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← COMMUNITY HOSPITAL ANDERSON FOUNDATION INC

Form 990 for tax year 2022

Filed by COMMUNITY HOSPITAL ANDERSON FOUNDATION INC.

Totals

Total revenue
$590,693
Total expenses
$1,584,585
Contributions and grants received
$396,977
Grants paid
$1,206,549
Program services expenses (Part IX)
$1,208,419
Management and general expenses
$376,166
Fundraising expenses
$0
Program service expenses (Part III)
$1,208,419

Program services were 76.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ELIZABETH S THARP MBA BSN RN

    VICE CHAIR

    Total calculated
    $681,192
    From this org
    $0
    From related orgs
    $622,940
    Other
    $58,252
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $495,674 related
    Bonus
    $0 + $105,578 related
    Other
    $0 + $21,688 related
    Deferred
    $0 + $37,552 related
    Nontaxable benefits
    $0 + $20,700 related
    Filer's total
    $0 + $681,192 related

  • CHARLIE WILLIAMS MD

    DIRECTOR

    Total calculated
    $477,458
    From this org
    $0
    From related orgs
    $425,187
    Other
    $52,271
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $352,972 related
    Bonus
    $0 + $49,002 related
    Other
    $0 + $23,213 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $33,971 related
    Filer's total
    $0 + $477,458 related

  • TOM BANNON

    CHIEF FOUNDATION OFFICER

    Total calculated
    $275,595
    From this org
    $143,822
    From related orgs
    $95,881
    Other
    $35,892
    Hours/week
    31 + 12 related

    Schedule J breakdown matched by us

    Base
    $121,175 + $80,783 related
    Bonus
    $22,099 + $14,733 related
    Other
    $548 + $365 related
    Deferred
    $8,811 + $5,874 related
    Nontaxable benefits
    $12,724 + $8,483 related
    Filer's total
    $165,357 + $110,238 related

  • IVY WALSH

    CHAIR

    Total calculated
    $95,103
    From this org
    $0
    From related orgs
    $55,586
    Other
    $39,517
    Hours/week
    3

  • TIM ALFORD DDO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BOB DICKSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHRISTINE DUDLEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOHN HARRIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LINDA J MILLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MIKE MONTGOMERY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BEN ORCUTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LEROY QUASHIE PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • AARON REGER

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • LUKE RENNER

    DIRECTOR THROUGH AUGUST 2022

    Total calculated
    $0
    Hours/week
    1

  • NANCY RICKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KIM TOWNSEND

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KEITH TRENT

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • BILL WATSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BRYAN WILLIAMS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DAN YATES

    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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART III - OTHER ADDITIONAL INFORMATION
PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION THE CHIEF FOUNDATION OFFICER WAS PROVIDED SOCIAL CLUB DUES BY COMMUNITY HOSPITAL ANDERSON FOUNDATION. THIS WAS NOT TAXABLE COMPENSATION.
PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION
COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA"), A RELATED 501(C)(3) ORGANIZATION. CHA USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED
THE CHIEF FOUNDATION OFFICER PARTICIPATES IN A SENIOR LEADERSHIP INCENTIVE PROGRAM. THE PROGRAM WAS ADOPTED BY THE COMMUNITY HEALTH NETWORK, INC'S ("CHNW") EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE, AS MEASURED AGAINST ORGANIZATIONAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY CHNW'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDEPENDENT COMMUNITY MEMBERS. THE INCENTIVE COMPENSATION THAT IS AWARDED IS INCLUDED IN TOTAL COMPENSATION TO THE EXECUTIVE. THE TOTAL COMPENSATION (INCLUDING ANY PAYMENTS UNDER THE PROGRAM ) IS SUBJECT TO THE REVIEW AND APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE SECTION 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARM'S LENGTH, FAIR MARKET TERMS.

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
2 November 2023
IRS schema version
2022v5.0
Source object
202313119349304106

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