2024-11-13T11:11:54-06:00 2023-12-31 310800053 Clark Schaefer Hackett & Co 10100 Innovation Drive Suite 400 Dayton OH 45342 990 2023-01-01 270712680 Beavercreek Medical Center BEAV 9377621629 1 Prestige Place 910 Miamisburg OH 45342 Timothy Ko CFO KH 9377621629 2024-11-13 1 0 Jane E Pfeifer P00014949 9372260070 2024-11-13 2023 2024-10-15 13:58:12Z The Indu and Raj Soin Medical Center Daniel Tryon 1 Prestige Place Suite 910 Miamisburg OH 45342 289546607 0 X www.ketteringhealth.org X 2009 OH To improve the quality of life of the people in the communities we serve through healthcare 13 4 0 282 8394 2539 1440690 253372 262473630 288298454 840510 1487415 0 0 264754830 290039241 12985 10875 0 0 98793520 106423267 0 0 0 161500653 170654637 260307158 277088779 4447672 12950462 290328286 290278016 274284399 273381909 16043887 16896107 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 269571192 10875 282613431 Care was provided for 9,621 discharges, adult & ped days of 39,995, and 164,287 outpatient visits. 269571192 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 4 0 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 50.00 X 0 1291151 106456 Mewhirter Michael Interim CEO until July 23, CAO 1.00 50.00 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 26.00 25.00 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 0.25 5.75 X 0 11458 3214 Weigley David Pres. Columbia Union Conference of SDA until 1/23 0.00 X 0 0 0 Blyden Celeste Secretary of Columbia Union Conference of SDA bega 1.00 6.00 X 0 0 0 Soin Amol MD Physician 1.00 1.00 X 0 0 0 Peebles Thomas Community Volunteer 1.00 2.00 X 0 0 0 Delthony Gordon Community Volunteer 1.00 1.00 X 0 0 0 Parker Phillip Pres, Dayton Chamber of Commerce 1.00 1.00 X 0 0 0 Villegas William CFO KH Soin & GM 16.00 32.00 X 0 499042 83652 Fahey Aimee VP Patient Care KH Soin/GM 25.00 24.00 X 0 368559 55419 Pennington Devin Pharmacist 40.00 X 228913 0 10722 Williams Eric A Medical Physicist MS Certified 40.00 X 222216 0 28060 Gruia Ovidiu E APRN 40.00 X 186501 0 25259 Dickason Martina M RN Resource Gold Option 40.00 X 181697 0 8072 Sloan Leah M Registered Nurse 40.00 X 171926 0 24402 Sackett Walter Former Director 0.00 X 0 950010 20790 Burns Terry Former Director 0.00 X 0 877162 20790 991253 8021049 775267 121 1 1 0 0 253372 253372 Patient care services 622000 287203430 281526801 5676629 Leasing activities related to mis 531120 1086630 1086630 Reference lab 621500 8394 8394 288298454 925937 925937 68844 -537420 44786 537420 24058 561478 561478 290039241 282613431 8394 7164044 X 10875 10875 3296066 2849686 446380 81796552 80728285 1068267 1918469 1893414 25055 13518732 13342177 176555 5893448 5816479 76969 11406 11406 2900 2900 22993 22993 20184537 20050890 133647 2711474 2702357 9117 258420 252841 5579 4123991 4123991 82587 76341 6246 99834 99834 7176929 7176929 18399569 18399569 1951998 1579062 372936 Medical supplies 44635274 44634076 1198 Network services 34195124 29564144 4630980 Physician services 23102872 23102872 Cost of goods sold 3724266 3724266 9970463 9431698 538765 277088779 269571192 7517587 0 51184 0 32873642 37160359 3457310 5331906 650 1668552 391780971 146743977 210497067 245036994 41649131 0 1799302 1080205 290328286 290278016 21830488 22530975 9143 2520 245654151 239756458 6790617 11091956 274284399 273381909 X 16043887 16896107 16043887 16896107 290328286 290278016 X 12950462 1806445 -13904687 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22435213 22435213 297560028 96539564 201020464 71758030 50204413 21553617 27700 27700 245036994 Estimated amounts due to third-party payors 6468484 Finance lease liabilities 348150 Operating lease liabilities 511143 Professional self-insurance liability 3764179 11091956 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 1 0 0 4588571 2112960 2475611 0.00890 55137817 33458831 21678986 0.07820 59726388 35571791 24154597 0.08710 114786 4995 109791 0.00040 4416667 2339959 2076708 0.00750 8746763 6827093 1919670 0.00690 51866 0 51866 0.00020 13330082 9172047 4158035 0.01500 73056470 44743838 28312632 0.10210 1 2860291 68647 41046147 41226211 -180064 X 0 1 1 Soin Medical Center 3535 Pentagon Blvd Beavercreek OH 45431 ketteringhealth.org/soin/ X X X X Soin Medical Center 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. Soin Medical Center 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. Soin Medical Center 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 Soin Medical Center 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 Soin Medical Center Part V, Section B, Line 11: Soin Medical Center is addressing the significant needs identified in the Community Health Needs Assessment through support for Good Neighbor House, Cancer Support Group, Tobacco Cessation, OneFifteen, Work Force Development, Community Health Worker Training, Kettering Health Community Outreach, Miami Valley Leadership Foundation, Intensive Outpatient Program, Behavioral Health Support Model, HerStory, and Midwifery Care. 3 1 - Kettering Health Springfield 2300 N Limestone St Springfield OH 45503 Emergency, Outpatient Clinic, and Diagnostic Center 2 - Kettering Health Springfield Health Ctr 2100 Emmanuel Way Springfield OH 45502 Outpatient Clinic and Diagnostic Center 3 - Kettering Health Wilmington Health Ctr 1500 Rombach Ave Wilmington OH 45177 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 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 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: Soin Medical Center, as part of Kettering Health, has dedicated an entire department to community health and wellness. The Community Outreach Department is comprised of coordinators who develop programs, screenings and other health related events. The department also has fitness specialists, nurses, dietitians, massage and behavioral therapists, a communication specialist, health coaches, a physician medical director, a full service call center, and many other resource personnel. Part VI, Line 3: Soin Medical Center 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 Medical Center's charity care policy as follows:-Soin Medical Center 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.-Soin Medical Center 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.-Soin Medical Center'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: Soin Medical Center furthers its exempt purpose of 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: Soin Medical Center promotes the health of the communities served as described below:-Soin Medical Center, as part of Kettering Health, is dedicated to the creation and maintenance of community wellness programs, support groups, and health education programs. Soin Medical Center 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.-Kettering Affiliated Health Services Inc provides Senior Living services to the surrounding communities which complement those services provided by Soin Medical Center 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 employees for hardship 10 10875 FMV Part I, Line 2: Funds are monitored and use is determined by Human Resources management 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 Villegas William CFO KH Soin & GM 0 465540 0 29132 0 4370 0 58407 0 25245 0 582694 0 0 Fahey Aimee VP Patient Care KH Soin/GM 0 295695 0 19890 0 52974 0 32312 0 23107 0 423978 0 42035 Pennington Devin Pharmacist 226952 0 1961 0 0 0 10698 0 24 0 239635 0 0 0 Williams Eric A Medical Physicist MS Certified 220575 0 1641 0 0 0 13678 0 14382 0 250276 0 0 0 Gruia Ovidiu E APRN 104787 0 9246 0 72468 0 10783 0 14476 0 211760 0 0 0 Dickason Martina M RN Resource Gold Option 180296 0 1401 0 0 0 8072 0 0 0 189769 0 0 0 Sloan Leah M Registered Nurse 170285 0 1641 0 0 0 10078 0 14324 0 196328 0 0 0 Sackett Walter Former Director 0 0 0 0 0 950010 0 0 0 20790 0 970800 0 0 Burns Terry Former Director 0 0 0 0 0 877162 0 0 0 20790 0 897952 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. Richard Manchur received a severance payment of $226,797. Kettering Health has a supplemental executive retirement plan available only to a certain class of management. A County of Greene Ohio 316000271 394650BV6 2009-11-03 97931091 Construct and equip a hospital 0 0 0 B County of Montgomery Ohio 316000172 613520LA1 2016-05-04 12087009 Hospital building improvements and equipment 0 0 0 C County of Miami Ohio 316000055 593328EW3 2019-03-07 85486838 Hospital facilities improvement and refunding 0 0 0 D County of Montgomery Ohio 316000172 613520MM4 2021-02-10 155352670 Hospital facilities improvement and refunding 0 0 0 A 100867503 9296792 2633592 1612304 85213731 2111084 2012 0 0 1 1 B 12087009 110713 11976296 2016 0 0 1 1 C 85486838 521348 4790564 80174926 2019 1 0 1 1 D 155352670 1021205 75000000 79331465 2021 0 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 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. 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 to affiliate -13,904,687. 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 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 0 Greene Memorial Hospital Inc 1 Prestige Place Suite 910 Miamisburg OH 45342 310809436 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 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 0 1 1 1 1 0 1 0 Alliance Physicians Inc J 218516 FMV Alliance Physicians Inc M 0 FMV Dayton Osteopathic Hospital J 332175 FMV Greene Foundation C 231497 FMV Greene Foundation M 0 FMV Greene Memorial Hospital Inc O 0 FMV Kettering Adventist Healthcare M 0 FMV Kettering Affiliated Health Services Inc M 0 FMV Kettering Independent Medical Group J 433664 FMV Kettering Independent Medical Group M 0 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 R 13904687 FMV Kettering Medical Center Foundation C 21875 FMV Kettering Network Services J 38575 FMV Kettering Network Services K 1353390 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.