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MIAMI VALLEY HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-08
IRS object ID
202143129349301524
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-08T10:23:49-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1221 E 4TH ST 2900AddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310537504EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIAMI VALLEY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMIAMBusinessNameControlTxt
Phone9374999942PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 N MAIN ST 500AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTINA KEANPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone9374999942PhoneNum
Signature2021-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKRISTINAPersonFirstNm
Person LastKEANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE L SPARKSPreparerPersonNm
PTINP01268401PTIN
Phone5136121400PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL R UHLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WYOMING STAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45409ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,321,628,640GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PREMIERHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1890FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionWE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee9283TotalEmployeeCnt
Total Volunteers433TotalVolunteersCnt
Total Gross UBI-$966TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$620,174PYContributionsGrantsAmt
CY Contributions Grants$67,364,877CYContributionsGrantsAmt
PY Program Service Revenue$1,137,603,410PYProgramServiceRevenueAmt
CY Program Service Revenue$1,098,752,763CYProgramServiceRevenueAmt
PY Investment Income$51,762,851PYInvestmentIncomeAmt
CY Investment Income$54,628,501CYInvestmentIncomeAmt
PY Other Revenue$14,052,754PYOtherRevenueAmt
CY Other Revenue$12,835,987CYOtherRevenueAmt
PY Total Revenue$1,204,039,189PYTotalRevenueAmt
CY Total Revenue$1,233,582,128CYTotalRevenueAmt
PY Grants And Similar Paid$20,581,009PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,629,254CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$426,252,395PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$439,557,022CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$551,016,375PYOtherExpensesAmt
CY Other Expenses$527,651,813CYOtherExpensesAmt
PY Total Expenses$997,849,779PYTotalExpensesAmt
CY Total Expenses$976,838,089CYTotalExpensesAmt
PY Revenues Less Expenses$206,189,410PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$256,744,039CYRevenuesLessExpensesAmt
Total Assets BOY$1,540,725,759TotalAssetsBOYAmt
Total Assets EOY$1,722,580,582TotalAssetsEOYAmt
Total Liabilities BOY$929,596,566TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,024,761,948TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$611,129,193NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$697,818,634NetAssetsOrFundBalancesEOYAmt
MissionWE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$935,971,285ExpenseAmt
Grant$9,629,254GrantAmt
Revenue$1,098,752,763RevenueAmt
DescTHE PRIMARY EXEMPT PURPOSE OF MIAMI VALLEY HOSPITAL IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF MONTGOMERY AND THE SURROUNDING COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION.Desc
Total Program Service Expenses$935,971,285TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document249IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9283EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1J MICHAEL SIMSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9374999942PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 N MAIN ST SUITE 500AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARY H BOOSALIS
TRUSTEE / PREMIER PRES & CEO0.5039.50Yes (X)$0$2,150,189$41,653
BARBARA A JOHNSON
TRUSTEE & PREMIER COO9.5030.50Yes (X)$0$968,394$27,115
MICHAEL R UHL
PRESIDENT & CEO39.001.00Yes (X)$977,711$0$103,696Yes (X)
JENNIFER J HAULER DO
TRUSTEE (FROM JAN) & COO39.001.00Yes (X)$806,774$70,345$85,663
MELANIE M GLOVER MD
TRUSTEE0.5039.50Yes (X)$0$569,529$43,709
JAMES M PACENTA MD
TRUSTEE0.5039.50Yes (X)$0$515,445$40,093
JOANN R RINGER
TRUSTEE & PRESIDENT MVH SOUTH40.000.00Yes (X)$472,600$0$37,154
CHRISTOPHER J DANIS MD
BOARD CHAIR0.5039.50Yes (X)$0$293,190$39,522Yes (X)
TAREK SABAGH MD
TRUSTEE0.500.00Yes (X)$64,167$0$0
A PETER EKEH MD
TRUSTEE0.500.00Yes (X)$3,900$0$0
KRISTINA M KEAN
BOARD TREASURER / VP FINANCE40.000.00$349,688$0$38,428Yes (X)
JENNA M DOWNEY ESQ
BOARD SECRETARY39.001.00$232,761$0$19,568Yes (X)
GEOFFREY P WALKER
SYSTEM VP - CHIEF LEGAL OFFICER9.5030.50$0$834,993$50,821Yes (X)
MARC R BELCASTRO DO
VP MEDICAL AFFAIRS & PREMIER CMO10.0030.00$0$667,457$39,724Yes (X)
GARY G GINTER
VP & PREMIER CHIEF INFO OFFICER10.0030.00$0$545,293$90,857Yes (X)
MARGARET W MARK
VP NURSING SERVICE/PREMIER CNO10.0030.00$0$530,877$47,367Yes (X)
J MICHAEL SIMS
SYS VP & CORPORATE CONTROLLER9.5030.50$0$505,791$52,141Yes (X)
THOMAS R CURTIN
VP REVENUE CYCLE9.0031.00$0$494,429$67,304Yes (X)
MARY E GARMAN
COO - MVH NORTH40.000.00$392,517$0$40,004Yes (X)
ELAINE LAINIE M DEAN
CHIEF OF STRATEGY & BUS DEV10.0030.00$0$457,787$24,516Yes (X)
CHRISTIE GRAY
VP HOSP OPS/CHIEF NSG OFFICER40.000.00$391,808$0$45,286Yes (X)
KIM K STRAHL
VICE PRESIDENT & CPO10.0030.00$0$363,757$33,262Yes (X)
ROBERT M BOWMAN
VP HOSPITAL OPERATIONS40.000.00$334,886$0$48,865Yes (X)
KIMBERLY A HENSLEY
VP HOSPITAL OPERATIONS40.000.00$318,176$0$32,946Yes (X)
BILLIE L LUCENTE-BAKER
SYSTEM VP - HR OPERATIONS10.0030.00$0$283,148$32,159Yes (X)
YONATHAN KEBEDE
VP HOSPITAL OPERATIONS40.000.00$279,368$0$17,051Yes (X)
ELOISE P BRONER
SYS VP - CHIEF SHARED SERVICES40.000.00$853,155$0$29,404Yes (X)
MARY M CLANCY
SYS VP - ONCOLOGY SERVICE LINE39.500.50$579,922$0$35,598Yes (X)
J NICK LAIR
SYSTEM VP - LABORATORY SVCS39.500.50$542,101$0$55,283Yes (X)
JEFFREY G POULOS MD
VP & CHIEF HOSPITALIST OFFICER40.000.00$506,495$0$53,787Yes (X)
LAKMALI C RANATHUNGA
MED DIR - MVH HOSPITALIST PROG40.000.00$502,951$0$25,725Yes (X)
MICHAEL J MAIBERGER
FORMER OFFICER0.000.00$0$1,369,824$39,080Yes (X)
SCOTT A SHELTON
FORMER OFFICER0.0040.00$0$1,342,217$46,962Yes (X)
MARK E WILLIAMS MD
FORMER OFFICER0.0040.00$0$366,488$46,153Yes (X)
CARA W POWERS
FORMER OFFICER40.000.00$300,464$0$51,794Yes (X)
THOMAS R PARKER
FORMER KEY EMPLOYEE0.0040.00$0$686,531$57,139Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,909,444TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,015,684TotReportableCompRltdOrgAmt
Total Other Compensation$1,539,829TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K413IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ANESTHESIOLOGY SERVICES
1 WYOMING STDAYTONOH45409MEDICAL SERVICES$19,107,886
DAWSON HEALTHCARE
1114 DUBLIN RDCOLUMBUSOH43215MEDICAL SERVICES$15,716,819
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HWYDAYTONOH45435MED SVCS & STAFFING$12,259,135
MIAMI VALLEY EMERG SPECIALISTS
2400 MIAMI VALLEY WAYCENTERVILLEOH45459MEDICAL SERVICES$11,597,447
COMMONSPIRT HEALTH
3900 OLYMPIC BLVD 400ERLANGERKY41018CLINICAL ENGINEERING$11,054,314
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K158CntrctRcvdGreaterThan100KCnt
Related Organizations$1,775,304RelatedOrganizationsAmt
Government Grants$65,589,573GovernmentGrantsAmt
Noncash Contributions$724,541NoncashContributionsAmt
Total Contributions$67,364,877TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE900099$560,261,129$560,261,129
MEDICARE / MEDICAID900099$533,998,888$533,998,888
HOSP FRANCHISE TAX RECOVERIES900099$4,208,893$4,208,893
MEDICAL RECORDS900099$158,175$158,175
HEALTH EDUCATION900099$47,047$47,047

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,631TotalRevenueColumnAmt
Related Or Exempt Func Income$78,631RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,098,752,763TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,394,978TotalRevenueColumnAmt
Exclusion$7,394,978ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$13,802,136RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$10,497,683RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,304,453RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,304,453TotalRevenueColumnAmt
Exclusion$3,304,453ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,123,278,987SecuritiesAmt
Other$980,092OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,074,554,582SecuritiesAmt
Other$2,470,974OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$48,724,405SecuritiesAmt
Other-$1,490,882OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,233,523TotalRevenueColumnAmt
Exclusion$47,233,523ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$687,971GrossSalesOfInventoryAmt
Cost Of Goods Sold$523,273CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,698TotalRevenueColumnAmt
Exclusion$164,698ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA SALES812930$4,508,280$4,508,280
FEMA REVENUE900099$3,035,402$3,035,402
GAIN ON EXTINGUISHMENT900099$541,166$541,166

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,281,988TotalRevenueColumnAmt
Unrelated Business Revenue-$966UnrelatedBusinessRevenueAmt
Exclusion$1,282,954ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,366,836OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,233,582,128TotalRevenueColumnAmt
Related Or Exempt Func Income$1,098,752,763RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$966UnrelatedBusinessRevenueAmt
Exclusion$67,465,454ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,629,254TotalAmt
Program Services$9,629,254ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,089,788TotalAmt
Program Services$2,858,182ProgramServicesAmt
Management And General$2,231,606ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$752,543TotalAmt
Program Services$380,823ProgramServicesAmt
Management And General$371,720ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$345,536,415TotalAmt
Program Services$328,346,051ProgramServicesAmt
Management And General$17,190,364ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,526,188TotalAmt
Program Services$29,750,271ProgramServicesAmt
Management And General$1,775,917ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,271,788TotalAmt
Program Services$30,438,184ProgramServicesAmt
Management And General$1,833,604ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,380,300TotalAmt
Program Services$21,055,261ProgramServicesAmt
Management And General$3,325,039ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$143,221TotalAmt
Program Services$113,521ProgramServicesAmt
Management And General$29,700ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,520TotalAmt
Management And General$118,520ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$16,736TotalAmt
Management And General$16,736ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,388,201TotalAmt
Management And General$1,388,201ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$161,986,713TotalAmt
Program Services$154,842,599ProgramServicesAmt
Management And General$7,144,114ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,623,139TotalAmt
Program Services$1,621,797ProgramServicesAmt
Management And General$1,342ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,001,668TotalAmt
Program Services$1,850,971ProgramServicesAmt
Management And General$1,150,697ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,333,111TotalAmt
Program Services$4,810,837ProgramServicesAmt
Management And General$522,274ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,426,709TotalAmt
Program Services$13,443,195ProgramServicesAmt
Management And General$983,514ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$168,092TotalAmt
Program Services$144,147ProgramServicesAmt
Management And General$23,945ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,618,014TotalAmt
Program Services$32,618,014ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$72,541,489TotalAmt
Program Services$70,516,709ProgramServicesAmt
Management And General$2,024,780ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$369,880TotalAmt
Program Services$314,704ProgramServicesAmt
Management And General$55,176ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OPERATING SUPPLIES$204,094,057$204,094,057
HOSPITAL FRANCHISE TAX$17,384,199$17,384,199
REPAIRS AND MAINTENANCE$5,376,260$5,360,842$15,418
EQUIPMENT RENTAL$2,497,176$2,497,176

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,564,628TotalAmt
Program Services$3,900,491ProgramServicesAmt
Management And General$664,137ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$976,838,089TotalAmt
Program Services$935,971,285ProgramServicesAmt
Management And General$40,866,804ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$41,495BOYAmt
EOY$37,895EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$50,884,766BOYAmt
EOY$234,106,655EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$180,635,602BOYAmt
EOY$186,130,124EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,477,831BOYAmt
EOY$3,281,178EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,143,476BOYAmt
EOY$10,308,337EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$835,207BOYAmt
EOY$840,034EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,633,764,556LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,027,613,299LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$680,408,830BOYAmt
EOY$606,151,257EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$391,265,735BOYAmt
EOY$562,912,320EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$178,160,437BOYAmt
EOY$59,488,022EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,166,332BOYAmt
EOY$9,166,332EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$34,706,048BOYAmt
EOY$50,158,428EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,540,725,759BOYAmt
EOY$1,722,580,582EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$87,869,483BOYAmt
EOY$105,913,804EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$13,791,481BOYAmt
EOY$13,057,876EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,636,433BOYAmt
EOY$4,530,091EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$651,592,405BOYAmt
EOY$649,946,230EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$31,414,206BOYAmt
EOY$21,896,792EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$142,292,558BOYAmt
EOY$229,417,155EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$929,596,566BOYAmt
EOY$1,024,761,948EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$611,129,193BOYAmt
EOY$697,818,634EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$611,129,193BOYAmt
EOY$697,818,634EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,540,725,759BOYAmt
EOY$1,722,580,582EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$256,744,039ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,111,075NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$188,165,673OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$16,736GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$16,736TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,490,385OtherCostOrOtherBasisAmt
Book Value$45,490,385BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,061,618,727OtherCostOrOtherBasisAmt
Depreciation$623,061,140DepreciationAmt
Book Value$438,557,587BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,174,231OtherCostOrOtherBasisAmt
Depreciation$2,290,620DepreciationAmt
Book Value$883,611BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$508,483,980OtherCostOrOtherBasisAmt
Depreciation$402,261,539DepreciationAmt
Book Value$106,222,441BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,997,233OtherCostOrOtherBasisAmt
Book Value$14,997,233BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$606,151,257TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
ACCR MEDICARE ADVANCED PAYMENT$100,513,057
SWAP LIABILITY$35,487,407
PENSION OBLIGATION$34,248,982
MALPRACTICE INSURANCE$18,108,746
AFFILIATE PAYABLE$15,593,329
LOAN GUAR & OTHER LTL$13,113,127
LEASE COMMITMENT$6,325,200
OTHER$6,027,307
FieldValueIRS element (for citing)
Total Liability$229,417,155TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOLLOWING FOOTNOTE IS FROM THE 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF MVH. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES, WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: * PREMIER HEALTH INSURING CO. (PHIC), AND 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.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA/CARIBBEANRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConductedTxt
Specific Services ProvidedINSURANCESpecificServicesProvidedTxt
Region Total Expenditures$25,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$25,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$25,000TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,767,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,049,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,718,000NetCommunityBenefitExpnsAmt
Total Expense0.01400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$240,618,893TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$146,651,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,967,000NetCommunityBenefitExpnsAmt
Total Expense0.09620TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,866,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,991,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,875,000NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$291,251,893TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$177,691,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$113,560,000NetCommunityBenefitExpnsAmt
Total Expense0.11620TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,648,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,667,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,981,000NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,705,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,705,000NetCommunityBenefitExpnsAmt
Total Expense0.02020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,156,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,156,000NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,509,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,667,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,842,000NetCommunityBenefitExpnsAmt
Total Expense0.02850TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$320,760,893TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$179,358,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$141,402,000NetCommunityBenefitExpnsAmt
Total Expense0.14470TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$325,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$325,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$325,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$325,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$38,033,035BadDebtExpenseAmt
Reimbursed By Medicare$188,108,000ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$203,840,000CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$15,732,000MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
MIAMI VALLEY HOSPITAL
1ONE WYOMING STDAYTONOH45409WWW.PREMIERHEALTH.COMSEE PART V, SEC CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
MIAMI VALLEY HOSPITAL SOUTH
22400 MIAMI VALLEY DRCENTERVILLEOH45459WWW.PREMIERHEALTH.COMSEE PART V, SEC CYes (X)Yes (X)Yes (X)A
MIAMI VALLEY HOSPITAL NORTH
39000 N MAIN STDAYTONOH45415WWW.PREMIERHEALTH.COMSEE PART V, SEC CYes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SEC CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SEC CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SEC CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION A, LINE 1:THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR.MIAMI VALLEY HOSPITAL'S REGISTRATION NUMBER IS 1247.MIAMI VALLEY HOSPITAL SOUTH'S REGISTRATION NUMBER IS 1489.MIAMI VALLEY HOSPITAL NORTH'S REGISTRATION NUMBER IS 1914.
