2018-11-15T08:25:43-06:00 2017-12-31 ERNST & YOUNG US LLP 1900 SCRIPPS CENTER 312 WALNUT ST CINCINNATI OH 45202 990 2017-01-01 311446699 Premier Health Partners % J MICHAEL SIMS PREM 9374999942 110 N MAIN ST 500 Dayton OH 45402 J MICHAEL SIMS VP & CONTROLLER 9374999942 2018-11-14 true JULIE L SPARKS P01268401 5136121400 108.206.163.59 31049020183195000000 2018-11-15 P 582F47EFACDD6166E52205D1FBFEA2601660FA18 770194AAF055F9EA87E64CA02E08FE540289067F 2017 2019-02-21 02:37:17Z Premier Health Mary H Boosalis 110 N MAIN ST Suite 500 Dayton OH 45402 17258 false X www.premierhealth.com X 1995 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. 21 16 26 21 0 170943 0 0 1540089 17258 0 0 0 0 1540089 17258 519 0 0 0 61565 477996 0 0 0 2084453 131075 2146537 609071 -606448 -591813 104049 45488 927709 425964 -823660 -380476 X WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH QUALITY, COST-COMPETITIVE HEALTH SERVICES. false false 545727 0 17258 PREMIER HEALTH GROUP (PHG) IS A NON-EQUITY MODEL PHYSICIAN HOSPITAL ORGANIZATION CREATED TO CLINICALLY INTEGRATE PHYSICIANS AND HOSPITALS IN THE COMMON INTEREST OF ACHIEVING THE TRIPLE AIM: IMPROVED CONSUMER EXPERIENCE WITH THE HEALTHCARE SYSTEM AND LOWERING TOTAL COST OF CARE, WHILE MAINTAINING OR IMPROVING QUALITY OUTCOMES. PHG SERVES AS THE PROVIDER NETWORK FOR, AND PROVIDES CONTINUOUS QUALITY IMPROVEMENT FUNCTIONS FOR PREMIER HEALTH PLAN, PREMIER HEALTH INSURING CORPORATION AND PREMIER HEALTH ACO OF OHIO, ALL AFFILIATES OF PREMIER HEALTH. CONTINUED IN SCHEDULE O. 0 0 0 THE PRIMARY EXEMPT PURPOSE OF PREMIER HEALTH (PREMIER) IS TO ESTABLISH, MAINTAIN, SUPPORT, AND STIMULATE THE DEVELOPMENT OF FOUR HEALTHCARE SYSTEMS INCLUDING WITHOUT LIMITATION, HOSPITALS, CLINICS, AND OTHER FACILITIES THAT PROVIDE INPATIENT OR OUTPATIENT CARE OR AMBULATORY SERVICES, ACCOMMODATIONS, DIAGNOSTICS, AND TREATMENTS TO PERSONS SUFFERING FROM ILLNESS. CONTINUED IN SCHEDULE O. 545727 true false false false false false false false false false true false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 179 0 true 26 true false false false false false false false false false false X 21 16 true false false false true true true true true false false true true true true true true true true false OH X J MICHAEL SIMS 9374999942 110 N MAIN ST SUITE 500 DAYTON OH 45402 X ANITA J MOORE BOARD CHAIR 0.5 0.5 X X 0 0 0 MARY H BOOSALIS TRUSTEE AND PREMIER PRES & CEO 8.0 32.0 X X 0 1540270 50502 STEVE BEINLICH TRUSTEE 0.5 0.0 X 0 0 0 GEORGE T BRODERICK JR MD TRUSTEE 0.5 39.5 X 0 731747 19748 KATHLEEN A CARLSON TRUSTEE 0.5 0.0 X 0 0 0 LARRY L HOLLINGSHEAD TRUSTEE 0.5 0.5 X 0 0 0 DANIEL L HOOD MD TRUSTEE 0.5 0.0 X 0 0 0 CHARLES A JONES TRUSTEE 0.5 0.5 X 0 0 0 JEFFREY S LEVINE TRUSTEE 0.5 0.5 X 0 0 0 JOHN W JACK LOHBECK TRUSTEE 0.5 0.5 X 0 0 0 WILLIAM E LUKENS TRUSTEE 0.5 0.5 X 0 0 0 MITCH MELFI TRUSTEE (EX OFFICIO) 0.5 0.0 X 0 0 0 DOUGLAS R MURRAY TRUSTEE 0.5 0.5 X 0 0 0 ROWAN R NICKOL MD TRUSTEE (FROM FEB) 0.5 1.0 X 0 0 0 PETER E NIMS MD TRUSTEE (TO JAN) 0.5 0.5 X 0 0 0 DARIN J PANGALANGAN MD TRUSTEE 0.5 0.0 X 0 16200 0 EDGAR M PURVIS JR TRUSTEE 0.5 0.0 X 0 0 0 COLLEEN RYAN TRUSTEE 0.5 0.0 X 0 0 0 BELINDA STENSON TRUSTEE 0.5 0.0 X 0 0 0 THOMAS G THORNTON MD TRUSTEE 0.5 39.5 X 0 26926 0 SUBODH K WADHWA MD TRUSTEE 0.5 39.5 X 0 257747 29582 JILL WILSON TRUSTEE 0.5 0.5 X 0 0 0 DALE E CREECH JR BOARD SECRETARY & PREMIER CLO 8.0 30.5 X 631976 0 62931 THOMAS M DUNCAN BOARD TREASURER & PREMIER CFO 0.5 39.5 X 0 4551893 53954 MICHAEL J MAIBERGER PREMIER COO 0.5 39.5 X 0 1045111 33228 THOMAS R CURTIN SYSTEM VP - REVENUE CYCLE 8.0 31.0 X 306577 0 58768 KATHLEEN L FORBES MD CHF INTEGRATION OFFICER-TO SEP 40.0 0.0 X 818115 0 64839 GARY G GINTER SYSTEM VP - CIO 8.0 32.0 X 525006 0 87150 JENNIFER J HAULER MD SYSTEM VP - CMO (FROM OCT) 8.0 32.0 X 366374 0 1542 BARBARA A JOHNSON SYSTEM VP - HR OPERATIONS 8.0 32.0 X 508775 0 38453 TAMMY S LUNDSTROM MD SYSTEM VP - CMO (TO AUG) / CCO 8.0 32.0 X 722423 0 83950 MARGARET W MARK SYSTEM VP - CNO (FROM JUN) 8.0 32.0 X 345867 0 35411 THOMAS R PARKER SYS VP -CHF EXPERIENCE OFFICER 8.0 32.0 X 526374 0 67212 CRAIG SELF SYS VP -CHIEF STRATEGY OFFICER 8.0 32.0 X 536933 0 50456 MARK W SHAW SYSTEM VP - MANAGED CARE 8.0 32.0 X 514343 0 61788 SCOTT A SHELTON SYSTEM VP - CPO 8.0 32.0 X 380597 0 29234 SYLVAIN TREPANIER DNP RN CENP SYSTEM VP - CNO (TO APR) 8.0 31.0 X 215751 0 28526 JERRY CLARK MD FACP PREMIER HLTH GRP PRESIDENT/CMO 40.0 0.0 X 454769 0 62881 RENEE P GEORGE PREMIER HEALTH PLAN VP OPS 40.0 0.0 X 396472 0 28198 J NICK LAIR PREMIER HLTH GRP VP MKT DEV 40.0 0.0 X 326030 0 50368 HAROLD T KEPLER PREMIER HEALTH PLAN - MED DIR 40.0 0.0 X 279161 0 42894 DAVID CARPENTER DEPT DIR-PLAN & VALUE INTEGRAT 40.0 0.0 X 174030 0 16492 JAMES R PANCOAST FORMER TRUSTEE & OFFICER 0.0 0.0 X 0 607424 0 MARY M CLANCY FORMER KEY EMPLOYEE 0.0 40.0 X 0 580489 39031 MARK S SHAKER FORMER KEY EMPLOYEE 0.0 40.0 X 0 878113 31199 8029573 10235920 1128337 21 true true false EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE MAINTENANCE 5077533 PLATINUM MARKETING GROUP 700 W PETE ROSE WAY 535 CINCINNATI OH 45203 PROFESSIONAL SERVICE 3276677 MICROSOFT LICENSING GP 6100 NEIL RD 100 RENO NV 89511 SOFTWARE LICENSING 3049196 FARUKI IRELAND COX PLL 110 N MAIN ST 1600 DAYTON OH 45402 LEGAL SERVICE 2970413 OLIVER WYMAN INC 1166 AVENUE OF THE AMERICAS NEW YORK NY 10036 CONSULTING SERVICE 2732556 125 0 POPULATION HEALTH REVENUE 17258 17258 17258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17258 17258 0 0 0 0 0 0 0 0 0 424797 380618 44179 5112 4580 532 23584 21131 2453 24503 21955 2548 0 0 0 0 0 0 75641 67774 7867 0 0 5170 4632 538 262 235 27 0 6337 5678 659 2607 2336 271 0 0 0 0 2867 2569 298 12062 10808 1254 PURCHASED SERVICES 24680 22113 2567 TRAINING AND EDUCATION 880 788 92 SPECIAL EVENTS 225 202 23 MISCELLANEOUS 344 308 36 609071 545727 63344 0 0 0 0 0 0 0 58599 21000 0 0 0 0 0 0 0 0 0 0 76111 51623 45450 24488 0 0 0 0 0 0 0 0 0 0 104049 45488 927709 425964 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 927709 425964 X -823660 -380476 0 0 0 0 -823660 -380476 104049 45488 X -591813 1034997 X false true X true false X X 4 ATRIUM MEDICAL CENTER 311079309 3 true 0 0 GOOD SAMARITAN HOSPITAL 310536981 3 true 0 0 MIAMI VALLEY HOSPITAL 310537504 3 true 0 0 UPPER VALLEY MEDICAL CENTER 310537095 3 true 0 0 4 0 0 true false false false false false false false false false false false false false false true false PART IV, SECTION B, LINE 1: COLLECTIVELY, EACH HOSPITAL'S CORPORATE MEMBER APPOINTS PREMIER HEALTH'S (PREMIER) BOARD MEMBERS. THOSE CORPORATE MEMBERS ELECT THE TRUSTEES OF PREMIER AND THEIR RESPECTIVE SUPPORTED HOSPITAL. CONTROL OVER THE APPOINTMENT OF THE MAJORITY OF PREMIER'S TRUSTEES EFFECTIVELY RESTS IN THE HANDS OF THE SAME PERSONS WHO GOVERN PREMIER'S CORPORATE MEMBERS AND THEIR SUPPORTED HOSPITAL ORGANIZATIONS. CONSEQUENTLY, ACTIONS TAKEN BY THE CORPORATE MEMBERS ARE ESSENTIALLY THOSE OF THE SUPPORTED HOSPITAL BOARDS AS WELL. IN THIS REGARD, CATHOLIC HEALTH INITIATIVES, THROUGH SAMARITAN HEALTH PARTNERS, THE CORPORATE MEMBER OF GOOD SAMARITAN HOSPITAL, ELECTS 7 BOARD MEMBERS; ATRIUM HEALTH SYSTEM, THE CORPORATE MEMBER OF ATRIUM MEDICAL CENTER, ELECTS 3 BOARD MEMBERS; AND UVMC, THE CORPORATE MEMBER OF UPPER VALLEY MEDICAL CENTER, ELECTS 3 BOARD MEMBERS OF PREMIER. MEDAMERICA HEALTH SYSTEMS CORPORATION, THE CORPORATE MEMBER OF MIAMI VALLEY HOSPITAL, ELECTS THE REMAINING 8 BOARD MEMBERS OF PREMIER. THE TERMS OF THE JOINT OPERATING AGREEMENT (THE DOCUMENT THAT SERVED AS THE FOUNDATION FOR THE CREATION OF PREMIER) AMONG THESE PARTIES PROVIDES FOR DETAILED POWERS AND AUTHORITIES OVER CERTAIN ASPECTS OF THE COLLECTIVE GROUP. 9428 1938 7490 66683 49685 16998 24488 0 0 X PART X, LINE 2: PREMIER HEALTH (PREMIER), MEDAMERICA HEALTH SYSTEMS (MAHS), SAMARITAN HEALTH PARTNERS (SHP), ATRIUM HEALTH SYSTEM (AHS), AND UVMC HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT NONPROFIT CORPORATIONS AND PUBLIC CHARITIES UNDER SECTIONS 501(C)(3) AND 509(A), RESPECTIVELY, OF THE INTERNAL REVENUE CODE. AS TAX-EXEMPT ORGANIZATIONS, THEIR INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PREMIER, SHP, AND UVMC ALSO OWN OR CONTROL CERTAIN SUBSIDIARIES, WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THE ENTITIES CONTROLLED OR OWNED BY PREMIER ARE: * PREMIER HEALTH INSURING COMPANY (PHIC) (A WHOLLY OWNED SUBSIDIARY OF PREMIER) * PREMIER HEALTH HOLDING COMPANY (PHHC) (A WHOLLY OWNED SUBSIDIARY OF PREMIER) * PREMIER HEALTH ACO OF OHIO (A WHOLLY OWNED SUBSIDIARY OF PREMIER) * PREMIER HEALTH PLAN (PHPLAN) (A WHOLLY OWNED SUBSIDIARY OF PHIC) * MVHE, INC. (SUBSIDIARY OF PHHC) * SAMARITAN FAMILY CARE (SUBSIDIARY OF PHHC) * PREMIER HEALTH SPECIALISTS, INC. (SUBSIDIARY OF PHHC) * PREMIER HEALTH URGENT CARE (SUBSIDIARY OF PHHC) TAXES PAYABLE AT DECEMBER 31, 2017 AND 2016, FOR SUCH UNRELATED BUSINESS ACTIVITIES ARE NOT SIGNIFICANT. MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. X X X X false true false false false false false false false MARY H BOOSALIS TRUSTEE AND PREMIER PRES & CEO 0 980548 0 527251 0 32471 0 39833 0 10669 0 1590772 0 0 GEORGE T BRODERICK JR MD TRUSTEE 0 389348 0 188057 0 154342 0 9178 0 10570 0 751495 0 0 SUBODH K WADHWA MD TRUSTEE 0 240470 0 0 0 17277 0 8010 0 21572 0 287329 0 0 DALE E CREECH JR BOARD SECRETARY & PREMIER CLO 398677 0 146709 0 86590 0 37157 0 25774 0 694907 0 0 0 THOMAS M DUNCAN BOARD TREASURER & PREMIER CFO 0 596025 0 289582 0 3666286 0 29538 0 24416 0 4605847 0 2408091 MICHAEL J MAIBERGER PREMIER COO 0 302116 0 292508 0 450487 0 2700 0 30528 0 1078339 0 0 THOMAS R CURTIN SYSTEM VP - REVENUE CYCLE 231960 0 68571 0 6046 0 28926 0 29842 0 365345 0 0 0 KATHLEEN L FORBES MD CHF INTEGRATION OFFICER-TO SEP 541520 0 271188 0 5407 0 39561 0 25278 0 882954 0 0 0 GARY G GINTER SYSTEM VP - CIO 385251 0 135949 0 3806 0 61801 0 25349 0 612156 0 0 0 JENNIFER J HAULER MD SYSTEM VP - CMO (FROM OCT) 337058 0 28191 0 1125 0 0 0 1542 0 367916 0 0 0 BARBARA A JOHNSON SYSTEM VP - HR OPERATIONS 363394 0 124821 0 20560 0 28293 0 10160 0 547228 0 0 0 TAMMY S LUNDSTROM MD SYSTEM VP - CMO (TO AUG) / CCO 524280 0 192978 0 5165 0 81162 0 2788 0 806373 0 0 0 MARGARET W MARK SYSTEM VP - CNO (FROM JUN) 267121 0 70931 0 7815 0 9544 0 25867 0 381278 0 0 0 THOMAS R PARKER SYS VP -CHF EXPERIENCE OFFICER 378787 0 121190 0 26397 0 52371 0 14841 0 593586 0 0 0 CRAIG SELF SYS VP -CHIEF STRATEGY OFFICER 389413 0 144360 0 3160 0 23805 0 26651 0 587389 0 0 0 MARK W SHAW SYSTEM VP - MANAGED CARE 307295 0 118673 0 88375 0 36068 0 25720 0 576131 0 0 0 SCOTT A SHELTON SYSTEM VP - CPO 252664 0 116419 0 11514 0 24804 0 4430 0 409831 0 0 0 SYLVAIN TREPANIER DNP RN CENP SYSTEM VP - CNO (TO APR) 111026 0 103825 0 900 0 19789 0 8737 0 244277 0 0 0 JERRY CLARK MD FACP PREMIER HLTH GRP PRESIDENT/CMO 328966 0 78608 0 47195 0 52103 0 10778 0 517650 0 0 0 RENEE P GEORGE PREMIER HEALTH PLAN VP OPS 323626 0 71751 0 1095 0 15853 0 12345 0 424670 0 0 0 J NICK LAIR PREMIER HLTH GRP VP MKT DEV 227469 0 73851 0 24710 0 20183 0 30185 0 376398 0 0 0 HAROLD T KEPLER PREMIER HEALTH PLAN - MED DIR 227395 0 31415 0 20351 0 25472 0 17422 0 322055 0 0 0 DAVID CARPENTER DEPT DIR-PLAN & VALUE INTEGRAT 150335 0 21660 0 2035 0 6393 0 10099 0 190522 