BSN RN C
TRUSTEE, PRES. BAY PARK$0$200,427$0$46,090$0$610$0$4,876$0$8,015$0$260,018$0$0
FEDOR LURIE
ASSOC DIR RESEARCH ED VASC$230,625$0$0$0$0$0$3,479$0$19,071$0$253,175$0$0$0
DARRELL J WACHOWIAK RN BSN MHA
TRUSTEE, PRES. FLOWER HOSPITAL$0$180,531$0$30,639$0$2,325$0$6,404$0$21,998$0$241,897$0$0
JAMES BINGLE
TRUSTEE (PARTIAL YEAR), PHYSICIAN$0$154,410$0$43,549$0$3,814$0$0$0$505$0$202,278$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHARTER TRAVEL: 1 OFFICER- NOT INCLUDED IN TAXABLE COMPENSATION
PART I, LINE 3PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF THE TOLEDO HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BELIGIBLE 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.
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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF LUCAS OHIO (2015B)
A346400806549310VL12015-09-30$45,586,125SEE PART VI000
COUNTY OF LUCAS OHIO
B3464008060000000002017-12-29$299,500,000SEE PART VI000
COUNTY OF LUCAS OHIO
C346400806549310VM92017-12-29$142,500,000SEE PART VI000
COUNTY OF LUCAS OHIO
D346400806549310WE62018-10-25$261,485,311SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtRetiredRetiredAmtCredit EnhancementCreditEnhancementAmt
A$45,598,957$2$586,084$45,012,873201800Yes (1)Yes (1)
B$4,2630Yes (1)Yes (1)Yes (1)$299,495,737
C$62,500,000$80,000,000Yes (1)0Yes (1)Yes (1)$62,500,000$80,000,000
D$262,545,834$1,559,890$170,995,519Yes (1)0Yes (1)Yes (1)$89,150,881$839,544

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I:SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2017 BOND DETAIL ISSUER NAME: 2017 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $54,710,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008D BONDS ISSUED 05/15/2008. MATURITY: 11/15/2040 ISSUER NAME: 2017 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $120,010,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $84,980,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $39,800,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011. MATURITY: 11/15/2029 ISSUER NAME: 2017 SERIES F AND G - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VM9 DATE ISSUED: 12/29/2017 ISSUE PRICE: $142,500,000 PURPOSE: TO REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008A BONDS ISSUED 05/15/2008 AND TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2034 SERIES 2018 BOND DETAIL ISSUER NAME: 2018 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310WE6 DATE ISSUED: 10/25/2018 ISSUE PRICE: $261,485,311 PURPOSE: REFINANCING THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011C BONDS ISSUED 05/25/2011 & 2017G BONDS ISSUED 12/29/2017 AND FINANCE THE CONSTRUCTION AND EQUIPPING OF REPLACEMENT HOSPITAL CAMPUS ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2048 SERIES 2021A BOND DETAIL ISSUER NAME: 2021 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 8/17/2021 ISSUE PRICE: $25,885,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011 MATURITY: 11/15/2029 SERIES 2021B BOND DETAIL ISSUER NAME: 2021 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 8/17/2021 ISSUE PRICE: $25,885,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011 MATURITY: 11/15/2029 SERIES 2021C BOND DETAIL ISSUER NAME: 2021 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 8/17/2021 ISSUE PRICE: $25,885,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011 MATURITY: 11/15/2029 PART I, COLUMN (E): DIFFERENCE BETWEEN THE ISSUE PRICE SHOWN IN PART I, COUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 2 ARE DUE TO INVESTMENT EARNINGS PART IV, LINE 6: CERTAIN OF THESE BOND ISSUES CONSTITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH THE PROCEEDS OF THE BONDS. PART IV COLUMN (B) SERIES 2017 BONDS REBATE CALCULATION PERFORMED 12/21/2021
PART I, LINE C OF ENTITY 2, COLUMN (C):ENTERED HERE IS THE CUSIP FOR THE LATEST MATURITY; THIS INFORMATION WAS INADVERTENTLY OMITTED FROM THE FORM 8038 FOR THE ISSUE.
PART I, COLUMN (E):DIFFERENCE BETWEEN THE ISSUE PRICES SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS.
PART III, COLUMN (C), SERIES 2011 D & E BONDS:PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE SERIES 2011 D & E BONDS, SINCE SUCH BONDS REFUNDED PRE-2003 BOND ISSUES.
