2016-11-12T00:24:23-06:00 2015-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE STE 4200 INDIANAPOLIS IN 462045108 990 2015-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4198918501 1801 RICHARDS ROAD TOLEDO OH 43607 MICHAEL P BROWNING TREASURER 4198918501 2016-11-11 1 SHAWNA M JIMENEZ P01222873 3174648600 2015 2017-02-10 21:41:12Z MICHAEL P BROWNING 1801 RICHARDS ROAD TOLEDO OH 43607 273083634 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. 28 22 1988 30 -373617 -373617 42630026 45319098 284864940 226961564 688553 404186 290498 387802 328474017 273072650 39086585 20481094 0 0 109439270 118315145 0 0 0 81420709 99786825 229946564 238583064 98527453 34489586 2472316602 2708430366 128205697 260813542 2344110905 2447616824 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 168365505 20481094 227100743 PROMEDICA HEALTH SYSTEM, INC. (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTH CARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O. 25480338 246907 CONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM, INC. PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O. 193845843 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 X 324 0 1 1988 1 1 1 1 AR AS AU BE BR CA CI CH HR EZ DA OC FI FR GM GR HK HU ID IS IT JA MX NL NZ NI NO RP PL PO SN SF KS SP SW SZ TH TU 0 0 0 0 0 0 0 0 X 28 22 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 OH X BRIAN HANSEN 4198918505 5901 MONCLOVA RD MAUMEE OH 43537 ANNE T RUCH MD TRUSTEE 1.00 40.00 X 0 312470 5018 BRIAN P KENNEDY TRUSTEE 1.00 0.00 X 0 0 0 BRUCE A BARNETT MD EX OFFICIO 1.00 40.00 X 0 568963 9311 CHARLES E DANA TRUSTEE 1.00 0.00 X 0 0 0 DANIEL W FARRELL JR EX OFFICIO 1.00 1.00 X 0 0 0 DAVID A SNAVELY TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS L KAPNICK TRUSTEE 1.00 0.00 X 0 0 0 ELAINE CANNING EX OFFICIO 1.00 0.00 X 0 0 0 ELIZABETH C BRADY EX OFFICIO 1.00 1.00 X 0 0 0 EMMETT T BOYLE JR MD TRUSTEE 1.00 40.00 X 0 622276 28503 EMORY M SCHMIDT EX OFFICIO 1.00 9.00 X 0 0 0 JAMES F BINGLE MD TRUSTEE 1.00 40.00 X 0 588700 27373 JAMES L NORTH MD TRUSTEE 1.00 40.00 X 0 247803 45767 JAMES M MURRAY CHAIRPERSON (THRU 9/15) 1.00 9.00 X X 0 0 0 JANE M MILLER EX OFFICIO 1.00 0.00 X 0 0 0 JOSEPH D NAPOLI EX OFFICIO 1.00 7.00 X 0 0 0 KAREN P DAVIS PHD TRUSTEE 1.00 0.00 X 0 0 0 KENNETH A MYERS EX OFFICIO 1.00 1.00 X 0 0 0 KEVIN J SAUDER TRUSTEE 1.00 0.00 X 0 0 0 KURT L DARROW EX OFFICIO 1.00 2.00 X 0 0 0 LARRY C PETERSON EX OFFICIO 1.00 1.00 X 0 0 0 MARK A KLEIN TRUSTEE 1.00 2.00 X 0 0 0 MARNA I RAMNATH RN EX OFFICIO 1.00 0.00 X 0 0 0 PARISS M COLEMAN II EX OFFICIO 1.00 1.00 X 0 0 0 PAUL D BERLACHER MD TRUSTEE 1.00 40.00 X 0 706220 15060 PAUL J FENTON MD EX OFFICIO 1.00 0.00 X 0 0 0 RANDALL OOSTRA PRESIDENT, EX OFFICIO 40.00 18.00 X X 1855968 0 94665 RICHARD C HYLANT TRUSTEE 1.00 0.00 X 0 0 0 RICHARD J BRUNNER EX OFFICIO 1.00 1.00 X 0 0 0 RICHARD S TRUMBULL TRUSTEE 1.00 0.00 X 0 0 0 RITA N A MANSOUR EX OFFICIO 1.00 1.00 X 0 323 0 ROBERT J CHIRDON EX OFFICIO 1.00 0.00 X 0 0 0 ROBERT W LACLAIR VICE CHAIR, EX OFFICIO 1.00 1.00 X X 0 0 0 RUSSELL J EBEID TRUSTEE 1.00 0.00 X 0 0 0 SARAH A MCHUGH EX OFFICIO 1.00 1.00 X 0 323 0 STEPHEN H STAELIN VICE CHAIR/EX OFF (THRU 9/15), CHAIR 1.00 9.00 X X 0 0 0 SYLVESTER D HOLMES EX OFFICIO 1.00 0.00 X 0 0 0 THOMAS M HOUSTON MD TRUSTEE 1.00 41.00 X 0 159267 29678 ALAN M SATTLER TREASURER 40.00 12.00 X 588758 0 120076 JEFFREY C KUHN SECRETARY 40.00 12.00 X 592348 0 112234 ANSHUL PANDE CHIEF TECHNOLOGY OFFICER 40.00 0.00 X 286428 0 61606 ARTURO POLIZZI PRESIDENT, TTH 40.00 1.00 X 643548 0 133680 BARBARA J PETEE CHIEF ADVOCACY/GOVT REL. OFF. 40.00 1.00 X 343644 0 63151 CHASE CANFIELD SR. VP HR AND OD, PHS 40.00 0.00 X 209076 0 61920 DEE A BIALECKI-HAASE MD PRES., CLINICALLY INT. NETWORK 40.00 2.00 X 313244 1815 17586 GARY AKENBERGER SR. VP FINANCE, PHS 40.00 5.50 X 415589 0 89075 GARY M CATES CHIEF PHILANTHROPIC OFFICER 40.00 2.00 X 354496 0 73638 HOLLY L BRISTOLL CIO, ACADEMIC AFFILIATE 40.00 3.00 X 384538 0 89558 JERED WILSON VP MANAGED CARE 40.00 0.00 X 223287 0 12044 KAREN L STRAUSS CHIEF MKT., STRAT., & COMM. OFFICER 40.00 2.00 X 486618 0 91793 KATHLEEN KRUEGER PRES., SUPPLY CHAIN & SR. VP QPMS 40.00 0.00 X 306393 0 28907 KATHLEEN S HANLEY CHIEF INT. AND DEV. OFFICER 40.00 1.00 X 696193 0 166986 KEVIN C WEBB PHD CHIEF ACUTE CARE OFFICER 40.00 13.00 X 658740 0 115301 LEE W HAMMERLING MD CHIEF PHYSICIAN EXECUTIVE 40.00 10.00 X 914202 0 176205 ROBERT FREDRICK SR. VP ACADEMIC AFFAIRS 40.00 0.00 X 358278 0 54355 ROSE ANN LAURETO CHIEF INFORMATION OFFICER 40.00 2.00 X 488236 0 82858 SCOTT FOUGHT VP FINANCE 40.00 1.50 X 217591 0 39866 STEPHEN SADOWSKI DEPUTY GENERAL COUNSEL 40.00 0.00 X 263830 0 60617 SUSAN PAYDEN VP TREASURY, PHS 40.00 0.00 X 209946 0 80766 WILLIAM MUELLER CHIEF PHARMACY OFFICER 40.00 0.00 X 335345 0 37494 DANIEL K CASSAVAR MD PRESIDENT AND CMO, PPG 1.00 42.50 X 745426 0 41254 JOHN C RANDOLPH PRESIDENT, PARAMOUNT INSURANCE CORP. 40.00 1.00 X 691518 0 150669 JOSEPH SFERRA VP SURGICAL SERVICES 1.00 40.00 X 30612 716437 62679 KHURRAM KAMRAN VP MEDICAL OPERATIONS, PPG 1.00 41.00 X 366974 0 78433 NEERAJ K KANWAL MD PRESIDENT, FLOWER HOSPITAL 1.00 40.00 X 408770 0 57298 BARBARA STEELE FORMER KEY EMPLOYEE 0.00 0.00 X 570003 0 17655 DAVID SELMAN FORMER KEY EMPLOYEE 0.00 0.00 X 227650 0 0 DAWN M BUSKEY FORMER KEY EMPLOYEE 0.00 40.00 X 311398 0 72464 ERIC PERRON FORMER KEY EMPLOYEE 0.00 0.00 X 182162 0 28099 GLADEEN ROBERTS FORMER KEY EMPLOYEE 0.00 0.00 X 337502 0 7727 KAREN VAHALIK FORMER KEY EMPLOYEE 0.00 0.00 X 179247 0 18346 KENNETH ARMSTRONG FORMER KEY EMPLOYEE 0.00 41.50 X 163869 0 28854 MARTIN DANSACK FORMER KEY EMPLOYEE 40.00 1.50 X 193478 0 37066 VIVIEN TOWNSEND FORMER KEY EMPLOYEE 40.00 0.00 X 182789 0 29346 15737694 3924597 2654981 156 1 1 0 MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 606938347 SOFTWARE SUPPORT 10462764 CTG HEALTH SOLUTIONS 800 DELAWARE AVE BUFFALO NY 14209 SOFTWARE SUPPORT 5867835 ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 SOFTWARE SUPPORT 3675603 MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND WA 980526399 SOFTWARE SUPPORT 3490814 CDW GOVERNMENT LLC 300 N MILWAUKEE AVE VERNON HILLS IL 60061 SOFTWARE SUPPORT 2548040 134 45155548 163550 25202 45319098 ADMIN. SUPPORT SERV. 551114 218892316 218892316 INVEST. IN AFFILIATES 551114 7698824 7698824 COMMUNITY WELLNESS 900099 246907 246907 CPR TRAINING CENTER 900099 122402 122402 NURSING EDUCATION 900099 1115 1115 226961564 403848 -373617 777465 1716 0 1716 1716 1716 11322 10984 338 338 338 MEDICAL RECORDS 900099 359731 359731 26355 26355 386086 273072650 227347650 -373617 779519 20466850 20466850 14244 14244 13010677 13010677 79480040 63584032 15896008 4121256 3297005 824251 14888853 11911082 2977771 6814319 5451455 1362864 2493844 2493844 2061122 2061122 35000 35000 58737 58737 20577972 16462378 4115594 2721315 2177052 544263 5541039 4432831 1108208 40463807 32371046 8092761 974403 779522 194881 1721872 1377498 344374 1498236 1198589 299647 17687529 14150023 3537506 MINOR EQUIPMENT 2110813 1688650 422163 EQUIPMENT RENTAL 816954 653563 163391 DUES & SUBSCRIPTIONS 463277 370622 92655 INTERCOMPANY SERVICES 280429 224343 56086 280476 224381 56095 238583064 193845843 44737221 0 191681 14483917 352783 667000 45277094 18826266 31166083 252594435 121076174 70036810 131518261 22782530 27250183 37629682 41448948 450000 360000 2322046850 2416258880 2472316602 2708430366 58704428 62557596 5730153 69501269 192525793 128205697 260813542 X 2341809334 2445552566 2301571 2064258 2344110905 2447616824 2472316602 2708430366 X 34489586 -397904 69414237 X 0 1 X 1 0 X X 17 BAY PARK COMMUNITY HOSPITAL 341883132 3 0 0 0 DEFIANCE HOSPITAL INC 344446484 3 0 0 0 EMMA L BIXBY MEDICAL CENTER 382796005 3 0 0 0 FLOWER HOSPITAL 344428794 3 0 0 0 FOSTORIA HOSPITAL ASSOCIATION 340898745 3 0 0 0 HERRICK MEMORIAL HOSPITAL INC 383049015 3 0 0 0 MEMORIAL HOSPITAL 344430849 3 0 0 0 ST LUKE'S HOSPITAL 344428232 3 0 0 0 THE TOLEDO HOSPITAL 344428256 3 0 280 0 MERCY MEMORIAL HOSPITAL CORPORATION 381984289 3 0 12142857 306218 MONROE COMMUNITY HEALTH SERVICES 382934134 9 0 0 0 KAITLYN'S COTTAGE INC 454781053 9 0 0 0 LENAWEE LONG TERM CARE 382879330 9 0 0 0 PROMEDICA CONTINUING CARE SERVICES CORPOATION 344492440 9 0 0 0 PROMEDICA PHYSICIAN GROUP 341899439 9 0 99528 0 TOLEDO DISTRICT NURSE ASSOCIATION 344427949 9 0 0 0 VISITING NURSE HOSPICE AND HEALTH CARE 341831624 9 0 0 0 17 12242665 306218 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 11G, COLUMN VI: PROMEDICA HEATLH SYSTEM, INC. PROVIDED NON-MONETARY SUPPORT INCLUDING SIGNAGE AND EQUIPMENT TO MERCY MEMORIAL HOSPITAL CORPORATION. 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 5A: PROMEDICA HEALTH SYSTEM, INC. ADDED THE FOLLOWING SUPPORTED ORGANIZATIONS DURING TAX YEAR 2015: - MERCY MEMORIAL HOSPITAL CORPORATION - 38-1984289 - MONROE COMMUNITY HEALTH SERVICES - 38-2934134 PROMEDICA HEALTH SYSTEM, INC., A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION ACQUIRED MERCY MEMORIAL HOSPITAL CORPORATION AND ITS SUBSIDIARIES AND AFFILIATES AS OF JANUARY 1, 2015. THE SUPPORTED ORGANIZATIONS ADDED FALL WITHIN THE CLASS DESCRIBED WITHIN THE ORGANIZATION'S GOVERNING DOCUMENT; THEREFORE, NO AMENDMENT WAS MADE. 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, 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 IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ALL FIRST AND SECOND TIER SUBSIDIARY 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 PHS AND ALL 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 1 35000 0 0 0 35000 0 PART II-B, LINE 1: PROMEDICA HEALTH SYSTEM, INC. MADE A GRANT TO OHIOANS AGAINST MARIJUANA MONOPOLIES. 4123391 4123391 11535604 2249577 9286027 3630475 1220535 2409940 148477006 117606062 30870944 84827959 84827959 131518261 INVESTMENT IN AFFILIATES 2331940270 DUE FROM AFFILIATES 34753438 DEFERRED COMPENSATION 25430349 OTHER NON-CURRENT ASSET 22259476 OTHER RECEIVABLES 241498 BENEFICIAL INTEREST IN FOUNDATION 1633849 2416258880 DUE TO AFFILIATES 115886943 DEFERRED COMPENSATION 25430349 PENSION LIABILITY 47638002 MALPRACTICE TAIL LIABILITY 3240152 CONTINGENT LIABILITIES 259476 ASBESTOS REMEDIATION 70871 192525793 X PART X, LINE 2: PROMEDICA HEALTH SYSTEM, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS). THE FOLLOWING REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740. EXCEPT AS NOTED BELOW, PHS DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2015 AND 2014. FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $0 AND $9,027,000, RESPECTIVELY. PROMEDICA HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2015 AND 2014. CENTRAL AMERICA & THE CARIBBEAN INVESTMENTS 123466025 0 0 0 0 0 0 123466025 0 123466025 1 0 1 0 1 0 1 MERCY MEMORIAL HOSPITAL CORPORATION 718 N MACOMB ST MONROE MI 48162 381984289 501(C)(3) 12142857 306218 BOOK SIGNAGE/EQUIP. OPERATING GRANT ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA RD MAUMEE OH 43537 341292849 501(C)(3) 36500 OPERATING GRANT PROMEDICA FOUNDATION 2142 NORTH COVE BLVD TOLEDO OH 43606 341517672 501(C)(3) 140834 OPERATING GRANT PROMEDICA PHYSICIAN GROUP 5855 MONROE STREET SYLVANIA OH 43560 341899439 501(C)(3) 99528 OPERATING GRANT 440 BASEBALL CORPORATION 3219 BLUEBUSH RD MONROE MI 48162 473786921 8000 CHARITABLE DONATION ADRIAN COLLEGE 110 S MADISON ST ADRIAN MI 49221 381357980 501(C)(3) 9000 CHARITABLE DONATION AMERICAN CANCER SOCIETY 740 COMMERCE DR SUITE B PERRYSBURG OH 43551 131788491 501(C)(3) 15100 CHARITABLE DONATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 752843543 135613797 501(C)(3) 120500 CHARITABLE DONATION ARAB COMMUNITY FOR ECONOMIC & SOCIAL SERVICES 2651 SAULINO CT DEARBORN MI 48120 237444497 501(C)(3) 5625 CHARITABLE DONATION CEDAR CREEK CHURCH 29129 LIME CITY ROAD PERRYSBURG OH 43551 341789315 501(C)(3) 7500 CHARITABLE DONATION CROSWELL OPERA HOUSE 129 E MAUMEE ST ADRIAN MI 49221 386144993 501(C)(3) 302500 CHARITABLE DONATION CYSTIC FIBROSIS FOUNDATION 2265 LIVERNOISE SUITE 410 TROY MI 480831606 381723341 501(C)(3) 7500 CHARITABLE DONATION DIABETES YOUTH SERVICES 5871 MONCLOVA RD MAUMEE OH 43537 341967194 501(C)(3) 8950 CHARITABLE DONATION DOWNTOWN FREMONT INC 315 GARRISON ST FREMONT OH 43420 341940487 501(C)(3) 12265 CHARITABLE DONATION EAST TOLEDO FAMILY CENTER 1020 VARLAND AVE TOLEDO OH 43605 344429426 501(C)(3) 7500 CHARITABLE DONATION ERNST & YOUNG FOUNDATION 200 PLAZA DR SECAUCUS NJ 07094 136094489 501(C)(3) 18000 CHARITABLE DONATION FOSTORIA LEARNING CENTER 121 N MAIN ST FOSTORIA OH 44830 463336356 501(C)(3) 250000 CHARITABLE DONATION GOOD GRIEF OF NORTHWEST OHIO 6855 SPRING VALLEY DR NO 100 HOLLAND OH 43528 460765319 501(C)(3) 11500 CHARITABLE DONATION GREENWOOD SCHOOL 14 GREENWOOD LANE PUTNEY VT 05346 042642602 501(C)(3) 6000 CHARITABLE DONATION HOPE COMMUNITY CENTER 431 BAKER STREET ADRIAN MI 49221 382177974 501(C)(3) 6125 CHARITABLE DONATION JDRF INTERNATIONAL 26 BROADWAY 15TH FLOOR NEW YORK NY 10004 231907729 501(C)(3) 11000 CHARITABLE DONATION KIDS UNLIMITED 8927 ROYAL OAK DR HOLLAND OH 43528 204487408 501(C)(3) 7500 CHARITABLE DONATION LENAWEE COMMUNITY FOUNDATION 606 N EVANS ST PO BOX 142 TECUMSEH MI 49286 386095474 501(C)(3) 5600 CHARITABLE DONATION LIMA MEMORIAL HOSPITAL FOUNDATION 1001 BELLEFONTAINE RD LIMA OH 45804 341707570 501(C)(3) 15000 CHARITABLE DONATION LUCAS COUNTY SHERIFF'S OFFICE 1622 SPIELBUSH AVENUE TOLEDO OH 43604 346400806 STATE OF OHIO 16000 CHARITABLE DONATION MARCH OF DIMES FOUNDATION 10806 KENWOOD RD CINCINNATI OH 45242 131846366 501(C)(3) 13000 CHARITABLE DONATION NAMI OF GREATER TOLEDO 2753 WEST CENTRAL AVENUE TOLEDO OH 43606 341723306 501(C)(3) 12500 CHARITABLE DONATION NOTRE DAME ACADEMY 3535 SYLVANIA AVE TOLEDO OH 43623 344428228 501(C)(3) 5500 CHARITABLE DONATION RANCHO SANTE FE EDUCATION FOUNDATION PO BOX 809 RANCHO SANTA FE CA 92067 330787566 501(C)(3) 35250 CHARITABLE DONATION REGIONAL GROWTH PARTNERSHIP INC 300 MADISON AVE STE 270 TOLEDO OH 43604 341823833 501(C)(6) 50000 CHARITABLE DONATION RONALD MCDONALD HOUSE CHARITIES