2020-11-16T14:12:09-06:00 2019-12-31 990 2019-01-01 311075381 FIDELITY HEALTH CARE FIDE 9374999942 110 N MAIN ST 500 DAYTON OH 45402 RENEE MOCK VP & CFO 9374999942 2020-11-16 184.57.171.100 2020-11-16 14:12:04 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 986CFAB4546D7DBDFBAA527D8BCEED6C2968A6DF 2019 2021-01-29 14:40:06Z PAULA J THOMPSON 3170 KETTERING BLVD MORAINE OH 45439 57557624 0 X WWW.PREMIERHEALTH.COM X 1983 OH WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH SERVICES. 5 0 793 10 272115 -29820 235 114 58052224 56992956 465 1451 339840 393073 58392764 57387594 7750 7000 0 0 35140078 34843431 0 0 0 23178513 21911894 58326341 56762325 66423 625269 23757216 24112804 3676499 3406818 20080717 20705986 WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH SERVICES. 0 0 36408567 7000 44732033 FIDELITY HEALTH CARE PERFORMED 252,142 VISITS AND 46,547 HOURS OFSERVICE. FIDELITY HEALTH CARE SERVED 875 INFUSION PATIENTS AND PROVIDED $170,348 IN CHARITY CARE. 12164850 11992240 FIDELITY HEALTH CARE OPERATED A RETAIL PHARMACY IN FIVE LOCATIONSWITHIN PREMIER HEALTH AFFILIATED HOSPITALS AND HEALTH CENTERS. THEPHARMACIES PRIMARILY SERVE PATIENTS RECEIVING HEALTH CARE SERVICESAT THESE LOCATIONS. 250863 140042 EXPRESSIONS OF HOPE (EOH) IS A SERVICE FOR WOMEN OFFERED BYFIDELITY HEALTH CARE. EOH BOUTIQUE SERVICES ARE DESIGNED TO OFFERWOMEN A WIDE RANGE OF POST MASTECTOMY AND LUMPECTOMY PRODUCTS. 48824280 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 36 0 1 793 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X RENEE MOCK 9375453516 3170 KETTERING BLVD MORAINE OH 45439 JENNIFER J HAULER DO TRUSTEE 0.50 39.50 X 0 893785 55776 MICHAEL R UHL TRUSTEE 0.50 39.50 X 0 710746 83340 THOMAS R CURTIN TRUSTEE 0.50 39.50 X 0 407459 60214 PAULA J THOMPSON PRESIDENT & CEO 32.00 8.00 X X 355833 0 63970 MARK E WILLIAMS MD TRUSTEE 0.50 39.50 X 0 342241 40303 RENEE L MOCK BOARD TREASURER & CFO 36.00 4.00 X 207801 0 21641 ERIC D NAPIER DIRECTOR RETAIL PHARMACY 40.00 X 187460 0 28521 MARY K WALTERS VP CHIEF NURSING OFFICER 40.00 X 196316 0 16307 SHELIA M GRUBB MANAGER, CLINICAL OPERATIONS 40.00 X 148583 0 41427 BENJAMIN A WATSON BOARD SECRETARY 0.50 39.50 X 0 166716 16245 SARA L ROBBINS PEFUSIONSIST/RN 40.00 X 133061 0 37383 SANDY M NICKLEY COORD-HLTHCARE & CONSUMER PRGM 40.00 X 101368 0 15769 1330422 2520947 480896 46 0 1 0 PREMIER HEALTH CARE SERVICES 811 TIMBERLODGE TRAIL C DAYTON OH 45458 MEDICAL SERVICES 1230932 NETSMART TECHNOLOGIES INC 11100 NALL AVE OVERLAND PARK KS 66211 SOFTWARE MAINTENANCE 799486 BRIGHTREE LLC 1735 N BROWN RD NW 500 LAWRENCEVILLE GA 30043 CONSULTING 149221 ESCREEN INC 8140 WARD PKWY STE 300 KANSAS CITY MO 64114 MEDICAL SERVICES 125675 PHARMACEUTICAL STRATEGIES 477 MAIN ST STONEHAM MA 02180 PHARMACY 340B 119227 5 114 114 NET PATIENT REVENUE 900099 44860674 44588559 272115 PHARMACY 900099 11992240 11992240 EXPRESSIONS OF HOPE 900099 140042 140042 56992956 1451 1451 419629 170030 249599 249599 249599 MEDICAL ANSWERING SERVICE 900099 118605 118605 PURCHASE DISCOUNTS 900099 15592 15592 MEDICAL RECORDS 900099 6434 6434 2843 2843 143474 57387594 