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COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION INC (EIN 23-7309596)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-08
IRS object ID
202303129349303385
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-08T13:34:41-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352123203PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KSM BUSINESS SERVICES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40857AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46240ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237309596EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOWARD REGIONALBusinessNameLine1Txt
Business Name Line2HEALTH FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7654538458PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9011AddressLine1Txt
CityKOKOMOCityNm
State AbbreviationINStateAbbreviationCd
ZIP469049011ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRHONDA EASTMANPersonNm
Person TitleFOUNDATION DIRECTORPersonTitleTxt
Phone7654538458PhoneNum
Signature2023-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRHONDAPersonFirstNm
Person LastEASTMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCASSE TATEPreparerPersonNm
PTINP01271193PTIN
Phone3175802000PhoneNum
Preparation2023-11-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRHONDA EASTMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9011AddressLine1Txt
CityKOKOMOCityNm
State AbbreviationINStateAbbreviationCd
ZIP469049011ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,806,504GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ECOMMUNITY.COM/FOUNDATION-HOWARDWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY COMMUNITY HOWARD REGIONAL HEALTH.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$142,699PYContributionsGrantsAmt
CY Contributions Grants$238,157CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$301,950PYInvestmentIncomeAmt
CY Investment Income$198,347CYInvestmentIncomeAmt
PY Other Revenue$20,567PYOtherRevenueAmt
CY Other Revenue$15,408CYOtherRevenueAmt
PY Total Revenue$465,216PYTotalRevenueAmt
CY Total Revenue$451,912CYTotalRevenueAmt
PY Grants And Similar Paid$442,720PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$438,776CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,846PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,016CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$591CYTotalFundraisingExpenseAmt
PY Other Expenses$36,797PYOtherExpensesAmt
CY Other Expenses$43,588CYOtherExpensesAmt
PY Total Expenses$505,363PYTotalExpensesAmt
CY Total Expenses$508,380CYTotalExpensesAmt
PY Revenues Less Expenses-$40,147PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,468CYRevenuesLessExpensesAmt
Total Assets BOY$5,271,227TotalAssetsBOYAmt
Total Assets EOY$4,200,965TotalAssetsEOYAmt
Total Liabilities BOY$8,515TotalLiabilitiesBOYAmt
Total Liabilities EOY$147TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,262,712NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,200,818NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY COMMUNITY HOWARD REGIONAL HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$421,588ExpenseAmt
Grant$421,588GrantAmt
DescTO RECEIVE AND MAINTAIN FUNDS FOR THE CONSTRUCTION, FURNISHING, EQUIPPING AND IMPROVEMENT OF THE FACILITIES AND SERVICES OF COMMUNITY HOWARD REGIONAL HEALTH (HOSPITAL). TO PROVIDE FINANCIAL ASSISTANCE FOR THE IMPROVEMENT OF THE HEALTH, SAFETY, AND GENERAL WELFARE AND TO AID IN THE ALLEVIATION OF HUMAN SUFFERING OF ALL PERSONS CONNECTED WITH OR USING THE FACILITIES AND SERVICES OF THE HOSPITAL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,188ExpenseAmt
Grant$17,188GrantAmt
DescTO PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING DEGREES AND CERTIFICATES IN HEALTH CARE PROFESSIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$438,776TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN MCCONNELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3173554212PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18180 CLEARVISTA PKWY SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46256ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CLIFF EVANS DO
DIRECTOR1.0050.00Yes (X)$0$866,880$18,300
STEPHANIE COLLINS
DIRECTOR1.0040.00Yes (X)$0$145,531$0
RHONDA EASTMAN
FOUNDATION DIRECTOR40.000.00$0$84,493$28,589Yes (X)
JEFF CARDWELL
DIRECTOR1.000.00Yes (X)$0$0$0
JONI DELON
DIRECTOR1.000.00Yes (X)$0$0$0
RICK FILIP
DIRECTOR1.000.00Yes (X)$0$0$0
ALAN GIRTON
2ND VICE PRESIDENT1.000.00Yes (X)$0$0$0Yes (X)
PAT HIMELICK
DIRECTOR1.000.00Yes (X)$0$0$0
CORBIN KING
DIRECTOR1.000.00Yes (X)$0$0$0
CATHY KUENZLI
DIRECTOR1.000.00Yes (X)$0$0$0
LORA LACEY
DIRECTOR1.000.00Yes (X)$0$0$0
GREG MCCARTY
TREASURER1.000.00Yes (X)$0$0$0Yes (X)
