2019-11-15T08:35:15-06:00 2018-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE STE 4200 INDIANAPOLIS IN 462045108 990 2018-01-01 341517672 PROMEDICA FOUNDATION PROM 5675853618 444 N SUMMIT ST TOLEDO OH 43604 STEVEN M CAVANAUGH TREASURER 5675853892 2019-11-14 1 SAMANTHA BOKORI P01057347 3174648600 99.169.247.132 2019-11-14 21:01:16 ES P AB8BD5A88D4BA927D2DA994192B6818756100B67 B1F6754162BA34960FF6E5961467431CD3790A95 2018 2020-04-17 16:48:07Z STEVEN M CAVANAUGH 100 MADISON AVE TOLEDO OH 43604 204304658 0 X WWW.PROMEDICA.ORG X 1986 OH THE PROMEDICA FOUNDATION'S MISSION IS TO GENERATE AND DIRECT THE UTILIZATION OF RESOURCES TO ENRICH EXISTING PROGRAMS AND FUND NEW SERVICES, INSPIRING EXCELLENCE IN THE PROVISION OF HEALTH CARE AND ENHANCING QUALITY OF LIFE FOR THE PEOPLE OF OUR COMMUNITY. 6 1 0 106 0 0 32950782 16475193 0 0 31879426 22072020 -108104 -67337 64722104 38479876 17183002 11507409 0 0 2300553 2695830 734583 664292 5909933 3663057 4035376 23881195 18902907 40840909 19576969 315817720 304253146 4591944 4115687 311225776 300137459 THE PROMEDICA FOUNDATION'S MISSION IS TO GENERATE AND DIRECT THE UTILIZATION OF RESOURCES TO ENRICH EXISTING PROGRAMS AND FUND NEW SERVICES, INSPIRING EXCELLENCE IN THE PROVISION OF HEALTH CARE AND ENHANCING QUALITY OF LIFE FOR THE PEOPLE OF OUR COMMUNITY. 0 0 11507409 11507409 PROMOTE HEALTH AND WELL-BEING WITH SUPPORT FOR MEDICAL CARE, MEDICAL EDUCATION, MEDICAL RESEARCH, AND SOCIAL DETERMINANTS OF HEALTH, AND BY SOLICITING CONTRIBUTIONS, GRANTS AND INVESTING FUNDS TO GENERATE INCOME TO SUPPORT PROMEDICA HEALTH SYSTEM, INC. ENTITIES. 11507409 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 6 1 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 FL MI X STANTON E RISSER 5675853618 100 MADISON AVE TOLEDO OH 43604 GARY M CATES EX OFFICIO 1.00 40.00 X 0 517500 49134 JEFFREY C KUHN SECRETARY, TRUSTEE 1.00 53.00 X X 0 809040 69385 LESLIE A CHAPMAN CHAIRPERSON 1.00 1.00 X X 0 0 0 MICHAEL P BROWNING TREASURER, TRUSTEE 1.00 51.00 X X 0 1246637 81854 RANDALL OOSTRA PRESIDENT, EX OFFICIO 1.00 55.00 X X 0 2904245 157073 ROBERT W LACLAIR EX OFFICIO 1.00 11.00 X 0 0 0 CHRISTI L ANSBERG VP, PHILANTHROPY OPERATIONS 0.50 40.00 X 0 182201 44188 STANTON E RISSER SR. VP, FINANCE 0.50 40.50 X 0 358136 22225 ALAN M SATTLER FORMER OFFICER 0.00 40.00 X 0 162522 54541 GARY W AKENBERGER FORMER OFFICER 0.00 45.00 X 0 548253 64476 KATHLEEN S HANLEY FORMER OFFICER 0.00 0.00 X 0 1569411 0 0 8297945 542876 0 1 1 0 0 47332 1480 503506 6181268 9741607 1644112 16475193 9261401 9261401 12000 18494 -6494 -6494 -6494 178331134 165477377 43138 12853757 -43138 12810619 12810619 224930 503506 285773 -60843 -60843 38479876 0 0 22004683 11452909 11452909 54500 54500 2139422 313943 1825479 92851 13625 79226 299891 44007 255884 163666 24017 139649 11 11 29407 29407 1301 1301 664292 664292 673448 673448 487858 71913 415945 88890 88890 125783 47625 78158 6832 6832 113994 113994 172497 2031 170466 10341 10341 44180 44180 FUNDRAISING EXPENSE 1280602 1280602 BAD DEBT EXPENSE 416058 416058 DONOR CULTIVATION 355765 355765 FOUNDATION ACTIVITIES 91969 91969 136440 136440 18902907 11507409 1485565 5909933 878851 778376 22087991 16719516 1000 2662505 184796 1021185 2477709 258569268 252985144 33259425 31292401 315817720 304253146 453781 318809 4138163 3796878 4591944 4115687 X 182756838 174306083 89221432 90635894 39247506 35195482 311225776 300137459 315817720 304253146 X 19576969 -37965653 7300367 X 0 1 X 1 0 X X 18 BAY PARK COMMUNITY HOSPITAL 341883132 3 1 36913 0 COMMUNITY HEALTH CENTER OF BRANCH COUNTY 386108110 3 1 226533 0 DEFIANCE HOSPITAL INC 344446484 3 1 89576 0 EMMA L BIXBY MEDICAL CENTER 382796005 3 1 107732 67862 FLOWER HOSPITAL 344428794 3 1 2344016 0 FOSTORIA HOSPITAL ASSOCIATION 340898745 3 1 188899 0 HERRICK MEMORIAL HOSPITAL INC 383049015 3 1 110230 0 MEMORIAL HOSPITAL 344430849 3 1 331245 0 MERCY MEMORIAL HOSPITAL CORPORATION 381984289 3 1 500675 0 THE TOLEDO HOSPITAL 344428256 3 1 4833347 0 HCR MANORCARE INC 825373223 10 0 0 0 KAITLYN'S COTTAGE INC 454781053 10 0 25654 0 LENAWEE LONG TERM CARE 382879330 10 0 0 0 MONROE COMMUNITY HEALTH SERVICES 382934134 10 0 0 0 PROMEDICA CONTINUING CARE SERVICES CORPORATION 344492440 10 0 74152 0 PROMEDICA PHYSICIAN GROUP 341899439 10 1 10953 0 TOLEDO DISTRICT NURSE ASSOCIATION 344427949 10 0 0 0 VISITING NURSE HOSPICE AND HEALTH CARE 341831624 10 0 65876 0 18 8945801 67862 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 11G, COLUMN VI: PROMEDICA FOUNDATION PROVIDED NON-MONETARY SUPPORT INCLUDING GREEN HOUSE STRUCTURE TO EMMA L. BIXBY MEDICAL CENTER. 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 A, LINE 5: PROMEDICA FOUNDATION ADDED THE FOLLOWING SUPPORTED ORGANIZATIONS DURING TAX YEAR 2018: - COMMUNITY HEALTH CENTER OF BRANCH COUNTY - 38-6108110 - HCR MANORCARE, INC. - 82-5373223 PROMEDICA HEALTH SYSTEM, INC., THE ULTIMATE PARENT CORPORATION OF PROMEDICA FOUNDATION ACQUIRED COMMUNITY HEALTH CENTER OF BRANCH COUNTY AND ITS SUBSIDIARIES AND AFFILIATES AS OF JANUARY 1, 2018. AN AMENDMENT WAS MADE TO THE ORGANIZATION'S GOVERNING DOCUMENT TO ADD COMMUNITY HEALTH CENTER OF BRANCH COUNTY AS A SUPPORTED ORGANIZATION. PROMEDICA HEALTH SYSTEM, INC., THE ULTIMATE PARENT CORPORATION OF PROMEDICA FOUNDATION ACQUIRED HCR MANORCARE, INC. AND ITS SUBSIDIARIES AND AFFILIATES AS OF JULY 26, 2018. THE SUPPORTED ORGANIZATION ADDED FALLS WITHIN THE CLASS DESCRIBED WITHIN THE ORGANIZATION'S GOVERNING DOCUMENT; THEREFORE, NO AMENDMENT WAS MADE. PROMEDICA FOUNDATION REMOVED THE FOLLOWING SUPPORTED ORGANIZATION DURING TAX YEAR 2018: - FLOWER HOSPITAL - 34-4428794 PROMEDICA HEALTH SYSTEM, INC., THE ULTIMATE PARENT CORPORATION OF PROMEDICA FOUNDATION IS NO LONGER THE MEMBER OF FLOWER HOSPITAL PURSUANT TO A MERGER OF THE TOLEDO HOSPITAL AND FLOWER HOSPITAL EFFECTIVE DECEMBER 2, 2018. THE MERGER DID NOT REQUIRE AN AMENDMENT TO THE ORGANIZATION'S GOVERNING DOCUMENT. PART IV, SECTION C, LINE 1: PROMEDICA FOUNDATION IS AN OHIO NOT-FOR-PROFIT CORPORATION THAT OPERATES TO SUPPORT, BENEFIT AND THROUGH ITS ACTIVITIES, CARRY OUT AND FURTHER THE PURPOSES OF PROMEDICA HEALTH SYSTEM, INC. (PHS) 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). PHS IS THE MEMBER OF PROMEDICA FOUNDATION AND 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 FOUNDATION, 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. PROMEDICA FOUNDATION QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ALL ORGANIZATIONS THAT ARE EXEMPT AFFILIATED MEMBERS OF PHS. COMMON SUPERVISION AND CONTROL ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF PHS. THERE HAS ALSO BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN PROMEDICA FOUNDATION AND 