2021-11-12T15:07:41-06:00 2020-12-31 990 2020-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4192525772 100 MADISON AVE ATTN TAX DEPARTM TOLEDO OH 43604 STEVEN M CAVANAUGH TREASURER 4192525772 2021-11-11 0 STEVEN CAVANAUGH 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEVEN M CAVANAUGH 100 MADISON AVE TOLEDO OH 43604 277573813 0 X WWW.PROMEDICA.ORG X 1986 OH PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. 13 9 2564 8 5855 0 4231236 4573336 420344098 268020694 1076167 738503 2763847 1201607 428415348 274534140 13863254 8340827 0 0 168338041 194653572 0 0 0 164323642 186357772 346524937 389352171 81890411 -114818031 2707280136 2870044058 282313641 320789026 2424966495 2549255032 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 304146113 8340827 268813886 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 HEALTHCARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O. 304146113 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 235 0 1 2564 1 1 1 1 BR CH CI EZ GR HU ID IS JA KS NI PL SW TU 0 0 0 0 0 0 0 0 1 0 X 13 9 0 0 1 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X ROBERT SHARON 5675855652 100 MADISON AVE TOLEDO OH 43604 RANDALL OOSTRA PHS PRES. & CEO, EX OFFICIO 40.00 16.00 X X 3971638 0 136986 STEVEN M CAVANAUGH TREASURER 40.00 16.00 X 2048174 0 105065 KAREN STRAUSS CHIEF OPERATING OFFICER 40.00 0.00 X 1485878 0 49891 LEE W HAMMERLING MD CHIEF ACADEMIC OFFICER, PRES. 40.00 1.00 X 1320378 0 77766 JEFFREY C KUHN SECRETARY 40.00 16.00 X 1123411 0 62157 KEVIN C WEBB PHD CHIEF ACUTE & POST ACUTE OFF 40.00 3.00 X 1049317 0 51281 LORI A JOHNSTON PRES, PROMEDICA INSURANCE COR 40.00 1.00 X 875980 0 61737 DAVID PARKER PRESIDENT PROMEDICA SENIOR CA 40.00 5.00 X 859031 0 64425 MATTHEW KANG CFO PROMEDICA SENIOR CARE 40.00 1.00 X 720559 0 41724 KENT EDWARD BISHOP MD CMO, PROMEDICA PHYSICIANS AND ACUTE CARE 40.00 1.00 X 660813 0 54331 MARK GLOTH VP CMO PROMEDICA SENIOR CARE 40.00 0.00 X 642086 0 46160 JOHN PIGOTT CHIEF INNOVATION OFFICER 38.00 2.00 X 589708 25123 11075 LESLIE THOMPSON CHIEF HUMAN RESOURCE OFFICER 40.00 0.00 X 592246 0 37083 GARY W AKENBERGER FORMER OFFICER 40.00 0.00 X 483424 0 41276 ROBIN L WHITNEY CHIEF STRATEGIC PLANNING & REAL ESTATE 40.00 1.00 X 490922 0 23325 ALAN M SATTLER FORMER OFFICER 40.00 0.00 X 249480 0 36266 JAMES A HOFFMAN EX OFFICIO 1.00 0.00 X 40000 0 0 LISA G HAWKER EX OFFICIO 1.00 1.00 X 40000 0 0 LISA A MCDUFFIE MSSA LISW-S TRUSTEE 1.00 0.00 X 30000 0 0 ROBERT W LACLAIR CHAIRMAN 1.00 4.00 X X 0 0 0 JAMES F WHITE JR EX OFFICIO 1.00 2.00 X 0 0 0 KEVIN J SAUDER EX OFFICIO 1.00 0.00 X 0 0 0 KURT L DARROW EX OFFICIO 1.00 1.00 X 0 0 0 MARYJANE A WURTH MS TRUSTEE 1.00 0.00 X 0 0 0 MAURICE A JONES TRUSTEE 1.00 0.00 X 0 0 0 SHANKHA MITRA TRUSTEE 1.00 1.00 X 0 0 0 STEPHEN H STAELIN EX OFFICIO 1.00 2.00 X 0 0 0 THOMAS J WINSTON EX OFFICIO 1.00 1.00 X 0 0 0 17273045 25123 900548 259 1 1 0 TRIMEDX INC 5451 LAKEVIEW PARKWAY S DRIVE INDIANAPOLIS IN 46268 LABORATORY SERVICES 21436475 ENGIE INSIGHT SERVICES INC 1990 POST OAK BLVD STE 1900 HOUSTON TX 77056 BILL PAYER SERVICES 20527462 LATHROP COMPANY INC 28 N ST CLAIR ST SUITE 200 TOLEDO OH 43604 CONSTR GENERAL 6381954 REINO LINEN SERVICES INC 119 SOUTH MAIN ST GIBSONBURG OH 434311397 FREMONT LINEN SVS 6135250 HART ASSOCIATES INC 811 MADISON AVE TOLEDO OH 43604 ADVERTISING 4458313 254 4126520 23270 423546 4573336 ADMIN SUPPORT SERVICES 551114 368204449 368051449 153000 MEDICAL RECORD COPIES 900099 273936 273936 CPR TRAINING CENTER 900099 75215 75215 COMMUNITY WELLNESS 900099 3889 3889 INVEST IN AFFILIATES 551114 -100536795 -100536795 268020694 709132 -833234 1542366 2020716 2451390 -430674 -430674 -430674 617654 588283 29371 29371 29371 GROCERY SALES 445100 712026 603497 108529 PARKING 812930 601674 239706 361968 DIETARY 722514 313320 97728 215592 5261 5261 1632281 274534140 268813886 5855 1141063 8340827 8340827 13703243 6185811 7517432 147106630 117685304 29421326 8027653 6422122 1605531 15318977 12255182 3063795 10497069 8397655 2099414 2894 2315 579 5705809 5705809 125420 125420 4687 4687 14861590 11889272 2972318 8024309 6419447 1604862 7066642 5653314 1413328 48703155 38962524 9740631 7302230 5841784 1460446 914474 731579 182895 6125728 4900582 1225146 31339378 25071502 6267876 ACADEMIC AFFILIATION 41870449 33496359 8374090 MINOR EQUIPMENT 2793136 2234509 558627 DONOR CULTIVATION 2460909 1968727 492182 ASSET IMPAIRMENT 2365000 1892000 473000 6691962 5795298 896664 389352171 304146113 85206058 0 2451472 861089 500000 229597000 2574646 2574646 10503084 10551697 452044 49306 27670221 46546061 371725041 172633479 209214067 199091562 33376251 2590375 74765403 89154624 1132192 710024 2344640756 