2020-11-13T06:41:09-06:00 2019-12-31 990 2019-01-01 341899439 PROMEDICA PHYSICIAN GROUP PROM 4192525772 100 MADISON AVE ATTN TAX DEPARTM TOLEDO OH 43604 STEVEN M CAVANAUGH TREASURER 4192525772 2020-11-12 0 159.116.1.25 2020-11-12 15:05:12 ES P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2019 2021-01-29 14:40:06Z STEVEN M CAVANAUGH 100 MADISON AVE TOLEDO OH 43604 415915044 0 X WWW.PROMEDICA.ORG X 1999 OH PROMEDICA PHYSICIAN GROUP IS PART OF THE PHYSICIAN SERVICES COMPONENT OF PROMEDICA HEALTH SYSTEM, INC.'S INTEGRATED DELIVERY SYSTEM AND PROVIDES SERVICES TO IMPROVE THE HEALTH CARE OF THE COMMUNITY IN AN EFFICIENT AND COST-EFFECTIVE MANNER. 32 25 3035 34 34414344 0 102560582 11061 384636853 415903970 0 -6634 5016 13 487202451 415908410 585 2000 0 0 340632851 354307160 0 0 0 132720413 151751824 473353849 506060984 13848602 -90152574 99411166 207227787 92925741 170411918 6485425 36815869 X AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE WILL BE THE PREMIER COMMUNITY-BASED MANAGEMENT SERVICES ORGANIZATION AND PROVIDER OF RELATED HEALTHCARE SERVICES FOR NORTHWEST OHIO/SOURTHEAST MICHIGAN, OFFERING QUALITY, COST-EFFECTIVE, EFFICIENT, AND VALUE-ADDED SERVICES TO ACHIEVE SUPERIOR PATIENT SATISFACTION AND A FINANCIALLY VIABLE NETWORK OF PHYSICIANS SUPPORTING THE MEDICAL NEEDS OF THE COMMUNITY. 0 0 365252690 2000 350792167 PROMEDICA PHYSICIAN GROUP IS A PHYSICIAN SERVICES ORGANIZATION THAT PROVIDES SERVICE-ORIENTED, COST-EFFECTIVE HEALTH CARE SERVICES TO THE GENERAL PUBLIC AT A LOCAL LEVEL BY PEOPLE WHO WORK AND LIVE IN THE COMMUNITY THEY SERVE. - SEE SCHEDULE O. 67077168 30690838 PROMEDICA PHYSICIAN GROUP PROVIDES PHARMACY, DURABLE MEDICAL EQUIPMENT, AND SUPPLIES TO ENHANCE THE RECOVERY PROCESS AND ENABLE PATIENTS' TREATMENT AT HOME. - SEE SCHEDULE O. 432329858 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 130 0 1 3035 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 32 25 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 0 X CONNIE DOWNS 5675858505 100 MADISON AVE TOLEDO OH 43604 RANDALL OOSTRA PHS PRES. & CEO, EX OFFICIO 1.00 60.00 X X 0 3848858 938751 LISA G HAWKER CHAIRMAN 1.00 8.00 X X 0 0 0 DONALD G CRESCENZO MD TRUSTEE 1.00 45.00 X 899636 0 33382 KEVIN C WEBB PHD EX OFFICIO 1.00 54.00 X 0 1375143 235820 EMMETT T BOYLE JR MD TRUSTEE 1.00 46.00 X 0 585938 27531 VICTOR J CHERFAN DO TRUSTEE 1.00 47.00 X 0 562361 23905 BRIAN MILLER MD TRUSTEE 1.00 45.00 X 0 411320 32005 IRACEMA AREVALO MD TRUSTEE 1.00 46.00 X 0 356137 26522 JOSEPH A ASSENMACHER MD TRUSTEE 1.00 6.00 X 0 11660 0 ALEX J GERKEN TRUSTEE 1.00 5.00 X 0 0 0 ANGELA M SHEETS EX OFFICIO 1.00 6.00 X 0 0 0 BLAIR SABA TRUSTEE 1.00 5.00 X 0 0 0 CATHERINE FARLEY TRUSTEE 1.00 5.00 X 0 0 0 DAVID A SNAVELY TRUSTEE 1.00 6.00 X 0 0 0 EDWARD J BARDI PHD TRUSTEE 1.00 5.00 X 0 0 0 EMORY M SCHMIDT TRUSTEE 1.00 6.00 X 0 0 0 ERICH L WEINLANDER TRUSTEE 1.00 7.00 X 0 0 0 EVON M EBEID MBA JD TRUSTEE 1.00 6.00 X 0 0 0 HUSSIEN Y SHOUSHER TRUSTEE 1.00 6.00 X 0 0 0 JAMES H BRENNAN JR EX OFFICIO 1.00 7.00 X 0 0 0 JENNIFER ZALECKI TRUSTEE 1.00 5.00 X 0 0 0 JOHN HENRY TRUSTEE 1.00 5.00 X 0 0 0 JOSEPH NAPOLI