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← GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI

Form 990 for tax year 2023

Filed by GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI.

Totals

Total revenue
$16,505,114
Total expenses
$5,935,728
Contributions and grants received
$12,971,930
Grants paid
$4,140,123
Program services expenses (Part IX)
$4,226,011
Management and general expenses
$696,496
Fundraising expenses
$1,013,221
Program service expenses (Part III)
$4,226,011

Program services were 71.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MARY RAFFERTY

    PRESIDENT/CEO-FOUNDATION

    Total calculated
    $436,700
    From this org
    $0
    From related orgs
    $373,952
    Other
    $62,748
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $250,375 related
    Bonus
    $0 + $64,909 related
    Other
    $0 + $58,668 related
    Deferred
    $0 + $50,543 related
    Nontaxable benefits
    $0 + $12,205 related
    Filer's total
    $0 + $436,700 related

  • PHYLLIS ADAMS

    TRUSTEE (END 9/23)

    Total calculated
    $0
    Hours/week
    1

  • CHRISTOPHER HEEKIN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARK CLEMENT

    CEO-TRIHEALTH

    Total calculated
    $2,292,310
    From this org
    $0
    From related orgs
    $2,219,557
    Other
    $72,753
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,575,958 related
    Bonus
    $0 + $606,615 related
    Other
    $0 + $36,984 related
    Deferred
    $0 + $47,735 related
    Nontaxable benefits
    $0 + $25,018 related
    Filer's total
    $0 + $2,292,310 related

  • ELIZABETH MANGAN

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • JAMES SHANAHAN JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • SR LOIS JEAN GOETTKE SC

    TRUSTEE (END 9/23)

    Total calculated
    $0
    Hours/week
    1

  • ROBERT SCHILLER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARK WALTON

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • ERIK DUNKI-JACOBS MD

    TRUSTEE (END 9/23)

    Total calculated
    $0
    Hours/week
    1

  • FRED BRINK

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • SETH ISAACS MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CHRISTINA SCALO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • NEAL SCHEAR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CHRISTOPHER SMITH

    TRUSTEE (END 6/24)

    Total calculated
    $0
    Hours/week
    1

  • BRENDAN WHITE

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DARLENE AMBACH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JODI GEISER

    TRUSTEE (END 6/24)

    Total calculated
    $0
    Hours/week
    1

  • SHANNON LAWSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JENNIFER LYKENS-SCHNAKE MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL VASSAR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • PAUL EDGETT III

    TRUSTEE (START 9/23)

    Total calculated
    $0
    Hours/week
    1

  • SISTER ANNIE KLAPHEKE SC

    TRUSTEE (START 9/23)

    Total calculated
    $78,380
    From this org
    $0
    From related orgs
    $66,107
    Other
    $12,273
    Hours/week
    1

  • MELODY WEIL

    TRUSTEE (START 9/23)

    Total calculated
    $0
    Hours/week
    1

  • KELLY ROWLAND

    DIRECTOR OF DEVELOPMENT

    Total calculated
    $232,019
    From this org
    $0
    From related orgs
    $189,950
    Other
    $42,069
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $161,244 related
    Bonus
    $0 + $18,248 related
    Other
    $0 + $10,458 related
    Deferred
    $0 + $15,069 related
    Nontaxable benefits
    $0 + $27,000 related
    Filer's total
    $0 + $232,019 related

  • KELLY VANCE

    MANAGER

    Total calculated
    $145,745
    From this org
    $0
    From related orgs
    $101,472
    Other
    $44,273
    Hours/week
    60

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NONE OF THE INDIVIDUALS LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC.
PART I, LINE 3:
TRIHEALTH, INC., A RELATED ORGANIZATION OF THE GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI, INC. WHO PAID THE INDIVIDUAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: * COMPENSATION COMMITTEE; * INDEPENDENT COMPENSATION CONSULTANT; * COMPENSATION SURVEY OR STUDY; AND * APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, QUESTION 4A:
THE REPORTABLE INDIVIDUALS OF THE ORGANIZATION ARE PAID BY TRIHEALH, INC., AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE PAY ARE CONDITIONED UPON SIGNING A SEPERATION AND RELEASE AGREEMENT. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC. DURING THE 2023 CALENDAR YEAR.

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
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202531339349305018

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