2288317674 2707280136 2870044058 92439101 122098734 2000000 2000000 5449595 3611840 182424945 193078452 282313641 320789026 X 2404159784 2527102848 20806711 22152184 2424966495 2549255032 2707280136 2870044058 X -114818031 1380 239105188 X X 0 1 X 1 1 0 X X 32 BAY PARK COMMUNITY HOSPITAL 341883132 3 0 0 0 COMMUNITY HEALTH CENTER OF BRANCH COUNTY 386108110 3 0 0 0 DEFIANCE HOSPITAL INC 344446484 3 0 0 0 EMMA L BIXBY MEDICAL CENTER 382796005 3 0 0 0 FOSTORIA HOSPITAL ASSOCIATION 340898745 3 0 0 0 HCR MANORCARE INC 825373223 10 0 0 0 HERRICK MEMORIAL HOSPITAL INC 383049015 3 0 0 0 KAITLYN'S COTTAGE INC 454781053 10 0 0 0 LENAWEE LONG TERM CARE 382879330 10 0 0 0 MANOR CARE OF GIG HARBOR WA ASSOCIATION 260624719 10 0 0 0 MANOR CARE OF LACEY WA ASSOCIATION 260624391 10 0 0 0 MANOR CARE OF LYNNWOOD WA ASSOCIATION 260624675 10 0 0 0 MANOR CARE OF SALMON CREEK WA ASSOCIATION 260624375 10 0 0 0 MANOR CARE OF SPOKANE WA ASSOCIATION 260624687 10 0 0 0 MANOR CARE OF TACOMA WA ASSOCIATION 260624696 10 0 0 0 MEMORIAL HOSPITAL 344430849 3 0 0 0 MEMORIAL PROFESSIONAL SERVICES 273763993 10 0 0 0 MERCY MEMORIAL HOSPITAL CORPORATION 381984289 3 0 0 0 MONROE COMMUNITY HEALTH SERVICES 382934134 10 0 0 0 PROMEDICA CENTRAL PHYSICIANS 341881137 10 0 0 0 PROMEDICA CHILDRENS SPECIALISTS 208734161 10 0 0 0 PROMEDICA CONTINUING CARE SERVICES CORPORATION 344492440 10 0 0 0 PROMEDICA GENITO-URINARY SURGEONS 461120436 10 0 0 0 PROMEDICA MONROE CARDIOLOGY 272920342 10 0 0 0 PROMEDICA MONROE PHYSICIANS 461111822 10 0 0 0 PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS 263888045 10 0 0 0 PROMEDICA PHYSICIAN GROUP 341899439 10 0 0 0 PROMEDICA PHYSICIANS AT HOME INC 852181349 10 0 0 0 PROMEDICA PRIMARY CARE PROVIDERS 831731861 10 0 0 0 THE TOLEDO HOSPITAL 344428256 3 0 0 0 TOLEDO DISTRICT NURSE ASSOCIATION 344427949 10 0 0 0 VISITING NURSE HOSPICE AND HEALTH CARE 341831624 10 0 0 0 32 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1: PROMEDICA HEALTH SYSTEM, INC. (34-1517671) AFFILIATES DESIGNATED BY CLASS AND PURPOSE LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2). PART IV, SECTION C, LINE 1 PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT OF AN INTEGRATED HEALTH CARE DELIVERY NETWORK MADE UP OF AN AFFILIATED GROUP OF EXEMPT ORGANIZATIONS WHICH INCLUDES HOSPITALS, HEALTH CARE PROVIDERS, CONTINUING CARE SERVICES, SPECIALIZED HEALTH SERVICES, ENTITIES PROVIDING SUPPORT SERVICES, AND FOUNDATIONS. PHS PROVIDES OVERALL DIRECTION, MANAGEMENT, AND CONTROL TO ITS FIRST TIER SUBSIDIARIES, INCLUDING PROMEDICA INDEMNITY CORPORATION, AND INDIRECTLY THROUGH ITS FIRST TIER SUBSIDIARIES, TO ALL AFFILIATED SECOND TIER SUBSIDIARIES OF EACH FIRST TIER SUBSIDIARY. THE ACTIVITIES OF PHS SUPPORT THE EXEMPT PURPOSES OF THE AFFILIATED ORGANIZATIONS IN THE PHS NETWORK AND ENHANCE AND IMPROVE THE DELIVERY OF EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY THE PHS NETWORK. CONTROL AND MANAGEMENT EFFECCTIVELY IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ALL SUBSIDIARY ORGANIZATIONS THROUGH RESERVED POWERS. PHS HAS RESERVED POWERS IN EACH SUBSIDIARY'S CODE OF REGULATIONS OR BYLAWS ALONG WITH THE RIGHT TO APPROVE CERTAIN ACTIONS OF EACH SUBSIDIARY'S BOARD OF TRUSTEES. THE FIRST TIER SUBSIDIARIES HAVE IN TURN RESERVED SIMILAR POWERS OVER THE SECOND TIER SUBSIDIARIES TO INTEGRATE OVERALL DIRECTION, MANAGEMENT, AND CONTROL. THE RESERVED POWERS AND OVERALL SYSTEM CONTROL ENSURE THAT PHS WILL BE RESPONSIVE TO THE NEEDS OF EACH SUPPORTED ORGANIZATION. PHS IS AN INTEGRAL PART OF THE PHS NETWORK. PHS QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ALL ORGANIZATIONS THAT ARE EXEMPT AFFILIATED MEMBERS OF PHS. COMMON SUPERVISION AND CONTROL ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF PHS. THERE HAS ALSO BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN PHS ITS SUPPORTED ORGANIZATIONS AND A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS AS A RESULT OF THIS RELATIONSHIP SUPPORTING COMMON CONTROL CONSISTENT WITH TYPE II SUPPORTING ORGANIZATION CLASSIFICATION. PHS HAS MANTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATION'S OPERATIONS. PART IV, SECTION A, LINE 2 PROMEDICA HEALTH SYSTEM, INC. PROVIDES SUPPORT FOR THE FOLLOWING ENTITIES THAT CURRENTLY HAVE NOT RECEIVED AN IRS DETERMINATION OF STATUS. THE 1023 APPLICATION FORMS FOR THESE ENTITIES ARE IN THE FINAL STEP OF REVIEW PRIOR TO BEING ELECTRONICALLY FILED. - PROMEDICA AT HOME, INC. FEIN 85-2320857 - PROMEDICA CENTRAL PHYSICIANS FEIN 34-1881137 - PROMEDICA CHILDREN'S SPECIALISTS FEIN 20-8734161 - PROMEDICA GENITO-URINARY SURGEONS FEIN 46-1120436 - PROMEDICA MONROE CARDIOLOGY FEIN 27-2920342 - PROMEDICA MONROE PHYSICIANS FEIN 46-1111822 - PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS FEIN 26-3888045 - PROMEDICA PRIMARY CARE PROVIDERS FEIN 83-1731861 - MEMORIAL PROFESSIONAL SERVICES FEIN 27-3763993 - PROMEDICA PHYSICIANS AT HOME, INC FEIN 85-2181349 PART IV, SECTION A, LINE 5A PROMEDICA HEALTH SYSTEM, INC. ADDED THE FOLLOWING SUPPORTED ORGANIZATIONS DURING TAX YEAR 2020: ENTITIES CONVERTED TO NON-PROFIT CORPORATIONS FROM DISREGARDED NON-PROFIT LLC: - PROMEDICA AT HOME, INC. FEIN 85-2320857 - PROMEDICA CENTRAL PHYSICIANS FEIN 34-1881137 - PROMEDICA CHILDREN'S SPECIALISTS FEIN 20-8734161 - PROMEDICA GENITO-URINARY SURGEONS FEIN 46-1120436 - PROMEDICA MONROE CARDIOLOGY FEIN 27-2920342 - PROMEDICA MONROE PHYSICIANS FEIN 46-1111822 - PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS FEIN 26-3888045 - PROMEDICA PRIMARY CARE PROVIDERS FEIN 83-1731861 - MEMORIAL PROFESSIONAL SERVICES FEIN 27-3763993 - PROMEDICA PHYSICIANS AT HOME, INC FEIN 85-2181349 NEWLY FORMED NON-PROFIT AFFILIATED CORPORATIONS ADDED IN 2020: - MANOR CARE OF GIG HARBOR WA, ASSOCIATION FEIN 26-0624719 - MANOR CARE OF LACEY WA, ASSOCIATION FEIN 26-0624391 - MANOR CARE OF LYNNWOOD WA, ASSOCIATION FEIN 26-0624675 - MANOR CARE OF SALMON CREEK WA, ASSOCIATION FEIN 26-0624375 - MANOR CARE OF SPOKANE WA, ASSOCIATION FEIN 26-0624687 - MANOR CARE OF TACOMA WA, ASSOCIATION FEIN 26-0624696 THE SUPPORTED ORGANIZATIONS ADDED FALL WITHIN THE CLASS DESCRIBED WITHIN THE ORGANIZATIONS GOVERNING DOCUMENT, THEREFORE, NO AMENDMENT WAS MADE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 125420 0 0 0 125420 0 PART II-B, LINE 1: PROMEDICA HEALTH SYSTEM, INC. PAID FEES TO STRATEGIC HEALTH CARE - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING. 302641 15208607 15511248 2077553 86992648 14011745 75058456 3884460 2010334 1874126 250311762 154867720 95444042 12947370 1743680 11203690 199091562 INVESTMENT IN AFFILIATES 1941416114 DUE FROM AFFILIATES 196593420 OTHER SEGREGATED INVESTMENTS 140087 OTHER NON-CURRENT ASSETS 34205173 OTHER RECEIVABLES 8254983 BENEFICIAL INTEREST IN FOUNDATION 22114839 DEFERRED COMPENSATION 85593058 2288317674 DUE TO AFFILIATES 136791374 DEFERRED COMPENSATION 43665435 MALPRACTICE TAIL LIABILITY 3541267 ASSET REMEDIATON OBLIGATION 6076479 OPERATING LEASE LIABILITIES 423630 DEFERRED ER FICA - CARES ACT 2580267 193078452 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 UNRELATED TRADE OR BUSINESS 15872 0 0 0 0 0 0 15872 0 15872 1 0 1 0 0 0 PART I, LINE 3: THE EXPENDITURES REPORTED IN COLUMN (F) WERE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. PART III ACCOUNTING METHOD: 1 AARP FOUNDATION 601 E STREET NW A4-403 WASHINGTON DC 20049 520794300 501(C)(3) 5750 CHARITABLE DONATION ALZHEIMERS ASSOCIATION 2500 N REYNOLDS RD TOLEDO OH 436152830 341423768 501(C)(3) 25000 CHARITABLE DONATION AMERICAN CANCER SOCIETY 135 CHESTERFIELD STE 100 MAUMEE OH 43537 131788491 501(C)(3) 20000 CHARITABLE DONATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 50000 CHARITABLE DONATION ARTS COMMISSION OF GREATER TOL 1838 PARKWOOD AVE TOLEDO OH 43604 341358701 501(C)(3) 275000 CHARITABLE DONATION BLACK SWAMP BIRD OBSERVATORY 13551 WEST STATE ROUTE 2 OAK HARBOR OH 43449 341702076 501(C)(3) 10000 CHARITABLE DONATION BOYS AND GIRLS CLUBS OF TOLEDO 2250 N DETROIT AVE TOLEDO OH 43606 344427933 501(C)(3) 36938 CHARITABLE DONATION CENTRAL CATHOLIC HIGH SCHOOL 2550 CHERRY ST TOLEDO OH 43608 344428211 501(C)(3) 5000 CHARITABLE DONATION CHERRY STREET MISSION 105 17TH ST TOLEDO OH 43604 341133369 501(C)(3) 25250 CHARITABLE DONATION CITIZEN'S CAMPAIGN FOR METROPARKS PO BOX 352468 WALBRIDGE OH 43635 341947133 501(C)(3) 10000 CHARITABLE DONATION CITY OF FOSTORIA PO BOX 1007 FOSTORIA OH 44830 346400520 GOV'T ENTITY 7143 CHARITABLE DONATION CITY OF TOLEDO ONE GOVERNMENT CENTER SUITE 2100 TOLEDO OH 43804 346401447 GOV'T ENTITY 50000 CHARITABLE DONATION COLDWATER TOWNSHIP PO BOX 725 COLDWATER MI 49036 611728754 GOV'T ENTITY 25000 CHARITABLE DONATION COLUMBIA UNIVERSITY 622 WEST 113 STREET NEW YORK NY 10025 135598093 501(C)(3) 22500 CHARITABLE DONATION COMMITTEE FOR CHILDREN PO BOX 2202 TOLEDO OH 436032202 831318481 501(C)(3) 10000 CHARITABLE DONATION CONNECTING KIDS TO MEALS INC PO BOX 9363 TOLEDO OH 436979363 341969461 501(C)(3) 25500 CHARITABLE DONATION CYSTIC FIBROSIS FOUNDATION 2565 LIVERNOIS SUITE 140 TROY MI 480831606 131930701 501(C)(3) 9250 CHARITABLE DONATION DIABETES YOUTH SERVICES 2100 W CENTRAL AVE TOLEDO OH 43606 341967194 501(C)(3) 10000 CHARITABLE DONATION DRS TIMING PO BOX 194 DELTA OH 43515 473963806 40000 CHARITABLE DONATION ERNST & YOUNG LLP 200 PLAZA DR SUITE 2222 SECAUCUS NJ 07094 346565596 20000 CHARITABLE DONATION FOLDS OF HONOR NORTHERN OHIO PO