56864315 272115 251050 7000 7000 649245 378117 271128 28013852 22886386 5127466 329680 329680 3378662 2580691 797971 2471992 2012103 459889 3230 3230 9812 9812 385891 108587 277304 109703 109703 819993 683177 136816 847329 847329 362103 293027 69076 1106738 1090691 16047 4400 4400 695634 695634 161605 161605 OPERATING SUPPLIES 16119038 16119038 PURCHASED SERVICES 565312 130607 434705 ASSET IMPAIRMENT 236606 236606 REPAIRS AND MAINTENANCE 132928 44783 88145 351572 263491 88081 56762325 48824280 7938045 0 2949 2171 8958828 9139295 7012835 7411485 1375826 1335401 190501 389611 8634259 4816126 3580930 3818133 208000 103999 2427347 1912709 23757216 24112804 3611693 3342343 63055 64475 1751 0 3676499 3406818 X 20080717 20705986 20080717 20705986 23757216 24112804 625269 0 X 0 1 X 1 0 X 75439 526957 177065 235 114 779810 45187326 61884232 60698839 58070457 57136430 282977284 66 335126 413428 419629 1168249 45262831 62411189 61211030 58484120 57556173 284925343 0 0 0 284925343 342 430 575 465 1451 3263 342 430 575 465 1451 3263 3876 7465 0 0 0 11341 45267049 62419084 61211605 58484585 57557624 284939947 0.99990 0.99990 0.00000 0.00010 X 0 0 0 0 0 1 3230 0 0 0 3230 0 PART II-B, LINE 1: PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE A PORTION OF DUES PAID TO NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AND THE OHIO COUNCIL FOR HOME CARE & HOSPICE. 215926 215926 2855768 536572 2319196 18104 11164 6940 5115348 4268390 846958 429113 429113 3818133 AFFILIATES RECEIVABLE 1912709 1912709 X PART X, LINE 2: THE FOLLOWING FOOTNOTE IS FROM THE 2019 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF FIDELITY HEALTH CARE, INC. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES, WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: PREMIER HEALTH INSURING CO. (PHIC), AND PHHC (WHOLLY OWNED SUBSIDIARIES OF PHP), PREMIER HEALTH PLAN (PHPLAN) (A WHOLLY OWNED SUBSIDIARY OF PHIC), MVHE, INC., SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (SUBSIDIARIES OF PHHC), UVMC MANAGEMENT CORPORATION AND AFTER HOURS FAMILY CARE, INC. (SUBSIDIARIES OF PHP). THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. FOR TAX-EXEMPT ENTITIES, THE ACT REQUIRES ORGANIZATIONS TO PAY AN EXCISE TAX ON REMUNERATION TO EXECUTIVES ABOVE CERTAIN THRESHOLDS AND REPORT INCOME OR LOSS FROM UNRELATED BUSINESS ACTIVITIES ON AN ACTIVITY-BY-ACTIVITY BASIS, AMONG OTHER PROVISIONS. PHP HAS RECORDED ESTIMATED LIABILITIES AND RELATED EXPENSES FOR ALL EXCISE AND UNRELATED BUSINESS INCOME TAXES IDENTIFIED AT DECEMBER 31, 2019. MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. X X X X 1 1 0 0 0 0 0 0 0 JENNIFER J HAULER DO TRUSTEE 0 519043 0 372959 0 1783 0 52997 0 2779 0 949561 0 0 MICHAEL R UHL TRUSTEE 0 513722 0 176180 0 20844 0 53774 0 29566 0 794086 0 0 THOMAS R CURTIN TRUSTEE 0 318812 0 80976 0 7671 0 26866 0 33348 0 467673 0 0 PAULA J THOMPSON PRESIDENT & CEO 266860 0 82621 0 6352 0 30620 0 33350 0 419803 0 0 0 MARK E WILLIAMS MD TRUSTEE 0 323251 0 17541 0 1449 0 12108 0 28195 0 382544 0 0 RENEE L MOCK BOARD TREASURER & CFO 170105 0 36177 0 1519 0 10356 0 11285 0 229442 0 0 0 