PART V, SECTION B, LINE 3E:MIAMI VALLEY HOSPITAL'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 PEOPLE 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. THE CHNA TEAM INVOLVED FOUR ENTITIES WORKING CLOSELY TOGETHER: THE HEALTH COLLABORATIVE (LEAD AGENCY); THE GREATER DAYTON AREA HOSPITAL ASSOCIATION; GWEN FINEGAN (LEAD CONSULTANT AND PROJECT MANAGER); AND PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (SECONDARY DATA COLLECTION FOR OHIO COUNTIES). THE HEALTH COLLABORATIVE (THC) CONTRACTED WITH MS. FINEGAN TO CONDUCT A COMPREHENSIVE AND COLLABORATIVE ASSESSMENT FOR THE HEALTHCARE SYSTEMS AND HOSPITALS. THE LEAD CONSULTANT ASSEMBLED A TEAM OF FOUR SUB-CONTRACTORS TO ASSIST HER. BOTH THC AND THE GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA) MANAGED THE RELATIONSHIPS AND SIGNED AGREEMENTS WITH THEIR RESPECTIVE MEMBER HOSPITALS. THE LEAD CONSULTANT INITIATED THE CONNECTION WITH THE SOUTHWEST DISTRICT OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS (AOHC), AND BOTH SHE AND THC REPRESENTATIVES ATTENDED SIX AOHC MEETINGS. THE LEAD CONSULTANT WORKED CLOSELY WITH ERIK BALSTER, DIRECTOR FOR THE SW DISTRICT OF AOHC AND HEALTH COMMISSIONER OF PREBLE COUNTY TO INCORPORATE AOHC'S REQUESTS AND ENSURE SMOOTH COMMUNICATION. THE LEAD CONSULTANT ALSO WORKED CLOSELY WITH DAWN EBRON, COMMUNITY HEALTH IMPROVEMENT PLANNING AND EPIDEMIOLOGY SUPERVISOR, AND EPIDEMIOLOGISTS KYLE WALLACE, ASHLEY SEYBOLD, AND SUSAN HERZFELD AT PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY TO COORDINATE MEETINGS AND FOR SECONDARY DATA COLLECTION. INTERACT FOR HEALTH PROVIDED DATA FROM THEIR GREATER CINCINNATI HEALTH STATUS SURVEY AS DID PREVENTIONFIRST! FROM ITS PRIDE SURVEY. LOUISE KENT, PLANNING ADMINISTRATOR FOR THE NORTHERN KENTUCKY HEALTH DEPARTMENT, IDENTIFIED ADDITIONAL DATA SOURCES FOR THE COMMONWEALTH OF KENTUCKY AND THE THREE NORTHERN COUNTIES. THE CINCINNATI HEALTH DEPARTMENT GATHERED DATA FOR THE CITY OF CINCINNATI.
PART V, SECTION B, LINES 6A & 6B:MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL SOUTH, AND MIAMI VALLEY HOSPITAL NORTH 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 DIRECT 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:MIAMI VALLEY HOSPITAL (MVH), MIAMI VALLEY HOSPITAL SOUTH (MVHS), AND MIAMI VALLEY HOSPITAL NORTH (MVHN) 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 HEALTHMVH AND MVHNACCESS TO CARE/SERVICESCOMMUNITY PARAMEDICINE PROGRAMMETRICS: NUMBER OF HOME ASSESSMENTS. NUMBER OR PERCENT OF PATIENTS CONNECTED TO COMMUNITY RESOURCES. REDUCTION IN NUMBER OF EMERGENCY DEPARTMENT VISITS. DECREASED CALLS TO LOCAL 911 SERVICES.HEALTH ISSUE: PATIENTS WITHOUT ACCESS TO REGULAR MEDICAL CARE OFTEN HAVE UNNECESSARY VISITS TO EMERGENCY DEPARTMENTS AND UNPLANNED HOSPITAL READMISSIONS.INTERVENTION'S GOAL: THE GOAL IS TO MEET THE NEEDS OF VULNERABLE RESIDENTS, WHO ARE NOT ELIGIBLE FOR HOME HEALTH CARE, BY PROVIDING CARE FROM COMMUNITY PARAMEDICS AND CONNECTING THEM TO AVAILABLE RESOURCES.DESCRIPTION: THE PROGRAM HAS BEEN DESIGNED TO PROVIDE THE RESIDENT WITH PERSONALIZED HEALTH AND WELLNESS SUPPORT IN THE COMFORT OF THEIR OWN HOME. THE PROGRAM WILL HELP THEM MANAGE THEIR NEEDS INCLUDING MEDICATIONS, AS WELL AS CONNECTING THE PATIENTS WITH PRIMARY CARE PHYSICIANS, PRENATAL CARE, SENIOR CARE SERVICES, AND MORE. THE TEAM, WHICH COMPRISES A PARAMEDIC AND EMERGENCY MEDICAL TECHNICIAN FROM DAYTON FIRE ALONG WITH A SOCIAL WORKER FROM THE CITY OF DAYTON, WILL VISIT THE HOME AND IDENTIFY BASIC NEEDS SUCH AS FOOD AND SAFETY. THE CREW WILL THEN DEVELOP A CARE PLAN THAT FACTORS IN THE PATIENT'S UNIQUE HOME ENVIRONMENT, SUPPORT, AND HEALTH CARE NEEDS. THE TEAM CAN ALSO WORK TO CONNECT THE PATIENT WITH COMMUNITY RESOURCES, SUCH AS HOUSING, UTILITIES, INSURANCE, PRESCRIPTION DELIVERY, TRANSPORTATION, OR ANY OTHER NEEDS THAT THE PATIENT/CARE TEAM IDENTIFY AS HAVING A POSITIVE EFFECT ON THE RESIDENT'S HEALTH AND WELLNESS. RESIDENTS ARE IDENTIFIED FOR THE PROGRAM THROUGH HOSPITALS, 911 EMS AGENCIES, PHYSICIANS, FAMILY MEMBERS, ETCBACKGROUND: ANALYSIS OF FREQUENT EMERGENCY VISITS WAS PERFORMED, AND 20 PATIENTS WHO LIVED IN ZIP CODE 45406 ACCOUNTED FOR MORE THAN 600 VISITS. THEY HAD CHRONIC CONDITIONS SUCH AS PULMONARY DISEASE, DIABETES, HYPERTENSION, AND KIDNEY DISEASE AS WELL AS PSYCHOSOCIAL, FINANCIAL, AND/OR SAFETY NEEDS. THE RESIDENTS WERE NOT CONNECTED TO PRIMARY CARE PHYSICIANS AND RESORTED TO CRISIS MANAGEMENT OF THEIR HEALTH CARE ISSUES. IN 2016, THE STATE OF OHIO PASSED A LAW ALLOWING TRAINED PARAMEDICS TO FUNCTION IN NON-EMERGENCY AND HOME SITUATIONS, THUS PROVIDING AN ALTERNATIVE TO AN AMBULANCE RUN TO A HOSPITAL'S EMERGENCY DEPARTMENT. PREMIER HEALTH IS THE LEAD ORGANIZATION WITH STAFFING BY THE DAYTON FIRE DEPARTMENT.PARTNERS: DAYTON FIRE DEPARTMENT AND THE CITY OF DAYTON MVH, MVHS, MVHNACCESS TO CARE/SERVICESER VIRTUAL CAREMETRICS: 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 PROVIDESUPPORT 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 A 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 PAVILIONMVH AND MVHNCOMMUNITY HEALTH MOBILE CLINICMETRICS: 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 MINUTECLINIC 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.
