2014-11-13T15:09:01-06:00 2013-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE STE 2000 INDIANAPOLIS IN 462045108 990 2013-01-01 341517671 PROMEDICA HEALTH SYSTEM INC PROM 4198918505 1801 RICHARDS ROAD TOLEDO OH 43607 ALAN M SATTLER TREASURER 4198918505 2014-11-13 1 SAMANTHA BOKORI P01057347 3174648600 2014-10-27 2013 2015-11-30 17:44:51Z ALAN M SATTLER 1801 RICHARDS ROAD TOLEDO OH 43607 525856031 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. 26 16 1756 23 -30525 -30525 39720713 31963182 370847696 492978592 -27188 -41800 0 316631 410541221 525216605 13548480 16199856 0 0 106877876 121852089 0 0 0 69546698 81819321 189973054 219871266 220568167 305345339 2027376048 2336327449 170797973 112363421 1856578075 2223964028 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 173219409 16199856 493056152 PROMEDICA HEALTH SYSTEM, INC. (PHS) IS AN OHIO NOT-FOR-PROFIT CORPORATION WHICH SERVES AS A HOLDING COMPANY FOR SEVERAL CORPORATIONS IN A SYSTEM THAT PROVIDES VARIOUS TYPES OF HEALTH CARE SERVICES. PHS PROVIDES MANAGEMENT SERVICES AND SUPPORT TO ALL ENTITIES WITHIN PROMEDICA HEALTH SYSTEM, INC. - SEE SCHEDULE O. 3997328 237744 CONSISTENT WITH OUR MISSION, PROMEDICA HEALTH SYSTEM, INC. PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O. 177216737 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 1 1 0 0 0 0 1 1 1 1 0 0 1 X 335 0 1 1756 1 1 1 1 PL GR HU TU CH JA KS ID BR 0 0 0 0 0 0 0 0 X 26 16 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 OH X MARTIN DANSACK 4198918501 5901 MONCLOVA RD MAUMEE OH 43537 JAMES D ARMSTRONG EX OFFICIO 1.00 1.00 X 0 0 0 BRUCE A BARNETT MD TRUSTEE 1.00 40.00 X 0 472476 23293 PAUL D BERLACHER MD TRUSTEE 1.00 40.00 X 0 730185 92223 EMMETT T BOYLE JR MD TRUSTEE 1.00 41.00 X 315 475766 28039 ELIZABETH C BRADY EX OFFICIO 1.00 1.00 X 0 0 0 ROBERT J CHIRDON EX OFFICIO 1.00 7.00 X 0 0 0 PARISS M COLEMAN II EX OFFICIO 1.00 1.00 X 0 0 0 KAREN P DAVIS PHD TRUSTEE 1.00 0.00 X 0 0 0 PETER DZIAD MD TRUSTEE 1.00 40.00 X 0 612446 33569 RUSSELL J EBEID TRUSTEE 1.00 0.00 X 0 0 0 DANIEL W FARRELL JR EX OFFICIO 1.00 3.00 X 0 0 0 BENJAMIN Z HEYWOOD EX OFFICIO 1.00 0.00 X 0 0 0 DAVID S HICKMAN EX OFFICIO 1.00 2.00 X 0 0 0 THOMAS M HOUSTON MD TRUSTEE 1.00 41.00 X 0 159548 12907 RICHARD C HYLANT TRUSTEE 1.00 0.00 X 0 0 0 LLOYD A JACOBS MD TRUSTEE 1.00 0.00 X 0 0 0 ROBERT W LACLAIR TRUSTEE 1.00 0.00 X 0 0 0 RITA N A MANSOUR EX OFFICIO 1.00 1.00 X 315 0 0 SARAH A MCHUGH EX OFFICIO 1.00 1.00 X 0 0 0 SAMANTHA M MUCHA MD TRUSTEE 1.00 42.00 X 0 495653 41354 JOSEPH D NAPOLI EX OFFICIO 1.00 7.00 X 0 0 0 JAMES L NORTH MD TRUSTEE 1.00 40.00 X 0 200043 33965 LARRY C PETERSON EX OFFICIO 1.00 2.00 X 0 0 0 MARNA I RAMNATH RN EX OFFICIO 1.00 0.00 X 0 0 0 ANNE T RUCH MD TRUSTEE 1.00 40.00 X 0 427549 24766 LAWRENCE L SCHAFFER EX OFFICIO 1.00 1.00 X 0 0 0 EMORY M SCHMIDT EX OFFICIO 1.00 2.00 X 0 0 0 DAVID A SNAVELY EX OFFICIO 1.00 0.00 X 0 0 0 RANDALL OOSTRA PRESIDENT 40.00 15.50 X X 1364902 0 272358 STEPHEN H STAELIN CHAIRPERSON 1.00 10.00 X X 479 0 0 JAMES M MURRAY VICE CHAIR 1.00 0.00 X X 0 0 0 KATHLEEN S HANLEY TREASURER 40.00 12.00 X 700133 0 104802 JEFFREY C KUHN SECRETARY 40.00 11.50 X 521270 0 73952 GARY AKENBERGER SR. VP FINANCE, PHS 40.00 4.50 X 336133 0 72295 MARTIN DANSACK VP ACCTG & TAXATION, PHS 40.00 1.50 X 191469 0 35079 THOMAS DELLA-FLORA VP INFORMATION SVCS., PHS 40.00 0.00 X 208073 0 265219 ROBERT FREDRICK SR. VP ACADEMIC AFFAIRS 40.00 0.50 X 406784 0 70378 LEE W HAMMERLING MD CMO & PRESIDENT, PPCS 40.00 9.00 X 760695 0 77446 A DAVID JAMES PRESIDENT, POPULATION HEALTH 40.00 0.00 X 332964 0 18037 JEFFREY KELLER VP HR OPERATIONS, PHS 40.00 0.00 X 218081 0 431157 KATHLEEN KRUEGER PRES., SUPPLY CHAIN & SR. VP QPMS 40.00 0.00 X 283781 0 29678 ROSE ANN LAURETO CHIEF INFORMATION OFFICER 40.00 1.00 X 389392 0 13942 WILLIAM MUELLER CHIEF PHARMACY OFFICER 40.00 1.00 X 336231 0 40793 SUSAN PAYDEN VP TREASURY, PHS 40.00 0.00 X 225848 0 53094 BARBARA PETEE CHIEF ADV., GOV. & COMM. REL. 40.00 0.00 X 307122 0 43446 ARTURO POLIZZI CHIEF HR OFFICER & COO, TTH 40.00 0.50 X 464992 0 56186 STEPHEN SADOWSKI DEPUTY GENERAL COUNSEL 40.00 0.00 X 199007 0 23880 ALAN M SATTLER PRESIDENT, ACUTE CARE 40.00 5.00 X 368665 0 70139 BARBARA S STEELE ACTING CHIEF PHILAN. OFFICER 40.00 2.00 X 995064 0 1169436 KAREN L STRAUSS CHIEF MKT., STRAT., & COMM. 40.00 2.00 