TRUSTEE 1.00 5.00 X 0 0 0 KENNETH A MYERS EX OFFICIO 1.00 6.00 X 0 0 0 KEVIN M PIROZEK TRUSTEE 1.00 5.00 X 0 0 0 LAURA W KLINE EX OFFICIO 1.00 7.00 X 0 0 0 LEAH MAGUIRE TRUSTEE 1.00 5.00 X 0 0 0 LESLIE A CHAPMAN TRUSTEE 1.00 7.00 X 0 0 0 MARCY L BROWN EX OFFICIO 1.00 8.00 X 0 0 0 MARGARET L LENT MSN TRUSTEE 1.00 5.00 X 0 0 0 MARK S BARNES TRUSTEE 1.00 5.00 X 0 0 0 MICHAEL L IVESON EX OFFICIO 1.00 6.00 X 0 0 0 NANCY P KABAT TRUSTEE 1.00 8.00 X 0 0 0 ROBERT W LACLAIR EX OFFICIO 1.00 10.00 X 0 0 0 RONALD W MATTER TRUSTEE 1.00 5.00 X 0 0 0 STEPHEN H STAELIN TRUSTEE 1.00 8.00 X 0 0 0 STEVEN J ROBINSON PHD TRUSTEE 1.00 5.00 X 0 0 0 SUSAN P BERNARD TRUSTEE 1.00 5.00 X 0 0 0 TIMOTHY BUBLICK TRUSTEE 1.00 5.00 X 0 0 0 VICKI L FRANZEN EX OFFICIO 1.00 7.00 X 0 0 0 WILLIAM R MCDONNELL EX OFFICIO 1.00 8.00 X 0 0 0 STEVEN M CAVANAUGH TREASURER (BEG 06/03/19) 1.00 60.00 X 0 2049453 6413 JEFFREY KUHN SECRETARY 1.00 60.00 X 0 1542825 255983 MICHAEL BROWNING TREASURER (THRU 06/03/19) 1.00 60.00 X 0 1216014 3813 ANGELA BRANDT PRESIDENT 1.00 41.00 X 0 432452 30538 DEE BIALECKI-HAASE CMO, PROMEDICA INSURANCE CORP 1.00 40.00 X 0 438340 30423 KEVIN REINARD PHYSICIAN 40.00 0.00 X 1701617 0 11741 MICHAEL MORONT PHYSICIAN 40.00 0.00 X 1260883 0 0 MICHAEL HEALY PHYSICIAN 40.00 0.00 X 1208499 0 3027 ASHRAF BANOUB PHYSICIAN 40.00 0.00 X 1107283 0 12739 STEPHEN STANEK PHYSICIAN 40.00 0.00 X 1053770 0 8565 LEE W HAMMERLING MD FORMER OFFICER 0.00 44.00 X 0 2031816 323226 DANIEL K CASSAVAR MD FORMER OFFICER 0.00 40.00 X 0 676200 22618 GARY W AKENBERGER FORMER OFFICER 0.00 49.00 X 0 450803 44563 ALAN M SATTLER FORMER OFFICER 0.00 40.00 X 0 347990 44375 7231688 16337310 2115940 627 1 1 0 UNIVERSITY OF TOLEDO PHYSICIANS LLC 3355 GLENDALE RD 3RD FLOOR TOLEDO OH 43614 PHYSICIAN COVERAGE 9219898 KOBOR MED SEARCH LLC PO BOX 1931 DAWSONVILLE GA 30534 PHYSICIAN COVERAGE 1276840 BARTON & ASSOCIATES INC 10 DEARBORN RD PEABODY MA 01960 PHYSICIAN COVERAGE 1130278 HOSPITALIST DIRECT 1005 N BROOKSIDE ROAD STE 240 ALLENTOWN PA 18106 PHYSICIAN COVERAGE 973556 LOCUMTENENSCOM 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 PHYSICIAN COVERAGE 695996 24 10761 300 11061 NET PATIENT SERVICES 621111 303654497 269240153 34414344 PHYS. SPEC. COVERAGE 621111 97304461 97304461 INCENTIVE PAYMENTS 621111 7682468 7682468 PHYSICIAN SERVICES REV 621111 5259904 5259904 SUPPORT FEES 621111 1914890 1914890 87750 87750 415903970 6634 -6634 -6634 -6634 MEDICAL RECORDS 900099 13 13 13 415908410 381483005 34414344 0 2000 2000 933018 746414 186604 306540782 246988281 59552501 7094619 5722295 1372324 23394978 19042300 4352678 16343763 13205965 3137798 346570 346570 251484 251484 35503514 35503514 1249330 1008328 241002 2986516 2518610 467906 1283304 1040462 242842 5201757 4392343 809414 1329338 1063963 265375 10582131 10582131 8251280 7838492 412788 DRUGS 54709241 54709241 MEDICAL SUPPLIES 14236631 14236631 INTERCOMPANY SERVICES 10531477 8914211 1617266 DUES & SUBSCRIPTIONS 1020048 816078 203970 4269203 3998599 270604 506060984 432329858 73731126 0 6751016 16021973 29487149 31074476 13717 13717 8587401 10124435 1637849 4137281 