PART V, SECTION B, LINE 11: (CONTINUED)MVHNSENIOR EMERGENCY CENTERMETRICS: CHANGE IN PATIENT VOLUME; READMISSION RATES; SUSPECTED ABUSE/NEGLECT; RETURN ED VISITS WITHIN 72 HOURS OF DISCHARGE; AND TRANSFERS TO HIGHER LEVELS OF CARE. ADDITION OF 4TH SENIOR-FRIENDLY ROOM. NUMBER OF REFERRALS AND COMPLIANCE WITH COMPLETION OF REFERRALS.HEALTH ISSUE: SENIOR VISITS TO THE EMERGENCY DEPARTMENT HAVE INCREASED BY 45.7% SINCE 2018.INTERVENTION'S GOAL: THE GOAL IS TO PROVIDE AGE-APPROPRIATE SCREENING AND INTERVENTION IN THE EMERGENCY DEPARTMENT.DESCRIPTION: MIAMI VALLEY HOSPITAL NORTH CREATED 3 SENIOR-FRIENDLY ACCESSIBLE ROOMS WITH CALM COLORS, SPECIALIZED LIGHTING, EASY-TO-READ CLOCKS, AND MOBILITY AIDS. ALL PATIENTS AGE 65+ WITH AN ACUITY LEVEL OF 2.5 RECEIVE AN ASSESSMENT THAT INCLUDES ELDER ABUSE SCREENING, MENTAL HEALTH SCREENING, AND CAREGIVER STRAIN SCREENING. A POOR OR VERY POOR ASSESSMENT TRIGGERS AN RN TO MAKE A REFERRAL. THEY CAN REQUEST A CASE MANAGER AND/OR SOCIAL WORKER TO SEE THE PATIENT. FOUR RNS HAVE BEEN TRAINED AS SENIOR CHAMPIONS. A FIDELITY HEALTH CARE RN FOLLOWS UP BY PHONE WITHIN 24 HOURS TO VERIFY FOLLOW-UP APPOINTMENTS, REVIEW DISCHARGE INSTRUCTIONS, AND ASSESS THE NEED FOR ANY FURTHER REFERRALS.BACKGROUND: SENIOR VISITS ACCOUNT FOR MORE THAN 30% OF EMERGENCY DEPARTMENT VISITS. ABOUT 20% OF THE PATIENTS IN THE MIAMI VALLEY HOSPITAL NORTH EMERGENCY DEPARTMENT ARE AGES 65 AND OLDER.MVH, MVHS, MVHNACCESS TO CARE/SERVICES AND CHRONIC DISEASECOMMUNITY HEALTH VOUCHER PROGRAMMETRICS: FOR THE 3-YEAR PERIOD, A PROJECTED 183 WOMEN WILL BE SERVED BYTHE COMMUNITY HEALTH VOUCHER PROGRAM AMONG MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL NORTH, AND MIAMI VALLEY HOSPITAL SOUTH. EXPANDED ELIGIBILITY FOR BCCP IMPACTED THE NUMBER OF WOMEN WHO NEEDED TO UTILIZE GOOD SAMARITAN HOSPITAL FOUNDATION FUNDING. HOWEVER, THE SAME WOMEN WHO ENROLLED IN BCCP WILL LIKELY NEED THIS COVERAGE NEXT YEAR, SINCE THE BCCP ONLY COVERS BI-YEARLY SCREENINGS. THE MIAMI VALLEY HOSPITAL FOUNDATION ALSO FUNDS THIS PROGRAM. IN 2020, THE PROGRAM COORDINATOR AND COMMUNITY ENGAGEMENT SPECIALIST BEGAN NEGOTIATING ADDITIONAL SERVICES THAT CAN BE COVERED BY THIS FUNDING. THEY ARE IN THE PROCESS OF DETERMINING HOW TO REFER AND COVER CLIENTS FOR SERVICES AT THE HIGH-RISK BREAST CENTERS (MIAMI VALLEY HOSPITAL SOUTH AND MIAMI VALLEY HOSPITAL NORTH). THERE HAS ALSO BEEN DISCUSSION ABOUT THE FEASIBILITY OF USING THESE FUNDS TO OFFSET THE COSTS OF PROSTHETICS AND OTHER NEEDED ITEMS FOR WOMEN WHO HAVE MASTECTOMIES. THESE PROJECTS ARE NEW AND ONGOING, BUT IT IS ANTICIPATED THAT THEY WILL LEAD TO A HIGHER UTILIZATION OF THIS FUNDING.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 GOOD SAMARITAN HOSPITAL FOUNDATION, THE MIAMI VALLEY HOSPITAL 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 HOSPITAL FOUNDATION, UPPER VALLEY MEDICAL CENTER FOUNDATIONS, MIAMI VALLEY HOSPITAL FOUNDATION (HELP HER FIGHT), KROGER, BREAST CANCER FOUNDATION, AND KUHNS BROTHERS.MVH AND MVHSINFANT MORTALITY HEALTHCARE COPE (COST OF POVERTY EXPERIENCE) TRAININGMETRICS: 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.PARTNER: THINK TANK AND SAMARITAN BEHAVIORAL HEALTH INC.MVHINFANT MORTALITY CONFERENCEMETRICS: NUMBER OF ATTENDEES (300 IN 2019); DEMOGRAPHIC AND OCCUPATIONAL DIVERSITY OF ATTENDEES; AND CONFERENCE EVALUATION RESULTS.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.INTERVENTION'S GOAL: THE GOAL IS TO BRING TOGETHER A DIVERSE GROUP OF PROFESSIONALS AND LAY PEOPLE WHO SHARE A FOCUS ON IMPROVING BIRTH OUTCOMES AND WHO WANT TO LEARN AND DO MORE TOGETHER.DESCRIPTION: THERE ARE MULTIPLE SESSIONS DESIGNED TO INFORM, INSPIRE, AND CONNECT PEOPLE TO RESOURCES IN THE COMMUNITY. SPEAKERS INCLUDE PROFESSIONALS IN THE FIELD AS WELL AS PEOPLE WHO SHARE THEIR PERSONAL EXPERIENCE.BACKGROUND: PREMIER HEALTH HELPS HOST THE ANNUAL INFANT MORTALITY CONFERENCE, WHICH IS A PROJECT OF THE EVERYONE REACH ONE DAYTON & MONTGOMERY COUNTY INFANT MORTALITY TASK FORCE. THE CONFERENCE IN 2020 WILL BE ITS FOURTH YEAR.PARTNERS: PUBLIC HEALTH-DAYTON & MONTGOMERY COUNTY, MONTGOMERY COUNTY, OHIO COMMISSION ON MINORITY HEALTH, MARCH OF DIMES, KETTERING HEALTH NETWORK, AND FIVE RIVERS HEALTH CENTERS, AMONG OTHERS.
PART V, SECTION B, LINE 11: (CONTINUED)MVHHELP ME GROW BRIGHTER FUTURESMETRICS: CASELOAD OF 1,770 FAMILIES. 100% RECEIVING HOME VISIT SERVICES RECEIVE EDUCATION AND ASSESSMENT OF A SAFE SLEEP ENVIRONMENT. 100% OF ALL MOMS, PRENATAL TO AGE 1 OF THE CHILD, ARE SCREENED FOR DEPRESSION. 100% OF HEALTHY INFANTS SURVIVE TO FIRST BIRTHDAY. MORE THAN 80% OF MOMS, ENROLLED PRENATALLY, INITIATE BREASTFEEDING. 54% ARE STILL BREASTFEEDING AT 6 MONTHS. EXPANSION TO SERVE AT LEAST ONE MORE GEOGRAPHIC AREA.HEALTH ISSUE: IN 2017 THE AFRICAN AMERICAN INFANT MORTALITY RATE WAS 16.9 IN MONTGOMERY COUNTY.INTERVENTION'S GOALS: THE GOALS ARE TO REDUCE INFANT MORTALITY THROUGH HOME VISITS FROM BIRTH TO AGE 3 AND TO REACH A CASELOAD OF 1,770 FAMILIES FOR 2020-2022.DESCRIPTION: HOME VISITS INCLUDE EDUCATION ABOUT SAFE SLEEP, SMOKING CESSATION, REDUCING CHILD MALTREATMENT AND INJURY, AND ENCOURAGING MOTHERS TO BREASTFEED. MAKING CONNECTIONS TO RECRUIT PREGNANT FIRST-TIME MOMS EARLY IN PREGNANCY IS CRITICAL. ONE OF THE FORT HAMILTON STAFF HAS TRANSITIONED TO SERVE MONTGOMERY AND PREBLE COUNTIES. A TOTAL OF TWO STAFF ARE AVAILABLE TO SERVE PREBLE COUNTY, EXPECTING A GROWTH OF 25 CLIENTS. MIAMI COUNTY HAS EXPRESSED AN INTEREST IN ADDING THE NURSE FAMILY PARTNERSHIP TO THEIR SERVICES. HELP ME GROW BRIGHTER FUTURES WOULD LIKE TO PARTNER BY UTILIZING EXISTING STAFF TO SUPPORT MIAMI COUNTY.BACKGROUND: IN 2018 AND 2019, HELP ME GROW BRIGHTER FUTURES RECEIVED INCREASED FUNDING THROUGH MEDICAID TO EXPAND HOME VISITING FOR REDUCING INFANT MORTALITY. ENROLLMENT IN HOME VISITING INCREASED BY NEARLY 200%. IN 2017 THE AFRICAN AMERICAN INFANT MORTALITY RATE WAS 16.9 IN MONTGOMERY COUNTY AND IN 2018 IT DECREASED TO A RATE OF 10.5. 1,660 MONTGOMERY COUNTY YOUNG CHILDREN OR PREGNANT MOMS ARE CURRENTLY BEING SERVED WITH HOME VISITS AND SERVICES BY THE HELP ME GROW BRIGHTER FUTURES PROGRAM. THERE WERE 22,713 HOME VISITS COMPLETED WITH FAMILIES IN 2019. THE NURSE FAMILY PARTNERSHIP EXPANDED INTO BUTLER COUNTY, ADDING STAFF AT ATRIUM MEDICAL CENTER AND FORT HAMILTON HOSPITAL, TO SERVE 100 FIRST TIME PREGNANT WOMEN. THE NURSE FAMILY PARTNERSHIP IS EXPLORING PROVIDING SERVICES IN MORE COUNTIES.PARTNERS: GREATER DAYTON AREA HOSPITAL ASSOCIATION, KETTERING HEALTH NETWORK, LIFE STAGES CENTERING, FIVE RIVERS HEALTH CENTER, SOUTHVIEW WOMEN'S CENTER, GRANDVIEW WOMEN'S CENTER, PUBLIC HEALTH, PHYSICIAN OFFICES, AND A VARIETY OF COMMUNITY PROGRAMS SUCH AS THE WESLEY CENTER, ELIZABETH NEW LIFE, MIAMI VALLEY CHILD DEVELOPMENT CENTER, PROMISE TO HOPE, LIFE RESOURCE CENTER, AND FAMILY SERVICE AGENCY.MVHINFANT MORTALITY AND SUBSTANCE ABUSEPROMISE TO HOPEMETRICS: THE 2020 BUDGET COVERS AN AVERAGE OF 9 MONTHS OF SERVICE FOR 195 CLIENTS.HEALTH ISSUE: TO ENSURE HEALTHY OUTCOMES, PREGNANT WOMEN WITH SUBSTANCE USE DISORDER OR OPIATE USE DISORDER REQUIRE A MULTIDISCIPLINARY APPROACH WITH CONNECTION TO COMMUNITY RESOURCES. INTERVENTION'S GOALS: THE GOALS ARE: 1) DECREASE THE NUMBER OF UNINTENTIONAL DEATHS DUE TO SUBSTANCE OVERDOSE IN MONTGOMERY COUNTY, THEREBY DECREASING THE MATERNAL AND INFANT MORTALITY RATES. 2) INCREASE THE PERCENTAGE OF MOTHERS WHO CAN SUCCESSFULLY PARENT THEIR INFANTS FOLLOWING DELIVERY, AS OPPOSED TO PLACEMENT BY CHILDREN SERVICES. 3)DECREASE THE AVERAGE HOSPITAL LENGTH OF STAY FOR INFANTS WHO ARE DIAGNOSED WITH NEONATAL ABSTINENCE SYNDROME (NAS) AND/OR PRENATAL SUBSTANCE EXPOSURE. 4) CONTINUE TO INCREASE THE BREASTFEEDING RATE FOR MOTHERS ACTIVE IN RECOVERY AT DELIVERY.DESCRIPTION: A TEAM OF PHYSICIANS, A REGISTERED NURSE, AND A LICENSED INDEPENDENT SOCIAL WORKER WORK COLLABORATIVELY TO MEET THE UNIQUE NEEDS OF PREGNANT WOMEN WITH OPIATE USE DISORDER AND/OR SUBSTANCE USE DISORDER AND THEIR INFANTS. MIAMI VALLEY HOSPITAL OFFERS THE FACILITIES, THE HIGHLY SPECIALIZED EQUIPMENT, AND THE EXPERIENCED PHYSICIANS, NURSES, AND RELATED STAFF TO PROVIDE CARE FOR THE BOTH THE MOTHER AND INFANT. TO ENSURE THE HEALTHIEST OUTCOMES POSSIBLE FOR BOTH MOTHER AND CHILD, PERSONALIZED MEDICAL CARE AND WRAPAROUND SOCIAL SUPPORT ARE PROVIDED. PROMISE TO HOPE INITIATES MEDICATION ASSISTED TREATMENT (MAT) - (THE USE OF FDA- APPROVED MEDICATIONS, IN COMBINATION WITH INDIVIDUAL AND GROUP THERAPIES, TO TREAT OPIATE USE DISORDER AND/OR SUBSTANCE USE DISORDER) AND CONNECTS THE MOTHER WITH A RECOVERY AGENCY OF HER CHOICE IN THE COMMUNITY FOR ONGOING TREATMENT.BACKGROUND: PROMISE TO HOPE HAS SERVED 500 PREGNANT WOMEN WITH OPIATE USE DISORDER SINCE ITS INCEPTION IN MAY 2015. IT PROVIDES TREATMENT DURING PREGNANCY AND FOR UP TO A YEAR AFTER THE BIRTH. IN 2020, PROMISE TO HOPE EXPANDED TO INCLUDE PREGNANT WOMEN WITH ANY TYPE OF SUBSTANCE USE DISORDER RATHER THAN JUST TARGETING OPIATES. THE PROMISE TO HOPE PROGRAM HAS JOINED THE OHIO PERINATAL QUALITY COLLABORATIVE AND IS WORKING WITH HOSPITALS IN CINCINNATI, DAYTON, TOLEDO, ATHENS, CLEVELAND AND COLUMBUS TO IMPROVE OUTCOMES FOR MOMS AND INFANTS. PARTNERS: ADAMHS BOARD OF MONTGOMERY COUNTY; JOSHUA RECOVERY MINISTRIES; FIVE RIVERS HEALTH CENTERS; NOVA BEHAVIORAL HEALTH; SAMARITAN BEHAVIORAL HEALTH; RECOVERY WORKS HEALING CENTER; AND TCN BEHAVIORAL HEALTH.MVHBRIGID'S PATHMETRICS: FOR 2018 AND 2019, BRIGID'S PATH REPORTS THE FOLLOWING OUTCOMES: * 70 BABIES RECEIVED CARE.