MIAMI VALLEY HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202313189349313781
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T16:20:35-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537504	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI VALLEY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MIAM	BusinessNameControlTxt
Phone	9374999942	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST 500	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45402	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRISTINA KEAN	PersonNm
Person Title	VP FINANCE	PersonTitleTxt
Phone	9374999942	PhoneNum
Signature	2023-11-14	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KRISTINA	PersonFirstNm
Person Last	KEAN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CHAD WHELAN MD MHSA FA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 WYOMING ST	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45409	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,818,290,897	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PREMIERHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1890	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	SEE PART III, LINE 1	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	9749	TotalEmployeeCnt
Total Volunteers	477	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,336,295	PYContributionsGrantsAmt
CY Contributions Grants	$5,165,159	CYContributionsGrantsAmt
PY Program Service Revenue	$1,283,967,041	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,291,746,448	CYProgramServiceRevenueAmt
PY Investment Income	$51,809,946	PYInvestmentIncomeAmt
CY Investment Income	$15,162,118	CYInvestmentIncomeAmt
PY Other Revenue	$21,008,357	PYOtherRevenueAmt
CY Other Revenue	$36,987,536	CYOtherRevenueAmt
PY Total Revenue	$1,362,121,639	PYTotalRevenueAmt
CY Total Revenue	$1,349,061,261	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,446,365	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,561,372	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$447,302,043	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$434,252,980	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$616,699,338	PYOtherExpensesAmt
CY Other Expenses	$717,957,187	CYOtherExpensesAmt
PY Total Expenses	$1,070,447,746	PYTotalExpensesAmt
CY Total Expenses	$1,157,771,539	CYTotalExpensesAmt
PY Revenues Less Expenses	$291,673,893	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$191,289,722	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,694,536,872	TotalAssetsBOYAmt
Total Assets EOY	$1,473,725,146	TotalAssetsEOYAmt
Total Liabilities BOY	$941,015,848	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$920,293,557	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$753,521,024	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$553,431,589	NetAssetsOrFundBalancesEOYAmt
Mission	WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,123,590,175	ExpenseAmt
Grant	$5,561,372	GrantAmt
Revenue	$1,291,746,448	RevenueAmt
Desc	THE PRIMARY EXEMPT PURPOSE OF MIAMI VALLEY HOSPITAL IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF MONTGOMERY AND THE SURROUNDING COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION.	Desc
Total Program Service Expenses	$1,123,590,175	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	8	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	9749	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	J MICHAEL SIMS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9374999942	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST 500	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45402	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARY H BOOSALIS
TRUSTEE/PREMIER PRES & CEO (TO JAN)	9.50	30.50	Yes (X)	$0	$2,267,077	$24,764
MICHAEL C RIORDAN
TRUSTEE/PREMIER PRES & CEO-FROM JAN	9.50	30.50	Yes (X)	$0	$1,280,440	$28,132
BARBARA A JOHNSON
TRUSTEE & PREMIER COO	0.50	39.50	Yes (X)	$0	$1,165,699	$26,211
JENNIFER J HAULER DO
TRUSTEE & COO	39.00	1.00	Yes (X)	$765,079	$0	$12,070
TAREK M SABAGH MD
BOARD CHAIR	0.50	39.50	Yes (X)	$0	$673,849	$34,775	Yes (X)
MICHAEL R UHL
PRESIDENT & CEO (TO JUN)	38.50	1.50	Yes (X)	$629,989	$0	$33,939	Yes (X)
MELANIE M GLOVER MD
TRUSTEE	0.50	39.50	Yes (X)	$0	$549,904	$40,398
LAKMALI C RANATHUNGA
TRUSTEE / MED DIR - HOSPITALIST PROG	40.00	0.00	Yes (X)	$558,496	$0	$25,145
STACEY M LAWSON
TRUSTEE / CHIEF HR OFFICER	40.00	0.00	Yes (X)	$470,451	$0	$38,274
A PETER EKEH MD
TRUSTEE	0.50	0.00	Yes (X)	$0	$3,000	$0
MATTHEW KRAMER MD
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
KRISTINA M KEAN
TREASURER / VP FINANCE	39.00	1.00		$379,924	$0	$27,330	Yes (X)
JENNA M DOWNEY ESQ
BOARD SECRETARY / VP LEGAL SRVC	39.50	0.50		$294,727	$0	$21,947	Yes (X)
GEOFFREY P WALKER
CHIEF LEGAL OFFICER	9.50	30.50		$0	$942,545	$48,436		Yes (X)
MARC R BELCASTRO DO
VP MEDICAL AFFAIRS & PREMIER CMO	10.00	30.00		$0	$834,885	$36,211		Yes (X)
KEITH D BRICKING MD
VP & CHIEF CLINICAL OFFICER (FROM OCT)	10.00	30.00		$0	$782,373	$42,024		Yes (X)
MARY M CLANCY
CHIEF DIGITAL OFFICER	10.00	30.00		$0	$704,534	$52,422		Yes (X)
J MICHAEL SIMS
SYS VP & CORPORATE CONTROLLER	9.00	31.00		$0	$677,602	$50,344		Yes (X)
MARGARET PEGGY W MARK
VP NURSING/CNO/PATIENT EXP-PH (TO APR)	10.00	30.00		$0	$566,116	$180,268		Yes (X)
MARY E GARMAN
COO - MVHN	40.00	0.00		$468,991	$0	$24,469		Yes (X)
CHRISTIE J GRAY
VP HOSP OPS/CHIEF NSG OFFICER	40.00	0.00		$425,428	$0	$37,176		Yes (X)
MARQUITA L TURNER
COO - MVHS	40.00	0.00		$383,421	$0	$29,945		Yes (X)
AMANDA K ADKINS-RICCI
SYSTEM VP REVENUE CYCLE	10.00	30.00		$0	$287,332	$22,969		Yes (X)
LISA M GOSSETT
VP NURSE/CNO/PATIENT EXP (FROM JUN)	10.00	30.00		$0	$202,745	$12,505		Yes (X)
GARY G GINTER
VP & PREMIER CHIEF INFO OFFICER	40.00	0.00		$814,929	$0	$49,071			Yes (X)
ELOISE P BRONER
CHIEF-SHARED SERVICES	39.50	0.50		$667,111	$0	$30,771			Yes (X)
DARIN J PANGALANGAN MD
SYS VP-CLINICAL SERVICE LINES	39.50	0.50		$670,193	$0	$12,030			Yes (X)
ROBERTO COLON
VP OPERATIONS/CMO-MVH	40.00	0.00		$609,562	$0	$62,932			Yes (X)
JOANN R RINGER
CHIEF ADMINSTRATIVE OFFICER	40.00	0.00		$579,468	$0	$51,546			Yes (X)
MICHAEL J MAIBERGER
FORMER TRUSTEE & OFFICER	0.00	0.00		$0	$822,367	$0				Yes (X)
CARA W POWERS
FORMER OFFICER	40.00	0.00		$355,741	$0	$42,852				Yes (X)
ELAINE LAINIE M DEAN
FORMER KEY EMPLOYEE	40.00	0.00		$560,347	$0	$25,752				Yes (X)
KIMBERLY A HENSLEY
FORMER KEY EMPLOYEE	0.00	40.00		$0	$383,667	$25,554				Yes (X)
ROBERT M BOWMAN
FORMER KEY EMPLOYEE	40.00	0.00		$369,548	$0	$38,946				Yes (X)
BILLIE L LUCENTE-BAKER
FORMER KEY EMPLOYEE	40.00	0.00		$319,191	$0	$31,843				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,322,596	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$12,144,135	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,221,051	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	800	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,342,136	RelatedOrganizationsAmt
Government Grants	$3,823,023	GovernmentGrantsAmt
Noncash Contributions	$286,540	NoncashContributionsAmt
Total Contributions	$5,165,159	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	900099	$662,791,507	$662,791,507
MEDICARE / MEDICAID	900099	$624,182,293	$624,182,293
HOSP FRANCHISE TAX RECOVERIES	900099	$4,409,329	$4,409,329
MEDICAL RECORDS	900099	$220,575	$220,575
HEALTH EDUCATION	900099	$65,201	$65,201

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$77,543	TotalRevenueColumnAmt
Related Or Exempt Func Income	$77,543	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,291,746,448	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,931,502	TotalRevenueColumnAmt
Exclusion	$6,931,502	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$14,007,315	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$8,993,112	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,014,203	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,014,203	TotalRevenueColumnAmt
Exclusion	$5,014,203	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,465,325,421	SecuritiesAmt
Other	$2,316,766	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,457,418,963	SecuritiesAmt
Other	$1,992,608	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,906,458	SecuritiesAmt
Other	$324,158	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,230,616	TotalRevenueColumnAmt
Exclusion	$8,230,616	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,896,368	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$824,953	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,071,415	TotalRevenueColumnAmt
Exclusion	$1,071,415	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
GAIN ON INTEREST SWAP ADJ	900099	$18,213,585	$18,213,585
PENSION INCOME	900099	$6,409,730	$6,409,730
FEMA REVENUE	900099	$4,841,408	$4,841,408

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,437,195	TotalRevenueColumnAmt
Exclusion	$1,437,195	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$30,901,918	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,349,061,261	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,291,746,448	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$52,149,654	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,561,372	TotalAmt
Program Services	$5,561,372	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,612,453	TotalAmt
Program Services	$2,725,847	ProgramServicesAmt
Management And General	$1,886,606	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,914,834	TotalAmt
Program Services	$1,165,207	ProgramServicesAmt
Management And General	$749,627	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$352,762,089	TotalAmt
Program Services	$341,606,975	ProgramServicesAmt
Management And General	$11,155,114	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,855,101	TotalAmt
Program Services	$20,054,577	ProgramServicesAmt
Management And General	$800,524	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,794,538	TotalAmt
Program Services	$26,736,355	ProgramServicesAmt
Management And General	$1,058,183	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,313,965	TotalAmt
Program Services	$25,303,902	ProgramServicesAmt
Management And General	$1,010,063	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$144,924	TotalAmt
Program Services	$99,924	ProgramServicesAmt
Management And General	$45,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$172,673	TotalAmt
Management And General	$172,673	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$19,898	TotalAmt
Management And General	$19,898	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$978,813	TotalAmt
Management And General	$978,813	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$283,839,388	TotalAmt
Program Services	$272,561,263	ProgramServicesAmt
Management And General	$11,278,125	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,636,059	TotalAmt
Program Services	$1,636,059	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,371,507	TotalAmt
Program Services	$1,665,836	ProgramServicesAmt
Management And General	$1,705,671	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,976,961	TotalAmt
Program Services	$5,480,500	ProgramServicesAmt
Management And General	$496,461	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$34,713,903	TotalAmt
Program Services	$33,949,197	ProgramServicesAmt
Management And General	$764,706	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$134,786	TotalAmt
Program Services	$111,759	ProgramServicesAmt
Management And General	$23,027	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,826,286	TotalAmt
Program Services	$18,826,286	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$70,037,338	TotalAmt
Program Services	$68,706,423	ProgramServicesAmt
Management And General	$1,330,915	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,773,561	TotalAmt
Program Services	$7,694,082	ProgramServicesAmt
Management And General	$79,479	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OPERATING SUPPLIES	$242,866,746	$242,866,746
HOSPITAL FRANCHISE TAX	$33,844,089	$33,844,089
REPAIRS AND MAINTENANCE	$5,250,972	$5,250,559	$413
EQUIPMENT RENTAL	$1,880,943	$1,880,943

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,488,340	TotalAmt
Program Services	$5,862,274	ProgramServicesAmt
Management And General	$626,066	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,157,771,539	TotalAmt
Program Services	$1,123,590,175	ProgramServicesAmt
Management And General	$34,181,364	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,890	BOYAmt
EOY	$12,890	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$225,691,691	BOYAmt
EOY	$78,689,322	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$223,221,125	BOYAmt
EOY	$236,728,267	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,372,705	BOYAmt
EOY	$4,580,804	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,279,743	BOYAmt
EOY	$14,000,718	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,982,051	BOYAmt
EOY	$2,045,236	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,636,373,140	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,098,714,723	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$574,905,211	BOYAmt
EOY	$537,658,417	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$398,471,625	BOYAmt
EOY	$319,602,305	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$164,892,916	BOYAmt
EOY	$175,493,437	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,166,332	BOYAmt
EOY	$9,166,332	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$66,540,583	BOYAmt
EOY	$95,747,418	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,694,536,872	BOYAmt
EOY	$1,473,725,146	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$111,062,774	BOYAmt
EOY	$119,128,341	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$12,449,310	BOYAmt
EOY	$2,655,233	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,073,568	BOYAmt
EOY	$3,291,918	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$646,698,428	BOYAmt
EOY	$643,450,626	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$19,780,756	BOYAmt
EOY	$22,620,322	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$144,951,012	BOYAmt
EOY	$129,147,117	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$941,015,848	BOYAmt
EOY	$920,293,557	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$753,521,024	BOYAmt
EOY	$553,431,589	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$753,521,024	BOYAmt
EOY	$553,431,589	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,694,536,872	BOYAmt
EOY	$1,473,725,146	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$191,289,722	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$77,840,953	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$313,538,204	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$19,898	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$19,898	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,925,281	OtherCostOrOtherBasisAmt
Book Value	$45,925,281	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,042,941,240	OtherCostOrOtherBasisAmt
Depreciation	$686,345,716	DepreciationAmt
Book Value	$356,595,524	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,137,061	OtherCostOrOtherBasisAmt
Depreciation	$2,419,013	DepreciationAmt
Book Value	$718,048	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$500,363,074	OtherCostOrOtherBasisAmt
Depreciation	$409,949,994	DepreciationAmt
Book Value	$90,413,080	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,006,484	OtherCostOrOtherBasisAmt
Book Value	$44,006,484	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$537,658,417	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$175,493,437	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$175,493,437	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$47,672,164
AFFILIATES INVESTMENTS	$21,538,809
OTHER A/R	$10,154,983
REBATES RECEIVABLE	$7,784,833
HELD FOR SALE	$7,027,351
LEASE INVESTMENT	$979,867
DEFERRED COMPENSATION	$504,093
OTHER ASSETS	$85,318

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$95,747,418	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
PENSION OBLIGATION	$64,424,963
MALPRACTICE INSURANCE	$16,863,607
LINE OF CREDIT	$15,000,000
SWAP LIABILITY	$12,478,567
HOSPITAL FRANCHISE FEE PAYABLE	$8,436,360
LEASE COMMITMENT	$5,322,188
LOAN GUAR & OTHER LTL	$2,021,776
ACCRUED MANAGED CARE SETTLEMENT	$1,460,962
OTHER	$3,138,694

Field	Value	IRS element (for citing)
Total Liability	$129,147,117	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FOLLOWING FOOTNOTE IS FROM THE 2022 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF MVH. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: * PREMIER HEALTH INSURING CO. (PHIC), AND PREMIER HEALTH HOLDING COMPANY (PHHC) (WHOLLY OWNED SUBSIDIARIES OF PHP), * PREMIER HEALTH PLAN (PHPLAN) (A WHOLLY OWNED SUBSIDIARY OF PHIC), * MVHE, INC., SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (SUBSIDIARIES OF PHHC), * PREMIER HEALTH ACO OF OHIO AND UVMC MANAGEMENT CORPORATION CLOSED JUNE 2022 (SUBSIDIARIES OF PHP) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA/CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$30,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$30,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$30,000	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,352,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,844,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,508,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$144,359,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,409,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$139,950,000	NetCommunityBenefitExpnsAmt
Total Expense	0.12090	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,281,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,281,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$173,992,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,253,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,739,000	NetCommunityBenefitExpnsAmt
Total Expense	0.13450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,789,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,952,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,837,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,058,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,058,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,215,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,215,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,062,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,952,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,110,000	NetCommunityBenefitExpnsAmt
Total Expense	0.03120	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$212,054,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,205,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$191,849,000	NetCommunityBenefitExpnsAmt
Total Expense	0.16570	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$52,952,766	BadDebtExpenseAmt
Reimbursed By Medicare	$188,249,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$202,809,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,560,000	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
MIAMI VALLEY HOSPITAL
1	ONE WYOMING ST	DAYTON	OH	45409	WWW.PREMIERHEALTH.COM	SEE PART V, SEC C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
MIAMI VALLEY HOSPITAL SOUTH
2	2400 MIAMI VALLEY DR	CENTERVILLE	OH	45459	WWW.PREMIERHEALTH.COM	SEE PART V, SEC C	Yes (X)	Yes (X)			Yes (X)	A
MIAMI VALLEY HOSPITAL NORTH
3	9000 N MAIN ST	DAYTON	OH	45415	WWW.PREMIERHEALTH.COM	SEE PART V, SEC C	Yes (X)	Yes (X)			Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SEC C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SEC C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SEC C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A, LINE 1:	THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR.MIAMI VALLEY HOSPITAL'S REGISTRATION NUMBER IS 1247.MIAMI VALLEY HOSPITAL SOUTH'S REGISTRATION NUMBER IS 1489.MIAMI VALLEY HOSPITAL NORTH'S REGISTRATION NUMBER IS 1914.
