ATRIUM MEDICAL CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ATRIUM MEDICAL CENTER (EIN 31-1079309)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-05
- IRS object ID
- 202133099349303943
- Schema version
- 2020v4.1
- 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 | 2021-11-05T16:02:15-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 E 4TH ST 2900 | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311079309 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ATRI | 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 | J MICHAEL SIMS | PersonNm |
| Person Title | SYSTEM VP & CORP. CONTROLLER | PersonTitleTxt |
| Phone | 9374999942 | PhoneNum |
| Signature | 2021-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | J | PersonFirstNm |
| Person Last | MICHAEL SIMS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE L SPARKS | PreparerPersonNm |
| PTIN | P01268401 | PTIN |
| Phone | 5136121400 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEITH D BRICKING MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MEDICAL CENTER DR | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $415,336,011 | 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 | 1983 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTHCARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 1525 | TotalEmployeeCnt |
| Total Volunteers | 254 | TotalVolunteersCnt |
| Total Gross UBI | $918 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $395,641 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,809,941 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $224,878,626 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $211,282,080 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,511,891 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,944,035 | CYInvestmentIncomeAmt |
| PY Other Revenue | $883,453 | PYOtherRevenueAmt |
| CY Other Revenue | $1,222,948 | CYOtherRevenueAmt |
| PY Total Revenue | $233,669,611 | PYTotalRevenueAmt |
| CY Total Revenue | $228,259,004 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,535,349 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $566,457 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $90,438,402 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $87,752,896 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $118,208,883 | PYOtherExpensesAmt |
| CY Other Expenses | $112,147,396 | CYOtherExpensesAmt |
| PY Total Expenses | $211,182,634 | PYTotalExpensesAmt |
| CY Total Expenses | $200,466,749 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,486,977 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $27,792,255 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $350,047,962 | TotalAssetsBOYAmt |
| Total Assets EOY | $352,578,494 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $282,210,489 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $300,202,229 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $67,837,473 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $52,376,265 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTHCARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $192,669,137 | ExpenseAmt |
| Grant | $566,457 | GrantAmt |
| Revenue | $211,282,080 | RevenueAmt |
| Desc | THE PRIMARY EXEMPT PURPOSE OF ATRIUM MEDICAL CENTER IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF BUTLER AND WARREN 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 | $192,669,137 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | 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 | 90 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1525 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | 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 SUITE 500 | AddressLine1Txt |
| City | DAYTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45402 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 | 0.50 | 39.50 | Yes (X) | $0 | $2,150,189 | $41,653 | ||||
| JOHN M MILLER MD | ||||||||||
| TRUSTEE | 0.50 | 39.50 | Yes (X) | $6,611 | $723,466 | $41,075 | ||||
| KEITH D BRICKING MD | ||||||||||
| PRESIDENT & CEO | 39.00 | 0.50 | Yes (X) | $623,886 | $0 | $56,789 | Yes (X) | |||
| JOSHUA J ORDWAY MD | ||||||||||
| TRUSTEE | 0.50 | 39.50 | Yes (X) | $0 | $505,865 | $38,560 | ||||
| MARQUITA L TURNER | ||||||||||
| TRUSTEE / COO & CNO | 40.00 | 0.00 | Yes (X) | $357,064 | $0 | $27,630 | Yes (X) | |||
| ANDRE T HARRIS MD | ||||||||||
| TRUSTEE / VP OPS & CMO | 39.50 | 0.50 | Yes (X) | $313,863 | $0 | $25,460 | ||||
| RHONDA L SEIDENSCHMIDT | ||||||||||
| TRUSTEE / VP OPERATIONS | 40.00 | 0.00 | Yes (X) | $220,305 | $0 | $34,645 | ||||
| PERCY DAVID MITCHELL JR MD | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $50,000 | $0 | $0 | ||||
| WILLIAM ANDREW MD | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $30,000 | $0 | $0 | ||||
| GREGORY W SIEWNY MD | ||||||||||
| BOARD CHAIR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BARBARA L STEEL MD | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BENJAMIN A WATSON ESQ | ||||||||||
| BOARD SECRETARY | 0.50 | 39.50 | $0 | $187,718 | $15,994 | Yes (X) | ||||
| LYNDSEY A PITTMAN | ||||||||||
| BOARD TREASURER & FINANCE DIRECTOR | 39.00 | 1.00 | $158,360 | $0 | $7,569 | Yes (X) | ||||
| GEOFFREY P WALKER | ||||||||||
| SYSTEM VP - CHIEF LEGAL OFFICER | 10.00 | 30.00 | $0 | $834,993 | $50,821 | Yes (X) | ||||
| GARY G GINTER | ||||||||||
| VP & PREMIER CHIEF INFO OFFICER | 10.00 | 30.00 | $0 | $545,293 | $90,857 | Yes (X) | ||||
| MARC R BELCASTRO DO | ||||||||||
| VP MEDICAL AFFAIRS & PREMIER CMO | 10.00 | 30.00 | $0 | $667,457 | $39,724 | Yes (X) | ||||
| MARGARET W MARK | ||||||||||
| VP NURSING SERVICE / PREMIER CNO | 10.00 | 30.00 | $0 | $530,877 | $47,367 | Yes (X) | ||||
| THOMAS R CURTIN | ||||||||||
| VP REVENUE CYCLE | 10.00 | 30.00 | $0 | $494,429 | $67,304 | Yes (X) | ||||
| J MICHAEL SIMS | ||||||||||
| SYS VP & CORPORATE CONTROLLER | 10.00 | 30.00 | $0 | $505,791 | $52,141 | Yes (X) | ||||
| ELAINE LAINIE M DEAN | ||||||||||
| CHIEF OF STRATEGY & BUS DEVELOPMENT | 10.00 | 30.00 | $0 | $457,787 | $24,516 | Yes (X) | ||||
| KIM K STRAHL | ||||||||||
| VICE PRESIDENT & CPO | 10.00 | 30.00 | $0 | $363,757 | $33,262 | Yes (X) | ||||
| BILLIE L LUCENTE-BAKER | ||||||||||
| SYSTEM VP - HR OPERATIONS | 10.00 | 30.00 | $0 | $283,148 | $32,159 | Yes (X) | ||||
| JOANNE R MORGAN | ||||||||||
| SYSTEM VP - PHARMACY OPERATIONS | 40.00 | 0.00 | $258,922 | $0 | $26,980 | Yes (X) | ||||
| JEANNA R SEVERT | ||||||||||
| DIR HUMAN RESOURCES | 40.00 | 0.00 | $199,498 | $0 | $35,576 | Yes (X) | ||||
| ROBYN S MYERS | ||||||||||
| DIRECTOR - QUALITY & SYSTEM PATIENT SAFETY | 40.00 | 0.00 | $192,695 | $0 | $20,716 | Yes (X) | ||||
| JACOB L FROEHLICH | ||||||||||
| DIRECTOR - NURSING CRITICAL CARE & BEHAVIORAL HEAL | 40.00 | 0.00 | $172,283 | $0 | $26,629 | Yes (X) | ||||
| WENDY H PARKS | ||||||||||
| DIRECTOR - MARKETING | 40.00 | 0.00 | $181,357 | $0 | $12,962 | Yes (X) | ||||
| MICHAEL R UHL | ||||||||||
| FORMER OFFICER | 0.00 | 40.00 | $0 | $977,711 | $103,696 | Yes (X) | ||||
| SCOTT A SHELTON | ||||||||||
| FORMER OFFICER | 0.00 | 40.00 | $0 | $1,342,217 | $46,962 | Yes (X) | ||||
| JENNIFER J HAULER DO | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $877,119 | $85,663 | Yes (X) | ||||
| BARBARA A JOHNSON | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $968,394 | $27,115 | Yes (X) | ||||
| THOMAS R PARKER | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $686,531 | $57,139 | Yes (X) | ||||
| DONNA L BANKS | ||||||||||