* 86% OF FAMILIES STAYED ENGAGED WITH THE BRIGID'S PATH FAMILY ADVOCATE SINCE OPENING.* 86% OF BABIES WERE DISCHARGED TO PARENTS OR FAMILY; ONLY 10 BABIES WERE PLACED IN THE CUSTODY OF CHILDREN'S SERVICES.* THE AVERAGE LENGTH OF STAY WAS 56 DAYS.HEALTH ISSUE: SUBSTANCE ABUSE IS A CONTINUING PROBLEM IN THE MIAMI VALLEY. TO ENSURE HEALTHY OUTCOMES FOR THEIR INFANTS, PREGNANT WOMEN AND MOTHERS WITH ADDICTION REQUIRE ADDITIONAL RESOURCES. INTERVENTION'S GOAL: THE GOAL IS TO CREATE A CONTINUUM OF CARE FOR BABIES AND FAMILIES IMPACTED BY SUBSTANCE USE DISORDER.DESCRIPTION: BRIGID'S PATH PROVIDES CARE AND SERVICES FOR BABIES, MOTHERS, AND FAMILY MEMBERS COPING WITH BIRTH AND ADDICTION. ITS PRIMARY WORK IS TO CARE FOR INFANTS BORN EXPOSED TO AN ADDICTIVE SUBSTANCE LIKE PRESCRIPTION MEDICATION, OPIOIDS OR OTHER DRUGS. THEIR SKILLED MEDICAL STAFF AND VOLUNTEERS ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THEY ENCOURAGE MOTHERS TO ROOM WITH, CARE FOR, AND BOND WITH THEIR BABIES AS MUCH AS POSSIBLE. SERVICES FOR BABIES INCLUDE THERAPEUTIC TECHNIQUES - BOTH MEDICINAL AND NONPHARMACOLOGICAL. THE NURSING TEAM WORKS CLOSELY WITH MOTHERS AND FAMILY MEMBERS TO SUPPORT THEIR CARING FOR THEIR BABIES. FAMILY ADVOCACY SERVICES HELP THEM COORDINATE CARE WITH OTHER PROVIDERS AND TO NAVIGATE CHILDREN'S SERVICES AND THE COURT SYSTEM, AS NECESSARY.BACKGROUND: BRIGID'S PATH STARTED CARING FOR BABIES IN DECEMBER 2017. BRIGID'S PATH IS THE FIRST FACILITY IN OHIO AND THE SECOND IN THE NATION TO OFFER AN IN-PATIENT, HOME-LIKE APPROACH TO SERVING BABIES BORN EXPOSED TO ADDICTIVE SUBSTANCES.PARTNERS: BRIGID'S PATH ALSO WORKS WITH COMMUNITY PARTNERS TO PROVIDE RESOURCES FOR MOTHERS TO ACHIEVE THE STABILITY THAT WILL HELP THEM CARE FOR THEIR CHILDREN FOR BOTH THE NEAR- AND LONG-TERM.MVH AND MVHNCHRONIC DISEASE AND HEALTHY BEHAVIORSBARBERSHOP 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 UP
PART V, SECTION B, LINE 11: (CONTINUED)MVHSONCOLOGY EXERCISE PROGRAMMETRICS: PRE- AND POST- PHYSICAL FITNESS PARAMETERS (AEROBIC CAPACITY, MUSCULAR STRENGTH, MUSCULAR ENDURANCE, BODY COMPOSITION) AS WELL AS PSYCHOSOCIAL PARAMETERS ARE TRACKED. THE PSYCHOSOCIAL COMPONENT EVALUATES DEPRESSION, ANXIETY, QUALITY OF LIFE, AND CANCER-RELATED FATIGUE. AS PART OF THE EXERCISE PRESCRIPTION, THE PATIENT'S MET LEVEL IS MONITORED. MET LEVELS (METABOLIC EQUIVALENTS) CORRESPOND TO ACTIVITIES OF DAILY LIVING.HEALTH ISSUE: EXERCISE ASSISTS IN CANCER RECOVERY.INTERVENTION'S GOAL: THE GOAL IS TO RETURN THE CANCER SURVIVOR TO THEIR PRE-CANCER DIAGNOSIS FUNCTIONAL STATUS, OR BETTER. THE TARGET IS FOR A PATIENT TO REACH 2 MET LEVELS FROM INCEPTION OF PROGRAM TO GRADUATION.DESCRIPTION: THE ONCOLOGY EXERCISE REHAB PROGRAM WAS DESIGNED SPECIFICALLY FOR THOSE DIAGNOSED WITH CANCER. IN A GROUP SETTING, CERTIFIED INSTRUCTORS TAILOR THE CLASSES TO THE PATIENT'S INDIVIDUAL NEEDS AND ABILITIES. PRE- AND POST-ASSESSMENTS MEASURE STRENGTH, ENDURANCE, CARDIORESPIRATORY FITNESS, FLEXIBILITY, AND BODY COMPOSITION. IT IS A 12-WEEK, TWICE-A-WEEK, PROGRAM.BACKGROUND: THE PROGRAM IS OFFERED AT NO CHARGE DUE TO THE GENEROSITY OF THE LOCAL COMMUNITY. DATA FROM THE FIRST COHORT REFLECTED POSITIVE SIGNIFICANT DIFFERENCES FOR EVERY PATIENT IN MOST PARAMETERS, BOTH PHYSICAL AND PSYCHOSOCIAL, BASED ON THE PRE- AND POST-ASSESSMENTS. MANY PATIENTS PRESENTED WITH A MET OF 2-3 AND GRADUATED WITH A MET OF 4-6+.PARTNERS: MAPLE TREE CANCER ALLIANCE, ST. LEONARD, UPPER VALLEY MEDICAL CENTER, MIAMI VALLEY HOSPITAL NORTH, ATRIUM MEDICAL CENTER, DAYTON PHYSICIANS, AND MIAMI VALLEY HOSPITAL FOUNDATIONMVHFOOD SECURITY: MOBILE GROCERY AND GEM CITY MARKETMETRICS: HOMEFULL WILL USE A ROBUST POINT-OF-SALE SYSTEM THAT TRACKS WHAT PEOPLE ARE BUYING, HOW MUCH SPENDING IS ON 'HEALTHY' FOODS, CUSTOMER LOCATION/ZIP CODE, AND HAS THE CAPACITY TO ASK SURVEY QUESTIONS AT CHECKOUT.HEALTH ISSUE: FOOD DESERTS AND FOOD INSECURITY IN DAYTON. LACK OF ACCESS TO A FULL-SERVICE GROCERY STORE IS IMPACTING DAYTONIANS' HEALTH. NATIONAL STUDIES HAVE SHOWN RESIDENTS WHO LIVE NEAR SUPERMARKETS HAVE LOWER RATES OF DIET-RELATED DISEASES THAN THOSE WITH LIMITED ACCESS. DAYTON HAS HIGHER THAN AVERAGE RATES OF DIABETES AND OTHER CHRONIC ILLNESS, AND OVER A THIRD OF ADULTS IN OUR NEIGHBORHOODS REPORT EATING FEWER THAN ONE VEGETABLE PER DAY. ACCORDING TO A 2015 STUDY BY FRAC, DAYTON IS IN THE BOTTOM QUARTILE OF CITIES IN THE NATION FOR FOOD HARDSHIP FOR FAMILIES WITH CHILDREN. A RECENT GALLUP POLL SHOWS 29.4% OF HOUSEHOLDS IN THE REGION REPORT TROUBLE OBTAINING HEALTHY FOOD. THE REGION HAS FEWER GROCERY AND WIC AND SNAP STORES PER CAPITA THAN THE OHIO AVERAGE. INTERVENTION'S GOAL: THE GOAL IS TO PROVIDE ACCESS TO GROCERIES IN FOOD DESERTS.DESCRIPTION: THE VEHICLE WOULD OFFER SHELVES OF FOOD AND CARTS, SIMILAR TO A BRICK-AND-MORTAR STORE. IT WOULD ROTATE TO DIFFERENT LOCATIONS IN DAYTON NOT SERVED BY A STORE.BACKGROUND: THE GEM CITY MARKET PROJECT IS A COMMUNITY-LED INITIATIVE TO CREATE A GROCERY STORE ON SALEM AVENUE. IT HAS SECURED CONSTRUCTION FINANCING AND SITE CONTROL, BUT UNTIL THE STORE IS BUILT AND OPEN, THE MOBILE GROCERY WILL BE ABLE TO OFFER GROCERIES TO NEIGHBORHOODS IN NEED.PARTNERS: HOMEFULL, DAYTON CHILDREN'S, KETTERING HEALTH NETWORKMVH, MVHS, MVHNTHE DAILY MILE METRICS: EXPANSION TO AT LEAST TWO MORE SCHOOL DISTRICTS IN THE REGION HEALTH 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 DISTRICTMVH, MVHNSUBSTANCE ABUSE AND MENTAL HEALTHONEFIFTEENMETRICS: EXPECTED OUTCOMES INCLUDE THE FOLLOWING:OPENING A 58-BED HOUSING UNIT BY THE END OF SUMMER 2020* 85% OF PATIENTS WILL HAVE A COMMUNITY-BASED VISIT WITHIN 30 DAYS OF EVALUATION.* 80% WILL HAVE BARRIERS TO CARE ADDRESSED.* 75% INITIATE TREATMENT WITHIN 30 DAYS OF EVALUATION.* 70% HAVE NALOXONE TRAINING AND ACCESS TO KIT.* 65% OF APPOINTMENTS KEPT.HEALTH ISSUE: THERE EXISTS A GAP FOR SUBSTANCE DETOX SERVICES AND CRISIS STABILIZATION.INTERVENTION'S GOALS: THE GOAL IS TO REMOVE BARRIERS TO TREATMENT REGARDLESS OF PAYOR SOURCE; PROVIDE ON-DEMAND SERVICES 24/7; AND REFER TO ONGOING TREATMENT BASED UPON ASSESSMENT PROCESS FOLLOWING THE ASAM (AMERICAN SOCIETY OF ADDICTION MEDICINE) CRITERIA.DESCRIPTION: ACCESS CAN BE VIA A REFERRAL FROM THE AREA HOSPITALS AND EMERGENCY ROOMS, EMTS, WALK-INS AND VIA POLICE ESCORT. CRISISCARE ALSO WILL AID IN REFERRING TO THIS SERVICE AND GUIDE ANY CALLERS OR WALK-INS TO THE CRISIS STABILIZATION UNIT AS APPROPRIATE. IN ADDITION, PLANNING AND IMPLEMENTING AN INPATIENT SETTING THAT DEDICATES A PORTION OF BEDS TO MEDICALLY COMPLICATED CLIENTS IN NEED OF DETOX TREATMENT FROM ALCOHOL, BENZODIAZEPINES AND OPIATES. THE ULTIMATE END GOAL IS TO PROVIDE A TECH ENABLED ECOSYSTEM TO THE SURROUNDING AREA THAT ALSO INCLUDES A 58-BED HOUSING UNIT CURRENTLY UNDER CONSTRUCTION AND SLATED FOR SERVICES BY THE END OF SUMMER 2020. IN THE CRISIS STABILIZATION UNIT, THE PATIENT RECEIVES A DIAGNOSIS AND IS THEN REFERRED TO OUTPATIENT TREATMENT AT SBHI THAT INCLUDES INDIVIDUAL AND GROUP THERAPY AND MEDICATED ASSISTED TREATMENT. THE PHYSICIANS PRESCRIBE VIVITROL AND SUBOXONE. ALL SUBSTANCE USE DISORDERS ARE TREATED. APPROPRIATE LEVELS OF CARE ARE BASED ON THE ASAM CRITERIA: TREATMENT CRITERIA FOR ADDICTIVE, SUBSTANCE-RELATED, AND CO-OCCURRING CONDITIONS. THE CRITERIA PROVIDE RESEARCH-VALIDATED STANDARDS FOR OUTCOME-ORIENTED CARE IN ADDICTION TREATMENT.BACKGROUND: ONEFIFTEEN IS A NON-PROFIT DEDICATED TO THE FULL AND SUSTAINED RECOVERY OF PEOPLE LIVING WITH OPIOID ADDICTION IN MONTGOMERY COUNTY. IT IS NAMED FOR THE 115 PEOPLE WHO DIED OF OPIOID OVERDOSES EACH DAY IN THE U.S. IN 2017. ONEFIFTEEN LAUNCHED IN 2019 WITH PREMIER HEALTH PARTNERS AND KETTERING HEALTH NETWORK IN PARTNERSHIP WITH VERILY, A SISTER COMPANY TO GOOGLE. ONEFIFTEEN HAS OPENED TWO OF THE SIX PLANNED FACILITIES ON A CAMPUS FOR OPIOID ADDICTION TREATMENT AND RECOVERY. THE FIRST TWO FACILITIES PROVIDE 33,000 SQUARE FEET OF SPACES FOR OUTPATIENT AND INPATIENT RESIDENTIAL CARE PLUS COMMUNITY-BASED WRAPAROUND SERVICES. PREMIER HEALTH PARTNERS' EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER SERVES ON ONEFIFTEEN'S BOARD. SBHI HAS BEEN PROVIDING SERVICES TO THE COMMUNITY FOR 51 YEARS FOR BOTH MENTAL HEALTH AND SUBSTANCE TREATMENT SERVICES AND HAS A LONG HISTORY OF PARTNERSHIP THROUGHOUT A THREE-COUNTY AREA. SBHI ALSO PROVIDES DAWN (DEATH AVOIDED WITH NALOXONE) KITS TO THE COMMUNITY AND PROVIDES TRAINING TO AREA BUSINESSES AND FAMILY MEMBERS OF THOSE ADDICTED AND HAS BEEN ADVOCATING TO HELP THOSE WHO OVERDOSE AND PROVIDE A TOOL TO FRIENDS AND FAMILY TO AID IN THESE SITUATIONS.PARTNERS: ADAMHS, GDAHA, KETTERING, SAMARITAN BEHAVIORAL HEALTH, INC.
PART V, SECTION B, LINE 11: (CONTINUED)MVH, MVHS, MVHNPRESTO (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 UNIVERSITYMVHSOCIAL DETERMINANTS OF HEALTHONMAIN PROJECT METRICS: CONSTRUCTION ON PHASE I INFRASTRUCTURE COULD BEGIN BEFORE THE END OF 2020 AND CONSTRUCTION ON THE FIRST BUILDING COULD BEGIN IN THE FIRST HALF OF 2021.HEALTH ISSUE: SOCIAL DETERMINANTS OF HEALTH INCLUDE EDUCATION, EMPLOYMENT, ENVIRONMENT, AND GEOGRAPHIC LOCATION. COMMUNITY-BASED DEVELOPMENT THAT IS THOUGHTFUL AND SUSTAINABLE CAN IMPROVE HEALTH CONDITIONS FOR NEIGHBORHOODS.INTERVENTION'S GOAL: THE GOAL IS TO CREATE A PLACE THAT WILL LINK INDUSTRY, SCIENCE AND TECHNOLOGY WITH UNIVERSITY OF DAYTON STUDENTS AND FACULTY IN AN INNOVATIVE SETTING CLOSE TO CAMPUS. ONMAIN WOULD CONNECT TO THE CAMPUS AND DOWNTOWN AND SURROUNDING NEIGHBORHOODS.DESCRIPTION: ONMAIN HAS CREATED A MASTER PLAN FOR DEVELOPMENT OF THE SITE NEAR THE UNIVERSITY OF DAYTON. IT HAS THE CAPACITY TO PRODUCE A MILLION SQUARE FEET FOR EMPLOYMENT, 3,500 JOBS, 1,500 MIXED-USE AND MIXED-INCOME HOUSING UNITS, AND A RANGE OF PUBLIC SPACES. FEATURES INCLUDE A WALKABLE COMMUNITY, URBAN AGRICULTURE, AND DESIGN STANDARDS FOR BUILDINGS THAT INTEGRATE ENVIRONMENTAL SUSTAINABILITY AND WELLNESS.BACKGROUND: IN OCTOBER 2018, THE FORMER MONTGOMERY COUNTY FAIRGROUNDS RECEIVED A NEW NAME AND A NEW DIRECTION AS A PLACE THAT FOSTERS IMAGINATION, INNOVATION AND INCLUSIVITY. PREMIER HEALTH AND THE UNIVERSITY OF DAYTON ANNOUNCED A NEW NAME FOR THE 38 ACRES AT THE NORTHWEST CORNER OF MAIN AND STEWART STREETS - ONMAIN: DAYTON'S IMAGINATION DISTRICT - EMBODYING A VISION FOR THE SITE AS A PLACE WHERE DAYTON'S HISTORY OF INNOVATION TAKES OFF INTO THE FUTURE. FULL REALIZATION OF THE VISION'S POTENTIAL IS EXPECTED TO TAKE 15-20 YEARS.PARTNERS: CITY OF DAYTON AND THE UNIVERSITY OF DAYTONMVHNPHOENIX NEXTMETRICS: ATTRACTION OF PRIVATE DEVELOPMENT; LEVERAGING ADDITIONAL FUNDING (GRANTS AND PRIVATE DOLLARS); MAINTAINING COMMUNITY INVOLVEMENT; MAINTAINING THE LEADERSHIP STRUCTURE; AND MAKING AN IMPACT ON THE COMMUNITY.HEALTH ISSUE: SOCIAL DETERMINANTS OF HEALTH INCLUDE EDUCATION, EMPLOYMENT, ENVIRONMENT, AND GEOGRAPHIC LOCATION. COMMUNITY-BASED DEVELOPMENT THAT IS THOUGHTFUL AND SUSTAINABLE CAN IMPROVE HEALTH CONDITIONS FOR NEIGHBORHOODS.INTERVENTION'S GOALS: THE PROJECT'S GOALS ARE TO DRIVE ECONOMIC VITALITY; CREATE JOBS; ENHANCE THE AREA'S IMAGE; LEVERAGE INVESTMENT; PROMOTE HEALTHY LIVING; AND ADVANCE NEXT GENERATION LEARNING.DESCRIPTION: THE CITY OF DAYTON HAS COMMITTED $15 MILLION OVER 10 YEARS, INFRASTRUCTURE UPGRADES FOR SALEM AVENUE, AND HOUSING/BUSINESS DEVELOPMENT. THE STATE OF OHIO HAS COMMITTED $12 MILLION TO THE SALEM AVENUE INFRASTRUCTURE UPGRADES.BACKGROUND: IN THE AFTERMATH OF THE CLOSING OF THE GOOD SAMARITAN HOSPITAL IN 2018, THE CITY OF DAYTON, THE STATE OF OHIO, AND PREMIER HEALTH DEVELOPED A PLAN TO IMPROVE A 13-ACRE SITE IN THE WEST DAYTON NEIGHBORHOOD AND CREATE A FOUNDATION FOR REUSE OF THE SITE AND SUSTAINABLE DEVELOPMENT TO BENEFIT THE COMMUNITY AND ITS RESIDENTS.PARTNERS: CITY OF DAYTON AND THE STATE OF OHIO
PART V, SECTION B, LINES 16 A, B, AND C:THE DIRECT WEBSITE ADDRESS WHERE A COPY OF THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/PATIENT-AND-VISITOR-GUIDE/PATIENT-GUIDE/COSTS-AND-INSURANCE/BILLING/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16J:THE HOSPITAL WIDELY DISTRIBUTES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY WITHIN THE AREA THAT IT SERVES. THIS INFORMATION INCLUDES THE METHOD OF APPLYING FOR AND ACCESSING FINANCIAL ASSISTANCE. NOTICES ARE PUBLICIZED IN PATIENTS' BILLS AND ARE POSTED IN THE EMERGENCY ROOM, ADMITTING AND REGISTRATION AREAS, AS WELL AS OTHER PUBLIC AREAS. THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE. FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND CUSTOMER SERVICE REPRESENTATIVES DISCUSS THE FINANCIAL ASSISTANCE POLICY WITH ALL UNINSURED PATIENTS, AND ANY PATIENT WHO EXPRESSES FINANCIAL HARDSHIP WITH PAYING THEIR BILL. APPLICATIONS FOR FINANCIAL ASSISTANCE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH.
FieldValueIRS element (for citing)
Facility22FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - AUSTIN BOULEVARD EMERGENCY CENTER
300 AUSTIN W BLVDMIAMISBURGOH45342EMERGENCY CENTER, DIAGNOSTIC & IMAGING
2 - JAMESTOWN EMERGENCY CENTER
4940 COTTONVILLE RDJAMESTOWNOH45335EMERGENCY CENTER, CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING, REHAB
3 - BULL FAMILY DIABETES CENTER
400 SUGAR CAMP CIROAKWOODOH45409DIABETES CENTER
4 - MIAMI VALLEY HOSPITAL DIABETES CENTER
80 E WOODBURY DRDAYTONOH45415DIABETES CENTER, SLEEP CENTER
5 - CARDIAC TESTING AND CARDIAC REHAB
1244 MEADOW BRIDGE DRBEAVERCREEKOH45434CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING
6 - OUTPATIENT CARDIAC TESTING & REHAB
122 WYOMING STDAYTONOH45409CARDIAC TESTING & REHAB
7 - HEALTH CENTER - HUBER HEIGHTS
6251 MIAMI VALLEY WAYHUBER HEIGHTSOH45424CARDIAC TESTING, DIAGNOSTIC & IMAGING, REHAB
8 - MVH CENTER - GREENVILLE
742 SWEITZER STGREENVILLEOH45331CARDIAC TESTING, DIAGNOSTIC & IMAGING
9 - REHABILITATION AT SURECARE MED CENTER
360 W CENTRAL AVESPRINGBOROOH45066REHABILITATION, DIAGNOSTIC, & IMAGING
10 - DAYTON HEART CENTER
1530 NEEDMORE RD 301HUBER HEIGHTSOH45414DIAGNOSTIC & IMAGING
11 - MVH MEDICAL IMAGING - SPRINGBORO
630 N MAIN STSPRINGBOROOH45066DIAGNOSTIC & IMAGING
12 - REHABILITATION AT WRIGHT HEALTH BUILDING
1222 S PATTERSON BLVDDAYTONOH45402REHABILITATION
13 - THE REHABILITATION INSTITUTE OF OHIO
835 S MAIN STDAYTONOH45402REHABILITATION
14 - CLAYBORUNE PHYSICAL THERAPY CLINIC
1525 E STROOP RDKETTERINGOH45429REHABILITATION
15 - OUTPATIENT PHYSICAL THERAPY & SPORTS MED
90 REMICK BLVDSPRINGBOROOH45066REHABILITATION & SPORTS MEDICINE
16 - MVH CENTER FOR SLEEP & WAKE DISORDER
6611 CLYO RDCENTERVILLEOH45459SLEEP CENTER
17 - PREMIER OCCUPATIONAL HEALTH CENTRAL
1520 S MAIN ST 210DAYTONOH45409OCCUPATIONAL HEALTH
18 - TURNING POINT
627 EDWIN C MOSES BLVDDAYTONOH45417BEHAVIORAL HEALTH
19 - OUTPATIENT CARDIAC TESTING - BVRCREEK
2619 COMMONS BLVD 102BEAVERCREEKOH45431CARDIAC TESTING
20 - GREATER DAYTON CANCER CENTER
3120 GOVERNORS PLACE BLVDDAYTONOH45409CANCER CARE
21 - MIAMI VALLEY HEALTH CENTER HUBER
6232 CHAMBERSBURG RDHUBER HEIGHTSOH45424DIAGNOSTIC & IMAGING, CARDIAC TESTING, REHABILITATION, ORTHOPEDICS
22 - FIRST CARE AFTER HOURS- CLOSED AUG 20
1911 N FAIRFIELD RD 110BEAVERCREEKOH45432AFTER HOURS CARE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT FOR MIAMI VALLEY HOSPITAL IS PART OF THE PREMIER HEALTH REPORT (EIN# 31-1446699).
PART I, LINE 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:MIAMI VALLEY HOSPITAL (MVH) PROVIDES SUBSIDIZED EMERGENCY SERVICES BY OPERATING A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THIS EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL INCURS EXPENSES RELATED TO CALL TIME AND PHYSICIAN SUBSIDIES DUE TO THE LARGE NUMBER OF INDIGENT PATIENTS COMING THROUGH THE EMERGENCY ROOM. FOR 2020, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $19,705,000.
