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MIAMI VALLEY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202043219349314309
Schema version
2019v5.1
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)
Return2020-11-16T14:10:28-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 STREET SUITE 2900AddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310537504EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Miami Valley HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% J MICHAEL SIMSInCareOfNm
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 M KEANPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone9374999942PhoneNum
Signature2020-11-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE L SPARKSPreparerPersonNm
PTINP01268401PTIN
Phone5136121400PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
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$1,423,237,564GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
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 SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee11527TotalEmployeeCnt
Total Volunteers820TotalVolunteersCnt
Total Gross UBI-$89,107TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$197,770NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$803,051PYContributionsGrantsAmt
CY Contributions Grants$620,174CYContributionsGrantsAmt
PY Program Service Revenue$932,034,525PYProgramServiceRevenueAmt
CY Program Service Revenue$1,137,603,410CYProgramServiceRevenueAmt
PY Investment Income$20,840,493PYInvestmentIncomeAmt
CY Investment Income$51,762,851CYInvestmentIncomeAmt
PY Other Revenue$13,143,320PYOtherRevenueAmt
CY Other Revenue$14,052,754CYOtherRevenueAmt
PY Total Revenue$966,821,389PYTotalRevenueAmt
CY Total Revenue$1,204,039,189CYTotalRevenueAmt
PY Grants And Similar Paid$7,551,998PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,581,009CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$420,378,003PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$426,252,395CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$496,656,100PYOtherExpensesAmt
CY Other Expenses$551,016,375CYOtherExpensesAmt
PY Total Expenses$924,586,101PYTotalExpensesAmt
CY Total Expenses$997,849,779CYTotalExpensesAmt
PY Revenues Less Expenses$42,235,288PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$206,189,410CYRevenuesLessExpensesAmt
Total Assets BOY$1,551,078,537TotalAssetsBOYAmt
Total Assets EOY$1,540,725,759TotalAssetsEOYAmt
Total Liabilities BOY$876,974,777TotalLiabilitiesBOYAmt
Total Liabilities EOY$929,596,566TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$674,103,760NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$611,129,193NetAssetsOrFundBalancesEOYAmt
MissionWE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$972,161,262ExpenseAmt
Grant$20,581,009GrantAmt
Revenue$1,137,603,410RevenueAmt
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$972,161,262TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document305IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee11527EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJ MICHAEL SIMSPersonNm
Phone9374999942PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 N MAIN ST SUITE 500AddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerInd
MICHAEL J MAIBERGER
FORMER OFFICER0.040.0Yes (X)$0$2,292,818$1,062,061
MARY H BOOSALIS
TRUSTEE / PREMIER PRES & CEO0.539.5$0$1,820,985$43,290Yes (X)
SCOTT A SHELTON
FORMER OFFICER0.040.0Yes (X)$0$926,869$31,126
JENNIFER J HAULER D
COO - MVH39.01.0$893,785$0$55,776Yes (X)
ELOISE P BRONER
SYS VP-CHIEF SUPPORT SERVICES10.030.0$878,127$0$30,024Yes (X)
MICHAEL R UHL
PRESIDENT & CEO39.01.0$710,746$0$83,340Yes (X)Yes (X)
BARBARA A JOHNSON
TRUSTEE&PREMIER COO (FROM AUG)9.530.5$0$665,968$38,127Yes (X)
GEOFFREY P WALKER
SYS VP - CHIEF LEGAL OFFICER9.530.5$0$648,904$50,342Yes (X)
THOMAS R PARKER
FORMER KEY EMPLOYEE0.040.0Yes (X)$0$619,173$79,761
DIANE L PLEIMAN
PRESIDENT & CEO-PHYS COMPANIES0.040.0$647,081$0$29,118Yes (X)
MARC R BELCASTRO DO
VP MED AFFAIRS & PREMIER CMO10.030.0$604,996$0$60,700Yes (X)
MARY M CLANCY
SYS VP - ONCOLOGY SERVICE LINE40.00.0$619,164$0$35,813Yes (X)
GARY G GINTER
VP &PREMIER CHIEF INFO OFFICER10.030.0$0$553,521$98,017Yes (X)
MELANIE M GLOVER MD
TRUSTEE (FROM MAY)0.539.5$0$585,170$41,456Yes (X)
CRAIG SELF
FORMER KEY EMPLOYEE0.00.0Yes (X)$0$523,869$94,857
RENEE P GEORGE
FORMER KEY EMPLOYEE0.040.0Yes (X)$0$539,890$63,443
JEFFREY G POULOS MD
VP & CHIEF HOSPITAL OFFICER40.00.0$549,419$0$49,145Yes (X)
MARGARET W MARK
VP NURSING SERVICE/PREMIER CNO10.030.0$0$527,720$51,383Yes (X)
DALE E CREECH JR
FORMER KEY EMPLOYEE0.00.0Yes (X)$0$510,477$29,497
JAMES M PACENTA MD
TRUSTEE0.539.5$0$492,175$41,675Yes (X)
J MICHAEL SIMS
SYS VP-TREAS & CORP CONTROLLER8.531.5$0$461,159$53,405Yes (X)
TERESA W ZRYD MD
VP-ACADEMIC AFFAIRS40.00.0$484,601$0$20,166Yes (X)
THOMAS CURTIN
VP REVENUE CYCLE9.031.0$0$407,459$60,214Yes (X)
JOANNE R RINGER
TRUSTEE AND COO MVHS40.00.0$417,242$0$36,984Yes (X)
MARY E GARMAN
COO - MVHN40.00.0$413,396$0$35,232Yes (X)
MARK W SHAW
FORMER KEY EMPLOYEE0.00.0Yes (X)$0$418,206$22,568
KRISTINA M KEAN
BOARD TREASURER / VP FINANCE40.00.0$356,185$0$33,927Yes (X)
MARK E WILLIAMS MD
FORMER OFFICER0.040.0Yes (X)$0$342,241$40,303
ROBERT M BOWMAN
VP HOSPITAL OPERATIONS40.00.0$329,833$0$49,305Yes (X)
CARA W POWERS
