2025-11-05T15:22:57-06:00 2024-12-31 990 2024-01-01 310537504 MIAMI VALLEY HOSPITAL MIAM 9374999942 110 N MAIN ST 200 DAYTON OH 45402 KRISTINA KEAN VP FINANCE 9374999942 2025-11-05 0 2024 2025-03-06 01:10:19Z CHAD T WHELAN MD 1 WYOMING ST DAYTON OH 45409 1875352002 0 X WWW.PREMIERHEALTH.COM X 1890 OH SEE PART III, LINE 1 3 0 10580 435 0 0 2494373 5398653 1492877748 1554761391 29853412 28907054 26834286 15857269 1552059819 1604924367 4931048 13266921 0 0 458014015 562978640 0 0 0 785726764 802843125 1248671827 1379088686 303387992 225835681 1479547341 1468840648 908639214 889691316 570908127 579149332 WE CARE. WE TEACH. WE INNOVATE. WE SERVE. 0 0 1346761951 13266921 1554761391 THE PRIMARY EXEMPT PURPOSE OF MIAMI VALLEY HOSPITAL IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF MONTGOMERY AND THE SURROUNDING COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION. 1346761951 1 1 0 1 0 0 0 0 0 0 1 1 0 1 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 1 0 1 0 0 0 1 1 0 0 0 1 9 0 1 10580 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X J MICHAEL SIMS 9374999942 110 N MAIN ST 200 DAYTON OH 45402 MICHAEL C RIORDAN TRUSTEE (TO JUN) / PREMIER PRES/CEO 0.50 39.50 X 0 1543400 36349 CHAD T WHELAN MD MHSA FACP SFH TRUSTEE / PRESIDENT & PREMIER COO 19.50 20.50 X X 0 1064754 28809 TAREK M SABAGH MD BOARD CHAIR 0.50 39.50 X X 0 896812 48531 STACEY M LAWSON TRUSTEE 40.00 0.00 X 628741 0 51814 MELANIE M GLOVER MD TRUSTEE (TO JUN) 0.50 39.50 X 0 294804 23667 KRISTINA M KEAN BOARD TREASURER / VP FINANCE 38.50 1.50 X 448777 0 35837 JENNA M DOWNEY ESQ BOARD SECRETARY 39.50 0.50 X 416852 0 22416 KEITH D BRICKING MD EVP & CHIEF CLINICAL OFFICER 10.00 30.00 X 0 1168492 67475 MARY M CLANCY CHIEF DIGITAL & INFORMATION OFFICER 10.00 30.00 X 0 730195 58862 J MICHAEL SIMS SYS VP & CORPORATE CONTROLLER 9.00 31.00 X 0 635424 50996 LISA M GOSSETT VP NURSING/CNO/PATIENT EXP 10.00 30.00 X 0 614633 36325 CARA W POWERS CHIEF LEGAL OFFICER 9.50 30.50 X 0 588710 51822 MARQUITA L TURNER COO - MVH/MVHN/MVHS 40.00 0.00 X 566782 0 41909 AMANDA K ADKINS-RICCI SYSTEM VP REVENUE CYCLE 10.00 30.00 X 0 393531 25566 ROBERTO COLON MD VP MEDICAL AFFAIRS & PREMIER CMO 40.00 0.00 X 839960 0 72273 DARIN J PANGALANGAN MD SYS VP OF CLINICAL SERVICE LINES 40.00 0.00 X 764657 0 13420 WALTER REILING JR MD SYSTEM VP & CMIO 40.00 0.00 X 710063 0 42919 ANDRE T HARRIS MD VP OPERATIONS/CMO 40.00 0.00 X 591156 0 46845 ESEOGHENE AYISIRE MD MED DIR OF HOSPITALIST GROUP 40.00 0.00 X 546242 0 47062 GEOFFREY P WALKER ESQ FORMER KEY EMPLOYEE 0.00 40.00 X 0 739507 34512 ELAINE LAINIE M DEAN FORMER KEY EMPLOYEE 40.00 0.00 X 658980 0 43753 CHRISTIE J GRAY FORMER KEY EMPLOYEE 40.00 0.00 X 501218 0 46655 KIMBERLY A HENSLEY FORMER KEY EMPLOYEE 0.00 40.00 X 0 482765 28870 ROBERT M BOWMAN FORMER KEY EMPLOYEE 0.00 0.00 X 435074 0 9086 BILLIE L LUCENTE-BAKER FORMER KEY EMPLOYEE 40.00 0.00 X 370826 0 36241 MARC R BELCASTRO DO FORMER KEY EMPLOYEE 0.00 0.50 X 361466 0 11044 GARY G GINTER FORMER KEY EMPLOYEE 0.00 0.00 X 232887 0 10065 MARY E GARMAN FORMER KEY EMPLOYEE 0.00 0.00 X 163856 0 5357 8237537 9153027 1028480 1014 1 1 0 0 5397133 1520 4025086 5398653 NET PATIENT SERVICE REVENUE 900099 822246329 822246329 MEDICARE / MEDICAID 900099 732094558 732094558 MEDICAL RECORDS 900099 204489 204489 HEALTH EDUCATION 900099 91511 91511 ATHLETIC TRAINING 900099 54038 54038 70466 70466 1554761391 12270254 12270254 13621905 7916676 5705229 5705229 5705229 275875509 2330534 259986141 1583102 15889368 747432 16636800 16636800 3405143 941716 2463427 2463427 GAIN ON INTEREST SWAP ADJ 900099 4101034 4101034 PARKING 900099 1142550 1142550 FEMA REVENUE 900099 572906 572906 1872123 1872123 7688613 1604924367 1554761391 0 44764323 X 13266921 13266921 2213128 608691 1604437 3077365 1879473 1197892 406631108 395082108 11549000 90712713 87552286 3160427 31209612 30122271 1087341 29134714 28119662 1015052 346873 308772 38101 389127 389127 21545 21545 1341836 1341836 275299178 270152423 5146755 744890 744890 3542173 1575584 1966589 7574833 6713399 861434 30279225 28196351 2082874 220586 196376 24210 2500 2500 21964779 21964779 64340129 64279452 60677 4199320 4134812 64508 OPERATING SUPPLIES 340475496 340475496 HOSPITAL FRANCHISE TAX 37740831 37740831 REPAIRS AND MAINTENANCE 6179889 6149863 30026 ASSET IMPAIRMENT 2022338 2022338 6157577 5475173 682404 1379088686 1346761951 32326735 0 7653 200 96288282 101000300 283445160 242493288 5922911 5685047 13634127 12514011 11058538 12038526 1658386820 1146131634 520748035 512255186 292177191 311041346 131549335 131414122 9166332 9166332 115549777 131232290 1479547341 1468840648 125117389 110365996 2342925 1470035 2494724 3823377 640202824 631113037 23468223 36982284 115013129 105936587 908639214 889691316 X 570908127 579149332 570908127 579149332 1479547341 1468840648 X 225835681 9885645 -227480121 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 21545 0 0 0 21545 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION. 47473612 47473612 1048551600 729255513 319296087 7586581 3382532 4204049 519797463 413493589 106303874 34977564 34977564 512255186 ALTERNATIVE INVESTMENTS 131414122 F 131414122 INTERCOMPANY RECEIVABLE 92560947 AFFILIATES INVESTMENTS 23618545 OTHER A/R 9810400 REBATES RECEIVABLE 3696045 LEASE INVESTMENT 930888 DEFERRED COMPENSATION 563680 OTHER LT ASSETS 30000 DEPOSITS 21785 131232290 PENSION OBLIGATION 46964735 MALPRACTICE INSURANCE 24633982 LINE OF CREDIT 15000000 ACCRUED MANAGED CARE SETTLEMENT 4815102 SWAP LIABILITY 4543763 LEASE COMMITMENT 4028128 LOAN GUAR & OTHER LTL 2805936 WORKERS COMPENSATION 1323655 MEDICAL STAFF FEE ACCOUNT 877027 SUB CONT RES-SOUTH STRAT 645583 COMMUNITY ENGAGEMENT 253333 OTHER 45343 105936587 X PART X, LINE 2: THE FOLLOWING FOOTNOTE IS FROM THE 2024 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF MVH. 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 HOLDING COMPANY (PHHC) (WHOLLY OWNED SUBSIDIARY OF PHP) * MVHE, INC., (AND ITS WHOLLY OWNED SUBSIDARY EXTENDED CARE), SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (WHOLLY OWNED SUBSIDIARIES OF PHHC) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. CENTRAL AMERICA/CARIBBEAN 0 0 PROGRAM SERVICES INSURANCE 28000 0 0 0 0 0 0 28000 0 28000 0 0 0 0 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 29277000 13330000 15947000 0.01160 186470237 17237 186453000 0.13520 9026000 9026000 0.00650 224773237 13347237 211426000 0.15330 7650000 1914000 5736000 0.00420 60440000 60440000 0.04380 2364000 2364000 0.00170 70454000 1914000 68540000 0.04970 295227237 15261237 279966000 0.20300 1 66750888 202850000 213635000 -10785000 X 1 1 3 1 MIAMI VALLEY HOSPITAL ONE WYOMING ST DAYTON OH 45409 WWW.PREMIERHEALTH.COM 1247LH X X X X X A 2 MIAMI VALLEY HOSPITAL SOUTH 2400 MIAMI VALLEY DR CENTERVILLE OH 45459 WWW.PREMIERHEALTH.COM 1247LH X X X A 3 MIAMI VALLEY HOSPITAL NORTH 9000 N MAIN ST DAYTON OH 45415 WWW.PREMIERHEALTH.COM 1247LH X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X 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 B, LINE 5: THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CROSS-SECTIONAL IN NATURE AND INCLUDED AN ONLINE SURVEY OF ADULTS WITHIN THE GREATER DAYTON AREA. FROM THE BEGINNING, COMMUNITY LEADERS WERE ACTIVELY ENGAGED IN THE PLANNING PROCESS AND HELPED DEFINE THE CONTENT, SCOPE, AND SEQUENCE OF THE STUDY. ACTIVE ENGAGEMENT OF COMMUNITY MEMBERS THROUGHOUT THE PLANNING PROCESS IS REGARDED AS AN IMPORTANT STEP IN COMPLETING A VALID NEEDS ASSESSMENT. COMPARISONS TO LOCAL, STATE, AND NATIONAL DATA WERE MADE, ALONG WITH ALIGNMENT TO THE HEALTHY PEOPLE 2030 TARGET OBJECTIVES, WHEN APPLICABLE.SAMPLING:THE SAMPLING FRAME FOR THE ADULT SURVEY CONSISTED OF ADULTS AGES 18 AND OVER LIVING IN THE 10-COUNTY GREATER DAYTON AREA. THERE WERE 1,090,792 PERSONS AGES 18 AND OVER LIVING IN THE 10-COUNTY GREATER DAYTON AREA. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH A CORRESPONDING MARGIN OF ERROR OF 6% (I.E., WE CAN BE 95% SURE THAT THE "TRUE" POPULATION RESPONSES ARE WITHIN A 6% MARGIN OF ERROR OF THE SURVEY FINDINGS). A SAMPLE SIZE OF AT LEAST 267 ADULTS WAS NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE FOR THE GENERAL POPULATION.PROCEDURE:THE PRIMARY DATA COLLECTION TOOL USED WAS AN ONLINE SURVEY VIA SURVEY MONKEY. THE ADVISORY COMMITTEE ALSO PROVIDED PAPER SURVEYS TO SELECT POPULATIONS. THE ADVISORY COMMITTEE ESTABLISHED A RAFFLE WITH A VARIETY OF GIFT CARDS TO ENCOURAGE PARTICIPATION IN THE SURVEY. DATA COLLECTION OCCURRED FROM APRIL-JULY 2024, SEGMENTED INTO TWO MAJOR SAMPLING METHODOLOGIES: CONVENIENCE SAMPLING AND PURPOSEFUL SAMPLING. THE COMBINATION OF SAMPLING METHODOLOGIES WAS UTILIZED TO YIELD VALUABLE INSIGHTS REFLECTIVE OF EACH COUNTY'S UNIQUE CHARACTERISTICS.CONVENIENCE SAMPLING TOOK PLACE DURING THE FIRST THREE WEEKS OF DATA COLLECTION. THIS APPROACH ENABLED THE INCLUSION OF COMMUNITY MEMBERS WHO WERE EASILY ACCESSIBLE, SUCH AS RESIDENTS ATTENDING LOCAL EVENTS, USING PUBLIC SERVICES, OR INTERACTING WITH ONLINE PLATFORMS. THE PURPOSE OF THIS FIRST PHASE WAS TO ENABLE SWIFT DATA COLLECTION AND BROAD REPRESENTATION ACROSS VARIOUS SEGMENTS OF THE POPULATION.FOLLOWING CONVENIENCE SAMPLING, RESEARCHERS CONDUCTED A DEMOGRAPHIC ANALYSIS TO IDENTIFY UNDER-REPRESENTED POPULATIONS AMONG THE POOL OF RESPONDENTS. BY COMPARING THE DEMOGRAPHICS OF THE SURVEY RESPONDENTS TO U.S. CENSUS 2022 AMERICAN COMMUNITY SURVEY ESTIMATES, RESEARCHERS IDENTIFIED THE FOLLOWING UNDER-REPRESENTED POPULATIONS AMONG THE SURVEY RESPONDENTS: MALE RESPONDENTS, BLACK/AFRICAN AMERICAN AND HISPANIC RESPONDENTS, AND THOSE 60 AND OLDER LIVING IN DARKE, GREENE, MIAMI, MONTGOMERY, AND SHELBY COUNTIES.UTILIZING THE RESULTS OF THE DEMOGRAPHIC ANALYSIS, PURPOSEFUL SAMPLING TOOK PLACE OVER THE COURSE OF SIX WEEKS. THIS APPROACH TARGETED THE COLLECTION OF DATA FROM UNDER-REPRESENTED DEMOGRAPHIC GROUPS BY PROMOTING THE SURVEY IN AREAS THESE POPULATIONS FREQUENTED. EFFORTS INCLUDED IN-PERSON OUTREACH AT SPECIFIC LOCATIONS AND COLLABORATION WITH KEY COMMUNITY STAKEHOLDERS TO RAISE AWARENESS OF THE SURVEY.BY COMBINING THE APPROACHES OUTLINED ABOVE, RESEARCHERS AIMED TO CAPTURE A COMPREHENSIVE PICTURE OF THE 10-COUNTY GREATER DAYTON AREA POPULATION, ITS DYNAMICS, AND ITS VARIED PERSPECTIVES, CONTRIBUTING TO INFORMED DECISION-MAKING AND COMMUNITY-FOCUSED INITIATIVES WITHIN THE REGION. AFTER THOROUGHLY CLEANING THE ADULT DATA THAT WAS COLLECTED DURING THE THIRTEEN WEEKS, A TOTAL OF 2,175 RESPONSES WERE CONSIDERED VALID FOR ANALYSIS.THIS SAMPLE SIZE (N=2,175: CI= 2.10%) MEANS THAT THE RESPONSES IN THE ADULT HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE REGION AND EACH UNDERLYING COUNTY.NOTE: "N" REFERS TO THE TOTAL SAMPLE SIZE, "CI" REFERS TO THE CONFIDENCE INTERVAL. PART V, SECTION B, LINES 6A & 6B: MIAMI VALLEY HOSPITAL (MVH), MIAMI VALLEY HOSPITAL SOUTH, AND MIAMI VALLEY HOSPITAL NORTH COLLABORATED WITH THE OTHER MEMBER HOSPITALS OF THE GREATER DAYTON AREA HOSPITAL ASSOCIATION INCLUDING KETTERING MEDICAL CENTER, SYCAMORE MEDICAL CENTER, KETTERING BEHAVIORAL MEDICAL CENTER, GRANDVIEW MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SOIN MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, FORT HAMILTON HOSPITAL, ATRIUM MEDICAL CENTER, UPPER VALLEY MEDICAL CENTER, WILSON MEMORIAL HEALTH, WAYNE HEALTHCARE, MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER, AND MERCY HEALTH URBANA HOSPITAL. ADDITIONALLY, MVH COLLABORATED WITH OUR REGION'S PUBLIC HEALTH DEPARTMENTS, INCLUDING AUGLAIZE COUNTY HEALTH DEPARTMENT, CHAMPAIGN HEALTH DISTRICT, CLARK COUNTY COMBINED HEALTH DISTRICT, DARKE COUNTY GENERAL HEALTH DISTRICT, GREENE COUNTY HEALTH DEPARTMENT, MIAMI COUNTY PUBLIC HEALTH, PREBLE COUNTY HEALTH DEPARTMENT, PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY, AND SIDNEY-SHELBY COUNTY HEALTH DEPARTMENT. PART V, SECTION B, LINES 7A & 10A: THE WEBSITE ADDRESS WHERE THE CHNA AND THE RELATED IMPLEMENTATION STRATEGY CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/ABOUT-PREMIER/COMMUNITY-INVOLVEMENT/COMMUNITY-HEALTH-IMPROVEMENT PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPROVEMENT PLAN WORKGROUP IDENTIFIED THREE OVERARCHING PRIORITY AREAS SPANNING THE FULL CONTINUUM OF CARE:BARRIERS TO ACCESSING CARE: ADDRESSING SYSTEMIC AND LOGISTICAL OBSTACLES THAT PREVENT INDIVIDUALS FROM RECEIVING TIMELY AND APPROPRIATE HEALTHCARE. ELEVATING DELIVERY OF HEALTHCARE SERVICES: ENHANCING THE EFFICIENCY, COORDINATION, AND QUALITY OF HEALTHCARE SERVICES ACROSS THE REGION. WELLBEING AND QUALITY OF LIFE: ADDRESSING FACTORS THAT CONTRIBUTE TO LONG-TERM PHYSICAL, MENTAL, AND SOCIAL WELLBEING. FOR EACH PRIORITY AREA, TARGETED STRATEGIES WERE DEVELOPED TO DRIVE MEANINGFUL IMPROVEMENTS. WHILE MANY STRATEGIES ARE SPECIFIC TO EACH FOCUS AREA, TWO CROSS-CUTTING THEMES EMERGED AS CRITICAL ACROSS ALL PRIORITIES: ADVOCACY AND SOCIAL DETERMINANTS OF HEALTH (SDOH).SDOH: SUCH AS ECONOMIC STABILITY, EDUCATION, AND ACCESS TO NUTRITIOUS FOOD-PROFOUNDLY INFLUENCE PATIENT OUTCOMES AND HEALTHCARE COSTS. HOSPITALS PLAY A VITAL ROLE IN CONNECTING PATIENTS TO COMMUNITY-BASED ORGANIZATIONS AND NONPROFIT RESOURCES THAT CAN MEET THESE NEEDS. ADDRESSING SDOH IS ESSENTIAL FOR REDUCING HEALTH DISPARITIES, IMPROVING PREVENTIVE CARE, AND FOSTERING A HEALTHIER, MORE EQUITABLE DAYTON REGION.ADVOCACY: BY CHAMPIONING POLICIES THAT SUPPORT EQUITABLE HEALTHCARE ACCESS, FUNDING FOR PUBLIC HEALTH INITIATIVES, AND STRONGER COMMUNITY PARTNERSHIPS, HOSPITALS AND STAKEHOLDERS CAN HELP SHAPE A HEALTHCARE ENVIRONMENT THAT BETTER SERVES THE NEEDS OF ALL DAYTON RESIDENTS. COLLABORATIVE ADVOCACY EFFORTS WILL BE ESSENTIAL IN DRIVING POLICY CHANGES THAT SUPPORT THE LONG-TERM SUCCESS OF THE CHIP.REGIONAL PRIORITY #1:BARRIERS TO ACCESSING CARE (1A):EDUCATE & INFORM PATIENTS ON THEIR HEALTH CARE BENEFITS AND OPTIONSTHIS STRATEGY FOCUSES ON EQUIPPING PATIENTS WITH THE KNOWLEDGE THEY NEED TO MAKE INFORMED DECISIONS REGARDING THEIR HEALTHCARE PLANS, SERVICES, AND COVERAGE. BY ENHANCING PATIENT UNDERSTANDING, WE AIM TO REDUCE CONFUSION, IMPROVE ACCESS TO CARE, AND INCREASE OVERALL SATISFACTION WITH HEALTHCARE SERVICES.THE HOSPITALS OF THE DAYTON REGION PLAN TO WORK COLLABORATIVELY TO INCREASE THE DAYTON REGION'S HEALTH LITERACY AND THE NUMBER OF INDIVIDUALS REACHED THROUGH HEALTH LITERACY PROGRAMMING (WITH AN EMPHASIS ON UNDERINSURED AND UNINSURED POPULATIONS).OUR ACTION ITEMS WILL BE TO STANDARDIZE HOW HEALTH LITERACY IS MEASURED AND TRACKED, AND TO HAVE A REGIONAL CAMPAIGN TO EDUCATE/INFORM (RE: HEALTHCARE OPTIONS, INSURANCE BENEFITS, COVERAGE TRANSITIONS, ETC.).PARTNER WITH CHAMBER AND BUSINESS COMMUNITY TO EDUCATE ON INSURANCE TRANSITIONS PART V, SECTION B, LINE 11: (CONTINUED) BARRIERS TO ACCESSING CARE (1B):INCREASE ACCESS & AVAILABILITY OF CARE OPTIONS, WITH FOCUS ON UNINSURED AND UNDERINSURED INDIVIDUALSTHIS STRATEGY AIMS TO REDUCE HEALTH CARE DISPARITIES BY EXPANDING ACCESS TO CARE OPTIONS AND ENSURING THAT THESE INDIVIDUALS CAN OBTAIN THE SERVICES THEY NEED, REGARDLESS OF THEIR INSURANCE STATUS. BY FOCUSING ON THE NEEDS OF THE UNDERSERVED POPULATIONS, WE WILL ENHANCE THE AVAILABILITY OF ESSENTIAL HEALTH CARE SERVICES AND SUPPORT SYSTEMS THAT FACILITATE IMPROVED HEALTH OUTCOMES.THE HOSPITALS OF THE DAYTON REGION PLAN TO WORK COLLABORATIVELY TO INCREASE HEALTH SCREENINGS IN UNDERSERVED ZIP CODES.OUR ACTION ITEMS WILL BE TO REVIEW AND ANALYZE POPULATION AND VISIT DATA TO AID IN IDENTIFICATION OF AREAS WITH HIGHEST NEED FOR SCREENING, DEVELOP ALTERNATIVE MODELS OF CARE (I.E., MOBILE CLINICS), AND FOCUS ON AVAILABILITY (I.E., WAIT TIMES), AND CONSIDER FLEXIBLE OPTIONS FOR CARE (I.E., URGENT, WALK-IN, ETC.) MEDICAL, DENTAL, MENTAL HEALTHSTRATEGIC INITIATIVES:PROGRAM: COMMUNITY HEALTH VOUCHERSDESCRIPTION: PROVIDES FINANCIAL AID FOR BREAST AND CERVICAL CANCER SCREENINGS.ELIGIBILITY: UNINSURED/UNDERINSURED WITH INCOME LESS THAN OR EQUAL TO 400% FPL. COVERED SERVICES: MAMMOGRAMS, BIOPSIES, PAP TESTS, ULTRASOUNDS, AND MORE.GOAL: EARLY CANCER DETECTION FOR SUCCESSFUL TREATMENT.OUTCOMES:3-YEAR PROJECTION: 150 WOMEN SYSTEM-WIDE SERVED. EXPANSION EFFORTS: PREMIER HEALTH WORKING TO INCREASE PROVIDER CONTRACTS FOR CERVICAL SERVICES. ENROLLMENT TREND: CLIENT NUMBERS STEADY DESPITE THE HEALTH CARE MARKETPLACE CHANGES.PARTNERS & RESOURCES:ATRIUM MEDICAL CENTER FOUNDATION, GOOD SAMARITAN FOUNDATION-DAYTON, UVMC FOUNDATION, MIAMI VALLEY HOSPITAL FOUNDATION (HELP HER FIGHT), BREAST CANCER FOUNDATION, KUHNS BROTHERS AND FIVE RIVERS HEALTH CENTERS PROGRAM SITES: MAGNOLIA WOMEN'S HEALTH, FIVE RIVERS HEALTH CENTER, ATRIUM MEDICAL CENTER, UPPER VALLEY MEDICAL CENTER, MIAMI VALLEY HOSPITAL, MIAMI VALLEY NORTH, MIAMI VALLEY SOUTH PART V, SECTION B, LINE 11: (CONTINUED) PROGRAM: BCCP GRANT PROGRAMTHE BREAST AND CERVICAL CANCER PROJECT'S PATIENT NAVIGATION PROGRAM HELPS WOMEN ACCESS CANCER SCREENINGS, PROVIDERS, AND RESOURCES.ASSISTS TO ANSWER QUESTIONS ABOUT APPOINTMENTS, INSURANCE, AND MORE.IMPROVES ACCESS FOR EARLY DETECTION OF BREAST AND CERVICAL CANCERS AND IMPROVES TREATMENT SUCCESS.OUTCOMES: INCREASE ACCESS FOR UN-INSURED AND UNDERINSURED COMMUNITY MEMBERS WHO FALL WITHIN THE ELIGIBILITY GUIDELINES. (PREMIER HEALTH PROVIDES IN-KIND SUPPORT FOR OFFICE SPACE AND ADMINISTRATIVE SUPPORT.)PARTNERS & RESOURCES:ATRIUM MEDICAL CENTER FOUNDATION, GOOD SAMARITAN FOUNDATION-DAYTON, UVMC FOUNDATION, MIAMI VALLEY HOSPITAL FOUNDATION (HELP HER FIGHT), BREAST CANCER FOUNDATION, KUHNS BROTHERS AND FIVE RIVERS HEALTH CENTERS PROGRAM SITES: MAGNOLIA WOMEN'S HEALTH, FIVE RIVERS HEALTH CENTER, ATRIUM MEDICAL CENTER, UPPER VALLEY MEDICAL CENTER, MIAMI VALLEY HOSPITAL, MIAMI VALLEY NORTH, MIAMI VALLEY SOUTHPROGRAM: VACCINES FOR CHILDRENTHE PREMIER COMMUNITY HEALTH VACCINES FOR CHILDREN (VFC) MOBILE PROGRAM PROVIDES ROUTINE CHILDHOOD IMMUNIZATIONS TO UNINSURED, UNDERINSURED, AND MEDICAID-ELIGIBLE CHILDREN IN UNDERSERVED COMMUNITIES THROUGH MOBILE CLINICS AT SCHOOLS AND COMMUNITY CENTERS. THE VFC PROGRAM TARGETS CHILDREN (0-18) IN UNDERSERVED AREAS, ADDRESSING ACCESS BARRIERS LIKE TRANSPORTATION AND COST. PROVIDES EDUCATION ON VACCINE SAFETY AND IMMUNIZATION SCHEDULES AND CONNECTS FAMILIES TO ONGOING HEALTH CARE AND FOLLOW-UP SUPPORT.OUTCOMES: NUMBER OF CHILDREN VACCINATED THROUGH THE MOBILE PROGRAM INCREASE IN IMMUNIZATION RATES IN TARGET COMMUNITIES NUMBER OF VACCINE OUTREACH AND EDUCATION SESSIONS PROVIDED REDUCTION IN SCHOOL-ENTRY VACCINE NON-COMPLIANCE RATES NUMBER OF FAMILIES CONNECTED TO PRIMARY CARE PROVIDERS FOR ONGOING PREVENTIVE CAREPARTNERS & RESOURCES:AREA SCHOOLS, EARLY LEARNING CENTERS, FAITH-BASED ORGANIZATIONS, AND PUBLIC HOUSING SITESREGIONAL PRIORITY #2ELEVATING DELIVERY OF HEALTH CARE SERVICESEDUCATE & INFORM PATIENTS ON THEIR HEALTH CARE BENEFITS AND OPTIONSOUR GREATER DAYTON HOSPITALS PLAY A VITAL ROLE IN ADDRESSING CHRONIC DISEASE, MATERNAL AND INFANT HEALTH, AND BEHAVIORAL HEALTH. THIS PRIORITY AREA WILL ADVANCE THE GREATER DAYTON REGION'S COMMUNITY HEALTH THROUGH ENHANCED HEALTH CARE SERVICES. IT WILL HELP PATIENTS NAVIGATE LONG-TERM CONDITIONS, REDUCE PREVENTABLE COMPLICATIONS, ENSURE HEALTHIER PREGNANCIES AND BIRTHS, AND ADDRESS THE GROWING NEED FOR COMPREHENSIVE BEHAVIORAL HEALTH SERVICES.ELEVATING DELIVERY OF HEALTH CARE SERVICES (2A):THIS STRATEGY SUPPORTS CHRONIC DISEASE MANAGEMENT THROUGH A COMPREHENSIVE APPROACH DESIGNED TO ENHANCE PATIENT OUTCOMES AND ENCOURAGE SELF-MANAGEMENT.OUTCOMES:REDUCE ACUTE CARE DAYS FOR CHRONIC DISEASE CARE (BASED ON MOST PREVALENT CHRONIC DISEASE IN COUNTY) REDUCE ED ADMISSIONS RELATIVE TO CHRONIC DISEASE DIAGNOSESFOCUS ON SCHOOL EDUCATION AND PREVENTATIVE SCREENINGSACTION ITEMS:SHARE CHRONIC DISEASE MANAGEMENT PROGRAM/SERVICE INFORMATION MORE BROADLY ACROSS HOSPITALS, PUBLIC HEALTH DEPARTMENTS LEVERAGE ACCESS TO REGIONAL HEALTH CARE DATA TO INFORM COMMUNITIES OR POPULATIONS OF HIGHEST NEED TO INFORM OPPORTUNITIES FOR PROGRAM DEVELOPMENT OR PARTNERSHIPCONSIDER REMOTE MONITORING OR TELEHEALTH EXPLORE HOW PUBLIC HEALTH DEPARTMENT PROGRAMMING COULD SUPPORT CHRONIC DISEASE PATIENTS WITH ONGOING MANAGEMENT AND PREVENTION PART V, SECTION B, LINE 11: (CONTINUED) PROGRAM: COMMUNITY HEALTH AND MOBILE CLINIC PROGRAMMINGPREMIER HEALTH'S COMMUNITY HEALTH PROGRAMMING AIMS TO IMPROVE CARDIOVASCULAR AND DIABETES PREVENTION THROUGH SCREENINGS, EDUCATION, AND RESOURCE NAVIGATION FOR AT-RISK POPULATIONS. THE PROGRAM PROVIDES BOTH IN-PERSON AND VIRTUAL EVENTS TO PROMOTE EARLY DETECTION, LIFESTYLE CHANGES, AND CHRONIC DISEASE MANAGEMENT IN UNDERSERVED COMMUNITIES.PROGRAM COMPONENTS: PREVENTIVE SCREENINGS (BLOOD PRESSURE, BMI, CHOLESTEROL, ETC.) AT COMMUNITY EVENTS AND VIA MOBILE CLINICONE-ON-ONE HEALTH COACHING AND GROUP EDUCATION ON CHRONIC DISEASE MANAGEMENTCOMMUNITY RESOURCE NAVIGATION FOR SDOH NEEDS VIRTUAL "TUESDAY TALKS" HEALTH FOCUSED WEBINARS ON HEALTHOUTCOMES:NUMBER OF COMMUNITY MEMBERS SCREENED FOR CARDIOVASCULAR AND DIABETES RISK FACTORS PERCENTAGE OF HIGH-RISK INDIVIDUALS REFERRED TO PROVIDERSENGAGEMENT LEVELS IN "TUESDAY TALKS" VIRTUAL EDUCATION SERIESINCREASED HEALTHCARE ACCESS FOR PROGRAM PARTICIPANTSPARTNERS & RESOURCES:LOCAL COMMUNITY ORGANIZATIONS, CHURCHES, SENIOR CENTERS, MIDDLETOWN CONNECT WALK WITH A DOC, COMMUNITY HEALTH WELLNESS PROGRAM, CITY OF STARS BARBERSHOP, DEEEZ CUTTZ BARBERSHOP, MAN UP BARBERSHOP, HEADLINERS BARBERSHOP, NAKEDA 7 SPA, R. ANTHONY HAIR SALON, RON WEST BARBERING SCHOOL, SERENITY SALON, STYLZES BARBERSHOP, X-QUISITE BARBERSHOP & BARBERING SCHOOLPROGRAM: BARBERSHOP HEALTH INITIATIVETHE PREMIER COMMUNITY HEALTH BARBERSHOP INITIATIVE PROVIDES PREVENTIVE SCREENINGS, EDUCATION, AND RESOURCE NAVIGATION AT BARBERSHOPS TO ADDRESS HEALTH DISPARITIES, PARTICULARLY FOR AFRICAN AMERICAN MEN AT RISK FOR CHRONIC CONDITIONS. PROGRAM COMPONENTS:ON-SITE HEALTH SCREENINGS AND COACHINGBARBER TRAINING FOR HEALTH ADVOCACYCULTURALLY TAILORED EDUCATION ON DISEASE PREVENTIONOUTCOMES:NUMBER OF BARBERSHOPS PARTICIPATING IN THE INITIATIVE NUMBER OF INDIVIDUALS SCREENED AND REFERRED TO FOLLOW-UP CAREINCREASE ENGAGEMENT IN PREVENTIVE HEALTHCARE AND PRIMARY CARE IMPROVE BARBERS' ENGAGEMENT AND IMPACT AS PEER HEALTH ADVOCATESPARTNERS & RESOURCES:CITY OF STARS BARBERSHOP, DEEEZ CUTTZ BARBERSHOP, MAN UP BARBERSHOP, HEADLINERS BARBERSHOP, NAKEDA 7 SPA, R. ANTHONY HAIR SALON, RON WEST BARBERING SCHOOL, SERENITY SALON, STYLZES BARBERSHOP, X-QUISITE BARBERSHOP & BARBERING SCHOOL PART V, SECTION B, LINE 11: (CONTINUED) PROGRAM: TELEHEALTH PROGRAM - REMOTE PATIENT MONITORINGTHE REMOTE PATIENT MONITORING (RPM) PROGRAM IMPROVES HEALTH OUTCOMES FOR PATIENTS IN RURAL AND LOW-INCOME URBAN AREAS BY OFFERING CONTINUOUS MONITORING FOR CHRONIC CONDITIONS, REDUCING HOSPITAL READMISSIONS AND HEALTH CARE DISPARITIES.PROGRAM COMPONENTS: HOME MONITORING DEVICES, TELEHEALTH CHECK-INS, 24/7 MONITORING, NURSE-LED COACHING, AND SUPPORT FOR MEDICATION ADHERENCE. COLLABORATION WITH COMMUNITY ORGANIZATIONS TO REACH VULNERABLE POPULATIONS.HEALTH EQUITY: FREE EQUIPMENT, MULTI-LINGUAL SUPPORT, AND DIGITAL LITERACY.OUTCOMES:REDUCTION IN HOSPITAL READMISSIONS AND EMERGENCY DEPARTMENT VISITSIMPROVEMENTS IN PATIENT ADHERENCE TO MEDICATION AND CARE PLANS PATIENT-REPORTED IMPROVEMENTS IN HEALTH STATUS AND QUALITY OF LIFEPARTNERS & RESOURCES:AREA HOSPITALS, PHYSICIANS, COMMUNITY ORGANIZATIONSPROGRAM: WSU BOONSHOFT SCHOOL OF MEDICINE STREET MEDICINE PROGRAMTHE STREET MEDICINE PROGRAM IS A COLLABORATIVE INITIATIVE BETWEEN WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE AND PREMIER HEALTH TO PROVIDE DIRECT, HIGH-QUALITY MEDICAL CARE TO INDIVIDUALS EXPERIENCING HOMELESSNESS AND EXTREME POVERTY IN DAYTON, OHIO. CARE IS DELIVERED BY WRIGHT STATE UNIVERSITY BSOM AT THE DREAM CENTER ONE DAY PER WEEK, WITH A GOAL OF EXPANDING SERVICES AS THE PROGRAM GROWS.THIS INITIATIVE ADDRESSES SIGNIFICANT GAPS IN HEALTHCARE ACCESS FOR DAYTON'S MOST VULNERABLE RESIDENTS BY OFFERING ON-SITE CARE AT A TRUSTED COMMUNITY LOCATION. THROUGH THE PREMIER COMMUNITY HEALTH MOBILE CLINIC, THIS PROGRAM MEETS PATIENTS WHERE THEY ARE, REDUCING BARRIERS RELATED TO TRANSPORTATION, INSURANCE, AND SYSTEMIC DISTRUST IN TRADITIONAL HEALTHCARE SETTINGS.OUTCOMES:INCREASED ACCESS TO HEALTHCAREREDUCTION IN ER UTILIZATIONINCREASED HEALTH LITERACYPARTNERS & RESOURCES:WSU, PREMIER HEALTH, PREMIER COMMUNITY HEALTH, PREMIER PHYSICIANS NETWORK, THE DREAM CENTER, CARESOURCEELEVATING DELIVERY OF HEALTH CARE (2B):ENHANCE THE QUALITY AND ACCESSIBILITY OF PRENATAL CARE TO EXPECTANT MOTHERS AND EDUCATE ON ITS' IMPORTANCEENHANCING THE QUALITY AND ACCESSIBILITY OF PRENATAL CARE IS CRITICAL FOR ENSURING THE HEALTH AND WELL-BEING OF BOTH EXPECTANT MOTHERS AND THEIR BABIES. A WELL-ROUNDED STRATEGY TO IMPROVE PRENATAL CARE FOCUSES ON PROVIDING COMPREHENSIVE, PERSONALIZED CARE, REMOVING BARRIERS TO ACCESS, AND EDUCATING MOTHERS ABOUT THE IMPORTANCE OF PRENATAL CARE THROUGHOUT THEIR PREGNANCY.OUTCOMES:DECREASE PRE-TERM BIRTHSDECREASE LOW WEIGHT BIRTHSIMPROVED BIRTH OUTCOMESINCREASE # OF MOTHERS RECEIVING PRENATAL CARE IN FIRST TRIMESTERACTION ITEMS:DEVELOP REGIONAL RESOURCES AND BEST PRACTICES TO HELP PATIENTS UNDERSTAND IMPORTANCE OF MATERNAL AND INFANT HEALTH CONTINUE TO STRENGTHEN REGIONAL AND LOCAL PARTNERSHIPS WITH ALL LEVELS OF CARE AND SUPPORT FOR PREGNANT INDIVIDUALS (I.E. DOULAS, COMMUNITY ORGANIZATIONS, HEALTHCARE PROVIDERS)EARLY SCREENING FOR HIGH-RISK PREGNANCIESNUTRITIONAL COUNSELINGMATERNAL EDUCATIONPROGRAM: HELP ME GROW, BRIGHTER FUTURESHELP ME GROW BRIGHTER FUTURES (HMGBF) HOME VISITING IS A VOLUNTARY, HOME-BASED SERVICE THAT PROVIDES SOCIAL, EMOTIONAL, HEALTH-RELATED AND PARENTING SUPPORT AND INFORMATION TO FAMILIES AND LINKS THEM TO APPROPRIATE RESOURCES. OUR PROGRAMS SERVE FAMILIES WITH CHILDREN UP TO AGE THREE.HMGBF IS AN OPERATING ENTITY OF GDAHA. PREMIER HEALTH SUPPORTS THIS PROGRAM BY PROVIDING RESOURCES FOR SALARY AND BENEFITS AS A PART OF A COMMUNITY COLLABORATION.OUTCOMES:CASELOAD GOAL: SERVE 1,770 FAMILIES IN 2025.INFANT MORTALITY: REDUCE RACIAL DISPARITIES IN INFANT MORTALITY, ESPECIALLY AMONG AFRICAN AMERICAN INFANTS.PARTNERS & RESOURCES:GREATER DAYTON AREA HOSPITAL ASSOCIATION, KETTERING HEALTH NETWORK, LIFE STAGES CENTERING, FIVE RIVERS HEALTH CENTERS, SOUTHVIEW WOMEN'S CENTER, GRANDVIEW WOMEN'S CENTER, PUBLIC HEALTH, PHYSICIAN OFFICES, AND A VARIETY OF COMMUNITY PROGRAM SUCH AS THE WESLEY CENTER, ELIZABETH NEW LIFE, MIAMI VALLEY CHILD DEVELOPMENT CENTER, PROMISE TO HOPE, LIFE RESOURCE CENTER, AND FAMILY SERVICE AGENCY PART V, SECTION B, LINE 11: (CONTINUED) PROGRAM: PROMISE TO HOPETHE PROGRAM PROVIDES MULTIDISCIPLINARY CARE FOR PREGNANT WOMEN WITH SUBSTANCE USE OR OPIATE USE DISORDERS TO IMPROVE MATERNAL AND INFANT HEALTH. GOALS INCLUDE REDUCING OVERDOSE DEATHS, SUPPORTING SUCCESSFUL PARENTING, AND INCREASING BREASTFEEDING RATES FOR MOTHERS IN RECOVERY. PROVIDING MEDICATION ASSISTED TREATMENT (MAT), PERSONALIZED CARE, RECOVERY SUPPORT, AND PRENATAL/POST-PARTUM SERVICES THROUGH PROMISE TO HOPE. TO ENSURE HEALTHY OUTCOMES, PREGNANT WOMEN WITH SUBSTANCE USE DISORDER OR OPIATE USE DISORDER REQUIRE A MULTIDISCIPLINARY APPROACH WITH CONNECTION TO COMMUNITY RESOURCES.OUTCOMES:MEASURE THE TOTAL CLIENTS SERVED PER YEARREDUCE OVERDOSE DEATHS IMPROVE INFANT HEALTH INCREASE BREASTFEEDING RATES FOR MOTHERS IN RECOVERYPARTNERS & RESOURCES:ADAMHS BOARD OF MONTGOMERY COUNTY, JOSHUA RECOVERY MINISTRIES, BRIGID'S PATH, NOVA BEHAVIORAL HEALTH, BERRY HEALTH CENTER, FAMILY TREATMENT COURT, CARESOURCE, AND FRESH STARTELEVATING DELIVERY OF HEALTH CARE (2C):SUPPORT MENTAL HEALTH & SUBSTANCE USE DISORDER INTERVENTIONSSUPPORTING MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) INTERVENTIONS REQUIRES A COMPREHENSIVE, MULTI-TIERED STRATEGY THAT ADDRESSES BOTH THE IMMEDIATE AND LONG-TERM NEEDS OF INDIVIDUALS AFFECTED BY THESE ISSUES. THE GOAL IS TO CREATE AN INTEGRATED SYSTEM OF CARE THAT NOT ONLY PROVIDES TREATMENT FOR MENTAL HEALTH AND SUD BUT ALSO PROMOTES PREVENTION, EARLY INTERVENTION, AND ONGOING SUPPORT.OUTCOMES:INCREASE MEDICAL PROVIDER BEHAVIORAL HEALTH LITERACYINCREASE NUMBER OF PCPS SCREENING FOR BEHAVIORAL HEALTH NEEDSACTION ITEMS:STANDARDIZE SCREENING AND DATA COLLECTION/TRACKING MECHANISM FOR MENTAL HEALTH ACROSS HEALTHCAREWORK WITH PCPS/MEDICAL CARE PROVIDERS TO INTEGRATE BEHAVIORAL HEALTH SERVICESCREATE REGIONAL BEST PRACTICE FOR ADDRESSING BEHAVIORAL HEALTH ALONGSIDE MEDICAL CARE CONSIDER TRAUMA INFORMED CARE TRAINING FOR HEALTH CARE PROVIDERSINTEGRATE BEHAVIORAL HEALTH SERVICES PART V, SECTION B, LINE 11: (CONTINUED) PROGRAM: SMOKING CESSATION PROGRAM (LIVING SMOKE FREE)THE SMOKING CESSATION PROGRAM PROVIDES SUPPORT ON TOBACCO-RELATED HEALTH ISSUES, TRIGGERS, AND WELL-BEING. IT MEETS WEEKLY FOR FIVE WEEKS IN A GROUP SETTING PROVIDING COUNSELING AND SUPPORT TO PATIENTS, TO HELP THEM QUIT SMOKING.OUTCOMES:INCREASE NUMBER OF PARTICIPANTS REPORTING REDUCTION IN NICOTINE USEPARTNERS & RESOURCES:PREMIER HEALTH PHYSICIAN NETWORK, COMMUNITY HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONSPROGRAM: SUBSTANCE USE NAVIGATORSPREMIER HEALTH'S SUBSTANCE USE NAVIGATOR (SUN) PROGRAM ASSISTS EMERGENCY DEPARTMENT PATIENTS WITH SUBSTANCE USE ASSESSMENTS AND CONNECTS THEM TO TREATMENT AND SUPPORT SERVICES BY USING NAVIGATORS EXPERIENCED IN SUBSTANCE USE DISORDER, NURSING, OR SOCIAL WORK.OUTCOMES:INCREASE NUMBER OF PATIENTS SERVEDIMPROVED CONNECTIONS TO ONGOING TREATMENTPARTNERS & RESOURCES:AREA TREATMENT PROGRAMS, SBHI, TRI COUNTY MENTAL HEALTH BOARD, COUNTY PUBLIC HEALTHREGIONAL PRIORITY #3WELL-BEING AND QUALITY OF LIFE ENCOURAGE HEALTHY BEHAVIORS & EDUCATE ON A HEALTHY LIFESTYLETHERE IS AN OPPORTUNITY TO PROACTIVELY SUPPORT AND ENCOURAGE THE WELLBEING OF THOSE WHO LIVE IN THE GREATER DAYTON AREA. WELLBEING (OR LACK THEREOF) IS VIEWED AS AN UNDERLYING DRIVER OF HEALTH CHOICES AND OUTCOMES. A SHARED FOCUS ON THIS PRIORITY AREA CAN ENCOURAGE INDIVIDUALS TO ADOPT HEALTHIER LIFESTYLES, LEADING TO LONG-TERM IMPROVEMENTS IN PHYSICAL AND MENTAL WELL-BEING.WELL-BEING AND QUALITY OF LIFE (3A):ENCOURAGE HEALTHY BEHAVIORS & EDUCATE ON A HEALTHY LIFESTYLEENCOURAGING HEALTHY BEHAVIORS AND EDUCATING INDIVIDUALS ABOUT A HEALTHY LIFESTYLE IS KEY TO IMPROVING OVERALL PUBLIC HEALTH, PREVENTING CHRONIC DISEASES AND PROMOTING LONG-TERM WELL-BEING. THE STRATEGY INVOLVES A MULTI-PRONGED APPROACH THAT NOT ONLY PROVIDES INFORMATION BUT ALSO CREATES ENVIRONMENTS AND SYSTEMS THAT SUPPORT HEALTHY CHOICES.OUTCOMES:INCREASING HEALTH LITERACY IN RELATION TO HEALTHY BEHAVIORS / MAKING INFORMED DECISIONS ABOUT LIFESTYLE CHOICESIMPROVE A1CS AND METABOLIC PANEL VALUES DECREASE BMI OVER ALL PATIENTSACTION ITEMS:FOCUS ON YOUTH EDUCATION ON HEALTHY BEHAVIORS AND LIFESTYLES PROMOTE EXERCISE, FOOD CHOICES, SELF-CARE, MINDFULNESS, YOUTH ACTIVITIES/SPORTS, ETC. CONSIDER SCHOOL-BASED PARTNERSHIPS TO EDUCATE YOUTHPROGRAM: COMMUNITY BENEFITS GRANT PROGRAMPREMIER HEALTH'S GRANT PROGRAM SUPPORTS COMMUNITY HEALTH IMPROVEMENT AND SAFETY BY ADDRESSING ACCESS TO HEALTH SERVICES, SOCIAL DETERMINANTS, AND HEALTH DISPARITIES. GRANTS RANGE FROM $500 TO $8,000 AND PRIORITIZE PROJECTS THAT ALIGN WITH PREMIER HEALTH'S GOALS AND INVOLVE COMMUNITY ENGAGEMENT.GRANTS RANGE FROM $500 TO $8,000.FOCUS AREAS INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, AND HEALTH EQUITY. EMPHASIZES COMMUNITY INVOLVEMENT AND DATA-DRIVEN, EVIDENCE-BASED SOLUTIONS.OUTCOMES:IMPROVE HEALTH SERVICES, PUBLIC HEALTH, AND KNOWLEDGE.ADDRESS ROOT CAUSES LIKE POVERTY AND HOMELESSNESSPARTNERS & RESOURCES:AREA NONPROFIT COMMUNITY-BASED ORGANIZATIONS 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. 22 1 - AUSTIN BOULEVARD EMERGENCY CENTER 300 AUSTIN W BLVD MIAMISBURG OH 45342 EMERGENCY CENTER, DIAGNOSTIC & IMAGING 2 - JAMESTOWN EMERGENCY CENTER 4940 COTTONVILLE RD JAMESTOWN OH 45335 EMERGENCY CENTER, CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING, REHAB 3 - BULL FAMILY DIABETES CENTER 400 SUGAR CAMP CIR OAKWOOD OH 45409 DIABETES CENTER 4 - MIAMI VALLEY HOSPITAL BEAVERCREEK EMERGE 2400 LAKEVIEW DR BEAVERCREEK OH 45431 EMERGENCY CENTER 5 - CARDIAC TESTING AND CARDIAC REHAB 1244 MEADOW BRIDGE DR BEAVERCREEK OH 45434 CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING 6 - OUTPATIENT CARDIAC TESTING & REHAB 122 WYOMING ST DAYTON OH 45409 CARDIAC TESTING & REHAB 7 - HEALTH CENTER - HUBER HEIGHTS 6251 MIAMI VALLEY WAY HUBER HEIGHTS OH 45424 CARDIAC TESTING, DIAGNOSTIC & IMAGING, REHAB 8 - MVH CENTER - GREENVILLE 742 SWEITZER ST GREENVILLE OH 45331 CARDIAC TESTING, DIAGNOSTIC & IMAGING 9 - REHABILITATION AT SURECARE MED CENTER 360 W CENTRAL AVE SPRINGBORO OH 45066 REHABILITATION, DIAGNOSTIC, & IMAGING 10 - DAYTON HEART CENTER 1530 NEEDMORE RD 301 HUBER HEIGHTS OH 45414 DIAGNOSTIC & IMAGING 11 - MVH MEDICAL IMAGING - SPRINGBORO 630 N MAIN ST SPRINGBORO OH 45066 DIAGNOSTIC & IMAGING 12 - PHYSICAL THERAPY NEAR UNIVERSITY OF DAYT 1715 BROWN ST DAYTON OH 45409 PHYSICAL THERAPY 13 - NORTHWEST HEALTH AND WELLNESS CAMPUS 2649 SALEM AVE 540 DAYTON OH 45406 DIAGNOSTIC & IMAGING 14 - CLAYBOURNE PHYSICAL THERAPY CLINIC 1525 E STROOP RD KETTERING OH 45429 REHABILITATION 15 - OUTPATIENT PHYSICAL THERAPY & SPORTS MED 90 REMICK BLVD SPRINGBORO OH 45066 REHABILITATION & SPORTS MEDICINE 16 - MVH CENTER FOR SLEEP & WAKE DISORDER 6611 CLYO RD CENTERVILLE OH 45459 SLEEP CENTER 17 - PREMIER OCCUPATIONAL HEALTH CENTRAL 1520 S MAIN ST DAYTON OH 45409 OCCUPATIONAL HEALTH 18 - OCCUPATIONAL HEALTH IN DAYTON 25 E FORAKER ST DAYTON OH 45409 OCCUPATIONAL HEALTH 19 - GREATER DAYTON CANCER CENTER 3120 GOVERNORS PLACE BLVD DAYTON OH 45409 CANCER CARE 20 - SLEEP SERVICES IN HUBER HEIGHTS 7371 BRANT PIKE HUBER HEIGHTS OH 45424 SLEEP CENTER 21 - SLEEP SERVICES AT MIAMI VALLEY HOSP 30 E APPLE ST DAYTON OH 45409 SLEEP CENTER 22 - CANCER CARE OF GREENVILLE 1111 SWEITZER ST SUITE E GREENVILLE OH 45331 CANCER CARE PART I, LINE 3C: FINANCIAL ASSISTANCE IS ONLY PROVIDED FOR CARE THAT IS DEEMED EMERGENCY CARE OR MEDICALLY NECESSARY CARE AND AFTER PATIENTS HAVE BEEN FOUND TO MEET ESTABLISHED FINANCIAL CRITERIA OUTLINED IN THE FINANCIAL ASSISTANCE POLICY. PREMIER HEALTH HOSPITALS OFFER BOTH FREE CARE AND DISCOUNTED CARE, DEPENDING ON AN INDIVIDUAL'S FAMILY SIZE AND INCOME AS A PERCENT OF THE FEDERAL POVERTY GUIDELINES. ADDITIONALLY, PREMIER HEALTH HOSPITALS MAY USE A FAMILY'S ASSETS TO DETERMINE WHETHER A PATIENT MEETS THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. PATIENTS RECEIVING A DISCOUNT ARE EXPECTED TO PAY THEIR REMAINING BALANCE, AND MAY WORK WITH PREMIER HEALTH HOSPITALS' FINANCIAL COUNSELORS TO SET UP A PAYMENT PLAN BASED ON THEIR FINANCIAL SITUATION.IN ADDITION TO COMPLETING THE APPLICATION, INDIVIDUALS SHOULD BE PREPARED TO SUPPLY THE FOLLOWING DOCUMENTATION:A) PROOF OF INCOME FOR APPLICANT (AND SPOUSE IF APPLICABLE) SUCH AS A PAY STUB, UNEMPLOYMENT INSURANCE PAYMENT STUBS, OR SUFFICIENT INFORMATION ON HOW PATIENTS ARE CURRENTLY FINANCIALLY SUPPORTING THEMSELVES.B) BANK STATEMENTC) SOCIAL SECURITY STATEMENTD) TAX RETURN - SCHEDULE C FOR SELF-EMPLOYMENT INCOMEE) DOCUMENTATION OF THE FAMILY'S ASSETS PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT FOR MIAMI VALLEY HOSPITAL 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 RELATED 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: MIAMI VALLEY HOSPITAL (MVH) 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 ON CALL AND PHYSICIAN SUBSIDIES DUE TO THE LARGE NUMBER OF INDIGENT PATIENTS COMING THROUGH THE EMERGENCY ROOM. FOR 2024, THE AMOUNT PAID FOR ON CALL AND PHYSICIAN SUBSIDIES WAS $60,440,000. 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 $360,222,000 AND INCURRED COST OF $513,152,000 FOR AN ADDITIONAL NET SHORTFALL OF $152,930,000 ASSOCIATED WITH THESE PROGRAMS. BELOW IS A RECONCILIATION OF THE AMOUNTS ASSOCIATED WITH MEDICARE PROGRAMS.ALLOWABLE MEDICARE REVENUE PER MEDICARE COST REPORT IN PART III, SECTION B $202,850,000MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $360,222,000TOTAL MEDICARE ASSOCIATED REVENUE $563,072,000ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT IN PART III, SECTION B $213,635,000MEDICARE COST NOT REPORTED IN PART III, SECTION B $513,152,000TOTAL MEDICARE ASSOCIATED COST $726,787,000ALLOWABLE MEDICARE SHORTFALL IN PART III, SECTION B $10,785,000ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $152,930,000TOTAL MEDICARE SHORTFALL $163,715,000 PART III, LINE 8: THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE, IN EXCESS OF COST, TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE MEDICARE POPULATION AT THE ORGANIZATION IS IN EXCESS OF 53% 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 ECONOMICALLY DISADVANTAGED, 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. 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: THE ORGANIZATION IS LOCATED IN DAYTON, OHIO. OUR TARGET POPULATION INCLUDES CITIZENS OF DAYTON, AS WELL AS SURROUNDING COMMUNITIES. MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION IS APPROXIMATELY 534,000 PEOPLE. INCLUDING THE ADJACENT COUNTIES, WHICH ARE ALSO SERVED (GREENE, MIAMI, PREBLE), MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION APPROACHES 863,000 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME OF MONTGOMERY COUNTY IS SLIGHTLY ABOVE $64,400 PER YEAR, WITH APPROXIMATELY 15.2% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. FOR 2024, MEDICARE PATIENTS REPRESENTED 47.6% OF GROSS PATIENT REVENUE AND MEDICAID REPRESENTED 18.9% OF GROSS PATIENT REVENUE. PART VI, LINE 5: MIAMI VALLEY HOSPITAL'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. MIAMI VALLEY HOSPITAL IS THE REGION'S ONLY LEVEL I TRAUMA CENTER AND OPERATES A CRITICAL CARE TRANSPORT SERVICE. THIS TRANSPORT SERVICE INCLUDES 24-HOUR AIR AMBULANCE SERVICE OPERATING FOUR HELICOPTERS. MIAMI VALLEY HOSPITAL ALSO OFFERS ONE OF THE REGION'S FOUR LEVEL III NEONATAL INTENSIVE CARE UNITS. A FREE-STANDING EMERGENCY DEPARTMENT IS OPERATED IN GREENE COUNTY TO PROVIDE LOCAL TRAUMA CARE TO RESIDENTS IN THIS RURAL AREA. FURTHER ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTATIVE CARE TO RESIDENTS IN MEDICALLY UNDERSERVED AREAS, REGARDLESS OF THEIR ABILITY TO PAY, IS SUPPORTED THROUGH FINANCIAL CONTRIBUTIONS TO THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER. MIAMI VALLEY HOSPITAL ALSO OPERATES THE REGIONAL ADULT BURN CENTER WHICH IS ONE OF THE MOST WIDELY RECOGNIZED FACILITIES IN WEST CENTRAL OHIO FOR THE TREATMENT OF ADULT BURN PATIENTS. IN ADDITION, MVH'S REHABILITATION INSTITUTE OF OHIO (RIO) IS ONE OF THE NATION'S LARGEST PHYSICAL MEDICINE DEPARTMENTS BASED IN A COMMUNITY HOSPITAL. RIO'S PURPOSE IS TO ENHANCE THE LEVEL OF INDEPENDENCE OF PATIENTS WITH PHYSICAL AND COGNITIVE DISABILITIES TO MOVE TO THE NEXT LEVEL BASED ON THEIR FUNCTIONAL CAPABILITIES. 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. MIAMI VALLEY HOSPITAL 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. WITHIN THE HOSPITAL, INTERPRETERS ARE OFFERED TO PATIENTS AT NO COST AS A RESULT OF INCREASED VOLUMES OF NON-ENGLISH-SPEAKING PATIENTS. MIAMI VALLEY HOSPITAL PROVIDES SPIRITUAL CARE SUPPORT SERVICES TO PATIENTS AND FAMILY MEMBERS UTILIZING 11 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. MIAMI VALLEY HOSPITAL'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. MIAMI VALLEY HOSPITAL'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 MIAMI VALLEY HOSPITAL, 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 FIVE RIVERS HEALTH CENTERS 2261 PHILADELPHIA DR DAYTON OH 45406 450914398 501(C)(3) 1944799 0 SUPPORT PREMIER COMMUNITY HEALTH 110 N MAIN ST 200 DAYTON OH 45402 311122883 501(C)(3) 322921 0 SUPPORT REACH OUT MONTGOMERY COUNTY 25 E FORAKER ST DAYTON OH 45409 311434282 501(C)(3) 101063 0 SUPPORT MIAMI VALLEY HOSPITAL FOUNDATION 110 N MAIN ST 200 DAYTON OH 45402 311040231 501(C)(3) 49473 0 SUPPORT UVMC FOUNDATION 110 N MAIN ST 200 DAYTON OH 45402 311581859 501(C)(3) 31955 0 SUPPORT OTTERBEIN HOMES 580 N SR 741 LEBANON OH 45036 310549058 501(C)(3) 15400 0 SUPPORT TAFT MUSEUM OF ART 316 PIKE ST CINCINNATI OH 45202 205148617 501(C)(3) 11550 0 SUPPORT CHAMINADE JULIENNE 505 S LUDLOW ST DAYTON OH 45402 310832408 501(C)(3) 11550 0 SUPPORT DAYTON FOUNDATION 40 N MAIN ST 500 DAYTON OH 45423 316027287 501(C)(3) 10010 0 SUPPORT UNIVERSITY OF DAYTON 300 COLLEGE PARK DAYTON OH 45469 310536715 501(C)(3) 9625 0 SUPPORT ATRIUM MEDICAL CENTER FOUNDATION 110 N MAIN ST 200 DAYTON OH 45402 311079213 501(C)(3) 9240 0 SUPPORT GOODWILL EASTER SEALS 660 S MAIN ST DAYTON OH 45402 310537112 501(C)(3) 8085 0 SUPPORT MIAMI VALLEY MEALS 428 S EDWIN C MOSES BLVD DAYTON OH 45402 475233212 501(C)(3) 7700 0 SUPPORT CRAYONS TO CLASSROOMS 1511 KUNTZ RD DAYTON OH 45404 261594574 501(C)(3) 7700 0 SUPPORT SC MINISTRY FOUNDATION 5900 DELHI RD MOUNT SAINT JOSEPH OH 45051 311185570 501(C)(3) 7123 0 SUPPORT SUNLIGHT VILLAGE INC 907 W FIFTH ST DAYTON OH 45402 161732774 501(C)(3) 6160 0 SUPPORT OASIS HOUSE 425 N FINDLAY ST 308 DAYTON OH 45404 300184630 501(C)(3) 6080 0 SUPPORT MIAMI COUNTY YMCA 230 W HIGH ST COLUMBUS OH 45356 310537179 501(C)(3) 5775 0 SUPPORT OMEGA COMMUNITY DEVELOPMENT CORPORATION 1816 HARVARD BLVD DAYTON OH 45406 311561713 501(C)(3) 5775 0 SUPPORT YOUNG LIFE 248 MYRTLE LN SPRINGBORO OH 45066 840385934 501(C)(3) 5775 0 SUPPORT HABITAT FOR HUMANITY 1041 S PATTERSON BLVD DAYTON OH 45402 311352522 501(C)(3) 5775 0 SUPPORT BOYS & GIRLS CLUB OF DAYTON 1828 W STEWART ST DAYTON OH 45417 310536657 501(C)(3) 5390 0 SUPPORT ALTER HIGH SCHOOL 940 E DAVID RD KETTERING OH 45429 310652528 501(C)(3) 5390 0 SUPPORT 23 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 MICHAEL C RIORDAN TRUSTEE (TO JUN) / PREMIER PRES/CEO 0 1375311 0 25000 0 143089 0 10954 0 25395 0 1579749 0 0 KEITH D BRICKING MD EVP & CHIEF CLINICAL OFFICER 0 705465 0 437442 0 25585 0 32340 0 35135 0 1235967 0 0 CHAD T WHELAN MD MHSA FACP SFH TRUSTEE / PRESIDENT & PREMIER COO 0 767736 0 266091 0 30927 0 780 0 28029 0 1093563 0 0 TAREK M SABAGH MD BOARD CHAIR 0 629674 0 72515 0 194623 0 11696 0 36835 0 945343 0 0 ROBERTO COLON MD VP MEDICAL AFFAIRS & PREMIER CMO 561702 0 253204 0 25054 0 45054 0 27219 0 912233 0 0 0 MARY M CLANCY CHIEF DIGITAL & INFORMATION OFFICER 0 488227 0 228389 0 13579 0 24309 0 34553 0 789057 0 0 DARIN J PANGALANGAN MD SYS VP OF CLINICAL SERVICE LINES 543938 0 215371 0 5348 0 11500 0 1920 0 778077 0 0 0 GEOFFREY P WALKER ESQ FORMER KEY EMPLOYEE 0 301836 0 233995 0 203676 0 20971 0 13541 0 774019 0 0 WALTER REILING JR MD SYSTEM VP & CMIO 390983 0 163457 0 155623 0 12403 0 30516 0 752982 0 0 0 ELAINE LAINIE M DEAN FORMER KEY EMPLOYEE 299150 0 206389 0 153441 0 31363 0 12390 0 702733 0 0 0 J MICHAEL SIMS SYS VP & CORPORATE CONTROLLER 0 407084 0 165482 0 62858 0 23409 0 27587 0 686420 0 0 STACEY M LAWSON TRUSTEE 408292 0 195165 0 25284 0 36770 0 15044 0 680555 0 0 0 LISA M GOSSETT VP NURSING/CNO/PATIENT EXP 0 417540 0 192965 0 4128 0 20707 0 15618 0 650958 0 0 CARA W POWERS CHIEF LEGAL OFFICER 0 447726 0 138596 0 2388 0 24120 0 27702 0 640532 0 0 ANDRE T HARRIS MD VP OPERATIONS/CMO 433450 0 155401 0 2305 0 19645 0 27200 0 638001 0 0 0 MARQUITA L TURNER COO - MVH/MVHN/MVHS 413523 0 149219 0 4040 0 29142 0 12767 0 608691 0 0 0 ESEOGHENE AYISIRE MD MED DIR OF HOSPITALIST GROUP 493052 0 52100 0 1090 0 12562 0 34500 0 593304 0 0 0 CHRISTIE J GRAY FORMER KEY EMPLOYEE 355815 0 141961 0 3442 0 34302 0 12353 0 547873 0 0 0 KIMBERLY A HENSLEY FORMER KEY EMPLOYEE 0 322717 0 128167 0 31881 0 19434 0 9436 0 511635 0 0 KRISTINA M KEAN BOARD TREASURER / VP FINANCE 318949 0 127357 0 2471 0 24815 0 11022 0 484614 0 0 0 ROBERT M BOWMAN FORMER KEY EMPLOYEE 0 0 117550 0 317524 0 0 0 9086 0 444160 0 0 0 JENNA M DOWNEY ESQ BOARD SECRETARY 297195 0 119017 0 640 0 10962 0 11454 0 439268 0 0 0 AMANDA K ADKINS-RICCI SYSTEM VP REVENUE CYCLE 0 281216 0 111699 0 616 0 16317 0 9249 0 419097 0 0 BILLIE L LUCENTE-BAKER FORMER KEY EMPLOYEE 256251 0 113026 0 1549 0 22822 0 13419 0 407067 0 0 0 MARC R BELCASTRO DO FORMER KEY EMPLOYEE 0 0 0 0 361466 0 0 0 11044 0 372510 0 0 0 MELANIE M GLOVER MD TRUSTEE (TO JUN) 0 293464 0 0 0 1340 0 12058 0 11609 0 318471 0 0 GARY G GINTER FORMER KEY EMPLOYEE 0 0 0 0 232887 0 0 0 10065 0 242952 0 0 0 MARY E GARMAN FORMER KEY EMPLOYEE 0 0 0 0 163856 0 0 0 5357 0 169213 0 0 0 PART I, LINE 3 COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH, WITH WHICH MVH 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 SEVERANCE: MARC BELCASTRO, DO. $324,324; ROBERT BOWMAN $319,875; ELAINE DEAN $131,034; MARY GARMAN $163,360; GARY GINTER $219,618. PART I LINE 4B: DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL (MVH) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN OR 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 2024. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2024: MARY CLANCY $8,646; J. MICHAEL SIMS $56,017; GEOFFREY WALKER $194,485. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2024: MARC BELCASTRO, M.D. $41,167; MARY GARMAN $2,246; GARY GINTER $15,527; KIMBERLY HENSLEY $27,156; WALTER REILING $140,477, MICHAEL RIORDAN $93,572. 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: KEITH BRICKING, M.D. $21,279; ROBERTO COLON $34,666; ELAINE DEAN $18,136; LISA GOSSETT $9,078; CHRISTIE GRAY $10,719; ANDRE HARRIS, M.D. $8,441; KRISTINA KEAN $6,487; STACY LAWSON $14,271; BILLIE LUCENTE-BAKER $711; CARA POWERS $7,753; MARQUITA TURNER $11,222. 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 AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. A OHIO HIGHER EDUCATION FACILITY COMMISSION 346849674 67756CFC7 2020-09-15 98089554 REFUND SERIES 2011A & NOTE A 0 0 0 B COUNTY OF MONTGOMERY OHIO 316000172 613520LO6 2019-09-24 314459788 SEE PART IV, NOTE B 0 0 0 A 1175000 98089554 1526311 96563243 2011 1 0 1 1 B 4693272 314459788 2774994 12000000 299684794 2019 1 0 1 1 A 0 0 0 0 0 0 1 B 0 1 0 0 0.00810 0.00810 0 0 1 A 0 1 0 0 0 1 BARCLAYS & WFB 12.300000000000 1 0 0 0 1 B 0 0 0 1 1 1 BARCLAYS & WFB 20.900000000000 1 0 0 0 1 A 1 B 1 NOTE A PART I, LINE A, COLUMN F: REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2011A BONDS - ISSSUE DATE 04/12/2011 NOTE B PART I, LINE B, COLUMN E: ISSUE PRICE IS NOT IDENITICAL TO THE ISSUE PRICE LISTED ON FORM 8038 DUE TO SERIES 2019A BONDS' PROCEEDS BEING SPLIT BETWEEN MIAMI VALLEY HOSPITAL, ATRIUM MEDICAL CENTER AND UPPER VALLEY MEDICAL CENTER NOTE B PART I, LINE B, COLUMN F: REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2009B BONDS - ISSUE DATE 02/24/2009 SERIES 2012A BONDS - ISSUE DATE 11/20/2012 SERIES 2016C BONDS - ISSUE DATE 08/31/2016 SERIES 2016D BONDS - ISSUE DATE 08/31/2016 SERIES 2016E BONDS - ISSUE DATE 08/31/2016 SERIES 2016F BONDS - ISSUE DATE 08/31/2016 SERIES 2018 BONDS - ISSUE DATE 12/20/2018 REIMBURSEMENT OF PROJECT COSTS NOTE B PART IV, LINE 2C: COMPUTATION DATE IS 10/15/2024 MARC R BELCASTRO II CHILD OF MARC R. BELCASTRO, M.D., FORMER KEY EMPLOYEE 65843 EMPLOYMENT 0 LUKE A BOWMAN CHILD OF ROBERT BOWMAN, FORMER KEY EMPLOYEE 89918 EMPLOYMENT 0 X 12834 FMV X MEDICAL EQUIP 28 3746780 FMV X EMPLOYEE FOOD 5 265472 FMV 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 PREMIER HEALTH (PREMIER), AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM 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. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN MVH'S ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 6 MIAMI VALLEY HOSPITAL HAS ONE CORPORATE MEMBER: PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PREMIER HEALTH (PREMIER) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH). 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 AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. AFTER ALL CHANGES FROM THE ABOVE PERSONS ARE MADE, THE RETURN IS REVIEWED BY THE VICE-PRESIDENT/CONTROLLER OF PREMIER. A FINAL VERSION OF THE RETURN IS 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 HEALTH (PREMIER), WITH WHICH MIAMI VALLEY HOSPITAL 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 MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), WITH WHICH MVH 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 AND NATIONAL 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, CCO AND OTHER TOP EXECUTIVES. 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 OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 110,156,118. MANAGEMENT AND GENERAL EXPENSES 2,692,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,848,585. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 62,728,133. MANAGEMENT AND GENERAL EXPENSES 936,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,664,807. PURCH LABOR: PROGRAM SERVICE EXPENSES 63,314,108. MANAGEMENT AND GENERAL EXPENSES 3,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,317,346. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 16,531,987. MANAGEMENT AND GENERAL EXPENSES 216,645. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,748,632. CHI C/E DIRECT CHARGE: PROGRAM SERVICE EXPENSES 11,685,725. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,685,725. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 5,094,903. MANAGEMENT AND GENERAL EXPENSES 244,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,339,450. RECRUIT-PHYSICIAN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 628,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 628,712. COURIER SERVICE: PROGRAM SERVICE EXPENSES 7,140. MANAGEMENT AND GENERAL EXPENSES 411,439. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 418,579. ARCHIVE / RECORDS RETENSION: PROGRAM SERVICE EXPENSES 272,033. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272,033. HANGAR RENTAL: PROGRAM SERVICE EXPENSES 126,905. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,905. TAXIS AND RTA EXPENSE: PROGRAM SERVICE EXPENSES 82,543. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,543. ARCHITECT-ENGINEERING FEES: PROGRAM SERVICE EXPENSES 76,297. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,297. OTHER FEES: PROGRAM SERVICE EXPENSES 76,531. MANAGEMENT AND GENERAL EXPENSES 13,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,564. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS -307,646,374. TRANSFERS FROM AFFILIATES -1,613,023. SWAP AMORTIZATION -137,852. PENSION ADJUSTMENT 81,917,128. DIALYSIS CENTERS OF DAYTON LLC 110 N MAIN ST 200 DAYTON OH 45402 311607686 DIALYSIS OH 0 0 MIAMI VALLEY HOSPITAL ATRIUM HEALTH SYSTEM 110 N MAIN ST 200 DAYTON OH 45402 310537492 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 ATRIUM MEDICAL CENTER 110 N MAIN ST 200 DAYTON OH 45402 311079309 HOSPITAL OH 501 (C) (3) 3 PREMIER HEALTH 0 COMPUNET CLINICAL LABORATORIES LLC 110 N MAIN ST 200 DAYTON OH 45402 311258010 LAB OH 501 (C) (3) 12B PREMIER HEALTH 0 FIDELITY HEALTH CARE INC 110 N MAIN ST 200 DAYTON OH 45402 311075381 HOME HEALTH OH 501 (C) (3) 10 PREMIER HEALTH 0 GOOD SAMARITAN FOUNDATION - DAYTON 110 N MAIN ST 200 DAYTON OH 45402 237296923 FOUNDATION OH 501 (C) (3) 7 PREMIER HEALTH 0 MEDAMERICA HEALTH SYSTEMS CO 110 N MAIN ST 200 DAYTON OH 45402 311040228 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 MIAMI VALLEY HOSPITAL FOUNDATION 110 N MAIN ST 200 DAYTON OH 45402 311040231 FOUNDATION OH 501 (C) (3) 7 PREMIER HEALTH 0 ONMAIN INC 300 COLLEGE PARK RM 405 DAYTON OH 45469 832877212 SUPPORT ORG OH 501 (C) (3) 12A FAIRGROUNDS REDEVELOPMENT LTD 0 PREMIER COMMUNITY HEALTH 110 N MAIN ST 200 DAYTON OH 45402 311122883 HEALTH EDUCATION OH 501 (C) (3) 10 FIDELITY HEALTH CARE 0 PREMIER HEALTH 110 N MAIN ST 200 DAYTON OH 45402 311446699 PARENT OH 501 (C) (3) 12B N/A 0 SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN ST 200 DAYTON OH 45402 020633634 BEHAVIORAL HEALTH OH 501 (C) (3) 7 PREMIER HEALTH 0 UPPER VALLEY MEDICAL CENTER 110 N MAIN ST 200 DAYTON OH 45402 310537095 HOSPITAL OH 501 (C) (3) 3 PREMIER HEALTH 0 UPPER VALLEY PROFESSIONAL CORP 110 N MAIN ST 200 DAYTON OH 45402 311400963 HEALTH CARE OH 501 (C) (3) 10 PREMIER HEALTH HOLDING CO 0 UVMC 110 N MAIN ST 200 DAYTON OH 45402 341850683 SUPPORT ORG OH 501 (C) (3) 12B N/A 0 UVMC NURSING CARE INC 110 N MAIN ST 200 DAYTON OH 45402 311224064 NURSING HOME OH 501 (C) (3) 10 PREMIER HEALTH 0 UVPC SPECIALISTS 110 N MAIN ST 200 DAYTON OH 45402 203687536 HEALTH CARE OH 501 (C) (3) 10 PREMIER HEALTH HOLDING CO 0 PHOENIX NEXT DAYTON 110 N MAIN ST 200 DAYTON OH 45402 871164650 COMMUNITY REDEVELOPMENT OH 501 (C) (3) 12A N/A 0 SWEITZER STREET LLC 110 N MAIN ST 200 DAYTON OH 45402 454700417 REAL ESTATE OH MVHE INC EXCLUDED 0 0 SWEITZER MOB LLC 110 N MAIN ST 200 DAYTON OH 45402 474554657 REAL ESTATE OH MVHE INC EXCLUDED 0 0 FAIRGROUNDS REDEVELOPMENT LTD 300 COLLEGE PARK RM 405 DAYTON OH 454691665 815084263 PROPERTY DEVELOPMENT OH MIAMI VALLEY HOSPITAL EXCLUDED -750 8933745 0 0 0.50000 MVHE INC 110 N MAIN ST 200 DAYTON OH 45402 311185270 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING CO C 0 PREMIER HEALTH SPECIALISTS 110 N MAIN ST 200 DAYTON OH 45402 061744704 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING CO C 0 SAMARITAN FAMILY CARE 110 N MAIN ST 200 DAYTON OH 45402 311299450 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING CO C 0 AFTER HOURS FAMILY CARE 110 N MAIN ST 200 DAYTON OH 45402 311269483 HEALTH CARE OH UPPER VALLEY PROFESSIONAL CORP C 0 UVMC MANAGEMENT CORP 110 N MAIN ST 200 DAYTON OH 45402 311360489 MANAGEMENT COMPANY OH PREMIER HEALTH C 0 PREMIER HEALTH URGENT CARE INC 110 N MAIN ST 200 DAYTON OH 45402 822079409 URGENT CARE OH PREMIER HEALTH HOLDING CO C 0 PREMIER HEALTH PLAN INC 110 N MAIN ST 200 DAYTON OH 45402 463024049 HEALTH INSURANCE OH PREMIER HEALTH INSURING CO C 0 GOOD SAMARITAN HOSPITAL 110 N MAIN ST 200 DAYTON OH 45402 310536981 HOSPITAL OH PREMIER HEALTH C 0 PREMIER HEALTH INT'L INSURANCE BUTTERFIELD BANK BLDG 6TH FLR 65 HAMILTON BD HM12 980548485 INSURANCE BD PREMIER HEALTH C 0 PREMIER HEALTH ACO OF OHIO 110 N MAIN ST 200 DAYTON OH 45402 474049773 MEDICARE ACO OH PREMIER HEALTH C 0 PREMIER HEALTH HOLDING CO 110 N MAIN ST 200 DAYTON OH 45402 812419110 HOLDING CO OH PREMIER HEALTH C 0 PREMIER HEALTH INSURING CO 110 N MAIN ST 200 DAYTON OH 45402 464766841 HEALTH INSURANCE OH PREMIER HEALTH C 0 0 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1