BOX 144 AURORA OH 442020144 833742316 501(C)(3) 25000 CHARITABLE DONATION GABBY'S LADDER 431 E ELM AVE MONROE MI 48162 383564824 501(C)(3) 30000 CHARITABLE DONATION GIRL SCOUTS OF WESTERN 4930 CORNELL RD CINCINNATI OH 45242 310679091 501(C)(3) 50000 CHARITABLE DONATION GOOD GRIEF OF NORTHWEST 7015 SPRING MEADOWS DRIVE WEST HOLLAND OH 43528 460765319 501(C)(3) 30000 CHARITABLE DONATION GREAT LAKES COMMUNITY ACTION 127 N FRONT ST FREMONT OH 43420 340975934 501(C)(3) 55000 CHARITABLE DONATION HART ASSOCIATES INC 811 MADISON AVE TOLEDO OH 43604 341054347 7975 CHARITABLE DONATION HEARAIDE INC 4850 FOREST HILL DR TOLEDO OH 43623 850920198 501(C)(3) 80000 CHARITABLE DONATION HOPE COMMUNITY CENTER 431 BAKER ST ADRIAN MI 49221 382177974 501(C)(3) 5000 CHARITABLE DONATION HOSPITAL COUNCIL OF NWO 3231 CENTRAL PARK WEST DR SUITE 200 200 TOLEDO OH 43617 341116795 501(C)(3) 59000 CHARITABLE DONATION INNOVATIVE FUNDING PARTNERS 1318 HIGH GROVE LANE FOREST VA 24451 461668537 6300 CHARITABLE DONATION JUMPSTART INC 6701 CARNEGIE AVE STE 100 CLEVELAND OH 44103 341398522 501(C)(3) 375000 CHARITABLE DONATION LENAWEE COMMUNITY FOUNDATION 606 N EVANS ST TECUMSEH MI 49286 386095474 501(C)(3) 5250 CHARITABLE DONATION LENAWEE ECONOMIC DEVELOPMENT 5285 W US HWY 223 ADRIAN MI 42921 380284520 250000 CHARITABLE DONATION LEUKEMIA & LYMPHOMA SOCIETY 23297 COMMERCE PARK CLEVELAND OH 44122 135644916 501(C)(3) 16500 CHARITABLE DONATION LIMA MEMORIAL HOSPITAL 1001 BELLEFONTAINE AVE LIMA OH 458042899 341883284 501(C)(3) 25000 CHARITABLE DONATION LOCAL INITIATIVES SUPPORT CORP 245 N SUPERIOR TOLEDO OH 43604 133030229 501(C)(3) 103000 CHARITABLE DONATION LOURDES UNIVERSITY 6832 CONVENT BLD SYLVANIA OH 43560 341226547 501(C)(3) 20000 CHARITABLE DONATION LPGA TOURNAMENT PROPERTIES 100 INTERNATIONAL GOLF DRIVE DAYTONA BEACH FL 32124 271317091 100000 CHARITABLE DONATION MANNIK & SMITH GROUP INC 1800 INDIAN WOOD CIRCLE MAUMEE OH 43537 341206380 8100 CHARITABLE DONATION MARCH OF DIMES 1500 W 3RD AVE STE 303 COLUMBUS OH 43212 314414879 501(C)(3) 15000 CHARITABLE DONATION MONROE COUNTY CHAMBER OF PO BOX 626 MONROE MI 48161 381566376 501(C)(3) 6000 CHARITABLE DONATION NAMI OF GREATER TOLEDO 2753 WEST CENTRAL AVE TOLEDO OH 43606 341723306 501(C)(3) 10000 CHARITABLE DONATION NATIONAL MUSEUM OF THE GREAT LAKES 1707 FRONT ST TOLEDO OH 43605 356549217 501(C)(3) 5500 CHARITABLE DONATION NORTHWESTERN OHIO 1933 E SECOND ST DEFIANCD OH 43512 340971599 501(C)(3) 55000 CHARITABLE DONATION NUESTRA GENTE COMMUNITY PO BOX 140661 TOLEDO OH 43614 352351059 501(C)(3) 5000 CHARITABLE DONATION OAKS VILLAGE 924 E 2ND STREET MONROE MI 48161 473838144 501(C)(3) 10000 CHARITABLE DONATION OPEN DOOR MINISTRY 2825 CHERRY ST TOLEDO OH 43608 341555495 501(C)(3) 12500 CHARITABLE DONATION OTTAWA HILLS FOUNDATION 2125 RICHARDS RD TOLEDO OH 43606 341476780 501(C)(3) 332875 CHARITABLE DONATION PANTHER PRIDE FOUNDATION 1147 SACO ST MAUMEE OH 43537 811366579 501(C)(3) 10000 CHARITABLE DONATION PENTA CAREER CENTER 9301 BUCK RD PERRYSBURG OH 43551 341410734 10000 CHARITABLE DONATION RONALD MCDONALD HOUSE OF NW OH 3883 MONROE ST TOLEDO OH 43606 341349742 501(C)(3) 8650 CHARITABLE DONATION SANDUSKY COUNTY COMMUNITIES FOUNDATION 215 CROGHAN ST FREMONT OH 43420 208314921 501(C)(3) 10000 CHARITABLE DONATION SP JERMAIN HISTORICAL GOLF FOUNDATION 7150 GRANITE CIRCLE SUITE 203 TOLEDO OH 43617 814358288 501(C)(3) 25000 CHARITABLE DONATION SSOE INC 1001 MADISON AVE TOLEDO OH 43604 341190645 186998 CHARITABLE DONATION ST URSULA ACADEMY 4025 INDIAN RD TOLEDO OH 43606 340873639 501(C)(3) 16000 CHARITABLE DONATION SUSAN G KOMEN BREAST CANCER PO BOX 8489 TOLEDO OH 43612 751835298 501(C)(3) 11500 CHARITABLE DONATION SYLVANIA AREA CHAMBER OF COMMERCE 5632 N MAIN ST SYLVANIA OH 43560 341138033 15000 CHARITABLE DONATION THE ART TATUM ZONE 531 PINEWOOD AVE TOLEDO OH 43604 830983474 501(C)(3) 200000 CHARITABLE DONATION THE DEMOCRACY COLLABORATIVE FOUNDATION INC 1422 EUCLID AVE STE 616 CLEVELAND OH 44115 200387511 501(C)(3) 37500 CHARITABLE DONATION THE FAIR HOUSING CENTER 432 N SUPERIOR ST TOLEDO OH 436041416 237441706 501(C)(3) 5000 CHARITABLE DONATION THE FOUNDATION AT MONROE 1555 S RAISINVILLE RD MONROE MI 48161 383442216 501(C)(3) 5000 CHARITABLE DONATION THE TOLEDO POLICE FOUNDATION 2222 CENTENNIAL RD TOLEDO OH 43617 832572993 501(C)(3) 372500 CHARITABLE DONATION THE TOLEDO SYMPHONY 1838 PARKWOOD AVE TOLEDO OH 436970407 344005365 501(C)(3) 234563 CHARITABLE DONATION THE TOLEDO ZOO PO BOX 140130 TOLEDO OH 436140801 344440256 501(C)(3) 5000 CHARITABLE DONATION THE VICTORY CENTER 5532 W CENTRAL AVE STE B TOLEDO OH 43615 341767997 501(C)(3) 23375 CHARITABLE DONATION TOLEDO 2020 PO BOX 520 TOLEDO