2024-11-14T11:21:37-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4192525772 100 MADISON AVE ATTN TAX DEPARTM TOLEDO OH 43604 TERRENCE METZGER CFO 4192525772 2024-11-11 1 1 AMY CIMINELLO P00796388 3122071040 2024-11-08 2023 2024-10-15 13:58:12Z TERRENCE METZGER 100 MADISON AVE ATTN TAX DEPARTMENT TOLEDO OH 43604 333286703 0 X WWW.PROMEDICA.ORG X 1986 OH PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. 15 4 2008 14 2099408 0 4837941 0 298314432 319095062 52705052 6049063 1502334 2718450 357359759 327862575 12924354 6236958 0 0 100367408 162569997 0 0 0 1500685570 264500322 1613977332 433307277 -1256617573 -105444702 1727790337 854134157 468074722 326317247 1259715615 527816910 X BASED IN TOLEDO, OHIO, PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. IT IS GUIDED BY ITS CORE VALUES OF COMPASSION, INNOVATION, TEAMWORK, AND EXCELLENCE. 0 0 254125448 6236958 319095062 ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, WE ARE AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. WE CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE; PROMEDICA COLLABORATES WITH THE COMMUNITY ON SERVICES AND PROGRAMS ANNUALLY TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED.OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING HEALTH AND WELLNESS PROGRAMMING FOR OUR COMMUNITIES, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S SERVICES AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES, AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, MEDICALLY NECESSARY SERVICES ARE PROVIDED AT DISCOUNTED RATES BASED ON A SLIDING SCALE DEPENDING ON INCOME LEVEL AND INSURANCE STATUS.IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTH CARE SERVICES; RECRUIT AND TRAIN HEALTH CARE 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. 254125448 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 4802 0 1 2008 1 1 1 1 BR CH CI EZ GR HU ID IS JA KS NI PL SW TU 0 0 0 0 0 0 0 0 1 0 X 15 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X TERRENCE METZGER 4192525772 100 MADISON AVE TOLEDO OH 43604 X JAMES BINGLE TRUSTEE/PHYSICIAN 1.00 0.00 X 0 1800 0 JIM HOFFMAN TRUSTEE 1.00 1.00 X 25000 0 0 THOMAS WINSTON TRUSTEE 1.00 3.00 X 0 0 0 LISA A MCDUFFIE MSSA TRUSTEE 1.00 0.00 X 30000 0 0 LISA HAWKER TRUSTEE 1.00 14.00 X 40000 0 0 MARK WAGONER TRUSTEE 1.00 1.00 X 0 0 0 KEVIN SAUDER TRUSTEE 1.00 0.00 X 40000 0 0 MARYJANE A WURTH MS TRUSTEE 1.00 7.00 X 30000 0 0 MICHAEL BAUER TRUSTEE 1.00 0.00 X 0 0 0 RAVI NARRA MD TRUSTEE/PHYSICIAN 1.00 44.00 X 0 550819 5857 ROBERT LACLAIR CHAIRMAN 1.00 23.00 X X 30000 0 0 DARRELL CAMBPELL TRUSTEE 1.00 0.00 X 0 0 0 STEPHEN STAELIN TRUSTEE 1.00 7.00 X 0 0 0 JIM WHITE TRUSTEE 1.00 7.00 X 0 0 0 KURT DARROW TRUSTEE 1.00 0.00 X 0 0 0 ARTURO POLIZZI PRESIDENT AND CEO 20.00 35.00 X 2121593 0 5857 STEPHEN SADOWSKI CHIEF LEGAL OFFICER 20.00 35.00 X 1407180 0 6028 TERRENCE METZGER TREASURER-CFO 20.00 35.00 X 1055090 0 4079 LOUIS ROBICHAUX TREASURER - PART YEAR 20.00 35.00 X 0 0 0 KENT BISHOP PRESIDENT PPG 41.00 14.00 X 1437763 0 4120 DAWN BUSKEY PRESIDENT ACUTE