PART IV, COLUMN (A), SERIES 2015 B BONDS:DATE THE REBATE COMPUTATION WAS PERFORMED: 10/10/2020
PART IV, COLUMN (B), LINE 2C, SERIES 2011 A & B BONDS:DATE THE REBATE COMPUTATION WAS PERFORMED: 02/22/2016.
PART IV, LINE 6:CERTAIN OF THESE BOND ISSUES CONSITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF LUCAS OHIO (2021A-C)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN346400806BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2021-08-17BondIssuedDt
Issue Price$79,650,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Other Spent Proceeds$79,650,000OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LISA TOFT
FAMILY MEMBER OF BRADLEY J. TOFT (TRUSTEE)$50,797EMPLOYED MEDTECHII0
SANDRA WACHOWIAK
FAMILY MEMBER OF DARRELL WACHOWIAK (TRUSTEE)$131,058EMPLOYED LEAD PHARMACIST0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4THE TOLEDO HOSPITAL - PROGRAM SERVICE ACCOMPLISHMENTS THE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. FOR MORE THAN 130 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METROPOLITAN TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 794-BED HOSPITAL OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS ADVANCE PRACTICE PROVIDERS, OFFERING THE LARGEST BOARD-CERTIFIED MEDICAL STAFF IN THE AREA. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICES TO THE METRO-TOLEDO AREA, SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES MATERNAL-FETAL MEDICINE FOR HIGH-RISK PREGNANCIES AND A LEVEL III PERINATAL UNIT; JOBST VASCULAR INSTITUTE; PROMEDICA BREAST CARE; AND A LEVEL I TRAUMA CENTER. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDIC DEPARTMENTS, A NATIONALLY RECOGNIZED BARIATRIC PROGRAM, A CERTIFIED COMPREHENSIVE STROKE CENTER, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 100,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY, RADIOLOGY, AS WELL AS PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES. THE PROMEDICA RUSSELL J. EBEID CHILDREN'S HOSPITAL (ECH) OPERATES AS PART OF TH, PROVIDING PEDIATRIC TERTIARY CARE. ECH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS UNDER THE AGE OF 18. ECH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WHILE A NEWBORN INTENSIVE CARE UNIT INCLUDES A NEONATAL PHYSICIAN AND PEDIATRIC HOSPITALIST WHO ARE ON DUTY 24 HOURS A DAY. OTHER ECH SPECIALTY SERVICES INCLUDE A PEDIATRIC CANCER CENTER, ASTHMA TREATMENT AND EDUCATION SERVICES, PEDIATRIC PSYCHIATRY, AND A DEDICATED LEVEL II PEDIATRIC TRAUMA CENTER. IN 2020, PROMEDICA TOLEDO HOSPITAL EARNED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AS PART OF ITS UPDATED OVERALL HOSPITAL QUALITY STAR RATING. THE TH RECOGNITION WAS EARNED IN A COLLABORATIVE EFFORT WITH PROMEDICA FLOWER AND WILDWOOD ORTHOPAEDIC AND SPINE HOSPITALS. TH ALSO WAS RATED THE NUMBER 1 HOSPITAL IN THE METRO TOLEDO AREA BY U.S. NEWS AND WORLD REPORT AND WAS RECOGNIZED BY BECKER'S HOSPITAL REVIEW AS ONE OF THE "100 GREATEST HOSPITALS IN AMERICA" FOR 2021. THEY ACHIEVED THE TOP 50 HOSPITAL RECOGNITION AS WELL AS RECOGNITION AS A TOP 50 HOSPITAL FOR CARDIAC SURGERY. IN 2021, PROMEDICA TOLEDO HOSPITAL OPENED ITS NEW FREESTANDING EMERGENCY DEPARTMENT AND URGENT CARE CLINIC IN MAUMEE, OHIO TO MEET THE NEEDS OF THAT COMMUNITY'S RESIDENTS. THE FACILITY IS THE FIRST FREESTANDING, COMBINED ER AND URGENT CARE IN LUCAS COUNTY. 