2025-10-14T16:08:31-05:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 344430849 MEMORIAL HOSPITAL MEMO 4192525772 100 MADISON AVE ATTN TAX DEPT TOLEDO OH 43604 TERRENCE METZGER CFO 4192525772 2025-10-13 1 1 AMY CIMINELLO P00796388 6148493000 2025-10-13 2024 2025-03-06 01:10:19Z PROMEDICA MEMORIAL HOSPITAL TERRENCE METZGER 100 MADISON AVE ATTN TAX DEPT TOLEDO OH 43604 94767507 0 X WWW.PROMEDICA.ORG X 1918 OH MEMORIAL HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY AND SURROUNDING AREAS REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY, AND OUTPATIENT CARE. OUR MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES WE SERVE. 22 18 415 104 0 0 942869 288784 91920546 93179696 329040 198998 698518 1100029 93890973 94767507 0 0 0 0 24334366 24669433 0 0 0 54509064 53256656 78843430 77926089 15047543 16841418 59012522 55495767 41665386 33598723 17347136 21897044 X OUR MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES WE SERVE. 0 0 59036236 0 93947387 MEMORIAL HOSPITAL (D/B/A PROMEDICA MEMORIAL HOSPITAL) IS A MEMBER 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. A 43-BED HOSPITAL IN FREMONT, OHIO, PROMEDICA MEMORIAL HOSPITAL (MH) PROVIDES EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; OUTPATIENT PHYSICAL REHABILITATION; HEART, VASCULAR AND PULMONARY CARE; LABOR AND DELIVERY; MENTAL HEALTH SERVICES; A WOUND CARE CLINIC, AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. THE DOROTHY L. KERN CANCER CENTER ON THE CAMPUS OF MH, EXPANDS CANCER CARE TO PATIENTS IN THE FREMONT, OHIO, AREA. THE CANCER CENTER OFFERS OUTPATIENT RADIATION, CHEMOTHERAPY, AND INFUSION SERVICES AS WELL AS COMPLEMENTARY SERVICES SUCH AS GENETIC TESTING AND COUNSELING, HEALING CARE, AND SURVIVORSHIP CARE PLANNING. MH ALSO IS A DESIGNATED LUNG CANCER SCREENING CENTER BY THE AMERICAN COLLEGE OF RADIOLOGY. MH EARNED THE STROKE GOLD PLUS RECOGNITION FOR THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM. THIS RECOGNITION SHOWS THE HOSPITAL HOLDS THE MOST UP-TO-DATE TREATMENT GUIDELINES TO IMPROVE PATIENT CARE AND OUTCOMES. MH EARNED AN "A" HOSPITAL SAFETY GRADE FROM THE THE LEAPFROG. MH ALSO WAS RECOGNIZED BY CENTERS FOR MEDICARE AND MEDICAID (CMS) WITH A THREE STAR RATING FOR OUTCOMES IN MORTALITY, SAFETY, READMISSIONS, PATIENT EXPERIENCE, AND TIMELY AND EFFECTIVE CARE. IN 2024, MH SERVED 1,401 INPATIENTS AND 100,270 OUTPATIENTS. FURTHER, 20,566 INDIVIDUALS SOUGHT EMERGENCY CARE AT MH. THE HOSPITAL CONTRIBUTED $14,534,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS, MH CONTRIBUTED $1,273,000 TO THE COMMUNITY DURING 2024. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: USE APPROVED AND FUNDED RESOURCES FROM SUSAN G. KOMEN TO PROVIDE BREAST EXAMS AND MAMMOGRAMS. PROVIDING CARE PACKAGES AND HOMEMADE COOKIES FROM NUTRITION SERVICES TO PATIENTS RECEIVING CARE THROUGH HOSPICE, HOME HEALTH, DIALYSIS, MOBILE MEALS, THE CANCER CENTER, AND PAIN CLINIC AS WELL AS SEVERAL SENIOR HOUSING COMMUNITIES. COLLABORATIONS WITH COMMUNITY-BASED ORGANIZATIONS TO PROVIDE COMMUNITY MEMBERS WITH EDUCATION ABOUT COOKING HEALTHY RECIPES AND HEALTHY AFTER SCHOOL SNACKS.MH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE DURING 2024, OF WHICH $4,377,000 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 DO NOT PAY THEIR BILLS. MH COST OF BAD DEBT FOR 2024 WAS $4,307,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $14,534,000 NOTED ABOVE.FURTHERMORE, MH PROVIDED $2,382,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. MH EXPENDED $12,194,000 IN NET PAYROLL, PROVIDING 274 FULL TIME JOBS IN NORTHWEST OHIO IN 2024. A TOTAL OF $1,475,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, MH 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. 