FORMER OFFICER40.00.0Yes (X)$325,274$0$53,091
KIM K STRAHL
SYS VP & CPO10.030.0$0$337,548$33,785Yes (X)
KIMBERLY A HENSLEY
VP HOSPITAL OPERATIONS40.00.0$326,556$0$32,768Yes (X)
JEFFERY A MORNEAULT
HOSP OPS-PERIOP SVCS (TO MAY)40.00.0$264,899$0$76,852Yes (X)
CHRISTOPHER J DANIS
BOARD CHAIR0.539.5$0$295,061$42,254Yes (X)Yes (X)
BILLIE L LUCENTE-BAKE
SYS VP - HR OPS (FROM AUG)10.030.0$0$252,199$34,146Yes (X)
JENNA M DOWNEY ESQ
BOARD SECRETARY38.02.0$223,359$0$21,938Yes (X)
YONATHAN KEBEDE
VP HOSP OPS (FROM JUL)40.00.0$86,538$125,890$26,909Yes (X)
ELAINE M DEAN
SYSTEM VP-BUSINESS DEVELOPMENT10.030.0$0$178,818$8,144Yes (X)
MARK S SHAKER
FORMER OFFICER0.00.0Yes (X)$165,359$0$20,022
ANDRE T HARRIS MD
TRUSTEE0.539.5$0$149,958$14,088Yes (X)
TAREK SABAGH MD
TRUSTEE & MED STAFF PRESIDENT0.50.5$23,333$900$0Yes (X)
A PETER EKEH MD
TRUSTEE0.50.0$5,100$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,218,557TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,576,157TotReportableCompRltdOrgAmt
Total Other Compensation$2,274,952TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K450IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DAWSON HEALTHCARE
1114 Dublin RdCOLUMBUSOH43215Medical Services$33,283,267
ANESTHESIOLOGY SERVICES
1 Wyoming StDAYTONOH45409Medical Services$20,431,270
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HWYDAYTONOH45435MED SVCS & STAFFING$12,351,042
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DR WENGLEWOODCO80112Clinical Engineering$11,657,499
MIAMI VALLEY EMERG SPECIALISTS
2400 MIAMI VALLEY WAYCENTERVILLEOH45459MEDICAL SERVICES$11,643,011
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K153CntrctRcvdGreaterThan100KCnt
Related Organizations$620,174RelatedOrganizationsAmt
Total Contributions$620,174TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$592,903,220$592,903,220
MEDICARE/MEDICAID900099$523,675,348$523,675,348
HOSPITAL FRANCHISE TAX RECOVERIES900099$20,714,968$20,714,968
MEDICAL RECORDS900099$141,501$141,501
HEALTH EDUCATION900099$72,837$72,837

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,536TotalRevenueColumnAmt
Related Or Exempt Func Income$95,536RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,137,603,410TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,154,740TotalRevenueColumnAmt
Exclusion$10,154,740ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$13,855,593RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,238,812RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,616,781RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,616,781TotalRevenueColumnAmt
Exclusion$2,616,781ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$246,530,636SecuritiesAmt
Other$1,851,561OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$206,151,737SecuritiesAmt
Other$622,349OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$40,378,899SecuritiesAmt
Other$1,229,212OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,608,111TotalRevenueColumnAmt
Exclusion$41,608,111ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,329,353GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,185,477CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,876TotalRevenueColumnAmt
Exclusion$143,876ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA SALES812930$6,113,043$6,113,043
PENSION COST (INCOME)900099$3,144,850$3,144,850
PARKING GARAGE900099$937,642$937,642

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,096,562TotalRevenueColumnAmt
Unrelated Business Revenue-$89,107UnrelatedBusinessRevenueAmt
Exclusion$1,185,669ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,292,097OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,204,039,189TotalRevenueColumnAmt
Related Or Exempt Func Income$1,137,603,410RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$89,107UnrelatedBusinessRevenueAmt
Exclusion$65,904,712ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,581,009TotalAmt
Program Services$20,581,009ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,149,007TotalAmt
Program Services$3,719,512ProgramServicesAmt
Management And General$1,429,495ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$362,488TotalAmt
Program Services$362,488ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$343,013,207TotalAmt
Program Services$335,427,531ProgramServicesAmt
Management And General$7,585,676ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,452,463TotalAmt
Program Services$19,923,426ProgramServicesAmt
Management And General$529,037ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,831,045TotalAmt
Program Services$31,616,932ProgramServicesAmt
Management And General$214,113ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,444,185TotalAmt
Program Services$24,536,739ProgramServicesAmt
Management And General$907,446ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$298,608TotalAmt
Program Services$221,058ProgramServicesAmt
Management And General$77,550ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$95,197TotalAmt
Management And General$95,197ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$16,883TotalAmt
Management And General$16,883ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,334,925TotalAmt
Management And General$1,334,925ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$88,815,887TotalAmt
Program Services$88,370,976ProgramServicesAmt