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 FLOWER HOSPITAL (FH), A DIVISION OF TH, IS A 315-BED FACILITY IN SYLVANIA, OHIO, WHICH PROVIDES EXTENSIVE HEALTHCARE SERVICES INCLUDING EMERGENCY MEDICINE, INPATIENT REHABILITATION, SURGICAL SERVICES, CARDIAC AND PULMONARY REHABILITATION, LABOR AND DELIVERY, INPATIENT ONCOLOGY CARE, OUTPATIENT ONCOLOGY SERVICES THROUGH THE HICKMAN CANCER CENTER, AND A FULL RANGE OF DIAGNOSTIC, LABORATORY AND RADIOLOGY SERVICES. FH ALSO HOUSES THE LARGEST ADULT INPATIENT PSYCHIATRIC UNIT IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. IN 2021, FH WAS NAMED A DESIGNATED STEMI CENTER BY THE OHIO DEPARTMENT OF HEALTH. NOW, LOCAL EMS CAN TAKE PATIENTS IN NEED OF EMERGENCY HEART CARE DIRECTLY TO FH INSTEAD OF TO ANOTHER LOCATION. A NEW CARDIAC CATH LAB AND SEVERAL MONTHS OF PLANNING, PREPARATION AND TRAINING HELPED BRING THIS CARE TO FH PATIENTS AND THE COMMUNITY. FH ALSO IS A DESIGNATED GET WITH THE GUIDELINES STROKE GOLD PLUS HOSPITAL IN RECOGNITION OF ITS COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED BEST PRACTICES. PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (WOSH), ALSO A DIVISION OF TH, IS AN ALL-DIGITAL, 42-BED ACUTE CARE FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS AND OTHERS WHO EXPERIENCE CHRONIC PAIN FROM JOINT DISEASE. THIS UNIQUE, FREE-STANDING HOSPITAL SERVES ONLY ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES ALL IN ONE CONVENIENT AND EASILY ACCESSIBLE LOCATION. IN 2021, WOSH RECEIVED NATIONAL RECOGNITION WITH THE PRESS GANEY GUARDIAN OF EXCELLENCE AWARD, PRESENTED TO ORGANIZATIONS SCORING IN THE 95TH PERCENTILE OR HIGHER FOR PATIENT EXPERIENCE METRICS. THIS MARKS THE NINTH CONSECUTIVE YEAR THAT THE HOSPITAL HAS RECEIVED THIS RECOGNITION. IN 2021, TH SERVED 39,726 INPATIENTS; 617,356 OUTPATIENTS; AND 115,145 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $127,243,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, TH CONTRIBUTED $42,766,000 TO THE COMMUNITY DURING 2021. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - THE COME TO THE TABLE INITIATIVE THAT PROVIDES 24 HOURS' WORTH OF FOOD TO PATIENTS WHO QUALIFY FOR FOOD INSECURITY BY COMPLETING A QUESTIONNAIRE UPON DISCHARGE FOLLOWING AN INPATIENT STAY. - THE AUTISM COLLABORATIVE A COLLABORATION BETWEEN ECH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. - SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH MANAGING CHRONIC DISEASE AND TO OFFER SOCIAL SERVICES INFORMATION. - WITH THE GOAL OF IMPROVING INFANT MORTALITY RATES IN OUR REGION, A NURSING MOTHERS SUPPORT GROUP IS OFFERED AT NO CHARGE THROUGHOUT THE YEAR. - THE TEEN PEP (PEERS EDUCATING PEERS) PROGRAM EXTENDS CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS, BY ENCOURAGING TEENS TO TALK WITH THEIR PEERS ABOUT IMPORTANT TOPICS SUCH AS TEEN RELATIONSHIPS, BULLYING, MENTAL HEALTH, AND PHYSICAL AND EMOTIONAL ABUSE. - VIRTUAL PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION. - FREE SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZES THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. - IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES. TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2021, OF WHICH $6,474,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2021 WAS $10,956,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $127,243,000 INDICATED ABOVE. FURTHER, TH PROVIDED $78,003,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. ALSO, IN 2021, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT- FOR TREATING MEDICARE PATIENTS WAS $75,276,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $127,243,000 NOTED ABOVE. DURING 2021 TH EXPENDED $295,931,000 IN NET PAYROLL, PROVIDING 8,298 JOBS IN NORTHWEST OHIO. A TOTAL OF $18,349,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES.
FORM 990, PART III, LINE 4AIN SUMMARY, TH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
PART V, 1ATHE PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY. ALL 1099 FORMS FOR PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES ARE FILED UNDER PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671.