CARE 36.00 19.00 X 1412400 0 5337 JUSTIN SKIVER PRESIDENT PROMEDICA SENIOR CARE 35.00 10.00 X 914603 0 7106 ANDREW GOTTMAN VP HUMAN RESOURCES 45.00 0.00 X 733099 0 6791 ANGELA BRANDT CHIEF ADMINISTRATIVE OFFICER 37.00 8.00 X 1233231 0 2999 LORI JOHNSTON PRESIDENT PARAMOUNT 44.00 1.00 X 830869 0 5456 KAREN STRAUSS CHIEF ADMINISTRATIVE OFFICER 45.00 0.00 X 682542 0 2853 TIMOTHY ROBERTS VP TREASURY 42.00 3.00 X 619519 0 5372 FLOYD CHASSE CHIEF HR OFFICER 45.00 0.00 X 548330 0 3400 STEVEN M CAVANAUGH TREASURER, CFO - FORMER 0.00 0.00 X 1335180 0 5657 JEFFREY C KUHN CHIEF LEGAL OFFICER - FORMER 0.00 0.00 X 748426 0 30922 GARY AKENBERGER SR VP FINANCE - FORMER 0.00 0.00 X 0 528647 43532 MATTHEW KANG CFO SENIOR CARE - FORMER 0.00 0.00 X 583664 0 0 15858489 1081266 145366 351 1 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE CT W SUITE 300 SAN DIEGO CA 92121 NURSING SERVICES 76098475 OPTUM HOSPICE PHARMACY SERVICES LLC 9900 BREN RD E MINNETONKA MN 55343 PHARMACY CONTRACT 26286773 EMERGENCY PHYSICIANS OF NWO PO BOX 638133 CINCINNATI OH 45263 EMERGENCY MEDICAL STAFF 10471419 LEADERSTAT LTD 1322B MANNING PKWY POWELL OH 43065 MEDICAL STAFF SERVICES 9306726 INTELYCARE INC 1250 HANCOCK STREET SUITE 501N QUINCY MA 02169 NURSING SERVICES 9273551 678 MANAGEMENT FEES 551114 319095062 319095062 319095062 6352900 -39485 6392385 3490368 5120291 -1629923 -1629923 -1629923 303837 -303837 -303837 -303837 GROCERY STORE 445100 2574992 927745 1647247 PARKING 812930 968473 968473 FOOD SERVICE 722513 242675 242675 562233 562233 4348373 327862575 319095062 2099408 6668105 X 6236958 6236958 9375656 9375656 121610918 24322184 97288734 21221797 4244359 16977438 10361626 2072325 8289301 857183 857183 891653 891653 1153000 1153000 112420 112420 138016590 110503208 27513382 1346885 1077508 269377 2374200 1899360 474840 2831778 2265422 566356 1099972 879978 219994 1255245 1004196 251049 7544380 7544380 27887861 22310289 5577572 1165396 932317 233079 RESTRUCTURING COSTS 70016185 70016185 UTILITIES 7436477 5949182 1487295 SUPPLIES 44238 35390 8848 INTERCOMPANY SERVICES 15497 15497 451362 361090 90272 433307277 254125448 179181829 0 98475250 40496283 80982365 43320369 2985405 6278541 23146076 30904573 0 90480 52547199 43058673 461388669 271440460 219045186 189948209 2428159 3467664 1040713 684726 1247139984 495884639 1727790337 854134157 266214771 62701874 2177071 2235252 27634440 42666286 172048440 218713835 468074722 326317247 X 1234766825 499197472 24948790 28619438 1259715615 527816910 1727790337 854134157 X -105444702 -651546200 25092197 X X 0 1 X 1 1 1 X X 33 BAY PARK COMMUNITY HOSPITAL 341883132 3 0 0 0 COMMUNITY HEALTH CENTER OF BRANCH COUNTY 386108110 3 0 0 0 DEFIANCE HOSPITAL INC 344446484 3 0 0 0 EMMA L BIXBY MEDICAL CENTER 382796005 3 0 0 0 FOSTORIA HOSPITAL ASSOCIATION 340898745 3 0 0 0 HCR MANORCARE INC 825373223 10 0 0 0 HERRICK MEMORIAL HOSPITAL INC 383049015 3 0 0 0 KAITLYN'S COTTAGE INC 454781053 10 0 0 0 LENAWEE LONG TERM CARE 382879330 10 0 0 0 MANOR CARE OF GIG HARBOR WA ASSOCIATION 260624719 10 0 0 0 MANOR