JEFF MCCOMAS
DIRECTOR1.000.00Yes (X)$0$0$0
TONYA NEWHOUSE
1ST VICE PRESIDENT1.000.00Yes (X)$0$0$0Yes (X)
BRIAN PIER
PRESIDENT1.000.00Yes (X)$0$0$0Yes (X)
GREG SULLIVAN
1ST VP THROUGH MARCH 20221.000.00Yes (X)$0$0$0Yes (X)
MATT TATE
DIRECTOR1.000.00Yes (X)$0$0$0
CATHY VALCKE
DIRECTOR1.000.00Yes (X)$0$0$0
ALAN WARNER
DIRECTOR1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,096,904TotReportableCompRltdOrgAmt
Total Other Compensation$46,889TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$19,065FundraisingAmt
All Other Contributions$219,092AllOtherContributionsAmt
Total Contributions$238,157TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,474TotalRevenueColumnAmt
Exclusion$69,474ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,266,119SecuritiesAmt
Other$195,836OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,333,082SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$66,963SecuritiesAmt
Other$195,836OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,873TotalRevenueColumnAmt
Exclusion$128,873ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$36,675FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$19,065ContriRptFundraisingEventAmt
Fundraising Direct Expenses$21,510FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,165TotalRevenueColumnAmt
Exclusion$15,165ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HEART SCAN COUPON REVENUE621500$196$196
BANK ADJUSTMENT900099$46$46
PURCHASE DISCOUNT900099$1$1
FieldValueIRS element (for citing)
Other Revenue Total$243OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$451,912TotalRevenueColumnAmt
Related Or Exempt Func Income$243RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$213,512ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$421,588TotalAmt
Program Services$421,588ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$17,188TotalAmt
Program Services$17,188ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,140TotalAmt
Management And General$24,140ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,876TotalAmt
Management And General$1,876ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$710TotalAmt
Management And General$710ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$35,353TotalAmt
Management And General$35,353ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,384TotalAmt
Management And General$3,384ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEALS$2,030$2,030
BOOKS & SUBSCRIPTIONS$1,520$1,520
FUNDRAISING$591$591

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$508,380TotalAmt
Program Services$438,776ProgramServicesAmt
Management And General$69,013ManagementAndGeneralAmt
Fundraising$591FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$120,406BOYAmt
EOY$56,357EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$479,616BOYAmt
EOY$441,900EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,564,071BOYAmt
EOY$3,608,578EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$107,134BOYAmt
EOY$94,130EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,271,227BOYAmt
EOY$4,200,965EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$147EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,515BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,515BOYAmt
EOY$147EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,202,934BOYAmt
EOY$3,292,077EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,059,778BOYAmt
EOY$908,741EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,262,712BOYAmt
EOY$4,200,818EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,271,227BOYAmt
EOY$4,200,965EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$56,468ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,014,743NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$9,317OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$225,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,893CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$190,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$142,699CurrentTaxYearMinus1YearAmt
Current Tax Year$238,157CurrentTaxYearAmt
Total$991,712TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$225,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,893CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$190,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$142,699CurrentTaxYearMinus1YearAmt
Current Tax Year$238,157CurrentTaxYearAmt
Total$991,712TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$101,120SubstantialContributorsTotAmt
Public Support Total170$890,592PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$100,363CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$90,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,614CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,697CurrentTaxYearMinus1YearAmt