X 257071 0 19348 KAREN VAHALIK VP INFORMATION SVCS., ACUTE CARE 40.00 0.00 X 196139 0 41892 RONALD WACHSMAN SR. VP, MANAGED CARE 40.00 0.00 X 283861 0 332287 KEVIN C WEBB PHD PRESIDENT, ACUTE CARE 40.00 5.00 X 483405 0 52701 LORI JOHNSTON PRESIDENT AND CAO, PPG 1.00 42.00 X 332483 0 55470 KHURRAM KAMRAN VP, MEDICAL OPERATIONS, ACUTE CARE 1.00 40.00 X 316185 157105 41049 NEERAJ KANWAL VP MED. AFFAIRS, TTH 1.00 40.00 X 352548 0 49057 JOHN RANDOLPH PRESIDENT, PARAMOUNT INSURANCE CORP 40.00 0.00 X 616810 0 99246 DANIEL L WAKEMAN PRESIDENT, ST. LUKE'S HOSPITAL 1.00 42.00 X 363617 0 38920 KEN ARMSTRONG FORMER KEY EMPLOYEE 0.00 41.50 X 319143 0 50383 DAWN BUSKEY FORMER KEY EMPLOYEE 0.00 40.00 X 296424 0 50903 JOHN HORNS FORMER KEY EMPLOYEE 0.00 0.00 X 168775 0 0 JOHN MEIER FORMER KEY EMPLOYEE 40.00 0.00 X 330743 986 44322 ROBERT REITER FORMER KEY EMPLOYEE 40.00 0.00 X 512956 0 0 GLADEEN ROBERTS PHD FORMER KEY EMPLOYEE 0.00 0.00 X 349550 0 17029 RANDALL SCHIMMOELLER FORMER KEY EMPLOYEE 0.00 42.00 X 295577 0 35607 SHEILA D SCHWARTZ FORMER KEY EMPLOYEE 40.00 2.00 X 176025 0 22774 DAVID SELMAN FORMER KEY EMPLOYEE 0.00 0.00 X 283327 0 20235 14546354 3731757 4182656 144 1 1 0 MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 60693 SOFTWARE SUPPORT 5704842 ENTERPRISE SOFTWARE DEPLOYMENT 5151 MONROE ST STE 101 TOLEDO OH 43623 SOFTWARE DEPLOYMENT 5332547 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 LAB TESTING 4993290 CROTHALL LAUNDRY SERVICES LIMA 1010 E HIGH STREET LIMA OH 45804 LINEN SERVICES 4445212 LEIDOS HEALTH LLC 705 EAST MAIN ST WESTFIELD IN 46074 CONSULTING SERVICES 4188169 128 31559885 403297 1089 31963182 INVEST. IN AFFILIATES 551114 286995740 286995740 ADMIN. SUPPORT SERV. 551114 205579619 205579619 COMMUNITY WELLNESS 900099 237745 237745 CPR TRAINING CENTER 900099 156558 156558 NURSING EDUCATION 900099 8930 8930 492978592 -56178 -31852 -24326 653804 636087 3339 17717 -3339 14378 14378 MEDICAL RECORDS 900099 315304 315304 MANAGEMENT FEE 541610 1327 1327 316631 525216605 493293896 -30525 -9948 16156856 16156856 43000 43000 13199736 13199736 88067953 67814415 20253538 3886240 3108992 777248 10658264 8526611 2131653 6039896 4831917 1207979 688465 688465 1920969 1920969 21458927 17167142 4291785 3760666 3175833 584833 5410631 4328505 1082126 26963522 21570818 5392704 1093946 875157 218789 1423830 1139064 284766 15552254 12441803 3110451 MINOR EQUIPMENT 1777576 1422061 355515 0 DUES & SUBSCRIPTIONS 617141 493713 123428 0 EQUIPMENT RENTAL 346335 277068 69267 0 RECRUITMENT 321254 257003 64251 0 483805 387043 96762 219871266 177216737 42654529 0 1804745 6912741 1211 4027 87501 20899942 19021184 134642977 86522467 42892577 48120510 15196266 1608262 32789681 38274987 1913791626 2222298237 2027376048 2336327449 61696220 71339296 109101753 41024125 170797973 112363421 X 1856334765 2223623128 243310 340900 0 1856578075 2223964028 2027376048 2336327449 X 305345339 3902544 58138070 X 0 1 X 1 0 X X X 0 0 0 BAY PARK COMMUNITY HOSPITAL 341883132 3 0 1 1 0 DEFIANCE HOSPITAL INC 344446484 3 0 1 1 0 EMMA L BIXBY MEDICAL CENTER 382796005 3 0 1 1 0 FLOWER HOSPITAL 344428794 3 0 1 1 0 FOSTORIA HOSPITAL ASSOCIATION 340898745 3 0 1 1 0 HERRICK MEMORIAL HOSPITAL INC 383049015 3 0 1 1 0 LENAWEE LONG TERM CARE 382879330 9 0 1 1 0 PROMEDICA CONTINUING CARE SERVICES CORPORATION 344492440 9 0 1 1 0 PROMEDICA PHYSICIAN GROUP 341899439 9 0 1 1 0 ST LUKE'S HOSPITAL 344428232 3 0 1 1 10000000 THE TOLEDO HOSPITAL 344428256 3 0 1 1 0 TOLEDO DISTRICT NURSE ASSOCIATION 344427949 9 0 1 1 0 VISITING NURSE HOSPICE & HEALTH CARE 341831624 9 0 1 1 0 KAITLYN'S COTTAGE INC 454781053 9 0 1 1 0 14 10000000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1958385 1958385 8417309 1576230 6841079 2525901 802889 1723012 117090544 84143348 32947196 4650838 4650838 48120510 INVESTMENT IN AFFILIATES 2134411847 DUE FROM AFFILIATES 64588175 DEFERRED COMPENSATION 22373325 OTHER NON-CURRENT ASSET 778428 OTHER RECEIVABLES 146462 2222298237 DUE TO AFFILIATES 9814920 DEFERRED COMPENSATION 22373325 PENSION LIABILITY 8057452 CONTINGENT LIABILITIES 778428 41024125 X PART X, LINE 2: PROMEDICA HEALTH SYSTEM, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS). THE FOLLOWING REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740. EXCEPT AS NOTED BELOW, PHS DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 AND 2012. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $1,059,000 AND $1,552,000, RESPECTIVELY. THE SUBSIDIARY RECOGNIZED A CREDIT FOR INTEREST AND PENALTIES WITHIN THE INCOME TAX EXPENSE LINE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS RELATED TO UNRECOGNIZED TAX BENEFITS OF $20,000 AND $117,000 AS OF DECEMBER 31, 2013 AND 2012, RESPECTIVELY. PROMEDICA HEALTH SYSTEM, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 AND 2012. CENTRAL AMERICA & THE CARIBBEAN INVESTMENTS 99485000 0 0 0 0 0 0 99485000 0 99485000 1 0 1 0 1 0 1 ST LUKE'S HOSPITAL 5901 MONCLOVA RD MAUMEE OH 43537 344428232 501(C)(3) 10000000 OPERATING GRANT ST LUKE'S HOSPITAL FOUNDATION 5901 MONCLOVA RD MAUMEE OH 43537 341292849 501(C)(3) 6333 OPERATING GRANT PROMEDICA FOUNDATION 2142 NORTH COVE BLVD TOLEDO OH 43606 341517672 501(C)(3) 83684 OPERATING GRANT ADRIAN HIGH SCHOOL 785 RIVERSIDE AVE ADRIAN MI 49221 386002265 501(C)(3) 5500 CHARITABLE DONATION AMERICAN CANCER SOCIETY 740 COMMERCE DR SUITE B PERRYSBURG OH 43551 131788491 501(C)(3) 10550 CHARITABLE DONATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 752843543 135613797 501(C)(3) 13000 CHARITABLE DONATION AMERICAN RED CROSS 644 SUMMIT ST FOSTORIA OH 44830 311352067 501(C)(3) 8000 CHARITABLE DONATION BITTERSWEET FARMS 12660 ARCHBOLD-WHITEHOUSE RD WHITEHOUSE OH 43571 341218722 501(C)(3) 5250 CHARITABLE DONATION BOYS AND GIRLS CLUBS OF TOLEDO 2250 N DETROIT AVE TOLEDO OH 43606 344427933 501(C)(3) 20500 CHARITABLE DONATION CEDAR CREEK CHURCH 29129 LIME CITY ROAD PERRYSBURG OH 43551 341789315 501(C)(3) 15000 CHARITABLE DONATION CHRIST EPISCOPAL CHURCH OF BRADENTON 4030 MANATEE AVENUE WEST BRADENTON FL 342051717 590917217 501(C)(3) 10300 CHARITABLE DONATION CITY OF TOLEDO 1 GOVERNMENT CENTER TOLEDO OH 43604 346401447 GOV'T ENTITY 10250 CHARITABLE DONATION CYSTIC FIBROSIS FOUNDATION 2265 LIVERNOISE SUITE 410 TROY MI 480831606 381723341 501(C)(3) 7000 CHARITABLE DONATION ERNST & YOUNG FOUNDATION 200 PLAZA DR SECAUCUS NJ 07094 136094489 501(C)(3) 15000 CHARITABLE DONATION GASPARILLA ISLAND CONSERVATION & IMPROVEMENTS ASSOCIATION PO BOX 446 BOCA GRANDE FL 33921 237097778 501(C)(3) 6000 CHARITABLE DONATION TOLEDO SCIENCE CENTER DBA IMAGINATION STATION ONE DISCOVERY WAY TOLEDO OH 436041579 311337258 501(C)(3) 7500 CHARITABLE DONATION JUNIOR LEAGUE OF TOLEDO 3454 OAK VALLEY COURT SUITE 1000 TOLEDO OH 43606 340902282 501(C)(3) 7500 CHARITABLE DONATION KIDS UNLIMITED 8927 ROYAL OAK DR HOLLAND OH 43528 204487408 501(C)(3) 10000 CHARITABLE DONATION LENAWEE COMMUNITY FOUNDATION PO BOX 142 TECUMSEH MI 49286 386095474 501(C)(3) 8000 CHARITABLE DONATION MERCY COLLEGE OF NORTHWEST OHIO 2221 MADISON AVE TOLEDO OH 43624 341726619 501(C)(3) 100000 CHARITABLE DONATION LIMA MEMORIAL HOSPITAL FOUNDATION 1001 BELLEFONTAINE RD LIMA OH 45804 341707570 501(C)(3) 10000 CHARITABLE DONATION LOURDES COLLEGE 6832 CONVENT BLVD SYLVANIA OH 43560 341226547 501(C)(3) 21650 CHARITABLE DONATION MAKE A WISH FOUNDATION 405 MADISON AVE TOLEDO OH 43604 341430961 501(C)(3) 11000 CHARITABLE DONATION MARCH OF DIMES 10806 KENWOOD RD CINCINNATI OH 45242 131846366 501(C)(3) 26500 CHARITABLE DONATION MAUMEE VALLEY COUNTRY DAY 1715 S REYNOLDS RD TOLEDO OH 436141499 344431301 501(C)(3) 7250 CHARITABLE DONATION NORTHWEST OHIO SCHOLARSHIP FUND 1933 SPIELBUSCH AVE TOLEDO OH 436045360 311639134 501(C)(3) 17000 CHARITABLE DONATION OHIO CANCER RESEARCH ASSOCIATES 50 W BROAD ST SUITE 1132 COLUMBUS OH 432153388 311038309 501(C)(3) 10000 CHARITABLE DONATION RONALD MCDONALD HOUSE OF TOLEDO 3883 MONROE ST TOLEDO OH 43606 341349742 501(C)(3) 2006000 CHARITABLE DONATION FORT LAUDERDALE ROTARY 1090 FOUNDATION INC PO BOX 266495 FORT LAUDERDALE FL 33326 237247846 501(C)(3) 6000 CHARITABLE DONATION SANDUSKY COUNTY ECONOMIC DEVELOPMENT CORP 2511 COUNTRYSIDE DR STE C FREMONT OH 43420 341424666 501(C)(3) 20000 CHARITABLE DONATION ST FRANCIS DE SALES HIGH SCHOOL 2323 W BANCROFT ST TOLEDO OH 43607 344465715 501(C)(3) 30300 CHARITABLE DONATION ST JOHN'S JESUIT HIGH SCHOOL 5901 AIRPORT HIGHWAY TOLEDO OH 436157399 340966076 501(C)(3) 7000 CHARITABLE DONATION THE TOLEDO SYMPHONY 1838 PARKWOOD AVE TOLEDO OH 436242502 344005365 501(C)(3) 384250 CHARITABLE DONATION THE TOLEDO ZOO PO BOX 140130 TOLEDO OH 436140801 344440256 501(C)(3) 27200 CHARITABLE DONATION TOLEDO CLASSIC INC 4405 DORR ST