CARE OF LACEY WA ASSOCIATION 260624391 10 0 0 0 MANOR CARE OF LYNNWOOD WA ASSOCIATION 260624675 10 0 0 0 MANOR CARE OF SALMON CREEK WA ASSOCIATION 260624375 10 0 0 0 MANOR CARE OF SPOKANE WA ASSOCIATION 260624687 10 0 0 0 MANOR CARE OF TACOMA WA ASSOCIATION 260624696 10 0 0 0 MEMORIAL HOSPITAL 344430849 3 0 0 0 MEMORIAL PROFESSIONAL SERVICES 273763993 10 0 0 0 MERCY MEMORIAL HOSPITAL CORPORATION 381984289 3 0 0 0 MONROE COMMUNITY HEALTH SERVICES 382934134 10 0 0 0 PROMEDICA CENTRAL PHYSICIANS 341881137 10 0 0 0 PROMEDICA CHILDRENS SPECIALISTS 208734161 10 0 0 0 PROMEDICA CONTINUING CARE SERVICES CORPORATION 344492440 10 0 0 0 PROMEDICA GENITO-URINARY SURGEONS 461120436 10 0 0 0 PROMEDICA MONROE CARDIOLOGY 272920342 10 0 0 0 PROMEDICA MONROE PHYSICIANS 461111822 10 0 0 0 PROMEDICA MULTI SPECIALTY PHYSICIANS 454976786 10 0 0 0 PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS 263888045 10 0 0 0 PROMEDICA PHYSICIAN GROUP 341899439 10 0 0 0 PROMEDICA PHYSICIANS AT HOME INC 852181349 10 0 0 0 PROMEDICA PRIMARY CARE PROVIDERS 831731861 10 0 0 0 THE TOLEDO HOSPITAL 344428256 3 0 0 0 TOLEDO DISTRICT NURSE ASSOCIATION 344427949 10 0 0 0 VISITING NURSE HOSPICE AND HEALTH CARE 341831624 10 0 0 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1: PROMEDICA HEALTH SYSTEM, INC. (34-1517671) AFFILIATES DESIGNATED BY CLASS AND PURPOSE LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2). PART IV, SECTION C, LINE 1 PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT OF AN INTEGRATED HEALTH CARE DELIVERY NETWORK MADE UP OF AN AFFILIATED GROUP OF EXEMPT ORGANIZATIONS WHICH INCLUDES HOSPITALS, HEALTH CARE PROVIDERS, CONTINUING CARE SERVICES, SPECIALIZED HEALTH SERVICES, ENTITIES PROVIDING SUPPORT SERVICES, AND FOUNDATIONS. PHS PROVIDES OVERALL DIRECTION, MANAGEMENT, AND CONTROL TO ITS FIRST TIER SUBSIDIARIES, INCLUDING PROMEDICA INDEMNITY CORPORATION, AND INDIRECTLY THROUGH ITS FIRST TIER SUBSIDIARIES, TO ALL AFFILIATED SECOND TIER SUBSIDIARIES OF EACH FIRST TIER SUBSIDIARY. THE ACTIVITIES OF PHS SUPPORT THE EXEMPT PURPOSES OF THE AFFILIATED ORGANIZATIONS IN THE PHS NETWORK AND ENHANCE AND IMPROVE THE DELIVERY OF EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY THE PHS NETWORK. CONTROL AND MANAGEMENT EFFECTIVELY IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ALL SUBSIDIARY ORGANIZATIONS THROUGH RESERVED POWERS. PHS HAS RESERVED POWERS IN EACH SUBSIDIARY'S CODE OF REGULATIONS OR BYLAWS ALONG WITH THE RIGHT TO APPROVE CERTAIN ACTIONS OF EACH SUBSIDIARY'S BOARD OF TRUSTEES. THE FIRST TIER SUBSIDIARIES HAVE IN TURN RESERVED SIMILAR POWERS OVER THE SECOND TIER SUBSIDIARIES TO INTEGRATE OVERALL DIRECTION, MANAGEMENT, AND CONTROL. THE RESERVED POWERS AND OVERALL SYSTEM CONTROL ENSURE THAT PHS WILL BE RESPONSIVE TO THE NEEDS OF EACH SUPPORTED ORGANIZATION. PHS IS AN INTEGRAL PART OF THE PHS NETWORK. PHS QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION BECAUSE OF COMMON SUPERVISION AND CONTROLS THAT ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF PHS. THERE HAS ALSO BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN PHS ITS SUPPORTED ORGANIZATIONS AND A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS AS A RESULT OF THIS RELATIONSHIP SUPPORTING COMMON CONTROL CONSISTENT WITH TYPE II SUPPORTING ORGANIZATION CLASSIFICATION. PHS HAS MAINTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATION'S OPERATIONS. 