MIAMI VALLEY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-12
IRS object ID: 201643179349300114
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-12T09:38:47-06:00	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 ST 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	310537504	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	J MICHAEL SIMS	PersonNm
Person Title	VP FINANCE	PersonTitleTxt
Phone	9374999942	PhoneNum
Signature	2016-11-01	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	Mark Shaker	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,164,526,289	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PREMIERHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1890	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	MIAMI VALLEY HOSPITAL 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	1	VotingMembersIndependentCnt
Total Employee	8544	TotalEmployeeCnt
Total Volunteers	875	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,267,479	PYContributionsGrantsAmt
CY Contributions Grants	$723,021	CYContributionsGrantsAmt
PY Program Service Revenue	$810,326,961	PYProgramServiceRevenueAmt
CY Program Service Revenue	$857,340,306	CYProgramServiceRevenueAmt
PY Investment Income	$29,383,034	PYInvestmentIncomeAmt
CY Investment Income	$22,982,712	CYInvestmentIncomeAmt
PY Other Revenue	$12,950,814	PYOtherRevenueAmt
CY Other Revenue	$15,616,631	CYOtherRevenueAmt
PY Total Revenue	$853,928,288	PYTotalRevenueAmt
CY Total Revenue	$896,662,670	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,996,495	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,066,395	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$358,735,989	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$386,317,219	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$441,197,514	PYOtherExpensesAmt
CY Other Expenses	$437,879,367	CYOtherExpensesAmt
PY Total Expenses	$806,929,998	PYTotalExpensesAmt
CY Total Expenses	$830,262,981	CYTotalExpensesAmt
PY Revenues Less Expenses	$46,998,290	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$66,399,689	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,477,252,193	TotalAssetsBOYAmt
Total Assets EOY	$1,459,578,649	TotalAssetsEOYAmt
Total Liabilities BOY	$802,871,708	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$795,115,226	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$674,380,485	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$664,463,423	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MIAMI VALLEY HOSPITAL 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	$765,473,764	ExpenseAmt
Grant	$6,066,395	GrantAmt
Revenue	$857,340,306	RevenueAmt
Desc	PLEASE REFER TO SCHEDULE H.	Desc
Total Program Service Expenses	$765,473,764	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	347	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8544	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	1	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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 (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER J DANIS MD
BOARD CHAIR	0.5	39.5	Yes (X)	Yes (X)	$0	$363,070	$32,260
MARK S SHAKER
PRESIDENT & CEO	40.0	0.0	Yes (X)	Yes (X)	$856,296	$0	$32,548
MARY M CLANCY
COO	40.0	0.0	Yes (X)	Yes (X)	$495,319	$0	$41,015
JAMES R PANCOAST
TRUSTEE / PREMIER PRESIDENT	7.5	8.5	Yes (X)		$0	$1,805,699	$58,093
MARC R BELCASTRO MD
TRUSTEE & CHIEF OF STAFF	39.5	0.5	Yes (X)		$170,298	$3,263	$335
DAVID W KEY MD
TRUSTEE	0.5	0.0	Yes (X)		$0	$0	$0
JAMES M PACENTA MD
TRUSTEE	0.5	39.5	Yes (X)		$0	$691,969	$37,203
CARA W POWERS
BOARD SECRETARY	39.5	0.5		Yes (X)	$309,221	$0	$47,885
LISA A GIBBS-SEE SCH O
BOARD TREASURER & CFO	20.0	0.0		Yes (X)	$217,618	$0	$20,278
MARK E WILLIAMS MD
CMO	40.0	0.0		Yes (X)	$512,873	$0	$35,005
ROBERT M BOWMAN
VP - HOSPITAL OPERATIONS	40.0	0.0			$264,729	$0	$46,616	Yes (X)
DALE E CREECH
SYSTEM VP - CLO	7.5	32.5			$624,758	$0	$60,638	Yes (X)
THOMAS R CURTIN
SYSTEM VP - REVENUE CYCLE	7.0	33.0			$0	$276,277	$37,323	Yes (X)
GARY G GINTER
SYSTEM VP - CIO	8.0	32.0			$493,377	$0	$53,719	Yes (X)
KIMBERLY A HENSLEY
VP - HOSPITAL OPERATIONS	40.0	0.0			$273,330	$0	$39,512	Yes (X)
BARBARA A JOHNSON
SYSTEM VP - HR OPERATIONS	8.0	32.0			$491,255	$0	$17,489	Yes (X)
TAMMY S LUNDSTROM
SYSTEM VP - CMO	8.0	32.0			$656,668	$0	$10,493	Yes (X)
THOMAS R PARKER
SYS VP-CHF EXPERIENCE OFFICER	8.0	32.0			$0	$481,498	$38,310	Yes (X)
JOANN R RINGER
VP - COO MVH SOUTH	40.0	0.0			$359,994	$0	$32,799	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			$393,525	$0	$61,180	Yes (X)
SCOTT A SHELTON
SYSTEM VP - CPO	8.0	32.0			$313,527	$0	$29,282	Yes (X)
SYLVAIN TREPANIER DNP RN CENP
SYSTEM VP - CNO	7.0	33.0			$386,458	$0	$17,725	Yes (X)
JOLYN M ANGUS
VP HOSP OPS/CHIEF NSG OFFICER	40.0	0.0			$300,331	$0	$30,923		Yes (X)
DIANE L EWING
VP COMMUNICATIONS	40.0	0.0			$347,288	$0	$19,019		Yes (X)
MOLLY J HALL
VP - ACADEMIC AFFAIRS	40.0	0.0			$534,416	$0	$11,987		Yes (X)
WALTER REILING JR MD
CHIEF MEDICAL INFO OFFICER	40.0	0.0			$371,518	$0	$37,322		Yes (X)
J MICHAEL SIMS
VP FINANCE	39.5	0.5			$330,362	$0	$56,042		Yes (X)
GEOFFREY P WALKER
FORMER BOARD SECRETARY	40.0	0.0			$325,650	$0	$82,703			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	$9,028,811	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,596,792	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,093,231	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	291	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
COMPUNET CLINICAL LABORATORIES
2308 SANDRIDGE DR	MORAINE	OH	45349	CLINICAL LAB	$21,732,232
ANESTHESIOLOGY SERVICES NETWORK
PO BOX 349	DAYTON	OH	45409	Medical Services	$9,487,559
