2025-11-14T17:58:12-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 310621866 KETTERING MEDICAL CENTER KETT 9377621629 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 TIMOTHY KO CFO KH 9377621629 2025-11-12 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-12 2024 2025-03-06 01:10:19Z KETTERING HEALTH MAIN CAMPUS SYSTEM ADAM MAYCOCK 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 1180482046 0 X WWW.KETTERINGHEALTH.ORG X 1959 OH OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 14 9 9577 518 2581804 0 1935413 2750702 1093564066 1107251316 45451945 66500651 0 0 1140951424 1176502669 557962 993510 0 0 397073161 398733581 0 0 0 611035273 594891247 1008666396 994618338 132285028 181884331 1462447569 1540991191 503640478 487907458 958807091 1053083733 OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 0 0 942098350 795875 1065215639 KETTERING HEALTH MAIN CAMPUS, KETTERING HEALTH TROY, KETTERING HEALTH MIAMISBURG, KETTERING BEHAVIORAL MEDICAL CENTER, AND OTHER PATIENT CARE RELATED SERVICES RELATED SERVICES PROVIDED CARE FOR 33,910 DISCHARGES, ADULT & PED DAYS OF 143,763, AND 535,166 OUTPATIENT VISITS. 18955943 197635 16452436 KETTERING COLLEGE PROVIDED HEALTH EDUCATIONAL PROGRAMS FOR 1,137 STUDENTS INCLUDING 276 GRADUATING. 961054293 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 1 1 0 0 1 X 0 0 9577 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X TIMOTHY KO 9377621629 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 CELESTE BLYDEN DIRECTOR - PART YEAR 1.00 6.00 X 0 0 0 SHARLET BRIGGS PRESIDENT - KH MAIN - PART YEAR 46.00 4.00 X X 0 819040 34960 MARK R HOEPRICH DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 1179723 37736 ANITA JENKINS DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 TIMOTHY KO CFO - KH 1.00 49.00 X X 0 790319 101139 SHELLEY PEREZ DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 263866 18917 ROBERT J SAWYER DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 331669 34899 RANDALL TANGUAY DIRECTOR 1.00 8.00 X 0 0 0 JONATHAN E VELASCO DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 703405 35658 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 1.00 44.00 X 0 140058 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 1.00 44.00 X 0 232913 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 1.00 44.00 X 0 586263 20569 ROY SIMPSON 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 1.00 44.00 X 0 304212 30134 ROBERT WEIGEL DIRECTOR 1.00 8.00 X 0 0 0 STEVEN CHAVEZ CFO - KH HAMILTON/MAIN CAMPUS 24.00 26.00 X 0 391533 66430 ADAM M MAYCOCK PRESIDENT - KETTERING MEDICAL CENTER 49.00 1.00 X 0 59288 295 DANIEL A WOLCOTT PRESIDENT - KH ACUTE CARE 8.00 42.00 X 0 884799 110697 WENDI L BARBER CFO - ACUTE CARE 10.00 40.00 X 0 674097 87547 ERICA L SCHNEIDER PRESIDENT - MIAMISBURG/WASH. TWP 25.00 25.00 X 0 613478 83973 LEWIS S O'NEAL JR CNO - MIAMISBURG 50.00 0.00 X 0 368807 62766 SHERI L HAWKINS CNO - MAIN CAMPUS 50.00 0.00 X 0 345985 54977 TINA M MAYBERRY CNO - TROY 50.00 0.00 X 0 236460 38552 NATHAN R BRANDSTATER PRESIDENT - KETTERING COLLEGE 49.00 1.00 X 0 349386 53294 NORMAN O SPENCE PRESIDENT - TROY 50.00 0.00 X 48906 226985 41118 JENNY LYN THOMPSON RN 40.00 0.00 X 387836 0 25459 KRISTINE E TAN RN 40.00 0.00 X 375061 0 33917 THOMAS M HOLTSCHNEIDER MED PHYSICIST 40.00 0.00 X 274671 0 30703 ERIC A WILLIAMS MED PHYSICIST 40.00 0.00 X 247446 0 29046 MARTIN R SATTER SR MOLECULAR IMAGE SCIENTIST 40.00 0.00 X 240920 0 19368 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 1574840 13694671 1301162 914 1 1 0 0 1950107 755107 45488 2750702 PATIENT SERVICE REVENUE 621610 1077408759 1053719307 23689452 KETTERING COLLEGE 611310 16452436 16452436 RENT TO AFFILIATES 532000 11496332 11496332 SPECIALTY HOSPITAL 621990 919530 919530 REFERENCE LAB 621500 774160 774160 200099 200099 1107251316 27774139 688015 27086124 171396 171396 36391084 6143409 0 3979377 36391084 2164032 38555116 38555116 1176502669 1081668075 2581804 89502088 993510 993510 51459 36133 15326 319317900 315759851 3558049 9304742 9201062 103680 47202418 46676458 525960 22857062 22602374 254688 471271 437636 33635 21930 9500 12430 684138 684138 63837038 62909280 927758 193115 193115 7525155 7449858 75297 3442062 3427414 14648 10934149 10804896 129253 413693 398587 15106 236262 234062 2200 14288169 14119267 168902 48962957 48384161 578796 6807830 4997483 1810347 MEDICAL SUPPLIES 187485922 187452138 33784 SYSTEM SERVICES 135372678 112064704 23307974 PHYSICIAN SERVICES 88162932 88162932 COST OF GOODS SOLD 17770820 17770820 8281126 6969052 1312074 994618338 961054293 33564045 0 6673123 3861427 1001647 2645120 1845675 2423498 135546331 137068346 118670 127438 23976937 22345358 6706134 576728 1185333392 745819468 441304343 439513924 827905616 918965571 4391137 691137 12977956 12772644 1462447569 1540991191 59220912 59685023 1917853 2522723 367747579 359317675 1858922 2003369 250000 72645212 64378668 503640478 487907458 X 958807091 1053083733 958807091 1053083733 1462447569 1540991191 X 181884331 21001682 -108609371 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35649312 35649312 722000 813868107 506304599 308285508 1034045 970986 63059 313852574 238543883 75308691 20207354 20207354 439513924 FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 7696653 LEASE LIABILITY 7826872 THIRD PARTY SETTLEMENTS 27774357 MALPRACTICE INSURANCE LIABILITY 20231074 OTHER LONG TERM LIABILITIES 849712 64378668 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 X 1 X 250.000000000000 1 X 1 1 1 0 0 12491989 7597302 4894687 0.00490 153614720 108086807 45527913 0.04580 166106709 115684109 50422600 0.05070 3793329 603032 3190297 0.00320 31588005 16661091 14926914 0.01500 10923792 1691467 9232325 0.00930 294752 0 294752 0.00030 46599878 18955590 27644288 0.02780 212706587 134639699 78066888 0.07850 1 55709011 1337016 154932308 128834161 26098147 X 1 0 5 1 KETTERING HEALTH MAIN CAMPUS 3535 SOUTHERN BOULEVARD KETTERING OH 45429 KETTERINGHEALTH.ORG X X X X A 2 KETTERING HEALTH MIAMISBURG 4000 MIAMISBURG-CENTERVILLE ROAD MIAMISBURG OH 45342 KETTERINGHEALTH.ORG X X X X A 3 KETTERING HEALTH TROY 600 W MAIN STREET TROY OH 45373 KETTERINGHEALTH.ORG X X X 4 KETTERING HEALTH BEHAVIORAL MEDICAL CENTER 5350 LAMME ROAD DAYTON OH 45439 KETTERINGHEALTH.ORG X 5 PAM REHABILITATION HOSPITAL OF DAYTON LLC 2310 CROSSPOINTE DRIVE MIAMISBURG OH 45342 HTTPS://PAMHEALTH.COM/HOSPITALS/PAM-HE X KETTERING HEALTH TROY 3 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://KETTERINGHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS/ X 1 22 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 KETTERING HEALTH BEHAVIORAL MEDICAL CENT 4 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://KETTERINGHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS/ X 1 22 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 KETTERING HEALTH MAIN CAMPUS SYSTEM - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://KETTERINGHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS/ X 1 22 1 HTTPS://KETTERINGHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS/ 0 1 X 250.000000000000 400.000000000000 X X X 1 1 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 TROY PART V, SECTION B, LINE 5: THE HEALTH COLLABORATIVE (THC), IN PARTNERSHIP WITH THE GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA), FACILITATED THE 2021/2022 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 BEHAVIORAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE HEALTH COLLABORATIVE (THC), IN PARTNERSHIP WITH THE GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA), FACILITATED THE 2021/2022 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 TROY 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 BEHAVIORAL 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 KETTERING HEALTH TROY PART V, SECTION B, LINE 6B: THE HEALTH COLLABORATIVE GREATER DAYTON AREA HOSPITAL ASSOCIATION CITY 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, WARREN COUNTY 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 BEHAVIORAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE HEALTH COLLABORATIVE GREATER DAYTON AREA HOSPITAL ASSOCIATION CITY 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, WARREN COUNTY 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 TROY PART V, SECTION B, LINE 11: KETTERING HEALTH TROY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH SUPPORT FOR THE CANCER SUPPORT GROUP, TOBACCO CESSATION, ONEFIFTEEN, WORK FORCE DEVELOPMENT, KETTERING HEALTH COMMUNITY OUTREACH, MIAMI VALLEY LEADERSHIP FOUNDATION, BEHAVIORAL HEALTH SUPPORT MODEL AND INTENSIVE OUTPATIENT PROGRAM. KETTERING HEALTH BEHAVIORAL MEDICAL CENTER PART V, SECTION B, LINE 11: KETTERING HEALTH BEHAVIORAL MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH SUPPORT FOR TOBACCO CESSATION, ONEFIFTEEN, BEHAVIORAL HEALTH SUPPORT MODEL, AND INTENSIVE OUTPATIENT PROGRAM. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: KETTERING HEALTH MAIN CAMPUS, - FACILITY 2: KETTERING HEALTH MIAMISBURG GROUP A-FACILITY 1 -- KETTERING HEALTH MAIN CAMPUS PART V, SECTION B, LINE 5: THE HEALTH COLLABORATIVE (THC), IN PARTNERSHIP WITH THE GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA), FACILITATED THE 2021/2022 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. GROUP A-FACILITY 1 -- KETTERING HEALTH MAIN CAMPUS 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 GROUP A-FACILITY 1 -- KETTERING HEALTH MAIN CAMPUS PART V, SECTION B, LINE 6B: THE HEALTH COLLABORATIVE GREATER DAYTON AREA HOSPITAL ASSOCIATION CITY 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, WARREN COUNTY 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 GROUP A-FACILITY 1 -- KETTERING HEALTH MAIN CAMPUS PART V, SECTION B, LINE 11: KETTERING MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH SUPPORT FOR GOOD NEIGHBOR HOUSE, CANCER SUPPORT GROUP, INFANT MORTALITY TASK FORCE, TOBACCO CESSATION, ONEFIFTEEN, BRIGID'S PATH, WORKFORCE DEVELOPMENT, AND COMMUNITY HEALTH WORKER TRAINING. GROUP A-FACILITY 2 -- KETTERING HEALTH MIAMISBURG PART V, SECTION B, LINE 5: THE HEALTH COLLABORATIVE (THC), IN PARTNERSHIP WITH THE GREATER DAYTON AREA HOSPITAL ASSOCIATION (GDAHA), FACILITATED THE 2021/2022 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. GROUP A-FACILITY 2 -- KETTERING HEALTH MIAMISBURG 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 GROUP A-FACILITY 2 -- KETTERING HEALTH MIAMISBURG PART V, SECTION B, LINE 6B: THE HEALTH COLLABORATIVE GREATER DAYTON AREA HOSPITAL ASSOCIATION CITY 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, WARREN COUNTY 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 GROUP A-FACILITY 2 -- KETTERING HEALTH MIAMISBURG PART V, SECTION B, LINE 11: KETTERING HEALTH MIAMISBURG IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH SUPPORT FOR PRIMARY HEALTH SOLUTIONS FQHC, GOOD NEIGHBOR HOUSE, CANCER SUPPORT GROUP, TOBACCO CESSATION, ONEFIFTEEN, WORK FORCE DEVELOPMENT, KETTERING HEALTH COMMUNITY OUTREACH, MIAMI VALLEY LEADERSHIP FOUNDATION, BEHAVIORAL HEALTH SUPPORT MODEL AND INTENSIVE OUTPATIENT PROGRAM. 8 1 - KETTERING HEALTH ENGLEWOOD 1250 NATIONAL ROAD ENGLEWOOD OH 45322 OUTPATIENT CLINIC AND DIAGNOSTIC CENTER 2 - KETTERING HEALTH FRANKLIN 100 KETTERING WAY FRANKLIN OH 45005 EMERGENCY, OUTPATIENT CLINIC, AND DIAGNOSTIC CENTER 3 - KETTERING HEALTH MIDDLETOWN 6147 STATE ROUTE 122 MIDDLETOWN OH 45005 EMERGENCY, OUTPATIENT CLINIC, AND DIAGNOSTIC CENTER 4 - KETTERING HEALTH PIQUA HEALTH CENTER 1 KETTERING WAY PIQUA OH 45356 OUTPATIENT CLINIC, AND DIAGNOSTIC CENTER 5 - KETTERING HEALTH REHAB AND THERAPY 70 WELLER DRIVE SUITE 120 TIPP CITY OH 45371 OUTPATIENT CLINIC AND DIAGNOSTIC CENTER 6 - KETTERING HEALTH SPORTS MEDICINE 4403 FAR HILLS AVENUE KETTERING OH 45429 OUTPATIENT CLINIC AND DIAGNOSTIC CENTER 7 - KETTERING HEALTH SPRINGBORO HEALTH CTR 825 N MAIN STREET SPRINGBORO OH 45066 OUTPATIENT CLINIC AND DIAGNOSTIC CENTER 8 - KETTERING HEALTH SUGARCREEK HEALTH CTR 6438 WILMINGTON PIKE SUGARCREEK TOWNSHIP OH 45459 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 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: KETTERING HEALTH MAIN CAMPUS SYSTEM, 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: KETTERING HEALTH MAIN CAMPUS SYSTEM 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 MAIN CAMPUS SYSTEM'S CHARITY CARE POLICY AS FOLLOWS:-KETTERING HEALTH MAIN CAMPUS SYSTEM 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 KETTERING MEDICAL CENTER 31-0621866 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 MAIN CAMPUS SYSTEM 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 MAIN CAMPUS SYSTEM'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 MAIN CAMPUS SYSTEM 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.-MEDICAL AND NURSING EDUCATION PROGRAMS ARE ALSO ENHANCED THROUGH PURCHASE OF STATE-OF-THE-ART EDUCATIONAL TOOLS AND DEDICATED LEARNING CENTERS OF EXCELLENCE. MEDICAL RESEARCH IS SUPPORTED THROUGH THE INNOVATION CENTER, CULTIVATING NEW TECHNOLOGIES AND FOSTERING BEST PRACTICES AMONG PARTNERS FROM INDUSTRY, ACADEMIA, AND HEALTH CARE. PART VI, LINE 6: KETTERING HEALTH MAIN CAMPUS SYSTEM 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 MAIN CAMPUS SYSTEM'S CHARITY CARE POLICY AS FOLLOWS:-KETTERING HEALTH MAIN CAMPUS SYSTEM 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 MAIN CAMPUS SYSTEM 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 MAIN CAMPUS SYSTEM'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 7, REPORTS FILED WITH STATES OH 1 SCHOLARSHIPS, GRANTS, AND OTHER ASSITANCE TO KETTERING COLLEGE STUDENTS 199 463154 ASSITANCE TO EMPLOYEES FOR HARDSHIP 214 184243 SCHOLARSHIPS, GRANTS, AND AID - OTHERS 12 320000 PART I, LINE 2: KETTERING COLLEGE MAINTAINS THE CRITERIA USED FOR AWARDING INSTITUTIONAL SCHOLARSHIPS. SOME OF THE SCHOLARSHIPS AWARDED BY KETTERING COLLEGE ARE BASED ON NEED, OTHERS ARE AWARDED STRICTLY BASED ON MERIT, AND OTHERS ARE AWARDED BASED ON BOTH NEED AN MERIT. KETTERING MEDICAL CENTER EMPLOYEES MAY APPLY FOR UP TO $1,000.00 PER QUALIFYING HARDSHIP EVENT. THE LIFETIME MAXIMUM FOR AN EMPLOYEE IS CAPPED AT $2,000.00 1 1 0 0 0 0 0 0 0 MICHAEL V GENTRY CEO 0 1717488 0 139500 0 49334 0 175252 0 14790 0 2096364 0 0 MARK R HOEPRICH DIRECTOR/PHYSICIAN - PART YEAR 0 1143353 0 34660 0 1710 0 19687 0 18049 0 1217459 0 0 MICHAEL MEWHIRTER FORMER CEO/CAO - PART YEAR 0 293591 0 205150 0 655984 0 0 0 6409 0 1161134 0 325259 DANIEL A WOLCOTT PRESIDENT - KH ACUTE CARE 0 834287 0 47881 0 2631 0 96296 0 14401 0 995496 0 0 TIMOTHY KO CFO - KH 0 727793 0 61291 0 1235 0 86687 0 14452 0 891458 0 0 SHARLET BRIGGS PRESIDENT - KH MAIN - PART YEAR 0 662247 0 112907 0 43886 0 19687 0 15273 0 854000 0 0 WENDI L BARBER CFO - ACUTE CARE 0 578319 0 72869 0 22909 0 72757 0 14790 0 761644 0 0 JONATHAN E VELASCO DIRECTOR/PHYSICIAN - PART YEAR 0 599916 0 98926 0 4563 0 19687 0 15971 0 739063 0 0 ERICA L SCHNEIDER PRESIDENT - MIAMISBURG/WASH. TWP 0 537903 0 73247 0 2328 0 69187 0 14786 0 697451 0 0 KEVIN SHARRETT DIRECTOR/PHYSICIAN 0 338186 0 180860 0 67217 0 16237 0 4332 0 606832 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 STEVEN CHAVEZ CFO - KH HAMILTON/MAIN CAMPUS 0 340703 0 47677 0 3153 0 52107 0 14323 0 457963 0 0 LEWIS S O'NEAL JR CNO - MIAMISBURG 0 310748 0 42820 0 15239 0 48466 0 14300 0 431573 0 0 JENNY LYN THOMPSON RN 387512 0 323 0 1 0 19687 0 5772 0 413295 0 0 0 KRISTINE E TAN RN 374556 0 323 0 182 0 19687 0 14230 0 408978 0 0 0 NATHAN R BRANDSTATER PRESIDENT - KETTERING COLLEGE 0 293296 0 40221 0 15869 0 45348 0 7946 0 402680 0 0 SHERI L HAWKINS CNO - MAIN CAMPUS 0 300333 0 36596 0 9056 0 45260 0 9717 0 400962 0 0 ROBERT J SAWYER DIRECTOR/PHYSICIAN - PART YEAR 0 311955 0 15000 0 4714 0 19296 0 15603 0 366568 0 0 TROY A TYNER DIRECTOR/PHYSICIAN 0 288238 0 8910 0 7064 0 18512 0 11622 0 334346 0 0 NORMAN O SPENCE PRESIDENT - TROY 48761 210012 0 16397 145 576 0 31931 2553 6634 51459 265550 0 0 THOMAS M HOLTSCHNEIDER MED PHYSICIST 269285 0 323 0 5063 0 16072 0 14631 0 305374 0 0 0 SHELLEY PEREZ DIRECTOR/PHYSICIAN - PART YEAR 0 262499 0 0 0 1367 0 14737 0 4180 0 282783 0 0 ERIC A WILLIAMS MED PHYSICIST 229469 0 323 0 17654 0 14428 0 14618 0 276492 0 0 0 TINA M MAYBERRY CNO - TROY 0 207991 0 26775 0 1694 0 30488 0 8064 0 275012 0 0 CHERISH J PRUTZMAN DIRECTOR/PHYSICIAN 0 232355 0 0 0 558 0 13814 0 17207 0 263934 0 0 MARTIN R SATTER SR MOLECULAR IMAGE SCIENTIST 229645 0 323 0 10952 0 11022 0 8346 0 260288 0 0 0 SARAH HEDRICK DIRECTOR/PHYSICIAN - PART YEAR 0 124808 0 15000 0 250 0 7376 0 2968 0 150402 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: SHARLET BRIGGS - $24,125 WALTER SACKETT - $578,513 MICHAEL MEWHIRTER- $297,348 TERRANCE BURNS - $552,825 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 A COUNTY OF MONTGOMERY OHIO 316000172 2011-12-10 100155421 CURRENT REFUND 0 0 0 B COUNTY OF MONTGOMERY OHIO 316000172 613520KW4 2012-05-01 78768109 CURRENT REFUND 0 0 0 C COUNTY OF MONTGOMERY OHIO 316000172 613520LA1 2016-05-04 79457968 HOSPITAL BUILDING IMPROVEMENTS AND EQUIPMENT 0 0 0 D COUNTY OF MIAMI OHIO 316000055 593328EW3 2019-03-07 106987714 HOSPITAL FACILITIES IMPROVEMENT AND REFUNDING 0 0 0 A 100155421 89787 100065634 2011 1 0 1 1 B 78768109 412825 78355284 2012 1 0 1 1 C 79508729 727807 78780921 1 2016 0 0 1 1 D 106987714 652472 96298216 10037026 2019 1 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 1 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 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: COUNTY OF MONTGOMERY, OHIO (F) DESCRIPTION OF PURPOSE: CURRENT REFUND (A) ISSUER NAME: COUNTY OF MONTGOMERY, OHIO (F) DESCRIPTION OF PURPOSE: CURRENT REFUND (A) ISSUER NAME: COUNTY OF MONTGOMERY, OHIO (F) DESCRIPTION OF PURPOSE: HOSPITAL BUILDING IMPROVEMENTS AND EQUIPMENT (A) ISSUER NAME: COUNTY OF MIAMI, OHIO (F) DESCRIPTION OF PURPOSE: HOSPITAL FACILITIES IMPROVEMENT AND REFUNDING (A) ISSUER NAME: COUNTY OF MONTGOMERY, OHIO (F) DESCRIPTION OF PURPOSE: HOSPITAL FACILITIES IMPROVEMENT AND REFUNDING A COUNTY OF MONTGOMERY OHIO 316000172 613520MM4 2021-02-10 16284815 HOSPITAL FACILITIES IMPROVEMENTS AND REFUNDING 0 0 0 A 16284817 107048 16177769 2021 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 1 A 1 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 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 -108,609,371. FORM 990, 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 PHYSICIANS SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 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 FOUNDATION 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 237419897 FUNDRAISING OH 501(C)(3) LINE 12B, II KETTERING MEDICAL CENTER 1 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 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 KETTERING MEDICAL CENTER FOUNDATION C 1750107 FMV