| FORMER HIGHEST COMPENSATED EMPLOYEE | 0.00 | 0.00 | $313,067 | $0 | $22,364 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,077,911 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,102,742 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,193,328 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 60 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMMONSPIRIT HEALTH | |||||
| 3900 OLYMPIC BLVD 400 | ERLANGER | KS | 41018 | CLINICAL ENGINEERING | $1,581,468 |
| FIRSTSOURCE GROUP USA INC | |||||
| 10400 LINN STATION RD 100 | LOUISVILLE | KY | 40223 | MEDICAL BILLING | $1,177,635 |
| HILLTOP OB GYN INC | |||||
| 200 MEDICAL CENTER DR 160 | FRANKLIN | OH | 45005 | MEDICAL SERVICES | $1,100,000 |
| EMERGENCY & ACUTE CARE | |||||
| 440 STEVENS AVE 150 | SOLANA BEACH | CA | 92075 | MEDICAL SERVICES | $1,075,787 |
| DAWSON HEALTHCARE | |||||
| 1114 DUBLIN RD | COLUMBUS | OH | 43215 | MEDICAL SERVICES | $1,037,424 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 36 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $65,673 | RelatedOrganizationsAmt |
| Government Grants | $5,158,334 | GovernmentGrantsAmt |
| All Other Contributions | $585,934 | AllOtherContributionsAmt |
| Noncash Contributions | $284,266 | NoncashContributionsAmt |
| Total Contributions | $5,809,941 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $107,783,100 | $107,783,100 |
| MEDICARE/MEDICAID PAYMENTS | 900099 | $102,730,767 | $102,730,767 |
| HOSPITAL FRANCHISE TAX RECOVERIES | 900099 | $741,260 | $741,260 |
| MEDICAL RECORDS | 900099 | $16,238 | $16,238 |
| ATHLETIC TRAINING | 900099 | $10,715 | $10,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $211,282,080 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,417,441 | TotalRevenueColumnAmt |
| Exclusion | $1,417,441 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,213,669 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,015,111 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $198,558 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $198,558 | TotalRevenueColumnAmt |
| Exclusion | $198,558 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $193,339,503 | SecuritiesAmt |
| Other | $248,987 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $184,953,027 | SecuritiesAmt |
| Other | $108,869 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,386,476 | SecuritiesAmt |
| Other | $140,118 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,526,594 | TotalRevenueColumnAmt |
| Exclusion | $8,526,594 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $71 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71 | TotalRevenueColumnAmt |
| Exclusion | $71 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 900099 | $672,046 | $918 | $671,128 |
| FEMA REVENUE | 900099 | $280,677 | $280,677 | |
| PURCHASE DISCOUNTS | 900099 | $14,110 | $14,110 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,486 | TotalRevenueColumnAmt |
| Exclusion | $57,486 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,024,319 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $228,259,004 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $211,282,080 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $918 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,166,065 | 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 | $566,457 | TotalAmt |
| Program Services | $566,457 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,912,182 | TotalAmt |
| Program Services | $985,578 | ProgramServicesAmt |
| Management And General | $926,604 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,513,197 | TotalAmt |
| Program Services | $65,139,063 | ProgramServicesAmt |
| Management And General | $3,374,134 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,604,332 | TotalAmt |
| Program Services | $3,384,223 | ProgramServicesAmt |
| Management And General | $220,109 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,189,040 | TotalAmt |
| Program Services | $7,688,952 | ProgramServicesAmt |
| Management And General | $500,088 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,534,145 | TotalAmt |
| Program Services | $5,180,821 | ProgramServicesAmt |
| Management And General | $353,324 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,084 | TotalAmt |
| Program Services | $116,084 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,478 | TotalAmt |
| Management And General | $6,478 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,589 | TotalAmt |
| Management And General | $4,589 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,481 | TotalAmt |
| Management And General | $270,481 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,558,785 | TotalAmt |
| Program Services | $25,813,091 | ProgramServicesAmt |
| Management And General | $745,694 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,781 | TotalAmt |
| Program Services | $4,382 | ProgramServicesAmt |
| Management And General | $272,399 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $711,487 | TotalAmt |
| Program Services | $453,408 | ProgramServicesAmt |
| Management And General | $258,079 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,432,029 | TotalAmt |
| Program Services | $2,317,808 | ProgramServicesAmt |
| Management And General | $114,221 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,172,998 | TotalAmt |
| Program Services | $3,053,302 | ProgramServicesAmt |
| Management And General | $119,696 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,464 | TotalAmt |
| Program Services | $35,506 | ProgramServicesAmt |
| Management And General | $6,958 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,292,838 | TotalAmt |
| Program Services | $14,292,838 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,253,728 | TotalAmt |
| Program Services | $15,812,419 | ProgramServicesAmt |
| Management And General | $441,309 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,506 | TotalAmt |
| Management And General | $19,506 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OPERATING SUPPLIES | $41,833,386 | $41,811,312 | $22,074 |
| HOSPITAL FRANCHISE TAX | $4,683,500 | $4,683,500 | |
| REPAIRS AND MAINTENANCE | $477,401 | $477,401 | |
| EQUIPMENT RENTAL | $354,030 | $354,030 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,831 | TotalAmt |
| Program Services | $498,962 | ProgramServicesAmt |
| Management And General | $141,869 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,466,749 | TotalAmt |
| Program Services | $192,669,137 | ProgramServicesAmt |
| Management And General | $7,797,612 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,920 | BOYAmt |
| EOY | $9,720 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,330,846 | BOYAmt |
| EOY | $9,940,311 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,222,043 | BOYAmt |
| EOY | $30,943,123 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $958,327 | BOYAmt |
| EOY | $795,247 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,722,622 | BOYAmt |
| EOY | $2,554,550 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,636,336 | BOYAmt |
| EOY | $1,752,497 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $398,366,971 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $235,892,803 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,547,376 | BOYAmt |
| EOY | $162,474,168 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,320,935 | BOYAmt |
| EOY | $117,137,231 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,462,317 | BOYAmt |
| EOY | $8,957,943 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,657,463 | BOYAmt |