PART II:MIAMI VALLEY HOSPITAL (MVH) IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH A VARIETY OF PREVENTION, HEALTH IMPROVEMENT AND ENGAGEMENT PROGRAMS. AS PART OF ITS OVERALL COMMITMENT TO THE COMMUNITY, MVH FOCUSES ON FOUR AREAS OF SERVICE:--INVESTING IN THE COMMUNITY--PREVENTION AND WELLNESS--COMMITMENT TO THE UNDER-SERVED--COMMUNITY ENGAGEMENTTHE PROGRAM SUPPORTED BY MVH DURING 2020 WAS:1) NEIGHBORHOOD REVITALIZATION AND DEVELOPMENT THROUGH A CONTRIBUTION OF $325,000 TO THE PHOENIX PROJECT. THE GOALS OF THIS PROJECT ARE TO REDUCE AND DETER CRIME, REVITALIZE THE APPEARANCE OF THE NEIGHBORHOOD AND ACTIVATE LINKAGES FOR PHYSICAL, MENTAL AND SOCIAL HEALTH SERVICES. THIS PROGRAM ALSO PURCHASES PROPERTIES IN THE SURROUNDING AREA, REHABILITATES THEM AND SELLS THEM TO THOSE IN NEED.
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 $201,529,000 AND INCURRED COST OF $303,582,000, FOR AN ADDITIONAL NET SHORTFALL OF $102,053,000 ASSOCIATED WITH THESE PROGRAMS. BELOW IS A RECONCILIATION OF THE AMOUNTS ASSOCIATED WITH MEDICARE PROGRAMS.ALLOWABLE MEDICARE REVENUE PER MEDICARE COST REPORT (PART III, SECTION B) $188,108,000MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $201,529,000TOTAL MEDICARE ASSOCIATED REVENUE $389,637,000ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $203,840,000MEDICARE COST NOT REPORTED IN PART III, SECTION B $303,582,000TOTAL MEDICARE ASSOCIATED COST $507,422,000MEDICARE SHORTFALL PER PART III, SECTION B $ 15,732,000ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $102,053,000TOTAL MEDICARE SHORTFALL $117,785,000
PART III, LINE 8:THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE, IN EXCESS OF THE COST, TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE MEDICARE POPULATION AT THE ORGANIZATION IS IN EXCESS OF 45% OF NET PATIENT REVENUE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS.
PART III, LINE 9B:THE ORGANIZATION MAKES REASONABLE EFFORTS TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE STATE OR HOSPITAL FINANCIAL ASSISTANCE POLICY BEFORE ENGAGING IN EXTRAORDINARY COLLECTIVE ACTIONS AGAINST THAT INDIVIDUAL. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED REASONABLE PAYMENT PLAN ARRANGEMENTS FOR ANY REMAINING BALANCES. ANY THIRD-PARTY COLLECTING SELF-PAY RECEIVABLES ON OUR BEHALF IS REQUIRED TO MAKE REASONABLE EFFORTS TO DETERMINE IF THE INDIVIDUAL MEETS THE QUALIFICATIONS OF THE STATE OR OF OUR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS.REASONABLE EFFORTS INCLUDE:A. VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL.B. DOCUMENTED THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY.C. DOCUMENTED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED AND ACCEPTED TERMS FOR A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN.THE FINANCIAL COUNSELORS MEET WITH INPATIENT, OUTPATIENT, SELF-PAY, AND OTHER PATIENTS UPON REQUEST WHO MAY NEED FINANCIAL ASSISTANCE. IN ADDITION TO ASSISTING PATIENTS WHO WANT TO APPLY FOR ASSISTANCE THROUGH THE MEDICAID PROGRAM, THE FINANCIAL COUNSELOR WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION.
PART VI, LINE 2:THE ORGANIZATION WORKS WITH THE COMMUNITY ON PROGRAMS THAT ADDRESS THE UNDERLYING CAUSES OF PERSISTENT HEALTH PROBLEMS AS PART OF A COMPREHENSIVE STRATEGY TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR IDENTIFIED MEMBERS OF THE COMMUNITY WHO ARE ECONOMICALLY DISADVANTAGED, DISENFRANCHISED, AND/OR WHO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE ORGANIZATION STRIVES TO WORK WITH PREMIER HEALTH, THE HOSPITAL BOARD OF TRUSTEES, EXECUTIVE MANAGEMENT, MANAGERS, STAFF MEMBERS, COMMUNITY GROUPS, AND INDIVIDUALS TO PROVIDE A COLLABORATIVE APPROACH TO THE GOVERNANCE AND MANAGEMENT OF COMMUNITY BENEFIT ACTIVITIES.
PART VI, LINE 3:THERE ARE SEVERAL WAYS IN WHICH OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR SERVICES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FIRST, NOTIFICATION OF SUCH AVAILABLE ASSISTANCE IS CLEARLY POSTED IN REGISTRATION AREAS, AS WELL AS MATERNITY AND EMERGENCY DEPARTMENTS. NEXT, PATIENT ADVOCATES, PATIENT ACCESS STAFF MEMBERS, AND FINANCIAL COUNSELORS IN THE INPATIENT AND EMERGENCY DEPARTMENTS MEET WITH UNINSURED AND UNDERINSURED PATIENTS, AND THOSE WITH ONLY MEDICARE COVERAGE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. FINANCIAL COUNSELORS ALSO DISCUSS OPTIONS TO RESOLVE UNPAID ACCOUNT BALANCES WITH UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE, ALONG WITH INFORMATION ON HOW TO OBTAIN AN APPLICATION. WHEN A PATIENT RECEIVES A BILL, THE REVERSE SIDE OF THE BILL CONTAINS INFORMATION ABOUT THE STATE OF OHIO FREE CARE PROGRAM (CARE ASSURANCE) AND A FINANCIAL ASSISTANCE APPLICATION. THE BILLING STATEMENTS OFFER THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE, AND THE CONTACT INFORMATION FOR ASSISTANCE.
PART VI, LINE 4:THE ORGANIZATION IS LOCATED IN DAYTON, OHIO. OUR TARGET POPULATION INCLUDES CITIZENS OF DAYTON, AS WELL AS SURROUNDING COMMUNITIES. MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION IS APPROXIMATELY 535,000 PEOPLE. INCLUDING THE ADJACENT COUNTIES, WHICH ARE ALSO SERVED (GREENE, MIAMI, PREBLE), MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION APPROACHES 842,000 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME OF MONTGOMERY COUNTY IS SLIGHTLY ABOVE $51,500 PER YEAR, WITH APPROXIMATELY 15.3% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. FOR 2020, MEDICARE PATIENTS REPRESENTED 45.6% OF GROSS PATIENT REVENUE AND MEDICAID REPRESENTED 23.2% OF GROSS PATIENT REVENUE.
PART VI, LINE 5:MIAMI VALLEY HOSPITAL'S MOST VISIBLE CONTRIBUTION TO THE COMMUNITY IS IN THE FORM OF PROVIDING HIGH-QUALITY INPATIENT AND OUTPATIENT CARE TO OUR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MIAMI VALLEY HOSPITAL IS THE REGION'S ONLY LEVEL I TRAUMA CENTER AND OPERATES A CRITICAL CARE TRANSPORT SERVICE. THIS TRANSPORT SERVICE INCLUDES 24-HOUR AIR AMBULANCE SERVICE OPERATING FOUR HELICOPTERS. MIAMI VALLEY HOSPITAL ALSO OFFERS ONE OF THE REGION'S FOUR LEVEL III NEONATAL INTENSIVE CARE UNIT. A FREE-STANDING EMERGENCY DEPARTMENT IS OPERATED IN GREENE COUNTY TO PROVIDE LOCAL TRAUMA CARE TO RESIDENTS IN THIS RURAL AREA. FURTHER ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTATIVE CARE TO RESIDENTS IN MEDICALLY UNDERSERVED AREAS, REGARDLESS OF THEIR ABILITY TO PAY, IS SUPPORTED THROUGH FINANCIAL CONTRIBUTIONS TO THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER. MIAMI VALLEY HOSPITAL ALSO OPERATES THE REGIONAL ADULT BURN CENTER WHICH IS ONE OF THE MOST WIDELY RECOGNIZED FACILITIES IN WEST CENTRAL OHIO FOR THE TREATMENT OF ADULT BURN PATIENTS. IN ADDITION, MVH'S REHABILITATION INSTITUTE OF OHIO (RIO) IS ONE OF THE NATION'S LARGEST PHYSICAL MEDICINE DEPARTMENTS BASED IN A COMMUNITY HOSPITAL. RIO'S PURPOSE IS TO ENHANCE THE LEVEL OF INDEPENDENCE OF PATIENTS WITH PHYSICAL AND COGNITIVE DISABILITIES TO MOVE TO THE NEXT LEVEL BASED ON THEIR FUNCTIONAL CAPABILITIES. OUR MISSION INCLUDES CONTINUALLY STRIVING TO ENRICH THE COMMUNITY BY TRAINING AND EDUCATING FUTURE HEALTHCARE WORKERS, OFFERING HEALTH AWARENESS AND EDUCATION TO THE COMMUNITY, SUCH AS PROMOTION OF BREAST CANCER SCREENINGS, WOMEN AND INFANT HEALTH, DIABETIC WELLNESS AND DRIVER SAFETY AWARENESS FOR HIGH-SCHOOL STUDENTS. THE HOSPITAL ALSO PROVIDES RELEVANT EDUCATION FOR EMS AND PRE-HOSPITAL CARE PROVIDERS THROUGHOUT THE REGION. THE TRAINING INCLUDES LOCAL CASE REVIEWS, LECTURES, HANDS-ON SIMULATION AND PANEL DISCUSSIONS PERTAINING TO THE EDUCATION ON USE OF TOOLS, PRIORITIES OF PATIENT CARE AND OTHER CRITICAL INFORMATION. MIAMI VALLEY HOSPITAL PARTNERS WITH MANY OF THE LOCAL SCHOOLS TO PROVIDE CERTIFIED AND LICENSED ATHLETIC TRAINERS AT THEIR CAMPUSES TO AID IN INJURY PREVENTION, RECOGNITION AND TREATMENT OF SPORTS-RELATED INJURIES. THE HOSPITAL ALSO SUPPORTS THE COMMUNITY THROUGH SPONSORSHIPS AND PARTICIPATION IN LOCAL FUNDRAISING EVENTS THAT PROMOTE HEALTHY LIFESTYLE CHOICES, PREVENTATIVE CARE, CHRONIC DISEASE MANAGEMENT AND GENERAL HEALTH EDUCATION. WITHIN THE HOSPITAL, INTERPRETERS ARE OFFERED TO PATIENTS AT NO COST AS A RESULT OF INCREASED VOLUMES OF NON-ENGLISH-SPEAKING PATIENTS. MIAMI VALLEY HOSPITAL PROVIDES DIRECT PASTORAL SUPPORT AND COUNSELING SERVICES TO PATIENTS AND FAMILY MEMBERS BY 7 TRAINED PROFESSIONALS, 24 HOURS A DAY, 7 DAYS A WEEK.THE HOSPITAL HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICAID AND MEDICARE, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MIAMI VALLEY HOSPITAL'S MISSION REFLECTS A COMMITMENT TO PROVIDE HIGH-QUALITY COST-EFFECTIVE HEALTH SERVICES TO THE DIVERSE COMMUNITIES THAT IT SERVES. AT THE CORE OF THE COMMITMENT IS THE BELIEF THAT IN ORDER TO MEET OUR PATIENTS' EXPECTATIONS AND TO IMPROVE TREATMENT OUTCOMES, IT IS NECESSARY FOR US TO UNDERSTAND THE PATIENT'S FRAME OF REFERENCE. A DIVERSE WORKFORCE ALLOWS US TO DRAW UPON THE RICHNESS OF OUR HUMAN RESOURCES, CREATE A POSITIVE WORK ENVIRONMENT, AND MEET THE EXPECTATIONS OF THOSE WE SERVE. MIAMI VALLEY HOSPITAL'S COMMITMENT TO DIVERSITY IS ACCOMPLISHED BY:* TAKING A LEADERSHIP ROLE IN CREATING AND SUSTAINING AN ORGANIZATIONAL ENVIRONMENT THAT ACTIVELY SUPPORTS DIVERSITY,* POSITIONING DIVERSITY AS A LONG-TERM COMPREHENSIVE ORGANIZATIONAL STRATEGY,* ESTABLISHING AND SUPPORTING RELATIONSHIPS WITH MINORITY AND DIVERSITY FOCUSED ORGANIZATIONS AND* PROVIDING EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES.
PART VI, LINE 6:PREMIER HEALTH (PREMIER) IS THE SOLE MEMBER OF MIAMI VALLEY HOSPITAL, TWO OTHER HOSPITALS (FIVE LOCATIONS IN TOTAL), AND SEVERAL OTHER HEALTH CARE SERVICE SUBSIDIARIES. PREMIER HAS THE AUTHORITY TO OPERATE EACH HOSPITAL WITH RESPECT TO MATTERS SUCH AS BUDGETING, STRATEGIC PLANNING, MANAGED CARE CONTRACTING, EMPLOYEE COMPENSATION, TRANSFER/SALE OF MATERIAL ASSETS, ETC. AS AN INTEGRATED HEALTHCARE SYSTEM, PREMIER PROVIDES A CONTINUUM OF CARE FOR THE RESIDENTS OF SOUTHWEST OHIO. AS A SYSTEM, PREMIER IS A COMMUNITY LEADER IN SUPPORTING VARIOUS COMMUNITY BENEFIT PROGRAMS THAT ALIGN WITH ITS CURRENT CHNA. RESOURCES ARE LEVERAGED IN EACH ENTITY WITHIN THE PREMIER SYSTEM TO SUPPORT THESE PROGRAMS IDENTIFIED AT THE PREMIER SYSTEM LEVEL. THE POLICIES FOR BAD DEBT AND CHARITY COLLECTIONS ARE ESTABLISHED BY PREMIER.
