2025-10-14T14:52:53-05:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4192525772 100 MADISON AVE ATTN TAX DEPARTM TOLEDO OH 43604 TERRENCE METZGER CFO 4192525772 2025-10-13 1 1 AMY CIMINELLO P00796388 6148493000 2025-10-09 2024 2025-03-06 01:10:19Z TERRENCE METZGER 100 MADISON AVE ATTN TAX DEPARTMENT TOLEDO OH 43604 273741262 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. 13 5 1951 215 1844257 0 0 3472536 319095062 250165130 6049063 13616623 2718450 1355773 327862575 268610062 6236958 2131114 0 0 162569997 118459664 0 0 0 264500322 180349340 433307277 300940118 -105444702 -32330056 854134157 910332471 326317247 229141326 527816910 681191145 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 174708087 2131114 250165130 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. 174708087 1 1 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 2223 0 1 1951 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 13 5 0 0 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 ARTURO POLIZZI PRESIDENT/CEO 20.00 35.00 X X 3119320 0 14012 RAVI NARRA TRUSTEE/PHYSICIAN 1.00 44.00 X 45000 570881 12612 MARK WAGONER TRUSTEE 1.00 1.00 X 70000 0 0 LISA HAWKER TRUSTEE 1.00 16.00 X 65000 0 0 LISA MCDUFFIE TRUSTEE 1.00 0.00 X 48500 0 0 BOB LACLAIR CHAIRPERSON 1.00 19.00 X X 42500 0 0 JAMES HOFFMAN TRUSTEE 1.00 1.00 X 35000 0 0 DARRELL CAMPBELL TRUSTEE 1.00 0.00 X 20500 0 0 MIKE BAUER TRUSTEE 1.00 0.00 X 0 0 0 JAMES BINGLE TRUSTEE 1.00 0.00 X 0 0 0 KURT DARROW TRUSTEE 1.00 0.00 X 0 0 0 STEVE STAELIN TRUSTEE 1.00 1.00 X 0 0 0 JIM WHITE TRUSTEE 1.00 1.00 X 0 0 0 THOMAS WINSTON TRUSTEE - PART YEAR 1.00 1.00 X 0 0 0 TERRENCE METZGER TREASURER/CFO 20.00 35.00 X 1209318 0 6610 STEPHEN SADOWSKI SECRETARY/CHIEF LEGAL OFFICER 20.00 35.00 X 1180376 0 6038 LORI JOHNSTON PRESIDENT - PARAMOUNT CARE - PART YEAR 44.00 1.00 X 1610991 0 4521 KENT BISHOP PRESIDENT - PPG/CMO 44.00 1.00 X 1452904 0 13389 DAWN BUSKEY CHIEF ACUTE CARE OFFICER 40.00 5.00 X 1340164 0 14772 ANGELA BRANDT CHIEF ADMINISTRATIVE OFFICER 43.00 2.00 X 1189894 0 12432 GARY CATES CHIEF PHILANTHROPY OFFICER - PART YEAR 43.00 2.00 X 686162 0 5907 JUSTIN SKIVER PRESIDENT - SENIOR CARE 34.00 11.00 X 655570 0 7144 FLOYD CHASSE CHIEF HR OFFICER 44.00 1.00 X 615987 0 7820 KATHLEEN MERRILL CHIEF MARKETING OFFICER 43.00 2.00 X 528138 0 12669 LUKE PILE COO - SENIOR CARE 35.00 10.00 X 493139 0 11053 DEBI BROBST CHIEF INFORMATION OFFICER 45.00 0.00 X 488018 0 9360 SCOTT FOUGHT VP ACUTE CARE 45.00 0.00 X 486760 0 7144 ANDREW GOTTMAN VP, TOTAL REWARDS & HR SHARED SERVICES 45.00 0.00 X 464775 0 8092 15848016 570881 153575 268 0 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE CT W SUITE 300 SAN DIEGO CA 92121 NURSING SERVICES 59377206 EMERGENCY PHYSICIANS OF NWO PO BOX 638133 CINCINNATI OH 45263 EMERGENCY MEDICAL STAFF 7557917 AMERICAN RED CROSS - MICHIGAN SSDA PO BOX 749667 LOS ANGELES CA 90074 MEDICAL SERVICES 6434435 THE SPIEKER COMPANY 2541 TRACY ROAD NORTHWOOD OH 43619 CONSTRUCTION SERVICES 4031306 ACCUITY DELIVERY SYSTEMS LLC 10000 MIDLANTIC DRIVE SUITE 400W MOUNT LAUREL NJ 08054 MEDICAL BILLING SERVICES 3536933 336 1936000 261276 1275260 3472536 MANAGEMENT FEES 611430 250165130 250165130 250165130 13426037 16318 13409719 