Management And General$444,911ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,533,354TotalAmt
Program Services$1,533,354ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,672,153TotalAmt
Program Services$3,410,489ProgramServicesAmt
Management And General$1,261,664ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,771,726TotalAmt
Program Services$5,253,047ProgramServicesAmt
Management And General$518,679ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,994,115TotalAmt
Program Services$12,589,445ProgramServicesAmt
Management And General$404,670ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$464,610TotalAmt
Program Services$423,687ProgramServicesAmt
Management And General$40,923ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$38,327,632TotalAmt
Program Services$38,327,632ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$74,350,761TotalAmt
Program Services$72,919,098ProgramServicesAmt
Management And General$1,431,663ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$537,185TotalAmt
Program Services$467,771ProgramServicesAmt
Management And General$69,414ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OPERATING SUPPLIES$204,008,232$204,008,232
PURCHASED SERVICES$88,605,098$80,066,533$8,538,565
HOSPITAL FRANCHISE TAX$15,018,765$15,018,765
REPAIRS & MAINTENANCE$4,804,237$4,804,237

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,367,007TotalAmt
Program Services$8,579,301ProgramServicesAmt
Management And General$787,706ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$997,849,779TotalAmt
Program Services$972,161,262ProgramServicesAmt
Management And General$25,688,517ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$40,405BOYAmt
EOY$41,495EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$57,193,227BOYAmt
EOY$50,884,766EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$162,017,035BOYAmt
EOY$180,635,602EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,132,309BOYAmt
EOY$4,477,831EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,572,134BOYAmt
EOY$10,143,476EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,413,145BOYAmt
EOY$835,207EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,657,488,670LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$977,079,840LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$714,714,774BOYAmt
EOY$680,408,830EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$378,643,705BOYAmt
EOY$391,265,735EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$174,903,757BOYAmt
EOY$178,160,437EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$6,335,203BOYAmt
EOY$9,166,332EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,112,843BOYAmt
EOY$34,706,048EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,551,078,537BOYAmt
EOY$1,540,725,759EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$103,724,183BOYAmt
EOY$87,869,483EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$2,042,837BOYAmt
EOY$13,791,481EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,624,130BOYAmt
EOY$2,636,433EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$637,509,779BOYAmt
EOY$651,592,405EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,796,317BOYAmt
EOY$31,414,206EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,277,531BOYAmt
EOY$142,292,558EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$876,974,777BOYAmt
EOY$929,596,566EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$674,103,760BOYAmt
EOY$611,129,193EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$674,103,760BOYAmt
EOY$611,129,193EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,551,078,537BOYAmt
EOY$1,540,725,759EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$206,189,410ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$37,748,481NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$306,912,458OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$16,883GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$16,883TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,216,047OtherCostOrOtherBasisAmt
Book Value$47,216,047BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,080,079,710OtherCostOrOtherBasisAmt
Depreciation$589,527,330DepreciationAmt
Book Value$490,552,380BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,658,636OtherCostOrOtherBasisAmt
Depreciation$2,155,223DepreciationAmt
Book Value$503,413BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$498,172,326OtherCostOrOtherBasisAmt
Depreciation$385,397,287DepreciationAmt
Book Value$112,775,039BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,361,951OtherCostOrOtherBasisAmt
Book Value$29,361,951BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$680,408,830TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Book Value$178,160,437BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$178,160,437TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PENSION OBLIGATION$76,189,262
SWAP LIABILITY$25,338,594
MALPRACTICE INSURANCE$21,362,418
LEASE COMMITMENT$8,408,063
LOAN GUARANTEE & OTHER LTL$3,508,605
EST PAY TO 3RD PARTY$2,471,637
WORKERS COMPESATION$1,068,295
OTHER$3,945,684
FieldValueIRS element (for citing)
