| Kettering Affiliated Health Services Inc |
| Employer Identification Number (EIN) | 311127485 |
| Name of Organization | Kettering Affiliated Health Services Inc |
| Address | 2110 Leiter Rd, Miamisburg, OH 45342-3660 |
| Activities | Underwriting municipal insurance, Other religious activities |
| Subsection | Religious Organization |
| Ruling Date | 04/1947 |
| Deductibility | Contributions are deductible |
| Foundation | Church |
| Organization | Association |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2010 |
| Assets | $10,000,000 to $49,999,999 |
| Income | $10,000,000 to $49,999,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $24,714,129 |
| Amount of Income | $19,069,307 |
| Form 990 Revenue Amount | $19,069,307 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Health Support Services |
| Revenue, Expenses, and Changes in Net Assets or Fund Balances |
| 2001 | 2002 |
|---|
| Total revenue | $14,853,050 | $14,916,454 |
| Contributions, gifts, grants, and similar amounts received | $9,372 | $3,250 |
| Contributions to donor advised funds | | |
| Direct public support | $0 | $0 |
| Indirect public support | $9,372 | $3,250 |
| Government contributions (grants) | $0 | $0 |
| Program service revenue including government fees and contracts | $13,356,666 | $14,583,081 |
| Membership dues and assessments | $0 | $0 |
| Interest on savings and temporary cash investments | $80,000 | $9,368 |
| Dividends and interest from securities | $0 | $0 |
| Net rental income or (loss) | $0 | $0 |
| Gross rents | $0 | $0 |
| Less: rental expenses | $0 | $0 |
| Other investment income | $0 | $0 |
| Gain or (loss) from sales of assets other than inventory | $-18,910 | $320,755 |
| Gross amount from sales of assets other than inventory | $273,815 | $458,084 |
| Less: cost or other basis and sales expenses | $292,725 | $137,329 |
| Net income or (loss) from special events and activities | $0 | $0 |
| Gross revenue | $0 | $0 |
| Less: direct expenses other than fundraising expenses | $0 | $0 |
| Gross profit or (loss) from sales of inventory | $1,425,922 | $0 |
| Gross sales of inventory, less returns and allowances | $3,522,283 | $0 |
| Less: cost of goods sold | $2,096,361 | $0 |
| Other revenue | $0 | $0 |
| Total expenses | $18,383,750 | $16,413,097 |
| Program services | $16,134,446 | $14,146,360 |
| Management and general | $2,249,304 | $2,266,737 |
| Fundraising | $0 | $0 |
| Payments to affiliates | $0 | $0 |
| Net assets or fund balances at end of year | $22,248,616 | $8,616,198 |
| Excess or (deficit) for the year | $-3,530,700 | $-1,496,643 |
| Net assets or fund balances at beginning of year | $3,273,648 | $22,248,616 |
| Other changes in net assets or fund balances | $22,505,668 | $-12,135,775 |
| Statement of Functional Expenses (for 2002) |
| Total | Program services | Management and general | Fundraising |
|---|
| Total functional expenses | $16,413,097 | $14,146,360 | $2,266,737 | $0 |
| Grants paid from donor advised funds | | | | |
| Other grants and allocations | | $0 | | |
| Specific assistance to individuals | | $0 | | |
| Benefits paid to or for members | | $0 | | |
| Compensation of current officers, directors, key employees, etc. | $0 | $0 | $0 | $0 |
| Compensation of former officers, directors, key employees, etc. | | | | |
| Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) | | | | |
| Salaries and wages of employees not included above | $6,430,974 | $5,542,822 | $888,152 | $0 |
| Pension plan contributions not included above | $0 | $0 | $0 | $0 |
| Employee benefits not included above | $1,589,879 | $1,370,308 | $219,571 | $0 |
| Payroll taxes | $0 | $0 | $0 | $0 |
| Professional fundraising fees | $0 | $0 | $0 | $0 |
| Accounting fees | $400 | $345 | $55 | $0 |
| Legal fees | $35,978 | $31,009 | $4,969 | $0 |
| Supplies | $1,225,781 | $1,056,494 | $169,287 | $0 |
| Telephone | $78,072 | $67,290 | $10,782 | $0 |
| Postage and shipping | $49,360 | $42,543 | $6,817 | $0 |
| Occupancy | $1,080,661 | $931,416 | $149,245 | $0 |
| Equipment rental and maintenance | $55,276 | $47,642 | $7,634 | $0 |
| Printing and publications | $13,869 | $11,954 | $1,915 | $0 |
| Travel | $6,367 | $5,488 | $879 | $0 |
| Conferences, conventions, and meetings | $0 | $0 | $0 | $0 |
| Interest | $846,500 | $729,594 | $116,906 | $0 |
| Depreciation, depletion, etc. | $1,900,177 | $1,637,752 | $262,425 | $0 |
| Other expenses not covered above | $3,099,803 | $2,671,703 | $428,100 | $0 |
| Balance Sheets |
| 2001 | 2002 |
|---|
| Total assets | $33,106,460 | $32,821,274 |
| Cash - non-interest-bearing | $0 | $0 |
| Savings and temporary cash investments | $0 | $1,634,581 |
| Accounts receivable less allowance for doubtful accounts | $3,202,611 | $2,675,490 |
| Pledges receivable less allowance for doubtful accounts | $0 | $0 |
| Grants receivable | $0 | $0 |
| Receivables from current and former officers, directors, trustees, and key employees | $0 | $0 |
| Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) | | |
| Other notes and loans receivable less allowance for doubtful accounts | $0 | $0 |
| Inventories for sale or use | $0 | $0 |
| Prepaid expenses and deferred charges | $0 | $0 |
| Investments - publicly-traded securities | | |
| Investments - other securities | $0 | $0 |
| Investments - land, buildings, and equipment less accumulated depreciation | $0 | $0 |
| Investments - other | $0 | $0 |
| Land, buildings, and equipment less accumulated depreciation | $29,903,849 | $28,235,231 |
| Other assets, including program-related investments | $0 | $275,972 |
| Total liabilities | $10,857,844 | $24,205,076 |
| Accounts payable and accrued expenses | $137,024 | $74,218 |
| Grants payable | $0 | $0 |
| Deferred revenue | $314,816 | $315,531 |
| Loans from officers, directors, trustees, and key employees | $0 | $0 |
| Tax-exempt bond liabilities | $0 | $13,400,000 |
| Mortgages and other notes payable | $680,629 | $0 |
| Other liabilities | $9,725,375 | $10,415,327 |
| Total liabilities and net assets/fund balances | $33,106,460 | $32,821,274 |
| Total net assets or fund balances | $22,248,616 | $8,616,198 |
| Total number of officers, directors, and trustees permitted to vote on organization business at board meetings | 0 |
| Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships? | |
| Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization? | |
| Does the organization have a written conflict of interest policy? | |
| Other Information |
| Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year? | No |
| Was there a liquidation, dissolution, termination, or substantial contraction during the year? | No |
| Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? | Yes |
| Direct and indirect political expenditures | $0 |
| Did the organization file Form 1120-POL for this year? | No |
| Were substantially all dues nondeductible by members? | |
| Did the organization make only in-house lobbying expenditures of $2,000 or less? | |
| Dues, assessments, and similar amounts from members | $0 |
| Section 162(e) lobbying and political expenditures | $0 |
| Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices | $0 |
| Taxable amount of lobbying and political expenditures | $0 |
| Does the organization elect to pay the section 6033(e) tax on the amount above? | |
| If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? | |
| Initiation fees and capital contributions | $0 |
| Gross receipts for public use of club facilities | $0 |
| At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)? | |
| Amount of tax imposed on the organization during the year under: section 4911 | $0 |
| Amount of tax imposed on the organization during the year under: section 4912 | $0 |
| Amount of tax imposed on the organization during the year under: section 4955 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? | No |
| Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 | $0 |
| Amount of tax above, reimbursed by the organization | $0 |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | |
| Did the organization acquire a direct or indirect interest in any applicable insurance contract? | |
| Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year? | |
| Number of employees employed in the pay period that includes March 12, 2006 | 0 |
| Analysis of Income-Producing Activities (for 2002) |
| Unrelated business income | Excluded by section 512, 513, or 514 | Related or exempt function income |
|---|
| Business code | Amount | Exclusion code | Amount |
|---|
| Total | | $0 | | $353,378 | $14,559,826 |
| Program service revenue |
| Program service revenue 1 | 000000 | $0 | Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2)) | $23,255 | $11,351,636 |
| Program service revenue 2 | 000000 | $0 | 00 | $0 | $3,208,190 |
| Program service revenue 3 | 000000 | $0 | 00 | $0 | $0 |
| Program service revenue 4 | 000000 | $0 | 00 | $0 | $0 |
| Program service revenue 5 | 000000 | $0 | 00 | $0 | $0 |
| Medicare/Medicaid payments | 000000 | $0 | 00 | $0 | $0 |
| Fees and contracts from government agencies | 000000 | $0 | 00 | $0 | $0 |
| Membership dues and assessments | 000000 | $0 | 00 | $0 | $0 |
| Interest on savings and temporary cash investments | 000000 | $0 | Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1) | $9,368 | $0 |
| Dividends and interest from securities | 000000 | $0 | 00 | $0 | $0 |
| Net rental income or (loss) from real estate |
| debt-financed property | 000000 | $0 | 00 | $0 | $0 |
| not debt-financed property | 000000 | $0 | 00 | $0 | $0 |
| Net rental income or (loss) from personal property | 000000 | $0 | 00 | $0 | $0 |
| Other investment income | 000000 | $0 | 00 | $0 | $0 |
| Gain or (loss) from sales of assets other than inventory | 000000 | $0 | Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A)) | $320,755 | $0 |
| Net income or (loss) from special events | 000000 | $0 | 00 | $0 | $0 |
| Gross profit or (loss) from sales of inventory | 000000 | $0 | 00 | $0 | $0 |
| Other revenue | 000000 | $0 | 00 | $0 | $0 |
| Statements About Activities (for 2002) |
| Expenses paid or incurred in connection with the lobbying activities | $0 |
| Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures? | |
| Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? | |
| Did the organization maintain any donor advised funds? | |
| Did the organization make any taxable distributions under section 4966? | |
| Did the organization make a distribution to a donor, donor advisor, or related person? | |
| Enter the total number of donor advised funds owned at the end of the tax year | |
| Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year | |
| Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts | |
| Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year | |
| Support Schedule |
| 2000 | 2001 |
|---|
| Total | $0 | $0 |
| Gifts, grants, and contributions received | $0 | $0 |
| Membership fees received | $0 | $0 |
| Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose | $0 | $0 |
| Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975 | $0 | $0 |
| Net income from unrelated business activities not included above | $0 | $0 |
| Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf | $0 | $0 |
| The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge | $0 | $0 |
| Other income | $0 | $0 |
| Organizations performing similar types of work |
| Id | Name | Address | State | Established | Total Income |
|---|
| 1 | University Of Alabama Health Services Foundation Pc | 500 22nd Street South Suite 510, Birmingham, AL 35233-3110 | AL | 1976-02 | $797,999,851 |
| 2 | Queens Medical Center | 1301 Punchbowl St, Honolulu, HI 96813-2402 | HI | 1935-12 | $687,608,377 |
| 3 | Musculoskeletal Transplant Foundation Inc | Edison Corporate Center 125 May St, Edison, NJ 08837 | NJ | 1996-05 | $403,866,065 |
| 4 | The Queens Health Systems | 1301 Punchbowl St, Honolulu, HI 96813-2402 | HI | 1985-09 | $270,139,761 |
| 5 | St Lukes Community Health Services, St Lukes The Woodlands Hospital | 3100 Main St Ste 672, Houston, TX 77002-9325 | TX | 1997-10 | $167,670,649 |
| 6 | Texas Medical Center Central Heat And Cooling Services Corp | 1615 Braeswood Blvd, Houston, TX 77030-3903 | TX | 2002-06 | $80,671,825 |
| 7 | Queen Emma Land Company | 1099 Alakea Street 11th Floor, Honolulu, HI 96813-4511 | HI | 1978-11 | $66,737,022 |
| 8 | Visiting Nurse Regional Health Care System Inc | 15 Metrotech Ctr Fl 11, Brooklyn, NY 11201-3826 | NY | 2001-06 | $29,597,050 |
| 9 | Uhealthsolutions Inc | 100 Century Dr, Worcester, MA 01606-1244 | MA | 2002-06 | $28,430,932 |
| 10 | Kettering Affiliated Health Services Inc | 2110 Leiter Rd, Miamisburg, OH 45342-3660 | OH | 1947-04 | $19,069,307 |
| 11 | New Vision Medical Laboratories Inc | 750 W High St Ste 400, Lima, OH 45801-2967 | OH | 2001-06 | $13,099,591 |
| 12 | Medwish International | PO BOX 181484, Cleveland Hts, OH 44118-7484 | OH | 1999-12 | $10,514,728 |
| 13 | Providence Care Center | 2025 Hayes Ave, Sandusky, OH 44870-4739 | OH | 2003-05 | $10,086,674 |
| 14 | Ohio Shared Information Services Inc | 8790 Governors Hill Drive, Cincinnati, OH 45249-1307 | OH | 2001-12 | $4,675,387 |
| 15 | Care Enterprises Inc, Fallen Timbers Apothecary | 5901 Monclova Rd, Maumee, OH 43537-1841 | OH | 1999-06 | $2,224,563 |
| 16 | Health Foundation Fund | 3805 Edwards Rd Ste 500, Cincinnati, OH 45209-1948 | OH | 2002-04 | $1,961,612 |
| 17 | Community First Pharmacy | 520 Eaton Ave, Hamilton, OH 45013-2716 | OH | 2009-04 | $1,357,378 |
| 18 | Ohio Valley Hospital Consortium | 401 N Ewing St, Lancaster, OH 43130-3372 | OH | 2003-03 | $1,327,346 |
| 19 | Health Policy Institute Of Ohio | 37 W Broad St Ste 350, Columbus, OH 43215-4160 | OH | 2003-07 | $1,249,068 |
| 20 | Pharmacy Over The Rhine | 5 E Liberty Street, Cincinnati, OH 45202-8202 | OH | 2006-03 | $567,539 |
| 21 | Ohio Association Of Free Clinics | 88 E Broad St Ste 1305, Columbus, OH 43215-3550 | OH | 2002-05 | $550,440 |
| 22 | Central Ohio Hospital Council | 155 East Broad Street, Columbus, OH 43215-3609 | OH | 2009-05 | $473,904 |
| 23 | Clark & Champaign Counties Healthinformation Exchange Inc | 1150 E Home Rd, Springfield, OH 45503-2726 | OH | 2009-02 | $339,088 |
| 24 | P L A N Of Southwest Ohio Inc | 4300 Rossplain Dr, Blue Ash, OH 45236-1208 | OH | 1997-05 | $332,769 |
| 25 | Prescription Assistance Network Of Stark County Inc | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | OH | 2004-08 | $304,362 |
| 26 | Ohio Health Council | 155 E Broad St Fl 15, Columbus, OH 43215-3622 | OH | 2002-05 | $190,705 |
| 27 | Helping Hands Health And Wellnesscenter | 1421 Morse Rd, Columbus, OH 43229-6423 | OH | 2007-05 | $82,665 |
| 28 | Health Quality Forum Ohio | 6133 Rockside Road, Independence, OH 44131-2223 | OH | 2008-05 | $50,000 |
| 29 | Integrated Youth Services Inc | 1321 Research Park Drive, Beavercreek, OH 45432-2851 | OH | 2002-06 | $27,082 |
| 30 | North Coast Association Of The Deaf | 235 Edgecliff Cir E, Elyria, OH 44035-4725 | OH | 1999-09 | $25,721 |
| 30 biggest affiliated organizations |
| Affiliation | Name | Address | State | Established | Total Income |
|---|
| Subordinate | Adventist Health System Sunbelt Inc | 900 Hope Way, Altamonte Spg, FL 32714-1502 | FL | 1950-01 | $2,890,019,254 |
| Subordinate | Loma Linda University | 11145 Anderson Street No 205, Loma Linda, CA 92354-2839 | CA | 1950-01 | $1,732,121,064 |
| Subordinate | Seventh-Day Adventists Loma Linda University Medical Center Inc | PO BOX 2000, Loma Linda, CA 92354-0200 | CA | 1947-04 | $1,184,449,137 |
| Subordinate | Portercare Adventist Health System, Dba Parker Adventist Hospital | 2525 S Downing St, Denver, CO 80210-5817 | CO | 1931-09 | $817,566,826 |
| Subordinate | Adventist Healthcare Inc | 1801 Research Blvd Ste 400, Rockville, MD 20850-3184 | MD | 1950-01 | $649,883,381 |
| Subordinate | Kettering Medical Center Inc, Kettering College | 2110 Leiter Rd, Miamisburg, OH 45342-3660 | OH | 1947-04 | $565,005,639 |
| Subordinate | Adventist Health System Sunbelt Healthcare Corporation | 900 Hope Way, Altamonte Spg, FL 32714-1502 | FL | 1947-04 | $402,753,944 |
| Subordinate | Dayton Osteopathic Hospital, Dba Southview Medical Center | 2110 Leiter Rd, Miamisburg, OH 45342-3660 | OH | 1947-04 | $301,421,100 |
| Subordinate | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 | OR | 1947-04 | $248,411,899 |
| Subordinate | Memorial Health Systems Inc, Florida Hospital Oceanside | 770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179 | FL | 1947-04 | $238,658,466 |
| Subordinate | Florida Hospital Waterman Inc | 1000 Waterman Way, Tavares, FL 32778-5266 | FL | 1992-07 | $205,579,825 |
| Subordinate | Adventist Health System-West, Adventist Health | 2100 Douglas Blvd, Roseville, CA 95661-3804 | CA | 1947-04 | $190,508,161 |
| Subordinate | St Helena Hospital | 10 Woodland Rd, Saint Helena, CA 94574-9554 | CA | 1947-04 | $180,671,046 |
| Subordinate | Sonora Community Hospital, Dba Sonora Regional Medical Center | 1000 Greenley Rd, Sonora, CA 95370-5200 | CA | 1947-04 | $178,115,651 |
| Subordinate | Memorial Hospital Flagler Inc, Florida Hospital-Flagler | 770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179 | FL | 1947-04 | $156,395,026 |
| Subordinate | Feather River Hospital | 5974 Pentz Rd, Paradise, CA 95969-5509 | CA | 1993-07 | $155,760,219 |
| Subordinate | Southwest Volusia Healthcare Corporation, Florida Hospital Fish Memorial | 1055 Saxon Blvd, Orange City, FL 32763-8468 | FL | 1950-01 | $144,477,856 |
| Subordinate | Central Valley General Hospital | 1025 N Douty St, Hanford, CA 93230-3722 | CA | 1950-01 | $140,138,288 |
| Subordinate | Memorial Hospital-West Volusia Inc, Florida Hospital Deland | 701 W Plymouth Ave, Deland, FL 32720-3236 | FL | 1947-04 | $120,148,586 |
| Subordinate | Simi Valley Hospital And Health Care Services | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | CA | 1947-04 | $112,795,261 |
| Subordinate | Adventist Bolingbrook Hospital | 500 Remington Bivd, Bolingbrook, IL 60440 | IL | 1947-04 | $103,536,427 |
| Subordinate | Hackettstown Community Hospital, Hackettstown Regional Medical Ctr | 651 Willow Grove Street, Hackettstown, NJ 07840-1799 | NJ | 1950-01 | $99,193,607 |
| Subordinate | Andrews University | 4150 Administration Drive, Berrien Springs, MI 49103 | MI | 1947-04 | $96,931,302 |
| Subordinate | Ukiah Adventist Hospital, Ukiah Valley Medical Ctr | 275 Hospital Dr, Ukiah, CA 95482-4531 | CA | 1947-04 | $92,992,141 |
| Subordinate | Adventist Health System Georgia Inc, Gordon Hospital | 1035 Red Bud Rd Ne, Calhoun, GA 30701-2082 | GA | 1950-01 | $87,778,578 |
| Subordinate | Adventist Glenoaks Hospital | 701 Winthrop Ave, Glendale Hts, IL 60139-1405 | IL | 1950-01 | $80,757,198 |
| Subordinate | La Sierra University | 4500 Riverwalk Pkwy, Riverside, CA 92505-3344 | CA | 1947-04 | $68,260,005 |
| Subordinate | Pacific Union College | 1 Angwin Ave, Angwin, CA 94508-9713 | CA | 1947-04 | $58,601,684 |
| Subordinate | Oakwood University Inc | 7000 Adventist Blvd Nw, Huntsville, AL 35896-0001 | AL | 1947-04 | $56,595,526 |
| Subordinate | Manchester Memorial Hospital | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | KY | 1969-10 | $55,560,105 |
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