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Nonprofiteer
← MIAMI VALLEY HOSPITAL

Form 990 for tax year 2022

Filed by MIAMI VALLEY HOSPITAL.

Totals

Total revenue
$1,349,061,261
Total expenses
$1,157,771,539
Contributions and grants received
$5,165,159
Grants paid
$5,561,372
Program service revenue
$1,291,746,448
Investment income
$15,162,118
Other revenue
$36,987,536
Total assets, end of year
$1,473,725,146
Total liabilities, end of year
$920,293,557
Net assets or fund balances, end of year
$553,431,589
Program services expenses (Part IX)
$1,123,590,175
Management and general expenses
$34,181,364
Fundraising expenses
$0
Program service expenses (Part III)
$1,123,590,175

Program services were 97.0% 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

    $1,342,136

  • 1e · Government grants (contributions)

    $3,823,023

  • 1g · Noncash contributions included above

    $286,540

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $662,791,507 · related or exempt $662,791,507

  • 2b · Program service revenue: MEDICARE / MEDICAID

    total $624,182,293 · related or exempt $624,182,293

  • 2c · Program service revenue: HOSP FRANCHISE TAX RECOVERIES

    total $4,409,329 · related or exempt $4,409,329

  • 2d · Program service revenue: MEDICAL RECORDS

    total $220,575 · related or exempt $220,575

  • 2e · Program service revenue: HEALTH EDUCATION

    total $65,201 · related or exempt $65,201

  • 2f · All other program service revenue

    total $77,543 · related or exempt $77,543

  • 3 · Investment income

    total $6,931,502 · excluded $6,931,502

  • 6a · Gross rents

    real property $14,007,315

  • 6b · Less rental expenses

    real property $8,993,112

  • 6c · Rental income or loss

    real property $5,014,203

  • 6d · Net rental income or loss

    total $5,014,203 · excluded $5,014,203

  • 7a · Gross sales of assets other than inventory

    securities $1,465,325,421 · other assets $2,316,766

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

    securities $1,457,418,963 · other assets $1,992,608

  • 7c · Gain or loss

    securities $7,906,458 · other assets $324,158

  • 7d · Net gain or loss

    total $8,230,616 · excluded $8,230,616

  • 10a · Gross sales of inventory

    $1,896,368

  • 10b · Cost of goods sold

    $824,953

  • 10c · Net income from sales of inventory

    total $1,071,415 · excluded $1,071,415

  • 11a · Other revenue: GAIN ON INTEREST SWAP ADJ

    total $18,213,585 · excluded $18,213,585

  • 11b · Other revenue: PENSION INCOME

    total $6,409,730 · excluded $6,409,730

  • 11c · Other revenue: FEMA REVENUE

    total $4,841,408 · excluded $4,841,408

  • 11d · All other revenue

    total $1,437,195 · excluded $1,437,195

  • 11e · Other revenue, total

    $30,901,918

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,561,372 · program services $5,561,372

  • 5 · Compensation of officers, directors and key employees

    total $4,612,453 · program services $2,725,847 · management and general $1,886,606

  • 6 · Compensation of disqualified persons

    total $1,914,834 · program services $1,165,207 · management and general $749,627

  • 7 · Other salaries and wages

    total $352,762,089 · program services $341,606,975 · management and general $11,155,114

  • 8 · Pension plan contributions

    total $20,855,101 · program services $20,054,577 · management and general $800,524

  • 9 · Other employee benefits

    total $27,794,538 · program services $26,736,355 · management and general $1,058,183

  • 10 · Payroll taxes

    total $26,313,965 · program services $25,303,902 · management and general $1,010,063

  • 11a · Fees: management

    total $144,924 · program services $99,924 · management and general $45,000

  • 11b · Fees: legal

    total $172,673 · management and general $172,673

  • 11d · Fees: lobbying

    total $19,898 · management and general $19,898

  • 11f · Fees: investment management

    total $978,813 · management and general $978,813

  • 11g · Fees: other

    total $283,839,388 · program services $272,561,263 · management and general $11,278,125

  • 12 · Advertising and promotion

    total $1,636,059 · program services $1,636,059

  • 13 · Office expenses

    total $3,371,507 · program services $1,665,836 · management and general $1,705,671

  • 14 · Information technology

    total $5,976,961 · program services $5,480,500 · management and general $496,461

  • 16 · Occupancy

    total $34,713,903 · program services $33,949,197 · management and general $764,706

  • 17 · Travel

    total $134,786 · program services $111,759 · management and general $23,027

  • 20 · Interest

    total $18,826,286 · program services $18,826,286

  • 22 · Depreciation, depletion and amortization

    total $70,037,338 · program services $68,706,423 · management and general $1,330,915

  • 23 · Insurance

    total $7,773,561 · program services $7,694,082 · management and general $79,479

  • 24a · Other expenses: OPERATING SUPPLIES

    total $242,866,746 · program services $242,866,746

  • 24b · Other expenses: HOSPITAL FRANCHISE TAX

    total $33,844,089 · program services $33,844,089

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $5,250,972 · program services $5,250,559 · management and general $413

  • 24d · Other expenses: EQUIPMENT RENTAL

    total $1,880,943 · program services $1,880,943

  • 24e · All other expenses

    total $6,488,340 · program services $5,862,274 · management and general $626,066

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,890 · end of year $12,890

  • 2 · Savings and temporary cash investments

    beginning of year $225,691,691 · end of year $78,689,322

  • 4 · Accounts receivable

    beginning of year $223,221,125 · end of year $236,728,267

  • 7 · Other notes and loans receivable

    beginning of year $6,372,705 · end of year $4,580,804

  • 8 · Inventories for sale or use

    beginning of year $15,279,743 · end of year $14,000,718

  • 9 · Prepaid expenses and deferred charges

    beginning of year $9,982,051 · end of year $2,045,236

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

    $1,636,373,140

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

    $1,098,714,723

  • 10c · Land, buildings and equipment, net

    beginning of year $574,905,211 · end of year $537,658,417

  • 11 · Investments: publicly traded securities

    beginning of year $398,471,625 · end of year $319,602,305

  • 12 · Investments: other securities

    beginning of year $164,892,916 · end of year $175,493,437

  • 14 · Intangible assets

    beginning of year $9,166,332 · end of year $9,166,332

  • 15 · Other assets

    beginning of year $66,540,583 · end of year $95,747,418

  • 17 · Accounts payable and accrued expenses

    beginning of year $111,062,774 · end of year $119,128,341

  • 18 · Grants payable

    beginning of year $12,449,310 · end of year $2,655,233

  • 19 · Deferred revenue

    beginning of year $6,073,568 · end of year $3,291,918

  • 20 · Tax-exempt bond liabilities

    beginning of year $646,698,428 · end of year $643,450,626

  • 23 · Secured mortgages and notes payable

    beginning of year $19,780,756 · end of year $22,620,322

  • 25 · Other liabilities

    beginning of year $144,951,012 · end of year $129,147,117

  • 27 · Net assets without donor restrictions

    beginning of year $753,521,024 · end of year $553,431,589

Mission and programs · 2022

Mission

WE WILL IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH OTHERS WHO SHARE OUR COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTH CARE SERVICES.

Activities or mission (Part I)

SEE PART III, LINE 1

  • THE PRIMARY EXEMPT PURPOSE OF MIAMI VALLEY HOSPITAL IS TO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES TO THE RESIDENTS OF MONTGOMERY AND THE SURROUNDING COUNTIES. THE HOSPITAL FURTHERS ITS TAX-EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. SEE SCHEDULE H FOR MORE INFORMATION.

    Expenses $1,123,590,175 · Grants $5,561,372 · Revenue $1,291,746,448

As filed on the 2022 return.

Listed in Part VII

  • Mary H Boosalis

    TRUSTEE/PREMIER PRES & CEO (TO JAN)

    Total calculated
    $2,291,841
    From this org
    $0
    From related orgs
    $2,267,077
    Other
    $24,764
    Hours/week
    9.5 + 30.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $243,179 related
    Bonus
    $0 + $1,799,215 related
    Other
    $0 + $224,683 related
    Deferred
    $0 + $18,855 related
    Nontaxable benefits
    $0 + $5,909 related
    Filer's total
    $0 + $2,291,841 related
  • Michael C Riordan

    TRUSTEE/PREMIER PRES & CEO-FROM JAN

    Total calculated
    $1,308,572
    From this org
    $0
    From related orgs
    $1,280,440
    Other
    $28,132
    Hours/week
    9.5 + 30.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,067,901 related
    Bonus
    $0
    Other
    $0 + $212,539 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $28,132 related
    Filer's total
    $0 + $1,308,572 related
  • Barbara A Johnson

    TRUSTEE & PREMIER COO

    Total calculated
    $1,191,910
    From this org
    $0
    From related orgs
    $1,165,699
    Other
    $26,211
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $779,540 related
    Bonus
    $0 + $297,335 related
    Other
    $0 + $88,824 related
    Deferred
    $0 + $14,063 related
    Nontaxable benefits
    $0 + $12,148 related
    Filer's total
    $0 + $1,191,910 related
  • Jennifer J Hauler Do

    TRUSTEE & COO

    Total calculated
    $777,149
    From this org
    $765,079
    From related orgs
    $0
    Other
    $12,070
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $557,482
    Bonus
    $184,044
    Other
    $23,553
    Deferred
    $9,686
    Nontaxable benefits
    $2,384
    Filer's total
    $777,149
  • Tarek M Sabagh MD

    BOARD CHAIR

    Total calculated
    $708,624
    From this org
    $0
    From related orgs
    $673,849
    Other
    $34,775
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $504,741 related
    Bonus
    $0 + $4,708 related
    Other
    $0 + $164,400 related
    Deferred
    $0 + $231 related
    Nontaxable benefits
    $0 + $34,544 related
    Filer's total
    $0 + $708,624 related
  • Michael R Uhl

    PRESIDENT & CEO (TO JUN)

    Total calculated
    $663,928
    From this org
    $629,989
    From related orgs
    $0
    Other
    $33,939
    Hours/week
    38.5 + 1.5 related

    Schedule J breakdown matched by us

    Base
    $344,188
    Bonus
    $274,802
    Other
    $10,999
    Deferred
    $19,572
    Nontaxable benefits
    $14,367
    Filer's total
    $663,928
  • Melanie M Glover MD

    TRUSTEE

    Total calculated
    $590,302
    From this org
    $0
    From related orgs
    $549,904
    Other
    $40,398
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $514,489 related
    Bonus
    $0
    Other
    $0 + $35,415 related
    Deferred
    $0 + $10,526 related
    Nontaxable benefits
    $0 + $29,872 related
    Filer's total
    $0 + $590,302 related
  • Lakmali C Ranathunga

    TRUSTEE / MED DIR - HOSPITALIST PROG

    Total calculated
    $583,641
    From this org
    $558,496
    From related orgs
    $0
    Other
    $25,145
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $459,268
    Bonus
    $79,057
    Other
    $20,171
    Deferred
    $12,113
    Nontaxable benefits
    $13,032
    Filer's total
    $583,641
  • Stacey M Lawson

    TRUSTEE / CHIEF HR OFFICER

    Total calculated
    $508,725
    From this org
    $470,451
    From related orgs
    $0
    Other
    $38,274
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $362,991
    Bonus
    $94,596
    Other
    $12,864
    Deferred
    $23,297
    Nontaxable benefits
    $14,977
    Filer's total
    $508,725
  • A Peter Ekeh MD

    TRUSTEE

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    0.5
  • Matthew Kramer MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Kristina M Kean

    TREASURER / VP FINANCE

    Total calculated
    $407,254
    From this org
    $379,924
    From related orgs
    $0
    Other
    $27,330
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $296,066
    Bonus
    $82,933
    Other
    $925
    Deferred
    $14,896
    Nontaxable benefits
    $12,434
    Filer's total
    $407,254
  • Jenna M Downey Esq

    BOARD SECRETARY / VP LEGAL SRVC

    Total calculated
    $316,674
    From this org
    $294,727
    From related orgs
    $0
    Other
    $21,947
    Hours/week
    39.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $246,830
    Bonus
    $47,410
    Other
    $487
    Deferred
    $9,682
    Nontaxable benefits
    $12,265
    Filer's total
    $316,674
  • Geoffrey P Walker

    CHIEF LEGAL OFFICER

    Total calculated
    $990,981
    From this org
    $0
    From related orgs
    $942,545
    Other
    $48,436
    Hours/week
    9.5 + 30.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $483,803 related
    Bonus
    $0 + $150,928 related
    Other
    $0 + $307,814 related
    Deferred
    $0 + $18,871 related
    Nontaxable benefits
    $0 + $29,565 related
    Filer's total
    $0 + $990,981 related
  • Marc R Belcastro Do

    VP MEDICAL AFFAIRS & PREMIER CMO

    Total calculated
    $871,096
    From this org
    $0
    From related orgs
    $834,885
    Other
    $36,211
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $598,103 related
    Bonus
    $0 + $181,805 related
    Other
    $0 + $54,977 related
    Deferred
    $0 + $10,475 related
    Nontaxable benefits
    $0 + $25,736 related
    Filer's total
    $0 + $871,096 related
  • Keith D Bricking MD

    VP & CHIEF CLINICAL OFFICER (FROM OCT)

