Civic Intelligence

Greene Memorial Hospital Services Inc

EIN 31-1358549 • 501(c)3 • Miamisburg, OH

Profile

Provide physician services to the residents of Greene County, Ohio

1 Prestige Place No 910Miamisburg, OH 45342

www.khnetwork.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2016

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

8th percentile

-38%

Higher net margin than 8% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

100th percentile

$3,300,000

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 130.2% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

2nd percentile

-78%

Faster revenue growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$0

Down $5,430,957 (-100%) from 2015

Liabilities

Down

$0

Down $532,864 (-100%) from 2015

Net Assets

Down

$0

Down $4,898,093 (-100%) from 2015

Revenue

Down

$2,534,478

Down $9,071,675 (-78%) from 2015

Expenses

Down

$3,487,295

Down $10,974,056 (-76%) from 2015

Net Income

Up

-$952,817

Up $1,902,381 (+67%) from 2015

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2010: $3,399,412Liabilities 2010: $1,527,750Net Assets 2010: $1,871,6622010Assets 2011: $2,496,488Liabilities 2011: $1,445,359Net Assets 2011: $1,051,1292011Assets 2012: $1,853,654Liabilities 2012: $737,130Net Assets 2012: $1,116,5242012Assets 2013: $2,357,416Liabilities 2013: $89,710Net Assets 2013: $2,267,7062013Assets 2014: $2,477,000Liabilities 2014: $203,781Net Assets 2014: $2,273,2192014Assets 2015: $5,430,957Liabilities 2015: $532,864Net Assets 2015: $4,898,0932015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2016

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $17,076,8882010Expenses 2011: $15,311,7382011Expenses 2012: $13,681,4582012Revenue 2013: $8,548,469Expenses 2013: $10,113,165Net Income 2013: -$1,564,6962013Revenue 2014: $9,476,763Expenses 2014: $12,170,065Net Income 2014: -$2,693,3022014Revenue 2015: $11,606,153Expenses 2015: $14,461,351Net Income 2015: -$2,855,1982015Revenue 2016: $2,534,478Expenses 2016: $3,487,295Net Income 2016: -$952,8172016

Highlighted filing

2016

Revenue$2,534,478
Expenses$3,487,295
Net Income-$952,817

Filings

Latest Detailed Filing

The latest 2016 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$11,606,153
Mission and Program Overview

Mission

Provide physician services to the residents of Greene County, Ohio

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$2,331,646$5,246,964▲ $2,915,318
Land, Buildings, and Equipment, Net$109,366$156,789▲ $47,423
Intangible Assets$30,369$23,223▼ $7,146
Prepaid Expenses and Deferred Charges$5,619$3,981▼ $1,638
Receivables From Officers Etc$0$0→ $0
Total Assets$2,477,000$5,430,957▲ $2,953,957
Liabilities
Accounts Payable and Accrued Expenses$203,781$532,864▲ $329,083
Total Liabilities$203,781$532,864▲ $329,083
Net Assets / Fund Balance
Unrestricted Net Assets$2,273,219$4,898,093▲ $2,624,874
Total Net Assets Fund Balance$2,273,219$4,898,093▲ $2,624,874
Total Liabilities and Net Assets / Fund Balance$2,477,000$5,430,957▲ $2,953,957

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$124,678$469,507$594,185
Leasehold Improvements$32,111$30,782$62,893
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Linda BaileyPhysicianFT$874,466$33,770$908,236
Dr Latha VankateshPhysicianFT$541,809$38,889$580,698
Terry BurnsExec VP-KHN & VP of Oper/Finance-KMC (Nov-Dec)--$579,087$579,087
Dr Christopher MadisonPhysicianFT$480,161$29,371$509,532
Dr Richard ByersPhysicianFT$450,744$34,103$484,847
Dr Brian OndulickPhysicianFT$446,224$33,566$479,790
Dr Gregory WiseConsultant--$19,800$19,800

Board Members and Trustees

NameTitle
Mark SmithPresident - FHH
Russ WetherellPresident - GVMS
Roy ChewPresident - KHN (Nov-Dec)
George LewisPresident - KPN
Terri DayPresident KHN (until Nov 2015)
Dr Anil AgarwalFormer Director
Fred ManchurCEO - Khn
Terry BurnsExec VP-KHN & VP of Oper/Finance-KMC
Ron ConnovichFormer Officer
Steve ChavezFormer Officer
Dr David DoucettePhysician
Dr Donald AmesPhysician
Dr Raymond PoelstraPhysician
Dr Steven CrawfordPhysician
Richard HaasSr. VP - KHN
Tim KoVP of Operations/Finance
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$11,606,153
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-2,855,198
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$11,248,887
Other Expenses$3,212,464
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,511,340$26,145-$9,537,485
Other Employee Benefits$1,031,858$2,837-$1,034,695
Occupancy$792,446$501-$792,947
Payroll Taxes$456,776$1,255-$458,031
Fees for Services Other$269,254$71,317-$340,571
Pension Plan Contributions$218,077$599-$218,676
Insurance$194,287$1,047-$195,334
Office Expenses$163,599$10,220-$173,819
Depreciation Depletion$68,156$43-$68,199
All Other Expenses$38,762$1,027-$39,789
Advertising$23,075--$23,075
Information Technology$13,076--$13,076
Travel$4,984$213-$5,197
Other Expenses$4,802$200-$4,802
Fees for Services Accounting-$1,665-$1,665
Total Functional Expenses$13,390,965$1,070,386$0$14,461,351
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11

A tax specialist is engaged to review the 990. The 990 is reviewed and accepted by the audit committee which reports this to the governing body (board).

Form 990, Part VI, Section B, line 12C

The Network 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 the Network's policy, sign a conflict of interest statement, and notify the Network if a conflict should arise.

Form 990, Part VI, Section B, line 15

The process of determining compensation of CEO's, executive directors, officers, and key employees is to have an independent board approve the compensation. The compensation is determined to be reasonable compared to independent comparability data. The approval of the amounts is documented in the Board minutes within the appropriate time frame. At year end the organization reviews executive compensation by comparing the amounts approved to the amounts paid.

Form 990, Part VI, Section C, line 19

The organization's governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Greene Memorial Hospital Services Inc
EIN
31-1358549
Phone
9377621629
Address
1 Prestige Place No 910, Miamisburg, OH 45342
Doing Business As
Advanced Medical Group

Signing Officer

Name
Clifton Patten
Title
Khn CFO
Phone
9377621629
Signed
2016-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
George Lewis
Formed
1995
Legal Domicile
Oh
Voting Board Members
12
Independent Board Members
0
Employees
130
Volunteers
0

Preparer

Firm
Clark Schaefer Hackett & Co
Address
10100 Innovation Drive Suite 400, Dayton, OH 45342
Preparer
Herbert L Lemaster CPA
Phone
9372260070
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Net transfers from affiliate 5,480,072.

Part XII, Line 2C

Neither the oversight process nor the selection process changed during the tax year.

Financial Statement Notes

Part X, Line 2:

The Network completed an analysis of its 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, 2015 or 2014.

Raw XML AppendixShowing 400 of 1,078 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0President KHN (until Nov 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt1CEO - KHN
IRS990/Form990PartVIISectionAGrp/TitleTxt2President - KHN (Nov-Dec)
IRS990/Form990PartVIISectionAGrp/TitleTxt3President - GVMS
IRS990/Form990PartVIISectionAGrp/TitleTxt4Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt5Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt6Sr. VP - KHN
IRS990/Form990PartVIISectionAGrp/TitleTxt7President - FHH
IRS990/Form990PartVIISectionAGrp/TitleTxt8President - KPN
IRS990/Form990PartVIISectionAGrp/TitleTxt9Exec VP-KHN & VP of Oper/Finance-KMC (Nov-Dec)
IRS990/Form990PartVIISectionAGrp/TitleTxt10Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt11Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt12Consultant
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP of Operations/Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt14Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt15Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt16Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt17Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt18Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt19Former Director
IRS990/Form990PartVIISectionAGrp/TitleTxt20Former Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt21Former Officer
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01995
IRS990/FormerOfcrEmployeesListedInd01
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt012
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt011606153
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt024
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt013076
IRS990/InformationTechnologyGrp/TotalAmt013076
IRS990/InsuranceGrp/ManagementAndGeneralAmt01047
IRS990/InsuranceGrp/ProgramServicesAmt0194287
IRS990/InsuranceGrp/TotalAmt0195334
IRS990/IntangibleAssetsGrp/BOYAmt030369
IRS990/IntangibleAssetsGrp/EOYAmt023223
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0500289
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0109366
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0156789
IRS990/LandBldgEquipCostOrOtherBssAmt0657078
IRS990/LegalDomicileStateCd0OH
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0Provide physician services to the residents of Greene County, Ohio
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt02273219
IRS990/NetAssetsOrFundBalancesEOYAmt04898093
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt0501
IRS990/OccupancyGrp/ProgramServicesAmt0792446
IRS990/OccupancyGrp/TotalAmt0792947
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt010220
IRS990/OfficeExpensesGrp/ProgramServicesAmt0163599
IRS990/OfficeExpensesGrp/TotalAmt0173819
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt05480072
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt02837
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt01031858
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01034695
IRS990/OtherExpensesGrp/Desc0Network allocations
IRS990/OtherExpensesGrp/Desc1Medical supplies
IRS990/OtherExpensesGrp/Desc2Regulatory & license fe
IRS990/OtherExpensesGrp/Desc3Physician services
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0953317
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1200
IRS990/OtherExpensesGrp/ProgramServicesAmt0-49556
IRS990/OtherExpensesGrp/ProgramServicesAmt1634469
IRS990/OtherExpensesGrp/ProgramServicesAmt215560
IRS990/OtherExpensesGrp/ProgramServicesAmt34802
IRS990/OtherExpensesGrp/TotalAmt0903761
IRS990/OtherExpensesGrp/TotalAmt1634469
IRS990/OtherExpensesGrp/TotalAmt215760
IRS990/OtherExpensesGrp/TotalAmt34802
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt026145
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt09511340
IRS990/OtherSalariesAndWagesGrp/TotalAmt09537485
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt01255
IRS990/PayrollTaxesGrp/ProgramServicesAmt0456776
IRS990/PayrollTaxesGrp/TotalAmt0458031
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0599
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0218077
IRS990/PensionPlanContributionsGrp/TotalAmt0218676
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt05619
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt03981
IRS990/PrincipalOfficerNm0George Lewis
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/Desc0Medical services
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt011606153
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt011606153
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt02874819
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt09476763
IRS990/PYRevenuesLessExpensesAmt0-2693302
IRS990/PYSalariesCompEmpBnftPaidAmt09295246
IRS990/PYTotalExpensesAmt012170065
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt09476763
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-2855198
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt011606153
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesEngagedOrgInvlmntInd00
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesFurtherExemptPrpsInd01
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesTestInd0X
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd00
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0All activities are conducted to support the mission of the supported organizations and to ensure a full continuum of healthcare provided by the organizations.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV, Section E, Line 2a
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt02

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