MIAMI VALLEY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201923199349306637
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T10:36:10-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	221 E 4TH STREET SUITE 2900	AddressLine1Txt
City	Cincinnati	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537504	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Miami Valley Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% J MICHAEL SIMS	InCareOfNm
Business Name Control	MIAM	BusinessNameControlTxt
Phone	9374999942	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRISTINA M KEAN	PersonNm
Person Title	VP FINANCE	PersonTitleTxt
Phone	9374999942	PhoneNum
Signature	2019-11-01	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIE L SPARKS	PreparerPersonNm
PTIN	P01268401	PTIN
Phone	5136121400	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	98.28.167.80	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	31499120193195000023	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	770194AAF055F9EA87E64CA02E08FE540289067F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	782CAF09264000AF22DC249B7F4A69C9FFDA5B6A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL R UHL	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,349,463,701	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PREMIERHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1890	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	WE 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 Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	9332	TotalEmployeeCnt
Total Volunteers	1065	TotalVolunteersCnt
Total Gross UBI	-$208,679	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$542,648	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$619,334	PYContributionsGrantsAmt
CY Contributions Grants	$803,051	CYContributionsGrantsAmt
PY Program Service Revenue	$771,021,646	PYProgramServiceRevenueAmt
CY Program Service Revenue	$932,034,525	CYProgramServiceRevenueAmt
PY Investment Income	$38,452,763	PYInvestmentIncomeAmt
CY Investment Income	$20,840,493	CYInvestmentIncomeAmt
PY Other Revenue	$9,451,694	PYOtherRevenueAmt
CY Other Revenue	$13,143,320	CYOtherRevenueAmt
PY Total Revenue	$819,545,437	PYTotalRevenueAmt
CY Total Revenue	$966,821,389	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,783,178	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,551,998	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$362,285,623	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$420,378,003	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$487,850,672	PYOtherExpensesAmt
CY Other Expenses	$496,656,100	CYOtherExpensesAmt
PY Total Expenses	$854,919,473	PYTotalExpensesAmt
CY Total Expenses	$924,586,101	CYTotalExpensesAmt
PY Revenues Less Expenses	-$35,374,036	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$42,235,288	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,504,811,784	TotalAssetsBOYAmt
Total Assets EOY	$1,551,078,537	TotalAssetsEOYAmt
Total Liabilities BOY	$880,694,853	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$876,974,777	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$624,116,931	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$674,103,760	NetAssetsOrFundBalancesEOYAmt
Mission	WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$843,666,915	ExpenseAmt
Grant	$7,551,998	GrantAmt
Revenue	$932,034,525	RevenueAmt
Desc	THE PRIMARY EXEMPT PURPOSE OF MIAMI VALLEY HOSPITAL IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF MONTGOMERY AND THE SURROUNDING COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION.	Desc
Total Program Service Expenses	$843,666,915	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	310	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9332	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	1	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	J MICHAEL SIMS	PersonNm
Phone	9374999942	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER J DANIS MD
BOARD CHAIR	0.5	39.5	Yes (X)	Yes (X)	$0	$285,706	$41,365
MICHAEL J MAIBERGER
TRUSTEE /PREMIER COO, MVH PRES	19.5	20.5	Yes (X)	Yes (X)	$0	$1,208,794	$48,670
MARY M CLANCY
COO MVH	40.0	0.0	Yes (X)	Yes (X)	$591,504	$0	$35,680
JOANN R RINGER
COO MVHS	40.0	0.0	Yes (X)	Yes (X)	$398,004	$0	$37,252
MARY H BOOSALIS
PREMIER PRESIDENT	0.5	39.5	Yes (X)		$0	$1,877,611	$40,298
KEITH BRICKING MD
TRUSTEE & MED STAFF PRESIDENT	0.5	0.5	Yes (X)		$75,000	$0	$0
A PETER EKEH MD
TRUSTEE	0.5	0.0	Yes (X)		$1,500	$0	$0
ANDRE T HARRIS MD
TRUSTEE	0.5	0.0	Yes (X)		$0	$0	$0
JAMES M PACENTA MD
TRUSTEE	0.5	39.5	Yes (X)		$0	$697,896	$41,687
MARC R BELCASTRO DO
CHIEF MEDICAL OFFICER	40.0	0.0		Yes (X)	$608,201	$0	$49,620
KRISTINA M KEAN
BOARD TREAS/VP FIN (FROM MAR)	40.0	0.0		Yes (X)	$155,907	$155,553	$27,995
CARA W POWERS
BOARD SECRETARY	39.5	0.5		Yes (X)	$325,335	$0	$46,902
SCOTT A SHELTON
BOARD TREASURER / CFO (TO MAR)	7.5	32.5		Yes (X)	$0	$527,994	$21,072
ROBERT M BOWMAN
VP HOSPITAL OPERATIONS-MVH	40.0	0.0			$316,557	$0	$47,662	Yes (X)
DALE E CREECH JR
SYS VP-CHF LGL OFFICER-TO JUL	7.5	32.5			$0	$712,176	$198,521	Yes (X)
THOMAS R CURTIN
VP REVENUE CYCLE	7.5	32.5			$0	$334,595	$54,623	Yes (X)
MARY E GARMAN
COO MVHN (FROM JUL)	40.0	0.0			$0	$383,462	$10,779	Yes (X)
GARY G GINTER
VP &PREMIER CHIEF INFO OFFICER	8.0	32.0			$0	$554,305	$50,289	Yes (X)
JENNIFER J HAULER MD
VP MEDICAL AFFAIRS&PREMIER CMO	8.0	32.0			$0	$648,598	$16,249	Yes (X)
KIMBERLY A HENSLEY
VP HOSPITAL OPERATIONS - MVH	40.0	0.0			$306,901	$0	$30,601	Yes (X)
BARBARA A JOHNSON
SYS VP - HR OPERATIONS	8.0	32.0			$0	$575,983	$25,035	Yes (X)
RENEE M JOHNSON
SYS VP-MANAGED CARE (FROM APR)	8.0	32.0			$0	$185,662	$20,889	Yes (X)
MARGARET W MARK
VP NURSING SERVICE/PREMIER CNO	8.0	32.0			$0	$588,511	$32,768	Yes (X)
JEFFERY A MORNEAULT
VP HOSP OPS-PERIOP SVCS-MVH	40.0	0.0			$142,552	$71,857	$34,999	Yes (X)
CRAIG SELF
CHF STRATEGY OFFICER (TO NOV)	8.0	32.0			$0	$787,777	$360,014	Yes (X)
MARK W SHAW
SYS VP - MANAGED CARE (TO APR)	8.0	32.0			$0	$683,676	$83,843	Yes (X)
J MICHAEL SIMS
SYS VP-TREAS & CORP CONTROLLER	7.5	32.5			$0	$401,849	$53,110	Yes (X)
KIM K STRAHL
SYS VP & CPO (FROM JUL)	8.0	32.0			$0	$268,169	$34,030	Yes (X)
GEOFFREY P WALKER
SYS VP-CHF LGL OFFICER-FRM JUL	7.5	32.5			$0	$426,301	$48,447	Yes (X)
ELOISE P BRONER
SYS VP-CHF SUPPORT SVC-FRM JUL	38.5	1.5			$227,114	$616,049	$28,702		Yes (X)
ROBERT T MORRISON MD
ASSOCIATE CHF MED OFFICER-MVH	40.0	0.0			$710,715	$0	$23,156		Yes (X)
CHRISTOPHER J BUTLER
SYS VP-CHIEF CONSUMER OFFICER	40.0	0.0			$710,204	$0	$320,865		Yes (X)
JEFFREY G POULOS MD
VP & CHIEF HOSPITALIST OFFICER	40.0	0.0			$524,125	$0	$41,402		Yes (X)
TAMMY S LUNDSTROM MD
CHIEF CLINICAL OFFICER	40.0	0.0			$445,094	$0	$10,973		Yes (X)
MARK S SHAKER
FORMER OFFICER	0.0	0.0			$814,710	$0	$25,970			Yes (X)
MARK E WILLIAMS MD
FORMER OFFICER	0.0	40.0			$0	$302,669	$33,316			Yes (X)
RENEE P GEORGE
FORMER KEY EMPLOYEE	0.0	40.0			$0	$571,367	$37,650			Yes (X)
THOMAS R PARKER