ERIC D NAPIER DIRECTOR RETAIL PHARMACY 159102 0 27832 0 526 0 6903 0 21618 0 215981 0 0 0 MARY K WALTERS VP CHIEF NURSING OFFICER 163280 0 32457 0 579 0 6478 0 9829 0 212623 0 0 0 SHELIA M GRUBB MANAGER, CLINICAL OPERATIONS 144789 0 2325 0 1469 0 8493 0 32934 0 190010 0 0 0 BENJAMIN A WATSON BOARD SECRETARY 0 144706 0 21428 0 582 0 6180 0 10065 0 182961 0 0 SARA L ROBBINS PEFUSIONSIST/RN 119026 0 14035 0 0 0 5237 0 32146 0 170444 0 0 0 PART I, LINES 4A-B DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, FIDELITY HEALTH CARE (FHC) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. FHC SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2019. THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED AND PAID TO THE SERP PARTICIPANTS: THOMAS CURTIN $7,888; JENNIFER HAULER $43,676; PAULA THOMPSON $6,216; MICHAEL UHL $43,890; MARK WILLIAMS $875. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. FORM 990, PART VI, SECTION A, LINE 3 PREMIER HEALTH (PREMIER) AS THE OPERATOR OF FIDELITY HEALTH CARE (FHC) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR FHC, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. FHC SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. FHC SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. FHC SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF FHC WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. FHC MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. FHC MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN FHC'S ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 6 FHC HAS ONE CORPORATE MEMBER; PREMIER, AN OHIO NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PREMIER HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR FHC. PREMIER HAS THE AUTHORITY TO REMOVE SUCH TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A. FORM 990, PART VI, SECTION B, LINE 11B THIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER, OF WHICH FHC IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, LINE 12C PREMIER, WITH WHICH FHC IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL DIRECTORS, SUPPLY CHAIN DIVISION MEMBERS, AUTHORIZED SIGNERS, DIRECTORS, EXECUTIVES, MEDICAL EXECUTIVE COMMITTEE MEMBERS, MEDICAL DEPARTMENT AND SECTION CHAIRS, PHYSICIAN PARTNERSHIP COMMITTEE MEMBERS, PHYSICIAN GUIDANCE GROUP MEMBERS, AND ALL EMPLOYED PHYSICIANS TO ANNUALLY REVIEW THE PREMIER COMPREHENSIVE CONFLICT OF INTEREST STATEMENT, AN EXPLANATORY MEMORANDUM, THE ANTITRUST COMPLIANCE POLICY, AND COMPLETE AN INDIVIDUAL QUESTIONNAIRE DISCLOSING ANY POTENTIAL CONFLICTS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. THIS IS ACCOMPLISHED EITHER BY WAY OF AN ELECTRONIC COMMUNICATION SENT OUT DIRECTLY BY THE CORPORATE COMPLIANCE DEPARTMENT OR BY WAY OF A MEMO SENT OUT FROM THE CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER OF PREMIER. IT ALSO INCLUDES AN EXPLANATORY MEMORANDUM OF SPECIFIC ACTIVITIES THAT MIGHT GIVE CAUSE TO A CONFLICT AND AN INDIVIDUAL QUESTIONNAIRE TO DISCLOSE ALL SUCH ACTIVITIES. THIS QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY THE INDIVIDUAL. THIS CORRESPONDENCE