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BWHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CPROMEDICA 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 15THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
PART VII, SECTION BPROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, PROMEDICA HEALTH SYSTEM, INC. THE INDEPENDENT CONTRACTORS OVER $100,000 WILL BE LISTED ON THE 990 FILED FOR PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 30,061,342. MANAGEMENT AND GENERAL EXPENSES 11,892,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,953,557. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 10,364,568. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,364,568. SERVICE CONTRACTOR FEES: PROGRAM SERVICE EXPENSES 51,838,727. MANAGEMENT AND GENERAL EXPENSES 26,914,158. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,752,885. TEMP AGENCY FEES: PROGRAM SERVICE EXPENSES 18,425,714. MANAGEMENT AND GENERAL EXPENSES 9,335,382. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,761,096. TESTING FEES: PROGRAM SERVICE EXPENSES 19,605,498. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,605,498.
FORM 990, PART XI, LINE 9:PENSION EXPENSE ADJUSTMENT 21,977. BENEFICIAL INTEREST IN FOUNDATION 21,124,856. TRANSFERS BETWEEN RELATED ENTITIES -328,137,086. NET TRANSFER OF ASSETS TO PCS 127,081.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEnd Of Year AssetsEndOfYearAssetsAmt
PROMEDICA HICKMAN CANCER CENTER PHARMACY LLC
100 MADISON AVETOLEDOOH43604PHARMACYOH$125,131,127THE TOLEDO HOSPITAL
PHS INVESTMENTS LLC
100 MADISON AVETOLEDOOH43604INVESTMENT COMPANYOHTHE TOLEDO HOSPITAL$7,617,124

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
100 MADISON AVETOLEDOOH43604341883132HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
100 MADISON AVETOLEDOOH43604386108110HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
DEFIANCE HOSPITAL INC
100 MADISON AVETOLEDOOH43604344446484HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER
100 MADISON AVETOLEDOOH43604382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI43604382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIEMMA L BIXBY MEDICAL CENTERYes (1)
FOSTORIA HOSPITAL ASSOCIATION
100 MADISON AVETOLEDOOH43604340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10FOSTORIA HOSPITAL ASSOCIATIONYes (1)
HCR MANORCARE FOUNDATION INC
444 N SUMMIT STTOLEDOOH43604522031975FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5TOLEDOOH43699825373223SKILLED NURSING FACILITIESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
HEARTLAND HOSPICE MEMORIAL FUND INC
444 N SUMMIT STTOLEDOOH43604270497199FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIHERRICK MEMORIAL HOSPITAL INCYes (1)
HERRICK MEMORIAL HOSPITAL INC
100 MADISON AVETOLEDOOH43604383049015HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
KAITLYN'S COTTAGE INC
100 MADISON AVETOLEDOOH43604454781053RESPITE CAREOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
LENAWEE LONG TERM CARE
PO BOX 10086 ATTN TAX-5TOLEDOOH43699382879330LONG TERM CAREMI501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF GIG HARBOR WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624719SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF LACEY WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624391SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF LYNNWOOD WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624675SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF SALMON CREEK WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624375SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF SPOKANE WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624687SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF TACOMA WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624696SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MEMORIAL HOSPITAL
100 MADISON AVETOLEDOOH43604344430849HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MEMORIAL PROFESSIONAL SERVICES
100 MADISON AVETOLEDOOH43604273763993PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
100 MADISON AVETOLEDOOH43604381984289HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MONROE COMMUNITY HEALTH SERVICES
PO BOX 10086 ATTN TAX-5TOLEDOOH43699382934134LONG TERM CAREMI501(C)(3)10HCR MANORCARE INCYes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIRMAUMEEOH43537203376102HEALTH INSURANCEOH501(C)(3)10PROMEDICA INSURANCE CORP INC AND SUBSIDIARIESYes (1)
PROMEDICA CENTRAL PHYSICIANS
100 MADISON AVETOLEDOOH43604341881137PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA CHILDRENS SPECIALISTS
