TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) FRED MANCHUR KHN President	1.00	X				0	1,464,243	391,337
(2) RICHARD HAAS GVMC President	40.00	X	X			0	641,271	237,608
(3) KENNETH PUGAR DO Physician	1.00	X				0	0	0
(4) JOHN SEFTON DO Physician	1.00	X				0	0	0
(5) SHEILA BURTON Exec Dir Assessement & Accountability, Dayton Public Schools	1.00	X				0	0	0
(6) GAYLE JOHNSON President, Day-Mont Behavioral Health Center, Inc.	1.00	X				0	0	0
(7) J BRADFORD GAMBLIN Exec Dir Dayton Masonic Foundation	1.00	X				0	0	0
(8) DAVID WEIGLEY President Columbia Union Conf of SDA	1.00	X				0	0	0
(9) RUSS WETHERELL Interim CFO	40.00		X			0	713,980	311,605
(10) PETER KING GVMC CFO	40.00		X			0	475,496	65,569
(11) TODD ANDERSON GVMC CFO	40.00		X			0	156,380	13,608
(12) DR THOMAS HARDY VP of Medical Affairs	40.00			X		0	468,272	76,342
(13) DAVE SEIDEL VP of Clinical Quality	40.00			X		0	245,166	104,263
(14) RITA PRITCHARD VP of Patient Care Services	40.00			X		0	184,077	13,736
(15) MIKE SIEVING Project Manager - West Wing	40				X	199,569
(16) LINDA MCCALL Director of Pharmacy	40				X	188,381		14,929
(17) ROBERT CAIN DO Director of Medical Education	40				X	186,975		20,621

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,310,518	0	3,310,518	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	97,149,736	85,477,009	11,672,727	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,291,232	3,775,632	515,600	0
9	Other employee benefits .......	16,985,072	14,944,283	2,040,789	0
10	Payroll taxes ...........	6,782,913	5,967,933	814,980	0
11	Fees for services (non-employees):
a	Management ......	947,476	0	947,476	0
b	Legal .........	422,592	0	422,592	0
c	Accounting ...........	51,880	28,150	23,730	0
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	54,492	0	54,492	0
g	Other ..........	42,757,422	35,757,210	7,000,212	0
12	Advertising and promotion ....	440,189	138,395	301,794	0
13	Office expenses .......	51,135,060	50,881,655	253,405	0
14	Information technology ......	4,283,867	339,878	3,943,989	0
15	Royalties ..
16	Occupancy ...........	5,666,545	4,450,572	1,215,973	0
17	Travel ............	295,329	250,658	44,671	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	196,385	188,031	8,354	0
20	Interest ...........	7,565,407	5,941,961	1,623,446	0
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	18,988,808	14,914,037	4,074,771	0
23	Insurance ..............	3,156,467	3,133,705	22,762	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	Cost of goods sold	5,766,544	5,766,544	0	0
b	Hospital assessment	2,596,670	2,596,670	0	0
c	Intercompany allocations	2,189,749	2,167,795	21,954	0
d	Minor equipment	989,941	988,752	1,189	0
e
f	All other expenses	6,501,467	3,615,023	2,886,444	0
25	Total functional expenses. Add lines 1 through 24f	282,525,761	241,323,893	41,201,868	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	1,045,995	1	2,045,378
2	Savings and temporary cash investments .......	72,278	2	72,314
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	44,982,216	4	43,875,983
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	312,586	7	308,393
8	Inventories for sale or use ..............	5,241,534	8	4,564,019
9	Prepaid expenses and deferred charges ............	715,599	9	891,622
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	292,650,894
b	Less: accumulated depreciation. .....	10b	118,525,533	164,632,581	10c	174,125,361
11	Investments—publicly traded securities ..........	26,964,064	11	15,336,145
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........	2,904,714	14	4,584,148
15	Other assets. See Part IV, line 11 ...........	3,022,661	15	2,200,089
16	Total assets. Add lines 1 through 15 (must equal line 34)...	249,894,228	16	248,003,452
	17	Accounts payable and accrued expenses .	20,404,586	17	20,728,796
18	Grants payable ..........		18
19	Deferred revenue ..........	449,048	19	224,524
20	Tax-exempt bond liabilities ..........	102,450,995	20	97,882,256
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	516,402	23
24	Unsecured notes and loans payable to unrelated third parties ....	15,645,538	24	16,072,501
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	64,052,509	25	72,352,761
26	Total liabilities. Add lines 17 through 25.....	203,519,078	26	207,260,838
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	46,164,481	27	40,672,391
28	Temporarily restricted net assets .....	210,669	28	70,223
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	46,375,150	33	40,742,614
34	Total liabilities and net assets/fund balances .....	249,894,228	34	248,003,452

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.	0

Section B. Total Support

Calendar year(or fiscal year beginning in)		(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	0
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

0 %

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)	0

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

0 %

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

0 %

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000175
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization DAYTON OSTEOPATHIC HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization DAYTON OSTEOPATHIC HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.

			Held at the End of the Year
a	Total number of conservation easements .......................	2a	1
b	Total acreage restricted by conservation easements ..................	2b	1.5
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

$ 5,670

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		14,952,024		14,952,024
b	Buildings ................	1,600,000	162,706,144	57,422,427	106,883,717
c	Leasehold improvements ............		23,519,446	6,205,036	17,314,410
d	Equipment ................		71,915,735	54,898,070	17,017,665
e	Other .................		17,957,545		17,957,545
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					174,125,361

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Physician LOC				1,726,858
(2) Unamortized long-term debt issuance costs				473,231







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,200,089

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes
Accrued pension liability		17,462,729
Due to affiliate		129,199
Estimated amounts due to third-party payors		2,422,681
Physician income guarantee commitments		666,540
Professional self-insurance liability		11,408,965
Reserve for payroll tax liability		2,319,430
Synthetic lease obligations		37,768,217
Other long-term liabilities		175,000

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		72,352,761
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	285,472,048
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	282,525,761
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	2,946,287
4	Net unrealized gains (losses) on investments ..........................	4	204,244
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8	-8,783,067
9	Total adjustments (net). Add lines 4 through 8 .........................	9	-8,578,823
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	-5,632,536

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	284,445,574
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	183,513
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d	638,925
e	Add lines 2a through 2d .....................			2e	822,438
3	Subtract line 2e from line 1.....................			3	283,623,136
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b	1,848,912
c	Add lines 4a and 4b.......................			4c	1,848,912
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	285,472,048

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	290,078,110
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d	6,913,424
e	Add lines 2a through 2d......................			2e	6,913,424
3	Subtract line 2e from line 1.....................			3	283,164,686
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b	-638,925
c	Add lines 4a and 4b.......................			4c	-638,925
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	282,525,761

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Pt II Line 5		KHN does have a policy on conservation easements.
Pt II Line 9		The expense to monitor the conservation easement is recorded as incurred to the hospital. There is no income from the easement and no asset is recorded.
Pt X		The Network completed an analysis of its tax positions in accordance with applicable accounting guidance at December 31, 2011 and 2010, and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2011 or 2010.
Pt XI Line 8		Net transfers to affiliate (3,233,675)
Pt XI Line 8		Change in plan assets and benefit obligation of pension plan (5,549,391) Rounding (1)
Pt XII Line 2d		Investment management fees (26,349) Support allocation 665,274
Pt XII Line 4b		Contributions 1,385,585 Gain on sales of assets other than inventory 64,018 Investment income 399,309
Pt XIII Line 2d		Contributions (1,385,585) Gain on sales of assets other than inventory (64,018) Investment income (399,309) Transfers to net assets (140,446) Net unrealized gains on investments (20,731) Net transfers to affiliate 3,233,675 Change in plan assets and benefit obligation of pension plan 5,549,391 Net assets released from restrictions for operations 140,446 Rounding 1
Pt XIII Line 4b		Investment management fees 26,349 Support allocation (665,274)

Schedule D (Form 990) 2011

Additional Data

Software ID:	11000175
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	15,336,530	5,262,445	10,074,085	3.570 %
b Medicaid (from Worksheet 3, column a) .....	32,258,619	28,554,367	3,704,252	1.310 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	47,595,149	33,816,812	13,778,337	4.880 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	709,529		709,529	0.250 %
f Health professions education (from Worksheet 5) ..	12,651,591	6,279,613	6,371,978	2.260 %
g Subsidized health services (from Worksheet 6) ..	11,330,051	5,564,309	5,765,742	2.040 %
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	141,140		141,140	0.050 %
jTotal Other Benefits ...	24,832,311	11,843,922	12,988,389	4.600 %
kTotal. Add lines 7d and 7j. ..	72,427,460	45,660,734	26,766,726	9.480 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

3,150,323

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

75,608

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

52,187,724

Enter Medicare allowable costs of care relating to payments on line 5.....

50,773,827

Subtract line 6 from line 5. This is the surplus or (shortfall)........

1,413,897

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1GRANDVIEW ASSOCIATES	Medical Office Building	92.000 %	8.000 %
2SOUTHVIEW ORTHOPEDIC CENTER	Medical Service Venture	51.000 %	49.000 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	GRANDVIEW MEDICAL CENTER 405 W GRAND AVENUE DAYTON,OH45405	X	X	X	X
2	SOUTHVIEW MEDICAL CENTER 1997 MIAMISBURG CENTERVILLE ROAD CENTERVILLE,OH45459	X	X	X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

GRANDVIEW MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16	Yes
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21	Yes
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

SOUTHVIEW MEDICAL CENTER

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16	Yes
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21	Yes
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address		Type of Facility (describe)
1	YANKEE MEDICAL CENTER 7677 YANKEE STREET CENTERVILLE,OH45459	Outpatient Clinic & Diag. Ctr
2	BEAVERCREEK HEALTH CENTER 2510 COMMONS BLVD BEAVERCREEK,OH45431	Diagnostic Ctr & Rehab Clinic
3	CORWIN M NIXON HEALTH CENTER 1470 N BROADWAY LEBANON,OH45036	Circulatory & Wound Ctr
4	VICTOR J CASSANO HEALTH CTR 165 EDWIN C MOSES BLVD DAYTON,OH45402	Diagnostic Ctr
5	PREBLE COUNTY MEDICAL CTR 450-B WASHINGTON JACKSON RD EATON,OH45320	Outpatient Clinic & Diag. Ctr
6	CORNERSTONE MEDICAL CTR 7740 WASHINGTON VILLAGE DR CENTERVILLE,OH45459	Outpatient Clinic & Diag. Ctr
7	CHARLES H HUBER HEALTH CTR 8701 OLD TROY PIKE HUBER HEIGHTS,OH45424	Outpatient Clinic & Diag. Ctr
8	GRANDVIEW CTR FOR CIRCULATORY & WOUND TALBOTT TOWER 131 N LUDLOW ST DAYTON,OH45402	Outpatient Clinic & Diag. Ctr
9	SUGARCREEK HEALTH CTR 6438 WILMINGTON PIKE DAYTON,OH45459	Outpatient Clinic & Diag. Ctr
10

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Pt I Line 3c		The organization used FPG to determine eligibility for
		providing free or discounted care to individuals.
Pt I Line 6a		The organization provides an annual community benefit
		report that is made available to the public.
Pt 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.
Pt I Line 7g		Subsidized health services represent the non-needs based and
		non-Medicare program losses of services the hospital offers.
Pt III Line 4		A cost to charge ratio was used to determine the amount
		reported in Part III, line 2. An industry average was used
		to compute the amount on line 3. Discounts and payments
		on patient accounts reduce bad debt expense. Text of
		footnote describing debt expense is as follows:
		"Based on historical experience, a significant portion
		of the Networks uninsured patients will be unable
		or unwilling to pay for the services provided.
		Thus, the Network records a significant provision
		for bad debts related to uninsured patients
		in the period the services are provided."
Pt 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.
		A reconciliation between Medicare program amounts
		reportable in Section B and the total Medicare
		program is below:
		Revenues Costs Surplus
		Medicare Section B $52,187,724 $50,773,827 $1,413,897
		Other Medicare Programs $30,572,998 $30,276,829 $296,169
		Total Programs $82,760,722 $81,050,656 $1,710,066
		Other Medicare Programs include Medicare
		Part C and clinical laboratory and therapy services
		not reportable in the Medicare cost report.
		These costs exclude medical education expenses.
Pt III Line 9b		Financial Counselors work out a payment program for any amount
		due after the Charity Sliding Scale Discounts are applied.
		Collection procedures consistent with self-pay accounts
		are applied to these balances.
Pt V		Each facility listed is required to be licensed, registered, or
		recognized as a healthcare facility under state law.
Pt V Sec B 19d		The hospital provided a discount on medically
		necessary hospital services to uninsured patients
		who do not qualify under the charity care policy.
Pt V Sec B 21		The hospital charged patients an amount equal to gross
		charges in select circumstances. This includes, for example,
		claims with insurance denials for non-cooperation.
Pt VI Line 2		Grandview, as a Christian organization,is charged with providing
		health education and screenings to look after those who
		cannot otherwise afford to do so. Programs and support
		groups that helped community members included childbirth
		education, infant CPR, stroke support, diabetes education,
		first aid, and more. These programs touched people from
		various age, gender, and socio-economic groups.
Pt VI Line 3		Grandview 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 Grandview's
		charity care policy as follows:
		-Grandview 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.
		-Grandview has the reporting capability to review and screen
		any patient who may have been admitted during registration
		"off hours" for eligibility and assistance.
		-Grandview contracts with an outside agency for
		patient assistance in application process.
		-The back of the patient statement shows the current and prior
		year Federal Poverty Guidelines and has the Financial
		Assistance Form to complete and mail in for consideration
		for Grandview's HCAP or Charity Sliding Scale program.
		-Grandview's patient account representatives in customer
		service screen patients that are unable to pay their
		bill for the various financial assistance programs.
Pt VI Line 4		KHN serves a population of 1,631,000 in its primary
		and secondary service area. The nine county service area
		includes Butler, Clark, Clinton, Darke, Greene, Miami,
		Montgomery,Preble and Warren counties. Out of this
		service area, 11.2% of area residents have income
		below $15,000, 10.3% have income between $15,000 and
		$24,000, and 27.3% have income between $25,000 and
		$49,000. Portions of Darke and Montgomery counties have
		been identified as medically underserved by the Health
		Resources and Services Administration. This nine
		county area is served by 15 hospitals, 7 of which
		are part of Kettering Health Network.
Pt VI Line 5		Grandview 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. As a nationally-recognized
		osteopathic teaching hospital, Grandview partners with
		the Ohio University College of Osteopathic Medicine to
		enhance state-of-the-art medical education tools and
		programs. Medical research is supported through the
		Innovation Center, cultivating new technologies and
		fostering best practices among partners from industry,
		academia and healthcare.
Pt VI Line 6		The following describes the respective roles of Grandview and
		its affiliates in promoting the health of the communities
		served by the system-
		-Grandview is dedicated to the creation and maintenance of
		community wellness programs, support groups and health
		education programs. Grandview provides numerous screenings,
		family-focused classes, health fairs, conferences, donations
		and education programs to ensure the long-term
		well-being of people living in the community.
		-Grandview is affiliated with the Ohio University College
		of Osteopathic Medicine. The teaching programs have
		been an integral part of Grandview's emergence as
		one of the nation's leading osteopathic hospitals
		for clinical quality.
		-The Grandview Foundation is the philanthropic arm
		of Grandview Medical Center and supports the
		education of future osteopathic physicians.
		-Kettering Affiliated Health Services, Inc includes
		Sycamore Glen Health Center, Sycamore Glen Retirement
		Community, and Kettering Mobile Imaging. These
		health care areas provide services to the surrounding
		communities which complement those services provided by
		Grandview as part of the Kettering Health Network.
		-Medical research is supported through the Innovation Center,
		cultivating new technologies and fostering
		best practices among partners from industry, academia,
		and healthcare.
Pt VI Line 7		OH

Schedule H (Form 990) 2011

Additional Data

Software ID:	11000175
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) FRED MANCHUR	(i) (ii)	1,100,401	268,335	95,507	373,845	17,492	1,855,580
(2) RICHARD HAAS	(i) (ii)	497,090	116,802	27,379	217,621	19,987	878,879
(3) RUSS WETHERELL	(i) (ii)	550,475	141,611	21,894	276,177	35,428	1,025,585
(4) PETER KING	(i) (ii)	396,366	66,857	12,273	38,408	27,161	541,065
(5) TODD ANDERSON	(i) (ii)	155,489		891		13,608	169,988
(6) DR THOMAS HARDY	(i) (ii)	377,008	71,021	20,243	39,398	36,944	544,614
(7) DAVE SEIDEL	(i) (ii)	198,772	38,999	7,395	83,056	21,207	349,429
(8) RITA PRITCHARD	(i) (ii)	145,207	28,662	10,208		13,736	197,813
(9) MIKE SIEVING	(i) (ii)	199,488	81				199,569
(10) LINDA MCCALL	(i) (ii)	146,188	34,795	7,398	10,306	4,623	203,310
(11) ROBERT CAIN DO	(i) (ii)	184,151	81	2,743	10,344	10,277	207,596
(12) REBECCA LEWIS	(i) (ii)	146,069	15,993	9,148	9,309	12,145	192,664
(13) DOROTHY CLARK	(i) (ii)	-439		150,593		2,439	152,593
(14) FRANK PEREZ	(i) (ii)	575,282	238,197	10,381	13,687	7,875	845,422

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Pt I Line 4b		The Network has a Supplemental Executive Retirement Plan available only to a certain class of management.
Part II Biii		Column Biii includes compensation reported on the W-2 that may or may not have gone through the current year Statement of Operations and Changes in Net Assets.

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) RICHARD MANCHUR	Family of Fred Manchur	105,105	Compensation		No
(2) ARGO LLC	Director John Sefton is 20% owner	143,296	Property rental		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000175
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Identifier	Return Reference	Explanation
Pt VI, Line 11a		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).
Pt VI, 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.
Pt VI, 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.
Pt VI, Line 19		The KHN Conflict of Interest policy is available on the KHN intranet. The
		organization's governing documents and financial statements
		are available upon request.
Pt XI		Line 5: Net unrealized gains on investments 204,244
Pt XI		Line 5: Net transfers to affiliate (3,233,675)
Pt XI		Line 5: Change in plan assets and benefit obligation of pension plan (5,549,391)
Pt XI		Line 5: Rounding (1)
Pt XII, Line 2c		KHN has an audit committee that meets regularly throughout the year
Form 990, Part IX, Line 24f		MINOR MISCELLANEOUS EXPENSES 6501467. 3615023. 2886444. 0.
		to review issues that are brought to it by the internal auditor. This
		committee is also responsible for the financial audit.
Part IV, Line 24		Line 24a should be "Yes" and b,c,d should be "No"
		The organization does have tax-exempt bonds but the
		software converts Schedule K with errors. This caused the
		return to be rejected by the agency.
		Schedule K has been attached as a .pdf file as a workaround.
		We've also attached the rejection notice.
Schedule K, Part II, Line 1		Bond Issue A: Includes transferred proceeds from the
		1999 Bonds that were partially advance refunded
		by the 2006 Bonds.
Schedule K, Part II, Line 5		Bond Issue A: Of the $2,457,569 issuance costs from
		proceeds, $685,029 related to issuance costs and
		$1,782,540 related to credit enhancement fees.
		Bond Issue B: of the $5,900,788 issuance costs from
		proceeds, $1,431,723 related to issuance costs and
		$4,469,065 related to credit enhancement fees.
Schedule K, Part II, Line 7		Bond Issue A: Listed $0 for capital expenditures
		because 2006 Bonds were solely for advance refunding
		purposes.
		Bond Issue B: Capital expenditures from proceeds reflects
		only the new portion of the 2008 Bonds and excludes
		the current refunding.
Schedule K, Part II Line 8		Bond Issue B: As of December 31, 2009, the bond-financed
		project financed by the new money portion of the 2008
		Bonds was approximately 70% completed. It is expected
		to be substantially completed by December 31, 2010.
		Bond Issue C: The bond-financed project is expected
		to be substantially completed by December 31, 2010.
Schedule K, Part IV, Line 5		Bond Issue B: The available 3-year temporary period
		for the portion of the proceeds spent on capital
		projects has not expired.
		Bond Issue C: The available 3-year temporary period
		for the portion of the proceeds spent on capital
		projects has not expired.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000175
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

DAYTON OSTEOPATHIC HOSPITAL

Employer identification number

31-0564121

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ALLIANCE PHYSICIANS INC 2110 LEITER ROAD MIAMISBURG,OH45342 31-1175717	PHYSICIAN SERVICES	OH	501(c)(3)	509(a)(3)	KETTERING ADVENTIST HEALTHCARE		No
(2) BEAVERCREEK MEDICAL CENTER 2110 LEITER ROAD MIAMISBURG,OH45342 27-0712680	HOSPITAL	OH	501(c)(3)	509(a)(1)	KETTERING ADVENTIST HEALTHCARE		No
(3) THE FORT HAMILTON HOSPITAL 2110 LEITER ROAD MIAMISBURG,OH45342 31-0536662	HOSPITAL	OH	501(c)(3)	509(a)(1)	KETTERING ADVENTIST HEALTHCARE		No
(4) GRANDVIEW FOUNDATION 405 W GRAND AVE DAYTON,OH45405 31-1649591	FUNDRAISING	OH	501(c)(3)	509(a)(3)	NA		No
(5) GREENE MEMORIAL HOSPITAL 2110 LEITER ROAD MIAMISBURG,OH45342 31-0809436	HOSPITAL	OH	501(c)(3)	509(a)(1)	KETTERING ADVENTIST HEALTHCARE		No
(6) GREENE MEMORIAL HOSPITAL SERVICES INC 2110 LEITER ROAD MIAMISBURG,OH45342 31-1358549	PHYSICIAN SERVICES	OH	501(c)(3)	509(a)(3)	KETTERING ADVENTIST HEALTHCARE		No
(7) KETTERING ADVENTIST HEALTHCARE 2110 LEITER ROAD MIAMISBURG,OH45342 31-1051688	MANAGEMENT	OH	501(c)(3)	509(a)(3)	NA		No
(8) KETTERING AFFILIATED HEALTH SERVICES INC 2110 LEITER ROAD MIAMISBURG,OH45342 31-1127485	HEALTH SERVICES	OH	501(c)(3)	509(a)(3)	KETTERING ADVENTIST HEALTHCARE		No
(9) KETTERING MEDICAL CENTER 2110 LEITER ROAD MIAMISBURG,OH45342 31-0621866	HOSPITAL	OH	501(c)(3)	509(a)(1)	KETTERING ADVENTIST HEALTHCARE		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) GRANDVIEW ASSOCIATES 405 GRAND AVE DAYTON,OH45405 31-1427280	BUILDING MANAGEMENT	OH	DAYTON OSTEOPATHIC HOSPITAL	Related	528	1,442,255		No			No	92.000 %
(2) SOUTHVIEW ORTHOPEDIC CENTER MANAGEMENT 1997 MIAMISBURG-CENTERVILLE RD DAYTON,OH45459 26-2040203	MEDICAL SERVICES	OH	DAYTON OSTEOPATHIC HOSPITAL	Related	3,447,188	1,393,672		No	18		No	51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(h) Percentage ownership
(1) KETTCOR 2110 LEITER ROAD MIAMISBURG,OH45342 31-1078381	HEALTH SERVICES	OH	KETTERING ADVENTIST HEALTHCARE	C	0 %

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) KETTERING MEDICAL CENTER IS A CONDUIT THROUGH WHICH	lmnor		FMV
(2) REVENUE IS RECEIVED AND EXPENSES ARE PAID
(3) GRANDVIEW FOUNDATION	c	1,385,585	FMV
(4)
(5)
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	11000175
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	4
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	2,383
6	Total number of volunteers (estimate if necessary) ....	6	187
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	145,670
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,593,952	1,385,585
9	Program service revenue (Part VIII, line 2g) .........	297,072,065	283,198,777
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	854,316	887,686
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	130,155	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	299,650,488	285,472,048
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	122,320,751	128,519,471
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	159,419,024	154,006,290
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	281,739,775	282,525,761
19	Revenue less expenses. Subtract line 18 from line 12.......	17,910,713	2,946,287
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	249,894,228	248,003,452
21	Total liabilities (Part X, line 26).............	203,519,078	207,260,838
22	Net assets or fund balances. Subtract line 21 from line 20.....	46,375,150	40,742,614

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 241,323,893 including grants of $ ) (Revenue $ 283,198,777 )
	GRANDVIEW MEDICAL CENTER, SOUTHVIEW MEDICAL CENTER, AND OTHER PATIENT CARE RELATED SERVICES. CARE WAS PROVIDED FOR 12,582 DISCHARGES, 58,829 ADULT & PED DAYS AND 313,992 OUT PATIENT VISITS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 241,323,893

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	896,289	5,172,745	1,295,074

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) REBECCA LEWIS VP of Patient Care	40	X		171,210		21,455
(19) DOROTHY CLARK Director of Nutrition Services	40	X		150,154		2,439
(20) FRANK PEREZ Network CEO/Consultant	0		X		823,860	21,562

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,385,585
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,385,585
			Business Code
2a	Patient care services		900,099	283,053,107			1,487,731
b	Reference lab		621,500	145,670		145,670
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			283,198,777
3	Investment income (including dividends, interest
	and other similar amounts).....			417,611			417,611
4	Income from investment of tax-exempt bond proceeds..			315			315
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	329,819	172,473
b	Less: cost or other basis and sales expenses		32,532
c	Gain or (loss)	329,819	139,941
d	Net gain or (loss)..........			469,760			469,760
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions....			285,472,048	281,565,376	145,670	2,375,417


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			1,045,995	1	2,045,378
2	Savings and temporary cash investments .......			72,278	2	72,314
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			44,982,216	4	43,875,983
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			312,586	7	308,393
8	Inventories for sale or use ..............			5,241,534	8	4,564,019
9	Prepaid expenses and deferred charges ............			715,599	9	891,622
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	292,650,894
b	Less: accumulated depreciation. .....	10b	118,525,533	164,632,581	10c	174,125,361
11	Investments—publicly traded securities ..........			26,964,064	11	15,336,145
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........			2,904,714	14	4,584,148
15	Other assets. See Part IV, line 11 ...........			3,022,661	15	2,200,089
16	Total assets. Add lines 1 through 15 (must equal line 34)...			249,894,228	16	248,003,452
17	Accounts payable and accrued expenses .			20,404,586	17	20,728,796
18	Grants payable ..........				18
19	Deferred revenue ..........			449,048	19	224,524
20	Tax-exempt bond liabilities ..........			102,450,995	20	97,882,256
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			516,402	23
24	Unsecured notes and loans payable to unrelated third parties ....			15,645,538	24	16,072,501
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			64,052,509	25	72,352,761
26	Total liabilities. Add lines 17 through 25.....			203,519,078	26	207,260,838
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			46,164,481	27	40,672,391
28	Temporarily restricted net assets .....			210,669	28	70,223
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			46,375,150	33	40,742,614
34	Total liabilities and net assets/fund balances .....			249,894,228	34	248,003,452