FORMER KEY EMPLOYEE	0.0	40.0			$0	$600,098	$43,008			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,353,423	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,466,658	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,057,442	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	462	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DANIS BUILDING CONSTRUCTION CO
3233 NEWMARK DR	MIAMISBURG	OH	45342	CONSTRUCTION	$41,310,710
SKANSKA USA
1633 LITTLETON RD	PARSIPPANY	NJ	07054	CONSTRUCTION	$22,961,409
EVOLENT HEALTH LLC
800 N GLEBE RD 500	ARLINGTON	VA	22203	CONSULTANTS	$18,943,009
DAWSON HEALTHCARE
1114 DUBLIN RD	COLUMBUS	OH	43215	MEDICAL SERVICES	$17,781,787
ANESTHESIOLOGY SERVICES
1 WYOMING ST	DAYTON	OH	45409	MEDICAL SERVICES	$15,559,029

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	124	CntrctRcvdGreaterThan100KCnt
Related Organizations	$803,051	RelatedOrganizationsAmt
Total Contributions	$803,051	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	900099	$556,953,498	$556,953,498
MEDICARE/MEDICAID	900099	$353,752,484	$353,752,484
HOSPITAL FRANCHISE TAX RECOVERIES	900099	$21,083,523	$21,083,523
MEDICAL RECORDS	900099	$110,949	$110,949
HEALTH EDUCATION	900099	$32,363	$32,363

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,708	TotalRevenueColumnAmt
Related Or Exempt Func Income	$101,708	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$932,034,525	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,082,771	TotalRevenueColumnAmt
Exclusion	$11,082,771	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,375,126	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$9,885,094	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$490,032	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$490,032	TotalRevenueColumnAmt
Exclusion	$490,032	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$381,023,907	SecuritiesAmt
Other	$389,236	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$371,413,166	SecuritiesAmt
Other	$242,255	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,610,741	SecuritiesAmt
Other	$146,981	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,757,722	TotalRevenueColumnAmt
Exclusion	$9,757,722	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,254,039	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,101,797	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$152,242	TotalRevenueColumnAmt
Exclusion	$152,242	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	812930	$5,674,634	$5,674,634
GAIN ON INTEREST SWAP ADJ	900099	$5,279,607	$5,279,607
PARKING GARAGE	900099	$897,670	$897,670

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$649,135	TotalRevenueColumnAmt
Unrelated Business Revenue	-$208,679	UnrelatedBusinessRevenueAmt
Exclusion	$857,814	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,501,046	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$966,821,389	TotalRevenueColumnAmt
Related Or Exempt Func Income	$932,034,525	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$208,679	UnrelatedBusinessRevenueAmt
Exclusion	$34,192,492	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,551,998	TotalAmt
Program Services	$7,551,998	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,210,144	TotalAmt
Program Services	$2,663,918	ProgramServicesAmt
Management And General	$546,226	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$320,868	TotalAmt
Program Services	$320,868	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$339,176,425	TotalAmt
Program Services	$300,660,340	ProgramServicesAmt
Management And General	$38,516,085	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,434,019	TotalAmt
Program Services	$11,902,789	ProgramServicesAmt
Management And General	$1,531,230	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,716,341	TotalAmt
Program Services	$35,041,643	ProgramServicesAmt
Management And General	$4,674,698	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,520,206	TotalAmt
Program Services	$21,710,422	ProgramServicesAmt
Management And General	$2,809,784	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$113,700	TotalAmt
Program Services	$68,492	ProgramServicesAmt
Management And General	$45,208	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$967,814	TotalAmt
Management And General	$967,814	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$546,780	TotalAmt
Management And General	$546,780	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$70,073	TotalAmt
Program Services	$70,073	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,325,473	TotalAmt
Management And General	$1,325,473	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$81,459,374	TotalAmt
Program Services	$74,903,853	ProgramServicesAmt
Management And General	$6,555,521	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,629,223	TotalAmt
Program Services	$7,629,223	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,863,458	TotalAmt
Program Services	$3,047,452	ProgramServicesAmt
Management And General	$1,816,006	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,244,930	TotalAmt
Program Services	$20,595,438	ProgramServicesAmt
Management And General	$2,649,492	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,151,013	TotalAmt
Program Services	$9,918,223	ProgramServicesAmt
Management And General	$3,232,790	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$650,963	TotalAmt
Program Services	$416,577	ProgramServicesAmt
Management And General	$234,386	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,878	TotalAmt
Program Services	$3,247	ProgramServicesAmt
Management And General	$3,631	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,747,782	TotalAmt
Program Services	$19,747,782	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$69,426,246	TotalAmt
Program Services	$69,426,246	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$956,833	TotalAmt
Program Services	$442,369	ProgramServicesAmt
Management And General	$514,464	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OPERATING SUPPLIES	$166,671,215	$166,671,215
PURCHASED SERVICES	$73,511,979	$60,922,443	$12,589,536
HOSPITAL FRANCHISE TAX	$14,440,575	$14,440,575
REPAIRS & MAINTENANCE	$5,243,800	$5,227,925	$15,875

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,627,991	TotalAmt
Program Services	$10,283,804	ProgramServicesAmt
Management And General	$2,344,187	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$924,586,101	TotalAmt
Program Services	$843,666,915	ProgramServicesAmt
Management And General	$80,919,186	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$29,855	BOYAmt
EOY	$40,405	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$21,441,071	BOYAmt
EOY	$57,193,227	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$131,700,559	BOYAmt
EOY	$162,017,035	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,481,183	BOYAmt
EOY	$8,132,309	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,295,877	BOYAmt
EOY	$9,572,134	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,752,393	BOYAmt
EOY	$9,413,145	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,647,840,321	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$933,125,547	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$529,674,607	BOYAmt
EOY	$714,714,774	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$563,776,343	BOYAmt
EOY	$378,643,705	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$200,336,431	BOYAmt
EOY	$174,903,757	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,958,790	BOYAmt
EOY	$6,335,203	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$35,364,675	BOYAmt
EOY	$30,112,843	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,504,811,784	BOYAmt
EOY	$1,551,078,537	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,836,722	BOYAmt
EOY	$103,724,183	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,267,657	BOYAmt
EOY	$2,042,837	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$979,000	BOYAmt
EOY	$2,624,130	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$643,608,529	BOYAmt
EOY	$637,509,779	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,246,799	BOYAmt
EOY	$5,796,317	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$165,756,146	BOYAmt
EOY	$125,277,531	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$880,694,853	BOYAmt
EOY	$876,974,777	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$624,116,931	BOYAmt
EOY	$674,103,760	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$624,116,931	BOYAmt
EOY	$674,103,760	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,504,811,784	BOYAmt
EOY	$1,551,078,537	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$42,235,288	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$41,037,372	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$48,788,913	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$56,303	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$13,770	OtherActivitiesAmt
Total Lobbying Expenditures	$70,073	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1F:	FormAndLineReferenceDesc
Explanation	PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION, DAYTON DEVELOPMENT COALITION, AMERICAN HOSPITAL ASSOCIATION, AND OHIO HOSPITAL ASSOCIATION PART II-B, LINE 1I: THE HOSPITAL CONTRACTS WITH A LOBBYIST FOR HEALTHCARE RELATED ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,956,695	OtherCostOrOtherBasisAmt
Book Value	$47,956,695	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$879,529,047	OtherCostOrOtherBasisAmt
Depreciation	$520,872,853	DepreciationAmt
Book Value	$358,656,194	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,018,177	OtherCostOrOtherBasisAmt
Depreciation	$5,773,660	DepreciationAmt
Book Value	$4,244,517	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$523,044,030	OtherCostOrOtherBasisAmt
Depreciation	$406,479,034	DepreciationAmt
Book Value	$116,564,996	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$187,292,372	OtherCostOrOtherBasisAmt
Book Value	$187,292,372	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$714,714,774	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$174,903,757	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$174,903,757	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PENSION OBLIGATION	$59,043,356
MALPRACTICE INSURANCE	$22,004,236
SWAP LIABILITY	$16,571,979
LEASE COMMITMENT	$7,307,956
LOAN GUARANTEE & OTHER LTL	$6,936,964
CONSTRUCTION RETAINAGE	$4,205,094
EST PAY TO 3RD PARTY	$3,021,446
OTHER	$6,186,500

Field	Value	IRS element (for citing)
Total Liability	$125,277,531	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FOLLOWING FOOTNOTE IS FROM THE 2018 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 nonprofit 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. The Tax Cuts and Jobs Act (the Act) was enacted on December 22, 2017. For tax-exempt entities, the Act requires organizations to categorize certain fringe benefit expenses as a source of unrelated business income, pay an excise tax on remuneration above certain thresholds that is paid to executives by the organization, and report income or loss from unrelated business activities on an activity-by-activity basis, among other provisions. Certain regulatory guidance provides for a measurement period of up to one year, during which the accounting for the tax effects of the Act may be completed. PHP may record further adjustments in future periods upon obtaining, preparing, or analyzing additional information about facts and circumstances that existed as of the date of enactment. PHP will continue to revise and refine the calculations as additional IRS guidance is issued; however, PHP does not anticipate any material impact to the consolidated financial statements. 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)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	Investments	$53,255,000
Central America and the Caribbean	Program Services	$27,000	INSURANCE

Field	Value	IRS element (for citing)
Subtotal Spent	$53,282,000	SubtotalSpentAmt
Total Spent	$53,282,000	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,784,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,582,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,202,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01860	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$230,077,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$150,779,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,298,000	NetCommunityBenefitExpnsAmt
Total Expense	0.08570	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,758,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,181,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,577,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$271,619,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$170,542,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$101,077,000	NetCommunityBenefitExpnsAmt
Total Expense	0.10920	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,636,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$464,181	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,172,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,722,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,425,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,297,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,950,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,950,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02590	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,368,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,368,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,676,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,889,181	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,787,000	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$335,295,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$196,431,704	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,864,000	NetCommunityBenefitExpnsAmt
Total Expense	0.15000	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$637,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$637,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$670,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$670,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$21,394,807	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$163,686,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$183,840,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,154,000	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
A
12	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	17	Yes (true)	SEE PART V, SECTION C	false	Yes (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 C	Yes (X)	SEE PART V, SEC C	Yes (X)	SEE PART V, SEC C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
3	Yes (true)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	17	Yes (true)	SEE PART V, SECTION C	false	Yes (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 C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, SECTION A, LINE 1:	FormAndLineReferenceDesc
Explanation	THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. MIAMI VALLEY HOSPITAL'S REGISTRATION NUMBER IS 1247. MIAMI VALLEY HOSPITAL SOUTH'S REGISTRATION NUMBER IS 1489. MIAMI VALLEY HOSPITAL NORTHS 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 HOSPITALS 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 106 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. Primary data collection involved interviews of public health officials; online and paper surveys; and community focus groups. There were four distinct stakeholder groups with separate analysis for comparison: 1) consumers and organizations which attended focus group meetings, 2) individuals surveyed, 3) organizations surveyed, and 4) health departments. All respondents answered questions about serious health issues, issues handled well, issues not addressed enough, and barriers to care. PARTNERING IN THE DATA REVIEW PROCESS AND IN THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES WERE THE BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP OF MIAMI VALLEY HOSPITAL, THE HEALTH COLLABORATIVE IN CINCINNATI, OHIO, DAYTON-MONTGOMERY COUNTY PUBLIC HEALTH DEPARTMENT, GREENE COUNTY COMBINED HEALTH DISTRICT, MIAMI COUNTY PUBLIC HEALTH, SHELBY COUNTY HEALTH DEPARTMENT, WARREN COUNTY COMBINED HEALTH DISTRICT, AND THE GREATER DAYTON AREA HOSPITAL ASSOCIATION WITH ITS MEMBER HOSPITALS. THE PARTICIPATING HOSPITALS INVITED A BROAD RANGE OF NONPROFIT AGENCIES AND ORGANIZATIONS, WHICH ASSIST THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, TO ATTEND COMMUNITY MEETINGS AND COMPLETE SURVEYS. PART V, SECTION B, LINES 6A & 6B: MIAMI VALLEY HOSPITAL PARTNERED WITH MEMBER HOSPITALS OF THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, THE HEALTH COLLABORATIVE IN CINCINNATI, OHIO, DAYTON-MONTGOMERY COUNTY PUBLIC HEALTH DEPARTMENT, GREENE COUNTY COMBINED HEALTH DISTRICT, MIAMI COUNTY PUBLIC HEALTH, SHELBY COUNTY HEALTH DEPARTMENT, WARREN COUNTY COMBINED HEALTH DISTRICT, THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, XAVIER UNIVERSITY AND AN INDEPENDENT CONSULTANT TO PREPARE THE COMMUNITY HEALTH NEEDS ASSESSMENT. PART V, SECTION B, LINES 7A & 10A: THE DIRECT WEBSITE ADDRESS WHERE THE 2016 CHNA AND THE 2017 COMMUNITY HEALTH IMPLEMENTATION PLAN CAN BE ACCESSED IS: https://www.premierhealth.com/about-premier/community-involvement/communit y-health-improvement PART V, SECTION B, LINE 11: MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL SOUTH, AND MIAMI VALLEY HOSPITAL NORTH (COLLECTIVELY MVH), AS MEMBERS OF THE PREMIER HEALTH SYSTEM, WERE PART OF A COLLABORATION IN 2016 WITH MEMBER HOSPITALS OF THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, THE HEALTH COLLABORATIVE IN CINCINNATI, OHIO, DAYTON-MONTGOMERY COUNTY PUBLIC HEALTH DEPARTMENT, GREENE COUNTY COMBINED HEALTH DISTRICT, MIAMI COUNTY PUBLIC HEALTH, SHELBY COUNTY HEALTH DEPARTMENT, WARREN COUNTY COMBINED HEALTH DISTRICT, THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, XAVIER UNIVERSITY AND AN INDEPENDENT CONSULTANT TO PREPARE THE COMMUNITY HEALTH NEEDS ASSESSMENT. BASED ON THE RESULTS OF THIS ASSESSMENT, MVH HAS ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE FOLLOWING PRIORITIZED NEEDS: * BIRTH OUTCOMES * BEHAVIORAL HEALTH/SUBSTANCE ABUSE * CHRONIC DISEASES HEALTH ISSUE: BIRTH OUTCOMES -------------- MVH WILL WORK TOWARD ITS GOAL TO REDUCE INFANT MORTALITY THROUGH THEIR HELP ME GROW AND BRIGHTER FUTURES PROGRAMS WHICH PROVIDE HOME VISITS DURING CRITICAL CHILD DEVELOPMENT YEARS, FROM BIRTH TO AGE 3. THE PROGRAMS INCLUDE EDUCATION ABOUT SAFE SLEEP, ENCOURAGEMENT FOR MOTHERS TO BREASTFEED, AND SCREENINGS FOR DEPRESSION FOR ENROLLED MOTHERS. IN ADDITION, MVH WILL SUPPORT THE FIVE RIVERS HEALTH CENTER'S "CENTERINGPREGNANCY" PROGRAM. MVH WILL DEVELOP AND IMPLEMENT A PROCESS TO SCREEN FOR HUNGER AS PART OF THE HOME VISITS. RESULTS OF THE HUNGER SCREENINGS WILL DETERMINE THE FUTURE FOOD PROGRAMMING AND/OR RESOURCES. FURTHER ASSISTANCE WILL BE PROVIDED THROUGH PARTNERSHIPS WITH GREATER DAYTON AREA HOSPITAL ASSOCIATION, KETTERING HEALTH NETWORK, LIFE STAGES CENTERING, FIVE RIVERS HEALTH CENTER, SOUTHVIEW WOMEN'S CENTER, CASSANO'S FOUNDATION, PHYSICIAN OFFICES, AND A VARIETY OF COMMUNITY PROGRAMS, SUCH AS THE WESLEY CENTER, ELIZABETH NEW LIFE CENTER, MIAMI VALLEY CHILD DEVELOPMENT CENTER, PROMISE TO HOPE, AND FAMILY SERVICE AGENCY. TO REDUCE INFANT MORTALITY BY SUPPORTING SAFE SLEEP AND ENSURING FOOD SECURITY, MVH WILL OFFER EDUCATION AND RESOURCES THROUGH THE SAFE BEGINNING INITIATIVE. ONCE THE BABY IS BORN, NEW MOTHERS WILL BE ASSESSED FOR FOLLOW-UP HOME VISITS WHICH INCLUDE ADDRESSING DETERMINANTS OF POOR INFANT OUTCOMES. THE HOSPITAL WILL OFFER A 'PACK-N-PLAY' TO MOTHERS WHO CANNOT AFFORD ONE. IN ADDITION, MOTHERS WILL ALSO BE ENCOURAGED TO BREASTFEED AND TO SIGN UP FOR ANY FOOD BENEFITS FOR WHICH THEY ARE ELIGIBLE, SUCH AS THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN INFANT CHILDREN (WIC) PROGRAMS. SLEEP-RELATED DEATHS ARE THE LEADING CAUSE OF DEATH FOR INFANTS FROM ONE MONTH TO ONE YEAR OF AGE AND ACCOUNT FOR 15 PERCENT OF INFANT DEATHS, MORE THAN ANY OTHER CAUSE OF DEATH EXCEPT PREMATURE BIRTH. SEVENTY-ONE PERCENT OF THESE DEATHS OCCUR WHEN A BABY IS SLEEPING SOMEWHERE OTHER THAN A CRIB OR BASSINET; 45 PERCENT OCCURRED IN ADULT BEDS. ORGANIZATIONS ASSISTING WITH THIS PROGRAM INCLUDE FIDELITY HEALTH CARE, MIAMI VALLEY HOSPITAL FOUNDATION, SNAP, AND WIC. HEALTH ISSUE: BIRTH OUTCOMES AND SUBSTANCE ABUSE ---------------------------------- IMPROVEMENT OF HEALTH OUTCOMES FOR NEWBORNS EXPOSED TO OPIATE DRUGS DURING THE FETAL PERIOD WILL BE ADDRESSED BY MVH THROUGH THE PROMISE TO HOPE PROGRAM. THE COMPREHENSIVE PROGRAM PROVIDES MEDICATION-ASSISTED TREATMENT FOR MOTHERS AND WITHDRAWAL TREATMENT FOR INFANTS. THE PROGRAM ASSISTS MOTHERS FROM THE INITIAL IDENTIFICATION OF OPIATE ADDICTION TO SEVERAL MONTHS POST-PARTUM - WITH A GOAL OF KEEPING MOTHER AND CHILD TOGETHER IN A STABLE HOME ENVIRONMENT. FRONT-LINE STAFF WILL ALSO RECEIVE CEU TRAINING IN ADDICTION AS A DISEASE TO ENSURE COMPASSIONATE CARE. PARTNERSHIPS WITH ADAMHS BOARD OF MONTGOMERY COUNTY, FIVE RIVERS HEALTH CENTERS, NOVA BEHAVIORAL HEALTH, SAMARITAN BEHAVIORAL HEALTH, INC., AND THE WOMEN'S RECOVERY CENTER IN XENIA PROVIDE ADDITIONAL SUPPORT AND PROGRAMMING. MVH'S NATIONALLY-RECOGNIZED LEVEL IIIB NEONATAL INTENSIVE CARE UNIT PROVIDES COMPREHENSIVE CARE FOR CRITICALLY ILL NEWBORNS. MVH HAS HIGHLY SPECIALIZED EQUIPMENT AND THE EXPERIENCED NEONATAL PHYSICIANS, NURSES, AND RELATED STAFF TO PROVIDE CARE FOR THE LITTLEST VICTIMS OF OPIATE ABUSE. KEY COMPONENTS ARE CARE COORDINATION AND CASE MANAGEMENT TO HELP PARTICIPANTS NAVIGATE THE DRUG ADDICTION SERVICES FOR WHICH THEY ARE ELIGIBLE AND TO HELP THEM OVERCOME BARRIERS TO ATTENDING GROUP MEETINGS AND PARENTING CLASSES. THE PATIENTS ALSO HAVE A SUPPORT GROUP. THE PROGRAM ADDRESSES THE BEHAVIORAL AND MEDICAL HEALTH NEEDS OF THE PATIENT, AS WELL AS THE SOCIAL DETERMINANTS OF HEALTH. IN ADDITION TO PROVIDING PRE- AND POST-NATAL CARE FOR MOMS AND BABIES, FOUR MVH PHYSICIANS HAVE BECOME CERTIFIED TO PRESCRIBE MEDICATION-ASSISTED THERAPY. THIS STEP GIVES OPIATE-ADDICTED WOMEN ADDITIONAL TIME TO JOIN A BEHAVIORAL HEALTH PROGRAM - THUS GREATLY INCREASING THE ODDS THAT THE PATIENT WOULD NOT GIVE UP AND DROP OUT BEFORE THEY HAD A CHANCE TO BEGIN THE HOSPITAL-BASED PROGRAM. HEALTH ISSUE: SUBSTANCE ABUSE AND BEHAVIORAL HEALTH ------------------------------------- MVH WILL PROVIDE EDUCATION THAT ADDICTION IS A DISEASE, AND AS A RESULT, CHANGE PERCEPTIONS FIRST OF HOSPITAL PERSONNEL AND MEDICAL PROFESSIONALS, AND THEN OF THE COMMUNITY. THE OBJECTIVES ARE 1) TO PROVIDE CEUS TO FRONT-LINE STAFF AND PHYSICIANS FOR EDUCATION ON THIS TOPIC, WITH CURRICULUM DELIVERED BY ADAMHS, AND 2) TO OFFER THE EDUCATION IN THE COMMUNITY IN CONJUNCTION WITH THE ADAMHS BOARD AND THE LOCAL HEROIN COALITIONS. HEALTH ISSUE: BEHAVIORAL HEALTH ----------------- PROJECT SEARCH IS A TRANSITION PROGRAM AT MVH FOR STUDENTS WITH MILD DISABILITIES TO GO FROM HIGH SCHOOL TO A COMPETITIVE JOB. THE PROGRAM'S FOCUS IS ON EDUCATION AND EMPLOYMENT. STUDENTS, AGE 18 TO 21, WORK AS INTERNS TO GAIN WORK EXPERIENCE AND AN IMPROVED SENSE OF SELF-ESTEEM AND CONFIDENCE.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Miamisburg Emergency Center
300 AUSTIN W BLVD	MIAMISBURG	OH	45342	EMERGENCY CENTER
MVH Jamestown Emergency Center
4940 Cottonville Rd	Jamestown	OH	45335	Emergency Center, cardiac testing & rehab, medical imaging, LABORATORY TESTING
HEALTH CENTER - HUBER HEIGHTS
6251 MIAMI VALLEY WAY	HUBER HEIGHTS	OH	45424	Cardiac Testing, Diagnostic & Imaging, Rehab
Medical Imaging Beavercreek
1244 MEADOW BRIDGE DR	BEAVERCREEK	OH	45434	CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING
OUTPATIENT CARDIAC TESTING & REHAB
122 WYOMING ST	DAYTON	OH	45409	CARDIAC TESTING & REHAB
Miami Valley Hospital Diabetes Center
80 E WOODBURY DR	ENGLEWOOD	OH	45415	Diabetes Center, Sleep Center
Clayborune Physical Therapy Clinic
1525 E STROOP RD	KETTERING	OH	45429	REHABILITATION
REHABILITATION AT SURECARE MED CENTER
360 W CENTRAL AVE	SPRINGBORO	OH	45066	REHABILITATION, DIAGNOSTIC, & IMAGING
REHABILITATION AT WRIGHT HEALTH BUILDING
1222 S PATTERSON BLVD	DAYTON	OH	45402	REHABILITATION
MVH Center for Sleep and Wake Disorder
6611 CLYO RD	DAYTON	OH	45459	SLEEP CENTER
MVH Medical Imaging - Springboro
630 N MAIN ST	SPRINGBORO	OH	45066	DIAGNOSTIC & IMAGING
Bull Family Diabetes Center
400 SUGAR CAMP CIR 205	OAKWOOD	OH	45409	Diabetes Center
Outpatient Cardiac Testing - Beavercreek
2619 COMMONS BLVD 102	BEAVERCREEK	OH	45431	Cardiac Testing
MVH Center - Greenville
742 SWEITZER ST	GREENVILLE	OH	45331	Cardiac Testing, Diagnostic & Imaging
Outpatient Behavioral Health Programs
627 Edwin C Moses Blvd	DAYTON	OH	45417	Behavioral Health
First Care After Hours
1911 N Fairfield Rd 110	BEAVERCREEK	OH	45432	After Hours Care
ENGLEWOOD After Hours
9000 N Main St G-33	ENGLEWOOD	OH	45415	After Hours Care
Premier Occupational Health Central
1520 S MAIN ST 210	DAYTON	OH	45409	Occupational Health
Dayton Heart Center
1530 Needmore Rd 301	HUBER HEIGHTS	OH	45414	Diagnostic & Imaging
OUTPATIENT PHYSICAL THERAPY & SPORTS MED
90 REMICK BLVD	SPRINGBORO	OH	45066	REHABILITATION & SPORTS MEDICINE

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 6A:	FormAndLineReferenceDesc
Explanation	THE COMMUNITY BENEFIT REPORT FOR MIAMI VALLEY HOSPITAL IS PART OF THE PREMIER HEALTH REPORT (EIN# 31-1446699). PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE THIS FINANCIAL ASSISTANCE AT COST. THIS CALCULATION TAKES TOTAL OPERATING EXPENSES LESS OTHER OPERATING REVENUES DIVIDED BY TOTAL GROSS REVENUES. UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENTAL PROGRAMS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND INCLUDES FULLY LOADED COSTS. FOR THE REMAINING ITEMS THE ORGANIZATION USED SPECIFIC NUMBERS FOR EXPENSE PAID DIRECTLY FOR THESE SERVICES. PART I, LINE 7G: MIAMI VALLEY HOSPITAL (MVH) PROVIDES SUBSIDIZED EMERGENCY SERVICES BY OPERATING A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THIS EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL INCURS EXPENSES RELATED TO CALL TIME AND PHYSICIAN SUBSIDIES DUE TO THE LARGE NUMBER OF INDIGENT PATIENTS COMING THROUGH THE EMERGENCY ROOM. FOR 2018, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $23,950,000. 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 2018 INCLUDE: 1) NEIGHBORHOOD REVITALIZATION AND DEVELOPMENT THROUGH A CONTRIBUTION OF $638,000 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. 2) FUNDING OF $26,000 WAS CONTRIBUTED TO ASSIST THOSE LIVING IN POVERTY TO WORK TOWARDS ECONOMIC SELF-SUFFICIENCY THROUGH EMPLOYMENT. 3) $7,000 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 $149,450,000 AND INCURRED COST OF $205,120,000, FOR AN ADDITIONAL NET SHORTFALL OF $55,670,000 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) $163,686,000 MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $149,450,000 TOTAL MEDICARE ASSOCIATED REVENUE $313,136,000 ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $183,840,000 MEDICARE COST NOT REPORTED IN PART III, SECTION B $205,120,000 TOTAL MEDICARE ASSOCIATED COST $388,960,000 MEDICARE SHORTFALL PER PART III, SECTION B $20,154,000 ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $55,670,000 TOTAL MEDICARE SHORTFALL $75,824,000 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 43% OF NET PATIENT REVENUE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: THE ORGANIZATION MAKES REASONABLE EFFORTS TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE STATE OR HOSPITAL FINANCIAL ASSISTANCE POLICY BEFORE ENGAGING IN EXTRAORDINARY COLLECTIVE ACTIONS AGAINST THAT INDIVIDUAL. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED REASONABLE PAYMENT PLAN ARRANGEMENTS FOR ANY REMAINING BALANCES. ANY THIRD-PARTY COLLECTING SELF-PAY RECEIVABLES ON OUR BEHALF IS REQUIRED TO MAKE REASONABLE EFFORTS TO DETERMINE IF THE INDIVIDUAL MEETS THE QUALIFICATIONS OF THE STATE OR OF OUR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS. REASONABLE EFFORTS INCLUDE: A. VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL. B. DOCUMENTED THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. C. DOCUMENTED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED AND ACCEPTED TERMS FOR A PAYMENT PLAN, BUT HAS NOT HONORED THE TERMS OF THAT PLAN. THE FINANCIAL COUNSELORS MEET WITH INPATIENT, OUTPATIENT, SELF-PAY, AND OTHER PATIENTS UPON REQUEST WHO MAY NEED FINANCIAL ASSISTANCE. IN ADDITION TO ASSISTING PATIENTS WHO WANT TO APPLY FOR ASSISTANCE THROUGH THE MEDICAID PROGRAM, THE FINANCIAL COUNSELOR WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION. PART VI, LINE 2: THE ORGANIZATION WORKS WITH THE COMMUNITY ON PROGRAMS THAT ADDRESS THE UNDERLYING CAUSES OF PERSISTENT HEALTH PROBLEMS AS PART OF A COMPREHENSIVE STRATEGY TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR IDENTIFIED MEMBERS OF THE COMMUNITY WHO ARE ECONOMICALLY DISADVANTAGED, DISENFRANCHISED AND/OR WHO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE ORGANIZATION STRIVES TO WORK WITH PREMIER HEALTH, THE HOSPITAL BOARD OF TRUSTEES, EXECUTIVE MANAGEMENT, MANAGERS, STAFF MEMBERS, COMMUNITY GROUPS, AND INDIVIDUALS TO PROVIDE A COLLABORATIVE APPROACH TO THE GOVERNANCE AND MANAGEMENT OF COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 3: THERE ARE SEVERAL WAYS IN WHICH OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR SERVICES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FIRST, NOTIFICATION OF SUCH AVAILABLE ASSISTANCE IS CLEARLY POSTED IN REGISTRATION AREAS, AS WELL AS MATERNITY AND EMERGENCY DEPARTMENTS. NEXT, PATIENT ADVOCATES, PATIENT ACCESS STAFF MEMBERS, AND FINANCIAL COUNSELORS IN THE INPATIENT AND EMERGENCY DEPARTMENTS MEET WITH UNINSURED AND UNDERINSURED PATIENTS, AND THOSE WITH ONLY MEDICARE COVERAGE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. FINANCIAL COUNSELORS ALSO DISCUSS OPTIONS TO RESOLVE UNPAID ACCOUNT BALANCES WITH UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE, ALONG WITH INFORMATION ON HOW TO OBTAIN AN APPLICATION. WHEN A PATIENT RECEIVES A BILL, THE REVERSE SIDE OF THE BILL CONTAINS INFORMATION ABOUT THE STATE OF OHIO FREE CARE PROGRAM (CARE ASSURANCE) AND A FINANCIAL ASSISTANCE APPLICATION. THE BILLING STATEMENTS OFFER THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE, AND THE CONTACT INFORMATION FOR ASSISTANCE. PART VI, LINE 4: THE ORGANIZATION IS LOCATED IN DAYTON, OHIO. OUR TARGET POPULATION INCLUDES CITIZENS OF DAYTON, AS WELL AS SURROUNDING COMMUNITIES. MIAMI VALLEY HOSPITALS TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION IS APPROXIMATELY 368,000 PEOPLE. INCLUDING THE ADJACEN	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
FIVE RIVERS HEALTH CENTERS
2261 PHILADELPHIA DR	DAYTON	OH	45406	450914398	501(C)(3)	$3,509,026	SUPPORT
HOSPICE OF DAYTON
324 WILMINGTON AVE	DAYTON	OH	45420	310933339	501(C)(3)	$2,008,630	SUPPORT
CITYWIDE DEVELOPMENT CORP
8 N MAIN ST	DAYTON	OH	45402	310821189	501(C)(4)	$637,500	COMMUNITY DEVELOPMENT
REACH OUT MONTGOMERY COUNTY
25 E FORAKER ST	DAYTON	OH	45409	311434282	501(C)(3)	$138,377	RX ASSIST FOR INDIGENT
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311040231	501(C)(3)	$42,701	SUPPORT
UNITED WAY OF GREATER DAYTON AREA
33 W FIRST ST 500	DAYTON	OH	45402	310536658	501(C)(3)	$40,800	SUPPORT
EAST END COMMUNITY SERVICES
624 XENIA AVE	DAYTON	OH	45410	311508554	501(C)(3)	$33,500	SUPPORT
GALA OF HOPE FOUNDATION - 3500 PENTAGON
BLVD 500	BEAVERCREEK	OH	45431	464277044	501(C)(3)	$33,500	SUPPORT
ELIZABETHS NEW LIFE CENTER INC
2201 N MAIN ST	DAYTON	OH	45405	311381901	501(C)(3)	$26,800	SUPPORT
DAYTON FOUNDATION
40 N MAIN ST 500	DAYTON	OH	45423	316027287	501(C)(3)	$40,076	SUPPORT
DAYTON ART INSTITUTE
456 BELMONTE PARK N	DAYTON	OH	45405	310537480	501(C)(3)	$20,555	SUPPORT
WESLEY COMMUNITY CENTER
3730 DELPHOS AVE	DAYTON	OH	45417	300203259	501(C)(3)	$20,100	SUPPORT
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311079213	501(C)(3)	$18,364	SUPPORT
EQUITAS HEALTH
15 W FOURTH ST	DAYTON	OH	45402	311126780	501(C)(3)	$16,750	SUPPORT
ST PETER CATHOLIC CHURCH - 6161
CHAMBERSBURG RD	HUBER HEIGHTS	OH	45424	310626310	501(C)(3)	$14,535	SUPPORT
PUBLIC HEALTH DAYTON AND MONTGOMERY COUNTY
117 S MAIN ST	DAYTON	OH	45422	316000172	GOVT	$14,338	SUPPORT
LIFE ENRICHMENT CENTER
425 N FINDLAY ST	DAYTON	OH	45404	510425428	501(C)(3)	$13,400	SUPPORT
BIG BROTHERS BIG SISTERS
22 S JEFFERSON ST	DAYTON	OH	45402	310641306	501(C)(3)	$13,150	SUPPORT
PROJECT HOPE INC
1510 N MAIN ST	DAYTON	OH	45405	341421548	501(C)(3)	$10,050	SUPPORT
DAYTON CONTEMPORARY DANCE CO
840 GERMANTOWN ST	DAYTON	OH	45402	237220259	501(C)(3)	$9,798	SUPPORT
UVMC FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311581859	501(C)(3)	$8,734	SUPPORT
HOSPICE OF MIAMI COUNTY
500 SUMMIT AVE 101	TROY	OH	45373	311031277	501(C)(3)	$8,670	SUPPORT
YWCA OF DAYTON
141 W THIRD ST	DAYTON	OH	45402	310537168	501(C)(3)	$7,905	SUPPORT
DAYBREAK
605 PATTERSON BLVD	DAYTON	OH	45402	310864474	501(C)(3)	$7,738	SUPPORT
SC MINISTRY FOUNDATION
345 NEEB RD	CINCINNATI	OH	45233	311185570	501(C)(3)	$7,650	SUPPORT
OTTERBEIN HOMES
580 N SR 741	LEBANON	OH	45036	310549058	501(C)(3)	$7,650	SUPPORT
GOOD SAMARITAN HOSPITAL FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	237296923	501(C)(3)	$7,459	SUPPORT
HEALTH PARTNERS FREE CLINC
1300 N CO RD 25A	TROY	OH	45373	311596731	501(C)(3)	$7,140	SUPPORT
AMERICAN RED CROSS - DAYTON CHAPTER
370 W FIRST ST	DAYTON	OH	45402	530196605	501(C)(3)	$6,955	SUPPORT
GREENEVIEW ATHLETIC DEPARTMENT
4710 COTTONVILLE RD	JAMESTOWN	OH	45335	316005976	GOVT	$6,700	SUPPORT
COUNTRYSIDE YMCA
1699 DEERFIELD RD	LEBANON	OH	45036	510181689	501(C)(3)	$6,120	SUPPORT
WOMEN WALKING WEST INC
4373 HARRISON AVE	CINCINNATI	OH	45211	473323895	501(C)(3)	$6,120	SUPPORT
NORTHERN KENTUCKY UNIVERSITY FDN - 100 NUNN
DR AC221	HIGHLAND HEIGHTS	KY	41099	237116528	501(C)(3)	$6,000	SUPPORT
PLANNED PARENTHOOD SOUTHWEST OHIO
224 N WILKINSON ST	DAYTON	OH	45402	310536688	501(C)(3)	$7,370	SUPPORT
UNIVERSITY OF DAYTON
300 COLLEGE PARK	DAYTON	OH	45469	310536715	501(C)(3)	$5,575	SUPPORT
CATHOLIC SOCIAL SERVICES
922 W RIVERVIEW AVE	DAYTON	OH	45402	310536645	501(C)(3)	$5,315	SUPPORT
SALVATION ARMY - DAYTON
1000 N KEOWEE ST	DAYTON	OH	45404	135562351	501(C)(3)	$5,240	SUPPORT
SOUTHBROOK CHRISTIAN CHURCH - 9095
WASHINGTON CHURCH RD	MIAMISBURG	OH	45342	311177033	501(C)(3)	$5,100	SUPPORT
ARBOGAST PERFORMING ARTS CENTER
700 S DORSET RD	TROY	OH	45373	830889260	501(C)(3)	$5,100	SUPPORT
FIRST FOUR EVENTS INC
40 N MAIN ST 900	DAYTON	OH	45423	454231032	NONE	$5,100	SUPPORT
DAYTON UNIT NAACP - 1528 DR MARTIN LUTHER
KING JR WAY	DAYTON	OH	45402	203832949	501(C)(4)	$6,555	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	38	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	1) DISBURSEMENTS ARE ANALYZED MONTHLY THROUGH VARIOUS REPORTS AND COMMITTEE MEETINGS. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE AND APPROVED AND DISBURSED PER ORGANIZATIONAL POLICY. 3) GRANT SPENDING IS MONITORED AGAINST BUDGETED AMOUNTS ON AN ONGOING BASIS. SCHEDULE I, PART II, LINE 1(A)(4) PAGE 4, FIRST FOUR 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER J DANIS MD
BOARD CHAIR	$0	$282,819	$0	$0	$0	$2,887	$0	$9,113	$0	$32,252	$0	$327,071	$0	$0
MICHAEL J MAIBERGER
TRUSTEE /PREMIER COO, MVH PRES	$0	$827,405	$0	$361,953	$0	$19,436	$0	$16,296	$0	$32,374	$0	$1,257,464	$0	$0
MARY M CLANCY
COO MVH	$412,039	$0	$142,591	$0	$36,874	$0	$23,240	$0	$12,440	$0	$627,184	$0	$0	$0
JOANN R RINGER
COO MVHS	$284,237	$0	$80,384	$0	$33,383	$0	$25,248	$0	$12,004	$0	$435,256	$0	$0	$0
MARY H BOOSALIS
PREMIER PRESIDENT	$0	$1,098,492	$0	$744,674	$0	$34,445	$0	$24,572	$0	$15,726	$0	$1,917,909	$0	$0
JAMES M PACENTA MD
TRUSTEE	$0	$550,289	$0	$34,350	$0	$113,257	$0	$10,360	$0	$31,327	$0	$739,583	$0	$0
MARC R BELCASTRO DO
CHIEF MEDICAL OFFICER	$455,626	$0	$135,200	$0	$17,375	$0	$24,882	$0	$24,738	$0	$657,821	$0	$0	$0
KRISTINA M KEAN
BOARD TREAS/VP FIN (FROM MAR)	$155,006	$68,542	$0	$86,614	$901	$397	$11,353	$6,011	$6,729	$3,902	$173,989	$165,466	$0	$0
CARA W POWERS
BOARD SECRETARY	$239,631	$0	$84,900	$0	$804	$0	$19,664	$0	$27,238	$0	$372,237	$0	$0	$0
SCOTT A SHELTON
BOARD TREASURER / CFO (TO MAR)	$0	$360,128	$0	$122,854	$0	$45,012	$0	$15,941	$0	$5,131	$0	$549,066	$0	$0
ROBERT M BOWMAN
VP HOSPITAL OPERATIONS-MVH	$240,371	$0	$73,010	$0	$3,176	$0	$20,576	$0	$27,086	$0	$364,219	$0	$0	$0
DALE E CREECH JR
SYS VP-CHF LGL OFFICER-TO JUL	$0	$226,848	$0	$163,898	$0	$321,430	$0	$173,749	$0	$24,772	$0	$910,697	$0	$0
THOMAS R CURTIN
VP REVENUE CYCLE	$0	$255,614	$0	$72,332	$0	$6,649	$0	$21,583	$0	$33,040	$0	$389,218	$0	$0
MARY E GARMAN
COO MVHN (FROM JUL)	$0	$298,861	$0	$81,742	$0	$2,859	$0	$7,533	$0	$3,246	$0	$394,241	$0	$0
GARY G GINTER
VP &PREMIER CHIEF INFO OFFICER	$0	$397,507	$0	$152,860	$0	$3,938	$0	$23,309	$0	$26,980	$0	$604,594	$0	$0
JENNIFER J HAULER MD
VP MEDICAL AFFAIRS&PREMIER CMO	$0	$518,950	$0	$127,987	$0	$1,661	$0	$13,812	$0	$2,437	$0	$664,847	$0	$0
KIMBERLY A HENSLEY
VP HOSPITAL OPERATIONS - MVH	$238,245	$0	$66,435	$0	$2,221	$0	$20,679	$0	$9,922	$0	$337,502	$0	$0	$0
BARBARA A JOHNSON
SYS VP - HR OPERATIONS	$0	$387,494	$0	$159,514	$0	$28,975	$0	$14,183	$0	$10,852	$0	$601,018	$0	$0
RENEE M JOHNSON
SYS VP-MANAGED CARE (FROM APR)	$0	$157,107	$0	$27,452	$0	$1,103	$0	$12,055	$0	$8,834	$0	$206,551	$0	$0
MARGARET W MARK
VP NURSING SERVICE/PREMIER CNO	$0	$362,886	$0	$216,282	$0	$9,343	$0	$12,540	$0	$20,228	$0	$621,279	$0	$0
JEFFERY A MORNEAULT
VP HOSP OPS-PERIOP SVCS-MVH	$121,995	$47,209	$18,750	$23,973	$1,807	$675	$4,401	$2,330	$18,483	$9,785	$165,436	$83,972	$0	$0
CRAIG SELF
CHF STRATEGY OFFICER (TO NOV)	$0	$385,642	$0	$369,777	$0	$32,358	$0	$332,468	$0	$27,546	$0	$1,147,791	$0	$0
MARK W SHAW
SYS VP - MANAGED CARE (TO APR)	$0	$124,054	$0	$136,382	$0	$423,240	$0	$59,456	$0	$24,387	$0	$767,519	$0	$0
J MICHAEL SIMS
SYS VP-TREAS & CORP CONTROLLER	$0	$288,061	$0	$74,913	$0	$38,875	$0	$23,763	$0	$29,347	$0	$454,959	$0	$0
KIM K STRAHL
SYS VP & CPO (FROM JUL)	$0	$187,401	$0	$78,137	$0	$2,631	$0	$22,405	$0	$11,625	$0	$302,199	$0	$0
GEOFFREY P WALKER
SYS VP-CHF LGL OFFICER-FRM JUL	$0	$317,976	$0	$88,247	$0	$20,078	$0	$22,722	$0	$25,725	$0	$474,748	$0	$0
ELOISE P BRONER
SYS VP-CHF SUPPORT SVC-FRM JUL	$190,898	$262,425	$25,000	$176,795	$11,216	$176,829	$10,723	$14,622	$1,623	$1,734	$239,460	$632,405	$0	$0
ROBERT T MORRISON MD
ASSOCIATE CHF MED OFFICER-MVH	$248,462	$0	$70,388	$0	$391,865	$0	$8,373	$0	$14,783	$0	$733,871	$0	$0	$0
CHRISTOPHER J BUTLER
SYS VP-CHIEF CONSUMER OFFICER	$393,897	$0	$298,728	$0	$17,579	$0	$302,591	$0	$18,274	$0	$1,031,069	$0	$0	$0
JEFFREY G POULOS MD
VP & CHIEF HOSPITALIST OFFICER	$421,666	$0	$100,573	$0	$1,886	$0	$15,051	$0	$26,351	$0	$565,527	$0	$0	$0
TAMMY S LUNDSTROM MD
CHIEF CLINICAL OFFICER	$215,866	$0	$227,220	$0	$2,008	$0	$10,115	$0	$858	$0	$456,067	$0	$0	$0
MARK S SHAKER
FORMER OFFICER	$0	$0	$97,534	$0	$717,176	$0	$23,763	$0	$2,207	$0	$840,680	$0	$0	$0
MARK E WILLIAMS MD
FORMER OFFICER	$0	$275,649	$0	$25,000	$0	$2,020	$0	$4,870	$0	$28,446	$0	$335,985	$0	$0
RENEE P GEORGE
FORMER KEY EMPLOYEE	$0	$383,206	$0	$186,870	$0	$1,291	$0	$24,090	$0	$13,560	$0	$609,017	$0	$0
THOMAS R PARKER
FORMER KEY EMPLOYEE	$0	$419,601	$0	$152,940	$0	$27,557	$0	$36,093	$0	$6,915	$0	$643,106	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4A:	FormAndLineReferenceDesc
Explanation	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: CHRISTOPHER BUTLER RECEIVED $16,154 IN 2018 AND WILL RECEIVE $379,628 IN 2019; CRAIG SELF RECEIVED $16,230 IN 2018 AND WILL RECEIVE $381,414 IN 2019; MARK SHAKER RECEIVED $583,003 IN 2018 AND WILL RECEIVE $11,212 IN 2019. THE FOLLOWING INDIVIDUALS WERE SELECTED TO PARTICIPATE IN A VOLUNTARY RETIREMENT PROGRAM AND RECEIVED THE FOLLOWING PAYMENTS IN 2018: DALE CREECH JR $205,770; ROBERT MORRISON M.D. $388,002; MARK SHAW $247,000 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 2018. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2018: MARC BELCASTRO, D.O. $10,440; ELOISE BRONER $164,913; MARY CLANCY $32,525; DALE CREECH JR $112,018; BARBARA JOHNSON $23,417; MARGARET MARK $1,276; JOANN RINGER $29,187; MARK SHAKER $134,793; MARK SHAW $173,140; SCOTT SHELTON $40,846; J. MICHAEL SIMS $15,913; GEOFFREY WALKER $17,073. 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. $15,441; CHRISTOPHER BUTLER $2,382; THOMAS CURTIN $2,634; MARY GARMAN $(1,676); RENEE GEORGE $13,523; JENNIFER HAULER, M.D. $6,140; KIMBERLY HENSLEY $701; BARBARA JOHNSON $(1,815); TAMMY LUNDSTROM, M.D. $877; MARGARET MARK $3,852; THOMAS PARKER $12,494; JEFFREY POULOS, M.D. $5,851; CARA POWERS $2,017; CRAIG SELF $22,957; MARK WILLIAMS, M.D. $(5,841). 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 (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF MONTGOMERY OH
A	316000172	613549gz1	2009-02-24	$126,463,824	SEE PART VI - NOTE A	false	false	false
COUNTY OF MONTGOMERY OH
B	316000172	613549jl9	2011-04-12	$106,431,124	SEE PART VI - Note B	false	false	false
COUNTY OF MONTGOMERY OH
C	316000172		2012-11-20	$128,640,000	SEE PART VI - Note C	false	false	false
COUNTY OF MONTGOMERY OH
D	316000172	613520le3	2016-08-31	$144,930,000	SEE PART VI - Note D	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$115,000,000	$0	$126,463,824	$0	$0	$0	$2,293,824	$0	$0	$0	$124,170,000	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$4,290,000	$0	$106,431,124	$0	$0	$0	$1,203,000	$0	$0	$105,228,124	$0	$0	2011	false	false	Yes (true)	Yes (true)
C	$3,000,000	$0	$128,640,000	$0	$0	$0	$375,517	$0	$0	$0	$128,264,483	$0	2012	false	Yes (true)	Yes (true)	Yes (true)
D	$0	$0	$144,930,000	$0	$0	$0	$881,031	$0	$0	$0	$143,703,198	$345,771	2016	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	false	0.00876	0.00876	false	false	false	Yes (true)
B	false	false	false	false	false	0.00000	0.00000	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	0.00876	0.00876	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	0.00876	0.00876	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
barclayswells fargo
B	false	false	false	Yes (true)	false	Yes (true)	false	0	false	Yes (true)	18.	Yes (true)	false
pnc
C	Yes (true)	false	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	Yes (true)	21.	Yes (true)	false
barclayswells fargo
D	false	Yes (true)	false	false	Yes (true)	Yes (true)	false	0	false	Yes (true)	27.5	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NOTE A, PART 1, LINE A, COLUMN F	REFUND PORTION OF MIAMI VALLEY HOSPITAL SERIES 2008A AND 2008B BONDS.
NOTE B, PART I, LINE B, COLUMN F	PROVIDE FUNDS TO CONSTRUCT THE SOUTHEAST TOWER ON THE HOSPITAL'S CAMPUS.
NOTE C, PART 1, LINE C, COLUMN F	REFUND MIAMI VALLEY HOSPITAL SERIES 2009A BONDS.
Note D, PART 1, LINE D, COLUMN F:	REFUND MIAMI VALLEY HOSPITAL SERIES 2008BC AND 2011BC BONDS.
Note E, PART 1, LINE A, COLUMN F:	REFUND MIAMI VALLEY HOSPITAL SERIES 2008A AND 2012B BONDS.