59036236 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 415 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X TERRENCE METZGER 4192525772 100 MADISON AVE TOLEDO OH 43604 X LISA A DAVIS TRUSTEE 1.00 0.00 X 0 0 0 BETHANY BROWN TRUSTEE 1.00 0.00 X 0 0 0 JULIE CHUDZINSKI TRUSTEE 1.00 0.00 X 0 0 0 DASA DZIERWA TRUSTEE/CP AVP 1.00 44.00 X 0 182970 0 JENNIFER FEHNRICH TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL GRILLIS TRUSTEE/PHYSICIAN 1.00 44.00 X 0 694471 14931 ROBERT GROSS TRUSTEE 1.00 0.00 X 0 0 0 PAUL HERSHEY TRUSTEE 1.00 0.00 X 0 0 0 ROGER KUNS TRUSTEE 1.00 0.00 X 0 0 0 SCOTT LANG TRUSTEE 1.00 0.00 X 0 0 0 JOSEPH LISZAK III TRUSTEE 1.00 0.00 X 0 0 0 BARRY LUSE CHAIRPERSON 1.00 16.00 X X 0 0 0 VINCE MILITELLO TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 SCOTT MILLER TRUSTEE 1.00 0.00 X 0 0 0 CHRISTIAN MOORE TRUSTEE 1.00 0.00 X 0 0 0 ANGELA MORELOCK TRUSTEE 1.00 0.00 X 0 0 0 JIM NORTH TRUSTEE 1.00 0.00 X 0 0 0 JODI RUCKER PRESIDENT 1.00 44.00 X X 0 304786 4097 ANTHONY RUSHER TRUSTEE 1.00 0.00 X 0 0 0 DUDLEY SINGER III TRUSTEE 1.00 0.00 X 0 0 0 DAVID SOMMERS TRUSTEE/PHYSICIAN 1.00 44.00 X 0 540259 0 ANTHONY WALKER TRUSTEE 1.00 0.00 X 0 0 0 JAMES WILLIAMS TRUSTEE 1.00 1.00 X 0 0 0 TERRENCE METZGER TREASURER/CFO 1.00 54.00 X 0 1209318 6610 STEPHEN SADOWSKI SECRETARY/CHIEF LEGAL OFFICER 1.00 54.00 X 0 1180376 6038 ARTURO POLIZZI CEO 1.00 54.00 X 0 3119320 14012 RANDAL KOCH DIRECTOR OF PHARMACY SERVICES 45.00 0.00 X 186751 0 5257 MATTHEW GOETZ STAFF PHARMACIST 45.00 0.00 X 145284 0 1720 HEATHER SIEGER DIRECTOR OF EMERGENCY SERVICES 45.00 0.00 X 143059 0 4480 PATRICIA BEASCHLER STAFF PHARMACIST 45.00 0.00 X 141246 0 6895 AMY BREIDENBACH DIRECTOR OF NURSING SERVICES - ACUTE CARE 45.00 0.00 X 137568 0 5377 753908 7231500 69417 16 0 1 0 0 288784 288784 NET PATIENT SERVICES 622110 92549551 92549551 AFFILIATED ORG RENT RE 531120 630145 630145 93179696 -8917 -8917 73710 0 73710 73710 73710 207915 0 207915 207915 207915 OCCUPATIONAL HEALTH SE 621990 767691 767691 GIFT SHOP 459420 73722 73722 GOLDEN THREADS SENIOR 900099 69779 69779 115127 115127 1026319 94767507 93947387 0 531336 X 20517354 18070430 2446924 2677028 2357763 319265 1475051 1299135 175916 60000 60000 8095 8095 9134738 6444332 2690406 60771 9838 50933 2238626 362395 1876231 132702 88527 44175 2548168 31576 2516592 47226 7645 39581 1006160 1006160 3660203 3139161 521042 9509 9509 DRUGS 12631157 12631157 INTERCOMPANY SERVICES 9698171 1569972 8128199 MEDICAL SUPPLIES 4801188 4801188 PROVISION FOR BAD DEBTS 4306764 4306764 2913178 2910193 2985 77926089 59036236 18889853 0 4923596 4420959 11062072 13060594 1272332 1422725 306241 217040 69369583 41557644 30657832 27811939 153191 133156 282000 282000 10355258 8147354 59012522 55495767 6448623 6254975 30944 0 35185819 27343748 41665386 33598723 X 10419499 22360333 6927637 -463289 17347136 21897044 59012522 55495767 X 16841418 -12291510 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8095 8095 0 PART II-B, LINE 1: MEMORIAL HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ORGANIZATION. 380200 380200 380200 380200 380200 380200 380200 380200 380200 380200 0.00000 1.00000 0.00000 0 1 1 1020506 1020506 43213588 20555620 22657968 124157 23580 100577 23011559 19789293 3222266 1999773 1189151 810622 27811939 OTHER RECEIVABLES 1825 BENEFICIAL INTEREST IN FOUNDATION 7101194 THIRD PARTY RECEIVABLES 572491 DUE FROM AFFILIATES 132994 RIGHT OF USE ASSET 338850 8147354 ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE 4706346 ASSET REMEDIATION OBLIGATION 2552461 INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL 19899105 OPERATING LEASE LIABILITY 185836 27343748 PART V, LINE 4: THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT MEMORIAL HOSPITAL CONSISTENT WITH DONOR INTENT. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 0 832888 832888 0.01130 12427484 10045804 2381680 0.03240 13260372 10045804 3214568 0.04370 45 8016 47814 47814 0.00060 387093 387093 0.00530 785578 486450 299128 0.00410 52925 52925 0.00070 45 8016 1273410 486450 786960 0.01070 45 8016 14533782 10532254 4001528 0.05440 1 4306764 146180 13996780 17938459 -3941679 X 1 1 1 COOPERATIVE CARE PHYSICIAN ORGANIZATION 0.50000 0.05000 0.45000 1 1 MEMORIAL HOSPITAL 715 SOUTH TAFT AVE FREMONT OH 43420 WWW.PROMEDICA.ORG 1263 X X X MEMORIAL HOSPITAL 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 600.000000000000 X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 MEMORIAL 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 SURVEY ASSESSMENT PROCESS, MEMORIAL HOSPITAL STAFF JOINED SANDUSKY COUNTY HEALTH PARTNERS, WHERE MULTIPLE COMMUNITY ORGANIZATIONS COLLABORATED TO DEVELOP AND IMPLEMENT A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR SANDUSKY COUNTY. A RESOURCE ASSESSMENT AND GAP ANALYSIS WERE COMPILED AS PART OF THIS PROCESS.IN 2022, MEMORIAL HOSPITAL CONVENED A CHNA COMMITTEE TO REVIEW THE MOST RECENT SANDUSKY COUNTY CHA AND CHIP WITH GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THE DEFINED COMMUNITY AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND/OR UNDERSERVED POPULATIONS. THE HOSPITAL RECEIVED FEEDBACK ON THE CHNA PLAN FROM THE SANDUSKY COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A PUBLIC HEALTH EXPERT PERSPECTIVE.THE SANDUSKY COUNTY CHIP PROCESS AND GROUPS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: BELLEVUE HOSPITAL (PH), COMMUNITY HEALTH SERVICES, FIRELANDS COUNSELING & RECOVERY SERVICES, FREMONT CITY SCHOOL DISTRICT, GREAT LAKES COMMUNITY ACTION PARTNERSHIP, MENTAL HEALTH AND RECOVER SERVICES BOARD, PROMEDICA MEMORIAL HOSPITAL, SANDUSKY COUNTY BOARD OF DD, SANDUSKY COUNTY FAMILY AND CHILDREN FIRST COUNCIL, SANDUSKY COUNTY JOB AND FAMILY SERVICES, SANDUSKY COUNTY JUVENILE AND PROBATE COURT, SANDUSKY COUNTY PUBLIC HEALTH, UNITED WAY OF SANDUSKY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO. MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MEMORIAL HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:-HEALTH BEHAVIORS RELATED TO OBESTITY -CHRONIC DISEASE WOMEN'S HEALTH: BREAST CANCER AND GYNECOLOGICAL CANCER SCREENINGS-SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY -HEALTHY AGINGTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2022; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS, 2023-2025.MEMORIAL HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE HEALTH 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 ADDRESED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2022 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2022-2025 IMPLEMENTATION PLAN INCLUDE: ADULT MARIJUANA OTHER DRUGS, ADULT ALCOHOL USE, ADULT SEXUAL BEHAVIOR, ADULT TOBACCO USE, ADULT WEIGHT CONTROL, ARTHRITIS, ASTHMA, DIABETES,CANCER, CARDIOVASCULAR, CHILDREN'S HEALTH FUNCTIONAL STATUS, CHILDREN'S HEALTH INSURANCE ACCESS UTILIZATION, FAMILY FUNCTIONING NEIGHBORHOOD COMMUNITY, HEALTH CARE ACCESS, HEALTH COVERAGE, HEALTH PERCEPTION, MENTAL HEALTH, ORAL HEALTH, PARENT HEALTH, PREVENTIVE MEDICINE, QUALITY OF LIFE, WOMEN'S HEALTH, YOUTH ALOCHOL, YOUTH MARIJUANA OTHER DRUGS, YOUTH MENTAL HEALTH, YOUTH PERCEPTIONS,YOUTH SAFETY, YOUTH VIOLENCE ISSUES, YOUTH SEXUAL BEHAVIOR AND TEEN PREGNANCY OUTCOMES, YOUTH TOBACCO, YOUTH WEIGHT STATUS.MEMORIAL HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2024 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2022:HEALTH NEED IDENTIFIED: HEALTH BEHAVIORS RELATED TO OBESITY STRATEGY #1 PROVIDE AND DISTRIBUTE EDUCATION AND RESOURCES RELATED TO OUTDOOR EXERCISE TO THE COMMUNITY TO EDUCATE THEM ON BENEFITS OF HEALTHY OUTDOOR ACTIVITY.ACTIONS TAKEN:- 3430 COMMUNITY MEMBERS RECEIVED EDUCATION ABOUT HEALTHY OUTDOOR ACTIVITY THROUGH PARTNERSHIPS WITH THE SCHOOL SUMMER MEAL PROGRAM, CLYDE LIBRARY, AND SENIOR HEALTHY/WEALTHY/AND WISE EVENT COLLABORATIONS.- 300 COMMUNITY MEMBERS PARTICIPATED IN EDUCATION AND EXERCISE AT THE HOSPITAL'S OUTDOOR EXERCISE STATIONS THROUH THE FAMILY FEST, BOUNCE HOUSE, AND AGILITY COURSE. STRATEGY #2 PROVIDE AND DISTRIBUTE EDUCATION AND RESOURCES RELATED TO INDOOR EXERCISE TO THE COMMUNITY TO EDUCATE THEM ON BENEFITS OF HEALTHY INDOOR ACTIVITY.ACTIONS TAKEN:- 200 COMMUNITY MEMBERS RECEIVED EDUCATION ABOUT INDOOR EXERCISE THROUGH FLYERS, HOSPITAL EXERCISE ROOM, LUNCH AND LEARN EVENTS, AND THE FAMILY FEST HEALTH FAIR.