BEAVERCREEK MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BEAVERCREEK MEDICAL CENTER (EIN 27-0712680)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-06
- IRS object ID
- 202033119349300983
- 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 | 2020-11-06T09:55:44-06:00 | 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 | 270712680 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beavercreek Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEAV | 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 | 09:27:11 | 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 | The Indu and Raj Soin Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rick Dodds | 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 | $193,227,971 | 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 | 2009 | 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 | 0 | TotalEmployeeCnt |
| Total Volunteers | 447 | TotalVolunteersCnt |
| Total Gross UBI | $5,706 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,165,319 | PYContributionsGrantsAmt |
| CY Contributions Grants | $76,824 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $178,023,592 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $192,807,560 | CYProgramServiceRevenueAmt |
| PY Investment Income | $281,822 | PYInvestmentIncomeAmt |
| CY Investment Income | $343,587 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $180,470,733 | PYTotalRevenueAmt |
| CY Total Revenue | $193,227,971 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,108 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $19,882 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,070,643 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $75,113,763 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $98,989,679 | PYOtherExpensesAmt |
| CY Other Expenses | $109,489,033 | CYOtherExpensesAmt |
| PY Total Expenses | $163,075,430 | PYTotalExpensesAmt |
| CY Total Expenses | $184,622,678 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,395,303 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,605,293 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $193,661,008 | TotalAssetsBOYAmt |
| Total Assets EOY | $208,510,534 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $122,406,451 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $113,445,155 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $71,254,557 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $95,065,379 | 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 | $176,851,164 | ExpenseAmt |
| Grant | $19,882 | GrantAmt |
| Revenue | $189,502,759 | RevenueAmt |
| Desc | Care was provided for 8,185 discharges, adult & ped days of 29,139, and 116,411 outpatient visits. | Desc |
| Total Program Service Expenses | $176,851,164 | 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 | 0 | 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 | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | 0 | 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 | 0 | InvestmentInJointVentureInd |
| 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 (22 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 | ||||
| Dodds Rick | ||||||||||
| President GMH/SOIN | 26.00 | 25.00 | Yes (X) | $0 | $563,679 | $82,756 | Yes (X) | |||
| Smith Robert T | ||||||||||
| Physician | 1.00 | 39.00 | Yes (X) | $0 | $514,368 | $34,549 | ||||
| Tyner Troy A | ||||||||||
| Physician | 1.00 | 39.00 | Yes (X) | $0 | $298,931 | $31,013 | ||||
| Weigley David | ||||||||||
| Pres. Columbia Union Conference of SDA | 1.00 | 5.00 | Yes (X) | $0 | $24,394 | $0 | ||||
| Halvorsen Ron Jr | ||||||||||
| Pres. Ohio Conference of SDA | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Harting Donald | ||||||||||
| Community Volunteer until 8/19 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Peebles Thomas | ||||||||||
| Community Volunteer | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Parker Phillip | ||||||||||
| Pres, Dayton Chamber of Commerce | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Soin Amol MD | ||||||||||
| Physician | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Barber Wendi | ||||||||||
| VP Operation & Finance GMH/SOIN begin 1/2019 | 25.00 | 25.00 | $0 | $368,827 | $72,456 | Yes (X) | ||||
| King Peter | ||||||||||
| Interim VP Operations & Finance GMH/SOIN until 1/2 | 25.00 | 24.00 | $0 | $63,200 | $0 | Yes (X) | ||||
| Schneider Erica | ||||||||||
| VP Patient Care Services - GMH/SOIN | 25.00 | 24.00 | $0 | $329,381 | $67,755 | Yes (X) | ||||
| Jones Jeff | ||||||||||
| Director HR | 40.00 | $0 | $191,967 | $30,426 | Yes (X) | |||||
| Hope Jill A | ||||||||||
| Pharmacist | 40.00 | $0 | $185,974 | $29,649 | Yes (X) | |||||
| Gruia Ovidiu E | ||||||||||
| Director Business Development | 40.00 | $0 | $184,563 | $31,458 | Yes (X) | |||||
| Morrison Brad | ||||||||||
| Director Nursing Admin | 48.00 | $0 | $177,842 | $33,494 | Yes (X) | |||||
| Robinson Barbara M | ||||||||||
| Director - Transistion | 40.00 | $0 | $163,744 | $27,827 | Yes (X) | |||||
| Connovich Ron | ||||||||||
| Former Officer | 0.00 | 49.00 | $0 | $582,478 | $82,373 | Yes (X) | ||||
| Mallett Belinda A | ||||||||||
| Former (Dec 15) | 0.00 | 40.00 | $0 | $192,761 | $27,109 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,834,940 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $688,038 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 | $76,824 | RelatedOrganizationsAmt |
| Total Contributions | $76,824 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| Patient care services | 622000 | $191,796,520 | $188,497,425 | $3,299,095 | |
| Leasing activities related to mis | 531120 | $1,005,334 | $1,005,334 | ||
| Catering | 722320 | $5,441 | $5,441 | ||
| Reference lab | 621500 | $265 | $265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $192,807,560 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $190 | TotalRevenueColumnAmt |
| Exclusion | $190 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,320 | TotalRevenueColumnAmt |
| Exclusion | $49,320 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $294,077 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $294,077 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $294,077 | TotalRevenueColumnAmt |
| Exclusion | $294,077 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $193,227,971 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $189,502,759 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,706 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,642,682 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,882 | TotalAmt |
| Program Services | $19,882 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,555,162 | TotalAmt |
| Program Services | $2,280,060 | ProgramServicesAmt |
| Management And General | $275,102 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,163,893 | TotalAmt |
| Program Services | $55,968,495 | ProgramServicesAmt |
| Management And General | $1,195,398 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,929 | TotalAmt |
| Program Services | $1,537,099 | ProgramServicesAmt |
| Management And General | $32,830 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,659,085 | TotalAmt |
| Program Services | $9,457,096 | ProgramServicesAmt |
| Management And General | $201,989 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,165,694 | TotalAmt |
| Program Services | $4,078,582 | ProgramServicesAmt |
| Management And General | $87,112 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,215 | TotalAmt |
| Management And General | $6,215 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,460 | TotalAmt |
| Management And General | $2,460 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,375,837 | TotalAmt |
| Program Services | $9,133,636 | ProgramServicesAmt |
| Management And General | $242,201 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,110,218 | TotalAmt |
| Program Services | $2,027,529 | ProgramServicesAmt |
| Management And General | $82,689 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,671 | TotalAmt |
| Program Services | $316,136 | ProgramServicesAmt |
| Management And General | $9,535 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,806,793 | TotalAmt |
| Program Services | $2,802,340 | ProgramServicesAmt |
| Management And General | $4,453 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,012 | TotalAmt |
| Program Services | $127,896 | ProgramServicesAmt |
| Management And General | $28,116 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,303 | TotalAmt |
| Program Services | $94,952 | ProgramServicesAmt |
| Management And General | $21,351 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,521,747 | TotalAmt |
| Program Services | $6,511,399 | ProgramServicesAmt |
| Management And General | $10,348 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,361,923 | TotalAmt |
| Program Services | $11,343,896 | ProgramServicesAmt |
| Management And General | $18,027 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,442 | TotalAmt |
| Program Services | $381,633 | ProgramServicesAmt |
| Management And General | $147,809 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $30,159,527 | $30,157,497 | $2,030 |
| Network services | $21,212,084 | $18,928,279 | $2,283,805 |
| Physician services | $15,381,039 | $15,381,039 | |
| Cost of goods sold | $1,717,231 | $1,717,231 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,706,531 | TotalAmt |
| Program Services | $4,586,487 | ProgramServicesAmt |
| Management And General | $3,120,044 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,622,678 | TotalAmt |
| Program Services | $176,851,164 | ProgramServicesAmt |
| Management And General | $7,771,514 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,840 | BOYAmt |
| EOY | $111,596 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,456,236 | BOYAmt |
| EOY | $22,174,363 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,611,850 | BOYAmt |
| EOY | $2,813,995 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $526,765 | BOYAmt |
| EOY | $892,363 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $263,382,154 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $82,038,086 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,071,692 | BOYAmt |
| EOY | $181,344,068 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,858,494 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,131 | BOYAmt |
| EOY | $1,174,149 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,661,008 | BOYAmt |
| EOY | $208,510,534 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,863,827 | BOYAmt |
| EOY | $13,285,253 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100 | BOYAmt |
| EOY | $3,099 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,754,433 | BOYAmt |
| EOY | $96,618,133 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,566 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $755,525 | BOYAmt |
| EOY | $3,538,670 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,406,451 | BOYAmt |
| EOY | $113,445,155 | 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 | $71,254,557 | BOYAmt |
| EOY | $95,065,379 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,254,557 | BOYAmt |
| EOY | $95,065,379 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,661,008 | BOYAmt |
| EOY | $208,510,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,605,293 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $15,205,529 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,671,041 | OtherCostOrOtherBasisAmt |
| Book Value | $20,671,041 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $160,919,343 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,335,308 | DepreciationAmt |
| Book Value | $109,584,035 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,102,224 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,702,778 | DepreciationAmt |
| Book Value | $15,399,446 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,689,546 | OtherCostOrOtherBasisAmt |
| Book Value | $35,689,546 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $181,344,068 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated amounts due to third-party payors | $383,130 |
| Finance lease liabilities | $5,508 |
| Operating lease liabilities | $623,138 |
| Other long-term contracts | $360,000 |
| Physician income guarantee commitments | $66,667 |
| Professional self-insurance liability | $2,100,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,538,670 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $3,241,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,415,665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $826,274 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,250,387 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,008,894 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,241,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11510 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,492,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,424,559 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,067,767 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,454,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,031 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,447,343 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $180,436 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $180,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,472,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $969,833 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,503,029 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $218,709 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $218,709 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,326,381 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $976,864 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,349,517 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,818,707 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,401,423 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,417,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13770 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,704,958 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $400,919 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $35,652,685 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $38,787,178 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,134,493 | 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 |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beavercreek Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3535 Pentagon Boulevard | AddressLine1Txt |
| City | Beavercreek | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45431 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | ketteringhealth.org/soin/ | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beavercreek Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section A: | The facility listed is required to be licensed, registered, or recognized as a healthcare facility under state law. |
| Beavercreek 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. |
| Beavercreek 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 |
| Beavercreek 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 |
| Beavercreek Medical Center | Part V, Section B, Line 11: The priorities for Soin Medical Center are the top community health needs identified in the Community Health Needs Assessment (CHNA): 1. Mental health, including substance abuse 2. Access to care and/or services, including infant mortality 3. Chronic disease 4. Healthy behaviorsThese will be addressed through a rural health initiative, congregational health, midwifery care, referrals to prenatal care from ED, a hospital-based tobacco cessation program, and ongoing participation with Drug Free Coalition. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - Springfield Health Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Emmanuel Way | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Outpatient Clinic & Diagnostic Center | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 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 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 3: | Soin 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 Soin's charity care policy as follows:-Soin 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.-Soin has the reporting capability to review and screen any patient who may have been admitted during registration "off hours" for eligibility and assistance.-Soin 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 Soin's HCAP or Charity Sliding Scale program. -Soin'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: | Soin 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. |
| Part VI, Line 6: | Soin promotes the health of the communities served as described below:-Soin, a part of the Kettering Health Network, is dedicated to the creation and maintenance of community wellness programs, support groups, and health education programs. Soin provides numerous screenings, family-focused classes, health fairs, conferences, donations, and education programs to ensure the long-term well-being of people living in the community.-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 Soin 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 | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|
| Assistance to employees for hardship | 16 | $17,340 | FMV |
| Scholarship | 1 | $1,500 | FMV |
| Patient assistance | 36 | $1,042 | FMV |
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 (15 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 |
| Dodds Rick | ||||||||||||||
| President GMH/SOIN | $0 | $451,322 | $0 | $110,548 | $0 | $1,809 | $0 | $52,807 | $0 | $29,949 | $0 | $646,435 | $0 | $0 |
| Smith Robert T | ||||||||||||||
| Physician | $0 | $396,572 | $0 | $113,584 | $0 | $4,212 | $0 | $15,787 | $0 | $18,762 | $0 | $548,917 | $0 | $0 |
| Tyner Troy A | ||||||||||||||
| Physician | $0 | $298,931 | $0 | $0 | $0 | $0 | $0 | $15,787 | $0 | $15,226 | $0 | $329,944 | $0 | $0 |
| Barber Wendi | ||||||||||||||
| VP Operation & Finance GMH/SOIN begi | $0 | $367,548 | $0 | $0 | $0 | $1,279 | $0 | $44,627 | $0 | $27,829 | $0 | $441,283 | $0 | $0 |
| Schneider Erica | ||||||||||||||
| VP Patient Care Services - GMH/SOIN | $0 | $266,230 | $0 | $61,585 | $0 | $1,566 | $0 | $39,281 | $0 | $28,474 | $0 | $397,136 | $0 | $0 |
| Jones Jeff | ||||||||||||||
| Director HR | $0 | $160,918 | $0 | $27,591 | $0 | $3,458 | $0 | $11,131 | $0 | $19,295 | $0 | $222,393 | $0 | $0 |
| Hope Jill A | ||||||||||||||
| Pharmacist | $0 | $155,247 | $0 | $27,487 | $0 | $3,240 | $0 | $11,169 | $0 | $18,480 | $0 | $215,623 | $0 | $0 |
| Gruia Ovidiu E | ||||||||||||||
| Director Business Development | $0 | $154,171 | $0 | $26,206 | $0 | $4,186 | $0 | $9,384 | $0 | $22,074 | $0 | $216,021 | $0 | $0 |
| Morrison Brad | ||||||||||||||
| Director Nursing Admin | $0 | $146,928 | $0 | $26,728 | $0 | $4,186 | $0 | $10,801 | $0 | $22,693 | $0 | $211,336 | $0 | $0 |
| Robinson Barbara M | ||||||||||||||
| Director - Transistion | $0 | $137,456 | $0 | $23,002 | $0 | $3,286 | $0 | $9,100 | $0 | $18,727 | $0 | $191,571 | $0 | $0 |
| Connovich Ron | ||||||||||||||
| Former Officer | $0 | $461,877 | $0 | $115,133 | $0 | $5,468 | $0 | $52,388 | $0 | $29,985 | $0 | $664,851 | $0 | $0 |
| Mallett Belinda A | ||||||||||||||
| Former (Dec 15) | $0 | $159,511 | $0 | $29,818 | $0 | $3,432 | $0 | $12,096 | $0 | $15,013 | $0 | $219,870 | $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 (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| County of Greene Ohio | ||||||||
| A | 316000271 | 394650BV6 | 2009-11-03 | $97,931,091 | Construct and equip a hospital | 0 | 0 | 0 |
| County of Montgomery Ohio | ||||||||
| B | 316000271 | 613520LA1 | 2016-05-04 | $12,087,009 | Hospital building improvements and equipment | 0 | 0 | 0 |
| County of Miami Ohio | ||||||||
| C | 316000055 | 593328EW3 | 2019-03-07 | $85,486,838 | Hospital facilities improvement and refunding | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $100,867,503 | $9,296,792 | $2,633,592 | $1,612,304 | $85,213,731 | $2,111,084 | 2012 | 0 | 0 | Yes (1) | Yes (1) |
| B | $12,087,009 | $110,713 | $11,976,296 | 2016 | 0 | 0 | Yes (1) | Yes (1) | |||
| C | $85,486,838 | $521,348 | $4,790,564 | $80,174,926 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Part IX, Lines 5, 7, 8, 9, & 10 | Salaries, retirement plan contributions, other benefits, and payroll taxes are paid by and allocated from Kettering Medical Center and Kettering Network Services. |
| Form 990, Part XI, line 9: | Net transfers from affiliate 15,205,529. |
| 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 (13 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 | |
| Dayton Osteopathic Hospital | |||||||||||
| 1 Prestige Place Suite 910 | Miamisburg | OH | 45342 | 310564121 | 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 | |
| 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 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Greene Foundation | ||
| C | $76,824 | FMV |
| Alliance Physicians Inc | ||
| J | $490,890 | FMV |
| Dayton Osteopathic Hospital | ||
| J | $306,878 | FMV |
| Kettering Network Services | ||
| J | $36,026 | FMV |
| Kettering Network Services | ||
| K | $94,767 | FMV |
| Alliance Physicians Inc | ||
| M | $0 | FMV |
| Greene 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 |
| Greene Memorial Hospital | ||
| O | $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 | ||
| S | $15,205,529 | 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 |
Comments