TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MARY H BOOSALIS...................................................................... TRUSTEE/PREMIER PRES & CEO (TO JAN)	9.50 ................. 30.50	X			0	2,267,077	24,764
(2) MICHAEL C RIORDAN...................................................................... TRUSTEE/PREMIER PRES & CEO-FROM JAN	9.50 ................. 30.50	X			0	1,280,440	28,132
(3) BARBARA A JOHNSON...................................................................... TRUSTEE & PREMIER COO	0.50 ................. 39.50	X			0	1,165,699	26,211
(4) JENNIFER J HAULER DO...................................................................... TRUSTEE & COO	39.00 ................. 1.00	X			765,079	0	12,070
(5) TAREK M SABAGH MD...................................................................... BOARD CHAIR	0.50 ................. 39.50	X	X		0	673,849	34,775
(6) MICHAEL R UHL...................................................................... PRESIDENT & CEO (TO JUN)	38.50 ................. 1.50	X	X		629,989	0	33,939
(7) MELANIE M GLOVER MD...................................................................... TRUSTEE	0.50 ................. 39.50	X			0	549,904	40,398
(8) LAKMALI C RANATHUNGA...................................................................... TRUSTEE / MED DIR - HOSPITALIST PROG	40.00 ................. 0.00	X			558,496	0	25,145
(9) STACEY M LAWSON...................................................................... TRUSTEE / CHIEF HR OFFICER	40.00 ................. 0.00	X			470,451	0	38,274
(10) A PETER EKEH MD...................................................................... TRUSTEE	0.50 ................. 0.00	X			0	3,000	0
(11) MATTHEW KRAMER MD...................................................................... TRUSTEE	0.50 ................. 0.00	X			0	0	0
(12) KRISTINA M KEAN...................................................................... TREASURER / VP FINANCE	39.00 ................. 1.00		X		379,924	0	27,330
(13) JENNA M DOWNEY ESQ...................................................................... BOARD SECRETARY / VP LEGAL SRVC	39.50 ................. 0.50		X		294,727	0	21,947
(14) GEOFFREY P WALKER...................................................................... CHIEF LEGAL OFFICER	9.50 ................. 30.50			X	0	942,545	48,436
(15) MARC R BELCASTRO DO...................................................................... VP MEDICAL AFFAIRS & PREMIER CMO	10.00 ................. 30.00			X	0	834,885	36,211
(16) KEITH D BRICKING MD...................................................................... VP & CHIEF CLINICAL OFFICER (FROM OCT)	10.00 ................. 30.00			X	0	782,373	42,024
(17) MARY M CLANCY...................................................................... CHIEF DIGITAL OFFICER	10.00 ................. 30.00			X	0	704,534	52,422

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) J MICHAEL SIMS........................................................................ SYS VP & CORPORATE CONTROLLER	9.00 .......................31.00	X			0	677,602	50,344
(19) MARGARET PEGGY W MARK........................................................................ VP NURSING/CNO/PATIENT EXP-PH (TO APR)	10.00 .......................30.00	X			0	566,116	180,268
(20) MARY E GARMAN........................................................................ COO - MVHN	40.00 .......................0.00	X			468,991	0	24,469
(21) CHRISTIE J GRAY........................................................................ VP HOSP OPS/CHIEF NSG OFFICER	40.00 .......................0.00	X			425,428	0	37,176
(22) MARQUITA L TURNER........................................................................ COO - MVHS	40.00 .......................0.00	X			383,421	0	29,945
(23) AMANDA K ADKINS-RICCI........................................................................ SYSTEM VP REVENUE CYCLE	10.00 .......................30.00	X			0	287,332	22,969
(24) LISA M GOSSETT........................................................................ VP NURSE/CNO/PATIENT EXP (FROM JUN)	10.00 .......................30.00	X			0	202,745	12,505
(25) GARY G GINTER........................................................................ VP & PREMIER CHIEF INFO OFFICER	40.00 .......................0.00		X		814,929	0	49,071
(26) ELOISE P BRONER........................................................................ CHIEF-SHARED SERVICES	39.50 .......................0.50		X		667,111	0	30,771
(27) DARIN J PANGALANGAN MD........................................................................ SYS VP-CLINICAL SERVICE LINES	39.50 .......................0.50		X		670,193	0	12,030
(28) ROBERTO COLON........................................................................ VP OPERATIONS/CMO-MVH	40.00 .......................0.00		X		609,562	0	62,932
(29) JOANN R RINGER........................................................................ CHIEF ADMINSTRATIVE OFFICER	40.00 .......................0.00		X		579,468	0	51,546
(30) MICHAEL J MAIBERGER........................................................................ FORMER TRUSTEE & OFFICER	0.00 .......................0.00			X	0	822,367	0
(31) CARA W POWERS........................................................................ FORMER OFFICER	40.00 .......................0.00			X	355,741	0	42,852
(32) ELAINE LAINIE M DEAN........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00			X	560,347	0	25,752
(33) KIMBERLY A HENSLEY........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00			X	0	383,667	25,554
(34) ROBERT M BOWMAN........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00			X	369,548	0	38,946
(35) BILLIE L LUCENTE-BAKER........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00			X	319,191	0	31,843

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization MIAMI VALLEY HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization MIAMI VALLEY HOSPITAL		Employer identification number 31-0537504

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization MIAMI VALLEY HOSPITAL			Employer identification number 31-0537504
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

19,898

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

19,898

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	45,925,281		45,925,281
b	Buildings ....	1,042,941,240	686,345,716	356,595,524
c	Leasehold improvements	3,137,061	2,419,013	718,048
d	Equipment ....	500,363,074	409,949,994	90,413,080
e	Other .....	44,006,484		44,006,484
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				537,658,417

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) ALTERNATIVE INVESTMENTS	175,493,437	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	175,493,437

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INTERCOMPANY RECEIVABLE				47,672,164
(2)AFFILIATES INVESTMENTS				21,538,809
(3)OTHER A/R				10,154,983
(4)REBATES RECEIVABLE				7,784,833
(5)HELD FOR SALE				7,027,351
(6)LEASE INVESTMENT				979,867
(7)DEFERRED COMPENSATION				504,093
(8)OTHER ASSETS				85,318
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				95,747,418

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	129,147,117
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE FOLLOWING FOOTNOTE IS FROM THE 2022 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF MVH. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: * PREMIER HEALTH INSURING CO. (PHIC), AND PREMIER HEALTH HOLDING COMPANY (PHHC) (WHOLLY OWNED SUBSIDIARIES OF PHP), * PREMIER HEALTH PLAN (PHPLAN) (A WHOLLY OWNED SUBSIDIARY OF PHIC), * MVHE, INC., SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (SUBSIDIARIES OF PHHC), * PREMIER HEALTH ACO OF OHIO AND UVMC MANAGEMENT CORPORATION CLOSED JUNE 2022 (SUBSIDIARIES OF PHP) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization
MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA/CARIBBEAN	0	0	PROGRAM SERVICES	INSURANCE	30,000
















3a	Sub-total ....	0	0			30,000
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			30,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022

Schedule F (Form 990) 2022

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2022

Schedule F (Form 990) 2022Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:

Schedule F (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	20,352,000	13,844,000	6,508,000	0.560 %
b	Medicaid (from Worksheet 3, column a) . . . . .	144,359,329	4,409,329	139,950,000	12.090 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	9,281,000	0	9,281,000	0.800 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	173,992,329	18,253,329	155,739,000	13.450 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,789,000	1,952,000	2,837,000	0.250 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	28,058,000	0	28,058,000	2.420 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	5,215,000	0	5,215,000	0.450 %
j	Total. Other Benefits . .	38,062,000	1,952,000	36,110,000	3.120 %
k	Total. Add lines 7d and 7j .	212,054,329	20,205,329	191,849,000	16.570 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

52,952,766

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

188,249,000

Enter Medicare allowable costs of care relating to payments on line 5.....

202,809,000

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-14,560,000

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	MIAMI VALLEY HOSPITAL ONE WYOMING ST DAYTON,OH45409 WWW.PREMIERHEALTH.COM SEE PART V, SEC C	X	X	X	X	X	A
2	MIAMI VALLEY HOSPITAL SOUTH 2400 MIAMI VALLEY DR CENTERVILLE,OH45459 WWW.PREMIERHEALTH.COM SEE PART V, SEC C	X	X			X	A
3	MIAMI VALLEY HOSPITAL NORTH 9000 N MAIN ST DAYTON,OH45415 WWW.PREMIERHEALTH.COM SEE PART V, SEC C	X	X			X	A

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SEC C

The FAP application form was widely available on a website (list url):