PART V, SECTION B, LINE 5:	THE REGIONAL CHNA METHODOLOGY AND RESULTS WERE GENERATED THROUGH AN INCLUSIVE, COMPREHENSIVE, AND BALANCED DATA COLLECTION STRATEGY FOR ANSWERING THE RESEARCH QUESTIONS.THE NEEDS ASSESSMENT UTILIZED A MIXED-METHOD APPROACH TO DATA COLLECTION INCLUDING SECONDARY QUANTITATIVE DATA AND PRIMARY QUANTITATIVE (REGIONAL CHNA COMMUNITY AND PROVIDER SURVEYS) AND QUALITATIVE (FOCUS GROUPS AND INTERVIEWS) DATA.SECONDARY DATA COLLECTION, BEGINNING IN JANUARY OF 2021, SOUGHT TO UNDERSTAND THE GREATEST HEALTH CONDITIONS OF THE REGION, INCLUDING PREVALENCE AND IMPACT ON COMMUNITY MEMBERS. THESE RESULTS INFORMED THE CREATION OF SURVEY ITEMS THAT WERE ORGANIZED AROUND A SET OF CO-CREATED RESEARCH QUESTIONS.EACH DATA COLLECTION STRATEGY ADHERED TO A RECRUITMENT PLAN TO ENSURE A REPRESENTATIVE SAMPLE WAS CAPTURED WITH INPUT FROM COMMUNITY MEMBERS, VOICES OF MARGINALIZED POPULATIONS, AND PROVIDERS ACROSS THE HEALTH AND SOCIAL SERVICES SECTORS. ALL RESULTS ARE SUMMARIZED FOR THE REGION WHICH INCLUDES THE CINCINNATI METROPOLITAN STATISTICAL AREA (MSA), DAYTON-KETTERING MSA (TO INCLUDE CLARK COUNTY WHICH IS NOT PART OF THE DAYTON MSA BUT IS SIMILAR IN THAT IT BORDERS THE DAYTON MSA AND IS NOT A RURAL COUNTY), AND OTHER RURAL COUNTIES IN THE GEOGRAPHIC SERVICE AREA THAT ARE PREDOMINATELY RURAL AND NOT INCLUDED IN OTHER MSAS.OVERALL, THE SCOPE OF DATA COLLECTION WAS ROBUST AND INFORMED THE RESULTS OF THIS REGIONAL CHNA. THIS INCLUDES:8,321 COMMUNITY SURVEYS AVAILABLE IN FIVE LANGUAGES. WITHIN THIS SAMPLE, REPRESENTATION WAS SEEN ACROSS 26 COUNTIES, MALES, FEMALES, AGES 18-65+, BLACK/AFRICAN AMERICAN, MULTIRACIAL, ASIAN, AMERICAN INDIAN, ALASKAN NATIVE, WHITE, AND HISPANIC/LATINO POPULATIONS.859 PROVIDER SURVEYS INCLUSIVE OF BEHAVIORAL HEALTH, EDUCATION, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, JUSTICE/CORRECTIONS, MEDICAL CARE (ADULT, GERIATRIC, PEDIATRIC), ORAL HEALTH, ORGANIZATIONS ADDRESSING HEALTH RELATED SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH, PHARMACEUTICAL, AND PUBLIC HEALTH DEPARTMENTS. * PROVIDERS ALSO REPRESENTED ADMINISTRATION, DIRECT PATIENT CARE, ACADEMIC, SUPPORT STAFF, AND SUPERVISORS/MANAGEMENT. * PROVIDERS REPORTED SERVING A VARIETY OF POPULATIONS INCLUDING CHILDREN/YOUTH, PEOPLE WITH DISABILITIES, ETHNIC MINORITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN THE JUSTICE SYSTEM, VETERANS, YOUNG ADULTS, LOW-INCOME POPULATIONS, AND LGBTQ+ POPULATIONS.51 FOCUS GROUPS WITH 234 PEOPLE WERE HELD, REPRESENTING ALL THREE MSAS. SPECIFICALLY, RECRUITMENT FOR THESE FOCUS GROUPS WERE BASED ON ADVISORY COMMITTEE IDENTIFICATION OF POPULATIONS WHO ARE TRADITIONALLY UNDERREPRESENTED, MARGINALIZED, OR EXPERIENCE GREATEST HEALTH DISPARITIES. * POPULATIONS REPRESENTED IN THESE FOCUS GROUPS INCLUDE ADULT MEN, THOSE EXPERIENCING FOSTER CARE OR FOSTER PARENTING, YOUTH, AND ADULTS WITH DISABILITIES, ETHNIC, CULTURAL AND LANGUAGE MINORITIES, FIRST AND SECOND-GENERATION IMMIGRANTS, PEOPLE EXPERIENCING HOMELESSNESS, THOSE INVOLVED IN THE JUSTICE SYSTEM, LOW-INCOME FAMILIES AND INDIVIDUALS, PARENTS, VETERANS, OLDER ADULTS, COMMUNITY MEMBERS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR ADDICTION, AND FIRST RESPONDERS.38 STAKEHOLDER INTERVIEWS WERE HELD ACROSS HEALTH AND SOCIAL SERVICE PROVIDERS, SPECIFICALLY WITH THE FOLLOWING BEING REPRESENTED: MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD), PUBLIC HEALTH, HOSPITAL SYSTEMS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), TRANSPORTATION, HOUSING, FOOD ACCESS, HEALTHCARE ACCESS AND POLICY, SCHOOL-BASED HEALTH AND CHILDREN'S HEALTH CARE, MATERNAL AND INFANT CARE, LGBTQ+ HEALTH CARE, PHARMACY ACCESS, AND HEALTHCARE WORKFORCE DEVELOPMENT.DATA COLLECTION WAS ALSO COMPREHENSIVE IN THAT COMMUNITY MEMBERS, SOCIAL SERVICE PROVIDERS AND HEALTHCARE PROFESSIONALS WERE NOT ONLY ASKED "WHAT COULD BE BETTER," BUT ALSO "WHAT IS WORKING." AS A RESULT, THIS REGIONAL CHNA INCLUDES A COLLECTION OF ASSETS AND RECOMMENDED POLICY AND PRACTICE INITIATIVES IDENTIFIED BY THE COMMUNITY THAT DIRECTLY TIE TO SYSTEM BARRIERS.
PART V, SECTION B, LINES 6A & 6B:	MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL SOUTH, AND MIAMI VALLEY HOSPITAL NORTH PARTNERED WITH BON SECOURS MERCY HEALTH ANDERSON HOSPITAL, BON SECOURS MERCY HEALTH CLERMONT HOSPITAL, BON SECOURS MERCY HEALTH FAIRFIELD HOSPITAL, BON SECOURS MERCY HEALTH JEWISH HOSPITAL, BON SECOURS MERCY HEALTH WEST HOSPITAL, CINCINNATI CHILDREN'S BURNET CAMPUS, CINCINNATI CHILDREN'S LIBERTY CAMPUS, CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS, THE C&F LINTER CENTER OF HOPE, THE CHRIST HOSPITAL, MT. AUBURN, TRIHEALTH GOOD SAMARITAN HOSPITAL, TRIHEALTH GOOD SAMARITAN EVENDALE HOSPITAL, TRIHEALTH BETHESDA NORTH HOSPITAL, TRIHEALTH BETHESDA BUTLER HOSPITAL, TRIHEALTH MCCULLOUGH HYDE MEMORIAL HOSPITAL, UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER, UC HEALTH WEST CHESTER HOSPITAL, UC HEALTH DRAKE CENTER FOR POST-ACUTE CARE, KETTERING MEDICAL CENTER, SYCAMORE MEDICAL CENTER, KETTERING BEHAVIORAL MEDICAL CENTER, GRANDVIEW MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SOIN MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, FORT HAMILTON HOSPITAL, ATRIUM MEDICAL CENTER, UPPER VALLEY MEDICAL CENTER, WILSON MEMORIAL HEALTH, WAYNE HEALTHCARE, MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER, MERCY HEALTH URBANA HOSPITAL, ADAMS COUNTY REGIONAL MEDICAL CENTER, MARGARET MERCY HEALTH; THE LOCAL HEALTH DEPARTMENTS OF THE FOLLOWING CITIES: CINCINNATI, HAMILTON, NORWOOD, PIQUA, AND SPRINGDALE; THE LOCAL HEALTH DEPARTMENTS OF THE FOLLOWING COUNTIES: ADAMS, AUGLAIZE, BROWN, BUTLER, CHAMPAIGN, CLARK, CLERMONT, CLINTON, DARKE, FAYETTE, GREENE, HAMILTON, HIGHLAND, MIAMI, MONTGOMERY, PREBLE, SHELBY, AND WARREN; THE FOLLOWING INDIANA COUNTIES: FRANKLIN, DEARBORN, OHIO, RIPLEY, AND UNION; AND THE FOLLOWING KENTUCKY COUNTIES: CAMPBELL, BOONE, GRANT, KENTON; AND THE FOLLOWING OHIO COUNTIES: ADAMS, AUGLAIZE, BROWN, BUTLER, CHAMPAIGN, CLARK, CLERMONT, CLINTON, DARKE, GREENE, HAMILTON, HIGHLAND, MIAMI, MONTGOMERY, PREBLE, SHELBY, AND WARREN.
