SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
HERRICK MEMORIAL HOSPITAL INC
 
Employer identification number

38-3049015
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) COBRA VENTURES LLC
5901 MONCLOVA RD
MAUMEE,OH43537
20-4671613
LAND LEASING OH 5,510 94,354 ST LUKE'S HOSPITAL FOUNDATION
 
(2) MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE ST
SYLVANIA,OH43560
61-1448753
EMPLOYS PHYSICIANS OH 0 535,504 PROMEDICA PHYSICIAN GROUP
 
(3) PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
34-1881137
EMPLOYS PHYSICIANS OH 231,170,716 291,204,025 PROMEDICA PHYSICIAN GROUP
 
(4) PROMEDICA EAST PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
34-1881145
EMPLOYS PHYSICIANS OH 7,735,386 -1,576,704 PROMEDICA PHYSICIAN GROUP
 
(5) PROMEDICA WEST PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
34-1893773
EMPLOYS PHYSICIANS OH 15,982,568 -8,068,901 PROMEDICA PHYSICIAN GROUP
 
(6) PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE ST
SYLVANIA,OH43560
26-3888045
EMPLOYS PHYSICIANS OH 30,141,070 -56,519,329 PROMEDICA PHYSICIAN GROUP
 
(7) PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
27-0978204
EMPLOYS PHYSICIANS OH 5,936,506 -9,670,745 PROMEDICA PHYSICIAN GROUP
 
(8) WELLCARE PHYSICIANS LLC
5901 MONCLOVA RD
MAUMEE,OH43537
61-1528443
EMPLOYS PHYSICIANS OH 16,368,856 8,878,730 PROMEDICA PHYSICIAN GROUP
 
(9) THE PHARMACY COUNTER LLC
5855 MONROE ST
SYLVANIA,OH43560
27-1325141
MEDICAL EQUIPMENT & PHARMACY OH 60,641,144 17,065,865 PROMEDICA PHYSICIAN GROUP
 
(10) WOLF CREEK ASSOCIATES LLC
901 KIMOLE LN
ADRIAN,MI49221
38-3164818
FACILITY LEASING MI 131,432 1,308,580 EMMA L BIXBY MEDICAL CENTER
 
(11) PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE ST
SYLVANIA,OH43560
27-2920342
EMPLOYS PHYSICIANS MI 2,425,382 -3,059,070 PROMEDICA PHYSICIAN GROUP
 
(12) ERIE WEST HOSPICE & PALLIATIVE CARE LLC
5855 MONROE ST
SYLVANIA,OH43560
20-5752995
PROVIDES HOSPICE CARE OH 4,709,330 7,039,875 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
(13) PROMEDICA ANESTHESIA CONSULTANTS LLC
5855 MONROE ST
SYLVANIA,OH43560
45-3251737
EMPLOYS PHYSICIANS OH 30,303,052 -44,305,935 PROMEDICA PHYSICIAN GROUP
 
(14) PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
5855 MONROE ST
SYLVANIA,OH43560
45-3230331
PRACTICE MANAGEMENT OH 0 -2,356,472 PROMEDICA PHYSICIAN GROUP
 
(15) PROMEDICA SURGICAL SERVICES LLC
5855 MONROE ST
SYLVANIA,OH43560
EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(16) MISSION POINTE GOLF COURSE LLC
2142 NORTH COVE
TOLEDO,OH43606
GOLF COURSE OH 0 391,382 PROMEDICA FOUNDATION
 
(17) PROMEDICA INNOVATIONS LLC
1801 RICHARDS RD
TOLEDO,OH43607
INVESTMENT COMPANY OH 0 0 PROMEDICA HEALTH SYSTEM INC
 
(18) PROMEDICA GENITO-URINARY SURGEONS LLC
5855 MONROE ST
SYLVANIA,OH43560
46-1120436
EMPLOYS PHYSICIANS OH 11,558,436 -14,936,580 PROMEDICA PHYSICIAN GROUP
 
(19) PROMEDICA MONROE PHYSICIANS PLLC
5855 MONROE ST
SYLVANIA,OH43560
46-1111822
EMPLOYS PHYSICIANS MI 27,275 -757,452 PROMEDICA PHYSICIAN GROUP
 