| EOY | $8,657,463 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,179,777 | BOYAmt |
| EOY | $9,356,241 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,047,962 | BOYAmt |
| EOY | $352,578,494 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,173,278 | BOYAmt |
| EOY | $18,356,191 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,138,508 | BOYAmt |
| EOY | $2,090,240 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,617 | BOYAmt |
| EOY | $218,798 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,090,250 | BOYAmt |
| EOY | $187,194,888 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,028,775 | BOYAmt |
| EOY | $16,883,914 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,556,061 | BOYAmt |
| EOY | $75,458,198 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,210,489 | BOYAmt |
| EOY | $300,202,229 | 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 | $67,706,133 | BOYAmt |
| EOY | $52,244,925 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,340 | BOYAmt |
| EOY | $131,340 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,837,473 | BOYAmt |
| EOY | $52,376,265 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,047,962 | BOYAmt |
| EOY | $352,578,494 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $27,792,255 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,269,765 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$46,523,228 | 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 | $4,589 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $4,589 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,340 | BeginningYearBalanceAmt |
| End Year Balance | $131,340 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,340 | BeginningYearBalanceAmt |
| End Year Balance | $131,340 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,340 | BeginningYearBalanceAmt |
| End Year Balance | $131,340 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,340 | BeginningYearBalanceAmt |
| End Year Balance | $131,340 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $133,659 | BeginningYearBalanceAmt |
| Contributions | $328 | ContributionsAmt |
| Other Expenditures | $2,647 | OtherExpendituresAmt |
| End Year Balance | $131,340 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,360,698 | OtherCostOrOtherBasisAmt |
| Book Value | $25,360,698 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $250,001,751 | OtherCostOrOtherBasisAmt |
| Depreciation | $133,114,628 | DepreciationAmt |
| Book Value | $116,887,123 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $946,491 | OtherCostOrOtherBasisAmt |
| Depreciation | $745,263 | DepreciationAmt |
| Book Value | $201,228 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,387,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,032,912 | DepreciationAmt |
| Book Value | $18,354,468 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,670,651 | OtherCostOrOtherBasisAmt |
| Book Value | $1,670,651 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $162,474,168 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| SWAP LIABILITY | $30,180,994 |
| ACCRUED MEDICARE ADVANCE PAYMENT | $22,791,405 |
| PENSION OBLIGATION & DEFERRED COMP | $13,306,539 |
| SELF INSURANCE RESERVE | $5,121,534 |
| ACCRUED MANAGED CARE SETTLEMENT | $1,423,742 |
| LEASE LIABILITIES | $1,227,011 |
| OTHER LONG TERM LIABILITIES | $768,512 |
| MEDICAL STAFF FEES | $365,317 |
| WORKERS COMP RESERVE | $273,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $75,458,198 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUNDS ARE DESIGNATED TO SUPPORT SPECIFIC HEALTHCARE SERVICES OR CAPITAL NEEDS. |
| PART X, LINE 2: | THE FOLLOWING FOOTNOTE IS FROM THE 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF ATRIUM MEDICAL CENTER (AMC). 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 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), *GOOD SAMARITAN HOSPITAL, UVMC MANAGEMENT CORPORATION (SUBSIDIARIES OF PHP) AND AFTER-HOURS FAMILY CARE, INC. (SUBSIDIARY OF UVPC). MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. |
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 | $25,000 | 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 | $25,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $25,000 | 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 | $4,975,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,692,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,283,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,384,260 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $95,468,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,916,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08440 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,659,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,777,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $882,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $122,018,260 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $100,937,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,081,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10520 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $603,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $192,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $411,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,785,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,785,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03380 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $431,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $431,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,819,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $192,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,627,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $129,837,260 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $101,129,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,708,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,246,699 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $45,549,000 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $51,756,000 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,207,000 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MEDICAL CENTER DR | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PREMIERHEALTH.COM | WebsiteAddressTxt |
| State License | SEE PART V SECTION C | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 19 | 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 SCHEDULE H, 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 SCHEDULE H, 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 |
| 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 SCHEDULE H, PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE H, PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION 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. ATRIUM MEDICAL CENTER'S REGISTRATION NUMBER IS 1116. |
| PART V, SECTION B, LINE 3E: | ATRIUM MEDICAL CENTER'S SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA. |
