2018-10-16T11:31:11-05:00 2017-12-31 310800053 CLARK SCHAEFER HACKETT & CO 10100 INNOVATION DRIVE DAYTON OH 45342 990 2017-01-01 311221836 GREATER DAYTON AREA HOSPITAL ASSOCIATION GREA 9372712343 241 TAYLOR STREET NO 130 DAYTON OH 45402 BRYAN BUCKLEW PRESIDENT 9372281000 2018-10-10 1 HERBERT L LEMASTER CPA P00039882 9372260070 2018-10-01 76.182.179.240 2018-10-10 08:32:31 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FF1ADF7F950BE2AA8621E5D4B8A2222E21169A02 2017 2018-06-14 16:35:46Z BRYAN BUCKLEW 241 TAYLOR STREET NO 130 DAYTON OH 45402 8528971 0 X WWW.GDAHA.ORG X 1987 OH IMPROVING THE QUALITY AND EFFICIENCY OF THE DELIVERY OF HEALTH CARE SERVICES IN THE REGION 31 31 8 0 0 0 5427009 8403937 48000 48000 24895 29398 76396 47636 5576300 8528971 3544496 6398803 0 0 812403 906375 0 0 0 1171395 1260377 5528294 8565555 48006 -36584 6351760 4322893 4534381 2459673 1817379 1863220 X TO PROVIDE VARIOUS SERVICES TO OUR MEMBER HOSPITALS AND HEALTH CARE ORGANIZATIONS. SERVICES INCLUDE IMPROVING THE QUALITY AND EFFICIENCY OF THE DELIVERY OF HEALTH CARE SERVICES & PROVIDING ADVOCACY SERVICES BY REPRESENTING MEMBERS BEFORE GOVERNMENT, BUSINESS, THE PUBLIC, AND RELATED ORGANIZATIONS. 0 0 ADVOCATED MEMBER HOSPITAL POSITIONS BEFORE GOVERNMENT, BUSINESS, THE GENERAL PUBLIC, AND OTHER APPROPRIATE EXTERNAL ORGANIZATIONS. CONDUCTED SEMINARS FOR THE GENERAL INSTRUCTION OF HOSPITAL PERSONNEL AND ENHANCED THE POSITIVE IMAGE OF THE MEMBERSHIP WITHIN THEIR COMMUNITIES AND HEALTH CARE INDUSTRY. COORDINATED THE EFFORTS OF HOSPITALS GENERALLY IN THE FIELD OF CIVIL DEFENSE, DISASTERS, AND GENERAL COMMUNITY HEALTH PROBLEMS. PROVIDED FUNDING FOR POISON CONTROL CENTER. 0 0 0 1 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 12 0 8 1 0 0 0 0 0 0 X 31 31 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 1 0 X MARTY LARSON 9372712343 241 TAYLOR STREET SUITE 130 DAYTON OH 45402 BECKY LEWIS TRUSTEE 1.00 X 0 0 0 BETH JOHNSON TRUSTEE (SEPT-DEC) 1.00 X 0 0 0 COL TIMOTHY BALLARD TRUSTEE 1.00 X 0 0 0 COLONEL SHARI SILVERMAN TRUSTEE (FEB-DEC) 1.00 X 0 0 0 DAVID SMITH MD TRUSTEE 1.00 X 0 0 0 DEBORAH FELDMAN V. CHAIR 1.00 X X 0 0 0 ELOISE BRONER TRUSTEE 1.00 X 0 0 0 FRED MANCHUR TRUSTEE 1.00 X 0 0 0 JOHN JOHNSON MD TRUSTEE 1.00 X 0 0 0 KEVIN HARLAN TRUSTEE 1.00 X 0 0 0 KIMBERLY GILBERT TRUSTEE (SEPT-DEC) 1.00 X 0 0 0 LYNNE BLINCO TRUSTEE (FEB-DEC) 1.00 X 0 0 0 MARGARET DUNN MD TRUSTEE 1.00 X 0 0 0 MARK DOOLEY TRUSTEE 1.00 X 0 0 0 MARY BOOSALIS TRUSTEE 1.00 X 0 0 0 MATT CALDWELL TRUSTEE (DEC) 1.00 X 0 0 0 MICHAEL MEWHIRTER TRUSTEE (JUN-DEC) 1.00 X 0 0 0 MICHAEL UHL TRUSTEE (SEPT-DEC) 1.00 X 0 0 0 MIKKI CLANCY TRUSTEE (SEPT-DEC) 1.00 X 0 0 0 PHILLIP UNDERWOOD TRUSTEE (SEPT-DEC) 1.00 X 0 0 0 REBECCA RICE TRUSTEE 1.00 X 0 0 0 RICHARD HAAS CHAIR 1.00 X X 0 0 0 RICHARD MANCHUR TRUSTEE (SEPT-DEC) 1.00 X 0 0 0 RICK DODDS TRUSTEE 1.00 X 0 0 0 ROY CHEW PHD TRUSTEE 1.00 X 0 0 0 TERRY BURNS TRUSTEE (NOV-DEC) 1.00 X 0 0 0 TOM HARDY TRUSTEE (FEB-DEC) 1.00 X 0 0 0 WALTER SACKETT TRUSTEE 1.00 X 0 0 0 WAYNE DESCHAMBEAU PAST CHAIR 1.00 X X 0 0 0 WILLIAM BRYANT TRUSTEE (SEPT-DEC) 1.00 X 0 0 0 JOHN PIERSON TRUSTEE 1.00 X 0 0 0 LISA RICH-MILAN TRUSTEE 1.00 X 0 0 0 ALEX RINTOUL TRUSTEE 1.00 X 0 0 0 LYNN SCHOEN TRUSTEE 1.00 X 0 0 0 GLENN COSTIE TRUSTEE (JAN-NOV) 1.00 X 0 0 0 RUSSELL DEAN TRUSTEE (JAN-SEPT) 1.00 X 0 0 0 JARROD MCNAUGHTON TRUSTEE (JAN-NOV) 1.00 X 0 0 0 BRIAN OWENS TRUSTEE (JAN-SEPT) 1.00 X 0 0 0 JAMES PANCOAST TRUSTEE (JAN-SEPT) 1.00 X 0 0 0 MARK SHAKER TRUSTEE (JAN-SEPT) 1.00 X 0 0 0 CAROL TURNER TRUSTEE (JAN-SEPT) 1.00 X 0 0 0 RUSS WETHERELL TRUSTEE (JAN-SEPT) 1.00 X 0 0 0 BRYAN BUCKLEW PRESIDENT/CEO 30.00 10.00 X 333288 0 81332 MARTIN LARSON EXECUTIVE VICE PRESIDENT 28.00 12.00 X 169380 0 39490 LISA RINDLER VP INFORMATION SERVICES 40.00 X 116848 0 31752 619516 0 152574 3 0 1 0 DIXON HUGHES GOODMAN LLP 1836 SOUTH AVE LA CROSSE WI 54601 CONSULTING SERVICES 298761 1 881992 3771507 3750438 8403937 DATA & EDUCATIONAL 624200 48000 48000 48000 27571 27571 1827 0 1827 1827 1827 EQUIPMENT REIMBURSEMEN 900099 47636 47636 47636 8528971 95636 0 29398 6398803 351403 343238 81346 88698 41690 95332 100930 80255 97423 129539 12249 55238 9554 ASSESSMENTS 636010 DUES & SUBSCRIPTIONS 23678 EQUIPMENT LEASE AND MAI 11845 MISC. 5000 3324 8565555 2520837 290137 862900 947456 50931 10252 657212 405793 295157 251419 1155206 1259685 1466729 1563944 6351760 4322893 924001 1141148 3610380 1318525 4534381 2459673 X 1817379 1863220 1817379 1863220 6351760 4322893 -36584 82425 0 X X 0 1 X 1 1 1 1 0 0 342602 260296 82306 314610 145497 169113 251419 RECEIVABLE FROM RELATED ORG: SOUTHWEST OHIO HEALTH CARE AFFILIATES 1234055 RECEIVABLE FROM RELATED ORG: GREATER DAYTON AREA HEALTH INFORMATION NETWORK 329889 1563944 X 8611396 82425 82425 8528971 0 8528971 8565555 0 8565555 0 8565555 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY IF THE ASSOCIATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. AS DISCUSSED ABOVE, GDAHA AND GDAHIN ARE EXEMPT FROM INCOME TAXES AND MANAGEMENT BELIEVES THESE ENTITIES HAVE NOT ENGAGED IN ANY ACTIVITIES THAT WOULD DISQUALIFY THEM FROM TAX-EXEMPT STATUS. THE ASSOCIATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OTHER EXPENSES. 1 LIFE ESSENTIALS 123 RIVERSIDE DRIVE SUITE 100 DAYTON OH 45405 311324922 501(C)(3) 150000 FUNDS POWER OF ATTORNEY PROGRAM FOR ELDERLY WITHOUT GUARDIANS CENTRAL OHIO POISON CENTER NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE COLUMBUS OH 43205 314379441 501(C)(3) 195980 POISON PHONE CONSULTATION SERVICES FOR HOSPITALS AND PUBLIC IN REGION GOOD SAMARITAN HOSPITAL 40 W 4TH ST SUITE 2102 DAYTON OH 45402 310536981 501(C)(3) 351956 BRIGHTER FUTURES EXPENSE REIMBURSEMENT MIAMI VALLEY HOSPITAL 40 W 4TH ST SUITE 1201 DAYTON OH 45402 310537504 501(C)(3) 3027383 BRIGHTER FUTURES EXPENSE REIMBURSEMENT GRANDVIEW MEDICAL CENTER ONE PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310564121 501(C)(3) 1037713 BRIGHTER FUTURES EXPENSE REIMBURSEMENT KETTERING MEDICAL CENTER ONE PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310621866 501(C)(3) 970231 BRIGHTER FUTURES EXPENSE REIMBURSEMENT SYCAMORE MEDICAL CENTER ONE PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310621866 501(C)(3) 486944 BRIGHTER FUTURES EXPENSE REIMBURSEMENT 7 PART I, LINE 2: CENTRAL OHIO POISON CENTER: QUARTERLY REPORTS ARE REQUIRED PER CONTRACT WITH COPC. THE REPORTS INCLUDE DETAILED INFORMATION ON EVERY POISON INFORMATION CALL RECEIVED FROM HOSPITALS AND THE PUBLIC BY COUNTY. THESE REPORTS ARE FORWARDED TO THE HOSPITAL EMERGENCY MEDICAL SERVICES COORDINATORS FOR REVIEW. LIFE ESSENTIALS: LIFE ESSENTIALS PROVIDES POWER OF ATTORNEYS FOR ELDERLY PATIENTS, WHO HAVE NO ONE TO TURN TO FOR THESE SERVICES. TWICE A YEAR, THE EXECUTIVE DIRECTOR FOR LIFE ESSENTIALS MEETS WITH THE MEMBERS OF THE GDAHA SOCIAL WORK DIRECTORS COMMITTEE. SHE SHARES A "LIVE" SPREADSHEET THAT SHOWS THE NUMBER OF CASES THEY HAVE, THE REFERRALS RECEIVED FROM EACH HOSPITAL, AND REPORTS ON THE CASES STILL ACTIVE OR COMPLETE. BRIGHTER FUTURES: THE SERVICES PROVIDED BY HELP ME GROW BRIGHTER FUTURES ARE ACTIVELY MONITORED BY THE STATE AND LOCAL LEVELS THROUGHOUT EACH PROGRAM YEAR. THE OHIO DEPARTMENT OF HEALTH'S BUREAU FOR CHILDREN WITH MEDICAL HANDICAPS AND EARLY INTERVENTION SERVICES MONITORS ACTIVITIES, SERVICES, OUTCOMES, AND COMPLIANCE MEASURES THROUGH ITS ONLINE EARLY TRACK STATE DATA SYSTEM, AS WELL AS THROUGH EXPENDITURE AND PROGRAM REPORTS. ODH ALSO CONDUCTS PERIODIC RANDOM INDIVIDUAL CASE AUDITS, INCLUDING PERIODIC SYSTEM REVIEWS. LOCALLY, HELP ME GROW FUNDS ARE ALLOCATED TO THE ADMINISTRATIVE AGENT OF EACH COUNTY'S FAMILY AND CHILDREN FIRST COUNCIL (FCFC). THE FCFC APPROVES THE BUDGET ALLOCATION, AND LOCAL CONTRACTS FOR HELP ME GROW SERVICES ARE APPROVED BY THE MONTGOMERY COUNTY BOARD OF COUNTY COMMISSIONERS AND ADMINISTERED BY ITS DEPARTMENT, THE OFFICE OF FAMILY AND CHILDREN FIRST (OFCF). EACH HELP ME GROW GRANT YEAR IS GIVEN A SEPARATE GRANT NUMBER AND PROJECT CODES RELATED TO THE REVENUE AND EXPENSES OF THE GRANT. HELP ME GROW BRIGHTER FUTURES INVOICES THE COUNTY MONTHLY FOR SERVICES. INVOICES ARE REVIEWED AGAINST AGENCY DOCUMENTATION OF ACTUAL EXPENDITURES AND AVAILABLE FUNDS BY THE COUNTY HELP ME GROW PROJECT DIRECTOR LOCATED AT OFCF. PAYMENTS ARE PROCESSED THROUGH THE OFCF AND MADE BY THE MONTGOMERY COUNTY AUDITOR'S OFFICE. OFCF ALSO PROVIDES ONGOING MONITORING OF HELP ME GROW BRIGHTER FUTURES' ACTIVITIES, SERVICES, OUTCOMES, AND COMPLIANCE MEASURES. PROGRAM AND EXPENDITURE REPORTS ARE PREPARED AND SUBMITTED TO THE OHIO DEPT. OF HEALTH, UPDATES ARE PROVIDED TO THE MONTGOMERY COUNTY FAMILY AND CHILDREN FIRST COUNCIL, AND HELP ME GROW ACTIVITIES ARE AUDITED EACH YEAR BY CERTIFIED PUBLIC ACCOUNTANTS (CHARLES HARRIS AND ASSOCIATES) UNDER THE STATE AUDIT REQUIREMENTS. REDISTRIBUTION OF MONTGOMERY COUNTY HEALTH AND HUMAN SERVICES LEVY FOR INDIGENT CARE: MONTGOMERY COUNTY