(20) PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
5855 MONROE ST
SYLVANIA,OH43560
45-4976786
EMPLOYS PHYSICIANS OH 0 159,481 PROMEDICA PHYSICIAN GROUP
 
(21) PROMEDICA HOSPITALISTS LLC
5855 MONROE ST
SYLVANIA,OH43560
EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(22) PROMEDICA HOSPITALISTS PLLC
5855 MONROE ST
SYLVANIA,OH43560
EMPLOYS PHYSICIANS MI 0 0 PROMEDICA PHYSICIAN GROUP
 
(23) MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVE
FREMONT,OH43420
20-5763680
EMPLOYS PHYSICIANS OH 0 0 PROMEDICA PHYSICIAN GROUP
 
(24) MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVE
FREMONT,OH43420
27-3763993
EMPLOYS PHYSICIANS OH 10,132,691 -381,185 PROMEDICA PHYSICIAN GROUP
 
(25) PHS VENTURES LLC
1801 RICHARDS RD
TOLEDO,OH43607
34-1880473
HEALTH CARE MANAGEMENT SERVICES DE 0 0 PROMEDICA HEALTH SYSTEM INC
 
Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DR

OREGON,OH43616
34-1883132
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(2)CARE ENTERPRISES INC
5901 MONCLOVA RD

MAUMEE,OH43537
34-1366709
FACILITY LEASING OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(3)DEFIANCE HOSPITAL AUXILIARY
1200 RALSTON

DEFIANCE,OH43512
51-0173779
HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 11D, III-O DEFIANCE HOSPITAL INC
 
Yes
 
(4)DEFIANCE HOSPITAL INC
1200 RALSTON

DEFIANCE,OH43512
34-4446484
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(5)EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVE

ADRIAN,MI49221
38-2796005
HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(6)EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVE

ADRIAN,MI49221
38-2149602
HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 11B, II EMMA L BIXBY MEDICAL CENTER
 
Yes
 
(7)FLOWER HOSPITAL
5200 HARROUN RD

SYLVANIA,OH43560
34-4428794
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(8)FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN STREET

FOSTORIA,OH44830
34-0898745
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(9)FOSTORIA HOSPITAL AUXILIARY
PO BOX 907

FOSTORIA,OH44830
34-6517634
HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 11A, I FOSTORIA HOSPITAL ASSOCIATION
 
Yes
 
(10)HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE ST

TECUMSEH,MI49286
38-3076105
HOSPITAL / FOUNDATION SUPPORT MI 501(C)(3) 11B, II HERRICK MEMORIAL HOSPITAL INC
 
Yes
 
(11)LENAWEE LONG TERM CARE
700 LAKESHIRE TR

ADRIAN,MI49221
38-2879330
LONG TERM CARE MI 501(C)(3) 9 EMMA L BIXBY MEDICAL CENTER
 
Yes
 
(12)PROMEDICA CONTINUING CARE SERVICES CORP
5855 MONROE ST

SYLVANIA,OH43560
34-4492440
LONG TERM AND HOME HEALTH CARE OH 501(C)(3) 9 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(13)PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVE

TOLEDO,OH43606
26-0324790
COURIER SERVICE OH 501(C)(3) 11B, II PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(14)PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS RD

TOLEDO,OH43607
34-1517671
PARENT COMPANY OF HEALTH SYSTEM OH 501(C)(3) 11B, II N/A
 
No
(15)PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR

BURLINGTON,VT05401
34-1931936
PROFESSIONAL & GENERAL LIABILITY VT 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(16)PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
5855 MONROE ST

SYLVANIA,OH43560
34-1880767
PHYSICIAN MANAGEMENT SERVICES OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(17)PROMEDICA PHYSICIAN GROUP
5855 MONROE ST

SYLVANIA,OH43560
34-1899439
PHYSICIAN HEALTH CARE SERVICES OH 501(C)(3) 9 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(18)ST LUKE'S HOSPITAL
5901 MONCLOVA RD

MAUMEE,OH43537
34-4428232
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(19)ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RD