| PART V, SECTION B, LINE 5: | THE CHNA TEAM COLLECTED 140 MEASURES FROM PUBLICLY AVAILABLE SOURCES, STARTING WITH THE COUNTY HEALTH RANKINGS. CRITERIA FOR INCLUSION INCLUDED AVAILABILITY OF TREND DATA AT THE COUNTY LEVEL AND EASE OF COMPARISON AND UPDATING.THE COLLABORATIVE CHNA FOR 2019 SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. SERVICE AREAS OF HOSPITALS VARY, AND THIS APPROACH PROVIDES THE MOST THOROUGH PICTURE OF HEALTH NEEDS LOCALLY AND REGIONALLY. AN ADDED BONUS THIS CYCLE IS THE ACTIVE PARTICIPATION OF THE SOUTHWEST OHIO MEMBERS OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS. THE CHNA TEAM REACHED OUT TO THEM IN SPRING 2017 TO TAKE THE FIRST STEPS TOWARDS THE STATE OF OHIO'S REQUIREMENT THAT HEALTH DEPARTMENTS AND HOSPITALS ALIGN THEIR ASSESSMENTS STARTING IN 2020. AS A RESULT, THE CHNA TEAM HAS RESEARCHED MORE SECONDARY DATA MEASURES, INCLUDED HOSPITAL UTILIZATION DATA, OVERSAMPLED VULNERABLE POPULATIONS, AND ENGAGED MORE PARTICIPANTS. A TOTAL OF 1,416 PEOPLE OR ORGANIZATIONS COMPLETED A SURVEY OR ATTENDED A MEETING. A SIGNIFICANT PART OF THE INCREASE WAS DUE TO LOCAL HEALTH DEPARTMENTS HELPING TO PROMOTE AND CONDUCT MEETINGS. THE PRIMARY DATA COLLECTION AND ANALYSIS USED THE NARRATIVE METHOD AND SPECIFICALLY THE TECHNIQUE OF DISCOURSE ANALYSIS. THE FOCUS WAS ON COLLECTING DATA FROM INDIVIDUALS BASED ON THEIR EXPERIENCE. THERE WERE SEVERAL IMPORTANT STEPS TO ENSURE A CONSISTENT PROCESS: 1) VERBATIM ENTRY OF COMMENTS - THIS HAPPENS AUTOMATICALLY WITH THE ONLINE SURVEY PROCESS AND SCRIBES WERE TRAINED TO DO THIS AT THE COMMUNITY MEETINGS 2) CREATING CUSTOM TAGS TO SUMMARIZE EACH RESPONSE, E.G., CANCER, DIABETES, HEART DISEASE 3) CREATING THEMES THAT CONNECT SOME OF THE TAGS, E.G., CHRONIC DISEASE 4) PROOFREADING EACH OTHER'S TAGS AND ANALYSIS, WITH REVIEW BY AT LEAST 3 DIFFERENT EOPLE TO ENSURE OVERALL CONSISTENCY 5) USE OF SURVEYMONKEY'S 'GOLD' LEVEL ENABLED THE CREATION OF CUSTOM TAGS AND INITIAL SORTING. IT ALSO PROVIDED A CONSISTENT WAY TO COMPARE SURVEY RESULTS WITH MEETING RESPONSES. IT WORKED FOR FACE-TO-FACE VERBAL ENCOUNTERS, SUCH AS IN MEETINGS, AS WELL AS WRITTEN RESPONSES. COMMENTS MADE IN PERSON WERE ENTERED INTO SURVEYMONKEY, TAGGED, AND THEMES IDENTIFIED. THE LEAD CONSULTANT CUSTOMIZED THE TAGGING IN SURVEYMONKEY BECAUSE SHE FOUND THAT ITS AUTOMATIC GROUPING OF IDEAS WAS NOT PRECISE ENOUGH AND COULD NOT ACCOUNT FOR CONTEXT OR ADAPT WHEN RESPONSES USED DIFFERENT WORDS FOR SIMILAR CONCEPTS. 6) REVIEWING TAGS AT THE COUNTY-LEVEL, URBAN LEVEL, AND REGIONAL LEVEL WAS DONE TO ENSURE THAT THE TAGS AND THEMES MADE SENSE AND WERE APPLICABLE AT ALL LEVELS. FOR EXAMPLE, THE CONSULTANTS CREATED TAGS FOR 'ADDICTION,' 'HEROIN,' 'METH' AS SUBSETS OF THE 'SUBSTANCE ABUSE' THEME, BECAUSE OF THEIR APPARENT FREQUENCY AT THE BEGINNING OF THE TAGGING PROCESS. THEY COUNTED EACH TAG AND SAVED THE COUNT, BUT NONE OF THESE TAGS REACHED HIGH ENOUGH NUMBERS (MORE THAN 5% OF MENTIONS) TO WARRANT ITS OWN CATEGORY IN THE FINAL ANALYSIS. SEE APPENDIX K FOR GUIDELINES USED TO ASSIGN CATEGORIES AND FOR SORTING AND TABULATING RESPONSES. 7) SURVEYMONKEY'S FILTER OPTIONS FACILITATED THE PROCESS OF SORTING AND ANALYZING BY COUNTY, BY GROUPS OF COUNTIES, BY TYPE OF SURVEY, AND/OR BY SUB-POPULATION. THIS IS A USEFUL OPTION TO CONSIDER CONTEXT OR CULTURE, SUCH AS URBAN RESPONDENTS OR LATINO RESPONDENTS. |
| PART V, SECTION B, LINES 6A & 6B: | ATRIUM MEDICAL CENTER PARTNERED WITH MEMBER HOSPITALS OF THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, PUBLIC HEALTH DEPARTMENTS, THE HEALTH COLLABORATIVE IN CINCINNATI, OHIO, ADAMS COUNTY HEALTH DEPARTMENT, BROWN COUNTY HEALTH DEPARTMENT, BUTLER COUNTY HEALTH DEPARTMENT, CHAMPAIGN-URBANA COUNTY DEPARTMENT, CINCINNATI HEALTH DEPARTMENT, CITY OF HAMILTON HEALTH DEPARTMENT, CLARK COUNTY COMBINED HEALTH DISTRICT, CLERMONT COUNTY PUBLIC HEALTH, CLINTON COUNTY HEALTH DEPARTMENT, DARKE COUNTY GENERAL HEALTH DISTRICT, FAYETTE COUNTY PUBLIC HEALTH, GREENE COUNTY PUBLIC HEALTH, HAMILTON COUNTY PUBLIC HEALTH, HIGHLAND COUNTY HEALTH DEPARTMENT, MIAMI COUNTY PUBLIC HEALTH, MIDDLETOWN CITY HEALTH DISTRICT, NORWOOD HEALTH DEPARTMENT, PIQUA CITY HEALTH DEPARTMENT, PREBLE COUNTY PUBLIC HEALTH, PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY, SIDNEY SHELBY COUNTY HEALTH DEPARTMENT, SPRINGDALE HEALTH DEPARTMENT & WARREN COUNTY COMBINED HEALTH DISTRICT. |
| PART V, SECTION B, LINES 7A & 10A: | THE WEBSITE ADDRESS WHERE THE 2019 CHNA AND THE 2020 COMMUNITY HEALTH IMPLEMENTATION PLAN CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/ABOUT-PREMIER/COMMUNITY-INVOLVEMENT/COMMUNITY-HEALTH-IMPROVEMENT |
| PART V, SECTION B, LINE 11: | ATRIUM MEDICAL CENTER (AMC) ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE FOLLOWING PRIORITIZED NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): * ACCESS TO CARE AND/OR SERVICES* CHRONIC DISEASE* HEALTHY BEHAVIORS* SUBSTANCE ABUSE AND MENTAL HEALTH. ACCESS TO CARE/SERVICESER VIRTUAL CARE---------------------------------------METRICS: NUMBER OF NEW SITES, NUMBER OF RESIDENTS SERVED, REASON FOR CONSULTATIONS, EMERGENCY DEPARTMENT TRANSFERS/HOSPITALIZATION RATES, AND PATIENT AND CLINICIAN SATISFACTION.HEALTH ISSUE: AS NURSING FACILITIES ARE CALLED UPON TO CARE FOR HIGHER-ACUITY PATIENTS AND DRIVE BETTER OUTCOMES AT A FRACTION OF THE COST OF A HOSPITALIZATION, SYSTEMS ARE REQUIRED THAT DELIVER QUALITY PHYSICIANS TO THE BEDSIDE AT TIMES OF CHANGE OF CONDITION.INTERVENTION'S GOAL: THE GOAL OF THE PROGRAM IS TO FACILITATE EARLY TREATMENT OF CONDITIONS, REDUCE EMERGENCY ROOM TRANSFERS AND HOSPITALIZATIONS, AND REDUCE CARE COSTS FOR RESIDENTS. THE LONG-TERM PLAN IS TO EXPAND ER VIRTUAL CARE TO NURSING FACILITIES ACROSS OUR MARKET AND EXPAND SERVICE OFFERINGS TO INCLUDE SPECIALTIES SUCH AS NEUROLOGY, WOUND CARE, AND BEHAVIORAL HEALTH.DESCRIPTION: VIDEO CONSULTATION WITH A DOCTOR CAN EXPEDITE EVALUATION OR TREATMENT FOR PATIENTS AT NURSING FACILITIES OR AT HOME. ER VIRTUAL CARE USES REAL-TIME VIDEO AND AUDIO FOR AN EMERGENCY MEDICINE PHYSICIAN TO TREAT A PATIENT REMOTELY. BY REMOVING GEOGRAPHICAL BOUNDARIES, THE HOSPITAL CAN LEVERAGE AVAILABLE PROVIDERS FROM A DISTANCE TO PROVIDE SUPPORT AND TREAT PATIENTS. THIS TELEMEDICINE SOLUTION CAN HELP ADDRESS UNNECESSARY TRANSFER OF NURSING HOME AND ASSISTED LIVING RESIDENTS TO HOSPITALS BY ALLOWING ACCESS TO EMERGENCY MEDICINE SPECIALISTS FOR AFTER HOUR AND WEEKEND COVERAGE.BACKGROUND: THE CLOSURE OF GOOD SAMARITAN HOSPITAL LED TO AN INCREASED DEMAND IN SERVICES AT MVH-NORTH. CLINICAL AND OPERATIONAL LEADERSHIP IDENTIFIED AN OPPORTUNITY TO LEVERAGE TELEMEDICINE AND HELP TREAT PATIENTS THAT PRESENT WITH LOW ACUITY SYMPTOMS TO EXPEDITE TREATMENT AND REDUCE WAIT TIMES. INITIAL RESULTS ON UTILIZATION AND PATIENT SATISFACTION WERE POSITIVE AND EXPANDED PREMIER HEALTH'S SCOPE FOR INCLUSION OF COMMUNITY PARTNER FACILITIES. NURSING FACILITIES ARE CHALLENGED WITH CARING FOR HIGHER ACUITY PATIENTS. THE SERVICE PROMOTES PREMIER HEALTH'S MISSION IN PROVIDING HIGHEST QUALITY OF CARE AT THE RIGHT TIME AND RIGHT PLACE. PARTNERS: MIAMI VALLEY EMERGENCY SPECIALISTS, SPRINGMEADE HEALTH CENTER, AND KOESTER PAVILIONACCESS TO CARE/SERVICESCOMMUNITY HEALTH MOBILE CLINIC---------------------------------------METRICS: NUMBER OF PEOPLE SERVED. NUMBER OF PEOPLE CONNECTED TO RESOURCES. PERCENT OF PEOPLE IDENTIFIED AS 'AT RISK AND RECEIVING FOLLOW-UP.HEALTH ISSUE: BOTH URBAN AND RURAL RESIDENTS CAN EXPERIENCE OBSTACLES TO RECEIVING MEDICAL CARE. A MOBILE CLINIC CAN TRAVEL TO LOCATIONS CONVENIENT FOR RESIDENTS IN UNDERSERVED AREAS.INTERVENTION'S GOAL: THE GOAL IS TO BRING HEALTHCARE PROVIDERS AND SERVICES ON A ROUTINE BASIS TO UNDERSERVED COMMUNITIES THROUGH THE PREMIER COMMUNITY HEALTH MOBILE CLINIC PROGRAM. THE GOAL IS TO MAKE QUALITY HEALTHCARE ACCESSIBLE TO SUCH LOCATIONS AS PREBLE COUNTY AND WEST DAYTON BY UTILIZING SITES AT NONPROFIT ORGANIZATIONS, PARTICIPATING CVS PHARMACIES, AND LOCAL SCHOOLS.DESCRIPTION: THE PROGRAM UTILIZES MEDICAL PROVIDERS WHO OFFER PATIENTS ASSESSMENTS, COUNSELING, FOLLOW-UP CARE, AND REFERRALS THROUGH THE PREMIER HEALTH ONLINE SCHEDULING PORTAL. THE PATIENTS ARE PROVIDED BLOOD PRESSURE, CHOLESTEROL, BLOOD GLUCOSE, A1C SCREENINGS, (ALL WITH IMMEDIATE RESULTS) AS WELL AS FLU SHOTS ADMINISTERED BY PREMIER COMMUNITY HEALTH NURSES. THE CARE WILL BE DOCUMENTED IN EPIC ALLOWING TRACKING OF PROGRESS AND PROVIDING ACCESS OF THEIR MOBILE CLINIC'S VISITS TO OTHER PROVIDERS AS NEEDED. ALONG WITH THE HEALTH SCREENINGS RESULTS AND COUNSELING PROVIDED BY THE HEALTHCARE PROVIDER, THE PROGRAM ALSO PROVIDES EDUCATION THROUGH THE WELLNESS DEPARTMENT OF TAKE-HOME LITERATURE ABOUT CHRONIC DISEASE AND HEALTHY LIFESTYLE ALTERNATIVES. WITH THIS PARTNERSHIP, THE PROGRAM WILL PROVIDE APPROXIMATELY 700 HOURS OF SERVICE, BETWEEN NOVEMBER 2019 AND DECEMBER 2020 AND PROJECTED 700 HOURS OF SERVICE BETWEEN 2021 AND 2022, TO THE UNDERSERVED COMMUNITY.BACKGROUND: THE PREMIER COMMUNITY HEALTH MOBILE CLINIC PROGRAM HAS PARTNERED WITH WRIGHT STATE PHYSICIAN RESIDENTS, PREMIER HEALTH URGENT CARE CENTERS, AND A PRIMARY CARE PHYSICIAN FROM ONEFIFTEEN TO PROVIDE ACCESSIBLE HEALTHCARE ASSESSMENTS, CONSULTATIONS AND REFERRALS TO PATIENTS IN THE TARGETED AREAS. A NEW PARTNERSHIP WITH CVS ENABLES THE MOBILE CLINIC TO PROVIDE SERVICES IN LOCATIONS WHERE THERE IS NOT A MINUTE CLINIC AVAILABLE. THERE WILL BE UP TO 10 CVS SITES IN DAYTON AND NEAR ATRIUM MEDICAL CENTER, WHERE THE MOBILE CLINIC CAN PARK AND SEE PATIENTS. SCHOOLS WILL ALSO OFFER A COMMUNITY LOCATION FOR THE PUBLIC AND SCHOOL STAFF.PARTNERS: CVS PHARMACY LOCATIONS IN GERMANTOWN, TROTWOOD, NEW LEBANON, EATON, AND MORE; DAYTON SALVATION ARMY-KROC CENTER; GRATIS FIRE DEPARTMENT; MADISON LOCAL SCHOOLS; PREBLE COUNTY CHAMBER OF COMMERCE; PREBLE COUNTY HEALTH DEPARTMENT; PREBLE SHAWNEE SCHOOLS; PREMIER HEALTH URGENT CARE CENTERS; SAMARITAN BEHAVIORAL HEALTH INC.; VALLEY VIEW LOCAL SCHOOLS; SOMERVILLE COMMUNITY CHURCH; WRIGHT STATE PHYSICIANS; HELP ME GROW; TRI-COUNTY NORTH; BROOKVILLE SCHOOLS; MAXON FOUNDATION; AND ATRIUM MEDICAL CENTER FOUNDATION.ACCESS TO CARE/SERVICES AND CHRONIC DISEASECOMMUNITY HEALTH VOUCHER PROGRAM---------------------------------------METRICS: FOR THE 3-YEAR PERIOD, A PROJECTED 275 WOMEN SYSTEM-WIDE WILL BE SERVED BY THE COMMUNITY HEALTH VOUCHER PROGRAM, WITH A GOAL TO INCREASE THE NUMBERS SERVED. AT ATRIUM MEDICAL CENTER, THE ANTICIPATED 50% INCREASE WOULD SERVE A TOTAL OF 70 WOMEN. IN 2019, THE ATRIUM MEDICAL CENTER FOUNDATION APPROVED A SECOND TYPE OF FUNDING FOR PREMIER COMMUNITY HEALTH CLIENTS THAT COVERS WOMEN RESIDING IN WARREN, BUTLER, PREBLE, AND HAMILTON COUNTIES. PRIOR TO THAT, THE ATRIUM MEDICAL CENTER FOUNDATION FUNDS WERE RESTRICTED TO WOMEN LIVING IN 5 ZIP CODES. IN 2019, 3 WOMEN OUT OF 7 WERE ABLE TO RECEIVE COVERAGE FROM ATRIUM MEDICAL CENTER FUNDS DUE TO THIS CHANGE. IT IS EXPECTED THAT THE NUMBER OF CLIENTS WHO ARE ELIGIBLE TO RECEIVE SERVICES COVERED BY THE ATRIUM MEDICAL CENTER FOUNDATION WILL CONTINUE TO RISE DUE TO THIS ELIGIBILITY EXPANSION.HEALTH ISSUE: 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.INTERVENTION'S GOAL: THE MISSION OF THE VOUCHER PROGRAM IS TO PROVIDE FINANCIAL ASSISTANCE TO DETECT BREAST AND CERVICAL CANCERS AT THE EARLIEST STAGE TO UNINSURED AND UNDER-INSURED COMMUNITY RESIDENTS.DESCRIPTION: 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.BACKGROUND: THIS PROGRAM IS FUNDED THROUGH THE ATRIUM MEDICAL CENTER FOUNDATION AND OTHER COMMUNITY DONATIONS. CLIENTS MUST BE UNINSURED OR UNDERINSURED (COPAYMENT, DEDUCTIBLE, COINSURANCE) WITH INCOME AT OR BELOW 400% OF FEDERAL POVERTY LEVEL. PARTNERS: ATRIUM MEDICAL CENTER, GOOD SAMARITAN FOUNDATION-DAYTON, UPPER VALLEY MEDICAL CENTER FOUNDATIONS, MIAMI VALLEY HOSPITAL FOUNDATION (HELP HER FIGHT), KROGER, BREAST CANCER FOUNDATION, AND KUHNS BROTHERS. |
| PART V, SECTION B, LINE 11 (CONTINUED): | INFANT MORTALITYHEALTHCARE COPE (COST OF POVERTY EXPERIENCE) TRAINING --------------------------------------METRICS: PRE-, POST- AND FOLLOW-ON-SURVEYS ARE ADMINISTERED TO PARTICIPANTS AND VOLUNTEERS TO EVALUATE THEIR PERCEPTIONS OF POVERTY. THE PRE- AND POST-SURVEYS OCCUR AS PEOPLE ENTER THE EVENT AND THEN FOLLOWING THE DEBRIEF. THE FOLLOW-ON SURVEY IS SENT LATER.HEALTH ISSUE: INFANT MORTALITY FOR BLACK INFANTS IN MONTGOMERY COUNTY IS DISPROPORTIONATELY HIGHER THAN FOR WHITE INFANTS. THIS IS THE FIFTH WORSE RATE IN OHIO. PREMATURITY ACCOUNTS FOR 50% OF THE DEATHS OF BLACK INFANTS. MATERNAL STRESS IS A SIGNIFICANT FACTOR IN PREMATURE LABOR, AND BLACK MOTHERS FACE MULTIPLE STRESSORS FROM DAILY ENCOUNTERS WITH RACISM. THE LACK OF PROGRESS IN THE REGION TO COMBAT INFANT MORTALITY LEADS TO THIS DEEPER LEVEL OF TRAINING FOR MATERNITY NURSING STAFF AND HOSPITAL LEADERS.INTERVENTION'S GOAL: THE GOAL IS TO IMPROVE INTERACTIONS WITH LOW-INCOME AND MINORITY FAMILIES TO ENSURE CULTURALLY APPROPRIATE AND TRAUMA-INFORMED CARE IS CONSISTENTLY DELIVERED.DESCRIPTION: PARTICIPATION DEEPENS THE UNDERSTANDING OF THE REALITIES OF POVERTY AND IMPLICIT BIAS; IMPROVES PROFESSIONAL APPROACH AND CONNECTIONS; DEVELOPS PRACTICES TO HELP BRIDGE THE HEALTH EQUITY GAP; AND BUILDS PARTNERSHIPS WITH THE COMMUNITY TO IMPROVE HEALTH OUTCOMES. TEN COPE TRAINING SESSIONS WILL INVOLVE 428 PARTICIPANTS, OF WHOM 85% WILL BE NURSES. THE PROGRAM STARTED IN JANUARY 2020 AND CONCLUDES IN APRIL 2020. PREMIER HEALTH CURRENTLY HAS TWO TRAINED COPE FACILITATORS AND THE NECESSARY EQUIPMENT. PART OF THE PROGRAM WILL BE TO TRAIN TWO MORE COPE FACILITATORS.BACKGROUND: COPE IS A TOOL THAT HELPS HOSPITALS BUILD A CULTURE AND INFRASTRUCTURE TO DELIVER CARE THAT IS EQUITABLE FOR ALL PATIENT POPULATIONS. A HEALTHCARE VERSION IS TARGETED FOR HEALTH PROFESSIONALS. PARTNERS: THINK TANK AND SAMARITAN BEHAVIORAL HEALTH INC.CHRONIC DISEASE AND HEALTHY BEHAVIORS BARBERSHOP PROGRAM--------------------------------------METRICS: EXPANSION TO TWO ADDITIONAL SITES: MIDDLETOWN AND MIAMI COUNTY HEALTH ISSUE: THERE ARE HEALTH DISPARITIES, ESPECIALLY FOR CHRONIC DISEASES, FOR 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."INTERVENTION'S GOAL: THE GOAL IS TO INCREASE AWARENESS OF CHRONIC HEALTH CONDITIONS AND TO PROMOTE HEALTHY LIFESTYLE CHOICES WITHIN THE AFRICAN-AMERICAN COMMUNITY.DESCRIPTION: PARTNERING WITH THE LOCAL HEALTH DEPARTMENT, PUBLIC HEALTH-DAYTON & MONTGOMERY COUNTY, WILL HELP TO FURTHER 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 ON SATURDAYS AT THE SHOPS. HEALTH FAIRS, EVENTS, AND FUN CHALLENGES ALSO OCCUR. BACKGROUND: PREMIER HEALTH DEVELOPED THE BARBERSHOP HEALTH PROGRAM, WHICH. NOW HAS 5 LOCATIONS. ATRIUM MEDICAL CENTER IS INTERESTED IN EXPANDING TO INCLUDE ONE OR MORE LOCATIONS IN THE HAMILTON AND MIDDLETOWN AREAS, ALONG WITH EXPANSION TO MIAMI COUNTY FOR THE UPPER VALLEY MEDICAL CENTER. THE ORIGINAL 3 BARBERSHOPS RESULTED IN 249 SCREENINGS.PARTNERS: DEEEZ CUTTZ, SERENITY SALON, MAN UPCHRONIC DISEASE AND HEALTHY BEHAVIORSTHE DAILY MILE-------------------------------------METRICS: EXPANSION TO AT LEAST TWO MORE SCHOOL DISTRICTS IN THE REGIONHEALTH ISSUE: HEALTHY BEHAVIORSINTERVENTION'S GOALS: 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 ALSO 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.BACKGROUND: THE DAILY MILE CURRENTLY INFLUENCES PHYSICAL ACTIVITY BEHAVIOR AT FOUR SCHOOLS, POSITIVELY AFFECTING 340 STUDENTS DURING THE 2019-2020 SCHOOL YEAR. 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 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): | SUBSTANCE ABUSE AND MENTAL HEALTH PRESTO (PROMOTING ENGAGEMENT FOR SAFE TRAINING OF OPIOIDS) -------------------------------------METRICS: ATTRACT AT LEAST 38 PRIMARY CARE PROVIDERS TO PARTICIPATE IN THE RESEARCH STUDY. THEIR PARTICIPATION WILL HELP THE RESEARCHERS TEST AND DEVELOP AN EFFICIENT AND EFFECTIVE PROTOCOL TO GUIDE OTHER PROVIDERS.HEALTH ISSUE: OHIO IS ONE OF THE STATES HARDEST HIT BY THE NATION'S OPIOID CRISIS. OHIO'S RATE OF UNINTENTIONAL OPIOID OVERDOSE RATE WAS NEARLY THREE TIMES THE U.S. AVERAGE IN 2017. ACCORDING TO THE OHIO DEPARTMENT OF HEALTH, 80% OF OHIOANS WHO DIED FROM AN OVERDOSE IN 2016 HAD A HISTORY OF OPIOID PRESCRIPTIONS.INTERVENTION'S GOAL: PREMIER HEALTH WILL RECRUIT SYSTEM-WIDE TO ATTRACT AT LEAST 38 OF THE 150 PRIMARY CARE PROVIDERS THAT WRIGHT STATE UNIVERSITY WILL TRAIN IN HOW TO ENGAGE PATIENTS TO TAPER DOWN THEIR OPIOID PRESCRIPTION USE.DESCRIPTION: THE PRESTO PROTOCOL IS MODELED ON THE SBIRT APPROACH OF SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. IT INCORPORATES CDC OPIOID PRESCRIBING GUIDELINES, USE OF OHIO'S PRESCRIPTION DRUG MONITORING PROGRAM, AND MOTIVATIONAL INTERVIEWING. PARTICIPATING PROVIDERS WILL AGREE TO PARTICIPATE IN THE OHIO AUTOMATED RX REPORTING SYSTEM (OARRS) AND HAVE DE-IDENTIFIED PRESCRIBING DATA SHARED WITH INVESTIGATORS. THEY WILL PARTICIPATE IN A 3-HOUR IN-PERSON TRAINING EVENT AS WELL AS A 1-HOUR FOLLOW-UP TRAINING ABOUT 4-6 WEEKS LATER. THEY WILL BE ENCOURAGED TO USE THE PRESTO PROTOCOL AND MOTIVATIONAL INTERVIEWING WITH APPROPRIATE PATIENTS. EACH PROVIDER WILL RECEIVE $1,000 FOR COMPLETION OF THE TWO TRAINING EVENTS TO ASSIST WITH THE COST OF ATTENDING. THEY WILL ALSO RECEIVE 3 HOURS OF CONTINUING EDUCATION CREDITS. FULL IMPLEMENTATION IS EXPECTED IN LATE 2020 OR EARLY 2021.BACKGROUND: THE OHIO DEPARTMENT OF HIGHER EDUCATION AWARDED FUNDING TO RESEARCH SUBSTANCE USE DISORDERS. WRIGHT STATE UNIVERSITY RECEIVED AN AWARD TO TRAIN PRIMARY CARE PROVIDERS IN A PRESCRIPTION-TAPERING PROTOCOL KNOWN AS PRESTO.PARTNERS: MERCY HEALTH, WRIGHT STATE UNIVERSITY |
| PART V, SECTION B, LINES 16 A, B, AND C: | THE DIRECT WEBSITE ADDRESS WHERE A COPY OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY 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 | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ATRIUM HEALTH CENTER TRENTON | ||||
| 3590 BUSENBARK RD | TRENTON | OH | 45067 | CARIDIOLOGY, VASCULAR, SPORTS MED & PHYSICAL THERAPY, DIAGNOSTICS & IMAGING |
| 2 - MEDICAL IMAGING IN MIDDLETOWN | ||||
| 4214 GRAND AVE | MIDDLETOWN | OH | 45044 | IMAGING AND RADIOLOGY |
| 3 - RALPH J STOLLE COUNTRYSIDE YMCA | ||||
| 1697 DEERFIELD RD | LEBANON | OH | 45036 | SPORTS MEDICINE & PHYSICAL THERAPY |
| 4 - SPORTS MEDICINE AND PHYSICAL THERAPY IN MA | ||||
| 4859 NIXON PARK DR SUITE B | MASON | OH | 45040 | SPORTS MEDICINE & PHYSICAL THERAPY |
| 5 - ATRIUM FAMILY YMCA | ||||
| 5750 INNOVATION DR | MIDDLETOWN | OH | 45005 | SPORTS MEDICINE & PHYSICAL THERAPY |
| 6 - SPORTS MEDICINE AND PHYSICAL THERAPY IN FR | ||||
| 909 E SECOND ST | FRANKLIN | OH | 45005 | SPORTS MEDICINE & PHYSICAL THERAPY |
| 7 - OCCUPATIONAL HEALTH IN MIDDLETOWN | ||||
| 4220 GRAND AVE | MIDDLETOWN | OH | 45044 | OCCUPATIONAL HEALTH |
| 8 - SOUTHWEST OHIO SURGERY CENTER | ||||
| 295 N BREIEL BLVD | MIDDLETOWN | OH | 45042 | GENERAL SURGERY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT FOR ATRIUM MEDICAL CENTER IS PART OF THE PREMIER HEALTH (PREMIER) REPORT (EIN# 31-1446699). |
| 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 EXPENSE PAID DIRECTLY FOR THESE SERVICES. |
| PART I, LINE 7G: | ATRIUM MEDICAL CENTER (AMC) 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 2020, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $6,785,000. |
| 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, LINE 4: | THE ORGANIZATION DOES NOT HAVE A FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS WHICH DISCUSSES THIS CALCULATION. |
| 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 $42,207,000 AND INCURRED COST OF $58,226,000 FOR AN ADDITIONAL NET SHORTFALL OF $16,019,000 ASSOCIATED WITH THESE PROGRAMS. BELOW IS A RECONCILIATION OF THE AMOUNTS ASSOCIATED WITH MEDICARE PROGRAMS.ALLOWABLE MEDICARE REVENUE PER MEDICARE COST REPORT IN PART III, SECTION B $45,549,000MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $42,207,000TOTAL MEDICARE ASSOCIATED REVENUE $87,756,000ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT IN PART III, SECTION B $51,756,000MEDICARE COST NOT REPORTED IN PART III, SECTION B $58,226,000TOTAL MEDICARE ASSOCIATED COST $109,982,000ALLOWABLE MEDICARE SHORTFALL IN PART III, SECTION B $6,207,000ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $16,019,000TOTAL MEDICARE SHORTFALL $22,226,000 |
| PART III, LINE 8: | THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE, IN EXCESS OF COST, TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE MEDICARE POPULATION AT THE ORGANIZATION IS IN EXCESS OF 52% 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. DOCUMENTING THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY.C. DOCUMENT 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 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, 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: | ATRIUM MEDICAL CENTER IS LOCATED IN MIDDLETOWN OHIO, SERVICING BUTLER AND WARREN COUNTIES. THE POPULATION OF ATRIUM MEDICAL CENTER'S SERVICE AREA IS APPROXIMATELY 581,000 PEOPLE. THE MEDIAN HOUSEHOLD INCOME OF WARREN COUNTY IS $87,125 PER YEAR, WITH APPROXIMATELY 4.5% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME OF BUTLER COUNTY IS JUST ABOVE $66,100 PER YEAR, WITH APPROXIMATELY 11.7% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. FOR 2020, MEDICARE PATIENTS REPRESENTED 52.4% OF GROSS PATIENT REVENUE AND MEDICAID REPRESENTED 18.1% OF GROSS PATIENT REVENUE. |
| PART VI, LINE 5: | ATRIUM MEDICAL CENTER'S (AMC) 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. 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. AMC PARTNERS WITH THE LOCAL YMCA TO CO-HOST A FREE, PUBLIC ANNUAL DIABETES WELLNESS FAIR. ORGANIZATIONS SPECIALIZING IN DIABETIC CARE AND HOSPITAL REPRESENTATIVES ARE ON HAND TO OFFER HEALTH SCREENINGS AND DISCUSS AVAILABLE SERVICES. FREE DIAPERS, BOTTLES, WIPES AND OTHER ESSENTIAL SUPPLIES ARE PROVIDED TO LOCAL PARENTS IN NEED THROUGH A COLLABORATION WITH ANOTHER LOCAL NON-PROFIT ORGANIZATION. 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. AMC 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. AMC PROVIDES DIRECT PASTORAL SUPPORT AND COUNSELING SERVICES TO PATIENTS AND FAMILY MEMBERS BY 3 TRAINED PROFESSIONALS, IN-HOUSE 13 HOURS A DAY MONDAY THROUGH FRIDAY, AND ON CALL 24 HOURS A DAY, 7 DAYS A WEEK. THEY ALSO PROVIDE BEREAVEMENT SUPPORT. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICAID AND MEDICARE, AND HAS AN ACTIVE CHARITY CARE PROGRAM. AMC'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. AMC'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 ATRIUM MEDICAL CENTER, TWO OTHER HOSPITAL ENTITIES (FIVE TOTAL LOCATIONS), 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 | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ONEFIFTEEN RECOVERY | |||||||
| 6636 LONGSHORE ST 200 | DUBLIN | OH | 43017 | 833504845 | 501(C)(3) | $300,000 | SUPPORT |
| MIAMI VALLEY HOSPITAL | |||||||
| 110 N MAIN ST 500 | DAYTON | OH | 45402 | 310537504 | 501(C)(3) | $114,367 | SUPPORT |
| MIDDLETOWN TRANSIT SYSTEM | |||||||
| 3045 MOSER CT | HAMILTON | OH | 45011 | 316000139 | GOVERNMENT | $27,124 | SUPPORT |
| MIAMI VALLEY HOSPITAL FOUNDATION | |||||||
| 110 N MAIN ST 500 | DAYTON | OH | 45402 | 311040231 | 501(C)(3) | $9,863 | SUPPORT |
| REACH OUT MONTGOMERY COUNTY | |||||||
| 25 E FORAKER ST | DAYTON | OH | 45409 | 311434282 | 501(C)(3) | $7,631 | SUPPORT |
| HOMEFULL | |||||||
| 33 W FIRST ST 100 | DAYTON | OH | 45402 | 311236989 | 501(C)(3) | $7,500 | SUPPORT |
