2025-10-14T15:56:45-05:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 341517672 PROMEDICA FOUNDATION PROM 5675853618 100 MADISON AVE ATTN TAX DEPARTM TOLEDO OH 43604 TERRENCE METZGER CFO 5675853618 2025-10-13 1 1 AMY CIMINELLO P00796388 6148493000 2025-10-13 2024 2025-03-06 01:10:19Z TERRENCE METZGER 100 MADISON AVE ATTN TAX DEPARTMENT TOLEDO OH 43604 256199499 0 X WWW.PROMEDICA.ORG X 1986 OH THE PROMEDICA FOUNDATION'S MISSION IS TO GENERATE AND DIRECT THE UTILIZATION OF RESOURCES TO ENRICH EXISTING PROGRAMS AND FUND NEW SERVICES, INSPIRING EXCELLENT IN THE PROVISION OF HEALTH CARE AND ENHANCING QUALITY OF LIFE FOR THE PEOPLE OF OUR COMMUNITY. 5 0 0 100 0 0 6271430 26766753 0 0 10377686 5780692 -51971 -159542 16597145 32387903 18413926 13351309 0 0 2789158 1635138 257964 128516 2550078 3674875 4187802 25135923 19302765 -8538778 13085138 359883093 392846170 21416622 4225342 338466471 388620828 THE PROMEDICA FOUNDATION'S MISSION IS TO GENERATE AND DIRECT THE UTILIZATION OF RESOURCES TO ENRICH EXISTING PROGRAMS AND FUND NEW SERVICES, INSPIRING EXCELLENCE IN THE PROVISION OF HEALTH CARE AND ENHANCING QUALITY OF LIFE FOR THE PEOPLE OF OUR COMMUNITY. 0 0 13351309 13351309 0 PROMOTE HEALTH AND WELL-BEING WITH SUPPORT FOR MEDICAL CARE, MEDICAL EDUCATION, MEDICAL RESEARCH, AND SOCIAL DETERMINANTS OF HEALTH, AND BY SOLICITING CONTRIBUTIONS, PROVIDING GRANTS, AND INVESTING FUNDS TO GENERATE INCOME TO SUPPORT PROMEDICA HEALTH SYSTEM, INC. ENTITIES. 13351309 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X TERRENCE METZGER 4192525772 100 MADISON AVE TOLEDO OH 43604 X CHRISTI ANSBERG PRESIDENT/CHIEF PHILANTHROPY OFFICER 1.00 44.00 X X 0 246354 4057 ANGELA BRANDT TRUSTEE/CHIEF ADMINISTRATIVE OFFICER 1.00 44.00 X 0 1189894 12432 GARY CATES PRESIDENT - PART YEAR 1.00 44.00 X X 0 686162 5907 JAMES HOFFMAN CHAIRPERSON 1.00 1.00 X X 0 10000 0 BOB LACLAIR TRUSTEE 1.00 19.00 X 0 42500 0 ARTURO POLIZZI TRUSTEE/CEO 1.00 54.00 X X 0 3119320 14012 TERRENCE METZGER TREASURER/CFO 1.00 54.00 X 0 1209318 6610 STEPHEN SADOWSKI SECRETARY/CHIEF LEGAL OFFICER 1.00 54.00 X 0 1180376 6038 0 7683924 49056 0 0 1 0 0 920168 2241885 23604700 218923 26766753 2036595 2036595 227151152 222251040 1156015 4900112 -1156015 3744097 3744097 244996 920168 404541 -159545 -159545 DISCOUNTS 3 3 3 32387903 0 0 5621150 13128372 13128372 222937 222937 1321710 117031 1204679 31296 3349 27947 165729 17735 147994 116403 12457 103946 128516 128516 791143 791143 210322 210322 21799 21799 62609 62609 1401 1401 16854 16854 31225 31225 181833 181833 1834483 1834483 FOUNDATION ACTIVITIES 695449 695449 INTERCOMPANY SERVICES 236786 236786 BAD DEBT EXPENSE 58480 58480 SUPPLIES 32839 32839 12579 12579 19302765 13351309 3401378 2550078 818342 1361021 8750314 8996756 12380 0 1585257 1484852 0 56138 346250 1871250 346250 310066871 342591030 1109184 122787 331442 49600 35338053 37837736 359883093 392846170 385618 395718 21031004 