INCLUDES A COPY OF THE ANTITRUST COMPLIANCE POLICY THAT MUST BE SIGNED BY THE INDIVIDUAL. ALL OF THESE DOCUMENTS ARE SENT TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT ENSURES ALL FORMS ARE RETURNED AND RETAINS THE DOCUMENTS FOR FIVE YEARS. IN ADDITION, AT EACH MEETING OF THE BOARD OR ANY BOARD COMMITTEE, FOLLOWING APPROVAL OF THE PREVIOUS MEETING'S MINUTES, THE BOARD OR COMMITTEE CHAIR SHALL REQUEST ANY BOARD MEMBER WHO PERCEIVES A POTENTIAL CONFLICT OF INTEREST ON ANY OF THE MEETING'S AGENDA ITEMS TO DISCLOSE THE POTENTIAL CONFLICT. ADDITIONALLY, AT ANY BOARD OR BOARD COMMITTEE MEETING WHERE THE SUBJECT OF CONFLICT OF INTEREST IS DISCUSSED, THE MINUTES SHALL CONTAIN THE NAME OF THE PARTY DISCUSSING A POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST AND WHETHER A CONFLICT OF INTEREST WAS FOUND TO EXIST. IF A CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, THE MEMBER WILL BE EXCUSED FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON THE PARTICULAR AGENDA ITEM. THE CHIEF COMPLIANCE AND ENTERPRISE RISK OFFICER REPORTS THE RESULTS OF THE PREMIER CONFLICT OF INTEREST QUESTIONNAIRES NO LESS THAN ANNUALLY TO THE BOARD OF TRUSTEES BY WAY OF THE COMPLIANCE AND AUDIT COMMITTEE. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. PERIODICALLY, THE INTERNAL AUDIT DEPARTMENT WILL REVIEW A SAMPLE OF COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND REPORT THE RESULTS TO THE COMPLIANCE AND AUDIT COMMITTEE. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE INDIVIDUALLY SUMMARIZED IN A DOCUMENT AND SENT ELECTRONICALLY TO THE FINANCE DEPARTMENT FOR ANY NECESSARY DISCLOSURES REQUIRED ON THE 990 FILING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR FHC'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH FHC IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH-PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD-PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE IS COMPRISED OF THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CHIEF INTEGRATION OFFICER, CHIEF STRATEGY OFFICER, AND THE HOSPITAL CEOS. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FIDELITY NURSING SYSTEMS LLC 3832 KETTERING BLVD MORAINE OH 45439 311075381 PRIVATE PAY OH 1128498 99361 FHC PREMIER HEALTH PARTNERS (PREMIER) 110 MAIN STREET SUITE 500 DAYTON OH 45402 311446699 PARENT OH 501 (C) (3) 12B N/A 0 MEDAMERICA HEALTH SYSTEMS CO (MAHS) 110 MAIN STREET SUITE 500 DAYTON OH 45402 311040228 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 MIAMI VALLEY HOSPITAL (MVH) 110 MAIN STREET SUITE 500 DAYTON OH 45402 310537504 HOSPITAL OH 501 (C) (3) 3 PREMIER 0 MIAMI VALLEY HOSPITAL FOUNDATION 110 MAIN STREET SUITE 500 DAYTON OH 45402 311040231 FOUNDATION OH 501 (C) (3) 7 PREMIER 0 PREMIER COMMUNITY HEALTH 110 MAIN STREET SUITE 500 DAYTON OH 45402 311122883 HEALTH EDU OH 501 (C) (3) 10 FIDELITY HEALTH CARE 1 SAMARITAN HEALTH PARTNERS 110 MAIN STREET SUITE 500 DAYTON OH 45402 311107411 SUPPORT ORG OH 501 (C) (3) 12B PREMIER 0 GOOD SAMARTIAN FOUNDATION - DAYTON 110 MAIN STREET SUITE 500 DAYTON OH 45402 237296923 FOUNDATION OH 501 (C) (3) 7 PREMIER 