- THE HOSPITAL OPENED USE OF ITS INDOOR EXERCISE EQUIPMENT, WHICH WAS ACCESSED 1010 TIMES. STRATEGY #3 PROVIDE AND DISTRIBUTE EDUCATION AND RESOURCES RELATED TO HEALTHY COOKING, INCLUDING COOKING DEMONSTRATIONS. ACTIONS TAKEN:- 43 COMMUNITY MEMBERS RECEVIED EDUCATION ABOUT NUTRITION EDUCATION AND HEALTHY RECIPES. - 55 7TH GRADE STUDENTS PARTICIPATED IN HEALTHY AFTER SCHOOL SNACK EDUCATION. HEALTH NEED IDENTIFIED: CHRONIC DISEASE WOMEN'S HEALTH: BREAST CANCER AND GYNECOLOGICAL CANCER SCREENINGS.STRATEGY #1 PROVIDE EDUCATION AND RESOURCES RELATED TO BREAST AND GYNECOLOGICAL CANCER TO THE COMMUNITY. ACTIONS TAKEN:- 323 COMMUNITY MEMBERS RECEIVED EDUCATION THROUGH THE DLK CANCER CENTER, GOLDEN THREADS HEALTH FAIR, FARMERS MARKET EVENTS, SANDUSKY COUNTY FAIR, CLYDE LIBRARY, AND SENIOR HEALTH FAIR AT WHITE STAR. STRATEGY #2 PROVIDE EDUCATION AND RESOURCES RELATED TO BREAST AND GYNECOLOGICAL CANCER AT COMMUNITY EVENTS.ACTIONS TAKEN: - 693 COMMUNITY MEMBERS RECEVIED EDUCATION ABOUT BREAST AND GYNECOLOGICAL CANCER SCREENING GUIDELINES.HEALTH NEED IDENTIFIED: SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY STRATEGY #1 SCREEN INPATIENTS ON ADMISSIONS FOR FOOD INSECURITY AND OFFER FOOD AT DISCHARGE WITH COMMUNITY FOOD RESOURCE LISTING TO INPATIENTS WHO SCREEN POSTIIVE FOR FOOD INSECURITY. ACTIONS TAKEN:- 108 PATIENTS SCREENED POSITIVE FOR FOOD INSECURITY AND WERE PROVIDED FOOD AT DISCHARGE IN 2024.- A COLLABORATION WITH FREMONT CITY SCHOOLS SUMMER MEALS PROGRAM DISTRIBUTED 60,500 MEALS DURING THE SUMMER SCHOOL BREAK IN 2024. HEALTH NEED IDENTIFIED: HEALTHY AGING STRATEGY #1 PROVIDE EDUCATION ON BEHAVIORAL HEALTH IMPROVEMENT OPPORTUNITIES. SURVEY PARTICIPANTS TO DETERMINE INTENTION TO USE EDUCATION AFTER THE SESSION.ACTIONS TAKEN:- 367 COMMUNITY MEMBERS RECEVIED EDUCATION AT THE GIBSONBURG HEALTH FAIR, FAMILY FEST, AND CLYDE LIBRARY COLLABORATIONS. - PROGRAMMING PIVOTED TO OUTREACH EDUCATION IN 2024, WHICH RESULTED IN REMOVING PARTICIPANT PRE AND POST SURVEYS. STRATEGY #2 PROVIDE AND DISTRIBUTE EDUCATIONAL AND RESOURCE MATERIALS ON POSITIVE BEHAVIORAL HEALTH IMPROVEMENT.ACTIONS TAKEN:- 510 COMMUNITY MEMBERS RECEVIED EDUCATION ABOUT MENTAL HEALTH AWARENESS AND RESOURCES IN 2024.STRATEGY #3 PROVIDE AND DISTRIBUTE EDUCATIONAL AND RESOURCE MATERIALS ABOUT MENTAL HEALTH FIRST AID TO THE COMMUNITY. ACTIONS TAKEN:- 9 ARTICLES WERE POSTED TO THE HOSPITAL'S FACEBOOK PAGE TO PROVIDE EDUCATION ABOUT MENTAL HEALTH CONDITIONS AND RESOURCES AVAILABLE TO ITS 3,300 FOLLOWERS. PART V, SECTION B, LINE 7A THE 2022 CHNA CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY PART V, SECTION B, LINE 10A THE 2023-2025 CHNA IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY PART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX PART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX PART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/DEFAULT.ASPX 6 1 - PROMEDICA GIBSONBURG - TOTAL REHAB 116 S MAIN ST GIBSONBURG OH 43431 TOTAL REHAB 2 - DOROTHY L KERN CANCER CENTER - ONCOLOGY 2390 ENTERPRISE ST FREMONT OH 43420 DOROTHY L KERN CANCER CENTER 3 - PROMEDICA CLYDE - TOTAL REHAB 509 W MCPHERSON HWY CLYDE OH 43410 TOTAL REHAB 4 - PROMEDICA HERBERT PERNA CENTER 710 CLEVELAND AVE FREMONT OH 43420 TOTAL REHAB 5 - PROMEDICA MEMORIAL HOSPITAL FREMONT 710 CLEVELAND AVE FREMONT OH 43420 SLEEP DISORDERS 6 - PROMEDICA MEMORIAL HOSPITAL FREMONT 715 S TAFT AVE FREMONT OH 43420 PAIN MGMT 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 7: MEMORIAL HOSPITAL, INC. 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,306,764. PART III, LINE 2: MEMORIAL HOSPITAL, INC.'