3829624 21416622 4225342 X 208806545 258960902 129659926 129659926 338466471 388620828 359883093 392846170 X 13085138 22289561 14779658 X 0 1 X 1 1 1 X X 34 BAY PARK COMMUNITY HOSPITAL 341883132 3 1 69006 0 COMMUNITY HEALTH CENTER OF BRANCH COUNTY 386108110 3 1 22420 0 DEFIANCE HOSPITAL INC 344446484 3 1 103048 0 EMMA L BIXBY MEDICAL CENTER 382796005 3 1 681868 0 FOSTORIA HOSPITAL ASSOCIATION 340898745 3 1 126721 0 HCR MANORCARE INC 825373223 10 0 55218 0 HERRICK MEMORIAL HOSPITAL INC 383049015 3 1 0 0 LENAWEE LONG TERM CARE 382879330 10 0 0 0 MANOR CARE OF GIG HARBOR WA ASSOCIATION 260624719 10 0 0 0 MANOR CARE OF LACEY WA ASSOCIATION 260624391 10 0 0 0 MANOR CARE OF LYNNWOOD WA ASSOCIATION 260624675 10 0 0 0 MANOR CARE OF SALMON CREEK WA ASSOCIATION 260624375 10 0 0 0 MANOR CARE OF SPOKANE WA ASSOCIATION 260624687 10 0 0 0 MANOR CARE OF TACOMA WA ASSOCIATION 260624696 10 0 0 0 MEMORIAL HOSPITAL 344430849 3 1 288783 0 MEMORIAL PROFESSIONAL SERVICES 273763993 10 0 1200 0 MERCY MEMORIAL HOSPITAL CORPORATION 381984289 3 1 186620 0 MONROE COMMUNITY HEALTH SERVICES 382934134 10 0 0 0 PROMEDICA CENTRAL PHYSICIANS 341881137 10 0 1074 0 PROMEDICA CHILDRENS SPECIALISTS 208734161 10 0 0 0 PROMEDICA CONTINUING CARE SERVICES CORPORATION 344492440 10 0 0 0 PROMEDICA CONTINUUM SERVICES 341880767 10 0 0 0 PROMEDICA GENITO-URINARY SURGEONS 461120436 10 0 0 0 PROMEDICA HEALTH SYSTEM 341517671 10 1 1936000 0 PROMEDICA MONROE CARDIOLOGY 272920342 10 0 0 0 PROMEDICA MONROE PHYSICIANS 461111822 10 0 0 0 PROMEDICA MULTI SPECIALTY PHYSICIANS 454976786 10 0 0 0 PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS 263888045 10 0 0 0 PROMEDICA PHYSICIAN GROUP 341899439 10 1 0 0 PROMEDICA PHYSICIANS AT HOME INC 852181349 10 0 0 0 PROMEDICA PRIMARY CARE PROVIDERS 831731861 10 0 0 0 THE TOLEDO HOSPITAL 344428256 3 1 7488152 0 TOLEDO DISTRICT NURSE ASSOCIATION 344427949 10 0 0 0 VISITING NURSE HOSPICE AND HEALTH CARE 341831624 10 0 0 0 34 10960110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 12G, COLUMN IV: PROMEDICA FOUNDATION IS AN OHIO NOT-FOR-PROFIT CORPORATION THAT OPERATES TO SUPPORT, BENEFIT, AND, THROUGH ITS ACTIVITIES, CARRY OUT AND FURTHER THE PURPOSE OF PROMEDICA HEALTH SYSTEM, INC. (PHS) AFFILIATES. ALTHOUGH THEY ARE NOT NAMED INDIVIDUALLY IN THE GOVERNING DOCUMENTS, THE SUPPORTED ORGANIZATIONS ARE ALL AFFILIATES OF AND CONTROLLED BY PHS AND THE FOUNDATION SUPPORTS THEM IN FURTHERANCE OF ITS MISSION. PART IV, SECTION A, LINE 1: PROMEDICA HEALTH SYSTEM, INC. (34-1517671) & AFFILIATES ARE DESIGNATED BY THE CLASS AND PURPOSE LISTED ON SCHEDULE R, PART II. THE SUPPORTED ORGANIZATIONS ARE ALL DESIGNATED AS EITHER 509(A)(1) OR SECTION 509(A)(2) ORGANIZATIONS. PART IV, SECTION B, LINE 1: PROMEDICA FOUNDATION IS AN OHIO NOT-FOR-PROFIT CORPORATION THAT OPERATES TO SUPPORT, BENEFIT, AND, THROUGH ITS ACTIVITIES, CARRY OUT AND FURTHER THE PURPOSE OF PROMEDICA HEALTH