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Nonprofiteer
← KENT HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by KENT HOSPITAL FOUNDATION.

Totals

Total revenue
$1,163,769
Total expenses
$669,233
Contributions and grants received
$1,096,341
Grants paid
$549,954
Program services expenses (Part IX)
$657,305
Management and general expenses
$11,928
Fundraising expenses
$0
Program service expenses (Part III)
$657,305

Program services were 98.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAMES E FANALE MD

    DIR-PRES/CEO/CNE(TERM 12/1/22)

    Total calculated
    $2,227,535
    From this org
    $0
    From related orgs
    $2,193,741
    Other
    $33,794
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $1,158,814 related
    Bonus
    $0 + $750,000 related
    Other
    $0 + $284,927 related
    Deferred
    $0 + $14,400 related
    Nontaxable benefits
    $0 + $19,394 related
    Filer's total
    $0 + $2,227,535 related

  • PAARI GOPALAKRISHNAN MD MBA

    DIRECTOR-PRES/COO/KCMH

    Total calculated
    $552,186
    From this org
    $0
    From related orgs
    $507,179
    Other
    $45,007
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $452,423 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $4,756 related
    Deferred
    $0 + $14,500 related
    Nontaxable benefits
    $0 + $30,507 related
    Filer's total
    $0 + $552,186 related

  • JAMES BURKE

    TREAS - DIR - VP FINANCE/KCMH

    Total calculated
    $314,989
    From this org
    $0
    From related orgs
    $295,289
    Other
    $19,700
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $222,774 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $22,515 related
    Deferred
    $0 + $18,406 related
    Nontaxable benefits
    $0 + $1,294 related
    Filer's total
    $0 + $314,989 related

  • TONYA BOYDMSNNP-BC

    DIRECTOR

    Total calculated
    $235,779
    From this org
    $0
    From related orgs
    $211,724
    Other
    $24,055
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $187,734 related
    Bonus
    $0 + $20,000 related
    Other
    $0 + $3,990 related
    Deferred
    $0 + $6,051 related
    Nontaxable benefits
    $0 + $18,004 related
    Filer's total
    $0 + $235,779 related

  • CHARLES L CRONIN III DO

    DIRECTOR

    Total calculated
    $217,371
    From this org
    $0
    From related orgs
    $173,015
    Other
    $44,356
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $139,955 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $23,060 related
    Deferred
    $0 + $13,508 related
    Nontaxable benefits
    $0 + $30,848 related
    Filer's total
    $0 + $217,371 related

  • MICHAEL E WAGNER MD

    DIR-PRES/CEO/CNE (EFF 12/1/22)

    Total calculated
    $81,655
    From this org
    $0
    From related orgs
    $79,999
    Other
    $1,656
    Hours/week
    55

  • SUSAN CROSSLEY

    DIRECTOR

    Total calculated
    $60,182
    From this org
    $0
    From related orgs
    $53,315
    Other
    $6,867
    Hours/week
    40

  • JASON B BOUDJOUK MD

    DIRECTOR

    Total calculated
    $8,796
    From this org
    $0
    From related orgs
    $8,796
    Other
    $0
    Hours/week
    1

  • EDWARD J COONEY JR

    CHAIRMAN - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARIBETH Q WILLIAMSON

    SECRETARY - DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KAREN BALCH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TERRANCE JACKSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ABIGAIL KOHLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL MCMAHON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARK P SCOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • EDWARD S THOMAS MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART VII AND SCHEDULE J
IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2022 FORMS W-2 AND FORMS 1099 (IF APPLICABLE).
SCHEDULE J, PART I; QUESTION 4A
THE FOLLOWING INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED SEVERANCE DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. FANALE, M.D, $96,539.
SCHEDULE J, PART I; QUESTION 4B
THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN A INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. FANALE, M.D., $125,501.
SCHEDULE J, PART I; QUESTION 6A & 6B
THE EXECUTIVE COMPENSATION PACKAGE FOR VARIOUS INDIVIDUALS REPORTED ON THIS FORM 990 CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE AT-RISK COMPENSATION IS COMPRISED OF BOTH SHORT-TERM AND LONG-TERM FACTORS AS FOLLOWS. THE SHORT-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVEMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THESE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY, FINANCIAL AND PATIENT SATISFACTION. THE LONG-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACCOMPLISHMENT OF CRITICAL MULTI-YEAR SYSTEM PERFORMANCE OBJECTIVES. AWARDS ARE EARNED BY MEASURING SYSTEM PERFORMANCE OVER THREE-YEAR OVERLAPPING PERFORMANCE PERIODS AND ARE MEASURED IN REFERENCE TO GOALS IN THE FOLLOWING CRITICAL AREAS: NET INCOME FROM OPERATIONS, MARKET SHARE, PATIENT SATISFACTION AND STRATEGIC OBJECTIVE.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202402279349304050

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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