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: MEMORIAL HOSPITAL, INC. CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS. PART III, LINE 4: PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 15 AND 16 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION. PART III, LINE 8: MEMORIAL HOSPITAL HAS A MEDICARE SURPLUS, WHICH IS THE EXCESS REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT OVER THE EXPENSES TO TREAT MEDICARE PATIENTS.MEMORIAL HOSPITAL, INC. USED THE MEDICARE ALLOWABLE COSTS PER ITS 2024 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 THIS 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: MEMORIAL HOSPITAL, LOCATED IN FREMONT, OHIO, SERVES AN AREA PRIMARILY AROUND SANDUSKY AND SENECA COUNTIES. SANDUSKY COUNTY HAS A POPULATION OF APPROXIMATELY 59,000 WITH APPROXIMATELY 20% OF THE SERVICE AREA IS AGE 65 OR OVER; 58% IS BETWEEN AGE 18 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $54,000; 93% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR HIGHER. APPROXIMATELY, 9% OF SANDUSKY COUNTY IS UNINSURED AND 18% OF FAMILIES BELOW THE POVERTY LEVEL. THE AVERAGE UNEMPLOYMENT RATE FOR SANDUSKY COUNTY IN 2024 WAS 4.7%. THE LEADING CAUSES OF DEATH IN SANDUSKY COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, COVID, LUNG DISEASE, UNINTENTIONAL INJURIES/ACCIDENTS, STROKE AND DIABETES. SENECA COUNTY HAS A POPULATION OF APPROXIMATELY 55,000 WITH APPROXIMATELY 19% OF THE SERVICE AREA IS AGE 65 OR OVER; 59% IS BETWEEN AGE 18 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $59,000; 93% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR HIGHER. 19% OF FAMILIES ARE BELOW THE POVERTY LEVEL AND AN APPROXIMATE 8% OF SENECA COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR SENECA COUNTY IN 2024 WAS 4.2%. THE LEADING CAUSES OF DEATH IN HANCOCK AND SENECA COUNTIES, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, COVID, LUNG DISEASE, UNINTENTIONAL INJURIES/ACCIDENTS, DIABETES AND ALZHEIMER'S. THERE ARE ELEVEN HOSPITALS WITHIN A 30-MILE RADIUS OF MEMORIAL HOSPITAL: BELLEVUE HOSPITAL, H.B. MAGRUDER MEMORIAL HOSPITAL, MERCY HOSPITAL TIFFIN, FOSTORIA HOSPITAL ASSOCIATION, FIRELANDS REGIONAL MEDICAL CENTER, BAY PARK COMMUNITY HOSPITAL, ST. CHARLES MERCY HOSPITAL, MERCY HEALTH PERRYSBURG, WOOD COUNTY HOSPITAL, FISHER-TITUS MEDICAL CENTER, AND MERCY HOSPITAL OF WILLARD. PART VI, LINE 5: MEMORIAL HOSPITAL, INC. IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2024:- 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. - 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 LUNG CANCER SCREENINGS, SCREENING MAMMOGRAMS AND 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.- 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. RECENTLY, 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. 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 2024 PROMEDICA WAS COMPRISED OF MORE THAN 45,000 EMPLOYEES, NEARLY 850 VOLUNTEERS AND MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS INCLUDING 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 2024:- 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 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. - 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. 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. - 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. 0 1 0 0 0 0 0 0 0 ARTURO POLIZZI CEO 0 1585940 0 1530880 0 2500 0 0 0 14012 0 3133332 0 0 TERRENCE METZGER TREASURER/CFO 0 771258 0 438060 0 0 0 0 0 6610 0 1215928 0 0 STEPHEN SADOWSKI SECRETARY/CHIEF LEGAL OFFICER 0 618697 0 561679 0 0 0 0 0 6038 0 1186414 0 0 MICHAEL GRILLIS TRUSTEE/PHYSICIAN 0 631899 0 55722 0 6850 0 0 0 14931 0 709402 0 0 DAVID SOMMERS TRUSTEE/PHYSICIAN 0 450461 0 89798 0 0 0 0 0 0 0 540259 0 0 JODI RUCKER PRESIDENT 0 225403 0 78891 0 492 0 0 0 4097 0 308883 0 0 RANDAL KOCH DIRECTOR OF PHARMACY SERVICES 156768 0 29983 0 0 0 0 0 5257 0 192008 0 0 0 DASA DZIERWA TRUSTEE/CP AVP 0 155253 0 27417 0 300 0 0 0 0 0 182970 0 0 PART I, LINE 3 PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF MEMORIAL 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 4B UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. LINDA HERSHEY FAMILY MEMBER OF P. HERSHEY (BOARD MEMBER) 100912 EMPLOYMENT 0 PART V, LINE 1A