2025-11-06T15:30:38-06:00 2024-12-31 990 2024-01-01 311446699 PREMIER HEALTH PARTNERS PREM 9374999942 110 N MAIN ST 200 DAYTON OH 45402 J MICHAEL SIMS VP & CONTROLLER 9374999942 2025-11-06 0 2024 2025-03-06 01:10:19Z PREMIER HEALTH MICHAEL C RIORDAN 110 N MAIN ST 200 DAYTON OH 45402 9422028 0 X WWW.PREMIERHEALTH.COM X 1995 OH SEE PART III, LINE 1 19 16 12 16 42006 795977 168007 212623 4350543 4062223 65108 -3070 807895 112478 5391553 4384254 500 3390 0 0 132489335 140842088 0 0 0 104951590 109803571 237441425 250649049 -232049872 -246264795 62211239 80813521 30924658 31608384 31286581 49205137 X WE CARE. WE TEACH. WE INNOVATE. WE SERVE. 0 0 222200618 3390 4062223 THE PRIMARY EXEMPT PURPOSE OF PREMIER HEALTH (PREMIER) IS TO ESTABLISH, MAINTAIN, SUPPORT, AND STIMULATE THE DEVELOPMENT OF A HEALTHCARE SYSTEM INCLUDING WITHOUT LIMITATION, HOSPITALS, CLINICS, AND OTHER FACILITIES THAT PROVIDE INPATIENT OR OUTPATIENT CARE OR AMBULATORY SERVICES, ACCOMMODATIONS, DIAGNOSTICS, AND TREATMENTS TO PERSONS SUFFERING FROM ILLNESS.CONTINUED IN SCHEDULE O. 21855 0 0 PREMIER HEALTH GROUP (PHG) IS A NON-EQUITY MODEL PHYSICIAN HOSPITAL ORGANIZATION CREATED TO CLINICALLY INTEGRATE PHYSICIANS AND HOSPITALS IN THE COMMON INTEREST OF ACHIEVING THE TRIPLE AIM: IMPROVED CONSUMER EXPERIENCE WITH THE HEALTHCARE SYSTEM AND LOWERING TOTAL COST OF CARE, WHILE MAINTAINING OR IMPROVING QUALITY OUTCOMES. PHG SERVES AS THE PROVIDER NETWORK FOR AND PROVIDES CONTINUOUS QUALITY IMPROVEMENT FUNCTIONS FOR PREMIER HEALTH PLAN, PREMIER HEALTH INSURING CORPORATION AND PREMIER HEALTH ACO OF OHIO, ALL AFFILIATES OF PREMIER HEALTH. THROUGH OUR PHYSICIAN-LED ORGANIZATION, WE DEPLOY VARIOUS POPULATION HEALTH MODELS TO OUR PROVIDERS TO HELP THEM BETTER COORDINATE CARE FOR THEIR PATIENTS IN OUR EFFORTS TO SERVE PREMIER HEALTH'S MISSION OF BUILDING HEALTHIER COMMUNITIES. 222222473 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 835 0 1 12 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X J MICHAEL SIMS 9374999942 110 N MAIN ST 200 DAYTON OH 45402 X MICHAEL C RIORDAN PRESIDENT & CEO 10.00 30.00 X X 1543400 0 36349 BRYAN R LUDWIG MD TRUSTEE 0.50 39.50 X 0 842119 39431 MARC R BELCASTRO DO TRUSTEE 0.50 0.00 X 0 361466 11044 JILL WILSON BOARD CHAIR 0.50 1.00 X X 0 0 0 KATHLEEN A CARLSON TRUSTEE 0.50 0.50 X 0 0 0 MARVA COSBY TRUSTEE 0.50 0.00 X 0 0 0 LANCE DETRICK TRUSTEE 0.50 0.50 X 0 0 0 NICOLE ERNST TRUSTEE 0.50 1.00 X 0 0 0 ROBERT FAIR TRUSTEE 0.50 0.00 X 0 0 0 GAIL P FOREST TRUSTEE 0.50 0.50 X 0 0 0 JOSEPH M GERAGHTY TRUSTEE 0.50 0.00 X 0 0 0 TOM GUNLOCK TRUSTEE (FROM JUN) 0.50 0.00 X 0 0 0 SHANNON JONES TRUSTEE 0.50 0.50 X 0 0 0 JASON MAHONEY TRUSTEE 0.50 0.50 X 0 0 0 MITCH MELFI ESQ TRUSTEE 0.50 0.00 X 0 0 0 DOUGLAS L MEYER TRUSTEE 0.50 0.50 X 0 0 0 JAMES CHIP L PEASE TRUSTEE 0.50 0.50 X 0 0 0 COLLEEN RYAN TRUSTEE 0.50 0.00 X 0 0 0 LISA SHOCKLEY TRUSTEE 0.50 1.00 X 0 0 0 STEVEN STALEY TRUSTEE 0.50 1.00 X 0 0 0 CRAIG GANGER EXEC VP AND CFO 38.50 1.50 X 1031549 0 103432 CHAD T WHELAN COO 20.00 20.00 X 1064754 0 28809 GEOFFREY P WALKER BOARD SECRETARY (TO JUL) 40.00 0.00 X 739507 0 