OF NORTHWEST OHIO 3883 MONROE STREET TOLEDO OH 43606 341349742 501(C)(3) 9650 CHARITABLE DONATION FORT LAUDERDALE ROTARY 1090 FOUNDATION INC PO BOX 266495 FORT LAUDERDALE FL 33326 237247846 501(C)(3) 10000 CHARITABLE DONATION RUTHERFORD B HAYES PRESIDENTIAL CENTER SPIEGEL GROVE FREMONT OH 43420 346502740 501(C)(3) 263500 CHARITABLE DONATION SEWHOPE INC 3828 BROOKSIDE RD TOLEDO OH 43606 261639100 501(C)(3) 6375 CHARITABLE DONATION ST FRANCIS DE SALES HIGH SCHOOL INC 2323 W BANCROFT ST TOLEDO OH 43607 344465715 501(C)(3) 17000 CHARITABLE DONATION ST JOHN'S JESUIT HIGH SCHOOL FOUNDATION 5901 AIRPORT HIGHWAY TOLEDO OH 43615 542111686 501(C)(3) 6000 CHARITABLE DONATION STRANAHAN THEATER AND GREAT HALL 4645 HEATHERDOWNS BLVD TOLEDO OH 43614 346560639 501(C)(3) 500000 CHARITABLE DONATION SUSAN G KOMEN BREAST CANCER FOUNDATION INC 3100 W CENTRAL AVE STE 206 TOLEDO OH 43606 751835298 501(C)(3) 5500 CHARITABLE DONATION TOLEDO ORCHESTRA ASSOCIATION INC 1838 PARKWOOD AVE TOLEDO OH 436242502 344005365 501(C)(3) 7250 CHARITABLE DONATION TOLEDO ZOOLOGICAL SOCIETY PO BOX 140130 TOLEDO OH 436140801 344440256 501(C)(3) 3535500 CHARITABLE DONATION THE VICTORY CENTER 5532 W CENTRAL AVE SUITE B TOLEDO OH 43615 341767997 501(C)(3) 5600 CHARITABLE DONATION TOLEDO COMMUNITY FOUNDATION 300 MADISON AVE TOLEDO OH 43604 237284004 501(C)(3) 31250 CHARITABLE DONATION TOLEDO CULTURAL ARTS CENTER 410 ADAMS ST TOLEDO OH 43604 341385037 501(C)(3) 6500 CHARITABLE DONATION TOLEDO MUSEUM OF ART 2445 MONROE ST TOLEDO OH 43620 344434678 501(C)(3) 28750 CHARITABLE DONATION TOLEDO OPERA ASSOCIATION 425 JEFFERSON AVE SUITE 601 TOLEDO OH 436041066 346556139 501(C)(3) 55500 CHARITABLE DONATION TOLEDO PUBLIC SCHOOLS 420 E MANHATTAN BLVD TOLEDO OH 43608 341558705 501(C)(3) 1795500 CHARITABLE DONATION TOLEDO ROADRUNNERS CLUB PO BOX 8818 MAUMEE OH 43537 341237238 501(C)(3) 15500 CHARITABLE DONATION UNITED WAY OF GREATER TOLEDO 424 JACKSON ST TOLEDO OH 43604 344427947 501(C)(3) 85525 CHARITABLE DONATION UNIVERSITY OF TOLEDO FOUNDATION 2801 BANCROFT ST TOLEDO OH 43606 346555110 501(C)(3) 36000 CHARITABLE DONATION PUBLIC BROADCASTING FOUNDATION OF NW OHIO 136 HURON ST PO BOX 30 TOLEDO OH 43697 346554586 501(C)(3) 13750 CHARITABLE DONATION WSOS COMMUNITY ACTION COMMISSION INC 109 SOUTH FRONT STREET FREMONT OH 43420 340975934 501(C)(3) 5200 CHARITABLE DONATION YMCA OF GREATER TOLEDO 1500 N SUPERIOR ST 2ND FLOOR TOLEDO OH 43604 344428262 501(C)(3) 17200 CHARITABLE DONATION YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF NW OHIO 1018 JEFFERSON AVENUE TOLEDO OH 43604 344428265 501(C)(3) 20875 CHARITABLE DONATION 52 1 EDUCATIONAL ASSISTANCE 7 14244 PART I, LINE 2: AS THE PARENT COMPANY OF 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 1 1 X X X X 1 1 0 0 0 0 1 1 0 ANNE T RUCH MD TRUSTEE 0 309415 0 0 0 3055 0 0 0 5018 0 317488 0 0 BRUCE A BARNETT MD EX OFFICIO 0 563331 0 0 0 5632 0 0 0 9311 0 578274 0 0 EMMETT T BOYLE JR MD TRUSTEE 0 456780 0 151406 0 14090 0 7950 0 20553 0 650779 0 0 JAMES F BINGLE MD TRUSTEE 0 480070 0 85641 0 22989 0 7950 0 19423 0 616073 0 0 JAMES L NORTH MD TRUSTEE 0 237193 0 0 0 10610 0 7353 0 38414 0 293570 0 0 PAUL D BERLACHER MD TRUSTEE 0 462098 0 228372 0 15750 0 0 0 15060 0 721280 0 0 RANDALL OOSTRA PRESIDENT, EX OFFICIO 991140 0 808250 0 56578 0 79685 0 14980 0 1950633 0 139671 0 THOMAS M HOUSTON MD TRUSTEE 0 157514 0 0 0 1753 0 15492 0 14186 0 188945 0 0 ALAN M SATTLER TREASURER 405315 0 154161 0 29282 0 97575 0 22501 0 708834 0 0 0 JEFFREY C KUHN SECRETARY 396043 0 169512 0 26793 0 100167 0 12067 0 704582 0 0 0 ANSHUL PANDE CHIEF TECHNOLOGY OFFICER 213517 0 52038 0 20873 0 41168 0 20438 0 348034 0 0 0 ARTURO POLIZZI PRESIDENT, TTH 431159 0 201789 0 10600 0 112342 0 21338 0 777228 0 0 0 BARBARA J PETEE CHIEF ADVOCACY/GOVT REL. OFF. 242823 0 85849 0 14972 0 61965 0 1186 0 406795 0 0 0 CHASE CANFIELD SR. VP HR AND OD, PHS 166463 0 39100 0 3513 0 38206 0 23714 0 270996 0 0 0 DEE A BIALECKI-HAASE MD PRES., CLINICALLY INT. NETWORK 245589 1815 54050 0 13605 0 13765 0 3821 0 330830 1815 0 0 GARY AKENBERGER SR. VP FINANCE, PHS 291582 0 84049 0 39958 0 67444 0 21631 0 504664 0 0 0 GARY M CATES CHIEF PHILANTHROPIC OFFICER 246893 0 86307 0 21296 0 54923 0 18715 0 428134 0 0 0 HOLLY L BRISTOLL CIO, ACADEMIC AFFILIATE 264499 0 96238 0 23801 0 69800 0 19758 0 474096 0 0 0 JERED WILSON VP MANAGED CARE 197711 0 25000 0 576 0 5965 0 6079 0 235331 0 0 0 KAREN L STRAUSS CHIEF MKT., STRAT., & COMM. OFFICER 334351 0 142807 0 9460 0 77447 0 14346 0 578411 0 0 0 KATHLEEN KRUEGER PRES., SUPPLY CHAIN & SR. VP QPMS 223468 0 70400 0 12525 0 15457 0 13450 0 335300 0 0 0 KATHLEEN S HANLEY CHIEF INT. AND DEV. OFFICER 