2025-11-17T08:44:14-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 311175717 ALLIANCE PHYSICIANS INC ALLI 9377621629 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 TIMOTHY KO CFO KH 9377621629 2025-11-13 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-13 2024 2025-03-06 01:10:19Z KETTERING HEALTH MEDICAL GROUP RONALD CONNOVICH 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 168561379 0 X WWW.KETTERINGHEALTH.ORG X 1986 OH OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 13 8 1287 13 0 0 1367 0 136270390 168377845 0 157258 0 0 136271757 168535103 0 0 0 0 125139204 133640497 0 0 0 45994288 48841471 171133492 182481968 -34861735 -13946865 38376753 20988326 33232573 33779099 5144180 -12790773 OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 0 0 172947934 0 168377845 ALLIANCE PHYSICIANS INC PROVIDED MEDICAL CARE TO DAYTON, OHIO AND SURROUNDING COMMUNITIES AND HAD 735,880 PATIENT ENCOUNTERS. 172947934 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1287 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TIMOTHY KO 9377621629 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 DONALD W AMES DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 318651 22359 SHARLET BRIGGS DIRECTOR/PRES.- KH MAIN- PART YEAR 1.00 49.00 X 0 819040 34960 TIMOTHY KO CFO - KH 1.00 49.00 X X 0 790319 101139 GEORGE LEWIS PRES.- KH MEDICAL GROUP- PART YEAR 25.00 25.00 X X 0 2157187 7332 SHELLEY PEREZ DIRECTOR/PHYSICIAN - PART YEAR 43.00 2.00 X 263866 0 18917 JONATHAN E VELASCO DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 703405 35658 GREGORY WISE DIRECTOR/PHYSICIAN - PART YEAR 44.00 1.00 X 0 0 0 KEISHA BONE DIRECTOR 1.00 8.00 X 0 0 0 TERRY FORDE DIRECTOR - PART YEAR 1.00 8.00 X 0 0 0 MICHAEL V GENTRY CEO 1.00 49.00 X X 0 1906322 190042 SARAH HEDRICK DIRECTOR/PHYSICIAN - PART YEAR 39.00 6.00 X 140058 0 10344 LES NEFF DIRECTOR 1.00 8.00 X 0 0 0 ROBERT PATTERSON DIRECTOR 1.00 8.00 X 0 0 0 TOM PEEBLES DIRECTOR - PART YEAR 1.00 7.00 X 0 0 0 CHERISH J PRUTZMAN DIRECTOR/PHYSICIAN 37.00 8.00 X 232913 0 31021 ADELE RILEY DIRECTOR 1.00 7.00 X 0 0 0 MARCELLUS ROBINSON DIRECTOR 1.00 8.00 X 0 0 0 JOHN SACKETT DIRECTOR 1.00 8.00 X 0 0 0 LOUIE SHARALAYA DIRECTOR - PART YEAR 1.00 7.00 X 0 0 0 KEVIN SHARRETT DIRECTOR/PHYSICIAN 38.00 7.00 X 586263 0 20569 ROY SIMPSON DIRECTOR - PART YEAR 1.00 8.00 X 0 0 0 RANDY TANGUAY DIRECTOR - PART YEAR 1.00 8.00 X 0 0 0 TAMARA THOMAS DIRECTOR 1.00 8.00 X 0 0 0 TROY A TYNER DIRECTOR/PHYSICIAN 38.00 7.00 X 304212 0 30134 ROBERT WEIGEL DIRECTOR 1.00 8.00 X 0 0 0 SHANNON M FULLAM CFO - KH MEDICAL GROUP 25.00 25.00 X 0 224271 42629 RONALD D CONNOVICH PRESIDENT - KH MEDICAL GROUP 25.00 25.00 X 0 365170 61773 ROBERT T SMITH CMO - PART YEAR 42.00 3.00 X 622995 0 36694 TIMOTHY N WOURMS PHYSICIAN 40.00 0.00 X 470976 0 37630 RAYMOND J POELSTRA CMO 40.00 0.00 X 462485 0 23366 MATTHEW L O'CONNELL PHYSICIAN 40.00 0.00 X 456703 0 37621 PERCY L FRASIER PHYSICIAN 40.00 0.00 X 449212 0 30847 WALTER J SACKETT FORMER OFFICER/DIRECTOR 0.00 0.00 X 0 578513 11192 MICHAEL MEWHIRTER FORMER CEO/CAO - PART YEAR 0.00 50.00 X 0 1154725 6409 TERRANCE BURNS FORMER OFFICER/DIRECTOR 0.00 0.00 X 0 552825 0 3989683 9570428 790636 314 1 1 0 0 PATIENT SERVICE REVENUE 621110 143182598 143182598 CLINIC ALLOCATIONS 621110 14061731 14061731 MANAGEMENT ALLOCATION TO KIMG 561000 11045532 11045532 RENT TO AFFILIATES 531120 87984 87984 168377845 183534 183534 26276 -26276 -26276 -26276 168535103 168377845 0 157258 1646998 1363423 283575 107682785 103929227 3753558 4653770 4491551 162219 12927172 12476563 450609 6729772 6495188 234584 2676 2676 4682808 4329429 353379 1264807 1110555 154252 437898 423982 13916 11723389 10171473 1551916 150094 147889 2205 121757 119285 2472 2319783 2012695 307088 847509 847509 MEDICAL SUPPLIES 11079714 11039177 40537 SYSTEM SERVICES 11031839 9132417 1899422 PHYSICIAN SERVICES 3932045 3932045 BAD DEBT EXPENSE 521943 521943 725209 403583 321626 182481968 172947934 9534034 0 20809013 7535352 4690799 3028859 1911 1911 12886956 7977717 6041275 4909239 575778 477178 6257977 5035787 38376753 20988326 15945948 17971317 99829 0 17186796 15807782 33232573 33779099 X 5144180 -12790773 5144180 -12790773 38376753 20988326 X -13946865 -3988088 X X 0 1 X 1 1 1 X X 5 BEAVERCREEK MEDICAL CENTER 270712680 3 0 0 0 DAYTON OSTEOPATHIC HOSPITAL 310564121 3 0 0 0 GREENE MEMORIAL HOSPITAL INC 310809436 3 0 0 0 KETTERING MEDICAL CENTER 310621866 3 0 0 0 THE FORT HAMILTON HOSPITAL 310536662 3 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART I, LINE 12G IN ACCORDANCE WITH ITS CODE OF REGULATIONS, KETTERING ADVENTIST HEALTHCARE SERVES AS THE CORPORATE MEMBER OF CERTAIN AFFILIATED ENTITIES. THE AFFILIATES ARE NOT INDIVIDUALLY NAMED WITHIN KETTERING ADVENTIST HEALTHCARE'S GOVERNING DOCUMENTS. HOWEVER, EACH AFFILIATE EXPLICITLY DESIGNATES KETTERING ADVENTIST HEALTHCARE AS THE SOLE CORPORATE MEMBER IN THEIR RESPECTIVE GOVERNING DOCUMENTS. THESE AFFILIATED ENTITIES ALSO SHARE A COMMON MISSION WITH KETTERING ADVENTIST HEALTHCARE, REFLECTING A UNIFIED COMMITMENT TO IMPROVE THE QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH HEALTHCARE AND EDUCATION. PART IV, SECTION A, LINE 1 IN ACCORDANCE WITH ITS CODE OF REGULATIONS, KETTERING ADVENTIST HEALTHCARE SERVES AS THE CORPORATE MEMBER OF CERTAIN AFFILIATED ENTITIES. THE AFFILIATES ARE NOT INDIVIDUALLY NAMED WITHIN KETTERING ADVENTIST HEALTHCARE'S GOVERNING DOCUMENTS. HOWEVER, EACH AFFILIATE EXPLICITLY DESIGNATES KETTERING ADVENTIST HEALTHCARE AS THE SOLE CORPORATE MEMBER IN THEIR RESPECTIVE GOVERNING DOCUMENTS. THESE AFFILIATED ENTITIES ALSO SHARE A COMMON MISSION WITH KETTERING ADVENTIST HEALTHCARE, REFLECTING A UNIFIED COMMITMENT TO IMPROVE THE QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH HEALTHCARE AND EDUCATION. 6037096 3876507 2160589 6731165 4101210 2629955 118695 118695 4909239 ROU ASSET 5035787 5035787 LEASE LIABILITY 3094168 PROFESSIONAL SELF-INSURANCE LIABILITY 12713614 15807782 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, 2024 OR 2023. 1 1 0 0 0 0 0 0 0 GEORGE LEWIS PRES.- KH MEDICAL GROUP- PART YEAR 0 233724 0 118686 0 1804777 0 0 0 7332 0 2164519 0 1243092 MICHAEL V GENTRY CEO 0 1717488 0 139500 0 49334 0 175252 0 14790 0 2096364 0 0 MICHAEL MEWHIRTER FORMER CEO/CAO - PART YEAR 0 293591 0 205150 0 655984 0 0 0 6409 0 1161134 0 325259 TIMOTHY KO CFO - KH 0 727793 0 61291 0 1235 0 86687 0 14452 0 891458 0 0 SHARLET BRIGGS DIRECTOR/PRES.- KH MAIN- PART YEAR 0 662247 0 112907 0 43886 0 19687 0 15273 0 854000 0 0 JONATHAN E VELASCO DIRECTOR/PHYSICIAN - PART YEAR 0 599916 0 98926 0 4563 0 19687 0 15971 0 739063 0 0 ROBERT T SMITH CMO - PART YEAR 386665 0 74275 0 162055 0 19687 0 17007 0 659689 0 0 0 KEVIN SHARRETT DIRECTOR/PHYSICIAN 338186 0 180860 0 67217 0 16237 0 4332 0 606832 0 0 0 WALTER J SACKETT FORMER OFFICER/DIRECTOR 0 0 0 0 0 578513 0 0 0 11192 0 589705 0 0 TERRANCE BURNS FORMER OFFICER/DIRECTOR 0 0 0 0 0 552825 0 0 0 0 0 552825 0 0 TIMOTHY N WOURMS PHYSICIAN 439118 0 28470 0 3388 0 19687 0 17943 0 508606 0 0 0 MATTHEW L O'CONNELL PHYSICIAN 419139 0 27960 0 9604 0 19687 0 17934 0 494324 0 0 0 RAYMOND J POELSTRA CMO 395053 0 61876 0 5556 0 19200 0 4166 0 485851 0 0 0 PERCY L FRASIER PHYSICIAN 413223 0 23475 0 12514 0 16237 0 14610 0 480059 0 0 0 RONALD D CONNOVICH PRESIDENT - KH MEDICAL GROUP 0 364981 0 0 0 189 0 52103 0 9670 0 426943 0 0 DONALD W AMES DIRECTOR/PHYSICIAN - PART YEAR 0 245685 0 70504 0 2462 0 16720 0 5639 0 341010 0 0 TROY A TYNER DIRECTOR/PHYSICIAN 288238 0 8910 0 7064 0 18512 0 11622 0 334346 0 0 0 SHELLEY PEREZ DIRECTOR/PHYSICIAN - PART YEAR 262499 0 0 0 1367 0 14737 0 4180 0 282783 0 0 0 SHANNON M FULLAM CFO - KH MEDICAL GROUP 0 209654 0 13950 0 667 0 34836 0 7793 0 266900 0 0 CHERISH J PRUTZMAN DIRECTOR/PHYSICIAN 232355 0 0 0 558 0 13814 0 17207 0 263934 0 0 0 SARAH HEDRICK DIRECTOR/PHYSICIAN - PART YEAR 124808 0 15000 0 250 0 7376 0 2968 0 150402 0 0 0 PART I, LINE 3 CEO COMPENSATION IS PAID BY PARENT ORGANIZATION, KETTERING ADVENTIST HEALTHCARE. AN INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE REVIEWS AN INDEPENDENT FOR THE CEO, OFFICERS, AND KEY EMPLOYEES. COMPENSATION IS DETERMINED TO BE COMMITTEE MEETING. AT YEAR END, THE ACTUAL COMPENSATION IS COMPARED TO CONSULTANT'S REPORT THAT IDENTIFIES THE CURRENT AND PROPOSED COMPENSATION REASONABLE, AND THE APPROVAL AMOUNT IS DOCUMENTED IN THE MINUTES OF THE APPROVED COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE. PART I, LINES 4A-B THE FOLLOWING PEOPLE LISTED ON PART VII RECEIVED SEVERANCE DURING 2024: WALTER SACKETT - $578,513 MICHAEL MEWHIRTER - $297,348 TERRANCE BURNS - $552,825 GEORGE LEWIS - $511,821 ROBERT T. SMITH - $152,358 KETTERING HEALTH HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AVAILABLE ONLY TO A CERTAIN CLASS OF MANAGEMENT. IN 2024, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: MICHAEL MEWHIRTER - $325,259 GEORGE LEWIS - $1,243,092 PART V, LINE 1A ALL 1099 FORMS FOR KETTERING ADVENTIST HEALTHCARE AND RELATED ENTITIES ARE FILED UNDER KETTERING NETWORK SERVICES. FEIN 83-2687866. 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 ITS 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 DISCLOSURE FORM, AND NOTIFY KETTERING HEALTH IF A CONFLICT SHOULD ARISE. SENIOR LEADERS ARE ALSO REQUIRED TO COMPLETE CONFLICT OF INTEREST DISCLOSURE FORMS ANNUALLY. KETTERING HEALTH'S CORPORATE INTEGRITY DEPARTMENT REVIEWS CONFLICT OF INTEREST DISCLOSURES AND DETERMINES THE APPROPRIATE ACTION(S) TO RESOLVE THE CONFLICT, WHICH MAY INCLUDE RECUSAL FROM CERTAIN DISCUSSIONS OR DECISIONS, JOB REASSIGNMENT, ETC. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION TO EXECUTIVES ARE PAID AND REVIEWED BY THE PARENT ORGANIZATION, KETTERING ADVENTIST HEALTHCARE. 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. THE COMPENSATION REVIEW PROCESS WAS LAST UNDERTAKEN IN 2024. 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 XI, LINE 9: NET TRANSFER TO/FROM AFFILIATES -3,988,088. PART XII, LINE 2C NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS CHANGED DURING THE TAX YEAR. BEAVERCREEK MEDICAL CENTER 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 270712680 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 DAYTON OSTEOPATHIC HOSPITAL 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310564121 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 FORT HAMILTON HOSPITAL FOUNDATION 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 452236966 FUNDRAISING OH 501(C)(3) LINE 12B, II FORT HAMILTON HOSPITAL 0 GREENE MEMORIAL HOSPITAL INC 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310809436 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 KETTERING ADVENTIST HEALTHCARE 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 311051688 MANAGEMENT OH 501(C)(3) LINE 12B, II N/A 0 KETTERING AFFILIATED HEALTH SERVICES INC 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 311127485 HEALTH SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 KETTERING INDEPENDENT MEDICAL GROUP 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 272649285 HEALTH SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 KETTERING MEDICAL CENTER 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310621866 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 KETTERING MEDICAL CENTER FOUNDATION 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 237419897 FUNDRAISING OH 501(C)(3) LINE 12B, II KETTERING MEDICAL CENTER 0 KETTERING NETWORK SERVICES 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 832687866 ADMINISTRATIVE SUPPORT SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 THE FORT HAMILTON HOSPITAL 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310536662 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 GREENE FOUNDATION 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310886949 FUNDRAISING OH 501(C)(3) LINE 12B, II GREENE MEMORIAL HOSPITAL 0 GRANDVIEW FOUNDATION 405 W GRAND AVENUE DAYTON OH 45405 311649591 FUNDRAISING OH 501(C)(3) LINE 12A, I N/A 0 KETTCOR 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 311078381 HEALTH SERVICES OH N/A C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 1