34512 CARA W POWERS BOARD SECRETARY (FROM JUL) 10.00 30.00 X 588710 0 51822 KEITH D BRICKING MD EVP & CHIEF CLINICAL OFFICER 10.00 30.00 X 1168492 0 67475 MARY M CLANCY CHIEF DIGITAL & INFORMATION OFFICER 9.50 30.50 X 730195 0 58862 J MICHAEL SIMS SYS VP & CORPORATE CONTROLLER 10.00 30.00 X 635424 0 50996 LISA M GOSSETT VP NURSING/CNO/PATIENT EXP-PH 10.00 30.00 X 614633 0 36325 AMANDA K ADKINS-RICCI SYSTEM VP REVENUE CYCLE 10.00 30.00 X 393531 0 25566 DIANE L PLEIMAN PRESIDENT & CEO-PHYS COMPANIES 8.00 32.00 X 868461 0 44251 ELAINE LAINIE M DEAN FORMER KEY EMPLOYEE 0.00 40.00 X 0 658980 43753 BARBARA A JOHNSON FORMER OFFICER 0.00 0.00 X 673882 0 5947 BILLIE L LUCENTE-BAKER FORMER KEY EMPLOYEE 0.00 40.00 X 0 370826 36241 GARY G GINTER FORMER KEY EMPLOYEE 0.00 0.00 X 0 232887 10065 10052538 2466278 684880 12 1 1 0 BESPOKE WORKFORCE LLC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 MEDICAL SERVICES 81459549 ANESTHESIOLOGY SERVICES ONE WYOMING ST DAYTON OH 45409 MEDICAL SERVICES 38974920 MORRISON HEALTHCARE 400 NORTHRIDGE ROAD 600 ATLANTA GA 30350 PROFESSIONAL SERVICE 23272172 COMMONSPIRIT HEALTH 444 W LAKE ST 2500 CHICAGO IL 60606 PROFESSIONAL SERVICE 18737925 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DR 210 WAYNE PA 19087 PROFESSIONAL SERVICE 16461247 467 212623 212623 PATIENT INFORMATION PARTNERS 900099 4018883 4018883 HEALTH EDUCATION 900099 43340 43340 4062223 5034704 5037774 -3070 -3070 -3070 CREDENTIALING 900099 42006 42006 EVENT REVENUE 900099 35166 35166 HEALTH NET FEDERAL SERVICES 900099 34386 34386 920 920 112478 4384254 4062223 42006 67402 X 3390 3390 9004343 3399585 5604758 111538920 101004625 10534295 1437110 1301382 135728 10930420 9898096 1032324 7931295 7182224 749071 764172 692000 72172 757649 686093 71556 36253 32829 3424 32886273 29780328 3105945 4550067 4120336 429731 2742213 2483225 258988 48130204 43584546 4545658 3104567 2811356 293211 430626 389956 40670 2521 2283 238 66224 59969 6255 11156587 10102903 1053684 2280960 2065535 215425 DUES & SUBSCRIPTIONS 1320562 1195841 124721 JOINT VENTURES 606907 549588 57319 PATIENT RELATIONS 526466 476744 49722 TRAINING AND EDUCATION 412455 373501 38954 28865 26138 2727 250649049 222222473 28426576 0 5766137 24769611 929744 16136 17237963 22012176 214390267 184054982 30020312 30335285 8257083 3680313 62211239 80813521 29435977 21737380 893901 1182227 2150889 306454 6826214 30924658 31608384 X 31286581 49205137 31286581 49205137 62211239 80813521 X -246264795 264183351 X 0 1 X 1 0 X X 11 ATRIUM MEDICAL CENTER 311079309 3 1 0 0 MIAMI VALLEY HOSPITAL 310537504 3 1 0 0 UPPER VALLEY MEDICAL CENTER 310537095 3 1 0 0 MIAMI VALLEY HOSPITAL FOUNDATION 311040231 7 1 0 0 FIDELITY HEALTH CARE INC 311075381 10 1 0 0 PREMIER COMMUNITY HEALTH 311122883 10 1 0 0 GOOD SAMARITAN FOUNDATION - DAYTON 237296923 7 1 0 0 SAMARITAN BEHAVIORAL HEALTH INC 020633634 7 1 0 0 UPPER VALLEY PROFESSIONAL CORPORATION 311400963 10 1 0 0 UVPC SPECIALISTS INC 203687536 10 1 0 0 UVMC NURSING CARE INC 311224064 10 1 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1: THE JANUARY 1, 2018 DEFINITIVE SYSTEM