456423 0 197040 0 42730 0 149277 0 17709 0 863179 0 0 0 KEVIN C WEBB PHD CHIEF ACUTE CARE OFFICER 446920 0 200389 0 11431 0 101135 0 14166 0 774041 0 0 0 LEE W HAMMERLING MD CHIEF PHYSICIAN EXECUTIVE 606975 0 276102 0 31125 0 159300 0 16905 0 1090407 0 0 0 ROBERT FREDRICK SR. VP ACADEMIC AFFAIRS 270116 0 66700 0 21462 0 44682 0 9673 0 412633 0 0 0 ROSE ANN LAURETO CHIEF INFORMATION OFFICER 359209 0 101176 0 27851 0 74132 0 8726 0 571094 0 0 0 SCOTT FOUGHT VP FINANCE 174741 0 35492 0 7358 0 20607 0 19259 0 257457 0 0 0 STEPHEN SADOWSKI DEPUTY GENERAL COUNSEL 201747 0 56003 0 6080 0 41296 0 19321 0 324447 0 0 0 SUSAN PAYDEN VP TREASURY, PHS 168050 0 39638 0 2258 0 51664 0 29102 0 290712 0 0 0 WILLIAM MUELLER CHIEF PHARMACY OFFICER 247557 0 77956 0 9832 0 23813 0 13681 0 372839 0 0 0 DANIEL K CASSAVAR MD PRESIDENT AND CMO, PPG 458089 0 277275 0 10062 0 22058 0 19196 0 786680 0 0 0 JOHN C RANDOLPH PRESIDENT, PARAMOUNT INSURANCE CORP. 452353 0 197088 0 42077 0 128575 0 22094 0 842187 0 0 0 JOSEPH SFERRA VP SURGICAL SERVICES 0 652808 0 61359 30612 2270 50468 9503 2708 0 83788 725940 0 0 KHURRAM KAMRAN VP MEDICAL OPERATIONS, PPG 296322 0 67899 0 2753 0 53135 0 25298 0 445407 0 0 0 NEERAJ K KANWAL MD PRESIDENT, FLOWER HOSPITAL 309612 0 86003 0 13155 0 27790 0 29508 0 466068 0 0 0 BARBARA STEELE FORMER KEY EMPLOYEE 0 0 0 0 570003 0 9152 0 8503 0 587658 0 565279 0 DAVID SELMAN FORMER KEY EMPLOYEE 0 0 0 0 227650 0 0 0 0 0 227650 0 0 0 DAWN M BUSKEY FORMER KEY EMPLOYEE 227762 0 71176 0 12460 0 58323 0 14141 0 383862 0 0 0 ERIC PERRON FORMER KEY EMPLOYEE 378 0 34500 0 147284 0 13585 0 14514 0 210261 0 147125 0 GLADEEN ROBERTS FORMER KEY EMPLOYEE 0 0 0 0 337502 0 7727 0 0 0 345229 0 0 0 KAREN VAHALIK FORMER KEY EMPLOYEE 0 0 33773 0 145474 0 7689 0 10657 0 197593 0 146840 0 KENNETH ARMSTRONG FORMER KEY EMPLOYEE 81769 0 66584 0 15516 0 21616 0 7238 0 192723 0 0 0 MARTIN DANSACK FORMER KEY EMPLOYEE 150887 0 35168 0 7423 0 18893 0 18173 0 230544 0 0 0 VIVIEN TOWNSEND FORMER KEY EMPLOYEE 179036 0 2500 0 1253 0 20553 0 8793 0 212135 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS 2 FORMER KEY EMPLOYEES INCLUDED IN TAXABLE COMPENSATION PART I, LINE 4A: 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: ERIC PERRON $147,125 BARBARA STEELE $565,279 KAREN VAHALIK $146,840 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: RANDALL OOSTRA $192,048 WILLIAM MUELLER $1,955 GLADEEN ROBERTS $337,502 DAVID SELMAN $227,650 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. PART I, LINE 6: CERTAIN 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 GOALS IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE SATISFACTION; 3) PHYSICIAN SATISFACTION; 4) QUALITY AND SAFETY; AND 5) OPERATING INCOME MARGIN. PART V PART V PART V X 667000 667000 0 1 1 667000 PART V PART V 51209 PART V 0 PART V PART V 51654 PART V 0 0 0 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: RANDALL OOSTRA, PRESIDENT(B) RELATIONSHIP WITH ORGANIZATION: RANDALL OOSTRA IS PRESIDENT AND CEO OF PROMEDICA HEALTH SYSTEM, INC.(C) PURPOSE OF LOAN: LIFE INSURANCE PREMIUM PAYMENTS(D) LOAN TO OR FROM THE ORGANIZATION: LOAN FROM THE ORGANIZATION(E) ORIGINAL PRINCIPAL AMOUNT: $667,000(F) BALANCE DUE: $667,000(G) IN DEFAULT? = NO(H) APPROVED BY BOARD OR COMMITTEE? = YES(I) WRITTEN AGREEMENT? = YES SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: TYLER CHIRDON(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: TYLER CHIRDON IS A FAMILY MEMBER OF ROBERT J. CHIRDON (EX OFFICIO).(C) AMOUNT OF TRANSACTION: $51,209(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: BRAD LACLAIR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: BRAD LACLAIR IS A FAMILY MEMBER OF ROBERT W. LACLAIR (VICE CHAIR, EX OFFICIO).(C) AMOUNT OF TRANSACTION: $51,654(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO X FLOORING SYS. 2 25202 FMV 0 1 0 PART I, COLUMN (B): THE NUMBER IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF NOT LESS THAN THREE (3) TRUSTEES NOR MORE THAN SEVEN (7) TRUSTEES. WITHIN THESE PARAMETERS, THE COMPOSITION OF THE EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE VICE CHAIRPERSON/CHAIR ELECT, THE CHIEF EXECUTIVE OFFICER AND SUCH OTHER TRUSTEES AS DESIGNATED BY THE GOVERNANCE COMMITTEE. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE PROMEDICA HEALTH SYSTEM, INC. BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 2 GARY M. CATES AND MARK A. KLEIN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 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 CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND 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 CERTIFICATION STATEMENTS (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 FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, 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 CERTIFICATION STATEMENT 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, 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 PPG PHYSICIAN WEBSITE (I.E., WWW.PPGDOCS.ORG) 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. FORM 990, PART XI, LINE 9: PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT -32,106,907. BENEFICIAL INTEREST IN FOUNDATION -309,813. INHERENT CONTRIBUTION OF ACQUIRED ASSETS 91,130,957. REVERSAL OF GRANTS 35,000,000. CAPITAL CONTRIBUTION TO WHOLLY OWNED AFFILIATE -24,300,000. FORM 990, 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 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, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2015 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. PROMEDICA'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THIS IS REFLECTED IN OUR FOUR CORE VALUES, INCLUDING: COMPASSION - WE TREAT OUR PATIENTS AND EACH OTHER WITH RESPECT, INTEGRITY AND DIGNITY; INNOVATION - WE CONTINUALLY SEARCH TO FIND A BETTER WAY FORWARD; TEAMWORK - WE PARTNER WITH OTHERS BECAUSE WE ARE BETTER TOGETHER THAN APART; AND EXCELLENCE - WE STRIVE TO BE THE BEST IN ALL WE DO. PROMEDICA AND ITS AFFILIATES COMPRISE 332 SITES, MORE THAN 2,300 PHYSICIANS AND APPROXIMATELY 17,000 EMPLOYEES AND VOLUNTEERS. DURING 2015, PROMEDICA DISCHARGED 82,132 INPATIENTS AND SERVED MORE THAN 1,535,310 OUTPATIENTS, WHILE HANDLING 350,316 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2015, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 43 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $4.5 BILLION. WE ALSO 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. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS 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 MONTHLY HEALTH LECTURES AT LOCAL SENIOR CENTERS, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE GOODS TO NUMEROUS LOCAL FOOD PANTRIES AND CHURCHES - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; MEMORIAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION, AND ST. LUKE'S HOSPITAL. IN 2015, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH NEARLY 900 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS. TOGETHER, THIS GROUP HELPS PROMEDICA BROADEN THE CARE WE OFFER TO AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2015, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 227,000 MEMBERS ACROSS ALL OF OHIO'S 88 COUNTIES. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - TWELVE CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES FOR THEIR RESPECTIVE HOSPITALS/BUSINESS UNITS AND FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE FLOWER HOSPITAL CAMPUS AND THE MARY ELLEN FALZONE DIABETES CENTER ON THE CAMPUS OF THE TOLEDO HOSPITAL. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S 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. IN ADDITION TO BEING A STRONG ADVOCATE FOR THE HEALTH AND WELL-BEING OF OTHERS, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH MORE THAN 300 NONPROFIT AGENCIES AND ORGANIZATIONS ACROSS OUR REGION IN 2015 THAT HAD VALUES AND MISSIONS SIMILAR TO OUR OWN. PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, A FEW EXAMPLES FROM 2015 INCLUDE THE FOLLOWING: - MERCY MEMORIAL HOSPITAL CORPORATION, IN MONROE, MICHIGAN, BECAME A MEMBER OF PROMEDICA EFFECTIVE JAN. 1, 2015. BY SHARING RESOURCES AND CLINICAL EXPERTISE, THIS NEW PARTNERSHIP HELPS BROADEN THE DEPTH AND BREADTH OF OUR SERVICES FOR RESIDENTS OF SOUTHEASTERN MICHIGAN. - PROMEDICA, ALONG WITH FIVE OTHER OHIO HOSPITALS, ESTABLISHED THE MIDWEST HEALTH COLLABORATIVE (MHC) TO IMPROVE THE VALUE OF HEALTHCARE SERVICES THROUGHOUT THE STATE. WHILE REMAINING INDEPENDENT, THESE SIX HEALTHCARE ORGANIZATIONS ARE WORKING TOGETHER TO ASSESS THE FEASIBILITY OF CREATING A STATEWIDE PROVIDER NETWORK, EXCHANGE BEST PRACTICES, SHARE RESOURCES, REDUCE COSTS, DEVELOP INNOVATIVE WAYS TO DELIVER HEALTH CARE ACROSS LARGE POPULATIONS, AND REDUCE CARE VARIATION. - IN 2015, PROMEDICA FINALIZED A COMPREHENSIVE AGREEMENT WITH THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES TO FORM AN ACADEMIC AFFILIATION WITH THE PURPOSE OF ADVANCING MEDICAL EDUCATION AND CLINICAL RESEARCH IN NORTHWEST OHIO. THE AFFILIATION WILL BUILD A LEGACY MODEL OF HEALTH CARE THAT WILL BENEFIT COMMUNITY MEMBERS ACROSS THE REGION FOR GENERATIONS TO COME. - PROMEDICA OPENED ITS FIRST URGENT CARE CENTERS IN OREGON AND PERRYSBURG, OHIO, TO SERVE PATIENTS WHO HAVE MEDICAL CONCERNS THAT DO NOT REQUIRE AN EMERGENCY CENTER. THE URGENT CARE CENTERS ARE OPEN 10 A.M. TO 10 P.M., 365 DAYS PER YEAR, AND ARE STAFFED BY HIGHLY-TRAINED CERTIFIED NURSE PRACTITIONERS. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 77 CENTRAL-CITY TEENS AGES 16 - 19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - AS CHILDHOOD OBESITY CONTINUES TO BE AN IMPORTANT ISSUE IN OUR COMMUNITIES, BAY PARK COMMUNITY HOSPITAL BEGAN PILOTING A NEW HEALTH AND NUTRITION PROGRAM TO CHILDREN IN GRADES 2 - 5 IN ITS SERVICE AREA. THE PROGRAM FEATURES A BOARD GAME DEVELOPED BY PROMEDICA CALLED NUTREXITY, WHICH OFFERS A FUN WAY FOR KIDS TO LEARN ABOUT HEALTH, INCLUDING GOOD NUTRITION, EXERCISE ESSENTIALS, AND THE IMPORTANCE OF GIVING BACK TO THE COMMUNITY. - PROMEDICA PHYSICIANS EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING MORE THAN 100 NEW PRIMARY CARE PHYSICIANS, SPECIALISTS AND ADVANCED PRACTICE PROVIDERS IN 2015. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED APPROXIMATELY 7,500 FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA CONTINUED TO IMPLEMENT A FOOD RECLAMATION PROGRAM. MORE THAN 160,000 POUNDS OF FOOD HAVE BEEN RECLAIMED FROM PARTNERS SUCH AS HOLLYWOOD CASINO, THE TOLEDO HOSPITAL, FLOWER HOSPITAL, FIFTH THIRD FIELD, AND OWENS COMMUNITY COLLEGE SINCE THE PROGRAM STARTED IN 2013. - PROMEDICA'S COME TO THE TABLE HUNGER SUMMIT TOOK PLACE IN ALBUQUERQUE, NEW MEXICO IN JUNE AS PART OF PROMEDICA'S EFFORTS TO RAISE AWARENESS OF HUNGER AS A HEALTH ISSUE. PRESENTED BY PROMEDICA, THE ALLIANCE TO END HUNGER, AND PRESBYTERIAN HEALTHCARE SERVICES, THE SUMMIT FEATURED PERSPECTIVES FROM AN ARRAY OF EXPERTS, INCLUDING A KEYNOTE ADDRESS BY AUDREY ROWE, ADMINISTRATOR FOR THE FOOD AND NUTRITION SERVICE AT THE U.S. DEPARTMENT OF AGRICULTURE. - PROMEDICA CANCER INSTITUTE'S (PCI) COMMUNITY OUTREACH INCLUDED CANCER SCREENINGS AND EDUCATION TO THE MOST VULNERABLE IN OUR COMMUNITY. FREE SCREENING MAMMOGRAMS, AS WELL AS SKIN CANCER AND LUNG CANCER SCREENINGS WERE PROVIDED FOR EARLY DETECTION. PROSTATE CANCER SCREENING EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY, AND A COLORECTAL CANCER EDUCATION EVENT TOOK PLACE AT HUNTINGTON CENTER. PCI ALSO HOSTED ANNUAL CANCER SURVIVOR CELEBRATIONS FOR SURVIVORS, FRIENDS AND CAREGIVERS ACROSS THE REGION AND SPONSORED COMMUNITY EVENTS INCLUDING THE ANNUAL NW OHIO SUSAN G. KOMEN, RACE FOR THE CURE AND AMERICAN CANCER SOCIETY RELAY FOR LIFE IN LUCAS COUNTY. - A NEW FOOD PHARMACY PILOT LAUNCHED, SERVING PATIENTS AT THE ADULT MEDICINE CLINIC AT PROMEDICA'S CENTER FOR HEALTH SERVICES (CHS) AND THE WW KNIGHT FAMILY MEDICINE PRACTICE. THE PROGRAM REFERS PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY TO RECEIVE FOOD FOR THEM AND THEIR FAMILY FROM THE FOOD PHARMACY LOCATED AT CHS. EACH PATIENT RECEIVES TWO TO THREE DAYS OF SUPPLEMENTAL FOOD FOR THEIR FAMILY. STARTING IN APRIL THROUGH DECEMBER 2015, APPROXIMATELY 1,400 REFERRALS WERE MADE TO THE FOOD PHARMACY, PROVIDING SUPPLEMENTAL FOOD TO MORE THAN 1,800 HOUSEHOLDS. - THROUGH ITS ADVOCACY FUND, PROMEDICA CONTINUED TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH BASIC NECESSITIES THAT DIRECTLY IMPACT INDIVIDUALS' HEALTH AND WELL-BEING. THIS SUPPORT AMOUNTED TO GRANTS TOTALING MORE THAN $315,000 IN 2015. - PROMEDICA AND THE AARP FOUNDATION (AARP'S AFFILIATED CHARITY) JOINED TOGETHER AS FOUNDING MEMBERS OF THE NEW NOT-FOR-PROFIT ORGANIZATION THE ROOT CAUSE COALITION. THE COALITION IS FOCUSED ON ADDRESSING HUNGER AS A PUBLIC HEALTH ISSUE AND OTHER SOCIAL DETERMINANTS OF HEALTH. - TO HELP MEET THE NEED FOR ADDITIONAL SCHOOL NURSES IN THE TOLEDO PUBLIC SCHOOL SYSTEM (TPS), PROMEDICA BEGAN FUNDING NINE ADDITIONAL SCHOOL NURSES, ENABLING ALL TPS ELEMENTARY SCHOOLS TO HAVE A FULL-TIME SCHOOL NURSE. STUDIES HAVE SHOWN THAT FULL-TIME NURSES IN PUBLIC SCHOOLS CAN HAVE A POSITIVE IMPACT ON HEALTH AND STRONG ACADEMIC OUTCOMES. OVER THE NEXT THREE YEARS, PROMEDICA AND TPS WILL TRACK AND EVALUATE STUDENT HEALTH STATISTICS TO DEVELOP A SUSTAINABILITY PLAN AND SUPPORT ONGOING FUNDING FOR THE PROGRAM. - PROMEDICA OPENED THE EBEID INSTITUTE'S NEW MARKET ON THE GREEN TO PROVIDE BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. THE INSTITUTE WAS MADE POSSIBLE THROUGH A GENEROUS DONATION FROM PROMEDICA BOARD MEMBER RUSSELL EBEID. - AFTER MORE THAN A YEAR OF PLANNING, BUILDING, TESTING AND TRAINING, PROMEDICA'S NEW ELECTRONIC HEALTH RECORD (EHR), EPIC, WENT LIVE WITH A SUCCESSFUL PILOT OF 20 PROMEDICA PHYSICIANS AND PROVIDERS. FOLLOWING EPIC'S METHODOLOGY, ADDITIONAL GO-LIVES ARE SCHEDULED THROUGH 2016 AND 2017 TO BRING ALL PROVIDERS, HOSPITALS AND SERVICES ON BOARD. THE NEW PLATFORM WILL FURTHER ENABLE ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF SERVICE ACROSS PROMEDICA. - TOLEDO AND TOLEDO CHILDREN'S HOSPITALS OPENED A NEW SURGERY SUITE TO INCREASE EFFICIENCY AND PROVIDE A BETTER EXPERIENCE FOR PATIENTS AND FAMILIES. IT INCLUDES 10 REPLACEMENT OPERATING ROOMS, LARGER PRE-OP AND RECOVERY AREAS, A NEW PEDIATRIC RECOVERY AREA, AND A NEW TEXT ALERT SYSTEM FOR WAITING FAMILIES. - IN COLLABORATION WITH HCR MANORCARE, THE NEW HEARTLAND AT PROMEDICA SKILLED NURSING AND REHABILITATION FACILITY OPENED ON THE CAMPUS OF FLOWER HOSPITAL. IT PROVIDES MEDICALLY COMPLEX AND INTENSIVE REHABILITATION SERVICES FOR SHORT-TERM PATIENTS TRANSITIONING BETWEEN HOSPITAL CARE AND HOME. - FLOWER HOSPITAL RADIOLOGY INSTALLED A NEW MRI SCANNER THAT PROVIDES INCREASED IMAGE RESOLUTION, RESULTING IN EXCELLENT IMAGE QUALITY AND PROVIDING PATIENTS WITH MORE ROOM DURING THE IMAGING PROCESS. ADDITIONALLY IT CAN ACCOMMODATE PATIENTS WEIGHING UP TO 550 LBS. (250 KG) AND ITS SHORT, WIDE BORE DESIGN HELPS REDUCE PATIENT ANXIETY AND INCREASES PATIENT COMFORT. - PROMEDICA DESIGNATED CLEVELAND CLINIC LABORATORIES (CCL) AS ITS NEW PRIMARY REFERENCE LAB, ALLOWING CCL TO PERFORM THE 1% OF HIGHLY SPECIALIZED LABORATORY TESTING THAT CANNOT BE PERFORMED BY PROMEDICA LABS. CCL IS ONE OF THE TOP SIX PRIMARY REFERENCE LABORATORIES IN THE COUNTRY, PROVIDING HIGH-QUALITY, STATE-OF-THE-ART DIAGNOSTIC SERVICES TO PHYSICIANS AND HEALTHCARE FACILITIES NATIONWIDE. THE NEW COLLABORATION OFFERS EFFICIENT, COST EFFECTIVE AND COORDINATED CARE ACROSS THE REGION FOR OUR PATIENTS. - ST. LUKE'S HOSPITAL ACHIEVED NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) DESIGNATION. NICHE IS A NATIONAL, NURSING-DRIVEN PROGRAM DESIGNED TO HELP HOSPITALS AND HEALTHCARE ORGANIZATIONS IMPROVE THE CARE PROVIDED TO OLDER ADULTS. - THE HICKMAN CANCER CENTER AT FLOWER HOSPITAL WAS EXPANDED TO A TOTAL OF 32 TREATMENT BAYS, INCLUDING FOUR BEDS TO INCREASE PATIENT COMFORT DURING TREATMENT AND TWO ADDITIONAL EXAM ROOMS TO IMPROVE PATIENT FLOW AT THE CENTER. - PROMEDICA, IN PARTNERSHIP WITH HARBOR, A REGIONAL BEHAVIORAL HEALTH AGENCY, IMPLEMENTED A TELEPSYCH PROGRAM TO ASSIST IN CARING FOR INPATIENTS AT BOTH THE EMMA L. BIXBY MEDICAL CENTER AND HERRICK HOSPITAL CAMPUSES AS WELL AS IN BOTH OUTPATIENT MENTAL HEALTH FACILITIES. - POSITIONED TO BE A REGIONAL LEADER IN RESEARCH AND INNOVATIONS, PROMEDICA PARTICIPATED IN MORE THAN 160 INDUSTRY-SPONSORED CLINICAL RESEARCH TRIALS AS WELL AS MORE THAN 60 INTERNAL RESEARCH PROJECTS CONDUCTED BY PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. ADDITIONALLY, PROMEDICA'S MEDICAL TECHNOLOGY BUSINESS INCUBATOR ALLOWS CLIENT COMPANIES IN THE HEALTHCARE FIELD TO ACCELERATE DEVELOPMENT AND COMMERCIALIZATION OF MEDICAL DEVICES AND HEALTH INFORMATION TECHNOLOGY TO IMPROVE PATIENT CARE LOCALLY AND NATIONALLY. IN 2015, PROMEDICA CONTRIBUTED $198,749,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITIES WE SERVE. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $60,815,000 IN 2015. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $18,122,000 IN FINANCIAL ASSISTANCE FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2015 WAS $21,472,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $198,749,000 NOTED ABOVE. FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO MEDICAL CENTER, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. ADDITIONALLY DURING 2015, PROMEDICA PROVIDED $119,812,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2015 WAS $111,127,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $198,749,000 NOTED ABOVE. INDEED, 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, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. 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 HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE 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. COMMUNITY BENEFIT DEFINITIONS PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (PROMEDICA) PREPARES ITS COMMUNITY BENEFIT REPORTS USING REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY PROMEDICA RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, PROMEDICA PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE FEDERAL POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. PROMEDICA INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN PROMEDICA'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY PROMEDICA. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR ALL EDUCATIONAL PROGRAMS PROMEDICA IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR PROMEDICA IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS OF FOOD, EQUIPMENT AND SUPPLIES. 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