PART V, SECTION B, LINES 7A & 10A:	THE DIRECT WEBSITE ADDRESS WHERE THE 2021 CHNA AND THE RELATED IMPLEMENTATION STRATEGY CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/ABOUT-PREMIER/COMMUNITY-INVOLVEMENT/COMMUNITY-HEALTH-IMPROVEMENT
PART V, SECTION B, LINE 11:	AMONG THE HEALTH NEEDS IDENTIFIED IN THE CHNA, MIAMI VALLEY HOSPITAL'S TOP PRIORITIES INCLUDE:* CARDIOVASCULAR HEALTH* MENTAL HEALTH AND SUBSTANCE ABUSE* ARTHRITIS AND OSTEOPOROSIS* DENTAL CARE* LUNG/RESPIRATORY HEALTH* MATERNAL HEALTH* PREVENTIONNEED: CARDIOVASCULAR HEALTHPROGRAM: BARBERSHOP HEALTH INITIATIVEMETRICS: ABOUT 100 PREVENTATIVE SCREENINGS PER YEAR THROUGH THE BARBERSHOP HEALTH INITIATIVE.INTERVENTION GOAL: THE GOAL IS TO INCREASE AWARENESS OF CHRONIC HEALTH CONDITIONS AND PROMOTE HEALTHY LIFESTYLE CHOICES WITHIN AFRICAN AMERICAN COMMUNITIES.DESCRIPTION: THERE ARE HEALTH DISPARITIES, ESPECIALLY FOR CHRONIC DISEASES, IN THE AFRICAN AMERICAN COMMUNITY. ACCORDING TO THE CDC, "NEW ANALYSIS SHOWS THAT YOUNGER AFRICAN AMERICANS ARE LIVING WITH OR DYING OF MANY CONDITIONS TYPICALLY FOUND IN WHITE AMERICANS AT OLDER AGES. CHRONIC DISEASES AND SOME OF THEIR RISK FACTORS MAY BE SILENT OR NOT DIAGNOSED DURING THESE EARLY YEARS. HEALTH DIFFERENCES ARE OFTEN DUE TO ECONOMIC AND SOCIAL CONDITIONS THAT ARE MORE COMMON AMONG AFRICAN AMERICANS THAN WHITES. FOR EXAMPLE, AFRICAN AMERICAN ADULTS ARE MORE LIKELY TO REPORT THEY CANNOT SEE A DOCTOR BECAUSE OF COST."BARBERSHOPS ARE A FREQUENTLY VISITED LOCATION FOR THE TARGET POPULATION. THERE ARE OFTEN TRUSTED RELATIONSHIPS CREATED BETWEEN THE BARBERS AND THEIR CLIENTS. THESE OPPORTUNITIES ALLOW BARBERS TO SERVE AS WELLNESS CHAMPIONS AND ENCOURAGE THEIR CLIENTS TO BE MORE INVOLVED IN THEIR HEALTH AND PRACTICE HEALTHY LIFESTYLE BEHAVIORS.THE BARBERSHOP HEALTH INITIATIVE IS A COMMUNITY-BASED PROGRAM DESIGNED TO PROVIDE FREE HEALTH SCREENINGS AND EDUCATION TO COMMUNITY MEMBERS WHO MAY NOT HAVE ACCESS TO HEALTHCARE AND/OR A PHYSICIAN. PREMIER COMMUNITY HEALTH PARTNERS WITH LOCAL BARBERSHOPS AND PROVIDES THESE SERVICES IN THE MOBILE CLINIC AT EACH BARBERSHOP LOCATION.PARTNERING WITH THE LOCAL HEALTH DEPARTMENT, PUBLIC HEALTH-DAYTON & MONTGOMERY COUNTY, WILL HELP EXPAND SERVICES FOR THE COMMUNITY. BARBERS (AND SALON OWNERS) HAVE A CLOSE BOND WITH THEIR CLIENTS. THEY CAN SERVE AS MODELS OF GOOD HEALTH AND/OR HELP CONNECT THEIR CLIENTS TO HEALTH SERVICES. THE PROGRAM PROVIDES FREE, VOLUNTARY, AND CONVENIENT HEALTH SCREENINGS AT THE SHOPS. HEALTH FAIRS, EVENTS, AND FUN CHALLENGES ALSO OCCUR.PARTNERS: MAN UP BARBER SHOP, CITY STARS UNLIMITED BARBER AND BEAUTY SHOP, DEEEZ CUTTZ BARBERSHOP, HEADLINERS BARBERSHOP AND STYLZES BARBER AND NAIL CARENEED: MENTAL HEALTH AND SUBSTANCE ABUSEPROGRAM: ONEFIFTEENMETRICS: ANNUAL NUMBER OF PATIENTS SERVED IN 2021: 2,891; IN 2022: 2,477INTERVENTION GOAL: THE GOAL IS TO REMOVE BARRIERS TO TREATMENT REGARDLESS OF PAYOR SOURCE; PROVIDE ON-DEMAND SERVICES 24/7; AND REFER TO ONGOING TREATMENT BASED UPON THE ASSESSMENT PROCESS FOLLOWING THE ASAM (AMERICAN SOCIETY OF ADDICTION MEDICINE) CRITERIA.DESCRIPTION: ONE FIFTEEN IS A BEACON OF HOPE FOR PEOPLE SUFFERING WITH SUBSTANCE ABUSE ISSUES. SUBSTANCE ABUSE SERVICES PROVIDED BY SBHI ARE DESIGNED TO PROVIDE A SEAMLESS CONTINUUM THAT FLOWS FROM THE ASSESSMENT THROUGH MENTAL HEALTH AND SUBSTANCE USE DISORDERS LEVELS OF CARE DESIGNED TO INTEGRATE AND MEET THE NEEDS OF THE CLIENT IN DEVELOPING A RECOVERY-BASED LIFESTYLE. ACCESS CAN BE VIA A REFERRAL FROM THE AREA HOSPITALS AND EMERGENCY ROOMS, EMTS, WALK-INS OR VIA POLICE ESCORT. IN ADDITION, THERE IS AN INPATIENT SETTING THAT DEDICATES A PORTION OF BEDS TO MEDICALLY COMPLICATED CLIENTS IN NEED OF DETOX TREATMENT FROM ALCOHOL, BENZODIAZEPINES, AND OPIATES. IN THE CRISIS STABILIZATION UNIT, THE PATIENT RECEIVES A DIAGNOSIS AND IS THEN REFERRED TO OUTPATIENT TREATMENT AT SBHI THAT INCLUDES INDIVIDUAL AND GROUP THERAPY AND MEDICATED ASSISTED TREATMENT. THE PHYSICIANS PRESCRIBE VIVITROL AND SUBOXONE. ALL SUBSTANCE USE DISORDERS ARE TREATED. APPROPRIATE LEVELS OF CARE ARE BASED ON THE ASAM CRITERIA: TREATMENT CRITERIA FOR ADDICTIVE, SUBSTANCE-RELATED, AND CO-OCCURRING CONDITIONS. THE CRITERIA PROVIDE RESEARCH-VALIDATED STANDARDS FOR OUTCOME-ORIENTED CARE IN ADDICTION TREATMENT.PARTNERS: ADAMHS, GDAHA, KETTERING HEALTH NETWORK, SAMARITAN BEHAVIORAL HEALTH, INC.NEED: LUNG/RESPIRATORY HEALTHPROGRAM: SMOKING CESSATION PROGRAMMETRICS: NUMBER OF PEOPLE ENROLLED AND NUMBER OF PEOPLE THAT COMPLETED THE PROGRAM.INTERVENTION GOAL: THE GOAL IS TO PROVIDE COUNSELING AND SUPPORT TO PATIENTS, TO HELP THEM QUIT SMOKING.DESCRIPTION: IN 2020, THE CDC REPORTED THAT 19.3% OF ADULTS IN OHIO SMOKED COMPARED TO THE NATIONAL RATE OF 15.5%. THE CDC ESTIMATES 47.9% OF DAILY ADULT SMOKERS IN OHIO QUIT SMOKING FOR ONE OR MORE DAYS IN 2019.THE SMOKING CESSATION PROGRAM FOCUSES ON SUPPORTIVE CONVERSATION REVOLVING AROUND THE HEALTH ISSUES RELATED TO TOBACCO USE, HOW TO PINPOINT AND DEAL WITH PERSONAL TRIGGERS AND OVERALL WELL-BEING DURING THE QUIT JOURNEY. THE PROGRAM MEETS IN A GROUP SETTING, ONCE A WEEK FOR FIVE WEEKS.PARTNERS: PREMIER HEALTH PHYSICIAN NETWORK, COMMUNITY HEALTH CENTERS
PART V, SECTION B, LINE 11: (CONTINUED)	NEED: LUNG/RESPIRATORY HEALTHPROGRAM: LUNG NODULE EVALUATION PROGRAMMETRICS: NUMBER OF PATIENTS EVALUATED, ENROLLED IN REGISTRY PROGRAM FOR LUNG NODULE SURVEILLANCE, AND REFERRED FOR ADVANCED EVALUATION BY A PULMONOLOGIST; STAGE SHIFT TO EARLIER STAGE DIAGNOSIS OF LUNG CANCER FOR THE COMMUNITY; DECREASED LENGTH OF TIME BETWEEN FIRST NODULE DETECTION AND TREATMENT INITIATION.INTERVENTION GOAL: THE GOAL IS TO BUILD A FOUNDATION FOR A ROBUST LUNG CANCER SCREENING PROGRAM TO IMPACT: TIMELY CAPTURE OF INCIDENTAL LUNG NODULES, COHESIVE CARE BETWEEN PRACTITIONERS, AND STREAMLINED REFERRAL PROCESS THROUGH A MULTIDISCIPLINARY "VIRTUAL CLINIC" WITH ADVANCED PRACTICE PROVIDER TO COORDINATE CARE.DESCRIPTION: AN ESTIMATED 19% OF INCIDENTAL PULMONARY NODULES NEED FOLLOW UP CARE RANGING FROM FOLLOW-UP SURVEILLANCE IMAGING TO REFERRAL FOR IMMEDIATE DIAGNOSTIC INTERVENTION AND POTENTIAL TREATMENT. SUCCESSFUL PROGRAMS HAVE BEEN SHOWN TO MARKEDLY INCREASE COMPLIANCE WITH EVIDENCE-BASED BEST PRACTICE SURVEILLANCE. THE LUNG NODULE EVALUATION PROGRAM WILL ENSURE THAT ALL PATIENTS AGED 18 OR GREATER WHO HAVE AN INCIDENTAL FINDING OF A PULMONARY NODULE AT A PREMIER HEALTH FACILITY OR WHO ARE REFERRED TO THE PROGRAM, RECEIVE THE PROPER EVALUATION AND TREATMENT FOR LUNG NODULES IN ACCORDANCE WITH THE FLEISCHNER SOCIETY GUIDELINES FOR LUNG NODULES AND RECOMMENDED BEST-PRACTICE BY THE AMERICAN ACADEMY OF CARDIOTHORACIC SURGEONS. SERVICES PROVIDED ARE COMMUNICATED VIA EPIC IN-BASKET, MYCHART PATIENT COMMUNICATION, TELEPHONE OR MAIL COMMUNICATION AND COORDINATED WITH THE PATIENT'S CARE TEAM (PRIMARY CARE AND OTHER SPECIALTIES) BY THE APP OR PULMONOLOGIST. PATIENTS ARE FOLLOWED UNTIL THEY HAVE MET CRITERIA FOR COMPLETION OF RECOMMENDED SURVEILLANCE, BEGIN TREATMENT FOR MALIGNANCY, OR OPT OUT OF THE PROGRAM. THE LUNG NODULE EVALUATION PROGRAM PROVIDES AND IS NOT LIMITED TO PROVIDING THE FOLLOWING SERVICES: IMAGING STUDY ORDERS AND ASSOCIATED FOLLOW UP, REFERRAL TO PULMONOLOGIST FOR NODULE MANAGEMENT, EDUCATION ON LUNG HEALTH, SMOKING CESSATION, AND LUNG CANCER PREVENTION, AND GOALS OF CARE AS APPROPRIATE.PARTNERS: FUTURE PARTNERSHIPS BETWEEN FIDELITY HEALTH CARE AND COMMUNITY EMPLOYERS FOR PROGRAM GROWTH TO SUPPORT LUNG WELLNESS ARE ANTICIPATED.NEED: MATERNAL HEALTHPROGRAM: HELP ME GROW BRIGHTER FUTURESMETRICS: CASELOAD OF 1,770 FAMILIES. 100% RECEIVING HOME VISIT SERVICES RECEIVE EDUCATION AND ASSESSMENT OF A SAFE SLEEP ENVIRONMENT. 100% OF ALL MOMS, PRENATAL TO AGE 1 OF THE CHILD, ARE SCREENED FOR DEPRESSION. 100% OF HEALTHY INFANTS SURVIVE TO THEIR FIRST BIRTHDAY. MORE THAN 80% OF MOMS ENROLLED PRENATALLY INITIATE BREASTFEEDING. 54% ARE STILL BREASTFEEDING AT 6 MONTHS. EXPANSION TO SERVE AT LEAST ONE MORE GEOGRAPHIC AREA.INTERVENTION GOAL: ACCORDING TO EVERYONE REACH ONE'S 2021 ANNUAL REPORT FOR MONTGOMERY COUNTY, THE BLACK INFANT MORTALITY RATE (IMR) INCREASED AND THE BLACK IMR WAS MORE THAN 3 TIMES HIGHER THAN THE WHITE IMR. THE GOALS ARE TO REDUCE INFANT MORTALITY THROUGH HOME VISITS FROM BIRTH TO AGE 3 AND TO REACH A CASELOAD OF 1,770 FAMILIES FOR 2023-2025.DESCRIPTION: HOME VISITS INCLUDE EDUCATION ABOUT SAFE SLEEP, SMOKING CESSATION, REDUCING CHILD MALTREATMENT AND INJURY, AND ENCOURAGING MOTHERS TO BREASTFEED. MAKING CONNECTIONS TO RECRUIT PREGNANT FIRST-TIME MOMS EARLY IN PREGNANCY IS CRITICAL. ONE OF THE FORT HAMILTON STAFF HAS TRANSITIONED TO SERVE MONTGOMERY AND PREBLE COUNTIES. TWO STAFF ARE AVAILABLE TO SERVE PREBLE COUNTY, EXPECTING A GROWTH OF 25 CLIENTS. MIAMI COUNTY HAS EXPRESSED AN INTEREST IN ADDING THE NURSE FAMILY PARTNERSHIP TO THEIR SERVICES. HELP ME GROW BRIGHTER FUTURES WOULD LIKE TO PARTNER BY UTILIZING EXISTING STAFF TO SUPPORT MIAMI COUNTY.IN 2018 AND 2019, HELP ME GROW BRIGHTER FUTURES RECEIVED INCREASED FUNDING THROUGH MEDICAID TO EXPAND HOME VISITING FOR REDUCING INFANT MORTALITY. ENROLLMENT IN HOME VISITING INCREASED BY NEARLY 200%. IN 2017 THE AFRICAN AMERICAN INFANT MORTALITY RATE WAS 16.9 IN MONTGOMERY COUNTY AND IN 2022 IT HAD DECREASED TO A RATE OF 14.5. 