Total Liability$142,292,558TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOLLOWING FOOTNOTE IS FROM THE 2019 AUDITED COMBINED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF MIAMI VALLEY HOSPITAL (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), UVMC MANAGEMENT CORPORATION AND AFTER HOURS FAMILY CARE, INC. (SUBSIDIARIES OF PHP) THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. FOR TAX-EXEMPT ENTITIES, THE ACT REQUIRES ORGANIZATIONS TO PAY AN EXCISE TAX ON REMUNERATION TO EXECUTIVES ABOVE CERTAIN THRESHOLDS AND REPORT INCOME OR LOSS FROM UNRELATED BUSINESS ACTIVITIES ON AN ACTIVITY-BY-ACTIVITY BASIS, AMONG OTHER PROVISIONS. PHP HAS RECORDED ESTIMATED LIABILITIES AND RELATED EXPENSES FOR ALL EXCISE AND UNRELATED BUSINESS INCOME TAXES IDENTIFIED AT DECEMBER 31, 2019. 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 (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the CaribbeanInvestments$51,703,000
Central America and the CaribbeanProgram Services$25,000INSURANCE
FieldValueIRS element (for citing)
Subtotal Spent$51,728,000SubtotalSpentAmt
Total Spent$51,728,000TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,246,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,804,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,442,000NetCommunityBenefitExpnsAmt
Total Expense0.02150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,566,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,714,968DirectOffsettingRevenueAmt
Net Community Benefit Expns$86,852,000NetCommunityBenefitExpnsAmt
Total Expense0.08700TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,353,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,008,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,345,000NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$161,165,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,526,968DirectOffsettingRevenueAmt
Net Community Benefit Expns$114,639,000NetCommunityBenefitExpnsAmt
Total Expense0.11490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,220,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$528,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,692,000NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,133,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,787,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,346,000NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,430,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,430,000NetCommunityBenefitExpnsAmt
Total Expense0.02350TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,350,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,350,000NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,133,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,315,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,818,000NetCommunityBenefitExpnsAmt
Total Expense0.03800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$234,298,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,841,968DirectOffsettingRevenueAmt
Net Community Benefit Expns$152,457,000NetCommunityBenefitExpnsAmt
Total Expense0.15290TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$866,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$866,000NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,111,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,111,000NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,985,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,985,000NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$36,859,096BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$204,277,000ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$218,607,000CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,330,000MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)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)B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
A
12falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)20Yes (true)SEE PART V, SECTION CfalseYes (true)Yes (X)200.300.Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SEC CYes (X)SEE PART V, SEC CYes (X)SEE PART V, SEC CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
B
3Yes (true)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)20Yes (true)SEE PART V, SECTION CfalseYes (true)Yes (X)200.300.Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART V, SECTION A, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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 2 (MIAMI VALLEY HOSPITAL NORTH): MIAMI VALLEY HOSPITAL NORTH WAS PLACED IN SERVICE AS A TAX-EXEMPT HOSPITAL UPON ACQUIRING IN-PATIENT BEDS. PREVIOUSLY THE FACILITY WAS AN EMERGENCY CENTER OFFERING TRANSPORT TO A LOCAL HOSPITAL IF ADMISSION WAS NEEDED. 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 OHIOS 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 OTHERS 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) SURVEYMONKEYS 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 AOHCS 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 HEALTH MVH AND MVHN ACCESS TO CARE/SERVICES COMMUNITY PARAMEDICINE PROGRAM METRICS: 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. INTERVENTIONS 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 PATIENTS UNIQUE HOME ENVIRONMENT, SUPPORT, AND HEALTH CARE NEExplanationTxt
FieldValueIRS element (for citing)
Facility20FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MVH Austin Boulevard Emergency Center
300 AUSTIN W BLVDMIAMISBURGOH45342EMERGENCY CENTER
MVH Jamestown Emergency Center