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. PROMEDICA FOUNDATION HAS MAINTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATION'S OPERATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 56244034 8450 -4741132 540000 50971352 50869326 376639 5188830 190761 56244034 49781106 32026 1056194 50869326 52300127 14822 -1741835 792008 49781106 50309385 1101836 888906 52300127 0.30900 0.69100 1 0 1675000 210792 1885792 390888 166634 224254 385825 18162 367663 2477709 CASH VALUE OF LIFE INSURANCE 702005 FUNDED PERPETUITIES 28786912 DUE FROM AFFILIATES 1803484 31292401 DUE TO AFFILIATES 3796878 3796878 PART V, LINE 4: THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT PROMEDICA HEALTH SYSTEM, INC. ENTITIES CONSISTENT WITH DONOR INTENT. X X X X X X 1 ALY STERLING PHILANTHROPY 1847 COLLINGWOOD BLVD TOLEDO OH 43604 CAMPAIGN CONSULTING 0 6354494 514000 5840494 TSM DONOR ENGAGEMENT TEAM 155 COMMERCE DR FREEDOM PA 15042 DIRECT PHONE SOLICITATION 0 35478 58167 -22689 BETSY KELSEY 29796 FOXHILL RD PERRYSBURG OH 43551 CAMPAIGN CONSULTING 0 0 92125 -92125 6389972 664292 5725680 FL MI OH FLOWER GOLF EVENT 159735 133285 26450 1200 11760 475 25648 NORTH GOLF EVENT 127563 78019 49544 960 15615 1225 29566 10 441138 292202 148936 3436 2270 113474 2580 77564 728436 503506 224930 5596 2270 140849 4280 132778 285773 -60843 PART I, LINE 2B, COLUMN (V): AMOUNTS PAID FOR THE REIMBURSEMENT OF EXPENSES TO PROFESSIONAL FUNDRAISING COMPANIES IS $11,880. PAYMENT FOR PROFESSIONAL FUNDRAISING SERVICES IS DISTINGUISHED FROM EXPENSE PAYMENTS ON THE DETAIL OF THE INVOICES. 1 THE TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO OH 43606 344428256 501(C)(3) 4833347 OPERATING / CAPITAL SUPPORT FLOWER HOSPITAL 5200 HARROUN RD SYLVANIA OH 43560 344428794 501(C)(3) 2344016 OPERATING / CAPITAL SUPPORT DEFIANCE HOSPITAL INC 1200 RALSTON AVE DEFIANCE OH 435122495 344446484 501(C)(3) 89576 OPERATING / CAPITAL SUPPORT FOSTORIA HOSPITAL ASSOCIATION 501 VAN BUREN FOSTORIA OH 448300907 340898745 501(C)(3) 188899 OPERATING / CAPITAL SUPPORT MEMORIAL HOSPITAL 715 S TAFT AVE FREMONT OH 43420 344430849 501(C)(3) 331245 OPERATING / CAPITAL SUPPORT BAY PARK COMMUNITY HOSPITAL 2801 BAY PARK DR OREGON OH 43616 341883132 501(C)(3) 36913 OPERATING / CAPITAL SUPPORT EMMA L BIXBY MEDICAL CENTER 818 RIVERSIDE AVE ADRIAN MI 49221 382796005 501(C)(3) 107732 67862 FMV HOOP HOUSE OPERATING / CAPITAL SUPPORT HERRICK MEMORIAL HOSPITAL INC 500 E POTTAWATAMIE ST TECUMSEH MI 49286 383049015 501(C)(3) 110230 OPERATING / CAPITAL SUPPORT PROMEDICA CONTINUING CARE SERVICES CORPORATION 100 MADISON AVE TOLEDO OH 43604 344492440 501(C)(3) 74152 OPERATING / CAPITAL SUPPORT PROMEDICA HEALTH SYSTEM INC 100 MADISON AVE TOLEDO OH 43604 341517671 501(C)(3) 2438916 OPERATING / CAPITAL SUPPORT KAITLYN'S COTTAGE INC 1260 RALSTON AVE DEFIANCE OH 435122495 454781053 501(C)(3) 25654 OPERATING / CAPITAL SUPPORT VISITING NURSE HOSPICE AND HEALTH CARE 5855 MONROE ST SYLVANIA OH 43560 341831624 501(C)(3) 65876 OPERATING / CAPITAL SUPPORT PROMEDICA PHYSICIAN GROUP 100 MADISON AVE TOLEDO OH 43604 341899439 501(C)(3) 10953 OPERATING / CAPITAL SUPPORT COMMUNITY HEALTH CENTER OF BRANCH COUNTY 274 E CHICAGO ST COLDWATER MI 49036 386108110 501(C)(3) 226533 OPERATING / CAPITAL SUPPORT MERCY MEMORIAL HOSPITAL CORPORATION 718 N MACOMB ST MONROE MI 48162 381984289 501(C)(3) 500675 OPERATING / CAPITAL SUPPORT 15 0 SCHOLARSHIPS 62 54500 PART I, LINE 2: AS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM, INC. (PHS) CORPORATE POLICIES EXIST TO ENSURE THAT THE APPROVAL AND DISTRIBUTION OF FOUNDATION FUNDS ARE CONSISTENT WITH THE APPROVED SUPPORTED ORGANIZATION STRATEGIC PLAN AND DOCUMENTED DONOR INTENT. ALL REQUESTS FOR FUNDS MUST BE SUBMITTED ON THE "FUND UTILIZATION REQUEST" FORM AND INCLUDE WRITTEN SUPPORTING DOCUMENTATION AND APPROPRIATE APPROVALS DEPENDING ON THE DOLLAR AMOUNT OF THE REQUEST. ON A MONTHLY BASIS A REPORT LISTING ALL FUND DISTRIBUTIONS IS DISTRIBUTED TO THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF PHILANTHROPIC OFFICER. 0 1 0 0 0 0 0 0 0 GARY M CATES EX OFFICIO 0 299798 0 208367 0 9335 0 20707 0 28427 0 566634 0 75000 JEFFREY C KUHN SECRETARY, TRUSTEE 0 540493 0 238408 0 30139 0 40353 0 29032 0 878425 0 0 MICHAEL P BROWNING TREASURER, TRUSTEE 0 703353 0 516162 0 27122 0 25025 0 56829 0 1328491 0 0 RANDALL OOSTRA PRESIDENT, EX OFFICIO 0 1514553 0 1012405 0 377287 0 122095 0 34978 0 3061318 0 0 CHRISTI L ANSBERG VP, PHILANTHROPY OPERATIONS 0 145712 0 35700 0 789 0 5601 0 38587 0 226389 0 0 STANTON E RISSER SR. VP, FINANCE 0 275075 0 77939 0 5122 0 7095 0 15130 0 380361 0 0 ALAN M SATTLER FORMER OFFICER 0 148474 0 11047 0 3001 0 8443 0 46098 0 217063 0 0 GARY W AKENBERGER FORMER OFFICER 0 331601 0 172000 0 44652 0 27580 0 36896 0 612729 0 75000 KATHLEEN S HANLEY FORMER OFFICER 0 0 0 0 0 1569411 0 0 0 0 0 1569411 0 1569411 PART I, LINE 3 PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF PROMEDICA FOUNDATION, 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: 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: KATHLEEN S. HANLEY $1,569,411 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. X 8 51250 COST OR SELLING PRICE X 1 1525000 OPINIONS OF EXPERTS X 1 67862 COST OR SELLING PRICE 0 0 1 1 PART I, COLUMN (B): THE NUMBERS IN COLUMN (B) REFER TO THE NUMBER OF CONTRIBUTIONS. PART I, LINE 32B: PROMEDICA FOUNDATION USES REAL ESTATE BROKERS TO SELL DONATED REAL ESTATE PROPERTIES. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE JANUARY 1, 2018, PROMEDICA FOUNDATION AMENDED ITS CODE OF REGULATIONS TO ADD COMMUNITY HEALTH CENTER OF BRANCH COUNTY AS A SUPPORTED ORGANIZATION. 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 FOUNDATION. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF PROMEDICA FOUNDATION, 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 UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE 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, PROVIDERS, ACUTE AND AMBULATORY CARE 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 PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE 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 PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE IN ADVANCE OF THE POSTING. THE PRESIDENT, PROVIDERS, ACUTE AND AMBULATORY CARE, THE CHIEF OPERATING OFFICER OR THEIR DESIGNEE WILL PROVIDE THE PHYSICIAN-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 PROMEDICA FOUNDATION'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: GAAP ACCT ADJ IN CONNECT WITH ACQUISITION BY PROMEDICA HEALTH SYSTEM, INC. 2,877,808. TRANSFER OF NET ASSETS FROM MERCY MEMORIAL HOSPITAL CORPORATION 4,422,559. 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