OH 43606 833043641 501(C)(3) 5000 CHARITABLE DONATION TOLEDO AREA HUMANE SOCIETY 1920 INDIAN WOODS CIRCLE MAUMEE OH 43537 344429093 501(C)(3) 25000 CHARITABLE DONATION TOLEDO COMMUNITY FOUNDATION 300 MADISON AVE STE 1300 TOLEDO OH 43604 237284004 501(C)(3) 320103 CHARITABLE DONATION TOLEDO CULTURAL ARTS CENTER 410 ADAMS ST TOLEDO OH 43604 341385037 501(C)(3) 25000 CHARITABLE DONATION TOLEDO LUCAS COUNTY LIBRARY 325 MICHIGAN ST TOLEDO OH 43604 341632308 501(C)(3) 110000 CHARITABLE DONATION TOLEDO MUSEUM OF ART 2445 MONROE ST TOLEDO OH 43620 344434678 501(C)(3) 309375 CHARITABLE DONATION TOLEDO OPERA 406 ADAMS ST TOLEDO OH 436041407 346556139 501(C)(3) 28000 CHARITABLE DONATION TOLEDO PUBLIC SCHOOLS FND 420 E MANHATTAN BLVD ROOM 110 TOLEDO OH 43608 346401449 501(C)(3) 600000 CHARITABLE DONATION TOLEDO URBAN FEDERAL CREDIT UN 1441 DOOR STREET TOLEDO OH 43607 341769460 50000 CHARITABLE DONATION TUTORSMART 1609 N SUMMIT ST TOLEDO OH 43604 823147832 501(C)(3) 100000 CHARITABLE DONATION UNIVERSITY OF TOLEDO 2801 W BANCROFT TOLEDO OH 43606 346556011 501(C)(3) 77900 CHARITABLE DONATION YMCA 1226 WOODSDALE PK TOLEDO OH 43614 344428262 501(C)(3) 69000 CHARITABLE DONATION YWCA 1018 JEFFERSON AVE TOLEDO OH 43624 344428265 501(C)(3) 25000 CHARITABLE DONATION ZEST OF TOLEDO INC 953 PHILLIPS AVE TOLEDO OH 43612 824401053 501(C)(3) 10000 CHARITABLE DONATION PROMEDICA FOUNDATION 2142 NORTH COVE BLVD TOLEDO OH 43606 341517672 501(C)(3) 2837925 OPERATING GRANT 69 11 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 X X 0 0 X X X X 0 1 0 0 0 0 0 0 0 RANDALL OOSTRA PHS PRES. & CEO, EX OFFICIO 1973076 0 1805059 0 193503 0 117599 0 19387 0 4108624 0 0 0 STEVEN M CAVANAUGH TREASURER 1330912 0 710821 0 6441 0 82144 0 22921 0 2153239 0 0 0 KAREN STRAUSS CHIEF OPERATING OFFICER 1005788 0 466613 0 13477 0 22418 0 27473 0 1535769 0 0 0 LEE W HAMMERLING MD CHIEF ACADEMIC OFFICER, PRES. 765438 0 470439 0 84501 0 50312 0 27454 0 1398144 0 70006 0 JEFFREY C KUHN SECRETARY 716660 0 391346 0 15405 0 44915 0 17242 0 1185568 0 0 0 KEVIN C WEBB PHD CHIEF ACUTE & POST ACUTE OFF 663831 0 370658 0 14828 0 31704 0 19577 0 1100598 0 0 0 LORI A JOHNSTON PRES, PROMEDICA INSURANCE COR 558595 0 305580 0 11805 0 35263 0 26474 0 937717 0 0 0 DAVID PARKER PRESIDENT PROMEDICA SENIOR CA 682589 0 175361 0 1081 0 33745 0 30680 0 923456 0 0 0 MATTHEW KANG CFO PROMEDICA SENIOR CARE 567352 0 149936 0 3271 0 18186 0 23538 0 762283 0 0 0 KENT EDWARD BISHOP MD CMO, PROMEDICA PHYSICIANS AND ACUTE 562923 0 94270 0 3620 0 26858 0 27473 0 715144 0 0 0 MARK GLOTH VP CMO PROMEDICA SENIOR CARE 508554 0 132532 0 1000 0 16438 0 29722 0 688246 0 0 0 JOHN PIGOTT CHIEF INNOVATION OFFICER 520170 25123 66667 0 2871 0 0 0 11075 0 600783 25123 0 0 LESLIE THOMPSON CHIEF HUMAN RESOURCE OFFICER 450545 0 139829 0 1872 0 6033 0 31050 0 629329 0 0 0 GARY W AKENBERGER FORMER OFFICER 390451 0 88180 0 4793 0 19393 0 21883 0 524700 0 0 0 ROBIN L WHITNEY CHIEF STRATEGIC PLANNING & REAL ESTA 370291 0 112410 0 8221 0 7378 0 15947 0 514247 0 0 0 ALAN M SATTLER FORMER OFFICER 210691 0 35926 0 2863 0 10110 0 26156 0 285746 0 0 0 PART I, LINE 1A FIRST-CLASS OR CHARTER TRAVEL 2 OFFICERS- NOT INCLUDED IN TAXABLE COMPENSATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS 3 KEY EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 2 OFFICERS - INCLUDED IN TAXABLE COMPENSATION 2 HIGHEST COMPENSATED EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION PERSONAL SERVICES 2 OFFICERS - INCLUDED IN TAXABLE COMPENSATION 6 KEY EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 2 HIGHEST COMPENSATED EMPLOYEES - INCLUDED IN TAXABLE COMPENSATION 2 FORMER OFFICERS - INCLUDED IN TAXABLE COMPENSATION PART I, LINE 1B PAYMENTS FOR PERSONAL SERVICES AND TAX INDEMNIFICATION AND GROSS-UP HAD POLICIES IN PLACE AND ALL PROPER PROTOCOLS WERE FOLLOWED DURING 2020. DUE TO EXTENUATING CIRCUMSTANCES RELATED TO THE COVID-19 PANDEMIC THAT LIMITED FLIGHT SCHEDULES AND ABILITY TO TRAVEL, CHARTERED FLIGHT SERVICES WERE UTILIZED WHEN NECESSARY AS THE ONLY FEASIBLE TRAVEL SOLUTION DURING TAX YEAR 2020. THIS WAS NECESSARY IN ORDER TO ENABLE EXECUTIVES TO BE ABLE TO CONTINUE TO CONDUCT BUSINESS WHEN COMMERCIAL FLIGHTS WERE NOT AVAILABLE TO MEET SCHEDULED MEETINGS AND DUE TO SCHEDULE CONSTRAINTS. DURING 2020 THERE WAS NOT A POLICY GOVERNING THIS TYPE OF TRAVEL IN PLACE AS IT WAS NOT FORESEEN IT WOULD BE NECESSARY. CURRENTLY A POLICY IS BEING DRAFTED TO ENSURE PROPER COMPLIANCE AND GOVERNANCE OF THESE EXPENDITURES IN THE FUTURE. 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: LEE W. HAMMERLING, M.D. $70,006.27 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 ENGAGEMENT; 3) GROWTH; 4) QUALITY AND SAFETY; AND 5) PROFITABILITY. SCHEDULE J, SUPPLEMENTAL INFORMATION: 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. RANDALL OOSTRA PRESIDENT AND CEO LIFE INSURANCE PREMIUM PAYMENTS X 2574646 2574646 0 1 1 2574646 JUSTIN HAMMERLING FAMILY MEMBER OF LEE W. HAMMERLING, MD (KEY EMPLOYEE) 209276 EMPLOYMENT 0 CAITLIN OOSTRA FAMILY MEMBER OF RANDALL OOSTRA (PRESIDENT, EX OFFICIO) 62325 EMPLOYMENT 0 BRAD LACLAIR FAMILY MEMBER OF ROBERT W. LACLAIR EX OFFICIO AND CHAIRMAN) 45234 EMPLOYMENT 0 FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. 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 2020 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 MORE THAN 400 SITES, MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, APPROXIMATELY 45,000 EMPLOYEES AND VOLUNTEERS. DURING 2020, PROMEDICA DISCHARGED 71,380 INPATIENTS AND SERVED 1,218,851 OUTPATIENTS, WHILE HANDLING 226,575 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. WE CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING HEALTH AND WELLNESS PROGRAMMING AT AREA BARBER SHOPS AND OTHER COMMUNITY GATHERINGS, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; CHARLES AND VIRGINIA HICKMAN HOSPITAL; MEMORIAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY. IN 2020 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 950 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 2020, MORE THAN 630,200 HEALTH PLAN MEMBERS WERE COVERED ACROSS 54 OHIO 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. - THIRTEEN CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES SUPPORTING PROMEDICA ACUTE AND POST-ACUTE FACILITIES AS WELL AS PROJECTS AND PROGRAMS OF PROMEDICA. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S SERVICES AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR THE HEALTH AND WELL-BEING OF OTHERS, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH APPROXIMATELY 300 NONPROFIT AGENCIES AND ORGANIZATIONS ACROSS OUR REGION IN 200 THAT HAVE VALUES AND MISSIONS SIMILAR TO OUR OWN. THROUGHOUT THE COVID-19 PANDEMIC IN 2020, MANY PROGRAMS AND EVENTS WERE CANCELLED TO PROTECT THE HEALTH OF OUR COMMUNITIES AS WELL AS OUR EMPLOYEES AND FRONTLINE CAREGIVERS. FROM MARCH MAY 2020, PROMEDICA BAY PARK HOSPITAL (BPH) WAS PROMEDICA'S DESIGNATED SYSTEM-WIDE DESTINATION FOR COVID-19 ADULT PATIENTS REQUIRING HOSPITALIZATION. THIS MOVE ALLOWED PROMEDICA TO DEPLOY EFFECTIVE IN-PERSON TRAINING ON INFECTION PREVENTION AND CONTROL PROCESSES AND TO CONSERVE PERSONAL PROTECTIVE EQUIPMENT (PPE) IN THE EARLY DAYS OF THE PANDEMIC. AS THE INITIAL SURGE LESSENED, COVID POSITIVE AND SUSPECTED PATIENTS WERE ABLE TO BE TREATED AT THEIR LOCAL ACUTE CARE FACILITY. PROMEDICA'S FOUNDATIONS RAISED FUNDS FOR PHILANTHROPY IN SUPPORT OF PROMEDICA'S MISSION TO IMPROVE HEALTH AND WELL-BEING. THIS INCLUDED A COVID-19 EMERGENCY EMPLOYEE COMPASSION FUND, WHICH PROVIDED $250 EMERGENCY GRANTS TO EMPLOYEES ACROSS THE COUNTRY WHO FOUND THEMSELVES IN IMMEDIATE FINANCIAL STRAIN DUE TO THE PANDEMIC. NEARLY 10,000 GRANTS WERE GIVEN TO HELP WITH FOOD, HOUSING, CHILDCARE, AND OTHER EXPENSES. OVER THE COURSE OF 10 MONTHS, FROM MARCH DECEMBER 2020, PROMEDICA: - CARED FOR NEARLY 25,000 COVID POSITIVE OR SUSPECTED PATIENTS ACROSS ITS HOSPITALS AND SENIOR CARE FACILITIES NATIONWIDE. - PROVIDED PPE TO MORE THAN 300 CARE LOCATIONS IN 28 STATES. - COLLABORATED CLOSELY WITH LOCAL, REGIONAL, STATE, AND NATIONAL GOVERNMENTAL AGENCIES TO SHARE BEST PRACTICES AND PROVIDE INPUT ON DECISIONS IMPACTING THE ORGANIZATION AND OUR PATIENTS. - IMPLEMENTED A ROBUST TELEHEALTH PROGRAM WITH MORE THAN 65,000 TELEHEALTH VISITS FOR PATIENTS AND RESIDENTS TO CONNECT WITH CAREGIVERS WITHOUT IN-PERSON VISITS. - IMPLEMENTED DESIGNATED COVID ICU UNITS WITHIN HOSPITALS TO PROVIDE SAFE, COORDINATED CARE FOR THE SICKEST PATIENTS WHILE PROTECTING OTHER HOSPITAL INPATIENTS. - CREATED DESIGNATED ISOLATION UNITS IN SKILLED NURSING FACILITIES THAT KEPT COVID POSITIVE AND SUSPECTED RESIDENTS SEPARATE FROM THE GENERAL POPULATION OF RESIDENTS. THE UNITS INCLUDED AN ANTECHAMBER THAT PROVIDED A STERILE ENVIRONMENT FOR EMPLOYEES TO DON AND DOFF PERSONAL PROTECTIVE EQUIPMENT (PPE). THIS MODEL OF CARE WAS REPLICATED ACROSS THE NATION. - PROVIDED MORE THAN 10,000 COVID-19 SUPPLY KITS TO MEMBERS AND HEALTH AGENCIES ACROSS OHIO THROUGH PARAMOUNT. - WAS SELECTED TO PARTICIPATE IN A CLINICAL TRIAL TO STUDY A NEW PROCEDURE FOR THE PREVENTION OF THE SARS-COV-2 INFECTION AND COVID-19 IN RESIDENTS AND EMPLOYEES AT OUR SENIOR CARE FACILITIES ACROSS THE COUNTRY IN PARTNERSHIP WITH THE ELI LILLY COMPANY (LILLY) AND THE NATIONAL INSTITUTES OF HEALTH (NIH). AS A RESULT OF THE STUDY, PROMEDICA IMPLEMENTED THE USE OF MONOCLONAL ANTIBODY TREATMENT FOR PATIENTS WITH MILD TO MODERATE SYMPTOMS NOT REQUIRING HOSPITALIZATION. PROVIDED MEDICAL EXPERTS WHO RESPONDED TO MORE THAN 1,200 MEDIA INQUIRIES AND PRODUCED MORE THAN 45 RESOURCE VIDEOS TO KEEP OUR COMMUNITY MEMBERS UP-TO-DATE ON THE MOST CURRENT INFORMATION AND GUIDANCE REGARDING THE CORONAVIRUS. - IMPLEMENTED COVID TESTING FOR HOSPITALIZED PATIENTS AND COMMUNITY MEMBERS PRESENTING AT PROVIDER OFFICES OR HOSPITAL EMERGENCY DEPARTMENTS. - BECAME THE FIRST SKILLED NURSING FACILITY IN THE COUNTRY TO VACCINATE ITS PALM HARBOR, FLA. RESIDENTS AND EMPLOYEES. DESPITE THE PANDEMIC, PROMEDICA CONTINUED TO IMPROVE 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 2020 INCLUDE THE FOLLOWING: FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) PROMEDICA CANCER INSTITUTE'S (PCI) COMMUNITY OUTREACH INCLUDED CANCER SCREENINGS AND EDUCATION TO THE MOST VULNERABLE IN OUR COMMUNITY. SUCH PROGRAMS INCLUDED PROMEDICA'S MEN'S HEALTH AND WELLNESS AT THE BARBERSHOP, WHICH PROVIDED 183 MEN WITH PROSTATE AND COLORECTAL CANCER EDUCATION, AND TENT CITY, WHICH SUPPORTS THE COUNTY'S UNHOUSED RESIDENTS, WHERE 27 WOMEN RECEIVED CLINICAL BREAST EXAMS. PCI ALSO HOSTED ANNUAL CANCER SURVIVOR CELEBRATIONS FOR SURVIVORS, FRIENDS AND CAREGIVERS ACROSS THE REGION AND SPONSORED COMMUNITY EVENTS INCLUDING THE ANNUAL NW OHIO SUSAN G. KOMEN, RACE FOR THE CURE, LEUKEMIA & LYMPHOMA SOCIETY LIGHT THE NIGHT, OVER THE EDGE FOR VICTORY, AND HOCKEY FIGHTS CANCER. PROMEDICA AND THE TOLEDO ZOO PARTNERED TO RENOVATE THE ZOO'S MORE THAN 80-YEAR-OLD MUSEUM OF SCIENCE. RENOVATIONS WERE COMPLETED IN SPRING 2019 WITH A FOCUS ON BIODIVERSITY THROUGHOUT THE COURSE OF HISTORY IN NORTHWEST OHIO. PROMEDICA WAS THE LEAD SPONSOR FOR THE THIRD ANNUAL SUMMER CONCERT SERIES IN 2019. THE WEEKLY CONCERTS TOOK PLACE AT THE RENOVATED PROMENADE PARK, IN DOWNTOWN TOLEDO, FROM JUNE THROUGH SEPTEMBER AND FEATURED A VARIETY OF LOCAL AND NATIONAL MUSICIANS AND MUSIC GENRES. PROMEDICA OPENED ITS THIRD FOOD CLINIC AT PROMEDICA BAY PARK HOSPITAL IN 2019 AND CONTINUES TO OPERATE TWO OTHER FOOD CLINICS ONE AT THE PROMEDICA HEALTH AND WELLNESS CENTER AND THE OTHER AT PROMEDICA'S CENTER FOR HEALTH SERVICES. THE FOOD CLINICS SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEM AND THEIR FAMILY FROM THIS LOCATION OR THE ORIGINAL FOOD PHARMACY LOCATED AT PROMEDICA'S CENTER FOR HEALTH SERVICES. AS PART OF THE PROGRAM, EACH PATIENT RECEIVES TWO TO THREE DAYS OF SUPPLEMENTAL FOOD FOR THEIR FAMILY. THROUGH DECEMBER 2019, MORE THAN 11,000 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 3,600 UNIQUE HOUSEHOLDS, IN EFFORTS TO HELP REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 91,748 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 275,242 MEALS. PROMEDICA'S SENIOR CARE DIVISION (HCR MANORCARE) IMPLEMENTED MEALS-TO-GO, A FOOD ASSISTANCE PROGRAM THAT PROVIDES PATIENTS WITH A SHELF-STABLE SUPPLY OF FOOD AFTER A LENGTHY SKILLED NURSING STAY. THE PROGRAM BEGAN AS A PILOT IN THE DETROIT, MICH., AREA BEFORE EXPANDING TO OTHER FACILITIES ACROSS THE COUNTRY BY THE END OF 2020. FOR ITS MICHIGAN PATIENTS, PROMEDICA OFFERED VEGGIE MOBILE VOUCHERS TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. PROMEDICA BIXBY AND HERRICK HOSPITALS PROVIDE THE $5 VOUCHERS SO PATIENTS CAN REDEEM THEM FOR FRESH PRODUCE GROWN AT PROMEDICA FARMS OR AT ANY OF THE VEGGIE MOBILE STOPS. IN 2019, NEARLY 750 POUNDS OF FRESH PRODUCE WAS GROWN AT PROMEDICA FARMS AND 75 PATIENTS WHO IDENTIFIED AS FOOD INSECURE WERE PROVIDED A FOOD BOX AND VEGGIE MOBILE VOUCHERS UPON DISCHARGE. PROMEDICA'S FINANCIAL OPPORTUNITY CENTER (FOC), PROVIDED EDUCATION AND COUNSELING TO NEARLY 700 INDIVIDUALS. HOUSED IN THE EBEID INSTITUTE, FOC HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING, AS WELL AS FREE TAX PREPARATION THROUGH THE OHIO BENEFIT BANK. FOC ALSO OFFERS A DIGITAL LITERACY SERIES TO ASSIST INDIVIDUALS WISHING TO IMPROVE THEIR COMPUTER LITERACY AND SKILLS TO BE MORE MARKETABLE TO PROSPECTIVE EMPLOYERS. IN 2019, PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. SCREENINGS ALSO WERE EXPANDED TO HOSPITAL INPATIENTS, USING THE SAME QUESTIONS. PATIENTS WHO SCREEN POSITIVE FOR ANY OF THE FACTORS ARE CONNECTED TO NECESSARY COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE. PROMEDICA TEAMED UP WITH LOCAL INITIATIVES SUPPORT CORPORATION (LISC) TOLEDO TO CREATE THE YR16 INITIATIVE TO HELP INDIVIDUALS IN TOLEDO FIND SAFE AND AFFORDABLE HOUSING. SAFE AND AFFORDABLE HOUSING FOR RESIDENTS IN UNDERSERVED NEIGHBORHOODS IS JUST ONE OF THE KEY SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT PROMEDICA IS ADDRESSING WITH LISC AND OTHER COMMUNITY