REORGANIZATION AGREEMENT DESIGNATED PREMIER HEALTH (PREMIER) AS THE SOLE CORPORATE MEMBER OF THE THREE SYSTEM HOSPITALS (FIVE LOCATIONS) AND ALL HOSPITAL SUBSIDIARIES AND AFFILIATES UNLESS SPECIFICALLY EXCLUDED. THE HOSPITAL SUBSIDIARIES ARE NOT CALLED OUT BY NAME. PART IV, SECTION C, LINE 1: THE JANUARY 1, 2018 DEFINITIVE SYSTEM AGREEMENT GRANTS PREMIER THE ABILITY TO APPOINT AND / OR REMOVE BOARD MEMBERS OF THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 14653 0 0 1 21600 36253 0 PART II-B, LINE 1F: PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO DAYTON AREA CHANMBER OF COMMERCE, OHIO BUSINESS ROUNDTABLE, AND DAYTON DEVELOPMENT COALITION. PART II-B, LINE 1I: PREMIER CONTRACTS WITH A LOBBYIST FOR HEALTHCARE RELATED ISSUES. 8386635 6178313 2208322 198419196 177876669 20542527 7584436 7584436 30335285 COMPASS ONE PARTNERSHIP 6257310 DEFERRED COMPENSATION 193732 INTERCOMPANY PAYABLE 188416 TAX LIABILITY 186756 6826214 X PART X, LINE 2: THE FOLLOWING FOOTNOTE IS FROM THE 2024 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: * PREMIER HEALTH HOLDING COMPANY (PHHC) (WHOLLY OWNED SUBSIDIARY OF PHP) * MVHE, INC., (AND ITS WHOLLY OWNED SUBSIDARY EXTENDED CARE), SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (WHOLLY OWNED SUBSIDIARIES OF PHHC) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 109709000 0 0 0 0 0 0 109709000 0 109709000 1 0 1 1 1 0 PART I, LINE 3: THE INVESTMENTS LISTED IN SCHEDULE F ARE NOT REPORTED ON PREMIER'S 990, PART X, BUT ARE INSTEAD REPORTED ON THE THREE HOSPITALS OF WHICH PREMIER IS THE MEMBER. X X X X 1 1 0 0 0 0 0 0 0 MICHAEL C RIORDAN PRESIDENT & CEO 1375311 0 25000 0 143089 0 10954 0 25395 0 1579749 0 0 0 KEITH D BRICKING MD EVP & CHIEF CLINICAL OFFICER 705465 0 437442 0 25585 0 32340 0 35135 0 1235967 0 0 0 CRAIG GANGER EXEC VP AND CFO 638256 0 371146 0 22147 0 77096 0 26336 0 1134981 0 0 0 CHAD T WHELAN COO 767736 0 266091 0 30927 0 780 0 28029 0 1093563 0 0 0 DIANE L PLEIMAN PRESIDENT & CEO-PHYS COMPANIES 456527 0 268557 0 143377 0 20082 0 24169 0 912712 0 0 0 BRYAN R LUDWIG MD TRUSTEE 0 839116 0 0 0 3003 0 14121 0 25310 0 881550 0 0 MARY M CLANCY CHIEF DIGITAL & INFORMATION OFFICER 488227 0 228389 0 13579 0 24309 0 34553 0 789057 0 0 0 GEOFFREY P WALKER BOARD SECRETARY (TO JUL) 301836 0 233995 0 203676 0 20971 0 13541 0 774019 0 0 0 ELAINE LAINIE M DEAN FORMER KEY EMPLOYEE 0 299150 0 206389 0 153441 0 31363 0 12390 0 702733 0 0 J MICHAEL SIMS SYS VP & CORPORATE CONTROLLER 407084 0 165482 0 62858 0 23409 0 27587 0 686420 0 0 0 BARBARA A JOHNSON FORMER OFFICER 0 0 0 0 673882 0 0 0 5947 0 679829 0 0 0 LISA M GOSSETT VP NURSING/CNO/PATIENT EXP-PH 417540 0 192965 0 4128 0 20707 0 15618 0 650958 0 0 0 CARA W POWERS BOARD SECRETARY (FROM JUL) 447726 0 138596 0 2388 0 24120 0 27702 0 640532 0 0 0 AMANDA K ADKINS-RICCI SYSTEM VP REVENUE CYCLE 281216 0 111699 0 616 0 16317 0 9249 0 419097 0 0 0 BILLIE L LUCENTE-BAKER FORMER KEY EMPLOYEE 0 256251 0 113026 0 1549 0 22822 0 13419 0 407067 0 0 MARC R BELCASTRO DO TRUSTEE 0 0 0 0 0 361466 0 0 0 11044 0 372510 0 0 GARY G GINTER FORMER KEY EMPLOYEE 0 