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Nonprofiteer
← PREMIER COMMUNITY HEALTH

Form 990 for tax year 2023

Filed by PREMIER COMMUNITY HEALTH.

Totals

Total revenue
$608,672
Total expenses
$410,797
Contributions and grants received
$645,608
Grants paid
$0
Program service revenue
$0
Investment income
-$36,936
Other revenue
$0
Total assets, end of year
$1,887,006
Total liabilities, end of year
$4,850,892
Net assets or fund balances, end of year
-$2,963,886
Program services expenses (Part IX)
$371,605
Management and general expenses
$39,192
Fundraising expenses
$0
Program service expenses (Part III)
$371,605

Program services were 90.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $349,183

  • 1e · Government grants (contributions)

    $261,375

  • 1f · All other contributions, gifts and grants

    $35,050

  • 3 · Investment income

    total $18,161 · excluded $18,161

  • 7a · Gross sales of assets other than inventory

    securities $634,400

  • 7b · Less cost or other basis and sales expenses

    securities $689,497

  • 7c · Gain or loss

    securities -$55,097

  • 7d · Net gain or loss

    total -$55,097 · excluded -$55,097

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $249,348 · program services $226,533 · management and general $22,815

  • 9 · Other employee benefits

    total $5,953 · program services $5,408 · management and general $545

  • 10 · Payroll taxes

    total $17,962 · program services $16,319 · management and general $1,643

  • 11f · Fees: investment management

    total $1,765 · management and general $1,765

  • 11g · Fees: other

    total $10,400 · program services $9,448 · management and general $952

  • 13 · Office expenses

    total $674 · program services $612 · management and general $62

  • 16 · Occupancy

    total $7,287 · program services $6,620 · management and general $667

  • 17 · Travel

    total $6,217 · program services $5,648 · management and general $569

  • 22 · Depreciation, depletion and amortization

    total $72,024 · program services $65,434 · management and general $6,590

  • 24a · Other expenses: OPERATING SUPPLIES

    total $29,837 · program services $27,107 · management and general $2,730

  • 24b · Other expenses: PATIENT RELATIONS

    total $7,197 · program services $6,538 · management and general $659

  • 24c · Other expenses: FLEET EXPENSE

    total $2,133 · program services $1,938 · management and general $195

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $762 · end of year $100

  • 2 · Savings and temporary cash investments

    beginning of year $716,845 · end of year $359,457

  • 4 · Accounts receivable

    beginning of year $995,330 · end of year $203,589

  • 10a · Land, buildings and equipment: cost or other basis

    $382,340

  • 10b · Land, buildings and equipment: accumulated depreciation

    $162,116

  • 10c · Land, buildings and equipment, net

    beginning of year $330,735 · end of year $220,224

  • 11 · Investments: publicly traded securities

    beginning of year $846,274 · end of year $801,340

  • 12 · Investments: other securities

    beginning of year $378,610 · end of year $302,296

  • 17 · Accounts payable and accrued expenses

    beginning of year $210,291 · end of year $164,885

  • 25 · Other liabilities

    beginning of year $6,077,927 · end of year $4,686,007

  • 27 · Net assets without donor restrictions

    beginning of year -$3,019,662 · end of year -$2,963,886

Mission and programs · 2023

Mission

WE CARE. WE TEACH. WE INNOVATE. WE SERVE.

Activities or mission (Part I)

SEE PART III, LINE 1

  • PREMIER COMMUNITY HEALTH (PCH) OFFERS THE LARGEST PROGRAM WITH FREE BREAST AND CERVICAL CANCER SCREENINGS FOR LOW-INCOME, UNINSURED AND UNDERINSURED WOMEN IN THE GREATER DAYTON REGION. FUNDING COMES FROM THE CENTERS FOR DISEASE CONTROL THROUGH THE OHIO DEPARTMENT OF HEALTH BREAST AND CERVICAL CANCER PROJECT (BCCP), FOUNDATION GRANTS AND DONATIONS. IN 2023, THE PROGRAM COMPLETED 1080 BREAST SERVICES AND PROVIDED CASE MANAGEMENT SERVICES FOR 195 WOMEN WHO NEEDED FURTHER DIAGNOSTIC TESTING. 30 OF THESE WOMEN WERE DIAGNOSED WITH BREAST CANCER, AND WE ASSISTED WITH LINKING THESE WOMEN TO ADDITIONAL RESOURCES FOR TREATMENT. IN ADDITION, 297 WOMEN RECEIVED CERVICAL SERVICES DURING CALENDAR YEAR 2023 WITH 31 ABNORMAL FINDINGS FOR WHICH ADDITIONAL DIAGNOSTIC TESTING AND TREATMENT WAS PROVIDED AS NEEDED.

    Expenses $244,405

  • PREMIER COMMUNITY HEALTH SERVES THE COMMUNITY BY PARTNERING WITH LOCAL ORGANIZATIONS SUCH AS CHURCHES, COMMUNITY CENTERS, SENIOR CENTERS, MUNICIPALITIES AND MORE. PCH OFFERS A VARIETY OF SERVICES THAT INCLUDE BIOMETRIC SCREENINGS, FLU VACCINATIONS, WELLBEING WORKSHOPS AND CHALLENGES, LIFESTYLE COACHING AND LIFESTYLE MANAGEMENT PROGRAMS SUCH AS: NICOTINE CESSATION, EMPOWER YOUR LIFESTYLE, SUSTAINABLE WELLNESS AND CHECK-CONTROL-CONNECT. ADDITIONAL PREVENTATIVE OFFERINGS INCLUDE SKIN SCREENINGS AND PROSTATE SPECIFIC ANTIGEN (PSA) SCREENINGS. THE BIOMETRIC SCREENINGS ENCOMPASS MEASURES OF TOTAL CHOLESTEROL, HIGH-DENSITY OR LOW-DENSITY LIPOPROTEIN (HDL OR LDL CHOLESTEROL), BLOOD GLUCOSE, HEMOGLOBIN A1C, BLOOD PRESSURE AND BODY COMPOSITION MEASUREMENTS. ADDITIONAL SCREENINGS MAY INCLUDE: COTININE LEVELS AND/OR HEARING AND VISION SCREENINGS. EVENTS ARE HELD AT COMMUNITY PARTNER SITES OR USING OUR MOBILE CLINIC. IN 2023, PCH STAFF SCREENED 3,169 INDIVIDUALS. TOTAL SCREENING NUMBERS INCLUDED 1,628 CHOLESTEROL/BLOOD PRESSURE SCREENINGS, 748 BLOOD PRESSURE ONLY SCREENINGS, 567 BLOOD GLUCOSE SCREENINGS, 1,582 A1C SCREENINGS, 210 BODY COMPOSITION MEASUREMENTS, 40 HEARING SCREENINGS, 8 VISION SCREENINGS, 39 PSA SCREENINGS, 599 FLU SHOTS AND 0 COVID VACCINATIONS. THE FOLLOWING PARTICIPANTS WERE POSITIVELY IMPACTED THROUGH HEALTH EDUCATION INITIATIVES AND PROGRAMMING: 301 COACHING SESSIONS WERE LOGGED, 302 ATTENDED A WORKSHOP (VIRTUAL AND IN-PERSON), 24 PARTICIPATED IN A CHALLENGE AND 7 PARTICIPATED IN A LIFESTYLE MANAGEMENT PROGRAM. CH ATTENDED MANY HEALTH FAIR EVENTS IN 2023 AND ENGAGED A TOTAL OF 1,821 IN HEALTH EDUCATION THROUGH LOOK-N-LEARN BOOTHS. DUE TO UNFORSEEN CIRCUMSTANCES, PCH DID NOT OFFER ANY FREE SKIN SCREENINGS TO COMMUNITY MEMBERS IN THE 2023 CALENDAR YEAR. THE SKIN SCREENING SCHEDULE WILL RESUME IN THE 2024 CALENDAR YEAR. PCH PILOTED A NEW SERVICE AND OFFERED SPORTS PHYSICALS. THE SPORTS PHYSICALS WERE OFFERED TO STUDENT ATHLETES 12 YEARS AND OLDER. A TOTAL OF 79 SPORTS PHYSICALS WERE CONDUCTED.

    Expenses $127,200

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jennifer J Hauler Do

    TRUSTEE (TO APR)

    Total calculated
    $1,261,248
    From this org
    $0
    From related orgs
    $957,363
    Other
    $303,885
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,289 related
    Bonus
    $0 + $102,218 related
    Other
    $0 + $635,856 related
    Deferred
    $0 + $302,929 related
    Nontaxable benefits
    $0 + $956 related
    Filer's total
    $0 + $1,261,248 related

  • J Nick Lair

    PRESIDENT & CEO (FROM JUN)

    Total calculated
    $506,957
    From this org
    $0
    From related orgs
    $449,652
    Other
    $57,305
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $319,674 related
    Bonus
    $0 + $62,349 related
    Other
    $0 + $67,629 related
    Deferred
    $0 + $21,695 related
    Nontaxable benefits
    $0 + $35,610 related
    Filer's total
    $0 + $506,957 related

  • Joseph P Allen MD

    BOARD CHAIR

    Total calculated
    $475,416
    From this org
    $0
    From related orgs
    $449,578
    Other
    $25,838
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $348,101 related
    Bonus
    $0 + $81,774 related
    Other
    $0 + $19,703 related
    Deferred
    $0 + $11,229 related
    Nontaxable benefits
    $0 + $14,609 related
    Filer's total
    $0 + $475,416 related

  • Paula J Thompson

    PRESIDENT & CEO (TO JUN)

    Total calculated
    $455,218
    From this org
    $0
    From related orgs
    $404,773
    Other
    $50,445
    Hours/week
    16 + 24 related

    Schedule J breakdown matched by us

    Base
    $0 + $168,944 related
    Bonus
    $0 + $51,247 related
    Other
    $0 + $184,582 related
    Deferred
    $0 + $21,510 related
    Nontaxable benefits
    $0 + $28,935 related
    Filer's total
    $0 + $455,218 related

  • Renee L Mock

    BOARD TREASURER

    Total calculated
    $374,896
    From this org
    $0
    From related orgs
    $342,601
    Other
    $32,295
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $297,481 related
    Bonus
    $0 + $42,860 related
    Other
    $0 + $2,260 related
    Deferred
    $0 + $16,281 related
    Nontaxable benefits
    $0 + $16,014 related
    Filer's total
    $0 + $374,896 related

  • Benjamin A Watson Eqq

    BOARD SECRETARY (TO OCT)

    Total calculated
    $181,408
    From this org
    $0
    From related orgs
    $166,904
    Other
    $14,504
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $145,490 related
    Bonus
    $0 + $21,105 related
    Other
    $0 + $309 related
    Deferred
    $0 + $6,147 related
    Nontaxable benefits
    $0 + $8,357 related
    Filer's total
    $0 + $181,408 related

  • Elizabeth D Wilfong Eqq

    BOARD SECRETARY (FROM OCT)

    Total calculated
    $93,844
    From this org
    $0
    From related orgs
    $93,483
    Other
    $361
    Hours/week
    0.5 + 39.5 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3C:
COMPENSATION FOR PREMIER COMMUNITY HEALTH'S (PCH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH, WITH WHICH PCH 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: JENNIFER HAULER, D.O. $344,571 IN 2023, AND WILL RECEIVE $233,419 IN 2024; PAULA THOMPSON $171,306 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, PREMIER COMMUNITY HEALTH (PCH) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. PCH 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 INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2023: J. NICK LAIR $43,310. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2023: JENNIFER HAULER, D.O. $275,693; PAULA THOMPSON $6,923. 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: JENNIFER HAULER, D.O. $58,759; RENEE MOCK $2,489. 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SWEITZER STREET LLC

    EXCLUDED · REAL ESTATE · OH

    Directly controlled by MVHE INC

  • SWEITZER MOB LLC

    EXCLUDED · REAL ESTATE · OH

    Directly controlled by MVHE INC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MVHE INC

    C · PHYSICIAN SVCS · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • PREMIER HEALTH SPECIALISTS

    C · PHYSICIAN SVCS · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • SAMARITAN FAMILY CARE

    C · PHYSICIAN SVCS · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • AFTER HOURS FAMILY CARE

    C · HEALTH CARE · OH

    Directly controlled by UPPER VALLEY PROFESSIONAL CORP

  • UVMC MANAGEMENT CORP

    C · MANAGEMENT COMPANY · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH URGENT CARE INC

    C · URGENT CARE · OH

    Directly controlled by PREMIER HEALTH HOLDING CO

  • PREMIER HEALTH PLAN INC

    C · HEALTH INSURANCE · OH

    Directly controlled by PREMIER HEALTH INSURING CO

  • GOOD SAMARITAN HOSPITAL

    C · HOSPITAL · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH INT'L INSURANCE

    C · INSURANCE · BD

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH ACO OF OHIO

    C · MEDICARE ACO · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH HOLDING CO

    C · HOLDING CO · OH

    Directly controlled by PREMIER HEALTH

  • PREMIER HEALTH INSURING CO

    C · HEALTH INSURANCE · OH

    Directly controlled by PREMIER HEALTH

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202443199349302339

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