MONITORS THE USE OF LEVY FUNDS AND ISSUES FUNDS ON A FIRST COME, FIRST SERVE BASIS. GDAHA REDISTRIBUTES LEVY FUNDS AMONGST THE HOSPITALS BASED ON THE REIMBURSEMENT AGREEMENT BETWEEN THE HOSPITALS. X 1 1 X 0 0 0 BRYAN BUCKLEW PRESIDENT/CEO 333288 0 0 0 0 0 33309 0 48023 0 414620 0 0 0 MARTIN LARSON EXECUTIVE VICE PRESIDENT 169380 0 0 0 0 0 20190 0 19300 0 208870 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 REBECCA RICE IS PRESIDENT AND CEO OF UPPER VALLEY MEDICAL CENTER, AND JAMES PANCOAST IS A TRUSTEE OF THE SAME ORGANIZATION. ELOISE BRONER IS BOTH AN EMPLOYEE AND TRUSTEE OF GOOD SAMARITAN HOSPITAL; JAMES PANCOAST IS A TRUSTEE OF THE SAME ORGANIZATION. MARY BOOSALIS IS AN EMPLOYEE OF PREMIER HEALTH; JAMES PANCOAST IS AN EMPLOYEE AND TRUSTEE OF THE SAME ORGANIZATION. MIKKI CLANCY AND MARK SHAKER ARE EMPLOYEES OF MIAMI VALLEY HOSPITAL; JAMES PANCOAST IS A TRUSTEE OF THE SAME ORGANIZATION. MICHAEL UHL IS THE CURRENT PRESIDENT AND CEO AND CAROL TURNER IS THE FORMER PRESIDENT AND CEO OF ATRIUM MEDICAL CENTER, AND JAMES PANCOAST IS A TRUSTEE OF THE SAME ORGANIZATION. TERRY BURNS, WALTER SACKETT, RICHARD HAAS, RICHARD MANCHUR, RICK DODDS, BECKY LEWIS, MIKE MEWHITER AND RUSS WETHERELL ARE EMPLOYED BY KETTERING ADVENTIST HEALTHCARE; JARROD MCNAUGHTON IS A FORMER EMPLOYEE OFFICER OF THE KETTERING HEALTH NETWORK; FRED MANCHUR AND ROY CHEW, PHD ARE BOTH EMPLOYEES AND OFFICERS OF THE SAME ORGANIZATION. IN ADDITION, ROY CHEW, PHD AND FRED MANCHUR ARE VOTING TRUSTEES OF KETTERING ADVENTIST HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE PRESIDENT AND VICE PRESIDENT OF FINANCE PRIOR TO FILING. THEN THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REGULARLY REVIEWED AND MONITORED AT THE BOARD OF TRUSTEE MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD UTILIZES NATIONAL MARKET KNOWLEDGE AND ANNUAL PERFORMANCE EVALUATION TO EVALUATE AND ADJUST COMPENSATION OF THE PRESIDENT AND OTHER KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE INDEPENDENT AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEAR. GREATER DAYTON AREA HEALTH INFORMATION NETWORK 2 RIVERPLACE DRIVE STE 400 DAYTON OH 45405 311438763 HEALTH CARE OH 501(C)3 LINE 7 N/A 0 GREATER MIAMI VALLEY EMERGENCY MEDICAL SERVICES COUNCIL 2 RIVERPLACE DRIVE STE 400 DAYTON OH 45405 310909738 HEALTH CARE OH 501(C)3 LINE 7 N/A 0 GDAHA VENTURES LLC 241 TAYLOR STREET DAYTON OH 45402 474889239 HEALTH CARE OH N/A EXCLUDED 0 0 0.01000 SOUTHWEST OHIO HEALTH CARE 2 RIVERPLACE DR STE 400 DAYTON OH 45405 311178476 HEALTH CARE OH GREATER DAYTON AREA HOSPITAL ASSOCIATION C 23699 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 GREATER DAYTON AREA HEALTH INFORMATION NETWORK O 321453 FAIR MARKET VALUE GREATER DAYTON AREA HEALTH INFORMATION NETWORK Q 349532 FAIR MARKET VALUE SOUTHWEST OHIO HEALTH CARE O 55829 FAIR MARKET VALUE SOUTHWEST OHIO HEALTH CARE D 1234055 FAIR MARKET VALUE GREATER DAYTON AREA HEALTH INFORMATION NETWORK D 329889 FAIR MARKET VALUE