2024-11-13T09:51:40-06:00 2023-12-31 310800053 Clark Schaefer Hackett 10100 Innovation Drive Suite 400 Dayton OH 45342 990 2023-01-01 310536662 The Fort Hamilton Hospital FORT 9377621629 1 Prestige Place 910 Miamisburg OH 45342 Timothy Ko CFO KH 9377621629 2024-11-12 1 0 Jane E Pfeifer P00014949 9372260070 2024-11-12 2023 2024-10-15 13:58:12Z Kettering Health Hamilton Paul Hoover 1 Prestige Place Suite 910 Miamisburg OH 45342 183679275 0 X www.ketteringhealth.org X 1925 OH To improve the quality of life of the people in the communities we serve through healthcare 12 6 0 182 0 0 1293169 83341 173109584 183459555 182589 118770 0 0 174585342 183661666 18608 30097 0 0 74611855 78432990 0 0 0 107056258 100505436 181686721 178968523 -7101379 4693143 97167559 104948261 17236863 19668841 79930696 85279420 X Our mission is to improve the quality of life of the people in the communities we serve through healthcare and education.We are dedicated to excellence and to providing each individual the most appropriate care in the most appropriate setting. In the spirit of the Seventh-day Adventist healthcare ministry, we strive to be innovative and to convey God's love in a caring environment. 0 0 173686871 30097 177895421 Kettering Health Hamilton and other patient care services provided care for 26,561 discharges, adult & ped days of 6,410, and 118,514 outpatient visits. 173686871 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Timothy Ko 9377621629 1 Prestige Place Suite 910 Miamisburg OH 45342 Gentry Michael Chief Executive Officer 1.00 50.00 X 0 1291151 106456 Mewhirter Michael Interim CEO until July 23, CAO 1.00 50.00 X 0 1017167 111284 Briggs Sharlet President KH Main Campus 1.00 50.00 X 0 798509 43006 Ko Timothy CFO KH 1.00 50.00 X 0 765442 83897 Smith Robert T Physician 1.00 37.00 X 0 484316 33386 Hoover Paul President KH HM 50.00 1.00 X 0 455027 79509 Weigley David Pres Colmbia Union Conf end 1/23 0.00 X 0 0 0 Blyden Celeste Secretary Columbia Union Conference of SDA 1.00 6.00 X 0 0 0 Reilman Linda MD Physician 1.00 1.00 X 0 0 0 Belew Joseph Community Volunteer 1.00 1.00 X 0 0 0 Lewis John Rev Community Volunteer 1.00 1.00 X 0 0 0 Wilks Craig Community Volunteer 1.00 X 0 0 0 Wilkins Darren Community Volunteer 1.00 1.00 X 0 0 0 Weigel Robert Community Volunteer 1.00 2.00 X 0 0 0 Chavez Steve CFO KH Dayton & KH Hamilton 50.00 1.00 X 0 394982 73477 Morrison Brad VP Patient Care KH HM 48.00 X 0 273274 60696 Svenkerud Kyle K RN Clinical Care Coordinator 40.00 X 0 214479 12863 Hooper Joseph W Director - Surgery 40.00 X 0 172088 25197 George Jincy Registered Nurse 40.00 X 0 166412 24851 Attride Kevin S Director - Business Development 40.00 X 0 165887 24074 Young Teri L Pharmacist 40.00 X 0 157128 9508 Sackett Walter Former Director/Officer 0.00 X 0 950010 20790 Burns Terry Former Director 0.00 X 0 877162 20790 Connovich Ron Former Director/Officer 0.00 X 0 317957 15567 0 8500991 745351 108 1 1 0 0 83341 83341 Patient care services 622000 182970493 177406359 5564134 Leasing activities related to mis 531120 489062 489062 183459555 2681 2681 133698 17609 116089 116089 116089 183661666 177895421 0 5682904 X 30097 30097 3130527 2706566 423961 61690301 60920973 769328 1835206 1812319 22887 7409413 7317012 92401 4367543 4313076 54467 3260 3260 8999633 8916062 83571 1356742 1349535 7207 394711 393304 1407 1991645 1990299 1346 46737 45329 1408 16784 15210 1574 51371 51336 35 10059818 10053017 6801 1275205 1031563 243642 Medical Supplies 33444107 33443635 472 Network Services 21703224 18397454 3305770 Physician Services 8320131 8320131 Temporary Labor 1310586 1310586 11531482 11269367 262115 178968523 173686871 5281652 0 163710 19284 19827014 24182191 2717065 3555424 24012 1339016 145432111 70562045 74196093 74870066 239665 982280 97167559 104948261 14784484 13617461 3780 8876 2448599 6042504 17236863 19668841 X 79930696 85279420 79930696 85279420 97167559 104948261 X 4693143 655581 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1970463 1970463 94517680 42657583 51860097 136030 7754 128276 47928556 27896708 20031848 879382 879382 74870066 Finance lease liabilities 2068650 Operating lease liabilities 782261 Other long-term liabilities 1000356 Professional self-insurance liability 1346061 Retirement plans liabilities 845176 6042504 X Part X, Line 2: The System completed an analysis of its certain and uncertain tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2023 or 2022. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 0 4177451 1514991 2662460 0.01490 41066039 27663126 13402913 0.07490 45243490 29178117 16065373 0.08980 278341 193686 84655 0.00050 706897 276235 430662 0.00240 33576 33576 0.00020 1018814 469921 548893 0.00310 46262304 29648038 16614266 0.09290 1 1464365 35145 28058698 28893099 -834401 X 0 1 1 Kettering Health Hamilton 630 Eaton Avenue Hamilton OH 45013 X X X Kettering Health Hamilton 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X https://ketteringhealth.org/about/community-health-needs/ X 1 23 1 https://ketteringhealth.org/about/community-health-needs/ 0 1 X 250.000000000000 400.000000000000 X X X 1 1 X X X X 1 X https://ketteringhealth.org/billing-insurance/financial-assistance/ X https://ketteringhealth.org/billing-insurance/financial-assistance/ X https://ketteringhealth.org/billing-insurance/financial-assistance/ X X X X X X 1 X 0 X X X 1 X 0 0 Part V, Section A: The facility listed is required to be licensed, registered, or recognized as a healthcare facility under state law. Kettering Health Hamilton Part V, Section B, Line 5: The Health Collaborative (THC), in partnership with the Greater Dayton Area Hospital Association (GDAHA), facilitated the 2021 Regional Community Health Needs Assessment (CHNA). This Regional CHNA includes 36 hospitals, 22 health departments, across 26 counties in southwest Ohio and the Greater Dayton Area, southeast Indiana, and northern Kentucky. Kettering Health Hamilton Part V, Section B, Line 6a: Bon Secours Mercy Health Clermont HospitalBon Secours Mercy Health Fairfield HospitalBon Secours Mercy Health Jewish HospitalBon Secours Mercy Health West HospitalCincinnati Children's HospitalCincinnati Children's Burnet CampusCincinnati Children's Liberty CampusCincinnati Children's College Hill CampusThe C&F Lindner Center of HOPEThe Christ Hospital, Mt. AuburnTriHealth Good Samaritan HospitalTriHealth Good Samaritan Evendale HospitalTriHealth Bethesda North HospitalTriHealth Bethesda Butler HospitalTriHealth McCullough Hyde Memorial HospitalUC Health University of Cincinnati Medical CenterUC Health West Chester HospitalUC Health Drake Center for Post-Acute CareMiami Valley HospitalAtrium Medical CenterUpper Valley Medical CenterMiami Valley Hospital SouthMiami Valley Hospital NorthWilson Memorial HealthWayne HealthcareMercy Health Springfield Regional Medical CenterMercy Health Urbana HospitalAdams County Regional Medical CenterMargaret Mary Health Kettering Health Hamilton Part V, Section B, Line 6b: The Health CollaborativeGreater Dayton Area Hospital AssociationCity Health Departments:City: Cincinnati, Hamilton (City), Norwood, Piqua, SpringdaleCounty: Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Fayette,Greene, Hamilton, Highland, Miami, Montgomery, Preble, Shelby, WarrenCounty Health Departments:Indiana: Franklin, Dearborn, Ohio, Ripley, UnionKentucky: Campbell, Boone, Grant, KentonOhio: Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Greene,Hamilton, Highland, Miami, Montgomery, Preble, Shelby, Warren Kettering Health Hamilton Part V, Section B, Line 11: Kettering Health Hamilton is addressing the significant needs identified in the Community Health Needs Assessment through support for Primary Health Solutions FQHC, Cancer Support Group, OneFifteen, Tobacco Cessation, Workforce Development, Kettering Health Community Outreach, Miami Valley Leadership Foundation, Behavioral Health Support Model and Intensive Outpatient Program. 2 1 - Kettering Health Hamilton Health Center 1391 Main St Hamilton OH 45013 Outpatient Clinic and Diagnostic Center 2 - Kettering Health Ross Health Center 2449 Ross-Millville Rd Hamilton OH 45013 Outpatient Clinic and Diagnostic Center Part I, Line 7: Charity care is calculated using a cost to charge ratio following the methodology of Worksheet 2. Medicaid costs are calculated using a cost accounting system that addresses all patient segments. Community health improvement services are calculated on the basis of direct expenditures. Health professions education is calculated based on the Medicare cost report. Subsidized health services is calculated based on the non-Medicare, Medicaid, and charity care proportion of departmental losses for the specific programs. Cash and in-kind contributions are calculated on the basis of direct expenditures. Part I, Line 7g: Subsidized health services represent the non-needs based and non-Medicare program losses of services the hospital offers. Part III, Line 2: The provision for bad debts is calculated by applying the cost to charge ratio to bad debt write-offs to adjust bad debts to cost. Part III, Line 3: An industry average was used to estimate this amount. It was not included as part of community benefit. Part III, Line 4: Generally, patients who are covered by third-party payors are responsible for patient responsibility balances, including deductibles and coinsurance, which vary in amount. The System estimates the transaction price for patients with deductibles and coinsurance based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any explicit price concessions, discounts, and/or implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of change. Part III, Line 8: The costing methodology used to determine Medicare costs is the Medicare cost report. Medicare costs have not been included in community benefit in Part I. Part VI, Line 2: Kettering Health Hamilton, as part of Kettering Health, has dedicated an entire department to community health and wellness. The Community Outreach Department is comprised of coordinators who develop programs, screenings and other health related events. The department also has fitness specialists, nurses, dietitians, massage and behavioral therapists, a communication specialist, health coaches, a physician medical director, a full service call center, and many other resource personnel. Part VI, Line 3: Kettering Health Hamilton informs and educates patients or persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under Kettering Health Hamilton's charity care policy as follows:-Kettering Health Hamilton has a financial assistance brochure that is included in all of the patient information kits given at the time of intake or registration into any facility or department.-There is information posted in all of the admitting and registration areas about charity care and financial assistance.-During the registration process there is specific scripting to ask patients if they would like to disclose family size and income to screen them for federal/state/local and hospital based charity/assistance programs. This data is available for future visits as well.-Kettering Health Hamilton has the reporting capability to review and screen any patient who may have been admitted during registration "off hours" for eligibility and assistance.-The Financial Assistance section on the back of patient statements contain the website associated to Financial Assistance, along with contact details for more information. -Kettering Health Hamilton's patient account representatives in customer service screen patients that are unable to pay their bill for the various financial assistance programs. Part VI, Line 4: Kettering Health serves a population of approximately 1,635,000. The seven-county service area includes Butler, Clark, Greene, Miami, Montgomery, Preble, and Warren counties. The 88 counties in Ohio were ranked by County Health Rankings & Road Maps in terms of health outcomes and health factors. A top-ranked county (rank=1) has the best health score. The counties served by Kettering Health have health outcome ranks from 2-80. Part VI, Line 5: Kettering Health Hamilton furthers its exempt purpose by promoting the health of the community by:-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. Part VI, Line 6: Kettering Health Hamilton and its affiliates promote the health of the communities served by the system as described below:-Kettering Health Hamilton, as part of Kettering Health, is dedicated to the creation and maintenance of community wellness programs, support groups and health education programs. Kettering Health Hamilton provides numerous screenings, family-focused classes, health fairs, conferences and donations dedicated to the long-term wellbeing of people living in the community.-Kettering Affiliated Health Services Inc provides Senior Living services to the surrounding communities which complement those services provided by Kettering Health Hamilton as part of Kettering Health.-Medical research is supported through the Innovation Center, which cultivates new technologies and fosters best practices among partners from industry, academia, and health care. Part VI, Line 7, Reports Filed With States OH 1 Assistance to employees for hardship 27 23097 Scholarships 6 7000 Part I, Line 2: Employee assistance funds are monitored and use is determined by Human Resources management in conjunction with Fort Hamilton Hospital Foundation management. Scholarships are distributed based on critera set by KH Hamilton leadership for the various scholarship programs and may be determined in conjunction with Fort Hamilton Hospital Foundation management. 1 1 0 0 0 0 0 0 0 Gentry Michael Chief Executive Officer 0 882981 0 400000 0 8170 0 92987 0 13469 0 1397607 0 0 Mewhirter Michael Interim CEO until July 23, CAO 0 964983 0 50284 0 1900 0 87173 0 24111 0 1128451 0 0 Briggs Sharlet President KH Main Campus 0 719524 0 54855 0 24130 0 18787 0 24219 0 841515 0 0 Ko Timothy CFO KH 0 733496 0 30046 0 1900 0 59649 0 24248 0 849339 0 0 Smith Robert T Physician 0 444305 0 34707 0 5304 0 18787 0 14599 0 517702 0 0 Hoover Paul President KH HM 0 426123 0 27534 0 1370 0 56233 0 23276 0 534536 0 0 Chavez Steve CFO KH Dayton & KH Hamilton 0 366605 0 23432 0 4945 0 50029 0 23448 0 468459 0 0 Morrison Brad VP Patient Care KH HM 0 255260 0 16817 0 1197 0 38255 0 22441 0 333970 0 0 Svenkerud Kyle K RN Clinical Care Coordinator 0 213885 0 594 0 0 0 12863 0 0 0 227342 0 0 Hooper Joseph W Director - Surgery 0 157943 0 8633 0 5512 0 10312 0 14885 0 197285 0 0 George Jincy Registered Nurse 0 162781 0 1045 0 2586 0 9921 0 14929 0 191262 0 0 Attride Kevin S Director - Business Development 0 151871 0 8504 0 5512 0 9193 0 14880 0 189960 0 0 Young Teri L Pharmacist 0 145742 0 8240 0 3146 0 9457 0 51 0 166636 0 0 Sackett Walter Former Director/Officer 0 0 0 0 0 950010 0 0 0 20790 0 970800 0 0 Burns Terry Former Director 0 0 0 0 0 877162 0 0 0 20790 0 897952 0 0 Connovich Ron Former Director/Officer 0 0 0 0 0 317957 0 0 0 15567 0 333524 0 0 Part I, Line 3 An independent executive compensation committee reviews an independent consultant's report that identifies the current and proposed compensation for the CEO, officers, and key employees. Compensation is determined to be reasonable, and the approval amount is documented in the minutes of the committee meeting. At year end, the actual compensation is compared to approved compensation by the executive compensation committee. Part I, Lines 4a-b Walter Sackett received a severance payment of $772,744. Terry Burns received a severance payment of $733,073. Ron Connovich received a severance payment of $317,957. Kettering Health has a supplemental executive retirement plan available only to a certain class of management. Form 990, Part VI, Section A, line 6 Kettering Adventist Healthcare is the sole member. Form 990, Part VI, Section A, line 7a The Members of Kettering Adventist Healthcare have the power to elect or appoint members of the governing body. Form 990, Part VI, Section B, line 11b A tax specialist is engaged to review the 990, and a copy of the completed Form 990 is provided to all members of the Board of Directors before filing. Form 990, Part VI, Section B, line 12c Kettering Health regularly and consistently monitors and enforces compliance with 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 Kettering Health's policy, sign a conflict of interest statement, and notify Kettering Health if a conflict should arise. Form 990, Part VI, Section B, line 15 An independent executive compensation committee reviews an independent consultant's report that identifies the current and proposed compensation for the CEO, officers, and key employees. Compensation is determined to be reasonable, and the approval amount is documented in the minutes of the committee meeting. At year end, the actual compensation is compared to approved compensation by the executive compensation committee. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are available upon request. Part IX, Lines 5, 7, 8, 9, & 10 Salaries, retirement plan contributions, other benefits, and payroll taxes are paid by and allocated from Kettering Medical Center and Kettering Network Services. Form 990, Part XI, line 9: Net transfers from affiliate 655,581. Part XII, Line 2c Neither the oversight process nor the selection process changed during the tax year. Alliance Physicians Inc 1 Prestige Place Suite 910 Miamisburg OH 45342 311175717 Physician Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 Beavercreek Medical Center 1 Prestige Place Suite 910 Miamisburg OH 45342 270712680 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Dayton Osteopathic Hospital 1 Prestige Place Suite 910 Miamisburg OH 45342 360564121 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Fort Hamilton Hospital Foundation 1 Prestige Place Suite 910 Miamisburg OH 45342 452036966 Fundraising OH 501(c)(3) 509(a)(3) The Fort Hamilton Hospital 1 Greene Foundation 1 Prestige Place Suite 910 Miamisburg OH 45342 310886949 Fundraising OH 501(c)(3) 509(a)(3) Greene Memorial Hospital 0 Greene Memorial Hospital Inc 1 Prestige Place Suite 910 Miamisburg OH 45342 310809436 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Kettering Adventist Healthcare 1 Prestige Place Suite 910 Miamisburg OH 45342 311051688 Management OH 501(c)(3) 509(a)(3) N/A 0 Kettering Affiliated Health Services Inc 1 Prestige Place Suite 910 Miamisburg OH 45342 311127485 Health Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 Kettering Independent Medical Group 1 Prestige Place Suite 910 Miamisburg OH 45342 272649285 Health Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 Kettering Medical Center 1 Prestige Place Suite 910 Miamisburg OH 45342 310621866 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 Kettering Medical Center Foundation 1 Prestige Place Suite 910 Miamisburg OH 45342 237419897 Fundraising OH 501(c)(3) 509(a)(3) Kettering Medical Center 0 Kettering Network Services 1 Prestige Place Suite 910 Miamisburg OH 45342 832687866 Administrative Support Services OH 501(c)(3) 509(a)(3) Kettering Adventist Healthcare 0 Kettcor 1 Prestige Place Suite 910 Miamisburg OH 45342 311078381 Health Services OH N/A C 0 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 1 Alliance Physicians Inc M 0 FMV Fort Hamilton Hospital Foundation C 53475 FMV Fort Hamilton Hospital Foundation M 0 FMV Fort Hamilton Hospital Foundation N 0 FMV Kettering Adventist Healthcare M 0 FMV Kettering Affiliated Health Services Inc M 0 FMV Kettering Independent Medical Group J 345732 FMV Kettering Independent Medical Group M 0 FMV Kettering Medical Center M 0 FMV Kettering Medical Center N 0 FMV Kettering Medical Center O 0 FMV Kettering Medical Center P 0 FMV Kettering Medical Center S 655581 FMV Kettering Medical Center Foundation C 29866 FMV Kettering Network Services M 0 FMV Kettering Network Services N 0 FMV Kettering Network Services O 0 FMV Kettering Network Services P 0 FMV Part V, Line 2 Kettering Medical Center and Kettering Network Services are conduits through which revenue is received and expenses are paid.