0 0 0 MARY M CLANCY FORMER KEY EMPLOYEE 0 388283 0 149376 0 42830 0 24970 0 14061 0 619520 0 0 JAMES R PANCOAST FORMER TRUSTEE & OFFICER 0 20788 0 586636 0 0 0 0 0 0 0 607424 0 0 MARK S SHAKER FORMER KEY EMPLOYEE 0 559677 0 136962 0 181474 0 27206 0 3993 0 909312 0 0 PART I, LINE 3: THE CEO AND CFO'S COMPENSATION IS REPORTED AS PAID BY MEDAMERICA HEALTH SYSTEMS. THE COO'S COMPENSATION IS REPORTED AS PAID BY UVMC MANAGEMENT COMPANY (AN AFFILIATE OF PREMIER HEALTH). SEE COMMENT IN SCHEDULE O PERTAINING TO PART VI, SECTION B, LINES 15A & 15B FOR FURTHER EXPLANATION. PART I, LINE 4B: 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, PREMIER HEALTH (PREMIER) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. PREMIER 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 2017. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2017: MARY CLANCY $38,621; DALE CREECH JR. $80,472; BARBARA JOHNSON $15,163; J. NICK LAIR $5,399; MARK SHAKER $159,168; MARK SHAW $79,734; SCOTT SHELTON $8,114. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT IN 2017: MICHAEL MAIBERGER RECEIVED $120,703; THOMAS DUNCAN RECEIVED $3,642,131 FOR HIS 32 YEARS OF SERVICE AS AN EXECUTIVE WITH THE ORGANIZATION, WHICH INCLUDES $2,408,091 REPORTED IN PRIOR RETURNS AS DEFERRED COMPENSATION. IN ADDITION, 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: JERRY CLARK $22,564; THOMAS CURTIN $3,311; KATHLEEN FORBES $35,215; RENEE GEORGE $4,842; GARY GINTER $35,597; BARBARA JOHNSON $9,636; TAMMY LUNDSTROM, M.D. $71,860; MARGARET MARK $986; THOMAS PARKER $24,658; CRAIG SELF $14,135, SYLVAIN TREPANIER $11,028. 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 I, LINE 7B: NET UNRELATED BUSINESS TAXABLE INCOME/(LOSS) IS AMOUNTS FROM PARTNERSHIP INVESTMENTS THAT IS NOT RECOGNIZED FOR BOOK PURPOSES, THEREFORE NO UNRELATED BUSINESS INCOME/(LOSS) APPEARS ON PART VIII. FORM 990, PART III, LINE 4A (CONTINUED): THROUGH OUR PHYSICIAN-LED ORGANIZATION, WE DEPLOY VARIOUS POPULATION HEALTH MODELS TO OUR PROVIDERS TO HELP THEM BETTER COORDINATE CARE FOR THEIR PATIENTS IN OUR EFFORTS TO SERVE PREMIER HEALTH'S MISSION OF BUILDING HEALTHIER COMMUNITIES. FORM 990, PART III, LINE 4B (CONTINUED): AS SUCH, PREMIER IS RESPONSIBLE FOR OVERSIGHT OF THE FOUR HOSPITAL ENTITIES AS ITS CHARITABLE GOAL, AND THE INFORMATION BELOW IS CUMULATIVE OF THEIR SEPARATE REPORTS: QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY BENEFIT SUMMARY FROM RELATED HOSPITALS SCHEDULE H FOR THE YEAR ENDED DECEMBER 31, 2017 (IN THOUSANDS) CHARITY AND MEANS-TESTED GOVERNMENT PROGRAMS AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: CHARITY CARE AT COST $27,817 UNREIMBURSED MEDICAID $109,853 UNREIMBURSED COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS $7,122 -------- TOTAL $144,792 OTHER BENEFITS: COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS $2,874 HEALTH PROFESSIONS EDUCATION $4,151 SUBSIDIZED HEALTH SERVICES $43,889 CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY GROUPS $6,959 -------- TOTAL $57,873 -------- GRAND TOTAL PROGRAM & OTHER COMMUNITY BENEFITS $202,665 COMMUNITY BUILDING ACTIVITIES: PHYSICAL IMPROVEMENTS $665 OTHER $591 ------ TOTAL COMMUNITY BUILDING ACTIVITIES $1,256 UNPAID COST OF MEDICARE (ALLOWABLE COST AND REIMBURSEMENTS REPORTED ON MEDICARE COST REPORT) $33,587 OTHER UNPAID COST OF MEDICARE (COST AND REIMBURSEMENTS NOT REPORTED ON MEDICARE COST REPORT) $97,820 -------- TOTAL UNPAID COST OF MEDICARE $131,407 TOTAL COMMUNITY BENEFIT INCLUDING THE UNPAID -------- COSTS OF MEDICARE $335,328 FORM 990, PART VI, SECTION A, LINE 2: DANIEL HOOD, M.D. (TRUSTEE), THOMAS CURTIN (KEY EMPLOYEE) AND MARY CLANCY (FORMER KEY EMPLOYEE) HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6: PREMIER HEALTH HAS FOUR CORPORATE MEMBERS; MEDAMERICA HEALTH SYSTEMS, CATHOLIC HEALTH INITIATIVES, ATRIUM HEALTH SYSTEM, AND UVMC. FORM 990, PART VI, SECTION A, LINES 7A & 7B: MEDAMERICA HEALTH SYSTEMS ELECTS 8 BOARD MEMBERS, CATHOLIC HEALTH INITIATIVES ELECTS 7 BOARD MEMBERS, ATRIUM HEALTH SYSTEM ELECTS 3 BOARD MEMBERS AND UVMC ELECTS 3 BOARD MEMBERS. THE MEMBERS MUST APPROVE ANY DISSOLUTION OF ASSETS AND ANY CHANGES IN THE CODE OF REGULATIONS OR ARTICLES OF INCORPORATION. THE MEMBERS DO NOT APPROVE ANY OPERATIONAL DECISIONS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B: THIS 990 TAX RETURN AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER). THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S. LLP FOR THEIR REVIEW. 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 SENT TO ERNST & YOUNG U.S. LLP FOR A FINAL REVIEW AND 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 TAX RETURN IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, LINE 12C: PREMIER HEALTH (PREMIER) 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 TAX RETURN. FORM 990, PART VI, SECTION B, LINES 15A AND 15B: THE ANNUAL 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 ON WWW.PREMIERHEALTH.COM. FORM 990, PART VII, SECTION A, SYSTEM KEY EMPLOYEES: THE SYSTEM KEY EMPLOYEES' TOTAL COMPENSATION AMOUNT IS ACCURATELY REPORTED ON THE VARIOUS ENTITIES THEY SERVE. THE KEY EMPLOYEE'S COMPENSATION IS BEING REPORTED AS PAID BY PREMIER HEALTH AS THE PAYMASTER OF THEIR APPLICABLE AFFILIATED ORGANIZATION IN ORDER TO MORE CLEARLY REFLECT THEIR RESPONSIBILITIES ACROSS THE PREMIER HEALTH SYSTEM. COMPENSATION AND RELATED PAYROLL REPORTING REQUIREMENTS FOR SYSTEM KEY EMPLOYEES ARE PROCESSED AND FILED BY AFFILIATES OF PREMIER. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATED ORGANIZATIONS $1,034,997 FORM 990 PART IX LINE 11G DESCRIPTION:POPULATION HEALTH TOTAL FEES:75641 PREMIER HEALTH GROUP LLC 110 N MAIN ST 500 DAYTON OH 45402 461428664 DR NETWORK OH 17258 45488 PREMIER MedAmerica Health Systems (MAHS) 110 N MAIN ST 500 Dayton OH 45402 311040228 Parent OH 501(C)(3) 12C III FI NA false Miami Valley Hospital (MVH) 110 N MAIN ST 500 Dayton OH 45402 310537504 Hospital OH 501(C)(3) 3 MAHS true Atrium Health System (AHS) 110 N MAIN ST 500 Dayton OH 45402 310537492 Parent OH 501(C)(3) 12C III FI NA false Atrium Medical Center (AMC) 110 N MAIN ST 500 Dayton OH 45402 311079309 Hospital OH 501(C)(3) 3 AHS true Samaritan Health Partners (SHP) 110 N MAIN ST 500 Dayton OH 45402 311107411 Parent OH 501(C)(3) 12C III FI NA false Good Samaritan Hospital (GSH) 110 N MAIN ST 500 Dayton OH 45402 310536981 Hospital OH 501(C)(3) 3 SHP true UVMC 110 N MAIN ST 500 DAYTON OH 45402 341850683 Parent OH 501(C)(3) 12C III FI NA false Upper Valley Medical Center 110 N MAIN ST 500 DAYTON OH 45402 310537095 Hospital OH 501(C)(3) 3 UVMC true COMPUNET CLINICAL LABORATORIES LLC 2308 SANDRIDGE DR MORAINE OH 45439 311258010 MEDICAL LABS OH MVHE INC RELATED -2690276 11501515 false 0 0.84333 SWEITZER STREET LLC 110 N MAIN ST 900 DAYTON OH 45402 454700417 REAL ESTATE OH MVHE INC EXCLUDED-SECTION 512 75745 3065012 false 0 0.80000 SWEITZER MOB LLC 110 N MAIN ST 900 DAYTON OH 45402 474554657 Real Estate OH MVHE INC EXCLUDED-SECTION 512 40622 1783188 false 0 0.80000 PREMIER HEALTH PLAN INC 110 N Main St 500 Dayton OH 45402 463024049 HEALTH INSURA OH PHIC C CORP 30103369 14287641 1.00000 true PREMIER HEALTH INSURING CO (PHIC) 110 N MAIN ST 500 DAYTON OH 45402 464766841 HEALTH INSURA OH PREMIER HEALTH C CORP 90653553 30536587 1.00000 true PREMIER HEALTH ACO OF OHIO 110 N MAIN ST 500 DAYTON OH 45402 474049773 MEDICARE ACO OH PREMIER HEALTH C CORP 311550 3311550 1.00000 true MVHE INC 110 N MAIN ST 500 DAYTON OH 45402 311185270 PHYS SVCS OH PHHC C CORP 57347607 51097884 1.00000 true PREMIER HEALTH SPECIALISTS 110 N MAIN ST 500 DAYTON OH 45402 061744704 PHYS SVCS OH PHHC C CORP 88411349 21543612 1.00000 true SAMARITAN FAMILY CARE INC 110 N MAIN ST 500 DAYTON OH 45402 311299450 PHYS SVCS OH PHHC C CORP 26985389 8042895 1.00000 true PREMIER HEALTH HOLDING COMPANY (PHHC) 110 N MAIN ST 500 DAYTON OH 45402 812419110 HOLDING CO OH PREMIER HEALTH C CORP 0 0 1.00000 true PREMIER HEALTH URGENT CARE INC 110 N MAIN ST 500 DAYTON OH 45402 822079409 URGENT CARE OH PREMIER HEALTH C CORP 0 10423 1.00000 true false false true false false false false false false false true false false false false false true false false MIAMI VALLEY HOSPITAL C 262269 FMV GOOD SAMARITAN HOSPITAL C 381189 FMV ATRIUM MEDICAL CENTER C 155250 FMV UPPER VALLEY MEDICAL CENTER C 236289 FMV PREMIER HEALTH INSURING CO Q 1847611 FMV PREMIER HEALTH PLAN Q 383838 FMV PREMIER HEALTH ACO OF OHIO Q 612307 FMV