TOLEDO OH 436072139 341499072 501(C)(3) 20900 CHARITABLE DONATION TOLEDO COMMUNITY FOUNDATION 300 MADISON AVE TOLEDO OH 43604 237284004 501(C)(3) 1274200 CHARITABLE DONATION LIBRARY LEGACY FOUNDATION OF THE TOLEDO-LUCAS COUNTY PUBLIC LIBRARY 325 MICHIGAN ST TOLEDO OH 436241628 341632308 501(C)(3) 7367 CHARITABLE DONATION TOLEDO MUSEUM OF ART 2445 MONROE ST TOLEDO OH 43620 344434678 501(C)(3) 1039750 CHARITABLE DONATION TOLEDO OPERA 425 JEFFERSON AVE SUITE 601 TOLEDO OH 436041066 346556139 501(C)(3) 25000 CHARITABLE DONATION TOLEDO ROCKETS SPORT PROGRAM 2801 W BANCROFT ST MS302 TOLEDO OH 43606 430998586 501(C)(3) 82500 CHARITABLE DONATION UNITED WAY 424 JACKSON ST TOLEDO OH 43604 344427947 501(C)(3) 61000 CHARITABLE DONATION UNIVERSITY OF TOLEDO 2801 BANCROFT TOLEDO OH 43606 346555110 501(C)(3) 316233 CHARITABLE DONATION WGTE PUBLIC BROADCASTING FOUNDATION OF NOW 136 HURON ST PO BOX 30 TOLEDO OH 43697 346554586 501(C)(3) 15500 CHARITABLE DONATION YWCA 1018 JEFFERSON AVENUE TOLEDO OH 43604 344428265 501(C)(3) 26750 CHARITABLE DONATION REGIONAL GROWTH PARTNERSHIP 300 MADISON AVE SUITE 270 TOLEDO OH 43604 341823833 501(C)(6) 100000 CHARITABLE DONATION 44 1 EDUCATIONAL ASSISTANCE 26 43000 PART I, LINE 2: AS THE PARENT COMPANY OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE POLICIES EXIST TO ENSURE THAT THE APPROVAL AND DISTRIBUTION OF FOUNDATION FUNDS ARE CONSISTENT WITH THE APPROVED SUPPORTED ORGANIZATION STRATEGIC PLAN AND DOCUMENTED DONOR INTENT. ALL REQUESTS FOR FUNDS MUST BE SUBMITTED ON THE "FUND UTILIZATION REQUEST" FORM AND INCLUDE WRITTEN SUPPORTING DOCUMENTATION AND APPROPRIATE APPROVALS DEPENDING ON THE DOLLAR AMOUNT OF THE REQUEST. ON A MONTHLY BASIS, A REPORT LISTING ALL FUND DISTRIBUTIONS IS DISTRIBUTED TO THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF PHILANTHROPIC OFFICER. AS THE PARENT COMPANY OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES. X 1 1 X X X X 1 1 0 0 0 0 1 1 0 BRUCE A BARNETT MD TRUSTEE 0 466549 0 0 0 5927 0 17000 0 6293 0 495769 0 0 PAUL D BERLACHER MD TRUSTEE 0 573493 0 120006 0 36686 0 67000 0 25223 0 822408 0 0 EMMETT T BOYLE JR MD TRUSTEE 315 444781 0 0 0 30985 0 7650 0 20389 315 503805 0 0 PETER DZIAD MD TRUSTEE 0 494619 0 81141 0 36686 0 17000 0 16569 0 646015 0 0 THOMAS M HOUSTON MD TRUSTEE 0 158637 0 0 0 911 0 0 0 12907 0 172455 0 0 SAMANTHA M MUCHA MD TRUSTEE 0 480031 0 0 0 15622 0 17000 0 24354 0 537007 0 0 JAMES L NORTH MD TRUSTEE 0 170206 0 13384 0 16453 0 8500 0 25465 0 234008 0 0 ANNE T RUCH MD TRUSTEE 0 402859 0 0 0 24690 0 17000 0 7766 0 452315 0 0 RANDALL OOSTRA PRESIDENT 909149 0 397620 0 58133 0 258503 0 13855 0 1637260 0 0 0 KATHLEEN S HANLEY TREASURER 460254 0 196212 0 43667 0 89856 0 14946 0 804935 0 0 0 JEFFREY C KUHN SECRETARY 355991 0 144956 0 20323 0 52946 0 21006 0 595222 0 0 0 GARY AKENBERGER SR. VP FINANCE, PHS 224600 0 79130 0 32403 0 49671 0 22624 0 408428 0 0 0 MARTIN DANSACK VP ACCTG & TAXATION, PHS 148893 0 33835 0 8741 0 21888 0 13191 0 226548 0 0 0 THOMAS DELLA-FLORA VP INFORMATION SVCS., PHS 126870 0 39803 0 41400 0 248642 0 16577 0 473292 0 0 0 ROBERT FREDRICK SR. VP ACADEMIC AFFAIRS 306560 0 78328 0 21896 0 62676 0 7702 0 477162 0 0 0 LEE W HAMMERLING MD CMO & PRESIDENT, PPCS 497534 0 217001 0 46160 0 62534 0 14912 0 838141 0 0 0 A DAVID JAMES PRESIDENT, POPULATION HEALTH 192600 0 116705 0 23659 0 17470 0 567 0 351001 0 0 0 JEFFREY KELLER VP HR OPERATIONS, PHS 175379 0 39175 0 3527 0 424291 0 6866 0 649238 0 0 0 KATHLEEN KRUEGER PRES., SUPPLY CHAIN & SR. VP QPMS 208483 0 69441 0 5857 0 15784 0 13894 0 313459 0 0 0 ROSE ANN LAURETO CHIEF INFORMATION OFFICER 339741 0 25000 0 24651 0 7650 0 6292 0 403334 0 0 0 WILLIAM MUELLER CHIEF PHARMACY OFFICER 241031 0 78820 0 16380 0 26692 0 14101 0 377024 0 3890 0 SUSAN PAYDEN VP TREASURY, PHS 167197 0 56234 0 2417 0 32276 0 20818 0 278942 0 15084 0 BARBARA PETEE CHIEF ADV., GOV. & COMM. REL. 201118 0 93086 0 12918 0 42772 0 674 0 350568 0 0 0 ARTURO POLIZZI CHIEF HR OFFICER & COO, TTH 297513 0 159204 0 8275 0 36854 0 19332 0 521178 0 29804 0 STEPHEN SADOWSKI DEPUTY GENERAL COUNSEL 197087 0 25 0 1895 0 6001 0 17879 0 222887 0 0 0 ALAN M SATTLER PRESIDENT, ACUTE CARE 254760 0 75691 0 38214 0 47884 0 22255 0 438804 0 0 0 BARBARA S STEELE ACTING CHIEF PHILAN. OFFICER 699260 0 228373 0 67431 0 1162120 0 7316 0 2164500 0 0 0 KAREN L STRAUSS