4940 Cottonville RdJamestownOH45335Emergency Center, cardiac testing & rehab, medical imaging, LABORATORY TESTING
HEALTH CENTER - HUBER HEIGHTS
6251 MIAMI VALLEY WAYHUBER HEIGHTSOH45424Cardiac Testing, Diagnostic & Imaging, Rehab
Medical Imaging Beavercreek
1244 MEADOW BRIDGE DRBEAVERCREEKOH45434CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING
OUTPATIENT CARDIAC TESTING & REHAB
122 WYOMING STDAYTONOH45409CARDIAC TESTING & REHAB
Miami Valley Hospital Diabetes Center
80 E WOODBURY DRENGLEWOODOH45415Diabetes Center, Sleep Center
Clayborune Physical Therapy Clinic
1525 E STROOP RDKETTERINGOH45429REHABILITATION
REHABILITATION AT SURECARE MED CENTER
360 W CENTRAL AVESPRINGBOROOH45066REHABILITATION, DIAGNOSTIC, & IMAGING
REHABILITATION AT WRIGHT HEALTH BUILDING
1222 S PATTERSON BLVDDAYTONOH45402REHABILITATION
MVH Center for Sleep and Wake Disorder
6611 CLYO RDDAYTONOH45459SLEEP CENTER
MVH Medical Imaging - Springboro
630 N MAIN STSPRINGBOROOH45066DIAGNOSTIC & IMAGING
Bull Family Diabetes Center
400 SUGAR CAMP CIR 205OAKWOODOH45409Diabetes Center
Outpatient Cardiac Testing - Beavercreek
2619 COMMONS BLVD 102BEAVERCREEKOH45431Cardiac Testing
MVH Center - Greenville
742 SWEITZER STGREENVILLEOH45331Cardiac Testing, Diagnostic & Imaging
Outpatient Behavioral Health Programs
627 Edwin C Moses BlvdDAYTONOH45417Behavioral Health
First Care After Hours
1911 N Fairfield Rd 110BEAVERCREEKOH45432After Hours Care
ENGLEWOOD After Hours
9000 N Main St G-33ENGLEWOODOH45415After Hours Care
Premier Occupational Health Central
1520 S MAIN ST 210DAYTONOH45409Occupational Health
Dayton Heart Center
1530 Needmore Rd 301HUBER HEIGHTSOH45414Diagnostic & Imaging
OUTPATIENT PHYSICAL THERAPY & SPORTS MED
90 REMICK BLVDSPRINGBOROOH45066REHABILITATION & SPORTS MEDICINE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 6A:FormAndLineReferenceDesc
ExplanationTHE 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 2019, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $23,430,000. 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 ENGAGEMENT SOME OF THE PROGRAMS SUPPORTED BY MVH DURING 2019 INCLUDE: 1) PROJECTS, PROGRAMS, AND POLICIES WILL BE DEVELOPED TO ADVANCE THE DESIRED OUTCOMES FOR THE PHOENIX PROJECT AREA (AS DEFINED BELOW). THE PRIORITY OUTCOMES ARE TO DRIVE ECONOMIC VITALITY, CREATE JOBS, ENHANCE THE IMAGE OF THE AREA, LEVERAGE INVESTMENT, AND PROMOTE HEALTHY LIVING. OTHER DESIRABLE OUTCOMES ARE TO IMPROVE LIVABILITY, PROVIDE AMENITIES, DRAW PEOPLE FROM OUTSIDE THE AREA, EXCITE THE COMMUNITY, IMPROVE SAFETY, ADVANCE EDUCATIONAL SUCCESS, SUPPORT THE WELL-BEING OF YOUTH, SERVE THE DIVERSE DEMOGRAPHICS OF THE NEIGHBORHOODS, PROVIDE AN ATTRACTIVE ENVIRONMENT, ATTRACT, AND SUSTAIN NEW/YOUNG PEOPLE AND PROMOTE ENVIRONMENTAL SUSTAINABILITY. IN ORDER TO MEET THESE GOALS, $815,986 WAS CONTRIBUTED TO PHYSICAL IMPROVEMENTS AND $11,111,100 WAS CONTRIBUTED TO COMMUNITY BUILDING ECONOMIC DEVELOPMENT. 2) NEIGHBORHOOD REVITALIZATION AND DEVELOPMENT THROUGH A CONTRIBUTION OF $50,000 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. 3) $7,800 WAS DONATED TO ASSIST IN RECOVERY FROM NATURAL DISASTERS. 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 $199,973,000 AND INCURRED COST OF $271,899,000, FOR AN ADDITIONAL NET SHORTFALL OF $71,926,000 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) $204,277,000 MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $199,973,000 TOTAL MEDICARE ASSOCIATED REVENUE $404,250,000 ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $218,607,000 MEDICARE COST NOT REPORTED IN PART III, SECTION B $271,899,000 TOTAL MEDICARE ASSOCIATED COST $490,506,000 MEDICARE SHORTFALL PER PART III, SECTION B $14,330,000 ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $71,926,000 TOTAL MEDICARE SHORTFALL $86,256,000 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 ASSISTANCEExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (51 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CITYWIDE DEVELOPMENT CORP
8 N MAIN STDAYTONOH45402310821189501(C)(4)$11,977,086COMMUNITY DEVELOPMENT
FIVE RIVERS HEALTH CENTERS
2261 PHILADELPHIA DRDAYTONOH45406450914398501(C)(3)$4,406,628SUPPORT
ONEFIFTEEN RECOVERY
6636 LONGSHORE ST 200DUBLINOH43017833504845501(C)(3)$1,950,000SUPPORT
REACH OUT MONTGOMERY COUNTY
25 E FORAKER STDAYTONOH45409311434282501(C)(3)$142,065RX ASSISTANCE
HOMEFULL
33 W FIRST ST 100DAYTONOH45402311236989501(C)(3)$78,780SUPPORT
GALA OF HOPE FOUNDATION - 3500
PENTAGON BLVD 500BEAVERCREEKOH45431464277044501(C)(3)$78,000SUPPORT
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500DAYTONOH45402311040231501(C)(3)$61,230SUPPORT
DAYTON FOUNDATION
40 N MAIN ST 500DAYTONOH45423316027287501(C)(3)$86,875SUPPORT
DAYTON ART INSTITUTE
456 BELMONTE PARK NDAYTONOH45405310537480501(C)(3)$42,100SUPPORT
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST 500DAYTONOH45402311079213501(C)(3)$33,384SUPPORT
GEM CITY MARKET
33 W 1ST ST 100DAYTONOH45402821168121NONE$32,653SUPPORT
PREMIER COMMUNITY HEALTH
110 N MAIN ST 500DAYTONOH45402311122883501(C)(3)$31,200SUPPORT
UVMC FOUNDATION
110 N MAIN ST 500DAYTONOH45402311581859501(C)(3)$23,595SUPPORT
FIVE RIVERS METRO PARKS FOUNDATION
1301 E SIEBENTHALER AVEDAYTONOH45414310937070GOVT$23,400SUPPORT
BRIGIDS PATH INC
3601 S DIXIE DRKETTERINGOH45439471200761501(C)(3)$19,500SUPPORT
WILBERFORCE UNIVERSITY