| ATRIUM MEDICAL CENTER FOUNDATION | |||||||
| 110 N MAIN ST 500 | DAYTON | OH | 45402 | 311079213 | 501(C)(3) | $7,463 | SUPPORT |
| DAYTON FIRST EVENTS INC | |||||||
| 40 N MAIN ST 900 | DAYTON | OH | 45423 | 454231032 | 501(C)(3) | $5,250 | SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
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 (29 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 | $0 | $1,521,403 | $0 | $589,975 | $0 | $38,811 | $0 | $21,458 | $0 | $20,195 | $0 | $2,191,842 | $0 | $0 |
| SCOTT A SHELTON | ||||||||||||||
| FORMER OFFICER | $0 | $539,248 | $0 | $376,065 | $0 | $426,904 | $0 | $14,812 | $0 | $32,150 | $0 | $1,389,179 | $0 | $0 |
| MICHAEL R UHL | ||||||||||||||
| FORMER OFFICER | $0 | $576,119 | $0 | $379,106 | $0 | $22,486 | $0 | $73,678 | $0 | $30,018 | $0 | $1,081,407 | $0 | $0 |
| BARBARA A JOHNSON | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $647,940 | $0 | $252,301 | $0 | $68,153 | $0 | $15,954 | $0 | $11,161 | $0 | $995,509 | $0 | $35,591 |
| JENNIFER J HAULER DO | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $539,982 | $0 | $335,280 | $0 | $1,857 | $0 | $82,899 | $0 | $2,764 | $0 | $962,782 | $0 | $0 |
| GEOFFREY P WALKER | ||||||||||||||
| SYSTEM VP - CHIEF LEGAL OFFICER | $0 | $417,391 | $0 | $188,245 | $0 | $229,357 | $0 | $23,002 | $0 | $27,819 | $0 | $885,814 | $0 | $0 |
| JOHN M MILLER MD | ||||||||||||||
| TRUSTEE | $6,611 | $699,462 | $0 | $0 | $0 | $24,004 | $0 | $13,160 | $0 | $27,915 | $6,611 | $764,541 | $0 | $0 |
| THOMAS R PARKER | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $244,968 | $0 | $224,567 | $0 | $216,996 | $0 | $37,630 | $0 | $19,509 | $0 | $743,670 | $0 | $35,319 |
| MARC R BELCASTRO DO | ||||||||||||||
| VP MEDICAL AFFAIRS & PREMIER CMO | $0 | $475,256 | $0 | $137,384 | $0 | $54,817 | $0 | $13,525 | $0 | $26,199 | $0 | $707,181 | $0 | $34,681 |
| KEITH D BRICKING MD | ||||||||||||||
| PRESIDENT & CEO | $447,601 | $0 | $168,725 | $0 | $7,560 | $0 | $25,583 | $0 | $31,206 | $0 | $680,675 | $0 | $0 | $0 |
| GARY G GINTER | ||||||||||||||
| VP & PREMIER CHIEF INFO OFFICER | $0 | $396,542 | $0 | $144,812 | $0 | $3,939 | $0 | $62,814 | $0 | $28,043 | $0 | $636,150 | $0 | $0 |
| MARGARET W MARK | ||||||||||||||
| VP NURSING SERVICE / PREMIER CNO | $0 | $345,989 | $0 | $147,406 | $0 | $37,482 | $0 | $19,858 | $0 | $27,509 | $0 | $578,244 | $0 | $10,459 |
| THOMAS R CURTIN | ||||||||||||||
| VP REVENUE CYCLE | $0 | $326,009 | $0 | $160,675 | $0 | $7,745 | $0 | $34,119 | $0 | $33,185 | $0 | $561,733 | $0 | $0 |
| J MICHAEL SIMS | ||||||||||||||
| SYS VP & CORPORATE CONTROLLER | $0 | $311,052 | $0 | $106,785 | $0 | $87,954 | $0 | $23,220 | $0 | $28,921 | $0 | $557,932 | $0 | $0 |
| JOSHUA J ORDWAY MD | ||||||||||||||
| TRUSTEE | $0 | $375,761 | $0 | $129,072 | $0 | $1,032 | $0 | $12,105 | $0 | $26,455 | $0 | $544,425 | $0 | $0 |
| ELAINE LAINIE M DEAN | ||||||||||||||
| CHIEF OF STRATEGY & BUS DEVELOPMENT | $0 | $315,881 | $0 | $120,665 | $0 | $21,241 | $0 | $11,103 | $0 | $13,413 | $0 | $482,303 | $0 | $0 |
| KIM K STRAHL | ||||||||||||||
| VICE PRESIDENT & CPO | $0 | $240,551 | $0 | $116,520 | $0 | $6,686 | $0 | $20,938 | $0 | $12,324 | $0 | $397,019 | $0 | $0 |
| MARQUITA L TURNER | ||||||||||||||
| TRUSTEE / COO & CNO | $276,727 | $0 | $77,706 | $0 | $2,631 | $0 | $22,372 | $0 | $5,258 | $0 | $384,694 | $0 | $0 | $0 |
| ANDRE T HARRIS MD | ||||||||||||||
| TRUSTEE / VP OPS & CMO | $237,389 | $0 | $73,953 | $0 | $2,521 | $0 | $1,223 | $0 | $24,237 | $0 | $339,323 | $0 | $0 | $0 |
| DONNA L BANKS | ||||||||||||||
| FORMER HIGHEST COMPENSATED EMPLOYEE | $0 | $0 | $72,093 | $0 | $240,974 | $0 | $8,542 | $0 | $13,822 | $0 | $335,431 | $0 | $1,486 | $0 |
| BILLIE L LUCENTE-BAKER | ||||||||||||||
| SYSTEM VP - HR OPERATIONS | $0 | $220,143 | $0 | $61,876 | $0 | $1,129 | $0 | $18,160 | $0 | $13,999 | $0 | $315,307 | $0 | $0 |
| JOANNE R MORGAN | ||||||||||||||
| SYSTEM VP - PHARMACY OPERATIONS | $195,790 | $0 | $40,115 | $0 | $23,017 | $0 | $13,351 | $0 | $13,629 | $0 | $285,902 | $0 | $0 | $0 |
| RHONDA L SEIDENSCHMIDT | ||||||||||||||
| TRUSTEE / VP OPERATIONS | $171,624 | $0 | $46,810 | $0 | $1,871 | $0 | $6,624 | $0 | $28,021 | $0 | $254,950 | $0 | $0 | $0 |
| JEANNA R SEVERT | ||||||||||||||
| DIR HUMAN RESOURCES | $177,129 | $0 | $21,124 | $0 | $1,245 | $0 | $16,844 | $0 | $18,732 | $0 | $235,074 | $0 | $0 | $0 |
| ROBYN S MYERS | ||||||||||||||
| DIRECTOR - QUALITY & SYSTEM PATIENT | $162,525 | $0 | $23,937 | $0 | $6,233 | $0 | $7,960 | $0 | $12,756 | $0 | $213,411 | $0 | $0 | $0 |
| BENJAMIN A WATSON ESQ | ||||||||||||||
| BOARD SECRETARY | $0 | $160,670 | $0 | $26,383 | $0 | $665 | $0 | $6,182 | $0 | $9,812 | $0 | $203,712 | $0 | $0 |
| JACOB L FROEHLICH | ||||||||||||||
| DIRECTOR - NURSING CRITICAL CARE & B | $141,784 | $0 | $29,911 | $0 | $588 | $0 | $6,219 | $0 | $20,410 | $0 | $198,912 | $0 | $0 | $0 |
| WENDY H PARKS | ||||||||||||||
| DIRECTOR - MARKETING | $155,412 | $0 | $25,472 | $0 | $473 | $0 | $10,548 | $0 | $2,414 | $0 | $194,319 | $0 | $0 | $0 |
| LYNDSEY A PITTMAN | ||||||||||||||
| BOARD TREASURER & FINANCE DIRECTOR | $131,614 | $0 | $26,371 | $0 | $375 | $0 | $5,381 | $0 | $2,188 | $0 | $165,929 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR ATRIUM MEDICAL CENTER'S (AMC) CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH AMC IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. |
| PART I, LINE 4A: | THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN 2020: DONNA BANKS RECEIVED $239,400; THOMAS PARKER $163,848 IN 2020 AND WILL RECEIVE $49,154 IN 2021. |
| 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, ATRIUM MEDICAL CENTER (AMC) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. AMC 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 2020. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2020: SCOTT SHELTON $402,778; J. MICHAEL SIMS $83,220; GEOFFREY WALKER $222,983. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2020: DONNA BANKS $1,486; MARK BELCASTRO, M.D. $40,805; BARBARA JOHNSON $56,031; MARGARET MARK $10,459; THOMAS PARKER $35,319. 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: DONNA BANKS $93; MARC BELCASTRO M.D. $4,243; KEITH BRICKING, M.D. $16,828; THOMAS CURTIN $13,484; GARY GINTER $39,595; JENNIFER HAULER, D.O. $72,593; BARBARA JOHNSON $441; MARGARET MARK $9,647; THOMAS PARKER $15,609; MARQUITA TURNER $9,100, MICHAEL UHL $63,262. 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. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. |
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 |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF MONTGOMERY OHIO | ||||||||
| A | 316000172 | 613520LO6 | 2019-09-24 | $83,203,105 | REFUND SERIES 2008 A & B | 0 | 0 | 0 |
| CITY OF MIDDLETOWN OHIO | ||||||||
| B | 316000139 | 597146AP4 | 2016-08-31 | $86,392,792 | REFUND SERIES 2010 | 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 | RetiredRetiredAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $83,203,105 | $766,203 | $82,436,902 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $86,392,792 | $400,067 | $85,992,725 | 2006 | Yes (1) | 0 | Yes (1) | Yes (1) | $3,452,792 |
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 | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
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 | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| BARCLAYS PNC BANK | ||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 24.800000000000 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NOTE A, PART I, LINE A, COLUMN E: | ISSUE PRICE IS NOT IDENTICAL TO THE ISSUE PRICE LISTED ON FORM 8038 DUE TO THE SERIES 2019A BONDS' PROCEEDS BEING SPLIT BETWEEN: ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL, AND UPPER VALLEY MEDICAL CENTER. |