CHIEF MKT., STRAT., & COMM. 247635 0 0 0 9436 0 8834 0 10514 0 276419 0 0 0 KAREN VAHALIK VP INFORMATION SVCS., ACUTE CARE 144904 0 49430 0 1805 0 30895 0 10997 0 238031 0 0 0 RONALD WACHSMAN SR. VP, MANAGED CARE 146266 0 59268 0 78327 0 318013 0 14274 0 616148 0 0 0 KEVIN C WEBB PHD PRESIDENT, ACUTE CARE 375870 0 97758 0 9777 0 40158 0 12543 0 536106 0 0 0 LORI JOHNSTON PRESIDENT AND CAO, PPG 243222 0 74193 0 15068 0 36630 0 18840 0 387953 0 0 0 KHURRAM KAMRAN VP, MEDICAL OPERATIONS, ACUTE CARE 257858 157105 55845 0 2482 0 16554 0 24495 0 357234 157105 0 0 NEERAJ KANWAL VP MED. AFFAIRS, TTH 285896 0 60847 0 5805 0 25981 0 23076 0 401605 0 0 0 JOHN RANDOLPH PRESIDENT, PARAMOUNT INSURANCE CORP 419506 0 168269 0 29035 0 79151 0 20095 0 716056 0 0 0 DANIEL L WAKEMAN PRESIDENT, ST. LUKE'S HOSPITAL 277038 0 83578 0 3001 0 24522 0 14398 0 402537 0 0 0 KEN ARMSTRONG FORMER KEY EMPLOYEE 205206 0 111806 0 2131 0 37776 0 12607 0 369526 0 14685 0 DAWN BUSKEY FORMER KEY EMPLOYEE 215582 0 71538 0 9304 0 39864 0 11039 0 347327 0 0 0 JOHN HORNS FORMER KEY EMPLOYEE 0 0 0 0 168775 0 0 0 0 0 168775 0 0 0 JOHN MEIER FORMER KEY EMPLOYEE 264543 986 60475 0 5725 0 33379 0 10943 0 375065 986 14517 0 ROBERT REITER FORMER KEY EMPLOYEE 0 0 0 0 512956 0 0 0 0 0 512956 0 0 0 GLADEEN ROBERTS PHD FORMER KEY EMPLOYEE 0 0 69502 0 280048 0 2403 0 14626 0 366579 0 280908 0 RANDALL SCHIMMOELLER FORMER KEY EMPLOYEE 208818 0 62744 0 24015 0 22966 0 12641 0 331184 0 0 0 SHEILA D SCHWARTZ FORMER KEY EMPLOYEE 50590 0 105509 0 19926 0 22134 0 640 0 198799 0 0 0 DAVID SELMAN FORMER KEY EMPLOYEE 0 0 54305 0 229022 0 6669 0 13566 0 303562 0 228600 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS 5 TERMED EMPLOYEES INCLUDED IN TAXABLE COMPENSATION 4 ACTIVE EMPLOYEES INCLUDED IN TAXABLE COMPENSATION PART I, LINE 4A: AS PER OUR EMPLOYMENT AGREEMENT, UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. THOMAS DELLA-FLORA - $39,741 GLADEEN ROBERTS, PHD - $280,908 DAVID SELMAN - $228,600 RONALD WACHSMAN - $49,937 PART I, LINE 4B: ALL EMPLOYEES AND AMOUNTS LISTED ARE VOLUNTARY DEFERRALS OR COMPANY CONTRIBUTIONS TO VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. WILLIAM MUELLER - $3,901 ROBERT REITER - $512,956 PART I, LINE 6: CERTAIN LISTED PERSONS RECEIVE INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS. PART I, LINE 7: AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF GOALS IN THE AREAS OF 1) INTEGRATED DELIVERY SYSTEM DEVELOPMENT; 2) COMMUNITY SERVICE; 3) QUALITY, SAFETY AND SERVICE; 4) FINANCIAL RESPONSIBILITY; AND 5) WORKFORCE DEVELOPMENT. PART V PART V PART V X 87501 87501 0 1 1 87501 SEE PART V SEE PART V 44337 SEE PART V 0 SEE PART V SEE PART V 109244 SEE PART V 0 SEE PART V SEE PART V 168323 SEE PART V 0 SEE PART V SEE PART V 3230925 SEE PART V 0 SEE PART V SEE PART V 250000 SEE PART V 0 SCH L, PART II, LOANS TO AND FROM INTERESTED PERSONS: (A) NAME OF PERSON: RANDALL OOSTRA, PRESIDENT(B) RELATIONSHIP WITH ORGANIZATION: RANDALL OOSTRA IS PRESIDENT AND CEO OF PROMEDICA HEALTH SYSTEM, INC.(C) PURPOSE OF LOAN: LIFE INSURANCE PREMIUM PAYMENTS(D) LOAN TO OR FROM THE ORGANIZATION: LOAN FROM THE ORGANIZATION(E) ORIGINAL PRINCIPAL AMOUNT: $87,501(F) BALANCE DUE: $87,501(G) IN DEFAULT? = NO(H) APPROVED BY BOARD OR COMMITTEE? = YES(I) WRITTEN AGREEMENT? = YES SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: TYLER CHIRDON(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TYLER CHIRDON IS A FAMILY MEMBER OF ROBERT J. CHIRDON (EX OFFICIO).(C) AMOUNT OF TRANSACTION: $44,337(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: DAVID WOLFF(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID WOLFF IS A FAMILY MEMBER OF KATHLEEN S. HANLEY (TREASURER).(C) AMOUNT OF TRANSACTION: $109,244(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: COOPER & KOWALSKI, LPA(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: PARISS M. COLEMAN, II (EX OFFICIO) IS AN OFFICER AND GREATER THAN 5% OWNER OF COOPER & KOWALSKI, LPA.(C) AMOUNT OF TRANSACTION: $168,323(D) DESCRIPTION OF TRANSACTION: LEGAL SERVICES(E) SHARING OF ORGANIZATION REVENUES? = NO SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: HYLANT GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RICHARD C. HYLANT (TRUSTEE) IS AN OFFICER AND GREATER THAN 5% OWNER OF HYLANT GROUP.