2014-11-13T15:17:43-06:00 2013-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE STE 2000 INDIANAPOLIS IN 462045108 990 2013-01-01 341899439 PROMEDICA PHYSICIAN GROUP PROM 4198247200 5855 MONROE ST SYLVANIA OH 43560 LORI JOHNSTON PRESIDENT/CHIEF ADMIN OFFICER 4194693842 2014-11-13 1 SAMANTHA BOKORI P01057347 3174648600 2014-10-27 2013 2015-11-30 17:44:51Z LORI JOHNSTON 1801 RICHARDS RD TOLEDO OH 43607 314879706 0 X WWW.PROMEDICA.ORG X 1999 OH PROMEDICA PHYSICIAN GROUP IS PART OF THE PHYSICIAN SERVICES COMPONENT OF PROMEDICA HEALTH SYSTEM, INC.'S INTEGRATED DELIVERY SYSTEM AND PROVIDES SERVICES TO IMPROVE THE HEALTH CARE OF THE COMMUNITY IN AN EFFICIENT AND COST-EFFECTIVE MANNER. 19 12 1881 13 15184731 -885413 33661607 30500220 241986015 284352687 -311196 22668 -12612 0 275323814 314875575 16582942 11510303 0 0 173114183 200518257 0 0 0 73537272 89972608 263234397 302001168 12089417 12874407 64693740 132709177 50159670 105300700 14534070 27408477 X AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE WILL BE THE PREMIER COMMUNITY-BASED MANAGEMENT SERVICES ORGANIZATION AND PROVIDER OF RELATED HEALTHCARE SERVICES FOR NORTHWEST OHIO/SOUTHEAST MICHIGAN, OFFERING QUALITY, COST-EFFECTIVE, EFFICIENT, AND VALUE-ADDED SERVICES TO ACHIEVE SUPERIOR PATIENT SATISFACTION AND A FINANCIALLY VIABLE NETWORK OF PHYSICIANS SUPPORTING THE MEDICAL NEEDS OF THE COMMUNITY. 0 0 196629689 11510303 237233160 PROMEDICA PHYSICIAN GROUP IS A PHYSICIAN SERVICES ORGANIZATION THAT PROVIDES SERVICE-ORIENTED, COST-EFFECTIVE HEALTH CARE SERVICES TO THE GENERAL PUBLIC AT A LOCAL LEVEL BY PEOPLE WHO WORK AND LIVE IN THE COMMUNITY THEY SERVE. - SEE SCHEDULE O. 44331613 31847567 PROMEDICA PHYSICIAN GROUP PROVIDES PHARMACY, DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO ENHANCE THE RECOVERY PROCESS AND ENABLE PATIENTS' TREATMENT AT HOME. - SEE SCHEDULE O. 15857969 CONSISTENT WITH OUR MISSION, PROMEDICA PHYSICIAN GROUP PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O. 256819271 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 1881 1 1 1 0 0 0 0 0 0 0 0 0 X 19 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 0 OH X RICH POTTER 4198918506 5901 MONCLOVA RD MAUMEE OH 43537 STEPHEN P BAZELEY MD TRUSTEE 1.00 46.00 X 0 95209 11868 JAMES H BRENNAN JR TRUSTEE 1.00 6.00 X 0 0 0 GREGORY B DENNY TRUSTEE 1.00 6.00 X 0 0 0 BRIAN A DOLSEY MD TRUSTEE 40.00 6.00 X 697377 0 43049 PATRICK D FARVER TRUSTEE 1.00 8.00 X 0 0 0 LYNN L FRUTH TRUSTEE 1.00 6.00 X 0 315 0 THEODORE T HAHN TRUSTEE 1.00 6.00 X 0 0 0 JONATHAN K HARDING TRUSTEE 1.00 6.00 X 0 0 0 JILL K KEGLER TRUSTEE 1.00 6.00 X 0 0 0 JOSEPH D NAPOLI TRUSTEE 1.00 7.00 X 0 0 0 EMILY A OSTROWSKI MD TRUSTEE 40.00 6.00 X 63304 0 2000 KEVIN T RAHE TRUSTEE 1.00 6.00 X 0 0 0 ALLAN M RUBIN MD TRUSTEE 40.00 6.00 X 460171 0 39259 DEBRA G SCHAEFER TRUSTEE 1.00 6.00 X 0 0 0 C MICHAEL SMITH TRUSTEE 1.00 7.00 X 0 0 0 RONALD J WAINZ MD TRUSTEE 40.00 6.00 X 483315 4228 40369 RANDALL OOSTRA EX OFFICIO 1.00 54.50 X 0 1364902 272358 STEPHEN H STAELIN EX OFFICIO 1.00 10.00 X 0 479 0 LEE W HAMMERLING MD PRESIDENT, EX OFFICIO 1.00 48.00 X X 0 760695 77446 ROBERT J CHIRDON CHAIRPERSON 1.00 7.00 X X 0 0 0 JEFFREY C KUHN SECRETARY 0.50 51.00 X 0 521270 73952 KATHLEEN S HANLEY TREASURER 0.50 51.50 X 0 700133 104802 DEE ANN BIALECKI-HAASE VP MEDICAL OPS, PPG 40.00 0.50 X 132761 85435 24755 MATT BODENSTEDT VP, PPCS & GENERAL MGR., TPC 0.50 40.00 X 0 177482 26011 ANNEMARIE HAINEN VP OPS, PPG 40.00 0.50 X 0 174731 35322 LORI JOHNSTON PRESIDENT AND CAO, PPG 40.00 3.00 X 0 332483 55470 KIM MCCLURE VP FINANCE, PPCS 40.00 3.50 X 0 197902 34329 WILLIAM MUELLER COO, PPG 0.50 40.50 X 0 336231 40793 JULIE TOME VP MEDICAL OPS, PPCS 40.00 0.50 X 13700 312768 214658 ASHRAF F BANOUB PHYSICIAN 40.00 0.00 X 1116779 0 38014 AARON BUERK PHYSICIAN 40.00 0.00 X 929419 16320 40045 DAVID K EPPERSON PHYSICIAN 40.00 0.00 X 1333874 0 42947 MICHAEL G MORONT PHYSICIAN 40.00 0.00 X 1049207 29400 38814 PETER J WILSON PHYSICIAN 40.00 0.00 X 1018752 0 35559 GARY AKENBERGER FORMER KEY EMPLOYEE 0.00 44.50 X 0 336133 72295 DAWN BUSKEY FORMER KEY EMPLOYEE 0.00 40.00 X 0 296424 50903 MARTIN DANSACK FORMER KEY EMPLOYEE 0.00 41.50 X 0 191469 35079 DAVID DEWEY FORMER KEY EMPLOYEE 0.00 40.00 X 0 184987 238228 ROBERT FREDRICK MD FORMER KEY EMPLOYEE 0.00 40.50 X 0 406784 70378 A DAVID JAMES MD FORMER KEY EMPLOYEE 0.00 40.00 X 0 332964 18037 KHURRAM KAMRAN FORMER KEY EMPLOYEE 0.00 41.00 X 157105 316185 41049 7455764 7174929 1817789 402 1 1 0 0 30500220 30500220 NET PATIENT SERVICES 621111 196440202 181249916 15190286 PHYS. SPEC. COVERAGE 621111 81921241 81921241 PHYSICIAN SERVICES REV 621111 5991244 5909570 81674 284352687 26799 -87229 114028 4131 -4131 -4131 -4131 314875575 269080727 15184731 109897 11510303 11510303 1994118 1994118 175951211 141210560 34740651 4769366 3844318 925048 9767406 8019536 1747870 8036156 6499653 1536503 16200 16200 3002 3002 18506592 18459593 46999 145421 107486 37935 1937940 1625607 312333 116534 103619 12915 3005146 2574477 430669 1994492 1587157 407335 2208295 2208295 5993074 5692616 300458 DRUGS 31828796 31828796 INTERCOMPANY SERVICES 10062975 6172208 3890767 MEDICAL SUPPLIES 9903734 9903734 DUES & SUBSCRIPTIONS 1095159 875388 219771 3155248 2598805 556443 302001168 256819271 45181897 0 3429858 22084953 20977030 16014930 5289212 7701871 1388973 2400158 19362286 12731712 6221694 6630574 6069376 5230436 21317597 72646255 64693740 132709177 17982879 22504415 67085 32109706 82796285 50159670 105300700 X 14534070 27408477 14534070 27408477 64693740 132709177 12874407 0 X 0 1 X 1 0 X 15424000 15150000 15350000 33661607 30500220 110085827 115134807 129946527 156896673 224246245 269080727 895304979 130558807 145096527 172246673 257907852 299580947 1005390806 0 0 0 1005390806 43932 57112 52987 8786 13224 176041 43932 57112 52987 8786 13224 176041 130602739 145153639 172299660 257916638 299594171 1005566847 0.99980 0.99970 0.00020 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 273444 273444 2079138 1359998 719140 16208768 11078625 5130143 800936 293089 507847 6630574 DUE FROM AFFILIATES 64983564 OTHER RECEIVABLES 6863120 INVESTMENT IN AFFILIATES 796871 CERTIFICATE OF DEPOSIT 2700 72646255 DUE TO AFFILIATES 70537999 ACCRUED MALPRACTICE SETTLEMENT 6680705 MALPRACTICE TAIL LIABILITY 5577581 82796285 X PART X, LINE 2: PROMEDICA PHYSICIAN GROUP 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, 2013 AND 2012. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $1,059,000 AND $1,552,000, 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 $20,000 AND $117,000 AS OF DECEMBER 31, 2013 AND 2012, RESPECTIVELY. PROMEDICA PHYSICIAN GROUP DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 AND 2012. 1 PROMEDICA PHYSICIANS AND CONTINUUM SERVICES 5855 MONROE ST SYLVANIA OH 43560 341880767 501(C)(3) 11510303 OPERATING GRANT 1 0 PART I, LINE 2: AS AN AFFILIATE 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. 1 1 0 0 0 1 0 0 0 BRIAN A DOLSEY MD TRUSTEE 531508 0 149173 0 16696 0 17000 0 26049 0 740426 0 0 0 ALLAN M RUBIN MD TRUSTEE 442151 0 0 0 18020 0 17000 0 22259 0 499430 0 0 0 RONALD J WAINZ MD TRUSTEE 464870 4228 0 0 18445 0 17000 0 23369 0 523684 4228 0 0 RANDALL OOSTRA EX OFFICIO 0 909149 0 397620 0 58133 0 258503 0 13855 0 1637260 0 0 LEE W HAMMERLING MD PRESIDENT, EX OFFICIO 0 497534 0 217001 0 46160 0 62534 0 14912 0 838141 0 0 JEFFREY C KUHN SECRETARY 0 355991 0 144956 0 20323 0 52946 0 21006 0 595222 0 0 KATHLEEN S HANLEY TREASURER 0 460254 0 196212 0 43667 0 89856 0 14946 0 804935 0 0 DEE ANN BIALECKI-HAASE VP MEDICAL OPS, PPG 131457 84905 0 0 1304 530 17000 4293 1813 1649 151574 91377 0 0 MATT BODENSTEDT VP, PPCS & GENERAL MGR., TPC 0 150529 0 19110 0 7843 0 9652 0 16359 0 203493 0 0 ANNEMARIE HAINEN VP OPS, PPG 0 137978 0 31398 0 5355 0 26182 0 9140 0 210053 0 0 LORI JOHNSTON PRESIDENT AND CAO, PPG 0 243222 0 74193 0 15068 0 36630 0 18840 0 387953 0 0 KIM MCCLURE VP FINANCE, PPCS 0 136478 0 35357 0 26067 0 32877 0 1452 0 232231 0 0 WILLIAM MUELLER COO, PPG 0 241031 0 78820 0 16380 0 26692 0 14101 0 377024 0 3890 JULIE TOME VP MEDICAL OPS, PPCS 13700 191661 0 57802 0 63305 0 210990 0 3668 13700 527426 0 0 ASHRAF F BANOUB PHYSICIAN 1101427 0 0 0 15352 0 17000 0 21014 0 1154793 0 0 0 AARON BUERK PHYSICIAN 906731 16320 0 0 22688 0 17000 0 23045 0 969464 16320 0 0 DAVID K EPPERSON PHYSICIAN 1185455 0 130096 0 18323 0 17000 0 25947 0 1376821 0 0 0 MICHAEL G MORONT PHYSICIAN 1031263 29400 0 0 17944 0 17000 0 21814 0 1088021 29400 0 0 PETER J WILSON PHYSICIAN 958916 0 30478 0 29358 0 17000 0 18559 0 1054311 0 0 0 GARY AKENBERGER FORMER KEY EMPLOYEE 0 224600 0 79130 0 32403 0 49671 0 22624 0 408428 0 0 DAWN BUSKEY FORMER KEY EMPLOYEE 0 215582 0 71538 0 9304 0 39864 0 11039 0 347327 0 0 MARTIN DANSACK FORMER KEY EMPLOYEE 0 148893 0 33835 0 8741 0 21888 0 13191 0 226548 0 0 DAVID DEWEY FORMER KEY EMPLOYEE 0 150819 0 32327 0 1841 0 226057 0 12171 0 423215 0 0 ROBERT FREDRICK MD FORMER KEY EMPLOYEE 0 306560 0 78328 0 21896 0 62676 0 7702 0 477162 0 0 A DAVID JAMES MD FORMER KEY EMPLOYEE 0 192600 0 116705 0 23659 0 17470 0 567 0 351001 0 0 KHURRAM KAMRAN FORMER KEY EMPLOYEE 157105 257858 0 55845 0 2482 0 16554 0 24495 157105 357234 0 0 PART I, LINE 3 PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF PROMEDICA PHYSICIAN GROUP, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, 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. JULIE TOME $58,246 PART I, LINE 4B: ALL EMPLOYEES AND AMOUNTS LISTED ARE VOLUNTARY DEFERRALS OR COMPANY CONTRIBUTIONS TO VARIOUS NON-QUALIFIED 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. WILLIAM MUELLER $3,901 PART I, LINE 6A: CERTAIN LISTED PERSONS RECEIVE INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS. SEE PART V SEE PART V 26312 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SHERYL WAINZ(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SHERYL WAINZ IS A FAMILY MEMBER OF RONALD J. WAINZ, MD (TRUSTEE).(C) AMOUNT OF TRANSACTION: $26,312(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO FORM 990, PART VI, SECTION A, LINE 6 AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF PROMEDICA PHYSICIANS AND CONTINUUM SERVICES WHICH CONTROLS THE SOLE SHAREHOLDER OF PROMEDICA PHYSICIAN GROUP (PPG). PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF PPG, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 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 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 PROMEDICA PHYSICIAN GROUP'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA PHYSICIAN GROUP'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS) INCLUDE PROVISIONS TO PROTECT PHS' 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 2013 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 320 SITES, MORE THAN 1,800 PHYSICIANS AND APPROXIMATELY 15,000 EMPLOYEES AND VOLUNTEERS. DURING 2013, PROMEDICA DISCHARGED 69,357 INPATIENTS AND SERVED MORE THAN 1,394,807 OUTPATIENTS, WHILE HANDLING 269,606 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2013, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $3.01 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); AND ST. LUKE'S HOSPITAL. IN 2013, 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 550 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS; THEY HELP PROMEDICA TO BROADEN THE CARE WE OFFER AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2013, PARAMOUNT ADVANTAGE BEGAN PROVIDING MEDICAID COVERAGE IN ALL OF OHIO'S 88 COUNTIES. TO SUPPORT THESE EFFORTS PARAMOUNT OPENED FIELD OFFICES IN CLEVELAND, COLUMBUS AND THE CINCINNATI/DAYTON AREA. - ACADEMIC HEALTH CENTER CORPORATION, AN ACADEMIC RELATIONSHIP BETWEEN PROMEDICA AND THE UNIVERSITY OF TOLEDO, CONTINUED TO PROMOTE RESEARCH AND EDUCATION THROUGHOUT THE REGION. PROMEDICA HAS ADDITIONAL ACADEMIC RELATIONSHIPS WITH NUMEROUS OTHER INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. - 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. 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 2013 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 2013 INCLUDE THE FOLLOWING: - PROMEDICA SPONSORED A SCHOOL-BASED FOOD DRIVE CHALLENGE AS PART OF ITS COME TO THE TABLE INITIATIVE. SCHOOLS RAISED MORE THAN 17,000 POUNDS OF NON-PERISHABLE FOOD ITEMS FOR COMMUNITY FOOD PROGRAMS ACROSS PROMEDICA'S SERVICE AREA. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 70 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 SYSTEM GRANTS SUBMITTED AN APPLICATION FOR $24 MILLION OVER THREE YEARS TO THE CMS HEALTH CARE INNOVATION AWARDS, ROUND 2. THE PROPOSED POPULATION HEALTH MODEL INTEGRATES EVIDENCE-BASED CLINICAL PROGRAMS AND COMMUNITY SERVICES INCLUDING EDUCATION AND OUTREACH, WELLNESS AND PREVENTION, SOCIAL SUPPORT SERVICES, CASE AND DISEASE MANAGEMENT, HOME CARE COORDINATION AND TELEMEDICINE, CLINICAL PHARMACY - MEDICATION ADHERENCE, AND CARE NAVIGATION AS MEANS FOR IMPROVING COMMUNITY HEALTH AND WELL-BEING. - PROMEDICA FURTHER ENHANCED ITS RELATIONSHIP WITH CLEVELAND CLINIC IN 2013, SIGNING A MEMORANDUM OF UNDERSTANDING TO DEVELOP A HEALTH SYSTEM AFFILIATION THAT WILL ALLOW THE TWO ORGANIZATIONS TO CREATE A CLINICALLY ALIGNED NETWORK FOCUSED ON PROVIDING HIGH-QUALITY, COST-EFFECTIVE AND TECHNOLOGICALLY ADVANCED CLINICAL SERVICES. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY BY INTRODUCING A PILOT PROGRAM FOR CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES MEET 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 WILL BE COMPARED 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 88 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2013. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED APPROXIMATELY 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 ESTABLISHED A FOOD RECLAMATION PROGRAM IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS THE TOLEDO AND FLOWER HOSPITALS, PROVIDING MORE THAN 70,000 POUNDS OF REPACKAGED, UN-SERVED FOOD TO COMMUNITY FEEDING SITES. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, THE FOURTH ANNUAL SURVIVOR CELEBRATION FOR CANCER SURVIVORS, FRIENDS AND CAREGIVERS, AND SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN RACE(R) FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - 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 $400,000 IN 2013. - PROMEDICA BEGAN CONSTRUCTION OF THE 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER. OPENING IN 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, IT WILL BRING DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER IN ONE CONVENIENT LOCATION TO SERVE ALL COMMUNITY MEMBERS WORKING TO MANAGE THEIR DIABETES. - FLOWER HOSPITAL BEGAN RENOVATIONS TO ADD PRIVATE PATIENT ROOMS FOR INPATIENTS AND EXPAND ITS PSYCHIATRIC CARE UNIT. - PROMEDICA CONTINUING CARE SERVICES CORPORATION, IN PARTNERSHIP WITH PARAMOUNT INSURANCE, BEGAN OFFERING TELEHEALTH MONITORING SERVICES TO ELIGIBLE HOME-CARE PATIENTS TO REDUCE HOSPITAL READMISSIONS BY CAREFUL DAILY MONITORING OF VITAL STATISTICS, NUTRITION AND MEDICATION ADHERENCE. - WITH OTHER COMMUNITY PARTNERS, PROMEDICA INTRODUCED THE WITNESS TO HUNGER PHOTO EXHIBIT AT THE TOLEDO MUSEUM OF ART. PHOTOS WERE TAKEN BY INDIVIDUALS FACING HUNGER IN THEIR DAILY LIVES TO DEMONSTRATE ITS IMPACT ON FAMILIES, CHILDREN AND OLDER ADULTS IN OUR COMMUNITY. - BAY PARK COMMUNITY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, FLOWER HOSPITAL, ST. LUKE'S HOSPITAL, THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL), AND WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL) SUCCESSFULLY COMPLETED THE 90-DAY REPORTING PERIOD TO VERIFY ADOPTION OF ELECTRONIC HEALTH RECORDS (EHRS). BESIDES IMPROVING BOTH CARE AND CARE COORDINATION, EHRS ARE EXPECTED TO ENSURE ADEQUATE PRIVACY AND SECURITY FOR PERSONAL HEALTH INFORMATION. THEY ALSO AIM TO REDUCE HEALTH DISPARITIES AND IMPROVE POPULATION AND PUBLIC HEALTH. - PROMEDICA PHYSICIANS INTRODUCED ITS NEW PROMEDICA PATIENT PORTAL AT ALL PRIMARY CARE AND SPECIALIST PRACTICES. THE PATIENT PORTAL IS A FREE AND SECURE PLATFORM FOR PATIENTS TO SCHEDULE APPOINTMENTS, MONITOR HEALTH RECORDS, AND OBTAIN CERTAIN LAB TEST RESULTS FROM THE CONVENIENCE OF THEIR OWN HOME COMPUTER. - PROMEDICA PHYSICIANS OPENED PROMEDICA AFTERHOURS IN PERRYSBURG, 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 $500,000 TO THE UNITED WAY CAMPAIGN IN 2013, SUPPORTING NUMEROUS COMMUNITY PROGRAMS AND SERVICES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. - PROMEDICA COLLABORATED WITH TOLEDO PUBLIC SCHOOLS' TOLEDO EARLY COLLEGE HIGH SCHOOL (TECHS) TO DEVELOP CURRICULUM FOR STUDENTS INTERESTED IN HEALTHCARE CAREERS AS PART OF THE STEMM (SCIENCE, TECHNOLOGY, ENGINEERING, MATHEMATICS, AND MEDICINE) PROGRAM. IN 2013, PROMEDICA CONTRIBUTED $129,920,000 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, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $45,598,000 IN 2013. 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 $30,212,000 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 2013 WAS $27,571,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 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 2013, PROMEDICA PROVIDED $54,110,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2013 WAS $93,196,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 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. PROMEDICA PHYSICIAN GROUP - PROGRAM SERVICE ACCOMPLISHMENTS SERVING INDIVIDUALS AND FAMILIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, PROMEDICA PHYSICIAN GROUP (PPG) OFFERS A LARGE SELECTION OF PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO PROVIDE MEDICAL CARE AND OTHER HEALTHCARE SERVICES VIA AN INTEGRATED APPROACH THROUGH WHICH THEY COLLABORATE WITH OTHER PROVIDERS. THIS INTEGRATED DELIVERY IS MORE COST-EFFECTIVE THAN TRADITIONAL DELIVERY SYSTEMS AND HELPS TO ENSURE PATIENTS HAVE BETTER ACCESS TO CARE IN THE MOST APPROPRIATE SETTING. PPG IS PART OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT 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 PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. PPG'S WELL-EQUIPPED FACILITIES ARE LOCATED IN MORE THAN 130 OFFICES, AND ITS NETWORK IS COMPRISED OF MORE THAN 550 HEALTHCARE PROVIDERS CERTIFIED IN AREAS INCLUDING ANESTHESIOLOGY, BARIATRICS, CARDIOLOGY, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HEMATOLOGY-ONCOLOGY, INTERNAL MEDICINE, NEUROLOGY, OBSTETRICS/GYNECOLOGY, OCCUPATIONAL MEDICINE, ORTHOPAEDIC SURGERY, PEDIATRIC CARDIOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRICS, PSYCHIATRY, SPORTS CARE, SURGICAL ONCOLOGY, UROLOGY, AND VASCULAR MEDICINE. DURING 2013, 88 NEW PROVIDERS WERE ADDED, PROVIDING CARE TO MEET IDENTIFIED COMMUNITY NEEDS, INCLUDING OFFERING SPECIALTY CARE IN RURAL COMMUNITIES. PPG TREATED MORE THAN 1.4 MILLION PATIENTS IN 2013. IN 2013, PPG CONTRIBUTED $15,864,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICE ACTIVITIES, AS WELL AS CASH AND IN-KIND CONTRIBUTIONS, IT CONTRIBUTED $6,000 TO THE COMMUNITY. PPG PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2013, OF WHICH $1,846,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. ITS COST OF BAD DEBT FOR 2013 TOTALED $4,093,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $15,864,000 NOTED ABOVE. FURTHER, PPG PROVIDED $14,012,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. ALSO IN 2013, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $15,721,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $15,864,000 NOTED ABOVE. DURING 2013, PPG EXPENDED $133,566,000 IN NET PAYROLL, PROVIDING 1,718 JOBS. A TOTAL OF $11,994,000 WAS WITHHELD FROM EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, PPG 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, PROMEDICA PROVIDES THESE HEALTHCARE SERVICES; RECRUITS AND TRAINS HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDES APPROPRIATE FINANCIAL ASSISTANCE; OFFERS SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENTS 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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