SEE PART V, SEC C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SEC C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION A, LINE 1:	THE STATE OF OHIO DOES NOT LICENSE HOSPITALS, BUT THE OHIO DEPARTMENT OF HEALTH DOES REGISTER HOSPITALS. AS PART OF THIS REGISTRATION PROCESS, HOSPITALS IN THE STATE OF OHIO ARE REQUIRED TO COMPLETE AND SUBMIT THE ANNUAL HOSPITAL REGISTRATION AND PLANNING REPORT (AHR) EACH CALENDAR YEAR.MIAMI VALLEY HOSPITAL'S REGISTRATION NUMBER IS 1247.MIAMI VALLEY HOSPITAL SOUTH'S REGISTRATION NUMBER IS 1489.MIAMI VALLEY HOSPITAL NORTH'S REGISTRATION NUMBER IS 1914.
PART V, SECTION B, LINE 5:	THE REGIONAL CHNA METHODOLOGY AND RESULTS WERE GENERATED THROUGH AN INCLUSIVE, COMPREHENSIVE, AND BALANCED DATA COLLECTION STRATEGY FOR ANSWERING THE RESEARCH QUESTIONS.THE NEEDS ASSESSMENT UTILIZED A MIXED-METHOD APPROACH TO DATA COLLECTION INCLUDING SECONDARY QUANTITATIVE DATA AND PRIMARY QUANTITATIVE (REGIONAL CHNA COMMUNITY AND PROVIDER SURVEYS) AND QUALITATIVE (FOCUS GROUPS AND INTERVIEWS) DATA.SECONDARY DATA COLLECTION, BEGINNING IN JANUARY OF 2021, SOUGHT TO UNDERSTAND THE GREATEST HEALTH CONDITIONS OF THE REGION, INCLUDING PREVALENCE AND IMPACT ON COMMUNITY MEMBERS. THESE RESULTS INFORMED THE CREATION OF SURVEY ITEMS THAT WERE ORGANIZED AROUND A SET OF CO-CREATED RESEARCH QUESTIONS.EACH DATA COLLECTION STRATEGY ADHERED TO A RECRUITMENT PLAN TO ENSURE A REPRESENTATIVE SAMPLE WAS CAPTURED WITH INPUT FROM COMMUNITY MEMBERS, VOICES OF MARGINALIZED POPULATIONS, AND PROVIDERS ACROSS THE HEALTH AND SOCIAL SERVICES SECTORS. ALL RESULTS ARE SUMMARIZED FOR THE REGION WHICH INCLUDES THE CINCINNATI METROPOLITAN STATISTICAL AREA (MSA), DAYTON-KETTERING MSA (TO INCLUDE CLARK COUNTY WHICH IS NOT PART OF THE DAYTON MSA BUT IS SIMILAR IN THAT IT BORDERS THE DAYTON MSA AND IS NOT A RURAL COUNTY), AND OTHER RURAL COUNTIES IN THE GEOGRAPHIC SERVICE AREA THAT ARE PREDOMINATELY RURAL AND NOT INCLUDED IN OTHER MSAS.OVERALL, THE SCOPE OF DATA COLLECTION WAS ROBUST AND INFORMED THE RESULTS OF THIS REGIONAL CHNA. THIS INCLUDES:8,321 COMMUNITY SURVEYS AVAILABLE IN FIVE LANGUAGES. WITHIN THIS SAMPLE, REPRESENTATION WAS SEEN ACROSS 26 COUNTIES, MALES, FEMALES, AGES 18-65+, BLACK/AFRICAN AMERICAN, MULTIRACIAL, ASIAN, AMERICAN INDIAN, ALASKAN NATIVE, WHITE, AND HISPANIC/LATINO POPULATIONS.859 PROVIDER SURVEYS INCLUSIVE OF BEHAVIORAL HEALTH, EDUCATION, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, JUSTICE/CORRECTIONS, MEDICAL CARE (ADULT, GERIATRIC, PEDIATRIC), ORAL HEALTH, ORGANIZATIONS ADDRESSING HEALTH RELATED SOCIAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH, PHARMACEUTICAL, AND PUBLIC HEALTH DEPARTMENTS. * PROVIDERS ALSO REPRESENTED ADMINISTRATION, DIRECT PATIENT CARE, ACADEMIC, SUPPORT STAFF, AND SUPERVISORS/MANAGEMENT. * PROVIDERS REPORTED SERVING A VARIETY OF POPULATIONS INCLUDING CHILDREN/YOUTH, PEOPLE WITH DISABILITIES, ETHNIC MINORITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN THE JUSTICE SYSTEM, VETERANS, YOUNG ADULTS, LOW-INCOME POPULATIONS, AND LGBTQ+ POPULATIONS.51 FOCUS GROUPS WITH 234 PEOPLE WERE HELD, REPRESENTING ALL THREE MSAS. SPECIFICALLY, RECRUITMENT FOR THESE FOCUS GROUPS WERE BASED ON ADVISORY COMMITTEE IDENTIFICATION OF POPULATIONS WHO ARE TRADITIONALLY UNDERREPRESENTED, MARGINALIZED, OR EXPERIENCE GREATEST HEALTH DISPARITIES. * POPULATIONS REPRESENTED IN THESE FOCUS GROUPS INCLUDE ADULT MEN, THOSE EXPERIENCING FOSTER CARE OR FOSTER PARENTING, YOUTH, AND ADULTS WITH DISABILITIES, ETHNIC, CULTURAL AND LANGUAGE MINORITIES, FIRST AND SECOND-GENERATION IMMIGRANTS, PEOPLE EXPERIENCING HOMELESSNESS, THOSE INVOLVED IN THE JUSTICE SYSTEM, LOW-INCOME FAMILIES AND INDIVIDUALS, PARENTS, VETERANS, OLDER ADULTS, COMMUNITY MEMBERS WITH LIVED EXPERIENCE OF MENTAL HEALTH AND/OR ADDICTION, AND FIRST RESPONDERS.38 STAKEHOLDER INTERVIEWS WERE HELD ACROSS HEALTH AND SOCIAL SERVICE PROVIDERS, SPECIFICALLY WITH THE FOLLOWING BEING REPRESENTED: MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD), PUBLIC HEALTH, HOSPITAL SYSTEMS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), TRANSPORTATION, HOUSING, FOOD ACCESS, HEALTHCARE ACCESS AND POLICY, SCHOOL-BASED HEALTH AND CHILDREN'S HEALTH CARE, MATERNAL AND INFANT CARE, LGBTQ+ HEALTH CARE, PHARMACY ACCESS, AND HEALTHCARE WORKFORCE DEVELOPMENT.DATA COLLECTION WAS ALSO COMPREHENSIVE IN THAT COMMUNITY MEMBERS, SOCIAL SERVICE PROVIDERS AND HEALTHCARE PROFESSIONALS WERE NOT ONLY ASKED "WHAT COULD BE BETTER," BUT ALSO "WHAT IS WORKING." AS A RESULT, THIS REGIONAL CHNA INCLUDES A COLLECTION OF ASSETS AND RECOMMENDED POLICY AND PRACTICE INITIATIVES IDENTIFIED BY THE COMMUNITY THAT DIRECTLY TIE TO SYSTEM BARRIERS.
PART V, SECTION B, LINES 6A & 6B:	MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL SOUTH, AND MIAMI VALLEY HOSPITAL NORTH PARTNERED WITH BON SECOURS MERCY HEALTH ANDERSON HOSPITAL, BON SECOURS MERCY HEALTH CLERMONT HOSPITAL, BON SECOURS MERCY HEALTH FAIRFIELD HOSPITAL, BON SECOURS MERCY HEALTH JEWISH HOSPITAL, BON SECOURS MERCY HEALTH WEST HOSPITAL, CINCINNATI CHILDREN'S BURNET CAMPUS, CINCINNATI CHILDREN'S LIBERTY CAMPUS, CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS, THE C&F LINTER CENTER OF HOPE, THE CHRIST HOSPITAL, MT. AUBURN, TRIHEALTH GOOD SAMARITAN HOSPITAL, TRIHEALTH GOOD SAMARITAN EVENDALE HOSPITAL, TRIHEALTH BETHESDA NORTH HOSPITAL, TRIHEALTH BETHESDA BUTLER HOSPITAL, TRIHEALTH MCCULLOUGH HYDE MEMORIAL HOSPITAL, UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER, UC HEALTH WEST CHESTER HOSPITAL, UC HEALTH DRAKE CENTER FOR POST-ACUTE CARE, KETTERING MEDICAL CENTER, SYCAMORE MEDICAL CENTER, KETTERING BEHAVIORAL MEDICAL CENTER, GRANDVIEW MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, SOIN MEDICAL CENTER, GREENE MEMORIAL HOSPITAL, FORT HAMILTON HOSPITAL, ATRIUM MEDICAL CENTER, UPPER VALLEY MEDICAL CENTER, WILSON MEMORIAL HEALTH, WAYNE HEALTHCARE, MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER, MERCY HEALTH URBANA HOSPITAL, ADAMS COUNTY REGIONAL MEDICAL CENTER, MARGARET MERCY HEALTH; THE LOCAL HEALTH DEPARTMENTS OF THE FOLLOWING CITIES: CINCINNATI, HAMILTON, NORWOOD, PIQUA, AND SPRINGDALE; THE LOCAL HEALTH DEPARTMENTS OF THE FOLLOWING COUNTIES: ADAMS, AUGLAIZE, BROWN, BUTLER, CHAMPAIGN, CLARK, CLERMONT, CLINTON, DARKE, FAYETTE, GREENE, HAMILTON, HIGHLAND, MIAMI, MONTGOMERY, PREBLE, SHELBY, AND WARREN; THE FOLLOWING INDIANA COUNTIES: FRANKLIN, DEARBORN, OHIO, RIPLEY, AND UNION; AND THE FOLLOWING KENTUCKY COUNTIES: CAMPBELL, BOONE, GRANT, KENTON; AND THE FOLLOWING OHIO COUNTIES: ADAMS, AUGLAIZE, BROWN, BUTLER, CHAMPAIGN, CLARK, CLERMONT, CLINTON, DARKE, GREENE, HAMILTON, HIGHLAND, MIAMI, MONTGOMERY, PREBLE, SHELBY, AND WARREN.
PART V, SECTION B, LINES 7A & 10A:	THE DIRECT WEBSITE ADDRESS WHERE THE 2021 CHNA AND THE RELATED IMPLEMENTATION STRATEGY CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/ABOUT-PREMIER/COMMUNITY-INVOLVEMENT/COMMUNITY-HEALTH-IMPROVEMENT
PART V, SECTION B, LINE 11:	AMONG THE HEALTH NEEDS IDENTIFIED IN THE CHNA, MIAMI VALLEY HOSPITAL'S TOP PRIORITIES INCLUDE:* CARDIOVASCULAR HEALTH* MENTAL HEALTH AND SUBSTANCE ABUSE* ARTHRITIS AND OSTEOPOROSIS* DENTAL CARE* LUNG/RESPIRATORY HEALTH* MATERNAL HEALTH* PREVENTIONNEED: CARDIOVASCULAR HEALTHPROGRAM: BARBERSHOP HEALTH INITIATIVEMETRICS: ABOUT 100 PREVENTATIVE SCREENINGS PER YEAR THROUGH THE BARBERSHOP HEALTH INITIATIVE.INTERVENTION GOAL: THE GOAL IS TO INCREASE AWARENESS OF CHRONIC HEALTH CONDITIONS AND PROMOTE HEALTHY LIFESTYLE CHOICES WITHIN AFRICAN AMERICAN COMMUNITIES.DESCRIPTION: THERE ARE HEALTH DISPARITIES, ESPECIALLY FOR CHRONIC DISEASES, IN THE AFRICAN AMERICAN COMMUNITY. ACCORDING TO THE CDC, "NEW ANALYSIS SHOWS THAT YOUNGER AFRICAN AMERICANS ARE LIVING WITH OR DYING OF MANY CONDITIONS TYPICALLY FOUND IN WHITE AMERICANS AT OLDER AGES. CHRONIC DISEASES AND SOME OF THEIR RISK FACTORS MAY BE SILENT OR NOT DIAGNOSED DURING THESE EARLY YEARS. HEALTH DIFFERENCES ARE OFTEN DUE TO ECONOMIC AND SOCIAL CONDITIONS THAT ARE MORE COMMON AMONG AFRICAN AMERICANS THAN WHITES. FOR EXAMPLE, AFRICAN AMERICAN ADULTS ARE MORE LIKELY TO REPORT THEY CANNOT SEE A DOCTOR BECAUSE OF COST."BARBERSHOPS ARE A FREQUENTLY VISITED LOCATION FOR THE TARGET POPULATION. THERE ARE OFTEN TRUSTED RELATIONSHIPS CREATED BETWEEN THE BARBERS AND THEIR CLIENTS. THESE OPPORTUNITIES ALLOW BARBERS TO SERVE AS WELLNESS CHAMPIONS AND ENCOURAGE THEIR CLIENTS TO BE MORE INVOLVED IN THEIR HEALTH AND PRACTICE HEALTHY LIFESTYLE BEHAVIORS.THE BARBERSHOP HEALTH INITIATIVE IS A COMMUNITY-BASED PROGRAM DESIGNED TO PROVIDE FREE HEALTH SCREENINGS AND EDUCATION TO COMMUNITY MEMBERS WHO MAY NOT HAVE ACCESS TO HEALTHCARE AND/OR A PHYSICIAN. PREMIER COMMUNITY HEALTH PARTNERS WITH LOCAL BARBERSHOPS AND PROVIDES THESE SERVICES IN THE MOBILE CLINIC AT EACH BARBERSHOP LOCATION.PARTNERING WITH THE LOCAL HEALTH DEPARTMENT, PUBLIC HEALTH-DAYTON & MONTGOMERY COUNTY, WILL HELP EXPAND SERVICES FOR THE COMMUNITY. BARBERS (AND SALON OWNERS) HAVE A CLOSE BOND WITH THEIR CLIENTS. THEY CAN SERVE AS MODELS OF GOOD HEALTH AND/OR HELP CONNECT THEIR CLIENTS TO HEALTH SERVICES. THE PROGRAM PROVIDES FREE, VOLUNTARY, AND CONVENIENT HEALTH SCREENINGS AT THE SHOPS. HEALTH FAIRS, EVENTS, AND FUN CHALLENGES ALSO OCCUR.PARTNERS: MAN UP BARBER SHOP, CITY STARS UNLIMITED BARBER AND BEAUTY SHOP, DEEEZ CUTTZ BARBERSHOP, HEADLINERS BARBERSHOP AND STYLZES BARBER AND NAIL CARENEED: MENTAL HEALTH AND SUBSTANCE ABUSEPROGRAM: ONEFIFTEENMETRICS: ANNUAL NUMBER OF PATIENTS SERVED IN 2021: 2,891; IN 2022: 2,477INTERVENTION GOAL: THE GOAL IS TO REMOVE BARRIERS TO TREATMENT REGARDLESS OF PAYOR SOURCE; PROVIDE ON-DEMAND SERVICES 24/7; AND REFER TO ONGOING TREATMENT BASED UPON THE ASSESSMENT PROCESS FOLLOWING THE ASAM (AMERICAN SOCIETY OF ADDICTION MEDICINE) CRITERIA.DESCRIPTION: ONE FIFTEEN IS A BEACON OF HOPE FOR PEOPLE SUFFERING WITH SUBSTANCE ABUSE ISSUES. SUBSTANCE ABUSE SERVICES PROVIDED BY SBHI ARE DESIGNED TO PROVIDE A SEAMLESS CONTINUUM THAT FLOWS FROM THE ASSESSMENT THROUGH MENTAL HEALTH AND SUBSTANCE USE DISORDERS LEVELS OF CARE DESIGNED TO INTEGRATE AND MEET THE NEEDS OF THE CLIENT IN DEVELOPING A RECOVERY-BASED LIFESTYLE. ACCESS CAN BE VIA A REFERRAL FROM THE AREA HOSPITALS AND EMERGENCY ROOMS, EMTS, WALK-INS OR VIA POLICE ESCORT. IN ADDITION, THERE IS AN INPATIENT SETTING THAT DEDICATES A PORTION OF BEDS TO MEDICALLY COMPLICATED CLIENTS IN NEED OF DETOX TREATMENT FROM ALCOHOL, BENZODIAZEPINES, AND OPIATES. IN THE CRISIS STABILIZATION UNIT, THE PATIENT RECEIVES A DIAGNOSIS AND IS THEN REFERRED TO OUTPATIENT TREATMENT AT SBHI THAT INCLUDES INDIVIDUAL AND GROUP THERAPY AND MEDICATED ASSISTED TREATMENT. THE PHYSICIANS PRESCRIBE VIVITROL AND SUBOXONE. ALL SUBSTANCE USE DISORDERS ARE TREATED. APPROPRIATE LEVELS OF CARE ARE BASED ON THE ASAM CRITERIA: TREATMENT CRITERIA FOR ADDICTIVE, SUBSTANCE-RELATED, AND CO-OCCURRING CONDITIONS. THE CRITERIA PROVIDE RESEARCH-VALIDATED STANDARDS FOR OUTCOME-ORIENTED CARE IN ADDICTION TREATMENT.PARTNERS: ADAMHS, GDAHA, KETTERING HEALTH NETWORK, SAMARITAN BEHAVIORAL HEALTH, INC.NEED: LUNG/RESPIRATORY HEALTHPROGRAM: SMOKING CESSATION PROGRAMMETRICS: NUMBER OF PEOPLE ENROLLED AND NUMBER OF PEOPLE THAT COMPLETED THE PROGRAM.INTERVENTION GOAL: THE GOAL IS TO PROVIDE COUNSELING AND SUPPORT TO PATIENTS, TO HELP THEM QUIT SMOKING.DESCRIPTION: IN 2020, THE CDC REPORTED THAT 19.3% OF ADULTS IN OHIO SMOKED COMPARED TO THE NATIONAL RATE OF 15.5%. THE CDC ESTIMATES 47.9% OF DAILY ADULT SMOKERS IN OHIO QUIT SMOKING FOR ONE OR MORE DAYS IN 2019.THE SMOKING CESSATION PROGRAM FOCUSES ON SUPPORTIVE CONVERSATION REVOLVING AROUND THE HEALTH ISSUES RELATED TO TOBACCO USE, HOW TO PINPOINT AND DEAL WITH PERSONAL TRIGGERS AND OVERALL WELL-BEING DURING THE QUIT JOURNEY. THE PROGRAM MEETS IN A GROUP SETTING, ONCE A WEEK FOR FIVE WEEKS.PARTNERS: PREMIER HEALTH PHYSICIAN NETWORK, COMMUNITY HEALTH CENTERS
PART V, SECTION B, LINE 11: (CONTINUED)	NEED: LUNG/RESPIRATORY HEALTHPROGRAM: LUNG NODULE EVALUATION PROGRAMMETRICS: NUMBER OF PATIENTS EVALUATED, ENROLLED IN REGISTRY PROGRAM FOR LUNG NODULE SURVEILLANCE, AND REFERRED FOR ADVANCED EVALUATION BY A PULMONOLOGIST; STAGE SHIFT TO EARLIER STAGE DIAGNOSIS OF LUNG CANCER FOR THE COMMUNITY; DECREASED LENGTH OF TIME BETWEEN FIRST NODULE DETECTION AND TREATMENT INITIATION.INTERVENTION GOAL: THE GOAL IS TO BUILD A FOUNDATION FOR A ROBUST LUNG CANCER SCREENING PROGRAM TO IMPACT: TIMELY CAPTURE OF INCIDENTAL LUNG NODULES, COHESIVE CARE BETWEEN PRACTITIONERS, AND STREAMLINED REFERRAL PROCESS THROUGH A MULTIDISCIPLINARY "VIRTUAL CLINIC" WITH ADVANCED PRACTICE PROVIDER TO COORDINATE CARE.DESCRIPTION: AN ESTIMATED 19% OF INCIDENTAL PULMONARY NODULES NEED FOLLOW UP CARE RANGING FROM FOLLOW-UP SURVEILLANCE IMAGING TO REFERRAL FOR IMMEDIATE DIAGNOSTIC INTERVENTION AND POTENTIAL TREATMENT. SUCCESSFUL PROGRAMS HAVE BEEN SHOWN TO MARKEDLY INCREASE COMPLIANCE WITH EVIDENCE-BASED BEST PRACTICE SURVEILLANCE. THE LUNG NODULE EVALUATION PROGRAM WILL ENSURE THAT ALL PATIENTS AGED 18 OR GREATER WHO HAVE AN INCIDENTAL FINDING OF A PULMONARY NODULE AT A PREMIER HEALTH FACILITY OR WHO ARE REFERRED TO THE PROGRAM, RECEIVE THE PROPER EVALUATION AND TREATMENT FOR LUNG NODULES IN ACCORDANCE WITH THE FLEISCHNER SOCIETY GUIDELINES FOR LUNG NODULES AND RECOMMENDED BEST-PRACTICE BY THE AMERICAN ACADEMY OF CARDIOTHORACIC SURGEONS. SERVICES PROVIDED ARE COMMUNICATED VIA EPIC IN-BASKET, MYCHART PATIENT COMMUNICATION, TELEPHONE OR MAIL COMMUNICATION AND COORDINATED WITH THE PATIENT'S CARE TEAM (PRIMARY CARE AND OTHER SPECIALTIES) BY THE APP OR PULMONOLOGIST. PATIENTS ARE FOLLOWED UNTIL THEY HAVE MET CRITERIA FOR COMPLETION OF RECOMMENDED SURVEILLANCE, BEGIN TREATMENT FOR MALIGNANCY, OR OPT OUT OF THE PROGRAM. THE LUNG NODULE EVALUATION PROGRAM PROVIDES AND IS NOT LIMITED TO PROVIDING THE FOLLOWING SERVICES: IMAGING STUDY ORDERS AND ASSOCIATED FOLLOW UP, REFERRAL TO PULMONOLOGIST FOR NODULE MANAGEMENT, EDUCATION ON LUNG HEALTH, SMOKING CESSATION, AND LUNG CANCER PREVENTION, AND GOALS OF CARE AS APPROPRIATE.PARTNERS: FUTURE PARTNERSHIPS BETWEEN FIDELITY HEALTH CARE AND COMMUNITY EMPLOYERS FOR PROGRAM GROWTH TO SUPPORT LUNG WELLNESS ARE ANTICIPATED.NEED: MATERNAL HEALTHPROGRAM: HELP ME GROW BRIGHTER FUTURESMETRICS: CASELOAD OF 1,770 FAMILIES. 100% RECEIVING HOME VISIT SERVICES RECEIVE EDUCATION AND ASSESSMENT OF A SAFE SLEEP ENVIRONMENT. 100% OF ALL MOMS, PRENATAL TO AGE 1 OF THE CHILD, ARE SCREENED FOR DEPRESSION. 100% OF HEALTHY INFANTS SURVIVE TO THEIR FIRST BIRTHDAY. MORE THAN 80% OF MOMS ENROLLED PRENATALLY INITIATE BREASTFEEDING. 54% ARE STILL BREASTFEEDING AT 6 MONTHS. EXPANSION TO SERVE AT LEAST ONE MORE GEOGRAPHIC AREA.INTERVENTION GOAL: ACCORDING TO EVERYONE REACH ONE'S 2021 ANNUAL REPORT FOR MONTGOMERY COUNTY, THE BLACK INFANT MORTALITY RATE (IMR) INCREASED AND THE BLACK IMR WAS MORE THAN 3 TIMES HIGHER THAN THE WHITE IMR. THE GOALS ARE TO REDUCE INFANT MORTALITY THROUGH HOME VISITS FROM BIRTH TO AGE 3 AND TO REACH A CASELOAD OF 1,770 FAMILIES FOR 2023-2025.DESCRIPTION: HOME VISITS INCLUDE EDUCATION ABOUT SAFE SLEEP, SMOKING CESSATION, REDUCING CHILD MALTREATMENT AND INJURY, AND ENCOURAGING MOTHERS TO BREASTFEED. MAKING CONNECTIONS TO RECRUIT PREGNANT FIRST-TIME MOMS EARLY IN PREGNANCY IS CRITICAL. ONE OF THE FORT HAMILTON STAFF HAS TRANSITIONED TO SERVE MONTGOMERY AND PREBLE COUNTIES. TWO STAFF ARE AVAILABLE TO SERVE PREBLE COUNTY, EXPECTING A GROWTH OF 25 CLIENTS. MIAMI COUNTY HAS EXPRESSED AN INTEREST IN ADDING THE NURSE FAMILY PARTNERSHIP TO THEIR SERVICES. HELP ME GROW BRIGHTER FUTURES WOULD LIKE TO PARTNER BY UTILIZING EXISTING STAFF TO SUPPORT MIAMI COUNTY.IN 2018 AND 2019, HELP ME GROW BRIGHTER FUTURES RECEIVED INCREASED FUNDING THROUGH MEDICAID TO EXPAND HOME VISITING FOR REDUCING INFANT MORTALITY. ENROLLMENT IN HOME VISITING INCREASED BY NEARLY 200%. IN 2017 THE AFRICAN AMERICAN INFANT MORTALITY RATE WAS 16.9 IN MONTGOMERY COUNTY AND IN 2022 IT HAD DECREASED TO A RATE OF 14.5. 2,171 MONTGOMERY COUNTY YOUNG CHILDREN OR PREGNANT MOMS ARE CURRENTLY BEING SERVED WITH HOME VISITS AND SERVICES BY THE HELP ME GROW BRIGHTER FUTURES PROGRAM. THERE WERE 28,124 HOME VISITS COMPLETED WITH FAMILIES IN 2022. THE NURSE FAMILY PARTNERSHIP EXPANDED INTO BUTLER COUNTY, ADDING STAFF AT ATRIUM MEDICAL CENTER AND FORT HAMILTON HOSPITAL, TO SERVE 100 FIRST TIME PREGNANT WOMEN. THE PROGRAM EXPANDED TO 10 COUNTIES, ADDING CLARK, DARKE, SHELBY, AND WARREN COUNTIES IN 2022. HELP ME GROW ADDED A NEW PROGRAM, PARENTS AS TEACHERS, FOR FAMILIES WHO MISSED ELIGIBILITY FOR OTHER PROGRAMS BUT STILL HAVE NEEDS FOR PARENTING SUPPORT AND SCHOOL READINESS. HELP ME GROW HAS 84 HOME VISITING STAFF INCLUDING 35 NURSES, 24 SOCIAL WORKERS, AND 25 TEACHERS.PARTNERS: GREATER DAYTON AREA HOSPITAL ASSOCIATION, KETTERING HEALTH NETWORK, LIFE STAGES CENTERING, FIVE RIVERS HEALTH CENTERS, SOUTHVIEW WOMEN'S CENTER, GRANDVIEW WOMEN'S CENTER, PUBLIC HEALTH, PHYSICIAN OFFICES, AND A VARIETY OF COMMUNITY PROGRAMS SUCH AS THE WESLEY CENTER, ELIZABETH NEW LIFE, MIAMI VALLEY CHILD DEVELOPMENT CENTER, PROMISE TO HOPE, LIFE RESOURCE CENTER, AND FAMILY SERVICE AGENCY.NEED: MATERNAL HEALTHPROGRAM: PROMISE TO HOPEMETRICS: NUMBER OF CLIENTS SERVED PER YEAR.INTERVENTION GOAL: TO ENSURE HEALTHY OUTCOMES REDUCING PRETERM BIRTHS AND INFANT MORTALITY, PREGNANT WOMEN WITH SUBSTANCE USE DISORDER OR OPIATE USE DISORDER REQUIRE A MULTIDISCIPLINARY APPROACH WITH CONNECTION TO COMMUNITY RESOURCES. THE GOALS ARE: 1) DECREASE THE NUMBER OF UNINTENTIONAL DEATHS DUE TO SUBSTANCE OVERDOSE IN MONTGOMERY COUNTY, THEREBY DECREASING THE MATERNAL AND INFANT MORTALITY RATES. 2) INCREASE THE PERCENTAGE OF MOTHERS WHO CAN SUCCESSFULLY PARENT THEIR INFANTS FOLLOWING DELIVERY, AS OPPOSED TO PLACEMENT BY CHILDREN SERVICES. 3) DECREASE THE AVERAGE HOSPITAL LENGTH OF STAY FOR INFANTS WHO ARE DIAGNOSED WITH NEONATAL ABSTINENCE SYNDROME (NAS) AND/OR PRENATAL SUBSTANCE EXPOSURE. 4) CONTINUE TO INCREASE THE BREASTFEEDING RATE FOR MOTHERS ACTIVE IN RECOVERY AT DELIVERY.DESCRIPTION: A TEAM OF PHYSICIANS, A REGISTERED NURSE, AND A LICENSED INDEPENDENT SOCIAL WORKER WORK COLLABORATIVELY TO MEET THE UNIQUE NEEDS OF PREGNANT WOMEN WITH OPIATE USE DISORDER AND/OR SUBSTANCE USE DISORDER AND THEIR INFANTS. MIAMI VALLEY HOSPITAL OFFERS THE FACILITIES, THE HIGHLY SPECIALIZED EQUIPMENT, AND THE EXPERIENCED PHYSICIANS, NURSES, AND RELATED STAFF TO PROVIDE CARE FOR BOTH THE MOTHER AND INFANT. TO ENSURE THE HEALTHIEST OUTCOMES POSSIBLE FOR BOTH MOTHER AND CHILD, PERSONALIZED MEDICAL CARE AND WRAPAROUND SOCIAL SUPPORT ARE PROVIDED. PROMISE TO HOPE INITIATES MEDICATION ASSISTED TREATMENT (MAT) (THE USE OF FDA-APPROVED MEDICATIONS, IN COMBINATION WITH INDIVIDUAL AND GROUP THERAPIES, TO TREAT OPIATE USE DISORDER AND/OR SUBSTANCE USE DISORDER) AND CONNECTS THE MOTHER WITH A RECOVERY AGENCY OF HER CHOICE IN THE COMMUNITY FOR ONGOING TREATMENT.PROMISE TO HOPE HAS SERVED 776 PREGNANT WOMEN WITH OPIATE USE DISORDER SINCE ITS INCEPTION IN MAY 2015. IT PROVIDES TREATMENT DURING PREGNANCY AND FOR UP TO A YEAR AFTER BIRTH. PROMISE TO HOPE HAS EXPANDED TO INCLUDE PREGNANT WOMEN WITH ANY TYPE OF SUBSTANCE USE DISORDER RATHER THAN JUST TARGETING OPIATES. THE PROMISE TO HOPE PROGRAM HAS JOINED THE OHIO PERINATAL QUALITY COLLABORATIVE AND IS WORKING WITH HOSPITALS IN CINCINNATI, DAYTON, TOLEDO, ATHENS, CLEVELAND, AND COLUMBUS TO IMPROVE OUTCOMES FOR MOMS AND INFANTS.PARTNERS: ADAMHS BOARD OF MONTGOMERY COUNTY; MIAMI VALLEY HOSPITAL TURNING POINT, FIVE RIVERS HEALTH CENTERS; NOVA BEHAVIORAL HEALTH; SAMARITAN BEHAVIORAL HEALTH AND WOMEN'S RECOVERY CENTER.
PART V, SECTION B, LINE 11: (CONTINUED)	NEED: PREVENTIONPROGRAM: COMMUNITY HEALTH VOUCHER PROGRAMMETRICS: FOR THE 3-YEAR PERIOD, A PROJECTED 275 WOMEN SYSTEM-WIDE WILL BE SERVED BY THE PROGRAM. PREMIER HEALTH IS WORKING TO ESTABLISH CONTRACTS WITH PROVIDERS IN THE COMMUNITY FOR CERVICAL SERVICES. WHEN THIS IS ACCOMPLISHED IT WILL INCREASE THE CAPACITY FOR THE NUMBER OF WOMEN SERVED.INTERVENTION GOAL: THE VOUCHER PROGRAM'S MISSION IS TO PROVIDE FINANCIAL ASSISTANCE TO DETECT BREAST AND CERVICAL CANCERS AT THE EARLIEST STAGE TO UNINSURED AND UNDER-INSURED COMMUNITY RESIDENTS.DESCRIPTION: THIS PROGRAM SUPPLEMENTS THE STATE OF OHIO'S FUNDING TO ENCOURAGE WOMEN TO BE SCREENED FOR BREAST CANCER AND CERVICAL CANCER. IT PROVIDES FINANCIAL ASSISTANCE TO WOMEN WHO ARE NOT ELIGIBLE FOR THE STATE PROGRAM, AND IT ALSO COVERS DIAGNOSTIC TESTING AND BIOPSIES.THIS PROGRAM IS FUNDED THROUGH THE MIAMI VALLEY HOSPITAL FOUNDATION AND UVMC FOUNDATION AS WELL AS OTHER COMMUNITY DONATIONS. CLIENTS MUST BE UNINSURED OR UNDERINSURED (COPAYMENT, DEDUCTIBLE, COINSURANCE) WITH INCOME AT OR BELOW 400% OF FEDERAL POVERTY LEVEL.THE FOLLOWING SERVICES ARE COVERED BY THIS PROGRAM: SCREENING MAMMOGRAMS; DIAGNOSTIC MAMMOGRAMS; BREAST ULTRASOUNDS; BREAST BIOPSY; SURGICAL CONSULT (BREAST); PAP TESTS; CLINICAL BREAST EXAMS; COLPOSCOPIES; AND EDUCATIONAL MATERIALS.PARTNERS: ATRIUM MEDICAL CENTER FOUNDATION, GOOD SAMARITAN FOUNDATION - DAYTON, UVMC FOUNDATION, MIAMI VALLEY HOSPITAL FOUNDATION (HELP HER FIGHT), KROGER, BREAST CANCER FOUNDATION, KUHNS BROTHERS, AND FIVE RIVERS HEALTH CENTERNEED: PREVENTIONPROGRAM: COMMUNITY HEALTH AND MOBILE CLINIC PROGRAMMINGMETRICS: NUMBER OF EVENTS SCHEDULED; NUMBER OF PREVENTATIVE SCREENINGS (I.E., HEALTH SCREENINGS, FLU VACCINATIONS, ETC.); NUMBER OF PEOPLE WHO RECEIVED HEALTH EDUCATION; PERCENT OF PEOPLE IDENTIFIED AS "AT RISK AND RECEIVING FOLLOW UP; AND THE NUMBER OF PEOPLE CONNECTED TO RESOURCES.INTERVENTION GOAL: THE GOAL IS TO BRING HEALTHCARE SERVICES TO UNDERSERVED COMMUNITIES IN MONTGOMERY, PREBLE, AND GREENE COUNTIES. MANY COMMUNITY MEMBERS IN UNDERSERVED COMMUNITIES DO NOT HAVE EASY ACCESS TO HEALTHCARE. THE PURPOSE OF PREMIER COMMUNITY HEALTH'S MOBILE CLINIC PROGRAM IS TO MAKE QUALITY HEALTHCARE ACCESSIBLE AT FREQUENTLY VISITED LOCATIONS TO HELP COMMUNITY MEMBERS RECEIVE CARE WITHOUT HAVING TO TRAVEL LONG DISTANCES. THE MOBILE CLINIC PROGRAM PARTNERS WITH SEVERAL LOCATIONS (I.E., COMMUNITY CENTERS, LOCAL SCHOOLS, NON-PROFIT ORGANIZATIONS, ETC.) TO OFFER HEALTHCARE SERVICES ON A ROUTINE BASIS.DESCRIPTION: THE MOBILE CLINIC PROGRAM OFFERS HEALTH SCREENINGS AND ASSISTS WITH PHYSICIAN REFERRALS. THE HEALTH SCREENINGS INCLUDE BLOOD PRESSURE AND BLOOD GLUCOSE TESTS. THE SCREENINGS ARE ADMINISTERED BY A PREMIER COMMUNITY HEALTH NURSE WHO COMPLETES THE SERVICES BEING REQUESTED AND USES PAPER FORMS TO DOCUMENT. THE PATIENTS RECEIVE THEIR RESULTS IMMEDIATELY AFTER THE SCREENING AND DISCUSS THEIR SCREENING VALUES WITH THE NURSE. PATIENTS ALSO MAY UNDERGO SCREENINGS FOR CHOLESTEROL EVALUATIONS. SERVICES PRIMARILY FOCUS ON CARDIOVASCULAR HEALTH. LITERATURE ABOUT CHRONIC DISEASES AND HEALTHY LIFESTYLE ALTERNATIVES ARE PROVIDED TO PATIENTS.PARTNERS: HOPE 4 RIVERSIDE, THE SALVATION ARMY DAYTON KROC CENTER, DAYTON METRO LIBRARY, GEM CITY MARKET, SINCLAIR COMMUNITY COLLEGE, GREATER EDGEMONT COMMUNITY COALITION, CVS PHARMACY, DIXON UNITED METHODIST CHURCH, ABIDING CHRIST LUTHERAN CHURCH, TROTWOOD CHURCH OF BRETHREN, MT. ENON BAPTIST CHURCH AND OTHER LOCAL CHURCHES, MAD RIVER LOCAL SCHOOLS, LIFE ENRICHMENT CENTER, CENTRAL STATE UNIVERSITY, WRIGHT STATE UNIVERSITY.NEED: PREVENTIONPROGRAM: THE DAILY MILEMETRICS: REENGAGE AND EXPAND TO AT LEAST TWO ADDITIONAL SCHOOL DISTRICTS IN THE REGION.INTERVENTION GOAL: THE GOAL IS TO PRESENT PHYSICAL ACTIVITY AS AN IMPORTANT OPPORTUNITY THAT SHAPES HEALTH, DEVELOPMENT, AND FUTURE PHYSICAL ACTIVITY BEHAVIOR IN CHILDREN. CHILDREN WILL EXPERIENCE HIGHER LEVELS OF FITNESS, LOWER BODY FAT, AND STRONGER BONES AND MUSCLES WITH AN INCREASE IN PHYSICAL ACTIVITY LEVELS.DESCRIPTION: REGULAR PHYSICAL ACTIVITY BENEFITS THE MENTAL AND SOCIAL HEALTH OF CHILDREN. THE DAILY MILE IS A WELLNESS INTERVENTION DEVELOPED IN SCOTLAND, DESIGNED TO INCREASE PHYSICAL ACTIVITY LEVELS DURING THE SCHOOL DAY BY ENCOURAGING CHILDREN TO PARTICIPATE IN A JOG OR RUN, AT THEIR OWN PACE, WITH WALKING KEPT TO A MINIMUM. THE DAILY MILE OBJECTIVES COINCIDE WITH HEALTHY PEOPLE 2020 OBJECTIVES: TO TARGET YOUNGER CHILDREN THROUGH PHYSICAL ACTIVITY IN CHILDCARE SETTINGS.THE DAILY MILE WAS DEVELOPED IN 2012 AND PRIMARILY FEATURED IN SCOTLAND AND ENGLAND SCHOOLS; HOWEVER, ITS POSITIVE IMPACT ON THE CHILDREN RESULTED IN PARTICIPATION FROM OVER 10,943 SCHOOLS AND NURSERIES WORLDWIDE AND 2,309,784 STUDENTS. PREMIER HEALTH AND THE INVOLVED PARTNERS INTRODUCED THE FIRST DAILY MILE PILOT PROGRAM IN 2018. THE PILOT PROGRAM RESULTED IN A 52.7% PARTICIPATION RATE IN WHICH 80% (OF THE STUDENTS PARTICIPATING) DEMONSTRATED GROWTH IN THEIR LEVEL OF ENDURANCE. THE PANDEMIC UNFORTUNATELY PUT THIS PROGRAM ON HOLD. FOR THE UPCOMING YEAR, THIS PROGRAM'S GOAL IS TO REENGAGE EXISTING SCHOOL PROGRAMS AND IMPLEMENT 4 NEW SCHOOLS OVER THE NEXT 3 YEARS. THE SUCCESS OF THE DAILY MILE CAN BE CREDITED TO THE PARTNERSHIP BETWEEN THE ORGANIZATIONS AND THE SCHOOL'S EDUCATORS. PREMIER AND THE COMMUNITY AGENCIES INVOLVED WITH THE PROJECT CONTINUE TO WORK TO EXPAND THE PROGRAM WITHIN LOCAL SCHOOL DISTRICTS.PARTNERS: DAYTON CHILDREN'S HOSPITAL; PUBLIC HEALTH DAYTON & MONTGOMERY COUNTY; FIVE RIVERS METROPARKS; CENTERVILLE CITY SCHOOL DISTRICT; MIAMISBURG CITY SCHOOL DISTRICT; AND CENTERVILLE-WASHINGTON PARK DISTRICT.
PART V, SECTION B, LINE 11: (CONTINUED)	NEED: PREVENTIONPROGRAM: HEALTHY HEROESMETRICS: SERVE 24 LOCAL FIRE AND POLICE DEPARTMENTS, AND ARE IN THE PROCESS OF ADDING 5 MORE.INTERVENTION GOAL: PREMIER HEALTH'S GOAL IS TO IMPROVE OVERALL HEALTH AND WELLNESS BY BUILDING RELATIONSHIPS WITH FIRST RESPONDERS AND INSPIRING THEM TO ENGAGE IN ACTIVITIES THAT PROMOTE IMPROVED INJURY RATES AND OVERALL AWARENESS OF OCCUPATION SPECIFIC HEALTHCARE NEEDS.DESCRIPTION: HEALTHY HEROES IS A COMPREHENSIVE WELLNESS AND FITNESS PROGRAM DESIGNED TO INCREASE THE EFFECTIVENESS, EFFICIENCY, AND DURABILITY OF FIRST RESPONDERS SUCH AS FIREFIGHTERS, EMS, AND LAW ENFORCEMENT. THIS PROGRAM PREPARES THE FIRST RESPONDER FOR THE PHYSICAL READINESS OF THE JOB AND HELPS FIGHT RISK FACTORS FOR INJURIES AND ILLNESSES ASSOCIATED WITH FIRST RESPONDERS. ATHLETIC TRAINERS PROVIDE ON-SITE WEEKLY INJURY EVALUATION CLINICS TO ASSESS AND TREAT MUSCULOSKELETAL INJURIES COMMON TO THE FIRST RESPONDERS. OUR GOAL IS TO PREVENT MINOR INJURIES FROM BECOMING MAJOR DISABILITIES. ATHLETIC TRAINERS ALSO PROVIDE EDUCATION ON VARIOUS HEALTH AND WELLNESS TOPICS SUCH AS NUTRITION, STRESS AND SLEEP, AND FITNESS SPECIFICS. HEALTHY HEROES ATHLETIC TRAINERS ARE STRENGTH AND CONDITIONING SPECIALISTS WHO CAN DEVELOP INDIVIDUAL WORKOUTS TO HELP FIRST RESPONDERS REACH THEIR SPECIFIC HEALTH AND WELLNESS GOALS.PARTNERS: COMMUNITY FIRE/EMT STATIONSNEED: PREVENTIONPROGRAM: COMMUNITY BENEFIT GRANT PROGRAMMETRICS: THE SIZE AND NUMBER OF CONTRIBUTION AWARDS.INTERVENTION GOAL: COMMUNITY HEALTH IMPROVEMENT: COMMUNITY ACTIVITIES OR PROGRAMS THAT RESPOND TO COMMUNITY NEEDS AND SEEK TO ACHIEVE OBJECTIVES INCLUDING IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING INCREASED GENERAL KNOWLEDGE.COMMUNITY-BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, ENVIRONMENTAL HAZARDS, ETC. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION.DESCRIPTION: GRANT-MAKING POLICY AND SPECIFIC GRANT DECISIONS FOR COMMUNITY BENEFITS CONTRIBUTIONS ARE MADE BY THE COMMUNITY BENEFITS EXECUTIVE COMMITTEE (OR DESIGNEES). THE SIZE AND NUMBER OF CONTRIBUTION AWARDS ARE RELATED TO THE AMOUNT OF MONEY AVAILABLE EACH YEAR AND VARY YEAR TO YEAR. AWARDS ARE TYPICALLY IN THE RANGE OF $500 TO $8,000.ALL PROJECTS:* ADDRESS HEALTH SYSTEM PRIORITIES: PREMIER HEALTH'S PRIORITIES INCLUDE BEHAVIORAL HEALTH/SUBSTANCE ABUSE, BIRTH OUTCOMES, AND CHRONIC DISEASE MANAGEMENT.* ADDRESS SOCIAL DETERMINANTS: SOCIAL DETERMINANTS ARE ALL THE ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH, INCLUDING EARLY CHILDHOOD DEVELOPMENT, EMPLOYMENT OPPORTUNITIES, FOOD INSECURITY, AIR AND WATER QUALITY, TRANSPORTATION, EDUCATIONAL ATTAINMENT, PUBLIC SAFETY, AND HOUSING.* ADDRESS HEALTH EQUITY AND DISPARITIES: HEALTH EQUITY IS ACHIEVED WHEN IMMUTABLE CHARACTERISTICS SUCH AS RACE, GENDER, SEXUAL IDENTITY, AND MORE ARE NOT CORRELATED TO HIGHER RATES OF ADVERSE HEALTH OUTCOMES. HEALTH DISPARITIES ARE THE DIFFERENCES IN HEALTH OUTCOMES BASED ON RACE, ETHNICITY, SEXUAL ORIENTATION, AND/OR SOCIO-ECONOMIC STATUS.* UPSTREAM APPROACH: AN UPSTREAM APPROACH ADDRESSES THE COMMUNITY FACTORS THAT SHAPE HEALTH BEFORE ANY CLINICAL INTERVENTION IS NECESSARY (ALSO KNOWN AS SOCIAL DETERMINANTS OF HEALTH). THESE FACTORS CAN INCLUDE FIELDS AS DIVERSE AS AFFORDABLE HOUSING, PUBLIC SAFETY, ACCESS TO HEALTHY FOOD, AND ECONOMIC OPPORTUNITY.* INTEGRATION: PARTNERSHIPS THAT ALIGN THE PRACTICES AND PERSPECTIVES OF COMMUNITIES, HEALTH SYSTEMS AND PUBLIC HEALTH UNDER A SHARED VISION, ESTABLISHING NEW ROLES WHILE CONTINUING TO DRAW UPON THE STRENGTHS OF EACH PARTNER* LOCAL: PARTNERSHIPS THAT ENGAGE NEIGHBORHOOD RESIDENTS AND COMMUNITY LEADERS AS KEY VOICES AND THOUGHT LEADERS THROUGHOUT ALL STAGES OF PLANNING AND IMPLEMENTATION* DATA-DRIVEN AND EVIDENCE-BASED: PARTNERSHIPS THAT USE DATA FROM BOTH CLINICAL AND COMMUNITY SOURCES AS A TOOL TO IDENTIFY KEY NEEDS, MEASURE MEANINGFUL CHANGE, AND FACILITATE TRANSPARENCY AMONGST STAKEHOLDERS TO GENERATE ACTIONABLE INSIGHTS; MIRRORING PROVEN STRATEGIES THAT FACILITATE TANGIBLE CHANGE.PARTNERS: NONESIGNIFICANT HEALTH NEEDS NOT ADDRESSEDMIAMI VALLEY HOSPITAL DOES NOT HAVE A SPECIFIC PROGRAM THAT ADDRESSES ARTHRITIS AND OSTEOPOROSIS AT A COMMUNITY HEALTH LEVEL BUT PROVIDES EXPERT CARE FOR INDIVIDUAL PATIENTS SUFFERING WITH THESE CONDITIONS.
PART V, SECTION B, LINES 16 A, B, AND C:	THE DIRECT WEBSITE ADDRESS WHERE A COPY OF THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/PATIENT-AND-VISITOR-GUIDE/PATIENT-GUIDE/COSTS-AND-INSURANCE/BILLING/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16J:	THE HOSPITAL WIDELY DISTRIBUTES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY WITHIN THE AREA THAT IT SERVES. THIS INFORMATION INCLUDES THE METHOD OF APPLYING FOR AND ACCESSING FINANCIAL ASSISTANCE. NOTICES ARE PUBLICIZED IN PATIENTS' BILLS AND ARE POSTED IN THE EMERGENCY ROOM, ADMITTING AND REGISTRATION AREAS, AS WELL AS OTHER PUBLIC AREAS. THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE. FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND CUSTOMER SERVICE REPRESENTATIVES DISCUSS THE FINANCIAL ASSISTANCE POLICY WITH ALL UNINSURED PATIENTS, AND ANY PATIENT WHO EXPRESSES FINANCIAL HARDSHIP WITH PAYING THEIR BILL. APPLICATIONS FOR FINANCIAL ASSISTANCE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH.

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?21
Name and address		Type of Facility (describe)
1	1 - AUSTIN BOULEVARD EMERGENCY CENTER 300 AUSTIN W BLVD MIAMISBURG,OH45342	EMERGENCY CENTER, DIAGNOSTIC & IMAGING
2	2 - JAMESTOWN EMERGENCY CENTER 4940 COTTONVILLE RD JAMESTOWN,OH45335	EMERGENCY CENTER, CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING, REHAB
3	3 - BULL FAMILY DIABETES CENTER 400 SUGAR CAMP CIR OAKWOOD,OH45409	DIABETES CENTER
4	4 - MIAMI VALLEY HOSPITAL BEAVERCREEK EMERGE 2400 LAKEVIEW DR BEAVERCREEK,OH45431	EMERGENCY CENTER
5	5 - CARDIAC TESTING AND CARDIAC REHAB 1244 MEADOW BRIDGE DR BEAVERCREEK,OH45434	CARDIAC TESTING & REHAB, DIAGNOSTIC & IMAGING
6	6 - OUTPATIENT CARDIAC TESTING & REHAB 122 WYOMING ST DAYTON,OH45409	CARDIAC TESTING & REHAB
7	7 - HEALTH CENTER - HUBER HEIGHTS 6251 MIAMI VALLEY WAY HUBER HEIGHTS,OH45424	CARDIAC TESTING, DIAGNOSTIC & IMAGING, REHAB
8	8 - MVH CENTER - GREENVILLE 742 SWEITZER ST GREENVILLE,OH45331	CARDIAC TESTING, DIAGNOSTIC & IMAGING
9	9 - REHABILITATION AT SURECARE MED CENTER 360 W CENTRAL AVE SPRINGBORO,OH45066	REHABILITATION, DIAGNOSTIC, & IMAGING
10	10 - DAYTON HEART CENTER 1530 NEEDMORE RD 301 HUBER HEIGHTS,OH45414	DIAGNOSTIC & IMAGING
11	11 - MVH MEDICAL IMAGING - SPRINGBORO 630 N MAIN ST SPRINGBORO,OH45066	DIAGNOSTIC & IMAGING
12	12 - PHYSICAL THERAPY NEAR UNIVERSITY OF DAYT 1715 BROWN ST DAYTON,OH45409	PHYSICAL THERAPY
13	13 - THE REHABILITATION INSTITUTE OF OHIO 835 S MAIN ST DAYTON,OH45402	REHABILITATION
14	14 - CLAYBORUNE PHYSICAL THERAPY CLINIC 1525 E STROOP RD KETTERING,OH45429	REHABILITATION
15	15 - OUTPATIENT PHYSICAL THERAPY & SPORTS MED 90 REMICK BLVD SPRINGBORO,OH45066	REHABILITATION & SPORTS MEDICINE
16	16 - MVH CENTER FOR SLEEP & WAKE DISORDER 6611 CLYO RD CENTERVILLE,OH45459	SLEEP CENTER
17	17 - PREMIER OCCUPATIONAL HEALTH CENTRAL 1520 S MAIN ST DAYTON,OH45409	OCCUPATIONAL HEALTH
18	18 - OCCUPATIONAL HEALTH IN MIAMISBURG 8 PRESTIGE PLAZA MIAMISBURG,OH45342	OCCUPATIONAL HEALTH
19	19 - GREATER DAYTON CANCER CENTER 3120 GOVERNORS PLACE BLVD DAYTON,OH45409	CANCER CARE
20	20 - SLEEP SERVICES IN HUBER HEIGHTS 7371 BRANT PIKE HUBER HEIGHTS,OH45424	SLEEP CENTER
21	21 - SLEEP SERVICES AT MIAMI VALLEY HOSP 30 E APPLE ST DAYTON,OH45409	SLEEP CENTER

Schedule H (Form 990) 2022

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 EXPENSES PAID DIRECTLY FOR THESE SERVICES.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT FOR MIAMI VALLEY HOSPITAL IS PART OF THE PREMIER HEALTH REPORT (EIN# 31-1446699).
PART I, LINE 7G:	MIAMI VALLEY HOSPITAL (MVH) PROVIDES SUBSIDIZED EMERGENCY SERVICES BY OPERATING A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THIS EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL INCURS EXPENSES RELATED TO CALL TIME AND PHYSICIAN SUBSIDIES DUE TO THE LARGE NUMBER OF INDIGENT PATIENTS COMING THROUGH THE EMERGENCY ROOM. FOR 2022, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $28,058,000.
PART III, LINE 4:	THE ORGANIZATION DOES NOT HAVE A FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS WHICH DISCUSSES THIS CALCULATION.
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 45% 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. DOCUMENTED THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY.C. DOCUMENTED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED AND ACCEPTED TERMS FOR A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN.THE FINANCIAL COUNSELORS MEET WITH INPATIENT, OUTPATIENT, SELF-PAY, AND OTHER PATIENTS UPON REQUEST WHO MAY NEED FINANCIAL ASSISTANCE. IN ADDITION TO ASSISTING PATIENTS WHO WANT TO APPLY FOR ASSISTANCE THROUGH THE MEDICAID PROGRAM, THE FINANCIAL COUNSELOR WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION.
PART III, LINES 2 & 3:	BAD DEBT EXPENSE IS INCURRED WHEN AN ACCOUNT IS TAKEN OUT OF ACCOUNTS RECEIVABLE AND TURNED OVER TO A COLLECTION AGENCY. THIS ACTION MAY OCCUR IF A PATIENT REFUSES PAYMENT ARRANGEMENTS, REFUSES TO APPLY FOR FINANCIAL ASSISTANCE, AND THERE IS NOT AN INSURANCE BALANCE BEING CONTENDED. AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AFTER 130 DAYS IF AN ATTEMPT TO COLLECT FROM THE PATIENT IS MADE WITHIN OUR COLLECTION POLICY. THE COLLECTION AGENCY ATTEMPTS TO COLLECT THE ACCOUNT IN ACCORDANCE WITH ESTABLISHED GUIDELINES. COLLECTION ATTEMPTS ARE CEASED AND THE ACCOUNT RETURNED TO THE ORGANIZATION IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE. ANY AMOUNTS COLLECTED FROM THESE ACCOUNTS ARE CREDITED BACK AGAINST BAD DEBT EXPENSE. THE ORGANIZATION RECOGNIZES THERE ARE ACCOUNTS WRITTEN OFF TO BAD DEBT THAT MAY HAVE QUALIFIED FOR CHARITY CARE IF THE PATIENT HAD PROVIDED THE NECESSARY FINANCIAL INFORMATION. TO RESOLVE THIS, THE ORGANIZATION HAS ENGAGED A THIRD-PARTY VENDOR TO ANALYZE DATA BASED ON CREDIT SCORES TO REALLOCATE SOME OF THIS EXPENSE TO CHARITY CARE. A REPRESENTATIVE SAMPLE OF THESE ACCOUNTS IS THEN SENT TO OUR THIRD-PARTY VENDOR WHO GATHERS EXTERNAL CREDIT DATA THAT PRESENTS THE ACCOUNT AS LESS THAN 100% FEDERAL POVERTY LEVEL OR NOT ENOUGH INFORMATION (TYPICALLY INDICATIVE OF INDIGENT). THESE ACCOUNTS ARE RECLASSED FROM BAD DEBT EXPENSE TO CHARITY EXPENSE ON OUR INCOME STATEMENT. ANY CREDIT SCORE THAT PRESENTS THE ACCOUNTS AS GREATER THAN 100% FEDERAL POVERTY LEVEL REMAINS IN BAD DEBT EXPENSE. DUE TO THIS PROCESS, THE ORGANIZATION HAS USED BEST EFFORTS TO NOT REPORT BAD DEBT EXPENSE FOR PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.
PART III, 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 $279,410,000 AND INCURRED COST OF $403,090,000, FOR AN ADDITIONAL NET SHORTFALL OF $123,680,000 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) $188,249,000MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $279,410,000TOTAL MEDICARE ASSOCIATED REVENUE $467,659,000ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT (PART III, SECTION B) $202,809,000MEDICARE COST NOT REPORTED IN PART III, SECTION B $403,090,000TOTAL MEDICARE ASSOCIATED COST $605,899,000MEDICARE SHORTFALL PER PART III, SECTION B $14,560,000ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $123,680,000TOTAL MEDICARE SHORTFALL $138,240,000
PART VI, LINE 2:	THE ORGANIZATION WORKS WITH THE COMMUNITY ON PROGRAMS THAT ADDRESS THE UNDERLYING CAUSES OF PERSISTENT HEALTH PROBLEMS AS PART OF A COMPREHENSIVE STRATEGY TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR IDENTIFIED MEMBERS OF THE COMMUNITY WHO ARE ECONOMICALLY DISADVANTAGED, DISENFRANCHISED, AND/OR WHO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE ORGANIZATION STRIVES TO WORK WITH PREMIER HEALTH, THE HOSPITAL BOARD OF TRUSTEES, EXECUTIVE MANAGEMENT, MANAGERS, STAFF MEMBERS, COMMUNITY GROUPS, AND INDIVIDUALS TO PROVIDE A COLLABORATIVE APPROACH TO THE GOVERNANCE AND MANAGEMENT OF COMMUNITY BENEFIT ACTIVITIES.
PART VI, LINE 3:	THERE ARE SEVERAL WAYS IN WHICH OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR SERVICES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FIRST, NOTIFICATION OF SUCH AVAILABLE ASSISTANCE IS CLEARLY POSTED IN REGISTRATION AREAS, AS WELL AS MATERNITY AND EMERGENCY DEPARTMENTS. NEXT, PATIENT ADVOCATES, PATIENT ACCESS STAFF MEMBERS, AND FINANCIAL COUNSELORS IN THE INPATIENT AND EMERGENCY DEPARTMENTS MEET WITH UNINSURED AND UNDERINSURED PATIENTS, AND THOSE WITH ONLY MEDICARE COVERAGE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. FINANCIAL COUNSELORS ALSO DISCUSS OPTIONS TO RESOLVE UNPAID ACCOUNT BALANCES WITH UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE, ALONG WITH INFORMATION ON HOW TO OBTAIN AN APPLICATION. WHEN A PATIENT RECEIVES A BILL, THE REVERSE SIDE OF THE BILL CONTAINS INFORMATION ABOUT THE STATE OF OHIO FREE CARE PROGRAM (CARE ASSURANCE) AND A FINANCIAL ASSISTANCE APPLICATION. THE BILLING STATEMENTS OFFER THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE, AND THE CONTACT INFORMATION FOR ASSISTANCE.
PART VI, LINE 4:	THE ORGANIZATION IS LOCATED IN DAYTON, OHIO. OUR TARGET POPULATION INCLUDES CITIZENS OF DAYTON, AS WELL AS SURROUNDING COMMUNITIES. MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION IS APPROXIMATELY 537,000 PEOPLE. INCLUDING THE ADJACENT COUNTIES, WHICH ARE ALSO SERVED (GREENE, MIAMI, PREBLE), MIAMI VALLEY HOSPITAL'S TOTAL PRIMARY AND SECONDARY SERVICE AREA POPULATION APPROACHES 855,000 RESIDENTS. THE MEDIAN HOUSEHOLD INCOME OF MONTGOMERY COUNTY IS SLIGHTLY ABOVE $56,500 PER YEAR, WITH APPROXIMATELY 15.2% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. FOR 2022, MEDICARE PATIENTS REPRESENTED 46.4% OF GROSS PATIENT REVENUE AND MEDICAID REPRESENTED 22.9% OF GROSS PATIENT REVENUE.
PART VI, LINE 5:	MIAMI VALLEY HOSPITAL'S MOST VISIBLE CONTRIBUTION TO THE COMMUNITY IS IN THE FORM OF PROVIDING HIGH-QUALITY INPATIENT AND OUTPATIENT CARE TO OUR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MIAMI VALLEY HOSPITAL IS THE REGION'S ONLY LEVEL I TRAUMA CENTER AND OPERATES A CRITICAL CARE TRANSPORT SERVICE. THIS TRANSPORT SERVICE INCLUDES 24-HOUR AIR AMBULANCE SERVICE OPERATING FOUR HELICOPTERS. MIAMI VALLEY HOSPITAL ALSO OFFERS ONE OF THE REGION'S FOUR LEVEL III NEONATAL INTENSIVE CARE UNITS. A FREE-STANDING EMERGENCY DEPARTMENT IS OPERATED IN GREENE COUNTY TO PROVIDE LOCAL TRAUMA CARE TO RESIDENTS IN THIS RURAL AREA. FURTHER ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTATIVE CARE TO RESIDENTS IN MEDICALLY UNDERSERVED AREAS, REGARDLESS OF THEIR ABILITY TO PAY, IS SUPPORTED THROUGH FINANCIAL CONTRIBUTIONS TO THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER. MIAMI VALLEY HOSPITAL ALSO OPERATES THE REGIONAL ADULT BURN CENTER WHICH IS ONE OF THE MOST WIDELY RECOGNIZED FACILITIES IN WEST CENTRAL OHIO FOR THE TREATMENT OF ADULT BURN PATIENTS. IN ADDITION, MVH'S REHABILITATION INSTITUTE OF OHIO (RIO) IS ONE OF THE NATION'S LARGEST PHYSICAL MEDICINE DEPARTMENTS BASED IN A COMMUNITY HOSPITAL. RIO'S PURPOSE IS TO ENHANCE THE LEVEL OF INDEPENDENCE OF PATIENTS WITH PHYSICAL AND COGNITIVE DISABILITIES TO MOVE TO THE NEXT LEVEL BASED ON THEIR FUNCTIONAL CAPABILITIES. OUR MISSION INCLUDES CONTINUALLY STRIVING TO ENRICH THE COMMUNITY BY TRAINING AND EDUCATING FUTURE HEALTHCARE WORKERS, OFFERING HEALTH AWARENESS AND EDUCATION TO THE COMMUNITY, SUCH AS PROMOTION OF BREAST CANCER SCREENINGS, WOMEN AND INFANT HEALTH, DIABETIC WELLNESS AND DRIVER SAFETY AWARENESS FOR HIGH-SCHOOL STUDENTS. THE HOSPITAL ALSO PROVIDES RELEVANT EDUCATION FOR EMS AND PRE-HOSPITAL CARE PROVIDERS THROUGHOUT THE REGION. THE TRAINING INCLUDES LOCAL CASE REVIEWS, LECTURES, HANDS-ON SIMULATION AND PANEL DISCUSSIONS PERTAINING TO THE EDUCATION ON USE OF TOOLS, PRIORITIES OF PATIENT CARE AND OTHER CRITICAL INFORMATION. MIAMI VALLEY HOSPITAL PARTNERS WITH MANY OF THE LOCAL SCHOOLS TO PROVIDE CERTIFIED AND LICENSED ATHLETIC TRAINERS AT THEIR CAMPUSES TO AID IN INJURY PREVENTION, RECOGNITION AND TREATMENT OF SPORTS-RELATED INJURIES. THE HOSPITAL ALSO SUPPORTS THE COMMUNITY THROUGH SPONSORSHIPS AND PARTICIPATION IN LOCAL FUNDRAISING EVENTS THAT PROMOTE HEALTHY LIFESTYLE CHOICES, PREVENTATIVE CARE, CHRONIC DISEASE MANAGEMENT AND GENERAL HEALTH EDUCATION. WITHIN THE HOSPITAL, INTERPRETERS ARE OFFERED TO PATIENTS AT NO COST AS A RESULT OF INCREASED VOLUMES OF NON-ENGLISH-SPEAKING PATIENTS. MIAMI VALLEY HOSPITAL PROVIDES SPIRITUAL CARE SUPPORT SERVICES TO PATIENTS AND FAMILY MEMBERS UTILIZING 9 TRAINED PROFESSIONAL CHAPLAINS, 24 HOURS A DAY, 7 DAYS A WEEK.THE HOSPITAL HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICAID AND MEDICARE, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MIAMI VALLEY HOSPITAL'S MISSION REFLECTS A COMMITMENT TO PROVIDE HIGH-QUALITY COST-EFFECTIVE HEALTH SERVICES TO THE DIVERSE COMMUNITIES THAT IT SERVES. AT THE CORE OF THE COMMITMENT IS THE BELIEF THAT IN ORDER TO MEET OUR PATIENTS' EXPECTATIONS AND TO IMPROVE TREATMENT OUTCOMES, IT IS NECESSARY FOR US TO UNDERSTAND THE PATIENT'S FRAME OF REFERENCE. A DIVERSE WORKFORCE ALLOWS US TO DRAW UPON THE RICHNESS OF OUR HUMAN RESOURCES, CREATE A POSITIVE WORK ENVIRONMENT, AND MEET THE EXPECTATIONS OF THOSE WE SERVE. MIAMI VALLEY HOSPITAL'S COMMITMENT TO DIVERSITY IS ACCOMPLISHED BY:* TAKING A LEADERSHIP ROLE IN CREATING AND SUSTAINING AN ORGANIZATIONAL ENVIRONMENT THAT ACTIVELY SUPPORTS DIVERSITY,* POSITIONING DIVERSITY AS A LONG-TERM COMPREHENSIVE ORGANIZATIONAL STRATEGY,* ESTABLISHING AND SUPPORTING RELATIONSHIPS WITH MINORITY AND DIVERSITY-FOCUSED ORGANIZATIONS AND* PROVIDING EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES.
PART VI, LINE 6:	PREMIER HEALTH (PREMIER) IS THE SOLE MEMBER OF MIAMI VALLEY HOSPITAL, TWO OTHER HOSPITALS (FIVE LOCATIONS IN TOTAL), AND SEVERAL OTHER HEALTH CARE SERVICE SUBSIDIARIES. PREMIER HAS THE AUTHORITY TO OPERATE EACH HOSPITAL WITH RESPECT TO MATTERS SUCH AS BUDGETING, STRATEGIC PLANNING, MANAGED CARE CONTRACTING, EMPLOYEE COMPENSATION, TRANSFER/SALE OF MATERIAL ASSETS, ETC. AS AN INTEGRATED HEALTHCARE SYSTEM, PREMIER PROVIDES A CONTINUUM OF CARE FOR THE RESIDENTS OF SOUTHWEST OHIO. AS A SYSTEM, PREMIER IS A COMMUNITY LEADER IN SUPPORTING VARIOUS COMMUNITY BENEFIT PROGRAMS THAT ALIGN WITH ITS CURRENT CHNA. RESOURCES ARE LEVERAGED IN EACH ENTITY WITHIN THE PREMIER SYSTEM TO SUPPORT THESE PROGRAMS IDENTIFIED AT THE PREMIER SYSTEM LEVEL. THE POLICIES FOR BAD DEBT AND CHARITY COLLECTIONS ARE ESTABLISHED BY PREMIER.
PART VI, LINE 7:	OHIO

Schedule H (Form 990) 2022

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
MIAMI VALLEY HOSPITAL

Employer identification number
31-0537504

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) FIVE RIVERS HEALTH CENTERS 2261 PHILADELPHIA DR DAYTON,OH45406	45-0914398	501(C)(3)	2,857,457	SUPPORT
(2) ONEFIFTEEN RECOVERY 6636 LONGSHORE ST 200 DUBLIN,OH43017	83-3504845	501(C)(3)	1,660,000	SUPPORT
(3) PREMIER COMMUNITY HEALTH 110 N MAIN ST 500 DAYTON,OH45402	31-1122883	501(C)(3)	99,285	SUPPORT
(4) REACH OUT MONTGOMERY COUNTY 25 E FORAKER ST DAYTON,OH45409	31-1434282	501(C)(3)	87,150	SUPPORT
(5) MIAMI VALLEY HOSPITAL FOUNDATION 110 N MAIN ST 500 DAYTON,OH45402	31-1040231	501(C)(3)	86,735	SUPPORT
(6) HOMEFULL 829 S GETTYSBURG AVE DAYTON,OH45417	31-1236989	501(C)(3)	42,745	SUPPORT
(7) UVMC FOUNDATION 110 N MAIN ST 500 DAYTON,OH45402	31-1581859	501(C)(3)	38,595	SUPPORT
(8) THE FOODBANK 56 ARMOR PLACE DAYTON,OH45417	86-1082880	501(C)(3)	36,935	SUPPORT
(9) ATRIUM MEDICAL CENTER FOUNDATION 110 N MAIN ST 500 DAYTON,OH45402	31-1079213	501(C)(3)	28,843	SUPPORT
(10) DAYTON FOUNDATION 40 N MAIN ST 500 DAYTON,OH45423	31-6027287	501(C)(3)	25,730	SUPPORT
(11) WRIGHT STATE UNIVERSITY FOUNDATION 3640 COLONEL GLENN HIGHWAY DAYTON,OH45435	23-7019799	501(C)(3)	24,070	SUPPORT
(12) UNIVERSITY OF DAYTON 300 COLLEGE PARK DAYTON,OH45469	31-0536715	501(C)(3)	20,128	SUPPORT
(13) GOODWILL EASTER SEALS 660 S MAIN ST DAYTON,OH45402	31-0537112	501(C)(3)	18,053	SUPPORT
(14) PLANNED PARENTHOOD SOUTHWEST OHIO REGION 1300 N CO RD 25A TROY,OH45373	31-1596731	501(C)(3)	15,148	SUPPORT
(15) CHAMINADE JULIENNE 505 S LUDLOW ST DAYTON,OH45402	31-0832408	501(C)(3)	12,450	SUPPORT
(16) OTTERBEIN HOMES 580 N SR 741 LEBANON,OH45036	31-0549058	501(C)(3)	11,620	SUPPORT
(17) GOOD SAMARITAN FOUNDATION - DAYTON 110 N MAIN ST 500 DAYTON,OH45402	23-7296923	501(C)(3)	11,413	SUPPORT
(18) WARREN COUNTY FOUNDATION 118 E MAIN ST LEBANON,OH45036	31-1565086	501(C)(3)	11,122	SUPPORT
(19) CRAYONS TO CLASSROOMS 1511 KUNTZ RD DAYTON,OH45404	26-1594574	501(C)(3)	10,375	SUPPORT
(20) SC MINISTRY FOUNDATION 5900 DELHI RD MOUNT SAINT JOSEPH,OH45051	31-1185570	501(C)(3)	8,923	SUPPORT
(21) GEM CITY MARKET 33 WEST 1ST ST 100 DAYTON,OH45402	82-1168121		8,300	SUPPORT
(22) MIAMI COUNTY YMCA 223 W HIGH ST PIQUA,OH45356	31-0537179	501(C)(3)	7,885	SUPPORT
(23) OASIS HOUSE 425 N FINDLAY ST 308 DAYTON,OH45404	30-0184630	501(C)(3)	6,640	SUPPORT
(24) MISSION OF MARY COOPERATIVE 619 SLIVER LANE DAYTON,OH45410	46-2231133	501(C)(3)	6,225	SUPPORT
(25) DAYTON ART INSTITUTE 456 BELMONTE PARK N DAYTON,OH45405	31-0537480	501(C)(3)	5,810	SUPPORT
(26) DECOLORES MONTESSORI SCHOOL 312 CENTRAL AVE GREENVILLE,OH45331	31-1166242	501(C)(3)	5,810	SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	1) DISBURSEMENTS ARE ANALYZED MONTHLY THROUGH VARIOUS REPORTS AND COMMITTEE MEETINGS. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE AND APPROVED AND DISBURSED PER ORGANIZATIONAL POLICY. 3) GRANT SPENDING IS MONITORED AGAINST BUDGETED AMOUNTS ON AN ONGOING BASIS.
SCHEDULE I, PART II, PAGE 3, LINE 1(A)(6), GEM CITY MARKETPLACE:	MIAMI VALLEY HOSPITAL CONTRIBUTES FUNDS TO SUBSIDIZE COMMUNITY OWNER SHARES OF THE GEM CITY MARKETPLACE IN DOWNTOWN DAYTON (A FOOD DESERT).

Schedule I (Form 990) 2022

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MARY H BOOSALIS TRUSTEE/PREMIER PRES & CEO (TO JAN)	(i) (ii)	0 ------------- 243,179	0 ------------- 1,799,215	0 ------------- 224,683	0 ------------- 18,855	0 ------------- 5,909	0 ------------- 2,291,841	0 ------------- 0
2MICHAEL C RIORDAN TRUSTEE/PREMIER PRES & CEO-FROM JAN	(i) (ii)	0 ------------- 1,067,901	0 ------------- 0	0 ------------- 212,539	0 ------------- 0	0 ------------- 28,132	0 ------------- 1,308,572	0 ------------- 0
3BARBARA A JOHNSON TRUSTEE & PREMIER COO	(i) (ii)	0 ------------- 779,540	0 ------------- 297,335	0 ------------- 88,824	0 ------------- 14,063	0 ------------- 12,148	0 ------------- 1,191,910	0 ------------- 0
4GEOFFREY P WALKER CHIEF LEGAL OFFICER	(i) (ii)	0 ------------- 483,803	0 ------------- 150,928	0 ------------- 307,814	0 ------------- 18,871	0 ------------- 29,565	0 ------------- 990,981	0 ------------- 0
5MARC R BELCASTRO DO VP MEDICAL AFFAIRS & PREMIER CMO	(i) (ii)	0 ------------- 598,103	0 ------------- 181,805	0 ------------- 54,977	0 ------------- 10,475	0 ------------- 25,736	0 ------------- 871,096	0 ------------- 0
6GARY G GINTER VP & PREMIER CHIEF INFO OFFICER	(i) (ii)	450,593 ------------- 0	126,517 ------------- 0	237,819 ------------- 0	19,235 ------------- 0	29,836 ------------- 0	864,000 ------------- 0	203,308 ------------- 0
7KEITH D BRICKING MD VP & CHIEF CLINICAL OFFICER (FROM OC	(i) (ii)	0 ------------- 571,733	0 ------------- 199,778	0 ------------- 10,862	0 ------------- 9,597	0 ------------- 32,427	0 ------------- 824,397	0 ------------- 59,080
8MICHAEL J MAIBERGER FORMER TRUSTEE & OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 822,367	0 ------------- 0	0 ------------- 0	0 ------------- 822,367	0 ------------- 0
9JENNIFER J HAULER DO TRUSTEE & COO	(i) (ii)	557,482 ------------- 0	184,044 ------------- 0	23,553 ------------- 0	9,686 ------------- 0	2,384 ------------- 0	777,149 ------------- 0	0 ------------- 0
10MARY M CLANCY CHIEF DIGITAL OFFICER	(i) (ii)	0 ------------- 470,691	0 ------------- 150,789	0 ------------- 83,054	0 ------------- 19,693	0 ------------- 32,729	0 ------------- 756,956	0 ------------- 0
11MARGARET PEGGY W MARK VP NURSING/CNO/PATIENT EXP-PH (TO AP	(i) (ii)	0 ------------- 127,686	0 ------------- 133,099	0 ------------- 305,331	0 ------------- 154,451	0 ------------- 25,817	0 ------------- 746,384	0 ------------- 0
12J MICHAEL SIMS SYS VP & CORPORATE CONTROLLER	(i) (ii)	0 ------------- 355,741	0 ------------- 138,119	0 ------------- 183,742	0 ------------- 19,235	0 ------------- 31,109	0 ------------- 727,946	0 ------------- 0
13TAREK M SABAGH MD BOARD CHAIR	(i) (ii)	0 ------------- 504,741	0 ------------- 4,708	0 ------------- 164,400	0 ------------- 231	0 ------------- 34,544	0 ------------- 708,624	0 ------------- 0
14ELOISE P BRONER CHIEF-SHARED SERVICES	(i) (ii)	452,457 ------------- 0	151,253 ------------- 0	63,401 ------------- 0	20,203 ------------- 0	10,568 ------------- 0	697,882 ------------- 0	0 ------------- 0
15DARIN J PANGALANGAN MD SYS VP-CLINICAL SERVICE LINES	(i) (ii)	523,699 ------------- 0	141,347 ------------- 0	5,147 ------------- 0	9,946 ------------- 0	2,084 ------------- 0	682,223 ------------- 0	0 ------------- 0
16ROBERTO COLON VP OPERATIONS/CMO-MVH	(i) (ii)	451,563 ------------- 0	135,860 ------------- 0	22,139 ------------- 0	35,075 ------------- 0	27,857 ------------- 0	672,494 ------------- 0	0 ------------- 0
17MICHAEL R UHL PRESIDENT & CEO (TO JUN)	(i) (ii)	344,188 ------------- 0	274,802 ------------- 0	10,999 ------------- 0	19,572 ------------- 0	14,367 ------------- 0	663,928 ------------- 0	241,187 ------------- 0
18JOANN R RINGER CHIEF ADMINSTRATIVE OFFICER	(i) (ii)	362,503 ------------- 0	102,744 ------------- 0	114,221 ------------- 0	20,910 ------------- 0	30,636 ------------- 0	631,014 ------------- 0	0 ------------- 0
19MELANIE M GLOVER MD TRUSTEE	(i) (ii)	0 ------------- 514,489	0 ------------- 0	0 ------------- 35,415	0 ------------- 10,526	0 ------------- 29,872	0 ------------- 590,302	0 ------------- 0
20ELAINE LAINIE M DEAN FORMER KEY EMPLOYEE	(i) (ii)	407,817 ------------- 0	129,774 ------------- 0	22,756 ------------- 0	11,065 ------------- 0	14,687 ------------- 0	586,099 ------------- 0	0 ------------- 0
21LAKMALI C RANATHUNGA TRUSTEE / MED DIR - HOSPITALIST PROG	(i) (ii)	459,268 ------------- 0	79,057 ------------- 0	20,171 ------------- 0	12,113 ------------- 0	13,032 ------------- 0	583,641 ------------- 0	0 ------------- 0
22STACEY M LAWSON TRUSTEE / CHIEF HR OFFICER	(i) (ii)	362,991 ------------- 0	94,596 ------------- 0	12,864 ------------- 0	23,297 ------------- 0	14,977 ------------- 0	508,725 ------------- 0	0 ------------- 0
23MARY E GARMAN COO - MVHN	(i) (ii)	302,180 ------------- 0	86,324 ------------- 0	80,487 ------------- 0	11,094 ------------- 0	13,375 ------------- 0	493,460 ------------- 0	66,212 ------------- 0
24CHRISTIE J GRAY VP HOSP OPS/CHIEF NSG OFFICER	(i) (ii)	331,165 ------------- 0	92,553 ------------- 0	1,710 ------------- 0	22,985 ------------- 0	14,191 ------------- 0	462,604 ------------- 0	0 ------------- 0
25MARQUITA L TURNER COO - MVHS	(i) (ii)	295,671 ------------- 0	84,912 ------------- 0	2,838 ------------- 0	16,415 ------------- 0	13,530 ------------- 0	413,366 ------------- 0	0 ------------- 0
26KIMBERLY A HENSLEY FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 298,282	0 ------------- 82,551	0 ------------- 2,834	0 ------------- 14,773	0 ------------- 10,781	0 ------------- 409,221	0 ------------- 0
27ROBERT M BOWMAN FORMER KEY EMPLOYEE	(i) (ii)	261,346 ------------- 0	81,221 ------------- 0	26,981 ------------- 0	17,802 ------------- 0	21,144 ------------- 0	408,494 ------------- 0	0 ------------- 0
28KRISTINA M KEAN TREASURER / VP FINANCE	(i) (ii)	296,066 ------------- 0	82,933 ------------- 0	925 ------------- 0	14,896 ------------- 0	12,434 ------------- 0	407,254 ------------- 0	0 ------------- 0
29CARA W POWERS FORMER OFFICER	(i) (ii)	275,625 ------------- 0	78,683 ------------- 0	1,433 ------------- 0	13,885 ------------- 0	28,967 ------------- 0	398,593 ------------- 0	0 ------------- 0
30BILLIE L LUCENTE-BAKER FORMER KEY EMPLOYEE	(i) (ii)	241,999 ------------- 0	76,411 ------------- 0	781 ------------- 0	16,655 ------------- 0	15,188 ------------- 0	351,034 ------------- 0	0 ------------- 0
31JENNA M DOWNEY ESQ BOARD SECRETARY / VP LEGAL SRVC	(i) (ii)	246,830 ------------- 0	47,410 ------------- 0	487 ------------- 0	9,682 ------------- 0	12,265 ------------- 0	316,674 ------------- 0	0 ------------- 0
32AMANDA K ADKINS-RICCI SYSTEM VP REVENUE CYCLE	(i) (ii)	0 ------------- 241,887	0 ------------- 44,970	0 ------------- 475	0 ------------- 11,512	0 ------------- 11,457	0 ------------- 310,301	0 ------------- 0
33LISA M GOSSETT VP NURSE/CNO/PATIENT EXP (FROM JUN)	(i) (ii)	0 ------------- 200,746	0 ------------- 0	0 ------------- 1,999	0 ------------- 2,855	0 ------------- 9,650	0 ------------- 215,250	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH, WITH WHICH MVH IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.
PART I, LINE 4A:	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2022: MARY BOOSALIS $218,596; MARGARET MARK $273,306.
PART I LINE 4B:	DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL (MVH) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN 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 2022. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: ROBERT BOWMAN $23,301; ELOISE BRONER $35,765; MARY CLANCY $78,305; JOANN RINGER $108,160; J. MICHAEL SIMS $156,921; GEOFFREY WALKER $300,385. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: MARC BELCASTRO, D.O. $43,756; MARY GARMAN $76,052; GARY GINTER $230,909; BARBARA JOHNSON $74,090; MICHAEL MAIBERGER $392,827; MARGARET MARK $17,830. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED AND PAID TO THE SERP PARTICIPANTS: ROBERTO COLON $25,425; CHRISTIE GRAY $3,091; KRISTINA KEAN $3,066; STACEY LAWSON $6,909; BILLIE LUCENTE-BAKER $1,828; MARQUITA TURNER $1,283; MICHAEL UHL $8,385. 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.

Schedule J (Form 990) 2022

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
MIAMI VALLEY HOSPITAL

Employer identification number
31-0537504

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	OHIO HIGHER EDUCATION FACILITY COMMISSION	34-6849674	67756CFC7	09-15-2020	98,089,554	REFUND SERIES 2011A & NOTE A		X		X		X
B	COUNTY OF MONTGOMERY OHIO	31-6000172	613520LO6	09-24-2019	314,459,788	SEE PART IV, NOTE B		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	98,089,554		314,459,788
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,526,311		2,774,994
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			12,000,000
11 Other spent proceeds .............	96,563,243		299,684,794
12 Other unspent proceeds .............
13 Year of substantial completion .............	2011		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X	X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....			0.810 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............			0.810 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X
b Exception to rebate? ........		X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X
b Name of provider ..........	BARCLAYS & WFB		BARCLAYS & WFB
c Term of hedge .........	1430.0000000000 %		2290.0000000000 %
d Was the hedge superintegrated? ......	X		X
e Was the hedge terminated? ........		X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
NOTE A PART I, LINE A, COLUMN F:	REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2011A BONDS - ISSSUE DATE 04/12/2011
NOTE B PART I, LINE B, COLUMN E:	ISSUE PRICE IS NOT IDENITICAL TO THE ISSUE PRICE LISTED ON FORM 8038 DUE TO SERIES 2019A BONDS' PROCEEDS BEING SPLIT BETWEEN MIAMI VALLEY HOSPITAL, ATRIUM MEDICAL CENTER AND UPPER VALLEY MEDICAL CENTER
NOTE B PART I, LINE B, COLUMN F:	REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2009B BONDS - ISSUE DATE 02/24/2009 SERIES 2012A BONDS - ISSUE DATE 11/20/2012 SERIES 2016C BONDS - ISSUE DATE 08/31/2016 SERIES 2016D BONDS - ISSUE DATE 08/31/2016 SERIES 2016E BONDS - ISSUE DATE 08/31/2016 SERIES 2016F BONDS - ISSUE DATE 08/31/2016 SERIES 2018 BONDS - ISSUE DATE 12/20/2018 REIMBURSEMENT OF PROJECT COSTS

Schedule K (Form 990) 2021

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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MARC R BELCASTRO II	CHILD OF MARC R. BELCASTRO, M.D., KEY EMPLOYEE	55,785	EMPLOYMENT		No
(2) AMANDA M BOWMAN	CHILD OF ROBERT BOWMAN, FORMER KEY EMPLOYEE	31,573	EMPLOYMENT		No
(3) LUKE A BOWMAN	CHILD OF ROBERT BOWMAN, FORMER KEY EMPLOYEE	39,333	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		28,130	FMV
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( EMPLOYEE FOOD )	X	52	258,410	FMV
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2022)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2022)

Additional Data

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	PREMIER HEALTH (PREMIER), AS THE OPERATOR OF MIAMI VALLEY HOSPITAL (MVH) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR MVH, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. MVH SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. MVH SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. MVH SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF MVH WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO INSURERS. MVH MUST HAVE APPROVAL FROM PREMIER TO BORROW IN ANY FISCAL YEAR, GUARANTEE IN ANY YEAR, OR INCUR ANY LIEN OR OTHER ENCUMBRANCE ON ANY PROPERTY IN AN AMOUNT EQUAL TO OR GREATER THAN $1,000,000. MVH MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN MVH'S ACTIVITIES.
FORM 990, PART VI, SECTION A, LINE 6	MIAMI VALLEY HOSPITAL HAS ONE CORPORATE MEMBER: PREMIER HEALTH, AN OHIO NON-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	PREMIER HEALTH (PREMIER) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MIAMI VALLEY HOSPITAL (MVH). PREMIER HAS THE AUTHORITY TO REMOVE SUCH TRUSTEES AT ANY REGULAR OR SPECIAL MEETING OR BY WRITTEN CONSENT.
FORM 990, PART VI, SECTION A, LINE 7B	SEE EXPLANATION FOR LINE 7A.
FORM 990, PART VI, SECTION B, LINE 11B	THIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. AFTER ALL CHANGES FROM THE ABOVE PERSONS ARE MADE, THE RETURN IS REVIEWED BY THE VICE-PRESIDENT/CONTROLLER OF PREMIER. A FINAL VERSION OF THE RETURN IS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER.
FORM 990, PART VI, SECTION B, LINE 12C	PREMIER HEALTH (PREMIER), WITH WHICH MIAMI VALLEY HOSPITAL IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL DIRECTORS, SUPPLY CHAIN DIVISION MEMBERS, AUTHORIZED SIGNERS, DIRECTORS, EXECUTIVES, MEDICAL EXECUTIVE COMMITTEE MEMBERS, MEDICAL DEPARTMENT AND SECTION CHAIRS, PHYSICIAN PARTNERSHIP COMMITTEE MEMBERS, PHYSICIAN GUIDANCE GROUP MEMBERS, AND ALL EMPLOYED PHYSICIANS TO ANNUALLY REVIEW THE PREMIER COMPREHENSIVE CONFLICT OF INTEREST STATEMENT, AN EXPLANATORY MEMORANDUM, THE ANTITRUST COMPLIANCE POLICY, AND COMPLETE AN INDIVIDUAL QUESTIONNAIRE DISCLOSING ANY POTENTIAL CONFLICTS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. THIS IS ACCOMPLISHED EITHER BY WAY OF AN ELECTRONIC COMMUNICATION SENT OUT DIRECTLY BY THE CORPORATE COMPLIANCE DEPARTMENT OR BY WAY OF A MEMO SENT OUT FROM THE CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER OF PREMIER. IT ALSO INCLUDES AN EXPLANATORY MEMORANDUM OF SPECIFIC ACTIVITIES THAT MIGHT GIVE CAUSE TO A CONFLICT AND AN INDIVIDUAL QUESTIONNAIRE TO DISCLOSE ALL SUCH ACTIVITIES. THIS QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY THE INDIVIDUAL. THIS CORRESPONDENCE INCLUDES A COPY OF THE ANTITRUST COMPLIANCE POLICY THAT MUST BE SIGNED BY THE INDIVIDUAL. ALL OF THESE DOCUMENTS ARE SENT TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT ENSURES ALL FORMS ARE RETURNED AND RETAINS THE DOCUMENTS FOR FIVE YEARS. IN ADDITION, AT EACH MEETING OF THE BOARD OR ANY BOARD COMMITTEE, FOLLOWING APPROVAL OF THE PREVIOUS MEETING'S MINUTES, THE BOARD OR COMMITTEE CHAIR SHALL REQUEST ANY BOARD MEMBER WHO PERCEIVES A POTENTIAL CONFLICT OF INTEREST ON ANY OF THE MEETING'S AGENDA ITEMS TO DISCLOSE THE POTENTIAL CONFLICT. ADDITIONALLY, AT ANY BOARD OR BOARD COMMITTEE MEETING WHERE THE SUBJECT OF CONFLICT OF INTEREST IS DISCUSSED, THE MINUTES SHALL CONTAIN THE NAME OF THE PARTY DISCUSSING A POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST AND WHETHER A CONFLICT OF INTEREST WAS FOUND TO EXIST. IF A CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, THE MEMBER WILL BE EXCUSED FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON THE PARTICULAR AGENDA ITEM. THE CHIEF COMPLIANCE AND ENTERPRISE RISK OFFICER REPORTS THE RESULTS OF THE PREMIER CONFLICT OF INTEREST QUESTIONNAIRES NO LESS THAN ANNUALLY TO THE BOARD OF TRUSTEES BY WAY OF THE COMPLIANCE AND AUDIT COMMITTEE. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. PERIODICALLY, THE INTERNAL AUDIT DEPARTMENT WILL REVIEW A SAMPLE OF COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND REPORT THE RESULTS TO THE COMPLIANCE AND AUDIT COMMITTEE. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE INDIVIDUALLY SUMMARIZED IN A DOCUMENT AND SENT ELECTRONICALLY TO THE FINANCE DEPARTMENT FOR ANY NECESSARY DISCLOSURES REQUIRED ON THE 990 FILING.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), WITH WHICH MVH IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH-PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL AND NATIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD-PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY DATA FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE CONTAINS THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CCO AND OTHER TOP EXECUTIVES. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 95,668,480. MANAGEMENT AND GENERAL EXPENSES 8,302,987. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,971,467. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 95,912,843. MANAGEMENT AND GENERAL EXPENSES 545,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,458,578. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 39,956,756. MANAGEMENT AND GENERAL EXPENSES 710,919. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,667,675. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 25,319,591. MANAGEMENT AND GENERAL EXPENSES 41,235. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,360,826. CHI C/E DIRECT CHARGE: PROGRAM SERVICE EXPENSES 11,405,885. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,405,885. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 3,830,422. MANAGEMENT AND GENERAL EXPENSES 300,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,131,318. RECRUIT-PHYSICIAN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 981,339. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 981,339. OTHER FEES: PROGRAM SERVICE EXPENSES 467,286. MANAGEMENT AND GENERAL EXPENSES 395,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 862,300.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS -267,399,829. PENSION ADJUSTMENT -47,902,907. SWAP AMORTIZATION -138,309. TRANSFERS FROM AFFILIATES 1,902,841.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MIAMI VALLEY HOSPITAL

Employer identification number

31-0537504

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) DIALYSIS CENTERS OF DAYTON LLC 110 N MAIN ST 500 DAYTON,OH45402 31-1607686	DIALYSIS	OH	0	0	MIAMI VALLEY HOSPITAL

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ATRIUM HEALTH SYSTEM 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-0537492	SUPPORT ORG	OH	501 (C) (3)	12B	N/A		No
(2)ATRIUM MEDICAL CENTER 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1079309	HOSPITAL	OH	501 (C) (3)	3	PREMIER HEALTH		No
(3)COMPUNET CLINICAL LABORATORIES LLC 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1258010	LAB	OH	501 (C) (3)	12B	PREMIER HEALTH		No
(4)FIDELITY HEALTH CARE INC 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1075381	HOME HEALTH	OH	501 (C) (3)	10	PREMIER HEALTH		No
(5)GOOD SAMARITAN FOUNDATION - DAYTON 110 MAIN STREET SUITE 500 DAYTON,OH45402 23-7296923	FOUNDATION	OH	501 (C) (3)	7	PREMIER HEALTH		No
(6)MEDAMERICA HEALTH SYSTEMS CO 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1040228	SUPPORT ORG	OH	501 (C) (3)	12B	N/A		No
(7)MIAMI VALLEY HOSPITAL FOUNDATION 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1040231	FOUNDATION	OH	501 (C) (3)	7	PREMIER HEALTH		No
(8)ONMAIN INC 300 COLLEGE PARK RM 405 DAYTON,OH45469 83-2877212	SUPPORT ORG	OH	501 (C) (3)	12A	FAIRGROUNDS REDEVELOPMENT LTD		No
(9)PREMIER COMMUNITY HEALTH 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1122883	HEALTH EDUCATION	OH	501 (C) (3)	10	FIDELITY HEALTH CARE		No
(10)PREMIER HEALTH 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1446699	PARENT	OH	501 (C) (3)	12B	N/A		No
(11)SAMARITAN BEHAVIORAL HEALTH INC 110 MAIN STREET SUITE 500 DAYTON,OH45402 02-0633634	BEHAVIORAL HEALTH	OH	501 (C) (3)	7	PREMIER HEALTH		No
(12)UPPER VALLEY MEDICAL CENTER 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-0537095	HOSPITAL	OH	501 (C) (3)	3	PREMIER HEALTH		No
(13)UPPER VALLEY PROFESSIONAL CORP 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1400963	HEALTH CARE	OH	501 (C) (3)	10	PREMIER HEALTH HOLDING CO		No
(14)UVMC 110 MAIN STREET SUITE 500 DAYTON,OH45402 34-1850683	SUPPORT ORG	OH	501 (C) (3)	12B	N/A		No
(15)UVMC NURSING CARE INC 110 MAIN STREET SUITE 500 DAYTON,OH45402 31-1224064	NURSING HOME	OH	501 (C) (3)	10	PREMIER HEALTH		No
(16)UVPC SPECIALISTS 110 MAIN STREET SUITE 500 DAYTON,OH45402 20-3687536	HEALTH CARE	OH	501 (C) (3)	10	PREMIER HEALTH HOLDING CO		No
(17)PHOENIX NEXT DAYTON 110 MAIN STREET SUITE 500 DAYTON,OH45402 87-1164650	COMMUNITY REDEVELOPMENT	OH	501 (C) (3)	12A	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) SWEITZER STREET LLC 110 N MAIN STREET SUITE 500 DAYTON,OH45402 45-4700417	REAL ESTATE	OH	MVHE INC	EXCLUDED				No			No
(2) SWEITZER MOB LLC 110 N MAIN STREET SUITE 500 DAYTON,OH45402 47-4554657	REAL ESTATE	OH	MVHE INC	EXCLUDED				No			No
(3) FAIRGROUNDS REDEVELOPMENT LTD 300 COLLEGE PARK RM 405 DAYTON,OH454691665 81-5084263	PROPERTY DEVELOPMENT	OH	MIAMI VALLEY HOSPITAL	EXCLUDED		6,635,216		No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) MVHE INC 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 31-1185270	PHYSICIAN SVCS	OH	PREMIER HEALTH HOLDING CO	C					No
(2) PREMIER HEALTH SPECIALISTS 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 06-1744704	PHYSICIAN SVCS	OH	PREMIER HEALTH HOLDING CO	C					No
(3) SAMARITAN FAMILY CARE 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 31-1299450	PHYSICIAN SVCS	OH	PREMIER HEALTH HOLDING CO	C					No
(4) AFTER HOURS FAMILY CARE 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 31-1269483	HEALTH CARE	OH	UPPER VALLEY PROFESSIONAL CORP	C					No
(5) UVMC MANAGEMENT CORP 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 31-1360489	MANAGEMENT COMPANY	OH	PREMIER HEALTH	C					No
(6) PREMIER HEALTH URGENT CARE INC 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 82-2079409	URGENT CARE	OH	PREMIER HEALTH HOLDING CO	C					No
(7) PREMIER HEALTH PLAN INC 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 46-3024049	HEALTH INSURANCE	OH	PREMIER HEALTH INSURING CO	C					No
(8) GOOD SAMARITAN HOSPITAL 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 31-0536981	HOSPITAL	OH	PREMIER HEALTH	C					No
(9) PREMIER HEALTH INT'L INSURANCE BUTTERFIELD BANK BLDG 6TH FLR 65 HAMILTON HM12 BD 98-0548485	INSURANCE	BD	PREMIER HEALTH	C					No
(10) PREMIER HEALTH ACO OF OHIO 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 47-4049773	MEDICARE ACO	OH	PREMIER HEALTH	C					No
(11) PREMIER HEALTH HOLDING CO 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 81-2419110	HOLDING CO	OH	PREMIER HEALTH	C					No
(12) PREMIER HEALTH INSURING CO 110 NORTH MAIN STREET SUITE 500 DAYTON,OH45402 46-4766841	HEALTH INSURANCE	OH	PREMIER HEALTH	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE PART III, LINE 1
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	2
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	9,749
6	Total number of volunteers (estimate if necessary) .............	6	477
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,336,295	5,165,159
9	Program service revenue (Part VIII, line 2g) .........	1,283,967,041	1,291,746,448
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	51,809,946	15,162,118
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	21,008,357	36,987,536
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,362,121,639	1,349,061,261
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,446,365	5,561,372
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	447,302,043	434,252,980
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	616,699,338	717,957,187
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,070,447,746	1,157,771,539
19	Revenue less expenses. Subtract line 18 from line 12.......	291,673,893	191,289,722
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,694,536,872	1,473,725,146
21	Total liabilities (Part X, line 26).............	941,015,848	920,293,557
22	Net assets or fund balances. Subtract line 21 from line 20.....	753,521,024	553,431,589

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,123,590,175 including grants of $ 5,561,372 ) (Revenue $ 1,291,746,448 )
	THE PRIMARY EXEMPT PURPOSE OF MIAMI VALLEY HOSPITAL IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF MONTGOMERY AND THE SURROUNDING COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,123,590,175

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,322,596	12,144,135	1,221,051

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,342,136
e	Government grants (contributions)		1e	3,823,023

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g	286,540

h Total. Add lines 1a-1f.......		5,165,159

		Business Code
2a	NET PATIENT SERVICE REVENUE	900099	662,791,507	662,791,507
b	MEDICARE / MEDICAID	900099	624,182,293	624,182,293
c	HOSP FRANCHISE TAX RECOVERIES	900099	4,409,329	4,409,329
d	MEDICAL RECORDS	900099	220,575	220,575
e	HEALTH EDUCATION	900099	65,201	65,201
f	All other program service revenue.		77,543	77,543
g	Total. Add lines 2a–2f .....		1,291,746,448

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,931,502			6,931,502
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		14,007,315	6a
b	Less: rental expenses		8,993,112	6b
c	Rental income or (loss)		5,014,203	6c
d	Net rental income or (loss).......			5,014,203			5,014,203
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	2,316,766	1,465,325,421	7a
b	Less: cost or other basis and sales expenses	1,992,608	1,457,418,963	7b
c	Gain or (loss)	324,158	7,906,458	7c
d	Net gain or (loss).........			8,230,616			8,230,616
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	1,896,368
b	Less: cost of goods sold ..		10b	824,953
c	Net income or (loss) from sales of inventory..			1,071,415			1,071,415
Business Code			Miscellaneous Revenue
11a	GAIN ON INTEREST SWAP ADJ		900099	18,213,585			18,213,585
b	PENSION INCOME		900099	6,409,730			6,409,730
c	FEMA REVENUE		900099	4,841,408			4,841,408
d	All other revenue ....			1,437,195			1,437,195
e	Total. Add lines 11a–11d ......			30,901,918
12	Total revenue. See instructions.....			1,349,061,261	1,291,746,448	0	52,149,654

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,561,372	5,561,372
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	4,612,453	2,725,847	1,886,606
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,914,834	1,165,207	749,627
7	Other salaries and wages........	352,762,089	341,606,975	11,155,114
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,855,101	20,054,577	800,524
9	Other employee benefits .......	27,794,538	26,736,355	1,058,183
10	Payroll taxes ...........	26,313,965	25,303,902	1,010,063
11	Fees for services (non-employees):
a	Management ......	144,924	99,924	45,000
b	Legal .........	172,673		172,673
c	Accounting ...........
d	Lobbying ...........	19,898		19,898
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	978,813		978,813
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	283,839,388	272,561,263	11,278,125
12	Advertising and promotion ....	1,636,059	1,636,059
13	Office expenses .......	3,371,507	1,665,836	1,705,671
14	Information technology ......	5,976,961	5,480,500	496,461
15	Royalties ..
16	Occupancy ...........	34,713,903	33,949,197	764,706
17	Travel ............	134,786	111,759	23,027
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	18,826,286	18,826,286
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	70,037,338	68,706,423	1,330,915
23	Insurance ...	7,773,561	7,694,082	79,479
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	OPERATING SUPPLIES	242,866,746	242,866,746
b	HOSPITAL FRANCHISE TAX	33,844,089	33,844,089
c	REPAIRS AND MAINTENANCE	5,250,972	5,250,559	413
d	EQUIPMENT RENTAL	1,880,943	1,880,943
e	All other expenses	6,488,340	5,862,274	626,066
25	Total functional expenses. Add lines 1 through 24e	1,157,771,539	1,123,590,175	34,181,364	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			12,890	1	12,890
2	Savings and temporary cash investments .........			225,691,691	2	78,689,322
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			223,221,125	4	236,728,267
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			6,372,705	7	4,580,804
8	Inventories for sale or use ............			15,279,743	8	14,000,718
9	Prepaid expenses and deferred charges ......			9,982,051	9	2,045,236
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,636,373,140
b	Less: accumulated depreciation	10b	1,098,714,723	574,905,211	10c	537,658,417
11	Investments—publicly traded securities .			398,471,625	11	319,602,305
12	Investments—other securities. See Part IV, line 11 .....			164,892,916	12	175,493,437
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			9,166,332	14	9,166,332
15	Other assets. See Part IV, line 11 ...........			66,540,583	15	95,747,418
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,694,536,872	16	1,473,725,146

17	Accounts payable and accrued expenses .....	111,062,774	17	119,128,341
18	Grants payable ...	12,449,310	18	2,655,233
19	Deferred revenue .........	6,073,568	19	3,291,918
20	Tax-exempt bond liabilities .........	646,698,428	20	643,450,626
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	19,780,756	23	22,620,322
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	144,951,012	25	129,147,117
26	Total liabilities. Add lines 17 through 25..	941,015,848	26	920,293,557

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	753,521,024	27	553,431,589
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	753,521,024	32	553,431,589
33	Total liabilities and net assets/fund balances ........	1,694,536,872	33	1,473,725,146

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No