0 0 0 0 232887 0 0 0 10065 0 242952 0 0 PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE: MARC BELCASTRO, D.O. $324,324; ELAINE DEAN $131,034; GARY GINTER $219,618; BARBARA JOHNSON $610,392. PART I LINE 4B: DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, PREMIER HEALTH PARTNERS (PREMIER) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. PREMIER SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN OR A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2024. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2024: MARY CLANCY $8,646; DIANE PLEIMAN $114,517; J. MICHAEL SIMS $56,017, GEOFFREY WALKER $194,485. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2024: MARC BELCASTRO, D.O. $41,167; GARY GINTER $15,527; BARBARA JOHNSON $65,047; MICHAEL RIORDAN $93,572 IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: KEITH BRICKING $21,279; ELAIN DEAN $18,136; CRAIG GANGER $64,577; LISA GOSSETT $9,078, BILLIE LUCENTE-BAKER $711, CARA POWERS $7,753. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. FORM 990, PART I, LINE 7B & PART VIII, COLUMN C: NET UNRELATED BUSINESS TAXABLE INCOME /(LOSS) COMPRISES AMOUNTS FROM PARTNERSHIP INVESTMENTS THAT ARE NOT RECOGNIZED FOR BOOK PURPOSES, THEREFORE NO UNRELATED BUSINESS INCOME/(LOSS) FROM PARTNERSHIP INVESTMENTS APPEARS ON PART VIII. FORM 990, PART III, LINE 4A (CONTINUED): AS SUCH, PREMIER IS RESPONSIBLE FOR OVERSIGHT OF THE THREE HOSPITAL ENTITIES AS ITS CHARITABLE GOAL, AND THE INFORMATION BELOW IS CUMULATIVE OF THEIR SEPARATE REPORTS: QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY BENEFIT SUMMARY FROM RELATED HOSPITALS SCHEDULE H FOR THE YEAR ENDED DECEMBER 31, 2024. CHARITY AND MEANS-TESTED GOVERNMENT PROGRAMS AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: $ 22,728,000 CHARITY CARE AT COST $231,971,000 UNREIMBURSED MEDICAID $ 10,982,000 UNREIMBURSED COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS ------------ $265,681,000 TOTAL OTHER COMMUNITY BENEFITS: $ 7,519,000 COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS $ 75,283,000 SUBSIDIZED HEALTH SERVICES $ 3,300,000 CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY GROUPS ------------ $ 86,102,000 TOTAL ------------ $351,783,000 GRAND TOTAL PROGRAM & OTHER COMMUNITY BENEFITS $ 15,456,000 UNPAID COST OF MEDICARE (ALLOWABLE COST AND REIMBURSEMENTS REPORTED ON MEDICARE COST REPORT) $191,353,000 OTHER UNPAID COST OF MEDICARE (COST AND REIMBURSEMENTS NOT REPORTED ON MEDICARE COST REPORT) ------------ $206,809,000 TOTAL UNPAID COST OF MEDICARE ------------ $558,592,000 TOTAL COMMUNITY BENEFIT INCLUDING THE UNPAID COSTS OF MEDICARE ------------ FORM 990, PART VI, SECTION A, LINE 2 MARC BELCASTRO, D.O. AND LANCE DETRICK HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 PREMIER HEALTH (PREMIER) HAS FOUR CORPORATE MEMBERS: MEDAMERICA HEALTH SYSTEMS, COMMONSPIRIT HEALTH, ATRIUM HEALTH SYSTEM, AND UVMC. FORM 990, PART VI, SECTION A, LINE 7A MEDAMERICA HEALTH SYSTEMS ELECTS 8 BOARD MEMBERS, CATHOLIC HEALTH INITIATIVES ELECTS 7 BOARD MEMBERS, ATRIUM HEALTH SYSTEM ELECTS 3 BOARD MEMBERS AND