2015-11-12T19:22:44-06:00 2014-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE STE 4200 INDIANAPOLIS IN 462045108 990 2014-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4198918501 1801 RICHARDS ROAD TOLEDO OH 43607 ALAN M SATTLER TREASURER 4198918501 2015-11-12 1 SAMANTHA BOKORI P01057347 3174648600 2014 2016-02-25 16:41:14Z ALAN M SATTLER 1801 RICHARDS ROAD TOLEDO OH 43607 333424612 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. 29 20 1884 23 -163000 -163000 31963182 42630026 492978592 284864940 -41800 688553 316631 290498 525216605 328474017 16199856 39086585 0 0 121852089 109439270 0 0 0 81819321 81420709 219871266 229946564 305345339 98527453 2336327449 2472316602 112363421 128205697 2223964028 2344110905 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 180216100 39086585 284956391 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. 7308888 199047 CONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM, INC. PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O. 187524988 1 1 0 0 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 0 0 0 0 1 1 1 1 0 0 1 X 354 0 1 1884 1 1 1 1 PL GR HU TU JA KS ID BR CH NI 0 0 0 0 0 0 0 0 X 29 20 1 0 1 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 OH X MARTIN DANSACK 4198918501 5901 MONCLOVA RD MAUMEE OH 43537 BRUCE A BARNETT MD EX OFFICIO 1.00 40.00 X 0 464379 26624 PAUL D BERLACHER MD TRUSTEE 1.00 40.00 X 0 693622 18968 EMMETT T BOYLE JR MD TRUSTEE 1.00 40.00 X 0 480218 28699 ELIZABETH C BRADY EX OFFICIO 1.00 1.00 X 0 0 0 RICHARD J BRUNNER EX OFFICIO 1.00 1.00 X 0 0 0 ROBERT J CHIRDON EX OFFICIO 1.00 7.00 X 0 0 0 PARISS M COLEMAN II EX OFFICIO 1.00 1.00 X 0 0 0 CHARLES E DANA TRUSTEE 1.00 0.00 X 0 0 0 KAREN P DAVIS PHD TRUSTEE 1.00 0.00 X 0 0 0 RUSSELL J EBEID TRUSTEE 1.00 0.00 X 0 0 0 DANIEL W FARRELL JR EX OFFICIO 1.00 1.00 X 0 0 0 THOMAS M HOUSTON MD TRUSTEE 1.00 41.00 X 0 160190 26549 RICHARD C HYLANT TRUSTEE 1.00 0.00 X 0 0 0 LLOYD A JACOBS MD TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS L KAPNICK TRUSTEE 1.00 0.00 X 0 0 0 MARK A KLEIN EX OFFICIO 1.00 2.00 X 0 0 0 ROBERT W LACLAIR EX OFFICIO 1.00 0.00 X 0 0 0 RITA N A MANSOUR EX OFFICIO 1.00 1.00 X 323 0 0 SARAH A MCHUGH EX OFFICIO 1.00 1.00 X 0 0 0 KENNETH A MYERS EX OFFICIO 1.00 1.00 X 0 0 0 JOSEPH D NAPOLI EX OFFICIO 1.00 7.00 X 0 0 0 JAMES L NORTH MD TRUSTEE 1.00 40.00 X 0 253991 45805 LARRY C PETERSON EX OFFICIO 1.00 1.00 X 0 0 0 MARNA I RAMNATH RN EX OFFICIO 1.00 0.00 X 0 0 0 ANNE T RUCH MD TRUSTEE 1.00 40.00 X 0 369428 24434 KEVIN J SAUDER TRUSTEE 1.00 0.00 X 0 0 0 DAVID A SNAVELY EX OFFICIO 1.00 0.00 X 0 0 0 RANDALL OOSTRA PRESIDENT, EX OFFICIO 40.00 15.00 X X 1409151 0 92942 STEPHEN H STAELIN CHAIRPERSON, EX OFFICIO 1.00 9.00 X X 0 0 0 JAMES M MURRAY VICE CHAIR, EX OFFICIO 1.00 0.00 X X 0 0 0 KATHLEEN S HANLEY TREASURER (THRU 5/14) 40.00 11.00 X 704046 0 822147 ALAN M SATTLER TREASURER 40.00 13.00 X 438639 0 68941 JEFFREY C KUHN SECRETARY 40.00 10.50 X 532963 0 69020 GARY AKENBERGER SR. VP FINANCE, PHS 40.00 4.00 X 342500 0 69169 CHASE CANFIELD SR. VP HR AND OD, PHS 40.00 0.00 X 195893 0 27556 GARY M CATES CHIEF PHILANTHROPIC OFFICER 40.00 4.00 X 317037 0 46056 MARTIN DANSACK VP ACCTG & TAXATION, PHS 40.00 1.50 X 183201 0 34788 SCOTT FOUGHT VP FINANCE 40.00 1.50 X 185747 0 37661 ROBERT FREDRICK SR. VP ACADEMIC AFFAIRS 40.00 0.00 X 359109 0 63588 LEE W HAMMERLING MD CHIEF PHYSICIAN EXECUTIVE/CMO 40.00 8.00 X 739430 0 68260 KATHLEEN KRUEGER PRES., SUPPLY CHAIN & SR. VP QPMS 40.00 0.00 X 293051 0 25199 ROSE ANN LAURETO CHIEF INFORMATION OFFICER 40.00 1.00 X 411837 0 26284 WILLIAM MUELLER CHIEF PHARMACY OFFICER 40.00 0.00 X 312189 0 40420 ANSHUL PANDE CHIEF TECHNOLOGY OFFICER 40.00 0.00 X 224435 0 28315 SUSAN PAYDEN VP TREASURY, PHS 40.00 0.00 X 198753 0 56992 ERIC PERRON VP AMBULATORY SYSTEMS 40.00 0.00 X 175404 0 189936 BARBARA J PETEE CHIEF ADV., GOV & COMM. REL. 40.00 2.00 X 326778 0 41648 ARTURO POLIZZI CHIEF HR OFFICER & PRES., TTH 40.00 1.00 X 554834 0 55071 STEPHEN SADOWSKI DEPUTY GENERAL COUNSEL 40.00 0.00 X 239989 0 31253 KAREN L STRAUSS CHIEF MKT., STRAT., & COMM. OFFICER 40.00 1.00 X 429301 0 26664 VIVIEN TOWNSEND VP AUDIT & COMPLIANCE 40.00 0.00 X 176643 0 27192 KAREN VAHALIK VP INFORMATION SVCS., ACUTE CARE 40.00 0.00 X 174386 0 253989 KEVIN C WEBB PHD CHIEF ACUTE CARE OFFICER 40.00 11.00 X 575645 0 49020 JOHN RANDOLPH PRESIDENT, PARAMOUNT INSURANCE CORP. 40.00 0.00 X 594050 0 94301 DANIEL K CASSAVAR MD PRESIDENT AND CMO, PPG 1.00 42.50 X 422022 226324 42521 DANIEL L WAKEMAN PRESIDENT, SLH 1.00 42.00 X 366212 0 40409 KHURRAM KAMRAN VP MEDICAL AFFAIRS, TTH 1.00 40.00 X 357087 127978 38358 NEERAJ K KANWAL MD PRESIDENT, FH 1.00 40.50 X 353520 0 54145 KEN ARMSTRONG FORMER KEY EMPLOYEE 0.00 41.50 X 258291 0 62856 DAWN BUSKEY FORMER KEY EMPLOYEE 0.00 40.00 X 278396 0 53576 THOMAS DELLA-FLORA FORMER KEY EMPLOYEE 0.00 0.00 X 191352 0 27743 JEFFREY KELLER FORMER KEY EMPLOYEE 0.00 0.00 X 248860 0 16311 STEPHEN MOONEY FORMER KEY EMPLOYEE 0.00 0.00 X 194346 0 187 GLADEEN ROBERTS FORMER KEY EMPLOYEE 0.00 0.00 X 284472 0 21408 RANDALL SCHIMMOELLER FORMER KEY EMPLOYEE 0.00 42.00 X 287347 0 38898 DAVID SELMAN FORMER KEY EMPLOYEE 0.00 0.00 X 338205 0 9305 BARBARA STEELE FORMER KEY EMPLOYEE 0.00 0.00 X 1075627 0 19611 RONALD WACHSMAN FORMER KEY EMPLOYEE 0.00 0.00 X 253389 0 24695 15004460 2776130 2967514 141 1 1 0 MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 606938347 SOFTWARE SUPPORT 3482749 MICROSOFT LICENSING GP 6100 NEIL RD RENO NV 89511 SOFTWARE SUPPORT 2558713 3M HEALTH INFORMATION SYSTEMS 3M CTR BLDG 275-E-05 ST PAUL MN 551441000 SOFTWARE SUPPORT 2410400 DELOITTE & TOUCHE LLP 600 RENAISSANCE STE 900 DETROIT MI 482431895 TAX & AUDIT SERVICES 2335034 PHILIPS ELECTRONICS N AMERICA PO BOX 100355 ATLANTA GA 303840355 SOFTWARE SUPPORT 2033382 131 42506853 123173 42630026 ADMIN. SUPPORT SERV. 551114 194280457 194280457 INVEST. IN AFFILIATES 551114 90261637 90261637 COMMUNITY WELLNESS 900099 199047 199047 CPR TRAINING CENTER 900099 123799 123799 284864940 326052 -163000 489052 5313096 4950595 362501 362501 362501 MEDICAL RECORDS 900099 290498 290498 290498 328474017 285155438 -163000 851553 39062385 39062385 24200 24200 11753395 11753395 77089795 59321157 17768638 5511825 4409460 1102365 8886986 7109589 1777397 6197269 4957815 1239454 3407059 3407059 1845409 1845409 59507 59507 12294316 9835453 2458863 6609050 5287240 1321810 4540160 3632128 908032 29284161 23427329 5856832 1106066 884853 221213 1558344 1246675 311669 17246789 13797431 3449358 MINOR EQUIPMENT 1305080 1044064 261016 DUES & SUBSCRIPTIONS 1048677 838942 209735 RECRUITMENT 352004 281603 70401 EQUIPMENT RENTAL 271205 216964 54241 492882 394305 98577 229946564 187524988 42421576 0 6912741 191681 4027 87501 352783 19021184 18826266 173547672 103510862 48120510 70036810 1608262 22782530 38274987 37629682 450000 2222298237 2322046850 2336327449 2472316602 71339296 58704428 41024125 69501269 112363421 128205697 X 2223623128 2341809334 340900 2301571 2223964028 2344110905 2336327449 2472316602 X 98527453 1331074 20288350 X 0 1 X 1 0 X X 15 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 15000000 0 ST LUKE'S HOSPITAL 344428232 3 0 0 0 THE TOLEDO HOSPITAL 344428256 3 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 CORPORATION 344492440 9 0 0 0 PROMEDICA PHYSICIAN GROUP 341899439 9 0 0 0 TOLEDO DISTRICT NURSE ASSOCIATION 344427949 9 0 0 0 VISITING NURSE HOSPICE AND HEALTH CARE 341831624 9 0 0 0 15 15000000 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. 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. PROMEDICA HEALTH SYSTEM, INC. (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. PROMEDICA HEALTH SYSTEM, INC. 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 PROMEDICA HEALTH SYSTEM, INC. 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. PROMEDICA HEALTH SYSTEM, INC. HAS MAINTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATION'S OPERATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1958385 1958385 9208649 1848324 7360325 2735466 985886 1749580 137025012 100676652 36348360 22620160 22620160 70036810 INVESTMENT IN AFFILIATES 2250219194 DUE FROM AFFILIATES 44194014 DEFERRED COMPENSATION 25077405 OTHER NON-CURRENT ASSET 518952 OTHER RECEIVABLES 93623 BENEFICIAL INTEREST IN FOUNDATION 1943662 2322046850 DUE TO AFFILIATES 16911964 DEFERRED COMPENSATION 25077402 PENSION LIABILITY 23308746 MALPRACTICE TAIL LIABILITY 3684205 CONTINGENT LIABILITIES 518952 69501269 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, 2014 AND 2013. FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $9,027,000 AND $1,059,000, RESPECTIVELY. THE SUBSIDIARY RECOGNIZED A CREDIT FOR INTEREST AND PENALTIES WITHIN THE INCOME TAX EXPENSE LINE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS RELATED TO UNRECOGNIZED TAX BENEFITS OF $1,000 AND $20,000 AS OF DECEMBER 31, 2014 AND 2013, RESPECTIVELY. PROMEDICA HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2014 AND 2013. CENTRAL AMERICA & THE CARIBBEAN INVESTMENTS 110009094 0 0 0 0 0 0 110009094 0 110009094 1 0 1 0 1 0 1 MEMORIAL HOSPITAL 715 S TAFT AVE FREMONT OH 43420 344430849 501(C)(3) 15000000 OPERATING GRANT ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA RD MAUMEE OH 43537 341292849 501(C)(3) 5950 OPERATING GRANT PROMEDICA FOUNDATION 2142 NORTH COVE BLVD TOLEDO OH 43606 341517672 501(C)(3) 210780 OPERATING GRANT PROMEDICA INSURANCE CORP INC & SUBSIDIARIES 1901 INDIAN WOOD CIRCLE MAUMEE OH 43537 341570675 501(C)(3) 20000000 OPERATING GRANT AMERICAN CANCER SOCIETY 740 COMMERCE DR SUITE B PERRYSBURG OH 43551 131788491 501(C)(3) 7000 CHARITABLE DONATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 752843543 135613797 501(C)(3) 19500 CHARITABLE DONATION AMERICAN NATIONAL RED CROSS & ITS CONSTITUENT CHAPTERS AND BRANCHES 2025 E STREET NW WASHINGTON DC 200065009 530196605 501(C)(3) 5500 CHARITABLE DONATION ARAB COMMUNITY FOR ECONOMIC & SOCIAL SERVICES 2651 SAULINO CT DEARBORN MI 48120 237444497 501(C)(3) 6400 CHARITABLE DONATION BOYS AND GIRLS CLUBS OF TOLEDO 2250 N DETROIT AVE TOLEDO OH 43606 344427933 501(C)(3) 25200 CHARITABLE DONATION CATHOLIC CHARITIES DIOCESES OF TOLEDO 1933 SPIELBUSCH AVE TOLEDO OH 43697 344428254 501(C)(3) 26500 CHARITABLE DONATION CEDAR CREEK CHURCH 29129 LIME CITY ROAD PERRYSBURG OH 43551 341789315 501(C)(3) 7500 CHARITABLE DONATION CHERRY STREET MISSION MINISTRIES 105 17TH STREET TOLEDO OH 43604 341133369 501(C)(3) 6000 CHARITABLE DONATION CITY OF TOLEDO 1 GOVERNMENT CENTER TOLEDO OH 43604 346401447 GOV'T ENTITY 7600 CHARITABLE DONATION CROSWELL OPERA HOUSE 129 E MAUMEE ST ADRIAN MI 49221 386144993 501(C)(3) 10125 CHARITABLE DONATION CYSTIC FIBROSIS FOUNDATION 2265 LIVERNOISE SUITE 410 TROY MI 480831606 381723341 501(C)(3) 7000 CHARITABLE DONATION DEFIANCE AREA FOUNDATION 507 5TH ST DEFIANCE OH 43512 341278087 501(C)(3) 10000 CHARITABLE DONATION ERNST & YOUNG FOUNDATION 200 PLAZA DR SECAUCUS NJ 07094 136094489 501(C)(3) 16000 CHARITABLE DONATION GOOD GRIEF OF NORTHWEST OHIO 6855 SPRING VALLEY DR NO 100 HOLLAND OH 43528 460765319 501(C)(3) 11500 CHARITABLE DONATION GREATER FOSTORIA COMMUNITY FOUNDATION 112 N MAIN ST FOSTORIA OH 44830 341946282 501(C)(3) 18240 CHARITABLE DONATION GREENWOOD SCHOOL 14 GREENWOOD LANE PUTNEY VT 05346 042642602 501(C)(3) 7250 CHARITABLE DONATION KIDS UNLIMITED 8927 ROYAL OAK DR HOLLAND OH 43528 204487408 501(C)(3) 7500 CHARITABLE DONATION LIMA MEMORIAL HOSPITAL FOUNDATION 1001 BELLEFONTAINE RD LIMA OH 45804 341707570 501(C)(3) 10000 CHARITABLE DONATION LOURDES UNIVERSITY 6832 CONVENT BLVD SYLVANIA OH 43560 341226547 501(C)(3) 20150 CHARITABLE DONATION MARCH OF DIMES FOUNDATION 10806 KENWOOD RD CINCINNATI OH 45242 131846366 501(C)(3) 13500 CHARITABLE DONATION MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 6000 CHARITABLE DONATION NORTHWEST OHIO SCHOLARSHIP FUND INC 1933 SPIELBUSCH AVE TOLEDO OH 436045360 311639134 501(C)(3) 8500 CHARITABLE DONATION NOTRE DAME ACADEMY 3535 SYLVANIA AVE TOLEDO OH 43623 344428228 501(C)(3) 6000 CHARITABLE DONATION PROPEL INC 4850 FOREST HILL DR TOLEDO OH 43623 300601880 501(C)(3) 6250 CHARITABLE DONATION ROCKET VENTURES LLC 300 MADISON AVE STE 270 TOLEDO OH 43604 800717355 600000 GENERAL SUPPORT FORT LAUDERDALE ROTARY 1090 FOUNDATION INC PO BOX 266495 FORT LAUDERDALE FL 33326 237247846 501(C)(3) 6000 CHARITABLE DONATION SANDUSKY COUNTY PARK DISTRICT 1970 COUNTRYSIDE PLACE FREMONT OH 43420 346401312 GOV'T ENTITY 15000 CHARITABLE DONATION SEWHOPE INC 3828 BROOKSIDE RD TOLEDO OH 43606 261639100 501(C)(3) 6250 CHARITABLE DONATION ST FRANCIS DE SALES HIGH SCHOOL INC 2323 W BANCROFT ST TOLEDO OH 43607 344465715 501(C)(3) 27875 CHARITABLE DONATION TERRA COLLEGE FOUNDATION 2830 NAPOLEON ROAD FREMONT OH 43420 341650500 501(C)(3) 10500 CHARITABLE DONATION GREAT LAKES HISTORICAL SOCIETY 480 MAIN ST VERMILLION OH 44089 346549217 501(C)(3) 150200 CHARITABLE DONATION TOLEDO ORCHESTRA ASSOCIATION INC 1838 PARKWOOD AVE TOLEDO OH 436242502 344005365 501(C)(3) 33950 CHARITABLE DONATION TOLEDO ZOOLOGICAL SOCIETY PO BOX 140130 TOLEDO OH 436140801 344440256 501(C)(3) 10500 CHARITABLE DONATION TOLEDO BOTANICAL GARDEN BOARD INC 5403 ELMER DR TOLEDO OH 43615 341350559 501(C)(3) 62500 CHARITABLE DONATION TOLEDO CLASSIC INC 4405 DORR ST TOLEDO OH 436072139 341499072 501(C)(3) 36800 CHARITABLE DONATION TOLEDO COMMUNITY FOUNDATION 300 MADISON AVE TOLEDO OH 43604 237284004 501(C)(3) 1624500 CHARITABLE DONATION TOLEDO MUSEUM OF ART 2445 MONROE ST TOLEDO OH 43620 344434678 501(C)(3) 280750 CHARITABLE DONATION TOLEDO OPERA ASSOCIATION 425 JEFFERSON AVE SUITE 601 TOLEDO OH 436041066 346556139 501(C)(3) 25000 CHARITABLE DONATION TOLEDO SCHOOL FOR THE ARTS 333 14TH ST TOLEDO OH 43604 341876647 501(C)(3) 11375 CHARITABLE DONATION UNITED WAY OF GREATER TOLEDO 424 JACKSON ST TOLEDO OH 43604 344427947 501(C)(3) 88900 CHARITABLE DONATION UNIVERSITY OF TOLEDO FOUNDATION 2801 BANCROFT TOLEDO OH 43606 346555110 501(C)(3) 238015 CHARITABLE DONATION PUBLIC BROADCASTING FOUNDATION OF NW OHIO 136 HURON ST PO BOX 30 TOLEDO OH 43697 346554586 501(C)(3) 25250 CHARITABLE DONATION YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF NW OHIO 1018 JEFFERSON AVENUE TOLEDO OH 43604 344428265 501(C)(3) 9500 CHARITABLE DONATION 46 1 EDUCATIONAL ASSISTANCE 16 24200 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 BRUCE A BARNETT MD EX OFFICIO 0 457567 0 0 0 6812 0 17000 0 9624 0 491003 0 0 PAUL D BERLACHER MD TRUSTEE 0 518785 0 157123 0 17714 0 2833 0 16135 0 712590 0 0 EMMETT T BOYLE JR MD TRUSTEE 0 432203 0 33925 0 14090 0 7800 0 20899 0 508917 0 0 THOMAS M HOUSTON MD TRUSTEE 0 158437 0 0 0 1753 0 13188 0 13361 0 186739 0 0 JAMES L NORTH MD TRUSTEE 0 217177 0 11940 0 24874 0 6812 0 38993 0 299796 0 0 ANNE T RUCH MD TRUSTEE 0 361968 0 0 0 7460 0 17000 0 7434 0 393862 0 0 RANDALL OOSTRA PRESIDENT, EX OFFICIO 889303 0 470455 0 49393 0 78755 0 14187 0 1502093 0 35100 0 KATHLEEN S HANLEY TREASURER (THRU 5/14) 457284 0 200510 0 46252 0 805713 0 16434 0 1526193 0 0 0 ALAN M SATTLER TREASURER 309066 0 97460 0 32113 0 48009 0 20932 0 507580 0 0 0 JEFFREY C KUHN SECRETARY 363111 0 157073 0 12779 0 45715 0 23305 0 601983 0 0 0 GARY AKENBERGER SR. VP FINANCE, PHS 238713 0 69268 0 34519 0 48981 0 20188 0 411669 0 0 0 CHASE CANFIELD SR. VP HR AND OD, PHS 166527 0 27790 0 1576 0 8411 0 19145 0 223449 0 0 0 GARY M CATES CHIEF PHILANTHROPIC OFFICER 235052 0 61637 0 20348 0 29701 0 16355 0 363093 0 0 0 MARTIN DANSACK VP ACCTG & TAXATION, PHS 147567 0 28746 0 6888 0 18630 0 16158 0 217989 0 0 0 SCOTT FOUGHT VP FINANCE 151019 0 28209 0 6519 0 18737 0 18924 0 223408 0 0 0 ROBERT FREDRICK SR. VP ACADEMIC AFFAIRS 274846 0 61533 0 22730 0 55556 0 8032 0 422697 0 0 0 LEE W HAMMERLING MD CHIEF PHYSICIAN EXECUTIVE/CMO 516622 0 180962 0 41846 0 52693 0 15567 0 807690 0 0 0 KATHLEEN KRUEGER PRES., SUPPLY CHAIN & SR. VP QPMS 217758 0 70411 0 4882 0 14977 0 10222 0 318250 0 0 0 ROSE ANN LAURETO CHIEF INFORMATION OFFICER 343850 0 48580 0 19407 0 19873 0 6411 0 438121 0 0 0 WILLIAM MUELLER CHIEF PHARMACY OFFICER 239650 0 65088 0 7451 0 24047 0 16373 0 352609 0 0 0 ANSHUL PANDE CHIEF TECHNOLOGY OFFICER 220445 0 0 0 3990 0 8751 0 19564 0 252750 0 0 0 SUSAN PAYDEN VP TREASURY, PHS 164133 0 32331 0 2289 0 30576 0 26416 0 255745 0 0 0 ERIC PERRON VP AMBULATORY SYSTEMS 140485 0 21532 0 13387 0 165060 0 24876 0 365340 0 0 0 BARBARA J PETEE CHIEF ADV., GOV & COMM. REL. 208401 0 103651 0 14726 0 41406 0 242 0 368426 0 26434 0 ARTURO POLIZZI CHIEF HR OFFICER & PRES., TTH 358938 0 157258 0 38638 0 35187 0 19884 0 609905 0 0 0 STEPHEN SADOWSKI DEPUTY GENERAL COUNSEL 196878 0 37402 0 5709 0 12430 0 18823 0 271242 0 0 0 KAREN L STRAUSS CHIEF MKT., STRAT., & COMM. OFFICER 277336 0 142506 0 9459 0 15930 0 10734 0 455965 0 0 0 VIVIEN TOWNSEND VP AUDIT & COMPLIANCE 175680 0 0 0 963 0 20030 0 7162 0 203835 0 0 0 KAREN VAHALIK VP INFORMATION SVCS., ACUTE CARE 144777 0 27900 0 1709 0 242613 0 11376 0 428375 0 0 0 KEVIN C WEBB PHD CHIEF ACUTE CARE OFFICER 399505 0 147572 0 28568 0 36188 0 12832 0 624665 0 0 0 JOHN RANDOLPH PRESIDENT, PARAMOUNT INSURANCE CORP. 422497 0 153561 0 17992 0 73256 0 21045 0 688351 0 0 0 DANIEL K CASSAVAR MD PRESIDENT AND CMO, PPG 318395 145807 96856 75000 6771 5517 15039 4424 17567 5491 454628 236239 0 0 DANIEL L WAKEMAN PRESIDENT, SLH 276885 0 86050 0 3277 0 25468 0 14941 0 406621 0 0 0 KHURRAM KAMRAN VP MEDICAL AFFAIRS, TTH 285999 127978 67337 0 3751 0 18307 0 20051 0 395445 127978 0 0 NEERAJ K KANWAL MD PRESIDENT, FH 296680 0 47697 0 9143 0 28296 0 25849 0 407665 0 0 0 KEN ARMSTRONG FORMER KEY EMPLOYEE 202426 0 53712 0 2153 0 38952 0 23904 0 321147 0 0 0 DAWN BUSKEY FORMER KEY EMPLOYEE 214576 0 49579 0 14241 0 40157 0 13419 0 331972 0 0 0 THOMAS DELLA-FLORA FORMER KEY EMPLOYEE 0 0 24180 0 167172 0 10393 0 17350 0 219095 0 172210 0 JEFFREY KELLER FORMER KEY EMPLOYEE 3060 0 38521 0 207279 0 14688 0 1623 0 265171 0 177096 0 STEPHEN MOONEY FORMER KEY EMPLOYEE 0 0 0 0 194346 0 187 0 0 0 194533 0 0 0 GLADEEN ROBERTS FORMER KEY EMPLOYEE 0 0 0 0 284472 0 9305 0 12103 0 305880 0 280908 0 RANDALL SCHIMMOELLER FORMER KEY EMPLOYEE 208694 0 51148 0 27505 0 25904 0 12994 0 326245 0 0 0 DAVID SELMAN FORMER KEY EMPLOYEE 0 0 0 0 338205 0 9305 0 0 0 347510 0 118696 0 BARBARA STEELE FORMER KEY EMPLOYEE 282886 0 196491 0 596250 0 11479 0 8132 0 1095238 0 550060 0 RONALD WACHSMAN FORMER KEY EMPLOYEE 0 0 35389 0 218000 0 13622 0 11073 0 278084 0 216394 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS 1 TERMED EMPLOYEE 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: THOMAS DELLA-FLORA $172,210 JEFFREY KELLER $170,080 ERIC PERRON $2,885 GLADEEN ROBERTS $280,908 DAVID SELMAN $118,696 BARBARA STEELE $550,060 RONALD WACHSMAN $216,394 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: JEFFREY KELLER $7,036 STEPHEN MOONEY $194,346 WILLIAM MUELLER $2,704 RANDALL OOSTRA $54,312 BARBARA PETEE $29,890 DAVID SELMAN $160,854 BARBARA STEELE $24,640 RONALD WACHSMAN $5,421 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 RECEIVE 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 352783 352783 0 1 1 352783 PART V PART V 44792 PART V 0 PART V PART V 50659 PART V 0 PART V PART V 49233 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: $352,783(F) BALANCE DUE: $352,783(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 ORGANIZATION: TYLER CHIRDON IS A FAMILY MEMBER OF ROBERT J. CHIRDON (EX OFFICIO).(C) AMOUNT OF TRANSACTION: $44,792(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 ORGANIZATION: BRAD LACLAIR IS A FAMILY MEMBER OF ROBERT W. LACLAIR (EX OFFICIO).(C) AMOUNT OF TRANSACTION: $50,659(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: MOLLY LACLAIR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MOLLY LACLAIR IS A FAMILY MEMBER OF ROBERT W. LACLAIR (EX OFFICIO).(C) AMOUNT OF TRANSACTION: $49,233(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO 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. ONE BOARD MEMBER, DR. LLOYD A. JACOBS, MD, HAS VOTING PRIVILEGES LIMITED TO ACADEMIC RELATED MATTERS. FORM 990, PART VI, SECTION A, LINE 2 GARY M. CATES AND MARK A. KLEIN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 PROMEDICA HEALTH SYSTEM, INC. AMENDED ITS CODE OF REGULATIONS TO INCREASE THE MAXIMUM NUMBER OF BOARD OF TRUSTEES MEMBERS FROM TWENTY-SEVEN TO THIRTY. FORM 990, PART VI, SECTION A, LINE 7B PROMEDICA HEALTH SYSTEM, INC. IS GOVERNED BY ITS BOARD OF TRUSTEES. ALL CORPORATE ACTIONS REQUIRE APPROVAL BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES. 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 THE RESPECTIVE COMPANY'S PRESIDENT OR 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 ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE WITHIN 30 DAYS OF NOTIFICATION. 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, COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT, AND A LIST OF ALL NEW EMPLOYEES HIRED DURING THE PREVIOUS 12 MONTHS. 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. 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 -7,909,878. BENEFICIAL INTEREST IN FOUNDATION 1,943,662. TRANSFER OF ASSETS TO PROMEDICA FOUNDATION -208,840. INHERENT CONTRIBUTION OF ACQUIRED ASSETS 26,463,406. 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 2014 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 2,100 PHYSICIANS AND APPROXIMATELY 17,000 EMPLOYEES AND VOLUNTEERS. DURING 2014, PROMEDICA DISCHARGED 72,595 INPATIENTS AND SERVED MORE THAN 1,407,416 OUTPATIENTS, WHILE HANDLING 305,747 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2014, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 34 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $3.7 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. ADDITIONALLY, OUR PHYSICIANS, LEADERSHIP TEAM MEMBERS AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING, 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); FLOWER HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); MEMORIAL HOSPITAL; AND ST. LUKE'S HOSPITAL. IN 2014, 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 MORE THAN 800 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 2014, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 220,000 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 LOCAL NONPROFIT AGENCIES AND ORGANIZATIONS IN 2014 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 2014 INCLUDE THE FOLLOWING: - PROMEDICA SIGNED A DEFINITIVE AGREEMENT WITH MERCY MEMORIAL HOSPITAL CORPORATION IN MONROE, MICHIGAN, WITH THE HEALTH SYSTEM BECOMING A MEMBER OF PROMEDICA EFFECTIVE JAN. 1, 2015. BY SHARING RESOURCES AND CLINICAL EXPERTISE, THE JOINDER HELPS BROADEN THE DEPTH AND BREADTH OF OUR SERVICES FOR RESIDENTS OF SOUTHEASTERN MICHIGAN. - PROMEDICA FORMED A JOINT OPERATING COMPANY (JOC) WITH LOCAL BEHAVIORAL HEALTH PROVIDER HARBOR TO ADDRESS A GROWING COMMUNITY NEED FOR MENTAL HEALTH SERVICES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. THE JOC WILL HELP INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND ENHANCE CARE THROUGH A MORE INTEGRATED, COORDINATED MODEL. - PROMEDICA SPONSORED A SCHOOL-BASED FOOD DRIVE CHALLENGE AS PART OF ITS COME TO THE TABLE INITIATIVE. SCHOOLS HAVE RAISED MORE THAN 24,000 POUNDS OF NON-PERISHABLE FOOD ITEMS OVER THE PAST TWO YEARS FOR COMMUNITY FOOD PROGRAMS ACROSS PROMEDICA'S SERVICE AREA. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 74 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. - PROMEDICA CONTINUED ITS CHILDHOOD OBESITY PILOT PROGRAM, WHICH FOCUSED ON CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES MET QUARTERLY OVER A 12-MONTH PERIOD WITH A DIETITIAN IN A PHYSICIAN'S OFFICE OR OUTPATIENT CLINIC TO RECEIVE NUTRITION COUNSELING AND ASK QUESTIONS. EACH CHILD'S BMI AND RESPONSES TO A HEALTH QUESTIONNAIRE WERE COLLECTED BEFORE, DURING AND AFTER THE 12-MONTH PERIOD TO DETERMINE THE PROGRAM'S EFFECTIVENESS. - COORDINATED THROUGH OUR ADVOCACY DEPARTMENT, PROMEDICA CONTINUED TO PROVIDE HEALTH AND NUTRITION EDUCATION TO ELEMENTARY SCHOOL CHILDREN IN GRADES 1 - 6. THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM IS DESIGNED TO EMPOWER STUDENTS AND THEIR PARENTS/GUARDIANS TO MAKE HEALTHY CHOICES ABOUT FOOD AND EXERCISE. - PROMEDICA PHYSICIANS EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING MORE THAN 95 NEW PRIMARY CARE PHYSICIANS, SPECIALISTS AND ADVANCED PRACTICE PROVIDERS IN 2014. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED NEARLY 8,000 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 IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS THE TOLEDO AND FLOWER HOSPITALS, PROVIDING MORE THAN 160,000 POUNDS OF REPACKAGED, UN-SERVED FOOD TO COMMUNITY FEEDING SITES. THE TOLEDO MUD HENS AND OWENS COMMUNITY COLLEGE ARE THE NEWEST PARTNERS TO JOIN THE INITIATIVE. - MORE THAN 150 PEOPLE JOINED PROMEDICA AND THE ALLIANCE TO END HUNGER IN FEBRUARY IN WASHINGTON D.C. TO DISCUSS HOW HUNGER AFFECTS AMERICANS' HEALTH AND WELL-BEING AS WELL AS WAYS TO ADDRESS AND SOLVE THE HUNGER PROBLEM. BASED ON PROMEDICA'S COME TO THE TABLE INITIATIVE TO ADDRESS HUNGER AS A HEALTH ISSUE, THE NATIONAL SUMMIT FEATURED AN ARRAY OF SPEAKERS ON HUNGER AND HEALTH AS THE PARTNERS CONTINUE WORKING TO END U.S. HUNGER BY ENCOURAGING JOINT EFFORTS NATIONWIDE. THE SUCCESS OF THE PROGRAM PROMPTED ADDITIONAL REGIONAL HUNGER SUMMITS - IN CHICAGO IN MAY, AND ATLANTA IN NOVEMBER - FEATURING GUEST SPEAKERS AND OTHER AGENCIES ADDRESSING HUNGER THROUGHOUT THE COUNTRY. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN CANCER; EDUCATION SESSIONS ON COLON CANCER; THE FIFTH ANNUAL SURVIVOR CELEBRATIONS FOR CANCER SURVIVORS, FRIENDS AND CAREGIVERS; AND SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN(R) RACE FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - PROMEDICA RETAIL GROUP (PROMEDICA FLOWER MARKET) - A STAND-ALONE RETAIL BUSINESS LOCATED NEAR THE CAMPUS OF THE TOLEDO HOSPITAL - BEGAN HOSTING MONTHLY GARDEN GROCER "FIRST FRIDAY" EVENTS TO DISCUSS GOOD NUTRITION AND OFFER HEALTHY COOKING DEMONSTRATIONS ALONG WITH RECIPES AND OTHER HANDOUTS. THE EVENTS WERE HELD THE FIRST FRIDAY OF EACH MONTH AND FEATURED TIPS AND ADVICE FROM PROMEDICA'S CLINICAL DIETITIANS. - 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 NEARLY $375,000 IN 2014. - PROMEDICA OPENED ITS 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER IN FEBRUARY 2014. THE FACILITY IS NAMED FOR A YOUNG GIRL WHO DIED FROM JUVENILE DIABETES BEFORE HER FAMILY EVEN KNEW SHE HAD THE DISEASE. LOCATED ON THE CAMPUS OF THE TOLEDO HOSPITAL, THE CENTER OFFERS DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER IN ONE CONVENIENT LOCATION TO SERVE ALL COMMUNITY MEMBERS WORKING TO MANAGE THEIR DIABETES. - FLOWER HOSPITAL COMPLETED EXPANSION OF ITS PSYCHIATRIC CARE UNIT IN MARCH. THE ADDITION INCLUDES 18 INPATIENT ROOMS, A COMMON SPACE FOR PATIENTS AND SPECIAL SECURITY MEASURES TO PROVIDE ADDED PROTECTION FOR THIS PATIENT POPULATION. PROMEDICA IS COMMITTED TO EXPANDING BEHAVIORAL HEALTH SERVICES SYSTEM-WIDE TO MEET THE NEEDS OF OUR COMMUNITIES. - THE TOLEDO AND TOLEDO CHILDREN'S HOSPITALS COMPLETED CONSTRUCTION OF NEW IMAGING AND INPATIENT PHARMACY CENTERS IN THE EXISTING RENAISSANCE TOWER. LOCATED ON THE FIRST LEVEL, THE NEW RADIOLOGY SPACE PROVIDES A CENTRALIZED LOCATION FOR ALL RADIOLOGY SERVICES, EXCLUDING BREAST CARE. THE SPACE ALSO FEATURES A LAB DRAW SITE, WHILE A NEW INPATIENT PHARMACY LOCATION PROVIDES OPERATIONAL EFFICIENCIES AND IMPROVED WORKFLOW TO BETTER SERVE OUR PATIENTS AND CAREGIVERS. - ST. LUKE'S HOSPITAL'S EMERGENCY DEPARTMENT RENOVATION WAS COMPLETED, ENHANCING PATIENT PRIVACY AND COMFORT WHILE IMPROVING DEPARTMENT WORKFLOW FOR CAREGIVERS AND PATIENTS ALIKE. - PROMEDICA HOME HEALTH CARE'S ER2HOME PROGRAM LAUNCHED AT FLOWER HOSPITAL IS DESIGNED TO AVOID HOSPITAL READMISSIONS FOR HIGH-RISK, HIGH-COST PATIENTS WHO COME TO THE EMERGENCY CENTER. THROUGH ER2HOME, PATIENTS RECEIVE A 30-DAY INTENSIVE SKILLED NURSING AND TELEHEALTH MONITORING PROGRAM TO HELP THEM BETTER MANAGE THEIR HEALTH CONDITION. - PROMEDICA SIGNED A MULTI-YEAR CONTRACT TO IMPLEMENT EPIC ENTERPRISE SOLUTIONS SYSTEM-WIDE. THE NEW CONTRACT WILL MOVE PROMEDICA TO A MORE INTEGRATED ELECTRONIC HEALTH RECORD (EHR) PLATFORM THAT WILL FURTHER ENABLE ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF THE SERVICE. - PROMEDICA PHYSICIANS OPENED A SECOND PROMEDICA AFTERHOURS LOCATION IN OREGON, OHIO PROVIDING RESIDENTS WITH DIAGNOSIS AND TREATMENT FOR NON-EMERGENCY MEDICAL ISSUES AS WELL AS PRESCRIPTION SERVICES. PROVIDING NEW OPTIONS FOR MEDICAL CARE WHEN PHYSICIAN OFFICES NORMALLY ARE CLOSED, AFTERHOURS IS STAFFED BY PROMEDICA PHYSICIANS CERTIFIED NURSE PRACTITIONERS AND IS OPEN NIGHTS, WEEKENDS AND HOLIDAYS - 365 DAYS A YEAR. - PROMEDICA EMPLOYEES PLEDGED MORE THAN $400,000 TO THE UNITED WAY CAMPAIGN IN 2014, SUPPORTING NUMEROUS COMMUNITY PROGRAMS AND SERVICES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. - PROMEDICA'S CULTURE OF SAFETY PROGRAM WAS EXPANDED THROUGH IMPLEMENTATION OF ERROR PREVENTION TRAINING FOR EMPLOYEES SYSTEM-WIDE. BY YEAR END, MORE THAN 90 PERCENT OF PHYSICIANS AND MORE THAN 13,000 ACUTE CARE EMPLOYEES HAD COMPLETED ERROR PREVENTION TRAINING. THE PATH TO SAFE, PATIENT-CENTERED CARE AND SERVICE IS DESIGNED TO ENGAGE PATIENTS AND FAMILIES AND IMPROVE CARE COORDINATION TO DELIVER BETTER OUTCOMES AND SERVICES ACROSS THE SYSTEM. IN 2014, PROMEDICA CONTRIBUTED $148,727,000 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 $51,018,000 IN 2014. 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; COLLEGE SCHOLARSHIPS FOR STUDENTS ENTERING HEALTHCARE CAREERS; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $20,165,000 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 2014 WAS $24,864,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $148,727,000 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 2014, PROMEDICA PROVIDED $77,544,000 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 2014 WAS $89,329,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $148,727,000 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 (THE SYSTEM) 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 THE SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE MEDICAL OR HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, THE SYSTEM 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. THE SYSTEM 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 THE SYSTEM'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 THE SYSTEM. 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 INTERNSHIPS AND RESIDENCY EDUCATION, THE PROVISION OF A CLINICAL SETTING FOR UNDERGRADUATE/VOCATIONAL TRAINING FOR STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR EDUCATION THAT IS LINKED TO COMMUNITY SERVICES AND HEALTH IMPROVEMENT. 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 PATIENT DEMAND. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR THE SYSTEM 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/OR THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON WORK TIME; AS WELL AS DONATION OF FOOD, EQUIPMENT AND SUPPLIES. 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