SYSTEM, INC. (PHS) AFFILIATES. PROMEDICA FOUNDATION QUALIFIES AS A TYPE I SUPPORTING ORGANIZATION BECAUSE IT IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ALL ORGANIZATIONS THAT ARE EXEMPT AFFILIATED MEMBERS OF PHS. COMMON SUPERVISION AND CONTROL ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF PHS. THERE HAS BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN PROMEDICA FOUNDATION AND ITS SUPPORTED ORGANIZATIONS, WHICH HAS CREATED A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS. PROMEDICA FOUNDATION HAS MAINTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATIONS' OPERATIONS. PHS IS THE MEMBER OF PROMEDICA FOUNDATION AND THE PARENT OF AN INTEGRATED HEALTH CARE DELIVERY NETWORK MADE UP OF AN AFFILIATED GROUP OF EXEMPT ORGANIZATIONS WHICH INCLUDES HOSPITALS, HEALTH CARE PROVIDERS, CONTINUING CARE SERVICES, SPECIALIZED HEALTH SERVICES, ENTITIES PROVIDING SUPPORT SERVICES, AND FOUNDATIONS. PHS PROVIDES OVERALL DIRECTION, MANAGEMENT, AND CONTROL TO ITS FIRST TIER SUBSIDIARIES, INCLUDING PROMEDICA FOUNDATION, AND INDIRECTLY THROUGH ITS FIRST TIER SUBSIDIARIES, TO ALL AFFILIATED SECOND TIER SUBSIDIARIES OF EACH FIRST TIER SUBSIDIARY. THE ACTIVITIES OF PHS SUPPORT THE EXEMPT PURPOSES OF THE AFFILIATED ORGANIZATIONS IN THE PHS NETWORK AND ENHANCE AND IMPROVE THE DELIVERY OF EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY THE PHS NETWORK. CONTROL AND MANAGEMENT EFFECTIVELY IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ALL SUBSIDIARY ORGANIZATIONS THROUGH RESERVED POWERS. PHS HAS RESERVED POWERS IN EACH SUBSIDIARY'S CODE OF REGULATIONS OR BYLAWS ALONG WITH THE RIGHT TO APPROVE CERTAIN ACTIONS OF EACH SUBSIDIARY'S BOARD OF TRUSTEES. THE FIRST TIER SUBSIDIARIES HAVE IN TURN RESERVED SIMILAR POWERS OVER THE SECOND TIER SUBSIDIARIES TO INTEGRATE OVERALL DIRECTION, MANAGEMENT, AND CONTROL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 346250 59970956 6239631 3661361 62549226 55502651 5106036 637731 59970956 66141078 -10551236 87191 55502651 60983875 2000 5185950 30747 66141078 57669824 2000 3812051 500000 60983875 0.36954 0.63046 0.00000 1 0 346250 346250 346250 FUNDED PERPETUITIES 33624361 CASH VALUE OF LIFE INSURANCE 3090385 DUE FROM RELATED PARTY 1122990 37837736 DUE TO AFFILIATES 3794670 LEASE LIABILITY 34954 3829624 PART V, LINE 4: THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT PROMEDICA HEALTH SYSTEM, INC. ENTITIES CONSISTENT WITH DONOR INTENT. X X X X X X 1 ALY STERLING PHILANTHROPY PO BOX 140668 TOLEDO OH 43614 CAMPAIGN CONSULTING 0 17913594 128516 17785078 17913594 128516 17785078 FL MI OH AK CA CO IL KS KY MA MD ME MN MS NC ND NH NJ NM NV NY OK OR PA SC TN UT VA WA WI WV AL AR CT LA MO RI TX 150TH EVENT 330450 276270 54180 69111 5600 16249 FLOWER GOLF EVENT 167267 129341 37926 17749 5394 36998 1340 9 667447 514557 152890 24616 24903 141556 1000 60025 1165164 920168 244996 42365 30297 247665 6600 77614 404541 -159545 1 THE TOLEDO