PART VI, LINE 7:OHIO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
FIVE RIVERS HEALTH CENTERS
2261 PHILADELPHIA DRDAYTONOH45406450914398501(C)(3)$4,169,871SUPPORT
GDAHA VENTURES LLC
241 TAYLOR STDAYTONOH45402474889239N/A$2,500,000SUPPORT
ONEFIFTEEN RECOVERY
6636 LONGSHORE ST 200DUBLINOH43017833504845501(C)(3)$1,480,003SUPPORT
CITYWIDE DEVELOPMENT CORP
8 N MAIN STDAYTONOH45402310821189501(C)(4)$324,879COMMUNITY DEVELOPMENT
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500DAYTONOH45402311040231501(C)(3)$48,655SUPPORT
ATRIUM MEDICAL CENTER
110 N MAIN ST 500DAYTONOH45402311079309501(C)(3)$48,207SUPPORT
HOMEFULL
33 W FIRST ST 100DAYTONOH45402311236989501(C)(3)$37,000SUPPORT
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST 500DAYTONOH45402311079213501(C)(3)$36,815SUPPORT
REACH OUT MONTGOMERY COUNTY
25 E FORAKER STDAYTONOH45409311434282501(C)(3)$32,710RX ASSISTANCE
DAYTON FIRST EVENTS INC
40 N MAIN ST 900DAYTONOH45423454231032501(C)(3)$25,900SUPPORT
DAYTON FOUNDATION
40 N MAIN ST 500DAYTONOH45423316027287501(C)(3)$19,610SUPPORT
UVMC FOUNDATION
110 N MAIN ST 500DAYTONOH45402311581859501(C)(3)$17,020SUPPORT
THE ARBOGAST PERFORMING ART CENTER
700 S DORSET RDTROYOH45373830889260501(C)(3)$14,430SUPPORT
OTTERBEIN HOMES
580 N SR 741LEBANONOH45036310549058501(C)(3)$11,470SUPPORT
WARREN COUNTY FOUNDATION
118 E MAIN STLEBANONOH45036311565086501(C)(3)$11,100SUPPORT
HOSPICE OF MIAMI COUNTY
500 SUMMIT AVE 101TROYOH45373311031277501(C)(3)$11,100SUPPORT
CHAMINADE JULIENNE
505 S LUDLOW STDAYTONOH45402310832408501(C)(3)$11,100SUPPORT
HEALTH PARTNERS FREE CLINIC
1300 N CO RD 25ATROYOH45373311596731501(C)(3)$10,360SUPPORT
DECOLORES MONTESSORI SCHOOL
312 CENTRAL AVEGREENVILLEOH45331311166242501(C)(3)$9,620SUPPORT
BELLBROOK MUSIC BOOSTERS
3772 GRAND OAK TRLDAYTONOH45440201637658501(C)(3)$9,435SUPPORT
WILBERFORCE UNIVERSITY
1055 N BICKETT RDWILBERFORCEOH45384310604719501(C)(3)$7,400SUPPORT
PRESCHOOL PROMISE INC
4801 SPRINGFIELD STDAYTONOH45431814799474501(C)(3)$7,400SUPPORT
PROJECT HOPE
1510 N MAIN STDAYTONOH45405341421548501(C)(3)$7,400SUPPORT
BIG BROTHERS BIG SISTERS OF THE GREATER MIAMI VALLEY INC
22 S JEFFERSON STDAYTONOH45402310641306501(C)(3)$6,660SUPPORT
SALVATION ARMY
1000 N KEOWEE STDAYTONOH45404135562351501(C)(3)$6,660SUPPORT
ST PETER CATHOLIC CHURCH
6161 CHAMBERSBURG RDHUBER HEIGHTSOH45424310626310501(C)(3)$6,290SUPPORT
CHRIST UNITED METHODIST CHURCH
700 S MARSHALL RDMIDDLETOWNOH45044310648565501(C)(3)$6,105SUPPORT
ST VINCENT DEPAUL SOCIAL SERVICES INC
124 W APPLE STDAYTONOH45402311132259501(C)(3)$5,920SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org26Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:1) DISBURSEMENTS ARE ANALYZED MONTHLY THROUGH VARIOUS REPORTS AND COMMITTEE MEETINGS. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE AND APPROVED AND DISBURSED PER ORGANIZATIONAL POLICY. 3) GRANT SPENDING IS MONITORED AGAINST BUDGETED AMOUNTS ON AN ONGOING BASIS.
SCHEDULE I, PART II, LINE 1 (A)(2) PAGE 1, GDAHA VENTURES:TO CREATE COMMERCIALLY VIABLE PRODUCTS THAT WILL IMPROVE HEALTHCARE BY DESIGN. WE BELIEVE DAYTON MEDICAL INNOVATION WILL BE GROUND ZERO FOR THE FUTURE OF HEALTHCARE, WHICH WILL LEAD TO LEAD TO A HEALTHIER COMMUNITY. SCHEDULE I, PART II, LINE 1 (A)(4) PAGE 1, CITYWIDE DEVELOPMENT CORP: MIAMI VALLEY HOSPITAL CONTRIBUTES FUNDS TO SUPPORT REDEVELOPMENT OF THE GOOD SAMARITAN HOSPITAL AREA.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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
MICHAEL J MAIBERGER
FORMER OFFICER$0$0$0$244,961$0$1,124,863$0$17,753$0$21,327$0$1,408,904$0$1,132,559
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
PRESIDENT & CEO$576,119$0$379,106$0$22,486$0$73,678$0$30,018$0$1,081,407$0$0$0
BARBARA A JOHNSON
TRUSTEE & PREMIER COO$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
TRUSTEE (FROM JAN) & COO$519,707$20,275$285,280$50,000$1,787$70$79,796$3,103$2,638$126$889,208$73,574$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
ELOISE P BRONER
SYS VP - CHIEF SHARED SERVICES$424,655$0$224,503$0$203,997$0$25,025$0$4,379$0$882,559$0$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
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
MARY M CLANCY
SYS VP - ONCOLOGY SERVICE LINE$368,818$0$142,591$0$68,513$0$23,349$0$12,249$0$615,520$0$0$0
MELANIE M GLOVER MD
TRUSTEE$0$562,422$0$4,000$0$3,107$0$11,946$0$31,763$0$613,238$0$0
J NICK LAIR
SYSTEM VP - LABORATORY SVCS$260,007$0$192,879$0$89,215$0$22,742$0$32,541$0$597,384$0$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
JEFFREY G POULOS MD
VP & CHIEF HOSPITALIST OFFICER$433,455$0$71,114$0$1,926$0$27,684$0$26,103$0$560,282$0$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
JAMES M PACENTA MD
TRUSTEE$0$423,554$0$77,642$0$14,249$0$10,348$0$29,745$0$555,538$0$0
LAKMALI C RANATHUNGA
MED DIR - MVH HOSPITALIST PROG$445,674$0$37,150$0$20,127$0$11,946$0$13,779$0$528,676$0$0$0
JOANN R RINGER
TRUSTEE & PRESIDENT MVH SOUTH$303,427$0$96,809$0$72,364$0$24,708$0$12,446$0$509,754$0$0$0
ELAINE LAINIE M DEAN
CHIEF OF STRATEGY & BUS DEV$0$315,881$0$120,665$0$21,241$0$11,103$0$13,413$0$482,303$0$0
CHRISTIE GRAY
VP HOSP OPS/CHIEF NSG OFFICER$289,940$0$100,384$0$1,484$0$32,155$0$13,131$0$437,094$0$0$0
MARY E GARMAN
COO - MVH NORTH$283,150$0$106,671$0$2,696$0$27,481$0$12,523$0$432,521$0$0$0
MARK E WILLIAMS MD
FORMER OFFICER$0$339,024$0$25,675$0$1,789$0$19,057$0$27,096$0$412,641$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
KRISTINA M KEAN
BOARD TREASURER / VP FINANCE$259,815$0$87,596$0$2,277$0$27,217$0$11,211$0$388,116$0$0$0
ROBERT M BOWMAN
VP HOSPITAL OPERATIONS$229,682$0$77,110$0$28,094$0$21,770$0$27,095$0$383,751$0$0$0
CARA W POWERS
FORMER OFFICER$244,287$0$55,357$0$820$0$24,739$0$27,055$0$352,258$0$0$0
KIMBERLY A HENSLEY
VP HOSPITAL OPERATIONS$237,867$0$78,090$0$2,219$0$22,839$0$10,107$0$351,122$0$0$0
CHRISTOPHER J DANIS MD
BOARD CHAIR$0$280,881$0$10,000$0$2,309$0$8,672$0$30,850$0$332,712$0$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
YONATHAN KEBEDE
VP HOSPITAL OPERATIONS$205,987$0$67,012$0$6,369$0$7,841$0$9,210$0$296,419$0$0$0
JENNA M DOWNEY ESQ
BOARD SECRETARY$197,785$0$34,590$0$386$0$9,114$0$10,454$0$252,329$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH, WITH WHICH MVH IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.
PART I, LINE 4A:THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: THOMAS PARKER RECEIVED $163,848 IN 2020 AND WILL RECEIVE $49,154 IN 2021. THE FOLLOWING INDIVIDUAL WAS SELECTED TO PARTICIPATE IN A VOLUNTARY RETIREMENT PROGRAM AND RECEIVED THE FOLLOWING PAYMENTS IN 2020: MICHAEL MAIBERGER RECEIVED $610,086.
PART I LINE 4B:DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL (MVH) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2020. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2020: ROBERT BOWMAN $23,671; ELOISE BRONER $180,166; MARY CLANCY $64,932; J. NICK LAIR $67,420; JOANN RINGER $65,461; 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 PAYMENT IN 2020: MARC BELCASTRO, D.O. $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: MARC BELCASTRO, D.O. $4,243; THOMAS CURTIN $13,484; MARY GARMAN $15,925; GARY GINTER $39,595; CHRISTIE GRAY $8,042; JENNIFER HAULER, D.O. $72,593; KIMBERLY HENSLEY $4,739; BARBARA JOHNSON $441; KRISTINA KEAN $6,679; MICHAEL MAIBERGER $1,933; MARGARET MARK $9,647; THOMAS PARKER $15,609; JEFFREY POULOS, M.D. $20,095; CARA POWERS $7,398; MICHAEL UHL $63,262; MARK E WILLIAMS $7,333. 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
OHIO HIGHER EDUCATION FACILITY COMMISSION
A34684967467756CFC72020-09-15$98,089,554REFUND SERIES 2011A & NOTE A000
COUNTY OF MONTGOMERY OHIO
B316000172613520LO62019-09-24$314,459,788SEE PART IV, NOTE B000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$98,089,554$103,255$1,526,311$96,459,9882011Yes (1)0Yes (1)Yes (1)
B$314,459,788$2,774,994$299,684,7942019Yes (1)0Yes (1)Yes (1)$12,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
A000000Yes (1)
B0Yes (1)0000Yes (1)0.008100.000000.00810

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BARCLAYS & WFB
A0Yes (1)000Yes (1)16.300000000000Yes (1)000Yes (1)
BARCLAYS & WFB
B0Yes (1)00Yes (1)Yes (1)24.800000000000Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NOTE A, PART 1, 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 MIAMI VALLEY HOSPITAL, ATRIUM MEDICAL CENTER, AND UPPER VALLEY MEDICAL CENTER.
NOTE B, PART I, LINE B, COLUMN F:REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2009B BONDS - ISSUE DATE 02/24/2009 SERIES 2012A BONDS - ISSUE DATE 11/20/2012 SERIES 2016C BONDS - ISSUE DATE 08/31/2016 SERIES 2016D BONDS - ISSUE DATE 08/31/2016 SERIES 2018 BONDS - ISSUE DATE 12/20/2018 SERIES 2016E BONDS - ISSUE DATE 08/31/2016 SERIES 2016F BONDS - ISSUE DATE 08/31/2016 REIMBURSEMENT OF PROJECT COSTS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MARC R BELCASTRO II
CHILD OF MARC R. BELCASTRO, M.D., KEY EMPLOYEE$51,379EMPLOYMENT0
AMANDA M BOWMAN
CHILD OF ROBERT BOWMAN, KEY EMPLOYEE$24,501EMPLOYMENT0
ANGELA D BOWMAN
SPOUSE OF ROBERT BOWMAN, KEY EMPLOYEE$76,415EMPLOYMENT0
LUKE A BOWMAN
CHILD OF ROBERT BOWMAN, KEY EMPLOYEE$27,576EMPLOYMENT0
JULIA E PARKER
SPOUSE OF THOMAS PARKER, FORMER KEY EMPLOYEE$141,727EMPLOYMENT0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,800NoncashContributionsRptF990Amt
Method Of Determining RevenuesAPPRAISALMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990Amt
Yes (X)COVID-19 PPE153$575,241
Yes (X)EMPLOYEE FOOD70$147,500
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3PREMIER HEALTH (PREMIER), AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN MVH'S ACTIVITIES.