(C) AMOUNT OF TRANSACTION: $3,230,925(D) DESCRIPTION OF TRANSACTION: INSURANCE(E) SHARING OF ORGANIZATION REVENUES? = NO SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: EMMETT T. BOYLE, JR., MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMMETT T. BOYLE, JR., MD IS A BOARD MEMBER OF PROMEDICA HEALTH SYSTEM, INC.(C) AMOUNT OF TRANSACTION: $250,000(D) DESCRIPTION OF TRANSACTION: PROMEDICA HEALTH SYSTEM, INC. IS IN A JOINT VENTURE WITH EMMETT T. BOYLE, JR., MD AND OTHERS(E) SHARING OF ORGANIZATION REVENUES? = NO FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES CONSISTS OF NOT LESS THAN THREE (3) TRUSTEES NOR MORE THAN SEVEN (7) TRUSTEES. WITHIN THESE PARAMETERS, THE COMPOSITION OF THE EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE VICE CHAIRPERSON/CHAIR ELECT, THE CHIEF EXECUTIVE OFFICER AND SUCH OTHER TRUSTEES AS DESIGNATED BY THE GOVERNANCE COMMITTEE. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE PROMEDICA HEALTH SYSTEM, INC. BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. ONE BOARD MEMBER, DR. LLOYD A. JACOBS, MD, HAS VOTING PRIVILEGES LIMITED TO ACADEMIC ISSUES ONLY. FORM 990, PART VI, SECTION A, LINE 6 AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS INDIVIDUALS AS ITS MEMBERS THAT SERVE AS ITS BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER OF PROMEDICA HEALTH SYSTEM, INC. IS ITS BOARD OF TRUSTEES. ALL CORPORATE ACTIONS REQUIRE APPROVAL BY A MAJORITY VOTE OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY THE RESPECTIVE COMPANY'S PRESIDENT OR A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE WITHIN 30 DAYS OF NOTIFICATION. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED, COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT, AND A LIST OF ALL NEW EMPLOYEES HIRED DURING THE PREVIOUS 12 MONTHS. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION/POST-RETIREMENT EXPENSE ADJUSTMENT 58,138,070. FORM 990, PART VI, SECTION B, LINE 16B: JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS) INCLUDE PROVISIONS TO PROTECT PHS' TAX EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES. FORM 990, PART III, LINE 4: PROMEDICA HEALTH SYSTEM - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2013 TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. PROMEDICA'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THIS IS REFLECTED IN OUR FOUR CORE VALUES, INCLUDING: COMPASSION - WE TREAT OUR PATIENTS AND EACH OTHER WITH RESPECT, INTEGRITY AND DIGNITY; INNOVATION - WE CONTINUALLY SEARCH TO FIND A BETTER WAY FORWARD; TEAMWORK - WE PARTNER WITH OTHERS BECAUSE WE ARE BETTER TOGETHER THAN APART; AND EXCELLENCE - WE STRIVE TO BE THE BEST IN ALL WE DO. PROMEDICA AND ITS AFFILIATES COMPRISE 320 SITES, MORE THAN 1,800 PHYSICIANS AND APPROXIMATELY 15,000 EMPLOYEES AND VOLUNTEERS. DURING 2013, PROMEDICA DISCHARGED 69,357 INPATIENTS AND SERVED MORE THAN 1,394,807 OUTPATIENTS, WHILE HANDLING 269,606 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2013, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 33 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $3.01 BILLION. WE ALSO CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. ADDITIONALLY, OUR PHYSICIANS, LEADERSHIP TEAM MEMBERS AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING, PROVIDING MONTHLY HEALTH LECTURES AT LOCAL SENIOR CENTERS, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE GOODS TO NUMEROUS LOCAL FOOD PANTRIES AND CHURCHES - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); AND ST. LUKE'S HOSPITAL. IN 2013, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH MORE THAN 550 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS; THEY HELP PROMEDICA TO BROADEN THE CARE WE OFFER AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2013, PARAMOUNT ADVANTAGE BEGAN PROVIDING MEDICAID COVERAGE IN ALL OF OHIO'S 88 COUNTIES. TO SUPPORT THESE EFFORTS PARAMOUNT OPENED FIELD OFFICES IN CLEVELAND, COLUMBUS AND THE CINCINNATI/DAYTON AREA. - ACADEMIC HEALTH CENTER CORPORATION, AN ACADEMIC RELATIONSHIP BETWEEN PROMEDICA AND THE UNIVERSITY OF TOLEDO, CONTINUED TO PROMOTE RESEARCH AND EDUCATION THROUGHOUT THE REGION. PROMEDICA HAS ADDITIONAL ACADEMIC RELATIONSHIPS WITH NUMEROUS OTHER INSTITUTIONS INCLUDING THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - TWELVE CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES FOR THEIR RESPECTIVE HOSPITALS/BUSINESS UNITS AND FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE FLOWER HOSPITAL CAMPUS. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR THE HEALTH AND WELL-BEING OF OTHERS, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH MORE THAN 300 LOCAL NONPROFIT AGENCIES AND ORGANIZATIONS IN 2013 THAT HAD VALUES AND MISSIONS SIMILAR TO OUR OWN. PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, A FEW EXAMPLES FROM 2013 INCLUDE THE FOLLOWING: - PROMEDICA SPONSORED A SCHOOL-BASED FOOD DRIVE CHALLENGE AS PART OF ITS COME TO THE TABLE INITIATIVE. SCHOOLS RAISED MORE THAN 17,000 POUNDS OF NON-PERISHABLE FOOD ITEMS FOR COMMUNITY FOOD PROGRAMS ACROSS PROMEDICA'S SERVICE AREA. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 70 CENTRAL-CITY TEENS AGES 16 19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - PROMEDICA SYSTEM GRANTS SUBMITTED AN APPLICATION FOR $24 MILLION OVER THREE YEARS TO THE CMS HEALTH CARE INNOVATION AWARDS, ROUND 2. THE PROPOSED POPULATION HEALTH MODEL INTEGRATES EVIDENCE-BASED CLINICAL PROGRAMS AND COMMUNITY SERVICES INCLUDING EDUCATION AND OUTREACH, WELLNESS AND PREVENTION, SOCIAL SUPPORT SERVICES, CASE AND DISEASE MANAGEMENT, HOME CARE COORDINATION AND TELEMEDICINE, CLINICAL PHARMACY - MEDICATION ADHERENCE, AND CARE NAVIGATION AS MEANS FOR IMPROVING COMMUNITY HEALTH AND WELL-BEING. - PROMEDICA FURTHER ENHANCED ITS RELATIONSHIP WITH CLEVELAND CLINIC IN 2013, SIGNING A MEMORANDUM OF UNDERSTANDING TO DEVELOP A HEALTH SYSTEM AFFILIATION THAT WILL ALLOW THE TWO ORGANIZATIONS TO CREATE A CLINICALLY ALIGNED NETWORK FOCUSED ON PROVIDING HIGH-QUALITY, COST-EFFECTIVE AND TECHNOLOGICALLY ADVANCED CLINICAL SERVICES. - PROMEDICA CONTINUED ITS INITIATIVE TO FIGHT OBESITY BY INTRODUCING A PILOT PROGRAM FOR CHILDREN AND ADOLESCENTS WITH A BODY MASS INDEX (BMI) THAT CLASSIFIES THEM AS OBESE. FAMILIES MEET QUARTERLY OVER A 12-MONTH PERIOD WITH A DIETITIAN IN A PHYSICIAN'S OFFICE OR OUTPATIENT CLINIC TO RECEIVE NUTRITION COUNSELING AND ASK QUESTIONS. EACH CHILD'S BMI AND RESPONSES TO A HEALTH QUESTIONNAIRE WILL BE COMPARED BEFORE, DURING AND AFTER THE 12-MONTH PERIOD TO DETERMINE THE PROGRAM'S EFFECTIVENESS. - COORDINATED THROUGH OUR ADVOCACY DEPARTMENT, PROMEDICA CONTINUED TO PROVIDE HEALTH AND NUTRITION EDUCATION TO ELEMENTARY SCHOOL CHILDREN IN GRADES 1 - 6. THE HEALTHY KIDS CONVERSATION MAP(R) PROGRAM IS DESIGNED TO EMPOWER STUDENTS AND THEIR PARENTS/GUARDIANS TO MAKE HEALTHY CHOICES ABOUT FOOD AND EXERCISE. - PROMEDICA PHYSICIANS EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING 88 NEW PRIMARY CARE PHYSICIANS AND SPECIALISTS IN 2013. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED APPROXIMATELY 8,000 FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA ESTABLISHED A FOOD RECLAMATION PROGRAM IN PARTNERSHIP WITH HOLLYWOOD CASINO (ROSSFORD, OHIO), AS WELL AS THE TOLEDO AND FLOWER HOSPITALS, PROVIDING MORE THAN 70,000 POUNDS OF REPACKAGED, UN-SERVED FOOD TO COMMUNITY FEEDING SITES. - PROMEDICA CANCER INSTITUTE'S COMMUNITY OUTREACH INCLUDED SCREENINGS FOR SKIN AND PROSTATE CANCERS, THE FOURTH ANNUAL SURVIVOR CELEBRATION FOR CANCER SURVIVORS, FRIENDS AND CAREGIVERS, AND SPONSORSHIP OF THE ANNUAL SUSAN G. KOMEN RACE(R) FOR THE CURE IN SUPPORT OF BREAST CANCER RESEARCH. - THROUGH ITS ADVOCACY FUND, PROMEDICA CONTINUED TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH BASIC NECESSITIES THAT DIRECTLY IMPACT INDIVIDUALS' HEALTH AND WELL-BEING. THIS SUPPORT AMOUNTED TO GRANTS TOTALING NEARLY $400,000 IN 2013. - PROMEDICA BEGAN CONSTRUCTION OF THE 55,000 SQUARE FOOT MARY ELLEN FALZONE DIABETES CENTER. OPENING IN 2014, THE FACILITY IS NAMED FOR A YOUNG GIRL WHO DIED FROM JUVENILE DIABETES BEFORE HER FAMILY EVEN KNEW SHE HAD THE DISEASE. LOCATED ON THE CAMPUS OF THE TOLEDO HOSPITAL, IT WILL BRING DIABETES PROGRAMS, SERVICES AND PHYSICIANS TOGETHER IN ONE CONVENIENT LOCATION TO SERVE ALL COMMUNITY MEMBERS WORKING TO MANAGE THEIR DIABETES. - FLOWER HOSPITAL BEGAN RENOVATIONS TO ADD PRIVATE PATIENT ROOMS FOR INPATIENTS AND EXPAND ITS PSYCHIATRIC CARE UNIT. - PROMEDICA CONTINUING CARE SERVICES CORPORATION, IN PARTNERSHIP WITH PARAMOUNT INSURANCE, BEGAN OFFERING TELEHEALTH MONITORING SERVICES TO ELIGIBLE HOME-CARE PATIENTS TO REDUCE HOSPITAL READMISSIONS BY CAREFUL DAILY MONITORING OF VITAL STATISTICS, NUTRITION AND