2015-11-13T18:28:13-06:00 2014-12-31 ERNST & YOUNG US LLP 800 YARD STREET SUITE 200 GRANDVIEW HEIGHTS OH 43212 990 2014-01-01 310536981 GOOD SAMARITAN HOSPITAL % J MICHAEL SIMS GOOD 9374999942 110 North Main Street Suite 500 Dayton OH 45402 TIMOTHY D SNIDER Treasurer/CFO 6142245678 2015-11-12 true Diane L Bean P00104972 6142245678 2014 2016-03-07 17:11:31Z Eloise Broner PresidentCEO 2222 PHILADELPHIA DR DAYTON OH 45406 394832160 false 0928 X www.premierhealth.com X 1932 OH Good Samaritan Hospital is committed to building a healthier Dayton, Ohio community through high quality, cost COMPETITVE HEALTH CARE. 12 9 2852 286 1350311 -498053 1855790 1515417 344395149 319870778 12812010 14745364 4663244 4004497 363726193 340136056 2901171 2812407 0 0 163622508 154067507 0 0 0 168970491 171815869 335494170 328695783 28232023 11440273 538878164 528583518 161971014 156852216 376907150 371731302 GOOD SAMARITAN HOSPITAL IS COMMITTED TO BUILDING A HEALTHIER DAYTON, OHIO COMMUNITY THROUGH HIGH QUALITY, COST COMPETITVE HEALTH CARE. false false 295200287 2812407 319870778 SEE SCHEDULE H 295200287 true true false true false false false false false false true true false true true true false true false false true false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 226 0 true 2852 true true true false false false false false false false false false X 12 9 false true false false true true true true true false false true true true true true true true true true true OH X J MICHAEL SIMS 9374999942 110 N MAIN ST SUITE 500 DAYTON OH 45402 GEORGE BRODERICK Jr MD TRUSTEE 0.5 1.5 X 0 0 0 MARTIN FUJIMURA MD TRUSTEE 0.5 0.5 X 0 0 0 E MICHAEL KERSH TRUSTEE 0.5 0.5 X 0 0 0 MONICA ANN LUCAS SC TRUSTEE 0.5 0.5 X 0 0 0 James R Pancoast Trustee/ Premier CEO 8.0 6.5 X 0 0 0 REV VANESSA OLIVER WARD TRUSTEE 0.5 0.5 X 0 0 0 Jeffrey S Levine Chair 0.5 1.0 X X 0 0 0 Terrence Slaybaugh Trustee 0.5 0.5 X 0 0 0 Eloise P Broner President & CEO 39.0 1.0 X X 607673 0 134011 Rajesh Patel MD Trustee & Chief of Staff 0.5 0.5 X 26667 0 0 Bruce Sucher Trustee 0.5 0.5 X 0 0 0 Marianne Van Vurst SC Trustee 0.5 0.5 X 0 0 0 DALE E CREECH Sys VP - CLO/Secretary 7.75 31.5 X 0 0 0 Timothy D Snider Treasurer/CFO 19.5 0.5 X 115268 0 18428 ANITA ADAMS VP - OPERATIONS 40.0 0.0 X 218756 0 29584 THOMAS R CURTIN Sys VP-REV CYCle(from Sep,14) 7.5 32.5 X 232395 0 53830 RENEE P GEORGE Sys VP-REV CYCle(to Sep,2014) 8.0 32.0 X 0 262907 21843 MARK W SHAW Sys VP - MANAGED CARE 8.0 32.0 X 0 388917 99374 Michael J Maiberger Sys VP - CSO 8.0 32.0 X 0 564224 46894 Thomas A Nash Sys VP - CPO (TO JULY, 2014) 8.0 32.0 X 0 284206 111206 Frank E Sawyer VP - Operations 39.5 0.5 X 211425 0 32761 Gary G Ginter Sys VP - CIO 8.0 32.0 X 0 338708 41276 Barbara A Johnson Sys VP -Human Resources 8.0 32.0 X 0 462639 21525 Tammy S Lundstrom MD Sys VP - CMO 8.0 32.0 X 0 614198 9696 Thomas R Parker Sys VP - Service Lines 8.0 32.0 X 0 454750 28492 Sylvain Trepanier Sys VP - CNO 8.0 32.0 X 0 354001 13675 Scott A Shelton Sys VP-CPO (from Sept,14) 8.0 32.0 X 0 435366 38447 MARY E GARMAN VP-OPERATIONS/CNO 39.5 0.5 X 292126 0 22638 JEROME SCHULTE JR DIRECTOR-MENTAL HEALTH 40.0 0.0 X 258516 0 48762 CRAIG SELF VP-BUSINESS Development 40.0 0.0 X 276162 0 35140 SHARON K THORNTON VP - Lab Services 40.0 0.0 X 200109 0 17682 Paul J Mosko VP - Pharmacy 40.0 0.0 X 219611 0 43305 DANIEL L SCHOULTIES MD VP-Medical Affairs 0.0 40.0 X 0 413985 23068 J Nick Lair Former Key Employee 0.0 40.0 X 0 291654 60819 2658708 4865555 952456 87 true true false ANESTHESIA ASSOC OF NW DAYTON 3180 KETTERING BVD DAYTON OH 45439 MEDICAL SERVICES 3880467 MEDICAL RADIOLOGISTS 1563 EAST DOROTHY SUITE 101 KETTERING OH 45429 MEDICAL SERVICES 2243992 Community Blood Bank PO Box 644634 PITTSBURGH PA 15264 Medical services 2085003 Medtronic USA 4842 Collection Center Drive CHICAGO IL 80693 Medical Services 5638172 Boston Scientific Corporation 300 Boston Scientific Way MARLBOROUGH MA 01752 Medical Services 4850162 114 2483 168656 1165628 178650 1515417 NET PATIENT REVENUE 621110 162587480 161237169 1350311 MEDICARE/MEDICAID 621110 147518305 147518305 HEALTH EDUCATION 423000 91821 91821 FRANCHISE TAX RECOVERIES 812930 9674652 9674652 ALL OTHER PROGRAM SERVICE REVENUE 900099 -1480 -1480 319870778 5419314 5419314 0 0 4541842 4726567 -184725 0 -184725 -184725 54697889 45397539 -25700 9300350 25700 9326050 9326050 0 0 5723951 4597698 1126253 1126253 CAFETERIA 721110 2077455 2077455 PARKING GARAGE 812930 314878 314878 LAUNDRY 900099 56202 56202 614434 614434 3062969 340136056 318520467 1350311 18749861 2812407 2812407 0 0 0 1654130 1418746 235384 0 121260202 104004875 17255327 4090134 3508108 582026 18542137 15903591 2638546 8520904 7308379 1212525 3971807 3406619 565188 1255534 1076872 178662 103672 103672 22752 22752 0 806252 806252 15180075 15180075 2342554 2342554 1753932 1504347 249585 7874877 6754282 1120595 0 7282802 6246459 1036343 206762 177340 29422 0 1586 1360 226 4947450 4947450 0 26635433 22845211 3790222 0 OPERATING SUPPLIES 67741993 67741993 PURCHASED SERVICES 18648209 15994569 2653640 REPAIRS & MAINTENANCE 2171500 1862496 309004 HOSPITAL FRANCHISE TAX 5746564 5746564 5122115 4393238 728877 328695783 295200287 33495496 0 18090 18140 12757432 21376399 211848 119677 44563928 43065183 0 0 0 0 21801 1130259 5470793 6616349 5627639 6245750 524606345 342240726 190945962 182365619 172632001 168226970 40091585 37374420 0 0 3376413 3376413 63160672 58668339 538878164 528583518 24844933 30818200 2041921 1862472 1357391 1017478 2526250 0 0 0 0 0 112347397 103105477 0 0 18853122 20048589 161971014 156852216 X 376907150 371731302 0 0 0 0 376907150 371731302 538878164 528583518 X 11440273 -2194595 -14421526 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 16272 false false true 6480 22752 false Part II-B, Lines 1F & 1I Amounts include a PORTION OF membership DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION. Also, WE CONTRACT WITH A LOBBYIST FOR HEALTHCARE RELATED ISSUES. 9632073 9632073 273685545 176012525 97673020 5376888 4145933 1230955 218741155 162082268 56658887 17170684 17170684 182365619 ALTERNATIVE INVESTMENTS 37374420 F 37374420 PENSION 43193041 DUE TO AFFILIATES 7797799 SETTLEMENTS - 3RD PARTY PAYORS 6962675 OTHER RECEIVABLES 494507 DEFERRED COMPENSATION 220317 58668339 0 MALPRACTICE INSURANCE 8924037 PENSION 3966598 MEDICAL SERVICES 3046705 FRANCHISE TAX 1432363 OTHER 1372386 JOA PAYABLE 748000 WORKERS COMPENSATION 558500 20048589 X Form 990, Schedule D, Part X, Line 2: The following footnote is from the audited combined financial statements for Premier Health and affiliates. Samaritan Health Partners (SHP) is the parent organization of Good Samaritan Hospital (GSH): 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. Taxes payable at December 31, 2014 and 2013 for such unrelated business activities are not significant. Premier, MAHS, SHP, AHS, and UVMC also own or control certain subsidiaries, which are for profit corporations subject to federal income taxes. These are: * PHIC (a wholly owned subsidiary of Premier Health) * PHPlan (a wholly owned subsidiary of PHIC) * MVHE, Inc and Premier Health Specialists, Inc. (formerly Health Specialists of Dayton, Inc.) (subsidiaries of MAHS) * Samaritan Family Care (subsidiary of SHP) and Samaritan North Surgery Center Limited (a joint-venture partnership of which GSH is an 80% owner) * Middletown Surgery Center, LLC (a joint venture partnership of which AMC is an 80.5% owner) (subsidiary of AHS) * UVMC Management Corporation and After Hours Family Care, Inc. (subsidiaries of UVMC) Management annually reviews its tax positions and has determined that there are no material uncertain tax positions. Central America and the Caribbean Investments 2240207 East Asia and the Pacific Investments 10827667 Europe (Including Iceland and Greenland) Investments 24268908 Middle East and North Africa Investments 560052 North America Investments 2613575 Russia and the Newly Independent States Investments 560052 South America Investments 1866839 South Asia Investments 933420 Sub-Saharan Africa Investments 373366 Central America and the Caribbean Program Services Insurance 25174 44269260 44269260 false false false false false false true true true X true X true true false true true 8606000 3276000 5330000 0.01620 60782000 48149000 12633000 0.03850 1267000 1250000 17000 0.00010 70655000 52675000 17980000 0.05480 1636000 1636000 0.00500 12726000 11524000 1202000 0.00370 14681000 14681000 0.04480 29043000 11524000 17519000 0.05350 99698000 64199000 35499000 0.10830 637000 637000 0.00190 386000 386000 0.00120 1023000 1023000 0.00310 true 4347000 73701000 81571000 -7870000 X true true SAM NORTH SURG CTR SURGICAL SERVICES 0.80000 0.20000 1 1 Good Samaritan Hospital 2222 Philadelphia Dr Dayton Ohio OH 45406 www.premierhealth.com Ohio Reg # 1245 X X X X Good Samaritan Hospital 1 false false true X X X X X X X X X 13 true true true true X SEE PART V, SECTION C X true 14 true SEE PART V, SECTION C false false true X 200. 400. X X true true X X X true X X X X X X X true X false X X X X true X false false Part V, Section B, Line 1: THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. Good Samaritan's REGISTRATION NUMBER IS 1245. 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 Good Samaritan Hospital, community health collaboratives featuring community, health, and business stakeholders/advocates organized by both Good Samaritan Hospital, and the greater Dayton Area Hospital Association with its member hospitals. Part V, Section B, Question 6A & 6B: Good Samaritan 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, QUESTION 7A: THE DIRECT WEBSITE ADDRESS WHERE THE CHNA CAN BE ACCESSED IS: http://www.goodsamdayton.org/WorkArea/DownloadAsset.aspx?id=76900 PART V, Section B, QUESTION 10A: The direct website address where the implementation strategy can be accessed is: http://www.premierhealth.com/our-community/mking-a-difference/community-he alth-improvement-plan/gsh/ Part V, Section B, Line 11: Premier Health was part of a collaboration in 2013 with the Greater Dayton Area Hospital Association and hospitals throughout Southwestern Ohio to conduct a regional Community Health Needs Assessment. Identified Priorities: ---------------------- In the Community Health Assessment, researchers identified priority areas for community health improvement using a variety of criteria. The priorities that are included and excluded in the plan are outlined here. Priorities that are included in the plan are not listed in order of importance. Priorities Included in the Plan: -------------------------------- Through the Community Health Risk Assessment, the identified priorities with an improvement plan for Good Samaritan Hospital are: 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 195.3 per 100,000, and the rate is increasing as opposed to historically prevalent cancers. 3. Diabetes- Widespread behavioral risk factors such as obesity and physical activity and the increasing rate of hospital inpatient diabetes diagnoses are cause for concern. 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 Good Samaritan 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 Good Samaritan Hospital is involved in several state-wide initiatives addressing these issues. As part of these collaborations, Good Samaritan Hospital will share the goals and objectives developed by those groups for program implementation and measurement. Ohio Perinatal Quality Collaborative. Good Samaritan Hospital is a non-charter member of this organization as a maternity hospital. The mission of the Collaborative is, "Through collaborative use of improvement science methods, reduce preterm births and improve outcomes of pre-term newborns in Ohio as quickly as possible." Projects of the collaborative include: * 39 Weeks Delivery Charter Project - To reduce elective unnecessary scheduled births before 39 weeks gestational age. (Reduce infant mortality and low birth weights.) * 39 Weeks Dissemination and Birth Registry Accuracy Project - This project was to address inaccuracies in birth certificate data within the Quality Improvement framework. * Obstetrics Antenatal Corticosteroids Project- This project focuses on increasing the use of antenatal corticosteroids to reduce mortality and morbidity among preterm infants. (Reduce infant mortality.) * Progesterone Project - This project intends to help raise awareness about the need for screening and intervention for progesterone, provide support to teams to implement screening, identification and treatment, develop the capacity and capability of skilled ultrasound technicians and remove administrative barriers to the administration of progesterone. (Reduce infant mortality and low birth weights.) Ohio Hospital Association (OHA). OHA has developed a plan to reduce infant mortality (which also addresses low infant birth weight and first trimester care) in Ohio which includes: * Safe sleep (infant mortality) * Eliminating elective deliveries before 39 weeks (infant mortality) * Progesterone for high risk mothers (infant mortality) * Eliminating health disparities * Safe spacing (infant mortality and low birth weight) * Access to prenatal care (First trimester care, infant mortality and low birth weight) * Promote breast milk * These program areas also then address increasing first trimester care, improving low birth weight and decreasing infant mortality. Primary and Chronic Diseases: 4. Alcohol and drug discharge diagnosis 5. Mental health disorders Good Samaritan Hospital is deeply involved in improving these areas. Samaritan Behavior Health (SBH), a subsidiary of the hospital, provides mental health and substance abuse services for all ages in Southwest Ohio. SBH collaborates with the National Alliance on Mental Illness of Montgomery County, Ohio. It also receives funding from the ADAMHS Board to provide Crisis Care for Montgomery County. In Montgomery County, alcohol, drug abuse and mental health services are coordinated by the ADAMHS Board (Alcohol, Drug Addiction and Mental Health Services.) The ADAMHS Board administers the planning, development, funding and evaluation of behavioral health services delivered by a network of nearly 30 community-based organizations. The ADAMHS Collaborative Coalition 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 James Pancoast, Premier Health President and CEO is the Co-Chair of the Alcohol and Other Drug Abuse Implementation Advisory Team. Key Health Priorities by Objective Priority Area 1: Reduce the incidence and complications from adult hypertension. Blood pressure is how hard blood pushes against the walls of our arteries when our heart pumps blood. When someone has high blood pressure, which is also called hypertension, the increased pressure against the arteries causes damage. Hypertension is called the silent killer because usually those who have it do not feel anything. High blood pressure increases risk for heart disease, stroke, heart failure, kidney disease and blindness. In many cases hypertension can be prevented by maintaining a healthy weight, being active, eating healthy, not using tobacco and limiting alcohol. Most people who are diagnosed with high blood pressure can be controlled. Those with high blood pressure should take the same steps that may prevent high blood pressure. If medication is needed, it is imperative to take it every day. 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 communications tactics; free, community-based screenings and free online education. * Promote lectures about high blood pressure prevention and control in worksites, congregations, senior centers and other community based venues. * Identify or develop an educational brochure targeted to those who already have high blood pressure about the importance of medication adherence and healthy lifestyle. Make collateral available through system websites, Facebook pages, at employer and community events and other outlets to be identified. These will include how to get more information by telephone and/or online. Outcome Indicators Short and Intermediate Te 9 GOOD SAMARITAN NORTH HEALTH CENTER 9000 N MAIN ST DAYTON OH 45415 GENERAL MEDICAL AND SURGICAL GOOD SAMARITAN NORTH SURGERY CENTER 9000 N MAIN ST DAYTON OH 45415 GENERAL MEDICAL AND SURGICAL GOOD SAMARITAN HEALTH CTR-HUBER HEIGHTS 6521 GOOD SAMARITAN WAY BRANDT PIKE HUBER HEIGHTS OH 45424 GENERAL MEDICAL AND SURGICAL SAMARITAN HOMELESS CLINIC 921 S Edwin C Moses Blvd DAYTON OH 45417 HOMELESS CLINIC GSH Medical Imaging - North Main 7271 North Main Street Dayton OH 45415 X-Ray GSH Medical Imaging - Needmore 1530 Needmore Road Suite 200 30 Dayton OH 45414 X-ray GSH Medical Imaging - Beavercreek 2619 Commons Blvd - Suite 102 Beavercreek OH 45431 X-Ray GSH Medical Imaging - Greenville 742 Sweitzer Street Suite 3 Greenville OH 45331 X-Ray Samaritan SleepDiabetes Center 80 East Woodbury Dayton OH 45415 Joint Sleep & Diabetes Center Part I, Line 6a: THE COMMUNITY BENEFIT REPORT FOR Good Samaritan 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: Good Samaritan Hospital provides the following subsidized services: 1. Good Samaritan Homeless Clinic: This Clinic is the only health clinic in the surrounding area specifically for the homeless. The clinic takes an integrated approach toward primary and preventative services. With the mission of serving the total well-being of the homeless, the Clinic aims to deliver quality, compassionate care and to get our patients back on their feet. The Clinic is staffed with a full-time physician and a dedicated nursing team. The Clinic provides a number of services to the homeless, including (but not limited to) respite care, dental services, mental health and substance abuse treatment and counseling, pharmacy services, vision screenings, podiatry, case management, health education, outreach services, transportation, life skills training, cancer prevention services, diabetes services and blood pressure monitoring. 2. Lifestages, LLC: This limited liability company provides healthcare to women of all ages that includes Obstetric services, gynecology services and heart, bone and breast health. Lifestages is built around the core beliefs that each woman is unique and that all women deserve the best care available. This company serves a large population of Medicaid and uninsured patients. Good Samaritan Hospital provides support through funding for Lifestages' indigent patients and medical education. The funding for 2014 was $4,373,000. 3. Emergency Services: Good Samaritan Hospital operates a 24-hour emergency room 365 days per year. This emergency room is open to all individuals regardless of their ability to pay. 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 2014, the amounts paid for call time and subsidies were $10,308,000. PART II, LINEs 1 & 9: Good Samaritan Hospital (GSH) PARTICIPATES IN THE FOLLOWING COMMUNITY Building ACTIVITIES: (1)GSH contributed $637,000 to the Phoenix Project.The goals of this project are to reduce and deter crime, revitalize the appearance of the neighborhood and activate linkages for physical, mental and social health services. This program also purchases properties in the surrounding area, rehabilitates them and sells them to those in need. (2)BOARD CHARITABLE CREDIT FUND: AS PART OF GSH'S COMMUNity PARTNERSHIP ACTIVITY, BOARD MEMBERS OF THE HOSPITAL ARE GRANTED CHARITABLE CREDITS TO BE DONATED IN THE NAME OF THE BOARD MEMBER WITH PRIORITIES TO NOT-FOR-PROFIT, TAX-EXEMPT 501(C)(3) HEALTH AND HUMAN SERVICES ORGANIZATIONS, ARTS AND CULTURE ORGANIZATIONS, AS WELL AS OTHER COMMUNITY ACTIVITIES IN THE DAYTON AREA. ALSO SUGGESTED ARE ORGANIZATIONS THAT FOCUS ON SUPPORTING YOUTH, EDUCATION, UNDERSERVED GROUPS, AND SAFE NEIGHBORHOODS. THE AMOUNT OF SUPPORT PROVIDED IN 2014 WAS $136,000. (3)GSH funded the Dayton Performing Alliance in the amount of $61,000. 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 $75,930,000 AND INCURRED COST OF $82,579,000, FOR AN ADDITIONAL NET SHORTFALL OF $6,649,000 ASSOCIATED WITH THESE PROGRAMS. BELOW IS A RECONCILIATION OF THE AMOUNTS ASSOCIATED WITH MEDICARE PROGRAMS. ALLOWABLE MEDICARE REVENUE PER MEDICARE COST REPORT in PART III, SECTION B $73,701,000 MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $75,930,000 TOTAL MEDICARE ASSOCIATED REVENUE $149,631,000 ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT in PART III, SECTION B $81,571,000 MEDICARE COST NOT REPORTED IN PART III, SECTION B $82,579,000 TOTAL MEDICARE ASSOCIATED COST $164,150,000 MEDICARE SHORTFALL PER PART III, SECTION B $7,870,000 ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $6,649,000 TOTAL MEDICARE SHORTFALL $14,519,000 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 52% OF NET PATIENT REVENUE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: THE ORGANIZATION MAKES REASONABLE EFFORTS TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE STATE OR HOSPITAL FINANCIAL ASSISTANCE POLICY BEFORE ENGAGING IN EXTRAORDINARY COLLECTIVE ACTIONS AGAINST THAT INDIVIDUAL. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED REASONABLE PAYMENT PLAN ARRANGEMENTS FOR ANY REMAINING BALANCES. ANY THIRD PARTY COLLECTING SELF-PAY RECEIVABLES ON OUR BEHALF IS REQUIRED TO MAKE REASONABLE EFFORTS TO DETERMINE IF THE INDIVIDUAL MEETS THE QUALIFICATIONS OF THE STATE OR OF OUR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS. REASONABLE EFFORTS INCLUDE: A. VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD PARTY PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL. B. DOCUMENTING THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. C. DOCUMENTED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED A PAYMENT PLAN, and HAS accepted TERMS for a payment PLAN, but not honored the terms of that plan. THE FINANCIAL COUNSELORS MEET WITH INPATIENT, OUTPATIENT SELF-PAY, AND OTHER PATIENTS UPON REQUEST WHO MAY NEED FINANCIAL ASSISTANCE. IN ADDITION TO ASSISTING PATIENTS WHO WANT TO APPLY FOR ASSISTANCE THROUGH THE MEDICAID PROGRAM, THE FINANCIAL COUNSELOR WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION. PART VI, LINE 2: The organization works with the community on programs that address the underlying causes of persistent health programs as part of a comprehensive strategy to improve the health status and quality of life for identified members of the community who are economically disadvantaged, disenfranchised and/or who have disproportionate unmet health needs. The organization strives to work with Premier Health, the Good Samaritan Hospital Board of Directors, executive management, managers, staff members, community groups, and individuals to provide a collaborative approach to the governance and management of community benefit true THE HEART INSTITUTE OF DAYTON 2200 PHILADELPHIA DR DAYTON OH 45406 300502367 501(c)(3) 359735 N/A N/A HEART EDUCATION PREMIER COMMUNITY HEALTH 3832 Kettering Blvd DAYTON OH 45439 311122883 501(c)(3) 367436 N/A N/A HEALTH EDUCATION PHOENIX NEIGHBORHOOD DEV PROJ 8 N MAIN ST 45402 DAYTON OH 45402 310821189 GOVERNMENT 636847 N/A N/A COMMUNITY DEVELOP UNITED WAY 33 W First St 45406 DAYTON OH 45402 310536658 501(c)(3) 38025 N/A N/A COMMUNITY SUPPORT Dayton Art Institute 456 Belmonte Pk N Dayton OH 45405 310537480 501(c)(3) 12564 N/A N/A Performing Arts Dayton Foundation 500 Kettering Tower Dayton OH 45423 316027287 501(c)(3) 975493 N/A N/A Community Support CultureWorks 110 North Main165 Dayton OH 45402 237412338 501(c)(3) 11591 N/A N/A Performing Arts Dayton Performing Arts Alliance 126 North Main Ste 210 Dayton OK 45402 316000101 501(C)(3) 62135 N/A N/A Performing Arts Goodwill Easter Seals 660 South Main Street Dayton OH 45402 310537112 501(c)(3) 51600 N/A N/A Community Support Reach Out Montgomery County 25 East Foraker St Dayton OH 45409 311434282 501(c)(3) 25378 N/A N/A Community Support AIDS Resource Center 15 West 4th St Suite 200 Dayton OH 45402 311126780 501(c)(3) 21000 N/A N/A Community Support Project Hope Inc 341421548 501(c)(3) 6000 N/A N/A Community Support March of Dimes 3131 South Dixie Moraine OH 45439 131846366 501(c)(3) 5520 N/A N/A Community Support 13 SCHEDULE I, SUPPLEMENTAL INFORMATION: 1) COMMUNITY BENEFITS BUDGETED ALLOCATIONS ARE APPROVED BY GOOD SAMARITAN BOARD aNNUALLY. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE after APPROVAL BY THE VICE PRESIDENT OF MISSIONS. 3) DISBURSEMENTS OCCUR ACCORDING TO STANDARD ACCOUNTS PAYABLE GUIDELINES. X X X X true true false false false false false false false ANITA ADAMS VP - OPERATIONS 184275 0 30211 0 4270 0 17081 0 12503 0 248340 0 0 0 THOMAS R CURTIN Sys VP-REV CYCle(from Sep,14) 184090 0 45762 0 2543 0 24688 0 29142 0 286225 0 0 0 MARY E GARMAN VP-OPERATIONS/CNO 259195 0 31511 0 1420 0 9383 0 13255 0 314764 0 0 0 RENEE P GEORGE Sys VP-REV CYCle(to Sep,2014) 0 230033 0 32277 0 597 0 8355 0 13488 0 284750 0 0 DANIEL L SCHOULTIES MD VP-Medical Affairs 0 289091 0 43769 0 81125 0 0 0 23068 0 437053 0 0 JEROME SCHULTE JR DIRECTOR-MENTAL HEALTH 220081 0 34252 0 4183 0 22999 0 25763 0 307278 0 0 0 CRAIG SELF VP-BUSINESS Development 210545 0 64226 0 1391 0 8392 0 26748 0 311302 0 0 0 MARK W SHAW Sys VP - MANAGED CARE 0 265641 0 72161 0 51115 0 73213 0 26161 0 488291 0 0 SHARON K THORNTON VP - Lab Services 155491 0 26932 0 17686 0 7250 0 10432 0 217791 0 0 0 Michael J Maiberger Sys VP - CSO 0 320114 0 103541 0 140569 0 15964 0 30930 0 611118 0 36545 Eloise P Broner President & CEO 395269 0 105715 0 106689 0 131026 0 2985 0 741684 0 0 0 Paul J Mosko VP - Pharmacy 162995 0 36125 0 20491 0 20131 0 23174 0 262916 0 0 0 Thomas A Nash Sys VP - CPO (TO JULY, 2014) 0 131219 0 64106 0 88881 0 86773 0 24433 0 395412 0 0 Frank E Sawyer VP - Operations 170952 0 39919 0 554 0 8221 0 24540 0 244186 0 0 0 Gary G Ginter Sys VP - CIO 0 309065 0 27885 0 1758 0 28460 0 12816 0 379984 0 0 Barbara A Johnson Sys VP -Human Resources 0 358650 0 97078 0 6911 0 10423 0 11102 0 484164 0 0 Tammy S Lundstrom MD Sys VP - CMO 0 478960 0 129296 0 5942 0 8159 0 1537 0 623894 0 0 Thomas R Parker Sys VP - Service Lines 0 353725 0 77093 0 23932 0 24748 0 3744 0 483242 0 0 Sylvain Trepanier Sys VP - CNO 0 310122 0 42753 0 1126 0 2664 0 11011 0 367676 0 0 J Nick Lair Former Key Employee 0 195567 0 69780 0 26307 0 34808 0 26011 0 352473 0 0 Scott A Shelton Sys VP-CPO (from Sept,14) 0 233356 0 33563 0 168447 0 35429 0 3018 0 473813 0 0 Part I, Line 4a: Thomas Nash received $85,768 of severance payments. Part I, Line 4b: Due to restrictions imposed by the Internal Revenue Code, certain persons are limited in the amount of benefit that can be earned under a qualified retirement plan. Like many employers, Good Samaritan Hospital (GSH) compensates for this limitation and supplements the affected executives' qualified pension through certain nonqualified plans. GSH supplements 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 2014. The individuals listed below have met the multi-year vesting requirement under the Pension Restoration Plan and received the associated payment in 2014: Scott Shelton $164,741,Eloise Broner $86,526,Mark Shaw $43,311 and J Nick Lair $7,833. The individuals listed below have met the multi-year vesting requirement under the SERP and received the associated payments in 2014: Daniel Schoulties, M.D. $6,627 and Michael Maibeberger $36,545. 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. 0 Thomas R Parker Wife 159798 Salary false Form 990, Part VI, Section A, Question 3: Premier Health (Premier), as the operator of Good Samaritan Hospital (GSH), develops and oversees the implementation of the strategic plan for GSH, which includes (but is not limited to) such matters as location of clinical and administrative expenses. GSH shall comply with and implement this plan and shall not take any action that materially departs from this plan without Premier's approval. GSH develops and submits an annual capital and operating budget to Premier for approval. GSH shall adopt and implement the capital and operating budget so approved and/or revised for it by Premier. GSH may periodically develop and submit a business plan to Premier for approval. GSH shall implement any business plan approved by Premier. Premier is the sole agent to negotiate all relationships with payors on behalf of GSH with all third party payors and alternative delivery systems including, but not limited to insurers. GSH 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. GSH 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: Good Samaritan Hospital has two corporate members. One member is Samaritan Health Partners, the parent company of the hospital. The second member is Premier Health (Premier), an Ohio non-profit corporation formed pursuant to the joint operating agreement. Samaritan Health Partners has the sole authority to elect the Board of Trustees of the corporation. Premier has the general authority to operate and manage the operational activities of the corporation. Form 990, Part VI, Section A, Question 7a: Samaritan Health Partners (SHP) has the sole authority to elect the Board of Trustees of Good Samaritan Hospital (GSH). SHP 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 SHP remove a trustee of SHP or GSH 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 SHP. 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), which Good Samaritan Hospital is an affiliate. The return is reviewed by the Tax Manager and the 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 the Board of Trustees meeting, the Vice President/Controller of Premier (or designee) shares detailed information on compensation and other key areas, as well as address 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 Good Samaritan 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 OFFICER. 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 COMMITTEE or 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 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: Premier Health (Premier), which Good Samaritan Hospital is an affiliate, 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, CFO, COO, 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 XI, Question 9: 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 the company website. Form 990, Part XI, Question 9: Pension Adjustment $12,136,871 JOA impact on Dialysis Center Sale (4,000) Dividends received from SNSC 5,080,000 Capital Donations from GSHF 160,985 Equity transfers (11,738,586) PHO Equity Transfer (5,068,508) PHIC Equity Transfer (10,490,792) CHI non-Liquidative Distribution (4,745,000) Investment from SNSC 416,160 Foundation contribution (168,656) Total $(14,421,526) SAMARITAN HEALTH PARTNERS (SHP) 110 N Main St Suite 500 DAYTON OH 45402 311107411 PARENT OH 501(c)(3) 11-C FI NA false PREMIER HEALTH 110 N Main St Suite 500 DAYTON OH 45402 311446699 SUPPRTG. ORG. OH 501(c)(3) 11-I NA false Good SAMARITAN HOSPITAL FOUNDATION-Dayto 110 N Main St Suite 500 DAYTON OH 45402 237296923 FOUNDATION OH 501(c)(3) 7 SHP true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DR W SUITE 500 ENGLEWOOD CO 80112 470617373 PARENT CO 501(c)(3) 9 NA false THE HEART INSTITUTE OF DAYTON 2200 PHILADELPHIA DR DAYTON OH 45406 300502367 EDUCATION OH 501(c)(3) 9 SHP true Samaritan Behavorial Health 601 Edwin C Moses Blvd Dayton OH 45417 020633634 Behavorial He OH 501(c)(3) 7 SHP true SAMARITAN NORTH SURGERY CENTER 9000 N MAIN ST DAYTON OH 45415 311618587 O/P SURGERY OH GSH Related 4973983 3596425 false 0 0.80000 SAMARITAN FAMILY CARE 110 N Main St DAYTON OH 45402 311299450 PHYSICIANS OH SHP C CORP 0 0 true true true true false false true false false false false false false false false false true true true false Good Samaritan Hospital Foundation - Dayton C 329641 Cash Good Samaritan Hospital Foundation - Dayton Q 294457 FMV Samaritan Family Care P 344237 FMV Samaritan Family Care R 2415022 fmv Samaritan North Surgery Center Q 1732444 FMV Samaritan North Surgery Center Q 637559 FMV Samaritan North Surgery Center f 5080000 Cash Samaritan North Surgery Center B 416160 Cash Catholic Health Initiatives R 8650000 Cash The Heart Institute of Dayton Q 359735 FMV Samaritan North Surgery Center A 689369 fmv Samaritan Family Care A 999936 fmv Premier Health B 344939 Cash