MAUMEE,OH43537
34-1292849
FOUNDATION OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(20)PROMEDICA FOUNDATION
2142 N COVE BLVD

TOLEDO,OH43606
34-1517672
FOUNDATION OH 501(C)(3) 11B, II PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(21)THE TOLEDO HOSPITAL
2142 N COVE BLVD

TOLEDO,OH43606
34-4428256
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(22)TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREET

TOLEDO,OH43624
34-4427949
SKILLED HOME CARE OH 501(C)(3) 9 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(23)VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE ST

SYLVANIA,OH43560
34-1831624
HOSPICE HOME CARE OH 501(C)(3) 9 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
Yes
 
(24)KAITLYN'S COTTAGE INC
1260 RALSTON AVE

DEFIANCE,OH43512
45-4781053
RESPITE CARE OH 501(C)(3) 9 DEFIANCE HOSPITAL INC
 
Yes
 
(25)MEMORIAL HOSPITAL
715 SOUTH TAFT AVE

FREMONT,OH43420
34-4430849
HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(26)MONROE CANCER CENTER
800 STEWART RD

MONROE,MI48162
27-1302183
CANCER CENTER MI 501(C)(3) 9 MERCY MEMORIAL HOSPITAL CORPORATION
 
Yes
 
(27)MONROE COMMUNITY HEALTH SERVICES
718 N MACOMB

MONROE,MI48162
38-2934134
LONG TERM CARE MI 501(C)(3) 9 MERCY MEMORIAL HOSPITAL CORPORATION
 
Yes
 
(28)MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMB

MONROE,MI48162
38-1984289
HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC
 
Yes
 
(29)PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR

MAUMEE,OH43537
20-3376102
HEALTH INSURANCE OH 501(C)(3) 9 PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Page 2
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP

818 RIVERSIDE AVE
ADRIAN,MI49221
38-2972398
FACILITY LEASING MI EMMA L BIXBY MEDICAL CENTER
 
RELATED 36,791 1,173,776   No   Yes   64.600 %
(2) REYNOLDS RD SURGICAL CENTER LLC

2865 N REYNOLDS RD
TOLEDO,OH43615
31-1569454
FREESTANDING AMBULATORY SURGICAL CENTER OH THE TOLEDO HOSPITAL
 
RELATED 726,688 2,333,126   No     No 65.040 %
(3) WATERVILLE MEDICAL CENTER LLC

5901 MONCLOVA RD
MAUMEE,OH43537
32-0160784
FACILITY LEASING OH CARE ENTERPRISES INC
 
RELATED 32,184 753,658   No     No 70.000 %
(4) NORTHWEST OHIO DEDICATED BREAST MRI LLC

5901 MONCLOVA RD
MAUMEE,OH43537
26-0679898
MEDICAL DIAGNOSTICS OH THE TOLEDO HOSPITAL
 
RELATED 211,264 449,126   No     No 50.000 %
(5) WEST CENTRAL SURGICAL CENTER LLC

7055 W CENTRAL
TOLEDO,OH43617
20-0088459
AMBULATORY SURGICAL CENTER OH THE TOLEDO HOSPITAL
 
RELATED 298,291 2,912,457   No   Yes   50.000 %
(6) OHIO CARE AMBULATORY SURGICAL CENTER LLC

5959 MONCLOVA RD
MAUMEE,OH43537
34-1863472
AMBULATORY SURGICAL CENTER OH ST LUKE'S HOSPITAL
 
RELATED 73,215 1,293,530   No     No 54.680 %
(7) LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC

818 RIVERSIDE AVE
ADRIAN,MI49221
38-3605511
PHYSICIAN MANAGEMENT SERVICES MI EMMA L BIXBY MEDICAL CENTER
 
RELATED -23,464 253,470   No   Yes   50.000 %
(8) PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC

5901 MONCLOVA RD
MAUMEE,OH43537
46-1989695
PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
 
RELATED 743,257 816,423   No     No 51.920 %
(9) EAST-WEST HOLDINGS LTD

715 SOUTH TAFT AVE
FREMONT,OH43420
20-4066818
REAL ESTATE OH MEMORIAL HOSPITAL
 
RELATED 6,016 306,259   No     No 50.000 %
(10) SURGICAL INSTITUTE OF MONROE LLC

1051 S TELEGRAPH RD
MONROE,MI48161
27-0843485
AMBULATORY SURGICAL CENTER MI PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
RELATED 4,044 3,684,750   No     No 54.000 %
(11) PROMEDICA MASTER TENANT LLC