2631282 5084085 -2452803 -2452803 -2452803 212701 25000 0 47115 212701 -22115 190586 190586 PARKING 812930 1001564 1001564 GROCERY STORE 445100 587299 587299 FOOD SERVICE 722514 239076 239076 1980637 1980637 3808576 268610062 250165130 1844257 13128139 X 2131114 2131114 13479832 13479832 93700720 18740144 74960576 3507181 701436 2805745 7771931 1554386 6217545 47250 47250 425220 425220 904970 904970 236589 236589 112622344 111549459 1072885 684835 547868 136967 5138164 4110531 1027633 3776464 3021171 755293 7005204 5604163 1401041 816028 652822 163206 7516346 7516346 28303383 22642706 5660677 2038764 1631011 407753 RESTRUCTURING COSTS 8796585 8796585 BAD DEBT 706456 706456 FOOD EXPENSE 174221 174221 INCOME TAX EXPENSE 40084 40084 1116433 900515 215918 300940118 174708087 126232031 0 40496283 268732631 43320369 0 6278541 18618868 30904573 0 90480 152695 43058673 45612012 469145506 301020753 189948209 168124753 3467664 1996965 684726 0 495884639 407094547 854134157 910332471 62701874 50260202 2235252 2248641 42666286 27638929 218713835 148993554 326317247 229141326 X 499197472 658896575 28619438 22294570 527816910 681191145 854134157 910332471 X -32330056 987821459 -802117168 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 122640 122640 0 PART II-B, LINE 1: PROMEDICA HEALTH SYSTEM, INC. PAID FEES TO STRATEGIC HEALTH CARE - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING. 6572452 6572452 158286369 47608950 110677419 3394114 2669837 724277 288127178 247590989 40536189 12765393 3150977 9614416 168124753 INVESTMENT IN AFFILIATES 278622769 DEFERRED COMPENSATION 56080324 LINE OF CREDIT COLLATERAL 43485308 BENEFICIAL INTEREST IN FOUNDATION 21064843 DUE FROM AFFILIATES 7630920 ROU ASSETS 210383 407094547 DEFERRED COMPENSATION 56080324 ACCRUED WAGES 55317665 DUE TO AFFILIATE 21664245 REMEDIATION 6595013 MALPRACTICE TAIL LIABILITY 6229497 ACCRUED PAYROLL TAXES 2880056 LEASE LIABILITY 222814 DEPOSITS 3940 148993554 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS HELD 1773031 0 0 0 0 0 0 1773031 0 1773031 1 0 1 0 1 0 1 TOLEDO SPORTS ARENA 406 WASHINGTON TOWN ST TOLEDO OH 43604 208815642 CORPORATION 371917 0 SUPPORT OPERATIONS TOLEDO MUDHENS BASEBALL CLUB 406 WASHINGTON TOWN ST TOLEDO OH 43604 340949891 CORPORATION 305500 0 SUPPORT OPERATIONS TOLEDO SCHOOL OF THE ARTS 333 14TH ST TOLEDO OH 43604 341876647 501(C)3 166666 0 SUPPORT OPERATIONS TOLEDO CLASSIC 3400 EXECUTIVE PKWY TOLEDO OH 43606 341499072 501(C)3 100000 0 SUPPORT OPERATIONS TOLEDO LUCAS COUNTY LIBRARY 325 MICHIGAN ST TOLEDO OH 43624 GOVERNMENTAL 55000 0 SUPPORT OPERATIONS FRANKLIN PARK MALL 5001 MONROE ST SUITE 700 TOLEDO OH 43623 383648665 CORPORATION 48000 0 SUPPORT OPERATIONS OTTAWA HILLS SCHOOL FOUNDATION 4035 W CENTRAL AVE TOLEDO OH 43606 463032381 501(C)3 45333 0 SUPPORT SCHOOL PERRYSBURG SCHOOL FOUNDATION 140 E INDIANA AVE PERRYSBURG OH 43551 341449403 501(C)3 36851 0 SUPPORT SCHOOL AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)3 35500 0 SUPPORT OPERATIONS LEVI'S COMMONS 3201 LEVIS COMMONS BLVD PERRYSBURG OH 43551 134221969 CORPORATION 35000 0 SUPPORT OPERATIONS REGIONAL GROWTH PARTNERSHIP 2 MARITIME PLAZA TOLEDO OH 43604 341823833 501(C)6 25000 0 SUPPORT OPERATIONS DOWNTOWN TOLEDO