{"success":true,"data":{"_id":311040228,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"MedAmerica Health Systems provides support and guidance to various and guidance to various affiliated organizations. This involves long-term planning goals and broad operating policies.","primary_activities":"Medamerica health systems corporation (mahs) is the parent company of the organizations listed below. As such, it coordinated the management of a non-profit hospital and healthcare delivery system in dayton, ohio and surrounding areas. The community benefits from this coordination by having available a continuum of care, which allows for the introduction of the most appropriate and cost effective care. Service options and alternative organizations, ie not related to mahs, available for delivery of care are also explained to patients allowing them to choose the organization which best meets their individual needs. Controlled entities: miami valley hospital exempt miami valley hospital foundation exempt mvhe, inc. Non-exempt premier health specialists non-exempt fidelity health care exempt dialysis centers of dayton exempt premier community health exempt premier plaza, llc non-exempt atrium health system, medamerica health systems corp, catholic health initiatives, and uvmc inc., all irc section 501(c)(3) organizations, have agreed to jointly operate separate healthcare systems pursuant to the terms of a joint operating agreement. This joint operation is performed through premier health, an ohio non-profit corporation. Under the guidance of premier health, atrium health system operates atrium medical center, medamerica operates miami valley hospital, uvmc inc. 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statements for Premier Health and affiliates. Premier Health (Premier), MedAmerica Health Systems (MAHS), Atrium Health System (AHS), and UVMC, Inc. (UVMC) have been determined by the Internal revenue Service to be tax-exempt nonprofit corporations and public charities under Sections 501(c)(3) and 509(a), respectively, of the Internal Revenue Code. Samaritan Health Partners (SHP) is tax-exempt under Section 501(c)(3) and is a public charity by reason of being included in the group ruling issued to the U.S. Catholic Church. As tax-exempt organizations, their income is exempt from federal income tax except to the extent of any unrelated business activities. Taxes payable at December 31, 2013 and 2012 for such unrelated business activities are not significant. MAHS, SHP, AHS, and UVMC also own or control certain subsidiaries, which are for profit corporations subject to federal income taxes. These are: MVHE, Inc and Premier Health Specialists, Inc. (formerly Health Specialists of Dayton, Inc.) (subsidiaries of MAHS) Samaritan Family Care (subsidiary of SHP) and Samaritan North Surgery Center Limited (a joint-venture partnership of which GSH is an 80% owner) Middletown Surgery Center, LLC (a joint venture partnership of which AMC is an 80.5% owner) (subsidiary of AHS) UVMC Management Corporation and After Hours Family Care, Inc. (subsidiaries of UVMC) Management annually reviews its tax positions and has determined that there are no material uncertain tax positions."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":true,"compensation_based_on_net_earnings_related_orgs":true,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMES R PANCOAST","title":"PRESIDENT & CEO (PREMIER)","base_compensation_filing_org":936016,"bonus_filing_org":333569,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":29657,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":26859,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":3081471,"other_compensation_related_orgs":0,"total_compensation_filing_org":4407572,"total_compensation_related_orgs":0,"name":"JAMES R PANCOAST"},{"person_name":"DALE E CREECH","title":"BOARD SECRETARY & CLO(PREMIER)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":97597,"compensation_based_on_related_orgs":367721,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":30227,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":23563,"other_compensation_filing_org":0,"other_compensation_related_orgs":110805,"total_compensation_filing_org":0,"total_compensation_related_orgs":629913,"name":"DALE E CREECH"},{"person_name":"THOMAS M DUNCAN","title":"TREASURER & CFO (PREMIER)","base_compensation_filing_org":534502,"bonus_filing_org":163779,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":566487,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":10232,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":292311,"other_compensation_related_orgs":0,"total_compensation_filing_org":1567311,"total_compensation_related_orgs":0,"name":"THOMAS M DUNCAN"},{"person_name":"THOMAS BREITENBACH","title":"FORMER PRESIDENT & CEO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":80400,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":0,"total_compensation_related_orgs":80400,"name":"THOMAS BREITENBACH"},{"person_name":"MARY H BOOSALIS","title":"EXECUTIVE VP & COO (PREMIER)","base_compensation_filing_org":581976,"bonus_filing_org":234365,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":31150,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":9809,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":1676322,"other_compensation_related_orgs":0,"total_compensation_filing_org":2533622,"total_compensation_related_orgs":0,"name":"MARY H BOOSALIS"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 4B:","explanation":"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, MEDAMERICA HEALTH SYSTEMS CORPORATION (MAHS), COMPENSATES FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MAHS SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2013. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2013: THOMAS DUNCAN $267,489; DALE CREECH $106,150; THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2013: JAMES PANCOAST $3,047,215; MARY BOOSALIS $1,650,438. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. IN ADDITION, THE FOLLOWING INDIVIDUAL HAS NOT YET MET THE MULTI-YEAR VESTING REQUIREMENTS UNDER THE SERP. THE FOLLOWING AMOUNT WAS DEFERRED ON HIS BEHALF UNTIL THE MULTI-YEAR VESTING HAS BEEN MET; THOMAS DUNCAN $540,436. PART I, LINE 6A AND 6B: PREMIER HEALTH (PREMIER), WHICH MED-AMERICA HEALTH SYSTEMS IS AN AFFILIATE, HAS AN INCENTIVE COMPONENT FOR ALL EXECUTIVE AND DIRECTOR LEVEL EMPLOYEES THAT TIES A PORTION OF THEIR TOTAL COMPENSATION TO ORGANIZATIONAL AND INDIVIDUAL OBJECTIVES AND OUTCOMES. THE ORGANIZATIONAL CRITERION IS WEIGHTED ACCORDING TO BALANCED SCORECARD CATEGORIES: POSITIVE WORK ENVIRONMENT (15%), QUALITY (30%), PATIENT SATISFACTION (15%), PHYSICIAN PARTNERSHIP (15%), AND FINANCIAL (25%). THE FINANCIAL CATEGORY OF THE SCORECARD IS BASED ON NET EARNINGS OF THE INDIVIDUAL HOSPITAL AND THE NET EARNINGS OF THE SYSTEM OF A WHOLE. THIS FINANCIAL TARGET IS SET BASED ON THE OPERATING AND CASH FLOW MARGINS REQUIRED TO MAINTAIN THE SYSTEM'S AA CREDIT RATINGS. INCENTIVE OBJECTIVES FOR DIRECTORS AND ABOVE ARE WEIGHTED 45% ON ORGANIZATIONAL CRITERIA, 45% ON INDIVIDUAL CRITERIA, AND 10% ON OPERATIONAL EFFECTIVENESS. THE 2013 INCENTIVE PLAN AMOUNTS WERE PAID TO THE PARTICIPANTS IN 2014. THESE ARE NOT REPORTED AS DEFERRED COMPENSATION ON THE 2013 FORM 990 BASED ON THE DEFINITION OF DEFERRED COMPENSATION CONTAINED IN THE FORM 990 INSTRUCTIONS. PER THE INSTRUCTIONS, \"DEFERRED COMPENSATION IS GENERALLY TREATED AS EARNED OR ACCRUED IN THE YEAR THAT SERVICES ARE RENDERED, EXCEPT WHEN ENTITLEMENT TO PAYMENT IS CONTINGENT ON SATISFACTION OF SPECIFIED ORGANIZATIONAL GOALS OR PERFORMANCE CRITERIA (OTHER THAN MERE LONGEVITY OF SERVICE) UNDER THE DEFERRED COMPENSATION PLAN.\" BASED ON THE INCENTIVE PROGRAM CRITERIA OUTLINED ABOVE, WE BELIEVE THE INCENTIVE PAYMENTS MEET THE EXCEPTION NOTED IN THE INSTRUCTIONS. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":310537504,"business_name_line1":"Miami Valley Hospital","primary_activities_text":"Hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"3","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311040231,"business_name_line1":"Miami Valley Hospital Foundation","primary_activities_text":"Fundraising","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"7","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 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This involves long-term planning goals and broad operating policies.","primary_activities":"MedAmerica Health Systems Corporation (MAHS) is the parent company of the organizations listed below. As such, it coordinated the management of a non-profit hospital and healthcare delivery system in Dayton, Ohio and surrounding areas. The community benefits from this coordination by having available a continuum of care, which allows for the introduction of the most appropriate and cost effective care. Service options and alternative organizations, ie not related to MAHS, available for delivery of care are also explained to patients allowing them to choose the organization which best meets their individual needs. Controlled entities: Miami Valley Hospital Exempt Miami Valley Hospital Foundation Exempt MVHE, Inc. Non-Exempt Premier Health Specialists Non-Exempt Fidelity Health Care Exempt Dialysis Centers of Dayton Exempt Premier Community Health Exempt Premier Plaza, LLC Exempt Atrium Health System, MedAmerica Health Systems Corp, Catholic Health Initiatives, and UVMC Inc., all IRC Section 501(c)(3) organizations, have agreed to jointly operate separate healthcare systems pursuant to the terms of a joint operating agreement. This joint operation is performed through Premier Health, an Ohio non-profit corporation. Under the guidance of Premier Health, Atrium Health System operates Atrium Medical Center, Medamerica operates Miami Valley Hospital, UVMC Inc. operates Upper Valley Medical Center, and Samaritan Health Partners operates Good Samaritan Hospital. Form 990, Part VI, Section A, Question 3: Premier Health (PREMIER) as the operator of MedAmerica Health System (MAHS) develops and oversees the implementation of the strategic plan for MAHS, which includes (but is not limited to) such matters as location of clinical and administrative expenses and the consolidation of such services. MAHS shall comply with and implement this plan and shall not take any action that materially departs from this plan without Premier's approval. MAHS develops and submits an annual capital and operating budget to PREMIER for approval. MAHS shall adopt and implement the capital and operating budget so approved and/or revised for it by PREMIER. MAHS may periodically develop and submit a business plan to PREMIER for approval. MAHS shall implement any business plan approved by PREMIER. PREMIER is the sole agent to negotiate all relationships with payors on behalf of MAHS with all third party payors and alternative delivery systems including, but not limited to insurers. MAHS 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. MAHS must seek PREMIER's approval for any acquisitions, sale or transfer of any material asset used in PREMIER's activities. Form 990, Part VI, Section A, Question 6: MedAmerica has approximately 180 members made up of affiliated board members, employees, physicians and civic and community members. Form 990, Part VI, Section A, Question 7a: The 180 members approve all board members for MedAmerica. In addition, they have the right to remove board members. Form 990, Part VI, Section A, Question 7B: See the response above for Form 990, Part VI, Section A, Question 3. FORM 990, PART VI, SECTION B, QUESTION 11B: THIS 990 TAX RETURN AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER HEALTH (PREMIER), OF WHICH MEDAMERICA HEALTH SYSTEMS IS AN AFFLIATE. THE RETURN IS REVIEWED BY THE TAX MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. THE RETURN IS CONCURRENTLY SENT TO ERNST & YOUNG U.S... LLP FOR THEIR REVIEW. AFTER ALL CHANGES FROM THE ABOVE GROUPS ARE MADE, THE RETURN IS REVIEWED BY THE VICE PRESIDENT/CONTROLLER OF PREMIER AND THE CHIEF FINANCIAL OFFICER OF THIS ENTITY. A FINAL VERSION OF THE RETURN IS SENT TO ERNST & YOUNG U.S... LLP FOR A FINAL REVIEW AND THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT THE MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESS ANY OTHER QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 TAX RETURN IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. 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LIKE MANY EMPLOYERS, MedAmerica Health Systems Corporation (MAHS), COMPENSATES FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MAHS 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 2012. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2012: Thomas Duncan $244,243; Dale Creech $123,092; The individuals listed below have met the multi-year vesting requirement under the SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2012: JAMES PANCOAST $2,450,555; MARY BOOSALIS $1,321,500. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. Part I, Line 6a and 6b: PREMIER HEALTH (PREMIER), WHICH MED-AMERICA HEALTH SYSTEMS IS AN AFFILIATE, HAS AN INCENTIVE COMPONENT FOR ALL EXECUTIVE AND DIRECTOR LEVEL EMPLOYEES THAT TIES A PORTION OF THEIR TOTAL COMPENSATION TO ORGANIZATIONAL AND INDIVIDUAL OBJECTIVES AND OUTCOMES. THE ORGANIZATIONAL CRITERION IS WEIGHTED ACCORDING TO BALANCED SCORECARD CATEGORIES: POSITIVE WORK ENVIRONMENT (15%), QUALITY (30%), PATIENT SATISFACTION (15%), PHYSICIAN PARTNERSHIP (15%), AND FINANCIAL (25%). THE FINANCIAL CATEGORY OF THE SCORECARD IS BASED ON NET EARNINGS OF THE INDIVIDUAL HOSPITAL AND THE NET EARNINGS OF THE SYSTEM OF A WHOLE. THIS FINANCIAL TARGET IS SET BASED ON THE OPERATING AND CASH FLOW MARGINS REQUIRED TO MAINTAIN THE SYSTEM'S AA CREDIT RATINGS. INCENTIVE OBJECTIVES FOR DIRECTORS AND ABOVE ARE WEIGHTED 45% ON ORGANIZATIONAL CRITERIA, 45% ON INDIVIDUAL CRITERIA, AND 10% ON OPERATIONAL EFFECTIVENESS. THE 2012 INCENTIVE PLAN AMOUNTS WERE PAID TO THE PARTICIPANTS IN 2013. THESE ARE NOT REPORTED AS DEFERRED COMPENSATION ON THE 2012 FORM 990 BASED ON THE DEFINITION OF DEFERRED COMPENSATION CONTAINED IN THE FORM 990 INSTRUCTIONS. PER THE INSTRUCTIONS, \"DEFERRED COMPENSATION IS GENERALLY TREATED AS EARNED OR ACCRUED IN THE YEAR THAT SERVICES ARE RENDERED, EXCEPT WHEN ENTITLEMENT TO PAYMENT IS CONTINGENT ON SATISFACTION OF SPECIFIED ORGANIZATIONAL GOALS OR PERFORMANCE CRITERIA (OTHER THAN MERE LONGEVITY OF SERVICE) UNDER THE DEFERRED COMPENSATION PLAN.\" BASED ON THE INCENTIVE PROGRAM CRITERIA OUTLINED ABOVE, WE BELIEVE THE INCENTIVE PAYMENTS MEET THE EXCEPTION NOTED IN THE INSTRUCTIONS. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":310537504,"business_name_line1":"Miami Valley Hospital","primary_activities":"Hospital","exempt_code_section":"501(c)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311040231,"business_name_line1":"Miami Valley Hospital Foundation","primary_activities":"Fundraising","exempt_code_section":"501(c)(3)","public_charity_status":"7","controlled_organization":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital 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Company","ownership_percentage":0.99,"share_of_total_income":-1136801,"share_of_end_of_year_assets":22631636,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N Main St Suite 500","city":"Dayton","state":"OH","zip":"45402","predominant_income_type":"Excluded","general_or_managing_partner":true,"disproportionate_allocations":false,"name":"Premier Plaza LLC","address":"110 N Main St Suite 500, Dayton, OH, 45402"}],"taxable_corporations_and_trusts":[{"ein":311185270,"business_name_line1":"MVHE Inc","primary_activity":"Physicians","ownership_percentage":1.0,"share_of_total_income":-10195463,"share_of_end_of_year_assets":31492299,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N Main St Suite 400","city":"Dayton","state":"OH","zip":"45402","type_of_entity":"C Corp","controlled_organization":true,"name":"MVHE Inc","address":"110 N Main St Suite 400, Dayton, OH, 45402"},{"ein":61744704,"business_name_line1":"PREMIER HEALTH SPECIALISTS INC","primary_activity":"Physicians","ownership_percentage":1.0,"share_of_total_income":-18577891,"share_of_end_of_year_assets":27261037,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N Main St Suite 400","city":"Dayton","state":"OH","zip":"45402","type_of_entity":"C Corp","controlled_organization":true,"name":"PREMIER HEALTH SPECIALISTS INC","address":"110 N Main St Suite 400, Dayton, OH, 45402"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":true,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"MIAMI VALLEY HOSPITAL","amount_involved":18896500,"method_of_amount_determination":"FMV","transaction_type":"S","name":"MIAMI VALLEY HOSPITAL"},{"business_name_line1":"PREMIER HEALTH","amount_involved":121383,"method_of_amount_determination":"FMV","transaction_type":"C","name":"PREMIER HEALTH"},{"business_name_line1":"PREMIER COMMUNITY HEALTH","amount_involved":375000,"method_of_amount_determination":"FMV","transaction_type":"D","name":"PREMIER COMMUNITY HEALTH"}]},"source_xml":"201303169349305370_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"MedAmerica Health Systems provides support and guidance to various affiliated organizations. This involves long-term planning goals and broad operating policies.","primary_activities":"Immediately upon timely eFiling the tax return, it was determined that some data fields in Schedule J were included as zeros as a result of a software glitch. Those errors have been corrected and the proper amounts have been included. Form 990, Part III, Program Service Accomplishments: MedAmerica Health Systems Corporation (MAHS) is the parent company of the organizations listed below. As such, it coordinated the management of a non-profit hospital and healthcare delivery system in Dayton, Ohio and surrounding areas. The community benefits from this coordination by having available a continuum of care, which allows for the introduction of the most appropriate and cost effective care. Service options and alternative organizations, ie not related to MAHSC, available for delivery of care are also explained to patients allowing them to choose the organization which best meets their individual needs. Controlled entities: Miami Valley Hospital Exempt Miami Valley Hospital Foundation Exempt MVHE, Inc. Non-Exempt Health Specialists of Dayton Non-Exempt Fidelity Health Care Exempt Dialysis Centers of Dayton Exempt Atrium Health System, MedAmerica Health Systems Corp, Catholic Health Initiatives, and UVMC Inc., all IRC Section 501(c)(3) organizations, have agreed to jointly operate separate healthcare systems pursuant to the terms of a joint operating agreement. This joint operation is performed through Premier Health Partners, an Ohio non-profit corporation. Under the guidance of the Premier Health Partners, Atrium Health System operates Atrium Medical Center, Medamerica operates Miami Valley Hospital, UVMC Inc. operates Upper Valley Medical Center and Samaritan Health Partners operates Good Samaritan Hospital. Form 990, Part VI, Section A, Question 3: Premier Health Partners (PHP) develops and oversees the implementation of the strategic plan for MedAmerica Health Systems (MAHS), which addresses such matters as location of clinical and administrative expenses and the consolidation of such services. MAHS shall comply with and implement this plan and shall not take any action that materially departs from this plan without PHP approval. MAHS develops and submits an annual capital and operating budget to PHP for approval. MAHS shall adopt and implement the capital and operating budget so approved and/or revised for it by PHP. MMAHS periodically develops and submits a business plan to PHP for approval. MAHS shall implement the business plan approved by PHP. PHP is the sole agent to negotiate all relationships with payors on behalf of MAHS with all third party payors and alternative delivery systems including, but not limited to insurers. MAHS must have approval from PHP 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 $500,000. MAHS must seek PHP approval for any acquisitions, sale or transfer of any material asset used in PHP activities. Form 990, Part VI, Section A, Question 6: MedAmerica has approximately 180 members made up of affiliated board members, employees, physicians and civic and community members. Form 990, Part VI, Section A, Question 7a: The 180 members approve all board members for MedAmerica. In addition, they have the right to remove board members. Form 990, Part VI, Section A, Question 7B: See the response above for Form 990, Part VI, Section A, Question 3.","year":2011,"name":"MedAmerica Health Systems Corp","phone":"9374999942","website":"premierhealthpartners.org","type":"990","principal_officer":"JAMES R PANCOAST","year_formation":1982,"state_legal_domicile":"OH","total_volunteers":9,"tax_period_begin":"2011-01-01T00:00:00","tax_period_end":"2011-12-31T00:00:00","address":"110 NORTH MAIN STREET, Dayton, OH, 45402, USA","city":"Dayton","state":"OH","country":"USA","zip_code":"45402"},"Governance":{"501c3 determination":true,"Number of voting members":10,"Number of independent voting members":7,"Number of employees total":0,"Total Gross UBI":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":true,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":false,"Foreign activities":false,"Foreign office":true,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":0,"Contributions":{"value":0},"Program revenue":{"value":0},"Investment income":{"value":0,"Investment income total":0,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":0,"Other total":0,"Royalties revenue":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":0,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":0,"Current officers":0,"Disqualified persons":0,"Other salaries and wages":0,"Pension plan contributions":0,"Other employee 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tax-exempt under Section 501(c)(3) of the Internal Revenue Code. As such, there is no income tax liability recorded at December 31, 2011 and 2010. In addition, Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the combined financial statements. MAHS and its respective subsidiaries are a group of corporations that are tax-exempt corporations under Section 501(c)(3) of the Internal Revenue Code except for the following subsidiaries: MVHE, Inc. and Premier Health Specialists, Inc. (Formerly Health Specialists of Dayton, Inc.)"}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":true,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Christopher Croom MD","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":86250,"compensation_based_on_related_orgs":114121,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":19075,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":0,"total_compensation_related_orgs":219446,"name":"Christopher Croom MD"},{"person_name":"DALE CREECH JR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":150791,"compensation_based_on_related_orgs":332896,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":185978,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":130039,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":25081,"other_compensation_filing_org":0,"other_compensation_related_orgs":42224,"total_compensation_filing_org":0,"total_compensation_related_orgs":681031,"name":"DALE CREECH JR"},{"person_name":"THOMAS DUNCAN","base_compensation_filing_org":464344,"bonus_filing_org":296398,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":436868,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":251007,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":10523,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":144469,"other_compensation_related_orgs":0,"total_compensation_filing_org":1166741,"total_compensation_related_orgs":0,"name":"THOMAS DUNCAN"},{"person_name":"JAMES R PANCOAST","base_compensation_filing_org":832888,"bonus_filing_org":434253,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":1411844,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8557,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":27270,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":992100,"other_compensation_related_orgs":0,"total_compensation_filing_org":2295068,"total_compensation_related_orgs":0,"name":"JAMES R PANCOAST"},{"person_name":"Thomas Breitenbach","base_compensation_filing_org":323925,"bonus_filing_org":524158,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":524158,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":9132,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":660,"other_compensation_related_orgs":0,"total_compensation_filing_org":857875,"total_compensation_related_orgs":0,"name":"Thomas Breitenbach"}],"supplemental_information":[{"identifier":"Part I, Line 4A:","explanation":"SEE AMOUNTS REPORTED IN PART II FOR THOMAS BREITENBACH. 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, MedAmerica Health Systems Corporation (MAHS), compensates for this limitation and supplements the affected executives' qualified pension through certain nonqualified plans. MAHSC supplements 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 2011. The individuals listed below have met the multi-year vesting requirement under the Pension Restoration Plan and received the associated payment in 2011: Thomas Duncan $140,469; Dale Creech $35,186. JAMES PANCOAST MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED $977,591. All or parts of these payments were also properly reported on prior years' filed IRS Form 990 returns disclosing compensation earned by these individuals under the plans for each such year. However, 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, which in this situation is 2012. Part I, Line 6a and 6b: Premier Health Partners (PHP), of which MedAmerica is a member, has an incentive component for all executive and director level employees that ties a portion of their total compensation to organizational and individual objectives and outcomes. The organizational criterion is weighted according to balanced scorecard categories: Positive Work Environment (15%), Quality (30%), Patient Satisfaction (15%), Physician Partnership, (15%), Financial (20%) and Major Projects (5%). The financial category of the scorecard is based on net earnings of the individual hospital and the net earnings of the system of a whole. This financial target is set based on the operating and cash flow margins required to maintain the system Aa credit ratings. Directors, Vice Presidents and above incentive objectives are weighted 45% on organizational criteria and 45% on individual criteria, and 10% on Organizational Effectiveness. The 2011 incentive plan amounts were paid to the participants in 2012. These are not reported as deferred compensation on the 2011 Form 990 based on the definition of deferred compensation contained in the Form 990 instructions. Per the instructions, \"deferred compensation is generally treated as earned or accrued in the year that services are rendered, except when entitlement to payment is contingent on satisfaction of organizational goals or specified performance criteria (other than mere longevity of service) under the deferred compensation plan.\" Based on the incentive program's criteria outlined above, we believe the incentive payments meet the exception noted in the instructions. Such amounts are properly reported as compensation for Form 990 purposes when included in the participants' Form W-2 wages, which in this situation is 2012."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":310537504,"business_name_line1":"Miami Valley Hospital","primary_activities":"Hospital","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHSC","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311040231,"business_name_line1":"Miami Valley Hospital Foundation","primary_activities":"Fundraising","exempt_code_section":"501(C)(3)","public_charity_status":"7","controlled_organization":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHSC","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital Foundation","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311075381,"business_name_line1":"Fidelity Health Care","primary_activities":"Home Health","exempt_code_section":"501(C)(3)","public_charity_status":"9","controlled_organization":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHSC","address_line1":"3832 KETTERING BOULEVARD","city":"Dayton","state":"OH","zip":"45439","name":"Fidelity Health Care","address":"3832 KETTERING BOULEVARD, Dayton, OH, 45439"},{"ein":311446699,"business_name_line1":"Premier Health Partners","primary_activities":"JOA Parent","exempt_code_section":"501(C)(3)","public_charity_status":"11-I","controlled_organization":false,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"NA","address_line1":"110 N MAIN ST SUITE 500","city":"DAYTON","state":"OH","zip":"45402","name":"Premier Health Partners","address":"110 N MAIN ST SUITE 500, DAYTON, OH, 45402"},{"ein":311607686,"business_name_line1":"Dialysis Center of Dayton LLC","primary_activities":"Dialysis","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"Miami Valley","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Dialysis Center of Dayton LLC","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"}],"taxable_corporations_and_trusts":[{"ein":311185270,"business_name_line1":"MVHE Inc","primary_activity":"Physicians","ownership_percentage":1.0,"share_of_total_income":-4493713,"share_of_end_of_year_assets":29394935,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 North Main Street Suite 500","city":"Dayton","state":"OH","zip":"45402","type_of_entity":"C Corp","name":"MVHE Inc","address":"110 North Main Street Suite 500, Dayton, OH, 45402"},{"ein":61744704,"business_name_line1":"PHS Inc","primary_activity":"Physicians","ownership_percentage":1.0,"share_of_total_income":-14283210,"share_of_end_of_year_assets":16611640,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 North Main Street Suite 400","city":"Dayton","state":"OH","zip":"45402","type_of_entity":"C Corp","name":"PHS Inc","address":"110 North Main Street Suite 400, Dayton, OH, 45402"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false}},"source_xml":"201243459349300709_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"MedAmerica Health Systems provides support and guidance to various and guidance to various affiliated organizations. This involves long-term planning goals and broad operating policies.","primary_activities":"Medamerica health systems corporation (mahs) is the parent company of the organizations listed below. As such, it coordinated the management of a non-profit hospital and healthcare delivery system in dayton, ohio and surrounding areas. The community benefits from this coordination by having available a continuum of care, which allows for the introduction of the most appropriate and cost effective care. Service options and alternative organizations, ie not related to mahs, available for delivery of care are also explained to patients allowing them to choose the organization which best meets their individual needs. Controlled entities: miami valley hospital exempt miami valley hospital foundation exempt mvhe, inc. Non-exempt premier health specialists non-exempt fidelity health care exempt dialysis centers of dayton exempt premier community health exempt premier plaza, llc non-exempt atrium health system, medamerica health systems corp, catholic health initiatives, and uvmc, all irc section 501(c)(3) organizations, have agreed to jointly operate separate healthcare systems pursuant to the terms of a joint operating agreement. This joint operation is performed through premier health, an ohio non-profit corporation. Under the guidance of premier health, atrium health system operates atrium medical center, medamerica operates miami valley hospital, uvmc operates upper valley medical center, and samaritan health partners operates good samaritan hospital.","year":2014,"name":"MedAmerica Health Systems Corp","phone":"9374999942","website":"WWW.PREMIERHEALTH.COM","type":"990","principal_officer":"JAMES R PANCOAST","year_formation":1982,"state_legal_domicile":"OH","total_volunteers":7,"tax_period_begin":"2014-01-01T00:00:00","tax_period_end":"2014-12-31T00:00:00","address":"110 N MAIN ST 500, Dayton, OH, 45402, USA","city":"Dayton","state":"OH","country":"USA","zip_code":"45402"},"Governance":{"501c3 determination":true,"Number of voting members":10,"Number of independent voting members":7,"Number of employees total":0,"Total Gross UBI":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or 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PREMIER HEALTH (PREMIER), MEDAMERICA HEALTH SYSTEMS (MAHS), ATRIUM HEALTH SYSTEM (AHS), AND UVMC HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT NONPROFIT CORPORATIONS AND PUBLIC CHARITIES UNDER SECTIONS 501(C)(3) AND 509(A), RESPECTIVELY, OF THE INTERNAL REVENUE CODE. SAMARITAN HEALTH PARTNERS (SHP) IS TAX-EXEMPT UNDER SECTION 501(C)(3) AND IS A PUBLIC CHARITY BY REASON OF BEING INCLUDED IN THE GROUP RULING ISSUED TO THE U.S. CATHOLIC CHURCH. AS TAX-EXEMPT ORGANIZATIONS, THEIR INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. TAXES PAYABLE AT DECEMBER 31, 2014 AND 2013 FOR SUCH UNRELATED BUSINESS ACTIVITIES ARE NOT SIGNIFICANT. PREMIER, MAHS, SHP, AHS, AND UVMC ALSO OWN OR CONTROL CERTAIN SUBSIDIARIES, WHICH ARE FOR PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: PREMIER HEALTH INSURING COMPANY (PHIC) (A WHOLLY OWNED SUBSIDIARY OF PREMIER HEALTH) PREMIER HEALTH PLAN (PHPLAN) (A WHOLLY OWNED SUBSIDIARY OF PHIC) MVHE, INC AND PREMIER HEALTH SPECIALISTS, INC. (FORMERLY HEALTH SPECIALISTS OF DAYTON, INC.) (SUBSIDIARIES OF MAHS) SAMARITAN FAMILY CARE (SUBSIDIARY OF SHP) AND SAMARITAN NORTH SURGERY CENTER LIMITED (A JOINT-VENTURE PARTNERSHIP OF WHICH GSH IS AN 80% OWNER) MIDDLETOWN SURGERY CENTER, LLC (A JOINT VENTURE PARTNERSHIP OF WHICH AMC IS AN 80.5% OWNER) (SUBSIDIARY OF AHS) UVMC MANAGEMENT CORPORATION AND AFTER HOURS FAMILY CARE, INC. (SUBSIDIARIES OF UVMC) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMES R PANCOAST","title":"PREMIER PRESIDENT & CEO","base_compensation_filing_org":965241,"bonus_filing_org":233636,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":34699,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":25276,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":40346,"other_compensation_related_orgs":0,"total_compensation_filing_org":1299198,"total_compensation_related_orgs":0,"name":"JAMES R PANCOAST"},{"person_name":"DALE E CREECH","title":"BOARD SECRETARY &SYSTEM VP-CLO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":95619,"compensation_based_on_related_orgs":370828,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":128946,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":26734,"other_compensation_filing_org":0,"other_compensation_related_orgs":110244,"total_compensation_filing_org":0,"total_compensation_related_orgs":732371,"name":"DALE E CREECH"},{"person_name":"THOMAS M DUNCAN","title":"TREASURER & PREMIER CFO","base_compensation_filing_org":551394,"bonus_filing_org":141856,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":459739,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":23323,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":24463,"other_compensation_related_orgs":0,"total_compensation_filing_org":1200775,"total_compensation_related_orgs":0,"name":"THOMAS M DUNCAN"},{"person_name":"MARY H BOOSALIS","title":"EXEC VP & PREMIER COO","base_compensation_filing_org":605096,"bonus_filing_org":172105,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":38159,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":11373,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":29632,"other_compensation_related_orgs":0,"total_compensation_filing_org":856365,"total_compensation_related_orgs":0,"name":"MARY H BOOSALIS"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 4B:","explanation":"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, MEDAMERICA HEALTH SYSTEMS CORPORATION (MAHS), COMPENSATES FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MAHS SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2014. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2014: DALE CREECH $103,141. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2014: JAMES PANCOAST $3,442. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. IN ADDITION, THE FOLLOWING INDIVIDUAL HAS NOT YET MET THE MULTI-YEAR VESTING REQUIREMENTS UNDER THE SERP. THE FOLLOWING AMOUNT WAS DEFERRED ON HIS BEHALF UNTIL THE MULTI-YEAR VESTING HAS BEEN MET; THOMAS DUNCAN $428,995."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":310537504,"business_name_line1":"Miami Valley Hospital","primary_activities_text":"Hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"3","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311040231,"business_name_line1":"Miami Valley Hospital Foundation","primary_activities_text":"Fundraising","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"7","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 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This involves long-term planning goals and broad operating policies.","primary_activities":"Medamerica health systems corporation (mahs) is the parent company of the organizations listed below. As such, it coordinates the management of a non-profit hospital and healthcare delivery system in dayton, ohio and surrounding areas. The community benefits from this coordination by having available a continuum of care, which allows for the introduction of the most appropriate and cost effective care. Service options and alternative organizations, that is, those not related to mahs, available for delivery of care are also explained to patients allowing them to choose the organization which best meets their individual needs. Controlled entities: miami valley hospital exempt miami valley hospital foundation exempt mvhe, inc. Non-exempt premier health specialists non-exempt fidelity health care exempt premier community health exempt dialysis centers of dayton exempt premier plaza, llc non-exempt atrium health system, medamerica health systems corp, catholic health initiatives, and uvmc, all irc section 501(c)(3) organizations, have agreed to jointly operate separate healthcare systems pursuant to the terms of a joint operating agreement. This joint operation is performed through premier health, an ohio non-profit corporation. Under the guidance of premier health, atrium health system operates atrium medical center, medamerica operates miami valley hospital, uvmc operates upper valley medical center, and samaritan health partners operates good samaritan hospital.","year":2015,"name":"MedAmerica Health Systems Corp","phone":"9374999942","website":"WWW.PREMIERHEALTH.COM","type":"990","principal_officer":"JAMES R PANCOAST","year_formation":1982,"state_legal_domicile":"OH","total_volunteers":12,"tax_period_begin":"2015-01-01T00:00:00","tax_period_end":"2015-12-31T00:00:00","address":"110 N MAIN ST 500, Dayton, OH, 45402, USA","city":"Dayton","state":"OH","country":"USA","zip_code":"45402"},"Governance":{"501c3 determination":true,"Number of voting members":12,"Number of independent voting members":8,"Number of employees total":0,"Total Gross UBI":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or 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The MVH Board Chair and Chief of Medical Staff have an ex-officio vote on the MAHS Board. The two organizations work very closely in a parent-subsidiary fashion. In 1995, MAHS and MVH, along with other tax-exempt organizations, entered into a Joint Operating Agreement (JOA) that resulted in the creation of Premier Health, a 501(c)(3) entity. According to Premier Health's governing documents, MAHS has the right to elect eight voting board members on the Premier Health Board of Trustees, all eight of whom it appoints. Under the JOA, MVH and MAHS delegated control of their assets and operations to Premier Health, to be directed within the guidelines of the JOA. MAHS and MVH also pooled their investments with other members in the JOA, and they all share a uniform investment policy. Investments are managed by Premier Health. The JOA grants authority for MAHS and MVH to monitor Premier Health's activities to ensure Premier Health is operating in a manner supportive of the charitable purposes of MAHS and MVH. Since MAHS' assets and operations are under control of the JOA, MVH's role in the JOA ensures it has a significant voice in the income or assets of MAHS at all times during the tax year. See Schedule O for Form 990 Part III for a further discussion of the relationship with Premier Health. PART IV, SECTION E, LINE 3A: MEDAMERICA HEALTH SYSTEM (MAHS) HAS THE AUTHORITY TO ELECT ALL VOTING MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARD OF TRUSTEES AS DESCRIBED IN THE SUPPORTED ORGANIZATIONS' CODE OF REGULATIONS. PART IV, SECTION E, LINE 3B: SEE THE RESPONSE ABOVE FOR SCHEDULE A, PART VI, SECTION D, LINE 3."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"buildings":{"other_cost_or_other_basis":13777724,"book_value":9330818,"depreciation":4446906},"equipment":{"other_cost_or_other_basis":9654892,"book_value":6446522,"depreciation":3208370},"total_book_value":15777340},"other_assets":{"assets":[{"description":"LOAN TO INVESTMENT FUND","book_value":12500000},{"description":"AFFILIATES RECEIVABLE","book_value":2907000},{"description":"OTHER","book_value":141809}],"total_book_value":15548809},"other_liabilities":{"federal_income_tax_liability":0,"total_liability":0,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Schedule D, Part X, Line 2:","explanation":"THE FOLLOWING FOOTNOTE IS FROM THE AUDITED COMBINED FINANCIAL STATEMENTS FOR PREMIER HEALTH AND AFFILIATES. PREMIER HEALTH (PREMIER), MEDAMERICA HEALTH SYSTEMS (MAHS), ATRIUM HEALTH SYSTEM (AHS), AND UVMC HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT NONPROFIT CORPORATIONS AND PUBLIC CHARITIES UNDER SECTIONS 501(C)(3) AND 509(A), RESPECTIVELY, OF THE INTERNAL REVENUE CODE. SAMARITAN HEALTH PARTNERS (SHP) IS TAX-EXEMPT UNDER SECTION 501(C)(3) AND IS A PUBLIC CHARITY BY REASON OF BEING INCLUDED IN THE GROUP RULING ISSUED TO THE U.S. CATHOLIC CHURCH. AS TAX-EXEMPT ORGANIZATIONS, THEIR INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PREMIER, MAHS, SHP, AHS, AND UVMC ALSO OWNS CERTAIN SUBSIDIARIES, WHICH ARE FOR PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THE ENTITIES CONTROLLED OR OWNED BY MAHS ARE: * MVHE, INC. AND PREMIER HEALTH SPECIALISTS, INC. (FORMERLY HEALTH SPECIALISTS OF DAYTON, INC.) (SUBSIDIARIES OF MAHS) TAXES PAYABLE AT DECEMBER 31, 2015 AND 2014, FOR SUCH UNRELATED BUSINESS ACTIVITIES ARE NOT SIGNIFICANT. MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMES R PANCOAST","title":"PREMIER PRESIDENT & CEO","base_compensation_filing_org":1019394,"bonus_filing_org":395850,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":33677,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":24416,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":390455,"other_compensation_related_orgs":0,"total_compensation_filing_org":1863792,"total_compensation_related_orgs":0,"name":"JAMES R PANCOAST"},{"person_name":"MARC R BELCASTRO MD","title":"TRUSTEE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":173561,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":335,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":0,"total_compensation_related_orgs":173896,"name":"MARC R BELCASTRO MD"},{"person_name":"CHRISTOPHER J DANIS MD","title":"TRUSTEE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":357716,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":9086,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":23174,"other_compensation_filing_org":0,"other_compensation_related_orgs":5354,"total_compensation_filing_org":0,"total_compensation_related_orgs":395330,"name":"CHRISTOPHER J DANIS MD"},{"person_name":"MARY H BOOSALIS","title":"PREMIER EXECUTIVE VP & COO","base_compensation_filing_org":639166,"bonus_filing_org":228258,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":36740,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":10234,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":30694,"other_compensation_related_orgs":0,"total_compensation_filing_org":945092,"total_compensation_related_orgs":0,"name":"MARY H BOOSALIS"},{"person_name":"THOMAS M DUNCAN","title":"BOARD TREASURER & PREMIER CFO","base_compensation_filing_org":589226,"bonus_filing_org":227183,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":703164,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":10763,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":25778,"other_compensation_related_orgs":0,"total_compensation_filing_org":1556114,"total_compensation_related_orgs":0,"name":"THOMAS M DUNCAN"},{"person_name":"DALE E CREECH","title":"BOARD SECRETARY/PREMIER VP-CLO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":127297,"compensation_based_on_related_orgs":395325,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":34542,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":26096,"other_compensation_filing_org":0,"other_compensation_related_orgs":102136,"total_compensation_filing_org":0,"total_compensation_related_orgs":685396,"name":"DALE E CREECH"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 4B:","explanation":"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, MEDAMERICA HEALTH SYSTEMS CORPORATION (MAHS) AND ITS AFFILIATED ORGANIZATIONS COMPENSATES FOR THIS LIMITATION AND SUPPLEMENTS THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MAHS 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 2015. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2015: DALE CREECH $94,589. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2015: JAMES PANCOAST $353,371. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR. IN ADDITION, THE FOLLOWING INDIVIDUAL HAS NOT YET MET THE MULTI-YEAR VESTING REQUIREMENTS UNDER THE SERP. THE FOLLOWING AMOUNT WAS DEFERRED ON HIS BEHALF UNTIL THE MULTI-YEAR VESTING HAS BEEN MET; THOMAS DUNCAN $674,464."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":310537504,"business_name_line1":"Miami Valley Hospital","primary_activities_text":"Hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"3","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311040231,"business_name_line1":"Miami Valley Hospital Foundation","primary_activities_text":"Fundraising","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"7","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 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This involves long-term planning goals and broad operating policies.","primary_activities":"Medamerica health systems corporation (mahs) is the corporate member of the organizations listed below. As such, it coordinates the management of a non-profit hospital and healthcare delivery system in dayton, ohio and surrounding areas. The community benefits from this coordination by having available a continuum of care, which allows for the introduction of the most appropriate and cost effective care. Care providers and other resources outside of the mahs delivery system are also explained to patients allowing them to choose the organization which best meets their individual needs. Controlled entities: miami valley hospital exempt miami valley hospital foundation exempt fidelity health care exempt premier community health exempt dialysis centers of dayton exempt premier plaza, llc non-exempt atrium health system, medamerica health systems corp (\"medamerica\"), catholic health initiatives (\"chi\") (parent of samaritan health partners), and uvmc, all irc section 501(c)(3) organizations, have agreed to jointly operate separate healthcare systems pursuant to the terms of a joint operating agreement. This joint operation is performed through premier health, an ohio non-profit corporation. 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Since MAHS' assets and operations are under operational control of the JOA, MVH's role to oversee Premiers compliance with the JOA ensures it has a significant voice in the income or assets of MAHS at all times during the tax year. See Schedule O for Form 990 Part III for a further discussion of the relationship with Premier Health. PART IV, SECTION E, LINE 3A: MedAmerica Health System (MAHS) has the authority to elect all voting members of the supported organizations' Board of Trustees as described in the supported organizations' code of regulations. 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IN ADDITION, THE FOLLOWING SERP AMOUNT WAS DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNT IS VESTED AND PAID TO THE SERP PARTICIPANT: THOMAS DUNCAN $764,196. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":310537504,"business_name_line1":"Miami Valley Hospital","primary_activities_text":"Hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"3","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311040231,"business_name_line1":"Miami Valley Hospital 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Controlled entities: miami valley hospital exempt miami valley hospital foundation exempt fidelity health care exempt premier community health exempt dialysis centers of dayton exempt premier plaza, llc non-exempt atrium health system, medamerica health systems corp (\"medamerica\"), catholic health initiatives (\"chi\") (parent of samaritan health partners), and uvmc, all irc section 501(c)(3) organizations, have agreed to jointly operate separate healthcare systems pursuant to the terms of a joint operating agreement. This joint operation is performed through premier health, an ohio non-profit corporation. Under the operational direction of premier health, atrium health system supports atrium medical center, medamerica supports miami valley hospital, uvmc supports upper valley medical center, and samaritan health partners supports good samaritan hospital. Form 990, part vi, section a, question 2: anita j. Moore (board chair) and charles a. 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IV, SECTION D, LINE 3:","explanation":"MedAmerica Health Systems (MAHS) was originally created to support Miami Valley Hospital (MVH) and Miami Valley Health Foundation. The MVH Board Chair and President of the Medical Staff have an ex-officio vote on the MAHS Board. The two organizations work very closely in a parent-subsidiary fashion. In 1995, MAHS and MVH, along with other tax-exempt organizations, entered into a Joint Operating Agreement (JOA) that resulted in the creation of Premier Health, a 501(c)(3) entity. According to Premier Health's governing documents, MAHS elects eight voting board members on the Premier Health Board of Trustees. Under the JOA, MVH and MAHS delegated control of their assets and operations to Premier Health, to be directed within the guidelines of the JOA. MAHS and MVH also pooled their investments with other members in the JOA, and they all share a uniform investment policy. Investments are managed by Premier Health. The JOA grants authority for MAHS and MVH to monitor Premier Health's activities to ensure Premier Health is operating in a manner supportive of the charitable purposes of MAHS and MVH. Since MAHS' assets and operations are under operational control of the JOA, MVH's role to oversee Premiers compliance with the JOA ensures it has a significant voice in the income or assets of MAHS at all times during the tax year. See Schedule O for Form 990 Part III for a further discussion of the relationship with Premier Health. PART IV, SECTION E, LINE 3A: MedAmerica Health Systems (MAHS) has the authority to elect all voting members of the supported organizations' Board of Trustees as described in the supported organizations' code of regulations. PART IV, SECTION E, LINE 3B: SEE THE RESPONSE ABOVE FOR SCHEDULE A, PART IV, SECTION D, LINE 3A."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"buildings":{"other_cost_or_other_basis":13777724,"book_value":7123300,"depreciation":6654424},"equipment":{"other_cost_or_other_basis":9654892,"book_value":4761626,"depreciation":4893266},"total_book_value":11884926},"other_assets":{"assets":[{"description":"LOAN TO INVESTMENT FUND","book_value":12500000},{"description":"AFFILIATES RECEIVABLE","book_value":1271250},{"description":"OTHER","book_value":140641}],"total_book_value":13911891},"other_liabilities":{"federal_income_tax_liability":0,"total_liability":0,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"Schedule D, Part X, Line 2:","explanation":"THE FOLLOWING FOOTNOTE IS FROM THE AUDITED COMBINED FINANCIAL STATEMENTS FOR PREMIER HEALTH AND AFFILIATES. PREMIER HEALTH (PREMIER), MEDAMERICA HEALTH SYSTEMS (MAHS), SAMARITAN HEALTH PARTNERS (SHP), ATRIUM HEALTH SYSTEM (AHS), AND UVMC HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT NONPROFIT CORPORATIONS AND PUBLIC CHARITIES UNDER SECTIONS 501(C)(3) AND 509(A), RESPECTIVELY, OF THE INTERNAL REVENUE CODE. AS TAX-EXEMPT ORGANIZATIONS, THEIR INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PREMIER, SHP, AND UVMC ALSO OWN OR CONTROL CERTAIN SUBSIDIARIES, WHICH ARE FOR PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. TAXES PAYABLE AT DECEMBER 31, 2017 AND 2016, FOR SUCH UNRELATED BUSINESS ACTIVITIES ARE NOT SIGNIFICANT. MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"MARY H BOOSALIS","title":"PREMIER PRESIDENT & CEO","base_compensation_filing_org":980548,"bonus_filing_org":527251,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":39833,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":10669,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":32471,"other_compensation_related_orgs":0,"total_compensation_filing_org":1590772,"total_compensation_related_orgs":0,"name":"MARY H BOOSALIS"},{"person_name":"DALE E CREECH JR","title":"SECRETARY & PREMIER CLO","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":146709,"compensation_based_on_related_orgs":398677,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":37157,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":25774,"other_compensation_filing_org":0,"other_compensation_related_orgs":86590,"total_compensation_filing_org":0,"total_compensation_related_orgs":694907,"name":"DALE E CREECH JR"},{"person_name":"JAMES R PANCOAST","title":"FORMER TRUSTEE & OFFICER","base_compensation_filing_org":20788,"bonus_filing_org":586636,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":607424,"total_compensation_related_orgs":0,"name":"JAMES R PANCOAST"},{"person_name":"THOMAS M DUNCAN","title":"TREASURER & PREMIER CFO","base_compensation_filing_org":596025,"bonus_filing_org":289582,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":2408091,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":29538,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":24416,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":3666286,"other_compensation_related_orgs":0,"total_compensation_filing_org":4605847,"total_compensation_related_orgs":0,"name":"THOMAS M DUNCAN"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 4B:","explanation":"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, MEDAMERICA HEALTH SYSTEMS CORPORATION (MAHS) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MAHS 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 2017. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2017: DALE CREECH $80,472. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2017: THOMAS DUNCAN RECEIVED $3,642,131 FOR HIS 32 YEARS OF SERVICE AS AN EXECUTIVE WITH THE ORGANIZATION, WHICH INCLUDES $2,408,091 REPORTED IN PRIOR RETURNS AS DEFERRED COMPENSATION. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":310537504,"business_name_line1":"Miami Valley Hospital","primary_activities_text":"Hospital","exempt_code_section_text":"501(c)(3)","public_charity_status_text":"3","controlled_organization_indicator":true,"legal_domicile_state":"OH","direct_controlling_business_name_line1":"MAHS","address_line1":"110 N MAIN ST SUITE 500","city":"Dayton","state":"OH","zip":"45402","name":"Miami Valley Hospital","address":"110 N MAIN ST SUITE 500, Dayton, OH, 45402"},{"ein":311040231,"business_name_line1":"Miami Valley Hospital 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THE PREMIER HEALTH (PREMIER) HOSPITALS OF ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL, AND UPPER VALLEY MEDICAL CENTER ARE ALL OHIO NONPROFIT CORPORATIONS DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE INTERNAL REVENUE CODE."},{"form_and_line_reference":"SCHEDULE A, PART IV, SECTION A, LINE 5A:","explanation":"MEDAMERICA HEALTH SYSTEMS CORP'S ORGANIZING DOCUMENTS STATE THE ORGANIZATION WILL SUPPORT ALL AFFILIATES OF PREMIER HEALTH (31-1446699) WHICH ARE EXEMPT FROM TAXATION UNDER SECTION 501(C)(3). GOOD SAMARITAN HOSPITAL (EIN: 31-0536981) IS NO LONGER INCLUDED IN THE CLASS OF ORGANIZATIONS DEFINED IN MEDAMERICA HEALTH SYSTEMS CORP'S ORGANIZING DOCUMENTS."},{"form_and_line_reference":"SCHEDULE A, PART IV, SECTION C, LINE 1:","explanation":"THE MAHS BOARD MEMBERS ARE RESPONSIBLE FOR NOMINATING CANDIDATES TO THE PREMIER BOARD OF DIRECTORS. AT LEAST ONE MEMBER OF THE PREMIER NOMINATING COMMITTEE MUST BE A REPRESENTATIVE FROM THE MAHS BOARD. ALONG WITH TWO OTHER PREMIER SYSTEM PARENT ORGANIZATIONS (ATRIUM HEALTH SYSTEM AND UVMC), THE MAHS BOARD ELECTS THE MEMBERS OF THE PREMIER BOARD. IN ADDITION, THE THREE SYSTEM PARENT ORGANIZATIONS OVERSEE THE PERFORMANCE OF PREMIER IN ITS CAPACITY AS THE PARENT ORGANIZATION AND SOLE MEMBER OF THE HOSPITALS AND OTHER AFFILIATES WITHIN THE PREMIER HEALTH SYSTEM, AS OUTLINED IN THE PREMIER DEFINITIVE SYSTEM REORGANIZATION AGREEMENT. ALL OF THE SUPPORTED ORGANIZATIONS ARE SYSTEM HOSPITALS UNDER THE CONTROL OF PREMIER."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"total_book_value":0},"other_liabilities":{"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"PART X, LINE 2:","explanation":"THE FOLLOWING FOOTNOTE IS FROM THE 2019 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NONPROFIT 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 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), UVMC MANAGEMENT CORPORATION AND AFTER HOURS FAMILY CARE, INC. (SUBSIDIARIES OF PHP). THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. FOR TAX-EXEMPT ENTITIES, THE ACT REQUIRES ORGANIZATIONS TO PAY AN EXCISE TAX ON REMUNERATION TO EXECUTIVES ABOVE CERTAIN THRESHOLDS AND REPORT INCOME OR LOSS FROM UNRELATED BUSINESS ACTIVITIES ON AN ACTIVITY-BY-ACTIVITY BASIS, AMONG OTHER PROVISIONS. PHP HAS RECORDED ESTIMATED LIABILITIES AND RELATED EXPENSES FOR ALL EXCISE AND UNRELATED BUSINESS INCOME TAXES IDENTIFIED AT DECEMBER 31, 2019. MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS."}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"MICHAEL J MAIBERGER","title":"PREMIER COO (TO 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LIKE MANY EMPLOYERS, MEDAMERICA HEALTH SYSTEMS (MAHS) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MAHS 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 2019. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2019: DALE CREECH, JR $196,960; BARBARA JOHNSON, $25,958; MICHAEL MAIBERGER, $18,567; SCOTT SHELTON $144,980; GEOFFREY WALKER $90,728. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2019: MICHAEL MAIBERGER $111,125. 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: BARBARA JOHNSON $11,541. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. ANY PAYMENTS MADE AFTER THE 2-1/2 MONTHS WERE PROPERLY REPORTED ON PRIOR YEARS' FILED IRS FORM 990 RETURNS, DISCLOSING COMPENSATION EARNED BY THESE INDIVIDUALS UNDER THE PLANS FOR EACH SUCH YEAR."}]},"ScheduleN":{"successor_relationships":{"director_of_successor":false,"employee_of_successor":false,"owner_of_successor":false,"received_compensation":false},"dispositions":[{"business_name_line1":"MIAMI VALLEY HOSPITAL","ein":310537504,"irc_section":"501(C)(3)","distribution_date":"2019-05-24T00:00:00","description":"CASH","fair_market_value":1405625,"method_of_fmv_determination":"BOOK","address_line1":"110 N MAIN STREET SUITE 500","city":"DAYTON","state":"OH","zip":"45402","name":"MIAMI VALLEY HOSPITAL","address":"110 N MAIN STREET SUITE 500, DAYTON, OH, 45402"},{"business_name_line1":"MIAMI VALLEY HOSPITAL","ein":310537504,"irc_section":"501(C)(3)","distribution_date":"2019-05-24T00:00:00","description":"PROFESSIONAL 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