2,171 MONTGOMERY COUNTY YOUNG CHILDREN OR PREGNANT MOMS ARE CURRENTLY BEING SERVED WITH HOME VISITS AND SERVICES BY THE HELP ME GROW BRIGHTER FUTURES PROGRAM. THERE WERE 28,124 HOME VISITS COMPLETED WITH FAMILIES IN 2022. THE NURSE FAMILY PARTNERSHIP EXPANDED INTO BUTLER COUNTY, ADDING STAFF AT ATRIUM MEDICAL CENTER AND FORT HAMILTON HOSPITAL, TO SERVE 100 FIRST TIME PREGNANT WOMEN. THE PROGRAM EXPANDED TO 10 COUNTIES, ADDING CLARK, DARKE, SHELBY, AND WARREN COUNTIES IN 2022. HELP ME GROW ADDED A NEW PROGRAM, PARENTS AS TEACHERS, FOR FAMILIES WHO MISSED ELIGIBILITY FOR OTHER PROGRAMS BUT STILL HAVE NEEDS FOR PARENTING SUPPORT AND SCHOOL READINESS. HELP ME GROW HAS 84 HOME VISITING STAFF INCLUDING 35 NURSES, 24 SOCIAL WORKERS, AND 25 TEACHERS.PARTNERS: GREATER DAYTON AREA HOSPITAL ASSOCIATION, KETTERING HEALTH NETWORK, LIFE STAGES CENTERING, FIVE RIVERS HEALTH CENTERS, SOUTHVIEW WOMEN'S CENTER, GRANDVIEW WOMEN'S CENTER, PUBLIC HEALTH, PHYSICIAN OFFICES, AND A VARIETY OF COMMUNITY PROGRAMS SUCH AS THE WESLEY CENTER, ELIZABETH NEW LIFE, MIAMI VALLEY CHILD DEVELOPMENT CENTER, PROMISE TO HOPE, LIFE RESOURCE CENTER, AND FAMILY SERVICE AGENCY.NEED: MATERNAL HEALTHPROGRAM: PROMISE TO HOPEMETRICS: NUMBER OF CLIENTS SERVED PER YEAR.INTERVENTION GOAL: TO ENSURE HEALTHY OUTCOMES REDUCING PRETERM BIRTHS AND INFANT MORTALITY, PREGNANT WOMEN WITH SUBSTANCE USE DISORDER OR OPIATE USE DISORDER REQUIRE A MULTIDISCIPLINARY APPROACH WITH CONNECTION TO COMMUNITY RESOURCES. THE GOALS ARE: 1) DECREASE THE NUMBER OF UNINTENTIONAL DEATHS DUE TO SUBSTANCE OVERDOSE IN MONTGOMERY COUNTY, THEREBY DECREASING THE MATERNAL AND INFANT MORTALITY RATES. 2) INCREASE THE PERCENTAGE OF MOTHERS WHO CAN SUCCESSFULLY PARENT THEIR INFANTS FOLLOWING DELIVERY, AS OPPOSED TO PLACEMENT BY CHILDREN SERVICES. 3) DECREASE THE AVERAGE HOSPITAL LENGTH OF STAY FOR INFANTS WHO ARE DIAGNOSED WITH NEONATAL ABSTINENCE SYNDROME (NAS) AND/OR PRENATAL SUBSTANCE EXPOSURE. 4) CONTINUE TO INCREASE THE BREASTFEEDING RATE FOR MOTHERS ACTIVE IN RECOVERY AT DELIVERY.DESCRIPTION: A TEAM OF PHYSICIANS, A REGISTERED NURSE, AND A LICENSED INDEPENDENT SOCIAL WORKER WORK COLLABORATIVELY TO MEET THE UNIQUE NEEDS OF PREGNANT WOMEN WITH OPIATE USE DISORDER AND/OR SUBSTANCE USE DISORDER AND THEIR INFANTS. MIAMI VALLEY HOSPITAL OFFERS THE FACILITIES, THE HIGHLY SPECIALIZED EQUIPMENT, AND THE EXPERIENCED PHYSICIANS, NURSES, AND RELATED STAFF TO PROVIDE CARE FOR BOTH THE MOTHER AND INFANT. TO ENSURE THE HEALTHIEST OUTCOMES POSSIBLE FOR BOTH MOTHER AND CHILD, PERSONALIZED MEDICAL CARE AND WRAPAROUND SOCIAL SUPPORT ARE PROVIDED. PROMISE TO HOPE INITIATES MEDICATION ASSISTED TREATMENT (MAT) (THE USE OF FDA-APPROVED MEDICATIONS, IN COMBINATION WITH INDIVIDUAL AND GROUP THERAPIES, TO TREAT OPIATE USE DISORDER AND/OR SUBSTANCE USE DISORDER) AND CONNECTS THE MOTHER WITH A RECOVERY AGENCY OF HER CHOICE IN THE COMMUNITY FOR ONGOING TREATMENT.PROMISE TO HOPE HAS SERVED 776 PREGNANT WOMEN WITH OPIATE USE DISORDER SINCE ITS INCEPTION IN MAY 2015. IT PROVIDES TREATMENT DURING PREGNANCY AND FOR UP TO A YEAR AFTER BIRTH. PROMISE TO HOPE HAS EXPANDED TO INCLUDE PREGNANT WOMEN WITH ANY TYPE OF SUBSTANCE USE DISORDER RATHER THAN JUST TARGETING OPIATES. THE PROMISE TO HOPE PROGRAM HAS JOINED THE OHIO PERINATAL QUALITY COLLABORATIVE AND IS WORKING WITH HOSPITALS IN CINCINNATI, DAYTON, TOLEDO, ATHENS, CLEVELAND, AND COLUMBUS TO IMPROVE OUTCOMES FOR MOMS AND INFANTS.PARTNERS: ADAMHS BOARD OF MONTGOMERY COUNTY; MIAMI VALLEY HOSPITAL TURNING POINT, FIVE RIVERS HEALTH CENTERS; NOVA BEHAVIORAL HEALTH; SAMARITAN BEHAVIORAL HEALTH AND WOMEN'S RECOVERY CENTER.
PART V, SECTION B, LINE 11: (CONTINUED)	NEED: PREVENTIONPROGRAM: COMMUNITY HEALTH VOUCHER PROGRAMMETRICS: FOR THE 3-YEAR PERIOD, A PROJECTED 275 WOMEN SYSTEM-WIDE WILL BE SERVED BY THE PROGRAM. PREMIER HEALTH IS WORKING TO ESTABLISH CONTRACTS WITH PROVIDERS IN THE COMMUNITY FOR CERVICAL SERVICES. WHEN THIS IS ACCOMPLISHED IT WILL INCREASE THE CAPACITY FOR THE NUMBER OF WOMEN SERVED.INTERVENTION GOAL: THE VOUCHER PROGRAM'S MISSION IS TO PROVIDE FINANCIAL ASSISTANCE TO DETECT BREAST AND CERVICAL CANCERS AT THE EARLIEST STAGE TO UNINSURED AND UNDER-INSURED COMMUNITY RESIDENTS.DESCRIPTION: THIS PROGRAM SUPPLEMENTS THE STATE OF OHIO'S FUNDING TO ENCOURAGE WOMEN TO BE SCREENED FOR BREAST CANCER AND CERVICAL CANCER. IT PROVIDES FINANCIAL ASSISTANCE TO WOMEN WHO ARE NOT ELIGIBLE FOR THE STATE PROGRAM, AND IT ALSO COVERS DIAGNOSTIC TESTING AND BIOPSIES.THIS PROGRAM IS FUNDED THROUGH THE MIAMI VALLEY HOSPITAL FOUNDATION AND UVMC FOUNDATION AS WELL AS OTHER COMMUNITY DONATIONS. CLIENTS MUST BE UNINSURED OR UNDERINSURED (COPAYMENT, DEDUCTIBLE, COINSURANCE) WITH INCOME AT OR BELOW 400% OF FEDERAL POVERTY LEVEL.THE FOLLOWING SERVICES ARE COVERED BY THIS PROGRAM: SCREENING MAMMOGRAMS; DIAGNOSTIC MAMMOGRAMS; BREAST ULTRASOUNDS; BREAST BIOPSY; SURGICAL CONSULT (BREAST); PAP TESTS; CLINICAL BREAST EXAMS; COLPOSCOPIES; AND EDUCATIONAL MATERIALS.PARTNERS: ATRIUM MEDICAL CENTER FOUNDATION, GOOD SAMARITAN FOUNDATION - DAYTON, UVMC FOUNDATION, MIAMI VALLEY HOSPITAL FOUNDATION (HELP HER FIGHT), KROGER, BREAST CANCER FOUNDATION, KUHNS BROTHERS, AND FIVE RIVERS HEALTH CENTERNEED: PREVENTIONPROGRAM: COMMUNITY HEALTH AND MOBILE CLINIC PROGRAMMINGMETRICS: NUMBER OF EVENTS SCHEDULED; NUMBER OF PREVENTATIVE SCREENINGS (I.E., HEALTH SCREENINGS, FLU VACCINATIONS, ETC.); NUMBER OF PEOPLE WHO RECEIVED HEALTH EDUCATION; PERCENT OF PEOPLE IDENTIFIED AS "AT RISK AND RECEIVING FOLLOW UP; AND THE NUMBER OF PEOPLE CONNECTED TO RESOURCES.INTERVENTION GOAL: THE GOAL IS TO BRING HEALTHCARE SERVICES TO UNDERSERVED COMMUNITIES IN MONTGOMERY, PREBLE, AND GREENE COUNTIES. MANY COMMUNITY MEMBERS IN UNDERSERVED COMMUNITIES DO NOT HAVE EASY ACCESS TO HEALTHCARE. THE PURPOSE OF PREMIER COMMUNITY HEALTH'S MOBILE CLINIC PROGRAM IS TO MAKE QUALITY HEALTHCARE ACCESSIBLE AT FREQUENTLY VISITED LOCATIONS TO HELP COMMUNITY MEMBERS RECEIVE CARE WITHOUT HAVING TO TRAVEL LONG DISTANCES. THE MOBILE CLINIC PROGRAM PARTNERS WITH SEVERAL LOCATIONS (I.E., COMMUNITY CENTERS, LOCAL SCHOOLS, NON-PROFIT ORGANIZATIONS, ETC.) TO OFFER HEALTHCARE SERVICES ON A ROUTINE BASIS.DESCRIPTION: THE MOBILE CLINIC PROGRAM OFFERS HEALTH SCREENINGS AND ASSISTS WITH PHYSICIAN REFERRALS. THE HEALTH SCREENINGS INCLUDE BLOOD PRESSURE AND BLOOD GLUCOSE TESTS. THE SCREENINGS ARE ADMINISTERED BY A PREMIER COMMUNITY HEALTH NURSE WHO COMPLETES THE SERVICES BEING REQUESTED AND USES PAPER FORMS TO DOCUMENT. THE PATIENTS RECEIVE THEIR RESULTS IMMEDIATELY AFTER THE SCREENING AND DISCUSS THEIR SCREENING VALUES WITH THE NURSE. PATIENTS ALSO MAY UNDERGO SCREENINGS FOR CHOLESTEROL EVALUATIONS. SERVICES PRIMARILY FOCUS ON CARDIOVASCULAR HEALTH. LITERATURE ABOUT CHRONIC DISEASES AND HEALTHY LIFESTYLE ALTERNATIVES ARE PROVIDED TO PATIENTS.PARTNERS: HOPE 4 RIVERSIDE, THE SALVATION ARMY DAYTON KROC CENTER, DAYTON METRO LIBRARY, GEM CITY MARKET, SINCLAIR COMMUNITY COLLEGE, GREATER EDGEMONT COMMUNITY COALITION, CVS PHARMACY, DIXON UNITED METHODIST CHURCH, ABIDING CHRIST LUTHERAN CHURCH, TROTWOOD CHURCH OF BRETHREN, MT. ENON BAPTIST CHURCH AND OTHER LOCAL CHURCHES, MAD RIVER LOCAL SCHOOLS, LIFE ENRICHMENT CENTER, CENTRAL STATE UNIVERSITY, WRIGHT STATE UNIVERSITY.NEED: PREVENTIONPROGRAM: THE DAILY MILEMETRICS: REENGAGE AND EXPAND TO AT LEAST TWO ADDITIONAL SCHOOL DISTRICTS IN THE REGION.INTERVENTION GOAL: THE GOAL IS TO PRESENT PHYSICAL ACTIVITY AS AN IMPORTANT OPPORTUNITY THAT SHAPES HEALTH, DEVELOPMENT, AND FUTURE PHYSICAL ACTIVITY BEHAVIOR IN CHILDREN. CHILDREN WILL EXPERIENCE HIGHER LEVELS OF FITNESS, LOWER BODY FAT, AND STRONGER BONES AND MUSCLES WITH AN INCREASE IN PHYSICAL ACTIVITY LEVELS.DESCRIPTION: REGULAR PHYSICAL ACTIVITY BENEFITS THE MENTAL AND SOCIAL HEALTH OF CHILDREN. THE DAILY MILE IS A WELLNESS INTERVENTION DEVELOPED IN SCOTLAND, DESIGNED TO INCREASE PHYSICAL ACTIVITY LEVELS DURING THE SCHOOL DAY BY ENCOURAGING CHILDREN TO PARTICIPATE IN A JOG OR RUN, AT THEIR OWN PACE, WITH WALKING KEPT TO A MINIMUM. THE DAILY MILE OBJECTIVES COINCIDE WITH HEALTHY PEOPLE 2020 OBJECTIVES: TO TARGET YOUNGER CHILDREN THROUGH PHYSICAL ACTIVITY IN CHILDCARE SETTINGS.THE DAILY MILE WAS DEVELOPED IN 2012 AND PRIMARILY FEATURED IN SCOTLAND AND ENGLAND SCHOOLS; HOWEVER, ITS POSITIVE IMPACT ON THE CHILDREN RESULTED IN PARTICIPATION FROM OVER 10,943 SCHOOLS AND NURSERIES WORLDWIDE AND 2,309,784 STUDENTS. PREMIER HEALTH AND THE INVOLVED PARTNERS INTRODUCED THE FIRST DAILY MILE PILOT PROGRAM IN 2018. THE PILOT PROGRAM RESULTED IN A 52.7% PARTICIPATION RATE IN WHICH 80% (OF THE STUDENTS PARTICIPATING) DEMONSTRATED GROWTH IN THEIR LEVEL OF ENDURANCE. THE PANDEMIC UNFORTUNATELY PUT THIS PROGRAM ON HOLD. FOR THE UPCOMING YEAR, THIS PROGRAM'S GOAL IS TO REENGAGE EXISTING SCHOOL PROGRAMS AND IMPLEMENT 4 NEW SCHOOLS OVER THE NEXT 3 YEARS. THE SUCCESS OF THE DAILY MILE CAN BE CREDITED TO THE PARTNERSHIP BETWEEN THE ORGANIZATIONS AND THE SCHOOL'S EDUCATORS. PREMIER AND THE COMMUNITY AGENCIES INVOLVED WITH THE PROJECT CONTINUE TO WORK TO EXPAND THE PROGRAM WITHIN LOCAL SCHOOL DISTRICTS.PARTNERS: DAYTON CHILDREN'S HOSPITAL; PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY; FIVE RIVERS METROPARKS; CENTERVILLE CITY SCHOOL DISTRICT; MIAMISBURG CITY SCHOOL DISTRICT; AND CENTERVILLE-WASHINGTON PARK DISTRICT.