DAWSON HEALTHCARE
3650 OLENTANGY RIVER RD 450	COLUMBUS	OH	43214	AGENCY STAFF	$9,830,843
EVOLENT HEALTH LLC
800 N GLEBE RD 500	ARLINGTON	VA	22203	CONSULTANTS	$46,916,688
WRIGHT STATE UNIVERSITY
3640 COLONEL GLEN HWY 430	DAYTON	OH	45435	MEDICAL SERVICES	$12,860,218

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	93	CntrctRcvdGreaterThan100KCnt
Related Organizations	$614,178	RelatedOrganizationsAmt
Government Grants	$108,843	GovernmentGrantsAmt
Total Contributions	$723,021	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	900099	$433,934,275	$433,934,275
MEDICARE/MEDICAID	900099	$398,953,009	$398,953,009
HOSPITAL FRANCHISE TAX RECOVERIES	900099	$23,810,103	$23,810,103
HEALTH EDUCATION	900099	$66,360	$66,360
MEDICAL RECORDS	900099	$44,385	$44,385

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$532,174	TotalRevenueColumnAmt
Related Or Exempt Func Income	$532,174	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$857,340,306	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,665,101	TotalRevenueColumnAmt
Exclusion	$8,665,101	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,122,522	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,168,072	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,954,450	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,954,450	TotalRevenueColumnAmt
Exclusion	$1,954,450	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$272,671,469	SecuritiesAmt
Other	$840,886	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$258,270,314	SecuritiesAmt
Other	$924,430	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$14,401,155	SecuritiesAmt
Other	-$83,544	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,317,611	TotalRevenueColumnAmt
Exclusion	$14,317,611	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	$7,467,270	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$6,500,803	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$966,467	TotalRevenueColumnAmt
Exclusion	$966,467	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	812930	$5,967,362	$5,967,362
JOINT VENTURES	900099	$2,545,654	$2,545,654
PARKING GARAGE	900099	$1,452,456	$1,452,456

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,730,242	TotalRevenueColumnAmt
Exclusion	$2,730,242	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,695,714	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$896,662,670	TotalRevenueColumnAmt
Related Or Exempt Func Income	$857,340,306	RelatedOrExemptFuncIncomeAmt
Exclusion	$38,599,343	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,066,395	TotalAmt
Program Services	$6,066,395	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	$7,365,765	TotalAmt
Program Services	$6,661,597	ProgramServicesAmt
Management And General	$704,168	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$538,468	TotalAmt
Program Services	$486,990	ProgramServicesAmt
Management And General	$51,478	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$292,384,586	TotalAmt
Program Services	$264,432,620	ProgramServicesAmt
Management And General	$27,951,966	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,568,129	TotalAmt
Program Services	$23,123,816	ProgramServicesAmt
Management And General	$2,444,313	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,892,574	TotalAmt
Program Services	$35,174,444	ProgramServicesAmt
Management And General	$3,718,130	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,567,697	TotalAmt
Program Services	$19,505,825	ProgramServicesAmt
Management And General	$2,061,872	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$77,450	TotalAmt
Program Services	$70,046	ProgramServicesAmt
Management And General	$7,404	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$924,461	TotalAmt
Program Services	$836,083	ProgramServicesAmt
Management And General	$88,378	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$552,667	TotalAmt
Management And General	$552,667	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$51,382	TotalAmt
Program Services	$46,470	ProgramServicesAmt
Management And General	$4,912	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	$1,847,625	TotalAmt
Management And General	$1,847,625	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$71,935,126	TotalAmt
Program Services	$65,058,128	ProgramServicesAmt
Management And General	$6,876,998	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,510,489	TotalAmt
Program Services	$5,510,489	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,432,651	TotalAmt
Program Services	$4,008,890	ProgramServicesAmt
Management And General	$423,761	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,252,854	TotalAmt
Program Services	$15,603,481	ProgramServicesAmt
Management And General	$1,649,373	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,596,993	TotalAmt
Program Services	$15,914,720	ProgramServicesAmt
Management And General	$1,682,273	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$656,666	TotalAmt
Program Services	$593,889	ProgramServicesAmt
Management And General	$62,777	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,164	TotalAmt
Program Services	$5,575	ProgramServicesAmt
Management And General	$589	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,340,697	TotalAmt
Program Services	$9,340,697	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$77,317,015	TotalAmt
Program Services	$69,925,508	ProgramServicesAmt
Management And General	$7,391,507	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,105,033	TotalAmt
Program Services	$4,616,992	ProgramServicesAmt
Management And General	$488,041	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OPERATING SUPPLIES	$140,999,043	$140,999,043
PURCHASED SERVICES	$30,201,438	$27,314,181	$2,887,257
JOINT OPERATING AGREEMENT	$19,361,000	$17,510,088	$1,850,912
HOSPITAL FRANCHISE TAX	$13,342,242	$13,342,242

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,368,371	TotalAmt
Program Services	$19,325,555	ProgramServicesAmt
Management And General	$2,042,816	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$830,262,981	TotalAmt
Program Services	$765,473,764	ProgramServicesAmt
Management And General	$64,789,217	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$29,980	BOYAmt
EOY	$29,580	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$51,799,574	BOYAmt
EOY	$48,909,454	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	$133,391,182	BOYAmt
EOY	$155,582,835	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	$3,339,528	BOYAmt
EOY	$4,815,573	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,377,513	BOYAmt
EOY	$8,853,212	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,650,384	BOYAmt
EOY	$15,011,401	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,275,325,789	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$690,919,507	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$614,456,999	BOYAmt
EOY	$584,406,282	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$430,123,261	BOYAmt
EOY	$445,419,260	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$192,227,372	BOYAmt
EOY	$158,510,578	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	$9,470,134	BOYAmt
EOY	$9,436,403	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,386,266	BOYAmt
EOY	$28,604,071	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,477,252,193	BOYAmt
EOY	$1,459,578,649	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$68,793,045	BOYAmt
EOY	$58,405,404	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,775,147	BOYAmt
EOY	$3,744,328	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,637,755	BOYAmt
EOY	$1,609,238	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$418,538,301	BOYAmt
EOY	$412,953,275	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	$10,354,755	BOYAmt
EOY	$3,494,398	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	$299,772,705	BOYAmt
EOY	$314,908,583	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$802,871,708	BOYAmt
EOY	$795,115,226	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$674,380,485	BOYAmt
EOY	$664,463,423	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	$674,380,485	BOYAmt
EOY	$664,463,423	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,477,252,193	BOYAmt
EOY	$1,459,578,649	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$66,399,689	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$26,971,533	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$49,345,218	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	$137,882	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$13,500	OtherActivitiesAmt
Total Lobbying Expenditures	$151,382	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1F:	FormAndLineReferenceDesc
Explanation	PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION, DAYTON DEVELOPMENT COALITION, AMERICAN HOSPITAL ASSOCIATION, AND OHIO HOSPITAL ASSOCIATION. 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	$36,995,269	OtherCostOrOtherBasisAmt
Book Value	$36,995,269	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$702,044,458	OtherCostOrOtherBasisAmt
Depreciation	$377,971,298	DepreciationAmt
Book Value	$324,073,160	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,870,549	OtherCostOrOtherBasisAmt
Depreciation	$2,566,133	DepreciationAmt
Book Value	$3,304,416	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$491,503,579	OtherCostOrOtherBasisAmt
Depreciation	$310,382,076	DepreciationAmt
Book Value	$181,121,503	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,911,934	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$38,911,934	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$584,406,282	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$158,510,578	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$158,510,578	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PENSION OBLIGATION	$231,123,628
SWAP LIABILITY	$27,788,077
MALPRACTICE INSURANCE	$21,257,329
JOINT OPERATING AGREEMENT	$19,361,000
LOAN GUARANTEE & OTHER LTL	$5,744,463
HOSPITAL FRANCHISE TAX PAYABLE	$3,373,176
WORKERS COMP RESERVE	$1,854,470
OTHER	$4,406,440

Field	Value	IRS element (for citing)
Total Liability	$314,908,583	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. MEDAMERICA HEALTH SYSTEMS IS THE PARENT ORGANIZATION OF MIAMI VALLEY HOSPITAL. 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	$110,757,000
Central America and the Caribbean	Program Services	$25,000	INSURANCE

Field	Value	IRS element (for citing)
Subtotal Spent	$110,782,000	SubtotalSpentAmt
Total Spent	$110,782,000	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
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	$19,802,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,493,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,309,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$198,127,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$152,918,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,209,000	NetCommunityBenefitExpnsAmt
Total Expense	0.05550	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,037,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,677,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,360,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$223,966,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167,088,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,878,000	NetCommunityBenefitExpnsAmt
Total Expense	0.06980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,084,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,084,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,687,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,063,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,624,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,639,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,639,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,438,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,438,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,848,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,063,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,785,000	NetCommunityBenefitExpnsAmt
Total Expense	0.03290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$272,814,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$189,151,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,663,000	NetCommunityBenefitExpnsAmt
Total Expense	0.10270	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$145,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$145,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$94,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$155,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$155,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$386,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$386,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$849,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$849,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,735,211	BadDebtExpenseAmt
Reimbursed By Medicare	$130,079,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$145,509,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,430,000	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	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	12	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
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 A, LINE 1:	FormAndLineReferenceDesc
Explanation	THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. MIAMI VALLEY HOSPITAL'S REGISTRATION NUMBER IS 1247. MIAMI VALLEY HOSPITAL SOUTH'S REGISTRATION NUMBER IS 1489. PART V, SECTION B, QUESTION 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 MIAMI VALLEY HOSPITAL, COMMUNITY HEALTH COLLABORATIVES FEATURING COMMUNITY, HEALTH, AND BUSINESS STAKEHOLDERS/ADVOCATES ORGANIZED BY BOTH MIAMI VALLEY HOSPITAL, AND THE GREATER DAYTON AREA HOSPITAL ASSOCIATION WITH ITS MEMBER HOSPITALS. PART V, SECTION B, QUESTION 6A & 6B: MIAMI VALLEY HOSPITAL 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.MIAMIVALLEYHOSPITAL.ORG/WORKAREA/DOWNLOADASSET.ASPX?ID=76902 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/MVH/ 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 following priorities were identified for Montgomery and Greene counties. These priorities are outlined in this plan. Primary and Chronic Diseases: 1. Hypertension: Hypertension rates are higher in the service area than in the state and nation. It is the leading inpatient discharge diagnosis and the 3rd leading ED discharge diagnosis. 2. Breast cancer: The breast cancer rate is 244.8 per 100,000, and the rate is increasing as opposed to historically prevalent cancers. 3. Diabetes: The prevalence of diabetes is substantially greater in the service area compared to the State and nation. It is the 3rd most common inpatient discharge diagnosis and the 7th most common ER discharge diagnosis. Discharge diagnosis rates have increased from 2004 to 2012. 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 Miami Valley Hospital 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. Low birth weight 3. Infant mortality rate Miami Valley Hospital is involved in several state-wide initiatives addressing these issues. As part of these collaborations, Miami Valley Hospital will share the goals and objectives developed by those groups for program implementation and measurement. Ohio Perinatal Quality Collaborative ------------------------------------ Miami Valley Hospital is a charter member of this organization as a neonatal hospital and 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. Ohio Collaborative to Prevent Infant Mortality. ----------------------------------------------- This group, which is coordinated by the Ohio Department of Health, works together to formulate a statewide strategic plan to reduce infant mortality and birth outcome disparities. Miami Valley Hospital is part of this collaborative. Primary and Chronic Diseases: 4. Alcohol and drug discharge diagnosis In Montgomery County, Alcohol and Drug Abuse services are coordinated by the ADAMHS Board (Alcohol, Drug Addiction and Mental Health Services.) The ADAMHS Board administrates the planning, development, funding and evaluation of behavioral health services delivered by a network of nearly 30 community-based organizations. The ADAMHS Collaborative Coalition issued, "Report to Improve Alcohol and Other Drug Abuse and Addiction Services in Montgomery County, Ohio". This plan includes recommendations for: * Building infrastructure and capacity * Prevention * Building linkages * Treatment * Data sharing Premier Health is involved in these initiatives. James Pancoast, Premier Health President and CEO, is the Co-Chair of the Alcohol and Other Drug Abuse Implementation Advisory Team. In Greene County, the Mental Health and Recovery Board of Clark, Greene and Madison Counties serves a similar purpose. Its mission is to support the system for delivering effective mental health, alcohol and other drug treatment, prevention, education and advocacy services for residents. 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 have their high blood pressure 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. Hypertension rates are higher in the service area than in the State and nation. It is the leading inpatient discharge diagnosis and the 3rd leading ED discharge diagnosis. 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 commun	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Dialysis Centers of Dayton LLC
110 N MAIN ST	Dayton	OH	45402	Dialysis Treatment
Lincoln Park Manor
694 Isaac Prugh Way	Kettering	OH	45429	Assisted Living
Jamestown Emergency Center
4940 Cottonville Rd	Jamestown	OH	45335	Emergency Center

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 6A:	FormAndLineReferenceDesc
Explanation	THE COMMUNITY BENEFIT REPORT FOR MIAMI VALLEY HOSPITAL IS PART OF THE PREMIER HEALTH REPORT. PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE THIS FINANCIAL ASSISTANCE AT COST. THIS CALCULATION TAKES TOTAL OPERATING EXPENSES LESS OTHER OPERATING REVENUES DIVIDED BY TOTAL GROSS REVENUES. UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENTAL PROGRAMS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND INCLUDES FULLY LOADED COSTS. FOR THE REMAINING ITEMS THE ORGANIZATION USED SPECIFIC NUMBERS FOR EXPENSE PAID DIRECTLY FOR THESE SERVICES. PART I, LINE 7G: MIAMI VALLEY HOSPITAL (MVH) PROVIDES THE FOLLOWING SUBSIDIZED SERVICE: EMERGENCY SERVICES: MVH OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THIS EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL INCURS EXPENSES RELATED TO CALL TIME AND PHYSICIAN SUBSIDIES DUE TO THE LARGE NUMBER OF INDIGENT PATIENTS COMING THROUGH THE EMERGENCY ROOM. FOR 2015, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $18,639,000. Part II, Line 1: Miami Valley Hospital worked with local businesses to plan revitalization of neighborhood property. The plans included improving access to healthcare for vulnerable patients in our community and continuing to revitalize the housing and overall living conditions to adjacent areas. The amount provided in 2015 was $145,000. In ongoing efforts to improve the economic condition in Dayton and the Miami Valley, the Miami Valley Hospital supported the Omega Community Development Corporations capital campaign project to build and develop a new community center. The center will be located 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. Miami Valley Hospital (MVH) contributed $52,000 to this project in 2015. In addition, MVH provided $41,000 in support of the Minority Business Partnership (MBP), a program of the Dayton Area Chamber of Commerce. The MBP is an economic development initiative which seeks to help grow the local economy and strengthen area businesses by leveraging Dayton region minority assets. MBP creates supply chain opportunities for local businesses with an emphasis on minority business participation. Part II, Line 3: The Genesis project is a collaborative effort between MVH, the University of Dayton, PNC Bank, Citywide Development Corporation, County Corp and the City of Dayton to revitalize the Montgomery County Fairgrounds neighborhood. Efforts included removing or rehabilitating deteriorating structures, building new homes, dedicating a social worker for neighborhood residents and funding additional community-based police officers in the neighborhood. The amount contibuted in 2015 for this program was $26,000. In partnership with the University of Dayton and the City of Dayton, the hospital provided funds for the reconstruction of Brown Street between MVH and the University of Dayton. The reconstruction included new base, pavement, sidewalks, curbs, catch basins and street lights. Total funding for this project in 2015 was $122,000. Part II, line 8: Miami Valley Hospital donated $69,000 to the Montgomery County Ohio College Promise organization during 2015 to help develop the Dayton-area workforce. This program provides a life-changing opportunity for up to 50 Montgomery County poverty-stricken students a year. The students are selected during their 8th grade year and are supported through high school by a caring adult mentor who meets weekly with them at their school. Upon successful completion of high school and admission to one of several 4-year university partners, the selected student will be awarded scholarships that will allow them to attend college at little to no cost to them or their families. PART II, LINE 9: Miami Valley Hospital (MVH) provides Community Support by granting Board Members of the hospital with 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 Dayton area. Also suggested are organizations that focus on supporting youth, education, underserved groups, and safe neighborhoods. The amount of support provided in 2015 was $386,000. 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 $118,809,000 AND INCURRED COST OF $168,206,000, FOR AN ADDITIONAL NET SHORTFALL OF $49,397,000 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) $130,079,000 MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $118,809,000 TOTAL MEDICARE ASSOCIATED REVENUE $248,888,000 ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $145,509,000 MEDICARE COST NOT REPORTED IN PART III, SECTION B $168,206,000 TOTAL MEDICARE ASSOCIATED COST $313,715,000 MEDICARE SHORTFALL PER PART III, SECTION B $15,430,000 ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $49,397,000 TOTAL MEDICARE SHORTFALL $64,827,000 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 40% 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 AND ACCEPTED TERMS FOR A PAYMENT PLAN, BUT HAS NOT HONORED THE TERMS OF THAT PLAN. THE FINANCIAL COUNSELOR	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
THE DAYTON FOUNDATION
40 N MAIN ST 500	DAYTON	OH	45423	316027287	501(C)(3)	$3,997,970	VARIOUS
SINCLAIR COMMUNITY COLLEGE FOUNDATION
444 W 3RD STREET	DAYTON	OH	45469	310723444	501(C)(3)	$420,680	CAPITAL RENOVATION & EXPANSION
PREMIER COMMUNITY HEALTH co FIDELITY
HEALTH 3170 KETTERING BLVD	DAYTON	OH	45439	311122883	501(C)(3)	$366,021	COMMUNITY HEALTH
UNIVERSITY OF DAYTON
300 COLLEGE PARK	DAYTON	OH	45469	310536715	501(C)(3)	$260,000	CYBERSECURITY & DATA INTELLIGENCE
VICTORIA THEATRE ASSOCIATION
138 N MAIN ST	DAYTON	OH	45402	310897638	501(C)(3)	$235,820	Support
AIDS RESOURCE CENTER
15 W FOURTH ST 200	DAYTON	OH	45402	311126780	501(C)(3)	$149,549	VARIOUS
AMERICAN HEART ASSOCIATION
5211 MADISON RD	CINCINNATI	OH	45227	135613797	501(C)(3)	$145,080	Support
MILLER VALENTINE
137 N MAIN ST	DAYTON	OH	45402	200785272	NONE	$144,981	COMMUNITY DEVELOPMENT
REACH OUT MONTGOMERY COUNTY
25 E FORAKER ST	DAYTON	OH	45409	311434282	501(C)(3)	$128,661	RX ASSISTANCE FOR INDIGENT PATIENTS
CITY OF DAYTON
335 W THIRD STREET	DAYTON	OH	45402	316000175	GOVERNMENT	$122,312	POLICE PROGRAM
CITIZENS FOR SINCLAIR
120 W SECOND ST 614	DAYTON	OH	45402	611529465	NONE	$104,000	Support
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311040231	501(C)(3)	$53,664	Support
OMEGA COMMUNITY DEVELOPMENT
1800 HARVARD BLVD	DAYTON	OH	45406	311561713	501(C)(3)	$53,300	SUPPORT
DAYTON AREA CHAMBER OF COMMERCE
1 CHAMBER PLAZA 5TH MAIN	DAYTON	OH	45402	310257370	501(C)(6)	$41,400	MINORITY SUPPORT
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST 500	DAYTON	OH	45402	237296923	501(C)(3)	$32,630	Support
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311079213	501(C)(3)	$31,252	SUPPORT
CITYWIDE DEVELOPMENT CORPORATION
8 N MAIN ST	DAYTON	OH	45402	310821189	501(C)(4)	$25,800	GENESIS PROJECT & DOWNTOWN DAYTON
MIDDLETOWN COMMUNITY FOUNDATION
300 N MAIN ST 300	MIDDLETOWN	OH	45042	310898380	501(C)(3)	$20,020	SUPPORT
PROJECT HOPE
1510 N MAIN ST	DAYTON	OH	45405	341421548	501(C)(3)	$18,200	SUPPORT
UNITED WAY OF THE GREATER DAYTON AREA
33 W THIRD ST 500	DAYTON	OH	45402	310536658	501(C)(3)	$17,940	SUPPORT
UVMC FOUNDATION
110 N MAIN ST 500	DAYTON	OH	45402	311581859	501(C)(3)	$16,705	SUPPORT
DAYTON CONTEMPORARY DANCE COMPANY
840 GERMANTOWN ST	DAYTON	OH	45402	237220259	501(C)(3)	$16,640	SUPPORT
DAYBREAK
605 S LUDLOW ST	DAYTON	OH	45410	310864474	501(C)(3)	$15,990	SUPPORT
OHIO HOSPITAL ASSOCIATION
155 E BROAD ST 301	COLUMBUS	OH	43215	314270340	501(C)(6)	$13,000	SUPPORT
AMERICAN CANCER SOCIETY
2808 READING RD	CINCINNATI	OH	45206	340726080	501(C)(3)	$10,660	SUPPORT
GOODWILL EASTER SEALS
660 S MAIN STREET	DAYTON	OH	45402	310537112	501(C)(3)	$10,057	SUPPORT
CULTURE WORKS
110 N MAIN ST 165	DAYTON	OH	45402	237412338	501(C)(3)	$9,880	SUPPORT
YWCA OF DAYTON
141 W THIRD ST	DAYTON	OH	45402	310537168	501(C)(3)	$9,100	SUPPORT
SAINT PETER CATHOLIC CHURCH
6161 CHAMBERSBURG RD	HUBER HTS	OH	45424	310626310	501(C)(3)	$8,840	SUPPORT
COUNTRYSIDE YMCA
1699 DEERFIELD RD	LEBANON	OH	45036	510181689	501(C)(3)	$8,840	SUPPORT
HEALTH PARTNERS FREE CLINIC
1300 N COUNTY RD 25A	TROY	OH	45373	311596731	501(C)(3)	$8,320	SUPPORT
PARITY INC
PO BOX 60624	DAYTON	OH	45406	311345623	501(C)(3)	$7,540	SUPPORT
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HWY	DAYTON	OH	45402	310732831	501(C)(3)	$6,800	SUPPORT
THE HUMAN RACE THEATRE COMPANY
126 N MAIN ST 300	DAYTON	OH	45402	311176135	501(C)(3)	$6,760	SUPPORT
COUNTYLINE CHRISTIAN ASSOCIATION
203 E MAIN ST	BRADFORD	OH	45308	311484771	501(C)(3)	$6,760	SUPPORT
MUSE MACHINE INC
126 N MAIN ST 310	DAYTON	OH	45402	311028673	501(C)(3)	$6,500	SUPPORT
HOSPICE OF DAYTON
324 WILMINGTON AVE	DAYTON	OH	45420	310933339	501(C)(3)	$6,320	SUPPORT
SOUTHBROOK CHRISTIAN CHURCH
9095 WASHINGTON CHURCH	MIAMISBURG	OH	45342	311170733	501(C)(3)	$6,240	SUPPORT
SC MINISTRY FOUNDATION
345 NEEB RD	CINCINNATI	OH	45233	311185570	501(C)(3)	$6,240	SUPPORT
MARCH OF DIMES
3280 SUMMIT RIDGE PKWY	DULUTH	GA	30096	131846366	501(C)(3)	$5,980	SUPPORT
SALVATION ARMY - DAYTON
1000 N KEOWEE ST	DAYTON	OH	45404	135562351	501(C)(3)	$5,954	SUPPORT
PIQUA EDUCATION FOUNDATION
719 E ASH ST	PIQUA	OH	45356	311117501	501(C)(3)	$5,889	SUPPORT
MIAMI VALLEY COUNCIL BSA
4999 NORTHCUTT PLACE	DAYTON	OH	45413	310537124	501(C)(3)	$5,720	SUPPORT
DAYTON EARLY COLLEGE ACADEMY
300 COLLEGE PARK AVENUE	DAYTON	OH	45469	260463618	501(C)(3)	$5,460	SUPPORT
FOODBANK INC
56 ARMOR PLACE	DAYTON	OH	45417	861082880	501(C)(3)	$5,460	SUPPORT
GALA OF HOPE FOUNDATION
3500 PENTAGON BLVD	BEAVERCREEK	OH	45431	464277044	501(C)(3)	$5,200	SUPPORT
WACO HISTORICAL SOCIETY INC
1865 S COUNTY RD 25A	TROY	OH	45373	310969657	501(C)(3)	$5,200	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	42	Total501c3OrgCnt
Total Other Org	5	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	false	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 (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER J DANIS MD
BOARD CHAIR	$0	$357,716	$0	$0	$0	$5,354	$0	$9,086	$0	$23,174	$0	$395,330	$0	$0
MARK S SHAKER
PRESIDENT & CEO	$542,207	$0	$153,918	$0	$160,171	$0	$28,201	$0	$4,347	$0	$888,844	$0	$0	$0
MARY M CLANCY
COO	$375,335	$0	$91,082	$0	$28,902	$0	$26,749	$0	$14,266	$0	$536,334	$0	$0	$0
JAMES R PANCOAST
TRUSTEE / PREMIER PRESIDENT	$0	$1,019,394	$0	$395,850	$0	$390,455	$0	$33,677	$0	$24,416	$0	$1,863,792	$0	$0
MARC R BELCASTRO MD
TRUSTEE & CHIEF OF STAFF	$170,298	$3,263	$0	$0	$0	$0	$335	$0	$0	$0	$170,633	$3,263	$0	$0
JAMES M PACENTA MD
TRUSTEE	$0	$480,029	$0	$101,266	$0	$110,674	$0	$10,330	$0	$26,873	$0	$729,172	$0	$0
CARA W POWERS
BOARD SECRETARY	$231,740	$0	$76,837	$0	$644	$0	$22,738	$0	$25,147	$0	$357,106	$0	$0	$0
LISA A GIBBS-SEE SCH O
BOARD TREASURER & CFO	$185,461	$0	$31,151	$0	$1,006	$0	$6,087	$0	$14,191	$0	$237,896	$0	$0	$0
MARK E WILLIAMS MD
CMO	$387,466	$0	$105,718	$0	$19,689	$0	$9,759	$0	$25,246	$0	$547,878	$0	$0	$0
ROBERT M BOWMAN
VP - HOSPITAL OPERATIONS	$224,145	$0	$37,805	$0	$2,779	$0	$20,415	$0	$26,201	$0	$311,345	$0	$0	$0
DALE E CREECH
SYSTEM VP - CLO	$395,325	$0	$127,297	$0	$102,136	$0	$34,542	$0	$26,096	$0	$685,396	$0	$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	$351,975	$0	$139,106	$0	$2,296	$0	$26,339	$0	$27,380	$0	$547,096	$0	$0	$0
KIMBERLY A HENSLEY
VP - HOSPITAL OPERATIONS	$224,871	$0	$47,115	$0	$1,344	$0	$26,749	$0	$12,763	$0	$312,842	$0	$0	$0
BARBARA A JOHNSON
SYSTEM VP - HR OPERATIONS	$372,517	$0	$106,120	$0	$12,618	$0	$7,701	$0	$9,788	$0	$508,744	$0	$0	$0
TAMMY S LUNDSTROM
SYSTEM VP - CMO	$519,002	$0	$131,441	$0	$6,225	$0	$8,908	$0	$1,585	$0	$667,161	$0	$0	$0
THOMAS R PARKER
SYS VP-CHF EXPERIENCE OFFICER	$0	$369,184	$0	$87,253	$0	$25,061	$0	$26,354	$0	$11,956	$0	$519,808	$0	$0
JOANN R RINGER
VP - COO MVH SOUTH	$275,583	$0	$49,866	$0	$34,545	$0	$29,337	$0	$3,462	$0	$392,793	$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	$282,789	$0	$65,769	$0	$44,967	$0	$35,804	$0	$25,376	$0	$454,705	$0	$0	$0
SCOTT A SHELTON
SYSTEM VP - CPO	$250,217	$0	$50,865	$0	$12,445	$0	$25,280	$0	$4,002	$0	$342,809	$0	$0	$0
SYLVAIN TREPANIER DNP RN CENP
SYSTEM VP - CNO	$329,769	$0	$55,449	$0	$1,240	$0	$7,971	$0	$9,754	$0	$404,183	$0	$0	$0
JOLYN M ANGUS
VP HOSP OPS/CHIEF NSG OFFICER	$246,644	$0	$48,332	$0	$5,355	$0	$3,764	$0	$27,159	$0	$331,254	$0	$0	$0
DIANE L EWING
VP COMMUNICATIONS	$267,843	$0	$73,838	$0	$5,607	$0	$9,575	$0	$9,444	$0	$366,307	$0	$0	$0
MOLLY J HALL
VP - ACADEMIC AFFAIRS	$371,254	$0	$129,997	$0	$33,165	$0	$9,679	$0	$2,308	$0	$546,403	$0	$0	$0
WALTER REILING JR MD
CHIEF MEDICAL INFO OFFICER	$313,869	$0	$53,413	$0	$4,236	$0	$9,261	$0	$28,061	$0	$408,840	$0	$0	$0
J MICHAEL SIMS
VP FINANCE	$236,555	$0	$65,613	$0	$28,194	$0	$28,062	$0	$27,980	$0	$386,404	$0	$0	$0
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
GEOFFREY P WALKER
FORMER BOARD SECRETARY	$233,665	$0	$73,540	$0	$18,445	$0	$56,849	$0	$25,854	$0	$408,353	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I LINE 4B:	FormAndLineReferenceDesc
Explanation	DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL (MVH) AND ITS AFFILIATED ORGANIZATIONS COMPENSATES FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2015. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2015: ROBERT BOWMAN $518; MARY CLANCY $24,100; DALE CREECH $94,589; MOLLY HALL $7,729; BARBARA JOHNSON $5,674; NICK LAIR $9,733; JOANN RINGER $29,876; MARK SHAKER $132,010; MARK SHAW $37,161; SCOTT A. SHELTON $8,625; J. MICHAEL SIMS $7,761; GEOFFREY WALKER $15,612. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2015: JAMES PANCOAST $353,371. 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. PART II, LINE 8: Lisa Gibbs serves as an officer for both Miami Valley Hospital and another unrelated hospital. However, 100% of her compensation is paid by Miami Valley Hospital. Lisa Gibbs spends approximately one-half of her working hours at each Hospital. The compensation reported on Schedule J includes all of her reportable compensation, even though Miami Valley Hospital is reimbursed by the unrelated hospital for her time spent at that institution.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF MONTGOMERY OH
A	316000172	613549GP3	2008-11-13	$234,895,988	SEE PART VI - Note A	false	false	false
COUNTY OF MONTGOMERY OH
B	316000172	613549GZ1	2009-02-24	$126,463,824	SEE PART VI - Note B	false	false	false
COUNTY OF MONTGOMERY OH
C	316000172	613549JL9	2011-04-12	$106,431,124	SEE PART VI - Note C	false	false	false
COUNTY OF MONTGOMERY OH
D	316000172	613549JX3	2011-04-26	$85,000,000	SEE PART VI - Note C	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$148,425,000	$0	$234,895,988	$0	$0	$0	$2,119,000	$0	$0	$33,745,109	$198,698,053	$333,826	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$115,000,000	$0	$126,463,824	$0	$0	$0	$2,293,824	$0	$0	$0	$124,170,000	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
C	$2,700,000	$0	$106,431,124	$0	$0	$0	$1,203,000	$0	$0	$105,228,124	$0	$0	2011	false	false	Yes (true)	Yes (true)
D	$0	$0	$85,000,000	$0	$0	$0	$727,500	$0	$0	$84,272,499	$0	$1	2011	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.00704	0.00000	0.00704	false	false	false	Yes (true)
B	false	Yes (true)	false	false	0.00704	0.00000	0.00704	false	false	false	Yes (true)
C	false	false	false	false	0			false	false	false	Yes (true)
D	false	false	false	false	0			false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct
MERRILL LYNCH
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false			false	0	false	Yes (true)
BARCLAYSWELLS FARGO
C	false	Yes (true)	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)	21.
BARCLAYSWELLS FARGO
D	false	Yes (true)	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	0	false	Yes (true)	30.5

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NOTE A, PART 1, LINE A, COLUMN F	REFUND MIAMI VALLEY HOSPITAL BOND SERIES 1992B, 1998A, 2003A, 2003B, & 2003C, AND TO PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS.
NOTE B, PART I, LINE B, COLUMN F	REFUND PORTION OF MIAMI VALLEY HOSPITAL SERIES 2008A AND 2008B BONDS.
NOTE C, PART 1, LINE C & D, COLUMN F	PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS.
Note D, PART 1, LINE A, COLUMN F:	REFUND MIAMI VALLEY HOSPITAL SERIES 2009A BONDS.
PART IV, ARBITRAGE, LINE 2C:	COMPUTATION DATE WAS NOVEMBER 13, 2013 FOR THE 2008ABC COMPUTATION DATE WAS NOVEMBER 17, 2014 FOR THE 2009AB.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	316000172	BondIssuerEIN
Bond Issued	2012-11-20	BondIssuedDt
Issue Price	$128,640,000	IssuePriceAmt
Purpose	SEE PART VI - Note D	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	$3,000,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$128,640,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$375,517	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$128,264,483	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2012	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	Yes (true)	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	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00704	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00704	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	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

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

Field	Value	IRS element (for citing)
Term Of Hedge	24.	TermOfHedgePct
Superintegrated Hedge	Yes (true)	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

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

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ROBERT BOWMAN
SPOUSE	$69,208	INFECTION PREVENT SPEC SALARY	false
LISA GIBBS
CHILD	$46,892	CAP ACQ SOURCING BUYER SALARY	false
ROBERT BOWMAN
CHILD	$13,925	PATIENT CARE TECH SALARY	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, PART VI, SECTION A, QUESTION 2:	FormAndLineReferenceDesc
Explanation	Mary M. Clancy (trustee) and Thomas R. Curtin (Key Employee) are both on the board of Compunet Clinical Laboratory. FORM 990, PART VI, SECTION A, QUESTION 3: PREMIER HEALTH (PREMIER) AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN PREMIER'S ACTIVITIES. FORM 990, PART VI, SECTION A, QUESTION 6: MIAMI VALLEY HOSPITAL HAS TWO CORPORATE MEMBERS. ONE MEMBER IS MEDAMERICA HEALTH SYSTEMS, THE PARENT COMPANY OF THE HOSPITAL. THE SECOND MEMBER IS PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION FORMED PURSUANT TO THE JOINT OPERATING AGREEMENT. MEDAMERICA HEALTH SYSTEMS HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES OF THE CORPORATION. PREMIER HEALTH HAS THE GENERAL AUTHORITY TO OPERATE AND MANAGE THE OPERATIONAL ACTIVITIES OF THE CORPORATION. FORM 990, PART VI, SECTION A, QUESTION 7A: MEDAMERICA HEALTH SYSTEMS (MAHS) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH). FROM AMONG THOSE RECOMMENDED BY THE NOMINATING COMMITTEE SET FORTH IN THE JOINT OPERATING AGREEMENT. MAHS HAS THE AUTHORITY TO REMOVE TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT. PREMIER HEALTH (PREMIER) HAS THE RIGHT TO REQUEST THAT MAHS REMOVE A TRUSTEE OF MVH IF PREMIER HAS DETERMINED THAT SUCH TRUSTEE IS FRUSTRATING THE GOALS AND PURPOSES OF PREMIER'S NETWORK. SUCH REMOVAL SHALL NOT BE UNREASONABLY REFUSED BY MAHS. FORM 990, PART VI, SECTION A, QUESTION 7B: SEE THE RESPONSE ABOVE FOR FORM 990, PART VI, SECTION A, QUESTION 3. FORM 990, PART VI, SECTION B, QUESTION 11B: THIS 990 TAX RETURN AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S. LLP FOR THEIR REVIEW. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS SENT TO ERNST & YOUNG U.S. LLP FOR A FINAL REVIEW AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 TAX RETURN IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, QUESTION 12C: PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL 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, QUESTION 15A AND 15B: COMPENSATION TO MIAMI VALLEY HOSPITALS (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), WITH WHICH MVH IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE IS COMPRISED OF THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CHIEF 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, QUESTION 19: THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON WWW.PREMIERHEALTH.COM. FORM 990, PART VII, LINE 1A, Item 17: Lisa Gibbs serves as an officer for both Miami Valley Hospital and another unrelated hospital. However, 100% of her compensation is paid by Miami Valley Hospital. Lisa Gibbs spends approximately one-half of her working hours at each Hospital. The compensation reported on Part VII includes all of her reportable compensation, even though Miami Valley Hospital is reimbursed by the unrelated hospital for her 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 (35,345,156) PENSION FASB 158 ADJUSTMENT	ExplanationTxt

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	311607686	EIN
Primary Activities	DIALYSIS	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	$5,522,862	TotalIncomeAmt
End Of Year Assets	$8,883,043	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PREMIER HEALTH
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311446699	SUPPRTG. ORG.	OH	501(C)(3)	11A I	NA	false
MEDAMERICA HEALTH SYSTEMS CORP (MAHS)
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311040228	PARENT	OH	501(C)(3)	11C III FI	NA	false
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311040231	Foundation	OH	501(C)(3)	7	MAHS	Yes (true)
PREMIER COMMUNITY HEALTH
C/O FIDELITY 3170 KETTERING BLVD	DAYTON	OH	45439	311122883	Health Educat	OH	501(C)(3)	9	FHC	Yes (true)
FIDELITY HEALTH CARE
3170 KETTERING BLVD	DAYTON	OH	45439	311075381	HOME HEALTH	OH	501(C)(3)	9	MAHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Premier Plaza LLC
110 N Main St 500	Dayton	OH	45402	800708185	Holding Compa	OH	MAHS	EXCLUDED	-$8,895	$168,844	false	$0	false	0.02000
SOUTHWEST OHIO NEONATAL COLLABORATIVE
110 N MAIN ST 500	DAYTON	OH	45402	463231330	NEONATOLOGY	OH	CHILDRENS MEDIC	EXCLUDED	$0	$0	false	$0	false	0.61500

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
MVHE INC
110 N MAIN ST SUITE 400	DAYTON	OH	45402	311185270	PHYS SVCS	OH	MAHS	CORPORATION	$0	$0	0.00000	Yes (true)
PREMIER HEALTH SPECIALISTS INC
110 N MAIN ST SUITE 400	DAYTON	OH	45402	061744704	PHYS SVCS	OH	MAHS	CORPORATION	$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	Yes (true)	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 (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FIDELITY HEALTH CARE
C	$1,000,000	FMV
FIDELITY HEALTH CARE
O	$1,195,568	FMV
FIDELITY HEALTH CARE
Q	$6,236,199	FMV
FIDELITY HEALTH CARE
R	$124,729	FMV
FIDELITY HEALTH CARE
S	$1,321,063	FMV
MIAMI VALLEY HOSPITAL FOUNDATION
C	$614,178	FMV
MIAMI VALLEY HOSPITAL FOUNDATION
Q	$684,062	FMV
MIAMI VALLEY HOSPITAL FOUNDATION
R	$401,082	FMV
MVHE INC
B	$12,042,973	FMV
MVHE INC
C	$478,122	FMV
MVHE INC
O	$250,401	FMV
MVHE INC
Q	$9,003,310	FMV
MVHE INC
S	$1,410,245	FMV
PREMIER COMMUNITY HEALTH
C	$5,000,001	FMV
PREMIER COMMUNITY HEALTH
J	$58,687	FMV
PREMIER COMMUNITY HEALTH
R	$360,000	FMV
PREMIER HEALTH
B	$1,040,888	FMV
PREMIER HEALTH SPECIALISTS
B	$29,780,305	FMV
PREMIER HEALTH SPECIALISTS
M	$2,248,113	FMV
PREMIER HEALTH SPECIALISTS
O	$1,905,372	FMV
PREMIER HEALTH SPECIALISTS
Q	$9,081,182	FMV
PREMIER HEALTH SPECIALISTS
R	$244,185	FMV
PREMIER HEALTH SPECIALISTS
S	$174,932	FMV
PREMIER PLAZA LLC
K	$1,933,113	FMV