THE 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 6 AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF MEMORIAL HOSPITAL. AS THE SOLE MEMBER, PHS HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE (WITH CAUSE) THE MEMBERS OF THE BOARD OF TRUSTEES OF MEMORIAL HOSPITAL, AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS FROM THE BOARD ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. FINAL RETURNS ARE PROVIDED TO A PRINCIPAL OFFICER FOR SIGNATURE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER STATEMENT OF CONFLICT (SOC) SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL BONUS-ELIGIBLE SENIOR LEADERSHIP AND SPECIFICALLY IDENTIFIED ADDITIONAL EMPLOYEES, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PROVIDERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PROVIDER CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER FOR PROMEDICA PHYSICIAN GROUP, INC. (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE OFFICE OF THE PROMEDICA HEALTH SYSTEM, INC. ("PHS") V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PROVIDER CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE PHS AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PROVIDERS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PROVIDER STANDARD OF CONDUCT AND THE PROVIDER CERTIFICATION STATEMENT WHICH THE NEW PROVIDER IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE PHS V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PROVIDER AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE IDENTIFIED PROVIDER BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, WILL PROVIDE THE PROVIDER-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 15 MEMORIAL 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 19 PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES. PART VII, SECTION B PROMEDICA 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 11G CONTRACTED MEDICAL PERSONNEL: PROGRAM SERVICE EXPENSES 3,460,288. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,460,288. TEMPORARY AGENCY FEES: PROGRAM SERVICE EXPENSES 1,319,978. MANAGEMENT AND GENERAL EXPENSES 826,774. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,146,752. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,408,425. MANAGEMENT AND GENERAL EXPENSES 1,576,090. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,984,515. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 255,641. MANAGEMENT AND GENERAL EXPENSES 287,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 543,183. FORM 990, PART XI, LINE 9: TRANSFERS BETWEEN RELATED ENTITIES -12,465,859. REVERSE OF BOOK ENTRY FOR AUXILIARY ACTIVITY 174,349. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BAY PARK COMMUNITY HOSPITAL 100 MADISON AVE TOLEDO OH 43604 341883132 HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 COMMUNITY HEALTH CENTER OF BRANCH COUNTY 100 MADISON AVE TOLEDO OH 43604 386108110 HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 DEFIANCE HOSPITAL AUXILIARY 1200 RALSTON DEFIANCE OH 43512 510173779 HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 10 DEFIANCE HOSPITAL INC 1 DEFIANCE HOSPITAL INC 100 MADISON AVE TOLEDO OH 43604 344446484 HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 EMMA L BIXBY MEDICAL CENTER 100 MADISON AVE TOLEDO OH 43604 382796005 HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 EMMA L BIXBY MEDICAL CENTER AUXILIARY 818 RIVERSIDE AVE ADRIAN MI 43604 382149602 HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 12B, II EMMA L BIXBY MEDICAL CENTER 1 FOSTORIA HOSPITAL ASSOCIATION 100 MADISON AVE TOLEDO OH 43604 340898745 HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 FOSTORIA HOSPITAL AUXILIARY PO BOX 907 FOSTORIA OH 44830 346517634 HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 10 FOSTORIA HOSPITAL ASSOCIATION 1 HCR MANORCARE FOUNDATION INC 444 N SUMMIT ST TOLEDO OH 43604 522031975 FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION 1 HCR MANORCARE INC PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 825373223 SKILLED NURSING FACILITIES OH 501(C)(3) 10 PROMEDICA HEALTH SYSTEM INC 1 HEARTLAND HOSPICE MEMORIAL FUND INC 444 N SUMMIT ST TOLEDO OH 43604 270497199 FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION 1 HERRICK MEDICAL CENTER AUXILIARY 500 E POTTAWATAMIE ST TECUMSEH MI 49286 383076105 HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 12B, II HERRICK MEMORIAL HOSPITAL INC 1 HERRICK MEMORIAL HOSPITAL INC 100 MADISON AVE TOLEDO OH 43604 383049015 HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 KAITLYN'S COTTAGE INC 100 MADISON AVE TOLEDO OH 43604 454781053 RESPITE CARE OH 501(C)(3) 10 DEFIANCE HOSPITAL INC 1 LENAWEE LONG TERM CARE PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 382879330 LONG TERM CARE MI 501(C)(3) 10 HCR MANORCARE INC 1 MANOR CARE OF GIG HARBOR WA ASSOCIATION PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 260624719 SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC 1 MANOR CARE OF LACEY WA ASSOCIATION PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 260624391 SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC 1 MANOR CARE OF LYNNWOOD WA ASSOCIATION PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 260624675 SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC 1 MANOR CARE OF SALMON CREEK WA ASSOCIATION PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 260624375 SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC 1 MANOR CARE OF SPOKANE WA ASSOCIATION PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 260624687 SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC 1 MANOR CARE OF TACOMA WA ASSOCIATION PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 260624696 SKILLED NURSING FACILITY DE 501(C)(3) 10 HCR MANORCARE INC 1 MEMORIAL PROFESSIONAL SERVICES 100 MADISON AVE TOLEDO OH 43604 273763993 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 MERCY MEMORIAL HOSPITAL CORPORATION 100 MADISON AVE TOLEDO OH 43604 381984289 HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 MONROE COMMUNITY HEALTH SERVICES PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 382934134 LONG TERM CARE MI 501(C)(3) 10 HCR MANORCARE INC 1 PARAMOUNT ADVANTAGE 1901 INDIAN WOOD CIR MAUMEE OH 43537 203376102 HEALTH INSURANCE OH 501(C)(3) 10 PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES 1 PROMEDICA CENTRAL PHYSICIANS 100 MADISON AVE TOLEDO OH 43604 341881137 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA CHILDRENS SPECIALISTS 100 MADISON AVE TOLEDO OH 43604 208734161 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA CONTINUING CARE SERVICES CORP 100 MADISON AVE TOLEDO OH 43604 344492440 LONG TERM AND HOME HEALTH CARE OH 501(C)(3) 10 PROMEDICA CONTINUUM SERVICES 1 PROMEDICA CONTINUUM SERVICES 100 MADISON AVE TOLEDO OH 43604 341880767 PHYSICIAN MANAGEMENT SERVICES OH 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC 1 PROMEDICA COURIER SERVICES INC 100 MADISON AVE TOLEDO OH 43604 260324790 COURIER SERVICE OH 501(C)(3) 12B, II PROMEDICA CONTINUUM SERVICES 1 PROMEDICA FOUNDATION 444 N SUMMIT ST TOLEDO OH 43604 341517672 FOUNDATION OH 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC 1 PROMEDICA GENITO-URINARY SURGEONS 100 MADISON AVE TOLEDO OH 43604 461120436 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA INDEMNITY CORP ONE CHURCH ST 5TH FLOOR BURLINGTON VT 05401 341931936 PROFESSIONAL & GENERAL LIABILITY VT 501(C)(3) 12B, II PROMEDICA HEALTH SYSTEM INC 1 PROMEDICA MONROE CARDIOLOGY 100 MADISON AVE TOLEDO OH 43604 272920342 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA MONROE PHYSICIANS 100 MADISON AVE TOLEDO OH 43604 461111822 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC 100 MADISON AVE TOLEDO OH 43604 454976786 PHYSICIAN HEALTH CARE SERVICES OH 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS 100 MADISON AVE TOLEDO OH 43604 263888045 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA PHYSICIAN GROUP INC 100 MADISON AVE