MEDICATION ADHERENCE. - WITH OTHER COMMUNITY PARTNERS, PROMEDICA INTRODUCED THE WITNESS TO HUNGER PHOTO EXHIBIT AT THE TOLEDO MUSEUM OF ART. PHOTOS WERE TAKEN BY INDIVIDUALS FACING HUNGER IN THEIR DAILY LIVES TO DEMONSTRATE ITS IMPACT ON FAMILIES, CHILDREN AND OLDER ADULTS IN OUR COMMUNITY. - BAY PARK COMMUNITY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, FLOWER HOSPITAL, ST. LUKE'S HOSPITAL, THE TOLEDO HOSPITAL, TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL), AND WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL) SUCCESSFULLY COMPLETED THE 90-DAY REPORTING PERIOD TO VERIFY ADOPTION OF ELECTRONIC HEALTH RECORDS (EHRS). BESIDES IMPROVING BOTH CARE AND CARE COORDINATION, EHRS ARE EXPECTED TO ENSURE ADEQUATE PRIVACY AND SECURITY FOR PERSONAL HEALTH INFORMATION. THEY ALSO AIM TO REDUCE HEALTH DISPARITIES AND IMPROVE POPULATION AND PUBLIC HEALTH. - PROMEDICA PHYSICIANS INTRODUCED ITS NEW PROMEDICA PATIENT PORTAL AT ALL PRIMARY CARE AND SPECIALIST PRACTICES. THE PATIENT PORTAL IS A FREE AND SECURE PLATFORM FOR PATIENTS TO SCHEDULE APPOINTMENTS, MONITOR HEALTH RECORDS, AND OBTAIN CERTAIN LAB TEST RESULTS FROM THE CONVENIENCE OF THEIR OWN HOME COMPUTER. - PROMEDICA PHYSICIANS OPENED PROMEDICA AFTERHOURS IN PERRYSBURG, PROVIDING RESIDENTS WITH DIAGNOSIS AND TREATMENT FOR NON-EMERGENCY MEDICAL ISSUES AS WELL AS PRESCRIPTION SERVICES. PROVIDING NEW OPTIONS FOR MEDICAL CARE WHEN PHYSICIAN OFFICES NORMALLY ARE CLOSED, AFTERHOURS IS STAFFED BY PROMEDICA PHYSICIANS CERTIFIED NURSE PRACTITIONERS AND IS OPEN NIGHTS, WEEKENDS AND HOLIDAYS 365 DAYS A YEAR. - PROMEDICA EMPLOYEES PLEDGED MORE THAN $500,000 TO THE UNITED WAY CAMPAIGN IN 2013, SUPPORTING NUMEROUS COMMUNITY PROGRAMS AND SERVICES ACROSS NORTHWEST OHIO AND SOUTHEAST MICHIGAN. - PROMEDICA COLLABORATED WITH TOLEDO PUBLIC SCHOOLS' TOLEDO EARLY COLLEGE HIGH SCHOOL (TECHS) TO DEVELOP CURRICULUM FOR STUDENTS INTERESTED IN HEALTHCARE CAREERS AS PART OF THE STEMM (SCIENCE, TECHNOLOGY, ENGINEERING, MATHEMATICS, AND MEDICINE) PROGRAM. IN 2013, PROMEDICA CONTRIBUTED $129,920,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITIES WE SERVE. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $45,598,000 IN 2013. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; COLLEGE SCHOLARSHIPS FOR STUDENTS ENTERING HEALTHCARE CAREERS; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $30,212,000 IN FINANCIAL ASSISTANCE FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2013 WAS $27,571,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 NOTED ABOVE. FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO MEDICAL CENTER, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. ADDITIONALLY DURING 2013, PROMEDICA PROVIDED $54,110,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2013 WAS $93,196,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $129,920,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 400% OF THE FEDERAL POVERTY LEVEL. IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED AND ACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. COMMUNITY BENEFIT DEFINITIONS PROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (THE SYSTEM) PREPARES ITS COMMUNITY BENEFIT REPORTS USING REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY THE SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE MEDICAL OR HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, THE SYSTEM PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE FEDERAL POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. THE SYSTEM INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN THE SYSTEM'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE SYSTEM. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR INTERNSHIPS AND RESIDENCY EDUCATION, THE PROVISION OF A CLINICAL SETTING FOR UNDERGRADUATE/VOCATIONAL TRAINING FOR STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR EDUCATION THAT IS LINKED TO COMMUNITY SERVICES AND HEALTH IMPROVEMENT. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET PATIENT DEMAND. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR THE SYSTEM IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND/OR THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON WORK TIME; AS WELL AS DONATION OF FOOD, EQUIPMENT AND SUPPLIES. 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