0 0 0 0 0 0 0 0 1 112420 112420 0 PART II-B, LINE 1: PROMEDICA HEALTH SYSTEM, INC. PAID FEES TO STRATEGIC HEALTH CARE - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING. 5857511 5857511 155047396 40500579 114546817 3394114 2472756 921358 285242613 225057629 60184984 11847035 3409496 8437539 189948209 DUE FROM AFFILIATES 1093120944 BENEFICIAL INTEREST IN FOUNDATION 28052966 DEFERRED COMPENSATION 52389283 LINE OF CREDIT COLLATERAL 50402926 INVESTMENT IN AFFILIATES -728081480 495884639 ACCRUED PAYROLL TAXES 2662424 ACCRUED WAGES 76614793 DEFERRED COMPENSATION 52389283 DEPOSITS 3940 DUE TO/FROM AFFILIATE 74625650 MALPRACTICE TAIL LIABILITY 5996099 REMEDIATION 6421646 218713835 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS HELD 2109269 0 0 0 0 0 0 2109269 0 2109269 1 0 1 0 1 0 1 JUMPSTART INC 6701 CARNEGIE AVENUE SUITE 100 CLEVELAND OH 44103 341398522 501(C)(3) 175000 0 SUPPORT OPERATIONS ST PERFORMING ARTS LLC 4645 HEATHERDOWNS BLVD TOLEDO OH 43614 346560639 501(C)(3) 18000 0 SUPPORT PERFORMING ARTS UNIVERSITY OF TOLEDO 2400 DALLAS PARKWAY SUITE 500 PLANO TX 75063 470911648 501(C)(3) 8800 0 SUPPORT ATHLETICS UNITED STATES GOLF ASSOCIATION 77 LIBERTY CORNER RD FAR HILLS NJ 07931 131427105 501(C)(3) 5000000 0 SUPPORT YOUTH GOLF EVENTS LUCAS COUNTY TREASURER - GLASS CITY CENTER 401 JEFFERSON AVE TOLEDO OH 43604 341388178 115 200000 0 SUPPORT OPERATIONS OTTAWA HILLS SCHOOLS FOUNDATION 4035 W CENTRAL AVE TOLEDO OH 43606 463032381 501(C)(3) 166000 0 SUPPORT SCHOOL GABBY'S LADDER 2262 N MONROE ST MONROE MI 48162 383564824 501(C)(3) 30000 0 SUPPORT OPERATIONS ERNST & YOUNG FOUNDATION 5 TIMES SQUARE NEW YORK NY 10036 136094489 501(C)(3) 25000 0 SUPPORT OPERATIONS ALTUS MATH FOUNDATION 5319 UNIVERSITY DR IRVINE CA 92612 453185330 501(C)(3) 5625 0 SUPPORT OPERATIONS 9 0 PART I, LINE 2: 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. X X X X 1 1 0 0 0 0 1 1 0 ARTURO POLIZZI PRESIDENT AND CEO 1315647 0 789979 0 15967 0 0 0 5857 0 2127450 0 0 0 KENT BISHOP PRESIDENT PPG 679900 0 752663 0 5200 0 0 0 4120 0 1441883 0 0 0 DAWN BUSKEY PRESIDENT ACUTE CARE 658750 0 751150 0 2500 0 0 0 5337 0 1417737 0 0 0 STEPHEN SADOWSKI CHIEF LEGAL OFFICER 625095 0 774925 0 7160 0 0 0 6028 0 1413208 0 0 0 STEVEN M CAVANAUGH TREASURER, CFO - FORMER 0 0 0 0 1335180 0 0 0 5657 0 1340837 0 0 0 ANGELA BRANDT CHIEF ADMINISTRATIVE OFFICER 630060 0 597921 0 5250 0 0 0 2999 0 1236230 0 0 0 TERRENCE METZGER TREASURER-CFO 480090 0 575000 0 0 0 0 0 4079 0 1059169 0 0 0 JUSTIN SKIVER PRESIDENT PROMEDICA SENIOR CARE 509605 0 404998 0 0 0 0 0 7106 0 921709 0 0 0 LORI JOHNSTON PRESIDENT PARAMOUNT 699768 0 122448 0 8653 0 0 0 5456 0 836325 0 0 0 JEFFREY C KUHN CHIEF LEGAL OFFICER - FORMER 