BEAVERCREEK MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BEAVERCREEK MEDICAL CENTER (EIN 27-0712680)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201643209349303524
- Schema version
- 2015v2.1
- 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 | 2016-11-15T09:47:16-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 | 2015-01-01 | 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 | Clifton Patten | PersonNm |
| Person Title | KHN CFO | PersonTitleTxt |
| Phone | 9377621629 | PhoneNum |
| Signature | 2016-11-14 | 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 | 2016-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | 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 | 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 | $114,428,929 | 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 | Provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 306 | TotalVolunteersCnt |
| Total Gross UBI | $8,119 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,226 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $52,521 | PYContributionsGrantsAmt |
| CY Contributions Grants | $562,513 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,635,191 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $113,705,188 | CYProgramServiceRevenueAmt |
| PY Investment Income | $240,286 | PYInvestmentIncomeAmt |
| CY Investment Income | $121,498 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $100,927,998 | PYTotalRevenueAmt |
| CY Total Revenue | $114,389,199 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,121 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,002 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,407,875 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $49,382,582 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $57,476,525 | PYOtherExpensesAmt |
| CY Other Expenses | $63,236,442 | CYOtherExpensesAmt |
| PY Total Expenses | $98,892,521 | PYTotalExpensesAmt |
| CY Total Expenses | $112,628,026 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,035,477 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,761,173 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $167,058,317 | TotalAssetsBOYAmt |
| Total Assets EOY | $177,226,564 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $108,237,220 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $110,987,814 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,821,097 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $66,238,750 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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 | $95,887,521 | ExpenseAmt |
| Grant | $9,002 | GrantAmt |
| Revenue | $112,938,370 | RevenueAmt |
| Desc | Care was provided for 5,403 discharges, adult & ped days of 18,038, and 65,948 outpatient visits. | Desc |
| Total Program Service Expenses | $95,887,521 | 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 |
| 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 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | Clifton Patten | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Terri Day | ||||||||||
| President - KHN (until Nov 2015) | 1.00 | 50.00 | Yes (X) | $0 | $4,447,732 | $51,435 | ||||
| Fred Manchur | ||||||||||
| CEO - KHN | 1.00 | 50.00 | Yes (X) | $0 | $3,794,331 | $73,757 | ||||
| Terry Burns | ||||||||||
| President GMH/SOIN (until Nov 2015) | 24.00 | 27.00 | Yes (X) | $0 | $530,800 | $48,287 | Yes (X) | |||
| Jarrod McNaughton | ||||||||||
| President KMC (Nov-Dec) | 1.00 | 50.00 | Yes (X) | $0 | $399,047 | $31,295 | ||||
| Troy Tyner DO | ||||||||||
| Physician | 1.00 | 9.00 | Yes (X) | $0 | $390,236 | $4,484 | ||||
| Michael McCullough MD | ||||||||||
| Physician | 1.00 | 39.00 | Yes (X) | $0 | $290,152 | $33,572 | ||||
| Rick Dodds | ||||||||||
| Presisdent - GMH/SOIN (Nov-Dec) | 24.00 | 27.00 | Yes (X) | $0 | $284,866 | $4,437 | Yes (X) | |||
| David Weigley | ||||||||||
| Pres. Columbia Union Conference of SDA | 1.00 | 5.00 | Yes (X) | $0 | $10,000 | $0 | ||||
| Ron Halvorsen Jr | ||||||||||
| Pres. Ohio Conference of SDA | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Donald Harting | ||||||||||
| Community Volunteer | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomas Peebles | ||||||||||
| Community Volunteer | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Phillip Parker | ||||||||||
| Pres. Dayton Chamber of Commerce | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Amol Soin MD | ||||||||||
| Physician | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen Zimmer | ||||||||||
| Community Volunteer | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ronald Connovich | ||||||||||
| GMH/SOIN VP of Oper/Finance | 24.00 | 25.00 | $0 | $289,431 | $35,717 | Yes (X) | ||||
| Belinda Mallett | ||||||||||
| GMH/SOIN VP of Patient Care | 24.00 | 24.00 | $0 | $286,435 | $33,260 | Yes (X) | ||||
| Jill Hope | ||||||||||
| Pharmacist | 40.00 | 0.00 | $0 | $156,698 | $26,586 | Yes (X) | ||||
| Richard Thomason | ||||||||||
| Pharmacist | 40.00 | 0.00 | $0 | $135,918 | $26,888 | Yes (X) | ||||
| Tim Garrity | ||||||||||
| Pharmacist | 40.00 | 0.00 | $0 | $122,299 | $13,215 | Yes (X) | ||||
| Grant Warren | ||||||||||
| Pharmacist | 40.00 | 0.00 | $0 | $122,289 | $12,243 | Yes (X) | ||||
| Peggy Doyle | ||||||||||
| Director of Nursing (until Nov 2015) | 40.00 | 0.00 | $0 | $121,538 | $1,974 | Yes (X) | ||||
| Mark Smith | ||||||||||
| Former Officer | 0.00 | 48.00 | $0 | $546,299 | $43,292 | Yes (X) | ||||
| Steve Chavez | ||||||||||
| Former Officer | 0.00 | 48.00 | $0 | $334,458 | $35,774 | Yes (X) | ||||
| Tim Ko | ||||||||||
| Former Officer | 0.00 | 48.00 | $0 | $300,970 | $35,138 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,563,499 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $511,354 | 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 | $562,513 | RelatedOrganizationsAmt |
| Total Contributions | $562,513 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| Patient care services | 622000 | $113,647,040 | $112,888,341 | $758,699 | |
| Rental income from related medica | 531120 | $50,029 | $50,029 | ||
| Reference lab | 621500 | $8,119 | $8,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $113,705,188 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17 | TotalRevenueColumnAmt |
| Exclusion | $17 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,035 | TotalRevenueColumnAmt |
| Exclusion | $138,035 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,176 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,821 | SecuritiesAmt |
| Other | $27,909 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$11,821 | SecuritiesAmt |
| Other | -$4,733 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,554 | TotalRevenueColumnAmt |
| Exclusion | -$16,554 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,389,199 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $112,938,370 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,119 | UnrelatedBusinessRevenueAmt |
| Exclusion | $880,197 | 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 | $9,002 | TotalAmt |
| Program Services | $9,002 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453,025 | TotalAmt |
| Program Services | $1,267,708 | ProgramServicesAmt |
| Management And General | $185,317 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,815,457 | TotalAmt |
| Program Services | $32,436,996 | ProgramServicesAmt |
| Management And General | $6,378,461 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,568,003 | TotalAmt |
| Program Services | $1,310,336 | ProgramServicesAmt |
| Management And General | $257,667 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,179,954 | TotalAmt |
| Program Services | $4,328,743 | ProgramServicesAmt |
| Management And General | $851,211 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,366,143 | TotalAmt |
| Program Services | $1,977,320 | ProgramServicesAmt |
| Management And General | $388,823 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,047 | TotalAmt |
| Program Services | $212,049 | ProgramServicesAmt |
| Management And General | $30,998 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,075 | TotalAmt |
| Program Services | $8,241 | ProgramServicesAmt |
| Management And General | $9,834 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600 | TotalAmt |
| Management And General | $1,600 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,950,794 | TotalAmt |
| Program Services | $4,200,520 | ProgramServicesAmt |
| Management And General | $2,750,274 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,352 | TotalAmt |
| Program Services | $34 | ProgramServicesAmt |
| Management And General | $405,318 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,516,847 | TotalAmt |
| Program Services | $1,397,302 | ProgramServicesAmt |
| Management And General | $119,545 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,769,443 | TotalAmt |
| Program Services | $166,356 | ProgramServicesAmt |
| Management And General | $1,603,087 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,811 | TotalAmt |
| Program Services | $920,170 | ProgramServicesAmt |
| Management And General | $119,641 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,120 | TotalAmt |
| Program Services | $68,946 | ProgramServicesAmt |
| Management And General | $32,174 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,146 | TotalAmt |
| Program Services | $45,334 | ProgramServicesAmt |
| Management And General | $4,812 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,165,215 | TotalAmt |
| Program Services | $8,110,663 | ProgramServicesAmt |
| Management And General | $1,054,552 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,951,955 | TotalAmt |
| Program Services | $12,346,639 | ProgramServicesAmt |
| Management And General | $1,605,316 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,625 | TotalAmt |
| Program Services | $289,956 | ProgramServicesAmt |
| Management And General | $111,669 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $19,372,581 | $19,371,405 | $1,176 |
| Physician services | $4,841,419 | $4,841,419 | |
| Hospital assessment | $1,138,871 | $1,138,871 | |
| Cost of goods sold | $891,217 | $891,217 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,377,324 | TotalAmt |
| Program Services | $548,294 | ProgramServicesAmt |
| Management And General | $829,030 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,628,026 | TotalAmt |
| Program Services | $95,887,521 | ProgramServicesAmt |
| Management And General | $16,740,505 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,840 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,897,418 | BOYAmt |
| EOY | $18,667,851 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,725,553 | BOYAmt |
| EOY | $2,332,574 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,103 | BOYAmt |
| EOY | $177,870 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $185,420,469 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,719,831 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,103,979 | BOYAmt |
| EOY | $143,700,638 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,924,950 | BOYAmt |
| EOY | $12,347,631 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,246,474 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,058,317 | BOYAmt |
| EOY | $177,226,564 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,732,390 | BOYAmt |
| EOY | $10,284,065 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,400,524 | BOYAmt |
| EOY | $97,315,978 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,104,306 | BOYAmt |
| EOY | $3,387,771 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,237,220 | BOYAmt |
| EOY | $110,987,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,246,097 | BOYAmt |
| EOY | $65,663,750 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,000 | BOYAmt |
| EOY | $575,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,821,097 | BOYAmt |
| EOY | $66,238,750 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,058,317 | BOYAmt |
| EOY | $177,226,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,761,173 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$31,825 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,688,305 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $140,357,259 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,736,808 | DepreciationAmt |
| Book Value | $117,620,451 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,552,694 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,983,023 | DepreciationAmt |
| Book Value | $17,569,671 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,510,516 | OtherCostOrOtherBasisAmt |
| Book Value | $8,510,516 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $143,700,638 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Professional self-insurance liability | $1,099,427 |
| Estimated amounts due to third-party payors | $2,288,344 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,387,771 | 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 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, 2015 or 2014. | 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 |
| 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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,096,149 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,035,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,060,206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,762,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,091,836 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,670,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11250 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,858,442 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,127,779 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,730,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,519 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $102,519 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,192,249 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $214,818 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $977,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,733 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $115,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,410,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $214,818 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,195,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,268,943 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,342,597 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,926,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,509,137 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $36,219 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,906,638 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,942,961 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,036,323 | 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 |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | 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 | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.ketteringhealth.org/aboutus | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.ketteringhealth.org/financial | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.ketteringhealth.org/financial | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 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: 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 Soin Medical Center, community health collaboratives featuring community, health, and business stakeholders/advocates organized by both Soin Medical Center, and the Greater Dayton Area Hospital Association with its member hospitals. These partners were consulted through the use of focus groups.To prepare the CHNA, primary and secondary data were collected in order to paint a detailed picture of the Soin Medical Center Service Area. Primary data is collected directly from first-hand experience and secondary data is data that has already been collected and archived by other organizations.For Soin's Community Health Needs Assessment, primary data were collected by surveying 975 Greene County adults using the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS). Secondary data were collected from sources such as the Ohio Hospital Association via the Greater Dayton Area Hospital Association, the Ohio Department of Health, the Health Resources and Services Administration(HRSA), the Bureau of the Census, and the Robert Wood Johnson Foundation, among others. |
| Beavercreek Medical Center | Part V, Section B, Line 6a: Soin Medical Center partnered with member hospitals of the Greater Dayton Area Hospital Association to prepare the Community Health Needs Assessment (CHNA) for the hospital's service area. |
| Beavercreek Medical Center | Part V, Section B, Line 6b: Soin Medical Center also partnered with Wright State University to prepare the Community Health Needs Assessment (CHNA) for the hospital's service area. |
| Beavercreek Medical Center | Part V, Section B, Line 11: Five health priorities were identified for adults in the service area: heart disease, breast cancer, diabetes, chronic lower respiratory disease, and unintentional injury. Two of these, heart disease and diabetes, will be addressed by the Soin Medical Center. Greene Memorial Hospital will address Breast Cancer in its Hospital Implementation Strategy. The remaining health priorities will be addressed by other organizations within the service area. |
| Beavercreek Medical Center | Part V, Section B, Line 22d: The hospital provided a discount on medically necessary hospital services to uninsured patients who do not qualify under the charity care policy. |
| Beavercreek Medical Center | Part V, Section B, Line 24: The hospital charged patients an amount equal to gross charges in select circumstances. This includes, for example, claims with insurance denials for non-cooperation. |
Supplemental Information Detail SupplementalInformationDetail (11 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. 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 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. 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 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 is done regardless of insured or uninsured status. 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 1,656,000 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 service 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 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: | 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 and establishment of new programs. |
| 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, 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, Sycamore Glen Retirement Community, and Kettering Breast Evaluation Centers. These health care 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, 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Assistance to employees for hardship | GrantTypeTxt |
| Recipient | 13 | RecipientCnt |
| Cash Grant | $9,002 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Terri Day | ||||||||||||||
| President - KHN (until Nov 2015) | $0 | $968,409 | $0 | $262,893 | $0 | $3,216,430 | $0 | $14,587 | $0 | $36,848 | $0 | $4,499,167 | $0 | $1,925,976 |
| Fred Manchur | ||||||||||||||
| CEO - KHN | $0 | $1,261,849 | $0 | $390,258 | $0 | $2,142,224 | $0 | $53,887 | $0 | $19,870 | $0 | $3,868,088 | $0 | $1,027,903 |
| Terry Burns | ||||||||||||||
| President GMH/SOIN (until Nov 2015) | $0 | $407,358 | $0 | $105,182 | $0 | $18,260 | $0 | $14,587 | $0 | $33,700 | $0 | $579,087 | $0 | $0 |
| Jarrod McNaughton | ||||||||||||||
| President KMC (Nov-Dec) | $0 | $326,266 | $0 | $70,916 | $0 | $1,865 | $0 | $14,587 | $0 | $16,708 | $0 | $430,342 | $0 | $0 |
| Troy Tyner DO | ||||||||||||||
| Physician | $0 | $390,236 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,484 | $0 | $394,720 | $0 | $0 |
| Michael McCullough MD | ||||||||||||||
| Physician | $0 | $290,152 | $0 | $0 | $0 | $0 | $0 | $14,587 | $0 | $18,985 | $0 | $323,724 | $0 | $0 |
| Rick Dodds | ||||||||||||||
| Presisdent - GMH/SOIN (Nov-Dec) | $0 | $259,026 | $0 | $25,205 | $0 | $635 | $0 | $0 | $0 | $4,437 | $0 | $289,303 | $0 | $0 |
| Ronald Connovich | ||||||||||||||
| GMH/SOIN VP of Oper/Finance | $0 | $227,819 | $0 | $59,569 | $0 | $2,043 | $0 | $14,587 | $0 | $21,130 | $0 | $325,148 | $0 | $0 |
| Belinda Mallett | ||||||||||||||
| GMH/SOIN VP of Patient Care | $0 | $222,350 | $0 | $57,781 | $0 | $6,304 | $0 | $14,587 | $0 | $18,673 | $0 | $319,695 | $0 | $0 |
| Jill Hope | ||||||||||||||
| Pharmacist | $0 | $141,293 | $0 | $11,464 | $0 | $3,941 | $0 | $9,375 | $0 | $17,211 | $0 | $183,284 | $0 | $0 |
| Richard Thomason | ||||||||||||||
| Pharmacist | $0 | $113,081 | $0 | $18,755 | $0 | $4,082 | $0 | $6,051 | $0 | $20,837 | $0 | $162,806 | $0 | $0 |
| Mark Smith | ||||||||||||||
| Former Officer | $0 | $438,754 | $0 | $105,182 | $0 | $2,363 | $0 | $14,537 | $0 | $28,755 | $0 | $589,591 | $0 | $0 |
| Steve Chavez | ||||||||||||||
| Former Officer | $0 | $269,986 | $0 | $62,406 | $0 | $2,066 | $0 | $14,587 | $0 | $21,187 | $0 | $370,232 | $0 | $0 |
| Tim Ko | ||||||||||||||
| Former Officer | $0 | $240,251 | $0 | $59,569 | $0 | $1,150 | $0 | $14,587 | $0 | $20,551 | $0 | $336,108 | $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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | County of Greene Ohio | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 316000271 | BondIssuerEIN |
| CUSIP | 394650BV6 | CUSIPNum |
| Bond Issued | 2009-11-03 | BondIssuedDt |
| Issue Price | $97,931,091 | IssuePriceAmt |
| Purpose | Construct and equip a hospital | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $100,530,461 | TotalProceedsAmt |
| In Reserve Fund | $10,126,618 | InReserveFundAmt |
| Capitalized Interest | $2,633,592 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,612,304 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $85,213,731 | CapitalExpendituresAmt |
| Other Spent Proceeds | $944,216 | OtherSpentProceedsAmt |
| Substantial Completion | 2012 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | Yes (1) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (1) | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | 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. |
| Form 990, Part XI, line 9: | Net transfers from affiliate 5,688,305. |
| 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 (12 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 | |
| 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 | |
| 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 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Greene Foundation | ||
| C | $562,513 | FMV |
| Alliance Physicians Inc | ||
| J | FMV | |
| Alliance Physicians Inc | ||
| M | FMV | |
| Greene Foundation | ||
| M | FMV | |
| Kettering Adventist Healthcare | ||
| M | FMV | |
| Kettering Medical Center | ||
| M | FMV | |
| Kettering Medical Center | ||
| N | FMV | |
| Greene Memorial Hospital | ||
| O | FMV | |
| Kettering Medical Center | ||
| O | FMV | |
| Kettering Medical Center | ||
| P | FMV | |
| Kettering Medical Center | ||
| S | $5,688,305 | 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