UPPER VALLEY MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: UPPER VALLEY MEDICAL CENTER (EIN 31-0537095)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-12
IRS object ID: 201623179349300622
Schema version: 2015v2.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-12T12:45:00-06:00	ReturnTs
Tax Period End	2015-12-31	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	800 YARD STREET SUITE 200	AddressLine1Txt
City	GRANDVIEW HEIGHTS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43212	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537095	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Upper Valley Medical Center	BusinessNameLine1Txt

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIMOTHY D SNIDER	PersonNm
Person Title	VP-CFO	PersonTitleTxt
Phone	9374999942	PhoneNum
Signature	2016-11-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DIANE L BEAN	PreparerPersonNm
PTIN	P00104972	PTIN
Phone	6142245678	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	REBECCA A RICE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3130 N COUNTY RD 25 A	AddressLine1Txt
City	TROY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45373	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$170,552,216	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	1926	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	WE WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	1583	TotalEmployeeCnt
Total Volunteers	147	TotalVolunteersCnt
Total Gross UBI	$245,211	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$18,791	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$85,580	PYContributionsGrantsAmt
CY Contributions Grants	$183,580	CYContributionsGrantsAmt
PY Program Service Revenue	$132,638,850	PYProgramServiceRevenueAmt
CY Program Service Revenue	$141,924,880	CYProgramServiceRevenueAmt
PY Investment Income	$2,478,084	PYInvestmentIncomeAmt
CY Investment Income	$2,311,629	CYInvestmentIncomeAmt
PY Other Revenue	$1,195,415	PYOtherRevenueAmt
CY Other Revenue	$2,369,812	CYOtherRevenueAmt
PY Total Revenue	$136,397,929	PYTotalRevenueAmt
CY Total Revenue	$146,789,901	CYTotalRevenueAmt
PY Grants And Similar Paid	$749,788	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$771,390	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$71,524,918	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$74,933,197	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$57,224,086	PYOtherExpensesAmt
CY Other Expenses	$61,062,476	CYOtherExpensesAmt
PY Total Expenses	$129,498,792	PYTotalExpensesAmt
CY Total Expenses	$136,767,063	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,899,137	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,022,838	CYRevenuesLessExpensesAmt
Total Assets BOY	$182,859,293	TotalAssetsBOYAmt
Total Assets EOY	$182,294,753	TotalAssetsEOYAmt
Total Liabilities BOY	$102,184,144	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$97,392,118	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$80,675,149	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$84,902,635	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$125,680,398	ExpenseAmt
Grant	$771,390	GrantAmt
Revenue	$141,924,880	RevenueAmt
Desc	See Schedules H and O.	Desc
Total Program Service Expenses	$125,680,398	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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	101	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1583	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	false	InvestmentInJointVentureInd
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 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
ROWAN R NICKOL MD
BOARD CHAIR	0.5	2.0	Yes (X)	Yes (X)	$0	$0	$0
REBECCA A RICE
PRESIDENT & CEO	38.0	2.0	Yes (X)	Yes (X)	$462,890	$0	$43,415
DANNY S BAILEY MD
TRUSTEE & CMO (EX OFFICIO)	40.0	0.0	Yes (X)		$361,891	$0	$30,850
CHRISTOPHER A GROVE MD
MED STAFF 1ST VP (EX OFFICIO)	0.5	39.5	Yes (X)		$0	$328,759	$34,530
RONAL MANIS JR MD
TRUSTEE	0.5	0.5	Yes (X)		$41,083	$0	$0
JAMES R PANCOAST
TRUSTEE & PREMIER CEO	7.5	8.5	Yes (X)		$0	$0	$0
SCOTT SWABB DO
TRUSTEE	0.5	0.5	Yes (X)		$8,333	$645	$0
TIMOTHY D SNIDER - SEE SCH O
BOARD TREASURER & CFO	18.0	2.0		Yes (X)	$239,326	$0	$34,962
JENNA M DOWNEY ESQ
RECORDING SECRETARY	0.5	2.0		Yes (X)	$0	$0	$0
JAMES A HURAK
VP HOSPITAL OPERATIONS	40.0	0.0			$205,743	$0	$45,906	Yes (X)
DALE E CREECH
SYSTEM VP - CLO	8.0	32.0			$0	$624,758	$60,638	Yes (X)
THOMAS R CURTIN
SYSTEM VP - REVENUE CYCLE	8.0	32.0			$0	$276,277	$37,323	Yes (X)
GARY G GINTER
SYSTEM VP - CIO	8.0	32.0			$0	$493,377	$53,719	Yes (X)
BARBARA A JOHNSON
SYSTEM VP - HR OPERATIONS	8.0	32.0			$0	$491,255	$17,489	Yes (X)
TAMMY S LUNDSTROM MD
SYSTEM VP - CMO	8.0	32.0			$0	$656,668	$10,493	Yes (X)
THOMAS R PARKER
SYS VP -CHF EXPERIENCE OFFICER	8.0	32.0			$481,498	$0	$38,310	Yes (X)
DIANE L PLEIMAN
VP - OPERATIONS (FROM APR)	40.0	0.0			$273,529	$0	$28,528	Yes (X)
CRAIG SELF
SYSTEM VP - CSO	8.0	32.0			$0	$380,470	$37,955	Yes (X)
MARK W SHAW
SYSTEM VP - MANAGED CARE	8.0	32.0			$0	$393,525	$61,180	Yes (X)
SCOTT A SHELTON
SYSTEM VP - CPO	8.0	32.0			$0	$313,527	$29,282	Yes (X)
SYLVAIN TREPANIER DNP RN CENP
SYSTEM VP - CNO	8.0	32.0			$0	$386,458	$17,725	Yes (X)
THOMAS D BIGLEY
DIRECTOR PHARMACY	40.0	0.0			$194,304	$0	$20,573		Yes (X)
TERRY R FRY
VP & CNO	40.0	0.0			$221,977	$0	$23,522		Yes (X)
RYAN E MCELDOWNEY
STAFF PHARMACIST	40.0	0.0			$146,959	$0	$31,099		Yes (X)
DELORES A MULLEN
DIRECTOR - EMERGENCY SERVICES	40.0	0.0			$147,341	$0	$64,177		Yes (X)
KATHLEEN J SCARBROUGH
PRESIDENT, UVMC FOUNDATION	30.0	10.0			$115,305	$39,000	$40,936		Yes (X)
MICHAEL J MAIBERGER
FORMER TRUSTEE & OFFICER	0.0	39.0			$0	$664,955	$82,531			Yes (X)
RENEE P GEORGE
FORMER KEY EMPLOYEE	0.0	40.0			$0	$300,232	$21,000			Yes (X)
J NICK LAIR
FORMER KEY EMPLOYEE	0.0	40.0			$0	$294,314	$46,572			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,900,179	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,644,220	TotReportableCompRltdOrgAmt
Total Other Compensation	$912,715	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	39	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
VALLEY ANESTHESIA INC
PO BOX 63437	CINCINNATI	OH	45263	MEDICAL SERVICES	$3,554,333
CATHOLIC HEALTH INITIATIVES
3900 OLYMPIC BLVD 400	ERLANGER	KY	41018	CLINICAL ENGINEERING	$1,196,606
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	63195	MEDICAL SERVICES	$959,684
ESCO COMMUNICATIONS INC
PO BOX 1243	INDIANAPOLIS	IN	46206	COMPUTER SERVICES	$875,353
COMPUNET CLINICAL LABORATORIES
PO BOX 714132	CINCINNATI	OH	45271	LABORATORY SERVICES	$804,030