UVMC ELECTS 3 BOARD MEMBERS. THE MEMBERS MUST APPROVE ANY DISSOLUTION OF ASSETS AND ANY CHANGES IN THE CODE OF REGULATIONS OR ARTICLES OF INCORPORATION. THE MEMBERS DO NOT APPROVE ANY OPERATIONAL DECISIONS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION FOR PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B THIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER. THE RETURN IS REVIEWED BY THE MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. NEXT, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER. A FINAL VERSION OF THE RETURN IS THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, LINE 12C PREMIER REQUIRES ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL DIRECTORS, SUPPLY CHAIN DIVISION MEMBERS, AUTHORIZED SIGNERS, DIRECTORS, EXECUTIVES, MEDICAL EXECUTIVE COMMITTEE MEMBERS, MEDICAL DEPARTMENT AND SECTION CHAIRS, PHYSICIAN PARTNERSHIP COMMITTEE MEMBERS, PHYSICIAN GUIDANCE GROUP MEMBERS, AND ALL EMPLOYED PHYSICIANS TO ANNUALLY REVIEW THE PREMIER COMPREHENSIVE CONFLICT OF INTEREST STATEMENT, AN EXPLANATORY MEMORANDUM, THE ANTITRUST COMPLIANCE POLICY, AND COMPLETE AN INDIVIDUAL QUESTIONNAIRE DISCLOSING ANY POTENTIAL CONFLICTS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. THIS IS ACCOMPLISHED EITHER BY WAY OF AN ELECTRONIC COMMUNICATION SENT OUT DIRECTLY BY THE CORPORATE COMPLIANCE DEPARTMENT OR BY WAY OF A MEMO SENT OUT FROM THE CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER OF PREMIER. IT ALSO INCLUDES AN EXPLANATORY MEMORANDUM OF SPECIFIC ACTIVITIES THAT MIGHT GIVE CAUSE TO A CONFLICT AND AN INDIVIDUAL QUESTIONNAIRE TO DISCLOSE ALL SUCH ACTIVITIES. THIS QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY THE INDIVIDUAL. THIS CORRESPONDENCE INCLUDES A COPY OF THE ANTITRUST COMPLIANCE POLICY THAT MUST BE SIGNED BY THE INDIVIDUAL. ALL OF THESE DOCUMENTS ARE SENT TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT ENSURES ALL FORMS ARE RETURNED AND RETAINS THE DOCUMENTS FOR FIVE YEARS. IN ADDITION, AT EACH MEETING OF THE BOARD OR ANY BOARD COMMITTEE, FOLLOWING APPROVAL OF THE PREVIOUS MEETING'S MINUTES, THE BOARD OR COMMITTEE CHAIR SHALL REQUEST ANY BOARD MEMBER WHO PERCEIVES A POTENTIAL CONFLICT OF INTEREST ON ANY OF THE MEETING'S AGENDA ITEMS TO DISCLOSE THE POTENTIAL CONFLICT. ADDITIONALLY, AT ANY BOARD OR BOARD COMMITTEE MEETING WHERE THE SUBJECT OF CONFLICT OF INTEREST IS DISCUSSED, THE MINUTES SHALL CONTAIN THE NAME OF THE PARTY DISCUSSING A POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST AND WHETHER A CONFLICT OF INTEREST WAS FOUND TO EXIST. IF A CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, THE MEMBER WILL BE EXCUSED FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON THE PARTICULAR AGENDA ITEM. THE CHIEF COMPLIANCE AND ENTERPRISE RISK OFFICER REPORTS THE RESULTS OF THE PREMIER CONFLICT OF INTEREST QUESTIONNAIRES NO LESS THAN ANNUALLY TO THE BOARD OF TRUSTEES BY WAY OF THE COMPLIANCE AND AUDIT COMMITTEE. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. PERIODICALLY, THE INTERNAL AUDIT DEPARTMENT WILL REVIEW A SAMPLE OF COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND REPORT THE RESULTS TO THE COMPLIANCE AND AUDIT COMMITTEE. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE INDIVIDUALLY SUMMARIZED IN A DOCUMENT AND SENT ELECTRONICALLY TO THE FINANCE DEPARTMENT FOR ANY NECESSARY DISCLOSURES REQUIRED ON THE 990 FILING. FORM 990, PART VI, SECTION B, LINE 15 THE ANNUAL REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH-PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL AND NATIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD-PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY DATA FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE CONTAINS THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CCO AND OTHER TOP EXECUTIVES. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, SYSTEM KEY EMPLOYEES: THE SYSTEM KEY EMPLOYEES' TOTAL COMPENSATION AMOUNT IS ACCURATELY REPORTED ON THE VARIOUS ENTITIES THEY SERVE. THE KEY EMPLOYEES' COMPENSATION IS BEING REPORTED AS PAID BY PREMIER AS THE PAYMASTER OF THEIR APPLICABLE AFFILIATED ORGANIZATION IN ORDER TO MORE CLEARLY REFLECT THEIR RESPONSIBILITIES ACROSS THE PREMIER SYSTEM. COMPENSATION AND RELATED PAYROLL REPORTING REQUIREMENTS FOR SYSTEM KEY EMPLOYEES ARE PROCESSED AND FILED BY AFFILIATES OF PREMIER. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 15,411,210. MANAGEMENT AND GENERAL EXPENSES 1,607,313. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,018,523. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 3,806,250. MANAGEMENT AND GENERAL EXPENSES 396,974. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,203,224. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 3,594,296. MANAGEMENT AND GENERAL EXPENSES 374,868. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,969,164. TRANSPORTATION SERVICES: PROGRAM SERVICE EXPENSES 2,847,482. MANAGEMENT AND GENERAL EXPENSES 296,979. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,144,461. CREDIT CARD FEES: PROGRAM SERVICE EXPENSES 1,967,597. MANAGEMENT AND GENERAL EXPENSES 205,211. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,172,808. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 877,718. MANAGEMENT AND GENERAL EXPENSES 91,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 969,260. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 838,152. MANAGEMENT AND GENERAL EXPENSES 87,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 925,567. RECORD RETENTION: PROGRAM SERVICE EXPENSES 337,723. MANAGEMENT AND GENERAL EXPENSES 35,223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 372,946. MATERIAL STERILE PROCESSING: PROGRAM SERVICE EXPENSES 85,688. MANAGEMENT AND GENERAL EXPENSES 8,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,625. BANK FEES: PROGRAM SERVICE EXPENSES 13,180. MANAGEMENT AND GENERAL EXPENSES 1,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,555. OTHER FEES: PROGRAM SERVICE EXPENSES 1,032. MANAGEMENT AND GENERAL EXPENSES 108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,140. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 264,183,351. 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