2021-11-08T11:32:45-06:00 2020-12-31 346565596 ERNST & YOUNG US LLP 221 E 4TH STREET SUITE 2900 CINCINNATI OH 45202 990 2020-01-01 310537095 UPPER VALLEY MEDICAL CENTER UPPE 9374999942 110 N MAIN ST 500 DAYTON OH 45402 TIMOTHY D SNIDER BOARD TREASURER & COO 9374999942 2021-11-08 1 TIMOTHY SNIDER 999009999 JULIE L SPARKS P01268401 5136121400 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z KEVIN HARLAN 3130 N COUNTY RD 25 A TROY OH 45373 277162795 0 X WWW.PREMIERHEALTH.COM X 1926 OH UPPER VALLEY MEDICAL CENTER WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH SERVICES. 7 1 1143 120 4828 0 122348 8688738 157511735 134596681 5695870 6655922 1358709 1596121 164688662 151537462 2386261 8065982 0 0 66189175 62223640 0 0 0 60499768 61913777 129075204 132203399 35613458 19334063 176594804 184385472 93696478 99733905 82898326 84651567 UPPER VALLEY MEDICAL CENTER WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH SERVICES. 0 0 124378266 8065982 134596681 THE PRIMARY EXEMPT PURPOSE OF UPPER VALLEY MEDICAL CENTER IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF CHAMPAIGN, DARKE, MIAMI, AND SHELBY COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION. 124378266 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 58 0 1 1143 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 1 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X J MICHAEL SIMS 9374999942 110 N MAIN ST SUITE 500 DAYTON OH 45402 MARY H BOOSALIS PREMIER PRESIDENT & CEO 0.50 39.50 X 0 2150189 41653 THOMAS R PARKER PRESIDENT & CEO (TO JUL) 38.00 2.00 X X 686531 0 57139 FAYEZ D ABBOUD MD PRES MEDICAL STAFF 0.50 39.50 X 0 749156 34505 RAFAY ATIQ MD TRUSTEE 0.50 39.50 X 0 478018 38424 SCOTT B KANAGY DO TRUSTEE / VP OPERATIONS & CMO 40.00 0.00 X 394906 0 51384 KEVIN W HARLAN PRESIDENT & CEO (FROM SEP) 38.00 2.00 X X 112095 0 3954 SCOTT SWABB DO TRUSTEE 0.50 0.00 X 0 85085 0 ROWAN R NICKOL MD BOARD CHAIR 0.50 2.50 X X 0 0 0 TIMOTHY D SNIDER BOARD TREASURER & COO 37.50 2.50 X 336468 0 58632 BENJAMIN A WATSON ESQ BOARD SECRETARY (TO JAN) 0.50 39.50 X 0 187718 15994 ANDREA L FLAUTE BOARD SECRETARY (FROM JAN) 0.50 39.50 X 0 83482 12029 GEOFFREY P WALKER SYSTEM VP -CHIEF LEGAL OFFICER 8.00 32.00 X 0 834993 50821 GARY G GINTER VP & PREMIER CHIEF INFO OFFICER 10.00 30.00 X 0 545293 90857 MARC R BELCASTRO DO VP MEDICAL AFFAIRS & PREMIER CMO 10.00 30.00 X 0 667457 39724 MARGARET W MARK VP NURSING SERVICE / PREMIER CNO 10.00 30.00 X 0 530877 47367 THOMAS R CURTIN VP-REVENUE CYCLE 10.00 30.00 X 0 494429 67304 J MICHAEL SIMS SYSTEM VP - TREASURER & CORP CONTROLLER 10.00 30.00 X 0 505791 52141 ELAINE M DEAN SYSTEM VP - BUSINESS DEVELOPMENT 10.00 30.00 X 0 457787 24516 KIM K STRAHL VICE PRESIDENT & CPO 10.00 30.00 X 0 363757 33262 BILLIE L LUCENTE-BAKER SYSTEM VP - HR OPERATIONS 10.00 30.00 X 0 283148 32159 TRISHA L WACKLER CNO & PREMIER VP EDUCATION 40.00 0.00 X 228269 46273 29553 DUANNA R OSTING UVMC FOUNDATION PRES / EXEC DIR 20.00 0.00 X 163329 0 18946 MELISSA M TALLMADGE DIR NURSING - SURGERY/ED 40.00 0.00 X 181085 0 68941 RYAN E MCELDOWNEY STAFF PHARMACIST 40.00 0.00 X 157002 0 38762 ALLISON E WENTLAND DIR QUALITY & SYS INFECTION CTRL 40.00 0.00 X 163519 0 27578 PAMELA L CORNETT DIR - REHAB SERVICES 40.00 0.00 X 150641 0 29355 DIANE L PLEIMAN FORMER OFFICER 0.00 40.00 X 0 722830 32955 JENNA M DOWNEY ESQ FORMER OFFICER 0.50 39.50 X 0 232761 19568 SCOTT A SHELTON FORMER KEY EMPLOYEE 0.00 40.00 X 0 1342217 46962 JENNIFER J HAULER DO FORMER KEY EMPLOYEE 0.00 40.00 X 70345 806774 85663 BARBARA A JOHNSON FORMER KEY EMPLOYEE 0.00 40.00 X 0 968394 27115 2644190 12536429 1177263 40 1 1 0 WENCO CONSTRUCTION CO LLC 1807 DALTON DR NEW CARLISLE OH 45344 CONSTRUCTION 4203067 COMMONSPIRT HEALTH 3900 OLYMPIC BLVD 400 ERLANGER KY 41018 CLINICAL ENGINEERING 1829331 PULMONARY & CRITICAL CARE 1520 S MAIN ST SUITE 2 DAYTON OH 45409 MEDICAL SERVICES 1237469 HEALOGICS WOUND CARE & HYPERBARIC SVC 28525 NETWORK PLACE CHICAGO IL 60673 MEDICAL SERVICES 834125 HICUITY HEALTH INC ONE CITYPLACE DR 570 SAINT LOUIS MO 63141 MEDICAL SERVICES 660492 21 177330 8511408 135573 8688738 NET PATIENT SERVICE REVENUE 621110 68719328 68719328 MEDICARE / MEDICAID 621110 65498110 65498110 HOSP FRANCHISE TAX RECOVERIES 900099 297900 297900 ATHLETIC TRAINING 900099 53273 53273 MEDICAL RECORDS 900099 28070 28070 134596681 937661 937661 3705119 3025032 680087 680087 680087 127846617 409884 122301022 237218 5545595 172666 5718261 5718261 103977 62061 41916 41916 CAFETERIA SALES 722514 392284 392284 FEMA REVENUE 900099 375552 375552 STERILE PROCESSING 900099 14418 14418 91864 4828 87036 874118 151537462 134596681 4828 8247215 X 8065982 8065982 1952790 1093071 859719 47315005 43434023 3880982 4192434 3789025 403409 4847086 4847086 3916325 3198504 717821 118690 118690 6728 6728 4117 4117 184089 184089 22890724 22312731 577993 416951 416951 511338 371709 139629 704861 573756 131105 2413836 2110914 302922 35406 32020 3386 1643339 1643339 9106867 9106867 102864 69758 33106 OPERATING SUPPLIES 18662624 18662624 0 HOSPITAL FRANCHISE TAX 2812858 2812858 0 REPAIRS AND MAINTENANCE 1048948 939423 109525 EQUIPMENT RENTAL 426177 426177 0 823360 352758 470602 132203399 124378266 7825133 0 4310 3860 10036164 8247599 21035708 18215785 73500 679167 1079571 1250086 387315 428549 211922052 137764003 75138859 74158049 48187394 57660941 19894133 21836144 757850 1905292 176594804 184385472 12608818 12027320 5824782 7486583 53299 54673726 54408717 685833 1013224 19850020 24798061 93696478 99733905 X 82898326 84651567 82898326 84651567 176594804 184385472 X 19334063 2190952 -19771774 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4117 0 0 0 4117 0 PART II-B, LINE 1: PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION. 2144680 2144680 138105994 81509655 56596339 68461228 56254348 12206880 3210150 3210150 74158049 ALTERNATIVE INVESTMENTS 21836144 F 21836144 ACCRURED MEDICARE ADVANCED PAYMENT 11009505 PENSION OBLIGATION 6202368 MALPRACTICE INSURANCE 2430356 LOAN GUARANTEE & OTHER LTL 1611870 DEFERRED COMPENSATION 1202367 DUE TO AFFILIATES 1134399 SETTLEMENT - 3RD PARTY PAYOR 715248 WORKER'S COMP RESERVE 225671 OTHER 266277 24798061 X PART X, LINE 2: THE FOLLOWING FOOTNOTE IS FROM THE 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF UPPER VALLEY MEDICAL CENTER. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES, WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: * PREMIER HEALTH INSURING CO. (PHIC), AND PHHC (WHOLLY OWNED SUBSIDIARIES OF PHP), * PREMIER HEALTH PLAN (PHPLAN) (A WHOLLY OWNED SUBSIDIARY OF PHIC), * MVHE, INC., SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (SUBSIDIARIES OF PHHC), *GOOD SAMARITAN HOSPITAL, UVMC MANAGEMENT CORPORATION (SUBSIDIARIES OF PHP) AND AFTER-HOURS FAMILY CARE, INC. (SUBSIDIARY OF UVPC). MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES INSURANCE 25000 0 0 0 0 0 0 25000 0 25000 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 1 X 1 1 0 1 1 3085000 1329000 1756000 0.01330 69066900 56366900 12700000 0.09610 2007000 1432000 575000 0.00430 74158900 59127900 15031000 0.11370 427000 106000 321000 0.00240 3383000 0 3383000 0.02560 6776000 6776000 0.05130 10586000 106000 10480000 0.07930 84744900 59233900 25511000 0.19300 1 6277741 26668000 31221000 -4553000 X 1 1 1 1 UPPER VALLEY MEDICAL CENTER 3130 N COUNTY RD 25-A TROY OH 45373 WWW.PREMIERHEALTH.COM SEE PART V SEC C X X X UPPER VALLEY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION C X 1 20 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PART V, SEC C X SEE PART V, SEC C X SEE PART V, SEC C X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A, LINE 1: THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. UPPER VALLEY MEDICAL CENTER'S (UPPER VALLEY) REGISTRATION NUMBER IS 1036. PART V, SECTION B, LINE 3E: UPPER VALLEY'S SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: THE CHNA TEAM COLLECTED 140 MEASURES FROM PUBLICLY AVAILABLE SOURCES, STARTING WITH THE COUNTY HEALTH RANKINGS. CRITERIA FOR INCLUSION INCLUDED AVAILABILITY OF TREND DATA AT THE COUNTY LEVEL AND EASE OF COMPARISON AND UPDATING.THE COLLABORATIVE CHNA FOR 2019 SHARES DATA FOR THE WHOLE REGION AS WELL AS DETAILED COUNTY-LEVEL DATA. SERVICE AREAS OF HOSPITALS VARY, AND THIS APPROACH PROVIDES THE MOST THOROUGH PICTURE OF HEALTH NEEDS LOCALLY AND REGIONALLY. AN ADDED BONUS THIS CYCLE IS THE ACTIVE PARTICIPATION OF THE SOUTHWEST OHIO MEMBERS OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS. THE CHNA TEAM REACHED OUT TO THEM IN SPRING 2017 TO TAKE THE FIRST STEPS TOWARDS THE STATE OF OHIO'S REQUIREMENT THAT HEALTH DEPARTMENTS AND HOSPITALS ALIGN THEIR ASSESSMENTS STARTING IN 2020. AS A RESULT, THE CHNA TEAM HAS RESEARCHED MORE SECONDARY DATA MEASURES, INCLUDED HOSPITAL UTILIZATION DATA, OVERSAMPLED VULNERABLE POPULATIONS, AND ENGAGED MORE PARTICIPANTS. A TOTAL OF 1,416 PEOPLE OR ORGANIZATIONS COMPLETED A SURVEY OR ATTENDED A MEETING. A SIGNIFICANT PART OF THE INCREASE WAS DUE TO LOCAL HEALTH DEPARTMENTS HELPING TO PROMOTE AND CONDUCT MEETINGS.THE PRIMARY DATA COLLECTION AND ANALYSIS USED THE NARRATIVE METHOD AND SPECIFICALLY THE TECHNIQUE OF DISCOURSE ANALYSIS. THE FOCUS WAS ON COLLECTING DATA FROM INDIVIDUALS BASED ON THEIR EXPERIENCE. THERE WERE SEVERAL IMPORTANT STEPS TO ENSURE A CONSISTENT PROCESS:1) VERBATIM ENTRY OF COMMENTS - THIS HAPPENS AUTOMATICALLY WITH THE ONLINE SURVEY PROCESS AND SCRIBES WERE TRAINED TO DO THIS AT THE COMMUNITY MEETINGS.2) CREATING CUSTOM TAGS TO SUMMARIZE EACH RESPONSE, E.G., CANCER, DIABETES, HEART DISEASE.3) CREATING THEMES THAT CONNECT SOME OF THE TAGS, E.G., CHRONIC DISEASE. 4) PROOFREADING EACH OTHER'S TAGS AND ANALYSIS, WITH REVIEW BY AT LEAST 3 DIFFERENT PEOPLE TO ENSURE OVERALL CONSISTENCY.5)USE OF SURVEYMONKEY'S 'GOLD' LEVEL ENABLED THE CREATION OF CUSTOM TAGS AND INITIAL SORTING. IT ALSO PROVIDED A CONSISTENT WAY TO COMPARE SURVEY RESULTS WITH MEETING RESPONSES. IT WORKED FOR FACE-TO-FACE VERBAL ENCOUNTERS, SUCH AS IN MEETINGS, AS WELL AS WRITTEN RESPONSES. COMMENTS MADE IN PERSON WERE ENTERED INTO SURVEYMONKEY, TAGGED, AND THEMES IDENTIFIED. THE LEAD CONSULTANT CUSTOMIZED THE TAGGING IN SURVEYMONKEY BECAUSE SHE FOUND THAT ITS AUTOMATIC GROUPING OF IDEAS WAS NOT PRECISE ENOUGH AND COULD NOT ACCOUNT FOR CONTEXT OR ADAPT WHEN RESPONSES USED DIFFERENT WORDS FOR SIMILAR CONCEPTS.6)REVIEWING TAGS AT THE COUNTY-LEVEL, URBAN LEVEL, AND REGIONAL LEVEL WAS DONE TO ENSURE THAT THE TAGS AND THEMES MADE SENSE AND WERE APPLICABLE AT ALL LEVELS. FOR EXAMPLE, THE CONSULTANTS CREATED TAGS FOR 'ADDICTION,' 'HEROIN,' 'METH' AS SUBSETS OF THE 'SUBSTANCE ABUSE' THEME, BECAUSE OF THEIR APPARENT FREQUENCY AT THE BEGINNING OF THE TAGGING PROCESS. THEY COUNTED EACH TAG AND SAVED THE COUNT, BUT NONE OF THESE TAGS REACHED HIGH ENOUGH NUMBERS (MORE THAN 5% OF MENTIONS) TO WARRANT ITS OWN CATEGORY IN THE FINAL ANALYSIS. SEE APPENDIX K FOR GUIDELINES USED TO ASSIGN CATEGORIES AND FOR SORTING AND TABULATING RESPONSES.7) SURVEYMONKEY'S FILTER OPTIONS FACILITATED THE PROCESS OF SORTING AND ANALYZING BY COUNTY, BY GROUPS OF COUNTIES, BY TYPE OF SURVEY, AND/OR BY SUB-POPULATION. THIS IS A USEFUL OPTION TO CONSIDER CONTEXT OR CULTURE, SUCH AS URBAN RESPONDENTS OR LATINO RESPONDENTS.THE CHNA TEAM INVOLVED FOUR ENTITIES WORKING CLOSELY TOGETHER: THE HEALTH COLLABORATIVE (LEAD AGENCY); THE GREATER DAYTON AREA HOSPITAL ASSOCIATION; GWEN FINEGAN (LEAD CONSULTANT AND PROJECT MANAGER); AND PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY (SECONDARY DATA COLLECTION FOR OHIO COUNTIES). THE HEALTH COLLABORATIVE (THC) CONTRACTED WITH MS. FINEGAN TO CONDUCT A COMPREHENSIVE AND COLLABORATIVE ASSESSMENT FOR THE HEALTHCARE SYSTEMS AND HOSPITALS. THE LEAD CONSULTANT ASSEMBLED A TEAM OF FOUR SUB-CONTRACTORS TO ASSIST HER. BOTH THC AND THE GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA) MANAGED THE RELATIONSHIPS AND SIGNED AGREEMENTS WITH THEIR RESPECTIVE MEMBER HOSPITALS. THE LEAD CONSULTANT INITIATED THE CONNECTION WITH THE SOUTHWEST DISTRICT OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS (AOHC), AND BOTH SHE AND THC REPRESENTATIVES ATTENDED SIX AOHC MEETINGS.THE LEAD CONSULTANT WORKED CLOSELY WITH ERIK BALSTER, DIRECTOR FOR THE SW DISTRICT OF AOHC AND HEALTH COMMISSIONER OF PREBLE COUNTY TO INCORPORATE AOHC'S REQUESTS AND ENSURE SMOOTH COMMUNICATION. THE LEAD CONSULTANT ALSO WORKED CLOSELY WITH DAWN EBRON, COMMUNITY HEALTH IMPROVEMENT PLANNING AND EPIDEMIOLOGY SUPERVISOR, AND EPIDEMIOLOGISTS KYLE ALLACE, ASHLEY SEYBOLD, AND SUSAN HERZFELD AT PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY TO COORDINATE MEETINGS AND FOR SECONDARY DATA COLLECTION. INTERACT FOR HEALTH PROVIDED DATA FROM THEIR GREATER CINCINNATI HEALTH STATUS SURVEY AS DID PREVENTIONFIRST! FROM ITS PRIDE SURVEY. LOUISE KENT, PLANNING ADMINISTRATOR FOR THE NORTHERN KENTUCKY HEALTH DEPARTMENT, IDENTIFIED ADDITIONAL DATA SOURCES FOR THE COMMONWEALTH OF KENTUCKY AND THE THREE NORTHERN COUNTIES. THE CINCINNATI HEALTH DEPARTMENT GATHERED DATA FOR THE CITY OF CINCINNATI. PART V, SECTION B, LINES 6A & 6B: UPPER VALLEY MEDICAL CENTER PARTNERED WITH MEMBER HOSPITALS OF THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, PUBLIC HEALTH DEPARTMENTS, THE HEALTH COLLABORATIVE IN CINCINNATI, OHIO, ADAMS COUNTY HEALTH DEPARTMENT BROWN COUNTY HEALTH DEPARTMENT, BUTLER COUNTY HEALTH DEPARTMENT, CHAMPAIGN-URBANA COUNTY DEPARTMENT, CINCINNATI HEALTH DEPARTMENT, CITY OF HAMILTON HEALTH DEPARTMENT, CLARK COUNTY COMBINED HEALTH DISTRICT, CLERMONT COUNTY PUBLIC HEALTH, CLINTON COUNTY HEALTH DEPARTMENT, DARKE COUNTY GENERAL HEALTH DISTRICT, FAYETTE COUNTY PUBLIC HEALTH, GREENE COUNTY PUBLIC HEALTH, HAMILTON COUNTY PUBLIC HEALTH, HIGHLAND COUNTY HEALTH DEPARTMENT, MIAMI COUNTY PUBLIC HEALTH, MIDDLETOWN CITY HEALTH DISTRICT, NORWOOD HEALTH DEPARTMENT, PIQUA CITY HEALTH DEPARTMENT, PREBLE COUNTY PUBLIC HEALTH, PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY, SIDNEY SHELBY COUNTY HEALTH DEPARTMENT, SPRINGDALE HEALTH DEPARTMENT & WARREN COUNTY COMBINED HEALTH DISTRICT. PART V, SECTION B, LINES 7A & 10A: THE DIRECT WEBSITE ADDRESS WHERE THE 2019 CHNA AND THE 2020 COMMUNITY HEALTH IMPLEMENTATION PLAN CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/ABOUT-PREMIER/COMMUNITY-INVOLVEMENT/COMMUNITY-HEALTH-IMPROVEMENT PART V, SECTION B, LINE 11: UPPER VALLEY MEDICAL CENTER ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE FOLLOWING PRIORITIZED NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):*ACCESS TO CARE AND/OR SERVICES*CHRONIC DISEASE*HEALTHY BEHAVIORS*SUBSTANCE ABUSE AND MENTAL HEALTHACCESS TO CARE/SERVICES ER VIRTUAL CARE METRICS: NUMBER OF NEW SITES, NUMBER OF RESIDENTS SERVED, REASON FOR CONSULTATIONS, EMERGENCY DEPARTMENT TRANSFERS/HOSPITALIZATION RATES, AND PATIENT AND CLINICIAN SATISFACTION.HEALTH ISSUE: AS NURSING FACILITIES ARE CALLED UPON TO CARE FOR HIGHER-ACUITY PATIENTS AND DRIVE BETTER OUTCOMES AT A FRACTION OF THE COST OF A HOSPITALIZATION, SYSTEMS ARE REQUIRED THAT DELIVER QUALITY PHYSICIANS TO THE BEDSIDE AT TIMES OF CHANGE OF CONDITION.INTERVENTION'S GOAL: THE GOAL OF THE PROGRAM IS TO FACILITATE EARLY TREATMENT OF CONDITIONS, REDUCE EMERGENCY ROOM TRANSFERS AND HOSPITALIZATIONS, AND REDUCE CARE COSTS FOR RESIDENTS. THE LONG-TERM PLAN IS TO EXPAND ER VIRTUAL CARE TO NURSING FACILITIES ACROSS OUR MARKET AND EXPAND SERVICE OFFERINGS TO INCLUDE SPECIALTIES SUCH AS NEUROLOGY, WOUND CARE, AND BEHAVIORAL HEALTH.DESCRIPTION: VIDEO CONSULTATION WITH A DOCTOR CAN EXPEDITE EVALUATION OR TREATMENT FOR PATIENTS AT NURSING FACILITIES OR AT HOME. ER VIRTUAL CARE USES REAL-TIME VIDEO AND AUDIO FOR AN EMERGENCY MEDICINE PHYSICIAN TO TREAT A PATIENT REMOTELY. BY REMOVING GEOGRAPHICAL BOUNDARIES, THE HOSPITAL CAN LEVERAGE AVAILABLE PROVIDERS FROM A DISTANCE TO PROVIDE SUPPORT AND TREAT PATIENTS. THIS TELEMEDICINE SOLUTION CAN HELP ADDRESS UNNECESSARY TRANSFER OF NURSING HOME AND ASSISTED LIVING RESIDENTS TO HOSPITALS BY ALLOWING ACCESS TO EMERGENCY MEDICINE SPECIALISTS FOR AFTER HOUR AND WEEKEND COVERAGE.BACKGROUND: THE CLOSURE OF GOOD SAMARITAN HOSPITAL LED TO AN INCREASED DEMAND IN SERVICES AT MVH-NORTH. CLINICAL AND OPERATIONAL LEADERSHIP IDENTIFIED AN OPPORTUNITY TO LEVERAGE TELEMEDICINE AND HELP TREAT PATIENTS THAT PRESENT WITH LOW ACUITY SYMPTOMS TO EXPEDITE TREATMENT AND REDUCE WAIT TIMES. INITIAL RESULTS ON UTILIZATION AND PATIENT SATISFACTION WERE POSITIVE AND EXPANDED PREMIER HEALTH'S SCOPE FOR INCLUSION OF COMMUNITY PARTNER FACILITIES. NURSING FACILITIES ARE CHALLENGED WITH CARING FOR HIGHER ACUITY PATIENTS. THE SERVICE PROMOTES PREMIER HEALTH'S MISSION IN PROVIDING HIGHEST QUALITY OF CARE AT THE RIGHT TIME AND RIGHT PLACE.PARTNERS: MIAMI VALLEY EMERGENCY SPECIALISTS, SPRINGMEADE HEALTH CENTER, AND KOESTER PAVILION. PART V, SECTION B, LINE 11: (CONTINUED) ACCESS TO CARE/SERVICES SUPPORT FOR MIAMI COUNTY DENTAL CLINICHEALTH ISSUE: MIAMI COUNTY HAS ABOUT 50% FEWER DENTISTS PER CAPITA THAN THE NATION. NOT ALL DENTISTS ACCEPT PATIENTS WITH MEDICAID AND/OR MEDICARE, FURTHER NARROWING THE OPTIONS.INTERVENTION'S GOAL: THE GOAL IS TO ENSURE ORAL HEALTH CARE FOR UNDERSERVED AND UNINSURED OR UNDER-INSURED RESIDENTS. DESCRIPTION: THE MIAMI COUNTY DENTAL CLINIC IS DEDICATED TO PROVIDING QUALITY DENTAL CARE AND ORAL HEALTH EDUCATION TO THOSE IN THE COMMUNITY BENEFITING FROM AFFORDABLE, COMPASSIONATE AND ACCESSIBLE DENTAL SERVICES. SERVICES ARE FREE FOR THOSE WITH MEDICAID OR UNINSURED.BACKGROUND: UPPER VALLEY MEDICAL CENTER HAS FUNDED A NEW VAN FOR A TRAVELING DENTAL UNIT. IT OFFERS A FULL RANGE OF ORAL HEALTH CARE AND EDUCATION, TRAVELING TO SCHOOLS DURING THE ACADEMIC YEAR. THE VAN TRAVELS TO COMMUNITY LOCATIONS, SUCH AS SOUP KITCHENS, WHEN SCHOOL IS NOT IN SESSION.PARTNERS: UPPER VALLEY MEDICAL CENTER AND MIAMI COUNTY DENTAL CLINIC PART V, SECTION B, LINE 11: (CONTINUED) ACCESS TO CARE/SERVICES AND CHRONIC DISEASECOMMUNITY HEALTH VOUCHER PROGRAM METRICS: FOR THE 3-YEAR PERIOD, A PROJECTED 275 WOMEN SYSTEM-WIDE WILL BE SERVED BY THE PROGRAM. AT UPPER VALLEY MEDICAL CENTER, IT IS ESTIMATED THAT 22 WOMEN WILL BE SERVED BY THE PROGRAM. THE ENROLLMENT NUMBERS FOR CLIENTS WHO RECEIVE SERVICES AT UPPER VALLEY MEDICAL CENTER HAS REMAINED STEADY REGARDLESS OF CHANGES IN BCCP ELIGIBILITY AND THE HEALTHCARE MARKETPLACE. HOWEVER, PREMIER HEALTH IS CURRENTLY TRYING TO ESTABLISH CONTRACTS WITH PROVIDERS AT UPPER VALLEY MEDICAL CENTER FOR CERVICAL SERVICES. IF THIS IS ACCOMPLISHED, THE NUMBER OF WOMEN SERVED MAY INCREASE. HEALTH ISSUE: THIS PROGRAM SUPPLEMENTS THE STATE OF OHIO'S FUNDING TO ENCOURAGE WOMEN TO BE SCREENED FOR BREAST CANCER AND CERVICAL CANCER. IT PROVIDES FINANCIAL ASSISTANCE TO WOMEN WHO ARE NOT ELIGIBLE FOR THE STATE PROGRAM, AND IT ALSO COVERS DIAGNOSTIC TESTING AND BIOPSIES.INTERVENTION'S GOAL: THE MISSION OF THE VOUCHER PROGRAM IS TO PROVIDE FINANCIAL ASSISTANCE TO DETECT BREAST AND CERVICAL CANCERS AT THE EARLIEST STAGE TO UNINSURED AND UNDER-INSURED COMMUNITY RESIDENTS.DESCRIPTION: THE FOLLOWING SERVICES ARE COVERED BY THIS PROGRAM: SCREENING MAMMOGRAMS; DIAGNOSTIC MAMMOGRAMS; BREAST ULTRASOUNDS; BREAST BIOPSY; SURGICAL CONSULT (BREAST); PAP TESTS; CLINICAL BREAST EXAMS; COLPOSCOPIES; AND EDUCATIONAL MATERIALS.BACKGROUND: THIS PROGRAM IS FUNDED THROUGH THE UPPER VALLEY MEDICAL CENTER FOUNDATION AND OTHER COMMUNITY DONATIONS. CLIENTS MUST BE UNINSURED OR UNDERINSURED (COPAYMENT, DEDUCTIBLE, COINSURANCE) WITH INCOME AT OR BELOW 400% OF FEDERAL POVERTY LEVEL.PARTNERS: ATRIUM MEDICAL CENTER, GOOD SAMARITAN FOUNDATION-DAYTON, UPPER VALLEY MEDICAL CENTER FOUNDATIONS, MIAMI VALLEY HOSPITAL FOUNDATION (HELP HER FIGHT), KROGER, BREAST CANCER FOUNDATION, AND KUHNS BROTHERS PART V, SECTION B, LINE 11: (CONTINUED) INFANT MORTALITYHEALTHCARE COPE (COST OF POVERTY EXPERIENCE) TRAININGMETRICS: PRE-, POST- AND FOLLOW-ON-SURVEYS ARE ADMINISTERED TO PARTICIPANTS AND VOLUNTEERS TO EVALUATE THEIR PERCEPTIONS OF POVERTY. THE PRE- AND POST-SURVEYS OCCUR AS PEOPLE ENTER THE EVENT AND THEN FOLLOWING THE DEBRIEF. THE FOLLOW-ON SURVEY IS SENT LATER.HEALTH ISSUE: INFANT MORTALITY FOR BLACK INFANTS IN MONTGOMERY COUNTY IS DISPROPORTIONATELY HIGHER THAN FOR WHITE INFANTS. THIS IS THE FIFTH WORSE RATE IN OHIO. PREMATURITY ACCOUNTS FOR 50% OF THE DEATHS OF BLACK INFANTS. MATERNAL STRESS IS A SIGNIFICANT FACTOR IN PREMATURE LABOR, AND BLACK MOTHERS FACE MULTIPLE STRESSORS FROM DAILY ENCOUNTERS WITH RACISM. THE LACK OF PROGRESS IN THE REGION TO COMBAT INFANT MORTALITY LEADS TO THIS DEEPER LEVEL OF TRAINING FOR MATERNITY NURSING STAFF AND HOSPITAL LEADERS.INTERVENTION'S GOAL: THE GOAL IS TO IMPROVE INTERACTIONS WITH LOW-INCOME AND MINORITY FAMILIES TO ENSURE CULTURALLY APPROPRIATE AND TRAUMA-INFORMED CARE IS CONSISTENTLY DELIVERED.DESCRIPTION: PARTICIPATION DEEPENS THE UNDERSTANDING OF THE REALITIES OF POVERTY AND IMPLICIT BIAS; IMPROVES PROFESSIONAL APPROACH AND CONNECTIONS; DEVELOPS PRACTICES TO HELP BRIDGE THE HEALTH EQUITY GAP; AND BUILDS PARTNERSHIPS WITH THE COMMUNITY TO IMPROVE HEALTH OUTCOMES. TEN COPE TRAINING SESSIONS WILL INVOLVE 428 PARTICIPANTS, OF WHOM 85% WILL BE NURSES. THE PROGRAM STARTED IN JANUARY 2020 AND CONCLUDES IN APRIL 2020. PREMIER HEALTH CURRENTLY HAS TWO TRAINED COPE FACILITATORS AND THE NECESSARY EQUIPMENT. PART OF THE PROGRAM WILL BE TO TRAIN TWO MORE COPE FACILITATORS.BACKGROUND: COPE IS A TOOL THAT HELPS HOSPITALS BUILD A CULTURE AND INFRASTRUCTURE TO DELIVER CARE THAT IS EQUITABLE FOR ALL PATIENT POPULATIONS. A HEALTHCARE VERSION IS TARGETED FOR HEALTH PROFESSIONALS.PARTNER: THINK TANK AND SAMARITAN BEHAVIORAL HEALTH INC. PART V, SECTION B, LINE 11: (CONTINUED) CHRONIC DISEASE AND HEALTHY BEHAVIORS BARBERSHOP PROGRAMMETRICS: EXPANSION TO TWO ADDITIONAL SITES: MIDDLETOWN AND MIAMI COUNTYHEALTH ISSUE: THERE ARE HEALTH DISPARITIES, ESPECIALLY FOR CHRONIC DISEASES, FOR THE AFRICAN-AMERICAN COMMUNITY. ACCORDING TO THE CDC, "NEW ANALYSIS SHOWS THAT YOUNGER AFRICAN-AMERICANS ARE LIVING WITH OR DYING OF MANY CONDITIONS TYPICALLY FOUND IN WHITE AMERICANS AT OLDER AGES. CHRONIC DISEASES AND SOME OF THEIR RISK FACTORS MAY BE SILENT OR NOT DIAGNOSED DURING THESE EARLY YEARS. HEALTH DIFFERENCES ARE OFTEN DUE TO ECONOMIC AND SOCIAL CONDITIONS THAT ARE MORE COMMON AMONG AFRICAN-AMERICANS THAN WHITES. FOR EXAMPLE, AFRICAN-AMERICAN ADULTS ARE MORE LIKELY TO REPORT THEY CANNOT SEE A DOCTOR BECAUSE OF COST."INTERVENTION'S GOAL: THE GOAL IS TO INCREASE AWARENESS OF CHRONIC HEALTH CONDITIONS AND TO PROMOTE HEALTHY LIFESTYLE CHOICES WITHIN THE AFRICAN-AMERICAN COMMUNITY. DESCRIPTION: PARTNERING WITH THE LOCAL HEALTH DEPARTMENT, PUBLIC HEALTH-DAYTON & MONTGOMERY COUNTY, WILL HELP TO FURTHER EXPAND SERVICES FOR THE COMMUNITY. BARBERS (AND SALON OWNERS) HAVE A CLOSE BOND WITH THEIR CLIENTS. THEY CAN SERVE AS MODELS OF GOOD HEALTH AND/OR HELP CONNECT THEIR CLIENTS TO HEALTH SERVICES. THE PROGRAM PROVIDES FREE, VOLUNTARY, AND CONVENIENT HEALTH SCREENINGS ON SATURDAYS AT THE SHOPS. HEALTH FAIRS, EVENTS, AND FUN CHALLENGES ALSO OCCUR.BACKGROUND: PREMIER HEALTH DEVELOPED THE BARBERSHOP HEALTH PROGRAM, WHICH NOW HAS 5 LOCATIONS. ATRIUM MEDICAL CENTER IS INTERESTED IN EXPANDING TO INCLUDE ONE OR MORE LOCATIONS IN THE HAMILTON AND MIDDLETOWN AREAS, ALONG WITH EXPANSION TO MIAMI COUNTY FOR THE UPPER VALLEY MEDICAL CENTER. THE ORIGINAL 3 BARBERSHOPS RESULTED IN 249 SCREENINGS.PARTNERS: DEEEZ CUTTZ, SERENITY SALON, MAN UP PART V, SECTION B, LINE 11: (CONTINUED) SUBSTANCE ABUSE AND MENTAL HEALTHPRESTO (PROMOTING ENGAGEMENT FOR SAFE TRAINING OF OPIOIDS)METRICS: ATTRACT AT LEAST 38 PRIMARY CARE PROVIDERS TO PARTICIPATE IN THE RESEARCH STUDY. THEIR PARTICIPATION WILL HELP THE RESEARCHERS TEST AND DEVELOP AN EFFICIENT AND EFFECTIVE PROTOCOL TO GUIDE OTHER PROVIDERS.HEALTH ISSUE: OHIO IS ONE OF THE STATES HARDEST HIT BY THE NATION'S OPIOID CRISIS. OHIO'S RATE OF UNINTENTIONAL OPIOID OVERDOSE RATE WAS NEARLY THREE TIMES THE U.S. AVERAGE IN 2017. ACCORDING TO THE OHIO DEPARTMENT OF HEALTH, 80% OF OHIOANS WHO DIED FROM AN OVERDOSE IN 2016 HAD A HISTORY OF OPIOID PRESCRIPTIONS.INTERVENTION'S GOAL: PREMIER HEALTH WILL RECRUIT SYSTEM-WIDE TO ATTRACT AT LEAST 38 OF THE 150 PRIMARY CARE PROVIDERS THAT WRIGHT STATE UNIVERSITY WILL TRAIN IN HOW TO ENGAGE PATIENTS TO TAPER DOWN THEIR OPIOID PRESCRIPTION USE.DESCRIPTION: THE PRESTO PROTOCOL IS MODELED ON THE SBIRT APPROACH OF SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. IT INCORPORATES CDC OPIOID PRESCRIBING GUIDELINES, USE OF OHIO'S PRESCRIPTION DRUG MONITORING PROGRAM, AND MOTIVATIONAL INTERVIEWING. PARTICIPATING PROVIDERS WILL AGREE TO PARTICIPATE IN THE OHIO AUTOMATED RX REPORTING SYSTEM (OARRS) AND HAVE DE-IDENTIFIED PRESCRIBING DATA SHARED WITH INVESTIGATORS. THEY WILL PARTICIPATE IN A 3- HOUR IN-PERSON TRAINING EVENT AS WELL AS A 1-HOUR FOLLOW-UP TRAINING ABOUT 4-6 WEEKS LATER. THEY WILL BE ENCOURAGED TO USE THE PRESTO PROTOCOL AND MOTIVATIONAL INTERVIEWING WITH APPROPRIATE PATIENTS. EACH PROVIDER WILL RECEIVE $1,000 FOR COMPLETION OF THE TWO TRAINING EVENTS TO ASSIST WITH THE COST OF ATTENDING. THEY WILL ALSO RECEIVE 3 HOURS OF CONTINUING EDUCATION CREDITS. FULL IMPLEMENTATION IS EXPECTED IN LATE 2020 OR EARLY 2021.BACKGROUND: THE OHIO DEPARTMENT OF HIGHER EDUCATION AWARDED FUNDING TO RESEARCH SUBSTANCE USE DISORDERS. WRIGHT STATE UNIVERSITY RECEIVED AN AWARD TO TRAIN PRIMARY CARE PROVIDERS IN A PRESCRIPTION-TAPERING PROTOCOL KNOWN AS PRESTO.PARTNERS: MERCY HEALTH, WRIGHT STATE UNIVERSITY PART V, SECTION B, LINE 11: (CONTINUED) SUBSTANCE ABUSE AND MENTAL HEALTHSUPPORT FOR HOPE HOUSE AND SAMARITAN BEHAVIORAL HEALTH INCMETRICS: NUMBER OF RESIDENTS ASSISTED THROUGH HOPE HOUSE. NUMBER OF PATIENTS SEEN BY SBHI NURSE PRACTITIONER OR PSYCHIATRIST.HEALTH ISSUE: THE STATE OF OHIO HAS ONE OF THE HIGHEST RATES OF OPIOID PRESCRIPTIONS IN THE NATION, ACCORDING TO THE NATIONAL INSTITUTE ON DRUG ABUSE. AS THE OPIOID CRISIS GREW, MIAMI COUNTY REALIZED THAT IT NEEDED TO UTILIZE ALL ITS RESOURCES AND WORK TOGETHER AS A COMMUNITY.INTERVENTION'S GOAL: TO CONNECT INDIVIDUALS WITH ADDICTION OR MENTAL ILLNESS WITH COMMUNITY RESOURCES AND APPROPRIATE LEVELS OF TREATMENT INSTEAD OF VISITING A HOSPITAL EMERGENCY DEPARTMENT.DESCRIPTION: UPPER VALLEY MEDICAL CENTER PARTNERS WITH MIAMI COUNTY RECOVERY COUNCIL (MCRC) TO PROVIDE SUPPORT FOR HOPE HOUSE, WHICH IS A RESIDENTIAL TREATMENT FACILITY WHERE ADULTS CAN STAY AS THEY TAKE THEIR FIRST STEPS TO RECOVERY. UPPER VALLEY MEDICAL CENTER HAS PARTNERED WITH MCRC TO SUPPORT A PART-TIME SOCIAL WORKER PRESENCE IN THE EMERGENCY DEPARTMENT WHOSE ROLE IS TO LINK IDENTIFIED DISCHARGED EMERGENCY DEPARTMENT PATIENTS WITH OUTPATIENT BEHAVIORAL PROVIDERS AND OTHER COMMUNITY SERVICES. UPPER VALLEY ALSO PROVIDES FINANCIAL SUPPORT TO SAMARITAN BEHAVIORAL HEALTH INC. TO EMPLOY A NURSE PRACTITIONER AND A CHILD PSYCHIATRIST TO MEET THE PHYSICAL AND MENTAL NEEDS OF PATIENTS.BACKGROUND: MCRC IS A NON-PROFIT AGENCY THAT PROVIDES SERVICES TO THOSE STRUGGLING WITH ADDICTION AND MENTAL HEALTH ISSUES. IT OPERATES HOPE HOUSE, A MEDICALLY-SUPERVISED RESIDENTIAL 10-14 DAY PROGRAM FOR THE ACUTE STAGES OF OPIATE WITHDRAWAL. SAMARITAN BEHAVIORAL HEALTH INC. IS A COMPREHENSIVE OUTPATIENT CENTER.PARTNERS: ADAMHS BOARD, SAMARITAN BEHAVIORAL HEALTH INC., MIAMI COUNTY RECOVERY COUNCIL, TRI-COUNTY BOARD OF RECOVERY AND MENTAL HEALTH SERVICES PART V, SECTION B, LINES 16 A, B, AND C: THE DIRECT WEBSITE ADDRESS WHERE A COPY OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/PATIENT-AND-VISITOR-GUIDE/PATIENT-GUIDE/COSTS-AND-INSURANCE/BILLING/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16J: THE HOSPITAL WIDELY DISTRIBUTES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY WITHIN THE AREA THAT IT SERVES. THIS INFORMATION INCLUDES THE METHOD OF APPLYING FOR AND ACCESSING FINANCIAL ASSISTANCE. NOTICES ARE PUBLICIZED IN PATIENTS' BILLS AND ARE POSTED IN THE EMERGENCY ROOM, ADMITTING AND REGISTRATION AREAS, AS WELL AS OTHER PUBLIC AREAS. THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE. FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND CUSTOMER SERVICE REPRESENTATIVES DISCUSS THE FINANCIAL ASSISTANCE POLICY WITH ALL UNINSURED PATIENTS, AND ANY PATIENT WHO EXPRESSES FINANCIAL HARDSHIP WITH PAYING THEIR BILL. APPLICATIONS FOR FINANCIAL ASSISTANCE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. 5 1 - HYATT CENTER 450 N HYATT ST TIPP CITY OH 45371 DIAGNOSTICS AND IMAGING, SPORTS MEDICINE, PEDIATRICS, OUTPATIENT SURGERY 2 - OUTPATIENT CARE CENTER NORTH 280 LOONEY RD PIQUA OH 45356 DIAGNOSTICS AND IMAGING, REHABILITATIVE THERAPY PEDIATRICS 3 - OUTPATIENT CARE CENTER SOUTH 998 S DORSET RD TROY OH 45373 DIAGNOSTICS AND IMAGING,OCCUPATIONAL HEALTH,REHABILITATIVE THERAPY 4 - STANFIELD PLACE 31 STANFIELD RD TROY OH 45373 IMAGING, ENT, LABORATORY RHEUMATOLOGY 5 - UVMC SIDNEY CENTER 1529 FAIR RD SIDNEY OH 45365 PHYSICAL THERAPY, WOMEN'S SERVICES PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT FOR UPPER VALLEY IS PART OF THE PREMIER HEALTH (PREMIER) REPORT (EIN# 31-1446699). PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE THIS FINANCIAL ASSISTANCE AT COST. THIS CALCULATION TAKES TOTAL OPERATING EXPENSES LESS OTHER OPERATING REVENUES DIVIDED BY TOTAL GROSS REVENUES. UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENTAL PROGRAMS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND INCLUDES FULLY LOADED COSTS. FOR THE REMAINING ITEMS THE ORGANIZATION USED SPECIFIC NUMBERS FOR EXPENSE PAID DIRECTLY FOR THESE SERVICES. PART I, LINE 7G: UPPER VALLEY PROVIDES SUBSIDIZED EMERGENCY SERVICES BY OPERATING 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 2020, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $3,315,000. PART III, LINES 2 & 3: BAD DEBT EXPENSE IS INCURRED WHEN AN ACCOUNT IS TAKEN OUT OF ACCOUNTS RECEIVABLE AND TURNED OVER TO A COLLECTION AGENCY. THIS ACTION MAY OCCUR IF A PATIENT REFUSES PAYMENT ARRANGEMENTS, REFUSES TO APPLY FOR FINANCIAL ASSISTANCE, AND THERE IS NOT AN INSURANCE BALANCE BEING CONTENDED. AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AFTER 130 DAYS IF AN ATTEMPT TO COLLECT FROM THE PATIENT IS MADE WITHIN OUR COLLECTION POLICY. THE COLLECTION AGENCY ATTEMPTS TO COLLECT THE ACCOUNT IN ACCORDANCE WITH ESTABLISHED GUIDELINES. COLLECTION ATTEMPTS ARE CEASED AND THE ACCOUNT RETURNED 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 THERE ARE ACCOUNTS WRITTEN OFF TO BAD DEBT THAT MAY HAVE QUALIFIED FOR CHARITY CARE IF THE PATIENT HAD PROVIDED THE NECESSARY FINANCIAL INFORMATION. TO RESOLVE THIS, THE ORGANIZATION HAS ENGAGED A THIRD-PARTY VENDOR TO ANALYZE DATA BASED ON CREDIT SCORES TO REALLOCATE SOME OF THIS EXPENSE TO CHARITY CARE. A REPRESENTATIVE SAMPLE OF THESE ACCOUNTS IS THEN SENT TO OUR THIRD-PARTY VENDOR WHO GATHERS EXTERNAL CREDIT DATA THAT PRESENTS THE ACCOUNT AS LESS THAN 100% FEDERAL POVERTY LEVEL OR NOT ENOUGH INFORMATION (TYPICALLY INDICATIVE OF INDIGENT). THESE ACCOUNTS ARE RECLASSED FROM BAD DEBT EXPENSE TO CHARITY EXPENSE ON OUR INCOME STATEMENT. ANY CREDIT SCORE THAT PRESENTS THE ACCOUNTS AS GREATER THAN 100% FEDERAL POVERTY LEVEL REMAINS IN BAD DEBT EXPENSE. DUE TO THIS PROCESS, THE ORGANIZATION HAS USED BEST EFFORTS TO NOT REPORT BAD DEBT EXPENSE FOR PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 4: THE ORGANIZATION DOES NOT HAVE A FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS WHICH DISCUSSES THIS CALCULATION. PART III, SECTION B, LINES 5, 6, AND 7: THE AMOUNTS REPORTED ON LINES 5, 6, AND 7 DO NOT INCLUDE CERTAIN MEDICARE PROGRAM REVENUES AND COSTS, AND THUS DO NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN MEDICARE PROGRAMS. IN ADDITION TO THE AMOUNTS REPORTED ON LINE 5, 6, AND 7, THE ORGANIZATION RECEIVED REVENUE OF $22,595,000 AND INCURRED COST OF $37,825,000, FOR AN ADDITIONAL NET SHORTFALL OF $15,230,000 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) $26,668,000MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $22,595,000TOTAL MEDICARE ASSOCIATED REVENUE $49,263,000ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $31,221,000MEDICARE COST NOT REPORTED IN PART III, SECTION B $37,825,000TOTAL MEDICARE ASSOCIATED COST $69,046,000MEDICARE SHORTFALL PER PART III, SECTION B $ 4,553,000ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $15,230,000TOTAL MEDICARE SHORTFALL $19,783,000 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 49.2% OF NET PATIENT REVENUE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: THE ORGANIZATION MAKES REASONABLE EFFORTS TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE STATE OR HOSPITAL FINANCIAL ASSISTANCE POLICY BEFORE ENGAGING IN EXTRAORDINARY COLLECTIVE ACTIONS AGAINST THAT INDIVIDUAL. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED REASONABLE PAYMENT PLAN ARRANGEMENTS FOR ANY REMAINING BALANCES. ANY THIRD-PARTY COLLECTING SELF-PAY RECEIVABLES ON OUR BEHALF IS REQUIRED TO MAKE REASONABLE EFFORTS TO DETERMINE IF THE INDIVIDUAL MEETS THE QUALIFICATIONS OF THE STATE OR OF OUR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS.REASONABLE EFFORTS INCLUDE:A. VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL.B. DOCUMENTING THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY.C. DOCUMENT THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED AND ACCEPTED TERMS FOR A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. THE FINANCIAL COUNSELORS MEET WITH INPATIENT, OUTPATIENT, SELF-PAY, AND OTHER PATIENTS UPON REQUEST WHO MAY NEED FINANCIAL ASSISTANCE. IN ADDITION TO ASSISTING PATIENTS WHO WANT TO APPLY FOR ASSISTANCE THROUGH THE MEDICAID PROGRAM, THE FINANCIAL COUNSELOR WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION. PART VI, LINE 2: THE ORGANIZATION WORKS WITH THE COMMUNITY ON PROGRAMS THAT ADDRESS THE UNDERLYING CAUSES OF PERSISTENT HEALTH PROBLEMS AS PART OF A COMPREHENSIVE STRATEGY TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR IDENTIFIED MEMBERS OF THE COMMUNITY WHO ARE ECONOMICALLYDISADVANTAGED, DISENFRANCHISED AND/OR WHO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE ORGANIZATION STRIVES TO WORK WITH PREMIER, THE HOSPITAL BOARD OF TRUSTEES, EXECUTIVE MANAGEMENT, MANAGERS, STAFF MEMBERS, COMMUNITY GROUPS, AND INDIVIDUALS TO PROVIDE A COLLABORATIVE APPROACH TO THE GOVERNANCE AND MANAGEMENT OF COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 3: THERE ARE SEVERAL WAYS IN WHICH OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR SERVICES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FIRST, NOTIFICATION OF SUCH AVAILABLE ASSISTANCE IS CLEARLY POSTED IN REGISTRATION AREAS, AS WELL AS MATERNITY AND EMERGENCY DEPARTMENTS. NEXT, PATIENT ADVOCATES, PATIENT ACCESS STAFF MEMBERS, AND FINANCIAL COUNSELORS IN THE INPATIENT AND EMERGENCY DEPARTMENTS MEET WITH UNINSURED AND UNDERINSURED PATIENTS, AND THOSE WITH ONLY MEDICARE COVERAGE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. FINANCIAL COUNSELORS ALSO DISCUSS OPTIONS TO RESOLVE UNPAID ACCOUNT BALANCES WITH UNINSURED AND UNDERINSURED PATIENTS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE, ALONG WITH INFORMATION ON HOW TO OBTAIN AN APPLICATION. WHEN A PATIENT RECEIVES A BILL, THE REVERSE SIDE OF THE BILL CONTAINS INFORMATION ABOUT THE STATE OF OHIO FREE CARE PROGRAM (CARE ASSURANCE) AND A FINANCIAL ASSISTANCE APPLICATION. THE BILLING STATEMENTS OFFER THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE, AND THE CONTACT INFORMATION FOR ASSISTANCE. PART VI, LINE 4: UPPER VALLEY SERVES THE NORTHERN MIAMI VALLEY AREA WITH ACUTE CARE SERVICES, COMMUNITY HEALTH AND WELLNESS PROGRAMS AND MORE. UPPER VALLEY IS LOCATED IN MIAMI COUNTY, OHIO AND IS THE SOLE HOSPITAL SYSTEM OPERATING WITHIN THE COUNTY. THE POPULATION OF UPPER VALLEY'S PRIMARY SERVICE AREA IS APPROXIMATELY 103,000 PEOPLE. INCLUDING THE ADJACENT COUNTIES, WHICH ARE ALSO SERVED (SHELBY, DARKE, AND CHAMPAIGN COUNTIES), UPPER VALLEY'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION APPROACHES 245,000 RESIDENTS. THE OVERALL SERVICE AREA IS CATEGORIZED AS HAVING RELATIVELY SLOW GROWTH WITH AN AGING POPULATION, CONSISTENT WITH CURRENT TRENDS THROUGHOUT OHIO. THE MEDIAN HOUSEHOLD INCOME OF MIAMI COUNTY AND THE SURROUNDING AREA IS SLIGHTLY ABOVE $61,000 PER YEAR, WITH APPROXIMATELY 9.0% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. APPROXIMATELY 49.2% OF THE HOSPITAL'S GROSS REVENUES ARE GENERATED FROM MEDICARE PATIENTS, WHILE ANOTHER 16.9% OF THE REVENUES ARE GENERATED FROM EITHER UNINSURED PATIENTS OR MEDICAID RECIPIENTS. THE CURRENT UNEMPLOYMENT RATE OF MIAMI COUNTY IS APPROXIMATELY 5.2%. PART VI, LINE 5: UPPER VALLEY'S MOST VISIBLE CONTRIBUTION TO THE COMMUNITY IS IN THE FORM OF PROVIDING HIGH-QUALITY INPATIENT AND OUTPATIENT CARE TO OUR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OUR MISSION INCLUDES CONTINUALLY STRIVING TO ENRICH THE COMMUNITY BY TRAINING AND EDUCATING FUTURE HEALTHCARE WORKERS, OFFERING HEALTH AWARENESS AND EDUCATION TO THE COMMUNITY, SUCH AS PROMOTION OF BREAST CANCER SCREENINGS, WOMEN AND INFANT HEALTH, DIABETIC WELLNESS AND DRIVER SAFETY AWARENESS FOR HIGH-SCHOOL STUDENTS. THE HOSPITAL ALSO PROVIDES RELEVANT EDUCATION FOR EMS AND PRE-HOSPITAL CARE PROVIDERS THROUGHOUT THE REGION. THE TRAINING INCLUDES LOCAL CASE REVIEWS, LECTURES, HANDS-ON SIMULATION AND PANEL DISCUSSIONS PERTAINING TO THE EDUCATION ON USE OF TOOLS, PRIORITIES OF PATIENT CARE AND OTHER CRITICAL INFORMATION. UPPER VALLEY PARTNERS WITH MANY OF THE LOCAL SCHOOLS TO PROVIDE CERTIFIED AND LICENSED ATHLETIC TRAINERS AT THEIR CAMPUSES TO AID IN INJURY PREVENTION, RECOGNITION AND TREATMENT OF SPORTS-RELATED INJURIES. THE HOSPITAL ALSO SUPPORTS THE COMMUNITY THROUGH SPONSORSHIPS AND PARTICIPATION IN LOCAL FUNDRAISING EVENTS THAT PROMOTE HEALTHY LIFESTYLE CHOICES, PREVENTATIVE CARE, CHRONIC DISEASE MANAGEMENT AND GENERAL HEALTH EDUCATION. THE HEALTH SCIENCES LIBRARY AT UPPER VALLEY IS OPEN TO THE PUBLIC DURING NORMAL BUSINESS HOURS, OR BY MAKING SPECIAL ARRANGEMENTS WITH THE LIBRARIAN. A HEALTH EDUCATION CENTER, ADJACENT TO THE LIBRARY, OFFERS EDUCATION MATERIALS TO HELP PROMOTE WELLNESS AND UNDERSTANDING ABOUT DISEASES. INFORMATION IS AVAILABLE VIA COMPUTER, VIDEOS, AND PAMPHLETS. WITHIN THE HOSPITAL, INTERPRETERS ARE OFFERED TO PATIENTS AT NO COST AS A RESULT OF INCREASED VOLUMES OF NON-ENGLISH-SPEAKING PATIENTS. UPPER VALLEY PROVIDES SPIRITUAL AND EMOTIONAL SUPPORT AND SERVICES TO PATIENTS AND THEIR FAMILY MEMBERS UTILIZING 7 TRAINED PROFESSIONAL CHAPLAINS, 24 HOURS A DAY, 7 DAYS A WEEK.THE HOSPITAL HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICAID AND MEDICARE, AND HAS AN ACTIVE CHARITY CARE PROGRAM. UPPER VALLEY'S MISSION REFLECTS A COMMITMENT TO PROVIDE HIGH-QUALITY COST-EFFECTIVE HEALTH SERVICES TO THE DIVERSE COMMUNITIES THAT IT SERVES. AT THE CORE OF THE COMMITMENT IS THE BELIEF THAT IN ORDER TO MEET OUR PATIENTS' EXPECTATIONS AND TO IMPROVE TREATMENT OUTCOMES, IT IS NECESSARY FOR US TO UNDERSTAND THE PATIENT'S FRAME OF REFERENCE. A DIVERSE WORKFORCE ALLOWS US TO DRAW UPON THE RICHNESS OF OUR HUMAN RESOURCES, CREATE A POSITIVE WORK ENVIRONMENT, AND MEET THE EXPECTATIONS OF THOSE WE SERVE. UPPER VALLEY'S COMMITMENT TO DIVERSITY IS ACCOMPLISHED BY:* TAKING A LEADERSHIP ROLE IN CREATING AND SUSTAINING AN ORGANIZATIONAL ENVIRONMENT THAT ACTIVELY SUPPORTS DIVERSITY,* POSITIONING DIVERSITY AS A LONG-TERM COMPREHENSIVE ORGANIZATIONAL STRATEGY,* ESTABLISHING AND SUPPORTING RELATIONSHIPS WITH MINORITY AND DIVERSITY FOCUSED ORGANIZATIONS AND* PROVIDING EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES. PART VI, LINE 6: PREMIER HEALTH (PREMIER) IS THE SOLE MEMBER OF UPPER VALLEY MEDICAL CENTER, TWO OTHER HOSPITAL ENTITIES (FIVE TOTAL LOCATIONS), AND SEVERAL OTHER HEALTH CARE SERVICE SUBSIDIARIES. PREMIER HAS THE AUTHORITY TO OPERATE EACH HOSPITAL WITH RESPECT TO MATTERS SUCH AS BUDGETING, STRATEGIC PLANNING, MANAGED CARE CONTRACTING, EMPLOYEE COMPENSATION, TRANSFER/SALE OF MATERIAL ASSETS, ETC. AS AN INTEGRATED HEALTHCARE SYSTEM, PREMIER PROVIDES A CONTINUUM OF CARE FOR THE RESIDENTS OF SOUTHWEST OHIO. AS A SYSTEM, PREMIER IS A COMMUNITY LEADER IN SUPPORTING VARIOUS COMMUNITY BENEFIT PROGRAMS THAT ALIGN WITH ITS CURRENT CHNA. RESOURCES ARE LEVERAGED IN EACH ENTITY WITHIN THE PREMIER SYSTEM TO SUPPORT THESE PROGRAMS IDENTIFIED AT THE PREMIER SYSTEM LEVEL. THE POLICIES FOR BAD DEBT AND CHARITY COLLECTIONS ARE ESTABLISHED BY PREMIER. PART VI, LINE 7: OHIO 1 MIAMI COUNTY YMCA 223 W HIGH ST PIQUA OH 45356 310537179 501(C)(3) 5000605 SUPPORT LINCOLN COMMUNITY CENTER 110 ASH ST TROY OH 45373 310584315 501(C)(3) 1000475 SUPPORT ARBOGAST PERFORMING ARTS 700 S DORSET RD TROY OH 45373 830889260 501(C)(3) 750000 SUPPORT CITY OF PIQUA OHIO 201 W WATER STREET PIQUA OH 45356 316000136 GOV 283000 SUPPORT ONEFIFTEEN RECOVERY 6636 LONGSHORE ST 200 DUBLIN OH 43017 833504845 501(C)(3) 219997 SUPPORT FAMILY ABUSE SHELTER OF MIAMI COUNTY 16 E FRANKLIN ST TROY OH 45373 310966177 501(C)(3) 200600 SUPPORT SAMARITAN BEHAVIORAL HEALTH 110 N MAIN ST SUITE 500 DAYTON OH 45402 020633634 501(C)(3) 106000 SUPPORT MIAMI COUNTY RECOVERY COUNCIL INC 1059 N MARKET ST TROY OH 45373 310917327 501(C)(3) 105000 SUPPORT HEALTH PARTNERS FREE CLINIC 1300 N CO RD 25A TROY OH 45373 311596731 501(C)(3) 96540 SUPPORT MIAMI COUNTY DENTAL CLINIC 70 TROY TOWN DR TROY OH 45373 204901192 501(C)(3) 80138 SUPPORT MIAMI VALLEY HOSPITAL 110 N MAIN ST 500 DAYTON OH 45402 310537504 501(C)(3) 73206 SUPPORT ATRIUM MEDICAL CENTER 110 N MAIN ST 500 DAYTON OH 45402 311079309 501(C)(3) 17466 SUPPORT TROY COMMUNITY DEVELOPMENT 405 SW PUBLIC SQ 330 TROY OH 45373 311736034 501(C)(3) 15000 SUPPORT TROY AREA CHAMBER OF COMMERCE 405 SW PUBLIC SQ TROY OH 45373 310529268 GOV 10575 SUPPORT MIAMI VALLEY HOSPITAL FOUNDATION 110 N MAIN ST 500 DAYTON OH 45402 311040231 501(C)(3) 7233 SUPPORT MIAMI COUNTY COMMISSIONERS 201 W MAIN ST TROY OH 45373 316000055 GOV 5574 SUPPORT HOMEFULL 33 W FIRST ST 100 DAYTON OH 45402 311236989 501(C)(3) 5500 SUPPORT ATRIUM MEDICAL CENTER FOUNDATION 110 N MAIN ST 500 DAYTON OH 45402 311079213 501(C)(3) 5473 SUPPORT REACH OUT MONTGOMERY COUNTY 25 E FORAKER ST DAYTON OH 45409 311434282 501(C)(3) 5281 RX ASSISTANCE 19 0 PART I, LINE 2: 1) DISBURSEMENTS ARE ANALYZED MONTHLY THROUGH VARIOUS REPORTS AND COMMITTEE MEETINGS. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE AND APPROVED AND DISBURSED PER ORGANIZATIONAL POLICY. 3) GRANT SPENDING IS MONITORED AGAINST BUDGETED AMOUNTS ON AN ONGOING BASIS. 1 1 0 0 0 0 0 0 0 MARY H BOOSALIS PREMIER PRESIDENT & CEO 0 1521403 0 589975 0 38811 0 21458 0 20195 0 2191842 0 0 SCOTT A SHELTON FORMER KEY EMPLOYEE 0 539248 0 376065 0 426904 0 14812 0 32150 0 1389179 0 0 BARBARA A JOHNSON FORMER KEY EMPLOYEE 0 647940 0 252301 0 68153 0 15954 0 11161 0 995509 0 35591 JENNIFER J HAULER DO FORMER KEY EMPLOYEE 20275 519707 50000 285280 70 1787 3103 79796 126 2638 73574 889208 0 0 GEOFFREY P WALKER SYSTEM VP -CHIEF LEGAL OFFICER 0 417391 0 188245 0 229357 0 23002 0 27819 0 885814 0 0 FAYEZ D ABBOUD MD PRES MEDICAL STAFF 0 644352 0 77696 0 27108 0 9628 0 24877 0 783661 0 0 DIANE L PLEIMAN FORMER OFFICER 0 405795 0 189426 0 127609 0 24480 0 8475 0 755785 0 0 THOMAS R PARKER PRESIDENT & CEO (TO JUL) 244968 0 224567 0 216996 0 37630 0 19509 0 743670 0 35319 0 MARC R BELCASTRO DO VP MEDICAL AFFAIRS & PREMIER CMO 0 475256 0 137384 0 54817 0 13525 0 26199 0 707181 0 34681 GARY G GINTER VP & PREMIER CHIEF INFO OFFICER 0 396542 0 144812 0 3939 0 62814 0 28043 0 636150 0 0 MARGARET W MARK VP NURSING SERVICE / PREMIER CNO 0 345989 0 147406 0 37482 0 19858 0 27509 0 578244 0 10459 THOMAS R CURTIN VP-REVENUE CYCLE 0 326009 0 160675 0 7745 0 34119 0 33185 0 561733 0 0 J MICHAEL SIMS SYSTEM VP - TREASURER & CORP CONTROL 0 311052 0 106785 0 87954 0 23220 0 28921 0 557932 0 0 RAFAY ATIQ MD TRUSTEE 0 378469 0 96993 0 2556 0 10973 0 27451 0 516442 0 0 ELAINE M DEAN SYSTEM VP - BUSINESS DEVELOPMENT 0 315881 0 120665 0 21241 0 11103 0 13413 0 482303 0 0 SCOTT B KANAGY DO TRUSTEE / VP OPERATIONS & CMO 326796 0 66997 0 1113 0 25511 0 25873 0 446290 0 0 0 KIM K STRAHL VICE PRESIDENT & CPO 0 240551 0 116520 0 6686 0 20938 0 12324 0 397019 0 0 TIMOTHY D SNIDER BOARD TREASURER & COO 237989 0 76445 0 22034 0 29531 0 29101 0 395100 0 0 0 BILLIE L LUCENTE-BAKER SYSTEM VP - HR OPERATIONS 0 220143 0 61876 0 1129 0 18160 0 13999 0 315307 0 0 TRISHA L WACKLER CNO & PREMIER VP EDUCATION 174986 45910 49034 0 4249 363 12999 3281 10413 2860 251681 52414 0 0 JENNA M DOWNEY ESQ FORMER OFFICER 0 197785 0 34590 0 386 0 9114 0 10454 0 252329 0 0 MELISSA M TALLMADGE DIR NURSING - SURGERY/ED 156263 0 23696 0 1126 0 17459 0 51482 0 250026 0 0 0 BENJAMIN A WATSON ESQ BOARD SECRETARY (TO JAN) 0 160670 0 26383 0 665 0 6182 0 9812 0 203712 0 0 RYAN E MCELDOWNEY STAFF PHARMACIST 155599 0 500 0 903 0 13213 0 25549 0 195764 0 0 0 ALLISON E WENTLAND DIR QUALITY & SYS INFECTION CTRL 134877 0 27857 0 785 0 9413 0 18165 0 191097 0 0 0 DUANNA R OSTING UVMC FOUNDATION PRES / EXEC DIR 117859 0 44931 0 539 0 2443 0 16503 0 182275 0 0 0 PAMELA L CORNETT DIR - REHAB SERVICES 124367 0 20719 0 5555 0 10269 0 19086 0 179996 0 0 0 PART I, LINE 3 COMPENSATION FOR UPPER VALLEY'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH UPPER VALLEY IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: THOMAS PARKER RECEIVED $163,848 IN 2020 AND WILL RECEIVE $49,154 IN 2021. PART I, LINE 4B: DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, UPPER VALLEY AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. UPPER VALLEY SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2020. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2020: DIANE L. PLEIMAN $124,338; SCOTT A. SHELTON $402,778; J MICHAEL SIMS $83,220; GEOFFREY P. WALKER $222,983. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2020: MARC R. BELCASTRO $40,805; BARBARA A. JOHNSON $56,031; MARGARET W. MARK $10,459; THOMAS R. PARKER $35,319. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED AND PAID TO THE SERP PARTICIPANTS: MARC R. BELCASTRO $4,243; THOMAS R. CURTIN $13,484; GARY R. GINTER $39,595; JENNIFER J. HAULER, D.O. $72,593; BARBARA A. JOHNSON $441; SCOTT B. KANAGY $15,735; MARGARET W. MARK $9,647; THOMAS R. PARKER $15,609; TIMOTHY D. SNIDER $7,337; TRISHA L. WACKLER $7,244. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. A COUNTY OF MONTGOMERY OHIO 316000172 613520L06 2020-09-24 24859875 REFUND SERIES 2016B BONDS 0 0 0 A 24859875 228930 24630944 1 0 1 1 A 0 1 0 0 0.00070 0.00000 0.00070 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 NOTE A PART I, LINE A, COLUMN E: ISSUE PRICE IS NOT IDENTICAL TO THE ISSUE PRICE LISTED ON FORM 8038 DUE TO THE SERIES 2019A BONDS' PROCEEDS BEING SPLIT BETWEEN UPPER VALLEY MEDICAL CENTER, ATRIUM MEDICAL CENTER AND MIAMI VALLEY HOSPITAL. NOTE A PART I, LINE A, COLUMN F: REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2016B BONDS - ISSUE DATE 8/31/2016 X 350 FMV X COVID-19 PPE 31 127939 X EMPLOYEE FOOD 7 7284 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 3 PREMIER HEALTH (PREMIER) AS THE OPERATOR OF UPPER VALLEY MEDICAL CENTER (UPPER VALLEY), DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR UPPER VALLEY, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. UPPER VALLEY SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. UPPER VALLEY SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. UPPER VALLEY SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF UPPER VALLEY WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. UPPER VALLEY MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. UPPER VALLEY MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN UPPER VALLEY'S ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 6 UPPER VALLEY HAS ONE CORPORATE MEMBER; PREMIER, AN OHIO NON-PROFIT CORPORATION FORM 990, PART VI, SECTION A, LINE 7A PREMIER HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR UPPER VALLEY. PREMIER HAS THE AUTHORITY TO REMOVE SUCH TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION FOR LINE 7A. FORM 990, PART VI, SECTION B, LINE 11B THIS 990 FILING RETURN AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE PREMIER TAX DEPARTMENT, OF WHICH UPPER VALLEY IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S. LLP FOR THEIR REVIEW. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE-PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS SENT TO ERNST & YOUNG U.S. LLP FOR A FINAL REVIEW AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, LINE 12C PREMIER, WITH WHICH UPPER VALLEY IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL DIRECTORS, SUPPLY CHAIN DIVISION MEMBERS, AUTHORIZED SIGNERS, DIRECTORS, EXECUTIVES, MEDICAL EXECUTIVE COMMITTEE MEMBERS, MEDICAL DEPARTMENT AND SECTION CHAIRS, PHYSICIAN PARTNERSHIP COMMITTEE MEMBERS, PHYSICIAN GUIDANCE GROUP MEMBERS, AND ALL EMPLOYED PHYSICIANS TO ANNUALLY REVIEW THE PREMIER COMPREHENSIVE CONFLICT OF INTEREST STATEMENT, AN EXPLANATORY MEMORANDUM, THE ANTITRUST COMPLIANCE POLICY, AND COMPLETE AN INDIVIDUAL QUESTIONNAIRE DISCLOSING ANY POTENTIAL CONFLICTS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. THIS IS ACCOMPLISHED EITHER BY WAY OF AN ELECTRONIC COMMUNICATION SENT OUT DIRECTLY BY THE CORPORATE COMPLIANCE DEPARTMENT OR BY WAY OF A MEMO SENT OUT FROM THE CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER OF PREMIER. IT ALSO INCLUDES AN EXPLANATORY MEMORANDUM OF SPECIFIC ACTIVITIES THAT MIGHT GIVE CAUSE TO A CONFLICT AND AN INDIVIDUAL QUESTIONNAIRE TO DISCLOSE ALL SUCH ACTIVITIES. THIS QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY THE INDIVIDUAL. THIS CORRESPONDENCE INCLUDES A COPY OF THE ANTITRUST COMPLIANCE POLICY THAT MUST BE SIGNED BY THE INDIVIDUAL. ALL OF THESE DOCUMENTS ARE SENT TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT ENSURES ALL FORMS ARE RETURNED AND RETAINS THE DOCUMENTS FOR FIVE YEARS. IN ADDITION, AT EACH MEETING OF THE BOARD OR ANY BOARD COMMITTEE, FOLLOWING APPROVAL OF THE PREVIOUS MEETING'S MINUTES, THE BOARD OR COMMITTEE CHAIR SHALL REQUEST ANY BOARD MEMBER WHO PERCEIVES A POTENTIAL CONFLICT OF INTEREST ON ANY OF THE MEETING'S AGENDA ITEMS TO DISCLOSE THE POTENTIAL CONFLICT. ADDITIONALLY, AT ANY BOARD OR BOARD COMMITTEE MEETING WHERE THE SUBJECT OF CONFLICT OF INTEREST IS DISCUSSED, THE MINUTES SHALL CONTAIN THE NAME OF THE PARTY DISCUSSING A POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST AND WHETHER A CONFLICT OF INTEREST WAS FOUND TO EXIST. IF A CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, THE MEMBER WILL BE EXCUSED FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON THE PARTICULAR AGENDA ITEM. THE CHIEF COMPLIANCE AND ENTERPRISE RISK OFFICER REPORTS THE RESULTS OF THE PREMIER CONFLICT OF INTEREST QUESTIONNAIRES NO LESS THAN ANNUALLY TO THE BOARD OF TRUSTEES BY WAY OF THE COMPLIANCE AND AUDIT COMMITTEE. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. PERIODICALLY, THE INTERNAL AUDIT DEPARTMENT WILL REVIEW A SAMPLE OF COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND REPORT THE RESULTS TO THE COMPLIANCE AND AUDIT COMMITTEE. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE INDIVIDUALLY SUMMARIZED IN A DOCUMENT AND SENT ELECTRONICALLY TO THE FINANCE DEPARTMENT FOR ANY NECESSARY DISCLOSURES REQUIRED ON THE 990 FILING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR UPPER VALLEY'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH UPPER VALLEY IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH-PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD-PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY DATA 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 CONTAINS THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CHIEF INTEGRATION OFFICER, CHIEF STRATEGY OFFICER, AND THE HOSPITAL CEOS. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED LABOR: PROGRAM SERVICE EXPENSES 13,392,668. MANAGEMENT AND GENERAL EXPENSES 554,326. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,946,994. PROF/CONSULTING FEES: PROGRAM SERVICE EXPENSES 31,188. MANAGEMENT AND GENERAL EXPENSES 5,625. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,813. COLLECTION FEES: PROGRAM SERVICE EXPENSES 758,353. MANAGEMENT AND GENERAL EXPENSES 18,042. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 776,395. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,130,522. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,130,522. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -35,480,564. FOUNDATION ADJUSTMENT -177,330. PENSION ADJUSTMENT 6,271,987. CAPITAL DONATIONS 9,614,133. FORM 990 PART VII, SECTION B: THE AMOUNT REPORTED ON 1099 FOR WENCO CONSTRUCTION, LLC. INCLUDES MATERIAL/REIMBURSEMENT EXPENSES. THE BILLING STATEMENTS DO NOT SEGREGATE THE SERVICES AND THE MATERIAL COST BUT PROVIDE A LUMPSUM AMOUNT UNDER THE JOB DESCRIPTION AS "PROVIDED LABOR AND MATERIALS". DUE TO THIS REASON, THE AMOUNT OF MATERIAL REIMBURSEMENT IS DIFFICULT TO SEGREGATE FROM THE AMOUNT OF SERVICE PAID. PREMIER HEALTH 110 MAIN STREET SUITE 500 DAYTON OH 45402 311446699 PARENT OH 501 (C) (3) 12B N/A 0 MEDAMERICA HEALTH SYSTEMS CO 110 MAIN STREET SUITE 500 DAYTON OH 45402 311040228 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 MIAMI VALLEY HOSPITAL 110 MAIN STREET SUITE 500 DAYTON OH 45402 310537504 HOSPITAL OH 501 (C) (3) 3 PREMIER HEALTH 0 MIAMI VALLEY HOSPITAL FOUNDATION 110 MAIN STREET SUITE 500 DAYTON OH 45402 311040231 FOUNDATION OH 501 (C) (3) 7 PREMIER HEALTH 0 FIDELITY HEALTH CARE INC 110 MAIN STREET SUITE 500 DAYTON OH 45402 311075381 HOME HEALTH OH 501 (C) (3) 10 PREMIER HEALTH 0 PREMIER COMMUNITY HEALTH 110 MAIN STREET SUITE 500 DAYTON OH 45402 311122883 HEALTH EDUCATION OH 501 (C) (3) 10 FIDELITY HEALTH CARE 0 SAMARITAN HEALTH PARTNERS 110 MAIN STREET SUITE 500 DAYTON OH 45402 311107411 SUPPORT ORG OH 501 (C) (3) 12B PREMIER HEALTH 0 GOOD SAMARITAN FOUNDATION - DAYTON 110 MAIN STREET SUITE 500 DAYTON OH 45402 237296923 FOUNDATION OH 501 (C) (3) 7 PREMIER HEALTH 0 ATRIUM HEALTH SYSTEM 110 MAIN STREET SUITE 500 DAYTON OH 45402 310537492 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 ATRIUM MEDICAL CENTER 110 MAIN STREET SUITE 500 DAYTON OH 45402 311079309 HOSPITAL OH 501 (C) (3) 3 PREMIER HEALTH 0 UVMC 110 MAIN STREET SUITE 500 DAYTON OH 45402 341850683 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 UPPER VALLEY PROFESSIONAL CORP 110 MAIN STREET SUITE 500 DAYTON OH 45402 311400963 HEALTH CARE OH 501 (C) (3) 10 PREMIER HEALTH 0 UVPC SPECIALISTS 110 MAIN STREET SUITE 500 DAYTON OH 45402 203687536 HEALTH CARE OH 501 (C) (3) 10 UPPER VALLEY PROFESSIONAL CORP 0 UVMC NURSING CARE INC 110 MAIN STREET SUITE 500 DAYTON OH 45402 311224064 NURSING HOME OH 501 (C) (3) 10 PREMIER HEALTH 0 COMPUNET CLINICAL LABORATORIES LLC 110 MAIN STREET SUITE 500 DAYTON OH 45402 311258010 LAB OH 501 (C) (3) 12B PREMIER HEALTH 0 SAMARITAN BEHAVIORAL HEALTH INC 110 MAIN STREET SUITE 500 DAYTON OH 45402 020633634 BEHAVIORAL HEALTH OH 501 (C) (3) 7 PREMIER HEALTH 0 SWEITZER STREET LLC 110 N MAIN STREET SUITE 500 DAYTON OH 45402 454700417 REAL ESTATE OH MVHE INC EXCLUDED 0 0 SWEITZER MOB LLC 110 N MAIN STREET SUITE 500 DAYTON OH 45402 474554657 REAL ESTATE OH MVHE INC EXCLUDED 0 0 MVHE INC 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311185270 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING C 0 PREMIER HEALTH SPECIALISTS 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 061744704 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING C 0 SAMARITAN FAMILY CARE 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311299450 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING C 0 AFTER HOURS FAMILY CARE 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311269483 HEALTH CARE OH UPPER VALLEY PROFESSIONAL CORP C 0 UVMC MANAGEMENT CORP 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 311360489 MANAGEMENT COMPANY OH PREMIER HEALTH C 0 PREMIER HEALTH URGENT CARE INC 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 822079409 URGENT CARE OH PREMIER HEALTH HOLDING C 0 PREMIER HEALTH PLAN INC 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 463024049 HEALTH INSURANCE OH PREMIER HEALTH INSURING CO C 0 GOOD SAMARITAN HOSPITAL 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 310536981 HOSPITAL OH PREMIER HEALTH C 0 PREMIER HEALTH ACO OF OHIO 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 474049773 MEDICARE ACO OH PREMIER HEALTH C 0 PREMIER HEALTH HOLDING 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 812419110 HOLDING CO OH PREMIER HEALTH C 0 PREMIER HEALTH INSURING CO 110 NORTH MAIN STREET SUITE 500 DAYTON OH 45402 464766841 HEALTH INSURANCE OH PREMIER HEALTH C 0 0 1 1 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1