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Related Organizations	$183,580	RelatedOrganizationsAmt
Total Contributions	$183,580	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT CARE REVENUE	621110	$72,470,912	$72,238,740	$232,172
MEDICARE/MEDICAID	621110	$66,628,727	$66,628,727
HOSPITAL FRANCHISE TAX RECOVERIES	900099	$2,733,959	$2,733,959
MEDICAL RECORDS	900099	$37,754	$37,754
HEALTH EDUCATION	900099	$1,456	$1,456

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,072	TotalRevenueColumnAmt
Related Or Exempt Func Income	$52,072	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$141,924,880	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$815,812	TotalRevenueColumnAmt
Exclusion	$815,812	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,823	TotalRevenueColumnAmt
Exclusion	$19,823	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,080,213	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,144,201	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$63,988	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$63,988	TotalRevenueColumnAmt
Exclusion	-$63,988	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$22,354,484	SecuritiesAmt
Other	$363,724	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$21,173,831	SecuritiesAmt
Other	$68,383	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,180,653	SecuritiesAmt
Other	$295,341	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,475,994	TotalRevenueColumnAmt
Exclusion	$1,475,994	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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	$1,280,611	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,375,900	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$95,289	TotalRevenueColumnAmt
Exclusion	-$95,289	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
GAIN ON INTEREST SWAP ADJ	900099	$803,022	$803,022
CAFETERIA SALES	721210	$731,054	$731,054
ALL OTHER REVENUE	900099	$995,013	$981,974	$13,039

Field	Value	IRS element (for citing)
Other Revenue Total	$2,529,089	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$146,789,901	TotalRevenueColumnAmt
Related Or Exempt Func Income	$141,692,708	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$245,211	UnrelatedBusinessRevenueAmt
Exclusion	$4,668,402	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$771,390	TotalAmt
Program Services	$771,390	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	$2,296,264	TotalAmt
Program Services	$2,076,740	ProgramServicesAmt
Management And General	$219,524	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$55,480,781	TotalAmt
Program Services	$50,176,818	ProgramServicesAmt
Management And General	$5,303,963	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,042,942	TotalAmt
Program Services	$3,656,437	ProgramServicesAmt
Management And General	$386,505	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,118,804	TotalAmt
Program Services	$8,247,046	ProgramServicesAmt
Management And General	$871,758	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,994,406	TotalAmt
Program Services	$3,612,541	ProgramServicesAmt
Management And General	$381,865	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$19,000	TotalAmt
Program Services	$17,184	ProgramServicesAmt
Management And General	$1,816	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$156,771	TotalAmt
Program Services	$141,784	ProgramServicesAmt
Management And General	$14,987	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$84,177	TotalAmt
Management And General	$84,177	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$11,853	TotalAmt
Program Services	$10,720	ProgramServicesAmt
Management And General	$1,133	ManagementAndGeneralAmt

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	$161,976	TotalAmt
Management And General	$161,976	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,440,913	TotalAmt
Program Services	$5,825,162	ProgramServicesAmt
Management And General	$615,751	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,003,679	TotalAmt
Program Services	$1,003,679	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,051,825	TotalAmt
Program Services	$951,271	ProgramServicesAmt
Management And General	$100,554	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,081,931	TotalAmt
Program Services	$3,691,698	ProgramServicesAmt
Management And General	$390,233	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,343,816	TotalAmt
Program Services	$2,119,747	ProgramServicesAmt
Management And General	$224,069	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$178,650	TotalAmt
Program Services	$161,571	ProgramServicesAmt
Management And General	$17,079	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	$971	TotalAmt
Program Services	$878	ProgramServicesAmt
Management And General	$93	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,190,341	TotalAmt
Program Services	$2,190,341	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,012,760	TotalAmt
Program Services	$9,055,540	ProgramServicesAmt
Management And General	$957,220	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$223,149	TotalAmt
Program Services	$201,816	ProgramServicesAmt
Management And General	$21,333	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OPERATING SUPPLIES	$16,989,451	$16,989,451
JOINT OPERATING AGREEMENT	$6,532,000	$5,907,541	$624,459
PURCHASED SERVICES	$5,353,009	$4,841,261	$511,748
HOSPITAL FRANCHISE TAX	$2,171,580	$2,171,580