TOLEDO OH 43604 341899439 PHYSICIAN HEALTH CARE SERVICES OH 501(C)(3) 10 PROMEDICA HEALTH SYSTEM INC 1 PROMEDICA PHYSICIANS AT HOME INC 100 MADISON AVE TOLEDO OH 43604 852181349 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 PROMEDICA PRIMARY CARE PROVIDERS 100 MADISON AVE TOLEDO OH 43604 831731861 PHYSICIAN HEALTH CARE SERVICES MI 501(C)(3) 10 PROMEDICA PHYSICIAN GROUP INC 1 THE HUG FUND 444 N SUMMIT ST TOLEDO OH 43604 202272848 FOUNDATION OH 501(C)(3) 12B, II PROMEDICA FOUNDATION 1 THE TOLEDO HOSPITAL 100 MADISON AVE TOLEDO OH 43604 344428256 HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 VISITING NURSE HOSPICE AND HEALTH CARE 100 MADISON AVE TOLEDO OH 43604 341831624 HOSPICE HOME CARE OH 501(C)(3) 10 HCR MANORCARE INC 1 PROMEDICA HEALTH SYSTEM INC 100 MADISON AVE TOLEDO OH 43604 341517671 PARENT COMPANY OF HEALTH SERVICES OH 501(C)(3) 12B, II N/A 0 NORMAN SPECIALTY HOSPITAL LLC PO BOX 10086 ATTN TAX-5 TOLEDO OH 43604 421627672 HEALTH CARE DE N/A 0 1 THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC 1051 S TELEGRAPH RD MONROE MI 48161 270843485 AMBULATORY SURGICAL CENTER MI N/A 0 0 PROMEDICA SENIOR CARE OF GEORGIA LLC 100 MADISON AVE TOLEDO OH 43604 871802834 SKILLED NURSING OH N/A 0 1 PROMEDICA VENTURES INNOVATION FUND III LLC 100 MADISON AVE TOLEDO OH 43604 873197533 HOLDING COMPANY OH N/A 0 0 ROCKET VENTURE FUND II LLC 2865 N REYNOLDS RD STE 220 TOLEDO OH 43615 475603627 INVESTMENT FUND OH N/A 0 0 SENIOR & REHAB CARE AT METROHEALTH LLC 100 MADISON AVE ATTN TAX DEPT TOLEDO OH 43604 872465544 SKILLED NURSING OH N/A 0 1 AIR DIVERTER SOLUTIONS LLC 100 MADISON AVE TOLEDO OH 43604 853725776 DEVELOPMENT OH N/A 0 0 PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC 100 MADISON AVE TOLEDO OH 43604 473163945 REAL ESTATE OH N/A 0 1 NORTHWEST OHIO DEDICATED BREAST MRI LLC 100 MADISON AVE TOLEDO OH 43604 260679898 MEDICAL DIAGNOSTICS OH N/A 0 1 PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC 100 MADISON AVE TOLEDO OH 43604 852085627 HEALTH CARE MI N/A 0 0 REYNOLDS ROAD SURGICAL CENTER LTD 2865 N REYNOLDS RD TOLEDO OH 43615 311569454 FREESTANDING AMBULATORY SURGICAL CENTER OH N/A 0 0 WEST CENTRAL SURGICAL CENTER LLC 7055 W CENTRAL TOLEDO OH 43617 200088459 AMBULATORY SURGICAL CENTER OH N/A 0 1 ARROWHEAD BEHAVIORAL HEALTH LLC 367 SOUTH GULPH ROAD PO BOX 61558 KING OF PRUSSIA PA 19406 270608044 HEALTH CARE PA N/A 0 1 HERRICK MEMORIAL DEVELOPMENT CORP 500 E POTTAWATAMIE TR ADRIAN MI 49221 383146907 FACILITY LEASING MI N/A C 1 LENAWEE CLINICAL PARTNERS 100 MADISON AVE TOLEDO OH 43604 821072356 PHYSICIAN SUPPORT OH N/A C 1 PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC PO BOX 10086 ATTN TAX-5 TOLEDO OH 43699 861179270 SKILLED NURSING NJ N/A C 1 HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION 818 RIVERSIDE AVE ADRIAN MI 49221 383639616 FACILITY MANAGEMENT MI N/A C 1 MONROE HEALTH VENTURES INC 718 N MACOMB MONROE MI 48164 382704426 PHARMACY MI N/A C 1 PROMEDICA MANAGER MEMBER LLC 100 MADISON AVE TOLEDO OH 43604 475168737 REAL ESTATE OH N/A C 1 PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES 1901 INDIAN WOOD CIR MAUMEE OH 43537 341570675 HEALTH CARE INSURANCE OH N/A C 1 PROMEDICA INNOVATIONS LLC 100 MADISON AVE TOLEDO OH 43604 301221601 INVESTMENT COMPANY OH N/A C 1 PROMEDICA HEALTH NETWORK INC 100 MADISON AVE TOLEDO OH 43604 474006496 PHYSICIAN MANAGEMENT SERVICES OH N/A C 1 PHS TOLEDO INNOVATION CENTER HOLDINGS LLC 100 MADISON AVE TOLEDO OH 43604 871433009 HOLDING COMPANY OH N/A C 1 FORT INDUSTRY JV PARTNER LLC 100 MADISON AVE TOLEDO OH 43604 844675266 REAL ESTATE OH N/A C 1 PROMEDICA NORTH PHYSICIAN CORPORATION 100 MADISON AVE TOLEDO OH 43604 383482148 PHYSICIAN HEALTH CARE SERVICES OH N/A C 1 PROMEDICA AT HOME INC 100 MADISON AVE TOLEDO OH 43604 852320857 PHYSICIAN SUPPORT MI N/A C 1 PROMEDICA CENTRAL CORPORATION OF MICHIGAN 100 MADISON AVE TOLEDO OH 43604 383322278 PHYSICIAN HEALTH CARE SERVICES OH N/A C 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 1