2025-11-17T10:02:30-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 310536662 THE FORT HAMILTON HOSPITAL FORT 9377621629 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 TIMOTHY KO CFO KH 9377621629 2025-11-12 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-12 2024 2025-03-06 01:10:19Z KETTERING HEALTH HAMILTON PAUL HOOVER 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 189172348 0 X WWW.KETTERINGHEALTH.ORG X 1925 OH OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 14 8 0 177 0 0 83341 226237 183459555 188939398 118770 3080 0 0 183661666 189168715 30097 20954 0 0 78432990 78669703 0 0 0 100505436 100734417 178968523 179425074 4693143 9743641 104948261 96330663 19668841 20422009 85279420 75908654 OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 0 0 173023368 20954 183680866 KETTERING HEALTH HAMILTON AND OTHER PATIENT CARE SERVICES PROVIDED CARE FOR 28,767 DISCHARGES, ADULT & PED DAYS OF 7,110, AND 121,949 OUTPATIENT VISITS. 173023368 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 1 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TIMOTHY KO 9377621629 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 JOSEPH BELEW DIRECTOR - PART YEAR 1.00 1.00 X 0 0 0 CELESTE BLYDEN DIRECTOR - PART YEAR 1.00 6.00 X 0 0 0 SHARLET BRIGGS DIRECTOR/PRES - KH MAIN - PART YEAR 1.00 49.00 X 0 819040 34960 PAUL S HOOVER JR PRESIDENT - KH FORT HAMILTON 49.00 1.00 X X 0 484303 73134 TIMOTHY KO CFO - KH 1.00 49.00 X X 0 790319 101139 JOHN LEWIS DIRECTOR - PART YEAR 1.00 1.00 X 0 0 0 LINDA REILMAN DIRECTOR - PART YEAR 1.00 1.00 X 0 0 0 ROBERT T SMITH DIRECTOR - PART YEAR 1.00 44.00 X 0 622995 36694 CRAIG WILKS DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 KEISHA BONE DIRECTOR 1.00 8.00 X 0 0 0 TERRY FORDE DIRECTOR - PART YEAR 1.00 8.00 X 0 0 0 MICHAEL V GENTRY CEO 1.00 49.00 X X 0 1906322 190042 SARAH HEDRICK DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 140058 10344 LES NEFF DIRECTOR 1.00 8.00 X 0 0 0 ROBERT PATTERSON DIRECTOR 1.00 8.00 X 0 0 0 TOM PEEBLES DIRECTOR - PART YEAR 1.00 7.00 X 0 0 0 CHERISH J PRUTZMAN DIRECTOR/PHYSICIAN 1.00 44.00 X 0 232913 31021 ADELE RILEY DIRECTOR 1.00 7.00 X 0 0 0 MARCELLUS ROBINSON DIRECTOR 1.00 8.00 X 0 0 0 JOHN SACKETT DIRECTOR 1.00 8.00 X 0 0 0 LOUIE SHARALAYA DIRECTOR - PART YEAR 1.00 7.00 X 0 0 0 KEVIN SHARRETT DIRECTOR/PHYSICIAN 1.00 44.00 X 0 586263 20569 ROY SIMPSON DIRECTOR - PART YEAR 1.00 8.00 X 0 0 0 RANDY TANGUAY DIRECTOR - PART YEAR 1.00 8.00 X 0 0 0 TAMARA THOMAS DIRECTOR 1.00 8.00 X 0 0 0 TROY A TYNER DIRECTOR/PHYSICIAN 1.00 44.00 X 0 304212 30134 JONATHAN E VELASCO DIRECTOR/PHYSICIAN - PART YEAR 1.00 44.00 X 0 703405 35658 ROBERT WEIGEL DIRECTOR 1.00 8.00 X 0 0 0 STEVEN CHAVEZ CFO - KH HAMILTON/MAIN CAMPUS 24.00 26.00 X 0 391533 66430 DANIEL A WOLCOTT PRESIDENT - KH ACUTE CARE 10.00 40.00 X 0 884799 110697 WENDI L BARBER CFO - ACUTE CARE 10.00 40.00 X 0 674097 87547 RONALD D CONNOVICH FORMER OFFICER/DIRECTOR 0.00 50.00 X 0 365170 61773 WALTER J SACKETT FORMER OFFICER/DIRECTOR 0.00 0.00 X 0 578513 11192 MICHAEL MEWHIRTER FORMER CEO/CAO - PART YEAR 0.00 50.00 X 0 1154725 6409 BRAD MORRISON FORMER KEY EMPLOYEE 0.00 50.00 X 0 294711 60835 TERRANCE BURNS FORMER OFFICER/DIRECTOR 0.00 0.00 X 0 552825 0 0 11486203 968578 0 1 1 0 0 226237 226237 PATIENT SERVICE REVENUE 622000 188290971 183032439 5258532 RENT TO AFFILIATES 531120 648427 648427 188939398 4413 4413 2300 3633 -1333 -1333 -1333 189168715 183680866 0 5261612 20954 20954 63019778 62211484 808294 1939243 1914370 24873 9095574 8978914 116660 4615108 4555914 59194 225 225 10265635 10171183 94452 1343613 1336919 6694 421405 299117 122288 2003577 2002440 1137 48678 47221 1457 6405 6405 93712 93659 53 9918467 9912837 5630 1006216 718152 288064 MEDICAL SUPPLIES 35807755 35806706 1049 SYSTEM SERVICES 24455525 19897988 4557537 PHYSICIAN SERVICES 8340150 8340150 COST OF GOODS SOLD 3928784 3928784 3094270 2779946 314324 179425074 173023368 6401706 0 19283 21680 24182191 21428250 3555424 3608855 1339016 26826 150891907 80371253 74870067 70520654 982280 724398 104948261 96330663 13617461 11176162 8876 4409 6042504 9241438 19668841 20422009 X 85279420 75908654 85279420 75908654 104948261 96330663 X 9743641 -19114407 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1970463 1970463 97176597 47499133 49677464 136030 45813 90217 48976497 32826307 16150190 2632320 2632320 70520654 THIRD PARTY SETTLEMENTS 3771251 LEASE LIABILITY 2108729 MALPRACTICE INSURANCE LIABILITY 1897876 POST RETIREMENT LIABILITIES 839912 OTHER LONG TERM LIABILITIES 623670 9241438 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, 2024 OR 2023. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 0 3485564 2256986 1228578 0.00680 41137835 26463320 14674515 0.08180 44623399 28720306 15903093 0.08860 263292 199732 63560 0.00040 263324 0 263324 0.00150 526616 199732 326884 0.00190 45150015 28920038 16229977 0.09050 1 11886399 285274 31321728 31072838 248890 X 1 0 1 1 KETTERING HEALTH HAMILTON 630 EATON AVENUE HAMILTON OH 45013 KETTERINGHEALTH.ORG X X X KETTERING HEALTH HAMILTON 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://KETTERINGHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS/ X 1 22 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 2021/2022 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 COLLABORATIVE GREATER DAYTON AREA HOSPITAL ASSOCIATION CITY 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, WARREN COUNTY 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 ROAD 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 BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. 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 SCHOLARSHIPS, GRANTS & AIDS 5 5000 ASSISTANCE TO EMPLOYEES FOR HARDSHIP 30 15954 PART I, LINE 2: SCHOLARSHIPS ARE DISTRIBUTED BASED ON CRITERIA SET BY KH HAMILTON LEADERSHIP FOR THE VARIOUS SCHOLARSHIP PROGRAMS AND MAY BE DETERMINED IN CONJUNCTION WITH FORT HAMILTON HOSPITAL FOUNDATION MANAGEMENT. EMPLOYEE ASSISTANCE FUNDS ARE MONITORED AND USE IS DETERMINED BY HUMAN RESOURCES MANAGEMENT IN CONJUNCTION WITH FORT HAMILTON HSOPITAL FOUNDATION MANAGEMENT. 1 1 0 0 0 0 0 0 0 MICHAEL V GENTRY CEO 0 1717488 0 139500 0 49334 0 175252 0 14790 0 2096364 0 0 MICHAEL MEWHIRTER FORMER CEO/CAO - PART YEAR 0 293591 0 205150 0 655984 0 0 0 6409 0 1161134 0 325259 DANIEL A WOLCOTT PRESIDENT - KH ACUTE CARE 0 834287 0 47881 0 2631 0 96296 0 14401 0 995496 0 0 TIMOTHY KO CFO - KH 0 727793 0 61291 0 1235 0 86687 0 14452 0 891458 0 0 SHARLET BRIGGS DIRECTOR/PRES - KH MAIN - PART YEAR 0 662247 0 112907 0 43886 0 19687 0 15273 0 854000 0 0 WENDI L BARBER CFO - ACUTE CARE 0 578319 0 72869 0 22909 0 72757 0 14790 0 761644 0 0 JONATHAN E VELASCO DIRECTOR/PHYSICIAN - PART YEAR 0 599916 0 98926 0 4563 0 19687 0 15971 0 739063 0 0 ROBERT T SMITH DIRECTOR - PART YEAR 0 386665 0 74275 0 162055 0 19687 0 17007 0 659689 0 0 KEVIN SHARRETT DIRECTOR/PHYSICIAN 0 338186 0 180860 0 67217 0 16237 0 4332 0 606832 0 0 WALTER J SACKETT FORMER OFFICER/DIRECTOR 0 0 0 0 0 578513 0 0 0 11192 0 589705 0 0 PAUL S HOOVER JR PRESIDENT - KH FORT HAMILTON 0 419365 0 56167 0 8771 0 58760 0 14374 0 557437 0 0 TERRANCE BURNS FORMER OFFICER/DIRECTOR 0 0 0 0 0 552825 0 0 0 0 0 552825 0 0 STEVEN CHAVEZ CFO - KH HAMILTON/MAIN CAMPUS 0 340703 0 47677 0 3153 0 52107 0 14323 0 457963 0 0 RONALD D CONNOVICH FORMER OFFICER/DIRECTOR 0 364981 0 0 0 189 0 52103 0 9670 0 426943 0 0 BRAD MORRISON FORMER KEY EMPLOYEE 0 259621 0 34306 0 784 0 46672 0 14163 0 355546 0 0 TROY A TYNER DIRECTOR/PHYSICIAN 0 288238 0 8910 0 7064 0 18512 0 11622 0 334346 0 0 CHERISH J PRUTZMAN DIRECTOR/PHYSICIAN 0 232355 0 0 0 558 0 13814 0 17207 0 263934 0 0 SARAH HEDRICK DIRECTOR/PHYSICIAN - PART YEAR 0 124808 0 15000 0 250 0 7376 0 2968 0 150402 0 0 PART I, LINE 3 CEO COMPENSATION IS PAID BY PARENT ORGANIZATION, KETTERING ADVENTIST HEALTHCARE. AN INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE REVIEWS AN INDEPENDENT FOR THE CEO, OFFICERS, AND KEY EMPLOYEES. COMPENSATION IS DETERMINED TO BE COMMITTEE MEETING. AT YEAR END, THE ACTUAL COMPENSATION IS COMPARED TO CONSULTANT'S REPORT THAT IDENTIFIES THE CURRENT AND PROPOSED COMPENSATION REASONABLE, AND THE APPROVAL AMOUNT IS DOCUMENTED IN THE MINUTES OF THE APPROVED COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENT IN 2024: WALTER SACKETT - $578,513 MICHAEL MEWHIRTER - $297,348 TERRANCE BURNS - $552,825 ROBERT T. SMITH - $152,358 KETTERING HEALTH HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AVAILABLE ONLY TO A CERTAIN CLASS OF MANAGEMENT. IN 2024, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: MICHAEL MEWHIRTER - $325,259 PART V, LINE 1A ALL 1099 FORMS FOR KETTERING ADVENTIST HEALTHCARE AND RELATED ENTITIES ARE FILED UNDER KETTERING NETWORK SERVICES. FEIN 83-2687866. 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 ITS 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 DISCLOSURE FORM, AND NOTIFY KETTERING HEALTH IF A CONFLICT SHOULD ARISE. SENIOR LEADERS ARE ALSO REQUIRED TO COMPLETE CONFLICT OF INTEREST DISCLOSURE FORMS ANNUALLY. KETTERING HEALTH'S CORPORATE INTEGRITY DEPARTMENT REVIEWS CONFLICT OF INTEREST DISCLOSURES AND DETERMINES THE APPROPRIATE ACTION(S) TO RESOLVE THE CONFLICT, WHICH MAY INCLUDE RECUSAL FROM CERTAIN DISCUSSIONS OR DECISIONS, JOB REASSIGNMENT, ETC. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION TO EXECUTIVES ARE PAID AND REVIEWED BY THE PARENT ORGANIZATION, KETTERING ADVENTIST HEALTHCARE. 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. THE COMPENSATION REVIEW PROCESS WAS LAST UNDERTAKEN IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET TRANSFER TO/FROM AFFILIATES -19,114,407. 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 PHYSICIANS SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 BEAVERCREEK MEDICAL CENTER 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 270712680 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 DAYTON OSTEOPATHIC HOSPITAL 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310564121 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 FORT HAMILTON HOSPITAL FOUNDATION 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 452236966 FUNDRAISING OH 501(C)(3) LINE 12B, II FORT HAMILTON HOSPITAL 1 GREENE MEMORIAL HOSPITAL INC 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310809436 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 KETTERING ADVENTIST HEALTHCARE 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 311051688 MANAGEMENT OH 501(C)(3) LINE 12B, II N/A 0 KETTERING AFFILIATED HEALTH SERVICES INC 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 311127485 HEALTH SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 KETTERING INDEPENDENT MEDICAL GROUP 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 272649285 HEALTH SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 KETTERING MEDICAL CENTER 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310621866 HOSPITAL OH 501(C)(3) LINE 3 KETTERING ADVENTIST HEALTHCARE 0 KETTERING MEDICAL CENTER FOUNDATION 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 237419897 FUNDRAISING OH 501(C)(3) LINE 12B, II KETTERING MEDICAL CENTER 0 KETTERING NETWORK SERVICES 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 832687866 ADMINISTRATIVE SUPPORT SERVICES OH 501(C)(3) LINE 12B, II KETTERING ADVENTIST HEALTHCARE 0 GREENE FOUNDATION 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310886949 FUNDRAISING OH 501(C)(3) LINE 12B, II GREENE MEMORIAL HOSPITAL 0 GRANDVIEW FOUNDATION 405 W GRAND AVENUE DAYTON OH 45405 311649591 FUNDRAISING OH 501(C)(3) LINE 12A, I N/A 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 FORT HAMILTON HOSPITAL FOUNDATION C 212209 FMV