MIAMI VALLEY HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201243189349304289
Schema version: 2011v1.3
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T17:16:51-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310537504	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Miami Valley Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% J MICHAEL SIMS	InCareOfName
Name Control	MIAM	NameControl
Phone	9374999942	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 NORTH MAIN STREET	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT A SHELTON	Name
Title	CFO	Title
Date Signed	2012-11-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Name Of Principal Officer Person	Bobbie Gerhart	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST SUITE 500	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	898075064	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PREMIERHEALTHPARTNERS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1890	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	MIAMI VALLEY HOSPITAL WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	7460	TotalNbrEmployees
Total Nbr Volunteers	1037	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1595275	ContributionsGrantsPriorYear
Contributions Grants Current Year	1299919	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	713089259	ProgramServiceRevenuePriorYear
Program Service Revenue CY	811320920	ProgramServiceRevenueCY
Investment Income Prior Year	24409451	InvestmentIncomePriorYear
Investment Income Current Year	12174810	InvestmentIncomeCurrentYear
Other Revenue Prior Year	16248343	OtherRevenuePriorYear
Other Revenue Current Year	14005077	OtherRevenueCurrentYear
Total Revenue Prior Year	755342328	TotalRevenuePriorYear
Total Revenue Current Year	838800726	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2388827	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9198113	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	342227641	SalariesEtcPriorYear
Salaries Etc Current Year	369823871	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	337777496	OtherExpensePriorYear
Other Expenses Current Year	406178191	OtherExpensesCurrentYear
Total Expenses Prior Year	682393964	TotalExpensesPriorYear
Total Expenses Current Year	785200175	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	72948364	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	53600551	RevenuesLessExpensesCY
Total Assets BOY	1217646199	TotalAssetsBOY
Total Assets EOY	1359305439	TotalAssetsEOY
Total Liabilities BOY	565468380	TotalLiabilitiesBOY
Total Liabilities EOY	737842571	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	652177819	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	621462868	NetAssetsOrFundBalancesEOY
Mission Description	MIAMI VALLEY HOSPITAL WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	686736094	Expense
Grants	9198113	Grants
Revenue	814335266	Revenue
Description	PLEASE REFER TO SCHEDULE H.	Description
Total Program Service Expense	686736094	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	519	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7460	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	J MICHAEL SIMS	NamePerson
Telephone Number	9374999942	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST SUITE 500	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ANGELA CLEMENTS CPA
TRUSTEE	0.5	X	0	0	0
CHRISTOPHER CROOM MD
TRUSTEE	0.5	X	0	200371	19075
CHRISTOPHER J DANIS MD
TRUSTEE	0.5	X	0	272363	0
WILLIAM L GILLISPIE
TRUSTEE	0.5	X	0	0	0
DAVID W KEY MD
TRUSTEE	0.5	X	0	0	0
ANITA J MOORE
TRUSTEE	0.5	X	0	0	0
MARY C NUTTER
TRUSTEE	0.5	X	0	0	0
JAMES M PACENTA MD
TRUSTEE	0.5	X	0	623589	45290
NORM J SCHNEIDERMAN MD
TRUSTEE	0.5	X	24325	0	0
SR RABBI DAVID SOFIAN
TRUSTEE	0.5	X	0	0	0
WILLIAM C WILSON MD
TRUSTEE	0.5	X	0	0	0
GARY S COLLIER MD
TRUSTEE & CMO, Medical Affairs	40.0	X	388067	0	69615
EDWARD BLAKE
CHAIR	0.5	X	0	0	0	X
BOBBIE L GERHART
PRESIDENT & CEO	40.0	X	641791	0	103497	X
REVEREND DR BRODIE R MATHIS
Trustee	0.5	X	0	0	0
JAMES J MURPHY MD
Trustee	0.5	X	0	0	0
Barbara A Johnson
Trustee & COO	40.0	X	390363	0	20539	X
Shery B Oakes
Trustee	0.5	X	0	0	0
JAMES R PANCOAST
PRESIDENT, PHP	0.5	X	0	2259241	35827
SCOTT A SHELTON
TREASURER & CFO	40.0		308821	0	7409	X
DALE E CREECH JR
VP & CHIEF LEGAL OFFICER	40.0		525911	0	155120	X
GEOFF WALKER
SECRETARY & CLO	40.0		255741	0	30485	X
THOMAS J ARQUILLA
VP-BUSINESS DEVELOPMENT	40.0		203967	0	28003		X
WILLIAM E LINESCH
VP-HUMAN RESOURCES & OE	40.0		424338	0	41137		X
MARK W SHAW
VP-MANAGED CARE	40.0		349386	0	84013		X
MARY M CLANCY
VP & CHIEF INFO OFFICER	40.0		467688	0	55146		X
J NICHOLAS LAIR
VP & CHIEF PURCH OFFICER	40.0		295289	0	34887		X
RENEE P GEORGE
VP-REVENUE CYCLE	40.0		269407	0	33415		X
DEBORAH A MALS
VP-OPERATIONS & CNO	40.0		321467	0	39513		X
DIANE L PLEIMAN
VP-HOSPITAL OPERATIONS	40.0		271578	0	13637		X
MOLLY J HALL
VP-ACADEMIC AFFAIRS	40.0		429044	0	0			X
J MICHAEL SIMS
VP & CORPORATE CONTROLLER	40.0		315345	0	59434			X
DIANE L EWING
VP-MARKETING	40.0		299597	0	19067			X
Ann Schuerman
VP - OPERATIONS INNOVATION	40.0		296086	0	47319			X
THOMAS MOSER
VP MKT DEVELOPMT & RESEARCH	40.0		284893	0	24368			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6763104	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3355564	TotalReportableCompFrmRltdOrgs
Total Other Compensation	966796	TotalOtherCompensation
Number Individuals GT100 K	219	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Compunet Clinical Labs
2308 Sandridge Drive	MORAINE	OH	45349	Clinical Lab	21110578
Miami Valley Emergency Specialists
35 Millard Court	SPRINGBORO	OH	45066	Medical Services	4965386
Anesthesiology Services Network
PO Box 349	DAYTON	OH	45409	Medical Services	7073371
DELOITTE CONSULTING LLP
PO BOX 7247-6447	PHILADELPHIA	PA	191706447	CONSULTATION	3690464
DAWSON HEALTHCARE
3650 OLENTANGY RIVER RD 450	COMLUMBUS	OH	43214	AGENCY STAFF	2860778

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	95	NumberOfContractorsGT100K
Related Organizations	1299919	RelatedOrganizations
Total Contributions	1299919	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	900099	408143885	408143885
MEDICARE/MEDICAID	900099	389012140	389012140
JOINT OPERATING AGREEMENT	900099	13223000	13223000
PASTORAL COUNSELING	900099	520078	520078
HEALTH EDUCATION	900099	139158	139158

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	282659	TotalRevenueColumn
Related Or Exempt Function Income	282659	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	811320920	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9065207	TotalRevenueColumn
Exclusion	$9,065,207	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4526930	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	4333379	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	193551	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	193551	TotalRevenueColumn
Exclusion	$193,551	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	57637092	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	53571950	Securities
Other	955539	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4065142	Securities
Other	-955539	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3109603	TotalRevenueColumn
Exclusion	$3,109,603	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	3427816	GrossSalesOfInventory
Cost Of Goods Sold	413470	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3014346	TotalRevenueColumn
Related Or Exempt Function Income	3014346	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	6002086	$6,002,086
PARKING GARAGE	812930	1775492	$1,775,492
JOINT VENTURE	900099	122076	$122,076

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2897526	TotalRevenueColumn
Exclusion	$2,897,526	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	10797180	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	838800726	TotalRevenueColumn
Related Or Exempt Function Income	814335266	RelatedOrExemptFunctionIncome
Exclusion	$23,165,541	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9198113	Total
Program Services	9198113	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5327746	Total
Program Services	4614893	ProgramServices
Management And General	712853	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	287909983	Total
Program Services	249387627	ProgramServices
Management And General	38522356	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	17371359	Total
Program Services	15047071	ProgramServices
Management And General	2324288	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	38265097	Total
Program Services	33145227	ProgramServices
Management And General	5119870	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	20949686	Total
Program Services	18146618	ProgramServices
Management And General	2803068	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	117379	Total
Program Services	101674	ProgramServices
Management And General	15705	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	436016	Total
Program Services	377677	ProgramServices
Management And General	58339	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	436429	Total
Management And General	436429	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	44522	Total
Program Services	44522	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1197242	Total
Management And General	1197242	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	35714363	Total
Program Services	35714363	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3119107	Total
Program Services	3119107	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4508714	Total
Program Services	3905448	ProgramServices
Management And General	603266	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	12329698	Total
Program Services	10679984	ProgramServices
Management And General	1649714	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	13688045	Total
Program Services	11856585	ProgramServices
Management And General	1831460	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	651922	Total
Program Services	564695	ProgramServices
Management And General	87227	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	712394	Total
Program Services	617076	ProgramServices
Management And General	95318	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14306813	Total
Program Services	14306813	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	67417182	Total
Program Services	58396763	ProgramServices
Management And General	9020419	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8378750	Total
Program Services	7257673	ProgramServices
Management And General	1121077	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
OPERATING SUPPLIES	130550539	130550539
PURCHASED SERVICES	56532768	48968684	7564084
LOSS ON INTEREST SWAP ADJ	23359735		23359735
BAD DEBT EXPENSE	18165127	18165127

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	14511446	Total
Program Services	12569815	ProgramServices
Management And General	1941631	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	785200175	Total
Program Services	686736094	ProgramServices
Management And General	98464081	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	21535	BOY
EOY	28522	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14090622	BOY
EOY	34142664	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	108414623	BOY
EOY	113070876	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	5863694	BOY
EOY	9003284	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5933123	BOY
EOY	6175831	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7156846	BOY
EOY	8232457	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1155680099	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	517780562	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	588176863	BOY
EOY	637899537	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	208717186	BOY
EOY	402756902	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	92795170	BOY
EOY	63993890	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	22224385	BOY
EOY	25919184	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	164252152	BOY
EOY	58082292	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1217646199	BOY
EOY	1359305439	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	71666781	BOY
EOY	85784199	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	355078	BOY
EOY	1592084	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1108478	BOY
EOY	1218263	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	315316616	BOY
EOY	418612767	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2237426	BOY
EOY	4208750	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	174784001	BOY
EOY	226426508	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	565468380	BOY
EOY	737842571	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	652177819	BOY
EOY	621462868	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	652177819	BOY
EOY	621462868	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1217646199	BOY
EOY	1359305439	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	53600551	ReconcilationRevenueExpenses
Reconcilation Other Changes	-84315502	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$31,562	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$12,960	OtherActivitiesAmount
Total Lobbying Expenditures IIB	44522	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II-B, LINE 1F:	Identifier
Explanation	PORTION OF DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION. PART II-B, LINE 1I: WE CONTRACT WITH A LOBBYIST FOR HEALTHCARE RELATED ISSUES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35200466	OtherCostOrOtherBasis
Book Value	35200466	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	615527053	OtherCostOrOtherBasis
Depreciation	260062526	Depreciation
Book Value	355464527	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1346416	OtherCostOrOtherBasis
Depreciation	1268390	Depreciation
Book Value	78026	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	399242213	OtherCostOrOtherBasis
Depreciation	256449646	Depreciation
Book Value	142792567	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	104363951	OtherCostOrOtherBasis
Book Value	104363951	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	637899537	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
PENSION OBLIGATION	$147,265,154
SWAP LIABILITY	$27,174,992
MALPRACTICE INSURANCE	$26,375,227
LOAN GUARANTEE & OTHER LTL	$13,102,158
RESIDENT FICA REFUND PAYABLE	$4,541,553
CONTRACTOR RETAINAGE RESERVE	$4,062,989
WORKERS COMP RESERVE	$1,087,357
WRIGHT STATE NEUROSCIENCE	$900,000
OTHER	$1,917,078

Field	Value	IRS element (for citing)
Total Of Amounts	226426508	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Schedule D, Part X, Line 2:	Identifier
Explanation	Miami Valley Hospital (MVH) is a member, under a joint operating agreement, of Premier Health Partners which is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. As such, there is no income tax liability recorded at December 31, 2011 and 2010. In addition, Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the combined financial statements. MVH and its respective subsidiaries are a group of corporations that are tax-exempt corporations under Section 501(c)(3) of the Internal Revenue Code except for the following subsidiaries: MVHE, Inc. and Premier Health Specialists, Inc. (subsidiaries of MedAmerica Health Systems Corp.) Part V, Line 4: Income generated off the endowment funds are used to support various programs of Miami Valley Hospital.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (7 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Specific Services ProvidedSpecificServicesProvided
Central America and the Caribbean	Investments	31528000
East Asia and the Pacific	Investments	15380000
Europe (Including Iceland and Greenland)	Investments	36911000
North America	Investments	2307000
South America	Investments	116000
South Asia	Investments	5768000
Central America and the Caribbean	Program Services	47000	INSURANCE

Field	Value	IRS element (for citing)
Subtotal Amount Spent	92057000	SubtotalAmountSpent
Total Amount Spent	92057000	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	48365000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12916000	DirectOffsettingRevenue
Net Community Benefit Expense	35449000	NetCommunityBenefitExpense
Percent Of Total Expense	0.04620	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	136965000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	120770000	DirectOffsettingRevenue
Net Community Benefit Expense	16195000	NetCommunityBenefitExpense
Percent Of Total Expense	0.02110	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6528000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5060000	DirectOffsettingRevenue
Net Community Benefit Expense	1468000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	191858000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	138746000	DirectOffsettingRevenue
Net Community Benefit Expense	53112000	NetCommunityBenefitExpense
Percent Of Total Expense	0.06920	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6387000	TotalCommunityBenefitExpense
Net Community Benefit Expense	6387000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00830	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26026000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20397000	DirectOffsettingRevenue
Net Community Benefit Expense	5629000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00730	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20702000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2835000	DirectOffsettingRevenue
Net Community Benefit Expense	17867000	NetCommunityBenefitExpense
Percent Of Total Expense	0.02330	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1735000	TotalCommunityBenefitExpense
Net Community Benefit Expense	1735000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8000	TotalCommunityBenefitExpense
Net Community Benefit Expense	8000	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54858000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23232000	DirectOffsettingRevenue
Net Community Benefit Expense	31626000	NetCommunityBenefitExpense
Percent Of Total Expense	0.04120	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	246716000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	161978000	DirectOffsettingRevenue
Net Community Benefit Expense	84738000	NetCommunityBenefitExpense
Percent Of Total Expense	0.11040	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	212000	TotalCommunityBuildingExpense
Net Community Building Expense	212000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	1373000	TotalCommunityBuildingExpense
Net Community Building Expense	1373000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1585000	TotalCommunityBuildingExpense
Net Community Building Expense	1585000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$18,165,000	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	133755000	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	149327000	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-15572000	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
MIAMI VALLEY HOSPITAL
1	ONE WYOMING STREET	DAYTON	OH	45409	X	X	X	X	X
MIAMI VALLEY HOSPITAL SOUTH
2	2400 MIAMI VALLEY DRIVE	CENTERVILLE	OH	45459	X	X			X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Other Actions TakenOtherActionsTaken	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
MIAMI VALLEY HOSPITAL
1	true	true	200.	true	400.	true	X	X	X	X	true	true	X	X	X	X	X	X	true	false	X	X	X	X	true	X	false	false
MIAMI VALLEY HOSPITAL SOUTH
2	true	true	200.	true	400.	true	X	X	X	X	true	true	X	X	X	X	X	X	true	false	X	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Dialysis Centers of Dayton LLC
136 South Ludlow St Suite 500	Dayton	OH	45402	Dialysis Treatment
Lincoln Park Manor
694 Isaac Prugh Way	Kettering	OH	45429	Assisted Living

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Identifier	Part I, Line 6a:	Identifier
Explanation	The community benefit report for Miami Valley Hospital is part of the Premier Health Partners report. Part I, Line 7, column (f): $17,359,000 of bad debt was excluded from the denominator. Part I, Line 7g: Miami Valley Hospital provides the following subsidized services: Miami Valley Hospital Medical Surgical Health Center is the largest provider of health care for the uninsured and underinsured in the Dayton area, with over 18,000 visits a year. The Center offers care for immediate medical needs, long-term care and chronic conditions. The Center also provides pharmacy vouchers in addition to diagnostic testing and wellness care. The Center provides primary care to patients as well as numerous specialty clinics. It has a dedicated social worker whose knowledge and expertise assists numerous patients in obtaining the services and healthcare they need. Miami Valley Dental Center provides dental care including sub-specialist services like periodontal surgery, endodontics, and oral surgery. The Dental Center has the unique ability to treat patients who might need care for conditions other than dental at the same time as their medical conditions are being monitored and controlled for the procedure. The Center services patients such as very young children with multiple dental problems, or mentally handicapped and developmentally disabled and patients who have a medical condition that must be strictly controlled during dental care. Berry Family Health Center is a separate care facility offering a full range of services associated with primary care including family practice, pediatrics, adolescents, Geriatrics, Psychology, Women's Health, Sports Medicine and minor office surgeries. The center uses a practice of evidence-based medicine in decision making. Emergency Services: Miami Valley 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 2011, the amount paid for call time and subsidies was $15,420,000. Part I, Line 7 Charity Care at Cost: A cost to charge ratio was used to calculate this figure. This calculation takes total operating expenses less other operating revenues and bad debt expenses 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 III, Line 4: The organization used the same cost to charge ratio defined in Part I, Line 7 to determine bad debt expense at cost. The organization does not have a footnote in the audited financial statements which discusses this calculation. 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 120 days if an attempt to collect from the patient is made within our collection policy and the patient has not returned phone calls, set up a payment plan, applied for financial assistance and there is not an insurance balance being contended. 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 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. These accounts are then sent to our third party vendor who gathers external credit data that presents the account as less than 200% 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 200% Federal Poverty Level remains in bad debt expense. Due to this process, the organization does not feel it has reported bad debt expense for patients eligible under the organization's charity care policy. 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 $88,280,000 and incurred cost of $117,663,000, for an additional net shortfall of $29,383,000 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) 133,755,000 Medicare revenue not reported in Part III, Section B 88,280,000 Total Medicare associated revenue 222,035,000 Allowable Medicare cost per Medicare Cost Report (Part III, Section B) 149,327,000 Medicare cost not reported in Part III, Section B 117,663,000 Total Medicare associated cost 266,990,000 Medicare shortfall per Part III, Section B 15,572,000 Additional shortfall not included in Part III, Section B 29,383,000 Total Medicare shortfall 44,955,000 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 35% of net patient revenue. The organization used a cost accounting system to calculate the Medicare allowable costs. Part III, Line 9b: Miami Valley Hospital 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 collections actions against that individual. Patients who are known to qualify for financial assistance are not subjected to extraordinary collections actions. 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 Miami Valley Hospital has or has attempted to offer the patient the opportunity to apply for charity care under its financial assistance policy. c. Documented that the patient does not qualify for financial assistance. d. Document that the patient has been offered a payment plan, but has not honored the terms of that plan. Miami Valley Hospital's Financial Counselors meet with both inpatient and 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 V, Section B, Line 11: If the patient's family's income falls within 400% of the federal poverty guidelines, the patient qualifies for assistance under the hospital financial assistance policy. All or part of the account will be written off to charity care, based on a Sliding Fee Schedule. The amounts charged to patients who are eligible for financial assistance are not more than the amounts generally billed to individuals who have insurance covering such care. Patients who qualify for financial assistance are not charged gross charges for emergency or medically necessary care. We offer reasonable payment plans to those who have qualified for charity care. Patients may also qualify for charity care discounts due to a medically-based catastrophic event which has occurred in their life. If a patient qualifies for this discount, he/she would only be held responsible for payment of his/her family's medical expenses up to 25% of their annual income. Part V, Section B, Line 13: Miami Valley Hospital widely distributes information about its financial assistance policy within the Montgomery County area and surrounding communities that it serves. This information includes the method of applying for and accessing financial assistance. Notices are publicized in patients' bills	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
AMERICAN HEART ASSOCIATION
5455 NORTH HIGH ST	COLUMBUS	OH	43214	135613797	501(C)(3)	19200	DAYTON GALA
CITY OF DAYTON
101 WEST THIRD ST	DAYTON	OH	45401	316000175	Government	212451	GUN VIOLENCE REDUCTION & GOOD NEIGHBOR POLICE PROGRAM.
CITYWIDE DEVELOPMENT CORP
8 N MAIN ST	DAYTON	OH	45402	310821189	501(C)(3)	42245	GENESIS PROJECT Downtown Dayton.
DAYBREAK
605 S PATTERSON BLVD	DAYTON	OH	45402	310864474	501(C)(3)	6200	ANNUAL PLEDGE
DAYTON ART INSTITUTE
456 BELMONTE PARK NORTH	DAYTON	OH	45405	310537480	501(C)(3)	20840	SPONSOR
THE DAYTON FOUNDATION
500 KETTERING TOWER	DAYTON	OH	45423	316027287	501(C)(3)	5118504	Various
MARCH OF DIMES - MIAMI VALLEY DIVISION
3131 S DIXIE DR - 313	DAYTON	OH	45439	131846366	501(C)(3)	7500	PRESENTING SPONSOR development.
MARY SCOTT NURSING CENTER INC
3109 CAMPUS DR	DAYTON	OH	45406	316010222	501(C)(3)	32000	GRANT
REACH OUT MONTGOMERY COUNTY
25 EAST FORAKER	DAYTON	OH	45409	311434282	501(C)(3)	136605	RX ASSISTANCE for indigent patients.
UNITED WAY GREATER DAYTON
PO BOX 634625	CINCINNATI	OH	45263	310536658	501(C)(3)	85900	CORPORATE PLEDGE
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HIGHWAY	DAYTON	OH	45435	310732831	Government	162600	CONTRIBUTION TO NURSING INST
GDAHA - BRIGHTER FUTURES
4 RIVERPLACE DR	DAYTON	OH	45405	311221836	501(C)(6)	30000	HOME NURSING VISITS	STE 400
CULTURE WORKS
126 N MAIN ST	DAYTON	OH	45402	237412338	501(C)(3)	10890	ANNUAL CAMPAIGN	STE 210
DAYTON DEVELOPMENT COALITION
40 N MAIN ST	DAYTON	OH	45423	311423890	501(C)(6)	93407	SPONSOR	STE 900
VICTORIA THEATRE ASSOCIATION
138 N MAIN ST	DAYTON	OH	45402	310897638	501(C)(3)	96000	SPONSOR
PREMIER COMMUNITY HEALTH
23 Jasper Street	Dayton	OH	45409	311122883	501(c)(3)	530021	Community Health
Miami Valley Hospital Foundation
110 North Main Street Suite 500	Dayton	OH	45402	311040231	501(c)(3)	1767750	Health Promotion
AIDS RESOURCE CENTER OHIO
15 W FOURTH ST	DAYTON	OH	45402	311256541	501(C)(3)	50000	AFRICAN AMERICAN OUTREACH	SUITE 200
CITY FOLK
125 NORTH MAIN STREET	DAYTON	OH	45402	311030297	501(C)(3)	6400	SPONSORSHIP	SUITE 220
DAYTON CONTEMPORARY DANCE CO
840 GERMANTOWN STREET	DAYTON	OH	45402	237220259	501(C)(3)	8700	SPONSOR
DAYTON PHILHARMONIC ORCHESTRA
109 N MAIN ST	DAYTON	OH	45402	316000101	501(C)(3)	100100	SPONSOR	SUITE 200
GOODWILL EASTER SEALS
1511 KUNTZ ROAD	DAYTON	OH	45404	310537112	501(C)(3)	15000	CAR SEAT PROGRAM
HUMAN RACE THEATRE CO
126 N MAIN STREET	DAYTON	OH	45402	311176135	501(C)(3)	7680	SPONSOR	SUITE 300
IMPROVED SOLUTIONS FOR URBAN SYSTEMS INC
140 N KEOWEE STREET	DAYTON	OH	45402	311355468	501(C)(3)	15000	OPERATIONS SUPPORT
JEWISH FEDERATION OF GREATER DAYTON
33 WEST FIRST STREET	DAYTON	OH	45402	310537488	501(C)(3)	5740	SPONSOR	SUITE 100
MUSE MACHINE
126 NORTH MAIN STREET	DAYTON	OH	45402	311028673	501(C)(3)	14750	SPONSOR	SUITE 310
SALVATION ARMY OF DAYTON
138 S WILKINSON STREET	DAYTON	OH	45402	135562351	501(C)(3)	6640	SUPPORT
FOUNDATION FOR CBCCTS
349 S MAIN STREET	DAYTON	OH	45402	205676673	501(C)(3)	12800	GRANT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	26	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	1) Community benefits budgeted allocations are approved by the Miami Valley Hospital Board annually. 2) Invoices are received in Accounts Payable upon appropriate approval for payment. 3)Disbursements occur according to standard Accounts Payable guidelines.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRISTOPHER CROOM MD
0	114121	0	86250	0	0	0	0	0	0	0	200371	0	0
CHRISTOPHER J DANIS MD
0	272363	0	0	0	0	0	0	0	0	0	272363	0	0
JAMES M PACENTA MD
0	618192	0	3093	0	2304	0	0	0	0	0	623589	0	3093
GARY S COLLIER MD
268262	0	76025	0	43780	0	0	0	0	0	388067	0	114658	0
BOBBIE L GERHART
443952	0	160027	0	37812	0	0	0	0	0	641791	0	189037	0
SCOTT A SHELTON
218280	0	88096	0	2445	0	0	0	0	0	308821	0	88096	0
DALE E CREECH JR
332896	0	150791	0	42224	0	0	0	0	0	525911	0	185978	0
THOMAS J ARQUILLA
126756	0	67633	0	9578	0	0	0	0	0	203967	0	75243	0
WILLIAM E LINESCH
300256	0	103880	0	20202	0	0	0	0	0	424338	0	118246	0
MARK W SHAW
255244	0	86405	0	7737	0	0	0	0	0	349386	0	86405	0
MARY M CLANCY
313530	0	126634	0	27524	0	0	0	0	0	467688	0	151055	0
J NICHOLAS LAIR
199671	0	94873	0	745	0	0	0	0	0	295289	0	94873	0
RENEE P GEORGE
202151	0	66675	0	581	0	0	0	0	0	269407	0	66675	0
MOLLY J HALL
293242	0	129868	0	5934	0	0	0	0	0	429044	0	129868	0
J MICHAEL SIMS
219760	0	81119	0	14466	0	0	0	0	0	315345	0	93129	0
DEBORAH A MALS
228112	0	87728	0	5627	0	0	0	0	0	321467	0	87728	0
DIANE L PLEIMAN
187629	0	82791	0	1158	0	0	0	0	0	271578	0	82791	0
DIANE L EWING
218423	0	76927	0	4247	0	0	0	0	0	299597	0	76927	0
Barbara A Johnson
305496	0	81209	0	3658	0	0	0	0	0	390363	0	81209	0
Ann Schuerman
234233	0	57776	0	4077	0	0	0	0	0	296086	0	57848	0
GEOFF WALKER
183882	0	70507	0	1352	0	0	0	0	0	255741	0	70507	0
THOMAS MOSER
217356	0	62730	0	4807	0	0	0	0	0	284893	0	62730	0
JAMES R PANCOAST
0	832888	0	434253	0	992100	0	0	0	0	0	2259241	0	1411844

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Part I, Line 4b:	Identifier
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), compensates for this limitation and supplements the affected executives' qualified pension through certain nonqualified plans. MVH 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 2011. The individuals listed below have met the multi-year vesting requirement under the Pension Restoration Plan and received the associated payment in 2011: Gary Collier $38,633; Dale Creech $35,186; Thomas Arquilla $7,610; William Linesch $14,366; Mary Clancy $24,421; J Michael Sims $12,010; Ann Schuerman $72. Jim Pancoast met the multi-year vesting requirement under the SERP and received $977,591; Bobbie Gerhart met the multi-year vesting requirement under the SERP and received $29,010. All or parts of these payments were also properly reported on prior years' filed IRS Form 990 returns disclosing compensation earned by these individuals under the plans for each such year. However, 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, which in this situation is 2012. Part I, Line 6a and 6b: Premier Health Partners (PHP), which Miami Valley Hospital is a member, has an incentive component for all executive and director level employees that ties a portion of their total compensation to organizational and individual objectives and outcomes. The organizational criterion is weighted according to balanced scorecard categories: Positive Work Environment (15%), Quality (30%), Patient Satisfaction (15%), Physician Partnership, (15%), Financial (20%) and Major Projects (5%). The financial category of the scorecard is based on net earnings of the individual hospital and the net earnings of the system of a whole. This financial target is set based on the operating and cash flow margins required to maintain the system Aa credit ratings. Directors, Vice Presidents and above incentive objectives are weighted 45% on organizational criteria and 45% on individual criteria, and 10% on Organizational Effectiveness. The 2011 incentive plan amounts were paid to the participants in 2012. These are not reported as deferred compensation on the 2011 Form 990 based on the definition of deferred compensation contained in the Form 990 instructions. Per the instructions, "deferred compensation is generally treated as earned or accrued in the year that services are rendered, except when entitlement to payment is contingent on satisfaction of organizational goals or specified performance criteria (other than mere longevity of service) under the deferred compensation plan." Based on the incentive program's criteria outlined above, we believe the incentive payments meet the exception noted in the instructions. Such amounts are properly reported as compensation for Form 990 purposes when included in the participants' Form W-2 wages, which in this situation is 2012.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF MONTGOMERY OH
316000172	613549GP3	2008-11-13	234895988	SEE SCHEDULE O	false	false	false
COUNTY OF MONTGOMERY OH
316000172	613549GZ1	2009-02-24	126463824	SEE SCHEDULE O	false	false	false
COUNTY OF MONTGOMERY OH
316000172	613549JL9	2011-04-12	106431124	SEE SCHEDULE O	false	false	false
COUNTY OF MONTGOMERY OH
316000172	613549JX3	2011-04-26	85000000	SEE SCHEDULE O	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
134100000	234895988	2542599	2119000	34304034	396842	2010	true	false	true	true
0	126463824	5730104	2293824	0	0	2010	true	false	true	true
0	106431124	323387	1203000	105228124	362753	2010	false	false	true	true
0	85000000	996	727500	84272500	263138	2010	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	true	true	true	0.00668	0.00668	true
false	true	true	true	true	true	0.00668	0.00668	true
false	false	false		false		0.00000	0.00000	true
false	false	false		false		0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
MERRILL LYNCH
true	true	true	0.	true	true	false	0	false	true
0
false	false	false				false	0	false	true
BARCLAYSWELLS FARGO
false	false	true	25.	true	false	false	0	false	true
BARCLAYSWELLS FARGO
false	true	true	34.5	true	false	false	0	false	true

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CHRISTOPHER CROOM
DIRECTOR	510593	SEE SCHEDULE L PART V	false
CHRISTOPHER DANIS
DIRECTOR	168092	SEE SCHEDULE L PART V	false
SCOTT SHELTON
DIRECTOR	21110578	SEE SCHEDULE L PART V	false
Diane Pleiman
DIRECTOR	21110578	SEE SCHEDULE L PART V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Schedule L - Part IV:	Identifier
Explanation	Christopher Croom, M.D. is a 30% owner in Perinatal Partners. Premier Health Specialists (PHS), which is wholly owned by MedAmerica Health Systems(MAHS) completed an asset purchase of Perinatal Partners and brought the physicians onto their payroll in October 2011. Prior to the purchase, MVH contracted with Perinatal Partners to provide medical services. After the asset purchase, the Perinatal Partners contract was assigned to PHS. This contract was audited by our compliance department to ensure we were paying fair market value and did not have any Stark violations. The amounts paid under this contract are competitive and the transaction is at arms-length. The total amount paid to Perinatal Partners in 2011 was $510,593. Christopher Danis, M.D. is a 25% owner in Hand & Reconstructive Surgeons. Miami Valley Hospital contracts with Hand & Reconstructive Surgeons to provide medical services. This contract is audited by our compliance department to ensure we are paying at fair market value and do not have any Stark violations. The amounts paid under this contract are competitive and the transaction is at arms-length. The total amount paid in 2011 was $168,092. Miami Valley Hospital contracts with Compunet for the provision of laboratory services. Scott Shelton and Diane Pleiman are board members of Compunet Clinical Lab. In addition, Scott Shelton is the Chief Financial Officer of Miami Valley Hospital, and Diane Pleiman is a key employee of Miami Valley Hospital. Compunet is owned 33% by MVHE, Inc., which is a related organization of Miami Valley Hospital. The amounts paid under this contract are competitive and the transaction is at arms-length. The total amount paid in 2011 was $21,110,578.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier

ExplanationExplanation

Form 990 - Part I - Question 10:

Miami Valley Hospital has designated its Investments as Trading. In accordance with the AICPA, Guide for Healthcare, all unrealized gains and losses are recognized through the Profit and Loss Statement. For 990 reporting, this activity is excluded per the instructions by the Internal Revenue Service. In 2011, Miami Valley Hospital recognized an unrealized loss of $9,292,760. Form 990, Part VI, Section A, Question 3: Premier Health Partners (PHP) develops and oversees the implementation of the strategic plan for Miami Valley Hospital (MVH), which addresses 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 PHP approval. MVH develops and submits an annual capital and operating budget to PHP for approval. MVH shall adopt and implement the capital and operating budget so approved and/or revised for it by PHP. MVH periodically develops and submits a business plan to PHP for approval. MVH shall implement the business plan approved by PHP. PHP 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 PHP 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 $500,000. MVH must seek PHP approval for any acquisitions, sale or transfer of any material asset used in PHP activities. Form 990, Part VI, Section A, Question 6: Miami Valley Hospital has two members. One member is MedAmerica Health Systems, the parent company of the hospital. The second member is Premier Health Partners, 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 Partners 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). MAHS has the authority to remove trustees at any regular or special meeting or by written consent. In addition to removal by MAHS, a trustee may be removed from office with approval by MAHS, by the affirmative vote of not less than two-thirds of the entire Board of Trustees. Premier Health Partners (PHP) has the right to request that MAHS remove a trustee of the corporation if PHP has determined that such trustee is frustrating the goals and purposes of Premier Health Partner'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 Partners (PHP), of which Miami Valley Hospital is a member. The return is reviewed by the Tax Manager and a Director of the Financial Accounting Department of PHP. The return is concurrently sent to Ernst & Young U.S. LLP for their review. After all changes from the above group are made, the return is reviewed by the Vice President/Controller of PHP 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 Directors for review. At the meeting, the Vice President / Controller of PHP shares detailed information on compensation and community benefits, as well as address any other questions from the Board of Directors, pending their review. The 990 tax return is also shared with the Audit Committee of PHP. At the meeting, the Vice President / Controller of PHP shares detailed information on compensation and community benefits, as well as addresses any other questions from the committee.

Form 990, Part VI, Section B, Question 12C:

Premier Health Partners (PHP), of which Miami Valley Hospital is a member, requires all board members, officers, executives and management personnel to annually review the PHP 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 Conflicts of Interest Policy. This is accomplished with a memo sent out annually from the Chairman of the Board and Chief Executive Officer of PHP to all board members, executive directors, vice presidents, directors, purchasing department staff and authorized purchasers. It 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. Last, this memo 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 minutes, the Board 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, any Board or Board Committee meeting where the subject of conflicts of interest is discussed, the normally taken 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 does exist, the member will be excused from participating in any discussion or voting on the particular agenda item. The Corporate Compliance Officer reports the results of the PHP Conflicts 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 conflicts of interest questionnaires are individually summarized in a Word 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 Partners, of which Miami Valley Hospital is a member, 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. PHP annually reviews executive compensation survey data for a regional peer group of systems and hospitals that are similar in size and complexity to PHP and its subsidiaries. The data for the survey is provided by a third party consultant group that is independent of PHP. 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 which are independent. This committee reviews in detail the compensation for the PHP 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 PHP board annually. Form 990, Part VI, Section C, Question 19: The governing documents, conflicts of interest policy and financial statements are made available to the public when required by law or for accreditation purposes. Form 990, Part VII, Section A, Question 1a, Column B: Officers work an average of 40 hours spread over the entities listed in schedule R. Form 990, Part X, 2011 Beginning Balance: Certain Balance Sheet line items have been reclassified to conform to the current year's presentation. Form 990, Part XI, Question 5: Unrealized Gain / (Loss) (9,292,760) Equity Transfers (20,380,926) Pension Adjustment (54,894,797) Swap Amortization (188,095) Capital Donation 571,524 Inventory Adjustment 670,555 Funding from Foundation (801,007) Other 4 Total (84,315,502) Form 990, Schedule K, Part 1, Line A, Column F: REFUND MIAMI VALLEY HOSPITAL SERIES 1992B, 1998A, 2003A, 2003B, & 2003C, AND TO PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS. Form 990, Schedule K, Part 1, Line B, Column F: REFUND A PORTION OF MIAMI VALLEY HOSPITAL SERIES 2008A AND 2008B BONDS. Form 990, Schedule K, Part 1, Line C & D, Column F: PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS. Statement pertaining to 2011 Form 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(a) AND (b), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCs). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCs BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. Samaritan Health Partners 110 North Main St, Suite 500 Dayton, OH 45402 EIN: 31-1107411 THE FILING ORGANIZATION, MIAMI VALLEY HOSPITAL, IS NOT FILING A SEPARATE FORM 5471 - SCHEDULE I BECAUSE IT HAS NO INCOME FROM THE FOREIGN CORPORATION. CORPORATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	DIALYSIS CENTERS OF DAYTON LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST SUITE 500	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
EIN	311607686	EIN
Primary Activities	DIALYSIS	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Total Income	4465457	TotalIncome
EOY Assets	37915865	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
PREMIER HEALTH PARTNERS
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311446699	SUPPRTG. ORG.	OH	501(C)(3)	11-1	NA	false
MEDAMERICA HEALTH SYSTEMS CORP
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311040228	PARENT	OH	501(C)(3)	11-1	NA	false
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311040231	Foundation	OH	501(C)(3)	7	MAHS	true
PREMIER COMMUNITY HEALTH
601 W RIVERVIEW AVENUE	DAYTON	OH	45406	311122883	Health Educat	OH	501(C)(3)	7	MAHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Premier Plaza LLP	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	110 N Main St Suite 500	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
EIN	800708185	EIN
Primary Activity	Holding Company	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Excluded from tax	PredominantIncomeType
Share Of Total Income	-430292	ShareOfTotalIncome
Share Of EOY Assets	5858069	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.98000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
MVHE INC
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311185270	PHYS SVCS	OH	MAHS	CORPORATION	0	0	0.00000
PREMIER HEALTH SPECIALISTS INC
110 N MAIN ST SUITE 500	DAYTON	OH	45402	061744704	PHYS SVCS	OH	MAHS	CORPORATION	0	0	0.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MIAMI VALLEY HOSPITAL FOUNDATION
B	1767750	CASH
MIAMI VALLEY HOSPITAL FOUNDATION
C	1871443	CASH
MIAMI VALLEY HOSPITAL FOUNDATION
P	784893	FMV
Premier Health Specialists Inc
L	773263	FMV
Premier Health Specialists Inc
N	94725	FMV
Premier Health Specialists Inc
Q	23900000	FMV
MVHE INC
A-iv	30932	FMV
MVHE INC
L	304810	FMV
MVHE INC
N	96984	FMV
MVHE INC
O	961145	FMV
MVHE INC
P	1382042	FMV
MVHE INC
Q	6700000	FMV
MVHE INC
R	4054996	FMV
PREMIER COMMUNITY HEALTH
O	59897	FMV
PREMIER COMMUNITY HEALTH
Q	633625	FMV
PREMIER HEALTH PARTNERS
B	128334	FMV