2024-11-13T09:49:58-06:00 2023-12-31 310800053 Clark Schaefer Hackett 10100 Innovation Drive Suite 400 Dayton OH 45342 990 2023-01-01 452036966 Fort Hamilton Hospital Foundation FORT 9377621629 1 Prestige Place 910 Miamisburg OH 45342 Timothy Ko CFO KH 9377621629 2024-11-01 1 0 Jane E Pfeifer P00014949 9372260070 2024-11-01 2023 2024-10-15 13:58:12Z Paul Hoover 1 Prestige Place Suite 910 Miamisburg OH 45342 538344 0 X www.ketteringhealth.org X 2011 OH We honor our community's legacy of generosity and connect it to Hamilton's thriving future. 8 5 0 0 0 0 191433 202301 8672 9943 476456 276614 6209 20883 682770 509741 240666 79469 0 0 161672 162107 0 0 24414 164189 152611 566527 394187 116243 115554 7129634 7590060 103734 5577 7025900 7584483 X Through your support, we improve patient care, grow our medical center's capacity, and provide state-of-the-art medical technology to serve patients in Hamilton and the surrounding communities.We honor our community's legacy of generosity and connect it to Hamilton's thriving future. Donor funds deepen and expand Kettering Health Hamilton's care to the community as neighbors invest in each other's well-being. 0 0 281501 79469 9943 Fort Hamilton Hospital Foundation contributed $79,469 throughout the year to support The Fort Hamilton Hospital and its affiliated programs and facilities. 281501 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 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 1 1 0 0 0 0 0 0 X 8 5 0 0 0 0 0 0 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 Mewhirter Michael Interim CEO until July 23, CAO 1.00 50.00 X 0 1017167 111284 Hoover Paul President KH HM 1.00 50.00 X X 0 455027 79509 Chavez Steve CFO KH Dayton & KH Hamilton 1.00 50.00 X X 0 394982 73477 Lewis John Rev Community Volunteer 1.00 1.00 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 Quinn Denise Community Volunteer 1.00 X 0 0 0 Halcomb Todd Community Volunteer 1.00 X 0 0 0 Weigel Robert Community Volunteer 1.00 2.00 X 0 0 0 Kranbuhl Sonja C Director FHHF 40.00 X 0 99029 22685 Villegas William Former Director-Officer 0.00 48.00 X 0 499042 83652 Connovich Ron Former Director 0.00 X 0 317957 15567 0 2783204 386174 0 1 1 0 0 85925 116376 202301 Fundraising 813211 9943 9943 9943 173990 173990 102624 0 102624 102624 102624 49486 85925 28603 20883 20883 509741 9943 0 297497 X 55690 55690 23779 23779 135585 108468 13558 13559 21600 17280 2160 2160 4536 3629 454 453 386 309 38 39 1830 1830 57655 57655 18244 14595 1824 1825 6725 1882 4608 235 7060 5648 706 706 136 109 14 13 52045 41636 5205 5204 Community sponsorships 6717 6717 Hospitality 1630 1304 163 163 Promotional items 569 455 57 57 394187 281501 88272 24414 10312 28472 1401 4500 749910 183222 618733 566688 6499188 6990400 7129634 7590060 103734 5577 103734 5577 X 3062396 3379331 3963504 4205152 7025900 7584483 7129634 7590060 115554 443029 0 X X 0 1 X 1 0 X X 2 The Fort Hamilton Hospital 310536662 3 1 53475 0 Kettering Network Services 832687866 3 0 2215 0 2 55690 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 X 1 1 Part I, Line 12g, Column iv Fort Hamilton Hospital Foundation supports entities with a common parent--Kettering Adventist Healthcare. Part IV, Section A, Line 1 Fort Hamilton Hospital Foundation supports entities with a common parent--Kettering Adventist Healthcare. Part IV, Section A, Line 5a Kettering Network Services, 83-2687866, a Kettering Health entity, was supported in 2023. Fort Hamilton Hospital Foundation supports entities with a common parent--Kettering Adventist Healthcare. Part IV, Section D, Line 3 The supported organizations have a significant voice in directing the use of donated funds by working with Fort Hamilton Hospital Foundation to determine needs and best use of funds. Part IV, Section E, Line 2a All supported organizations are listed on Part I of Section A. Fort Hamilton Hospital Foundation supports entities with a common parent--Kettering Adventist Healthcare. All activities are conducted to support the mission of the supported organizations, and the support provided is in the form of grants for operations and equipment needs. Part IV, Section E, Line 2b All supported organizations are listed on Part I of Section A. Fort Hamilton Hospital Foundation supports entities with a common parent--Kettering Adventist Healthcare. All activities are conducted to support the mission of the supported organizations, and the support provided is in the form of grants for operations and equipment needs. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6094 6094 743816 183222 560594 0 0 0 566688 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. Ticket to Hollywood 118253 85925 32328 0 2000 2525 10872 750 2456 Concert 17158 0 17158 0 0 0 0 10000 0 0 135411 85925 49486 2000 2525 10872 10750 2456 28603 20883 1 The Fort Hamilton Hospital 1 Prestige Place Suite 910 Miamisburg OH 45342 310536662 501(c)(3) 53475 0 Support 1 0 Scholarships 14 23779 Part I, Line 2: Internal records document donor intent for fund distribution. Funds are monitored and use is determined by board members and Fort Hamilton Hospital Foundation management. 1 1 0 0 0 0 0 0 0 Mewhirter Michael Interim CEO until July 23, CAO 0 964983 0 50284 0 1900 0 87173 0 24111 0 1128451 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 Villegas William Former Director-Officer 0 465540 0 29132 0 4370 0 58407 0 25245 0 582694 0 0 Connovich Ron Former Director 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 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 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. 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 310564121 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 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 The Fort Hamilton Hospital 1 Prestige Place Suite 910 Miamisburg OH 45342 310536662 Hospital OH 501(c)(3) 509(a)(1) Kettering Adventist Healthcare 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 Kettering Adventist Healthcare 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 Network Services B 2215 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 The Fort Hamilton Hospital B 53475 FMV The Fort Hamilton Hospital L 0 FMV The Fort Hamilton Hospital N 0 FMV Part V, Line 2 Kettering Medical Center and Kettering Network Services are conduits through which revenue is received and expenses are paid.