Form 990 for tax year 2022
Filed by FORT HAMILTON HOSPITAL FOUNDATION.
Totals
- Total revenue
- $682,770
- Total expenses
- $566,527
- Contributions and grants received
- $191,433
- Grants paid
- $240,666
- Program services expenses (Part IX)
- $451,744
- Management and general expenses
- $89,729
- Fundraising expenses
- $25,054
- Program service expenses (Part III)
- $451,744
Program services were 79.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Mewhirter Michael
KH CFO until Nov 22, Interim CEO until July 23, CA
- Total calculated
- $1,126,362
- From this org
- $0
- From related orgs
- $1,013,346
- Other
- $113,016
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $817,010 related
- Bonus
- $0 + $189,750 related
- Other
- $0 + $6,586 related
- Deferred
- $0 + $83,432 related
- Nontaxable benefits
- $0 + $29,584 related
- Filer's total
- $0 + $1,126,362 related
-
Hoover Paul
President KHHM
- Total calculated
- $609,222
- From this org
- $0
- From related orgs
- $527,916
- Other
- $81,306
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $420,173 related
- Bonus
- $0 + $105,900 related
- Other
- $0 + $1,843 related
- Deferred
- $0 + $53,099 related
- Nontaxable benefits
- $0 + $28,207 related
- Filer's total
- $0 + $609,222 related
-
Lewis John Rev
Community Volunteer
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Reilman Linda MD
Physician
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Belew Joseph
Community Volunteer
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Quinn Denise
Community Volunteer
- Total calculated
- $0
- Hours/week
- 1
-
Halcomb Todd
Community Volunteer
- Total calculated
- $0
- Hours/week
- 1
-
Weigel Robert
Community Volunteer
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Chavez Steve
VP Finance & Operations - KH Hamilton
- Total calculated
- $536,497
- From this org
- $0
- From related orgs
- $460,239
- Other
- $76,258
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $362,948 related
- Bonus
- $0 + $91,889 related
- Other
- $0 + $5,402 related
- Deferred
- $0 + $47,629 related
- Nontaxable benefits
- $0 + $28,629 related
- Filer's total
- $0 + $536,497 related
-
Kranbuhl Sonja C
Director FHHF
- Total calculated
- $149,601
- From this org
- $0
- From related orgs
- $119,307
- Other
- $30,294
- Hours/week
- 40
-
Connovich Ron
Former Director
- Total calculated
- $647,575
- From this org
- $0
- From related orgs
- $607,313
- Other
- $40,262
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $384,676 related
- Bonus
- $0 + $138,352 related
- Other
- $0 + $84,285 related
- Deferred
- $0 + $16,387 related
- Nontaxable benefits
- $0 + $23,875 related
- Filer's total
- $0 + $647,575 related
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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 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 3
- Compensation is established by a related organization. The process of determining compensation of CEO's, executive directors, officers, and key employees is to have an independent board approve the compensation. The compensation is determined to be reasonable compared to independent comparability data. The approval of the amounts is documented in the Board minutes within the appropriate time frame.
- Part I, Lines 4a-b
- Ron Connovich received a severance payment of $607,313 and medical and retirement benefits of $40,262. Kettering Health has a supplemental executive retirement plan available only to a certain class of management.
- Part II, Col Biii
- Column Biii includes compensation reported on the W-2 that may or may not have gone through the current year Statement of Operations and Changes in Net Assets.
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
-
$238,066
Support
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.
-
501(c)(3) · Physician Services · OH
Directly controlled by Kettering Adventist Healthcare
-
501(c)(3) · Hospital · OH
Directly controlled by Kettering Adventist Healthcare
-
501(c)(3) · Hospital · OH
Directly controlled by Kettering Adventist Healthcare
-
501(c)(3) · Fundraising · OH
Directly controlled by Greene Memorial Hospital
-
501(c)(3) · Hospital · OH
Directly controlled by Kettering Adventist Healthcare
-
Kettering Adventist Healthcare
501(c)(3) · Management · OH
-
Kettering Affiliated Health Services Inc
501(c)(3) · Health Services · OH
Directly controlled by Kettering Adventist Healthcare
-
Kettering Independent Medical Group
501(c)(3) · Health Services · OH
Directly controlled by Kettering Adventist Healthcare
-
501(c)(3) · Hospital · OH
Directly controlled by Kettering Adventist Healthcare
-
Kettering Medical Center Foundation
501(c)(3) · Fundraising · OH
Directly controlled by Kettering Medical Center
-
501(c)(3) · Administrative Support Services · OH
Directly controlled by Kettering Adventist Healthcare
-
501(c)(3) · Hospital · OH
Directly controlled by Kettering Adventist Healthcare
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303199349310225
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