34331536 23995338 11477570 10336198 14953000 14953000 1075451 10763746 25428013 109802961 99411166 207227787 45701284 50344354 13125 47211332 120067564 92925741 170411918 X 6486424 36816868 -999 -999 6485425 36815869 99411166 207227787 X -90152574 120483018 X 0 1 X 1 0 X 48578625 71000270 90615805 102560582 11061 312766343 354137748 317314978 334513321 354967442 381483005 1742416494 402716373 388315248 425129126 457528024 381494066 2055182837 30315584 121500 20705930 23000000 74143014 0 30315584 121500 20705930 23000000 74143014 1981039823 -1026 80 -946 -1026 80 -946 9321 5016 13 14350 402715347 388315328 425138447 457533040 381494079 2055196241 0.96390 0.95050 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: PHYSICIAN SETTLEMENT - 2017 AMOUNT: $ 5,000. 2018 AMOUNT: $ 5,000. TRANSITIONAL SERVICES - 2017 AMOUNT: $ 4,250. MEDICAL RECORDS - 2017 AMOUNT: $ 71. 2018 AMOUNT: $ 16. 2019 AMOUNT: $ 13. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208395 76793 131602 10649872 3645485 7004387 23332013 20218130 3113883 141256 54930 86326 10336198 INVESTMENT IN PROMEDICA CENTRAL CORPORATION OF MICHIGAN 14953000 C 14953000 DUE FROM AFFILIATES 107806455 OTHER RECEIVABLES 1951689 CERTIFICATE OF DEPOSIT 44817 109802961 DUE TO AFFILIATES 106162029 MALPRACTICE TAIL LIABILITY 6660015 CONTINGENT LIABILITY 318467 OPERATING LEASE LIABILITY 6927053 120067564 1 1 0 0 0 0 0 0 0 RANDALL OOSTRA PHS PRES. & CEO, EX OFFICIO 0 1952660 0 1856635 0 39563 0 919062 0 19689 0 4787609 0 0 DONALD G CRESCENZO MD TRUSTEE 876574 0 0 0 23062 0 0 0 33382 0 933018 0 0 0 KEVIN C WEBB PHD EX OFFICIO 0 578513 0 783928 0 12702 0 219114 0 16706 0 1610963 0 0 EMMETT T BOYLE JR MD TRUSTEE 0 562876 0 0 0 23062 0 0 0 27531 0 613469 0 0 VICTOR J CHERFAN DO TRUSTEE 0 400752 0 161039 0 570 0 0 0 23905 0 586266 0 0 BRIAN MILLER MD TRUSTEE 0 341361 0 63700 0 6259 0 12251 0 19754 0 443325 0 0 IRACEMA AREVALO MD TRUSTEE 0 335216 0 20000 0 921 0 0 0 26522 0 382659 0 0 STEVEN M CAVANAUGH TREASURER (BEG 06/03/19) 0 1277261 0 772192 0 0 0 0 0 6413 0 2055866 0 0 JEFFREY KUHN SECRETARY 0 645968 0 843953 0 52904 0 239428 0 16555 0 1798808 0 0 MICHAEL BROWNING TREASURER (THRU 06/03/19) 0 514787 0 677898 0 23329 0 0 0 3813 0 1219827 0 0 ANGELA BRANDT PRESIDENT 0 288043 0 122146 0 22263 0 10462 0 20076 0 462990 0 0 DEE BIALECKI-HAASE CMO, PROMEDICA INSURANCE CORP 0 350223 0 86400 0 1717 0 21965 0 8458 0 468763 0 0 KEVIN REINARD PHYSICIAN 1682074 0 0 0 19543 0 0 0 11741 0 1713358 0 0 0 MICHAEL MORONT PHYSICIAN 1260583 0 0 0 300 0 0 0 0 0 1260883 0 0 0 MICHAEL HEALY PHYSICIAN 1205160 0 0 0 3339 0 0 0 3027 0 1211526 0 0 0 ASHRAF BANOUB PHYSICIAN 1077472 0 9500 0 20311 0 0 0 12739 0 1120022 0 0 0 STEPHEN STANEK PHYSICIAN 695211 0 357985 0 574 0 0 0 8565 0 1062335 0 0 0 LEE W HAMMERLING MD FORMER OFFICER 0 679231 0 1286134 0 66451 0 300014 0 23212 0 2355042 0 0 DANIEL K CASSAVAR MD FORMER OFFICER 0 0 0 135200 0 541000 0 0 0 22618 0 698818 0 0 GARY W AKENBERGER FORMER OFFICER 0 355163 0 90077 0 5563 0 22535 0 22028 0 495366 0 0 ALAN M SATTLER FORMER OFFICER 0 198731 0 139306 0 9953 0 17597 0 26778 0 392365 0 0 PART I, LINE 3 PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF PROMEDICA PHYSICIAN GROUP, 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, 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. SEVERANCE PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: DANIEL CASSAVAR $541,000.20 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. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: LEE W. HAMMERLING, M.D. $30,501.27 SCHEDULE J, SUPPLEMENTAL INFORMATION: IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR. JAY HAMMERLING FAMILY MEMBER OF LEE W. HAMMERLING, MD (FORMER OFFICER) 571566 EMPLOYMENT 0 DAVID CASSAVAR FAMILY MEMBER OF DANIEL K. CASSAVAR, MD (FORMER OFFICER) 46849 EMPLOYMENT 0 SAMANTHA BIALECKI FAMILY MEMBER OF DEE A. BIALECKI-HAASE, MD (KEY EMPLOYEE) 110160 EMPLOYMENT 0 AMY HAASE FAMILY MEMBER OF DEE A. BIALECKI-HAASE, MD (KEY EMPLOYEE) 26018 EMPLOYMENT 0 BRAD LACLAIR FAMILY MEMBER OF ROBERT W. LACLAIR (EX OFFICIO) 79143 EMPLOYMENT 0 DREW OOSTRA FAMILY MEMBER OF RANDALL OOSTRA (PHS PRESIDENT & CEO, EX OFFICIO) 369048 EMPLOYMENT 0 KATELYN OOSTRA FAMILY MEMBER OF RANDALL OOSTRA (PHS PRESIDENT & CEO, EX OFFICIO) 140250 EMPLOYMENT 0 CRAIG ASSENMACHER FAMILY MEMBER OF JOSEPH ASSENMACHER (TRUSTEE) 519980 EMPLOYMENT 0 BEN ASSENMACHER FAMILY MEMBER OF JOSEPH ASSENMACHER (TRUSTEE) 567771 EMPLOYMENT 0 DENNIS ASSENMACHER FAMILY MEMBER OF JOSEPH ASSENMACHER (TRUSTEE) 287687 EMPLOYMENT 0 FORM 990, PART III, LINE 4: PROMEDICA PHYSICIAN GROUP - PROGRAM SERVICE ACCOMPLISHMENTS SERVING INDIVIDUALS AND FAMILIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, PROMEDICA PHYSICIAN GROUP (PPG) OFFERS A LARGE SELECTION OF PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO PROVIDE MEDICAL CARE AND OTHER HEALTHCARE SERVICES VIA AN INTEGRATED APPROACH THROUGH WHICH THEY COLLABORATE WITH OTHER PROVIDERS. THIS INTEGRATED DELIVERY IS MORE COST-EFFECTIVE THAN TRADITIONAL DELIVERY SYSTEMS AND HELPS TO ENSURE PATIENTS HAVE BETTER ACCESS TO CARE IN THE MOST APPROPRIATE SETTING. PPG IS PART 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. PPG'S WELL-EQUIPPED FACILITIES ARE LOCATED IN APPROXIMATELY 200 OFFICES, AND ITS NETWORK IS COMPRISED OF MORE THAN 960 HEALTHCARE PROVIDERS CERTIFIED IN 55 SPECIALTIES, INCLUDING ANESTHESIOLOGY, BARIATRICS, CARDIOLOGY, CRITICAL CARE, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HEMATOLOGY-ONCOLOGY, HOSPITALISTS, INTERNAL MEDICINE, NEUROLOGY AND NEUROSURGERY, OBSTETRICS/GYNECOLOGY, OCCUPATIONAL MEDICINE, OPHTHALMOLOGY, ORTHOPAEDIC SURGERY, PEDIATRIC CARDIOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRICS, PSYCHIATRY, SPORTS CARE, SURGICAL ONCOLOGY, UROLOGY, AND VASCULAR MEDICINE. PPG CONDUCTED APPROXIMATELY 2 MILLION PATIENT ENCOUNTERS IN 2019. ADDITIONALLY, PPG PRIMARY CARE PRACTICES NOW SCREEN FOR 10 DIFFERENT SOCIAL DETERMINANTS SCREENS FOR AREAS SUCH AS FOOD INSECURITY, FINANCIAL WELLNESS, DOMESTIC VIOLENCE, HOUSING, AND MORE. PATIENTS SCREENING POSITIVE IN THREE OR MORE DOMAINS ARE CONNECTED TO COMMUNITY RESOURCES TO IMPROVE HEALTH AND WELL-BEING. IN 2019, PPG CONTRIBUTED $34,554,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICES, SUBSIDIZED HEALTH SERVICES, AND OTHER COMMUNITY BENEFIT OPERATIONS, PPG CONTRIBUTED $2,122,000 TO THE COMMUNITY. PPG ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2019, OF WHICH $433,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF 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. ITS COST OF BAD DEBT FOR 2019 TOTALED $7,380,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $34,554,000 NOTED ABOVE. FURTHER, PPG PROVIDED $31,979,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. ALSO IN 2019, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $47,093,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $34,554,000 NOTED ABOVE. DURING 2019, PPG EXPENDED $233,910,000 IN NET PAYROLL, PROVIDING 3,270 JOBS. A TOTAL OF $17,964,000 WAS WITHHELD FROM EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, PPG 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, PROMEDICA PROVIDES THESE HEALTHCARE SERVICES; RECRUITS AND TRAINS HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDES APPROPRIATE FINANCIAL ASSISTANCE; OFFERS SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENTS 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 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 PROMEDICA PHYSICIAN GROUP (PPG). PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF PPG, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES. 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 PREPARATION OF THE 990 RETURNS OF PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE SUPERVISED BY THE ORGANIZATION'S TAX DEPARTMENT AND REVIEWED BY THE CORPORATE TAX DIRECTOR AND FINANCE LEADERSHIP. COPIES OF THE FORM 990 ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. THE 990 IS REVIEWED AND SIGNED BY A PRINCIPAL OFFICER 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 PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES AND SPECIFICALLY IDENTIFIED HOURLY EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, 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 PHYSICIANS, 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. EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER AND THE CHIEF OPERATING OFFICER FOR PROMEDICA PHYSICIAN GROUP (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PHYSICIANS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PHYSICIAN STANDARD OF CONDUCT AND THE PHYSICIAN CERTIFICATION STATEMENT WHICH THE NEW PHYSICIAN IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, CHIEF OPERATING OFFICER OR THEIR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE 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 PHYSICIAN 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 APPROPRIATE PHYSICIAN 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 PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PROMEDICA HEALTH SYSTEM, INC. 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 PROMEDICA PHYSICIAN GROUP'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 XI, LINE 9: TRANSFERS BETWEEN RELATED ENTITIES 120,483,018. 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