PART IV, ARBITRAGE, LINE 2C:	COMPUTATION DATE WAS NOVEMBER 17, 2014 FOR THE 2009AB COMPUTATION DATE WAS APRIL 12, 2016 FOR THE 2011A COMPUTATION DATE WAS NOVEMBER 20, 2017 FOR THE 2012A

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF MONTGOMERY OH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	316000172	BondIssuerEIN
Bond Issued	2018-12-12	BondIssuedDt
Issue Price	$58,505,000	IssuePriceAmt
Purpose	SEE PART VI - NOTE E	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$58,505,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$58,505,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2018	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00876	PrivateBusConcerningUBIPct
Total Private Business Use	0.00876	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	DEUTSCHE BANK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	21.	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARC R BELCASTRO II
CHILD OF OFFICER MARC R. BELCASTRO, D.O	$50,188	EMPLOYMENT	false
ANGELA BOWMAN
SPOUSE OF KEY EMPLOYEE ROBERT BOWMAN	$76,582	EMPLOYMENT	false
ANDRE T HARRIS MD
TRUSTEE	$210,504	HORIZONS WOMEN'S HEALTHCARE	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L - PART IV:	FormAndLineReferenceDesc
Explanation	MIAMI VALLEY HOSPITAL CONTRACTS WITH HORIZONS WOMENS 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 2018 WAS $210,504.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, PART VI, SECTION A, LINE 2:	FormAndLineReferenceDesc
Explanation	MARY M. CLANCY (TRUSTEE & OFFICER) AND THOMAS R. CURTIN (KEY EMPLOYEE) HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3: PREMIER HEALTH (PREMIER), AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN MVH 'S ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 4: IN 2018, MIAMI VALLEY HOSPITALS (MVH) CODE OF REGULATIONS WERE MODIFIED. LISTED BELOW ARE THE SIGNIFICANT CHANGES: * THE SOLE MEMBER OF THE CORPORATION SHALL BE PREMIER HEALTH, WHICH SHALL BE AN OHIO NONPROFIT CORPORATION. * IN THE EVENT OF DISSOLUTION OF THE CORPORATION, THE BOARD OF TRUSTEES AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL OF THE LIABILITIES OF THE CORPORATION, SHALL DISTRIBUTE, IN ANY PROPORTIONS CONSIDERED PRUDENT, ALL OF THE ASSETS OF THE CORPORATION TO PREMIER HEALTH, IF THEN IN EXISTENCE AND IF QUALIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 76,505,368 TRANSFERS FROM AFFILIATES 250,607 SWAP AMORTIZATION (139,070) FOUNDATION ADJUSTMENT (722,718) PENSION FASB 158 ADJUSTMENT (27,105,274) ------------ TOTAL 48,788,913	ExplanationTxt

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MVH	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PREMIER HEALTH PARTNERS (PREMIER)
110 N MAIN ST 500	DAYTON	OH	45402	311446699	PARENT	OH	501(C)(3)	12B	NA	false
MEDAMERICA HEALTH SYSTEMS CORP (MAHS)
110 N MAIN ST 500	DAYTON	OH	45402	311040228	SUPPORT ORG	OH	501(C)(3)	12B	NA	false
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311040231	Foundation	OH	501(C)(3)	7	PREMIER	false
PREMIER COMMUNITY HEALTH
110 N MAIN ST 500	DAYTON	OH	45402	311122883	Health Educat	OH	501(C)(3)	10	FHC	false
FIDELITY HEALTH CARE (FHC)
110 N MAIN ST 500	DAYTON	OH	45402	311075381	HOME HEALTH	OH	501(C)(3)	10	PREMIER	false
SAMARITAN HEALTH PARTNERS (SHP)
110 N MAIN ST 500	DAYTON	OH	45402	311107411	SUPPORT ORG	OH	501(C)(3)	12B	PREMIER	false
GOOD SAMARITAN HOSPITAL (GSH)
110 N MAIN ST 500	DAYTON	OH	45402	310536981	HOSPITAL	OH	501(C)(3)	3	PREMIER	false
GOOD SAMARITAN HOSPITAL FOUNDATION - DAY
110 N MAIN ST 500	DAYTON	OH	45402	237296923	FOUNDATION	OH	501(C)(3)	7	PREMIER	false
HEART INSTITUTE OF DAYTON
110 N MAIN ST 500	DAYTON	OH	45402	300502367	EDUCATION	OH	501(C)(3)	10	PREMIER	false
SAMARITAN BEHAVIORAL HEALTH INC
110 N MAIN ST 500	DAYTON	OH	45402	020633634	BEHAVIORAL HE	OH	501(C)(3)	7	PREMIER	false
ATRIUM HEALTH SYSTEM (AHS)
110 N MAIN ST 500	DAYTON	OH	45402	310537492	SUPPORT ORG	OH	501(C)(3)	12B	NA	false
ATRIUM MEDICAL CENTER
110 N MAIN ST 500	DAYTON	OH	45402	311079309	HOSPITAL	OH	501(C)(3)	3	PREMIER	false
UVMC
110 N MAIN ST 500	DAYTON	OH	45402	341850683	SUPPORT ORG	OH	501(C)(3)	12B	NA	false
UPPER VALLEY MEDICAL CENTER
110 N MAIN ST 500	DAYTON	OH	45402	310537095	HOSPITAL	OH	501(C)(3)	3	PREMIER	false
UPPER VALLEY PROFESSIONAL CORP (UVPC)
110 N MAIN ST 500	DAYTON	OH	45402	311400963	HEALTH CARE	OH	501(C)(3)	10	PREMIER	false
UVPC SPECIALISTS INC
110 N MAIN ST 500	DAYTON	OH	45402	203687536	HEALTH CARE	OH	501(C)(3)	10	UVPC	false
UVMC NURSING CARE INC
110 N MAIN ST 500	DAYTON	OH	45402	311224064	NURSING HOME	OH	501(C)(3)	10	PREMIER	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Premier Plaza LLC
110 N MAIN ST 500	Dayton	OH	45402	800708185	HOLDING COMPANY	OH	MAHS	EXCLUDED	-$1,877	$118,618	false	$0	false	0.01000
SOUTHWEST OHIO NEONATAL COLLABORATIVE
110 N MAIN ST 500	DAYTON	OH	45402	463231330	NEONATOLOGY	OH	MVH	RELATED	-$2,670	$8,558	false	$0	false	0.61500
SAMARITAN NORTH SURGERY CENTER
9000 N MAIN ST	DAYTON	OH	45415	311618587	O/P SURGERY	OH	GSH	RELATED	$0	$0	false	$0	false	0.00000
COMPUNET CLINICAL LABORATORIES LLC
2308 SANDRIDGE DR	MORAINE	OH	45439	321258010	MEDICAL LABS	OH	MVHE INC	RELATED	$0	$0	false	$0	false	0.00000
SWEITZER STREET LLC
110 N MAIN ST 1250	DAYTON	OH	45402	454700417	REAL ESTATE	OH	MVHE INC	EXCLUDED	$0	$0	false	$0	false	0.00000
SWEITZER MOB LLC
110 N MAIN ST 1250	DAYTON	OH	45402	474554657	REAL ESTATE	OH	MVHE INC	EXCLUDED	$0	$0	false	$0	false	0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
MVHE INC
110 N MAIN ST 400	DAYTON	OH	45402	311185270	PHYSICIAN SVCS	OH	PREMIER HOLDING	C CORP	$0	$0	0.00000	false
PREMIER HEALTH SPECIALISTS
110 N MAIN ST 400	DAYTON	OH	45402	061744704	PHYSICIAN SVCS	OH	PREMIER HOLDING	C CORP	$0	$0	0.00000	false
SAMARITAN FAMILY CARE
110 N MAIN ST 400	DAYTON	OH	45402	311299450	PHYSICIAN SVCS	OH	PREMIER HOLDING	C CORP	$0	$0	0.00000	false
AFTER HOURS FAMILY CARE
110 N MAIN ST 500	DAYTON	OH	45402	311269483	HEALTH CARE	OH	UVPC	C CORP	$0	$0	0.00000	false
UVMC MANAGEMENT CORP
110 N MAIN ST 500	DAYTON	OH	45402	311360489	MANAGEMENT CO	OH	PREMIER	C CORP	$0	$0	0.00000	false
PREMIER HEALTH URGENT CARE INC
110 N MAIN ST 900	DAYTON	OH	45402	822079409	URGENT CARE	OH	PREMIER HOLDING	C CORP	$0	$0	0.00000	false
PREMIER HEALTH PLAN INC
110 N MAIN ST 500	DAYTON	OH	45402	463024049	HEALTH INSURANCE	OH	PHIC	C CORP	$0	$0	0.00000	false
PREMIER HEALTH ACO OF OHIO
110 N MAIN ST 500	DAYTON	OH	45402	474049773	MEDICARE ACO	OH	PREMIER	C CORP	$0	$0	0.00000	false
PREMIER HEALTH HOLDING CO
110 N MAIN ST 400	DAYTON	OH	45402	812419110	HOLDING CO	OH	PREMIER	C CORP	$0	$0	0.00000	false
PREMIER HEALTH INSURING CO (PHIC)
110 N MAIN ST 500	DAYTON	OH	45402	464766841	HEALTH INSURANCE	OH	PREMIER	C CORP	$0	$0	0.00000	false

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