| NOTE A, PART I, LINE A, COLUMN F: | REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2008A BONDS - ISSUE DATE 11/21/2008 SERIES 2008B BONDS - ISSUE DATE 11/21/2008 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLTOP OBSTETRICS AND GYNECOLOGY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ENTITY MORE THAN 35% OWNED BY GREGORY SIEWNY, M.D. | RelationshipDescriptionTxt |
| Transaction | $1,100,000 | TransactionAmt |
| Transaction | MEDICAL SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | COVID-19 PPE | 78 | $236,605 | FMV |
| Yes (X) | EMPLOYEE FOOD | 29 | $36,539 | FMV |
| Yes (X) | SUPPLIES / PRIZES | 40 | $5,877 | FMV |
| Yes (X) | CARING CRADLE | 1 | $5,245 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | 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 ATRIUM MEDICAL CENTER (AMC) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR AMC, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. AMC SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. AMC SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. AMC SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF AMC WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO, INSURERS. AMC 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. AMC MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN AMC'S ACTIVITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | ATRIUM MEDICAL CENTER HAS ONE CORPORATE MEMBER: PREMIER, AN OHIO NON-PROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | PREMIER HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR ATRIUM MEDICAL CENTER (AMC). 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, OF WHICH ATRIUM MEDICAL CENTER IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S. LLP FOR THEIR REVIEW. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS SENT TO ERNST & YOUNG U.S. LLP FOR A FINAL REVIEW AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. |
| FORM 990, PART VI, SECTION B, LINE 12C | PREMIER, WITH WHICH ATRIUM MEDICAL CENTER 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 ATRIUM MEDICAL CENTER'S (AMC) CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH AMC 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 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, CHIEF INTEGRATION OFFICER, CHIEF STRATEGY OFFICER, AND THE HOSPITAL CEOS. 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 12,103,483. MANAGEMENT AND GENERAL EXPENSES 261,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,364,971. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,542,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,542,350. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 1,675,644. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,675,644. CHI C/E DIRECT CHARGE: PROGRAM SERVICE EXPENSES 1,559,517. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,559,517. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 806,674. MANAGEMENT AND GENERAL EXPENSES 35,874. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 842,548. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 475,420. MANAGEMENT AND GENERAL EXPENSES 6,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 481,420. ACCRUED OTHER: PROGRAM SERVICE EXPENSES 325,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 325,399. PERSONNEL PHYSICALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 164,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,698. RESIDENTS: PROGRAM SERVICE EXPENSES 164,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,578. PHYSICIAN RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 159,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,927. COURIER SERVICE: PROGRAM SERVICE EXPENSES 5,506. MANAGEMENT AND GENERAL EXPENSES 99,582. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,088. ARCHIVES/REC RETENTION SVC: PROGRAM SERVICE EXPENSES 85,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,623. TAXIS AND RTA EXPENSE: PROGRAM SERVICE EXPENSES 32,078. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,078. LAB PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 19,394. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,394. MEDICAL STAFF SUPPORT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,250. OTHER FEES: PROGRAM SERVICE EXPENSES 17,425. MANAGEMENT AND GENERAL EXPENSES 1,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,300. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS -51,827,222. FUNDING FROM AFFILIATES -651,607. CAPITAL DONATIONS 286,957. CAPTIVE INSURANCE ADJUSTMENT 576,536. PENSION ADJUSTMENT 5,092,108. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PREMIER HEALTH | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 311446699 | PARENT | OH | 501(C)(3) | 12B | N/A | 0 | |
| 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 | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 310537504 | HOSPITAL | OH | 501(C)(3) | 3 | 0 | PREMIER HEALTH | |
| MIAMI VALLEY HOSPITAL FOUNDATION | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 311040231 | FOUNDATION | OH | 501(C)(3) | 7 | 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 | |
| PREMIER COMMUNITY HEALTH | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 311122883 | HEALTH EDUCATION | OH | 501(C)(3) | 10 | 0 | FIDELITY HEALTH CARE | |
| SAMARITAN HEALTH PARTNERS | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 311107411 | SUPPORT ORG | OH | 501(C)(3) | 12B | 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 | |
| ATRIUM HEALTH SYSTEM | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 310537492 | SUPPORT ORG | OH | 501(C)(3) | 12B | N/A | 0 | |
| UVMC | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 341850683 | SUPPORT ORG | OH | 501(C)(3) | 12B | N/A | 0 | |
| 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 | |
| UVPC SPECIALISTS | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 203687536 | HEALTH CARE | OH | 501(C)(3) | 10 | 0 | UPPER VALLEY PROFESSIONAL CORP | |
| UVMC NURSING CARE INC | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 311224064 | NURSING HOME | OH | 501(C)(3) | 10 | 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 | |
| SAMARITAN BEHAVIORAL HEALTH INC | |||||||||||
| 110 MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 020633634 | BEHAVIORAL HEALTH | OH | 501(C)(3) | 7 | 0 | PREMIER HEALTH | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|
| MVHE INC | |||||||||
| 110 NORTH MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 311185270 | PHYSICIAN SVCS | OH | PREMIER HEALTH HOLDING | C | 0 |
| PREMIER HEALTH SPECIALISTS | |||||||||
| 110 NORTH MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 061744704 | PHYSICIAN SVCS | OH | PREMIER HEALTH HOLDING | C | 0 |
| SAMARITAN FAMILY CARE | |||||||||
| 110 NORTH MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 311299450 | PHYSICIAN SVCS | OH | PREMIER HEALTH HOLDING | 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 | 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 ACO OF OHIO | |||||||||
| 110 NORTH MAIN STREET SUITE 500 | DAYTON | OH | 45402 | 474049773 | MEDICARE ACO | OH | PREMIER HEALTH | C | 0 |
| PREMIER HEALTH HOLDING | |||||||||
| 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 | 0 | 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 | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 |