DAYTON OSTEOPATHIC HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DAYTON OSTEOPATHIC HOSPITAL (EIN 31-0564121)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201103189349303035
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T09:28:45-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK SCHAEFER HACKETT & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1KETTERING TOWER SUITE 800AddressLine1
CityDAYTONCity
StateOHState
ZIP Code45423ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310564121EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DAYTON OSTEOPATHIC HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDAYTNameControl
Phone9373844550Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12110 LEITER ROADAddressLine1
CityMIAMISBURGCity
StateOHState
ZIP Code45342ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCLIFTON PATTENName
TitleVP OF FINANCE & DECISION SUPPORTTitle
Phone9373844550Phone
Date Signed2011-10-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameHERBERT L LEMASTER CPAName
Phone9372260070Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD HAASNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12110 LEITER ROADAddressLine1
CityMIAMISBURGCity
StateOHState
ZIP Code45342ZIPCode
FieldValueIRS element (for citing)
Gross Receipts301421100GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.khnetwork.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1939YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTo provide quality healthcare to individuals and the community as a whole in a Judeo-Christian mannerActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees2296TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI73539TotalGrossUBI
Contributions Grants Prior Year2593108ContributionsGrantsPriorYear
Contributions Grants Current Year1593952ContributionsGrantsCurrentYear
Program Service Revenue Prior Year289309135ProgramServiceRevenuePriorYear
Program Service Revenue CY297072065ProgramServiceRevenueCY
Investment Income Prior Year178748InvestmentIncomePriorYear
Investment Income Current Year854316InvestmentIncomeCurrentYear
Other Revenue Prior Year948727OtherRevenuePriorYear
Other Revenue Current Year130155OtherRevenueCurrentYear
Total Revenue Prior Year293029718TotalRevenuePriorYear
Total Revenue Current Year299650488TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year117063776SalariesEtcPriorYear
Salaries Etc Current Year122320751SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year163853228OtherExpensePriorYear
Other Expenses Current Year159419024OtherExpensesCurrentYear
Total Expenses Prior Year280917004TotalExpensesPriorYear
Total Expenses Current Year281739775TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12112714RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17910713RevenuesLessExpensesCY
Total Assets BOY240495290TotalAssetsBOY
Total Assets EOY249894228TotalAssetsEOY
Total Liabilities BOY203201020TotalLiabilitiesBOY
Total Liabilities EOY203519078TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37294270NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY46375150NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide quality healthcare toMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense240150452Expense
Revenue297072065Revenue
DescriptionGRANDVIEW HOSPITAL, SOUTHVIEW HOSPITAL, AND OTHER PATIENT CARE RELATED SERVICESDescription
Total Program Service Expense240150452TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementstrueConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2296NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CLIFTON PATTENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9373844550TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12110 LEITER ROADAddressLine1
CityMIAMISBURGCity
StateOHState
ZIP Code45342ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
FRED MANCHUR
KHN PRESIDENT & CEO1.00X01328552223838
FRANK PEREZ
NETWORK CEO1.00X0112329831192
RICHARD HAAS
GMC PRESIDENT40.00X0525707108242X
DAVE WEIGLEY
PRESIDENT, COLUMBIA UNION CONFERENCE OF SDA1.00X000
KENNETH PUGAR DO
PHYSICIAN1.00X000
JOHN SEFTON DO
PHYSICIAN1.00X000
SHEILA BURTON
EXEC. DIR. ASSESSMENT & ACCOUNTABILITY, DAYTON PUBLIC SCHOOLS1.00X000
GAYLE JOHNSON
PRESIDENT, DAY-MONT BEHAVIORAL HEALTH CENTER, INC.1.00X000
J BRADFORD GAMBLIN
EXEC DIR DAYTON MASONIC FOUNDATION1.00X000
PETER KING
GMC CFO40.00037556368999X
LINDA MCCALL
DIRECTOR OF PHARMACY40.00171272013400X
RITA PRICHARD
DIRECTOR40.00154120019541X
GEORGE HARRITOS
PHARMACIST40.00153195019340X
DENNIS MITTLEIDER
DIRECTOR40.00150087022656X
KEVIN GRETH
PHARMACIST40.00148916010849X
FieldValueIRS element (for citing)
Total Reportable Comp From Org777590TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3353120TotalReportableCompFrmRltdOrgs
Total Other Compensation518057TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations1535014RelatedOrganizations
All Other Contributions58938AllOtherContributions
Total Contributions1593952TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient care servicesDescription
Business Code900099BusinessCode
Total Revenue Column297072065TotalRevenueColumn
Unrelated Business Revenue73539UnrelatedBusinessRevenue
Exclusion$1,460,178ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue297072065TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column385277TotalRevenueColumn
Exclusion$385,277ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column344891TotalRevenueColumn
Exclusion$344,891ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities295423Securities
Other1599337Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1770612Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities295423Securities
Other-171275Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column124148TotalRevenueColumn
Exclusion$124,148ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY INVESTMENT INCOME ALLOCATIONDescription
Business Code523000BusinessCode
Total Revenue Column130155TotalRevenueColumn
Exclusion$130,155ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue130155TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column299650488TotalRevenueColumn
Related Or Exempt Function Income295538348RelatedOrExemptFunctionIncome
Unrelated Business Revenue73539UnrelatedBusinessRevenue
Exclusion$2,444,649ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total97226712Total
Program Services84377907ProgramServices
Management And General12848805ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4316889Total
Program Services3746399ProgramServices
Management And General570490ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14243967Total
Program Services12361583ProgramServices
Management And General1882384ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6533183Total
Program Services5669803ProgramServices
Management And General863380ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4630888Total
Program Services0ProgramServices
Management And General4630888ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total310786Total
Program Services11419ProgramServices
Management And General299367ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total52411Total
Program Services0ProgramServices
Management And General52411ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total42449866Total
Program Services32928133ProgramServices
Management And General9521733ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total544192Total
Program Services133210ProgramServices
Management And General410982ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52832046Total
Program Services52559952ProgramServices
Management And General272094ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4375848Total
Program Services287340ProgramServices
Management And General4088508ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4033655Total
Program Services3400722ProgramServices
Management And General632933ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total310975Total
Program Services273741ProgramServices
Management And General37234ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total129766Total
Program Services117041ProgramServices
Management And General12725ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6906444Total
Program Services5822732ProgramServices
Management And General1083712ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15764024Total
Program Services13290442ProgramServices
Management And General2473582ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2820521Total
Program Services2809714ProgramServices
Management And General10807ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad debt99683269958217101090
Cost of goods sold5069911506991100
Hospital assessment2738101273810100
Intercompany allocations180429017034101008800
Minor equipment1590644158854221020

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3081330Total
Program Services1297133ProgramServices
Management And General1784197ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total281739775Total
Program Services240150452ProgramServices
Management And General41589323ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY704668BOY
EOY1045995EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY104151BOY
EOY72278EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32847996BOY
EOY44982216EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY312586EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5190910BOY
EOY5241534EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2840374BOY
EOY715599EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis270105906LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec105473325LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY164139525BOY
EOY164632581EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28772455BOY
EOY26964064EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2904714BOY
EOY2904714EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2990497BOY
EOY3022661EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY240495290BOY
EOY249894228EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18442278BOY
EOY20404586EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY673572BOY
EOY449048EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY106802221BOY
EOY102450995EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY516402EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY17538838BOY
EOY15645538EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59744111BOY
EOY64052509EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY203201020BOY
EOY203519078EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY36943156BOY
EOY46164481EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY351114BOY
EOY210669EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37294270BOY
EOY46375150EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY240495290BOY
EOY249894228EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses17910713ReconcilationRevenueExpenses
Reconcilation Other Changes-8829833ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Total Number Of Easements1TotalNumberOfEasements
Total Acreage1.5TotalAcreage
Nmbr Easements Modified0NmbrEasementsModified
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy MonitoringtrueWrittenPolicyMonitoring
Staff Hours Spent On Enforcement20StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement2390ExpensesIncurredForEnforcement
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14952024OtherCostOrOtherBasis
Book Value14952024BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1600000InvestmentCostOrOtherBasis
Other Cost Or Other Basis153070603OtherCostOrOtherBasis
Depreciation49706120Depreciation
Book Value104964483BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis18020615OtherCostOrOtherBasis
Depreciation5000480Depreciation
Book Value13020135BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67155411OtherCostOrOtherBasis
Depreciation50766725Depreciation
Book Value16388686BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15307253OtherCostOrOtherBasis
Book Value15307253BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings164632581TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Physician LOC1297758
Unamortized long-term debt issuance costs1724903
FieldValueIRS element (for citing)
Total Book Value Other Assets3022661TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Accrued pension liability$12,030,038
Due to affiliate$132,445
Estimated amounts due to third-party payors$4,377,672
Physician income guarantee commitments$71,043
Professional self-insurance liability$9,116,226
Synthetic lease obligations$38,325,085
FieldValueIRS element (for citing)
Total Of Amounts64052509TotalOfAmounts
Total Revenue299650488TotalRevenue
Total Expenses281739775TotalExpenses
Excess Or Deficit For Year17910713ExcessOrDeficitForYear
Net Unrealized GL On Investments421999NetUnrealizedGLOnInvestments
Other-$9,251,832OtherAmount
Total Adjustments-8829833TotalAdjustments
Excess Or Deficit Per FS9080880ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt299059000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-19582NetUnrealizedGainsInvestments
Other Revenues1166902OtherRevenues
Revenue Not Rptd F9901147320RevenueNotRptdF990
Revenue Subtotal297911680RevenueSubtotal
Other Revenues Not Included1738808OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1738808RevenueNotRptdOnFinStmt
Total Revenue Per Form990299650488TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt289977000TotExpensesEtcAuditedFinclStmt
Other Expenses Included7515757OtherExpensesIncluded
Expenses Not Rptd F9907515757ExpensesNotRptdF990
Expenses Subtotal282461243ExpensesSubtotal
Other Expenses Not Included-721468OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-721468ExpensesNotRptdOnFinStmt
Total Expenses Per Form990281739775TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (11 entries)

IdentifierIdentifierExplanationExplanation
Pt II Line 5KHN does have a policy on conservation easements.
Pt II Line 9The expense to monitor the conservation easement is
recorded as incurred to the hospital. There is no income from the easement and no asset is recorded.
Pt XThe Network completed an analysis of its tax positions in accordance with applicable accounting
guidance at December 31, 2010 and 2009, and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2010 or 2009.
Pt XI Line 8Net transfers to affiliate (7,534,887)
Pt XI Line 8Change in plan assets and benefit obligation of pension plan (1,716,946) Rounding 1
Pt XII Line 2dInvestment management fees (38,162) Support allocation 759,970 Net assets released from restrictions for capital 222,547 Contributions and investment income from restricted investments 222,547
Pt XII Line 4bAudit rounding (782) Contributions 1,535,014 Loss on disposal of assets (118,096) Nonoperating allocation 322,671 Rounding 1
Pt XIII Line 2dContributions (1,535,014) Loss on disposal of assets 118,096 Nonoperating allocation (322,671) Transfers for PP&E 222,547 Transfers to net assets (140,446) Net unrealized (gains)/losses on investments (441,581) Net transfers to affiliate 7,534,887 Change in plan assets and benefit obligation of pension plan 1,716,946 Net assets released from restrictions for capital 222,547 Net assets released from restrictions for operations 140,446
Pt XIII Line 4bAudit rounding 339 Investment management fees 38,162 Support allocation (759,970) Rounding 1

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense13660941TotalCommunityBenefitExpense
Direct Offsetting Revenue5740080DirectOffsettingRevenue
Net Community Benefit Expense7920861NetCommunityBenefitExpense
Percent Of Total Expense0.02910PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense36349264TotalCommunityBenefitExpense
Direct Offsetting Revenue30621574DirectOffsettingRevenue
Net Community Benefit Expense5727690NetCommunityBenefitExpense
Percent Of Total Expense0.02110PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense50010205TotalCommunityBenefitExpense
Direct Offsetting Revenue36361654DirectOffsettingRevenue
Net Community Benefit Expense13648551NetCommunityBenefitExpense
Percent Of Total Expense0.05020PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense566746TotalCommunityBenefitExpense
Direct Offsetting Revenue89897DirectOffsettingRevenue
Net Community Benefit Expense476849NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense12919940TotalCommunityBenefitExpense
Direct Offsetting Revenue6382394DirectOffsettingRevenue
Net Community Benefit Expense6537546NetCommunityBenefitExpense
Percent Of Total Expense0.02410PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6743346TotalCommunityBenefitExpense
Direct Offsetting Revenue3740DirectOffsettingRevenue
Net Community Benefit Expense6739606NetCommunityBenefitExpense
Percent Of Total Expense0.02480PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense395058TotalCommunityBenefitExpense
Net Community Benefit Expense395058NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20625090TotalCommunityBenefitExpense
Direct Offsetting Revenue6476031DirectOffsettingRevenue
Net Community Benefit Expense14149059NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense70635295TotalCommunityBenefitExpense
Direct Offsetting Revenue42837685DirectOffsettingRevenue
Net Community Benefit Expense27797610NetCommunityBenefitExpense
Percent Of Total Expense0.10240PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,156,845BadDebtExpenseAmount
Amount Attributable To51764AmountAttributableTo
Amount Reimbursed By Medicare51156090AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare51339171CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-183081MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
GRANDVIEW ASSOCIATES
Medical Office Building0.920000.08000
SOUTHVIEW ORTHOPEDIC CENTER
Medical Service Venture0.510000.49000
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
GRANDVIEW MEDICAL CENTER
1405 W GRAND AVENUEDAYTONOH45405XXXX
SOUTHVIEW MEDICAL CENTER
21997 MIAMISBURG CENTERVILLECENTERVILLEOH45459XXXX

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
YANKEE MEDICAL CENTER
7677 YANKEE STREETCENTERVILLEOH45459Outpatient Clinic & Diag. Ctr
BEAVERCREEK HEALTH CENTER
2510 COMMONS BLVDBEAVERCREEKOH45431Diagnostic Ctr & Rehab Clinic
VICTOR J CASSANO HEALTH CTR
165 EDWIN C MOSES BLVDDAYTONOH45402Diagnostic Ctr
CORWIN M NIXON HEALTH CTR
1470 N BROADWAYLEBANONOH45036Circulatory & Wound Ctr
PREBLE COUNTY MEDICAL CTR
450-B WASHINGTON JACKSON RDEATONOH45320Outpatient Clinic & Diag. Ctr
CORNERSTONE MEDICAL CTR
7740 WASHINGTON VILLAGE DRCENTERVILLEOH45459Outpatient Clinic & Diag. Ctr
CHARLES H HUBER HEALTH CTR
8701 OLD TROY PIKEHUBER HEIGHTSOH45424Outpatient Clinic & Diag. Ctr
GRANDVIEW CTR FOR CIRCULATORY & WOUND
TALBOTT TOWER 131 N LUDLOW STDAYTONOH45402Outpatient Clinic & Diag. Ctr
SUGARCREEK HEALTH CTR
6438 WILMINGTON PIKEDAYTONOH45459Outpatient Clinic & Diag. Ctr

Form990 Schedule H Part VI Form990ScheduleHPartVI (146 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 3cThe organization used FPG to determine eligibility for
providing free or discounted care to individuals.
Pt I Line 6aThe organization provides an annual community benefit
report that is made available to the public.
Pt I Line 7Charity 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.
Pt I Line 7gSubsidized health services represent the non-needs based and
non-Medicare program losses of services the hospital offers.
Pt I Line 7 col (f)Bad Debt Expense included on Form 990, Part IX, line 25, Columns (A),
but subtracted for purposes of calculating the
percentage in this column is $9,968,326.
Pt III Line 4A 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 debt expense is as follows:
"The Network records bad debt expense and the allowance
for doubtful receivables based upon the historical
experience of each acute-care facility adjusted for
current environment risks and trends."
Pt III Line 8The costing methodology used to determine Medicare costs is
the Medicare cost report. Medicare costs
have not been included in Community Benefit in Part I.
A reconciliation between Medicare program amounts
reportable in Section B and the total Medicare
program is below:
Revenues Costs Surplus(Shortfall)
Medicare Section B $51,156,090 $51,339,171 ($183,080)
Other Programs $35,566,655 $33,868,986 $1,697,669
Total Programs $86,722,746 $85,208,157 $1,514,589
Other Medicare Programs include Medicare
Part C and clinical laboratory and therapy services
not reportable in the Medicare cost report.
Pt III Line 9bFinancial 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.
Pt VEach facility listed is required to be licensed, registered or
recognized as a healthcare facility under state law.
Pt VI Line 2Grandview, being 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.
Pt VI Line 3Grandview 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 is done
regardless of insured or uninsured status. 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 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.
Pt VI Line 4KHN serves a population of 1,631,000 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,11.2% of area residents have income
below $15,000. 10.3% have income between $15,000 and
$24,000 and 27.3% have income between $25,000 and
$49,000. Portions of Darke and Montgomery counties have
been identified as medically underserved by the Health
Resources and Services Administration. This nine
county area is served by 15 hospitals,7 of which
are part of Kettering Health Network.
Pt VI Line 5Grandview 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 healthcare.
Pt VI Line 6The 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
well-being 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, 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
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 healthcare.
Pt VI Line 7OH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
FRED MANCHUR
771183170029387340207055167831552390
FRANK PEREZ
8631282224663770413687175051154490
RICHARD HAAS
41263690000230719072217520633949
PETER KING
30779555159126094324225757444562
LINDA MCCALL
14309022688549492774123184672
RITA PRICHARD
1293912472983851115163620
GEORGE HARRITOS
152687508831711023172535
DENNIS MITTLEIDER
127362177794946804814608172743
KEVIN GRETH
140096882064934356159765

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 4bThe Network has a Supplemental Executive Retirement Plan available only to a certain class of management.
Part II BiiiColumn Biii includes compensation reported on the W-2 that may or may not have gone through the current year P&L.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COUNTY OF MONTGOMERY OHIO
316000172613520KH72006-01-1165073160Advance refund 1999 bondsfalsefalsefalse
COUNTY OF MONTGOMERY OHIO
316000172613520KR52008-01-1731630807Construction of hospital addnfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpendituresCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
238834381152914632598054889961309943160941702006
33220193177652752656201017650432113381truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Any Research AgreementstrueAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

ExplanationExplanation
Part I, Line B, Column (c): Also CUSIP # 613521KS3
Part II, Line 3, Column A: Includes transferred proceeds of $4,635,430 from 1999 bonds
Part II, Line 3, Column A: Includes investment earnings of $11,444,324
Part II, Line 3, Column B: Includes investment earnings of $1,589,386

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonRICHARD MANCHURNamePerson
FieldValueIRS element (for citing)
RelationshipFamily member of Fred ManchurRelationship
Amount Of Transaction91950AmountOfTransaction
Description Of TransactionEMPLOYMENTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (58 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11aA 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-B, Line 12cThe 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-B, Line 15The 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-C, Line 19The KHN Conflict of Interest policy is available on the KHN intranet. The
organization's governing documents and financial statements
are available upon request.
Pt XILine 5: Net unrealized gains on investments 421,999
Pt XILine 5: Net transfers to affiliate (7,534,887)
Pt XILine 5: Change in plan assets and benefit obligation of pension plan (1,716,946)
Pt XILine 5: Rounding 1
Pt XII, Line 2cKHN has an audit committee that meets regularly throughout the year
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE - NET INVENTORIES PREPAIDS INVESTMENTS
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES DEFERRED REVENUE BONDS, MORTGAGES & OTHER NOTES
Form 990, Part IX, Line 24fMINOR MISCELLANEOUS EXPENSES 3081330. 1297133. 1784197. 0.
to review issues that are brought to it by the internal auditor. This
committee is also responsible for the financial audit.
Schedule K, Part II, Line 1Bond Issue A: Includes transferred proceeds from the
1999 Bonds that were partially advance refunded
by the 2006 Bonds.
Schedule K, Part II, Line 5Bond Issue A: Of the $2,457,569 issuance costs from
proceeds, $685,029 related to issuance costs and
$1,782,540 related to credit enhancement fees.
Bond Issue B: of the $5,900,788 issuance costs from
proceeds, $1,431,723 related to issuance costs and
$4,469,065 related to credit enhancement fees.
Schedule K, Part II, Line 7Bond Issue A: Listed $0 for capital expenditures
because 2006 Bonds were solely for advance refunding
purposes.
Bond Issue B: Capital expenditures from proceeds reflects
only the new portion of the 2008 Bonds and excludes
the current refunding.
Schedule K, Part II Line 8Bond Issue B: As of December 31, 2009, the bond-financed
project financed by the new money portion of the 2008
Bonds was approximately 70% completed. It is expected
to be substantially completed by December 31, 2010.
Bond Issue C: The bond-financed project is expected
to be substantially completed by December 31, 2010.
Schedule K, Part IV, Line 5Bond Issue B: The available 3-year temporary period
for the portion of the proceeds spent on capital
projects has not expired.
Bond Issue C: The available 3-year temporary period
for the portion of the proceeds spent on capital
projects has not expired.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALLIANCE PHYSICIANS INC
2110 LEITER ROADMIAMISBURGOH45342311175717PHYSICIAN SERVICESOH501(c)(3)509(a)(3)KETTERING ADVENTIST HEALTHCAREfalse
BEAVERCREEK MEDICAL CENTER
2110 LEITER ROADMIAMISBURGOH45342270712680HOSPITALOH501(c)(3)509(a)(1)KETTERING ADVENTIST HEALTHCAREfalse
THE FORT HAMILTON HOSPITAL
2110 LEITER ROADMIAMISBURGOH45342310536662HOSPITALOH501(c)(3)509(a)(1)KETTERING ADVENTIST HEALTHCAREfalse
GRANDVIEW FOUNDATION
405 W GRAND AVEDAYTONOH45405311649591FUNDRAISINGOH501(c)(3)509(a)(3)NAfalse
GREENE MEMORIAL HOSPITAL
2110 LEITER ROADMIAMISBURGOH45342310809436HOSPITALOH501(c)(3)509(a)(1)KETTERING ADVENTIST HEALTHCAREfalse
GREENE MEMORIAL HOSPITAL SERVICES INC
2110 LEITER ROADMIAMISBURGOH45342311358549PHYSICIAN SERVICESOH501(c)(3)509(a)(3)KETTERING ADVENTIST HEALTHCAREfalse
KETTERING ADVENTIST HEALTHCARE
2110 LEITER ROADMIAMISBURGOH45342311051688MANAGEMENTOH501(c)(3)509(a)(3)NAfalse
KETTERING AFFILIATED HEALTH SERVICES INC
2110 LEITER ROADMIAMISBURGOH45342311127485HEALTH SERVICESOH501(c)(3)509(a)(3)KETTERING ADVENTIST HEALTHCAREfalse
KETTERING MEDICAL CENTER
2110 LEITER ROADMIAMISBURGOH45342310621866HOSPITALOH501(c)(3)509(a)(1)KETTERING ADVENTIST HEALTHCAREfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
GRANDVIEW ASSOCIATES
405 GRAND AVEDAYTONOH45405311427280BUILDING MANAGEMENTOHDAYTON OSTEOPATHIC HOSPITALrel-356981441727falsetrue0.92000
SOUTHVIEW ORTHOPEDIC CENTER MANAGEMENT
1997 MIAMISBURG-CENTERVILLE RDDAYTONOH45459262040203MEDICAL SERVICESOHDAYTON OSTEOPATHIC HOSPITALrel2928024901934falsetrue0.51000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1KETTCORBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12110 LEITER ROADAddressLine1
CityMIAMISBURGCity
StateOHState
ZIP Code45342ZIPCode
FieldValueIRS element (for citing)
EIN311078381EIN
Primary ActivityHEALTH SERVICESPrimaryActivity
Legal Domicile StateOHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KETTERING ADVENTIST HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership0.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeMethod Of Amt DeterminationMethodOfAmtDeterminationAmount InvolvedAmountInvolved
KETTERING MEDICAL CENTER IS A CONDUIT THROUGH WHICH REVENUE
l m nFMV
IS RECEIVED AND EXPENSES ARE PAID
GRANDVIEW FOUNDATION
cFMV1535014

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