26526 0 0 0 721900 0 26526 0 4396 0 779348 0 0 0 ANDREW GOTTMAN VP HUMAN RESOURCES 393099 0 340000 0 0 0 0 0 6791 0 739890 0 0 0 KAREN STRAUSS CHIEF ADMINISTRATIVE OFFICER 0 0 0 0 682542 0 0 0 2853 0 685395 0 0 0 TIMOTHY ROBERTS VP TREASURY 305769 0 313750 0 0 0 0 0 5372 0 624891 0 0 0 MATTHEW KANG CFO SENIOR CARE - FORMER 0 0 0 0 583664 0 0 0 0 0 583664 0 0 0 GARY AKENBERGER SR VP FINANCE - FORMER 0 246095 0 83570 0 198982 0 36639 0 6893 0 572179 0 0 RAVI NARRA MD TRUSTEE/PHYSICIAN 0 319380 0 229897 0 1542 0 0 0 5857 0 556676 0 0 FLOYD CHASSE CHIEF HR OFFICER 243969 0 300000 0 4361 0 0 0 3400 0 551730 0 0 0 PART I, LINES 4A-B UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. STEVEN CAVANAUGH RECEIVED SEVERANCE PAYMENTS FROM PROMEDICA HEALTH SYSTEM IN THE AMOUNT OF $1,335,180 DURING 2023. JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM PROMEDICA HEALTH SYSTEM IN THE AMOUNT OF $721,900 DURING 2023. MATTHEW KANG RECEIVED SEVERANCE PAYMENTS FROM PROMEDICA HEALTH SYSTEM IN THE AMOUNT OF $583,664 DURING 2023. GARY AKENBERGER RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, THE TOLEDO HOSPITAL, IN THE AMOUNT OF $195,150 DURING 2023. KAREN STRAUSS RECEIVED SEVERANCE PAYMENTS FROM PROMEDICA HEALTH SYSTEM IN THE AMOUNT OF 682,542 DURING 2023. ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. PART I, LINE 6 CERTAIN PHYSICANS AND OTHER LISTED PERSONS RECEIVED INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS. PART I, LINE 7 AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF FINANCIAL AND NON-FINANCIAL GOALS, TYPICALLY IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE ENGAGEMENT; 3) GROWTH; 4) QUALITY AND SAFETY; AND 5) PROFITABILITY. CERTAIN LISTED EXECUTIVES RECEIVED A DISCRETIONARY BONUS BASED ON EXCEPTIONAL PERFORMANCE. BRAD LACLAIR FAMILY MEMBER OF ROBERT W. LACLAIR EX OFFICIO AND CHAIRMAN 132534 EMPLOYED ASSOCIATE VICE PRESIDENT 0 KASSIDY BISHOP FAMILY MEMBER OF KENT BISHOP- BOARD MEMBER 115877 EMPLOYED PHYSICIAN 0 KEVIN BINGLE FAMILY MEMBER OF JAMES BINGLE - BOARD MEMBER 276752 EMPLOYED PHSYSICIAN 0 FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, WE ARE AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. WE CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. PROMEDICA HAS BEEN NATIONALLY RECOGNIZED FOR ITS ADVOCACY PROGRAMS AND EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE; PROMEDICA LAUNCHES NEW SERVICES AND PROGRAMS ANNUALLY TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING HEALTH AND WELLNESS PROGRAMMING FOR OUR COMMUNITIES , GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S SERVICES AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES, AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, MEDICALLY NECESSARY SERVICES ARE PROVIDED AT DISCOUNTED RATES BASED ON A SLIDING SCALE DEPENDING ON INCOME LEVEL AND INSURANCE STATUS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTH CARE SERVICES; RECRUIT AND TRAIN HEALTH CARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. FORM 990, PART V, LINE 2A IN 2022, THE HEALTH