DAYTON OSTEOPATHIC HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- DAYTON OSTEOPATHIC HOSPITAL (EIN 31-0564121)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201703189349307425
- Schema version
- 2016v3.0
- 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 J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T15:12:50-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 | Steven Chavez | PersonNm |
| Person Title | KHN CFO | PersonTitleTxt |
| Phone | 9377621629 | PhoneNum |
| Signature | 2017-11-14 | 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 | 2017-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.142.191.122 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 08:51:04 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | FF1ADF7F950BE2AA8621E5D4B8A2222E21169A02 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | 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 | Russ Wetherell | 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 | $421,852,945 | 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 | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 2733 | TotalEmployeeCnt |
| Total Volunteers | 238 | TotalVolunteersCnt |
| Total Gross UBI | $135,831 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$28,069 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,655,070 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,922,067 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $386,736,435 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $416,384,219 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,084,690 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,546,659 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $390,476,195 | PYTotalRevenueAmt |
| CY Total Revenue | $421,852,945 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $150,186,707 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $170,063,347 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $181,486,933 | PYOtherExpensesAmt |
| CY Other Expenses | $200,353,856 | CYOtherExpensesAmt |
| PY Total Expenses | $331,673,640 | PYTotalExpensesAmt |
| CY Total Expenses | $370,417,203 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $58,802,555 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $51,435,742 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $302,379,254 | TotalAssetsBOYAmt |
| Total Assets EOY | $338,978,278 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $170,461,398 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $169,460,418 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $131,917,856 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $169,517,860 | 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 | $310,509,282 | ExpenseAmt |
| Revenue | $414,479,946 | RevenueAmt |
| Desc | Grandview Medical Center, Southview Medical Center, and other patient care related services provided care for 12,585 discharges, 54,992 adult & ped days, and 396,306 outpatient visits. | Desc |
| Total Program Service Expenses | $310,509,282 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 2733 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | 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 | 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 | Steven Chavez | 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 (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Fred Manchur | ||||||||||
| CEO - KHN | 1.00 | 50.00 | Yes (X) | $0 | $2,915,288 | $77,467 | ||||
| Roy Chew | ||||||||||
| President - KHN | 1.00 | 50.00 | Yes (X) | $0 | $1,416,718 | $37,457 | ||||
| Russ Wetherell | ||||||||||
| President - GVMS | 45.00 | 3.00 | Yes (X) | $0 | $997,016 | $73,498 | Yes (X) | |||
| Kenneth D Pugar | ||||||||||
| Physician (Jan-May) | 40.00 | Yes (X) | $40,425 | $0 | $14,358 | |||||
| Chad Weber DO | ||||||||||
| Physician | 1.00 | Yes (X) | $0 | $12,127 | $0 | |||||
| Dave Weigley | ||||||||||
| President, Columbia Union Conference of SDA | 1.00 | Yes (X) | $0 | $12,000 | $0 | |||||
| John Sefton DO | ||||||||||
| Physician | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Shelia Burton | ||||||||||
| Exec. Director Assessment & Accountability | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Lyndell Dickerson | ||||||||||
| Business Manager; Dermatology & Aesthetic Care LLC | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Les Neff | ||||||||||
| VP - Huntington Bank | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Luis Chanaga | ||||||||||
| VP of Operations & Finance - GMCS | 47.00 | $0 | $334,711 | $23,846 | Yes (X) | |||||
| Rebecca Lewis | ||||||||||
| President - Southview Hospital | 48.00 | $0 | $467,948 | $25,680 | Yes (X) | |||||
| Ronda Brandstater | ||||||||||
| VP Patient Care Services - GMC | 40.00 | $0 | $333,742 | $19,516 | Yes (X) | |||||
| Rita Pritchard | ||||||||||
| VP Patient Care Services - Southview Hospital | 40.00 | $0 | $232,482 | $34,020 | Yes (X) | |||||
| Linda M McCall | ||||||||||
| Director of Pharmacy | 40.00 | $227,344 | $0 | $5,516 | Yes (X) | |||||
| Keith Jenkins | ||||||||||
| Director of Human Resources | 40.00 | $188,378 | $0 | $14,618 | Yes (X) | |||||
| Dennis M Mittleider | ||||||||||
| Director Rehab Medicine | 40.00 | $167,355 | $0 | $15,981 | Yes (X) | |||||
| Carol A Pierce | ||||||||||
| Nursing Director | 40.00 | $161,939 | $0 | $9,673 | Yes (X) | |||||
| Jeffrey Hyland | ||||||||||
| Pharmacist | 40.00 | $161,458 | $0 | $7,938 | Yes (X) | |||||
| Richard Haas | ||||||||||
| Sr. VP - KHN | 0.00 | 46.00 | $0 | $3,244,322 | $55,678 | Yes (X) | ||||
| Terri Day | ||||||||||
| Former | 0.00 | $0 | $833,721 | $17,663 | Yes (X) | |||||
| Todd Anderson | ||||||||||
| Executive VP - KHN | 0.00 | 47.00 | $0 | $713,903 | $37,387 | Yes (X) | ||||
| Connie G Donaldson | ||||||||||
| Director of Nursing | 0.00 | $160,572 | $0 | $9,105 | Yes (X) | |||||
| Keith M Achor | ||||||||||
| Director Emergency Services | 0.00 | $159,390 | $0 | $15,819 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,266,861 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,513,978 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $495,220 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 54 | 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 | $1,855,697 | RelatedOrganizationsAmt |
| Government Grants | $66,370 | GovernmentGrantsAmt |
| Noncash Contributions | $66,370 | NoncashContributionsAmt |
| Total Contributions | $1,922,067 | 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 | $413,208,189 | $411,439,747 | $1,768,442 | |
| Rental income from related organi | 531120 | $3,040,199 | $3,040,199 | ||
| Other personal care services | 812900 | $74,813 | $74,813 | ||
| Reference lab | 621500 | $61,018 | $61,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $416,384,219 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,021,709 | TotalRevenueColumnAmt |
| Exclusion | $1,021,709 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,834,284 | SecuritiesAmt |
| Other | $690,666 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,834,284 | SecuritiesAmt |
| Other | $690,666 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,524,950 | TotalRevenueColumnAmt |
| Exclusion | $2,524,950 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $421,852,945 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $414,479,946 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $135,831 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,315,101 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,038,755 | TotalAmt |
| Program Services | $6,215,605 | ProgramServicesAmt |
| Management And General | $823,150 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,148,966 | TotalAmt |
| Program Services | $105,432,373 | ProgramServicesAmt |
| Management And General | $25,716,593 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,350,091 | TotalAmt |
| Program Services | $4,301,008 | ProgramServicesAmt |
| Management And General | $1,049,083 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,569,962 | TotalAmt |
| Program Services | $14,928,636 | ProgramServicesAmt |
| Management And General | $3,641,326 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,955,573 | TotalAmt |
| Program Services | $6,395,590 | ProgramServicesAmt |
| Management And General | $1,559,983 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,149,652 | TotalAmt |
| Program Services | $1,015,206 | ProgramServicesAmt |
| Management And General | $134,446 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,329 | TotalAmt |
| Program Services | $45,061 | ProgramServicesAmt |
| Management And General | $54,268 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,149 | TotalAmt |
| Program Services | $24,185 | ProgramServicesAmt |
| Management And General | $18,964 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,992 | TotalAmt |
| Management And General | $230,992 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,852,440 | TotalAmt |
| Program Services | $18,536,666 | ProgramServicesAmt |
| Management And General | $7,315,774 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,875 | TotalAmt |
| Program Services | $238,877 | ProgramServicesAmt |
| Management And General | $423,998 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,554,947 | TotalAmt |
| Program Services | $5,198,985 | ProgramServicesAmt |
| Management And General | $355,962 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,946,662 | TotalAmt |
| Program Services | $711,792 | ProgramServicesAmt |
| Management And General | $7,234,870 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,378,284 | TotalAmt |
| Program Services | $3,324,765 | ProgramServicesAmt |
| Management And General | $1,053,519 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,539 | TotalAmt |
| Program Services | $276,369 | ProgramServicesAmt |
| Management And General | $15,170 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,825 | TotalAmt |
| Program Services | $188,324 | ProgramServicesAmt |
| Management And General | $5,501 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,376,507 | TotalAmt |
| Program Services | $3,323,415 | ProgramServicesAmt |
| Management And General | $1,053,092 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,870,739 | TotalAmt |
| Program Services | $18,886,247 | ProgramServicesAmt |
| Management And General | $5,984,492 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,262,136 | TotalAmt |
| Program Services | $3,858,103 | ProgramServicesAmt |
| Management And General | $404,033 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $78,719,003 | $78,713,445 | $5,558 |
| Physician services | $18,051,046 | $18,051,046 | |
| Cost of goods sold | $7,322,495 | $7,322,495 | |
| Hospital assessment | $4,948,376 | $4,948,376 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,399,860 | TotalAmt |
| Program Services | $8,572,713 | ProgramServicesAmt |
| Management And General | $2,827,147 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,417,203 | TotalAmt |
| Program Services | $310,509,282 | ProgramServicesAmt |
| Management And General | $59,907,921 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,723,061 | BOYAmt |
| EOY | $2,660,585 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,515 | BOYAmt |
| EOY | $72,530 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,219,848 | BOYAmt |
| EOY | $55,812,523 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,283 | BOYAmt |
| EOY | $126,642 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,101,321 | BOYAmt |
| EOY | $6,426,246 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,338 | BOYAmt |
| EOY | $2,028,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $389,062,909 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $191,813,179 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,260,384 | BOYAmt |
| EOY | $197,249,730 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,676,343 | BOYAmt |
| EOY | $69,913,963 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,936,948 | BOYAmt |
| EOY | $2,904,714 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,786,213 | BOYAmt |
| EOY | $1,782,716 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,379,254 | BOYAmt |
| EOY | $338,978,278 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,407,701 | BOYAmt |
| EOY | $27,494,332 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183 | BOYAmt |
| EOY | $116 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,859,381 | BOYAmt |
| EOY | $82,556,856 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,107,998 | BOYAmt |
| EOY | $10,484,538 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,086,135 | BOYAmt |
| EOY | $48,924,576 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,461,398 | BOYAmt |
| EOY | $169,460,418 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,914,335 | BOYAmt |
| EOY | $169,517,473 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,521 | BOYAmt |
| EOY | $387 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,917,856 | BOYAmt |
| EOY | $169,517,860 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,379,254 | BOYAmt |
| EOY | $338,978,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $51,435,742 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $520,791 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$14,356,529 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $15,312,551 | OtherCostOrOtherBasisAmt |
| Book Value | $15,312,551 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $617,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $254,441,573 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,206,676 | DepreciationAmt |
| Book Value | $150,851,897 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,390,740 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,167,003 | DepreciationAmt |
| Book Value | $9,223,737 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,701,634 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,439,500 | DepreciationAmt |
| Book Value | $19,262,134 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,599,411 | OtherCostOrOtherBasisAmt |
| Book Value | $2,599,411 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $197,249,730 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued pension liability | $16,565,053 |
| Athletic sponsorship | $521,238 |
| Due to affiliate | $128,535 |
| Estimated amounts due to third-party payors | $5,499,899 |
| Physician income guarantee commitments | $248,336 |
| Professional self-insurance liability | $9,371,254 |
| Synthetic lease obligations | $16,590,261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,924,576 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II, Line 5: | KHN does have 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 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, 2016 or 2015. |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $4,568,571 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,273,285 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,295,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,607,668 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,279,171 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,328,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,176,239 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,552,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,623,783 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $727,998 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $727,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,097,460 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,088,088 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,009,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,376,976 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,084,706 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,292,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $396,560 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $396,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,598,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,172,794 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,426,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,775,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,725,250 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,049,983 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10550 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,690,190 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $112,565 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $70,409,735 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $70,066,772 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $342,963 | 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 | ||
| 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 | 16 | 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 | http://www.ketteringhealth.org/aboutus | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.ketteringhealth.org/aboutus | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | 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 | http://www.ketteringhealth.org/financial/pdfs/PatientFinancialAssistancePol | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.ketteringhealth.org/financial/pdfs/HCAP.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.ketteringhealth.org/financial/pdfs/PLS1.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 |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| 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: | Partners in the data review process and in the process for identifying and prioritizing community health needs and services are the Board of Trustees and executive leadership of Grandview & Southview Medical Centers, community health collaboratives featuring community, health, and business stakeholders/advocates organized by both Grandview & Southview Medical Centers, and the Greater Dayton Area Hospital Association with its member hospitals. These partners were consulted through the use of focus groups. |
| Group A-Facility 1 -- Grandview Medical Center Part V, Section B, line 6a: | Fort Hamilton HospitalGrandview Medical CenterGreene Memorial HospitalKettering Medical CenterSoin Medical CenterSouthview Medical CenterSycamore Medical CenterAtrium Medical CenterGood Samaritan HospitalMiami Valley HospitalUpper Valley Medical CenterWilson Health |
| Group A-Facility 1 -- Grandview Medical Center Part V, Section B, line 6b: | Greater Dayton Area Hospital AssociationThe Health Collaborative |
| Group A-Facility 1 -- Grandview Medical Center Part V, Section B, line 11: | Five health priorities were identified for the service area: heart disease, breast cancer, diabetes, chronic lower respiratory disease and cerebrovascular disease. Two of these, diabetes and breast cancer, will be addressed by Grandview Medical Center. Kettering Medical Center will address Heart Disease in its Implementation Strategy for this service area. Chronic Lower Respiratory Disease and Cerebrovascular Disease will be addressed by Public Health-Dayton & Montgomery County (PHDMC) in their Community Health Improvement Plan. |
| Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 5: | Partners in the data review process and in the process for identifying and prioritizing community health needs and services are the Board of Trustees and executive leadership of Grandview & Southview Medical Centers, community health collaboratives featuring community, health, and business stakeholders/advocates organized by both Grandview & Southview Medical Centers, and the Greater Dayton Area Hospital Association with its member hospitals. These partners were consulted through the use of focus groups. |
| Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 6a: | Fort Hamilton HospitalGrandview Medical CenterGreene Memorial HospitalKettering Medical CenterSoin Medical CenterSouthview Medical CenterSycamore Medical CenterAtrium Medical CenterGood Samaritan HospitalMiami Valley HospitalUpper Valley Medical CenterWilson Health |
| Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 6b: | Greater Dayton Area Hospital AssociationThe Health Collaborative |
| Group A-Facility 2 -- Southview Medical Center Part V, Section B, line 11: | Five health priorities were identified for the service area: heart disease, breast cancer, diabetes, chronic lower respiratory disease, and cerebrovascular disease. Two of these, diabetes and breast cancer, will be addressed by Southview Medical Center. Kettering Medical Center will address Heart Disease in its Implementation Strategy for this service area. Chronic Lower Respiratory Disease and Cerebrovascular Disease will be addressed by Public Health-Dayton & Montgomery County (PHDMC) in their Community Health Improvement Plan (CHIP). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 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 - Dayton Sports Medicine | ||||
| 7677 Yankee Street Suite 110 | Centerville | OH | 45459 | Outpatient Clinic & Diagnostic Center |
| 6 - Englewood Health Center | ||||
| 1250 National Road | Englewood | OH | 45322 | Outpatient Clinic & Diagnostic Center |
| 7 - Huber Health Center | ||||
| 8701 Old Troy Pike | Huber Heights | OH | 45424 | Emergency, Outpatient Clinic, & Diagnostic Center |
| 8 - Preble County Medical Center | ||||
| 450-B Washington-Jackson Road | Eaton | OH | 45320 | Outpatient Clinic & Diagnostic Center |
| 9 - Sugarcreek Health Center | ||||
| 6438 Wilmington Pike | Dayton | OH | 45459 | Outpatient Clinic & Diagnostic Center |
| 10 - Victor J Cassano Health Center | ||||
| 165 Edwin C Moses Boulevard | Dayton | OH | 45402 | 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 overall cost to charge ratio was applied to charges associated with uncollectible accounts. |
| Part III, Line 3: | An industry average was used to estimate the above amount. It was not included in community benefit. |
| Part III, Line 4: | A cost to charge ratio was used to determine the amount reported in Part III, line 2. An industry average was used to compute the amount on line 3. Discounts and payments on patient accounts reduce bad debt expense. No portion of bad debt expense is reported as communitybenefit. Text of footnote describing bad debt expense is as follows:"Based on historical experience, a significant portion of the Network's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Network records a significant provision for bad debts related to uninsured patients in the period the services are provided." |
| 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 a Christian organization,is charged with providing health education and screenings to look after those who cannot otherwise afford to do so. Programs and support groups that helped community members included childbirth education, infant CPR, stroke support, diabetes education, first aid, and more. These programs touched people from various age, gender, and socio-economic groups. |
| 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 1,670,000 in its primary and secondary service area. The nine county service area includes Butler, Clark, Clinton, Darke, Greene, Miami, Montgomery, Preble and Warren counties. Out of this services area, approximately 12.6% of area households have income below $15,000, 11.1% have income between $15,000 and $24,999, and 24.7% have income between $25,000 and $49,000. Portions of each county except Preble county have been identified as medically underserved by the Health Resources and Services Administration. This nine county area is served by 15 hospitals, 8 of which are part of Kettering Health Network. |
| 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. -As a nationally-recognized osteopathic teaching hospital, Grandview partners with the Ohio University College of Osteopathic Medicine to enhance state-of-the-art medical education tools and programs. Medical research is supported through the Innovation Center, cultivating new technologies and fostering best practices among partners from industry, academia, and health care. |
| Part VI, Line 6: | The following describes the respective roles of Grandview and its affiliates in promoting the health of the communities served by the system:-Grandview 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 is affiliated with the Ohio University College of Osteopathic Medicine. The teaching programs have been an integral part of Grandview's emergence as one of the nation's leading Osteopathic hospitals for clinical quality.-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, cultivating new technologies and fostering best practices among partners from industry, academia, and health care. |
| Part VI, Line 7, Reports Filed With States | OH |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fred Manchur | ||||||||||||||
| CEO - KHN | $0 | $1,329,739 | $0 | $455,301 | $0 | $1,130,248 | $0 | $54,187 | $0 | $23,280 | $0 | $2,992,755 | $0 | $0 |
| Roy Chew | ||||||||||||||
| President - KHN | $0 | $1,016,689 | $0 | $306,709 | $0 | $93,320 | $0 | $14,887 | $0 | $22,570 | $0 | $1,454,175 | $0 | $0 |
| Russ Wetherell | ||||||||||||||
| President - GVMS | $0 | $556,332 | $0 | $163,831 | $0 | $276,853 | $0 | $29,887 | $0 | $43,611 | $0 | $1,070,514 | $0 | $0 |
| Luis Chanaga | ||||||||||||||
| VP of Operations & Finance - GMCS | $0 | $285,138 | $0 | $48,290 | $0 | $1,283 | $0 | $11,221 | $0 | $12,625 | $0 | $358,557 | $0 | $0 |
| Rebecca Lewis | ||||||||||||||
| President - Southview Hospital | $0 | $360,693 | $0 | $101,999 | $0 | $5,256 | $0 | $14,887 | $0 | $10,793 | $0 | $493,628 | $0 | $0 |
| Ronda Brandstater | ||||||||||||||
| VP Patient Care Services - GMC | $0 | $269,147 | $0 | $63,000 | $0 | $1,595 | $0 | $12,545 | $0 | $6,971 | $0 | $353,258 | $0 | $0 |
| Rita Pritchard | ||||||||||||||
| VP Patient Care Services - Southview | $0 | $177,718 | $0 | $50,400 | $0 | $4,364 | $0 | $12,355 | $0 | $21,665 | $0 | $266,502 | $0 | $0 |
| Linda M McCall | ||||||||||||||
| Director of Pharmacy | $190,997 | $0 | $35,125 | $0 | $1,222 | $0 | $0 | $0 | $5,516 | $0 | $232,860 | $0 | $0 | $0 |
| Keith Jenkins | ||||||||||||||
| Director of Human Resources | $158,967 | $0 | $26,109 | $0 | $3,302 | $0 | $0 | $0 | $14,618 | $0 | $202,996 | $0 | $0 | $0 |
| Dennis M Mittleider | ||||||||||||||
| Director Rehab Medicine | $86,198 | $0 | $25,560 | $0 | $55,597 | $0 | $916 | $0 | $15,065 | $0 | $183,336 | $0 | $0 | $0 |
| Carol A Pierce | ||||||||||||||
| Nursing Director | $137,356 | $0 | $23,361 | $0 | $1,222 | $0 | $4,157 | $0 | $5,516 | $0 | $171,612 | $0 | $0 | $0 |
| Jeffrey Hyland | ||||||||||||||
| Pharmacist | $150,497 | $0 | $8,122 | $0 | $2,839 | $0 | $2,552 | $0 | $5,386 | $0 | $169,396 | $0 | $0 | $0 |
| Richard Haas | ||||||||||||||
| Sr. VP - KHN | $0 | $534,197 | $0 | $163,356 | $0 | $2,546,769 | $0 | $34,682 | $0 | $20,996 | $0 | $3,300,000 | $0 | $1,223,282 |
| Terri Day | ||||||||||||||
| Former | $0 | $833,721 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,663 | $0 | $851,384 | $0 | $0 |
| Todd Anderson | ||||||||||||||
| Executive VP - KHN | $0 | $533,218 | $0 | $151,200 | $0 | $29,485 | $0 | $14,887 | $0 | $22,500 | $0 | $751,290 | $0 | $0 |
| Connie G Donaldson | ||||||||||||||
| Director of Nursing | $134,218 | $0 | $25,132 | $0 | $1,222 | $0 | $2,801 | $0 | $6,304 | $0 | $169,677 | $0 | $0 | $0 |
| Keith M Achor | ||||||||||||||
| Director Emergency Services | $28,935 | $0 | $0 | $0 | $130,455 | $0 | $1,613 | $0 | $14,206 | $0 | $175,209 | $0 | $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, Lines 4a-b | Terri Day received a severance payment of $833,721. 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 | 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 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $77,819,579 | $69,874 | $77,749,705 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $15,952,311 | $83,606 | $15,868,705 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| C | $11,591,023 | $106,170 | 2016 | 0 | 0 | Yes (1) | Yes (1) | $11,484,853 |
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 | 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) | ||||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ken Prichard | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family of Key Employee Rita Prichard | RelationshipDescriptionTxt |
| Transaction | $42,145 | TransactionAmt |
| Transaction | Compensation | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Real Estate Residential RealEstateResidentialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $66,370 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 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. |
| Form 990, Part XI, line 9: | Net transfers to affiliate -18,120,125. Change in plan assets and benefit obligation of pension plan 3,763,596. |
| 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 | |
| Beavercreek Medical Center | |||||||||||
| 1 Prestige Place Suite 910 | Miamisburg | OH | 45342 | 270712680 | Hospital | OH | 501(c)(3) | 509(a)(1) | 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 | |
| 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 Memorial Hospital Services Inc | |||||||||||
| 1 Prestige Place Suite 910 | Miamisburg | OH | 45342 | 311358549 | Physician Services | OH | 501(c)(3) | 509(a)(3) | 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 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 | |
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 | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Grandview Associates | |||||||||||||
| 405 W Grand Avenue | Dayton | OH | 45405 | 311427280 | Building Management | OH | Dayton Osteopathic Hospital | Related | $10,426 | $1,307,173 | 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 | $6,271,783 | $2,090,978 | 0 | Yes (1) | 0.51000 |
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 | 0 | 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 (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Grandview Foundation | ||
| C | $1,855,697 | FMV |
| Alliance Physicians Inc | ||
| J | FMV | |
| Alliance Physicians Inc | ||
| M | FMV | |
| Grandview Foundation | ||
| M | FMV | |
| Kettering Adventist Healthcare | ||
| M | FMV | |
| Kettering Medical Center | ||
| M | FMV | |
| Kettering Medical Center | ||
| N | FMV | |
| Kettering Medical Center | ||
| O | FMV | |
| Kettering Medical Center | ||
| P | FMV | |
| Kettering Medical Center | ||
| R | $18,120,125 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 2 | FormAndLineReferenceDesc |
| Explanation | Kettering Medical Center is a conduit through which revenue is received and expenses are paid. | ExplanationTxt |
Comments