1055 N BICKETT RDWILBERFORCEOH45384310604719501(C)(3)$19,500SUPPORT
OTTERBEIN HOMES
580 N SR 741LEBANONOH45036310549058501(C)(3)$15,600SUPPORT
EQUITAS HEALTH
15 W FOURTH STDAYTONOH45402311126780501(C)(3)$15,600SUPPORT
FRIENDS OF THE CASTLE
133 N MAIN STCENTERVILLEOH45459311337923501(C)(3)$15,600SUPPORT
MARY SCOTT NURSING CENTER INC
3109 CAMPUS DRDAYTONOH45406316010222501(C)(3)$15,600SUPPORT
MISSION OF MARY COOPERATIVE
619 SILVER LNDAYTONOH45410462231133501(C)(3)$15,163SUPPORT
WARREN COUNTY FOUNDATION
118 E MAIN STLEBANONOH45036311565086501(C)(3)$14,898SUPPORT
ST PETER CATHOLIC CHURCH - 6161
CHAMBERSBURG RDHUBER HEIGHTSOH45424310626310501(C)(3)$14,430SUPPORT
YWCA OF DAYTON
141 W THIRD STDAYTONOH45402310537168501(C)(3)$12,090SUPPORT
ARBOGAST PERFORMING ART CENTER
700 S DORSET RDTROYOH45373830889260501(C)(3)$11,700SUPPORT
HOSPICE OF MIAMI COUNTY
500 SUMMIT AVE 101TROYOH45373311031277501(C)(3)$10,530SUPPORT
DAYTON CONTEMPORARY DANCE COMPANY
840 GERMANTOWN STDAYTONOH45402237220259501(C)(3)$16,380SUPPORT
SC MINISTRY FOUNDATION
345 NEEB RDCINCINNATIOH45233311185570501(C)(3)$10,140SUPPORT
DECOLORES MONTESSORI SCHOOL
312 CENTRAL AVEGREENVILLEOH45331311166242501(C)(3)$9,555SUPPORT
ALZHEIMERS ASSOCIATION MIAMI VALLEY CHAPTER
31 W WHIPP RDDAYTONOH45459311031867501(C)(3)$8,960SUPPORT
AMERICAN RED CROSS
370 W FIRST STDAYTONOH45402530196605501(C)(3)$8,190SUPPORT
BELLBROOK MUSIC BOOSTERS
3772 GRAND OAK TRLDAYTONOH45440201637658501(C)(3)$8,190SUPPORT
GOOD SAMARITAN FOUNDATION - DAYTON
110 N MAIN ST 500DAYTONOH45402237296923501(C)(3)$7,995SUPPORT
DAYTON FIRST EVENTS INC
40 N MAIN ST 900DAYTONOH45423454231032NONE$7,800SUPPORT
PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY
117 S MAIN STDAYTONOH45422316000172GOVT$7,400SUPPORT
DEWINE HUSTED INAUGURAL COMMITTEE
2168 SUTTER PKWYDUBLINOH43016832479480GOVT$7,400SUPPORT
DAYTON PERFORMING ARTS ALLIANCE
109 N MAIN ST 200DAYTONOH45402316000101501(C)(3)$7,020SUPPORT
PLANNED PARENTHOOD SOUTHWEST OHIO
224 N WILKINSON STDAYTONOH45402310536688501(C)(3)$7,020SUPPORT
DAYTON EARLY COLLEGE ACADEMY INC
300 COLLEGE PARK AVEDAYTONOH45469260463618501(C)(3)$6,630SUPPORT
MIAMI COUNTY YMCA
223 W HIGH STPIQUAOH45356310537179501(C)(3)$6,435SUPPORT
UNIVERSITY OF DAYTON
300 COLLEGE PARKDAYTONOH45469310536715501(C)(3)$6,357SUPPORT
HOSPICE OF DAYTON FOUNDATION
324 WILMINGTON AVEDAYTONOH45420311769696501(C)(3)$6,240SUPPORT
DAYBREAK
605 PATTERSON BLVDDAYTONOH45402310864474501(C)(3)$6,240SUPPORT
PROJECT HOPE INC
1510 N MAIN STDAYTONOH45405341421548501(C)(3)$5,850SUPPORT
VICTORIA THEATRE ASSOCIATION
138 N MAIN STDAYTONOH45402310897638501(C)(3)$5,720SUPPORT
SOUTHBROOK CHRISTIAN CHURCH - 9095
WASHINGTON CHRUCH RDMIAMISBURGOH45342311177033501(C)(3)$5,460SUPPORT
RONALD MCDONALD HOUSE
555 VALLEY STDAYTONOH45404310964793501(C)(3)$5,460SUPPORT
TROY FOUNDATION
216 W FRANKLIN STTROYOH45373316018703501(C)(3)$5,265SUPPORT
HEALTH POLICY INSTITUTE OF OHIO
10 W BROAD ST 1050COLUMBUSOH43215300186863GOVT$5,260SUPPORT
WITH GOD'S GRACE
622 SPRINGFIELD STDAYTONOH45403810896817501(C)(3)$5,180SUPPORT
CATHOLIC SOCIAL SERVICES OF THE MIAMI VALLEY
922 W RIVERVIEW AVEDAYTONOH45402310536645501(C)(3)$5,070SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org48Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2:FormAndLineReferenceDesc
Explanation1) 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)(1) PAGE 1, CITYWIDE DEVELOPMENT CORP: MIAMI VALLEY HOSPITAL CONTRIBUTES FUNDS TO SUPPORT REDEVELOPMENT OF THE GOOD SAMARITAN HOSPITAL AREA. SCHEDULE I, PART II, LINE 1(A)(10) PAGE 1, GEM CITY MARKETPLACE: MIAMI VALLEY HOSPITAL CONTRIBUTES FUNDS TO SUPPORT THE OPENING OF THE GEM CITY MARKETPLACE IN DOWNTOWN DAYTON (A FOOD DESERT). SCHEDULE I, PART II, LINE 1(A)(10) PAGE 3, DAYTON FIRST EVENTS INC: MIAMI VALLEY HOSPITAL CONTRIBUTES FUNDS TO SUPPORT THE WRIGHT PATTERSON AIR FORCE BASE APPRECIATION NIGHT AND CONCERT (HOMETOWN HEROES PROGRAM).ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (40 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
MICHAEL J MAIBERGER
FORMER OFFICER$0$564,689$0$520,375$0$1,207,754$0$1,031,331$0$30,730$0$3,354,879$0$831,140
MARY H BOOSALIS
TRUSTEE / PREMIER PRES & CEO$0$1,152,156$0$616,657$0$52,172$0$22,778$0$20,512$0$1,864,275$0$0
SCOTT A SHELTON
FORMER OFFICER$0$505,156$0$269,139$0$152,574$0$13,302$0$17,824$0$957,995$0$0
JENNIFER J HAULER DO
COO - MVH$519,043$0$372,959$0$1,783$0$52,997$0$2,779$0$949,561$0$0$0
ELOISE P BRONER
SYS VP-CHIEF SUPPORT SERVICES$454,049$0$229,601$0$194,477$0$25,936$0$4,088$0$908,151$0$0$0
MICHAEL R UHL
PRESIDENT & CEO$513,722$0$176,180$0$20,844$0$53,774$0$29,566$0$794,086$0$0$0
BARBARA A JOHNSON
TRUSTEE&PREMIER COO (FROM AUG)$0$476,627$0$149,539$0$39,802$0$27,000$0$11,127$0$704,095$0$0
GEOFFREY P WALKER
SYS VP - CHIEF LEGAL OFFICER$0$411,905$0$140,011$0$96,988$0$23,811$0$26,531$0$699,246$0$0
THOMAS R PARKER
FORMER KEY EMPLOYEE$0$399,599$0$168,998$0$50,576$0$66,901$0$12,860$0$698,934$0$0
DIANE L PLEIMAN
PRESIDENT & CEO-PHYS COMPANIES$415,889$0$178,508$0$52,684$0$21,465$0$7,653$0$676,199$0$0$0
MARC R BELCASTRO DO
VP MED AFFAIRS & PREMIER CMO$462,541$0$114,180$0$28,275$0$34,127$0$26,573$0$665,696$0$8,289$0
MARY M CLANCY
SYS VP - ONCOLOGY SERVICE LINE$414,771$0$132,309$0$72,084$0$23,386$0$12,427$0$654,977$0$0$0
GARY G GINTER
VP &PREMIER CHIEF INFO OFFICER$0$408,643$0$140,815$0$4,063$0$69,684$0$28,333$0$651,538$0$0
MELANIE M GLOVER MD
TRUSTEE (FROM MAY)$0$575,181$0$8,000$0$1,989$0$11,297$0$30,159$0$626,626$0$0
CRAIG SELF
FORMER KEY EMPLOYEE$0$0$0$148,256$0$375,613$0$74,192$0$20,665$0$618,726$0$300,262
RENEE P GEORGE
FORMER KEY EMPLOYEE$0$387,083$0$151,484$0$1,323$0$50,260$0$13,183$0$603,333$0$0
JEFFREY G POULOS MD
VP & CHIEF HOSPITAL OFFICER$457,091$0$90,287$0$2,041$0$22,805$0$26,340$0$598,564$0$0$0
MARGARET W MARK
VP NURSING SERVICE/PREMIER CNO$0$376,334$0$137,400$0$13,986$0$23,441$0$27,942$0$579,103$0$0
DALE E CREECH JR
FORMER KEY EMPLOYEE$0$0$0$82,482$0$427,995$0$17,945$0$11,552$0$539,974$0$151,924
JAMES M PACENTA MD
TRUSTEE$0$368,825$0$38,975$0$84,375$0$10,267$0$31,408$0$533,850$0$0
J MICHAEL SIMS
SYS VP-TREAS & CORP CONTROLLER$0$303,223$0$68,302$0$89,634$0$24,054$0$29,351$0$514,564$0$0
TERESA W ZRYD MD
VP-ACADEMIC AFFAIRS$324,797$0$140,791$0$19,013$0$8,964$0$11,202$0$504,767$0$0$0
THOMAS CURTIN
VP REVENUE CYCLE$0$318,812$0$80,976$0$7,671$0$26,866$0$33,348$0$467,673$0$0
JOANNE R RINGER
TRUSTEE AND COO MVHS$293,847$0$107,940$0$15,455$0$25,075$0$11,909$0$454,226$0$0$0
MARY E GARMAN
COO - MVHN$301,660$0$108,958$0$2,778$0$22,565$0$12,667$0$448,628$0$0$0
MARK W SHAW
FORMER KEY EMPLOYEE$0$0$0$30,246$0$387,960$0$16,713$0$5,855$0$440,774$0$38,000
KRISTINA M KEAN
BOARD TREASURER / VP FINANCE$253,871$0$100,096$0$2,218$0$23,450$0$10,477$0$390,112$0$0$0
MARK E WILLIAMS MD
FORMER OFFICER$0$323,251$0$17,541$0$1,449$0$12,108$0$28,195$0$382,544$0$0
JEFFERY A MORNEAULT
HOSP OPS-PERIOP SVCS (TO MAY)$66,144$0$67,179$0$131,576$0$47,862$0$28,990$0$341,751$0$0$0
ROBERT M BOWMAN
VP HOSPITAL OPERATIONS$238,868$0$75,566$0$15,399$0$22,152$0$27,153$0$379,138$0$0$0
CARA W POWERS
FORMER OFFICER$251,193$0$73,236$0$845$0$25,766$0$27,325$0$378,365$0$0$0
KIM K STRAHL
SYS VP & CPO$0$233,940$0$100,231$0$3,377$0$21,635$0$12,150$0$371,333$0$0
KIMBERLY A HENSLEY
VP HOSPITAL OPERATIONS$245,543$0$78,716$0$2,297$0$22,768$0$10,000$0$359,324$0$0$0
CHRISTOPHER J DANIS MD
BOARD CHAIR$0$281,220$0$10,000$0$3,841$0$10,282$0$31,972$0$337,315$0$0
BILLIE L LUCENTE-BAKER
SYS VP - HR OPS (FROM AUG)$0$215,099$0$35,605$0$1,495$0$20,083$0$14,063$0$286,345$0$0
JENNA M DOWNEY ESQ
BOARD SECRETARY$190,262$0$32,305$0$792$0$8,381$0$13,557$0$245,297$0$0$0
YONATHAN KEBEDE
VP HOSP OPS (FROM JUL)$86,174$86,889$0$30,729$364$8,272$6,318$1,484$10,618$8,489$103,474$135,863$0$0
ELAINE M DEAN
SYSTEM VP-BUSINESS DEVELOPMENT$0$178,094$0$0$0$724$0$2,692$0$5,452$0$186,962$0$0
MARK S SHAKER
FORMER OFFICER$0$0$0$0$165,359$0$20,022$0$0$0$185,381$0$0$0
ANDRE T HARRIS MD
TRUSTEE$0$149,245$0$0$0$713$0$0$0$14,088$0$164,046$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4A:FormAndLineReferenceDesc
ExplanationTHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: JEFFERY MORNEAULT $130,368 IN 2019 AND WILL RECEIVE $81,480 IN 2020; CRAIG SELF RECEIVED $381,414 IN 2019; MARK SHAKER RECEIVED $11,212 IN 2019. THE FOLLOWING INDIVIDUALS WERE SELECTED TO PARTICIPATE IN A VOLUNTARY RETIREMENT PROGRAM AND RECEIVED THE FOLLOWING PAYMENTS IN 2019: DALE CREECH JR $234,232; MICHAEL MAIBERGER RECEIVED $221,850; MARK SHAW $103,000. 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 2019. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2019: MARC BELCASTRO, D.O. $21,189; ROBERT BOWMAN $12,121; ELOISE BRONER $170,828; MARY CLANCY $67,599; DALE CREECH JR $196,960; BARBARA JOHNSON $25,958; MICHAEL MAIBERGER $18,567; MARGARET MARK $5,206; THOMAS PARKER $22,946; DIANE PLEIMAN $49,329; JOANN RINGER $11,115; MARK SHAKER $157,147; MARK SHAW $286,638; SCOTT SHELTON $144,480; J. MICHAEL SIMS $65,725; GEOFFREY WALKER $90,728. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2019: MICHAEL MAIBERGER $111,125. 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. $24,931; THOMAS CURTIN $7,888; MARY GARMAN $12,718; RENEE GEORGE $38,933; GARY GINTER $47,436; JENNIFER HAULER, M.D. $43,676; KIMBERLY HENSLEY $2,912; BARBARA JOHNSON $11,541; KRISTINA KEAN $3,008; MICHAEL MAIBERGER $83,348; MARGARET MARK $13,181; THOMAS PARKER $43,947; JEFFREY POULOS, M.D. $16,494; CARA POWERS $7,342; CRAIG SELF $65,158; MICHAEL UHL $43,890; MARK WILLIAMS, M.D. $875. 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.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF MONTGOMERY OH
A316000172613520LO62019-09-24$314,459,788SEE PART VI - NOTE Afalsefalsefalse
COUNTY OF MONTGOMERY OH
B316000172613549JL92011-04-12$106,431,124SEE PART VI - Note Bfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$314,459,788$3,034,299$0$0$2,774,994$0$0$12,000,000$296,650,495$02019Yes (true)falseYes (true)Yes (true)
B$5,135,000$0$106,431,124$0$0$0$1,203,000$0$0$105,228,124$0$02011falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)falsefalse00.008690.00869falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

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 GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BARCLAYS WFB & PNC
AfalseYes (true)falsefalseYes (true)Yes (true)26.5Yes (true)falsefalse0falseYes (true)
BarclaysWells Fargo
BfalsefalsefalseYes (true)falseYes (true)17.Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 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 A, PART I, LINE A, 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.
NOTE B, PART 1, LINE B, COLUMN F:PROVIDE FUNDS TO CONSTRUCT THE SOUTHEAST TOWER ON THE HOSPITAL'S CAMPUS.
