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A New KindOF HEALTH AND WELL-BEING ORGANIZATION 2019 Mission and Community Benefit Report Reimagining health care for generations to come. ProMedica is a not-for-profit, Mission based organization working to create a stronger, more cohesive approach to delivering care at the right place, the right time, and the right cost. For years, ProMedica has, and still is, reimagining health care. Today, ProMedica is a health and well-being organization unlike any other that includes all aspects of health care under one organization and across the country. We are united under a single Mission to redefine the delivery of health care to go beyond the walls of a hospital, exam room, senior care facility or office. We’re focused on caring for the whole person – their overall well-being in addition to their health. We provide a seamless, connected experience to offer individuals the care and resources that are most meaningful to them. By intentionally bringing together diverse health and well-being services, we can help individuals reach their highest potential for health. This diversity allows us to champion healthy aging, cultivate innovative solutions and lead in the area of social determinants of health. ProMedica remains at the forefront of developing industry leading health and wellness solutions. While we seamlessly coordinate nationally recognized hospitals, healthcare providers, and skilled nursing and rehabilitation centers, we know clinical care represents only a portion of an individual’s overall health and well-being. By combining our expertise in a broad spectrum of health and well- being services, ProMedica is uniquely positioned to redefine the future of health care. $207,825,000 2019 Community Benefit Medicaid and Means-Tested In 2019, ProMedica contributed $308,669,000 in community Shortfalls (67.33%) benefit through community benefit expenditures, financial $41,578,000 assistance and government-sponsored, means-tested health Health Professions Education care (income and capital “means” are below specified limits). (13.47%) These expenditures total three and a half times the amount that $3,824,000 ProMedica would pay as a taxable organization. Even as a not- $308.6 Cash and In-kind Contributions for-profit organization, ProMedica pays almost $40,000,000 in (1.24%) federal, state and local taxes. These numbers not only indicate MILLION ProMedica’s long-standing commitment to the community, but Total Community Benefit $20,203,000 also fulfill our not-for-profit status and Mission to improve the Subsidized Health Services (6.55%) health and well-being of residents in the communities we serve. $23,515,000 Indeed, ProMedica goes beyond industry standards in meeting Community Health the goal of providing care to everyone, regardless of their Improvement Services and ability to pay. We provide hospital care free-of-charge to all Community Benefit Operations families without insurance with incomes at or below 200% of the (7.62%) federal poverty level. Additionally, ProMedica hospitals provide $11,524,000 significant discounts to families with incomes of up to 600% of Financial Assistance (3.73%) the federal poverty level. $200,000 As a leading advocate for the health and well-being of others, Research (0.06%) ProMedica provides and promotes community wellness, collaborating with more than 300 local nonprofit agencies and organizations in 2019. Operational Imperatives • ProMedica earned the Gold Award for Achievement of Excellence (the second highest level), following the March site visit Starting from a foundation of financial strength and clinical from The Partnership for Excellence (TPE) based on criteria of the excellence, ProMedica is committed to making investments in our Baldrige Framework for Excellence. facilities, our services and our people to ensure that we achieve highly efficient and effective operational performance. We applaud • ProMedica Toledo Hospital was named one of America’s 50 Best our dedicated employees and team of providers and caregivers Hospitals for the second year in a row. who work hard every day to provide great healthcare outcomes and • Work continued through 2019 on the new Lenawee County highly-reliable patient care and customer experiences. hospital, to be named the ProMedica Charles and Virginia Hickman Hospital. The new hospital replaces both ProMedica Operational Excellence Bixby and Herrick Hospitals. • After three years of construction, ProMedica opened the doors to • ProMedica Wildwood Orthopaedic and Spine Hospital was its new Generations Tower. Located on the ProMedica Toledo awarded the Press Ganey Guardian of Excellence Award for 2019. Hospital campus, this 13-story, 500,000 square foot bed tower The award recognizes top-performing healthcare organizations that includes more than 300 private patient rooms and offers caregivers have consistently achieved the 95th percentile or above in Patient access to innovative technology so they can provide exceptional Experience HCAHPS scores. This is the seventh consecutive year care in state of the art patient rooms. the hospital has received the award. 2019 Mission and Community Benefit Report • ProMedica Bixby, Monroe Regional, and Flower Hospitals earned numerous awards in the latest edition of Healthgrades® for their 2019 Clinical Achievements. Healthgrades® is an independent review of each short-term acute care hospital in the country – a list of over 4,500 hospitals. Through December 2019, more • ProMedica earned a spot on the Becker’s list of 130 Accountable than 11,000 visits were made to Care Organizations (ACO) to know in 2019. ACOs are groups of doctors, hospitals and other health care providers who all have joined forces to provide superior care to Medicare patients. ProMedica Food Clinics, impacting • Paramount Advantage Medicaid earned a rating of 4 out of 5 in more than 3,600 unique households, the National Committee for Quality Assurance’s (NCQA) Medicaid Health Insurance Plan Ratings 2019-2020. This makes Paramount Advantage a top-rated Medicaid plan in Ohio. in efforts to help reduce food • ProMedica Flower Hospital opened its new cardiac insecurity. This translates to about catheterization lab on the ground floor of the hospital, adjacent the radiology lab, for patients needing a diagnostic cardiac cath. 91,748 days worth of food provided The procedure is used to help determine how well a patient’s heart is working and if further treatment is needed. The new cath lab includes state of the art equipment and features the same, to patients and families, the experienced cardiac team from ProMedica Toledo Hospital. equivalent of 275,242 meals. • ProMedica Fostoria Community Hospital (FCH) completed renovations of the acute care unit. Renovation of the 10,000 square foot unit consisted of new flooring, paint and wall coverings, fixtures and cabinetry to house medical equipment. In addition, semi-private rooms were redesigned to private rooms, accommodating up to 19 patients. This project improves the of the program with zero findings. TCH is one of 12 centers in unit’s functionality and enhances patient satisfaction. the nation to hold pediatric asthma certification and has the only asthma certified program in the state of Ohio. • All ProMedica Urgent Care facilities earned accreditation through the Urgent Care Association (UCA). This is the highest • A Just in Time Clinic opened in July at ProMedica Fostoria honor for urgent care centers and it makes us the only urgent care Community Hospital (FCH). It provides health care services free organization in northwest Ohio to receive the recognition. The of charge to anyone who does not have health insurance in the accreditation means that all facilities have met all of the UCA’s Fostoria community. The clinic is staffed by volunteers and other guidelines and criteria for patient safety, care and scope local health care providers and is designed to address immediate of services. health care needs and provide primary care until the patient can become established with a primary care provider. • ProMedica regional hospitals were recognized by The Chartis Center of Rural Health and the National Organization of State Stewardship Offices of Rural Health (NOSORH) for excellence. The Performance • ProMedica and the Toledo Zoo partnered to renovate the zoo’s Leadership Awards recognize top quartile performance among more than 80-year-old Museum of Science. Renovations were rural hospitals across the country in areas of quality, outcomes and completed in spring 2019 with a focus on biodiversity throughout patient perspective (satisfaction). the course of history in northwest Ohio. • HCR ManorCare Senior and Memory Care communities earned • ProMedica was the lead sponsor for the third annual Summer the first ever McKnight’s Senior Living’s Customer Approved Concert Series in 2019. The weekly concerts took place at the Award, presented by NRC Health. renovated Promenade Park, in downtown Toledo, from June • Sixty-three HCR ManorCare centers were named Best Nursing through September, and featured a variety of local and national Homes – Short-Term Rehabilitation 2019-2020 by U.S. News and musicians and music genres. World Report, the global authority in health care rankings. U.S. • ProMedica and Heartland Hospice helped children who have News evaluated more than 15,000 homes nationwide, in every experienced the loss of a loved one with Camp Fearless. Led state and nearly 100 major metropolitan areas. HCR ManorCare by a team of professional counselors, hospice team members also had three centers