HOSPITAL 2142 NORTH COVE BLVD TOLEDO OH 43606 344453256 501(C)(3) 7488152 0 OPERATING GRANT YWCA OF NORTHWEST OHIO 1018 JEFFERSON AVE 300 TOLEDO OH 43604 344428265 501(C)(3) 907119 0 OPERATING GRANT EMMA L BIXBY MEDICAL CENTER 818 RIVERSIDE AVENUE ADRIAN MI 49221 382796005 501(C)(3) 681868 0 OPERATING GRANT PROMEDICA HEALTH SYSTEM INC 100 MADISON AVE TOLEDO OH 43604 341517671 501(C)(3) 1936000 0 OPERATING GRANT BAY PARK COMMUNITY HOSPITAL 2801 BAY PARK DR OREGON OH 43616 341883132 501(C)(3) 69006 0 OPERATING GRANT KAITLYN'S COTTAGE 1260 RALSTON AVE DEFIANCE OH 43512 454781053 501(C)(3) 349770 0 OPERATING GRANT MEMORIAL HOSPITAL 715 S TAFT AVE FREMONT OH 43420 344430849 501(C)(3) 288556 0 OPERATING GRANT HOPE TOLEDO 300 MADISON AVE SUITE 1400A TOLEDO OH 43604 852018307 501(C)(3) 244493 0 OPERATING GRANT MERCY MEMORIAL HOSPITAL CORPORATION 718 N MACOMB MONROE MI 48162 381984289 501(C)(3) 186621 0 OPERATING GRANT FOSTORIA HOSPITAL ASSOCIATION PO BOX 907 FOSTORIA OH 44830 340898745 501(C)(3) 126721 0 OPERATING GRANT DEFIANCE HOSPITAL INC 1200 RALSTON AVE DEFIANCE OH 43512 344446484 501(C)(3) 103048 0 OPERATING GRANT IMAGINATION STATION 1 DISCOVERY WAY TOLEDO OH 43604 311337258 501(C)(3) 100000 0 OPERATING GRANT ADVOCATES FOR BASIC LEGAL SERVICES 525 JEFFERSON AVE 300 TOLEDO OH 43604 237376131 501(C)(3) 75000 0 OPERATING GRANT GENACROSS LUTHERAN SERVICES 2021 N MCCORD RD TOLEDO OH 43615 311565719 501(C)(3) 42680 0 OPERATING GRANT WASHINGTON LOCAL SCHOOLS FOUNDATION 3505 W LINCOLNSHIRE BLVD TOLEDO OH 43606 861805590 501(C)(3) 30000 0 OPERATING GRANT COMMUNITY HEALTH CENTER OF BRANCH COUNTY 274 E CHICAGO ST COLDWATER MI 49036 386108110 501(C)(3) 22420 0 OPERATING GRANT UNIVERSITY OF TOLEDO FOUNDATION 4510 DORR ST MS 820 TOLEDO OH 43615 346555110 501(C)(3) 10000 0 OPERATING GRANT HCR MANORCARE PO BOX 10086 TOLEDO OH 43699 825373223 501(C)(3) 55218 0 OPERATING GRANT 17 0 SCHOLARSHIPS 107 222937 PART I, LINE 2: AS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM, INC. (PHS) CORPORATE POLICIES EXIST TO ENSURE THAT THE APPROVAL AND DISTRIBUTION OF FOUNDATION FUNDS ARE CONSISTENT WITH THE APPROVED CORPORATE MISSION, SUPPORTED BUSINESS UNIT 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, INCLUDING BOARD APPROVALS, DEPENDING ON THE DOLLAR AMOUNT OF THE REQUEST. ON A REGULAR BASIS A REPORT LISTING ALL FUND DISTRIBUTIONS IS DISTRIBUTED TO THE CHIEF PHILANTHROPY OFFICER, CHIEF FINANCIAL OFFICER AND RESPECTIVE FOUNDATION BOARDS. 0 1 0 0 0 0 0 0 0 ARTURO POLIZZI TRUSTEE/CEO 0 1585940 0 1530880 0 2500 0 0 0 14012 0 3133332 0 0 TERRENCE METZGER TREASURER/CFO 0 771258 0 438060 0 0 0 0 0 6610 0 1215928 0 0 ANGELA BRANDT TRUSTEE/CHIEF ADMINISTRATIVE OFFICER 0 619627 0 567352 0 2915 0 0 0 12432 0 1202326 0 0 STEPHEN SADOWSKI SECRETARY/CHIEF LEGAL OFFICER 0 618697 0 561679 0 0 0 0 0 6038 0 1186414 0 0 GARY CATES PRESIDENT - PART YEAR 0 132351 0 241996 0 311815 0 0 0 5907 0 692069 0 0 CHRISTI ANSBERG PRESIDENT/CHIEF PHILANTHROPY OFFICER 0 191623 0 54686 0 45 0 0 0 4057 0 250411 0 0 PART I, LINE 3 A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, INC., USES AN INDEPENDENT CONSULTANT, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES. PART I, LINE 4B UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR 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. ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. X 2 218923 COST OR SELLING PRICE 0 0 1 0 SCHEDULE M, PART I LINE 9 THE AMOUNT IN COLUMN B REFERS TO THE NUMBER OF DONORS THAT CONTRIBUTED STOCK. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART V, LINE 1A: THE PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY. ALL 1099 FORMS FOR PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES ARE FILED UNDER PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671. FORM 990, PART VI, SECTION A, LINE 6 AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF PROMEDICA FOUNDATION. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF PROMEDICA FOUNDATION, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS FROM THE BOARD ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. FINAL RETURNS ARE PROVIDED TO A PRINCIPAL OFFICER FOR SIGNATURE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER SOC SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL BONUS-ELIGIBLE SENIOR LEADERSHIP AND SPECIFICALLY IDENTIFIED ADDITIONAL EMPLOYEES, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PROVIDERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PROVIDER CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER FOR PROMEDICA PHYSICIAN GROUP, INC. (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE OFFICE OF THE PROMEDICA HEALTH SYSTEM, INC. ("PHS") V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PROVIDER CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE PHS AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PROVIDERS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PROVIDER STANDARD OF CONDUCT AND THE PROVIDER CERTIFICATION STATEMENT WHICH THE NEW PROVIDER IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE PHS V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PROVIDER AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE IDENTIFIED PROVIDER BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, WILL PROVIDE THE PROVIDER-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 15 PROMEDICA FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. PART VII, SECTION B: PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, PROMEDICA HEALTH SYSTEM, INC. THE INDEPENDENT CONTRACTORS OVER $100,000 WILL BE LISTED ON THE 990 FILED FOR PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671. FORM 990, PART XI, LINE 9: CHANGE IN RESTRICTED NET ASSETS -8,850,156. TRANSFER BETWEEN RELATED ENTITIES 23,629,814. 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