0 HEART INSTITUTE OF DAYTON 110 MAIN STREET SUITE 500 DAYTON OH 45402 300502367 HEALTH EDU OH 501 (C) (3) 10 PREMIER 0 SAMARITAN BEHAVIORAL HEALTH INC 110 MAIN STREET SUITE 500 DAYTON OH 45402 020633634 BEHAVIOR HLTH OH 501 (C) (3) 7 PREMIER 0 ATRIUM HEALTH SYSTEM 110 MAIN STREET SUITE 500 DAYTON OH 45402 310537492 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 ATRIUM MEDICAL CENTER 110 MAIN STREET SUITE 500 DAYTON OH 45402 311079309 HOSPITAL OH 501 (C) (3) 3 PREMIER 0 UVMC 110 MAIN STREET SUITE 500 DAYTON OH 45402 341850683 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 UPPER VALLEY MEDICAL CENTER 110 MAIN STREET SUITE 500 DAYTON OH 45402 310537095 HOSPITAL OH 501 (C) (3) 3 PREMIER 0 UVPC SPECIALISTS 110 MAIN STREET SUITE 500 DAYTON OH 45402 203687536 HEALTH CARE OH 501 (C) (3) 10 UPPER VALLEY PROFESSIONAL CORP 0 UVMC NURSING CARE INC 110 MAIN STREET SUITE 500 DAYTON OH 45402 311224064 NURSING HOME OH 501 (C) (3) 10 PREMIER 0 UPPER VALLEY PROFESSIONAL CORP (UVPC) 110 MAIN STREET SUITE 500 DAYTON OH 45402 311400963 HEALTH CARE OH 501 (C) (3) 10 PREMIER 0 PREMIER PLAZA LLC 110 N MAIN STREET SUITE 500 DAYTON OH 45402 800708185 HOLDING COMPANY OH MAHS EXCLUDED 0 0 COMPUNENT CLINICAL LABORATORIES 2308 SANDRIDGE DRIVE MORAINE OH 45439 311258010 MEDICAL LABS OH MVHE INC RELATED 0 0 SWEITZER STREET LLC 110 N MAIN STREET SUITE 500 DAYTON OH 45402 454700417 REAL ESTATE OH MVHE INC EXCLUDED 0 0 SWEITZER MOB LLC 110 N MAIN STREET SUITE 500 DAYTON OH 45402 474554657 REAL ESTATE OH MVHE INC EXCLUDED 0 0 MVHE INC 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311185270 PHYSICIAN SVCS OH PREMIER HOLDING C 0 PREMIER HEALTH SPECIALISTS 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 061744704 PHYSICIAN SVCS OH PREMIER HOLDING C 0 SAMARITAN FAMILY CARE 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311299450 PHYSICIAN SVCS OH PREMIER HOLDING C 0 AFTER HOURS FAMILY CARE 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311269483 HEALTH CARE OH UVPC C 0 UVMC MANAGEMENT CORP 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311360489 MANAGEMENT COMPANY OH PREMIER C 0 PREMIER HEALTH URGENT CARE INC 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 822079409 URGENT CARE OH PREMIER HOLDING C 0 PREMIER HEALTH PLAN INC 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 463024049 HEALTH INSURANCE OH PHIC C 0 GOOD SAMARITAN HOSPITAL 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 310536981 HOSPITAL OH PREMIER C 0 PREMIER HEALTH ACO OF OHIO 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 474049773 MEDICARE ACO OH PREMIER C 0 PREMIER HEALTH HOLDING (PREMIER HOLDING) 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 812419110 HOLDING CO OH PREMIER C 0 PREMIER HEALTH INSURING CO (PHIC) 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 464766841 HEALTH INSURANCE OH PREMIER C 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 1 1 1 1 1 PREMIER COMMUNITY HEALTH M 75770 FMV PREMIER COMMUNITY HEALTH O 3074224 FMV PREMIER COMMUNITY HEALTH P 136150 FMV PREMIER COMMUNITY HEALTH Q 2005748 FMV PREMIER COMMUNITY HEALTH R 4265766 FMV