DAYTON OSTEOPATHIC HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: DAYTON OSTEOPATHIC HOSPITAL (EIN 31-0564121)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-06
IRS object ID: 202023119349300967
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-06T09:50:48-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	310800053	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Clark Schaefer Hackett & Co	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10100 Innovation Drive Suite 400	AddressLine1Txt
City	Dayton	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45342	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310564121	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dayton Osteopathic Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DAYT	BusinessNameControlTxt
Phone	9377621629	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Prestige Place No 910	AddressLine1Txt
City	Miamisburg	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45342	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Dann Hotelling	PersonNm
Person Title	Vice President of Finance	PersonTitleTxt
Phone	9377621629	PhoneNum
Signature	2020-11-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Herbert L Lemaster CPA	PreparerPersonNm
PTIN	P00039882	PTIN
Phone	9372260070	PhoneNum
Preparation	2020-11-06	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	162.155.224.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-06	IPDt
IP Tm	09:39:11	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E2C124E6C044DEA460B709D9705FB0CFF27D5D90	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Grandview Hospital and Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Richard Manchur	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Prestige Place Suite 910	AddressLine1Txt
City	Miamisburg	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45342	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$570,956,305	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ketteringhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1939	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	To provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	3277	TotalEmployeeCnt
Total Volunteers	268	TotalVolunteersCnt
Total Gross UBI	$85,582	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,382,805	PYContributionsGrantsAmt
CY Contributions Grants	$940,676	CYContributionsGrantsAmt
PY Program Service Revenue	$499,252,903	PYProgramServiceRevenueAmt
CY Program Service Revenue	$563,733,802	CYProgramServiceRevenueAmt
PY Investment Income	$5,096,622	PYInvestmentIncomeAmt
CY Investment Income	$6,154,456	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$505,732,330	PYTotalRevenueAmt
CY Total Revenue	$570,828,934	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,599	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$53,446	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$166,578,513	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$182,205,180	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$271,016,419	PYOtherExpensesAmt
CY Other Expenses	$319,919,757	CYOtherExpensesAmt
PY Total Expenses	$437,608,531	PYTotalExpensesAmt
CY Total Expenses	$502,178,383	CYTotalExpensesAmt
PY Revenues Less Expenses	$68,123,799	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$68,650,551	CYRevenuesLessExpensesAmt
Total Assets BOY	$416,124,548	TotalAssetsBOYAmt
Total Assets EOY	$501,177,592	TotalAssetsEOYAmt
Total Liabilities BOY	$152,285,865	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$173,852,059	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$263,838,683	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$327,325,533	NetAssetsOrFundBalancesEOYAmt
Mission	To provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$489,693,031	ExpenseAmt
Grant	$53,446	GrantAmt
Revenue	$551,682,299	RevenueAmt
Desc	Grandview Medical Center, Southview Medical Center, and other patient care related services provided care for 14,624 discharges, 62,465 adult & ped days, and 476,339 outpatient visits.	Desc
Total Program Service Expenses	$489,693,031	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	Yes (1)	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3277	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dann Hotelling	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9377621629	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Prestige Place Suite 910	AddressLine1Txt
City	Miamisburg	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45342	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Manchur Fred
CEO - KHN	1.00	50.00	Yes (X)	$0	$2,489,655	$43,898
Burns Terry
Exec VP-KHN & President-KMC 3/2019; COO KHN begin	1.00	50.00	Yes (X)	$0	$1,409,719	$57,197
Chew Roy
President of KHN until 7/31/2019	1.00	50.00	Yes (X)	$0	$1,093,457	$36,078
Lewis Rebecca
President - Grandview Medical Center until 12/2019	47.00	1.00	Yes (X)	$0	$817,017	$27,864	Yes (X)
Bulow Robert E
Physician until 8/19	1.00	39.00	Yes (X)	$0	$616,684	$18,939
Manchur Richard
President of SVH until 11/2019; President of GMCS	48.00		Yes (X)	$0	$485,385	$91,013	Yes (X)
Sefton John C
Physician	1.00	39.00	Yes (X)	$0	$255,021	$36,615
Weigley David
Pres. Columbia Union Conference of SDA	1.00	5.00	Yes (X)	$0	$24,394	$0
Weber Chad DO
Physician	1.00		Yes (X)	$0	$24,340	$0
Neff Les
VP - Huntington Bank	1.00	1.00	Yes (X)	$0	$13,225	$0
Onjukka Tom DDS
Dentist until 9/19	1.00		Yes (X)	$0	$0	$0
Burton Shelia
Exec. Director Assessment & Accountability	1.00		Yes (X)	$0	$0	$0
Mewhirter Michael
VP of Oper & Finance GMCS until 3/2020	48.00			$0	$531,265	$81,411	Yes (X)
Brandstater Ronda
VP Patient Care Services - GMCS	40.00			$0	$386,951	$52,771		Yes (X)
Prichard Rita
VP of Patient Care - SVH	40.00			$0	$325,717	$41,117		Yes (X)
Rita Mark
VP of Clinical & Outpatient Services GMCS	40.00			$0	$308,889	$63,681		Yes (X)
McCall Linda M
Director of Pharmacy	40.00			$222,153	$0	$20,610			Yes (X)
Pierce Carol A
Administrative Director of Nursing	40.00			$200,778	$0	$16,080			Yes (X)
Donaldson Connie G
Administrative Director of Nursing	40.00			$175,328	$0	$28,902			Yes (X)
Boyle Carmen E
Registered Nurse	40.00			$160,040	$0	$8,773			Yes (X)
Moore Terri
Director of Quality	40.00			$157,071	$0	$23,607			Yes (X)
Anderson Todd
Former Officer (Dec 15)	0.00	50.00		$0	$1,029,772	$120,727				Yes (X)
Chanaga Luis
Former Officer	0.00	47.00		$0	$441,223	$76,464				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$915,370	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,252,714	TotReportableCompRltdOrgAmt
Total Other Compensation	$845,747	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	85	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$940,676	RelatedOrganizationsAmt
Total Contributions	$940,676	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient care services	622000	$558,351,589	$546,385,668	$11,965,921
Leasing activities related to mis	531120	$5,296,631	$5,296,631
Reference lab	621500	$81,279			$81,279
Ambulatory care	621990	$2,303			$2,303
Security	561700	$2,000			$2,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$563,733,802	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,970,205	TotalRevenueColumnAmt
Exclusion	$3,970,205	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,222,805	SecuritiesAmt
Other	$88,817	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$127,371	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,222,805	SecuritiesAmt
Other	-$38,554	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,184,251	TotalRevenueColumnAmt
Exclusion	$2,184,251	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$570,828,934	TotalRevenueColumnAmt
Related Or Exempt Func Income	$551,682,299	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$85,582	UnrelatedBusinessRevenueAmt
Exclusion	$18,120,377	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$53,446	TotalAmt
Program Services	$53,446	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,691,844	TotalAmt
Program Services	$6,863,700	ProgramServicesAmt
Management And General	$828,144	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$138,097,555	TotalAmt
Program Services	$136,094,813	ProgramServicesAmt
Management And General	$2,002,742	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,418,641	TotalAmt
Program Services	$4,354,560	ProgramServicesAmt
Management And General	$64,081	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,013,457	TotalAmt
Program Services	$21,694,210	ProgramServicesAmt
Management And General	$319,247	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,983,683	TotalAmt
Program Services	$9,838,896	ProgramServicesAmt
Management And General	$144,787	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$29,230	TotalAmt
Program Services	$24,500	ProgramServicesAmt
Management And General	$4,730	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$389,381	TotalAmt
Management And General	$389,381	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,457,577	TotalAmt
Program Services	$20,076,501	ProgramServicesAmt
Management And General	$381,076	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,296	TotalAmt
Program Services	$4,296	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,701,184	TotalAmt
Program Services	$4,630,765	ProgramServicesAmt
Management And General	$70,419	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$801,160	TotalAmt
Program Services	$783,584	ProgramServicesAmt
Management And General	$17,576	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,841,351	TotalAmt
Program Services	$6,841,188	ProgramServicesAmt
Management And General	$163	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$378,932	TotalAmt
Program Services	$360,454	ProgramServicesAmt
Management And General	$18,478	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$297,009	TotalAmt
Program Services	$274,345	ProgramServicesAmt
Management And General	$22,664	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,879,120	TotalAmt
Program Services	$3,879,028	ProgramServicesAmt
Management And General	$92	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,856,529	TotalAmt
Program Services	$18,856,079	ProgramServicesAmt
Management And General	$450	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,684,068	TotalAmt
Program Services	$1,216,011	ProgramServicesAmt
Management And General	$468,057	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$128,311,709	$128,310,690	$1,019
Network services	$66,039,142	$58,929,019	$7,110,123
Physician services	$34,643,714	$34,643,714
Cost of goods sold	$7,846,669	$7,846,669

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,758,686	TotalAmt
Program Services	$24,116,563	ProgramServicesAmt
Management And General	$642,123	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$502,178,383	TotalAmt
Program Services	$489,693,031	ProgramServicesAmt
Management And General	$12,485,352	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,355,321	BOYAmt
EOY	$4,477,776	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$72,559	BOYAmt
EOY	$72,573	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$64,398,934	BOYAmt
EOY	$65,265,123	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$77,213	BOYAmt
EOY	$55,464	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,714,499	BOYAmt
EOY	$10,601,335	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,772,058	BOYAmt
EOY	$1,135,944	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$408,897,279	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$192,861,082	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$209,678,463	BOYAmt
EOY	$216,036,197	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$123,942,344	BOYAmt
EOY	$187,640,089	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,904,714	BOYAmt
EOY	$2,904,714	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,208,443	BOYAmt
EOY	$12,988,377	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$416,124,548	BOYAmt
EOY	$501,177,592	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,773,550	BOYAmt
EOY	$34,605,684	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$18,252	BOYAmt
EOY	$9,840	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,345,851	BOYAmt
EOY	$93,309,841	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$9,262,262	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,885,950	BOYAmt
EOY	$45,926,694	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,285,865	BOYAmt
EOY	$173,852,059	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$263,838,683	BOYAmt
EOY	$327,325,533	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$263,838,683	BOYAmt
EOY	$327,325,533	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,124,548	BOYAmt
EOY	$501,177,592	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$68,650,551	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$16,213,760	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$21,377,461	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	1	TotalEasementsCnt
Total Acreage	1.52	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	1	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (1)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	0.00	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$0	ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd	0	Section170hRqrStsfdInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,693,104	OtherCostOrOtherBasisAmt
Book Value	$12,693,104	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$279,769,102	OtherCostOrOtherBasisAmt
Depreciation	$132,275,811	DepreciationAmt
Book Value	$147,493,291	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,446,215	OtherCostOrOtherBasisAmt
Depreciation	$13,227,740	DepreciationAmt
Book Value	$6,218,475	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,084,261	OtherCostOrOtherBasisAmt
Depreciation	$47,357,531	DepreciationAmt
Book Value	$30,726,730	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,904,597	OtherCostOrOtherBasisAmt
Book Value	$18,904,597	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$216,036,197	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Accrued retirement plan liability	$6,740,165
Athletic sponsorship	$422,216
Estimated amounts due to third-party payors	$7,542,020
Finance lease liabilities	$8,016,911
Operating lease liabilities	$10,478,823
Professional self-insurance liability	$12,726,559

Field	Value	IRS element (for citing)
Total Liability	$45,926,694	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 5:	Kettering Health Network has a policy on conservation easements. The expense to monitor the conservation easement is recorded as incurred to the hospital. There is no income from the easement, and no asset has been recorded.
Part X, Line 2:	The Network completed an analysis of its certain and uncertain tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2019 or 2018.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,933,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,578,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,354,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,245,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,300,779	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,944,601	NetCommunityBenefitExpnsAmt
Total Expense	0.09350	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,179,336	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,879,753	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,299,583	NetCommunityBenefitExpnsAmt
Total Expense	0.10220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,309,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$623,611	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,685,839	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,655,934	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,848,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,807,904	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,791,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$956,743	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,834,477	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$746,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$746,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,503,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,428,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,074,710	NetCommunityBenefitExpnsAmt
Total Expense	0.03590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$141,682,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,308,137	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,374,293	NetCommunityBenefitExpnsAmt
Total Expense	0.13810	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$39,913,756	BadDebtExpenseAmt
Bad Debt Expense Attributable	$957,930	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$91,714,005	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$92,472,583	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$758,578	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Grandview Associates
Medical Office Building	0.92000	0.08000
2 Southview Orthopedic Center Management Company LLC
Medical Service Venture	0.51000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Grandview Medical Center
1	405 W Grand Avenue	Dayton	OH	45405	ketteringhealth.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Southview Medical Center
2	1997 Miamisburg Centerville Road	Centerville	OH	45459	ketteringhealth.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Grandview Medical Center Group A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.ketteringhealth.org/aboutus/communityhealth.cfm	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.ketteringhealth.org/aboutus/communityhealth.cfm	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.ketteringhealth.org/financial/pdfs/PatientFinancialAssistancePo	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.ketteringhealth.org/financial/pdfs/HCAP-2019b.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.ketteringhealth.org/financial/pdfs/PLS3.pdf	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section A:	Each facility listed is required to be licensed, registered, or recognized as a healthcare facility under state law.
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: Grandview Medical Center, - Facility 2: Southview Medical Center
Group A-Facility 1 -- Grandview Medical Center Part V, Section B, line 5:	Nonprofit hospitals in the Greater Cincinnati and Greater Dayton regions combined their efforts and resources to produce a comprehensive and collaborative Community Health Needs Assessment (CHNA). The CHNA Team involved four entities working closely together: The Health Collaborative (lead agency); the Greater Dayton Area Hospital Association; Gwen Finegan (lead consultant and project manager); and Public Health - Dayton & Montgomery County (secondary data collection for Ohio counties). The Southwest District of the Association of Ohio Health Commissioners also partnered in the effort. They provided representatives who could speak on the behalf of the 17 Ohio counties served by the hospitals. All county-level public health departments completed surveys, plus 5 city health departments.
Group A-Facility 1 -- Grandview Medical Center Part V, Section B, line 6a:	The Christ Hospital Health NetworkCincinnati Children's Hospital Medical CenterClinton Memorial HospitalHighpoint HealthFort Hamilton HospitalGrandview Medical CenterGreene Memorial HospitalKettering Behavioral Medicine CenterKettering Medical CenterSoin Medical CenterSouthview Medical CenterSycamore Medical CenterLindner Center of HopeMercy Health - Anderson HospitalMercy Health - Clermont HospitalMercy Health - Fairfield HospitalMercy Health - West HospitalThe Jewish Hospital - Mercy HealthMercy Health \| Springfield Urbana regionMercy Health - Urbana HospitalSpringfield Regional Medical CenterAtrium Medical CenterMiami Valley HospitalMiami Valley Hospital NorthMiami Valley Hospital SouthUpper Valley Medical CenterBethesda Butler HospitalBethesda North HospitalGood Samaritan HospitalMcCullough-Hyde Memorial HospitalTriHealth Evendale Hospital Daniel Drake Center for Post-Acute CareUniversity of Cincinnati Medical Center West Chester HospitalWilson HealthWayne HealthCare
Group A-Facility 1 -- Grandview Medical Center Part V, Section B, line 6b:	The Health CollaborativeGreater Dayton Area Hospital AssociationGwen FineganPublic Health - Dayton & Montgomery CountySouthwest District of the Association of Ohio Health Commissioners
Group A-Facility 1 -- Grandview Medical Center Part V, Section B, line 11:	The priorities for Grandview Medical Center and Southview Medical Center are the top community health needs identified in the Community Health Needs Assessment (CHNA):1. Mental health, including substance abuse2. Access to care and/or services, including food insecurity and infant mortality3. Chronic disease4. Healthy behaviorsThese will be addressed through support for Primary Health Solutions FQHC, Community Health Centers, Hope for Homeless, Good Neighbor House, congregational health, Hope Center for Families, executive physicals for pastors, cancer support group, Gem City Market (mobile grocery & teaching kitchen), Pop-up Market, Infant Mortality Task Force (EveryOne Reach One), Help Me Grow, Tobacco Cessation Baby & Me Tobacco Free (through Envision) and OneFifteen, as well as referrals to prenatal care from the emergency department.
Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 5:	Nonprofit hospitals in the Greater Cincinnati and Greater Dayton regions combined their efforts and resources to produce a comprehensive and collaborative Community Health Needs Assessment (CHNA). The CHNA Team involved four entities working closely together: The Health Collaborative (lead agency); the Greater Dayton Area Hospital Association; Gwen Finegan (lead consultant and project manager); and Public Health - Dayton & Montgomery County (secondary data collection for Ohio counties). The Southwest District of the Association of Ohio Health Commissioners also partnered in the effort. They provided representatives who could speak on the behalf of the 17 Ohio counties served by the hospitals. All county-level public health departments completed surveys, plus 5 city health departments.
Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 6a:	The Christ Hospital Health NetworkCincinnati Children's Hospital Medical CenterClinton Memorial HospitalHighpoint HealthFort Hamilton HospitalGrandview Medical CenterGreene Memorial HospitalKettering Behavioral Medicine CenterKettering Medical CenterSoin Medical CenterSouthview Medical CenterSycamore Medical CenterLindner Center of HopeMercy Health - Anderson HospitalMercy Health - Clermont HospitalMercy Health - Fairfield HospitalMercy Health - West HospitalThe Jewish Hospital - Mercy HealthMercy Health \| Springfield Urbana regionMercy Health - Urbana HospitalSpringfield Regional Medical CenterAtrium Medical CenterMiami Valley HospitalMiami Valley Hospital NorthMiami Valley Hospital SouthUpper Valley Medical CenterBethesda Butler HospitalBethesda North HospitalGood Samaritan HospitalMcCullough-Hyde Memorial HospitalTriHealth Evendale Hospital Daniel Drake Center for Post-Acute CareUniversity of Cincinnati Medical Center West Chester HospitalWilson HealthWayne HealthCare
Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 6b:	The Health CollaborativeGreater Dayton Area Hospital AssociationGwen FineganPublic Health - Dayton & Montgomery CountySouthwest District of the Association of Ohio Health Commissioners
Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 11:	The priorities for Kettering Medical Center and Sycamore Medical Center are the top community health needs identified in the Community Health Needs Assessment (CHNA):1. Mental health, including substance abuse2. Access to care and/or services, including food insecurity and infant mortality3. Chronic disease4. Healthy behaviorsThese will be addressed through support for Primary Health Solutions FQHC, Good Neighbor House, congregational health, Mobile Grocery, Tobacco Cessation Baby & Me Tobacco Free (through Envision), hospital-based tobacco cessation, OneFifteen, and Brigid's Path, as well as referrals to prenatal care from the emergency department.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Beavercreek Health Center
2510 Commons Boulevard	Beavercreek	OH	45431	Outpatient Clinic & Diagnostic Center
2 - Cornerstone Medical Center
7740 Washington Village Drive	Centerville	OH	45459	Outpatient Clinic & Diagnostic Center
3 - Corwin M Nixon Health Center
1470 N Broadway	Lebanon	OH	45036	Outpatient Clinic & Diagnostic Center
4 - Dayton Medical Imaging
113 W National Road	Vandalia	OH	45377	Outpatient Clinic & Diagnostic Center
5 - Englewood Health Center
1250 National Road	Englewood	OH	45322	Outpatient Clinic & Diagnostic Center
6 - Huber Health Center
8701 Old Troy Pike	Huber Heights	OH	45424	Emergency, Outpatient Clinic, & Diagnostic Center
7 - Preble County Medical Center
450-B Washington-Jackson Road	Eaton	OH	45320	Outpatient Clinic & Diagnostic Center
8 - Sugarcreek Health Center
6438 Wilmington Pike	Dayton	OH	45459	Outpatient Clinic & Diagnostic Center
9 - Troy Health Center
700 South Stanfield Rd Suite B	Troy	OH	45373	Outpatient Clinic & Diagnostic Center
10 - Victor J Cassano Health Center
165 Edwin C Moses Boulevard	Dayton	OH	45402	Outpatient Clinic & Diagnostic Center
11 - Yankee Medical Center
7677 Yankee Street	Centerville	OH	45459	Outpatient Clinic & Diagnostic Center

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	The organization provides an annual community benefit report that is made available to the public.
Part I, Line 7:	Charity care is calculated using a cost to charge ratio following the methodology of Worksheet 2. Medical costs are calculated using a cost accounting system that addresses all patient segments. Community health improvement services are calculated on the basis of direct expenditures. Health professions education is calculated based on the Medicare cost report. Subsidized health services is calculated based on the non-Medicare, Medicaid and charity care proportion of departmental losses for the specific programs. Cash and in-kind contributions are calculated on the basis of direct expenditures.
Part I, Line 7g:	Subsidized health services represent the non-needs based and non-Medicare program losses of services the hospital offers.
Part III, Line 2:	The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators.
Part III, Line 3:	An industry average was used to estimate this amount. It was not included as part of community benefit.
Part III, Line 4:	Bad Debt footnote extract:Implicit price concessions represent differences between amounts billed and the estimated consideration the Network expects to receive from patients, which are determined based on historical collection experience, current market conditions, and other factors.
Part III, Line 8:	The costing methodology used to determine Medicare costs is the Medicare cost report. Medicare costs have not been included in community benefit in Part I.
Part III, Line 9b:	Financial counselors work out a payment program for any amount due after the Charity Sliding Scale Discounts are applied. Collection procedures consistent with self-pay accounts are applied to these balances.
Part VI, Line 2:	Grandview, as part of Kettering Health Network, has dedicated an entire department to community health and wellness. The Community Outreach Department is comprised of coordinators who develop programs, screenings and other health related events. The department also has fitness specialists, nurses, dietitians, massage and behavioral therapists, a communication specialist, health coaches, a physician medical director, a full service call center, and many other resource personnel.
Part VI, Line 3:	Grandview informs and educates patients or persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs or under Grandview's charity care policy as follows:-Grandview has a financial assistance brochure that is included in all of the patient information kits given at the time of intake or registration into any facility or department.-There is information posted in all of the admitting and registration areas about charity care and financial assistance.-During the registration process there is specific scripting to ask patients if they would like to disclose family size and income to screen them for federal/state/local and hospital based charity/assistance programs. This data is available for future visits as well.-Grandview has the reporting capability to review and screen any patient who may have been admitted during registration "off hours" for eligibility and assistance.-Grandview contracts with an outside agency for patient assistance in the application process.-The back of the patient statement shows the current and prior year Federal Poverty Guidelines and has the Financial Assistance Form to complete and mail in for consideration for Grandview's HCAP or Charity Sliding Scale program.-Grandview's patient account representatives in customer service screen patients that are unable to pay their bill for the various financial assistance programs.
Part VI, Line 4:	KHN serves a population of approximately 1,574,000. The seven-county service area includes Butler, Clark, Greene, Miami, Montgomery, Preble, and Warren counties. Eighteen zip codes within this service area received a Community Need Index score of 3.4 or greater. The Community Need Index identifies the severity of healthcare disparities based upon certain barriers known to limit healthcare access. A score of 1.0 indicates a zip code with the lowest socio-economic barriers (low need), while a score of 5.0 represents a zip code with the most socio-economic barriers (high need).
Part VI, Line 5:	Grandview furthers its exempt purpose by promoting the health of the community by:-Retaining a Board of Directors with a majority (excluding employees and contractors) living in the primary service area;-Extending medical staff privileges to all qualified physicians in its community for a majority of its departments;-Utilizing surplus funds to help support ongoing improvements in patient care through equipment upgrades, acquisition of the most advanced medical technology, upgrades of existing hospital structures, and construction of new facilities in order to provide accessible, efficient, quality care. -Providing a nationally-recognized osteopathic teaching program.-Supporting medical research through the Innovation Center, cultivating new technologies and fostering best practices among partners from industry, academia, and health care.
Part VI, Line 6:	Grandview and its affiliates promote the health of the communities served by the system as described below:-Grandview, a part of the Kettering Health Network, is dedicated to the creation and maintenance of community wellness programs, support groups and health education programs. Grandview provides numerous screenings, family-focused classes, health fairs, conferences, donations, and education programs to ensure the long-term wellbeing of people living in the community.-Grandview provides a teaching program for osteopathic physicians.-The Grandview Foundation is the philanthropic arm of Grandview Medical Center and supports the education of future osteopathic physicians.-Kettering Affiliated Health Services, Inc includes Sycamore Glen Health Center and Sycamore Glen Retirement Community. These healthcare areas provide services to the surrounding communities which complement those services provided by Grandview as part of the Kettering Health Network.-Medical research is supported through the Innovation Center, which cultivates new technologies and fosters best practices among partners from industry, academia, and health care.
Part VI, Line 7, Reports Filed With States	OH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Patient assistance	166	$26,340
Assistance to employees for hardship	40	$25,106
Scholarships	4	$2,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Funds are monitored and use is determined by board members.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Manchur Fred
CEO - KHN	$0	$1,508,849	$0	$465,325	$0	$515,481	$0	$15,787	$0	$28,111	$0	$2,533,553	$0	$0
Burns Terry
Exec VP-KHN & President-KMC 3/2019;	$0	$862,259	$0	$194,400	$0	$353,060	$0	$15,787	$0	$41,410	$0	$1,466,916	$0	$102,400
Chew Roy
President of KHN until 7/31/2019	$0	$773,908	$0	$319,549	$0	$0	$0	$15,787	$0	$20,291	$0	$1,129,535	$0	$0
Lewis Rebecca
President - Grandview Medical Center	$0	$645,589	$0	$171,428	$0	$0	$0	$15,787	$0	$12,077	$0	$844,881	$0	$0
Bulow Robert E
Physician until 8/19	$0	$616,684	$0	$0	$0	$0	$0	$0	$0	$18,939	$0	$635,623	$0	$0
Manchur Richard
President of SVH until 11/2019; Pres	$0	$392,512	$0	$90,979	$0	$1,894	$0	$61,937	$0	$29,076	$0	$576,398	$0	$0
Sefton John C
Physician	$0	$255,021	$0	$0	$0	$0	$0	$15,206	$0	$21,409	$0	$291,636	$0	$0
Mewhirter Michael
VP of Oper & Finance GMCS until 3/20	$0	$422,068	$0	$106,778	$0	$2,419	$0	$51,463	$0	$29,948	$0	$612,676	$0	$0
Brandstater Ronda
VP Patient Care Services - GMCS	$0	$315,830	$0	$69,380	$0	$1,741	$0	$42,254	$0	$10,517	$0	$439,722	$0	$0
Prichard Rita
VP of Patient Care - SVH	$0	$219,998	$0	$49,566	$0	$56,153	$0	$15,787	$0	$25,330	$0	$366,834	$0	$17,304
Rita Mark
VP of Clinical & Outpatient Service	$0	$245,470	$0	$58,012	$0	$5,407	$0	$38,347	$0	$25,334	$0	$372,570	$0	$0
McCall Linda M
Director of Pharmacy	$187,090	$0	$33,555	$0	$1,508	$0	$13,602	$0	$7,008	$0	$242,763	$0	$0	$0
Pierce Carol A
Administrative Director of Nursing	$173,098	$0	$26,172	$0	$1,508	$0	$9,072	$0	$7,008	$0	$216,858	$0	$0	$0
Donaldson Connie G
Administrative Director of Nursing	$145,911	$0	$25,205	$0	$4,212	$0	$10,361	$0	$18,541	$0	$204,230	$0	$0	$0
Boyle Carmen E
Registered Nurse	$154,305	$0	$535	$0	$5,200	$0	$8,477	$0	$296	$0	$168,813	$0	$0	$0
Moore Terri
Director of Quality	$132,764	$0	$21,681	$0	$2,626	$0	$7,788	$0	$15,819	$0	$180,678	$0	$0	$0
Anderson Todd
Former Officer (Dec 15)	$0	$791,555	$0	$191,002	$0	$47,215	$0	$85,987	$0	$34,740	$0	$1,150,499	$0	$0
Chanaga Luis
Former Officer	$0	$357,940	$0	$81,851	$0	$1,432	$0	$47,012	$0	$29,452	$0	$517,687	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	Compensation is established by a related organization. The process of determining compensation of CEO's, executive directors, officers, and key employees is to have an independent board approve the compensation. The compensation is determined to be reasonable compared to independent comparability data. The approval of the amounts is documented in the Board minutes within the appropriate time frame. At year end the organization reviews executive compensation by comparing the amounts approved to the amounts paid.
Part I, Line 4b	The Network has a supplemental executive retirement plan available only to a certain class of management.
Part II, Col Biii	Column Biii includes compensation reported on the W-2 that may or may not have gone through the current year Statement of Operations and Changes in Net Assets.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
County of Montgomery Ohio
A	316000172	2011-12-10	$77,819,579	Current refund	0	0	0
County of Montgomery Ohio
B	316000172	2012-05-01	$15,952,311	Current refund	0	0	0
County of Montgomery Ohio
C	316000172	2016-05-04	$11,591,023	Hospital building improvements and equipment	0	0	0	613520LA1
County of Miami Ohio
D	316000055	2019-03-07	$29,726,270	Hospital facilities improvement and refunding	0	0	0	593328EW3

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$77,819,579	$69,874	$77,749,705	2011	Yes (1)	Yes (1)	Yes (1)
B	$15,952,311	$83,606	$15,868,705	2012	Yes (1)	Yes (1)	Yes (1)
C	$11,591,023	$106,170		2016	0	Yes (1)	Yes (1)	$11,484,853
D	$29,726,270	$181,287	$2,788,763	2019	Yes (1)	Yes (1)	Yes (1)	$26,756,220

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Merrill Lynch
A	0	0	Yes (1)	0	Yes (1)	Yes (1)	Capital Services	16.200000000000	0	0	0	0	Yes (1)
(no name)
B	0	0	0	0	0	0					0	0	Yes (1)
(no name)
C	0	0	0	0	0	0					0	0	Yes (1)
(no name)
D	0	0	0	0	0	0					0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Fred Manchur, CEO - KHN, is the father of Richard Manchur, President SVMC.
Form 990, Part VI, Section B, line 11b	A tax specialist is engaged to review the 990. The 990 is reviewed and accepted by the audit committee which reports this to the governing body (board).
Form 990, Part VI, Section B, line 12c	The Network regularly and consistently monitors and enforces compliance with the conflict of interest policy by making it part of the employees' annual reviews. Employees must certify that they have read the conflict of interest policy and have disclosed any potential conflicts and agree to immediately notify Corporate Integrity if one should arise. Board members are required to annually review the Network's policy, sign a conflict of interest statement, and notify the Network if a conflict should arise.
Form 990, Part VI, Section B, line 15	The process of determining compensation of CEO's, executive directors, officers, and key employees is to have an independent board approve the compensation. The compensation is determined to be reasonable compared to independent comparability data. The approval of the amounts is documented in the Board minutes within the appropriate time frame. At year end the organization reviews executive compensation by comparing the amounts approved to the amounts paid.
Form 990, Part VI, Section C, line 19	The organization's governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part XI, line 9:	Net transfers to affiliate -25,631,291. Change in plan assets and benefit obligation of pension plan 2,012,103. Other changes, net 2,241,727.
Part XII, Line 2c	Neither the oversight process nor the selection process changed during the tax year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Alliance Physicians Inc
1 Prestige Place Suite 910	Miamisburg	OH	45342	311175717	Physician Services	OH	501(c)(3)	509(a)(3)	Kettering Adventist Healthcare	0
Beavercreek Medical Center
1 Prestige Place Suite 910	Miamisburg	OH	45342	270712680	Hospital	OH	501(c)(3)	509(a)(1)	Kettering Adventist Healthcare	0
Fort Hamilton Hospital Foundation
1 Prestige Place Suite 910	Miamisburg	OH	45342	452036966	Fundraising	OH	501(c)(3)	509(a)(3)	The Fort Hamilton Hospital	0
Grandview Foundation
405 W Grand Avenue	Dayton	OH	45405	311649591	Fundraising	OH	501(c)(3)	509(a)(3)		0	N/A
Greene Foundation
1 Prestige Place Suite 910	Miamisburg	OH	45342	310886949	Fundraising	OH	501(c)(3)	509(a)(3)	Greene Memorial Hospital	0
Greene Memorial Hospital
1 Prestige Place Suite 910	Miamisburg	OH	45342	310809436	Hospital	OH	501(c)(3)	509(a)(1)	Kettering Adventist Healthcare	0
Greene Oaks
1 Prestige Place Suite 910	Miamisburg	OH	45342	310999724	Senior Healthcare Facilities	OH	501(c)(3)	509(a)(2)	Kettering Affiliated Health Services Inc	0
Kettering Adventist Healthcare
1 Prestige Place Suite 910	Miamisburg	OH	45342	311051688	Management	OH	501(c)(3)	509(a)(3)		0	N/A
Kettering Affiliated Health Services Inc
1 Prestige Place Suite 910	Miamisburg	OH	45342	311127485	Health Services	OH	501(c)(3)	509(a)(3)	Kettering Adventist Healthcare	0
Kettering Independent Medical Group
1 Prestige Place Suite 910	Miamisburg	OH	45342	272649285	Health Services	OH	501(c)(3)	509(a)(3)	Kettering Adventist Healthcare	0
Kettering Medical Center
1 Prestige Place Suite 910	Miamisburg	OH	45342	310621866	Hospital	OH	501(c)(3)	509(a)(1)	Kettering Adventist Healthcare	0
Kettering Medical Center Foundation
1 Prestige Place Suite 910	Miamisburg	OH	45342	237419897	Fundraising	OH	501(c)(3)	509(a)(3)	Kettering Medical Center	0
Kettering Network Services
1 Prestige Place Suite 910	Miamisburg	OH	45342	832687866	Administrative Support Services	OH	501(c)(3)	509(a)(3)	Kettering Adventist Healthcare	0
The Fort Hamilton Hospital
1 Prestige Place Suite 910	Miamisburg	OH	45342	310536662	Hospital	OH	501(c)(3)	509(a)(1)	Kettering Adventist Healthcare	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Share Of EOY AssetsShareOfEOYAssetsAmt
Grandview Associates
1 Prestige Place Suite 910	Miamisburg	OH	45342	311427280	Building Management	OH	Dayton Osteopathic Hospital	Related	-$58,150	0	Yes (1)	0.92000
Southview Orthopedic Center Management Company LLC
1997 Miamisburg-Centerville Rd	Dayton	OH	45459	262040203	Medical Services	OH	Dayton Osteopathic Hospital	Related	$9,260,446	0	Yes (1)	0.51000	$3,501,935

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Kettcor	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Prestige Place Suite 910	AddressLine1Txt
City	Miamisburg	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45342	ZIPCd

Field	Value	IRS element (for citing)
EIN	311078381	EIN
Primary Activities	Health Services	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Grandview Foundation
C	$940,676	FMV
Alliance Physicians Inc
J	$2,041,708	FMV
Kettering Medical Center
J	$90,599	FMV
Kettering Network Services
J	$35,153	FMV
Beavercreek Medical Center
K	$306,878	FMV
Kettering Medical Center
K	-$105,661	FMV
Alliance Physicians Inc
M	$0	FMV
Grandview Foundation
M	$0	FMV
Kettering Adventist Healthcare
M	$0	FMV
Kettering Medical Center
M	$0	FMV
Kettering Network Services
M	$0	FMV
Kettering Medical Center
N	$0	FMV
Kettering Network Services
N	$0	FMV
Kettering Medical Center
O	$0	FMV
Kettering Network Services
O	$0	FMV
Kettering Medical Center
P	$0	FMV
Kettering Network Services
P	$0	FMV
Kettering Medical Center
R	$25,631,291	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 2	FormAndLineReferenceDesc
Explanation	Kettering Medical Center and Kettering Network Services are conduits through which revenue is received and expenses are paid.	ExplanationTxt