MIAMI VALLEY HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MIAMI VALLEY HOSPITAL (EIN 31-0537504)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-13
IRS object ID: 201423179349301737
Schema version: 2013v3.1
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	2014-11-13T09:17:29-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIR 4000	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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	AddressLine1
Address Line2	Suite 500	AddressLine2
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT A SHELTON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9372088000	PhoneNum
Signature	2014-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CHRISTOPHER B BOGGS	PreparerPersonNm
PTIN	P00032493	PTIN
Phone	9372088000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$2,456,713,326	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	7	VotingMembersIndependentCnt
Total Employee	8264	TotalEmployeeCnt
Total Volunteers	974	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$2,675,858	PYContributionsGrantsAmt
CY Contributions Grants	$2,132,786	CYContributionsGrantsAmt
PY Program Service Revenue	$835,144,825	PYProgramServiceRevenueAmt
CY Program Service Revenue	$783,525,711	CYProgramServiceRevenueAmt
PY Investment Income	$27,250,377	PYInvestmentIncomeAmt
CY Investment Income	$32,688,738	CYInvestmentIncomeAmt
PY Other Revenue	$17,225,886	PYOtherRevenueAmt
CY Other Revenue	$36,007,842	CYOtherRevenueAmt
PY Total Revenue	$882,296,946	PYTotalRevenueAmt
CY Total Revenue	$854,355,077	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,913,883	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$11,321,408	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$384,995,078	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$378,436,847	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$419,188,073	PYOtherExpensesAmt
CY Other Expenses	$392,396,992	CYOtherExpensesAmt
PY Total Expenses	$810,097,034	PYTotalExpensesAmt
CY Total Expenses	$782,155,247	CYTotalExpensesAmt
PY Revenues Less Expenses	$72,199,912	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$72,199,830	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,384,625,214	TotalAssetsBOYAmt
Total Assets EOY	$1,467,588,789	TotalAssetsEOYAmt
Total Liabilities BOY	$771,936,176	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$680,566,074	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$612,689,038	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$787,022,715	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	$698,875,181	ExpenseAmt
Grant	$11,321,408	GrantAmt
Revenue	$783,525,711	RevenueAmt
Desc	PLEASE REFER TO SCHEDULE H.	Desc
Total Program Service Expenses	$698,875,181	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	781	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8264	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	7	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	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45402	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (38 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	$653,276	$32,866
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)		$3,000	$0	$0
MARY C NUTTER
TRUSTEE	0.5	0.0	Yes (X)		$0	$0	$0
SR RABBI DAVID SOFIAN
TRUSTEE (THRU 01/2013)	0.5	0.0	Yes (X)		$0	$0	$0
JAMES J MURPHY MD
TRUSTEE	0.5	0.5	Yes (X)		$0	$0	$0
CHRISTOPHER DANIS MD
TRUSTEE	0.5	39.5	Yes (X)		$0	$401,793	$18,299
MARC BELCASTRO
TRUSTEE	0.5	0.0	Yes (X)		$35,100	$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	$4,351,056	$56,516
BOBBIE L GERHART
PRESIDENT & CEO	40.0	0.0	Yes (X)	Yes (X)	$729,179	$0	$34,752
REV DR BRODIE MATHIS
TRUSTEE (THRU 10/2013)	0.5	0.0	Yes (X)		$0	$0	$0
BARBARA A JOHNSON
VP & COO (thru 6/2/13)	40.0	0.0		Yes (X)	$484,685	$0	$13,860
SCOTT A SHELTON
TREASURER/CFO	20.0	0.0		Yes (X)	$144,937	$0	$12,360
MARY M CLANCY
VP & COO (From 6/3/13)	40.0	0.0		Yes (X)	$470,879	$0	$35,207
CARA W POWERS
BOARD SECRETARY	39.5	0.5		Yes (X)	$213,144	$0	$36,281
DALE E CREECH
VP & CLO (PREMIER)	8.25	31.75			$576,123	$0	$53,790	Yes (X)
RENEE P GEORGE
VP - REVENUE CYCLE (PREMIER)	8.0	32.0			$276,642	$0	$33,291	Yes (X)
WILLIAM E LINESCH
VP - HUMAN RESOURCES (PREMIER)	8.0	32.0			$450,825	$0	$37,280	Yes (X)
MARK W SHAW
VP - MANAGED CARE (PREMIER)	8.0	32.0			$428,171	$0	$54,122	Yes (X)
MARK S SHAKER
SR VP SRVCE INTEGRATE(PREMIER)	8.0	32.0			$725,914	$0	$29,963	Yes (X)
MICHAEL MAIBERGER
SR VP-CHIEF STRATEGY (PREMIER)	8.0	32.0			$0	$546,586	$75,119	Yes (X)
ROBERT M BOWMAN
VP - OPERATIONS	40.0	0.0			$274,329	$0	$40,563	Yes (X)
KIMBERLY A HENSLEY
VP - OPERATIONS	40.0	0.0			$217,469	$0	$28,488	Yes (X)
JOANN R RINGER
COO MVH SOUTH	40.0	0.0			$370,142	$0	$27,303	Yes (X)
DEBORAH A MALS
VP & CNO	40.0	0.0			$352,498	$0	$41,817	Yes (X)
THOMAS A NASH
VP-CHF PURCH OFFICER (PREMIER)	8.0	32.0			$263,269	$0	$21,245	Yes (X)
MARK E WILLIAMS
VP MEDICAL AFFAIRS / CMO	40.0	0.0			$385,007	$0	$29,525	Yes (X)
ANN M SCHUERMAN
VP OPERATION INNOVATE(PREMIER)	40.0	0.0			$396,184	$0	$42,986		Yes (X)
GARY S COLLIER
VP CLINICAL CONSULTING	40.0	0.0			$414,066	$0	$52,112		Yes (X)
MOLLY J HALL
VP - ACADEMIC AFFAIRS	40.0	0.0			$470,552	$0	$29,659		Yes (X)
TAMMY S LUNDSTROM
VP MEDICAL AFFAIRS/CMO PREMIER	40.0	0.0			$570,927	$0	$6,461		Yes (X)
J MICHAEL SIMS
VP FINANCE (PREMIER)	39.5	0.5			$339,128	$0	$47,683		Yes (X)
GEOFFREY P WALKER
FORMER BOARD SECRETARY	40.0	0.0			$294,107	$0	$44,978			Yes (X)
J NICK LAIR
FORMER KEY EMPLOYEE	40.0	0.0			$0	$288,403	$40,600			Yes (X)
DIANE L PLEIMAN
FORMER KEY EMPLOYEE	40.0	0.0			$271,498	$0	$23,074			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,157,775	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,241,114	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,000,200	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	236	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
COMPUNET CLINICAL LABORATORIES
2308 SANDRIDGE DR	MORAINE	OH	45349	CLINICAL LAB	$23,332,321
ANESTHESIOLOGY SERVICES NETWORK
PO BOX 349	DAYTON	OH	45409	Medical Services	$8,623,116
MIAMI VALLEY EMERGENCY SPECIALISTS
35 MILLARD CT	SPRINGBORO	OH	45066	Medical Services	$7,473,242
EVOLENT HEALTH INC
800 N GLEBE RD 500	ARLINGTON	VA	22203	SOFTWARE INPLEMENT	$4,780,185
AIR METHODS CORP
3800 CLEARVIEW RD	MORAINE	OH	45439	MEDICAL SERVICES	$4,505,575

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	61	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,132,786	RelatedOrganizationsAmt
Total Contributions	$2,132,786	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	900099	$416,121,576	$416,121,576
MEDICARE/MEDICAID	900099	$344,612,567	$344,612,567
HOSPITAL FRANCHISE TAX RECOVERIES	900099	$22,043,770	$22,043,770
PURCHASE DISCOUNTS	900099	$122,650	$122,650
DENTAL CLINIC	900099	$82,449	$82,449

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$542,699	TotalRevenueColumnAmt
Related Or Exempt Func Income	$542,699	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$783,525,711	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,867,103	TotalRevenueColumnAmt
Exclusion	$5,867,103	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	$4,333,683	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$659,235	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,674,448	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,674,448	TotalRevenueColumnAmt
Exclusion	$3,674,448	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,625,951,937	SecuritiesAmt
Other	$131,682	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,599,261,984	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$26,689,953	SecuritiesAmt
Other	$131,682	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,821,635	TotalRevenueColumnAmt
Exclusion	$26,821,635	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	$3,757,812	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,437,030	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,320,782	TotalRevenueColumnAmt
Exclusion	$1,320,782	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
GAIN ON INTEREST SWAP ADJ	900099	$21,016,118	$21,016,118
CAFETERIA SALES	812930	$5,504,318	$5,504,318
PARKING GARAGE	900099	$1,657,728	$1,657,728

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,834,448	TotalRevenueColumnAmt
Exclusion	$2,834,448	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$31,012,612	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$854,355,077	TotalRevenueColumnAmt
Related Or Exempt Func Income	$783,525,711	RelatedOrExemptFuncIncomeAmt
Exclusion	$68,696,580	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,321,408	TotalAmt
Program Services	$11,321,408	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	$6,893,060	TotalAmt
Program Services	$5,922,517	ProgramServicesAmt
Management And General	$970,543	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$279,669,160	TotalAmt
Program Services	$240,291,742	ProgramServicesAmt
Management And General	$39,377,418	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$27,878,029	TotalAmt
Program Services	$23,952,803	ProgramServicesAmt
Management And General	$3,925,226	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$42,894,416	TotalAmt
Program Services	$36,854,882	ProgramServicesAmt
Management And General	$6,039,534	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,102,182	TotalAmt
Program Services	$18,130,995	ProgramServicesAmt
Management And General	$2,971,187	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$110,846	TotalAmt
Program Services	$95,239	ProgramServicesAmt
Management And General	$15,607	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,485,763	TotalAmt
Program Services	$2,135,768	ProgramServicesAmt
Management And General	$349,995	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$466,022	TotalAmt
Management And General	$466,022	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$43,735	TotalAmt
Program Services	$43,735	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	$1,496,511	TotalAmt
Management And General	$1,496,511	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,918,106	TotalAmt
Program Services	$37,918,106	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,114,797	TotalAmt
Program Services	$2,114,797	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,435,149	TotalAmt
Program Services	$3,810,680	ProgramServicesAmt
Management And General	$624,469	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,589,989	TotalAmt
Program Services	$12,535,719	ProgramServicesAmt
Management And General	$2,054,270	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,037,603	TotalAmt
Program Services	$11,201,908	ProgramServicesAmt
Management And General	$1,835,695	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$567,536	TotalAmt
Program Services	$487,627	ProgramServicesAmt
Management And General	$79,909	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	$3,879	TotalAmt
Program Services	$3,333	ProgramServicesAmt
Management And General	$546	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,726,946	TotalAmt
Program Services	$10,726,946	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$76,154,888	TotalAmt
Program Services	$65,432,280	ProgramServicesAmt
Management And General	$10,722,608	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,715,366	TotalAmt
Program Services	$2,333,042	ProgramServicesAmt
Management And General	$382,324	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OPERATING SUPPLIES	$128,979,916	$128,979,916
PURCHASED SERVICES	$65,445,898	$56,231,116	$9,214,782
HOSPITAL FRANCHISE TAX	$11,548,504	$11,548,504
REPAIRS AND MAINTENANCE	$4,866,667	$4,181,440	$685,227

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,688,871	TotalAmt
Program Services	$12,620,678	ProgramServicesAmt
Management And General	$2,068,193	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$782,155,247	TotalAmt
Program Services	$698,875,181	ProgramServicesAmt
Management And General	$83,280,066	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$30,351	BOYAmt
EOY	$30,110	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,703,994	BOYAmt
EOY	$52,490,524	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	$139,987,178	BOYAmt
EOY	$123,951,353	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	$7,097,941	BOYAmt
EOY	$3,078,325	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,136,215	BOYAmt
EOY	$6,904,712	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,700,599	BOYAmt
EOY	$10,679,656	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,233,574,209	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$592,560,389	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$671,771,604	BOYAmt
EOY	$641,013,820	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$268,900,915	BOYAmt
EOY	$426,179,064	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$190,583,524	BOYAmt
EOY	$153,989,569	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	$24,735,557	BOYAmt
EOY	$9,534,039	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$45,977,336	BOYAmt
EOY	$39,737,617	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,384,625,214	BOYAmt
EOY	$1,467,588,789	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$82,730,168	BOYAmt
EOY	$74,399,877	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$571,795	BOYAmt
EOY	$3,139,995	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,304,271	BOYAmt
EOY	$1,685,764	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$430,412,394	BOYAmt
EOY	$423,884,455	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	$6,009,302	BOYAmt
EOY	$14,976,182	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	$250,908,246	BOYAmt
EOY	$162,479,801	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$771,936,176	BOYAmt
EOY	$680,566,074	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$612,689,038	BOYAmt
EOY	$787,022,715	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	$612,689,038	BOYAmt
EOY	$787,022,715	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,384,625,214	BOYAmt
EOY	$1,467,588,789	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$72,199,830	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,378,282	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$69,755,565	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	$30,235	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$13,500	OtherActivitiesAmt
Total Lobbying Expenditures	$43,735	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, 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	$36,464,941	OtherCostOrOtherBasisAmt
Book Value	$36,464,941	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$693,251,631	OtherCostOrOtherBasisAmt
Depreciation	$317,684,224	DepreciationAmt
Book Value	$375,567,407	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,814,053	OtherCostOrOtherBasisAmt
Depreciation	$1,547,555	DepreciationAmt
Book Value	$3,266,498	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$475,016,722	OtherCostOrOtherBasisAmt
Depreciation	$273,328,610	DepreciationAmt
Book Value	$201,688,112	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,026,862	OtherCostOrOtherBasisAmt
Book Value	$24,026,862	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$641,013,820	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATE INVESTMENTS	Desc
Book Value	$153,989,569	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Securities	$153,989,569	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PENSION OBLIGATION	$116,835,376
MALPRACTICE INSURANCE	$22,694,880
JOINT OPERATING AGREEMENT	$8,544,000
LOAN GUARANTEE & OTHER LTL	$4,207,183
SWAP LIABILITY	$4,159,056
HOSPITAL FRANCHISE TAX PAYABLE	$3,069,063
WORKERS COMP RESERVE	$1,267,198
OTHER	$1,703,045

Field	Value	IRS element (for citing)
Total Liability	$162,479,801	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, Inc. (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, 2013 and 2012 for such unrelated business activities are not significant. MAHS, SHP, AHS, and UVMC also own or control certain subsidiaries, which are for profit corporations subject to federal income taxes. These are: 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 its 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	$107,621,000
Central America and the Caribbean	Program Services	$25,000	Insurance

Field	Value	IRS element (for citing)
Subtotal Spent	$107,646,000	SubtotalSpentAmt
Total Spent	$107,646,000	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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$54,989,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,565,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,424,000	NetCommunityBenefitExpnsAmt
Total Expense	0.04780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,713,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$122,112,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,601,000	NetCommunityBenefitExpnsAmt
Total Expense	0.04040	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,477,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,642,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,835,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$216,179,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$144,319,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,860,000	NetCommunityBenefitExpnsAmt
Total Expense	0.09180	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,852,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,852,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,660,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,881,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,779,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,195,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,195,000	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,616,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,616,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,323,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,881,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,442,000	NetCommunityBenefitExpnsAmt
Total Expense	0.04150	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$268,502,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$164,200,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,302,000	NetCommunityBenefitExpnsAmt
Total Expense	0.13330	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,224,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,224,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,224,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,224,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,744,429	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$136,872,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$152,868,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,996,000	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI VALLEY HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE WYOMING ST	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45409	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.PREMIERHEALTH.COM	WebsiteAddressTxt
State License	SEE PART V SECT C	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Miami Valley Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
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 Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
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. Part V, Section B, Question 3 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 4 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, QUESTION 5A: 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 12I: IF THE PATIENT'S FAMILY'S INCOME FALLS WITHIN 400% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT QUALIFIES FOR ASSISTANCE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY. ALL OR PART OF THE ACCOUNT WILL BE WRITTEN OFF TO CHARITY CARE, BASED UPON A SLIDING FEE SCHEDULE. THE AMOUNTS CHARGED TO PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT BILLED GROSS CHARGES FOR EMERGENCY OR MEDICALLY NECESSARY CARE. WE OFFER REASONABLE PAYMENT PLANS TO THOSE WHO HAVE QUALIFIED FOR CHARITY CARE. PATIENTS MAY ALSO QUALIFY FOR CHARITY CARE DISCOUNTS DUE TO A MEDICALLY-BASED CATASTROPHIC EVENT WHICH HAS OCCURRED IN THEIR LIFE. IF A PATIENT QUALIFIES FOR THIS DISCOUNT, HE/SHE WOULD ONLY BE HELD RESPONSIBLE FOR PAYMENT OF HIS/HER FAMILY'S MEDICAL EXPENSES UP TO 15% OF THEIR ANNUAL INCOME. PART V, SECTION B, LINE 14G: THE HOSPITAL WIDELY DISTRIBUTES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY WITHIN THE AREA THAT IT SERVES. THIS INFORMATION INCLUDES THE METHOD OF APPLYING FOR AND ACCESSING FINANCIAL ASSISTANCE. NOTICES ARE PUBLICIZED IN PATIENTS' BILLS AND ARE POSTED IN THE EMERGENCY ROOM, ADMITTING AND REGISTRATION AREAS, AS WELL AS OTHER PUBLIC AREAS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE. FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND CUSTOMER SERVICE REPRESENTATIVES DISCUSS THE FINANCIAL ASSISTANCE POLICY WITH ALL UNINSURED PATIENTS, AND ANY PATIENT WHO EXPRESSES FINANCIAL HARDSHIP WITH PAYING THEIR BILL. APPLICATIONS FOR FINANCIAL ASSISTANCE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. PART V, SECTION B, LINE 18E: BEFORE INITIATING COLLECTIONS ACTIONS, THE HOSPITAL NOTIFIES SELF-PAY PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY. NOTICES OF THE POLICY ARE PUBLICIZED IN THE PATIENTS' BILLS AND ARE ALSO POSTED IN THE EMERGENCY ROOM, ADMITTING AND REGISTRATION AREAS, AS WELL AS OTHER PUBLIC AREAS. A SUMMARY OF THE FINANCIAL ASSISTANCE IS PUBLISHED ON THE HOSPITAL'S WEBSITE. FINANCIAL COUNSELORS, PATIENT ADVOCATES, PATIENT REGISTRATION, AND CUSTOMER SERVICE REPRESENTATIVES DISCUSS THE FINANCIAL ASSISTANCE POLICY WITH ALL UNINSURED PATIENTS WHO ARE ADMITTED TO THE HOSPITAL. FINANCIAL COUNSELORS ALSO CONTACT UNINSURED OUTPATIENTS WHO ARE SCHEDULED TO HAVE MAJOR PROCEDURES. IN ANY INSTANCE WHERE A PATIENT CALLS THE HOSPITAL AND EXPRESSES A CONCERN ABOUT THEIR ABILITY TO PAY, THE FINANCIAL ASSISTANCE POLICY IS EXPLAINED.	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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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 2013, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $18,195,000. 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 2013 WAS $221,000. 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 2013 WAS $121,000. 3. UNITED WAY: MIAMI VALLEY HOSPITAL PROVIDED $63,000 SUPPORT TO THIS PROGRAM IN 2013. 4. CITY OF DAYTON: MIAMI VALLEY HOSPITAL 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. THE AMOUNT PROVIDED IN 2013 WAS $184,000. 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 2013 WAS $635,000. 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 120 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 $94,987,000 AND INCURRED COST OF $134,536,000, FOR AN ADDITIONAL NET SHORTFALL OF $39,549,000 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) 136,872,000 MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B 94,987,000 TOTAL MEDICARE ASSOCIATED REVENUE 231,859,000 ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) 152,868,000 MEDICARE COST NOT REPORTED IN PART III, SECTION B 134,536,000 TOTAL MEDICARE ASSOCIATED COST 287,404,000 MEDICARE SHORTFALL PER PART III, SECTION B 15,996,000 ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B 39,549,000 TOTAL MEDICARE SHORTFALL 55,545,000 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 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'S COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITIES' NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. WE RELY ON DATA PROVIDED BY THE GREATER DAYTON AREA HOSPITAL ASSOCIATION TO ASSIST WITH THE NEEDS OF THE COMMUNITY. MIAMI VALLEY HOSPITAL, AS AN AFFILIATE OF PREMIER HEALTH, ALSO PARTICIPATES IN THE HOMELESS SHELTER TASK FORCE AND THE MONTGOMERY COUNTY HEALTHCARE SAFETY NET TASK FORCE. THE HOMELESS SHELTER TASK FORCE OFFERS STRATEGIC SOLUTIONS TO THE OVER 6,000 HOMELESS PEOPLE LIVING IN DAYTON AND MONTGOMERY COUNTY. THESE SOLUTIONS INCLUDE EVALUATING THE LOCATION OF THE DAY SHELTER AND THE GOOD SAMARITAN HOMELESS CLINIC TO ENSURE THEY ARE LOCATED IN A PLACE EASILY ACCESSIBLE TO THE HOMELESS. THE PRIMARY GOAL IS TO PROVIDE SUPPORT FOR THE HOMELESS, GET THEM INTO PERMANENT HOUSING AND EMPLOYED SO THEY CAN BE SELF-SUFFICIENT. THE MONTGOMERY COUNTY HEALTHCARE SAFETY NET TASK FORCE WAS APPOINTED IN SEPTEMBER 2006 BY THE MONTGOMERY COUNTY COMMISSIONERS. THE TASK FORCE WAS CHARGED WITH RECOMMENDING AN INNOVATIVE VISION AND ACHIEVABLE SETS OF STRATEGIES TO IMPROVE AND FINANCE THE HEALTHCARE SAFETY NET FOR VULNERABLE POPULATIONS IN MONTGOMERY COUNTY. THE TASK FORCE, COMPRISED OF 19 MEMBERS, INCLUDED HOSPITAL SYSTEM LEADERSHIP, SAFETY NET CLINICAL PROVIDERS, THE DEAN OF WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE, UNITED WAY, MAJOR INSURANCE COMPANIES AND OTHER KEY STAKEHOLDERS. THE REPORT FROM THEIR EVALUATION SHOWED THAT APPROXIMATELY 60,300 PEOPLE OR NEARLY 11% OF MONTGOMERY COUNTY RESIDENTS DO NOT HAVE HEALTHCARE INSURANCE. APPROXIMATELY 84,082 RESIDENTS OR OVER 12% IN MONTGOMERY COUNTY WERE ENROLLED IN MEDICAID. MONTGOMERY COU	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (35 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
THE DAYTON FOUNDATION
40 N MAIN ST 500	DAYTON	OH	45423	316027287	501(C)(3)	$6,561,750	VARIOUS
CHILDRENS MEDICAL CENTER
ONE CHILDRENS PLAZA	DAYTON	OH	45404	310672132	501(C)(3)	$2,500,000	COMMUNITY HEALTH
PREMIER COMMUNITY HEALTH
601 W RIVERVIEW AVE	DAYTON	OH	45404	311122883	501(C)(3)	$389,545	COMMUNITY HEALTH
VICTORIA THEATRE ASSOCIATION
138 N MAIN ST	DAYTON	OH	45402	310897638	501(C)(3)	$225,000	CORPORATE PLEDGE
REACH OUT MONTGOMERY COUNTY
25 E FORAKER ST	DAYTON	OH	45409	311434282	501(C)(3)	$199,468	RX ASSISTANCE FOR INDIGENT PATIENTS
CITY OF DAYTON
335 W THIRD ST	DAYTON	OH	45402	316000175	GOVERNMENT	$184,250	GOOD NEIGHBOR POLICE PROGRAM
DAYTON ART INSTITUTE
456 BELMONTE PARK N	DAYTON	OH	45405	310537480	501(C)(3)	$76,200	CORPORATE PLEDGE
UNITED WAY OF THE GREATER DAYTON AREA
333 W FIRST ST 500	DAYTON	OH	45402	310536658	501(C)(3)	$65,750	CORPORATE PLEDGE
WRIGHT STATE UNIVERSITY
3640 COLONEL GLENN HWY	DAYTON	OH	45435	310732831	501(C)(3)	$65,500	SPONSORSHIP
CITYWIDE DEVELOPMENT CORPORATION
8 N MAIN ST	DAYTON	OH	45402	310821189	501(C)(4)	$52,100	GENESIS PROJECT DOWNTOWN DAYTON
GOODWILL EASTER SEALS
1511 KUNTZ RD	DAYTON	OH	45404	310537112	501(C)(3)	$43,750	CAR SEAT PROGRAM
AIDS RESOURCE CENTER OHIO
15 W FOURTH ST 200	DAYTON	OH	45402	311126780	501(C)(3)	$37,500	AFRICAN AMERICAN OUTREACH
DOWNTOWN DAYTON PARTNERSHIP
10 W SECOND ST 511	DAYTON	OH	45402	341722175	501(C)(3)	$32,000	SUPPORT
MIAMI VALLEY HOSPITAL FOUNDATION
110 N MAIN ST	DAYTON	OH	45402	311040231	501(C)(3)	$23,250	HEALTH PROMOTION
CULTURE WORKS
110 N MAIN ST 165	DAYTON	OH	45402	237412338	501(C)(3)	$16,175	ANNUAL CAMPAIGN
GOOD NEIGHBOR HOUSE
844 S PATTERSON BLVD	DAYTON	OH	45402	311374154	501(C)(3)	$13,960	ANNUAL PLEDGE
CENTRAL STATE UNIVERSITY
1400 BRUSH ROW RD	WIBERFORCE	OH	45384	310675386	501(C)(3)	$12,500	SPONSORSHIP
DAYTON CONTEMPORARY DANCE COMPANY
840 GERMANTOWN ST	DAYTON	OH	45402	237220259	501(C)(3)	$11,500	SPONSORSHIP
PROJECT HOPE INC
1510 N MAIN ST	DAYTON	OH	45404	341421548	501(C)(3)	$10,000	SUPPORT
MUSE MACHINE INC
126 N MAIN ST 310	DAYTON	OH	45402	311028673	501(C)(3)	$10,000	SUPPORT
ATRIUM MEDICAL CENTER FOUNDATION
110 N MAIN ST	DAYTON	OH	45402	311079213	501(C)(3)	$9,750	SUPPORT
AMERICAN CANCER SOCIETY
5555 FRANTZ RD	DUBLIN	OH	43017	340726080	501(C)(3)	$8,750	SUPPORT
MARCH OF DIMES FOUNDATION
3131 S DIXIE DR 313	DAYTON	OH	45439	131846366	501(C)(3)	$7,500	SPONSORSHIP
HOSPICE OF DAYTON FOUNDATION
324 WILMINGTON AVE	DAYTON	OH	45420	310933339	501(c)(3)	$7,375	SPONSOR
DAYBREAK
605 S LUDLOW ST	DAYTON	OH	45410	310864474	501(c)(3)	$7,000	SUPPORT
CHAMINADE JULIENNE HIGH SCHOOL
505 S LUDLOW ST	DAYTON	OH	45402	310832408	501(C)(3)	$7,000	SPONSORSHIP
COUNTRYSIDE YMCA
1699 DEERFIELD RD	LEBANON	OH	45036	510181689	501(C)(3)	$6,920	SUPPORT
DAYTON PERFORMING ARTS ALLIANCE
109 N MAIN ST 200	DAYTON	OH	45402	316000101	501(C)(3)	$6,750	SUPPORT
BOONSHOFT MUSEUM OF DISCOVERY
2600 DEWEESE PKWY	DAYTON	OH	45414	310585917	501(C)(3)	$6,750	SUPPORT
DAYTON EARLY COLLEGE ACADEMY INC
300 COLLEGE PARK AVE	DAYTON	OH	45469	260436618	501(C)(3)	$6,500	SUPPORT
MONTGOMERY COUNTY OHIO COLLEGE PROMISE
500 KETTERING TOWER	DAYTON	OH	45423	311358532	501(C)(3)	$6,250	SUPPORT
MIDDLETOWN COMMUNITY FOUNDATION
300 N MAIN ST 300	MIDDLETOWN	OH	45042	310898380	501(C)(3)	$6,000	SUPPORT
SAINT PETER CATHOLIC CHURCH
6161 CHAMBERSBURG	HUBER HEIGHTS	OH	45424	310626310	501(C)(3)	$5,250	SUPPORT
ST VINCENT DEPAUL
1133 S EDWIN C MOSES BLVD 300	DAYTON	OH	45408	311011485	501(C)(3)	$5,250	SUPPORT
UNIVERSITY OF DAYTON
300 COLLEGE PARK AVE	DAYTON	OH	45469	310536715	501(C)(3)	$5,250	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	34	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)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 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	$567,627	$0	$78,683	$0	$6,966	$0	$10,194	$0	$22,672	$0	$686,142	$0	$0
CHRISTOPHER DANIS MD
TRUSTEE	$0	$398,593	$0	$0	$0	$3,200	$0	$0	$0	$18,299	$0	$420,092	$0	$0
JAMES R PANCOAST
TRUSTEE / PREMIER PRES & CEO	$0	$936,016	$0	$333,569	$0	$3,081,471	$0	$29,657	$0	$26,859	$0	$4,407,572	$0	$0
GEOFFREY P WALKER
FORMER BOARD SECRETARY	$220,302	$0	$60,183	$0	$13,622	$0	$23,513	$0	$21,465	$0	$339,085	$0	$0	$0
BOBBIE L GERHART
PRESIDENT & CEO	$468,267	$0	$155,354	$0	$105,558	$0	$23,778	$0	$10,974	$0	$763,931	$0	$0	$0
BARBARA A JOHNSON
VP & COO (thru 6/2/13)	$353,819	$0	$108,224	$0	$22,642	$0	$4,649	$0	$9,211	$0	$498,545	$0	$0	$0
SCOTT A SHELTON
TREASURER/CFO	$115,021	$0	$28,635	$0	$1,281	$0	$10,621	$0	$1,739	$0	$157,297	$0	$0	$0
MARY M CLANCY
VP & COO (From 6/3/13)	$331,213	$0	$108,348	$0	$31,318	$0	$21,570	$0	$13,637	$0	$506,086	$0	$0	$0
DALE E CREECH
VP & CLO (PREMIER)	$367,721	$0	$97,597	$0	$110,805	$0	$30,227	$0	$23,563	$0	$629,913	$0	$0	$0
RENEE P GEORGE
VP - REVENUE CYCLE (PREMIER)	$218,785	$0	$57,230	$0	$627	$0	$7,790	$0	$25,501	$0	$309,933	$0	$0	$0
WILLIAM E LINESCH
VP - HUMAN RESOURCES (PREMIER)	$302,375	$0	$85,347	$0	$63,103	$0	$29,823	$0	$7,457	$0	$488,105	$0	$0	$0
MARK W SHAW
VP - MANAGED CARE (PREMIER)	$259,238	$0	$77,695	$0	$91,238	$0	$31,273	$0	$22,849	$0	$482,293	$0	$0	$0
MARK S SHAKER
SR VP SRVCE INTEGRATE(PREMIER)	$416,041	$0	$119,115	$0	$190,758	$0	$25,000	$0	$4,963	$0	$755,877	$0	$0	$0
MICHAEL MAIBERGER
SR VP-CHIEF STRATEGY (PREMIER)	$0	$311,209	$0	$108,151	$0	$127,226	$0	$48,688	$0	$26,431	$0	$621,705	$0	$36,422
J NICK LAIR
FORMER KEY EMPLOYEE	$0	$195,320	$0	$61,980	$0	$31,103	$0	$17,586	$0	$23,014	$0	$329,003	$0	$0
ROBERT M BOWMAN
VP - OPERATIONS	$197,802	$0	$70,790	$0	$5,737	$0	$17,150	$0	$23,413	$0	$314,892	$0	$0	$0
KIMBERLY A HENSLEY
VP - OPERATIONS	$179,981	$0	$36,457	$0	$1,031	$0	$17,387	$0	$11,101	$0	$245,957	$0	$0	$0
CARA W POWERS
BOARD SECRETARY	$188,421	$0	$24,271	$0	$452	$0	$12,323	$0	$23,958	$0	$249,425	$0	$0	$0
ANN M SCHUERMAN
VP OPERATION INNOVATE(PREMIER)	$261,407	$0	$79,014	$0	$55,763	$0	$33,965	$0	$9,021	$0	$439,170	$0	$0	$0
GARY S COLLIER
VP CLINICAL CONSULTING	$257,017	$0	$92,484	$0	$64,565	$0	$31,871	$0	$20,241	$0	$466,178	$0	$0	$0
JOANN R RINGER
COO MVH SOUTH	$242,065	$0	$103,309	$0	$24,768	$0	$24,451	$0	$2,852	$0	$397,445	$0	$0	$0
DEBORAH A MALS
VP & CNO	$222,010	$0	$66,551	$0	$63,937	$0	$28,767	$0	$13,050	$0	$394,315	$0	$0	$0
MOLLY J HALL
VP - ACADEMIC AFFAIRS	$312,073	$0	$121,797	$0	$36,682	$0	$8,930	$0	$20,729	$0	$500,211	$0	$0	$0
DIANE L PLEIMAN
FORMER KEY EMPLOYEE	$203,126	$0	$64,627	$0	$3,745	$0	$17,260	$0	$5,814	$0	$294,572	$0	$0	$0
THOMAS A NASH
VP-CHF PURCH OFFICER (PREMIER)	$185,778	$0	$20,000	$0	$57,491	$0	$0	$0	$21,245	$0	$284,514	$0	$0	$0
MARK E WILLIAMS
VP MEDICAL AFFAIRS / CMO	$314,166	$0	$52,719	$0	$18,122	$0	$7,831	$0	$21,694	$0	$414,532	$0	$0	$0
TAMMY S LUNDSTROM
VP MEDICAL AFFAIRS/CMO PREMIER	$452,195	$0	$116,033	$0	$2,699	$0	$4,451	$0	$2,010	$0	$577,388	$0	$0	$0
J MICHAEL SIMS
VP FINANCE (PREMIER)	$220,065	$0	$64,479	$0	$54,584	$0	$24,880	$0	$22,803	$0	$386,811	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART 1, LINE 1A:	FormAndLineReferenceDesc
Explanation	THE COMPANY PROVIDED MR. NASH WITH TEMPORARY HOUSING AND PAID FOR AIRLINE TRAVEL FOR MR. NASH'S SPOUSE. THE ITEMS CHECKED WERE PROPERLY TREATED FOR PAYROLL TAX PURPOSES. 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 2013. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2013: ROBERT BOWMAN $3,464; MARY CLANCY $28,232; GARY COLLIER $42,676; DALE CREECH $106,150; BOBBIE GERHART $68,913; MOLLY HALL $12,971; BARBARA JOHNSON $17,835; NICK LAIR $12,923; WILLIAM LINESCH $36,185; DEBORAH MALS $47,309; DIANE PLEIMAN $2,559; JOANN RINGER $23,040; ANN SCHUERMAN $49,895; MARK SHAKER $168,642; MARK SHAW $83,410; J. MICHAEL SIMS $34,837; GEOFFREY WALKER $12,183. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2013: JAMES PANCOAST $3,047,215; MICHAEL MAIBERGER $36,422. 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. PART I, LINE 6A AND 6B: PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, HAS AN INCENTIVE COMPONENT FOR ALL EXECUTIVE AND DIRECTOR LEVEL EMPLOYEES THAT TIES A PORTION OF THEIR TOTAL COMPENSATION TO ORGANIZATIONAL AND INDIVIDUAL OBJECTIVES AND OUTCOMES. THE ORGANIZATIONAL CRITERION IS WEIGHTED ACCORDING TO BALANCED SCORECARD CATEGORIES: POSITIVE WORK ENVIRONMENT (15%), QUALITY (30%), PATIENT SATISFACTION (15%), PHYSICIAN PARTNERSHIP (15%), AND FINANCIAL (25%). THE FINANCIAL CATEGORY OF THE SCORECARD IS BASED ON NET EARNINGS OF THE INDIVIDUAL HOSPITAL AND THE NET EARNINGS OF THE SYSTEM OF A WHOLE. THIS FINANCIAL TARGET IS SET BASED ON THE OPERATING AND CASH FLOW MARGINS REQUIRED TO MAINTAIN THE SYSTEM'S AA CREDIT RATINGS. INCENTIVE OBJECTIVES FOR DIRECTORS AND ABOVE ARE WEIGHTED 45% ON ORGANIZATIONAL CRITERIA, 45% ON INDIVIDUAL CRITERIA, AND 10% ON OPERATIONAL EFFECTIVENESS. THE 2013 INCENTIVE PLAN AMOUNTS WERE PAID TO THE PARTICIPANTS IN 2014. THESE ARE NOT REPORTED AS DEFERRED COMPENSATION ON THE 2013 FORM 990 BASED ON THE DEFINITION OF DEFERRED COMPENSATION CONTAINED IN THE FORM 990 INSTRUCTIONS. PER THE INSTRUCTIONS, "DEFERRED COMPENSATION IS GENERALLY TREATED AS EARNED OR ACCRUED IN THE YEAR THAT SERVICES ARE RENDERED, EXCEPT WHEN ENTITLEMENT TO PAYMENT IS CONTINGENT ON SATISFACTION OF SPECIFIED ORGANIZATIONAL GOALS OR PERFORMANCE CRITERIA (OTHER THAN MERE LONGEVITY OF SERVICE) UNDER THE DEFERRED COMPENSATION PLAN." BASED ON THE INCENTIVE PROGRAM CRITERIA OUTLINED ABOVE, WE BELIEVE THE INCENTIVE PAYMENTS MEET THE EXCEPTION NOTED IN THE INSTRUCTIONS. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. PART II, LINE 7: Scott Shelton is also the CFO of Atrium Medical Center, which is a Premier Health affiliated hospital. Mr. Shelton also receives compensation from Atrium Medical Center related to this position.	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	$140,050,000	$0	$234,895,988	$0	$3,259,952	$0	$2,119,000	$0	$0	$34,304,034	$0	$334,051	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$115,000,000	$0	$126,463,824	$0	$5,944,090	$0	$2,293,824	$0	$0	$0	$0	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
C	$1,330,000	$0	$106,431,124	$0	$1,828,756	$0	$1,203,000	$0	$0	$105,228,124	$0	$0	2010	false	false	Yes (true)	Yes (true)
D	$0	$0	$85,000,000	$0	$20,534	$0	$727,500	$0	$0	$84,272,500	$0	$1	2010	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	0.00748	0.00000	0.00748	false	false	false	Yes (true)
B	false	Yes (true)	false	false	0.00748	0.00000	0.00748	false	false	false	Yes (true)
C	false	false	false	false	0			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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MERRILL LYNCH
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	0.	Yes (true)	Yes (true)	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false				false	0	false	Yes (true)
BARCLAYSWELLS FARGO
C	false	Yes (true)	false	false	false	Yes (true)	23.	Yes (true)	false	false	0	false	Yes (true)
BARCLAYSWELLS FARGO
D	false	Yes (true)	false	false	Yes (true)	Yes (true)	32.5	Yes (true)	false	false	0	false	Yes (true)

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 (3 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF MONTGOMERY OH
A	316000172	2012-11-20	$79,830,687	SEE PART VI - Note D	false	false	false
COUNTY OF MONTGOMERY OH
B	316000172	2012-11-20	$48,433,796	SEE PART VI - Note D	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	$1,865,000	$0	$79,830,687	$0	$230,389	$0	$169,313	$0	$0	$0	$0	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$1,135,000	$0	$48,433,796	$0	$145,428	$0	$206,204	$0	$0	$0	$0	$23,526	2010	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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	0.00748	0.00000	0.00748	false	false	false	Yes (true)
B	false	Yes (true)	false	false	0.00748	0.00000	0.00748	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
PNC
A	false	Yes (true)	false	false	Yes (true)	Yes (true)	26.	Yes (true)	false	false	0	false	Yes (true)
DEUTSCHE BANK
B	false	Yes (true)	false	false	Yes (true)	Yes (true)	26.	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Note D, PART 1, LINE A & B, COLUMN F:	REFUND MIAMI VALLEY HOSPITAL SERIES 2009A BONDS.
PART IV, ARBITRAGE, LINE 2C;	COMPUTATION DATE WAS NOVEMBER 13, 2013

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANGELA BOWMAN
WIFE OF ROBERT BOWMAN	$60,290	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

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 and Diane Pleiman are board members of Compunet Clinical Lab. In addition, Scott Shelton is the Chief Financial Officer of Miami Valley Hospital, and Diane Pleiman is a FORMER key employee of Miami Valley Hospital. Compunet is owned 33% 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 2013 was $23,335,730.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990 - Part I - Question 10:	FormAndLineReferenceDesc
Explanation	THIS ORGANIZATION HAS DESIGNATED ITS INVESTMENTS AS TRADING. IN ACCORDANCE WITH THE AICPA GUIDE FOR HEALTHCARE, ALL UNREALIZED GAINS AND LOSSES ARE RECOGNIZED THROUGH THE PROFIT AND LOSS STATEMENT. FOR 990 REPORTING, THIS ACTIVITY IS EXCLUDED PER THE INSTRUCTIONS BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, QUESTION 3: PREMIER HEALTH (PREMIER) AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN 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). 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 OFFICER. 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 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 CORPORATE COMPLIANCE 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 XI, LINE 9: Pension Adjustment 84,146,898 Allocation-Dialysis & Transplant Svcs Ops/Sale 16,429,257 Capital Donation 1,931,565 Swap Amortization (175,081) PHO Equity Infusion (1,250,000) Foundation Contribution Adjustment (2,179,970) Reclassification of PHG related expenses (3,662,862) Equity Transfers (25,988,593) Total 69,251,214	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 N MAIN ST SUITE 500	AddressLine1
City	DAYTON	City
State	OH	State
ZIP Code	45402	ZIPCode

Field	Value	IRS element (for citing)
EIN	311607686	EIN
Primary Activities	DIALYSIS	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	$502,712	TotalIncomeAmt
End Of Year Assets	$10,412,343	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MVH	BusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
PREMIER HEALTH
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311446699	SUPPRTG. ORG.	OH	501(C)(3)	11-1	NA	false
MEDAMERICA HEALTH SYSTEMS CORP (MAHS)
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311040228	PARENT	OH	501(C)(3)	11-1	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
601 W RIVERVIEW AVE	DAYTON	OH	45406	311122883	Health Educat	OH	501(C)(3)	7	MAHS	Yes (true)
FIDELITY HEALTH CARE
3832 KETTERING BLVD	DAYTON	OH	45439	311075381	HOME HEALTH	OH	501(C)(3)	9	MAHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
Premier Plaza LLC
110 N Main St Suite 500	Dayton	OH	45402	800708185	Holding Compa	OH	MAHS	EXCLUDED	-$6,798	$203,713	false	false	0.01000
SOUTHWEST OHIO NEONATAL COLLABORATIVE
110 NORTH MAIN ST	DAYTON	OH	45402	463231330	NEONATOLOGY	OH	CHILDRENS MEDIC	EXCLUDED	$0	$61,500	false		0.61500	$0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
MVHE INC
110 N MAIN ST SUITE 500	DAYTON	OH	45402	311185270	PHYS SVCS	OH	MAHS	CORPORATION	$0	$0	0.00000	Yes (true)
PREMIER HEALTH SPECIALISTS INC
110 N MAIN ST SUITE 500	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
Asset Sale To Other Org	false	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PREMIER HEALTH
B	$3,733,253	FMV
MIAMI VALLEY HOSPITAL FOUNDATION
C	$4,064,351	CASH
MIAMI VALLEY HOSPITAL FOUNDATION
Q	$818,863	FMV
Premier Health Specialists Inc
B	$21,484,682	FMV
Premier Health Specialists Inc
C	$1,389,212	FMV
Premier Health Specialists Inc
M	$2,468,437	FMV
Premier Health Specialists Inc
O	$210,772	FMV
Premier Health Specialists Inc
Q	$7,033,299	FMV
MVHE INC
A-IV	$30,932	FMV
MVHE INC
B	$11,605,622	FMV
MVHE INC
C	$3,424,805	FMV
MVHE INC
O	$296,514	FMV
MVHE INC
P	$181,292	FMV
MVHE INC
Q	$5,543,808	FMV
PREMIER COMMUNITY HEALTH
A-IV	$63,325	FMV
PREMIER COMMUNITY HEALTH
R	$384,000	FMV
MEDAMERICA HEALTH SYSTEMS
C	$2,358,083	FMV
PREMIER PLAZA LLC
K	$483,278	FMV