PART IV, ARBITRAGE, LINE 2C:COMPUTATION DATE WAS APRIL 12, 2016 FOR THE 2011A.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MARC R BELCASTRO II
CHILD OF OFFICER MARC R. BELCASTRO, D.O$54,050EMPLOYMENTfalse
ANGELA BOWMAN
SPOUSE OF KEY EMPLOYEE ROBERT BOWMAN$74,940EMPLOYMENTfalse
JULIA PARKER
SPOUSE OF FORMER KEY EMPLOYEE THOMAS PARKER$184,114EMPLOYMENTfalse
ANDRE T HARRIS MD
TRUSTEE$158,707HORIZONS WOMEN'S HEALTHCAREfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L - PART IV:FormAndLineReferenceDesc
ExplanationMIAMI VALLEY HOSPITAL CONTRACTS WITH HORIZONS WOMEN'S HEALTHCARE FOR OBGYN SERVICES. ANDRE T. HARRIS, M.D. IS A 51% OWNER. IN ADDITION, ANDRE T. HARRIS, M.D. IS A TRUSTEE OF MIAMI VALLEY HOSPITAL. THE AMOUNTS PAID UNDER THIS CONTRACT ARE COMPETITIVE AND THE TRANSACTION IS AT ARMS-LENGTH. THE TOTAL AMOUNT PAID IN 2019 WAS $158,707.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART VI, SECTION A, LINE 3:FormAndLineReferenceDesc
ExplanationPREMIER HEALTH (PREMIER), AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN MVH'S ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 6: MIAMI VALLEY HOSPITAL HAS ONE CORPORATE MEMBER: PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINES 7A & 7B: PREMIER HEALTH (PREMIER) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH). PREMIER HAS THE AUTHORITY TO REMOVE SUCH TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT. FORM 990, PART VI, SECTION B, LINE 11B: THIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S. LLP FOR THEIR REVIEW. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS SENT TO ERNST & YOUNG U.S. LLP FOR A FINAL REVIEW AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, LINE 12C: PREMIER 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, LINES 15A AND 15B: COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), WITH WHICH MVH IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH-PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL 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 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 IS COMPRISED OF THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CHIEF INTEGRATION OFFICER, CHIEF STRATEGY OFFICER, AND THE HOSPITAL CEOS. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19: THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER (298,729,418) PENSION FASB 158 ADJUSTMENT (10,612,117) FOUNDATION ADJUSTMENT (620,174) SWAP AMORTIZATION (138,920) CAPTIVE INSURANCE ADJUSTMENT 1,346,836 TRANSFERS FROM AFFILIATES 1,841,335 TOTAL (306,912,458)ExplanationTxt

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 Line1MVHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PREMIER HEALTH PARTNERS (PREMIER)
110 N MAIN ST 500DAYTONOH45402311446699PARENTOH501(C)(3)12BNAfalse
MEDAMERICA HEALTH SYSTEMS CORP (MAHS)
110 N MAIN ST 500DAYTONOH45402311040228SUPPORT ORGOH501(C)(3)12BNAfalse
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500DAYTONOH45402311040231FoundationOH501(C)(3)7PREMIERfalse
PREMIER COMMUNITY HEALTH
110 N MAIN ST 500DAYTONOH45402311122883Health EducatOH501(C)(3)10FHCfalse
FIDELITY HEALTH CARE (FHC)
110 N MAIN ST 500DAYTONOH45402311075381HOME HEALTHOH501(C)(3)10PREMIERfalse
SAMARITAN HEALTH PARTNERS (SHP)
110 N MAIN ST 500DAYTONOH45402311107411SUPPORT ORGOH501(C)(3)12BPREMIERfalse
GOOD SAMARITAN FOUNDATION - DAYTON
110 N MAIN ST 500DAYTONOH45402237296923FOUNDATIONOH501(C)(3)7PREMIERfalse
HEART INSTITUTE OF DAYTON
110 N MAIN ST 500DAYTONOH45402300502367EDUCATIONOH501(C)(3)10PREMIERfalse
SAMARITAN BEHAVIORAL HEALTH INC
110 N MAIN ST 500DAYTONOH45402020633634BEHAVIORAL HEOH501(C)(3)7PREMIERfalse
ATRIUM HEALTH SYSTEM (AHS)
110 N MAIN ST 500DAYTONOH45402310537492SUPPORT ORGOH501(C)(3)12BNAfalse
ATRIUM MEDICAL CENTER
110 N MAIN ST 500DAYTONOH45402311079309HOSPITALOH501(C)(3)3PREMIERfalse
UVMC
110 N MAIN ST 500DAYTONOH45402341850683SUPPORT ORGOH501(C)(3)12BNAfalse
UPPER VALLEY MEDICAL CENTER
110 N MAIN ST 500DAYTONOH45402310537095HOSPITALOH501(C)(3)3PREMIERfalse
UPPER VALLEY PROFESSIONAL CORP (UVPC)
110 N MAIN ST 500DAYTONOH45402311400963HEALTH CAREOH501(C)(3)10PREMIERfalse
UVPC SPECIALISTS INC
110 N MAIN ST 500DAYTONOH45402203687536HEALTH CAREOH501(C)(3)10UVPCfalse
UVMC NURSING CARE INC
110 N MAIN ST 500DAYTONOH45402311224064NURSING HOMEOH501(C)(3)10PREMIERfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Premier Plaza LLC
110 N MAIN ST 500DaytonOH45402800708185HOLDING COMPANYOHMAHSEXCLUDED$61,780$0false$0false0.01000
COMPUNET CLINICAL LABORATORIES LLC
2308 SANDRIDGE DRMORAINEOH45439321258010MEDICAL LABSOHMVHE INCRELATED$0$0false$0false0.00000
SWEITZER STREET LLC
110 N MAIN ST 500DAYTONOH45402454700417REAL ESTATEOHMVHE INCEXCLUDED$0$0false$0false0.00000
SWEITZER MOB LLC
110 N MAIN ST 500DAYTONOH45402474554657REAL ESTATEOHMVHE INCEXCLUDED$0$0false$0false0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
MVHE INC
110 N MAIN ST 400DAYTONOH45402311185270PHYSICIAN SVCOHPREMIER HOLDINGC CORP$0$00.00000false
PREMIER HEALTH SPECIALISTS
110 N MAIN ST 400DAYTONOH45402061744704PHYSICIAN SVCOHPREMIER HOLDINGC CORP$0$00.00000false
SAMARITAN FAMILY CARE
110 N MAIN ST 400DAYTONOH45402311299450PHYSICIAN SVCOHPREMIER HOLDINGC CORP$0$00.00000false
AFTER HOURS FAMILY CARE
110 N MAIN ST 500DAYTONOH45402311269483HEALTH CAREOHUVPCC CORP$0$00.00000false
UVMC MANAGEMENT CORP
110 N MAIN ST 500DAYTONOH45402311360489MANAGEMENT COOHPREMIERC CORP$0$00.00000false
PREMIER HEALTH URGENT CARE INC
110 N MAIN ST 900DAYTONOH45402822079409URGENT CAREOHPREMIER HOLDINGC CORP$0$00.00000false
PREMIER HEALTH PLAN INC
110 N MAIN ST 500DAYTONOH45402463024049HEALTH INSURANCEOHPHICC CORP$0$00.00000false
PREMIER HEALTH ACO OF OHIO
110 N MAIN ST 500DAYTONOH45402474049773MEDICARE ACOOHPREMIERC CORP$0$00.00000false
PREMIER HEALTH HOLDING CO
110 N MAIN ST 400DAYTONOH45402812419110HOLDING COMPANYOHPREMIERC CORP$0$00.00000false
PREMIER HEALTH INSURING CO (PHIC)
110 N MAIN ST 500DAYTONOH45402464766841HEALTH INSURANCEOHPREMIERC CORP$0$00.00000false
GOOD SAMARITAN HOSPITAL
110 N MAIN ST 500DAYTONOH45402310536981HOSPITALOHPREMIERC CORP$0$00.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd