Premier Health Partners

“Net unrelated business taxable income /(loss) comprises amounts from partnership investments that are not recognized for book purposes, therefore no unrelated business income/(loss) from partnership investments appears on part viii.”

“Marc belcastro, d.o. And lance detrick have a business relationship.”

“Premier health (premier) has four corporate members: medamerica health systems, commonspirit health, atrium health system, and uvmc.”

“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.”

“See explanation for part vi, section a, line 7a”

“This 990 filing and attached schedules (the return) are prepared by a staff member in the tax department of premier. The return is reviewed by the manager and director of tax compliance of premier. Next, the return is reviewed by the vice president/controller of premier. A final version of the return is then provided to the board of trustees for review. At a board of trustees meeting, the vice president/controller of premier (or designee) shares detailed information on compensation and other key areas, as well as addresses any other questions from the board of trustees, pending their review. The 990 filing is also shared with the audit committee of premier.”

“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 filing.”

“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 and national 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 data 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 contains three members, all of whom are independent. This committee reviews in detail the compensation for the premier ceo, coo, cfo, cco and other top executives. 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.”

“The governing documents and financial statements are made available to the public when required by law or for accreditation purposes. The conflict of interest policy is available upon request.”

“The system key employees' total compensation amount is accurately reported on the various entities they serve. The key employees' compensation is being reported as paid by premier as the paymaster of their applicable affiliated organization in order to more clearly reflect their responsibilities across the premier system. Compensation and related payroll reporting requirements for system key employees are processed and filed by affiliates of premier.”

“As such, premier is responsible for oversight of the three 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, 2024. Charity and means-tested government programs and certain other community benefits at cost: $ 22,728,000 charity care at cost $231,971,000 unreimbursed medicaid $ 10,982,000 unreimbursed costs of other means-tested government programs ------------ $265,681,000 total other community benefits: $ 7,519,000 community health improvement services & community benefit operations $ 75,283,000 subsidized health services $ 3,300,000 cash and in-kind contributions for community groups ------------ $ 86,102,000 total ------------ $351,783,000 grand total program & other community benefits $ 15,456,000 unpaid cost of medicare (allowable cost and reimbursements reported on medicare cost report) $191,353,000 other unpaid cost of medicare (cost and reimbursements not reported on medicare cost report) ------------ $206,809,000 total unpaid cost of medicare ------------ $558,592,000 total community benefit including the unpaid costs of medicare ------------”

“Outside services: program service expenses 15,411,210. Management and general expenses 1,607,313. Fundraising expenses 0. Total expenses 17,018,523. Consultant fees: program service expenses 3,806,250. Management and general expenses 396,974. Fundraising expenses 0. Total expenses 4,203,224. Collection costs: program service expenses 3,594,296. Management and general expenses 374,868. Fundraising expenses 0. Total expenses 3,969,164. Transportation services: program service expenses 2,847,482. Management and general expenses 296,979. Fundraising expenses 0. Total expenses 3,144,461. Credit card fees: program service expenses 1,967,597. Management and general expenses 205,211. Fundraising expenses 0. Total expenses 2,172,808. Physician fees: program service expenses 877,718. Management and general expenses 91,542. Fundraising expenses 0. Total expenses 969,260. Purchased labor: program service expenses 838,152. Management and general expenses 87,415. Fundraising expenses 0. Total expenses 925,567. Record retention: program service expenses 337,723. Management and general expenses 35,223. Fundraising expenses 0. Total expenses 372,946. Material sterile processing: program service expenses 85,688. Management and general expenses 8,937. Fundraising expenses 0. Total expenses 94,625. Bank fees: program service expenses 13,180. Management and general expenses 1,375. Fundraising expenses 0. Total expenses 14,555. Other fees: program service expenses 1,032. Management and general expenses 108. Fundraising expenses 0. Total expenses 1,140.”

“Equity transfer 264,183,351.”