2024-11-14T17:32:25-06:00 2023-12-31 990 2023-01-01 311079309 ATRIUM MEDICAL CENTER ATRI 9374999942 110 N MAIN ST 200 DAYTON OH 45402 J MICHAEL SIMS SYSTEM VP & CORP. CONTROLLER 9374999942 2024-11-14 1 2023 2024-10-15 13:58:12Z KEVIN W HARLAN 1 MEDICAL CENTER DR MIDDLETOWN OH 45005 311749505 0 X WWW.PREMIERHEALTH.COM X 1983 OH SEE PART III, LINE 1 11 2 1809 177 0 0 547802 498117 238428922 246733205 3194643 6348151 12819567 8419707 254990934 261999180 268416 470602 0 0 85001261 88376847 0 0 0 142212810 138993731 227482487 227841180 27508447 34158000 308989785 282456426 302223275 298119445 6766510 -15663019 WE CARE. WE TEACH. WE INNOVATE. WE SERVE. 0 0 220853298 470602 246733205 THE PRIMARY EXEMPT PURPOSE OF ATRIUM MEDICAL CENTER IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF BUTLER AND WARREN COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION. 220853298 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 4 0 1 1809 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 2 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X J MICHAEL SIMS 9374999942 110 N MAIN ST 200 DAYTON OH 45402 MICHAEL C RIORDAN TRUSTEE / PREMIER PRESIDENT 0.50 39.50 X 0 1373331 35711 JOSHUA J ORDWAY MD TRUSTEE 0.50 39.50 X 0 666588 36624 KEVIN W HARLAN PRESIDENT & CEO 19.00 20.50 X X 607513 0 42343 SCOTT B KANAGY DO TRUSTEE (FROM MAY) 20.00 20.00 X 240850 219600 61360 ANDRE T HARRIS MD TRUSTEE (TO MAY) 40.00 0.00 X 147019 262172 44511 JON D GIRARD MD TRUSTEE 0.50 39.50 X 0 390760 44106 KIMBERLY A HENSLEY TRUSTEE AND COO & CNO 40.00 0.00 X X 364301 0 39745 RHONDA L SEIDENSCHMIDT TRUSTEE & VP AMBULATORY SERVICES 40.00 0.00 X 271043 0 35810 WILLIAM ANDREW MD TRUSTEE 0.50 0.00 X 0 258545 0 JILL ASTON MD TRUSTEE 0.50 0.00 X 0 28400 0 GREGORY W SIEWNY MD BOARD CHAIR 0.50 0.00 X X 0 0 0 ANUJ GOYAL MD TRUSTEE 0.50 0.00 X 0 0 0 LYNDSEY A PITTMAN BOARD TREASURER (TO JUL) 39.00 1.00 X 75903 114417 8311 TONYA Y CASEY BOARD TREASURER (FROM JUL) 39.50 0.50 X 85855 72045 25713 BENJAMIN A WATSON ESQ BOARD SECRETARY (TO APR) 0.50 39.50 X 0 166904 14504 CHANDLER BRODERICK ESQ BOARD SECRETARY (FROM APR) 0.50 39.50 X 0 141567 13914 GEOFFREY P WALKER SR SPECIAL ADVISORY COUNSEL 10.00 30.00 X 0 940274 50389 KEITH D BRICKING MD SYSTEM VP & CHIEF CLINICAL OFFICER 10.00 30.00 X 0 848781 116118 MARY M CLANCY CHIEF DIGITAL & INFORMATION OFFICER 10.00 30.00 X 0 684404 59015 J MICHAEL SIMS SYS VP & CORPORATE CONTROLLER 10.00 30.00 X 0 659279 54727 LISA M GOSSETT VP NURSING/CNO/PATIENT EXP 10.00 30.00 X 0 446599 26242 CARA W POWERS CHIEF LEGAL OFFICER 10.00 30.00 X 0 355315 58871 AMANDA K ADKINS-RICCI SYSTEM VP REVENUE CYCLE 10.00 30.00 X 0 307434 24778 JACOB L FROEHLICH DIR NURSING CRIT CARE&BEHAVIOR HLTH 40.00 0.00 X 175820 0 34416 RUSSELL L BRAUN CLINICAL STAFF PHARMACIST I 40.00 0.00 X 170870 0 36380 MANDI L ARNETT DIR NSG-ER SVS & RESP 40.00 0.00 X 174596 0 27294 MELIDA D RODRIQUEZ CLINICAL NURSE 40.00 0.00 X 175835 0 23407 CHRYSTINA C BROWN CLINICAL STAFF PHARMACIST I 40.00 0.00 X 175826 0 21627 MARQUITA L TURNER FORMER OFFICER 0.00 40.00 X 0 413227 41300 BARBARA A JOHNSON FORMER KEY EMPLOYEE 0.00 40.00 X 0 1064584 627482 JENNIFER J HAULER DO FORMER KEY EMPLOYEE 0.00 40.00 X 0 957363 303885 MARC R BELCASTRO DO FORMER KEY EMPLOYEE 0.00 40.00 X 0 786594 356425 GARY G GINTER FORMER KEY EMPLOYEE 0.00 40.00 X 0 563645 263863 ELAINE LAINIE M DEAN FORMER KEY EMPLOYEE 0.00 40.00 X 0 516325 48793 BILLIE L LUCENTE-BAKER FORMER KEY EMPLOYEE 0.00 40.00 X 0 292774 37045 MARGARET PEGGY W MARK FORMER KEY EMPLOYEE 0.00 0.00 X 0 142194 15361 2665431 12673121 2630070 154 1 1 0 0 9703 488414 73141 498117 NET PATIENT SERVICE REVENUE 900099 126742513 126742513 MEDICARE/MEDICAID PAYMENTS 900099 119359454 119359454 HOSPITAL FRANCHISE TAX RECOVERIES 900099 597138 597138 ATHLETIC TRAINING 900099 29990 29990 HEALTH EDUCATION 900099 2160 2160 1950 1950 246733205 1696155 1696155 3373205 2926149 447056 447056 447056 51175059 181213 46730554 -26278 4444505 207491 4651996 4651996 205998 119900 86098 86098 GAIN ON INTEREST SWAP ADJ 900099 6054357 6054357 PENSION INCOME 900099 1670325 1670325 CAFETERIA SALES 900099 23264 23264 138607 138607 7886553 261999180 246733205 0 14767858 X 470602 470602 1980336 1147402 832934 71333782 68161312 3172470 2550482 2411140 139342 7239788 6844253 395535 5272459 5050758 221701 184173 184173 5535 5535 4512 4512 179640 179640 54436864 53160253 1276611 219003 219003 623901 320334 303567 1616999 1490669 126330 7633426 7520815 112611 41955 34107 7848 7630809 7630809 14986803 14986803 2201646 2183776 17870 OPERATING SUPPLIES 39317167 39317167 HOSPITAL FRANCHISE TAX 6792853 6792853 ASSET IMPAIRMENT 1695117 1695117 REPAIRS AND MAINTENANCE 513823 513823 909505 718129 191376 227841180 220853298 6987882 0 6205 3220 11096343 1152615 41337669 39871052 65681 9375 2134326 1701066 1339872 3101078 379594331 257700470 135307715 121893861 69459724 75745870 32254813 28999427 9075896 9033830 6911541 945032 308989785 282456426 18293729 19552385 260357 423607 218798 218798 185397036 181073110 23749625 15802151 74303730 81049394 302223275 298119445 X 6635170 -15663019 131340 0 6766510 -15663019 308989785 282456426 X 34158000 4531488 -61119017 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4512 0 0 0 4512 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: PAYMENTS FOR LOBBYING ACTIVITIES INCLUDE DUES PAID TO GREATER DAYTON AREA HOSPITAL ASSOCIATION, AND OHIO HOSPITAL ASSOCIATION. 23603003 23603003 238497167 164086284 74410883 393195 318904 74291 109378943 93295282 16083661 7722023 7722023 121893861 ALTERNATIVE INVESTMENTS 28999427 F 28999427 INTERCOMPANY PAYABLE 49625776 PENSION OBLIGATION & DEFERRED COMP 15031810 SWAP LIABILITY 7749811 SELF INSURANCE RESERVE 6271688 ACCRUED MANAGED CARE SETTLEMENT 909044 MEDICAL STAFF FEE ACCRUAL 563142 WORKERS COMPENSATION 368565 OTHER LIABILITIES 529558 81049394 X PART X, LINE 2: THE FOLLOWING FOOTNOTE IS FROM THE 2023 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF ATRIUM MEDICAL CENTER (AMC). PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: * PREMIER HEALTH HOLDING COMPANY (PHHC) (WHOLLY OWNED SUBSIDIARY OF PHP) * MVHE, INC., (AND ITS WHOLLY OWNED SUBSIDARY EXTENDED CARE), SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (WHOLLY OWNED SUBSIDIARIES OF PHHC) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. CENTRAL AMERICA/CARIBBEAN 0 0 PROGRAM SERVICES INSURANCE 33000 0 0 0 0 0 0 33000 0 33000 0 0 0 0 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 3911000 1356000 2555000 0.01120 23877138 597138 23280000 0.10220 1132989 5989 1127000 0.00490 28921127 1959127 26962000 0.11830 980000 175000 805000 0.00350 9622000 9622000 0.04220 319000 319000 0.00140 10921000 175000 10746000 0.04710 39842127 2134127 37708000 0.16540 1 11759125 40837000 43980000 -3143000 X 1 1 1 1 ATRIUM MEDICAL CENTER ONE MEDICAL CENTER DR MIDDLETOWN OH 45044 WWW.PREMIERHEALTH.COM SEE PART V SECTION C X X X ATRIUM MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 23 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 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. ATRIUM MEDICAL CENTER'S REGISTRATION NUMBER IS 1116. 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 INCLUDED: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: ATRIUM MEDICAL CENTER 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, MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL SOUTH, MIAMI VALLEY HOSPITAL NORTH, 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; 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 WEBSITE ADDRESS WHERE THE CHNA AND THE RELATED IMPLEMENTATION STRATEGY CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/ABOUT-PREMIER/COMMUNITY-INVOLVEMENT/COMMUNITY-HEALTH-IMPROVEMENT PART V, SECTION B, LINE 11: AMONG THE HEALTH AND NON-HEALTH NEEDS IDENTIFIED IN THE CHNA, AMC'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: X-QUISITE CUTZ SCHOOL OF BARBERING AND X-QUISITE CUTZ BARBERSHOPNEED: MENTAL HEALTH AND SUBSTANCE ABUSEPROGRAM: ONEFIFTEENMETRICS: ANNUAL NUMBER OF PATIENTS SERVED: 2021: 2,891; 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: 7,581 PATIENTS EVALUATED, 1,422 ENROLLED IN REGISTRY PROGRAM FOR LUNG NODULE SURVEILLANCE, AND 211 REFERRALS 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, AND 29 PATIENTS WHO COMPLETED THE PROGRAM AND NO LONGER NEED FOLLOW UP.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: IN 2022, 11% OF ALL INFANTS BORN WERE BORN PRETERM IN BUTLER COUNTY, 2016-2022 32% OF BUTLER COUNTY INFANTS WHO DIED WERE BORN PRETERM. BY RACE, BLACK INFANTS WERE 2.5 TIMES MORE LIKELY THAN WHITE INFANTS TO BE BORN LESS THAN 37 WEEKS GESTATION. IN 2022, THE INFANT MORTALITY RATE FOR NON-HISPANIC BLACK INFANTS WAS 5 PER 1,000 LIVE BIRTHS. 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 ADDED THE NURSE FAMILY PARTNERSHIP TO THEIR SERVICES. HELP ME GROW BRIGHTER FUTURES UTILIZED 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 200%. IN 2017 THE AFRICAN AMERICAN INFANT MORTALITY RATE WAS 15.1 IN BUTLER COUNTY AND IN 2022 IT DECREASED TO A RATE OF 5. IN 2022, 2,171 YOUNG CHILDREN OR PREGNANT MOMS WERE PROVIDED HOME VISIT SERVICES BY THE HELP ME GROW BRIGHTER FUTURES PROGRAM. THERE WERE 28,124 HOME VISITS COMPLETED WITH FAMILIES. 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'S NEW LIFE CENTER, MIAMI VALLEY CHILD DEVELOPMENT CENTER, PROMISE TO HOPE, LIFE RESOURCE CENTER, AND FAMILY SERVICE AGENCY.NEED: MATERNAL HEALTHPROGRAM: PROMISE TO HOPEMETRICS: TOTAL CLIENTS SERVED PER YEAR. CASELOAD OF FAMILIES IN 2023: 3,567 FAMILIES, 34,228 TOTAL VISITS, AND 5,274 HOME VISITS.INTERVENTION GOAL: TO ENSURE HEALTHY OUTCOMES, 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. IN 2020, PROMISE TO HOPE 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; JOSHUA RECOVERY MINISTRIES; FIVE RIVERS HEALTH CENTERS; NOVA BEHAVIORAL HEALTH; SAMARITAN BEHAVIORAL HEALTH; RECOVERY WORKS HEALING CENTER; AND TCN BEHAVIORAL HEALTH 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, UVMC FOUNDATION, AND 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 CENTERSNEED: PREVENTIONPROGRAM: COMMUNITY HEALTH AND MOBILE CLINIC PROGRAMMINGMETRICS: 300 EVENTS SCHEDULED; 1,903 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 BUTLER AND SURROUNDING 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: MADISON LOCAL SCHOOLS, GRATIS FIRE DEPARTMENT, PREBLE COUNTY COUNCIL ON AGING, MIDPOINTE LIBRARY - TRENTON BRANCH, CENTRAL CONNECTIONS, ROBERT "SONNY" HILL MIDDLETOWN COMMUNITY CENTER, PREBLE COUNTY FAIRGROUNDS.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 OBJECTIVE; 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 THEM IN 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 ADDRESSEDCURRENTLY, ATRIUM MEDICAL CENTER DOES NOT OFFER ANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS ARTHRITIS/OSTEOPOROSIS FOR THE GENERAL PUBLIC. HOWEVER, THE PREMIER HOSPITAL SYSTEM OFFERS A ROBUST ARRAY OF SERVICES FOR THEIR PATIENTS THROUGH THEIR ORTHOPEDIC SERVICE LINE.IN ADDITION, ATRIUM MEDICAL CENTER DOES NOT OFFER ANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS ORAL AND DENTAL CARE FOR THE GENERAL PUBLIC. PART V, SECTION B, LINES 16 A, B, AND C: THE DIRECT WEBSITE ADDRESS WHERE A COPY OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE ACCESSED IS:HTTPS://WWW.PREMIERHEALTH.COM/PATIENT-AND-VISITOR-GUIDE/PATIENT-GUIDE/COSTS-AND-INSURANCE/BILLING/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16J: THE HOSPITAL WIDELY DISTRIBUTES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE POLICY WITHIN THE AREA THAT IT SERVES. THIS INFORMATION INCLUDES THE METHOD OF APPLYING FOR AND ACCESSING FINANCIAL ASSISTANCE. NOTICES ARE PUBLICIZED IN PATIENTS' BILLS AND ARE POSTED IN THE EMERGENCY ROOM, ADMITTING AND REGISTRATION AREAS, AS WELL AS OTHER PUBLIC AREAS. THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE. FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND CUSTOMER SERVICE REPRESENTATIVES DISCUSS THE FINANCIAL ASSISTANCE POLICY WITH ALL UNINSURED PATIENTS, AND ANY PATIENT WHO EXPRESSES FINANCIAL HARDSHIP WITH PAYING THEIR BILL. APPLICATIONS FOR FINANCIAL ASSISTANCE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. 10 1 - ATRIUM HEALTH CENTER TRENTON 3590 BUSENBARK RD TRENTON OH 45067 CARIDIOLOGY, VASCULAR, SPORTS MED & PHYSICAL THERAPY, DIAGNOSTICS & IMAGING 2 - MEDICAL IMAGING IN MIDDLETOWN 4214 GRAND AVE MIDDLETOWN OH 45044 IMAGING AND RADIOLOGY 3 - RALPH J STOLLE COUNTRYSIDE YMCA 1697 DEERFIELD RD LEBANON OH 45036 SPORTS MEDICINE & PHYSICAL THERAPY 4 - SPORTS MEDICINE AND PHYSICAL THERAPY IN 4859 NIXON PARK DR SUITE B MASON OH 45040 SPORTS MEDICINE & PHYSICAL THERAPY 5 - ATRIUM FAMILY YMCA 5750 INNOVATION DR MIDDLETOWN OH 45005 SPORTS MEDICINE & PHYSICAL THERAPY 6 - SPORTS MEDICINE AND PHYSICAL THERAPY IN 909 E SECOND ST FRANKLIN OH 45005 SPORTS MEDICINE & PHYSICAL THERAPY 7 - PHYSICAL THERAPY IN MIDDLETOWN 275 N BREIEL BLVD MIDDLETOWN OH 45042 PHYSICAL THERAPY 8 - SOUTHWEST OHIO SURGERY CENTER 295 N BREIEL BLVD MIDDLETOWN OH 45042 GENERAL SURGERY 9 - UNION VILLAGE 580 N ST ROUTE 741 LEBANON OH 45036 DIAGNOSTICS, IMAGING, HEALTH CENTER, AND OCCUPATIONAL HEALTH 10 - SLEEP SERVICES IN CENTERVILLE 7056 CORPORATE WAY CENTERVILLE OH 45459 SLEEP SERVICES PART I, LINE 3C: FINANCIAL ASSISTANCE IS ONLY PROVIDED FOR CARE THAT IS DEEMED EMERGENCY CARE OR MEDICALLY NECESSARY CARE AND AFTER PATIENTS HAVE BEEN FOUND TO MEET ESTABLISHED FINANCIAL CRITERIA OUTLINED IN THE FINANCIAL ASSISTANCE POLICY. PREMIER HEALTH HOSPITALS OFFER BOTH FREE CARE AND DISCOUNTED CARE, DEPENDING ON AN INDIVIDUAL'S FAMILY SIZE AND INCOME AS A PERCENT OF THE FEDERAL POVERTY GUIDELINES. ADDITIONALLY, PREMIER HEALTH HOSPITALS MAY USE A FAMILY'S ASSETS TO DETERMINE WHETHER A PATIENT MEETS THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. PATIENTS RECEIVING A DISCOUNT ARE EXPECTED TO PAY THEIR REMAINING BALANCE, AND MAY WORK WITH PREMIER HEALTH HOSPITALS' FINANCIAL COUNSELORS TO SET UP A PAYMENT PLAN BASED ON THEIR FINANCIAL SITUATION.IN ADDITION TO COMPLETING THE APPLICATION, INDIVIDUALS SHOULD BE PREPARED TO SUPPLY THE FOLLOWING DOCUMENTATION:A) PROOF OF INCOME FOR APPLICANT (AND SPOUSE IF APPLICABLE) SUCH AS A PAY STUB, UNEMPLOYMENT INSURANCE PAYMENT STUBS, OR SUFFICIENT INFORMATION ON HOW PATIENTS ARE CURRENTLY FINANCIALLY SUPPORTING THEMSELVES.B) BANK STATEMENTC) SOCIAL SECURITY STATEMENTD) TAX RETURN - SCHEDULE C FOR SELF-EMPLOYMENT INCOMEE) DOCUMENTATION OF THE FAMILY'S ASSETS PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT FOR ATRIUM MEDICAL CENTER IS PART OF THE PREMIER HEALTH (PREMIER) REPORT (EIN# 31-1446699). PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE THIS FINANCIAL ASSISTANCE AT COST. THIS CALCULATION TAKES TOTAL OPERATING EXPENSES LESS OTHER OPERATING REVENUES DIVIDED BY TOTAL GROSS REVENUES. UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENTAL PROGRAMS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THIS SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND INCLUDES FULLY LOADED COSTS. FOR THE REMAINING ITEMS, THE ORGANIZATION USED SPECIFIC NUMBERS FOR EXPENSE PAID DIRECTLY FOR THESE SERVICES. PART I, LINE 7G: ATRIUM MEDICAL CENTER (AMC) 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 2023, THE AMOUNT PAID FOR CALL AND SUBSIDIES WAS $9,622,000. PART III, LINES 2 & 3: BAD DEBT EXPENSE IS INCURRED WHEN AN ACCOUNT IS TAKEN OUT OF ACCOUNTS RECEIVABLE AND TURNED OVER TO A COLLECTION AGENCY. THIS ACTION MAY OCCUR IF A PATIENT REFUSES PAYMENT ARRANGEMENTS, REFUSES TO APPLY FOR FINANCIAL ASSISTANCE, AND THERE IS NOT AN INSURANCE BALANCE BEING CONTENDED. AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AFTER 130 DAYS IF AN ATTEMPT TO COLLECT FROM THE PATIENT IS MADE WITHIN OUR COLLECTION POLICY. THE COLLECTION AGENCY ATTEMPTS TO COLLECT THE ACCOUNT IN ACCORDANCE WITH ESTABLISHED GUIDELINES. COLLECTION ATTEMPTS ARE CEASED AND THE ACCOUNT RETURNED TO THE ORGANIZATION IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE. ANY AMOUNTS COLLECTED FROM THESE ACCOUNTS ARE CREDITED BACK AGAINST BAD DEBT EXPENSE. THE ORGANIZATION RECOGNIZES THERE ARE ACCOUNTS WRITTEN OFF TO BAD DEBT THAT MAY HAVE QUALIFIED FOR CHARITY CARE IF THE PATIENT HAD PROVIDED THE NECESSARY FINANCIAL INFORMATION. TO RESOLVE THIS, THE ORGANIZATION HAS ENGAGED A THIRD-PARTY VENDOR TO ANALYZE DATA BASED ON CREDIT SCORES TO REALLOCATE SOME OF THIS EXPENSE TO CHARITY CARE. A REPRESENTATIVE SAMPLE OF THESE ACCOUNTS IS THEN SENT TO OUR THIRD-PARTY VENDOR WHO GATHERS EXTERNAL CREDIT DATA THAT PRESENTS THE ACCOUNT AS LESS THAN 100% FEDERAL POVERTY LEVEL OR NOT ENOUGH INFORMATION (TYPICALLY INDICATIVE OF INDIGENT). THESE ACCOUNTS ARE RECLASSED FROM BAD DEBT EXPENSE TO CHARITY EXPENSE ON OUR INCOME STATEMENT. ANY CREDIT SCORE THAT PRESENTS THE ACCOUNTS AS GREATER THAN 100% FEDERAL POVERTY LEVEL REMAINS IN BAD DEBT EXPENSE. DUE TO THIS PROCESS, THE ORGANIZATION HAS USED BEST EFFORTS TO NOT REPORT BAD DEBT EXPENSE FOR PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 4: THE ORGANIZATION DOES NOT HAVE A FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS WHICH DISCUSSES THIS CALCULATION. PART III, SECTION B, LINES 5, 6, AND 7: THE AMOUNTS REPORTED ON LINES 5, 6, AND 7 DO NOT INCLUDE CERTAIN MEDICARE PROGRAM REVENUES AND COSTS, AND THUS DO NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN MEDICARE PROGRAMS. IN ADDITION TO THE AMOUNTS REPORTED ON LINE 5, 6, AND 7, THE ORGANIZATION RECEIVED REVENUE OF $59,173,000 AND INCURRED COST OF $79,446,000 FOR AN ADDITIONAL NET SHORTFALL OF $20,273,000 ASSOCIATED WITH THESE PROGRAMS. BELOW IS A RECONCILIATION OF THE AMOUNTS ASSOCIATED WITH MEDICARE PROGRAMS.ALLOWABLE MEDICARE REVENUE PER MEDICARE COST REPORT IN PART III, SECTION B $40,837,000MEDICARE REVENUE NOT REPORTED IN PART III, SECTION B $59,173,000TOTAL MEDICARE ASSOCIATED REVENUE $100,010,000ALLOWABLE MEDICARE COST PER MEDICARE COST REPORT IN PART III, SECTION B $43,980,000MEDICARE COST NOT REPORTED IN PART III, SECTION B $79,446,000TOTAL MEDICARE ASSOCIATED COST $123,426,000ALLOWABLE MEDICARE SHORTFALL IN PART III, SECTION B $3,143,000ADDITIONAL SHORTFALL NOT INCLUDED IN PART III, SECTION B $20,273,000TOTAL MEDICARE SHORTFALL $23,416,000 PART III, LINE 8: THE ORGANIZATION'S SHORTFALL SHOULD BE CONSIDERED CHARITY CARE BECAUSE IT IS PROVIDING HIGH-QUALITY CARE, IN EXCESS OF COST, TO OUR COMMUNITY RESIDENTS THAT NEED CARE. THE MEDICARE POPULATION AT THE ORGANIZATION IS IN EXCESS OF 52% OF NET PATIENT REVENUE. THE ORGANIZATION USED A COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: THE ORGANIZATION MAKES REASONABLE EFFORTS TO DETERMINE WHETHER OR NOT AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE STATE OR HOSPITAL FINANCIAL ASSISTANCE POLICY BEFORE ENGAGING IN EXTRAORDINARY COLLECTIVE ACTIONS AGAINST THAT INDIVIDUAL. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE OFFERED REASONABLE PAYMENT PLAN ARRANGEMENTS FOR ANY REMAINING BALANCES. ANY THIRD-PARTY COLLECTING SELF-PAY RECEIVABLES ON OUR BEHALF IS REQUIRED TO MAKE REASONABLE EFFORTS TO DETERMINE IF THE INDIVIDUAL MEETS THE QUALIFICATIONS OF THE STATE OR OF OUR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS.REASONABLE EFFORTS INCLUDE:A. VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL.B. DOCUMENTING THAT THE ORGANIZATION HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE UNDER ITS FINANCIALASSISTANCE POLICY.C. DOCUMENT THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.D. DOCUMENT THAT THE PATIENT HAS BEEN OFFERED AND ACCEPTED TERMS FOR A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN.THE FINANCIAL COUNSELORS MEET WITH INPATIENT, OUTPATIENT, SELF-PAY, AND OTHER PATIENTS UPON REQUEST WHO MAY NEED FINANCIAL ASSISTANCE. IN ADDITION TO ASSISTING PATIENTS WHO WANT TO APPLY FOR ASSISTANCE THROUGH THE MEDICAID PROGRAM, THE FINANCIAL COUNSELOR WILL PROVIDE THE PATIENT WITH A FINANCIAL ASSISTANCE APPLICATION. PART VI, LINE 2: THE ORGANIZATION WORKS WITH THE COMMUNITY ON PROGRAMS THAT ADDRESS THE UNDERLYING CAUSES OF PERSISTENT HEALTH PROBLEMS AS PART OF A COMPREHENSIVE STRATEGY TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR IDENTIFIED MEMBERS OF THE COMMUNITY WHO ARE ECONOMICALLY DISADVANTAGED, DISENFRANCHISED AND/OR WHO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE ORGANIZATION STRIVES TO WORK WITH PREMIER, THE HOSPITAL BOARD OF TRUSTEES, EXECUTIVE MANAGEMENT, MANAGERS, STAFF MEMBERS, COMMUNITY GROUPS, AND INDIVIDUALS TO PROVIDE A COLLABORATIVE APPROACH TO THE GOVERNANCE AND MANAGEMENT OF COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 3: THERE ARE SEVERAL WAYS IN WHICH OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR SERVICES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. FIRST, NOTIFICATION OF SUCH AVAILABLE ASSISTANCE IS CLEARLY POSTED IN REGISTRATION AREAS, AS WELL AS MATERNITY AND EMERGENCY DEPARTMENTS. NEXT, PATIENT ADVOCATES, PATIENT ACCESS STAFF MEMBERS, AND FINANCIAL COUNSELORS IN THE INPATIENT AND EMERGENCY DEPARTMENTS MEET WITH UNINSURED AND UNDERINSURED PATIENTS, AND THOSE WITH ONLY MEDICARE COVERAGE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. FINANCIAL COUNSELORS ALSO DISCUSS OPTIONS TO RESOLVE UNPAID ACCOUNT BALANCES WITH UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE, ALONG WITH INFORMATION ON HOW TO OBTAIN AN APPLICATION. WHEN A PATIENT RECEIVES A BILL, THE REVERSE SIDE OF THE BILL CONTAINS INFORMATION ABOUT THE STATE OF OHIO FREE CARE PROGRAM (CARE ASSURANCE) AND A FINANCIAL ASSISTANCE APPLICATION. THE BILLING STATEMENTS OFFER THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE, AND THE CONTACT INFORMATION FOR ASSISTANCE. PART VI, LINE 4: ATRIUM MEDICAL CENTER IS LOCATED IN MIDDLETOWN OHIO, SERVICING BUTLER AND WARREN COUNTIES. THE POPULATION OF ATRIUM MEDICAL CENTER'S SERVICE AREA IS APPROXIMATELY 645,000 PEOPLE. THE MEDIAN HOUSEHOLD INCOME OF WARREN COUNTY IS $103,128 PER YEAR, WITH APPROXIMATELY 5.5% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME OF BUTLER COUNTY IS $77,062 PER YEAR, WITH APPROXIMATELY 11.7% OF ITS CITIZENS LIVING BELOW THE FEDERAL POVERTY LEVEL. FOR 2023, MEDICARE PATIENTS REPRESENTED 52.3% OF GROSS PATIENT REVENUE AND MEDICAID REPRESENTED 19.0% OF GROSS PATIENT REVENUE. PART VI, LINE 5: ATRIUM MEDICAL CENTER'S (AMC) 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. 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. AMC PARTNERS WITH THE LOCAL YMCA TO CO-HOST A FREE, PUBLIC ANNUAL DIABETES WELLNESS FAIR. ORGANIZATIONS SPECIALIZING IN DIABETIC CARE AND HOSPITAL REPRESENTATIVES ARE ON HAND TO OFFER HEALTH SCREENINGS AND DISCUSS AVAILABLE SERVICES. FREE DIAPERS, BOTTLES, WIPES AND OTHER ESSENTIAL SUPPLIES ARE PROVIDED TO LOCAL PARENTS IN NEED THROUGH A COLLABORATION WITH ANOTHER LOCAL NON-PROFIT ORGANIZATION. 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. AMC 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. AMC PROVIDES DIRECT PASTORAL SUPPORT AND COUNSELING SERVICES TO PATIENTS AND FAMILY MEMBERS BY 3 TRAINED PROFESSIONALS, IN-HOUSE 9 HOURS A DAY MONDAY THROUGH FRIDAY, AND ON CALL OUTSIDE THOSE HOURS.THE HOSPITAL HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICAID AND MEDICARE, AND HAS AN ACTIVE CHARITY CARE PROGRAM. AMC'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. AMC'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 ATRIUM MEDICAL CENTER, TWO OTHER HOSPITAL ENTITIES (FIVE TOTAL LOCATIONS), AND SEVERAL OTHER HEALTH CARE SERVICE SUBSIDIARIES. PREMIER HAS THE AUTHORITY TO OPERATE EACH HOSPITAL WITH RESPECT TO MATTERS SUCH AS BUDGETING, STRATEGIC PLANNING, MANAGED CARE CONTRACTING, EMPLOYEE COMPENSATION, TRANSFER/SALE OF MATERIAL ASSETS, ETC. AS AN INTEGRATED HEALTHCARE SYSTEM, PREMIER PROVIDES A CONTINUUM OF CARE FOR THE RESIDENTS OF SOUTHWEST OHIO. AS A SYSTEM, PREMIER IS A COMMUNITY LEADER IN SUPPORTING VARIOUS COMMUNITY BENEFIT PROGRAMS THAT ALIGN WITH ITS CURRENT CHNA. RESOURCES ARE LEVERAGED IN EACH ENTITY WITHIN THE PREMIER SYSTEM TO SUPPORT THESE PROGRAMS IDENTIFIED AT THE PREMIER SYSTEM LEVEL. THE POLICIES FOR BAD DEBT AND CHARITY COLLECTIONS ARE ESTABLISHED BY PREMIER. PART VI, LINE 7: OHIO 1 ONEFIFTEEN RECOVERY 6636 LONGSHORE ST 200 DUBLIN OH 43017 833504845 501(C)(3) 225000 0 SUPPORT MIAMI VALLEY HOSPITAL 110 N MAIN ST 200 DAYTON OH 45402 310537504 501(C)(3) 96721 0 SUPPORT PREMIER COMMUNITY HEALTH 110 N MAIN ST 200 DAYTON OH 45402 311122883 501(C)(3) 52378 0 SUPPORT REACH OUT MONTGOMERY COUNTY 25 E FORAKER ST DAYTON OH 45409 311434282 501(C)(3) 12113 0 SUPPORT MIAMI VALLEY HOSPITAL FOUNDATION 110 N MAIN ST 200 DAYTON OH 45402 311040231 501(C)(3) 11438 0 SUPPORT UVMC FOUNDATION 110 N MAIN ST 200 DAYTON OH 45402 311581859 501(C)(3) 6863 0 SUPPORT 6 0 PART I, LINE 2: 1) DISBURSEMENTS ARE ANALYZED MONTHLY THROUGH VARIOUS REPORTS AND COMMITTEE MEETINGS. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE AND APPROVED AND DISBURSED PER ORGANIZATIONAL POLICY. 3) GRANT SPENDING IS MONITORED AGAINST BUDGETED AMOUNTS ON AN ONGOING BASIS. 1 1 0 0 0 0 0 0 0 BARBARA A JOHNSON FORMER KEY EMPLOYEE 0 444660 0 170112 0 449812 0 616360 0 11122 0 1692066 0 0 MICHAEL C RIORDAN TRUSTEE / PREMIER PRESIDENT 0 1209511 0 25000 0 138820 0 4950 0 30761 0 1409042 0 0 JENNIFER J HAULER DO FORMER KEY EMPLOYEE 0 219289 0 102218 0 635856 0 302929 0 956 0 1261248 0 216934 MARC R BELCASTRO DO FORMER KEY EMPLOYEE 0 188103 0 108762 0 489729 0 330675 0 25750 0 1143019 0 0 GEOFFREY P WALKER SR SPECIAL ADVISORY COUNSEL 0 490418 0 88423 0 361433 0 19285 0 31104 0 990663 0 0 KEITH D BRICKING MD SYSTEM VP & CHIEF CLINICAL OFFICER 0 694422 0 138952 0 15407 0 82268 0 33850 0 964899 0 0 GARY G GINTER FORMER KEY EMPLOYEE 0 111178 0 73099 0 379368 0 234965 0 28898 0 827508 0 0 MARY M CLANCY CHIEF DIGITAL & INFORMATION OFFICER 0 475333 0 86305 0 122766 0 23477 0 35538 0 743419 0 0 J MICHAEL SIMS SYS VP & CORPORATE CONTROLLER 0 370642 0 66308 0 222329 0 22390 0 32337 0 714006 0 0 JOSHUA J ORDWAY MD TRUSTEE 0 505249 0 159734 0 1605 0 6938 0 29686 0 703212 0 0 KEVIN W HARLAN PRESIDENT & CEO 500254 0 77008 0 30251 0 30980 0 11363 0 649856 0 0 0 ELAINE LAINIE M DEAN FORMER KEY EMPLOYEE 0 413535 0 77991 0 24799 0 32634 0 16159 0 565118 0 0 SCOTT B KANAGY DO TRUSTEE (FROM MAY) 239584 159496 0 59264 1266 840 18898 14063 16384 12015 276132 245678 0 0 LISA M GOSSETT VP NURSING/CNO/PATIENT EXP 0 406141 0 36459 0 3999 0 11178 0 15064 0 472841 0 0 MARQUITA L TURNER FORMER OFFICER 0 362553 0 47160 0 3514 0 28049 0 13251 0 454527 0 0 ANDRE T HARRIS MD TRUSTEE (TO MAY) 103603 260847 42916 0 500 1325 4929 11972 8423 19187 160371 293331 0 0 JON D GIRARD MD TRUSTEE 0 341683 0 48307 0 770 0 16535 0 27571 0 434866 0 0 CARA W POWERS CHIEF LEGAL OFFICER 0 308692 0 45012 0 1611 0 26103 0 32768 0 414186 0 0 KIMBERLY A HENSLEY TRUSTEE AND COO & CNO 312269 0 47474 0 4558 0 28409 0 11336 0 404046 0 0 0 AMANDA K ADKINS-RICCI SYSTEM VP REVENUE CYCLE 0 267695 0 39152 0 587 0 12952 0 11826 0 332212 0 0 BILLIE L LUCENTE-BAKER FORMER KEY EMPLOYEE 0 248144 0 43828 0 802 0 21259 0 15786 0 329819 0 0 RHONDA L SEIDENSCHMIDT TRUSTEE & VP AMBULATORY SERVICES 234209 0 35683 0 1151 0 7116 0 28694 0 306853 0 0 0 WILLIAM ANDREW MD TRUSTEE 0 258545 0 0 0 0 0 0 0 0 0 258545 0 0 JACOB L FROEHLICH DIR NURSING CRIT CARE&BEHAVIOR HLTH 156764 0 18628 0 428 0 6673 0 27743 0 210236 0 0 0 RUSSELL L BRAUN CLINICAL STAFF PHARMACIST I 170075 0 0 0 795 0 10909 0 25471 0 207250 0 0 0 MANDI L ARNETT DIR NSG-ER SVS & RESP 155475 0 18628 0 493 0 5534 0 21760 0 201890 0 0 0 MELIDA D RODRIQUEZ CLINICAL NURSE 155744 0 20055 0 36 0 10040 0 13367 0 199242 0 0 0 LYNDSEY A PITTMAN BOARD TREASURER (TO JUL) 58070 99166 17686 15000 147 251 2236 4314 677 1084 78816 119815 0 0 CHRYSTINA C BROWN CLINICAL STAFF PHARMACIST I 174824 0 0 0 1002 0 9346 0 12281 0 197453 0 0 0 TONYA Y CASEY BOARD TREASURER (FROM JUL) 85457 55674 0 16109 398 262 4360 1923 14047 5383 104262 79351 0 0 BENJAMIN A WATSON ESQ BOARD SECRETARY (TO APR) 0 145490 0 21105 0 309 0 6147 0 8357 0 181408 0 0 MARGARET PEGGY W MARK FORMER KEY EMPLOYEE 0 0 0 0 0 142194 0 6662 0 8699 0 157555 0 0 CHANDLER BRODERICK ESQ BOARD SECRETARY (FROM APR) 0 141411 0 0 0 156 0 3758 0 10156 0 155481 0 0 PART I, LINE 3 COMPENSATION FOR ATRIUM MEDICAL CENTER'S (AMC) CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH AMC IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE: MARC BELCASTRO, D.O. $437,592 IN 2023 AND WILL RECEIVE $319,324 IN 2024; GARY GINTER $357,696 IN 2023 AND WILL RECEIVE $214,618 IN 2024; JENNIFER HAULER, D.O. $344,571 IN 2023, AND WILL RECEIVE $233,419 IN 2024; BARBARA JOHNSON $363,235 IN 2023 AND WILL RECEIVE $605,392 IN 2024; MARGARET MARK $144,691 IN 2023. 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, ATRIUM MEDICAL CENTER (AMC) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. AMC 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 2023. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2023: MARY CLANCY $117,983; J. MICHAEL SIMS $193,261; GEOFFREY WALKER $353,909. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2023: MARC BELCASTRO, D.O. $48,184; GARY GINTER $19,794; JENNIFER HAULER, D.O. $275,693; BARBARA JOHNSON $77,444; MICHAEL RIORDAN $79,256. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: KEITH BRICKING $71,554; ELAINE DEAN $19,981; KEVIN HARLAN $19,935; ANDRE HARRIS, M.D. $6,863; JENNIFER HAULER, D.O. $58,759; KEMBERLY HENSLEY $9,161; SCOTT KANAGY, M.D. $22,116; BILLIE LUCENTE-BAKER $2,095; CARA POWERS $10,188; MARQUITA TURNER $10,775. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. A COUNTY OF MONTGOMERY OHIO 316000172 613520LO6 2019-09-24 83203105 REFUND SERIES 2008 A & B 0 0 0 B CITY OF MIDDLETOWN OHIO 316000139 597146AP4 2016-08-31 86392792 REFUND SERIES 2010 0 0 0 A 83203105 766203 82436902 2019 1 0 1 1 B 3452792 86392792 400067 85992725 2006 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 0 1 0 1 BARCLAYS PNC BANK 21.800000000000 0 0 0 0 1 A 1 B 1 NOTE A, PART I, LINE A, COLUMN E: ISSUE PRICE IS NOT IDENTICAL TO THE ISSUE PRICE LISTED ON FORM 8038 DUE TO THE SERIES 2019 BONDS' PROCEEDS BEING SPLIT BETWEEN ATRIUM MEDICAL CENTER, MIAMI VALLEY HOSPITAL AND UPPER VALLEY MEDICAL CENTER. NOTE A, PART I, LINE A, COLUMN F: REFUNDED THE FOLLOWING SERIES BONDS: SERIES 2008A BONDS - ISSUE DATE 11/21/2008 SERIES 2008B BONDS - ISSUE DATE 11/21/2008 NOTE B, PART IV, LINE 2C: COMPUTATION DATE IS 10/01/2019 X 39733 FMV X EMPLOYEE FOOD 11 33408 FMV 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 3 PREMIER HEALTH (PREMIER) AS THE OPERATOR OF ATRIUM MEDICAL CENTER (AMC) DEVELOPS AND OVERSEES THE IMPLEMENTATION OF THE STRATEGIC PLAN FOR AMC, WHICH INCLUDES (BUT IS NOT LIMITED TO) SUCH MATTERS AS LOCATION OF CLINICAL AND ADMINISTRATIVE EXPENSES AND THE CONSOLIDATION OF SUCH SERVICES. AMC SHALL COMPLY WITH AND IMPLEMENT THIS PLAN AND SHALL NOT TAKE ANY ACTION THAT MATERIALLY DEPARTS FROM THIS PLAN WITHOUT PREMIER'S APPROVAL. AMC SHALL IMPLEMENT ANY CAPITAL AND OPERATING BUDGET SO APPROVED AND/OR REVISED FOR IT BY PREMIER. AMC SHALL IMPLEMENT THE BUSINESS PLAN APPROVED BY PREMIER. PREMIER IS THE SOLE AGENT TO NEGOTIATE ALL RELATIONSHIPS WITH PAYORS ON BEHALF OF AMC WITH ALL THIRD-PARTY PAYORS AND ALTERNATIVE DELIVERY SYSTEMS INCLUDING, BUT NOT LIMITED TO, INSURERS. AMC 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. AMC MUST SEEK PREMIER'S APPROVAL FOR ANY ACQUISITIONS, SALE OR TRANSFER OF ANY MATERIAL ASSET USED IN AMC'S ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 6 ATRIUM MEDICAL CENTER HAS ONE CORPORATE MEMBER: PREMIER, AN OHIO NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PREMIER HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR ATRIUM MEDICAL CENTER (AMC). 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, OF WHICH ATRIUM MEDICAL CENTER 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, WITH WHICH ATRIUM MEDICAL CENTER 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 ATRIUM MEDICAL CENTER'S (AMC) CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH AMC 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 18,241,840. MANAGEMENT AND GENERAL EXPENSES 714,765. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,956,605. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 18,422,091. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,422,091. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 12,022,045. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,022,045. CHI C/E DIRECT CHARGE: PROGRAM SERVICE EXPENSES 2,698,742. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,698,742. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 753,637. MANAGEMENT AND GENERAL EXPENSES 79,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 832,751. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 648,859. MANAGEMENT AND GENERAL EXPENSES 22,517. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 671,376. PERSONNEL PHYSICALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 187,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,483. COURIER SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 134,367. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,367. RESIDENTS: PROGRAM SERVICE EXPENSES 112,950. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,950. MEDICAL STAFF SUPPORT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 81,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,958. ADMINISTRATIVE EXPENSES: PROGRAM SERVICE EXPENSES 69,186. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,186. RECRUIT-PHYSICIAN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 56,306. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,306. OTHER FEES: PROGRAM SERVICE EXPENSES 190,903. MANAGEMENT AND GENERAL EXPENSES 101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,004. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS -59,617,249. PENSION ADJUSTMENT -1,838,666. FUNDING FROM AFFILIATES -497,395. CAPITAL DONATIONS 834,293. PREMIER HEALTH 110 N MAIN ST 200 DAYTON OH 45402 311446699 PARENT OH 501(C)(3) 12B N/A 0 MEDAMERICA HEALTH SYSTEMS CO 110 N MAIN ST 200 DAYTON OH 45402 311040228 SUPPORT ORG OH 501(C)(3) 12B N/A 0 MIAMI VALLEY HOSPITAL 110 N MAIN ST 200 DAYTON OH 45402 310537504 HOSPITAL OH 501(C)(3) 3 PREMIER HEALTH 0 MIAMI VALLEY HOSPITAL FOUNDATION 110 N MAIN ST 200 DAYTON OH 45402 311040231 FOUNDATION OH 501(C)(3) 7 PREMIER HEALTH 0 FIDELITY HEALTH CARE INC 110 N MAIN ST 200 DAYTON OH 45402 311075381 HOME HEALTH OH 501(C)(3) 10 PREMIER HEALTH 0 PREMIER COMMUNITY HEALTH 110 N MAIN ST 200 DAYTON OH 45402 311122883 HEALTH EDUCATION OH 501(C)(3) 10 FIDELITY HEALTH CARE 0 GOOD SAMARITAN FOUNDATION - DAYTON 110 N MAIN ST 200 DAYTON OH 45402 237296923 FOUNDATION OH 501(C)(3) 7 PREMIER HEALTH 0 ATRIUM HEALTH SYSTEM 110 N MAIN ST 200 DAYTON OH 45402 310537492 SUPPORT ORG OH 501(C)(3) 12B N/A 0 UVMC 110 N MAIN ST 200 DAYTON OH 45402 341850683 SUPPORT ORG OH 501(C)(3) 12B N/A 0 UPPER VALLEY MEDICAL CENTER 110 N MAIN ST 200 DAYTON OH 45402 310537095 HOSPITAL OH 501(C)(3) 3 PREMIER HEALTH 0 UPPER VALLEY PROFESSIONAL CORP 110 N MAIN ST 200 DAYTON OH 45402 311400963 HEALTH CARE OH 501(C)(3) 10 PREMIER HEALTH HOLDING CO 0 UVPC SPECIALISTS 110 N MAIN ST 200 DAYTON OH 45402 203687536 HEALTH CARE OH 501(C)(3) 10 PREMIER HEALTH HOLDING CO 0 UVMC NURSING CARE INC 110 N MAIN ST 200 DAYTON OH 45402 311224064 NURSING HOME OH 501(C)(3) 10 PREMIER HEALTH 0 COMPUNET CLINICAL LABORATORIES LLC 110 N MAIN ST 200 DAYTON OH 45402 311258010 LAB OH 501(C)(3) 12B PREMIER HEALTH 0 SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN ST 200 DAYTON OH 45402 020633634 BEHAVIORAL HEALTH OH 501(C)(3) 7 PREMIER HEALTH 0 SWEITZER STREET LLC 110 N MAIN ST 200 DAYTON OH 45402 454700417 REAL ESTATE OH MVHE INC EXCLUDED 0 0 SWEITZER MOB LLC 110 N MAIN ST 200 DAYTON OH 45402 474554657 REAL ESTATE OH MVHE INC EXCLUDED 0 0 MVHE INC 110 MAIN STREET SUITE 200 DAYTON OH 45402 311185270 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING CO C 0 PREMIER HEALTH SPECIALISTS 110 N MAIN ST 200 DAYTON OH 45402 061744704 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING CO C 0 SAMARITAN FAMILY CARE 110 N MAIN ST 200 DAYTON OH 45402 311299450 PHYSICIAN SVCS OH PREMIER HEALTH HOLDING CO C 0 AFTER HOURS FAMILY CARE 110 N MAIN ST 200 DAYTON OH 45402 311269483 HEALTH CARE OH UPPER VALLEY PROFESSIONAL CORP C 0 UVMC MANAGEMENT CORP 110 N MAIN ST 200 DAYTON OH 45402 311360489 MANAGEMENT COMPANY OH PREMIER HEALTH C 0 PREMIER HEALTH URGENT CARE INC 110 N MAIN ST 200 DAYTON OH 45402 822079409 URGENT CARE OH PREMIER HEALTH HOLDING CO C 0 PREMIER HEALTH PLAN INC 110 N MAIN ST 200 DAYTON OH 45402 463024049 HEALTH INSURANCE OH PREMIER HEALTH INSURING CO C 0 GOOD SAMARITAN HOSPITAL 110 N MAIN ST 200 DAYTON OH 45402 310536981 HOSPITAL OH PREMIER HEALTH C 0 PREMIER HEALTH INT'L INSURANCE BUTTERFIELD BANK BLDG 6TH FLR 65 HAMILTON BD HM12 980548485 INSURANCE BD PREMIER HEALTH C 0 PREMIER HEALTH ACO OF OHIO 110 N MAIN ST 200 DAYTON OH 45402 474049773 MEDICARE ACO OH PREMIER HEALTH C 0 PREMIER HEALTH HOLDING CO 110 N MAIN ST 200 DAYTON OH 45402 812419110 HOLDING CO OH PREMIER HEALTH C 0 PREMIER HEALTH INSURING CO 110 N MAIN ST 200 DAYTON OH 45402 464766841 HEALTH INSURANCE OH PREMIER HEALTH C 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1