2019-11-15T07:45:03-06:00 2018-12-31 ERNST & YOUNG US LLP 221 E 4TH STREET SUITE 2900 CINCINNATI OH 45202 990 2018-01-01 237296923 Good Samaritan Hospital Foundation - Dayton % J MICHAEL SIMS GOOD 9374999942 110 N MAIN ST Suite 500 Dayton OH 45402 J MICHAEL SIMS TREASURER, GSHF 9374999942 2019-10-30 true JULIE L SPARKS P01268401 5136121400 108.206.163.59 31499120193195000008 2019-11-15 P 770194AAF055F9EA87E64CA02E08FE540289067F 770194AAF055F9EA87E64CA02E08FE540289067F 2018 2020-04-17 16:48:07Z JENNY M LEWIS PRESIDENT ONE WYOMING ST Dayton OH 45402 298546 false 0928 X www.premierhealth.com X 1973 OH INSPIRE PHILANTHROPY TO ENHANCE THE HEALTH AND WELL-BEING OF THE GREATER DAYTON COMMUNITIES AND THE HEALTHCARE PROFESSIONALS WHO CARE FOR THEM. 16 13 4 33 0 1119154 557500 0 0 558595 224314 -25609 0 1652140 781814 480411 604393 0 0 279245 262363 0 0 176088 152620 109508 912276 976264 739864 -194450 12896219 11422057 229719 182615 12666500 11239442 X INSPIRE PHILANTHROPY TO ENHANCE THE HEALTH AND WELL-BEING OF THE GREATER DAYTON COMMUNITIES AND THE HEALTHCARE PROFESSIONALS WHO CARE FOR THEM. false false 121393 121393 0 Mothers Empowered (ME) provides free medical care and prenatal and parenting education to pregnant women in need. ME is a partnership of Good Samaritan Hospital Foundation and two area service organizations: Lifestages Centers for Women and Catholic Social Services of the Miami Valley. Through group prenatal care, the mothers meet in small groups of women with similar due dates to learn to care for themselves and their baby, complete regular pregnancy check-ups, and form a support network with other young mothers. Approximately 75 women were served in 2018. 284479 284479 0 The foundation supports many educational programs. These include brochures and seminars for the community, 67 scholarships for employees and their children, certification programs, seminars, conferences and lectures for employees and physicians. 18574 18574 0 The patient assistance program of the Samaritan Breast Center, helped 22 patients struggling to pay for the basic necessities during their breast cancer treatment. Often, these patients find themselves worrying about how to pay a bill, rather than focus on following their treatment plan. Assistance with paying bills such as rent, utilities, food, transportation and medical fees, allows them to focus on their health. The Sharing Our Strength (SOS) Support Group, allows patients to share their stories, concerns and questions about their journey. They learn from each other and share their strength to help make the journey easier. 266478 179947 0 690924 true true false false false false false false false true false true false false true true false true false false true false false false false false false true true true false false false false false false false false false false false false false true false false false true 12 0 true 4 true false false false false false false false false false false false false X 16 13 false false true false true true true true true false false true true true true true true true true false OH X J MICHAEL SIMS 9374999942 110 N MAIN ST SUITE 500 Dayton OH 45402 RICHARD A MEYER BOARD CHAIR 0.5 0.0 X X 0 0 0 SUZANNE DONOVAN SC BOARD VICE-CHAIR 0.5 0.5 X X 0 0 0 ANN SCHUERMAN BOARD SECRETARY 0.5 0.0 X X 0 0 0 JENNY M LEWIS PRESIDENT-MVH & GSH FOUNDATION 20.0 20.0 X X 39715 246225 51140 ZACHARY L ALLEN TRUSTEE 0.5 0.0 X 0 0 0 DIANE ANDERSON DO TRUSTEE 0.5 0.0 X 0 0 0 HON PATRICK J FOLEY TRUSTEE 0.5 0.0 X 0 0 0 JIM KELLEHER TRUSTEE 0.5 0.0 X 0 0 0 JEAN L MAYCHACK TRUSTEE 0.5 0.0 X 0 0 0 GENE REICHARD TRUSTEE 0.5 0.0 X 0 0 0 JO ANNE F REILING TRUSTEE 0.5 0.0 X 0 0 0 DANIEL L SCHOULTIES MD TRUSTEE 0.5 39.5 X 0 100164 0 FR BENJAMIN SPEARE-HARDY III TRUSTEE 0.5 0.0 X 0 0 0 DOUGLAS A TALMAGE TRUSTEE 0.5 0.0 X 0 0 0 KENNETH M WATSON SR TRUSTEE 0.5 0.0 X 0 0 0 MILINDA S NIMMO ZABRAMBA MD TRUSTEE 0.5 39.5 X 0 335510 31934 KATIE MCKEE BOARD TREASURER (TO JUL) 0.5 39.5 X 0 82219 10212 J MICHAEL SIMS BOARD TREASURER (FROM NOV) 0.5 39.5 X 0 401849 53110 39715 1165967 146396 0 false true false none 0 3531 91435 462534 322 557500 0 236819 236819 0 0 0 0 0 -495773 -483268 -12505 -12505 -12505 0 0 0 0 0 0 0 0 0 0 781814 224314 301341 301341 303052 303052 0 0 46817 11704 11704 23409 0 179098 44775 44775 89548 1450 363 363 724 21882 5471 5471 10940 13116 3279 3279 6558 0 0 0 0 0 21018 21018 1957 489 489 979 1328 332 332 664 14629 3657 3657 7315 6871 1718 1718 3435 0 2271 1703 568 2465 2465 0 0 0 0 0 0 PURCHASED SERVICES 53312 13328 13328 26656 TRAINING & EDUCATION 2878 720 720 1438 EQUIPMENT RENTAL 1079 270 270 539 OPERATING SUPPLIES 100 25 25 50 1600 400 400 800 976264 690924 109252 176088 150 150 432338 99256 292289 150191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9946175 7523389 2103972 3472063 0 0 0 0 121295 177008 12896219 11422057 48499 57106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181220 125509 229719 182615 X 3205154 2669061 5897550 5226262 3563796 3344119 12666500 11239442 12896219 11422057 X -194450 -780046 -452562 X false true X true false X 589930 723400 716921 1119154 557500 3706905 0 0 589930 723400 716921 1119154 557500 3706905 580847 3126058 255074 219063 222066 248127 236819 1181149 0 0 4888054 30394 0.63953 0.63028 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9461345 454878 -537350 808492 8570381 8705467 927231 292931 464284 9461345 8416198 524734 155578 391043 8705467 8324280 537177 -3256 442003 8416198 8122600 434289 114695 347304 8324280 0.39020 0.60980 false false 0 0 DEFERRED ANNUITIES 125509 125509 X SCHEDULE D, Part V, Line 4: The Good Samaritan Hospital Foundation-Dayton (GSHF) makes every effort to follow the intent and wishes of all its donors. The intended uses of the organization's endowment funds and/or earnings from endowment funds are driven by the wishes/restrictions placed on the funds by the donor. A Permanent endowment results when a donation is received with a restriction that the principal or gift amount is to be retained in perpetuity and cannot be spent. The earnings from the permanent endowment are used for the purpose specified by the donor. Temporary endowments are funds in which all or part of the principal may be expended only after the expiration of a stated period of time or occurrence of a specified event, depending on the donor's wishes. Earnings from temporarily restricted endowments can be either unrestricted or restricted. The GSHF uses the temporarily restricted endowments for the intended purpose set up by the donor, only after the period of time or specified event set by the donor has been met. The categories of PERMANENTLY AND TEMPORARILY restricted endowments are as follows: To support the local community Homeless Clinic operations (18%); To fund educational programs / scholarships (17%); To fund the Foundation operations (15%); To Support ELDERCARE (12%); To benefit specific programs for a Samaritan Health Partner's affiliate (7%); and miscellaneous (31%). SCHEDULE D, Part X, Line 2: THE FOLLOWING FOOTNOTE IS FROM THE 2018 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS A MEMBER OF GSHF. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS 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. THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. FOR TAX-EXEMPT ENTITIES, THE ACT REQUIRES ORGANIZATIONS TO CATEGORIZE CERTAIN FRINGE BENEFIT EXPENSES AS A SOURCE OF UNRELATED BUSINESS INCOME, PAY AN EXCISE TAX ON REMUNERATION ABOVE CERTAIN THRESHOLDS THAT IS PAID TO EXECUTIVES BY THE ORGANIZATION, AND REPORT INCOME OR LOSS FROM UNRELATED BUSINESS ACTIVITIES ON AN ACTIVITY-BY-ACTIVITY BASIS, AMONG OTHER PROVISIONS. CERTAIN REGULATORY GUIDANCE PROVIDES FOR A MEASUREMENT PERIOD OF UP TO ONE YEAR, DURING WHICH THE ACCOUNTING FOR THE TAX EFFECTS OF THE ACT MAY BE COMPLETED. PHP MAY RECORD FURTHER ADJUSTMENTS IN FUTURE PERIODS UPON OBTAINING, PREPARING, OR ANALYZING ADDITIONAL INFORMATION ABOUT FACTS AND CIRCUMSTANCES THAT EXISTED AS OF THE DATE OF ENACTMENT. PHP WILL CONTINUE TO REVISE AND REFINE THE CALCULATIONS AS ADDITIONAL IRS GUIDANCE IS ISSUED; HOWEVER, PHP DOES NOT ANTICIPATE ANY MATERIAL IMPACT TO THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. Central America and the Caribbean Investments 1057000 1057000 1057000 false false false false false false true Good Samaritan Hospital 110 N Main St Suite 500 Dayton OH 45402 310536981 501(c)(3) 227482 N/A N/A Operations FIVE RIVERS HEALTH CENTERS 3535 SALEM AVENUE NO 100 DAYTON OH 45406 450914398 501(C)(3) 6816 N/A N/A OPERATIONS CATHOLIC SOCIAL SERVICES 922 W RIVERVIEW AVENUE DAYTON OH 45402 310536645 501(C)(3) 67042 N/A N/A OPERATIONS 3 Educational Scholarships 67 163456 CATASTROPHIC FINANCIAL ASSISTANCE 22 18574 Part 1, LINE 2: All distributions (grants paid) follow the entity's disbursement policy, including: (A) Assuming funds availability, hospital department personnel complete a foundation request form. For amounts in excess of $1,000, Director's & Vice-President's signatures are required to request foundation funding. (B) For a request greater than $5,000, the Foundation's Distribution Committee reviews and approves the request. The check also requires a second signature. (C) Reporting for grants is the responsibility of the operational unit. (D) Before disbursing funds, each request is verified/matched for its intended purpose. For example, scholarship requirements include: a) GPA requirements; b) length of service; c) specific fields of study. X X X X false true false false false false false false false JENNY M LEWIS PRESIDENT-MVH & GSH FOUNDATION 26478 164162 12911 80045 326 2018 3329 20638 3774 23399 46818 290262 0 0 MILINDA S NIMMO ZABRAMBA MD TRUSTEE 0 271241 0 54712 0 9557 0 8343 0 23591 0 367444 0 0 J MICHAEL SIMS BOARD TREASURER (FROM NOV) 0 288061 0 74913 0 38875 0 23763 0 29347 0 454959 0 0 PART I, LINE 4B: DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, GOOD SAMARITAN HOSPITAL FOUNDATION-DAYTON (GSHF) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. GSHF 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 2018. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2018: J. MICHAEL SIMS $15,913. THE FOLLOWING SERP AMOUNT WAS DEFERRED ON A PARTICIPANT'S BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNT IS VESTED AND PAID TO THE SERP PARTICIPANT: JENNY LEWIS ($29). 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. Form 990, Part III, LINE 4D: This number represents the balance of total expenditures of temporarily restricted funds for Good Samaritan Hospital net of programs described in service accomplishments. Form 990, Part VI, Section A, Line 4: THE DEFINITIVE SYSTEM REORGANIZATION AGREEMENT EFFECTIVE JANUARY 1, 2018 changed the sole MEMBER OF GOOD SAMARITAN HOSPITAL FOUNDATION-DAYTON (GSHF) from Samaritan Health Partners to Premier Health (Premier). Form 990, Part VI, Section A, Line 6: GSHF has one corporate member; PREMIER, AN OHIO NON-PROFIT CORPORATION. Form 990, Part VI, Section A, Lines 7a & 7b: PREMIER HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR GSHF. PREMIER HAS THE AUTHORITY TO REMOVE SUCH TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT. Form 990, Part VI, Section B, LINE 11B: THIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER, OF WHICH GSHF IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S. LLP FOR THEIR REVIEW. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS SENT TO ERNST & YOUNG U.S. LLP FOR A FINAL REVIEW AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. Form 990, Part VI, Section B, LINE 12C: PREMIER, WITH WHICH GSHF 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, lINES 15A and 15B: COMPENSATION TO GSHF CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH GSHF IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE IS COMPRISED OF THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CHIEF STRATEGY OFFICER, CHIEF INTEGRATION 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 XI, LINE 9: TRANSFER TO AFFILIATE $(452,562) Premier Health Partners (Premier) 110 N Main St 500 DAYTON OH 45402 311446699 Parent OH 501(C)(3) 12B NA false Atrium Health System (AHS) 110 N Main St 500 DAYTON OH 45402 310537492 Support Org OH 501(C)(3) 12B NA false Atrium Medical Center 110 N Main St 500 DAYTON OH 45402 311079309 Hospital OH 501(C)(3) 3 PREMIER false MedAmerica Health Systems Co (MAHS) 110 N Main St 500 DAYTON OH 45402 311040228 Support Org OH 501(C)(3) 12B NA false Miami Valley Hospital 110 N Main St 500 DAYTON OH 45402 310537504 Hospital OH 501(C)(3) 3 Premier false Miami Valley Hospital Foundation 110 N Main St 500 DAYTON OH 45402 311040231 Foundation OH 501(C)(3) 7 Premier false Fidelity Health Care Inc (FHC) 110 N Main St 500 DAYTON OH 45402 311075381 Home Health OH 501(C)(3) 10 PREMIER false Premier Community Health 110 N Main St 500 DAYTON OH 45402 311122883 Health Educat OH 501(C)(3) 10 FHC false Samaritan Health Partners (SHP) 110 N Main St 500 DAYTON OH 45402 311107411 Support Org OH 501(C)(3) 12B PREMIER false Good Samaritan Hospital (GSH) 110 N Main St 500 DAYTON OH 45402 310536981 Hospital OH 501(C)(3) 3 Premier false Heart Institute of Dayton 110 N Main St 500 DAYTON OH 45402 300502367 Education OH 501(C)(3) 10 Premier false Samaritan Behavioral Health Inc 110 N Main St 500 DAYTON OH 45402 020633634 Behavioral He OH 501(C)(3) 7 PREMIER false UVMC 110 N Main St 500 DAYTON OH 45402 341850683 Support Org OH 501(C)(3) 12B NA false Upper Valley Medical Center 110 N Main St 500 DAYTON OH 45402 310537095 Hospital OH 501(C)(3) 3 PREMIER false Upper Valley Professional Corp (UVPC) 110 N Main St 500 DAYTON OH 45402 311400963 Health Care OH 501(C)(3) 10 PREMIER false UVPC Specialists Inc 110 N Main St 500 DAYTON OH 45402 203687536 Health Care OH 501(C)(3) 10 UVPC false UVMC Nursing Care Inc 110 N Main St 500 DAYTON OH 45402 311224064 Nursing Home OH 501(C)(3) 10 PREMIER false Premier Plaza LLC 110 N Main St 500 DAYTON OH 45402 800708185 Holding Company OH MAHS Excluded 0 0 false false 0.00000 SW Ohio Neonatal Collaborative LLC 110 N Main St 500 DAYTON OH 45402 463231330 Neonatology OH MVH Related 0 0 false false 0.00000 Samaritan North Surgery Center 9000 N Main St DAYTON OH 45415 311618587 O/P Surgery OH GSH Related 0 0 false false 0.00000 Compunet Clinical Laboratories LLC 2308 Sandridge Dr MORAINE OH 45439 311258010 Medical Labs OH MVHE Inc Related 0 0 false false 0.00000 Sweitzer Street LLC 110 N Main St 1250 DAYTON OH 45402 454700417 Real Estate OH MVHE Inc Excluded 0 0 false false 0.00000 Sweitzer MOB LLC 110 N Main St 1250 DAYTON OH 45402 474554657 Real Estate OH MVHE Inc Excluded 0 0 false false 0.00000 MVHE INC 110 N Main St 400 DAYTON OH 45402 311185270 Physician SVCS OH Premier Holding C Corp 0 0 0.00000 false Premier Health Specialists 110 N Main St 400 DAYTON OH 45402 061744704 Physician SVCS OH Premier Holding C Corp 0 0 0.00000 false Samaritan Family Care 110 N Main St 400 DAYTON OH 45402 311299450 Physician SVCS OH Premier Holding C Corp 0 0 0.00000 false After Hours Family Care 110 N Main St 500 DAYTON OH 45402 311269483 Health Care OH UVPC C Corp 0 0 0.00000 false UVMC Management Corp 110 N Main St 500 DAYTON OH 45402 311360489 Management Co OH Premier C Corp 0 0 0.00000 false Premier Health Urgent Care Inc 110 N Main St 900 DAYTON OH 45402 822079409 Urgent Care OH Premier Holding C Corp 0 0 0.00000 false Premier Health Plan Inc 110 N Main St 500 DAYTON OH 45402 463024049 Health Insurance OH PHIC C Corp 0 0 0.00000 false Premier Health ACO of Ohio 110 N Main St 500 DAYTON OH 45402 474049773 Medicare ACO OH Premier C Corp 0 0 0.00000 false Premier Health Holding Co 110 N Main St 400 DAYTON OH 45402 812419110 Holding Co OH Premier C Corp 0 0 0.00000 false Premier Health Insuring Co (PHIC) 110 N Main St 500 DAYTON OH 45402 464766841 HEALTH INSURANCE OH Premier C Corp 0 0 0.00000 false false true true false false false false false false false true false false false false true true false false