Current Tax Year$69,474CurrentTaxYearAmt
Total$446,863TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,860CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,340CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,985CurrentTaxYearMinus1YearAmt
Current Tax Year$36,675CurrentTaxYearAmt
Total$114,235TotalAmt
FieldValueIRS element (for citing)
Total Support$1,552,810TotalSupportAmt
Public Support CY1700.57350PublicSupportCY170Pct
Public Support PY1700.59120PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationFUNDRAISING ACTIVITY - 2018 AMOUNT: $ 13,860. 2019 AMOUNT: $ 22,340. 2020 AMOUNT: $ 11,375. 2021 AMOUNT: $ 29,985. 2022 AMOUNT: $ 36,675.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$107,134BeginningYearBalanceAmt
Investment Earnings Or Losses-$14,015InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,756GrantsOrScholarshipsAmt
Administrative Expenses$897AdministrativeExpensesAmt
End Year Balance$88,466EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$99,942BeginningYearBalanceAmt
Investment Earnings Or Losses$11,770InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,543GrantsOrScholarshipsAmt
Administrative Expenses$1,035AdministrativeExpensesAmt
End Year Balance$107,134EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$93,684BeginningYearBalanceAmt
Investment Earnings Or Losses$10,685InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,537GrantsOrScholarshipsAmt
Administrative Expenses$890AdministrativeExpensesAmt
End Year Balance$99,942EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,147BeginningYearBalanceAmt
Investment Earnings Or Losses$14,893InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,458GrantsOrScholarshipsAmt
Administrative Expenses$898AdministrativeExpensesAmt
End Year Balance$93,684EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$91,895BeginningYearBalanceAmt
Investment Earnings Or Losses-$4,457InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,416GrantsOrScholarshipsAmt
Administrative Expenses$875AdministrativeExpensesAmt
End Year Balance$83,147EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XIII - SUPPLEMENTAL FINANCIAL INFORMATIONFormAndLineReferenceDesc
ExplanationTHE ENDOWMENT PROVIDES FUNDS FOR SCHOLARSHIPS TO STUDENTS PURSUING DEGREES AND CERTIFICATES IN HEALTH CARE PROFESSIONS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$27,600GrossReceiptsEvent1Amt
Charitable Contri Event1$15,725CharitableContriEvent1Amt
Gross Revenue Event1$11,875GrossRevenueEvent1Amt
Cash Prizes Event1$900CashPrizesEvent1Amt
Non Cash Prizes Event1$1,408NonCashPrizesEvent1Amt
Rent Facility Costs Event1$2,688RentFacilityCostsEvent1Amt
Food And Beverage Event1$547FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,116OtherDirectExpensesEvent1Amt
Event2CHEF'S BASHEvent2Nm
Gross Receipts Event2$20,200GrossReceiptsEvent2Amt
Gross Revenue Event2$20,200GrossRevenueEvent2Amt
Non Cash Prizes Event2$123NonCashPrizesEvent2Amt
Rent Facility Costs Event2$4,000RentFacilityCostsEvent2Amt
Entertainment Event2$5,500EntertainmentEvent2Amt
Other Direct Expenses Event2$1,443OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$7,940GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$3,340CharitableContriOtherEventsAmt
Gross Revenue Other Events$4,600GrossRevenueOtherEventsAmt
Cash Prizes Other Events$825CashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$2,191RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$158FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$611OthDirectExpnssOtherEventsAmt
Gross Receipts Total$55,740GrossReceiptsTotalAmt
Charitable Contributions Tot$19,065CharitableContributionsTotAmt
Gross Revenue Total Events$36,675GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,725CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$1,531NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,879RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$705FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$3,170OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$21,510DirectExpenseSummaryEventsAmt
Net Income Summary$15,165NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOWARD REGIONAL HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13500 S LAFOUNTAIN STREETAddressLine1Txt
CityKOKOMOCityNm
State AbbreviationINStateAbbreviationCd
ZIP46902ZIPCd
FieldValueIRS element (for citing)
Recipient EIN351865344RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$421,588CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL PURPOSEPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPS/EDUC EXPENSEGrantTypeTxt
Recipient25RecipientCnt
Cash Grant$17,188CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2 - PROCEDURES FOR MONITORING THE USE OF GRANT FUNDSFormAndLineReferenceDesc
ExplanationCOMMUNITY HOWARD REGIONAL HEALTH FOUNDATION, INC. ("CHRHF") ISSUES GRANTS TO OTHER TAX-EXEMPT MEMBERS OF THE COMMUNITY HEALTH NETWORK. PRIOR TO THE DISBURSEMENT OF ANY GRANT PROCEEDS, CHRHF ENSURES THAT THE PURPOSE OF THE GRANT IS CONSISTENT WITH CHRHF'S CHARITABLE PURPOSES AS DEFINED IN CODE SECTION 501(C)(3). THE TERMS OF ALL GRANTS REQUIRE THAT THE RECIPIENT EXPEND THE FUNDS SOLELY FOR CHARITABLE PURPOSES AS DEFINED BY CODE SECTION 501(C)(3). WITH REGARD TO GRANTS TO ORGANIZATIONS WITHIN THE NETWORK, CHRHF DOES NOT REQUIRE PERIODIC REPORTING REGARDING THE USE OF THE GRANT PROCEEDS SINCE ALL NETWORK MEMBERS ARE SUBJECT TO COMMON CONTROL BY A TAX-EXEMPT PARENT ORGANIZATIONS (CHNW). CHRHF ALSO AWARDS ACADEMIC SCHOLARSHIPS AND REIMBURSES EDUCATION EXPENSES TO INDIVIDUALS UNDER THE TERMS OF A WRITTEN SCHOLARSHIP PROGRAM. CHRHF MONITORS THE RECIPIENT'S PROGRESS TOWARDS RECEIPT OF THE INTENDED CERTIFICATE OR DEGREE BY REQUIRING ACADEMIC RECORDS DURING THE SCHOLARSHIP PERIOD.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonCLIFF EVANS DOPersonNm
TitleDIRECTORTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$632,722CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$113,866BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$120,292OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$18,300DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$885,180TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$44,541CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION, INC. ("CHRHF") CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION SURVEY OR STUDY
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANCOMMUNITY HEALTH NETWORK, INC. RESTORATION PLAN COMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK RESTORATION PLAN ("PLAN") AS OF DECEMBER 1, 2017 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFITS AS DESCRIBED IN THE PLAN DOCUMENT. COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION, INC. ("CHRHF") IS INCLUDED IN THE PLAN. THE PLAN IS DESIGNED UNDER CODE SECTION 457(F) AS A "TOP-HAT PLAN" (I.E. AN UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES PURSUANT TO SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). ELIGIBILITY: INDIVIDUALS WHO HAVE THE TITLE OF PRESIDENT, SENIOR VICE PRESIDENT OR EXECUTIVE VICE PRESIDENT AND WHOSE PLAN COMPENSATION FOR THE APPLICABLE PLAN YEAR EXCEEDS THE ANNUAL COMPENSATION LIMITY UNDER CODE SECTION 401(A)(17), AS ADJUSTED FROM TIME TO TIME. CONTRIBUTIONS: 1. MATCHING CONTRIBUTIONS. IF A PARTICIPANT RECEIVES THE MAXIMUM PERMISSIBLE MATCHING CONTRIBUTION UNDER THE COMMUNITY HEALTH NETWORK 401(K) RETIREMENT PLAN, THEY WILL RECEIVE A MATCHING CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE MAXIMUM PERMITTED MATCHING CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. 2. NON-ELECTIVE CONTRIBUTIONS. IF A PARTICIPANT RECEIVES A NON-ELECTIVE CONTRIBUTION IN THE 401(K) PLAN, THEY WILL RECEIVE A NON-ELECTIVE CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE NON-ELECTIVE CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. NOTE THAT NO NON-ELECTIVE CONTRIBUTIONS ARE CURRENTLY BEING MADE TO THE 401(K) PLAN. CONTRIBUTIONS WILL BE CREDITED TO A PARTICIPANT'S ACCOUNT AS SOON AS ADMINISTRATIVELY FEASIBLE FOLLOWING THE END OF THE PLAN YEAR TO WHICH THE CONTRIBUTIONS RELATE. VESTING: A PARTICIPANT WILL BE 100% VESTED IN HIS ACCOUNT UPON THE EARLIEST TO OCCUR OF THE FOLLOWING: 1. ATTAINMENT OF AGE 65 PRIOR TO SEPARATION FROM SERVICE 2. DISABILITY 3. INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN FOR CAUSE 4. SEPARATION FROM SERVICE FOR GOOD REASON 5. A NONCOMPETITIVE PARTICIPANT'S COMPLIANCE WITH ALL TERMS OF A NONCOMPETING AGREEMENT, OR 6. DEATH FORFEITURES: IF ACCOUNT IS NOT VESTED AS DESCRIBED ABOVE, THE ACCOUNT WILL BE COMPLETELY FORFEITED. AMOUNTS FORFEITED. AMOUNTS FORFEITED DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
990, PART V, LINE 1A - BOX 3 OF FORM 1096FORM 1096 WAS PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC.
FORM 990, PART VI, SECTION B, LINE 11BORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FINANCE COMMITTEE OF THE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO ITS SIGNING AND SUBMISSION TO THE INTERNAL REVENUE SERVICE CHRHF IS ALSO USING THE PROCESS ESTABLISHED BY COMMUNITY HEALTH NETWORK, INC. ("CHNW") FOR REVIEWING THE FORM 990. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHRHF'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHRHF'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHRHF'S FORM 990. IN ADDITION, CHRHF'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHRHF UTILIZED THIS PROCESS TO ENSURE THAT CHRHF'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHRHF'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE.
FORM 990, PART VI, SECTION B, LINE 12CENFORCEMENT OF CONFLICTS POLICY ALL INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST, OR POSSIBLE CONFLICTS OF INTEREST THAT MIGHT POTENTIALLY AFFECT THEIR JUDGMENT IN MAKING DECISIONS ON BEHALF OF THE FOUNDATION BY COMPLETING A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL CHRHF HAS DELEGATED AUTHORITY FOR EXECUTIVE COMPENSATION TO CHNW. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHRHF. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHRHF'S COMPENSATION ARRANGEMENTS WITH RELATED PARTIES ARE EVALUATED AND ENTERED AT ARMS LENGTH AND THAT ANY COMPENSATION THAT IS PAID TO A RELATED PARTY IS REASONABLE AND REFLECTS FAIR MARKET VALUE. THIS POLICY ENCOURAGES THE APPLICATION OF THE REBUTTABLE PRESUMPTION STANDARD OF CODE SECTION 4958 AND THE RELATED TREASURY REGULATIONS BY: A) EXCLUDING ANY INTERESTED PARTY FROM THE DECISION MAKING PROCESS, B) REQUIRING DISINTERESTED BOARD OR COMMITTEE MEMBERS TO OBTAIN AND RELY UPON COMPARABILITY DATA WHEN SETTING THE PROPOSED COMPENSATION TERMS, C) REQUIRING APPROVAL OF THE TRANSACTION IN ADVANCE BY DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS, AND D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E. MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. CHNW ALSO DELEGATED AUTHORITY REGARDING CHRHF'S EXECUTIVE COMPENSATION TO A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS, WHICH IS RESPONSIBLE FOR APPLYING THE TERMS AND PROCESS OF THE EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY AS OUTLINED ABOVE, AND B) THE NETWORK CHIEF HUMAN RESOURCES OFFICER WHO IS RESPONSIBLE FOR OBTAINING COMPARATIVE SALARY MARKET DATA FOR THE CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES, ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE REASONABLE COMPENSATION ANALYSIS AND/OR CONFIRM THE REASONABLENESS OF COMPENSATION, AND PROVIDING STAFF SUPPORT TO THE NETWORK EXECUTIVE COMPENSATION COMMITTEE. DURING 2022, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SALARIES WERE COMPARED AGAINST COMPARATIVE SALARY MARKET DATA FOR ALL POSITIONS REPRESENTING MANAGERS, CHIEF EXECUTIVE OFFICERS, CHIEF FINANCIAL OFFICERS, AND HUMAN RESOURCES REPRESENTATIVES FOR ALL NETWORK ENTITIES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION A) THE ARTICLES OF INCORPORATION AND BUSINESS ENTITY REPORT ARE ON FILE WITH THE INDIANA SECRETARY OF STATE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE INDIANA SECRETARY OF STATE OR FREE OF CHARGE ON THE SECRETARY OF STATE'S WEBSITE. B) CHRHF'S CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. C) CHRHF DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CHNW AND AFFILIATES. AS SUCH, THERE ARE NO INDIVIDUAL FINANCIAL STATEMENTS TO POST. CHRHF DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.ORG. D) COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9:RECLASSIFICATION OF INTERCOMPANY BALANCES 9,317.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMUNITY HEALTH NETWORK INC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256350983617HOSPITALIN501(C)(3)LINE 3N/A0
COMMUNITY HEALTH NETWORK FOUNDATION
7330 SHADELAND STATION SUITE 100INDIANAPOLISIN46256510181688SUPPORTIN501(C)(3)LINE 12B, II0COMMUNITY HEALTH NETWORK INC
COMMUNITY HOME HEALTH SERVICES INC
9894 EAST 121ST STREETFISHERSIN46037350953467HEALTH CAREIN501(C)(3)LINE 100COMMUNITY HEALTH NETWORK INC
COMM HOSP OF ANDERSON & MADISON CTY
1515 NORTH MADISON AVENUEANDERSONIN46011351069822HOSPITALIN501(C)(3)LINE 30COMMUNITY HEALTH NETWORK INC
COMMUNITY HOSP ANDERSON FDN INC
1515 NORTH MADISON AVENUEANDERSONIN46011861053152SUPPORTIN501(C)(3)LINE 12A, I0COMM HOSP OF ANDERSON & MADISON CTY
COMMUNITY HOSPITAL SOUTH INC
1402 EAST COUNTY LINE ROAD SOUTHINDIANAPOLISIN46227351088640HOSPITALIN501(C)(3)LINE 30COMMUNITY HEALTH NETWORK INC
COMMUNITY HOWARD REGIONAL HEALTH
3500 S LAFOUNTAIN STREETKOKOMOIN46902351865344HOSPITALIN501(C)(3)LINE 30COMMUNITY HEALTH NETWORK INC
COMMUNITY PHYSICIANS OF IN INC
7240 SHADELAND STATION SUITE 200INDIANAPOLISIN46256205392766PHYSICIAN SERVICESIN501(C)(3)LINE 100COMMUNITY HEALTH NETWORK INC
FAIRBANKS HOSPITAL INC
8102 CLEARVISTA PARKWAYINDIANAPOLISIN46256350811197HOSPITALIN501(C)(3)LINE 30COMMUNITY HEALTH NETWORK INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CHNJMH VENTURES LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250462356266DIAG/REHABINN/A00
COMMUNITY ENDOSCOPY CENTER LLC
1601 N MADISON AVENUE SUITE 300ANDERSONIN46011611464136HEALTH CAREINN/A00
COMMUNITY HEALTH AT HOME LLC
1700 EDISON DRIVEMILFORDOH451502729833536760HEALTH CAREINN/A00
COMMUNITY HEALTH NETWORK REHAB HOSP LLC
680 S FOURTH STREETLOUISVILLEKY40202453414249REHABINN/A00
COMMUNITY HEALTH NTWRK REHAB HOSP SOUTH LLC
680 S FOURTH STREETLOUISVILLEKY40202821385366REHABINN/A00
COMMUNITY HEALTH NTWRK REHAB HOSP WEST LLC
330 SEVEN SPRINGS WAYBRENTWOODTN37027845110509REHABINN/A00
EAST CAMPUS SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250352028517SURGERYINN/A00
HAMILTON SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250352061413SURGERYINN/A00
HEALTHBOX CHICAGO II LLC
33 WEST MONROE STREET SUITE 1700CHICAGOIL60603463871950INVESTMENTILN/A00
HOWARD COMMUNITY SURGERY CTR LLC
3500 S LAFOUNTAIN STREETKOKOMOIN46902352118748SURGERYINN/A00
INDIANAPOLIS ENDOSCOPY CENTER LLC
8315 E 56TH STREETINDIANAPOLISIN46216352010874HEALTH CAREINN/A00
NORTH CAMPUS OFFICE ASSOCIATES LP
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250351808625RENTAL PROPERTYINN/A00
NORTH CAMPUS SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250352147088SURGERYINN/A00
NORTHPOINT PEDIATRICS LLC
8101 CLEARVISTA PARKWAY SUITE 185INDIANAPOLISIN46256351960566HEALTH CAREINN/A00
NORTHWEST SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250208754071SURGERYINN/A00
PILLARS HOUSING LP
3500 S LAFOUNTAIN STREETKOKOMOIN46902161652671HOUSINGINN/A00
PRIMARIA HEALTH LLC
9365 COUNSELORS ROW SUITE 210INDIANAPOLISIN46240474728937CONSULTINGINN/A00
SCP INDIANAPOLIS LLC
7430 SHADELAND AVENUE SUITE 100INDIANAPOLISIN46250460639908HEALTH CAREINN/A00
SOUTH CAMPUS SURGERY CENTER LLC
1550 EAST COUNTY LINE ROADINDIANAPOLISIN46227352038072SURGERYINN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
CHN ASSURANCE COMPANY LTD
PO BOX 1051GTGRAND CAYMANCJ980418913SELF INSURANCECJN/AC0
PILLARS COMMUNITY HOUSING INC
161652666HOUSINGN/AC03500 S LAFOUNTAIN STREETKOKOMOIN46902IN
VISIONARY ENTERPRISES INC
351538433MANAGEMENT SERVICESN/AC06626 E 75TH STREET SUITE 200INDIANAPOLISIN46250IN
WESTVIEW DELIVERY SYSTEM INC
351910292MANAGEMENT SERVICESN/AC03630 GUION ROADINDIANAPOLISIN46222IN
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd