Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $19,065

• 1f · All other contributions, gifts and grants

  $219,092

• 3 · Investment income

  total $69,474 · excluded $69,474

• 7a · Gross sales of assets other than inventory

  securities $1,266,119 · other assets $195,836

• 7b · Less cost or other basis and sales expenses

  securities $1,333,082 · other assets $0

• 7c · Gain or loss

  securities -$66,963 · other assets $195,836

• 7d · Net gain or loss

  total $128,873 · excluded $128,873

• 8a · Fundraising events: gross income

  $36,675

• 8a · Fundraising events: contributions included on line 1c

  $19,065

• 8b · Fundraising events: direct expenses

  $21,510

• 8c · Net income from fundraising events

  total $15,165 · excluded $15,165

• 11a · Other revenue: HEART SCAN COUPON REVENUE

  total $196 · related or exempt $196

• 11b · Other revenue: BANK ADJUSTMENT

  total $46 · related or exempt $46

• 11c · Other revenue: PURCHASE DISCOUNT

  total $1 · related or exempt $1

• 11e · Other revenue, total

  $243

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $421,588 · program services $421,588

• 2 · Grants to domestic individuals

  total $17,188 · program services $17,188

• 7 · Other salaries and wages

  total $24,140 · management and general $24,140

• 10 · Payroll taxes

  total $1,876 · management and general $1,876

• 11c · Fees: accounting

  total $710 · management and general $710

• 11f · Fees: investment management

  total $35,353 · management and general $35,353

• 13 · Office expenses

  total $3,384 · management and general $3,384

• 24a · Other expenses: MEALS

  total $2,030 · management and general $2,030

• 24b · Other expenses: BOOKS & SUBSCRIPTIONS

  total $1,520 · management and general $1,520

• 24c · Other expenses: FUNDRAISING

  total $591 · fundraising $591

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $120,406 · end of year $56,357

• 2 · Savings and temporary cash investments

  beginning of year $479,616 · end of year $441,900

• 11 · Investments: publicly traded securities

  beginning of year $4,564,071 · end of year $3,608,578

• 15 · Other assets

  beginning of year $107,134 · end of year $94,130

• 19 · Deferred revenue

  end of year $147

• 25 · Other liabilities

  beginning of year $8,515 · end of year $0

• 27 · Net assets without donor restrictions

  beginning of year $4,202,934 · end of year $3,292,077

• 28 · Net assets with donor restrictions

  beginning of year $1,059,778 · end of year $908,741

The filer's explanations (Part III)

PART I, LINE 3

COMMUNITY 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 PLAN

COMMUNITY 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.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• CHNJMH VENTURES LLC

  DIAG/REHAB · IN

• COMMUNITY ENDOSCOPY CENTER LLC

  HEALTH CARE · IN

• COMMUNITY HEALTH AT HOME LLC

  HEALTH CARE · IN

• COMMUNITY HEALTH NETWORK REHAB HOSP LLC

  REHAB · IN

• COMMUNITY HEALTH NTWRK REHAB HOSP SOUTH LLC

  REHAB · IN

• COMMUNITY HEALTH NTWRK REHAB HOSP WEST LLC

  REHAB · IN

• EAST CAMPUS SURGERY CENTER LLC

  SURGERY · IN

• HAMILTON SURGERY CENTER LLC

  SURGERY · IN

• HEALTHBOX CHICAGO II LLC

  INVESTMENT · IL

• HOWARD COMMUNITY SURGERY CTR LLC

  SURGERY · IN

• INDIANAPOLIS ENDOSCOPY CENTER LLC

  HEALTH CARE · IN

• NORTH CAMPUS OFFICE ASSOCIATES LP

  RENTAL PROPERTY · IN

• NORTH CAMPUS SURGERY CENTER LLC

  SURGERY · IN

• NORTHPOINT PEDIATRICS LLC

  HEALTH CARE · IN

• NORTHWEST SURGERY CENTER LLC

  SURGERY · IN

• PILLARS HOUSING LP

  HOUSING · IN

• PRIMARIA HEALTH LLC

  CONSULTING · IN

• SCP INDIANAPOLIS LLC

  HEALTH CARE · IN

• SOUTH CAMPUS SURGERY CENTER LLC

  SURGERY · IN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CHN ASSURANCE COMPANY LTD

  C · SELF INSURANCE · CJ

• PILLARS COMMUNITY HOUSING INC

  C · HOUSING · IN

• VISIONARY ENTERPRISES INC

  C · MANAGEMENT SERVICES · IN

• WESTVIEW DELIVERY SYSTEM INC

  C · MANAGEMENT SERVICES · IN