2025-11-12T22:05:27-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2024-01-01 862916134 LHS LEGACY INC LHSL 4403541991 36000 EUCLID AVE WILLOUGHBY OH 44094 BRETT S HIMES TREASURER 2168441000 2025-11-12 1 1 SHAWNA M JANSONS P01222873 3174648600 2024 2025-03-06 01:10:19Z BRETT S HIMES 36000 EUCLID AVE WILLOUGHBY OH 44094 51931 0 X N/A X 2021 OH TO OVERSEE AND ENFORCE THE TERMS OF THE MEMBER SUBSTITUTION AGREEMENT IN FURTHERANCE OF THE BEST INTERESTS OF ITS SUPPORTED ORGANIZATION, LAKE HOSPITAL SYSTEM, INC., AND ITS MISSION TO OPERATE FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. 3 3 0 3 0 0 0 0 0 0 48611 51931 0 0 48611 51931 0 0 0 0 0 0 0 0 0 770 770 770 770 47841 51161 2058969 2110130 0 0 2058969 2110130 TO OVERSEE AND ENFORCE THE TERMS OF THE MEMBER SUBSTITUTION AGREEMENT IN FURTHERANCE OF THE BEST INTERESTS OF ITS SUPPORTED ORGANIZATION, LAKE HOSPITAL SYSTEM, INC., AND ITS MISSION TO OPERATE FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. 0 0 0 0 0 TO OVERSEE AND ENFORCE THE TERMS OF THE MEMBER SUBSTITUTION AGREEMENT IN FURTHERANCE OF THE BEST INTERESTS OF ITS SUPPORTED ORGANIZATION, LAKE HOSPITAL SYSTEM, INC., AND ITS MISSION TO OPERATE FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X BRETT S HIMES 2168441000 3605 WARRENSVILLE CTR RD MSC 9155 SHAKER HEIGHTS OH 44122 X HIMES BRETT S DIRECTOR/TREASURER 2.00 2.00 X X 0 0 0 MAYHER MICHAEL E DIRECTOR/SECRETARY 2.00 2.00 X X 0 0 0 JUBECK THOMAS P DIRECTOR/CHAIRMAN 2.00 2.00 X X 0 0 0 0 0 0 0 0 0 0 0 51931 51931 51931 0 0 51931 770 770 770 0 770 0 2058969 2110130 2058969 2110130 0 0 X 2058969 2110130 2058969 2110130 2058969 2110130 51161 0 X 0 0 0 X X X 1 LAKE HOSPITAL SYSTEM INC 341425870 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: EACH MEMBER OF LHS LEGACY, INC.'S GOVERNING BODY ALSO SERVES ON THE GOVERNING BODY OF ITS SUPPORTED ORGANIZATION, LAKE HOSPITAL SYSTEM, INC., WHICH HELPS TO ENSURE THERE IS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH LHS LEGACY, INC.'S SUPPORTED ORGANIZATION. THE SUPPORTED ORGANIZATION HAS A SIGNIFICANT VOICE IN LHS LEGACY, INC.'S OPERATIONS, INCLUDING THE USE OF INCOME AND ASSETS. LHS LEGACY, INC. WAS FORMED TO OVERSEE AND ENFORCE THE TERMS OF A MEMBER SUBSTITUTION AGREEMENT BY AND BETWEEN THE SUPPORTED ORGANIZATION, LAKE HOSPITAL SYSTEM, INC., AND UNIVERSITY HOSPITALS HEALTH SYSTEMS, INC. ANY ACTIVITIES OUTSIDE OF ITS PERMITTED ACTIVITIES MUST BE APPROVED BY ITS SUPPORTED ORGANIZATION, LAKE HOSPITAL SYSTEM, INC. PART IV, SECTION E, LINE 2A: THE BYLAWS STATE LHS LEGACY, INC. SHOULD ONLY BE ENTITLED TO OVERSEE AND ENFORCE THE TERMS OF A MEMBER SUBSTITUTION AGREEMENT BY AND BETWEEN LAKE HOSPITAL SYSTEM, INC. AND UNIVERSITY HOSPITALS HEALTH SYSTEM, INC., IN FURTHERANCE OF THE BEST INTEREST OF LAKE HOSPITAL SYSTEM, INC. AND MAKE REASONABLE EXPENDITURES ON BEHALF OF AND GRANTS TO LAKE HOSPITAL SYSTEM, INC. PART IV, SECTION E, LINE 2B: THE BYLAWS STATE THE PERMITTED ACTIVITIES OF THE LHS LEGACY, INC. SHALL BE IN THE DIRECT FURTHERANCE OF THE INTEREST OF LAKE HOSPITAL SYSTEM, INC., AND SUBSTANTIALLY ALL OF SUCH ACTIVITIES IN WHICH, BUT FOR LHS LEGACY, INC.'S INVOLVEMENT, LAKE HOSPITAL SYSTEM, INC. WOULD NORMALLY BE INVOLVED. FORM 990, PART VI, SECTION A, LINE 6 LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH IS THE SOLE MEMBER OF LHS LEGACY, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, LAKE HOSPITAL SYSTEM, INC., HAS THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, LAKE HOSPITAL SYSTEM, INC., IS REQUIRED TO PROVIDE WRITTEN CONSENT IF THE FILING ORGANIZATION: 1) TAKES ANY ACTION OR INACTION THAT WOULD RESULT IN A CHANGE TO THE TAX-EXEMPT TYPE AND/OR STATUS OF THE ENTITY OR A CHANGE IN THE SUPPORTED ORGANIZATION, 2) MERGING OR CONSOLIDATING AND SELLING, TRANSFERRING, OR DISPOSING OF SUBSTANTIALLY ALL OF ITS ASSETS TO ANY ENTITY OTHER THAN THE SUPPORTED ORGANIZATION, 3) AMENDING THE ARTICLES OF INCORPORATION AND/OR BYLAWS, AND 4) DISSOLVING OR LIQUIDATING OF THE ORGANIZATION. THE SOLE MEMBER ALSO HAS THE RIGHT TO APPROVE NOMINATIONS FOR MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT THIRD-PARTY PUBLIC ACCOUNTING FIRM. MANAGEMENT REVIEWS THE FORM 990 BEFORE THE COMPLETE COPY IS MADE AVAILABLE TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROFESSIONALS), ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY FOR LHS LEGACY, INC. 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