SYSTEM CENTRALIZED ITS PAYROLL PROCESS, TRANSITIONING FROM MULTIPLE PAYROLL ENTITIES. AS A RESULT, EMPLOYEES RECEIVED UP TO THREE DIFFERENT W-2S UNDER PROMEDICA HEALTH SYSTEM AND DISREGARDED ENTITIES' EINS. IN 2023, EMPLOYEES WERE ISSUED A SINGLE W-2. FORM 990, PART VI, SECTION A, LINE 3 IN 2022 AND 2023, PROMEDICA HEALTH SYSTEM ENTERED INTO AN AGREEMENT WITH ANKURA TO PROVIDE EXECUTIVE GUIDANCE TO THE HEALTH SYSTEM. THOSE SERVICES INCLUDE, ACTING AS INTERIM CFO OF THE HEALTH SYSTEM, COORDINATING VARIOUS FINANCIAL ACTIVITIES INCLUDING, REVIEW AND ANALYSIS OF FINANCIAL AND OPERATIONAL PERFORMANCE, GUIDANCE AND SUPPORT REGARDING ORGANIZATIONAL STRUCTURE, AND SUPPORT OF PERFORMANCE IMPROVEMENT INITIATIVES. LOUIS ROBICHAUX, ACTING AS INTERIM CFO OF PROMEDICA HEALTH SYSTEM WAS EMPLOYED AND COMPENSATED BY ANKURA. ANKURA RECEIVED $858,454 IN EXCHANGE FOR THE SERVICES PROVIDED BY LOUIS ROBICHAUX DURING 2023. 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 SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL BONUS-ELIGIBLE SENIOR LEADERSHIP AND SPECIFICALLY IDENTIFIED ADDITIONAL EMPLOYEES, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PROVIDERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PROVIDER CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER FOR PROMEDICA PHYSICIAN GROUP, INC. (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE OFFICE OF THE PROMEDICA HEALTH SYSTEM, INC. ("PHS") V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PROVIDER CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE PHS AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PROVIDERS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PROVIDER STANDARD OF CONDUCT AND THE PROVIDER CERTIFICATION STATEMENT WHICH THE NEW PROVIDER IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE PHS V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PROVIDER AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE IDENTIFIED PROVIDER BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, WILL PROVIDE THE PROVIDER-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. PART VI, SECTION B, LINE 16B: JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES. FORM 990, PART VII, SECTION A LOUIS ROBICHAUX IS EMPLOYED BY A MANAGEMENT AGENCY THAT IS UNDER A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO PROMEDICA HEALTH SERVICES. FORM 990, PART IX, LINE 11G HEALTHCARE SERVICES: PROGRAM SERVICE EXPENSES 103,831,259. MANAGEMENT AND GENERAL EXPENSES 25,957,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,789,074. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 874,759. MANAGEMENT AND GENERAL EXPENSES 218,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,093,449. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 5,797,190. MANAGEMENT AND GENERAL EXPENSES 1,336,877. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,134,067. FORM 990, PART XI, LINE 9: TRANSFERS BETWEEN RELATED ENTITIES 12,800,713. NET PERIODIC PENSION CHANGE 12,291,484. 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