DEVELOPMENT CORP 300 MADISON AVE STE 110 TOLEDO OH 43604 060529307 501(C)3 12500 0 SUPPORT OPERATIONS LOCAL INITIATIVES SUPPORT CORP 28 LIBERTY ST FL 34 NEW YORK CITY NY 10005 133030229 501(C)3 10000 0 SUPPORT OPERATIONS GOOD GRIEF OF NORTHWEST 440 S REYNOLDS ROAD SUITE D TOLEDO OH 43615 460765319 501(C)3 7500 0 SUPPORT OPERATIONS CITY OF FOSTORIA 213 SOUTH MAIN STREET FOSTORIA OH 44830 GOVERNMENTAL 7143 0 SUPPORT OPERATIONS MONROE COUNTY BUSINESS ALLIANCE 23 E FRONT ST STE 202 MONROE MI 48161 920705154 501(C)3 6000 0 SUPPORT OPERATIONS 11 5 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/CEO 1585940 0 1530880 0 2500 0 0 0 14012 0 3133332 0 0 0 LORI JOHNSTON PRESIDENT - PARAMOUNT CARE - PART YE 243494 0 1051524 0 315973 0 0 0 4521 0 1615512 0 0 0 KENT BISHOP PRESIDENT - PPG/CMO 735129 0 717775 0 0 0 0 0 13389 0 1466293 0 0 0 DAWN BUSKEY CHIEF ACUTE CARE OFFICER 645947 0 692842 0 1375 0 0 0 14772 0 1354936 0 0 0 TERRENCE METZGER TREASURER/CFO 771258 0 438060 0 0 0 0 0 6610 0 1215928 0 0 0 ANGELA BRANDT CHIEF ADMINISTRATIVE OFFICER 619627 0 567352 0 2915 0 0 0 12432 0 1202326 0 0 0 STEPHEN SADOWSKI SECRETARY/CHIEF LEGAL OFFICER 618697 0 561679 0 0 0 0 0 6038 0 1186414 0 0 0 GARY CATES CHIEF PHILANTHROPY OFFICER - PART YE 132351 0 241996 0 311815 0 0 0 5907 0 692069 0 0 0 JUSTIN SKIVER PRESIDENT - SENIOR CARE 501406 0 154164 0 0 0 0 0 7144 0 662714 0 0 0 RAVI NARRA TRUSTEE/PHYSICIAN 45000 307853 0 261486 0 1542 0 0 0 12612 45000 583493 0 0 FLOYD CHASSE CHIEF HR OFFICER 490731 0 124597 0 659 0 0 0 7820 0 623807 0 0 0 KATHLEEN MERRILL CHIEF MARKETING OFFICER 285891 0 239700 0 2547 0 0 0 12669 0 540807 0 0 0 LUKE PILE COO - SENIOR CARE 361247 0 130305 0 1587 0 0 0 11053 0 504192 0 0 0 DEBI BROBST CHIEF INFORMATION OFFICER 339200 0 146510 0 2308 0 0 0 9360 0 497378 0 0 0 SCOTT FOUGHT VP ACUTE CARE 334276 0 152484 0 0 0 0 0 7144 0 493904 0 0 0 ANDREW GOTTMAN VP, TOTAL REWARDS & HR SHARED SERVIC 350412 0 114363 0 0 0 0 0 8092 0 472867 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. LORI JOHNSTON RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $314,908 DURING 2024. GARY CATES RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $311,289 DURING 2024. 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 PHYSICIANS 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 BOB LACLAIR (BOARD MEMBER) 148997 EMPLOYMENT 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 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 IX, LINE 11G HEALTHCARE SERVICES: PROGRAM SERVICE EXPENSES 107,257,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,257,918. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 627,923. MANAGEMENT AND GENERAL EXPENSES 156,981. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 784,904. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 3,554,697. MANAGEMENT AND GENERAL EXPENSES 888,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,443,371. CONTRACTED MEDICAL PROFESSIONALS: PROGRAM SERVICE EXPENSES 108,921. MANAGEMENT AND GENERAL EXPENSES 27,230. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,151. FORM 990, PART XI, LINE 9: TRANSFERS BETWEEN RELATED ENTITIES -802,117,168. 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