PART V, SECTION B, LINE 11: (CONTINUED)	NEED: PREVENTIONPROGRAM: HEALTHY HEROESMETRICS: SERVE 24 LOCAL FIRE AND POLICE DEPARTMENTS, AND ARE IN THE PROCESS OF ADDING 5 MORE.INTERVENTION GOAL: PREMIER HEALTH'S GOAL IS TO IMPROVE OVERALL HEALTH AND WELLNESS BY BUILDING RELATIONSHIPS WITH FIRST RESPONDERS AND INSPIRING THEM TO ENGAGE IN ACTIVITIES THAT PROMOTE IMPROVED INJURY RATES AND OVERALL AWARENESS OF OCCUPATION SPECIFIC HEALTHCARE NEEDS.DESCRIPTION: HEALTHY HEROES IS A COMPREHENSIVE WELLNESS AND FITNESS PROGRAM DESIGNED TO INCREASE THE EFFECTIVENESS, EFFICIENCY, AND DURABILITY OF FIRST RESPONDERS SUCH AS FIREFIGHTERS, EMS, AND LAW ENFORCEMENT. THIS PROGRAM PREPARES THE FIRST RESPONDER FOR THE PHYSICAL READINESS OF THE JOB AND HELPS FIGHT RISK FACTORS FOR INJURIES AND ILLNESSES ASSOCIATED WITH FIRST RESPONDERS. ATHLETIC TRAINERS PROVIDE ON-SITE WEEKLY INJURY EVALUATION CLINICS TO ASSESS AND TREAT MUSCULOSKELETAL INJURIES COMMON TO THE FIRST RESPONDERS. OUR GOAL IS TO PREVENT MINOR INJURIES FROM BECOMING MAJOR DISABILITIES. ATHLETIC TRAINERS ALSO PROVIDE EDUCATION ON VARIOUS HEALTH AND WELLNESS TOPICS SUCH AS NUTRITION, STRESS AND SLEEP, AND FITNESS SPECIFICS. HEALTHY HEROES ATHLETIC TRAINERS ARE STRENGTH AND CONDITIONING SPECIALISTS WHO CAN DEVELOP INDIVIDUAL WORKOUTS TO HELP FIRST RESPONDERS REACH THEIR SPECIFIC HEALTH AND WELLNESS GOALS.PARTNERS: COMMUNITY FIRE/EMT STATIONSNEED: PREVENTIONPROGRAM: COMMUNITY BENEFIT GRANT PROGRAMMETRICS: THE SIZE AND NUMBER OF CONTRIBUTION AWARDS.INTERVENTION GOAL: COMMUNITY HEALTH IMPROVEMENT: COMMUNITY ACTIVITIES OR PROGRAMS THAT RESPOND TO COMMUNITY NEEDS AND SEEK TO ACHIEVE OBJECTIVES INCLUDING IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING INCREASED GENERAL KNOWLEDGE.COMMUNITY-BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, ENVIRONMENTAL HAZARDS, ETC. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION.DESCRIPTION: GRANT-MAKING POLICY AND SPECIFIC GRANT DECISIONS FOR COMMUNITY BENEFITS CONTRIBUTIONS ARE MADE BY THE COMMUNITY BENEFITS EXECUTIVE COMMITTEE (OR DESIGNEES). THE SIZE AND NUMBER OF CONTRIBUTION AWARDS ARE RELATED TO THE AMOUNT OF MONEY AVAILABLE EACH YEAR AND VARY YEAR TO YEAR. AWARDS ARE TYPICALLY IN THE RANGE OF $500 TO $8,000.ALL PROJECTS:* ADDRESS HEALTH SYSTEM PRIORITIES: PREMIER HEALTH'S PRIORITIES INCLUDE BEHAVIORAL HEALTH/SUBSTANCE ABUSE, BIRTH OUTCOMES, AND CHRONIC DISEASE MANAGEMENT.* ADDRESS SOCIAL DETERMINANTS: SOCIAL DETERMINANTS ARE ALL THE ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH, INCLUDING EARLY CHILDHOOD DEVELOPMENT, EMPLOYMENT OPPORTUNITIES, FOOD INSECURITY, AIR AND WATER QUALITY, TRANSPORTATION, EDUCATIONAL ATTAINMENT, PUBLIC SAFETY, AND HOUSING.* ADDRESS HEALTH EQUITY AND DISPARITIES: HEALTH EQUITY IS ACHIEVED WHEN IMMUTABLE CHARACTERISTICS SUCH AS RACE, GENDER, SEXUAL IDENTITY, AND MORE ARE NOT CORRELATED TO HIGHER RATES OF ADVERSE HEALTH OUTCOMES. HEALTH DISPARITIES ARE THE DIFFERENCES IN HEALTH OUTCOMES BASED ON RACE, ETHNICITY, SEXUAL ORIENTATION, AND/OR SOCIO-ECONOMIC STATUS.* UPSTREAM APPROACH: AN UPSTREAM APPROACH ADDRESSES THE COMMUNITY FACTORS THAT SHAPE HEALTH BEFORE ANY CLINICAL INTERVENTION IS NECESSARY (ALSO KNOWN AS SOCIAL DETERMINANTS OF HEALTH). THESE FACTORS CAN INCLUDE FIELDS AS DIVERSE AS AFFORDABLE HOUSING, PUBLIC SAFETY, ACCESS TO HEALTHY FOOD, AND ECONOMIC OPPORTUNITY.* INTEGRATION: PARTNERSHIPS THAT ALIGN THE PRACTICES AND PERSPECTIVES OF COMMUNITIES, HEALTH SYSTEMS AND PUBLIC HEALTH UNDER A SHARED VISION, ESTABLISHING NEW ROLES WHILE CONTINUING TO DRAW UPON THE STRENGTHS OF EACH PARTNER* LOCAL: PARTNERSHIPS THAT ENGAGE NEIGHBORHOOD RESIDENTS AND COMMUNITY LEADERS AS KEY VOICES AND THOUGHT LEADERS THROUGHOUT ALL STAGES OF PLANNING AND IMPLEMENTATION* DATA-DRIVEN AND EVIDENCE-BASED: PARTNERSHIPS THAT USE DATA FROM BOTH CLINICAL AND COMMUNITY SOURCES AS A TOOL TO IDENTIFY KEY NEEDS, MEASURE MEANINGFUL CHANGE, AND FACILITATE TRANSPARENCY AMONGST STAKEHOLDERS TO GENERATE ACTIONABLE INSIGHTS; MIRRORING PROVEN STRATEGIES THAT FACILITATE TANGIBLE CHANGE.PARTNERS: NONESIGNIFICANT HEALTH NEEDS NOT ADDRESSEDMIAMI VALLEY HOSPITAL DOES NOT HAVE A SPECIFIC PROGRAM THAT ADDRESSES ARTHRITIS AND OSTEOPOROSIS AT A COMMUNITY HEALTH LEVEL BUT PROVIDES EXPERT CARE FOR INDIVIDUAL PATIENTS SUFFERING WITH THESE CONDITIONS.
PART V, SECTION B, LINES 16 A, B, AND C:	THE DIRECT WEBSITE ADDRESS WHERE A COPY OF THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/PATIENT-AND-VISITOR-GUIDE/PATIENT-GUIDE/COSTS-AND-INSURANCE/BILLING/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16J:	THE HOSPITAL WIDELY DISTRIBUTES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY WITHIN THE AREA THAT IT SERVES. THIS INFORMATION INCLUDES THE METHOD OF APPLYING FOR AND ACCESSING FINANCIAL ASSISTANCE. NOTICES ARE PUBLICIZED IN PATIENTS' BILLS AND ARE POSTED IN THE EMERGENCY ROOM, ADMITTING AND REGISTRATION AREAS, AS WELL AS OTHER PUBLIC AREAS. THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE. FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND CUSTOMER SERVICE REPRESENTATIVES DISCUSS THE FINANCIAL ASSISTANCE POLICY WITH ALL UNINSURED PATIENTS, AND ANY PATIENT WHO EXPRESSES FINANCIAL HARDSHIP WITH PAYING THEIR BILL. APPLICATIONS FOR FINANCIAL ASSISTANCE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - AUSTIN BOULEVARD EMERGENCY CENTER
300 AUSTIN W BLVD	MIAMISBURG	OH	45342	EMERGENCY CENTER, DIAGNOSTIC & IMAGING
2 - JAMESTOWN EMERGENCY CENTER
4940 COTTONVILLE RD	JAMESTOWN	OH	45335	EMERGENCY CENTER, CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING, REHAB
3 - BULL FAMILY DIABETES CENTER
400 SUGAR CAMP CIR	OAKWOOD	OH	45409	DIABETES CENTER
4 - MIAMI VALLEY HOSPITAL BEAVERCREEK EMERGE
2400 LAKEVIEW DR	BEAVERCREEK	OH	45431	EMERGENCY CENTER
5 - CARDIAC TESTING AND CARDIAC REHAB
1244 MEADOW BRIDGE DR	BEAVERCREEK	OH	45434	CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING
6 - OUTPATIENT CARDIAC TESTING & REHAB
122 WYOMING ST	DAYTON	OH	45409	CARDIAC TESTING & REHAB
7 - HEALTH CENTER - HUBER HEIGHTS
6251 MIAMI VALLEY WAY	HUBER HEIGHTS	OH	45424	CARDIAC TESTING, DIAGNOSTIC & IMAGING, REHAB
8 - MVH CENTER - GREENVILLE
742 SWEITZER ST	GREENVILLE	OH	45331	CARDIAC TESTING, DIAGNOSTIC & IMAGING
9 - REHABILITATION AT SURECARE MED CENTER
360 W CENTRAL AVE	SPRINGBORO	OH	45066	REHABILITATION, DIAGNOSTIC, & IMAGING
10 - DAYTON HEART CENTER
1530 NEEDMORE RD 301	HUBER HEIGHTS	OH	45414	DIAGNOSTIC & IMAGING
11 - MVH MEDICAL IMAGING - SPRINGBORO
630 N MAIN ST	SPRINGBORO	OH	45066	DIAGNOSTIC & IMAGING
12 - PHYSICAL THERAPY NEAR UNIVERSITY OF DAYT
1715 BROWN ST	DAYTON	OH	45409	PHYSICAL THERAPY
13 - THE REHABILITATION INSTITUTE OF OHIO
835 S MAIN ST	DAYTON	OH	45402	REHABILITATION
14 - CLAYBORUNE PHYSICAL THERAPY CLINIC
1525 E STROOP RD	KETTERING	OH	45429	REHABILITATION
15 - OUTPATIENT PHYSICAL THERAPY & SPORTS MED
90 REMICK BLVD	SPRINGBORO	OH	45066	REHABILITATION & SPORTS MEDICINE
16 - MVH CENTER FOR SLEEP & WAKE DISORDER
6611 CLYO RD	CENTERVILLE	OH	45459	SLEEP CENTER
17 - PREMIER OCCUPATIONAL HEALTH CENTRAL
1520 S MAIN ST	DAYTON	OH	45409	OCCUPATIONAL HEALTH
18 - OCCUPATIONAL HEALTH IN MIAMISBURG
8 PRESTIGE PLAZA	MIAMISBURG	OH	45342	OCCUPATIONAL HEALTH
19 - GREATER DAYTON CANCER CENTER
3120 GOVERNORS PLACE BLVD	DAYTON	OH	45409	CANCER CARE
20 - SLEEP SERVICES IN HUBER HEIGHTS
7371 BRANT PIKE	HUBER HEIGHTS	OH	45424	SLEEP CENTER
21 - SLEEP SERVICES AT MIAMI VALLEY HOSP
30 E APPLE ST	DAYTON	OH	45409	SLEEP CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A COST TO CHARGE RATIO WAS USED TO CALCULATE THIS FINANCIAL ASSISTANCE AT COST. THIS CALCULATION TAKES TOTAL OPERATING EXPENSES LESS OTHER OPERATING REVENUES DIVIDED BY TOTAL GROSS REVENUES. UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENTAL PROGRAMS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND INCLUDES FULLY LOADED COSTS. FOR THE REMAINING ITEMS, THE ORGANIZATION USED SPECIFIC NUMBERS FOR EXPENSES PAID DIRECTLY FOR THESE SERVICES.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT FOR MIAMI VALLEY HOSPITAL IS PART OF THE PREMIER HEALTH REPORT (EIN# 31-1446699).
PART I, LINE 7G:	MIAMI VALLEY HOSPITAL (MVH) PROVIDES SUBSIDIZED EMERGENCY SERVICES BY OPERATING A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THIS EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL INCURS EXPENSES RELATED TO CALL TIME AND PHYSICIAN SUBSIDIES DUE TO THE LARGE NUMBER OF INDIGENT PATIENTS COMING THROUGH THE EMERGENCY ROOM. FOR 2022, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $28,058,000.
PART III, LINE 4:	THE ORGANIZATION DOES NOT HAVE A FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS WHICH DISCUSSES THIS CALCULATION.
PART III, LINE 8:	THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE, IN EXCESS OF THE COST, TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE MEDICARE POPULATION AT THE ORGANIZATION IS IN EXCESS OF 45% OF NET PATIENT REVENUE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS.
PART III, LINE 9B:	THE ORGANIZATION MAKES REASONABLE EFFORTS TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE STATE OR HOSPITAL FINANCIAL ASSISTANCE POLICY BEFORE ENGAGING IN EXTRAORDINARY COLLECTIVE ACTIONS AGAINST THAT INDIVIDUAL. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED REASONABLE PAYMENT PLAN ARRANGEMENTS FOR ANY REMAINING BALANCES. ANY THIRD-PARTY COLLECTING SELF-PAY RECEIVABLES ON OUR BEHALF IS REQUIRED TO MAKE REASONABLE EFFORTS TO DETERMINE IF THE INDIVIDUAL MEETS THE QUALIFICATIONS OF THE STATE OR OF OUR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS.REASONABLE EFFORTS INCLUDE:A. VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL.B. DOCUMENTED THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY.C. DOCUMENTED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED AND ACCEPTED TERMS FOR A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN.THE FINANCIAL COUNSELORS MEET WITH INPATIENT, OUTPATIENT, SELF-PAY, AND OTHER PATIENTS UPON REQUEST WHO MAY NEED FINANCIAL ASSISTANCE. IN ADDITION TO ASSISTING PATIENTS WHO WANT TO APPLY FOR ASSISTANCE THROUGH THE MEDICAID PROGRAM, THE FINANCIAL COUNSELOR WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION.
PART III, LINES 2 & 3:	BAD DEBT EXPENSE IS INCURRED WHEN AN ACCOUNT IS TAKEN OUT OF ACCOUNTS RECEIVABLE AND TURNED OVER TO A COLLECTION AGENCY. THIS ACTION MAY OCCUR IF A PATIENT REFUSES PAYMENT ARRANGEMENTS, REFUSES TO APPLY FOR FINANCIAL ASSISTANCE, AND THERE IS NOT AN INSURANCE BALANCE BEING CONTENDED. AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AFTER 130 DAYS IF AN ATTEMPT TO COLLECT FROM THE PATIENT IS MADE WITHIN OUR COLLECTION POLICY. THE COLLECTION AGENCY ATTEMPTS TO COLLECT THE ACCOUNT IN ACCORDANCE WITH ESTABLISHED GUIDELINES. COLLECTION ATTEMPTS ARE CEASED AND THE ACCOUNT RETURNED TO THE ORGANIZATION IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE. ANY AMOUNTS COLLECTED FROM THESE ACCOUNTS ARE CREDITED BACK AGAINST BAD DEBT EXPENSE. THE ORGANIZATION RECOGNIZES THERE ARE ACCOUNTS WRITTEN OFF TO BAD DEBT THAT MAY HAVE QUALIFIED FOR CHARITY CARE IF THE PATIENT HAD PROVIDED THE NECESSARY FINANCIAL INFORMATION. TO RESOLVE THIS, THE ORGANIZATION HAS ENGAGED A THIRD-PARTY VENDOR TO ANALYZE DATA BASED ON CREDIT SCORES TO REALLOCATE SOME OF THIS EXPENSE TO CHARITY CARE. A REPRESENTATIVE SAMPLE OF THESE ACCOUNTS IS THEN SENT TO OUR THIRD-PARTY VENDOR WHO GATHERS EXTERNAL CREDIT DATA THAT PRESENTS THE ACCOUNT AS LESS THAN 100% FEDERAL POVERTY LEVEL OR NOT ENOUGH INFORMATION (TYPICALLY INDICATIVE OF INDIGENT). THESE ACCOUNTS ARE RECLASSED FROM BAD DEBT EXPENSE TO CHARITY EXPENSE ON OUR INCOME STATEMENT. ANY CREDIT SCORE THAT PRESENTS THE ACCOUNTS AS GREATER THAN 100% FEDERAL POVERTY LEVEL REMAINS IN BAD DEBT EXPENSE. DUE TO THIS PROCESS, THE ORGANIZATION HAS USED BEST EFFORTS TO NOT REPORT BAD DEBT EXPENSE FOR PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.
PART III, SECTION B, LINES 5, 6, AND 7:	THE AMOUNTS REPORTED ON LINES 5, 6, AND 7 DO NOT INCLUDE CERTAIN MEDICARE PROGRAM REVENUES AND COSTS, AND THUS DO NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN MEDICARE PROGRAMS. IN ADDITION TO THE AMOUNTS REPORTED ON LINE 5, 6, AND 7, THE ORGANIZATION RECEIVED REVENUE OF $279,410,000 AND INCURRED COST OF $403,090,000, FOR AN ADDITIONAL NET SHORTFALL OF $123,680,000 ASSOCIATED WITH THESE PROGRAMS. BELOW IS A RECONCILIATION OF THE AMOUNTS ASSOCIATED WITH MEDICARE PROGRAMS.ALLOWABLE MEDICARE REVENUE PER MEDICARE COST REPORT(PART III, SECTION B) $188,249,000MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $279,410,000TOTAL MEDICARE ASSOCIATED REVENUE $467,659,000ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $202,809,000MEDICARE COST NOT REPORTED IN PART III, SECTION B $403,090,000TOTAL MEDICARE ASSOCIATED COST $605,899,000MEDICARE SHORTFALL PER PART III, SECTION B $14,560,000ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $123,680,000TOTAL MEDICARE SHORTFALL $138,240,000
PART VI, LINE 2:	THE ORGANIZATION WORKS WITH THE COMMUNITY ON PROGRAMS THAT ADDRESS THE UNDERLYING CAUSES OF PERSISTENT HEALTH PROBLEMS AS PART OF A COMPREHENSIVE STRATEGY TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR IDENTIFIED MEMBERS OF THE COMMUNITY WHO ARE ECONOMICALLY DISADVANTAGED, DISENFRANCHISED, AND/OR WHO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE ORGANIZATION STRIVES TO WORK WITH PREMIER HEALTH, THE HOSPITAL BOARD OF TRUSTEES, EXECUTIVE MANAGEMENT, MANAGERS, STAFF MEMBERS, COMMUNITY GROUPS, AND INDIVIDUALS TO PROVIDE A COLLABORATIVE APPROACH TO THE GOVERNANCE AND MANAGEMENT OF COMMUNITY BENEFIT ACTIVITIES.
PART VI, LINE 3:	THERE ARE SEVERAL WAYS IN WHICH OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR SERVICES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FIRST, NOTIFICATION OF SUCH AVAILABLE ASSISTANCE IS CLEARLY POSTED IN REGISTRATION AREAS, AS WELL AS MATERNITY AND EMERGENCY DEPARTMENTS. NEXT, PATIENT ADVOCATES, PATIENT ACCESS STAFF MEMBERS, AND FINANCIAL COUNSELORS IN THE INPATIENT AND EMERGENCY DEPARTMENTS MEET WITH UNINSURED AND UNDERINSURED PATIENTS, AND THOSE WITH ONLY MEDICARE COVERAGE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. FINANCIAL COUNSELORS ALSO DISCUSS OPTIONS TO RESOLVE UNPAID ACCOUNT BALANCES WITH UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE, ALONG WITH INFORMATION ON HOW TO OBTAIN AN APPLICATION. WHEN A PATIENT RECEIVES A BILL, THE REVERSE SIDE OF THE BILL CONTAINS INFORMATION ABOUT THE STATE OF OHIO FREE CARE PROGRAM (CARE ASSURANCE) AND A FINANCIAL ASSISTANCE APPLICATION. THE BILLING STATEMENTS OFFER THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE, AND THE CONTACT INFORMATION FOR ASSISTANCE.
PART VI, LINE 4:	THE ORGANIZATION IS LOCATED IN DAYTON, OHIO. OUR TARGET POPULATION INCLUDES CITIZENS OF DAYTON, AS WELL AS SURROUNDING COMMUNITIES. MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION IS APPROXIMATELY 537,000 PEOPLE. INCLUDING THE ADJACENT COUNTIES, WHICH ARE ALSO SERVED (GREENE, MIAMI, PREBLE), MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION APPROACHES 855,000 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME OF MONTGOMERY COUNTY IS SLIGHTLY ABOVE $56,500 PER YEAR, WITH APPROXIMATELY 15.2% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. FOR 2022, MEDICARE PATIENTS REPRESENTED 46.4% OF GROSS PATIENT REVENUE AND MEDICAID REPRESENTED 22.9% OF GROSS PATIENT REVENUE.
PART VI, LINE 5:	MIAMI VALLEY HOSPITAL'S MOST VISIBLE CONTRIBUTION TO THE COMMUNITY IS IN THE FORM OF PROVIDING HIGH-QUALITY INPATIENT AND OUTPATIENT CARE TO OUR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MIAMI VALLEY HOSPITAL IS THE REGION'S ONLY LEVEL I TRAUMA CENTER AND OPERATES A CRITICAL CARE TRANSPORT SERVICE. THIS TRANSPORT SERVICE INCLUDES 24-HOUR AIR AMBULANCE SERVICE OPERATING FOUR HELICOPTERS. MIAMI VALLEY HOSPITAL ALSO OFFERS ONE OF THE REGION'S FOUR LEVEL III NEONATAL INTENSIVE CARE UNITS. A FREE-STANDING EMERGENCY DEPARTMENT IS OPERATED IN GREENE COUNTY TO PROVIDE LOCAL TRAUMA CARE TO RESIDENTS IN THIS RURAL AREA. FURTHER ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTATIVE CARE TO RESIDENTS IN MEDICALLY UNDERSERVED AREAS, REGARDLESS OF THEIR ABILITY TO PAY, IS SUPPORTED THROUGH FINANCIAL CONTRIBUTIONS TO THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER. MIAMI VALLEY HOSPITAL ALSO OPERATES THE REGIONAL ADULT BURN CENTER WHICH IS ONE OF THE MOST WIDELY RECOGNIZED FACILITIES IN WEST CENTRAL OHIO FOR THE TREATMENT OF ADULT BURN PATIENTS. IN ADDITION, MVH'S REHABILITATION INSTITUTE OF OHIO (RIO) IS ONE OF THE NATION'S LARGEST PHYSICAL MEDICINE DEPARTMENTS BASED IN A COMMUNITY HOSPITAL. RIO'S PURPOSE IS TO ENHANCE THE LEVEL OF INDEPENDENCE OF PATIENTS WITH PHYSICAL AND COGNITIVE DISABILITIES TO MOVE TO THE NEXT LEVEL BASED ON THEIR FUNCTIONAL CAPABILITIES. OUR MISSION INCLUDES CONTINUALLY STRIVING TO ENRICH THE COMMUNITY BY TRAINING AND EDUCATING FUTURE HEALTHCARE WORKERS, OFFERING HEALTH AWARENESS AND EDUCATION TO THE COMMUNITY, SUCH AS PROMOTION OF BREAST CANCER SCREENINGS, WOMEN AND INFANT HEALTH, DIABETIC WELLNESS AND DRIVER SAFETY AWARENESS FOR HIGH-SCHOOL STUDENTS. THE HOSPITAL ALSO PROVIDES RELEVANT EDUCATION FOR EMS AND PRE-HOSPITAL CARE PROVIDERS THROUGHOUT THE REGION. THE TRAINING INCLUDES LOCAL CASE REVIEWS, LECTURES, HANDS-ON SIMULATION AND PANEL DISCUSSIONS PERTAINING TO THE EDUCATION ON USE OF TOOLS, PRIORITIES OF PATIENT CARE AND OTHER CRITICAL INFORMATION. MIAMI VALLEY HOSPITAL PARTNERS WITH MANY OF THE LOCAL SCHOOLS TO PROVIDE CERTIFIED AND LICENSED ATHLETIC TRAINERS AT THEIR CAMPUSES TO AID IN INJURY PREVENTION, RECOGNITION AND TREATMENT OF SPORTS-RELATED INJURIES. THE HOSPITAL ALSO SUPPORTS THE COMMUNITY THROUGH SPONSORSHIPS AND PARTICIPATION IN LOCAL FUNDRAISING EVENTS THAT PROMOTE HEALTHY LIFESTYLE CHOICES, PREVENTATIVE CARE, CHRONIC DISEASE MANAGEMENT AND GENERAL HEALTH EDUCATION. WITHIN THE HOSPITAL, INTERPRETERS ARE OFFERED TO PATIENTS AT NO COST AS A RESULT OF INCREASED VOLUMES OF NON-ENGLISH-SPEAKING PATIENTS. MIAMI VALLEY HOSPITAL PROVIDES SPIRITUAL CARE SUPPORT SERVICES TO PATIENTS AND FAMILY MEMBERS UTILIZING 9 TRAINED PROFESSIONAL CHAPLAINS, 24 HOURS A DAY, 7 DAYS A WEEK.THE HOSPITAL HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICAID AND MEDICARE, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MIAMI VALLEY HOSPITAL'S MISSION REFLECTS A COMMITMENT TO PROVIDE HIGH-QUALITY COST-EFFECTIVE HEALTH SERVICES TO THE DIVERSE COMMUNITIES THAT IT SERVES. AT THE CORE OF THE COMMITMENT IS THE BELIEF THAT IN ORDER TO MEET OUR PATIENTS' EXPECTATIONS AND TO IMPROVE TREATMENT OUTCOMES, IT IS NECESSARY FOR US TO UNDERSTAND THE PATIENT'S FRAME OF REFERENCE. A DIVERSE WORKFORCE ALLOWS US TO DRAW UPON THE RICHNESS OF OUR HUMAN RESOURCES, CREATE A POSITIVE WORK ENVIRONMENT, AND MEET THE EXPECTATIONS OF THOSE WE SERVE. MIAMI VALLEY HOSPITAL'S COMMITMENT TO DIVERSITY IS ACCOMPLISHED BY:* TAKING A LEADERSHIP ROLE IN CREATING AND SUSTAINING AN ORGANIZATIONAL ENVIRONMENT THAT ACTIVELY SUPPORTS DIVERSITY,* POSITIONING DIVERSITY AS A LONG-TERM COMPREHENSIVE ORGANIZATIONAL STRATEGY,* ESTABLISHING AND SUPPORTING RELATIONSHIPS WITH MINORITY AND DIVERSITY-FOCUSED ORGANIZATIONS AND* PROVIDING EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES.
PART VI, LINE 6:	PREMIER HEALTH (PREMIER) IS THE SOLE MEMBER OF MIAMI VALLEY HOSPITAL, TWO OTHER HOSPITALS (FIVE LOCATIONS IN TOTAL), AND SEVERAL OTHER HEALTH CARE SERVICE SUBSIDIARIES. PREMIER HAS THE AUTHORITY TO OPERATE EACH HOSPITAL WITH RESPECT TO MATTERS SUCH AS BUDGETING, STRATEGIC PLANNING, MANAGED CARE CONTRACTING, EMPLOYEE COMPENSATION, TRANSFER/SALE OF MATERIAL ASSETS, ETC. AS AN INTEGRATED HEALTHCARE SYSTEM, PREMIER PROVIDES A CONTINUUM OF CARE FOR THE RESIDENTS OF SOUTHWEST OHIO. AS A SYSTEM, PREMIER IS A COMMUNITY LEADER IN SUPPORTING VARIOUS COMMUNITY BENEFIT PROGRAMS THAT ALIGN WITH ITS CURRENT CHNA. RESOURCES ARE LEVERAGED IN EACH ENTITY WITHIN THE PREMIER SYSTEM TO SUPPORT THESE PROGRAMS IDENTIFIED AT THE PREMIER SYSTEM LEVEL. THE POLICIES FOR BAD DEBT AND CHARITY COLLECTIONS ARE ESTABLISHED BY PREMIER.
PART VI, LINE 7:	OHIO

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
FIVE RIVERS HEALTH CENTERS
2261 PHILADELPHIA DR	DAYTON	OH	45406	450914398	501(C)(3)	$2,857,457	$0	SUPPORT
ONEFIFTEEN RECOVERY
6636 LONGSHORE ST 200	DUBLIN	OH	43017	833504845	501(C)(3)	$1,660,000	$0	SUPPORT
PREMIER COMMUNITY HEALTH
110 N MAIN ST 500	DAYTON	OH	45402	311122883	501(C)(3)	$99,285	$0	SUPPORT
REACH OUT MONTGOMERY COUNTY
25 E FORAKER ST	DAYTON	OH	45409	311434282	501(C)(3)	$87,150	$0	SUPPORT
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311040231	501(C)(3)	$86,735	$0	SUPPORT
HOMEFULL
829 S GETTYSBURG AVE	DAYTON	OH	45417	311236989	501(C)(3)	$42,745	$0	SUPPORT
UVMC FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311581859	501(C)(3)	$38,595	$0	SUPPORT
THE FOODBANK
56 ARMOR PLACE	DAYTON	OH	45417	861082880	501(C)(3)	$36,935	$0	SUPPORT
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311079213	501(C)(3)	$28,843	$0	SUPPORT
DAYTON FOUNDATION
40 N MAIN ST 500	DAYTON	OH	45423	316027287	501(C)(3)	$25,730	$0	SUPPORT
WRIGHT STATE UNIVERSITY FOUNDATION
3640 COLONEL GLENN HIGHWAY	DAYTON	OH	45435	237019799	501(C)(3)	$24,070	$0	SUPPORT
UNIVERSITY OF DAYTON
300 COLLEGE PARK	DAYTON	OH	45469	310536715	501(C)(3)	$20,128	$0	SUPPORT
GOODWILL EASTER SEALS
660 S MAIN ST	DAYTON	OH	45402	310537112	501(C)(3)	$18,053	$0	SUPPORT
PLANNED PARENTHOOD SOUTHWEST OHIO REGION
1300 N CO RD 25A	TROY	OH	45373	311596731	501(C)(3)	$15,148	$0	SUPPORT
CHAMINADE JULIENNE
505 S LUDLOW ST	DAYTON	OH	45402	310832408	501(C)(3)	$12,450	$0	SUPPORT
OTTERBEIN HOMES
580 N SR 741	LEBANON	OH	45036	310549058	501(C)(3)	$11,620	$0	SUPPORT
GOOD SAMARITAN FOUNDATION - DAYTON
110 N MAIN ST 500	DAYTON	OH	45402	237296923	501(C)(3)	$11,413	$0	SUPPORT
WARREN COUNTY FOUNDATION
118 E MAIN ST	LEBANON	OH	45036	311565086	501(C)(3)	$11,122	$0	SUPPORT
CRAYONS TO CLASSROOMS
1511 KUNTZ RD	DAYTON	OH	45404	261594574	501(C)(3)	$10,375	$0	SUPPORT
SC MINISTRY FOUNDATION
5900 DELHI RD	MOUNT SAINT JOSEPH	OH	45051	311185570	501(C)(3)	$8,923	$0	SUPPORT
GEM CITY MARKET
33 WEST 1ST ST 100	DAYTON	OH	45402	821168121		$8,300	$0	SUPPORT
MIAMI COUNTY YMCA
223 W HIGH ST	PIQUA	OH	45356	310537179	501(C)(3)	$7,885	$0	SUPPORT
OASIS HOUSE
425 N FINDLAY ST 308	DAYTON	OH	45404	300184630	501(C)(3)	$6,640	$0	SUPPORT
MISSION OF MARY COOPERATIVE
619 SLIVER LANE	DAYTON	OH	45410	462231133	501(C)(3)	$6,225	$0	SUPPORT
DAYTON ART INSTITUTE
456 BELMONTE PARK N	DAYTON	OH	45405	310537480	501(C)(3)	$5,810	$0	SUPPORT
DECOLORES MONTESSORI SCHOOL
312 CENTRAL AVE	GREENVILLE	OH	45331	311166242	501(C)(3)	$5,810	$0	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	25	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	1) DISBURSEMENTS ARE ANALYZED MONTHLY THROUGH VARIOUS REPORTS AND COMMITTEE MEETINGS. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE AND APPROVED AND DISBURSED PER ORGANIZATIONAL POLICY. 3) GRANT SPENDING IS MONITORED AGAINST BUDGETED AMOUNTS ON AN ONGOING BASIS.
SCHEDULE I, PART II, PAGE 3, LINE 1(A)(6), GEM CITY MARKETPLACE:	MIAMI VALLEY HOSPITAL CONTRIBUTES FUNDS TO SUBSIDIZE COMMUNITY OWNER SHARES OF THE GEM CITY MARKETPLACE IN DOWNTOWN DAYTON (A FOOD DESERT).

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY H BOOSALIS
TRUSTEE/PREMIER PRES & CEO (TO JAN)	$0	$243,179	$0	$1,799,215	$0	$224,683	$0	$18,855	$0	$5,909	$0	$2,291,841	$0	$0
MICHAEL C RIORDAN
TRUSTEE/PREMIER PRES & CEO-FROM JAN	$0	$1,067,901	$0	$0	$0	$212,539	$0	$0	$0	$28,132	$0	$1,308,572	$0	$0
BARBARA A JOHNSON
TRUSTEE & PREMIER COO	$0	$779,540	$0	$297,335	$0	$88,824	$0	$14,063	$0	$12,148	$0	$1,191,910	$0	$0
GEOFFREY P WALKER
CHIEF LEGAL OFFICER	$0	$483,803	$0	$150,928	$0	$307,814	$0	$18,871	$0	$29,565	$0	$990,981	$0	$0
MARC R BELCASTRO DO
VP MEDICAL AFFAIRS & PREMIER CMO	$0	$598,103	$0	$181,805	$0	$54,977	$0	$10,475	$0	$25,736	$0	$871,096	$0	$0
GARY G GINTER
VP & PREMIER CHIEF INFO OFFICER	$450,593	$0	$126,517	$0	$237,819	$0	$19,235	$0	$29,836	$0	$864,000	$0	$203,308	$0
KEITH D BRICKING MD
VP & CHIEF CLINICAL OFFICER (FROM OC	$0	$571,733	$0	$199,778	$0	$10,862	$0	$9,597	$0	$32,427	$0	$824,397	$0	$59,080
MICHAEL J MAIBERGER
FORMER TRUSTEE & OFFICER	$0	$0	$0	$0	$0	$822,367	$0	$0	$0	$0	$0	$822,367	$0	$0
JENNIFER J HAULER DO
TRUSTEE & COO	$557,482	$0	$184,044	$0	$23,553	$0	$9,686	$0	$2,384	$0	$777,149	$0	$0	$0
MARY M CLANCY
CHIEF DIGITAL OFFICER	$0	$470,691	$0	$150,789	$0	$83,054	$0	$19,693	$0	$32,729	$0	$756,956	$0	$0
MARGARET PEGGY W MARK
VP NURSING/CNO/PATIENT EXP-PH (TO AP	$0	$127,686	$0	$133,099	$0	$305,331	$0	$154,451	$0	$25,817	$0	$746,384	$0	$0
J MICHAEL SIMS
SYS VP & CORPORATE CONTROLLER	$0	$355,741	$0	$138,119	$0	$183,742	$0	$19,235	$0	$31,109	$0	$727,946	$0	$0
TAREK M SABAGH MD
BOARD CHAIR	$0	$504,741	$0	$4,708	$0	$164,400	$0	$231	$0	$34,544	$0	$708,624	$0	$0
ELOISE P BRONER
CHIEF-SHARED SERVICES	$452,457	$0	$151,253	$0	$63,401	$0	$20,203	$0	$10,568	$0	$697,882	$0	$0	$0
DARIN J PANGALANGAN MD
SYS VP-CLINICAL SERVICE LINES	$523,699	$0	$141,347	$0	$5,147	$0	$9,946	$0	$2,084	$0	$682,223	$0	$0	$0
ROBERTO COLON
VP OPERATIONS/CMO-MVH	$451,563	$0	$135,860	$0	$22,139	$0	$35,075	$0	$27,857	$0	$672,494	$0	$0	$0
MICHAEL R UHL
PRESIDENT & CEO (TO JUN)	$344,188	$0	$274,802	$0	$10,999	$0	$19,572	$0	$14,367	$0	$663,928	$0	$241,187	$0
JOANN R RINGER
CHIEF ADMINSTRATIVE OFFICER	$362,503	$0	$102,744	$0	$114,221	$0	$20,910	$0	$30,636	$0	$631,014	$0	$0	$0
MELANIE M GLOVER MD
TRUSTEE	$0	$514,489	$0	$0	$0	$35,415	$0	$10,526	$0	$29,872	$0	$590,302	$0	$0
ELAINE LAINIE M DEAN
FORMER KEY EMPLOYEE	$407,817	$0	$129,774	$0	$22,756	$0	$11,065	$0	$14,687	$0	$586,099	$0	$0	$0
LAKMALI C RANATHUNGA
TRUSTEE / MED DIR - HOSPITALIST PROG	$459,268	$0	$79,057	$0	$20,171	$0	$12,113	$0	$13,032	$0	$583,641	$0	$0	$0
STACEY M LAWSON
TRUSTEE / CHIEF HR OFFICER	$362,991	$0	$94,596	$0	$12,864	$0	$23,297	$0	$14,977	$0	$508,725	$0	$0	$0
MARY E GARMAN
COO - MVHN	$302,180	$0	$86,324	$0	$80,487	$0	$11,094	$0	$13,375	$0	$493,460	$0	$66,212	$0
CHRISTIE J GRAY
VP HOSP OPS/CHIEF NSG OFFICER	$331,165	$0	$92,553	$0	$1,710	$0	$22,985	$0	$14,191	$0	$462,604	$0	$0	$0
MARQUITA L TURNER
COO - MVHS	$295,671	$0	$84,912	$0	$2,838	$0	$16,415	$0	$13,530	$0	$413,366	$0	$0	$0
KIMBERLY A HENSLEY
FORMER KEY EMPLOYEE	$0	$298,282	$0	$82,551	$0	$2,834	$0	$14,773	$0	$10,781	$0	$409,221	$0	$0
ROBERT M BOWMAN
FORMER KEY EMPLOYEE	$261,346	$0	$81,221	$0	$26,981	$0	$17,802	$0	$21,144	$0	$408,494	$0	$0	$0
KRISTINA M KEAN
TREASURER / VP FINANCE	$296,066	$0	$82,933	$0	$925	$0	$14,896	$0	$12,434	$0	$407,254	$0	$0	$0
CARA W POWERS
FORMER OFFICER	$275,625	$0	$78,683	$0	$1,433	$0	$13,885	$0	$28,967	$0	$398,593	$0	$0	$0
BILLIE L LUCENTE-BAKER
FORMER KEY EMPLOYEE	$241,999	$0	$76,411	$0	$781	$0	$16,655	$0	$15,188	$0	$351,034	$0	$0	$0
JENNA M DOWNEY ESQ
BOARD SECRETARY / VP LEGAL SRVC	$246,830	$0	$47,410	$0	$487	$0	$9,682	$0	$12,265	$0	$316,674	$0	$0	$0
AMANDA K ADKINS-RICCI
SYSTEM VP REVENUE CYCLE	$0	$241,887	$0	$44,970	$0	$475	$0	$11,512	$0	$11,457	$0	$310,301	$0	$0
LISA M GOSSETT
VP NURSE/CNO/PATIENT EXP (FROM JUN)	$0	$200,746	$0	$0	$0	$1,999	$0	$2,855	$0	$9,650	$0	$215,250	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH, WITH WHICH MVH IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.