1801 RICHARDS RD
TOLEDO,OH43607
47-5288490
REAL ESTATE OH PROMEDICA MANAGER MEMBER LLC
 
RELATED   103,328   No   Yes   1.000 %
(12) PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC

1801 RICHARDS RD
TOLEDO,OH43607
47-3163945
REAL ESTATE OH PROMEDICA MANAGER MEMBER LLC
 
RELATED   22,771,216   No   Yes   90.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CARE HOLDINGS

5901 MONCLOVA RD
MAUMEE,OH43537
34-1796790
HOLDING COMPANY OH PROMEDICA HEALTH SYSTEM INC
 
C     100.000 % Yes  
(2) HERRICK MEMORIAL DEVELOPMENT CORP

500 E POTTAWATAMIE TR
ADRIAN,MI49221
38-3146907
FACILITY LEASING MI EMMA L BIXBY MEDICAL CENTER
 
C 906 964,439 100.000 % Yes  
(3) LHA PHYSICIAN SERVICES CORPORATION

818 RIVERSIDE AVE
ADRIAN,MI49221
61-1451576
PHYSICIAN BILLING MI EMMA L BIXBY MEDICAL CENTER
 
C -44,391   100.000 % Yes  
(4) PHYSICIANS ADVANTAGE MSO

5901 MONCLOVA RD
MAUMEE,OH43537
06-1811760
PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
 
C     100.000 % Yes  
(5) PROMEDICA CENTRAL CORPORATION OF MICHIGAN

5855 MONROE ST
SYLVANIA,OH43560
38-3322278
PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP
 
C -1,047,084 3,582,068 100.000 % Yes  
(6) PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES

1901 INDIAN WOOD CIR
MAUMEE,OH43537
34-1570675
HEALTH CARE INSURANCE OH PROMEDICA HEALTH SYSTEM INC
 
C 76,588,676 344,035,035 100.000 % Yes  
(7) PROMEDICA NORTH PHYSICIAN CORPORATION

5855 MONROE ST
SYLVANIA,OH43560
38-3482148
PHYSICIAN HEALTH CARE SERVICES OH PROMEDICA PHYSICIAN GROUP
 
C   203,340 100.000 % Yes  
(8) PROMEDICA RETAIL GROUP INC

3890 MONROE ST
TOLEDO,OH43606
34-1159928
FLORIST OH PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
 
C 485 1,016,984 100.000 % Yes  
(9) HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION

818 RIVERSIDE AVE
ADRIAN,MI49221
38-3639616
FACILITY MANAGEMENT MI HERRICK MEMORIAL DEVELOPMENT CORP
 
C 45 55,879 71.800 % Yes  
(10) PROMEDICA HEALTH NETWORK INC

1801 RICHARDS RD
TOLEDO,OH43607
47-4006496
PHYSICIAN MANAGEMENT SERVICES OH PROMEDICA HEALTH SYSTEM INC
 
C     100.000 % Yes  
(11) MONROE HEALTH VENTURES

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

1801 RICHARDS RD
TOLEDO,OH43607
47-5168737
REAL ESTATE OH PROMEDICA HEALTH SYSTEM INC
 
C   9,536,974 100.000 % Yes  
Schedule R (Form 990) 2015
Page 3
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) PROMEDICA PHYSICIANS AND CONTINUUM SERVICES

B 1,008,500 FMV
(2) PROMEDICA FOUNDATION

B 316,441 FMV
(3) PROMEDICA FOUNDATION

C 253,210 FMV
(4) PROMEDICA HEALTH SYSTEM INC

P 6,498,470 FMV
(5) PROMEDICA CENTRAL CORPORATION OF MICHIGAN

P 344,210 FMV
(6) THE TOLEDO HOSPITAL

P 487,122 FMV
Schedule R (Form 990) 2015
Page 4
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Page 5
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

Additional Data


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