MIAMI VALLEY HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-10
IRS object ID: 201103149349301640
Schema version: 2010v3.4
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	2011-11-10T11:25:58-06:00	Timestamp
Tax Period End Date	2010-12-31	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	46026	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	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)
Name Control	MIAM	NameControl
Phone	9374999946	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40 W FOURTH STREET	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	454021857	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT A SHELTON CFO	Name
Title	VP & CFO	Title
Date Signed	2011-10-25	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5136121400	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARY H BOOSALIS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	40 W FOURTH STREET	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	454021857	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	799106934	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	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	7920	TotalNbrEmployees
Total Nbr Volunteers	1027	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2399194	ContributionsGrantsPriorYear
Contributions Grants Current Year	1595275	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	665594011	ProgramServiceRevenuePriorYear
Program Service Revenue CY	713089259	ProgramServiceRevenueCY
Investment Income Prior Year	13912242	InvestmentIncomePriorYear
Investment Income Current Year	24409451	InvestmentIncomeCurrentYear
Other Revenue Prior Year	13183687	OtherRevenuePriorYear
Other Revenue Current Year	16248343	OtherRevenueCurrentYear
Total Revenue Prior Year	695089134	TotalRevenuePriorYear
Total Revenue Current Year	755342328	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	6574615	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2388827	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	351267157	SalariesEtcPriorYear
Salaries Etc Current Year	342227641	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	336772147	OtherExpensePriorYear
Other Expenses Current Year	337777496	OtherExpensesCurrentYear
Total Expenses Prior Year	694613919	TotalExpensesPriorYear
Total Expenses Current Year	682393964	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	475215	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	72948364	RevenuesLessExpensesCY
Total Assets BOY	1153376911	TotalAssetsBOY
Total Assets EOY	1224144199	TotalAssetsEOY
Total Liabilities BOY	554170920	TotalLiabilitiesBOY
Total Liabilities EOY	571966380	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	599205991	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	652177819	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	615977091	Expense
Grants	2388827	Grants
Revenue	713089259	Revenue
Description	PLEASE REFER TO SCHEDULE H.	Description
Total Program Service Expense	615977091	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	true	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	false	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	false	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	503	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7920	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	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	9374999944	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	40 W 4TH STREET	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 (33 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	0	0
CHRISTOPHER J DANIS MD
TRUSTEE	0.5	X	0	0	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	7500	0	0
NORM J SCHNEIDERMAN MD
TRUSTEE	0.5	X	19938	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	40.0	X	366754	0	138563
EDWARD BLAKE
TRUSTEE	0.5	X	0	0	0
MARY H BOOSALIS
TRUSTEE	40.0	X	4607992	0	1054203	X
BOBBIE L GERHART
TRUSTEE	40.0	X	444790	0	234062	X
REVEREND DR BRODIE R MATHIS
	0.5	X	0	0	0
JAMES J MURPHY MD
	0.5	X	0	0	0
SCOTT A SHELTON
VP & CFO	40.0		243965	0	95661	X
GEOFF WALKER
SECRETARY	40.0		209167	0	93648	X
DALE E CREECH JR
VP & CHIEF LEGAL OFFICER	40.0		379527	0	215755		X
THOMAS J ARQUILLA
VP-BUSINESS DEVELOPMENT	40.0		332530	0	107797		X
WILLIAM E LINESCH
VP-HUMAN RESOURCES & OE	40.0		371715	0	129467		X
MARK W SHAW
VP-MANAGED CARE	40.0		310246	0	114227		X
MARY M CLANCY
VP & CHIEF INFO OFFICER	40.0		415983	0	169641		X
J NICHOLAS LAIR
VP & CHIEF PURCH OFFICER	40.0		234577	0	120430		X
RENEE P GEORGE
VP-REVENUE CYCLE	40.0		234401	0	89759		X
DEBORAH A MALS
VP-OPERATIONS & CNO	40.0		273511	0	105978		X
DIANE L PLEIMAN
VP-HOSPITAL OPERATIONS	40.0		207616	0	93529		X
THEODORE E WYMYSLO
DIR-FAMILY PRACTICE EDUCATION	40.0		301837	0	73011			X
MOLLY J HALL
VP-ACADEMIC AFFAIRS	40.0		327594	0	153771			X
J MICHAEL SIMS
VP & CORPORATE CONTROLLER	40.0		281119	0	122932			X
THOMAS S MOSER
VP-MKT DEVELOPMT & RESEARCH	40.0		253923	0	77387			X
DIANE L EWING
VP-MARKETING	40.0		251766	0	87912			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10076451	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3277733	TotalOtherCompensation
Number Individuals GT100 K	181	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	21694774
Miami Valley Emergency Specialists
35 Millard Court	SPRINGBORO	OH	45066	Medical Services	4553337
Anesthesiology Services Network
PO Box 349	DAYTON	OH	45409	Medical Services	5013075
Wright State Physicians
One Wyoming Street-7000 WCHE	DAYTON	OH	45409	Medical Services	1919569
Radiology Physicians Inc
7707 Paragon Road	CENTERVILLE	OH	45459	Medical Services	2106422

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	66	NumberOfContractorsGT100K
Related Organizations	1595275	RelatedOrganizations
Total Contributions	1595275	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	900099	370705044	370705044
MEDICARE/MEDICAID	900099	363364350	363364350
JOINT OPERATING AGREEMENT	900099	-22478000	-22478000
PASTORAL COUNSELING	900099	726074	726074
CLINICAL NUTRITION	900099	358827	358827

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	412964	TotalRevenueColumn
Related Or Exempt Function Income	412964	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	713089259	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	65707	TotalRevenueColumn
Exclusion	$65,707	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	8961070	TotalRevenueColumn
Exclusion	$8,961,070	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	5097734	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2147280	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2950454	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2950454	TotalRevenueColumn
Exclusion	$2,950,454	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	57000000	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	40343313	Securities
Other	1274013	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	16656687	Securities
Other	-1274013	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	15382674	TotalRevenueColumn
Exclusion	$15,382,674	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

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	993191	TotalRevenueColumn
Exclusion	$993,191	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	5937827	$5,937,827
PARKING GARAGE	812930	1875657	$1,875,657
JOINT VENTURE	900099	79725	$79,725

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4411489	TotalRevenueColumn
Exclusion	$4,411,489	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	12304698	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	755342328	TotalRevenueColumn
Related Or Exempt Function Income	713089259	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$40,657,794	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2388827	Total
Program Services	2388827	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	11120117	Total
Program Services	8340088	ProgramServices
Management And General	2780029	ManagementAndGeneral
Fundraising	0	Fundraising

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	265122181	Total
Program Services	231796323	ProgramServices
Management And General	33325858	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	14380450	Total
Program Services	12572827	ProgramServices
Management And General	1807623	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	35283466	Total
Program Services	30848334	ProgramServices
Management And General	4435132	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16321427	Total
Program Services	14269824	ProgramServices
Management And General	2051603	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	177234	Total
Program Services	154956	ProgramServices
Management And General	22278	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	470170	Total
Management And General	470170	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	31511	Total
Program Services	31511	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	1034020	Total
Management And General	1034020	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	29909659	Total
Program Services	29909659	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2762338	Total
Program Services	2762338	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3901197	Total
Program Services	3410817	ProgramServices
Management And General	490380	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3962623	Total
Program Services	3464521	ProgramServices
Management And General	498102	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12673651	Total
Program Services	11080573	ProgramServices
Management And General	1593078	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	387059	Total
Program Services	338406	ProgramServices
Management And General	48653	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	98649	Total
Program Services	86249	ProgramServices
Management And General	12400	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8740469	Total
Program Services	7641792	ProgramServices
Management And General	1098677	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	48165294	Total
Program Services	42110917	ProgramServices
Management And General	6054377	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3591613	Total
Program Services	3140147	ProgramServices
Management And General	451466	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
OPERATING SUPPLIES	122229474	122229474
PURCHASED SERVICES	75224658	65768919	9455739
BAD DEBT EXPENSE	14363753	14363753
HOSPITAL FRANCHISE TAX	3790893	3790893
REPAIRS/MINOR EQUIPMENT	3048186	2665029	383157

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3215045	Total
Program Services	2810914	ProgramServices
Management And General	404131	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	682393964	Total
Program Services	615977091	ProgramServices
Management And General	66416873	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	19770	BOY
EOY	21535	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	19087432	BOY
EOY	14090622	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	110873189	BOY
EOY	111988764	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2854800	BOY
EOY	5863694	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5664593	BOY
EOY	5933123	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5124735	BOY
EOY	7156846	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1051118617	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	462941754	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	511209907	BOY
EOY	588176863	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	328898388	BOY
EOY	330190748	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	90245660	BOY
EOY	92795170	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	21590871	BOY
EOY	22224385	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	57807566	BOY
EOY	45702449	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1153376911	BOY
EOY	1224144199	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	67231634	BOY
EOY	67474568	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	323368942	BOY
EOY	316187261	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	163570344	BOY
EOY	188304551	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	554170920	BOY
EOY	571966380	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	599205991	BOY
EOY	652177819	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	599205991	BOY
EOY	652177819	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1153376911	BOY
EOY	1224144199	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	72948364	ReconcilationRevenueExpenses
Reconcilation Other Changes	-19976536	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	$31,511	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Total Lobbying Expenditures IIB	31511	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE C, SUPPLEMENTAL INFORMATION	Identifier
Explanation	PART II-B, LINE 1F PAYING DUES TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION. IN ADDITION, 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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	33975739	OtherCostOrOtherBasis
Book Value	33975739	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	430482618	OtherCostOrOtherBasis
Depreciation	226515725	Depreciation
Book Value	203966893	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1295993	OtherCostOrOtherBasis
Depreciation	1235692	Depreciation
Book Value	60301	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	346889718	OtherCostOrOtherBasis
Depreciation	230506339	Depreciation
Book Value	116383379	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	238474548	OtherCostOrOtherBasis
Depreciation	4683997	Depreciation
Book Value	233790551	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	588176863	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	ALTERNATIVE INVESTMENT	Description
Book Value	92795170	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	92795170	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
PENSION OBLIGATION	$103,865,618
INTERCOMPANY PAYABLES	$24,873,750
MALPRACTICE INSURANCE	$21,456,769
LOAN GUAR & OTHER LTL	$10,831,144
INTEREST SWAP LIABILITY	$6,365,984
PROPERTY TAXES PAYABLE	$6,290,309
BUILDING & CAPITAL LEASE LIAB	$6,106,892
MEDICARE COST SETTLEMENT	$3,130,376
BOND INTEREST	$1,912,025
OTHER LIABILITIES	$3,471,684

Field	Value	IRS element (for citing)
Total Of Amounts	188304551	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part 990, Part IV, Line 11f	Identifier
Explanation	Miami Valley Hospital (MVH) is a part 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, 2010 and 2009. 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 Health Specialists of Dayton, Inc. (subsidiaries of MAHS)	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (8 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Central America and the Caribbean	Program Services	Insurance	2652798
Central America and the Caribbean	Investments
East Asia and the Pacific	Investments
Europe (Including Iceland and Greenland)	Investments
North America	Investments
Russia and the Newly Independent States	Investments
South Asia	Investments
Sub-Saharan Africa	Investments

Field	Value	IRS element (for citing)
Subtotal Amount Spent	2652798	SubtotalAmountSpent
Total Amount Spent	2652798	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
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
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	42596000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15126000	DirectOffsettingRevenue
Net Community Benefit Expense	27470000	NetCommunityBenefitExpense
Percent Of Total Expense	0.04240	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	124302000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	105977000	DirectOffsettingRevenue
Net Community Benefit Expense	18325000	NetCommunityBenefitExpense
Percent Of Total Expense	0.02830	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6503000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4468000	DirectOffsettingRevenue
Net Community Benefit Expense	2035000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	173401000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	125571000	DirectOffsettingRevenue
Net Community Benefit Expense	47830000	NetCommunityBenefitExpense
Percent Of Total Expense	0.07380	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	968000	TotalCommunityBenefitExpense
Net Community Benefit Expense	968000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26581000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20315000	DirectOffsettingRevenue
Net Community Benefit Expense	6266000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29264000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5370000	DirectOffsettingRevenue
Net Community Benefit Expense	23894000	NetCommunityBenefitExpense
Percent Of Total Expense	0.03690	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	56821000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25685000	DirectOffsettingRevenue
Net Community Benefit Expense	31136000	NetCommunityBenefitExpense
Percent Of Total Expense	0.04810	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	230222000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	151256000	DirectOffsettingRevenue
Net Community Benefit Expense	78966000	NetCommunityBenefitExpense
Percent Of Total Expense	0.12190	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	197000	TotalCommunityBuildingExpense
Net Community Building Expense	197000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	1655000	TotalCommunityBuildingExpense
Net Community Building Expense	1655000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1852000	TotalCommunityBuildingExpense
Net Community Building Expense	1852000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,285,000	BadDebtExpenseAmount
Amount Reimbursed By Medicare	132834000	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	136287000	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3453000	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	Teaching HospitalTeachingHospital	Critical Access HospitalCriticalAccessHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
MIAMI VALLEY HOSPITAL
1	ONE WYOMING STREET	DAYTON	OH	45402	X	X	X	X	X
MIAMI VALLEY HOSPITAL SOUTH
2	2400 MIAMI VALLEY DRIVE	CENTERVILLE	OH	45459	X				X	ER & OUTPATIENT FAC.

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

Hospital Facility NumberHospitalFacilityNumber
MIAMI VALLEY HOSPITAL
1
MIAMI VALLEY HOSPITAL SOUTH
2

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
40 W 4th Street Suite 900	Dayton	OH	45402	Dialysis Treatment
Lincoln Park Manor
694 Isaac Prugh Way	Kettering	OH	45429	Assisted Living

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Schedule H Disclosure	Part I, Line 6a The community benefit report for Miami Valley Hospital is part of the Premier Health Partners report. Part I, Line 7, column (f) $13,839,221 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 2010, the amount paid for call and subsidies was $15,755,000. 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 was 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 is done immediately if a patient refuses payment arrangements, refuses to apply for charitable 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 charitable 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 immediately ceased and return the account back to the organization if the patient applies for charitable 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. The policy is as follows: After 9 months (or earlier), if the collection agency has not been able to resolve the account, the account is returned to the organization for final closeback. These accounts are 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 process, the organization does not feel it has reported bad debt expense for patients eligible under the organization's charity care policy. 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 The organization's collection policy states that no collection is to occur for patients that have applied for charitable assistance. If a patient has not applied and the account is turned over to collection and during this process they apply for assistance, then all collection efforts are immediately ceased. Part VI, line 2 The organization's community benefit plan is based on our understanding of unique communities' needs derived from collaborative needs assessments, focus groups and surveys conducted with our community partners. We rely on data provided by Greater Dayton Area Hospital Association to assist with the needs of the community. Miami Valley, as a member of Premier Health Partners, also participates in the Homeless Shelter Task Force and the Montgomery County Healthcare Safety Net Task Force. The Homeless Shelter Task Force offers strategic solutions to over 6,000 homeless people living in Dayton and Montgomery County. These solutions include evaluating the location of the day shelter and the Good Samaritan Homeless Clinic to ensure they are located in a place easily accessible to the Homeless. The primary goal is to provide support for the Homeless, get them into permanent housing and employed so they can be self-sufficient. The Montgomery County Healthcare Safety Net Task Force was appointed in September 2006 by the Montgomery County Commissioners. The Task Force was charged with recommending an innovative vision and achievable sets of strategies to improve and finance the healthcare safety net for vulnerable populations in Montgomery County. The Task Force, comprised of 19 members, included hospital system leadership, safety net clinical providers, the Dean of Wright State University Boonshoft School of Medicine, United Way, major insurance companies and other key stakeholders. The report from their evaluation showed that approximately 60,300 people or nearly 11% of Montgomery County residents do not have healthcare insurance. Approximately 84,082 residents or over 12% in Montgomery County were enrolled in Medicaid. Montgomery County and the surrounding region are unique as there are only four metro regions in the United States larger than Montgomery County that does not have any type of public hospital. Premier Health Partners, of which Miami Valley Hospital is a member, incurs 73.5% of uncompensated care costs. The total shortfall resulting from providing uncompensated care is more than $126 million annually. This task force recommended nine local strategies outlined as follows: 1. Strengthen and consolidate access to primary care: Currently, there are more than twenty clinics in Montgomery County that focus on providing services to the indigent populations. A collaborative effort between hospital systems and Dayton and Montgomery County Public Heath Systems that focus on providing services to the indigent populations is underway to address consolidation. Initially, three hospital-operated clinics have been consolidated into Community Health Systems of Greater Dayton, a nonprofit organization designated as a federally qualified health center. 2. Investigate implementation of a community-wide electronic linkage between healthcare providers: Premier Health Partners, of which Miami Valley Hospital is a member, implemented an electronic medical record system. This improves care coordination across hospitals and clinics to help minimize duplicative services. 3. Enhance care coordination for vulnerable populations with chronic diseases: The greatest healthcare costs can be reduced with extensive care coordination, including screenings, early detection, education, treatme
STATE FILING OF COMMUNITY BENEFIT REPORT	OH,	990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (27 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
ALZHEIMERS ASSOCIATION
3797 SUMMIT GLEN DR G100	DAYTON	OH	45449	133039601	501(C)(3)	6400	ANNUAL CONTRIBUTION
AMERICAN HEART ASSOCIATION
5455 NORTH HIGH ST	COLUMBUS	OH	43214	135613797	501(C)(3)	24320	DAYTON START WALK
AULLWOOD AUDUBON CENTER
1000 AULLWOOD RD	DAYTON	OH	45414	131624102	501(C)(3)	16000	FUTURE FARM INITIATION
CITY OF DAYTON
101 WEST THIRD ST	DAYTON	OH	45402	316000175		147140	GUN VIOLENCE REDUCTION & GOOD NEIGHBOR POLICE PROGRAM.
CITYWIDE DEVELOPMENT CORP
8 N MAIN ST	DAYTON	OH	45402	310821189	501(C)(3)	60600	GENESIS PROJECT Downtown Dayton.
DAYBREAK
605 S PATTERSON BLVD	DAYTON	OH	45402	310864474	501(C)(3)	16000	ANNUAL PLEDGE
DAYTON ART INSTITUTE
456 BELMONTE PARK NORTH	DAYTON	OH	45405	310537480	501(C)(3)	69700	SPONSOR
THE DAYTON FOUNDATION
500 KETTERING TOWER	DAYTON	OH	45423	316027287	501(C)(3)	33860	NEIGHBORHOOD PROJECT and safety.
DAYTON PHILHARMONIC VOLUNTEERS
439 CLAZON GLEN COURT	DAYTON	OH	45429	316033500	501(C)(3)	18400	TITLE SPONSOR population.
FIDELITY HEALTHCARE
3832 KETTERING BLVD	DAYTON	OH	45439	311075381	501(C)(3)	39673	BRIDGE PROJECT
MARCH OF DIMES - MIAMI VALLEY DIVISION
3131 S DIXIE DR - 313	DAYTON	OH	45439	131846366	501(C)(3)	15000	PRESENTING SPONSOR development.
MARY SCOTT NURSING CENTER INC
3109 CAMPUS DR	DAYTON	OH	45406	316010222	501(C)(3)	41000	GRANT
OMEGA COMMUNITY DEVELOPMENT
1810 HARVARD BLVD	DAYTON	OH	45406	311561713	501(C)(3)	6400	CONTRIBUTION
REACH OUT MONTGOMERY COUNTY
25 EAST FORAKER	DAYTON	OH	45409	311434282	501(C)(3)	165997	RX ASSISTANCE for indigent patients.
UNITED WAY GREATER DAYTON
PO BOX 634625	CINCINNATI	OH	45263	310536658	501(C)(3)	62500	CORPORATE PLEDGE
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HIGHWAY	DAYTON	OH	45435	310732831		25600	CONTRIBUTION TO NURSING INST
AMERICAN CANCER SOCIETY
2808 READING ROAD	CINCINNATI	OH	45236	340726080	501(C)(3)	7040	CONTRIBUTION
GDAHA - BRIGHTER FUTURES
2 RIVERPLACE DR	DAYTON	OH	45405	311221836	501(C)(6)	90000	HOME NURSING VISITS	STE 400
CULTURE WORKS
126 N MAIN ST	DAYTON	OH	45402	237412338	501(C)(3)	9600	ANNUAL CAMPAIGN	STE 210
DAYTON DEVELOPMENT COALITION
40 N MAIN ST	DAYTON	OH	45423	311423890	501(C)(6)	108000	SPONSOR	STE 900
DAYTON OPERA ASSOCIATION
138 N MAIN ST	DAYTON	OH	45402	310643964	501(C)(3)	13440	ANNUAL PLEDGE
COUNTY CORPORATION
130 W SECOND ST	DAYTON	OH	45402	310978908	501(C)(3)	100000	MEN'S GATEWAY SHELTER	STE 1420
NEW YORK UNIVERSITY
726 BROADWAY	NEW YORK	NY	10003	135562308	501(C)(3)	95413	NICHE PROGRAM - GERIATRIC CARE	9TH FLR
VICTORIA THEATRE ASSOCIATION
138 N MAIN ST	DAYTON	OH	45402	310897638	501(C)(3)	192000	SPONSOR
AIDS RESOURCE CENTER OHIO
15 W FOURTH ST 200	DAYTON	OH	45402	311256541	501(C)(3)	100000	COMMUNITY PARTNERSHIP
Premier Community Health
23 Jasper Street	Dayton	OH	45409	311122883	501(c)(3)	417155	Community Health
Miami Valley Hospital Foundation
40 W 4th Street	Dayton	OH	45402	311040231	501(c)(3)	92506	Health Promotion

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	24	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	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 the Miami Valley 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 (19 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
GARY S COLLIER MD
258413	0	60364	0	47977	0	119697	0	18866	0	505317	0	103428	0
MARY H BOOSALIS
396953	0	223818	0	3987221	0	1045753	0	8450	0	5662195	0	1496787	0
BOBBIE L GERHART
315043	0	95170	0	34577	0	214589	0	19473	0	678852	0	123313	0
SCOTT A SHELTON
196141	0	45688	0	2136	0	92470	0	3191	0	339626	0	45688	0
DALE E CREECH JR
290064	0	83578	0	5885	0	191883	0	23872	0	595282	0	83578	0
THOMAS J ARQUILLA
264036	0	51072	0	17422	0	81169	0	26628	0	440327	0	64266	0
WILLIAM E LINESCH
287965	0	60181	0	23569	0	122429	0	7038	0	501182	0	78450	0
MARK W SHAW
246858	0	58629	0	4759	0	93606	0	20621	0	424473	0	58629	0
MARY M CLANCY
292302	0	88969	0	34712	0	155900	0	13741	0	585624	0	120807	0
J NICHOLAS LAIR
191363	0	42563	0	651	0	100673	0	19757	0	355007	0	42563	0
RENEE P GEORGE
191717	0	42107	0	577	0	68282	0	21477	0	324160	0	42107	0
THEODORE E WYMYSLO
258195	0	40588	0	3054	0	54023	0	18988	0	374848	0	40588	0
MOLLY J HALL
266310	0	58185	0	3099	0	133433	0	20338	0	481365	0	58185	0
J MICHAEL SIMS
212403	0	52160	0	16556	0	101352	0	21580	0	404051	0	67165	0
DEBORAH A MALS
218866	0	51567	0	3078	0	94613	0	11365	0	379489	0	51567	0
THOMAS S MOSER
204095	0	42713	0	7115	0	68767	0	8620	0	331310	0	42713	0
DIANE L PLEIMAN
164905	0	41662	0	1049	0	88568	0	4961	0	301145	0		0
DIANE L EWING
204017	0	44166	0	3583	0	78388	0	9524	0	339678	0		0
GEOFF WALKER
169284	0	38838	0	1045	0	75297	0	18351	0	302815	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE J SUPPLEMENTAL INFORMATION	Identifier
Explanation	Part I, Line 4b Due to restrictions imposed by the Internal Revenue Code, certain persons are limited in the amount of benefit that can be earned under a qualified retirement plan. Like many employers, Miami Valley Hospital (MVH), 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 Employee 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 2010. The individuals listed below have met the multi-year vesting requirement under the Pension Restoration Plan and received the associated payment in 2010: Gary Collier $43,064; Bobbie Gerhart $28,143; Thomas Arquilla $13,194; William Linesch $18,269; Mary Clancy $31,838; J Michael Sims $15,005. Mary Boosalis met the multi-year vesting requirement under the SERP and received $3,980,847 for her 24 years of service as an executive with the organization. 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. organization. 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%), Customer Satisfaction (25%), Financial (20%) and Major Initiatives (10%). 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 margin required to maintain the system Aa credit ratings. Vice Presidents and above incentive objectives are weighted 50% on organizational criteria and 50% on individual criteria. Directors are weighted 25% on organizational criteria and 75% on individual criteria. weighted according to balanced scorecard categories: Positive Work Environment (15%), Quality (30%), Customer Satisfaction (25%), Financial (20%) and Major Initiatives (10%). 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 margin required to maintain the system Aa credit ratings. Vice Presidents and above incentive objectives are weighted 50% on organizational criteria and 50% on individual criteria. Directors are weighted 25% on organizational criteria and 75% on individual criteria.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 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 K, Part V	false	false	false
COUNTY OF MONTGOMERY OH
316000172	613549GZ1	2009-02-24	126463824	See Schedule K, Part V	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 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
130555000	234895988	2391706	2119000	34304034	437769	2010	true	false	true	true
	126463824	5277713	2293824			2010	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	true	true	0.01000	0.01000	true
false	true	true	true	true	0.01000	0.01000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 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	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
MERRILL LYNCH
true	true	true	23.8	true	false	false	false	true
(no name)
false	false	false				false	false	true

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	Schedule K, Supplemental Information	Identifier
Explanation	Schedule K - Part 1 - Line A - Column f Refund Miami Valley Hospital Series 1992B, 1998A, 2003A, 2003B and 2003 Bonds and provide funds to construct the South East Tower on the Hospital's campus. Schedule K - Part 1 - Line B - Column f Refund a portion of Miami Valley Hospital Series 2008A and 2008B bonds.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CHRISTOPHER CROOM
DIRECTOR	342906	SEE SCHEDULE O	false
CHRISTOPHER DANIS
DIRECTOR	216502	SEE SCHEDULE O	false
Scott Shelton
DIRECTOR	21694774	SEE SCHEDULE O	false
Diane Pleiman
Director	21694774	See Schedule O	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier

ExplanationExplanation

FORM 990, SUPPLEMENTAL INFORMATION (1)

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 2010 Miami Valley Hospital recognized unrealized gains of $16,482,358. 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 operations of Premier Health Partners' 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 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 B, Question 11B This 990 tax return and attached schedules (the return) are prepared by a staff member in the Financial Accounting department of Premier Health Partners (PHP), of which Miami Valley Hospital is a member. It is reviewed by the Supervisor, Manager and Director of the Financial Accounting department of PHP and subsequently 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. The Board of Directors is provided an electronic copy at least one week prior to the board meeting. At the meeting, the Director of Financial Accounting 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. The information is mailed out to them at least one week prior to the meeting. 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 summarized by person 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, PHP CFO 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, SUPPLEMENTAL INFORMATION (CONTINUED)

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. Schedule L - Part IV Christopher Croom is a 33% owner in Perinatal Partners. Miami Valley Hospital contracts with Perinatal Partners 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 2010 was $342,906. Christopher Danis is a 33% 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 2010 was $216,502. Miami Valley Hospital contracts with Compunet for the provision of laboratory services. Scott Shelton is a board member of Compunet Clinical Lab. In addition, he is the Chief Financial Officer of Miami Valley Hospital. Compunet is owned 50% 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 2010 was $21,694,774. Miami Valley Hospital contracts with Compunet for the provision of laboratory services. Diane Pleiman is a board member of Compunet Clinical Lab. In addition, she is a key employee of Miami Valley Hospital. Compunet is owned 50% 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 2010 was $21,694,774. Form 990, Part XI, Question 5 Unrealized Gain 16,482,358 Equity Transfers (28,531,862) Pension Adjustment (7,655,763) Swap Amortization (191,074) Capital Donation 588,278 Other (668,473) Total (19,976,536) Part IV, Line 20b Attaching a copy of the audited financial statements is only required under the tax law for tax years beginning after March 23, 2010. Miami Valley Hospital's tax year began January 1, 2010 and it therefore has not attached the audited financial statements to its 2010 Form 990.

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	40 W FOURTH STREET	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	2603215	TotalIncome
EOY Assets	35160409	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
PREMIER HEALTH PARTNERS
40 W FOURTH STREET	DAYTON	OH	45402	311446699	SUPPRTG. ORG.	OH	501(c)(3)	11-1	NA
MEDAMERICA HEALTH SYSTEMS CORP
40 W FOURTH STREET	DAYTON	OH	45402	311040228	PARENT	OH	501(c)(3)	11-1	NA
MIAMI VALLEY HOSPITAL FOUNDATION
40 W FOURTH STREET	DAYTON	OH	45402	311040231	SUPPRTG. ORG.	OH	501(c)(3)	7	MAHS
PREMIER COMMUNITY HEALTH
601 W RIVERVIEW AVENUE	DAYTON	OH	45406	311122883	SUPPRTG. ORG.	OH	501(c)(3)	7	MAHS

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
40 W FOURTH STREET	DAYTON	OH	45402	311185270	PHYS SVCS	OH	MAHS	CORPORATION	-10842250	28529282	1.00000
HSD INC
40 W FOURTH STREET	DAYTON	OH	45402	061744704	PHYS SVCS	OH	MAHS	CORPORATION	-10918382	13001797	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	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	false	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 (14 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MIAMI VALLEY HOSPITAL FOUNDATION
B	35950
MIAMI VALLEY HOSPITAL FOUNDATION
C	504936
MIAMI VALLEY HOSPITAL FOUNDATION
N	1319434
MIAMI VALLEY HOSPITAL FOUNDATION
P	225464
MIAMI VALLEY HOSPITAL FOUNDATION
R	1550000
HSD INC
N	71040
HSD INC
O	524237
HSD INC
Q	11635001
MVHE INC
N	37220
MVHE INC
O	67188
MVHE INC
Q	14228062
PREMIER COMMUNITY HEALTH
B	175000
PREMIER COMMUNITY HEALTH
Q	500791
Miami Valley Hospital Foundation
Q	297380