PARTNERS. AS PART OF ITS INTEGRATION WITH HCR MANORCARE, IN 2019 PROMEDICA ESTABLISHED ITS HEALTHY AGING INSTITUTE. THE INSTITUTE HAS THREE AREAS OF FOCUS: INNOVATION AND RESEARCH, EDUCATION AND TRAINING, AND ADVOCACY EFFORTS INCLUDING A JOINT NATIONAL SUMMIT IN WASHINGTON, D.C. WITH THE AARP FOUNDATION, TO BRING ATTENTION TO SENIOR ISOLATION AND DISCUSS WAYS COMMUNITIES CAN ADDRESS THIS ISSUE. PROMEDICA AND COLUMBIA GAS OF OHIO ANNOUNCED A $50,000 GRANT FROM NISOURCE CHARITABLE FOUNDATION TO SUPPORT THE EBEID NEIGHBORHOOD PROMISE. THE GRANT WILL BE USED FOR A HOUSING AND DEVELOPMENT PRESERVATION PROGRAM TO ASSIST WITH HOUSING NEEDS OF TOLEDO'S UPTOWN NEIGHBORHOOD. PROMEDICA ALSO ESTABLISHED A PARTNERSHIP WITH SOCIALLY DETERMINED, A HEALTHCARE DATA ANALYTICS COMPANY, TO CREATE THE EBEID DATA NERVE CENTER. THE CENTER WILL FOCUS ON THE NEEDS OF SPECIFIC PATIENT COHORTS THAT COULD BENEFIT FROM STANDARDIZED INTERVENTIONS DESIGNED TO IMPROVE HEALTHCARE OUTCOMES AND REDUCE COSTS. PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 19 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. YOUTH ALSO ATTENDED THE LEADERSHIP DEVELOPMENT INSTITUTE, WHICH FOCUSED ON LEADERSHIP, COMMUNICATION, FINANCIAL MANAGEMENT AND OTHER IMPORTANT PERSONAL AND PROFESSIONAL DEVELOPMENT SKILLS. PROMEDICA INNOVATION'S BUSINESS INCUBATOR ALLOWS CLIENT COMPANIES IN THE HEALTHCARE FIELD TO ACCELERATE DEVELOPMENT AND COMMERCIALIZATION OF MEDICAL DEVICES AND HEALTH INFORMATION TECHNOLOGY TO IMPROVE PATIENT CARE LOCALLY AND NATIONALLY. IN 2019, PROMEDICA CONTRIBUTED $307,430,000 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 SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $91,160,000 IN 2019. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $11,525,000 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 2019 WAS $58,908,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $307,430,000 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 2019, PROMEDICA PROVIDED $207,825,000 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 2019 WAS $102,582,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $307,430,000 NOTED ABOVE. FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) 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 600% 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. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE FEBRUARY 6, 2020, PROMEDICA HEALTH SYSTEM, INC. REVISED BOARD MEMBER TERM AND TERM LIMITS FROM TWO (2) CONSECUTIVE 3-YEAR TERMS, TO NO MORE THAN TEN (10) 1-YEAR TERMS. FORM 990, PART VI, SECTION A, LINE 7B PROMEDICA HEALTH SYSTEM, INC. (PHS) 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 11B PREPARATION OF THE 990 RETURNS OF PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES ARE SUPERVISED BY THE ORGANIZATION'S TAX DEPARTMENT AND REVIEWED BY THE CORPORATE TAX DIRECTOR AND FINANCE LEADERSHIP. COPIES OF THE FORM 990 ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. THE 990 IS REVIEWED AND SIGNED BY A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL BONUS-ELIGIBLE SENIOR LEADERSHIP AND SPECIFICALLY IDENTIFIED ADDITIONAL EMPLOYEES, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER AND THE CHIEF OPERATING OFFICER FOR PROMEDICA PHYSICIAN GROUP (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PHYSICIANS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PHYSICIAN STANDARD OF CONDUCT AND THE PHYSICIAN CERTIFICATION STATEMENT WHICH THE NEW PHYSICIAN IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, CHIEF OPERATING OFFICER OR THEIR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PHYSICIAN AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE APPROPRIATE PHYSICIAN BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER OR DESIGNEE IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER OR DESIGNEE WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PROMEDICA HEALTH SYSTEM, INC. WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 15 PROMEDICA HEALTH SYSTEM, INC.'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'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. 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 XI, LINE 9: PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 24,217,691. BENEFICIAL INTEREST IN FOUNDATION 1,293,916. TRANSFERS BETWEEN RELATED ENTITIES 233,910,745. JOINDER NET ASSET ADJUSTMENT -12,142,857. TRANSFER OF SECURITIES TO RELATED ENTITIES -8,174,307. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT YET BEEN COMPLETED. PLANS HAVE BEEN MADE TO HAVE THE REQUIRED SINGLE AUDIT COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN OMB M-20-26. 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