Form 990 for tax year 2022
Filed by SHARE FOUNDATION OF COMMUNITY HOSPITALS OF WILLIAMS COUNTY INC.
Totals
- Total revenue
- $1,256,672
- Total expenses
- $0
- Contributions and grants received
- $1,305
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $1,255,367
- Other revenue
- $0
- Total assets, end of year
- $4,141,434
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $4,141,434
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$1,305
-
3 · Investment income
total $1,255,367 · excluded $1,255,367
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $12,921 · end of year $14,252
-
11 · Investments: publicly traded securities
beginning of year $6,898,820 · end of year $4,127,182
-
28 · Net assets with donor restrictions
beginning of year $6,911,741 · end of year $4,141,434
Mission and programs · 2022
Mission
TO CONDUCT FUNDRAISING ACTIVITIES TO PROVIDE ASSISTANCE TO COMMUNITY HOSPITALS AND WELLNESS CENTERS, FOR THE UNCOMPENSATED CARE DELIVERED BY COMMUNITY HOSPITALS AND WELLNESS CENTERS.
-
TO PROVIDE ASSISTANCE FOR UNCOMPENSATED CARE DELIVERED BY COMMUNITY HOSPITALS & WELLNESS CENTERS.
As filed on the 2022 return.
Listed in Part VII
-
CHAD D TINKEL
PRES/SECRETARY, CEO-CHWC
- Total calculated
- $410,860
- From this org
- $0
- From related orgs
- $367,685
- Other
- $43,175
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $367,685 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $20,500 related
- Nontaxable benefits
- $0 + $22,675 related
- Filer's total
- $0 + $410,860 related
-
STEVE BUMB MD
CHIEF OF STAFF
- Total calculated
- $329,938
- From this org
- $0
- From related orgs
- $306,264
- Other
- $23,674
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $306,264 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $23,674 related
- Filer's total
- $0 + $329,938 related
-
CHRISTOPHER KANNEL
CHAIR OF BOARD
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
KATRINA HESTER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
CINDY REED
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
RUSS DAVIES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
ALLYN LUCE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
LARS ELLAR
DIRECTOR (EFFECTIVE 01/23)
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
JIM WATKINS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
ELENA WEST
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 related
-
CHRISTA POMEROY
VP/CFO
- Total calculated
- $202,465
- From this org
- $0
- From related orgs
- $187,092
- Other
- $15,373
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $187,092 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $15,373 related
- Filer's total
- $0 + $202,465 related
-
DR CAROLYN DORSTEN
VICE CHIEF
- Total calculated
- $0
- Hours/week
- 0.1 + 0.1 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, and on a Form 990-PF Part VIII's — 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 3
- COMMUNITY HOSPITALS AND WELLNESS CENTERS USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR ON THE SHARE FOUNDATION'S BEHALF: -COMPENSATION COMMITTEE -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
- PART I, LINE 4B
- CHAD TINKEL PARTICIPATED IN A 457(B) RETIREMENT PLAN WITH COMMUNITY HOSPITALS AND WELLNESS CENTERS. $20,500 CONTRIBUTIONS WERE MADE TO THE 457(B) PLANS DURING THE CALENDAR YEAR. THE HOSPITAL HAS A SUPPLEMENTAL EXECUTIVE RETENTION PLAN FOR THESE EXECUTIVES UNDER IRC SECTION 457(B). THE AMOUNTS DEFERRED UNDER THIS PLAN WILL BE TAXABLE TO THE EXECUTIVE WHEN VESTED AND THERE IS NO LONGER A SUBSTANTIAL RISK OF FORFEITURE. IN ORDER TO HAVE THE RIGHT TO FUTURE PAYMENT OF ANY EMPLOYER DEFERRAL, THE EXECUTIVE WILL HAVE TO REMAIN IN SERVICE UNTIL THE ACCOUNT BECOMES VESTED AS PROVIDED IN THE PLAN DOCUMENT.
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
No itemized grants to organizations 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.
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COMMUNITY HOSPITALS & WELLNESS CENTERS
501(C)(3) · HOSPITAL CARE · OH
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
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COMMUNITY HOSPITALS & WELLNESS CENTERS PAIN MANAGEMENT LLC
MEDICAL SERVICES · OH
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202442269349301154
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