2025-11-14T17:10:04-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 452036966 FORT HAMILTON HOSPITAL FOUNDATION FORT 9377621629 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 TIMOTHY KO CFO KH 9377621629 2025-11-13 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-13 2024 2025-03-06 01:10:19Z PAUL HOOVER 1 PRESTIGE PLACE 910 MIAMISBURG OH 45342 1393523 0 X WWW.KETTERINGHEALTH.ORG X 2011 OH OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 8 6 0 6 0 0 202301 115958 9943 0 276614 1265925 20883 11640 509741 1393523 79469 246695 0 0 162107 167929 0 0 28769 152611 198108 394187 612732 115554 780791 7590060 7925325 5577 3872 7584483 7921453 OUR MISSION IS TO LIVE GOD'S LOVE BY PROMOTING AND RESTORING HEALTH. 0 0 476849 246695 11640 FORT HAMILTON HOSPITAL FOUNDATION CONTRIBUTED $214,520 THROUGHOUT THE YEAR TO SUPPORT THE FORT HAMILTON HOSPITAL AND ITS AFFILIATED PROGRAMS AND FACILITIES. THE TOTAL AMOUNT INCLUDES $20,000 FOR EQUIPMENT PURCHASES AND BUILDING UPGRADES AND $194,520 FOR OPERATIONAL SUPPORT. 476849 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 0 0 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 PAUL S HOOVER JR PRESIDENT - KH FORT HAMILTON 1.00 49.00 X X 0 484303 73134 STEVEN CHAVEZ CFO - KH HAMILTON/MAIN CAMPUS 2.00 48.00 X X 0 391533 66430 ROBERT WEIGEL DIRECTOR 1.00 8.00 X 0 0 0 JOSEPH BELEW DIRECTOR 1.00 1.00 X 0 0 0 JOHN LEWIS DIRECTOR 1.00 1.00 X 0 0 0 DENISE QUINN DIRECTOR 1.00 0.00 X 0 0 0 TODD HALCOMB DIRECTOR 1.00 0.00 X 0 0 0 LINDA REILMAN DIRECTOR 1.00 1.00 X 0 0 0 SONJA C KRANBUHL EXECUTIVE DIRECTOR 40.00 0.00 X 0 140856 22971 MICHAEL V GENTRY CEO 1.00 49.00 X 0 1906322 190042 TIMOTHY KO CFO - KH 1.00 49.00 X 0 790319 101139 MICHAEL MEWHIRTER FORMER CEO/CAO - PART YEAR 0.00 50.00 X 0 1154725 6409 0 4868058 460125 0 1 1 0 0 115958 115958 385404 385404 880521 0 880521 880521 880521 EMPLOYEE ASSISTANCE REPAYMENT 900099 11640 11640 11640 1393523 11640 0 1265925 219319 219319 27376 27376 129831 103865 12983 12983 27266 21812 2727 2727 10832 8666 1083 1083 1980 1980 73669 73669 56402 45122 5640 5640 3691 795 2796 100 7218 5774 722 722 144 116 14 14 51144 40916 5114 5114 HOSPITALITY 3860 3088 386 386 612732 476849 107114 28769 28472 11066 4500 944 749910 234367 566688 515543 6990400 7397772 7590060 7925325 5577 3872 5577 3872 X 3379331 3431035 4205152 4490418 7584483 7921453 7590060 7925325 780791 -443821 0 X X 0 1 X 1 1 1 X X 1 THE FORT HAMILTON HOSPITAL 310536662 3 1 214520 0 1 214520 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART VI, SECTION C, LINE 1 THE PARENT ORGANIZATION, KETTERING ADVENTIST HEALTHCARE, HAS MANAGEMENT CONTROL OVER FORT HAMILTON HOSPITAL FOUNDATION AND ALL SUPPORTED ORGANIZATIONS LISTED ON PART I. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6094 6094 743816 234367 509449 515543 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 THE FORT HAMILTON HOSPITAL 1 PRESTIGE PL SUITE 910 MIAMISBURG OH 45342 310536662 501(C)(3) 214520 0 N/A N/A HOSPITAL MISSION SUPPORT 1 0 SCHOLARSHIPS & GRANTS 14 27376 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 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 TIMOTHY KO CFO - KH 0 727793 0 61291 0 1235 0 86687 0 14452 0 891458 0 0 PAUL S HOOVER JR PRESIDENT - KH FORT HAMILTON 0 419365 0 56167 0 8771 0 58760 0 14374 0 557437 0 0 STEVEN CHAVEZ CFO - KH HAMILTON/MAIN CAMPUS 0 340703 0 47677 0 3153 0 52107 0 14323 0 457963 0 0 SONJA C KRANBUHL EXECUTIVE DIRECTOR 0 122642 0 11578 0 6636 0 8066 0 14905 0 163827 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 MICHAEL MEWHIRTER RECEIVED A SEVERANCE PAYMENT OF $297,348. 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 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 COMPEOR THE CEO, OFFICERS, AND KEY NSATION FEMPLOYEES. 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. PART XXI, 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 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 THE FORT HAMILTON HOSPITAL 1 PRESTIGE PLACE SUITE 910 MIAMISBURG OH 45342 310536662 HOSPITAL OH 501(C)(3) LINE 3 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 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0