    Total calculated
    $824,397
    From this org
    $0
    From related orgs
    $782,373
    Other
    $42,024
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $571,733 related
    Bonus
    $0 + $199,778 related
    Other
    $0 + $10,862 related
    Deferred
    $0 + $9,597 related
    Nontaxable benefits
    $0 + $32,427 related
    Filer's total
    $0 + $824,397 related
  • Mary M Clancy

    CHIEF DIGITAL OFFICER

    Total calculated
    $756,956
    From this org
    $0
    From related orgs
    $704,534
    Other
    $52,422
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $470,691 related
    Bonus
    $0 + $150,789 related
    Other
    $0 + $83,054 related
    Deferred
    $0 + $19,693 related
    Nontaxable benefits
    $0 + $32,729 related
    Filer's total
    $0 + $756,956 related
  • J Michael Sims

    SYS VP & CORPORATE CONTROLLER

    Total calculated
    $727,946
    From this org
    $0
    From related orgs
    $677,602
    Other
    $50,344
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $0 + $355,741 related
    Bonus
    $0 + $138,119 related
    Other
    $0 + $183,742 related
    Deferred
    $0 + $19,235 related
    Nontaxable benefits
    $0 + $31,109 related
    Filer's total
    $0 + $727,946 related
  • Margaret Peggy W Mark

    VP NURSING/CNO/PATIENT EXP-PH (TO APR)

    Total calculated
    $746,384
    From this org
    $0
    From related orgs
    $566,116
    Other
    $180,268
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $127,686 related
    Bonus
    $0 + $133,099 related
    Other
    $0 + $305,331 related
    Deferred
    $0 + $154,451 related
    Nontaxable benefits
    $0 + $25,817 related
    Filer's total
    $0 + $746,384 related
  • Mary E Garman

    COO - MVHN

    Total calculated
    $493,460
    From this org
    $468,991
    From related orgs
    $0
    Other
    $24,469
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $302,180
    Bonus
    $86,324
    Other
    $80,487
    Deferred
    $11,094
    Nontaxable benefits
    $13,375
    Filer's total
    $493,460
  • Christie J Gray

    VP HOSP OPS/CHIEF NSG OFFICER

    Total calculated
    $462,604
    From this org
    $425,428
    From related orgs
    $0
    Other
    $37,176
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $331,165
    Bonus
    $92,553
    Other
    $1,710
    Deferred
    $22,985
    Nontaxable benefits
    $14,191
    Filer's total
    $462,604
  • Marquita L Turner

    COO - MVHS

    Total calculated
    $413,366
    From this org
    $383,421
    From related orgs
    $0
    Other
    $29,945
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $295,671
    Bonus
    $84,912
    Other
    $2,838
    Deferred
    $16,415
    Nontaxable benefits
    $13,530
    Filer's total
    $413,366
  • Amanda K Adkins-Ricci

    SYSTEM VP REVENUE CYCLE

    Total calculated
    $310,301
    From this org
    $0
    From related orgs
    $287,332
    Other
    $22,969
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,887 related
    Bonus
    $0 + $44,970 related
    Other
    $0 + $475 related
    Deferred
    $0 + $11,512 related
    Nontaxable benefits
    $0 + $11,457 related
    Filer's total
    $0 + $310,301 related
  • Lisa M Gossett

    VP NURSE/CNO/PATIENT EXP (FROM JUN)

    Total calculated
    $215,250
    From this org
    $0
    From related orgs
    $202,745
    Other
    $12,505
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $200,746 related
    Bonus
    $0
    Other
    $0 + $1,999 related
    Deferred
    $0 + $2,855 related
    Nontaxable benefits
    $0 + $9,650 related
    Filer's total
    $0 + $215,250 related
  • Gary G Ginter

    VP & PREMIER CHIEF INFO OFFICER

    Total calculated
    $864,000
    From this org
    $814,929
    From related orgs
    $0
    Other
    $49,071
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $450,593
    Bonus
    $126,517
    Other
    $237,819
    Deferred
    $19,235
    Nontaxable benefits
    $29,836
    Filer's total
    $864,000
  • Eloise P Broner

    CHIEF-SHARED SERVICES

    Total calculated
    $697,882
    From this org
    $667,111
    From related orgs
    $0
    Other
    $30,771
    Hours/week
    39.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $452,457
    Bonus
    $151,253
    Other
    $63,401
    Deferred
    $20,203
    Nontaxable benefits
    $10,568
    Filer's total
    $697,882
  • Darin J Pangalangan MD

    SYS VP-CLINICAL SERVICE LINES

    Total calculated
    $682,223
    From this org
    $670,193
    From related orgs
    $0
    Other
    $12,030
    Hours/week
    39.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $523,699
    Bonus
    $141,347
    Other
    $5,147
    Deferred
    $9,946
    Nontaxable benefits
    $2,084
    Filer's total
    $682,223
  • Roberto Colon

    VP OPERATIONS/CMO-MVH

    Total calculated
    $672,494
    From this org
    $609,562
    From related orgs
    $0
    Other
    $62,932
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $451,563
    Bonus
    $135,860
    Other
    $22,139
    Deferred
    $35,075
    Nontaxable benefits
    $27,857
    Filer's total
    $672,494
  • Joann R Ringer

    CHIEF ADMINSTRATIVE OFFICER

    Total calculated
    $631,014
    From this org
    $579,468
    From related orgs
    $0
    Other
    $51,546
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $362,503
    Bonus
    $102,744
    Other
    $114,221
    Deferred
    $20,910
    Nontaxable benefits
    $30,636
    Filer's total
    $631,014
  • Michael J Maiberger

    FORMER TRUSTEE & OFFICER

    Total calculated
    $822,367
    From this org
    $0
    From related orgs
    $822,367
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $822,367 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $822,367 related
  • Cara W Powers

    FORMER OFFICER

    Total calculated
    $398,593
    From this org
    $355,741
    From related orgs
    $0
    Other
    $42,852
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $275,625
    Bonus
    $78,683
    Other
    $1,433
    Deferred
    $13,885
    Nontaxable benefits
    $28,967
    Filer's total
    $398,593
  • Elaine Lainie M Dean

    FORMER KEY EMPLOYEE

    Total calculated
    $586,099
    From this org
    $560,347
    From related orgs
    $0
    Other
    $25,752
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $407,817
    Bonus
    $129,774
    Other
    $22,756
    Deferred
    $11,065
    Nontaxable benefits
    $14,687
    Filer's total
    $586,099
  • Kimberly A Hensley

    FORMER KEY EMPLOYEE

    Total calculated
    $409,221
    From this org
    $0
    From related orgs
    $383,667
    Other
    $25,554
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $298,282 related
    Bonus
    $0 + $82,551 related
    Other
    $0 + $2,834 related
    Deferred
    $0 + $14,773 related
    Nontaxable benefits
    $0 + $10,781 related
    Filer's total
    $0 + $409,221 related
  • Robert M Bowman

    FORMER KEY EMPLOYEE

    Total calculated
    $408,494
    From this org
    $369,548
    From related orgs
    $0
    Other
    $38,946
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $261,346
    Bonus
    $81,221
    Other
    $26,981
    Deferred
    $17,802
    Nontaxable benefits
    $21,144
    Filer's total
    $408,494
  • Billie L Lucente-Baker

    FORMER KEY EMPLOYEE

    Total calculated
    $351,034
    From this org
    $319,191
    From related orgs
    $0
    Other
    $31,843
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $241,999
    Bonus
    $76,411
    Other
    $781
    Deferred
    $16,655
    Nontaxable benefits
    $15,188
    Filer's total
    $351,034

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 3
COMPENSATION FOR MIAMI VALLEY HOSPITAL'S (MVH) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH, WITH WHICH MVH IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.
PART I, LINE 4A:
THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2022: MARY BOOSALIS $218,596; MARGARET MARK $273,306.
PART I LINE 4B:
DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL (MVH) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVH SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2022. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: ROBERT BOWMAN $23,301; ELOISE BRONER $35,765; MARY CLANCY $78,305; JOANN RINGER $108,160; J. MICHAEL SIMS $156,921; GEOFFREY WALKER $300,385. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: MARC BELCASTRO, D.O. $43,756; MARY GARMAN $76,052; GARY GINTER $230,909; BARBARA JOHNSON $74,090; MICHAEL MAIBERGER $392,827; MARGARET MARK $17,830. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED AND PAID TO THE SERP PARTICIPANTS: ROBERTO COLON $25,425; CHRISTIE GRAY $3,091; KRISTINA KEAN $3,066; STACEY LAWSON $6,909; BILLIE LUCENTE-BAKER $1,828; MARQUITA TURNER $1,283; MICHAEL UHL $8,385. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES.

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • DIALYSIS CENTERS OF DAYTON LLC

    DIALYSIS · OH · income $0 · assets $0

    Directly controlled by MIAMI VALLEY HOSPITAL

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

  • FAIRGROUNDS REDEVELOPMENT LTD

    EXCLUDED · PROPERTY DEVELOPMENT · OH · 50% owned · share of assets $6,635,216

    Directly controlled by MIAMI VALLEY HOSPITAL

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
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349313781

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.