100 MADISON AVETOLEDOOH43604208734161PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVETOLEDOOH43604344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)10PROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVETOLEDOOH43604341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA COURIER SERVICES INC
100 MADISON AVETOLEDOOH43604260324790COURIER SERVICEOH501(C)(3)12B, IIPROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672FOUNDATIONOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA GENITO-URINARY SURGEONS
100 MADISON AVETOLEDOOH43604461120436PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671PARENT COMPANY OF HEALTH SYSTEMOH501(C)(3)12B, II0N/A
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA MONROE CARDIOLOGY
100 MADISON AVETOLEDOOH43604272920342PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA MONROE PHYSICIANS
100 MADISON AVETOLEDOOH43604461111822PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVETOLEDOOH43604454976786PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
100 MADISON AVETOLEDOOH43604263888045PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA PHYSICIAN GROUP INC
100 MADISON AVETOLEDOOH43604341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIANS AT HOME INC
100 MADISON AVETOLEDOOH43604852181349PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA PRIMARY CARE PROVIDERS
100 MADISON AVETOLEDOOH43604831731861PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
THE HUG FUND
444 N SUMMIT STTOLEDOOH43604202272848FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
100 MADISON AVETOLEDOOH43604341831624HOSPICE HOME CAREOH501(C)(3)10HCR MANORCARE INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVEFREMONTOH43420204066818REAL ESTATEOHN/A00
MERCYMANOR PARTNERSHIP
PO BOX 10086 ATTN TAX-5TOLEDOOH43604521931012SKILLED NURSINGPAN/A0Yes (1)
NORMAN SPECIALTY HOSPITAL LLC
PO BOX 10086 ATTN TAX-5TOLEDOOH43604421627672HEALTH CAREDEN/A0Yes (1)
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVETOLEDOOH43604260679898MEDICAL DIAGNOSTICSOH00THE TOLEDO HOSPITALRELATED$210,328$392,2400.50000
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVETOLEDOOH43604473163945REAL ESTATEOHN/A0Yes (1)
PROMEDICA MASTER TENANT LLC
100 MADISON AVETOLEDOOH43604475288490REAL ESTATEOHN/A0Yes (1)
PROMEDICA PATHOLOGY LABORATORIES LLC
2130 W CENTRAL AVE STE 300TOLEDOOH43606831022842CLINICAL LABORATORYDE00THE TOLEDO HOSPITALRELATED$20,923,076$101,400,6640.51000
PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
100 MADISON AVETOLEDOOH43604461989695PHYSICIAN MANAGEMENT SERVICESOHN/A00
REYNOLDS ROAD SURGICAL CENTER LTD
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROH00THE TOLEDO HOSPITALRELATED$56,022$1,568,2330.63000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220TOLEDOOH43615475603627INVESTMENT FUNDOHN/A00
THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIN/A00
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROH0Yes (1)THE TOLEDO HOSPITALRELATED$585,480$1,232,3220.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMIN/AC0
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMIN/AC0
MONROE HEALTH VENTURES INC
718 N MACOMBMONROEMI48164382704426PHARMACYMIN/AC0
PROMEDICA AT HOME INC
100 MADISON AVETOLEDOOH43604852320857PHYSICAN SUPPORTMIN/AC0
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVETOLEDOOH43604383322278PHYSICIAN HEALTH CARE SERVICESOHN/AC0
PROMEDICA HEALTH NETWORK INC
100 MADISON AVETOLEDOOH43604474006496PHYSICIAN MANAGEMENT SERVICESOHN/AC0
PROMEDICA INNOVATIONS LLC
100 MADISON AVETOLEDOOH43604301221601INVESTMENT COMPANYOHN/AC0
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHN/AC0
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVETOLEDOOH43604475168737REAL ESTATEOHN/AC0
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVETOLEDOOH43604383482148PHYSICIAN HEALTH CARE SERVICESOHN/AC0
PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC
PO BOX 10086 ATTN TAX-5TOLEDOOH43699861179270SKILLED NURSINGNJN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROMEDICA INTUITIVE MANAGEMENT OF OHIO
Q$384,136FMV
PROMEDICA INTUITIVE MANAGEMENT OF OHIO
R$770,035FMV
PROMEDICA PATHOLOGY LABORATORIES
A$3,997,886FMV
PROMEDICA PATHOLOGY LABORATORIES
O$21,936,400FMV
PROMEDICA PATHOLOGY LABORATORIES
Q$36,577,643FMV
REYNOLDS ROAD SURGICAL CENTER LLC
A$187,200FMV
REYNOLDS ROAD SURGICAL CENTER LLC
B$315,000FMV
REYNOLDS ROAD SURGICAL CENTER LLC
J$157,500FMV
REYNOLDS ROAD SURGICAL CENTER LLC
O$58,900FMV

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