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,054,624	TotalAmt
Program Services	$1,858,202	ProgramServicesAmt
Management And General	$196,422	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$136,767,063	TotalAmt
Program Services	$125,680,398	ProgramServicesAmt
Management And General	$11,086,665	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,110	BOYAmt
EOY	$2,860	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,549,780	BOYAmt
EOY	$5,545,712	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	$18,916,002	BOYAmt
EOY	$22,070,179	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	$139,333	BOYAmt
EOY	$71,597	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$747,916	BOYAmt
EOY	$743,192	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,454,126	BOYAmt
EOY	$2,463,932	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$189,201,580	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$105,639,480	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$85,400,226	BOYAmt
EOY	$83,562,100	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$38,612,803	BOYAmt
EOY	$48,408,530	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,785,627	BOYAmt
EOY	$13,072,143	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,250,370	BOYAmt
EOY	$6,354,508	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$182,859,293	BOYAmt
EOY	$182,294,753	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,441,507	BOYAmt
EOY	$11,776,297	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$193,850	BOYAmt
EOY	$357,735	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$72,018	BOYAmt
EOY	$149,856	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,671,466	BOYAmt
EOY	$38,982,492	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	$2,268,545	BOYAmt
EOY	$899,595	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	$42,536,758	BOYAmt
EOY	$45,226,143	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,184,144	BOYAmt
EOY	$97,392,118	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,675,149	BOYAmt
EOY	$84,902,635	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	$80,675,149	BOYAmt
EOY	$84,902,635	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$182,859,293	BOYAmt
EOY	$182,294,753	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,022,838	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,704,097	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,091,255	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	$29,153	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,700	OtherActivitiesAmt
Total Lobbying Expenditures	$31,853	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, AND OHIO HOSPITAL ASSOCIATION. FUNDS WERE ALSO GRANTED TO CITIZENS FOR SINCLAIR IN SUPPORT OF THE SINCLAIR COMMUNITY COLLEGE LEVY CAMPAIGN. 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	$1,314,171	OtherCostOrOtherBasisAmt
Book Value	$1,314,171	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,915,901	OtherCostOrOtherBasisAmt
Depreciation	$62,480,490	DepreciationAmt
Book Value	$52,435,411	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,229	OtherCostOrOtherBasisAmt
Depreciation	$60,229	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,288,098	OtherCostOrOtherBasisAmt
Depreciation	$43,098,761	DepreciationAmt
Book Value	$23,189,337	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,623,181	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$6,623,181	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,562,100	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$13,072,143	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$13,072,143	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PENSION OBLIGATION	$29,229,337
JOINT OPERATING AGREEMENT	$6,532,000
MALPRACTICE INSURANCE	$3,376,554
DEFERRED COMPENSATION	$2,312,510
MEDICAL SERVICES	$2,194,399
WORKER'S COMP RESERVE	$913,688
HOSPITAL FRANCHISE PAYABLE	$524,016
OTHER	$143,639

Field	Value	IRS element (for citing)
Total Liability	$45,226,143	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 audited combined financial statements for Premier Health and affiliates. UVMC is the parent organization of Upper Valley Medical Center: PREMIER HEALTH (PREMIER), MEDAMERICA HEALTH SYSTEMS (MAHS), ATRIUM HEALTH SYSTEM (AHS), AND UVMC HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT NONPROFIT CORPORATIONS AND PUBLIC CHARITIES UNDER SECTIONS 501(C)(3) AND 509(A), RESPECTIVELY, OF THE INTERNAL REVENUE CODE. SAMARITAN HEALTH PARTNERS (SHP) IS TAX-EXEMPT UNDER SECTION 501(C)(3) AND IS A PUBLIC CHARITY BY REASON OF BEING INCLUDED IN THE GROUP RULING ISSUED TO THE U.S. CATHOLIC CHURCH. AS TAX-EXEMPT ORGANIZATIONS, THEIR INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PREMIER, MAHS, SHP, AHS, AND UVMC ALSO OWN OR CONTROL CERTAIN SUBSIDIARIES, WHICH ARE FOR PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. TAXES PAYABLE AT DECEMBER 31, 2015 AND 2014, FOR SUCH UNRELATED BUSINESS ACTIVITIES ARE NOT SIGNIFICANT. 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	$11,251,000
Central America and the Caribbean	Program Services	$25,000	INSURANCE

Field	Value	IRS element (for citing)
Subtotal Spent	$11,276,000	SubtotalSpentAmt
Total Spent	$11,276,000	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
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	$4,758,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,697,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,061,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,696,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,296,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,400,000	NetCommunityBenefitExpnsAmt
Total Expense	0.06040	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$341,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$266,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,795,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,259,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,536,000	NetCommunityBenefitExpnsAmt
Total Expense	0.08290	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$425,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$425,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,036,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,021,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$347,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$347,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,899,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,884,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,694,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,274,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,420,000	NetCommunityBenefitExpnsAmt
Total Expense	0.11090	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,161,299	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$28,617,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,471,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,854,000	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UPPER VALLEY MEDICAL CENTER	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)
Website Address	WWW.PREMIERHEALTH.COM	WebsiteAddressTxt
State License	OHIO REG # 1036	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UPPER VALLEY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.premierhealth.com	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.premierhealth.com	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.premierhealth.com	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Section B, 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. UPPER VALLEYS REGISTRATION NUMBER IS 1036. Part V, Section B, Line 5: 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 Upper Valley Medical Center, community health collaboratives featuring community, health, and business stakeholders/advocates organized by both Upper Valley Medical Center, and the greater Dayton Area Hospital Association with its member hospitals. Part V, Section B, Line 6A & 6B: Upper Valley Medical Center partnered with member hospitals of the Greater Dayton Area Hospital Association and Wright State University to prepare their Community Health Needs Assessment. PART V, Section B, Line 7A: THE DIRECT WEBSITE ADDRESS WHERE THE CHNA CAN BE ACCESSED IS: HTTP://WWW.UVMC.COM/WORKAREA/DOWNLOADASSET.ASPX?ID=76905 PART V, Section B, Line 10A: The direct website address where the implementation strategy can be accessed is: http://www.premierhealth.com/our-community/making-a-difference/community-h ealth-improvement-plan/uvmc/ PART V, Section B, Line 11: Premier Health was part of a collaboration in 2013 with the Greater Dayton Area Hospital Association and hospitals throughout Southwestern Ohio to conduct a regional Community Health Needs Assessment. Identified Priorities: --------------------- In the Community Health Assessment, researchers identified priority areas for community health improvement using a variety of criteria. The priorities that are included and excluded in the plan are outlined here. Priorities that are included in the plan are not listed in order of importance. Priorities Included in the Plan: ------------------------------- Through the Community Health Risk Assessment, the identified priorities with an improvement plan Upper Valley Medical Center are: Primary and Chronic Diseases: 1. Hypertension - from 2004 to 2012, the rate of hospital inpatient hypertension discharge diagnoses increased from 96 to 130 per 1,000 adults. 2. Melanoma of the skin - The cancer rate has increased from 35.4 to 88.0 per 100,000 from 2000 to 2011. Priorities Addressed Through Collaboration: ------------------------------------------- All identified priorities are important elements of improving the health of our community. In some instances priorities are already being targeted by collaborative groups of which Upper Valley Medical Center is a part. Additional strategies will not be developed independent of these efforts. Because of the importance of these community-wide efforts, the following identified priorities are not included in the Community Health Improvement Plan. Maternal and Infant Priorities: 1. First trimester prenatal care 2. Teen pregnancy 3. Low birth weight 4. Tobacco use in pregnant women Upper Valley Medical Center is involved in several state-wide initiatives addressing these issues. As part of these collaborations, it will share the goals and objectives developed by those groups for program implementation and measurement. Ohio Perinatal Quality Collaborative. Upper Valley Medical Center is a non-charter member of this organization as a maternity hospital. The mission of the Collaborative is, "Through collaborative use of improvement science methods, reduce preterm births and improve outcomes of pre-term newborns in Ohio as quickly as possible." Projects of the collaborative include: * 39 Weeks Delivery Charter Project - To reduce elective unnecessary scheduled births before 39 weeks gestational age. (Reduce infant mortality and low birth weights.) * 39 Weeks Dissemination and Birth Registry Accuracy Project - This project was to address inaccuracies in birth certificate data within the Quality Improvement framework. * Obstetrics Antenatal Corticosteroids Project- This project focuses on increasing the use of antenatal corticosteroids to reduce mortality and morbidity among preterm infants. (Reduce infant mortality.) * Progesterone Project - This project intends to help raise awareness about the need for screening and intervention for progesterone, provide support to teams to implement screening, identification and treatment, develop the capacity and capability of skilled ultrasound technicians and remove administrative barriers to the administration of progesterone. (Reduce infant mortality and low birth weights.) Ohio Hospital Association (OHA). OHA has developed a plan to reduce infant mortality (which also addresses low infant birth weight and first trimester care) in Ohio which includes: * Safe sleep (infant mortality) * Eliminating elective deliveries before 39 weeks (infant mortality) * Progesterone for high risk mothers (infant mortality) * Eliminating health disparities * Safe spacing (infant mortality and low birth weight) * Access to prenatal care (First trimester care, infant mortality and low birth weight) * Promote breast milk * These program areas also then address increasing first trimester care, improving low birth weight and decreasing infant mortality. Upper Valley Medical Center is concerned about the data showing the use of tobacco among pregnant women. It is further researching this issue to identify potential resources to address this issue. Primary and Chronic Diseases 5. Department alcohol and drug discharge diagnoses The Tri-County Board of Recovery and Mental Health Services Serving Darke, Miami and Shelby Counties coordinates alcohol and substance abuse services in Miami County. According to its 2014-2016 strategic plan, it intends to expand funding for programs that treat addictions, development and implement a community behavioral health prevention plan and establish a new behavioral health "one stop shop" model program in Miami County. Key Health Priorities by Objective: Priority Area 1: Reduce the incidence and complications from adult hypertension. Blood pressure is how hard blood pushes against the walls of our arteries when our heart pumps blood. When someone has high blood pressure, which is also called hypertension, the increased pressure against the arteries causes damage. Hypertension is called the silent killer because usually those who have it do not feel anything. High blood pressure increases risk for heart disease, stroke, heart failure, kidney disease and blindness. In many cases hypertension can be prevented by maintaining a healthy weight, being active, eating healthy, not using tobacco and limiting alcohol. Most people who are diagnosed with high blood pressure can be controlled. Those with high blood pressure should take the same steps that may prevent high blood pressure. If medication is needed, it is imperative to take it every day. From 2004 to 2012, the rate of hospital inpatient hypertension discharge diagnoses increased from 96 to 130 per 1000 adults. Because of the significant health threat posed by hypertension, a community-focused, population health improvement strategy would benefit all parts of the community. Priority Area 1: Reduce the proportion of adults with hypertension. Objective 1.1: Increase the proportion of adults with hypertension whose blood pressure is under control. Evidence-based Strategies: * Coordinate a hypertension education health communications campaign that will include communications tactics; free, community-based screenings and free online education. * Promote lectures about high blood pressure prevention and control in worksites, congregations, senior centers and other community based venues. * Identify an educational brochure targeted to those who already have high blood pressure about the importance of medication adherence and healthy lifestyle. Make collateral available through system websites, Facebook pages, at employer and community events and other outlets to be identified. These will include how to get more information by telephone and/or online. Outcome Indicators Short and Intermediate Term: To have communications at least once a year in existing hospital communications vehicles that highlights hypertension and how it can be prevented/treated successfully. Long Term: Increase the proportion of adults with hypertension whose blood pressure is under control. Objective 1.2: Increase the proportion of adults who have had their blood pressure measured within the preceding two years and can state whether their blood pressure was normal or high. Evidence-based Strategies: * Upper Valley Medical Center will conduct blood pressure screenings on at least 250 individuals per year at worksites, congregations, senior centers and other community-based venues. * Attempt telephone follow-up with 100% of those who have a stage 2 hypertension result, do not opt out of follow-up and have a working telephone. * We	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HYATT CENTER
450 HYATT ST	TIPP CITY	OH	45371	LABORATORY, IMAGING, SPORTS MEDICINE, SURGERY
OUTPATIENT CARE CENTER NORTH
280 LOONEY RD	PIQUA	OH	45356	LABORATORY, IMAGING, REHABILITATIVE THERAPY
OUTPATIENT CARE CENTER SOUTH
998 S DORSET RD	TROY	OH	45373	LABORATORY, IMAGING OCCUPATIONAL HEALTH REHABILITATIVE THERAPY
STANFIELD PLACE
31 STANFIELD RD	TROY	OH	45373	IMAGING
JACOB DETTMER BUILDING
3130 N COUNTY RD 25A	TROY	OH	45373	Behavorial Health
VERSAILLES CENTER
471 MARKER RD	VERSAILLES	OH	45380	LABORATORY

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 Upper VALLEY Medical Center IS PART OF THE PREMIER HEALTH REPORT. 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: Included in subsidized health services are revenues and expenses related to an obstetrics clinic which is subsidized by both the Miami County Health Department and Upper Valley Medical Center. This clinic serves the prenatal, delivery, and postnatal medical needs of women in the hospital's Miami County service area. Also included in subsidized health services are revenues and expenses related to an outpatient behavioral health clinic which serves the mental and behavioral health needs of area residents. The clients in both of these clinics include those who either have no medical insurance or qualify for Medicaid services. The total community benefit expense for these clinics in 2015 was $55,000, with direct offsetting revenues of $15,000. The net community benefit expense was $40,000. Also included in subsidized health services are the expenses the hospital incurs related to the call time and physician subsidies due to the large number of indigent patients coming through the emergency room. The hospital operates a 24-hour emergency room 365 days per year. This emergency room is open to all individuals regardless of their ability to pay. For 2015, the amounts paid for call time and subsidies were $2,981,000. PART II, LINE 2: Upper Valley contributed $15,000 to the Troy Development Council (TDR) in 2015 to support the advancement of economic development interests of the Troy community and the businesses within the community. The TDC offers site location assistance and related services to domestic and international companies planning new or expanded facilities. Other initiatives include retention of existing business, outreach marketing, workforce development and data services. In ongoing efforts to improve the economic condition in Dayton and the Miami Valley, the UPPER VALLEY MEDICAL CENTER supported the Omega Community Development Corporations capital campaign project to build and develop a new community center in an under-privileged community where approximately 30% of the families live below the poverty level. The community center will reinforce early learning, inter-generational and family engagement, population health and advocacy and workforce development. UPPER VALLEY MEDICAL CENTER contributed $10,000 to this project in 2015. PART II, LINE 9: Upper Valley MEDICAL CENTER (Upper Valley) PARTICIPATES IN THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES: BOARD CHARITABLE CREDIT FUND: AS PART OF Upper Valley'S COMMUNITY PARTNERSHIP ACTIVITY, BOARD MEMBERS OF THE HOSPITAL ARE GRANTED CHARITABLE CREDITS TO BE DONATED IN THE NAME OF THE BOARD MEMBER WITH PRIORITIES TO NOT-FOR-PROFIT, TAX-EXEMPT 501(C)(3) HEALTH AND HUMAN SERVICES ORGANIZATIONS, ARTS AND CULTURE ORGANIZATIONS, AS WELL AS OTHER COMMUNITY ACTIVITIES IN THE Miami and Montgomery County Areas. ALSO SUGGESTED ARE ORGANIZATIONS THAT FOCUS ON SUPPORTING YOUTH, EDUCATION, UNDERSERVED GROUPS, AND SAFE NEIGHBORHOODS. THE AMOUNT OF SUPPORT PROVIDED IN 2015 WAS $24,000. PART III, LINE 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 BACK 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 THAT THERE ARE ACCOUNTS WRITTEN OFF TO BAD DEBT THAT MAY HAVE QUALIFIED FOR CHARITY CARE IF THE PATIENT HAD PROVIDED THE NECESSARY FINANCIAL INFORMATION. IN ORDER 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 $17,246,000 AND INCURRED COST OF $23,537,000, FOR AN ADDITIONAL NET SHORTFALL OF $6,291,000 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) $28,617,000 MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $17,246,000 TOTAL MEDICARE ASSOCIATED REVENUE $45,863,000 ALLOWABLE MEDICARE COST PER MEDICARE COST Report (PART III, SECTION B) $31,471,000 MEDICARE COST NOT REPORTED IN PART III, SECTION B $23,537,000 TOTAL MEDICARE ASSOCIATED COST $55,008,000 MEDICARE SHORTFALL PER PART III, SECTION B $2,854,000 ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $6,291,000 TOTAL MEDICARE SHORTFALL $9,145,000 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. DOCUMENTING THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. C. DOCUMENTED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED 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 programs 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 Good Samaritan Hospital Board of Directors, executive management, managers, staff members, community groups, and individuals to provide a collaborative approach to the governance and management of community benefit a	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SAMARITAN BEHAVIORAL HEALTH
601 S EDWIN C MOSES BLVD	DAYTON	OH	45408	020633634	501(C)(3)	$114,728	SUPPORT
HEALTH PARTNERS FREE CLINIC
1300 N COUNTY RD 25A	TROY	OH	45373	311596731	501(C)(3)	$91,600	SUPPORT
SINCLAIR COMMUNITY COLLEGE FOUNDATION
444 W 3RD STREET	DAYTON	OH	45402	310723444	501(C)(3)	$80,900	CAPITAL RENOVATION & EXPANSION
MIAMI COUNTY RECOVERY COUNCIL
1059 N MARKET ST	TROY	OH	45373	310917327	501(C)(3)	$68,125	SUPPORT
MIAMI COUNTY DENTAL CLINIC
1364 WEST MAIN ST	TROY	OH	45373	204901192	501(C)(3)	$60,250	SUPPORT
UNIVERSITY OF DAYTON
300 COLLEGE PARK	DAYTON	OH	45469	310536715	501(C)(3)	$50,000	CYBERSECURITY & DATA INTELLIGENCE
VICTORIA THEATRE ASSOCIATION
138 N MAIN ST	DAYTON	OH	45402	310897638	501(C)(3)	$45,350	SUPPORT
AMERICAN HEART ASSOCIATION
5211 MADISON RD	CINCINNATI	OH	45227	135613797	501(C)(3)	$33,900	SUPPORT
AIDS RESOURCE CENTER
15 W FOURTH ST 200	DAYTON	OH	45402	311126780	501(C)(3)	$28,760	VARIOUS
MIAMI VALLEY HOSPITAL
110 N MAIN ST 500	DAYTON	OH	45402	310537504	501(C)(3)	$27,948	MAHOGANY CHILD & BRIDGE PROGRAM
HOSPICE OF MIAMI COUNTY
550 SUMMIT AVE 101	TROY	OH	45373	311031277	501(C)(3)	$25,900	SUPPORT
REACH OUT MONTGOMERY COUNTY
25 E FORAKER ST	DAYTON	OH	45409	311434282	501(C)(3)	$24,742	RX ASSISTANCE FOR INDIGENT PATIENTS
CITIZENS FOR SINCLAIR
120 W SECOND ST 614	DAYTON	OH	45402	611529465	NONE	$20,000	SUPPORT
TROY COMMUNITY DEVELOPMENT
405 SW PUBLIC SQUARE 330	TROY	OH	45373	311736034	501(C)(3)	$15,000	SUPPORT
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311040231	501(C)(3)	$10,320	SUPPORT
OMEGA COMMUNITY DEVELOPMENT
1800 HARVARD BLVD	DAYTON	OH	45406	311561713	501(C)(3)	$10,250	SUPPORT
EDISON FOUNDATION
1973 EDISON DR	PIQUA	OH	45356	311379781	501(C)(3)	$10,150	SUPPORT
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST 500	DAYTON	OH	45402	237296923	501(C)(3)	$6,275	SUPPORT
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311079213	501(C)(3)	$6,010	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	1	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.	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 (24 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
REBECCA A RICE
PRESIDENT & CEO	$300,596	$0	$134,088	$0	$28,206	$0	$29,447	$0	$13,968	$0	$506,305	$0	$0	$0
TIMOTHY D SNIDER - SEE SCH O
BOARD TREASURER & CFO	$205,275	$0	$32,892	$0	$1,159	$0	$10,730	$0	$24,232	$0	$274,288	$0	$0	$0
DANNY S BAILEY MD
TRUSTEE & CMO (EX OFFICIO)	$308,783	$0	$48,115	$0	$4,993	$0	$7,456	$0	$23,394	$0	$392,741	$0	$0	$0
CHRISTOPHER A GROVE MD
MED STAFF 1ST VP (EX OFFICIO)	$0	$310,185	$0	$0	$0	$18,574	$0	$7,069	$0	$27,461	$0	$363,289	$0	$0
JAMES A HURAK
VP HOSPITAL OPERATIONS	$156,940	$0	$27,961	$0	$20,842	$0	$20,163	$0	$25,743	$0	$251,649	$0	$0	$0
DALE E CREECH
SYSTEM VP - CLO	$0	$395,325	$0	$127,297	$0	$102,136	$0	$34,542	$0	$26,096	$0	$685,396	$0	$0
THOMAS R CURTIN
SYSTEM VP - REVENUE CYCLE	$0	$217,857	$0	$55,160	$0	$3,260	$0	$8,232	$0	$29,091	$0	$313,600	$0	$0
GARY G GINTER
SYSTEM VP - CIO	$0	$351,975	$0	$139,106	$0	$2,296	$0	$26,339	$0	$27,380	$0	$547,096	$0	$0
BARBARA A JOHNSON
SYSTEM VP - HR OPERATIONS	$0	$372,517	$0	$106,120	$0	$12,618	$0	$7,701	$0	$9,788	$0	$508,744	$0	$0
TAMMY S LUNDSTROM MD
SYSTEM VP - CMO	$0	$519,002	$0	$131,441	$0	$6,225	$0	$8,908	$0	$1,585	$0	$667,161	$0	$0
THOMAS R PARKER
SYS VP -CHF EXPERIENCE OFFICER	$369,184	$0	$87,253	$0	$25,061	$0	$26,354	$0	$11,956	$0	$519,808	$0	$0	$0
DIANE L PLEIMAN
VP - OPERATIONS (FROM APR)	$226,682	$0	$43,961	$0	$2,886	$0	$22,001	$0	$6,527	$0	$302,057	$0	$0	$0
CRAIG SELF
SYSTEM VP - CSO	$0	$314,509	$0	$64,068	$0	$1,893	$0	$11,333	$0	$26,622	$0	$418,425	$0	$0
MARK W SHAW
SYSTEM VP - MANAGED CARE	$0	$282,789	$0	$65,769	$0	$44,967	$0	$35,804	$0	$25,376	$0	$454,705	$0	$0
SCOTT A SHELTON
SYSTEM VP - CPO	$0	$250,217	$0	$50,865	$0	$12,445	$0	$25,280	$0	$4,002	$0	$342,809	$0	$0
SYLVAIN TREPANIER DNP RN CENP
SYSTEM VP - CNO	$0	$329,769	$0	$55,449	$0	$1,240	$0	$7,971	$0	$9,754	$0	$404,183	$0	$0
THOMAS D BIGLEY
DIRECTOR PHARMACY	$153,981	$0	$22,008	$0	$18,315	$0	$7,514	$0	$13,059	$0	$214,877	$0	$0	$0
TERRY R FRY
VP & CNO	$164,818	$0	$37,317	$0	$19,842	$0	$22,609	$0	$913	$0	$245,499	$0	$0	$0
RYAN E MCELDOWNEY
STAFF PHARMACIST	$146,095	$0	$200	$0	$664	$0	$6,342	$0	$24,757	$0	$178,058	$0	$0	$0
DELORES A MULLEN
DIRECTOR - EMERGENCY SERVICES	$85,025	$0	$15,903	$0	$46,413	$0	$39,425	$0	$24,752	$0	$211,518	$0	$0	$0
KATHLEEN J SCARBROUGH
PRESIDENT, UVMC FOUNDATION	$80,658	$27,281	$24,118	$8,157	$10,529	$3,562	$13,430	$4,083	$17,879	$5,544	$146,614	$48,627	$0	$0
MICHAEL J MAIBERGER
FORMER TRUSTEE & OFFICER	$0	$383,247	$0	$116,670	$0	$165,038	$0	$52,762	$0	$29,769	$0	$747,486	$0	$26,344
RENEE P GEORGE
FORMER KEY EMPLOYEE	$0	$253,960	$0	$45,640	$0	$632	$0	$9,526	$0	$11,474	$0	$321,232	$0	$0
J NICK LAIR
FORMER KEY EMPLOYEE	$0	$224,436	$0	$41,191	$0	$28,687	$0	$21,914	$0	$24,658	$0	$340,886	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I LINE 4A:	FormAndLineReferenceDesc
Explanation	DELORES MULLEN RECEIVED $45,293 OF SEVERANCE PAYMENTS. Schedule J, 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, UPPER VALLEY MEDICAL CENTER (UPPER VALLEY) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. UPPER VALLEY 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 2015. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2015: DALE CREECH $94,589; BARBARA JOHNSON $5,674; NICK LAIR $9,733; DIANE PLEIMAN $1,154; REBECCA RICE $996; MARK SHAW $37,161; SCOTT SHELTON $8,625. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2015: MICHAEL MAIBERGER $26,344. 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. IN ADDITION, THE FOLLOWING INDIVIDUAL HAS NOT YET MET THE MULTI-YEAR VESTING REQUIREMENTS UNDER THE SERP. THE FOLLOWING AMOUNT WAS DEFERRED ON HIS BEHALF UNTIL THE MULTI-YEAR VESTING HAS BEEN MET; MICHAEL MAIBERGER $41,820. Schedule J, Part II, line 2: TIMOTHY SNIDER SERVES AS AN OFFICER FOR BOTH UPPER VALLEY MEDICAL CENTER AND ANOTHER UNRELATED HOSPITAL. HOWEVER, 100% OF HIS COMPENSATION IS PAID BY UPPER VALLEY MEDICAL CENTER. MR. SNIDER SPENDS APPROXIMATELY ONE-HALF OF HIS WORKING HOURS AT EACH HOSPITAL. THE COMPENSATION REPORTED ON PART VII & SCHEDULE J INCLUDES ALL OF HIS REPORTABLE COMPENSATION, EVEN THOUGH UPPER VALLEY MEDICAL CENTER IS REIMBURSED BY THE UNRELATED HOSPITAL FOR HIS TIME SPENT AT THAT INSTITUTION.	ExplanationTxt

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 Miami Ohio	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	316000055	BondIssuerEIN
CUSIP	593328EV5	CUSIPNum
Bond Issued	2006-06-29	BondIssuedDt
Issue Price	$57,502,248	IssuePriceAmt
Purpose	SEE PART VI	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	$15,015,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$62,184,334	TotalProceedsAmt
In Reserve Fund	$5,394,383	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$663,253	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$19,589,170	CapitalExpendituresAmt
Other Spent Proceeds	$36,537,528	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2009	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
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	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00050	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00230	PrivateBusConcerningUBIPct
Total Private Business Use	0.00280	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
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	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

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

Field	Value	IRS element (for citing)
Term Of Hedge	9.67	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	Yes (true)	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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, LINE A, COLUMN F PURPOSE OF BOND:	FormAndLineReferenceDesc
Explanation	THE BOND ISSUE OF 6/29/2006 WAS USED TO CURRENTLY REFUND THE 1996A, 1996B AND 1996C SERIES BONDS AND TO PROVIDE CAPITAL FOR HOSPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES. SCHEDULE K, PART II, LINE 3: TOTAL PROCEEDS OF ISSUE-INCLUDES SALES PROCEEDS OF $57,502,248 PLUS $2,548,945 EARNINGS ON DEBT SERVICE RESERVE FUND AND $2,133,141 EARNINGS ON PROJECT FUND. SCHEDULE K, PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $34,109,391 SALE PROCEEDS USED TO CURRENTLY REFUND THE 1996A, 1996B AND 1996C BONDS AND $2,428,137 OF EARNINGS ON THE DEBT SERVICE FUND USED TO PAY DEBT SERVICE ON THE 2006 SERIES BONDS. SCHEDULE K, PART IV, LINE 1: AN ARBITRAGE REBATE CALCULATION AND YIELD RESTRICTION CALCULATION WERE PERFORMED IN 2011 BY A REBATE ANALYST AND IT WAS DETERMINED THAT NO ARBITRAGE REBATE OR YIELD RESTRICTIONS LIABILITY WERE OWED. THEREFORE, FORM 8038-T WAS NOT REQUIRED TO BE FILED. SCHEDULE K, PART IV, LINE 5: GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD. A PORTION OF THE PROCEEDS RECEIVED FROM THE SALE OF THE 2006 SERIES BONDS, AND THE EARNING THEREON, WHICH WERE HELD IN THE PROJECT FUND WERE NOT EXPENDED PRIOR TO JUNE 29, 2009, THE END OF THE 3 YEAR TEMPORARY PERIOD DESCRIBED IN TREAS. REQ. 1.148-2(E) (2). THOSE AMOUNTS WERE FULLY SPENT AS OF DECEMBER 24, 2009. A YIELD RESTRICTION CALCULATION WAS PERFORMED BY A REBATE ANALYST ON THE FIVE-YEAR ANNIVERSARY DATE OF THE ISSUANCE OF THE 2006 SERIES BONDS AND IT WAS DETERMINED THAT NO YIELD REDUCTION PAYMENTS WERE OWED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Form 990, PART III, LINE 4A:

The primary exempt purpose of Upper Valley Medical Center is to provide comprehensive inpatient, outpatient, and emergency health care services to the residents of Miami 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. Form 990, Part VI, Section A, Line 3: Premier Health (Premier) as the operator of Upper Valley Medical Center (Upper Valley) develops and oversees the implementation of the strategic plan for Upper Valley, which includes (but is not limited to) such matters as location of clinical and administrative expenses and the consolidation of such services. UPPER VALLEY shall comply with and implement this plan and shall not take any action that materially departs from this plan without Premier's approval. UPPER VALLEY shall implement any capital and operating budget so approved and/or revised for it by Premier. UPPER VALLEY shall implement the business plan approved by Premier. Premier is the sole agent to negotiate all relationships with payors on behalf of UPPER VALLEY with all third party payors and alternative delivery systems including, but not limited to insurers. UPPER VALLEY 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. UPPER VALLEY must seek Premier's approval for any acquisitions, sale or transfer of any material asset used in Premier's activities. Form 990, Part VI, Section A, Line 6: Upper Valley Medical Center has two corporate members. One member is UVMC, the parent company of the hospital. The second member is Premier Health (Premier), an Ohio nonprofit corporation, formed pursuant to the Joint Operating Agreement. UVMC has the sole authority to elect the Board of Trustees of the corporation. Premier has the general authority to operate and manage the operational activities of the corporation. Form 990, Part VI, Section A, Line 7A: UVMC has the sole authority to elect the board of trustees of Upper Valley Medical Center. UVMC has the authority to remove trustees at any regular or special board meeting or by written consent. Premier Health (Premier) has the right to request that UVMC remove a trustee of Upper Valley Medical Center if Premier has determined that such trustee is frustrating the goals and purposes of Premier's network. Such request shall not be unreasonably refused by UVMC. Form 990, Part VI, Section A, Line 7B: SEE THE RESPONSE ABOVE FOR FORM 990, PART VI, SECTION A, QUESTION 3. Form 990, Part VI, Section B, Line 11B: This 990 tax return and attached schedules (the return) are prepared by a staff member in the Premier Health (Premier) tax department, of which Upper Valley Medical Center is an affiliate. The return is reviewed by the Tax Manager and Director of Tax Compliance of Premier. The Return is concurrently sent to Ernst & Young U.S. LLP for their review. After all changes from the above groups are made, the return is reviewed by the Vice-President/Controller of Premier and the Chief Financial Officer of this entity. A final version of the return is sent to Ernst & Young U.S. LLP for a final review AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. At a Board of Trustees meeting, the Vice President/Controller of Premier (or designee) shares detailed information on compensation and other key areas, as well as addresses any questions from the board of trustees, PENDING THEIR REVIEW. The 990 tax return is also shared with the Audit Committee of Premier. Form 990, Part VI, Section B, Line 12C: PREMIER HEALTH (PREMIER), OF WHICH UPPER VALLEY MEDICAL CENTER IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, OFFICERS, EXECUTIVE DIRECTORS, VICE PRESIDENTS, DIRECTORS, PURCHASING DEPARTMENT STAFF, AUTHORIZED PURCHASERS, MEDICAL DIRECTORS, DEPARTMENT AND SECTIONS CHAIRS, 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 TAX RETURN. Form 990, Part VI, Section B, Line 15A & 15B: COMPENSATION TO UPPER VALLEY MEDICAL CENTERS (UPPER VALLEY) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), OF WHICH UPPER VALLEY 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 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 19A: 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 ON WWW.PREMIERHEALTH.COM. Form 990, Part VII, Line 1a Item 17: TIMOTHY SNIDER SERVES AS AN OFFICER FOR BOTH UPPER VALLEY MEDICAL CENTER AND ANOTHER UNRELATED HOSPITAL. HOWEVER, 100% OF HIS COMPENSATION IS PAID BY UPPER VALLEY MEDICAL CENTER. MR. SNIDER SPENDS APPROXIMATELY ONE-HALF OF HIS WORKING HOURS AT EACH HOSPITAL. THE COMPENSATION REPORTED ON PART VIII INCLUDES ALL OF HIS REPORTABLE COMPENSATION, EVEN THOUGH UPPER VALLEY MEDICAL CENTER IS REIMBURSED BY THE UNRELATED HOSPITAL FOR HIS TIME SPENT AT THAT INSTITUTION.

Part VII, Section A, System Key Employees:

The System Key Employees' total compensation amount is accurately reported on the various entities they serve. If the System Key Employee's compensation is paid by an unrelated organization, their compensation is being reported as related compensation to avoid the erroneous perception that these individuals are being paid identical amounts by multiple parties. Form 990, Part XI, Line 9: EQUITY TRANSFERS (3,937,160) PENSION FASB 158 ADJUSTMENT (2,420,559) PHG EQUITY TRANSFER (200,171) FOUNDATION ADJUSTMENT (183,580) CHANGE IN UVMC AUXILIARY CASH POSITION (10,628) TRANSFER FROM AFFILIATE 3,660,843 ----------- TOTAL (3,091,255)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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
UVMC
110 N Main St 500	DAYTON	OH	45402	341850683	PARENT	OH	501(c)(3)	11C III FI	NA	false
UVMC FOUNDATION
110 N Main St 500	DAYTON	OH	45402	311581859	FOUNDATION	OH	501(c)(3)	7	NA	false
PREMIER HEALTH
110 N MAIN ST 500	DAYTON	OH	45402	311446699	JOA PARENT	OH	501(c)(3)	11A I	NA	false
UPPER VALLEY PROFESSIONAL CORP (UVPC)
110 N MAIN ST 500	DAYTON	OH	45402	311400963	HEALTH CARE	OH	501(c)(3)	9	UVMC	Yes (true)
UVPC SPECIALISTS INC
110 N MAIN ST 500	DAYTON	OH	45402	203687536	HEALTH CARE	OH	501(c)(3)	9	UVPC	Yes (true)
UVMC NURSING CARE INC
110 N MAIN ST 500	DAYTON	OH	45402	311224064	NURSING HOME	OH	501(c)(3)	9	UVMC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 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
UVMC MANAGEMENT CORPORATION
110 N MAIN ST 500	DAYTON	OH	45402	311360489	MGT COMPANY	OH	UVMC	C CORP	$0	$0	0.00000	Yes (true)
AFTER HOURS FAMILY CARE INC
110 N MAIN ST 500	Dayton	OH	45402	311269483	Health Care	OH	UVPC	C Corp	$0	$0	0.00000	Yes (true)

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	false	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	Yes (true)	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

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
UPPER VALLEY PROFESSIONAL CORP
J	$65,525	FMV
UPPER VALLEY PROFESSIONAL CORP
Q	$18,521,476	FMV
UVPC SPECIALISTS INC
Q	$2,367,867	FMV
UVMC FOUNDATION
C	$183,580	FMV
UVMC FOUNDATION
Q	$415,806	FMV
UVMC NURSING CARE
Q	$53,665	FMV
AFTER HOURS FAMILY CARE
C	$492,285	FMV
AFTER HOURS FAMILY CARE
Q	$220,315	FMV
PREMIER HEALTH
B	$200,171	FMV
UPPER VALLEY PROFESSIONAL CORP
C	$235,281	FMV
UVPC SPECIALISTS INC
B	$5,840,880	FMV
UVPC SPECIALISTS INC
O	$282,481	FMV
UVMC
C	$3,660,843	FMV
UVMC
Q	$1,174,160	FMV
UPPER VALLEY PROFESSIONAL CORP
P	$72,331	FMV