MIAMI VALLEY HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MIAMI VALLEY HOSPITAL (EIN 31-0537504)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201523179349308542
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T16:08:21-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 YARD ST 200 | AddressLine1Txt |
| City | GRANDVIEW HEIGHTS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43212 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310537504 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Miami Valley Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % J MICHAEL SIMS | InCareOfNm |
| Business Name Control | MIAM | BusinessNameControlTxt |
| Phone | 9374999942 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N MAIN ST 500 | AddressLine1Txt |
| City | Dayton | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45402 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA A GIBBS | PersonNm |
| Person Title | VICE PRESIDENT & CFO | PersonTitleTxt |
| Phone | 6142245678 | PhoneNum |
| Signature | 2015-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIANE L BEAN | PreparerPersonNm |
| PTIN | P00104972 | PTIN |
| Phone | 6142245678 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mark Shaker | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N MAIN ST SUITE 500 | AddressLine1Txt |
| City | DAYTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,234,020,760 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PREMIERHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1890 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | MIAMI VALLEY HOSPITAL WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 7142 | TotalEmployeeCnt |
| Total Volunteers | 756 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,132,786 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,267,479 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $783,525,711 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $810,326,961 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,688,738 | PYInvestmentIncomeAmt |
| CY Investment Income | $29,383,034 | CYInvestmentIncomeAmt |
| PY Other Revenue | $36,007,842 | PYOtherRevenueAmt |
| CY Other Revenue | $12,950,814 | CYOtherRevenueAmt |
| PY Total Revenue | $854,355,077 | PYTotalRevenueAmt |
| CY Total Revenue | $853,928,288 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,321,408 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,996,495 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $378,436,847 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $358,735,989 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $392,396,992 | PYOtherExpensesAmt |
| CY Other Expenses | $441,197,514 | CYOtherExpensesAmt |
| PY Total Expenses | $782,155,247 | PYTotalExpensesAmt |
| CY Total Expenses | $806,929,998 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $72,199,830 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $46,998,290 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,467,588,789 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,477,252,193 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $680,566,074 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $802,871,708 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $787,022,715 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $674,380,485 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MIAMI VALLEY HOSPITAL WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $696,587,804 | ExpenseAmt |
| Grant | $6,996,495 | GrantAmt |
| Revenue | $810,326,961 | RevenueAmt |
| Desc | PLEASE REFER TO SCHEDULE H. | Desc |
| Total Program Service Expenses | $696,587,804 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 377 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 7142 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | J MICHAEL SIMS | PersonNm |
| Phone | 9374999942 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N MAIN ST SUITE 500 | AddressLine1Txt |
| City | Dayton | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANITA J MOORE | ||||||||||
| BOARD CHAIR | 0.5 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES M PACENTA MD | ||||||||||
| TRUSTEE | 0.5 | 39.5 | Yes (X) | $0 | $670,555 | $32,922 | ||||
| ANGELA CLEMENTS CPA | ||||||||||
| TRUSTEE | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM L GILLISPIE | ||||||||||
| TRUSTEE | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID W KEY MD | ||||||||||
| TRUSTEE | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARY C NUTTER | ||||||||||
| TRUSTEE | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| KEITH BRICKING MD | ||||||||||
| TRUSTEE & CHIEF OF STAFF ELECT | 0.5 | 0.0 | Yes (X) | $20,520 | $0 | $0 | ||||
| JAMES J MURPHY MD | ||||||||||
| TRUSTEE &CHF OF STAFF (TO JUN) | 0.5 | 0.5 | Yes (X) | $2,500 | $0 | $0 | ||||
| CHRISTOPHER DANIS MD | ||||||||||
| TRUSTEE | 0.5 | 39.5 | Yes (X) | $0 | $359,839 | $29,511 | ||||
| MARC R BELCASTRO MD | ||||||||||
| TRUSTEE & CHF STAFF (FROM JUN) | 0.5 | 0.5 | Yes (X) | $54,450 | $0 | $0 | ||||
| JACK LOHBECK | ||||||||||
| TRUSTEE | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES R PANCOAST | ||||||||||
| TRUSTEE / PREMIER PRES & CEO | 8.0 | 6.5 | Yes (X) | $0 | $1,239,223 | $59,975 | ||||
| MARK S SHAKER | ||||||||||
| PRESIDENT & CEO | 40.0 | 0.0 | Yes (X) | Yes (X) | $750,334 | $0 | $166,845 | |||
| SCOTT A SHELTON | ||||||||||
| TREASURER/CFO (TO SEP) | 8.0 | 31.5 | Yes (X) | $250,720 | $184,646 | $38,447 | ||||
| MARY M CLANCY | ||||||||||
| CHIEF OPERATING OFFICER | 40.0 | 0.0 | Yes (X) | $496,587 | $0 | $69,115 | ||||
| CARA W POWERS | ||||||||||
| BOARD SECRETARY | 39.5 | 0.5 | Yes (X) | $255,982 | $0 | $48,736 | ||||
| LISA A GIBBS - See Sched O | ||||||||||
| TREASURER/CFO (FROM OCT) | 20.0 | 0.0 | Yes (X) | $34,127 | $0 | $3,686 | ||||
| MARK E WILLIAMS MD | ||||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | Yes (X) | $455,662 | $0 | $35,187 | ||||
| BARBARA A JOHNSON | ||||||||||
| SYSTEM VP - HR OPERATIONS | 8.0 | 32.0 | $462,639 | $0 | $21,525 | Yes (X) | ||||
| DALE E CREECH | ||||||||||
| SYSTEM VP - CLO | 7.25 | 31.75 | $576,691 | $0 | $155,680 | Yes (X) | ||||
| RENEE P GEORGE | ||||||||||
| SYS VP-REVENUE CYCLE (TO SEP) | 8.0 | 32.0 | $262,907 | $0 | $21,843 | Yes (X) | ||||
| MARK W SHAW | ||||||||||
| SYSTEM VP - MANAGED CARE | 8.0 | 32.0 | $388,917 | $0 | $99,374 | Yes (X) | ||||
| MICHAEL MAIBERGER | ||||||||||
| SYSTEM SR VP - CSO | 8.0 | 32.0 | $0 | $564,224 | $46,894 | Yes (X) | ||||
| ROBERT M BOWMAN | ||||||||||
| VP - HOSPITAL OPERATIONS | 40.0 | 0.0 | $258,207 | $0 | $50,474 | Yes (X) | ||||
| KIMBERLY A HENSLEY | ||||||||||
| VP - HOSPITAL OPERATIONS | 40.0 | 0.0 | $256,203 | $0 | $42,969 | Yes (X) | ||||
| JOANN R RINGER | ||||||||||
| VP - COO MVH SOUTH | 40.0 | 0.0 | $356,950 | $0 | $65,372 | Yes (X) | ||||
| THOMAS A NASH | ||||||||||
| SYSTEM VP - CPO (TO JUL) | 8.0 | 32.0 | $284,206 | $0 | $111,206 | Yes (X) | ||||
| TAMMY S LUNDSTROM | ||||||||||
| SYSTEM VP - CMO | 8.0 | 32.0 | $614,198 | $0 | $9,696 | Yes (X) | ||||
| THOMAS R CURTIN | ||||||||||
| SYS VP-REVENUE CYCLE (FRM SEP) | 8.0 | 32.0 | $0 | $232,395 | $53,830 | Yes (X) | ||||
| GARY G GINTER | ||||||||||
| SYSTEM VP - CIO | 8.0 | 32.0 | $338,708 | $0 | $41,276 | Yes (X) | ||||
| THOMAS R PARKER | ||||||||||
| SYSTEM VP - SERVICE LINES | 8.0 | 32.0 | $0 | $454,750 | $28,492 | Yes (X) | ||||
| SYLVAIN TREPANIER DNP RN CENP | ||||||||||
| SYSTEM VP - CNO | 8.0 | 32.0 | $354,001 | $0 | $13,675 | Yes (X) | ||||
| GARY S COLLIER | ||||||||||
| VP CLINICAL CONSULTING | 40.0 | 0.0 | $329,761 | $0 | $161,409 | Yes (X) | ||||
| MOLLY J HALL | ||||||||||
| VP - ACADEMIC AFFAIRS | 40.0 | 0.0 | $522,341 | $0 | $18,878 | Yes (X) | ||||
| J MICHAEL SIMS | ||||||||||
| VP FINANCE | 39.5 | 0.5 | $321,853 | $0 | $66,423 | Yes (X) | ||||
| DIANE L EWING | ||||||||||
| VP COMMUNICATIONS | 40.0 | 0.0 | $317,747 | $0 | $19,214 | Yes (X) | ||||
| WALTER REILING JR MD | ||||||||||
| CHIEF MEDICAL INFO OFFICER | 40.0 | 0.0 | $349,065 | $0 | $37,860 | Yes (X) | ||||
| BOBBIE L GERHART | ||||||||||
| FORMER PRESIDENT & CEO | 0.0 | 0.0 | $262,638 | $0 | $46 | Yes (X) | ||||
| GEOFFREY P WALKER | ||||||||||
| FORMER OFFICER | 40.0 | 0.0 | $298,974 | $0 | $70,398 | Yes (X) | ||||
| WILLIAM E LINESCH | ||||||||||
| FORMER KEY EMPLOYEE | 40.0 | 0.0 | $306,670 | $0 | $37,851 | Yes (X) | ||||
| J NICK LAIR | ||||||||||
| FORMER KEY EMPLOYEE | 0.0 | 40.0 | $0 | $291,654 | $60,819 | Yes (X) | ||||
| DIANE L PLEIMAN | ||||||||||
| FORMER KEY EMPLOYEE | 40.0 | 0.0 | $263,309 | $0 | $31,696 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,446,867 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,997,286 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,751,324 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 220 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMPUNET CLINICAL LABORATORIES | |||||
| 2308 SANDRIDGE DR | MORAINE | OH | 45349 | CLINICAL LAB | $21,120,936 |
| ANESTHESIOLOGY SERVICES NETWORK | |||||
| PO BOX 349 | DAYTON | OH | 45409 | Medical Services | $6,973,258 |
| MIAMI VALLEY EMERGENCY SPECIALISTS | |||||
| 2400 MIAMI VALLEY WAY 220 | CENTERVILLE | OH | 45459 | Medical Services | $8,359,055 |
| EVOLENT HEALTH INC | |||||
| 800 N GLEBE RD 500 | ARLINGTON | VA | 22203 | SOFTWARE IMPLEMENT | $25,582,589 |
| WRIGHT STATE UNIVERSITY | |||||
| 3640 COLONEL GLEN HWY 430 | DAYTON | OH | 45435 | MEDICAL SERVICES | $10,278,985 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 93 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,179,854 | RelatedOrganizationsAmt |
| Government Grants | $87,625 | GovernmentGrantsAmt |
| Total Contributions | $1,267,479 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $414,955,780 | $414,955,780 |
| MEDICARE/MEDICAID | 900099 | $376,944,563 | $376,944,563 |
| HOSPITAL FRANCHISE TAX RECOVERIES | 900099 | $17,717,109 | $17,717,109 |
| PURCHASE DISCOUNTS | 900099 | $128,759 | $128,759 |
| HEALTH EDUCATION | 900099 | $77,160 | $77,160 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $503,590 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $503,590 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $810,326,961 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,244,640 | TotalRevenueColumnAmt |
| Exclusion | $8,244,640 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,424,851 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,024,895 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,399,956 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,399,956 | TotalRevenueColumnAmt |
| Exclusion | $2,399,956 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $393,308,148 | SecuritiesAmt |
| Other | $662,766 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $372,832,520 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,475,628 | SecuritiesAmt |
| Other | $662,766 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,138,394 | TotalRevenueColumnAmt |
| Exclusion | $21,138,394 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $6,242,185 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $5,235,057 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,007,128 | TotalRevenueColumnAmt |
| Exclusion | $1,007,128 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 812930 | $5,401,985 | $5,401,985 |
| PARKING GARAGE | 900099 | $1,590,223 | $1,590,223 |
| JOINT VENTURES | 900099 | $121,271 | $121,271 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,430,251 | TotalRevenueColumnAmt |
| Exclusion | $2,430,251 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,543,730 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $853,928,288 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $810,326,961 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $42,333,848 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,996,495 | TotalAmt |
| Program Services | $6,996,495 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,561,308 | TotalAmt |
| Program Services | $6,485,335 | ProgramServicesAmt |
| Management And General | $1,075,973 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,299 | TotalAmt |
| Program Services | $604,935 | ProgramServicesAmt |
| Management And General | $100,364 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,305,556 | TotalAmt |
| Program Services | $234,414,175 | ProgramServicesAmt |
| Management And General | $38,891,381 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,506,270 | TotalAmt |
| Program Services | $15,872,828 | ProgramServicesAmt |
| Management And General | $2,633,442 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,969,770 | TotalAmt |
| Program Services | $32,566,672 | ProgramServicesAmt |
| Management And General | $5,403,098 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,687,786 | TotalAmt |
| Program Services | $17,743,914 | ProgramServicesAmt |
| Management And General | $2,943,872 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,000 | TotalAmt |
| Program Services | $69,474 | ProgramServicesAmt |
| Management And General | $11,526 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,793,942 | TotalAmt |
| Program Services | $2,396,364 | ProgramServicesAmt |
| Management And General | $397,578 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,304 | TotalAmt |
| Management And General | $222,304 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,974 | TotalAmt |
| Program Services | $51,974 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,295,886 | TotalAmt |
| Management And General | $1,295,886 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,487,867 | TotalAmt |
| Program Services | $37,487,867 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,106,064 | TotalAmt |
| Program Services | $4,106,064 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,078,083 | TotalAmt |
| Program Services | $3,497,772 | ProgramServicesAmt |
| Management And General | $580,311 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,354,814 | TotalAmt |
| Program Services | $13,169,824 | ProgramServicesAmt |
| Management And General | $2,184,990 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,627,849 | TotalAmt |
| Program Services | $16,834,806 | ProgramServicesAmt |
| Management And General | $2,793,043 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,844 | TotalAmt |
| Program Services | $457,878 | ProgramServicesAmt |
| Management And General | $75,966 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,121 | TotalAmt |
| Program Services | $3,535 | ProgramServicesAmt |
| Management And General | $586 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,477,854 | TotalAmt |
| Program Services | $10,477,854 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,296,595 | TotalAmt |
| Program Services | $62,866,490 | ProgramServicesAmt |
| Management And General | $10,430,105 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,238,902 | TotalAmt |
| Program Services | $4,493,406 | ProgramServicesAmt |
| Management And General | $745,496 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OPERATING SUPPLIES | $135,506,239 | $135,506,239 | |
| PURCHASED SERVICES | $54,332,570 | $46,601,045 | $7,731,525 |
| LOSS ON INTEREST SWAP ADJ | $25,544,194 | $25,544,194 | |
| JOINT OPERATING AGREEMENT | $24,519,000 | $21,029,946 | $3,489,054 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,644,412 | TotalAmt |
| Program Services | $22,852,912 | ProgramServicesAmt |
| Management And General | $3,791,500 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $806,929,998 | TotalAmt |
| Program Services | $696,587,804 | ProgramServicesAmt |
| Management And General | $110,342,194 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,110 | BOYAmt |
| EOY | $29,980 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,490,524 | BOYAmt |
| EOY | $51,799,574 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,951,353 | BOYAmt |
| EOY | $133,391,182 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,078,325 | BOYAmt |
| EOY | $3,339,528 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,904,712 | BOYAmt |
| EOY | $8,377,513 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,679,656 | BOYAmt |
| EOY | $12,650,384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,265,922,085 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $651,465,086 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,013,820 | BOYAmt |
| EOY | $614,456,999 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,179,064 | BOYAmt |
| EOY | $430,123,261 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,989,569 | BOYAmt |
| EOY | $192,227,372 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,534,039 | BOYAmt |
| EOY | $9,470,134 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,737,617 | BOYAmt |
| EOY | $21,386,266 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,588,789 | BOYAmt |
| EOY | $1,477,252,193 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,399,877 | BOYAmt |
| EOY | $68,793,045 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,139,995 | BOYAmt |
| EOY | $3,775,147 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,685,764 | BOYAmt |
| EOY | $1,637,755 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,884,455 | BOYAmt |
| EOY | $418,538,301 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,976,182 | BOYAmt |
| EOY | $10,354,755 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,479,801 | BOYAmt |
| EOY | $299,772,705 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,566,074 | BOYAmt |
| EOY | $802,871,708 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,022,715 | BOYAmt |
| EOY | $674,380,485 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,022,715 | BOYAmt |
| EOY | $674,380,485 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,588,789 | BOYAmt |
| EOY | $1,477,252,193 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $46,998,290 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,049,885 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$152,590,635 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $37,600 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $13,770 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $51,370 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1F: | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION, DAYTON DEVELOPMENT COALITION, AMERICAN HOSPITAL ASSOCIATION, AND OHIO HOSPITAL ASSOCIATION. PART II-B, LINE 1I: WE CONTRACT WITH A LOBBYIST FOR HEALTHCARE RELATED ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,978,435 | OtherCostOrOtherBasisAmt |
| Book Value | $35,978,432 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $692,894,251 | OtherCostOrOtherBasisAmt |
| Depreciation | $346,801,172 | DepreciationAmt |
| Book Value | $346,093,079 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,068,772 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,000,939 | DepreciationAmt |
| Book Value | $3,067,833 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $502,613,238 | OtherCostOrOtherBasisAmt |
| Depreciation | $302,662,975 | DepreciationAmt |
| Book Value | $199,950,263 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,367,392 | OtherCostOrOtherBasisAmt |
| Book Value | $29,367,392 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $614,456,999 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALTERNATE INVESTMENTS | Desc |
| Book Value | $192,227,372 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $192,227,372 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION OBLIGATION | $197,113,935 |
| SWAP LIABILITY | $25,872,460 |
| MALPRACTICE INSURANCE | $25,151,935 |
| JOINT OPERATING AGREEMENT | $24,513,000 |
| AFFILIATES PAYABLE | $13,822,830 |
| LOAN GUARANTEE & OTHER LTL | $4,868,560 |
| HOSPITAL FRANCHISE TAX PAYABLE | $3,322,997 |
| OTHER | $5,106,988 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $299,772,705 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING FOOTNOTE IS FROM THE AUDITED COMBINED FINANCIAL STATEMENTS FOR PREMIER HEALTH AND AFFILIATES. MEDAMERICA HEALTH SYSTEMS IS THE PARENT ORGANIZATION OF MIAMI VALLEY HOSPITAL. PREMIER HEALTH (PREMIER), MEDAMERICA HEALTH SYSTEMS (MAHS), ATRIUM HEALTH SYSTEM (AHS), AND UVMC HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT NONPROFIT CORPORATIONS AND PUBLIC CHARITIES UNDER SECTIONS 501(C)(3) AND 509(A), RESPECTIVELY, OF THE INTERNAL REVENUE CODE. SAMARITAN HEALTH PARTNERS (SHP) IS TAX-EXEMPT UNDER SECTION 501(C)(3) AND IS A PUBLIC CHARITY BY REASON OF BEING INCLUDED IN THE GROUP RULING ISSUED TO THE U.S. CATHOLIC CHURCH. AS TAX-EXEMPT ORGANIZATIONS, THEIR INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. TAXES PAYABLE AT DECEMBER 31, 2014 AND 2013 FOR SUCH UNRELATED BUSINESS ACTIVITIES ARE NOT SIGNIFICANT. PREMIER, MAHS, SHP, AHS, AND UVMC ALSO OWN OR CONTROL CERTAIN SUBSIDIARIES, WHICH ARE FOR PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: PREMIER HEALTH INSURING COMPANY (PHIC) (A WHOLLY OWNED SUBSIDIARY OF PREMIER HEALTH) PREMIER HEALTH PLAN (PHPLAN) (A WHOLLY OWNED SUBSIDIARY OF PHIC) MVHE, INC AND PREMIER HEALTH SPECIALISTS, INC. (FORMERLY HEALTH SPECIALISTS OF DAYTON, INC.) (SUBSIDIARIES OF MAHS) SAMARITAN FAMILY CARE (SUBSIDIARY OF SHP) AND SAMARITAN NORTH SURGERY CENTER LIMITED (A JOINT-VENTURE PARTNERSHIP OF WHICH GSH IS AN 80% OWNER) MIDDLETOWN SURGERY CENTER, LLC (A JOINT VENTURE PARTNERSHIP OF WHICH AMC IS AN 80.5% OWNER) (SUBSIDIARY OF AHS) UVMC MANAGEMENT CORPORATION AND AFTER HOURS FAMILY CARE, INC. (SUBSIDIARIES OF UVMC) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt | Specific Services ProvidedSpecificServicesProvidedTxt |
|---|---|---|---|
| Central America and the Caribbean | Investments | $119,504,000 | |
| Central America and the Caribbean | Program Services | $25,000 | Insurance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $119,529,000 | SubtotalSpentAmt |
| Total Spent | $119,529,000 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,302,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,650,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,652,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $183,262,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $142,807,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,455,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,027,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,355,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,672,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $213,591,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $153,812,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,779,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,376,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,376,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00670 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,522,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,486,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,036,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,507,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,507,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02290 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $106,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,511,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,486,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,025,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $259,102,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $171,298,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $87,804,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10890 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $650,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $650,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,319,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,319,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,969,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,969,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,447,602 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $137,513,000 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $142,683,000 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,170,000 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIAMI VALLEY HOSPITAL | ||||||||||||
| 1 | ONE WYOMING ST | DAYTON | OH | 45409 | WWW.PREMIERHEALTH.COM | SEE PART V SECT C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
| MIAMI VALLEY HOSPITAL SOUTH | ||||||||||||
| 2 | 2400 MIAMI VALLEY DR | CENTERVILLE | OH | 45459 | WWW.PREMIERHEALTH.COM | SEE PART V SECT C | Yes (X) | Yes (X) | Yes (X) | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | X | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | X | FAPSummaryOnWebsiteURLTxt |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, SECTION A, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR. MIAMI VALLEY HOSPITAL'S REGISTRATION NUMBER IS 1247. MIAMI VALLEY HOSPITAL SOUTH'S REGISTRATION NUMBER IS 1489. PART V, SECTION B, QUESTION 5: PARTNERING IN THE DATA REVIEW PROCESS AND IN THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES WERE THE BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP OF MIAMI VALLEY HOSPITAL, COMMUNITY HEALTH COLLABORATIVES FEATURING COMMUNITY, HEALTH, AND BUSINESS STAKEHOLDERS/ADVOCATES ORGANIZED BY BOTH MIAMI VALLEY HOSPITAL, AND THE GREATER DAYTON AREA HOSPITAL ASSOCIATION WITH ITS MEMBER HOSPITALS. PART V, SECTION B, QUESTION 6A & 6B: MIAMI VALLEY HOSPITAL PARTNERED WITH MEMBER HOSPITALS OF THE GREATER DAYTON AREA HOSPITAL ASSOCIATION AND WRIGHT STATE UNIVERSITY TO PREPARE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. PART V, SECTION B, LINE 7A: THE DIRECT WEBSITE ADDRESS WHERE THE CHNA CAN BE ACCESSED IS: HTTP://WWW.MIAMIVALLEYHOSPITAL.ORG/WORKAREA/DOWNLOADASSET.ASPX?ID=76902 PART V, SECTION B, LINE 10A: THE DIRECT WEBSITE ADDRESS WHERE THE IMPLEMENTATION STRATEGY CAN BE ACCESSED IS: HTTP://WWW.PREMIERHEALTH.COM/OUR-COMMUNITY/MAKING-A-DIFFERENCE/COMMUNITY-H EALTH-IMPROVEMENT-PLAN/MVH/ PART V, SECTION B, LINE 11: Premier Health was part of a collaboration in 2013 with the Greater Dayton Area Hospital Association and hospitals throughout Southwestern Ohio to conduct a regional Community Health Needs Assessment. IDENTIFIED PRIORITIES --------------------- In the Community Health Assessment, researchers identified priority areas for community health improvement using a variety of criteria. The priorities that are included and excluded in the plan are outlined here. Priorities that are included in the plan are not listed in order of importance. Priorities Included in the Plan: ------------------------------- Through the Community Health Risk Assessment, the following priorities were identified for Montgomery and Greene counties. These priorities are outlined in this plan. Primary and Chronic Diseases: 1. Hypertension: Hypertension rates are higher in the service area than in the state and nation. It is the leading inpatient discharge diagnosis and the 3rd leading ED discharge diagnosis. 2. Breast cancer: The breast cancer rate is 244.8 per 100,000, and the rate is increasing as opposed to historically prevalent cancers. 3. Diabetes: The prevalence of diabetes is substantially greater in the service area compared to the State and nation. It is the 3rd most common inpatient discharge diagnosis and the 7th most common ER discharge diagnosis. Discharge diagnosis rates have increased from 2004 to 2012. Priorities Addressed Through Collaboration ------------------------------------------ All identified priorities are important elements of improving the health of our community. In some instances, priorities are already being targeted by collaborative groups of which Miami Valley Hospital is a part. Additional strategies will not be developed independent of these efforts. Because of the importance of these community-wide efforts, the following identified priorities are not included in the Community Health Improvement Plan. Maternal and Infant Priorities: 1. First trimester prenatal care 2. Low birth weight 3. Infant mortality rate Miami Valley Hospital is involved in several state-wide initiatives addressing these issues. As part of these collaborations, Miami Valley Hospital will share the goals and objectives developed by those groups for program implementation and measurement. Ohio Perinatal Quality Collaborative ------------------------------------ Miami Valley Hospital is a charter member of this organization as a neonatal hospital and as a maternity hospital. The mission of the Collaborative is, "Through collaborative use of improvement science methods, reduce preterm births and improve outcomes of pre-term newborns in Ohio as quickly as possible." Projects of the collaborative include: * 39 Weeks Delivery Charter Project - To reduce elective unnecessary scheduled births before 39 weeks gestational age. (Reduce infant mortality and low birth weights.) * 39 Weeks Dissemination and Birth Registry Accuracy Project - This project was to address inaccuracies in birth certificate data within the Quality Improvement framework. * Obstetrics Antenatal Corticosteroids Project- This project focuses on increasing the use of antenatal corticosteroids to reduce mortality and morbidity among preterm infants. (Reduce infant mortality.) * Progesterone Project - This project intends to help raise awareness about the need for screening and intervention for progesterone, provide support to teams to implement screening, identification and treatment, develop the capacity and capability of skilled ultrasound technicians and remove administrative barriers to the administration of progesterone. (Reduce infant mortality and low birth weights.) Ohio Hospital Association (OHA): -------------------------------- OHA has developed a plan to reduce infant mortality (which also addresses low infant birth weight and first trimester care) in Ohio which includes: * Safe sleep (infant mortality) * Eliminating elective deliveries before 39 weeks (infant mortality) * Progesterone for high risk mothers (infant mortality) * Eliminating health disparities * Safe spacing (infant mortality and low birth weight) * Access to prenatal care (First trimester care, infant mortality and low birth weight) * Promote breast milk * These program areas also then address increasing first trimester care, improving low birth weight and decreasing infant mortality. Ohio Collaborative to Prevent Infant Mortality. ----------------------------------------------- This group, which is coordinated by the Ohio Department of Health, works together to formulate a statewide strategic plan to reduce infant mortality and birth outcome disparities. Miami Valley Hospital is part of this collaborative. Primary and Chronic Diseases: 4. Alcohol and drug discharge diagnosis In Montgomery County, Alcohol and Drug Abuse services are coordinated by the ADAMHS Board (Alcohol, Drug Addiction and Mental Health Services.) The ADAMHS Board administrates the planning, development, funding and evaluation of behavioral health services delivered by a network of nearly 30 community-based organizations. The ADAMHS Collaborative Coalition issued, "Report to Improve Alcohol and Other Drug Abuse and Addiction Services in Montgomery County, Ohio". This plan includes recommendations for: * Building infrastructure and capacity * Prevention * Building linkages * Treatment * Data sharing Premier Health is involved in these initiatives. James Pancoast, Premier Health President and CEO, is the Co-Chair of the Alcohol and Other Drug Abuse Implementation Advisory Team. In Greene County, the Mental Health and Recovery Board of Clark, Greene and Madison Counties serves a similar purpose. Its mission is to support the system for delivering effective mental health, alcohol and other drug treatment, prevention, education and advocacy services for residents. Key Health Priorities by Objective Priority Area 1: ---------------- Reduce the incidence and complications from adult hypertension. Blood pressure is how hard blood pushes against the walls of our arteries when our heart pumps blood. When someone has high blood pressure, which is also called hypertension, the increased pressure against the arteries causes damage. Hypertension is called the silent killer because usually those who have it do not feel anything. High blood pressure increases risk for heart disease, stroke, heart failure, kidney disease, and blindness. In many cases hypertension can be prevented by maintaining a healthy weight, being active, eating healthy, not using tobacco, and limiting alcohol. Most people who are diagnosed with high blood pressure can have their high blood pressure controlled. Those with high blood pressure should take the same steps that may prevent high blood pressure. If medication is needed, it is imperative to take it every day. Hypertension rates are higher in the service area than in the State and nation. It is the leading inpatient discharge diagnosis and the 3rd leading ED discharge diagnosis. Because of the significant health threat posed by hypertension, a community-focused, population health improvement strategy would benefit all parts of the community. Priority Area 1: Reduce the proportion of adults with hypertension. ------------------------------------------------------------------- Objective 1.1: Increase the proportion of adults with hypertension whose blood pressure is under control. Evidence-based Strategies: * Coordinate a hypertension education health communications campaign that will include commun | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Dialysis Centers of Dayton LLC | ||||
| 110 N MAIN ST | Dayton | OH | 45402 | Dialysis Treatment |
| Lincoln Park Manor | ||||
| 694 Isaac Prugh Way | Kettering | OH | 45429 | Assisted Living |
| Jamestown Emergency Center | ||||
| 4940 Cottonville Rd | Jamestown | OH | 45335 | Emergency Center |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 6A: | FormAndLineReferenceDesc |
| Explanation | THE COMMUNITY BENEFIT REPORT FOR MIAMI VALLEY HOSPITAL IS PART OF THE PREMIER HEALTH REPORT. PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE THIS FINANCIAL ASSISTANCE AT COST. THIS CALCULATION TAKES TOTAL OPERATING EXPENSES LESS OTHER OPERATING REVENUES DIVIDED BY TOTAL GROSS REVENUES. UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENTAL PROGRAMS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND INCLUDES FULLY LOADED COSTS. FOR THE REMAINING ITEMS THE ORGANIZATION USED SPECIFIC NUMBERS FOR EXPENSE PAID DIRECTLY FOR THESE SERVICES. PART I, LINE 7G: MIAMI VALLEY HOSPITAL (MVH) PROVIDES THE FOLLOWING SUBSIDIZED SERVICE: EMERGENCY SERVICES: MVH OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THIS EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL INCURS EXPENSES RELATED TO CALL TIME AND PHYSICIAN SUBSIDIES DUE TO THE LARGE NUMBER OF INDIGENT PATIENTS COMING THROUGH THE EMERGENCY ROOM. FOR 2014, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $18,507,000. Part II, Line 1: Miami Valley Hospital (MVH) participates in the following community building activity: The Genesis Project is a collaborative effort between the hospital, the University of Dayton, PNC Bank, CityWide Development corporation, County Corp and the City of Dayton to revitalize the Montgomery County Fairgrounds neighborhood. Efforts included removing or rehabilitating deteriorating structures, building new homes, dedicating a social worker for neighborhood residents and funding additional community-based police officers in the neighborhood. PART II, LINE 9: MIAMI VALLEY HOSPITAL (MVH) PROVIDES OTHER COMMUNITY BUILDING ACTIVITIES INCLUDING THE FOLLOWING: 1. BOARD CHARITABLE CREDIT FUND: AS PART OF MIAMI VALLEY HOSPITAL'S COMMUNITY PARTNERSHIP ACTIVITY, BOARD MEMBERS OF THE HOSPITAL ARE GRANTED CHARITABLE CREDITS TO BE DONATED IN THE NAME OF THE BOARD MEMBER WITH PRIORITIES TO NOT-FOR-PROFIT, TAX-EXEMPT 501(C)(3) HEALTH AND HUMAN SERVICES ORGANIZATIONS, ARTS AND CULTURE ORGANIZATIONS, AS WELL AS OTHER COMMUNITY ACTIVITIES IN THE DAYTON AREA. ALSO SUGGESTED ARE ORGANIZATIONS THAT FOCUS ON SUPPORTING YOUTH, EDUCATION, UNDERSERVED GROUPS, AND SAFE NEIGHBORHOODS. THE AMOUNT OF SUPPORT PROVIDED IN 2014 WAS $252,000. 2. NICHE: MIAMI VALLEY HOSPITAL PROVIDES 100% SUPPORT TO THIS PROGRAM. NICHE IS A GERIATRICS PROGRAM THAT SUPPORTS PROVIDING HEALTHCARE FOR THE ELDERLY. THE AMOUNT PROVIDED IN 2014 WAS $138,000. 3. UNITED WAY: MIAMI VALLEY HOSPITAL PROVIDED $63,000 SUPPORT TO THIS PROGRAM IN 2014. 4. CITY OF DAYTON: MIAMI VALLEY HOSPITAL (MVH) PAYS FOR TWO COMMUNITY POLICE PATROL OFFICERS IN THE NEIGHBORHOOD WHERE THE HOSPITAL IS LOCATED IN AN EFFORT TO MAKE THE AREA SAFER FOR OUR PATIENTS. MVH ALSO JOINED WITH THE UNIVERSITY OF DAYTON AND THE CITY OF DAYTON TO FUND THE BROWN STREET RECONSTRUCTION PROJECT. THE AMOUNT OF SUPPORT PROVIDED IN 2014 WAS $325,000. 5. MIAMI VALLEY HOSPITAL ALSO PROVIDED SUPPORT TO VARIOUS OTHER PROGRAMS AND LOCAL NOT-FOR-PROFIT ORGANIZATIONS TO BENEFIT THE COMMUNITY. THE AMOUNT CONTRIBUTED IN 2014 WAS $541,000. PART III, LINE 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 BACK 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 THAT THERE ARE ACCOUNTS WRITTEN OFF TO BAD DEBT THAT MAY HAVE QUALIFIED FOR CHARITY CARE IF THE PATIENT HAD PROVIDED THE NECESSARY FINANCIAL INFORMATION. IN ORDER TO RESOLVE THIS, THE ORGANIZATION HAS ENGAGED A THIRD PARTY VENDOR TO ANALYZE DATA BASED ON CREDIT SCORES TO REALLOCATE SOME OF THIS EXPENSE TO CHARITY CARE. 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 $109,297,000 AND INCURRED COST OF $143,873,000, FOR AN ADDITIONAL NET SHORTFALL OF $34,576,000 ASSOCIATED WITH THESE PROGRAMS. BELOW IS A RECONCILIATION OF THE AMOUNTS ASSOCIATED WITH MEDICARE PROGRAMS. ALLOWABLE MEDICARE REVENUE PER MEDICARE COST REPORT (PART III, SECTION B) $137,513,000 MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $109,297,000 TOTAL MEDICARE ASSOCIATED REVENUE $246,810,000 ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $142,683,000 MEDICARE COST NOT REPORTED IN PART III, SECTION B $143,873,000 TOTAL MEDICARE ASSOCIATED COST $286,556,000 MEDICARE SHORTFALL PER PART III, SECTION B $5,170,000 ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $34,576,000 TOTAL MEDICARE SHORTFALL $39,746,000 PART III, LINE 8: THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE IN EXCESS OF THE COST TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE MEDICARE POPULATION AT THE ORGANIZATION IS IN EXCESS OF 39% 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. DOCUMENTED 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 Health, the Miami Valley Hospital Board of Directors, 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 | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| THE DAYTON FOUNDATION | ||||||||
| 40 N MAIN ST 500 | DAYTON | OH | 45423 | 316027287 | 501(C)(3) | $4,148,070 | VARIOUS | |
| Greater Dayton Regional Transit Authority | ||||||||
| 4 S MAIN ST | DAYTON | OH | 45402 | 237182735 | Government | $650,000 | Community Development | |
| PREMIER COMMUNITY HEALTH | ||||||||
| C/O FIDELITY HEALTH CARE | DAYTON | OH | 45439 | 311122883 | 501(C)(3) | $551,154 | COMMUNITY HEALTH | 3832 KETTERING BLVD |
| CITY OF DAYTON | ||||||||
| 335 W THIRD ST | DAYTON | OH | 45402 | 316000175 | GOVERNMENT | $324,658 | Good Neighbor Police Program and Brown Street Reconstruction. | |
| Dayton Performing Arts Alliance | ||||||||
| 109 N MAIN ST 200 | DAYTON | OH | 45402 | 316000101 | 501(C)(3) | $129,846 | Support | |
| Goodwill Easter Seals | ||||||||
| 660 S MAIN STREET | DAYTON | OH | 45402 | 310537112 | 501(C)(3) | $109,650 | Support | |
| AIDS Resource Center Ohio | ||||||||
| 15 W FOURTH ST 200 | DAYTON | OH | 45402 | 311126780 | 501(C)(3) | $44,625 | Various | |
| CITYWIDE DEVELOPMENT CORPORATION | ||||||||
| 8 N MAIN ST | DAYTON | OH | 45402 | 310821189 | 501(C)(4) | $43,850 | GENESIS PROJECT DOWNTOWN DAYTON | |
| Dayton Art Institute | ||||||||
| 456 BELMONTE PARK N | DAYTON | OH | 45405 | 310537480 | 501(C)(3) | $26,774 | Support | |
| Culture Works | ||||||||
| 110 N MAIN STREET 165 | DAYTON | OH | 45402 | 237412338 | 501(C)(3) | $24,719 | Support | |
| Atrium Medical Center Foundation | ||||||||
| ONE MEDICAL CENTER DR | MIDDLETOWN | OH | 45005 | 311079213 | 501(C)(3) | $23,816 | SUPPORT | |
| Wright State University | ||||||||
| 3640 COLONEL GLENN HWY 430 | DAYTON | OH | 45435 | 310732831 | 501(C)(3) | $21,736 | Support | |
| Miami Valley Hospital Foundation | ||||||||
| ONE WYOMING ST | DAYTON | OH | 45409 | 311040231 | 501(C)(3) | $16,822 | Support | |
| Project Hope Inc | ||||||||
| 1510 N MAIN ST | DAYTON | OH | 45405 | 341421548 | 501(C)(3) | $12,750 | SUPPORT | |
| March of Dimes | ||||||||
| PO BOX 932852 | ATLANTA | GA | 31193 | 131846366 | 501(C)(3) | $11,730 | Support | |
| Good Samaritan Hospital Foundation-Dayton | ||||||||
| 2222 PHILADELPHIA DR 500 | DAYTON | OH | 45406 | 237296923 | 501(C)(3) | $10,933 | SUPPORT | |
| Dayton Early College Academy | ||||||||
| 300 COLLEGE PARK AVENUE | DAYTON | OH | 45469 | 260463618 | 501(C)(3) | $10,140 | SUPPORT | |
| Dayton Contemporary Dance Company | ||||||||
| 840 GERMANTOWN ST | DAYTON | OH | 45402 | 237220259 | 501(C)(3) | $9,323 | SUPPORT | |
| Middletown Community Foundation | ||||||||
| 300 N MAIN ST 300 | MIDDLETOWN | OH | 45042 | 310898380 | 501(C)(3) | $8,021 | SUPPORT | |
| AMERICAN CANCER SOCIETY | ||||||||
| 2808 READING RD | CINCINNATI | OH | 45206 | 237354328 | 501(C)(3) | $7,650 | SUPPORT | |
| Hospice of Dayton | ||||||||
| 324 WILMINGTON AVE | DAYTON | OH | 45420 | 310933339 | 501(C)(3) | $7,650 | SUPPORT | |
| Chaminade Julienne High School | ||||||||
| 505 S LUDLOW ST | DAYTON | OH | 45402 | 310832408 | 501(c)(3) | $6,890 | SUPPORT | |
| YWCA of Dayton | ||||||||
| 141 W THIRD ST | DAYTON | OH | 45402 | 310537168 | 501(c)(3) | $6,790 | SUPPORT | |
| SC Ministry Foundation | ||||||||
| 345 NEEB RD | CINCINNATI | OH | 45233 | 311185570 | 501(C)(3) | $6,500 | SUPPORT | |
| Health Partners Free Clinic | ||||||||
| 1300 N CO RD 25A | TROY | OH | 45373 | 311596731 | 501(C)(3) | $6,396 | SUPPORT | |
| Central State University Foundation | ||||||||
| PO BOX 1004 | WILBERFORCE | OH | 45384 | 310749885 | 501(C)(3) | $6,375 | SUPPORT | |
| Upper Valley Medical Center Foundation | ||||||||
| 3130 N CO RD 25A | TROY | OH | 45373 | 311581859 | 501(C)(3) | $6,253 | SUPPORT | |
| Daybreak | ||||||||
| 605 S LUDLOW ST | DAYTON | OH | 45410 | 310864474 | 501(C)(3) | $6,099 | SUPPORT | |
| Muse Machine Inc | ||||||||
| 126 N MAIN ST 310 | DAYTON | OH | 45402 | 311028673 | 501(C)(3) | $5,100 | SUPPORT | |
| United Way of the Greater Dayton Area | ||||||||
| PO BOX 634625 | CINCINNATI | OH | 45263 | 310536658 | 501(C)(3) | $69,338 | SUPPORT | |
| Reach Out Montgomery County | ||||||||
| 25 E FORAKER ST | DAYTON | OH | 45409 | 311434282 | 501(C)(3) | $54,063 | RX Assistance for Indigent Patients | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 30 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 1) THE COMMUNITY BENEFIT BUDGET IS APPROVED BY THE MIAMI VALLEY HOSPITAL BOARD ANNUALLY. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE AFTER APPROPRIATE APPROVAL FOR PAYMENT. 3) DISBURSEMENTS OCCUR ACCORDING TO STANDARD ACCOUNTS PAYABLE GUIDELINES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES M PACENTA MD | ||||||||||||||
| TRUSTEE | $0 | $453,899 | $0 | $106,172 | $0 | $110,484 | $0 | $8,900 | $0 | $24,022 | $0 | $703,477 | $0 | $0 |
| CHRISTOPHER DANIS MD | ||||||||||||||
| TRUSTEE | $0 | $343,308 | $0 | $12,619 | $0 | $3,912 | $0 | $8,189 | $0 | $21,322 | $0 | $389,350 | $0 | $0 |
| JAMES R PANCOAST | ||||||||||||||
| TRUSTEE / PREMIER PRES & CEO | $0 | $965,241 | $0 | $233,636 | $0 | $40,346 | $0 | $34,699 | $0 | $25,276 | $0 | $1,299,198 | $0 | $0 |
| GEOFFREY P WALKER | ||||||||||||||
| FORMER OFFICER | $222,343 | $0 | $58,593 | $0 | $18,038 | $0 | $44,701 | $0 | $25,697 | $0 | $369,372 | $0 | $0 | $0 |
| BOBBIE L GERHART | ||||||||||||||
| FORMER PRESIDENT & CEO | $19,809 | $0 | $137,141 | $0 | $105,688 | $0 | $0 | $0 | $46 | $0 | $262,684 | $0 | $0 | $0 |
| BARBARA A JOHNSON | ||||||||||||||
| SYSTEM VP - HR OPERATIONS | $358,650 | $0 | $97,078 | $0 | $6,911 | $0 | $10,423 | $0 | $11,102 | $0 | $484,164 | $0 | $0 | $0 |
| SCOTT A SHELTON | ||||||||||||||
| TREASURER/CFO (TO SEP) | $149,221 | $84,135 | $16,782 | $16,781 | $84,717 | $83,730 | $25,295 | $10,134 | $1,927 | $1,091 | $277,942 | $195,871 | $0 | $0 |
| MARY M CLANCY | ||||||||||||||
| CHIEF OPERATING OFFICER | $346,734 | $0 | $103,179 | $0 | $46,674 | $0 | $53,764 | $0 | $15,351 | $0 | $565,702 | $0 | $0 | $0 |
| DALE E CREECH | ||||||||||||||
| SYSTEM VP - CLO | $370,828 | $0 | $95,619 | $0 | $110,244 | $0 | $128,946 | $0 | $26,734 | $0 | $732,371 | $0 | $0 | $0 |
| RENEE P GEORGE | ||||||||||||||
| SYS VP-REVENUE CYCLE (TO SEP) | $230,033 | $0 | $32,277 | $0 | $597 | $0 | $8,355 | $0 | $13,488 | $0 | $284,750 | $0 | $0 | $0 |
| WILLIAM E LINESCH | ||||||||||||||
| FORMER KEY EMPLOYEE | $161,530 | $0 | $79,381 | $0 | $65,759 | $0 | $34,883 | $0 | $2,968 | $0 | $344,521 | $0 | $0 | $0 |
| MARK W SHAW | ||||||||||||||
| SYSTEM VP - MANAGED CARE | $265,641 | $0 | $72,161 | $0 | $51,115 | $0 | $73,213 | $0 | $26,161 | $0 | $488,291 | $0 | $0 | $0 |
| MARK S SHAKER | ||||||||||||||
| PRESIDENT & CEO | $481,425 | $0 | $106,006 | $0 | $162,903 | $0 | $162,548 | $0 | $4,297 | $0 | $917,179 | $0 | $0 | $0 |
| MICHAEL MAIBERGER | ||||||||||||||
| SYSTEM SR VP - CSO | $0 | $320,114 | $0 | $103,541 | $0 | $140,569 | $0 | $15,964 | $0 | $30,930 | $0 | $611,118 | $0 | $0 |
| J NICK LAIR | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $195,567 | $0 | $69,780 | $0 | $26,307 | $0 | $34,808 | $0 | $26,011 | $0 | $352,473 | $0 | $0 |
| ROBERT M BOWMAN | ||||||||||||||
| VP - HOSPITAL OPERATIONS | $207,898 | $0 | $42,556 | $0 | $7,753 | $0 | $23,453 | $0 | $27,021 | $0 | $308,681 | $0 | $0 | $0 |
| KIMBERLY A HENSLEY | ||||||||||||||
| VP - HOSPITAL OPERATIONS | $198,147 | $0 | $56,817 | $0 | $1,239 | $0 | $29,103 | $0 | $13,866 | $0 | $299,172 | $0 | $0 | $0 |
| CARA W POWERS | ||||||||||||||
| BOARD SECRETARY | $208,220 | $0 | $47,218 | $0 | $544 | $0 | $23,092 | $0 | $25,644 | $0 | $304,718 | $0 | $0 | $0 |
| GARY S COLLIER | ||||||||||||||
| VP CLINICAL CONSULTING | $209,309 | $0 | $44,148 | $0 | $76,304 | $0 | $156,669 | $0 | $4,740 | $0 | $491,170 | $0 | $0 | $0 |
| JOANN R RINGER | ||||||||||||||
| VP - COO MVH SOUTH | $256,263 | $0 | $55,901 | $0 | $44,786 | $0 | $61,732 | $0 | $3,640 | $0 | $422,322 | $0 | $0 | $0 |
| MOLLY J HALL | ||||||||||||||
| VP - ACADEMIC AFFAIRS | $390,864 | $0 | $102,639 | $0 | $28,838 | $0 | $16,404 | $0 | $2,474 | $0 | $541,219 | $0 | $0 | $0 |
| DIANE L PLEIMAN | ||||||||||||||
| FORMER KEY EMPLOYEE | $211,060 | $0 | $46,624 | $0 | $5,625 | $0 | $26,001 | $0 | $5,695 | $0 | $295,005 | $0 | $0 | $0 |
| THOMAS A NASH | ||||||||||||||
| SYSTEM VP - CPO (TO JUL) | $131,219 | $0 | $64,106 | $0 | $88,881 | $0 | $86,773 | $0 | $24,433 | $0 | $395,412 | $0 | $0 | $0 |
| MARK E WILLIAMS MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $341,617 | $0 | $95,042 | $0 | $19,003 | $0 | $9,353 | $0 | $25,834 | $0 | $490,849 | $0 | $0 | $0 |
| TAMMY S LUNDSTROM | ||||||||||||||
| SYSTEM VP - CMO | $478,960 | $0 | $129,296 | $0 | $5,942 | $0 | $8,159 | $0 | $1,537 | $0 | $623,894 | $0 | $0 | $0 |
| J MICHAEL SIMS | ||||||||||||||
| VP FINANCE | $221,069 | $0 | $56,630 | $0 | $44,154 | $0 | $38,164 | $0 | $28,259 | $0 | $388,276 | $0 | $0 | $0 |
| THOMAS R CURTIN | ||||||||||||||
| SYS VP-REVENUE CYCLE (FRM SEP) | $0 | $184,090 | $0 | $45,762 | $0 | $2,543 | $0 | $24,688 | $0 | $29,142 | $0 | $286,225 | $0 | $0 |
| GARY G GINTER | ||||||||||||||
| SYSTEM VP - CIO | $309,065 | $0 | $27,885 | $0 | $1,758 | $0 | $28,460 | $0 | $12,816 | $0 | $379,984 | $0 | $0 | $0 |
| THOMAS R PARKER | ||||||||||||||
| SYSTEM VP - SERVICE LINES | $0 | $353,725 | $0 | $77,093 | $0 | $23,932 | $0 | $24,748 | $0 | $3,744 | $0 | $483,242 | $0 | $0 |
| SYLVAIN TREPANIER DNP RN CENP | ||||||||||||||
| SYSTEM VP - CNO | $310,122 | $0 | $42,753 | $0 | $1,126 | $0 | $2,664 | $0 | $11,011 | $0 | $367,676 | $0 | $0 | $0 |
| DIANE L EWING | ||||||||||||||
| VP COMMUNICATIONS | $247,044 | $0 | $44,620 | $0 | $26,083 | $0 | $8,468 | $0 | $10,746 | $0 | $336,961 | $0 | $0 | $0 |
| WALTER REILING JR MD | ||||||||||||||
| CHIEF MEDICAL INFO OFFICER | $294,958 | $0 | $49,989 | $0 | $4,118 | $0 | $9,327 | $0 | $28,533 | $0 | $386,925 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A: | FormAndLineReferenceDesc |
| Explanation | THOMAS A. NASH RECEIVED SEVERANCE PAYMENTS OF $85,768. PART I, LINE 4B: DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL (MVH), COMPENSATES FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH SUPPLEMENTS 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 2014. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2014: ROBERT BOWMAN $5,445; MARY CLANCY $43,562; GARY COLLIER $55,048; DALE CREECH $103,141; MOLLY HALL $4,860; NICK LAIR $7,833; WILLIAM LINESCH $42,596; DIANE PLEIMAN $3,853; JOANN RINGER $42,197; MARK SHAKER $140,478; MARK SHAW $43,312; SCOTT A. SHELTON $164,741; J. MICHAEL SIMS $24,462; GEOFFREY WALKER $15,328. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2014: DIANE L. EWING $20,969; BOBBIE L. GERHART $64,365; JAMES PANCOAST $3,442; MICHAEL MAIBERGER $36,545. 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. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF MONTGOMERY OH | ||||||||
| A | 316000172 | 613549GP3 | 2008-11-13 | $234,895,988 | SEE PART VI - Note A | false | false | false |
| COUNTY OF MONTGOMERY OH | ||||||||
| B | 316000172 | 613549GZ1 | 2009-02-24 | $126,463,824 | SEE PART VI - Note B | false | false | false |
| COUNTY OF MONTGOMERY OH | ||||||||
| C | 316000172 | 613549JL9 | 2011-04-12 | $106,431,124 | SEE PART VI - Note C | false | false | false |
| COUNTY OF MONTGOMERY OH | ||||||||
| D | 316000172 | 613549JX3 | 2011-04-26 | $85,000,000 | SEE PART VI - Note C | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $144,095,000 | $0 | $234,895,988 | $0 | $0 | $0 | $2,119,000 | $0 | $0 | $33,744,883 | $198,698,052 | $334,053 | 2008 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $115,000,000 | $0 | $126,463,824 | $0 | $0 | $0 | $2,293,824 | $0 | $0 | $0 | $124,170,000 | $0 | 2009 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $2,035,000 | $0 | $106,431,124 | $0 | $0 | $0 | $1,203,000 | $0 | $0 | $105,228,124 | $0 | $0 | 2011 | false | false | Yes (true) | Yes (true) |
| D | $0 | $0 | $85,000,000 | $0 | $0 | $0 | $727,500 | $0 | $0 | $84,272,499 | $0 | $1 | 2011 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | 0.00717 | 0.00000 | 0.00717 | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | 0.00717 | 0.00000 | 0.00717 | false | false | false | Yes (true) |
| C | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | false | Yes (true) |
| D | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Merrill Lynch | |||||||||||||
| A | false | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | 0 | false | Yes (true) | |
| 0 | |||||||||||||
| B | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) | |||
| BarclaysWells Fargo | |||||||||||||
| C | false | Yes (true) | false | false | false | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) | 22. |
| BarclaysWells Fargo | |||||||||||||
| D | false | Yes (true) | false | false | Yes (true) | Yes (true) | Yes (true) | false | false | 0 | false | Yes (true) | 31.5 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Note A, PART 1, LINE A, COLUMN F: | REFUND MIAMI VALLEY HOSPITAL BOND SERIES 1992B, 1998A, 2003A, 2003B, & 2003C, AND TO PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS. |
| Note B, PART 1, LINE B, COLUMN F: | REFUND PORTION OF MIAMI VALLEY HOSPITAL SERIES 2008A AND 2008B BONDS. |
| Note C, PART 1, LINE C & D, COLUMN F: | PROVIDE FUNDS TO CONSTRUCT THE SOUTH EAST TOWER ON THE HOSPITAL'S CAMPUS. |
| Note D, PART 1, LINE A, COLUMN F: | REFUND MIAMI VALLEY HOSPITAL SERIES 2009A BONDS. |
| PART IV, ARBITRAGE, LINE 2C: | COMPUTATION DATE WAS NOVEMBER 13, 2013 FOR THE 2008ABC COMPUTATION DATE WAS NOVEMBER 17, 2014 FOR THE 2009AB. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF MONTGOMERY OH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 316000172 | BondIssuerEIN |
| Bond Issued | 2012-11-20 | BondIssuedDt |
| Issue Price | $128,640,000 | IssuePriceAmt |
| Purpose | SEE PART VI - Note D | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,000,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $128,640,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $375,517 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $128,264,483 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2012 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | Yes (true) | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (true) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00717 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00717 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PNCDEUTSCHE BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 25. | TermOfHedgePct |
| Superintegrated Hedge | Yes (true) | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ROBERT BOWMAN | |||
| SPOUSE | $62,022 | INFECTION PREVENT SPEC SALARY | false |
| SCOTT SHELTON | |||
| OFFICER | SEE SCHEDULE L PART V | false | |
| Diane Pleiman | |||
| FORMER KEY EMPLOYEE | SEE SCHEDULE L PART V | false | |
| CLANCY MARY M | |||
| OFFICER | SEE SCHEDULE L PART V | false | |
| CURTIN THOMAS | |||
| KEY EMPLOYEE | SEE SCHEDULE L PART V | false | |
| LISA BISHOP | |||
| CHILD | $11,221 | CAP ACQ SOURCING BUYER SALARY | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L - Part IV: | FormAndLineReferenceDesc |
| Explanation | Miami Valley Hospital contracts with Compunet for the provision of laboratory services. Scott Shelton (to September 14), Diane Pleiman (to May 14), Mary Clancy (from May 14), and Thomas Curtin (from September 14) are board members of Compunet Clinical Lab. In addition, Scott Shelton was the Chief Financial Officer of Miami Valley Hospital (to Sep 14), Diane Pleiman is a FORMER key employee of Miami Valley Hospital, Mary Clancy is the CHIEF OPERATING OFFICER of Miami Valley Hospital, and Thomas Curtin is a key employee of Miami Valley Hospital. Compunet is owned 51% by MVHE, Inc., which is a related organization of Miami Valley Hospital. The amounts paid under this contract are competitive and the transaction is at arms-length. The total amount paid in 2014 was $21,120,936. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, PART VI, SECTION A, QUESTION 3: | FormAndLineReferenceDesc |
| Explanation | 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 PREMIER'S ACTIVITIES. FORM 990, PART VI, SECTION A, QUESTION 6: MIAMI VALLEY HOSPITAL HAS TWO CORPORATE MEMBERS. ONE MEMBER IS MEDAMERICA HEALTH SYSTEMS, THE PARENT COMPANY OF THE HOSPITAL. THE SECOND MEMBER IS PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION FORMED PURSUANT TO THE JOINT OPERATING AGREEMENT. MEDAMERICA HEALTH SYSTEMS HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES OF THE CORPORATION. PREMIER HEALTH HAS THE GENERAL AUTHORITY TO OPERATE AND MANAGE THE OPERATIONAL ACTIVITIES OF THE CORPORATION. FORM 990, PART VI, SECTION A, QUESTION 7A: MEDAMERICA HEALTH SYSTEMS (MAHS) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH) FROM AMONG THOSE RECOMMENDED BY THE NOMINATING COMMITTEE SET FORTH IN THE JOINT OPERATING AGREEMENT. MAHS HAS THE AUTHORITY TO REMOVE TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT. PREMIER HEALTH (PREMIER) HAS THE RIGHT TO REQUEST THAT MAHS REMOVE A TRUSTEE OF MVH IF PREMIER HAS DETERMINED THAT SUCH TRUSTEE IS FRUSTRATING THE GOALS AND PURPOSES OF PREMIER'S NETWORK. SUCH REMOVAL SHALL NOT BE UNREASONABLY REFUSED BY MAHS. FORM 990, PART VI, SECTION A, QUESTION 7B: SEE THE RESPONSE ABOVE FOR FORM 990, PART VI, SECTION A, QUESTION 3. FORM 990, PART VI, SECTION B, QUESTION 11B: THIS 990 TAX RETURN AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL 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 TAX RETURN IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, QUESTION 12C: PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, OFFICERS, EXECUTIVE DIRECTORS, VICE PRESIDENTS, DIRECTORS, PURCHASING DEPARTMENT STAFF, AUTHORIZED PURCHASERS, MEDICAL DIRECTORS, DEPARTMENT AND SECTIONS CHAIRS, 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 TAX RETURN. FORM 990, PART VI, SECTION B, QUESTION 15A AND 15B: PREMIER HEALTH, OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, 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, 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, QUESTION 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 ON THE COMPANY WEBSITE. FORM 990, PART VII, LINE 1A, Item 17: Lisa Gibbs serves as an officer for both Miami Valley Hospital and another unrelated hospital. However, 100% of her compensation is paid by Miami Valley Hospital. Lisa Gibbs spends approximately one-half of her working hours at each Hospital. The compensation reported on Part VII includes all of her reportable compensation, even though Miami Valley Hospital is reimbursed by the unrelated hospital for her time spent at that institution. FORM 990, PART XI, LINE 9: PENSION FASB 158 ADJUSTMENT (93,569,052) EQUITY TRANSFERS (32,902,705) PHO EQUITY INFUSION (24,104,726) PHIC EQUITY INFUSION (3,372,917) FOUNDATION CONTRIBUTION ADJUSTMENT (1,199,428) RECLASSIFICATION OF PHG RELATED EXPENSES (806,252) SWAP AMORTIZATION (168,214) DISCONTINUED OPS-DIALYSIS & TRANSPLANT SVCS (11,585) JOA - DIALYSIS & TRANSPLANT SERVICES 6,000 CAPITAL DONATION 3,538,244 TOTAL (152,590,635) | ExplanationTxt |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIALYSIS CENTERS OF DAYTON LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N MAIN ST SUITE 500 | AddressLine1Txt |
| City | DAYTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311607686 | EIN |
| Primary Activities | DIALYSIS | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Total Income | $5,254,181 | TotalIncomeAmt |
| End Of Year Assets | $11,365,216 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MVH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PREMIER HEALTH | ||||||||||
| 110 N MAIN ST SUITE 500 | DAYTON | OH | 45402 | 311446699 | SUPPRTG. ORG. | OH | 501(C)(3) | 11-I | NA | false |
| MEDAMERICA HEALTH SYSTEMS CORP (MAHS) | ||||||||||
| 110 N MAIN ST SUITE 500 | DAYTON | OH | 45402 | 311040228 | PARENT | OH | 501(C)(3) | 11-III-FI | NA | false |
| MIAMI VALLEY HOSPITAL FOUNDATION | ||||||||||
| 110 N MAIN ST SUITE 500 | DAYTON | OH | 45402 | 311040231 | Foundation | OH | 501(C)(3) | 7 | MAHS | Yes (true) |
| PREMIER COMMUNITY HEALTH | ||||||||||
| 3170 KETTERING BLVD | MORAINE | OH | 45439 | 311122883 | Health Educat | OH | 501(C)(3) | 7 | MAHS | Yes (true) |
| FIDELITY HEALTH CARE | ||||||||||
| 3170 KETTERING BLVD | MORAINE | OH | 45439 | 311075381 | HOME HEALTH | OH | 501(C)(3) | 9 | MAHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Premier Plaza LLC | ||||||||||||||
| 110 N Main St Suite 500 | Dayton | OH | 45402 | 800708185 | Holding Compa | OH | MAHS | EXCLUDED | -$15,529 | $183,156 | false | $0 | false | 0.01000 |
| SOUTHWEST OHIO NEONATAL COLLABORATIVE | ||||||||||||||
| 110 NORTH MAIN ST | DAYTON | OH | 45402 | 463231330 | NEONATOLOGY | OH | CHILDRENS MEDIC | EXCLUDED | -$308 | -$308 | false | $0 | false | 0.61500 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MVHE INC | ||||||||||||
| 110 N MAIN ST SUITE 400 | DAYTON | OH | 45402 | 311185270 | PHYS SVCS | OH | MAHS | CORPORATION | $0 | $0 | 0.00000 | Yes (true) |
| PREMIER HEALTH SPECIALISTS INC | ||||||||||||
| 110 N MAIN ST SUITE 400 | DAYTON | OH | 45402 | 061744704 | PHYS SVCS | OH | MAHS | CORPORATION | $0 | $0 | 0.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PREMIER HEALTH | ||
| B | $806,252 | FMV |
| MIAMI VALLEY HOSPITAL FOUNDATION | ||
| C | $4,718,093 | CASH |
| MIAMI VALLEY HOSPITAL FOUNDATION | ||
| Q | $765,489 | FMV |
| Premier Health Specialists Inc | ||
| B | $25,908,756 | FMV |
| Premier Health Specialists Inc | ||
| C | $8,000,000 | FMV |
| Premier Health Specialists Inc | ||
| M | $2,165,816 | FMV |
| Premier Health Specialists Inc | ||
| O | $145,751 | FMV |
| Premier Health Specialists Inc | ||
| Q | $3,986,458 | FMV |
| MVHE INC | ||
| A-IV | $30,932 | FMV |
| MVHE INC | ||
| B | $26,530,960 | FMV |
| MVHE INC | ||
| C | $11,537,012 | FMV |
| MVHE INC | ||
| O | $327,444 | FMV |
| MVHE INC | ||
| Q | $4,532,389 | FMV |
| PREMIER COMMUNITY HEALTH | ||
| A-IV | $63,578 | FMV |
| PREMIER COMMUNITY HEALTH | ||
| R | $492,000 | FMV |
| PREMIER PLAZA LLC | ||
| K | $1,933,113 | FMV |
| Premier Health Specialists Inc | ||
| G | $155,000 | FMV |