PART I, LINE 4A:	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2022: MARY BOOSALIS $218,596; MARGARET MARK $273,306.
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, MIAMI VALLEY HOSPITAL (MVH) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH 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 2022. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: ROBERT BOWMAN $23,301; ELOISE BRONER $35,765; MARY CLANCY $78,305; JOANN RINGER $108,160; J. MICHAEL SIMS $156,921; GEOFFREY WALKER $300,385. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: MARC BELCASTRO, D.O. $43,756; MARY GARMAN $76,052; GARY GINTER $230,909; BARBARA JOHNSON $74,090; MICHAEL MAIBERGER $392,827; MARGARET MARK $17,830. 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: ROBERTO COLON $25,425; CHRISTIE GRAY $3,091; KRISTINA KEAN $3,066; STACEY LAWSON $6,909; BILLIE LUCENTE-BAKER $1,828; MARQUITA TURNER $1,283; MICHAEL UHL $8,385. 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
OHIO HIGHER EDUCATION FACILITY COMMISSION
A	346849674	67756CFC7	2020-09-15	$98,089,554	REFUND SERIES 2011A & NOTE A	0	0	0
COUNTY OF MONTGOMERY OHIO
B	316000172	613520LO6	2019-09-24	$314,459,788	SEE PART IV, NOTE B	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$98,089,554	$1,526,311	$96,563,243	2011	Yes (1)	0	Yes (1)	Yes (1)
B	$314,459,788	$2,774,994	$299,684,794	2019	Yes (1)	0	Yes (1)	Yes (1)	$12,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	0	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	Yes (1)	0.00810	0.00810

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BARCLAYS & WFB
A	0	Yes (1)	0	0	0	Yes (1)	14.300000000000	Yes (1)	0	0	0	Yes (1)
BARCLAYS & WFB
B	0	Yes (1)	0	0	Yes (1)	Yes (1)	22.900000000000	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NOTE A PART I, LINE A, COLUMN F:	REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2011A BONDS - ISSSUE DATE 04/12/2011
NOTE B PART I, LINE B, COLUMN E:	ISSUE PRICE IS NOT IDENITICAL TO THE ISSUE PRICE LISTED ON FORM 8038 DUE TO SERIES 2019A BONDS' PROCEEDS BEING SPLIT BETWEEN MIAMI VALLEY HOSPITAL, ATRIUM MEDICAL CENTER AND UPPER VALLEY MEDICAL CENTER
NOTE B PART I, LINE B, COLUMN F:	REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2009B BONDS - ISSUE DATE 02/24/2009 SERIES 2012A BONDS - ISSUE DATE 11/20/2012 SERIES 2016C BONDS - ISSUE DATE 08/31/2016 SERIES 2016D BONDS - ISSUE DATE 08/31/2016 SERIES 2016E BONDS - ISSUE DATE 08/31/2016 SERIES 2016F BONDS - ISSUE DATE 08/31/2016 SERIES 2018 BONDS - ISSUE DATE 12/20/2018 REIMBURSEMENT OF PROJECT COSTS

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARC R BELCASTRO II
CHILD OF MARC R. BELCASTRO, M.D., KEY EMPLOYEE	$55,785	EMPLOYMENT	0
AMANDA M BOWMAN
CHILD OF ROBERT BOWMAN, FORMER KEY EMPLOYEE	$31,573	EMPLOYMENT	0
LUKE A BOWMAN
CHILD OF ROBERT BOWMAN, FORMER KEY EMPLOYEE	$39,333	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$28,130	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EMPLOYEE FOOD	Desc
Contribution	52	ContributionCnt
Noncash Contributions Rpt F990	$258,410	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	PREMIER HEALTH (PREMIER), AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN MVH'S ACTIVITIES.
FORM 990, PART VI, SECTION A, LINE 6	MIAMI VALLEY HOSPITAL HAS ONE CORPORATE MEMBER: PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	PREMIER HEALTH (PREMIER) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH). PREMIER HAS THE AUTHORITY TO REMOVE SUCH TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT.
FORM 990, PART VI, SECTION A, LINE 7B	SEE EXPLANATION FOR LINE 7A.
FORM 990, PART VI, SECTION B, LINE 11B	THIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. AFTER ALL CHANGES FROM THE ABOVE PERSONS ARE MADE, THE RETURN IS REVIEWED BY THE VICE-PRESIDENT/CONTROLLER OF PREMIER. A FINAL VERSION OF THE RETURN IS 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 QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER.
FORM 990, PART VI, SECTION B, LINE 12C	PREMIER HEALTH (PREMIER), WITH WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, 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.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), WITH WHICH MVH IS AN AFFILIATE, ON AN ANNUAL BASIS. THE 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.
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 UPON REQUEST.
FORM 990, PART IX, LINE 11G	OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 95,668,480. MANAGEMENT AND GENERAL EXPENSES 8,302,987. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,971,467. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 95,912,843. MANAGEMENT AND GENERAL EXPENSES 545,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,458,578. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 39,956,756. MANAGEMENT AND GENERAL EXPENSES 710,919. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,667,675. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 25,319,591. MANAGEMENT AND GENERAL EXPENSES 41,235. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,360,826. CHI C/E DIRECT CHARGE: PROGRAM SERVICE EXPENSES 11,405,885. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,405,885. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 3,830,422. MANAGEMENT AND GENERAL EXPENSES 300,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,131,318. RECRUIT-PHYSICIAN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 981,339. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 981,339. OTHER FEES: PROGRAM SERVICE EXPENSES 467,286. MANAGEMENT AND GENERAL EXPENSES 395,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 862,300.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS -267,399,829. PENSION ADJUSTMENT -47,902,907. SWAP AMORTIZATION -138,309. TRANSFERS FROM AFFILIATES 1,902,841.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DIALYSIS CENTERS OF DAYTON LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST 500	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45402	ZIPCd

Field	Value	IRS element (for citing)
EIN	311607686	EIN
Primary Activities	DIALYSIS	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI VALLEY HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ATRIUM HEALTH SYSTEM
110 MAIN STREET SUITE 500	DAYTON	OH	45402	310537492	SUPPORT ORG	OH	501 (C) (3)	12B	N/A	0
ATRIUM MEDICAL CENTER
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311079309	HOSPITAL	OH	501 (C) (3)	3		0	PREMIER HEALTH
COMPUNET CLINICAL LABORATORIES LLC
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311258010	LAB	OH	501 (C) (3)	12B		0	PREMIER HEALTH
FIDELITY HEALTH CARE INC
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311075381	HOME HEALTH	OH	501 (C) (3)	10		0	PREMIER HEALTH
GOOD SAMARITAN FOUNDATION - DAYTON
110 MAIN STREET SUITE 500	DAYTON	OH	45402	237296923	FOUNDATION	OH	501 (C) (3)	7		0	PREMIER HEALTH
MEDAMERICA HEALTH SYSTEMS CO
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311040228	SUPPORT ORG	OH	501 (C) (3)	12B	N/A	0
MIAMI VALLEY HOSPITAL FOUNDATION
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311040231	FOUNDATION	OH	501 (C) (3)	7		0	PREMIER HEALTH
ONMAIN INC
300 COLLEGE PARK RM 405	DAYTON	OH	45469	832877212	SUPPORT ORG	OH	501 (C) (3)	12A		0	FAIRGROUNDS REDEVELOPMENT LTD
PREMIER COMMUNITY HEALTH
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311122883	HEALTH EDUCATION	OH	501 (C) (3)	10		0	FIDELITY HEALTH CARE
PREMIER HEALTH
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311446699	PARENT	OH	501 (C) (3)	12B	N/A	0
SAMARITAN BEHAVIORAL HEALTH INC
110 MAIN STREET SUITE 500	DAYTON	OH	45402	020633634	BEHAVIORAL HEALTH	OH	501 (C) (3)	7		0	PREMIER HEALTH
UPPER VALLEY MEDICAL CENTER
110 MAIN STREET SUITE 500	DAYTON	OH	45402	310537095	HOSPITAL	OH	501 (C) (3)	3		0	PREMIER HEALTH
UPPER VALLEY PROFESSIONAL CORP
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311400963	HEALTH CARE	OH	501 (C) (3)	10		0	PREMIER HEALTH HOLDING CO
UVMC
110 MAIN STREET SUITE 500	DAYTON	OH	45402	341850683	SUPPORT ORG	OH	501 (C) (3)	12B	N/A	0
UVMC NURSING CARE INC
110 MAIN STREET SUITE 500	DAYTON	OH	45402	311224064	NURSING HOME	OH	501 (C) (3)	10		0	PREMIER HEALTH
UVPC SPECIALISTS
110 MAIN STREET SUITE 500	DAYTON	OH	45402	203687536	HEALTH CARE	OH	501 (C) (3)	10		0	PREMIER HEALTH HOLDING CO
PHOENIX NEXT DAYTON
110 MAIN STREET SUITE 500	DAYTON	OH	45402	871164650	COMMUNITY REDEVELOPMENT	OH	501 (C) (3)	12A	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
SWEITZER STREET LLC
110 N MAIN STREET SUITE 500	DAYTON	OH	45402	454700417	REAL ESTATE	OH	MVHE INC	EXCLUDED	0	0
SWEITZER MOB LLC
110 N MAIN STREET SUITE 500	DAYTON	OH	45402	474554657	REAL ESTATE	OH	MVHE INC	EXCLUDED	0	0
FAIRGROUNDS REDEVELOPMENT LTD
300 COLLEGE PARK RM 405	DAYTON	OH	454691665	815084263	PROPERTY DEVELOPMENT	OH	MIAMI VALLEY HOSPITAL	EXCLUDED	0	0	$6,635,216	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MVHE INC
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	311185270	PHYSICIAN SVCS	OH	PREMIER HEALTH HOLDING CO	C	0
PREMIER HEALTH SPECIALISTS
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	061744704	PHYSICIAN SVCS	OH	PREMIER HEALTH HOLDING CO	C	0
SAMARITAN FAMILY CARE
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	311299450	PHYSICIAN SVCS	OH	PREMIER HEALTH HOLDING CO	C	0
AFTER HOURS FAMILY CARE
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	311269483	HEALTH CARE	OH	UPPER VALLEY PROFESSIONAL CORP	C	0
UVMC MANAGEMENT CORP
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	311360489	MANAGEMENT COMPANY	OH	PREMIER HEALTH	C	0
PREMIER HEALTH URGENT CARE INC
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	822079409	URGENT CARE	OH	PREMIER HEALTH HOLDING CO	C	0
PREMIER HEALTH PLAN INC
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	463024049	HEALTH INSURANCE	OH	PREMIER HEALTH INSURING CO	C	0
GOOD SAMARITAN HOSPITAL
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	310536981	HOSPITAL	OH	PREMIER HEALTH	C	0
PREMIER HEALTH INT'L INSURANCE
				980548485	INSURANCE		PREMIER HEALTH	C	0	BUTTERFIELD BANK BLDG 6TH FLR 65	HAMILTON	BD	HM12	BD
PREMIER HEALTH ACO OF OHIO
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	474049773	MEDICARE ACO	OH	PREMIER HEALTH	C	0
PREMIER HEALTH HOLDING CO
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	812419110	HOLDING CO	OH	PREMIER HEALTH	C	0
PREMIER HEALTH INSURING CO
110 NORTH MAIN STREET SUITE 500	DAYTON	OH	45402	464766841	HEALTH INSURANCE	OH	PREMIER HEALTH	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd