2012-11-14T14:05:48-08:00 2011-12-31 CLARK SCHAEFER HACKETT & CO 10100 INNOVATION DRIVE SUITE 400 MIAMISBURG OH 45342 990 2011-01-01 270712680 BEAVERCREEK MEDICAL CENTER BEAV 9373844550 2110 LEITER ROAD MIAMISBURG OH 45342 CLIFTON PATTEN 9373844550 2012-11-12 true HERBERT L LEMASTER CPA 9372260070 2012-11-14 2011 2016-02-24 21:20:13Z CLIFTON PATTEN 2110 LEITER ROAD MIAMISBURG OH 45342 1182360 false X www.khnetwork.org X 2009 OH Startup activities for new facility that will provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner 16 11 0 0 0 13000000 575500 0 1443535 606860 0 14443535 1182360 0 0 238340 0 0 2720342 2582628 2720342 2820968 11723193 -1638608 167601243 135107554 104809113 100575898 62792130 34531656 Startup activities for new facility false false 296687 SEE MISSION STATEMENT ABOVE. 296687 true true false false false false false false false false true false false false false true true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false false X 16 11 false false false false false false false true true false false true true true true true true true true false X X CLIFTON PATTEN 9373844550 2110 LEITER ROAD MIAMISBURG OH 45342 FRED MANCHUR 1.00 X 0 1464243 391337 GREG HENDERSON 40.00 X X 0 955900 29254 TROY TYNER DO 1.00 X 0 243396 0 TERRY BURNS 40.00 X X 0 189043 23640 WM MICHAEL MCCULLOUGH MD 1.00 X 0 42052 0 RAJ ATTIKEN 1.00 X 0 0 0 DONALD HARTING 1.00 X 0 0 0 PETER LUONGO 1.00 X 0 0 0 ROBERT MILLS 1.00 X 0 0 0 THOMAS PEEBLES 1.00 X 0 0 0 PHILLIP PARKER 1.00 X 0 0 0 SUSAN PHILLIPS 1.00 X 0 0 0 SHAMIM SHAMSI MD 1.00 X 0 0 0 AMOL SOIN MD 1.00 X 0 0 0 DAVID WEIGLEY 1 X STEPHEN ZIMMER 1 X MARK SMITH 40 X 370066 23938 TIM KO 40 X 195510 16313 BELINDA MALLETT 40 X 270811 59210 FRANK PEREZ 0 X 823860 21562 TIM POLLARD 0 X 141373 MICHAEL CACCAMO MD 0 X 24000 4720254 565254 true true false 0 575500 575500 204581 204581 -3 -3 402282 402282 402282 402282 1182360 606860 X 194000 174522 19478 0 1691 1521 170 0 39284 35340 3944 0 3365 3027 338 0 2125 0 2125 0 83361 0 83361 0 146623 66040 80583 0 26267 0 26267 0 15891 12782 3109 0 31403 0 31403 0 2616 2616 0 0 187 187 0 0 2161818 0 2161818 0 22264 0 22264 0 Minor miscellaneous expenses 90073 652 89421 0 2820968 296687 2524281 0 7000000 4500000 832 2500 3500 117638519 75963221 117638519 83105362 11505464 1530160 1459239 167601243 135107554 6772617 2448395 98036496 98127503 104809113 100575898 X 51831307 29456656 10960823 5075000 62792130 34531656 167601243 135107554 X -1638608 -26621866 X X false true true X false X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 117638519 117638519 117638519 1182360 2820968 -1638608 376938 -26998804 -26621866 -28260474 7036823 7036823 7036823 1182360 1182360 1182360 35297297 32476329 32476329 2820968 2820968 Pt X The Network completed an analysis of its tax positions in accordance with applicable accounting guidance at December 31, 2011 and 2010, and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2011 or 2010. Pt XI Line 8 Net transfers to affiliate (26,998,804) Pt XII Line 2d Net assets released from restrictions for capital 6,461,323 Contributions and investment income from restricted investments 575,500 Pt XII Line 4b Contributions 575,500 Investment income 606,860 Pt XIII Line 2d Contributions (575,500) Investment income (606,860) Transfers for PP&E 6,461,323 Transfers to net assets (5,885,823) Net unrealized gains on investments (376,938) Net transfers to affiliate 26,998,804 Temporarily restricted net assets released from restrictions for capital 6,461,323 false false false false NA 1 1 BEAVERCREEK MEDICAL CENTER

3535 PENTAGON BOULEVARD BEAVERCREEK OH 45431

Under Construction BEAVERCREEK MEDICAL CENTER 1 false false false false false false false X false X false X X false false BEAVERCREEK MEDICAL CENTER IS STILL UNDER CONSTRUCTION. THE ORGANIZATION IS CURRENTLY ADDRESSING THE POLICIES CONCERNING THE PROVISIONS OF HEALTH CARE FOR 2011 AND 2012. X X X X X X false true false false false false false false false FRED MANCHUR 1100401 268335 95507 373845 17492 1855580 GREG HENDERSON 431860 93147 430893 13687 15567 985154 193030 TROY TYNER DO 243396 243396 TERRY BURNS 182282 6761 23640 212683 MARK SMITH 330507 37620 1939 23938 394004 TIM KO 178244 16854 412 16313 211823 BELINDA MALLETT 222837 44827 3147 43884 15326 330021 FRANK PEREZ 575282 238197 10381 13687 7875 845422 TIM POLLARD 141373 141373 MICHAEL CACCAMO MD 24000 24000 Pt I Line 4b The Network has a Supplemental Executive Retirement Plan available only to a certain class of management. Pt VI, Line 11a 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). Pt VI, 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. Pt VI, 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. Pt VI, Line 19 The KHN Conflict of Interest policy is available on the KHN intranet. The organization's governing documents and financial statements are available upon request. Pt XI Line 5: Net unrealized gains on investments 376,938 Pt XI Line 5: Net transfers to affiliate (26,998,804) Pt XII, Line 2c KHN has an audit committee that meets regularly throughout the year to review issues that are brought to it by the internal auditor. This committee is also responsible for the financial audit. Part IX, Lines 7,8,9,10 Salaries, pension plan, other benefits, and payroll taxes Part IX, Lines 7,8,9,10 are paid by and allocated from Kettering Medical Center. Part IV, Line 24 Line 24a should be "Yes" and 24b,c,d should be "No". Part IV, Line 24 The organization does have tax-exempt bonds but the software Part IV, Line 24 converts Schedule K with an error. This caused the Part IV, Line 24 return to be rejected by the agency. Part IV, Line 24 Schedule K has been attached as a .pdf file as a workaround. Part IV, Line 24 We've also attached the rejection notice. ALLIANCE PHYSICIANS INC 2110 LEITER ROAD MIAMISBURG OH 45342 311175717 PHYSICIAN SERVICES OH 501(c)(3) 509(a)(3) KETTERING ADVENTIST HEALTHCARE false DAYTON OSTEOPATHIC HOSPITAL 2110 LEITER ROAD MIAMISBURG OH 45342 310564121 HOSPITAL OH 501(c)(3) 509(a)(1) KETTERING ADVENTIST HEALTHCARE false THE FORT HAMILTON HOSPITAL 2110 LEITER ROAD MIAMISBURG OH 45342 310536662 HOSPITAL OH 501(c)(3) 509(a)(1) KETTERING ADVENTIST HEALTHCARE false GREENE FOUNDATION 2110 LEITER ROAD MIAMISBURG OH 45342 310886949 FUNDRAISING OH 501(c)(3) 509(a)(1) GREENE MEMORIAL HOSPITAL false GREENE MEMORIAL HOSPITAL 2110 LEITER ROAD MIAMISBURG OH 45342 310809436 HOSPITAL OH 501(c)(3) 509(a)(1) KETTERING ADVENTIST HEALTHCARE false GREENE MEMORIAL HOSPITAL SERVICES INC 2110 LEITER ROAD MIAMISBURG OH 45342 311358549 PHYSICIAN SERVICES OH 501(c)(3) 509(a)(3) KETTERING ADVENTIST HEALTHCARE false KETTERING ADVENTIST HEALTHCARE 2110 LEITER ROAD MIAMISBURG OH 45342 311051688 MANAGEMENT OH 501(c)(3) 509(a)(3) NA false KETTERING MEDICAL CENTER 2110 LEITER ROAD MIAMISBURG OH 45342 310621866 HOSPITAL OH 501(c)(3) 509(a)(1) KETTERING ADVENTIST HEALTHCARE false KETTERING MEDICAL CENTER FOUNDATION 2110 LEITER ROAD MIAMISBURG OH 45342 237419897 FUNDRAISING OH 501(c)(3) 509(a)(3) KETTERING MEDICAL CENTER false false false false false false false false false false false false true true true true false false true KETTERING MEDICAL CENTER IS A CONDUIT THROUGH WHICH REVENUE lmnor FMV IS RECEIVED AND EXPENSES ARE PAID