2024-11-13T10:32:52-06:00 2023-12-31 310800053 Clark Schaefer Hackett 10100 Innovation Drive Suite 400 Dayton OH 45342 990 2023-01-01 310809436 Greene Memorial Hospital Inc GREE 9377621629 1 Prestige Place 910 Miamisburg OH 45342 Timothy Ko CFO KH 9377621629 2024-11-12 1 0 Jane E Pfeifer P00014949 9372260070 2024-11-12 2023 2024-10-15 13:58:12Z Kettering Health Greene Memorial Daniel Tryon 1 Prestige Place Suite 910 Miamisburg OH 45342 39029361 0 X www.ketteringhealth.org X 1951 OH To improve the quality of life of the people in the communities we serve through healthcare 11 4 0 69 4733 0 693146 60151 38943878 38948774 -4845 20436 0 0 39632179 39029361 73653 52261 0 0 18805530 19599267 0 0 0 21322633 23330426 40201816 42981954 -569637 -3952593 26651373 25520627 5038906 4299424 21612467 21221203 X Our mission is to improve the quality of life of the people in the communities we serve through healthcare and education.We are dedicated to excellence and to providing each individual the most appropriate care in the most appropriate setting. In the spirit of the Seventh-day Adventist healthcare ministry, we strive to be innovative and to convey God's love in a caring environment. 0 0 42005224 52261 38930702 Kettering Health Greene Memorial and other patient care services provided care for 650 discharges, 1,453 adult & ped days, and 128,985 outpatient visits. 42005224 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 4 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Timothy Ko 9377621629 1 Prestige Place Suite 910 Miamisburg OH 45342 Gentry Michael Chief Executive Officer 1.00 51.00 X 0 1291151 106456 Mewhirter Michael Interim CEO until July 23, CAO 1.00 51.00 X 0 1017167 111284 Manchur Richard President of KH Dayton until 8/23 1.00 51.00 X 0 904022 39981 Ko Timothy CFO KH 1.00 50.00 X 0 765442 83897 Smith Robert T Physician 1.00 37.00 X 0 484316 33386 Tryon Daniel President KH Soin & KH GM 24.00 27.00 X X 0 395639 74245 Tyner Troy A Physician 1.00 42.00 X 0 262404 26373 Prutzman Cherish J Physician 1.00 39.00 X 0 194677 19265 Chew Roy Community Volunteer until May 23 0.25 5.75 X 0 11458 3214 Weigley David Pres. Columbia Union Conference of SDA until Jan 2 0.00 X 0 0 0 Blyden Celeste Sec. Columbia Union Conference of SDA begin Jan 23 1.00 6.00 X 0 0 0 Peebles Thomas Community Volunteer 1.00 2.00 X 0 0 0 Parker Phillip Community Volunteer 1.00 1.00 X 0 0 0 Delthony Gordon Community Volunteer 1.00 1.00 X 0 0 0 Soin Amol MD Physician 1.00 1.00 X 0 0 0 Barber Wendi KH Acute Care CFO 25.00 25.00 X 0 726594 67277 Keresoma Jared VP of Operation - GMH until 10/23 45.00 X 0 430309 40357 Fahey Aimee VP Patient Care KH Soin/GM 24.00 25.00 X 0 368559 55419 Garrity Tim Pharmacists 1.00 40.00 X 0 162193 17383 Grigsby Stacie R Administrative Nursing Supervisor 1.00 40.00 X 0 137243 8313 Miller Karyn L Ultrasound Supervisior 1.00 40.00 X 0 136294 19872 Warren Grant P Pharmacists 20.00 20.00 X 0 136163 8261 Davis Jennifer L CT Technologist 1.00 40.00 X 0 135577 21547 Sackett Walter Former Director-Officer 0.00 X 0 950010 20790 Burns Terry Former Director-Officer 0.00 X 0 877162 20790 Connovich Ron Former Director-Officer 0.00 X 0 317957 15567 Montes Josepher Former Director-Officer 0.00 X 0 76937 5139 0 9781274 798816 22 1 1 0 0 60151 60151 Patient care services 622000 37791720 37778381 13339 Leasing activities related to mis 531120 1152321 1152321 Reference lab 621500 4733 4733 38948774 20436 0 20436 20436 20436 39029361 38930702 4733 33775 X 52261 52261 652833 559400 93433 15249125 15106657 142468 406657 402858 3799 2225490 2204698 20792 1065162 1055211 9951 875 875 4602657 4550028 52629 299 299 507093 505526 1567 115865 115360 505 1860616 1859750 866 23260 23187 73 7631 7631 18237 18228 9 2151929 2150928 1001 248655 201154 47501 Physician services 4381966 4381966 Network services 3971045 3433254 537791 Medical supplies 2992735 2992600 135 Cost of goods sold 103522 103522 2344041 2280706 63335 42981954 42005224 976730 0 159100 4449 3706413 4211947 1205596 467268 69464 406107 81740921 61819800 20658989 19921121 362993 362993 488818 146742 26651373 25520627 3468234 2964939 300629 61 1270043 1334424 5038906 4299424 X 21612467 21221203 21612467 21221203 26651373 25520627 X -3952593 3561329 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3153464 3153464 59288222 44540591 14747631 716911 716911 0 18582324 16562298 2020026 19921121 Estimated amounts due to third-party payors 656378 Finance lease liabilities 119119 Professional self-insurance liability 558927 1334424 X Part X, Line 2: The System completed an analysis of its certain and uncertain tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2023 or 2022. 1 1 X 1 X 250.000000000000 1 X 1 1 0 0 685352 269442 415910 0.00970 9169232 6175876 2993356 0.06960 9854584 6445318 3409266 0.07930 58990 58990 3704573 2114955 1589618 0.03700 7930 7930 0.00020 3771493 2173945 1597548 0.03720 13626077 8619263 5006814 0.11650 1 431176 10348 5804924 6674692 -869768 X 0 1 1 Kettering Health Greene Memorial 1141 North Monroe Drive Xenia OH 45385 X X X Kettering Health Greene Memorial 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X https://ketteringhealth.org/about/community-health-needs/ X 1 23 1 https://ketteringhealth.org/about/community-health-needs/ 0 1 X 250.000000000000 400.000000000000 X X X 1 1 X X X X 1 X https://ketteringhealth.org/billing-insurance/financial-assistance/ X https://ketteringhealth.org/billing-insurance/financial-assistance/ X https://ketteringhealth.org/billing-insurance/financial-assistance/ X X X X X X 1 X 0 X X X 1 X 0 0 Part V, Section A: The facility listed is required to be licensed, registered, or recognized as a healthcare facility under state law. Kettering Health Greene Memorial Part V, Section B, Line 5: The Health Collaborative (THC), in partnership with the Greater Dayton Area Hospital Association (GDAHA), facilitated the 2021 Regional Community Health Needs Assessment (CHNA). This Regional CHNA includes 36 hospitals, 22 health departments, across 26 counties in southwest Ohio and the Greater Dayton Area, southeast Indiana, and northern Kentucky. Kettering Health Greene Memorial Part V, Section B, Line 6a: Bon Secours Mercy Health Clermont HospitalBon Secours Mercy Health Fairfield HospitalBon Secours Mercy Health Jewish HospitalBon Secours Mercy Health West HospitalCincinnati Children's HospitalCincinnati Children's Burnet CampusCincinnati Children's Liberty CampusCincinnati Children's College Hill CampusThe C&F Lindner Center of HOPEThe Christ Hospital, Mt. AuburnTriHealth Good Samaritan HospitalTriHealth Good Samaritan Evendale HospitalTriHealth Bethesda North HospitalTriHealth Bethesda Butler HospitalTriHealth McCullough Hyde Memorial HospitalUC Health University of Cincinnati Medical CenterUC Health West Chester HospitalUC Health Drake Center for Post-Acute CareMiami Valley HospitalAtrium Medical CenterUpper Valley Medical CenterMiami Valley Hospital SouthMiami Valley Hospital NorthWilson Memorial HealthWayne HealthcareMercy Health Springfield Regional Medical CenterMercy Health Urbana HospitalAdams County Regional Medical CenterMargaret Mary Health Kettering Health Greene Memorial Part V, Section B, Line 6b: The Health CollaborativeGreater Dayton Area Hospital AssociationCity Health Departments:City: Cincinnati, Hamilton (City), Norwood, Piqua, SpringdaleCounty: Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Fayette,Greene, Hamilton, Highland, Miami, Montgomery, Preble, Shelby, WarrenCounty Health Departments:Indiana: Franklin, Dearborn, Ohio, Ripley, UnionKentucky: Campbell, Boone, Grant, KentonOhio: Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Greene,Hamilton, Highland, Miami, Montgomery, Preble, Shelby, Warren Kettering Health Greene Memorial Part V, Section B, Line 11: Kettering Health Greene Memorial is addressing the significant needs identified in the Community Health Needs Assessment through support for Cancer Support Group, Tobacco Cessation, OneFifteen, Workforce Development, Kettering Health Community Outreach, Miami Valley Leadership Foundation, Behavioral Health Support Model, Intensive Outpatient Program, Rural Health Initiative, HerStory, and Community Health Worker Training. 2 1 - Kettering Health Beavercreek Health Park 3359 Kemp Rd Beavercreek OH 45431 Outpatient Clinic and Diagnostic Center 2 - Kettering Health Xenia Health Ctr 50 N Progress Dr Xenia OH 45385 Urgent Care, Outpatient Clinic, and Diagnostic Center Part I, Line 7: Charity care is calculated using a cost to charge ratio following the methodology of Worksheet 2. Medical costs are calculated using a cost accounting system that addresses all patient segments. Community health improvement services are calculated on the basis of direct expenditures. Health professions education is calculated based on the Medicare cost report. Subsidized health services is calculated based on the non-Medicare, Medicaid and charity care proportion of departmental losses for the specific programs. Cash and in-kind contributions are calculated on the basis of direct expenditures. Part I, Line 7g: Subsidized health services represent the non-needs based and non-Medicare program losses of services the hospital offers. Part III, Line 2: The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Part III, Line 3: An industry average was used to estimate this amount. It was not included as a part of community benefit. Part III, Line 4: Generally, patients who are covered by third-party payors are responsible for patient responsibility balances, including deductibles and coinsurance, which vary in amount. The System estimates the transaction price for patients with deductibles and coinsurance based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any explicit price concessions, discounts, and/or implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of change. Part III, Line 8: The costing methodology used to determine Medicare costs is the Medicare cost report. Medicare costs have not been included in community benefit in Part I. Part VI, Line 2: Through participation in and sponsorship of many community events, such as the Greene County Health Fair, Kettering Health Greene Memorial is strongly invested in the health and wellness of the people in the community. Programs and support groups that helped community members include diabetes education, stroke support and more. These programs touched people from various age, gender and socio-economic groups. Part VI, Line 3: Kettering Health Greene Memorial 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 Kettering Health Greene Memorial's charity care policy as follows:-Kettering Health Greene Memorial has a financial assistance brochure that is included in all of the patient information kits given at the time of intake or registration into any facility or department.-There is information posted in all of the admitting and registration areas about charity care and financial assistance.-During the registration process there is specific scripting to ask patients if they would like to disclose family size and income to screen them for federal/state/local and hospital based charity/assistance programs. This data is available for future visits as well.-Kettering Health Greene Memorial has the reporting capability to review and screen any patient who may have been admitted during registration "off hours" for eligibility and assistance.-The Financial Assistance section on the back of patient statements contain the website associated to Financial Assistance, along with contact details for more information.-Kettering Health Greene Memorial'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: Kettering Health serves a population of approximately 1,635,000. The seven-county service area includes Butler, Clark, Greene, Miami, Montgomery, Preble, and Warren counties. The 88 counties in Ohio were ranked by County Health Rankings & Road Maps in terms of health outcomes and health factors. A top-ranked county (rank=1) has the best health score. The counties served by Kettering Health have health outcome ranks from 2-80. Part VI, Line 5: Kettering Health Greene Memorial furthers its exempt purpose by promoting the health of the community by:-Retaining a Board of Directors with a majority (excluding employees and contractors) living in the primary service area;-Extending medical staff privileges to all qualified physicians in its community for a majority of its departments;-Utilizing surplus funds to help support ongoing improvements in patient care through equipment upgrades, acquisition of the most advanced medical technology, upgrades of existing hospital structures, and construction of new facilities in order to provide accessible, efficient, quality care. Part VI, Line 6: Kettering Health Greene Memorial and its affiliates promote the health of the communities served by the system as described below:-Kettering Health Greene Memorial, as part of Kettering Health, embraces "Relationship-Based Care" as its care delivery model, and recognizes that the relationships between the patient and patient's family, doctor, nurse and staff are at the heart of providing comprehensive care that fully meets ongoing health care needs. Kettering Health Greene Memorial is dedicated to the creation and maintenance of community wellness programs, support groups and health education programs.-Greene Medical Foundation fosters community partnerships to advance Kettering Health's care facilities in Greene County, including The Indu and Raj Soin Medical Center and Kettering Health Greene Memorial.-The Ollie Davis Medical Arts and Education Center serves as an education center for future family practitioners. A partnership with Wright State Physicians and the Wright State University Boonshoft School of Medicine, the facility represents an investment in the health of western Greene County. The Center also houses Kettering College's occupational therapy doctoral program.-Kettering Affiliated Health Services Inc provides Senior Living services to the surrounding communities which complement those services provided by Kettering Health Greene Memorial as part of Kettering Health.-Medical research is supported through the Innovation Center, which cultivates new technologies and fosters best practices among partners from industry, academia, and health care. Part VI, Line 7, Reports Filed With States OH 1 Assistance to oncology patients 45 52261 Part I, Line 2: Funds are monitored and use is determined by management of clinical service lines in conjunction with Greene Foundation management. 1 1 0 0 0 0 0 0 0 Gentry Michael Chief Executive Officer 0 882981 0 400000 0 8170 0 92987 0 13469 0 1397607 0 0 Mewhirter Michael Interim CEO until July 23, CAO 0 964983 0 50284 0 1900 0 87173 0 24111 0 1128451 0 0 Manchur Richard President of KH Dayton until 8/23 0 346547 0 47516 0 509959 0 18787 0 21194 0 944003 0 195861 Ko Timothy CFO KH 0 733496 0 30046 0 1900 0 59649 0 24248 0 849339 0 0 Smith Robert T Physician 0 444305 0 34707 0 5304 0 18787 0 14599 0 517702 0 0 Tryon Daniel President KH Soin & KH GM 0 370438 0 23681 0 1520 0 50993 0 23252 0 469884 0 0 Tyner Troy A Physician 0 247404 0 15000 0 0 0 18787 0 7586 0 288777 0 0 Prutzman Cherish J Physician 0 194677 0 0 0 0 0 12607 0 6658 0 213942 0 0 Barber Wendi KH Acute Care CFO 0 582108 0 35100 0 109386 0 42655 0 24622 0 793871 0 80570 Keresoma Jared VP of Operation - GMH until 10/23 0 231084 0 19834 0 179391 0 18787 0 21570 0 470666 0 96753 Fahey Aimee VP Patient Care KH Soin/GM 0 295695 0 19890 0 52974 0 32312 0 23107 0 423978 0 42035 Garrity Tim Pharmacists 0 157299 0 1685 0 3209 0 9971 0 7413 0 179577 0 0 Miller Karyn L Ultrasound Supervisior 0 132816 0 1641 0 1837 0 7844 0 12027 0 156165 0 0 Davis Jennifer L CT Technologist 0 131117 0 1641 0 2819 0 7209 0 14338 0 157124 0 0 Sackett Walter Former Director-Officer 0 0 0 0 0 950010 0 0 0 20790 0 970800 0 0 Burns Terry Former Director-Officer 0 0 0 0 0 877162 0 0 0 20790 0 897952 0 0 Connovich Ron Former Director-Officer 0 0 0 0 0 317957 0 0 0 15567 0 333524 0 0 Montes Josepher Former Director-Officer 0 0 0 0 0 76937 0 0 0 5139 0 82076 0 0 Part I, Line 3 An independent executive compensation committee reviews an independent consultant's report that identifies the current and proposed compensation for the CEO, officers, and key employees. Compensation is determined to be reasonable, and the approval amount is documented in the minutes of the committee meeting. At year end, the actual compensation is compared to approved compensation by the executive compensation committee. Part I, Lines 4a-b Walter Sackett received a severance payment of $772,744. Terry Burns received a severance payment of $733,073. Ron Connovich received a severance payment of $317,957. Richard Manchur received a severance payment of $226,797. Josepher Montes receiveda severance payment of $76,937. Jared Keresoma received a severance payment of $57,403. Kettering Health has a supplemental executive retirement plan available only to a certain class of management. Richard Manchur Brother-in-Law of Officer Jared Keresoma 904021 Compensation 0 Jared Keresoma Brother-in-law, Director Richard Manchur 430310 Compensation 0 Form 990, Part VI, Section A, line 2 Manchur and Keresoma have a family relationship. Form 990, Part VI, Section A, line 6 Kettering Adventist Healthcare is the sole member. Form 990, Part VI, Section A, line 7a The Members of Kettering Adventist Healthcare have the power to elect or appoint members of the governing body. Form 990, Part VI, Section B, line 11b A tax specialist is engaged to review the 990, and a copy of the completed Form 990 is provided to all members of the Board of Directors before filing. Form 990, Part VI, Section B, line 12c Kettering Health 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 Kettering Health's policy, sign a conflict of interest statement, and notify Kettering Health if a conflict should arise. Form 990, Part VI, Section B, line 15 An independent executive compensation committee reviews an independent consultant's report that identifies the current and proposed compensation for the CEO, officers, and key employees. Compensation is determined to be reasonable, and the approval amount is documented in the minutes of the committee meeting. At year end, the actual compensation is compared to approved compensation by the executive compensation committee. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part IX, line 11g Other: Program service expenses 4,550,028. Management and general expenses 52,629. Fundraising expenses 0. Total expenses 4,602,657. Part IX, Lines 5, 7, 8, 9, & 10 Salaries, retirement plan contributions, other benefits, and payroll taxes are paid by and allocated from Kettering Medical Center and Kettering Network Services. Form 990, Part XI, line 9: Net transfers from affiliate 3,561,329. Part XII, Line 2c Neither the oversight process nor the selection process changed during the tax year. Alliance Physicians Inc 1 Prestige Place Suite 910 Miamisburg OH 45342 311175717 Physician Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 Beavercreek Medical Center 1 Prestige Place Suite 910 Miamisburg OH 45342 270712680 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Dayton Osteopathic Hospital 1 Prestige Place Suite 910 Miamisburg OH 45342 310564121 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Fort Hamilton Hospital Foundation 1 Prestige Place Suite 910 Miamisburg OH 45342 452036966 Fundraising OH 501(c)(3) 509(a)(3) The Fort Hamilton Hospital 0 Greene Foundation 1 Prestige Place Suite 910 Miamisburg OH 45342 310886949 Fundraising OH 501(c)(3) 509(a)(3) Greene Memorial Hospital 1 Greene Memorial Hospital Auxiliary 1 Prestige Place Suite 910 Miamisburg OH 45342 310884880 Fundraising OH 501(c)(3) 509(a)(3) Greene Memorial Hospital 1 Kettering Adventist Healthcare 1 Prestige Place Suite 910 Miamisburg OH 45342 311051688 Management OH 501(c)(3) 509(a)(3) N/A 0 Kettering Affiliated Health Services Inc 1 Prestige Place Suite 910 Miamisburg OH 45342 311127485 Health Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 Kettering Independent Medical Group 1 Prestige Place Suite 910 Miamisburg OH 45342 272649285 Health Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 Kettering Medical Center 1 Prestige Place Suite 910 Miamisburg OH 45342 310621866 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Kettering Medical Center Foundation 1 Prestige Place Suite 910 Miamisburg OH 45342 237419897 Fundraising OH 501(c)(3) 509(a)(3) Kettering Medical Center 0 Kettering Network Services 1 Prestige Place Suite 910 Miamisburg OH 45342 832687866 Administrative Support Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 The Fort Hamilton Hospital 1 Prestige Place Suite 910 Miamisburg OH 45342 310536662 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Kettcor 1 Prestige Place Suite 910 Miamisburg OH 45342 311078381 Health Services OH N/A C 0 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 1 Alliance Physicians Inc J 824606 FMV Alliance Physicians Inc M 0 FMV Beavercreek Medical Center O 0 FMV Greene Foundation C 59926 FMV Greene Foundation L 0 FMV Greene Foundation M 0 FMV Greene Foundation N 0 FMV Greene Memorial Hospital Auxiliary C 225 FMV Greene Memorial Hospital Auxiliary L 0 FMV Greene Memorial Hospital Auxiliary M 0 FMV Greene Memorial Hospital Auxiliary N 0 FMV Kettering Adventist Healthcare M 0 FMV Kettering Affiliated Healthcare Inc M 0 FMV Kettering Independent Medical Group J 94300 FMV Kettering Independent Medical Group M 0 FMV Kettering Medical Center J 165068 FMV Kettering Medical Center M 0 FMV Kettering Medical Center N 0 FMV Kettering Medical Center O 0 FMV Kettering Medical Center P 0 FMV Kettering Medical Center S 3561329 FMV Kettering Network Services J 800 FMV Kettering Network Services K 177643 FMV Kettering Network Services M 0 FMV Kettering Network Services N 0 FMV Kettering Network Services O 0 FMV Kettering Network Services P 0 FMV Part V, Line 2 Kettering Medical Center and Kettering Network Services are conduits through which revenue is received and expenses are paid.