FORM 990, PART VI, SECTION A, LINE 6MIAMI VALLEY HOSPITAL HAS ONE CORPORATE MEMBER: PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7APREMIER HEALTH (PREMIER) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH). PREMIER HAS THE AUTHORITY TO REMOVE SUCH TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT.
FORM 990, PART VI, SECTION A, LINE 7BSEE EXPLANATION FOR LINE 7A.
FORM 990, PART VI, SECTION B, LINE 11BTHIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE 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 12CPREMIER HEALTH (PREMIER), WITH WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL DIRECTORS, SUPPLY CHAIN DIVISION MEMBERS, AUTHORIZED SIGNERS, DIRECTORS, EXECUTIVES, MEDICAL EXECUTIVE COMMITTEE MEMBERS, MEDICAL DEPARTMENT AND SECTION CHAIRS, PHYSICIAN PARTNERSHIP COMMITTEE MEMBERS, PHYSICIAN GUIDANCE GROUP MEMBERS, AND ALL EMPLOYED PHYSICIANS TO ANNUALLY REVIEW THE PREMIER COMPREHENSIVE CONFLICT OF INTEREST STATEMENT, AN EXPLANATORY MEMORANDUM, THE ANTITRUST COMPLIANCE POLICY, AND COMPLETE AN INDIVIDUAL QUESTIONNAIRE DISCLOSING ANY POTENTIAL CONFLICTS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. THIS IS ACCOMPLISHED EITHER BY WAY OF AN ELECTRONIC COMMUNICATION SENT OUT DIRECTLY BY THE CORPORATE COMPLIANCE DEPARTMENT OR BY WAY OF A MEMO SENT OUT FROM THE CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER OF PREMIER. IT ALSO INCLUDES AN EXPLANATORY MEMORANDUM OF SPECIFIC ACTIVITIES THAT MIGHT GIVE CAUSE TO A CONFLICT AND AN INDIVIDUAL QUESTIONNAIRE TO DISCLOSE ALL SUCH ACTIVITIES. THIS QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY THE INDIVIDUAL. THIS CORRESPONDENCE INCLUDES A COPY OF THE ANTITRUST COMPLIANCE POLICY THAT MUST BE SIGNED BY THE INDIVIDUAL. ALL OF THESE DOCUMENTS ARE SENT TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT ENSURES ALL FORMS ARE RETURNED AND RETAINS THE DOCUMENTS FOR FIVE YEARS. IN ADDITION, AT EACH MEETING OF THE BOARD OR ANY BOARD COMMITTEE, FOLLOWING APPROVAL OF THE PREVIOUS MEETING'S MINUTES, THE BOARD OR COMMITTEE CHAIR SHALL REQUEST ANY BOARD MEMBER WHO PERCEIVES A POTENTIAL CONFLICT OF INTEREST ON ANY OF THE MEETING'S AGENDA ITEMS TO DISCLOSE THE POTENTIAL CONFLICT. ADDITIONALLY, AT ANY BOARD OR BOARD COMMITTEE MEETING WHERE THE SUBJECT OF CONFLICT OF INTEREST IS DISCUSSED, THE MINUTES SHALL CONTAIN THE NAME OF THE PARTY DISCUSSING A POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST AND WHETHER A CONFLICT OF INTEREST WAS FOUND TO EXIST. IF A CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, THE MEMBER WILL BE EXCUSED FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON THE PARTICULAR AGENDA ITEM. THE CHIEF COMPLIANCE AND ENTERPRISE RISK OFFICER REPORTS THE RESULTS OF THE PREMIER CONFLICT OF INTEREST QUESTIONNAIRES NO LESS THAN ANNUALLY TO THE BOARD OF TRUSTEES BY WAY OF THE COMPLIANCE AND AUDIT COMMITTEE. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. PERIODICALLY, THE INTERNAL AUDIT DEPARTMENT WILL REVIEW A SAMPLE OF COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND REPORT THE RESULTS TO THE COMPLIANCE AND AUDIT COMMITTEE. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE INDIVIDUALLY SUMMARIZED IN A DOCUMENT AND SENT ELECTRONICALLY TO THE FINANCE DEPARTMENT FOR ANY NECESSARY DISCLOSURES REQUIRED ON THE 990 FILING.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), WITH WHICH MVH IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH-PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL 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 19THE 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 11GOUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 63,622,716. MANAGEMENT AND GENERAL EXPENSES 3,829,874. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,452,590. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 32,330,188. MANAGEMENT AND GENERAL EXPENSES 926,423. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,256,611. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 23,299,062. MANAGEMENT AND GENERAL EXPENSES 167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,299,229. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 16,986,245. MANAGEMENT AND GENERAL EXPENSES 227,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,213,917. CHI C/E DIRECT CHARGE: PROGRAM SERVICE EXPENSES 11,688,156. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,688,156. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 3,985,534. MANAGEMENT AND GENERAL EXPENSES 164,067. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,149,601. ACCRUED OTHER: PROGRAM SERVICE EXPENSES 1,824,643. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,824,643. RECRUIT-PHYSICIAN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,654,810. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,654,810. COURIER SERVICE: PROGRAM SERVICE EXPENSES 2,124. MANAGEMENT AND GENERAL EXPENSES 311,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 313,134. RESIDENTS: PROGRAM SERVICE EXPENSES 291,085. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 291,085. ARCHIVE/REC RETENTION SERVICE: PROGRAM SERVICE EXPENSES 282,866. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,866. TAXIS AND RTA EXPENSE: PROGRAM SERVICE EXPENSES 222,794. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 222,794. HANGER RENTAL: PROGRAM SERVICE EXPENSES 163,517. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,517. SIGN MATERIALS: PROGRAM SERVICE EXPENSES 65,930. MANAGEMENT AND GENERAL EXPENSES 17,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,193. ARCHITECT-ENGINEERING FEES: PROGRAM SERVICE EXPENSES 54,319. MANAGEMENT AND GENERAL EXPENSES 5,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,569. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 22,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,889. OTHER FEES: PROGRAM SERVICE EXPENSES 531. MANAGEMENT AND GENERAL EXPENSES 7,578. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,109.
FORM 990, PART XI, LINE 9:EQUITY TRANSFERS -238,940,249. FUNDING FROM AFFILIATES -1,775,304. SWAP AMORTIZATION -138,685. TRANSFERS FROM AFFILIATES 1,379,476. CAPTIVE INSURANCE ADJUSTMENT 2,847,672. PENSION ADJUSTMENT 48,461,417.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1DIALYSIS CENTERS OF DAYTON LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 N MAIN ST 500AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd
FieldValueIRS element (for citing)
EIN311607686EIN
Primary ActivitiesDIALYSISPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIAMI VALLEY HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ATRIUM HEALTH SYSTEM
110 MAIN STREET SUITE 500DAYTONOH45402310537492SUPPORT ORGOH501 (C) (3)12BN/A0
ATRIUM MEDICAL CENTER
110 MAIN STREET SUITE 500DAYTONOH45402311079309HOSPITALOH501 (C) (3)30PREMIER HEALTH
COMPUNET CLINICAL LABORATORIES LLC
110 MAIN STREET SUITE 500DAYTONOH45402311258010LABOH501 (C) (3)12B0PREMIER HEALTH
FIDELITY HEALTH CARE INC
110 MAIN STREET SUITE 500DAYTONOH45402311075381HOME HEALTHOH501 (C) (3)100PREMIER HEALTH
GOOD SAMARITAN FOUNDATION - DAYTON
110 MAIN STREET SUITE 500DAYTONOH45402237296923FOUNDATIONOH501 (C) (3)70PREMIER HEALTH
MEDAMERICA HEALTH SYSTEMS CO
110 MAIN STREET SUITE 500DAYTONOH45402311040228SUPPORT ORGOH501 (C) (3)12BN/A0
MIAMI VALLEY HOSPITAL FOUNDATION
110 MAIN STREET SUITE 500DAYTONOH45402311040231FOUNDATIONOH501 (C) (3)70PREMIER HEALTH
ONMAIN INC
300 COLLEGE PARK RM 405DAYTONOH45469832877212SUPPORT ORGOH501 (C) (3)12A0FAIRGROUNDS REDEVELOPMENT LTD
PREMIER COMMUNITY HEALTH
110 MAIN STREET SUITE 500DAYTONOH45402311122883HEALTH EDUCATIONOH501 (C) (3)100FIDELITY HEALTH CARE
PREMIER HEALTH
110 MAIN STREET SUITE 500DAYTONOH45402311446699PARENTOH501 (C) (3)12BN/A0
SAMARITAN BEHAVIORAL HEALTH INC
110 MAIN STREET SUITE 500DAYTONOH45402020633634BEHAVIORAL HEALTHOH501 (C) (3)70PREMIER HEALTH
SAMARITAN HEALTH PARTNERS
110 MAIN STREET SUITE 500DAYTONOH45402311107411SUPPORT ORGOH501 (C) (3)12B0PREMIER HEALTH
UPPER VALLEY MEDICAL CENTER
110 MAIN STREET SUITE 500DAYTONOH45402310537095HOSPITALOH501 (C) (3)30PREMIER HEALTH
UPPER VALLEY PROFESSIONAL CORP
110 MAIN STREET SUITE 500DAYTONOH45402311400963HEALTH CAREOH501 (C) (3)100PREMIER HEALTH
UVMC
110 MAIN STREET SUITE 500DAYTONOH45402341850683SUPPORT ORGOH501 (C) (3)12BN/A0
UVMC NURSING CARE INC
110 MAIN STREET SUITE 500DAYTONOH45402311224064NURSING HOMEOH501 (C) (3)100PREMIER HEALTH
UVPC SPECIALISTS
110 MAIN STREET SUITE 500DAYTONOH45402203687536HEALTH CAREOH501 (C) (3)100UPPER VALLEY PROFESSIONAL CORP

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
SWEITZER STREET LLC
110 N MAIN STREET SUITE 500DAYTONOH45402454700417REAL ESTATEOHMVHE INCEXCLUDED00
SWEITZER MOB LLC
110 N MAIN STREET SUITE 500DAYTONOH45402474554657REAL ESTATEOHMVHE INCEXCLUDED00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MVHE INC
110 NORTH MAIN STREET SUITE 500DAYTONOH45402311185270PHYSICIAN SVCSOHPREMIER HEALTH HOLDINGC0
PREMIER HEALTH SPECIALISTS
110 NORTH MAIN STREET SUITE 500DAYTONOH45402061744704PHYSICIAN SVCSOHPREMIER HEALTH HOLDINGC0
SAMARITAN FAMILY CARE
110 NORTH MAIN STREET SUITE 500DAYTONOH45402311299450PHYSICIAN SVCSOHPREMIER HEALTH HOLDINGC0
AFTER HOURS FAMILY CARE
110 NORTH MAIN STREET SUITE 500DAYTONOH45402311269483HEALTH CAREOHUPPER VALLEY PROFESSIONAL CORPC0
UVMC MANAGEMENT CORP
110 NORTH MAIN STREET SUITE 500DAYTONOH45402311360489MANAGEMENT COMPANYOHPREMIER HEALTHC0
PREMIER HEALTH URGENT CARE INC
110 NORTH MAIN STREET SUITE 500DAYTONOH45402822079409URGENT CAREOHPREMIER HEALTH HOLDINGC0
PREMIER HEALTH PLAN INC
110 NORTH MAIN STREET SUITE 500DAYTONOH45402463024049HEALTH INSURANCEOHPREMIER HEALTH INSURING COC0
GOOD SAMARITAN HOSPITAL
110 NORTH MAIN STREET SUITE 500DAYTONOH45402310536981HOSPITALOHPREMIER HEALTHC0
PREMIER HEALTH ACO OF OHIO
110 NORTH MAIN STREET SUITE 500DAYTONOH45402474049773MEDICARE ACOOHPREMIER HEALTHC0
PREMIER HEALTH HOLDING
110 NORTH MAIN STREET SUITE 500DAYTONOH45402812419110HOLDING COOHPREMIER HEALTHC0
PREMIER HEALTH INSURING CO
110 NORTH MAIN STREET SUITE 500DAYTONOH45402464766841HEALTH INSURANCEOHPREMIER HEALTHC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd