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← COMMUNITY HOSPITAL FOUNDTION INC

Form 990 for tax year 2022

Filed by COMMUNITY HOSPITAL FOUNDTION INC.

Totals

Total revenue
$1,125,706
Total expenses
$2,313,278
Contributions and grants received
$1,233,113
Grants paid
$2,056,000
Program service revenue
$0
Investment income
$450
Other revenue
-$107,857
Total assets, end of year
$1,480,145
Total liabilities, end of year
$32,175
Net assets or fund balances, end of year
$1,447,970
Program services expenses (Part IX)
$2,238,329
Management and general expenses
$55,737
Fundraising expenses
$19,212
Program service expenses (Part III)
$2,238,329

Program services were 96.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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.

  • 1c · Fundraising events

    $327,099

  • 1e · Government grants (contributions)

    $456,000

  • 1f · All other contributions, gifts and grants

    $450,014

  • 1g · Noncash contributions included above

    $1,271

  • 3 · Investment income

    total $450 · excluded $450

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $75,025

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

    $327,099

  • 8b · Fundraising events: direct expenses

    $182,882

  • 8c · Net income from fundraising events

    total -$107,857 · excluded -$107,857

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,056,000 · program services $2,056,000

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $88,123 · program services $26,438 · management and general $44,059 · fundraising $17,626

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $7,930 · program services $2,379 · management and general $3,965 · fundraising $1,586

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $2,300 · management and general $2,300

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $13,502 · program services $13,502

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $5,413 · management and general $5,413

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: ONCOLOGY AWARENESS

    total $16,953 · program services $16,953

  • 24b · Other expenses: COLORADO TRUST-DIVERSITY GRANT

    total $37,723 · program services $37,723

  • 24c · Other expenses: DIABETES COUNTS

    total $20,074 · program services $20,074

  • 24d · Other expenses: PINK RIBBON EXPENSE

    total $16,360 · program services $16,360

  • 24e · All other expenses

    total $48,900 · program services $48,900

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $1,986,205 · end of year $1,087,547

  • 3 · Pledges and grants receivable

    beginning of year $660,000 · end of year $392,598

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $10,663 · end of year $32,175

  • 27 · Net assets without donor restrictions

    beginning of year -$138,168 · end of year -$249,848

  • 28 · Net assets with donor restrictions

    beginning of year $2,773,710 · end of year $1,697,818

Mission and programs · 2022

Mission

THE COMMUNITY HOSPITAL FOUNDATION IS DEDICATED TO SUPPORTING THE HOSPITAL'S MISSION AND ADVANCING OUR COMMITMENT TO CARING FOR PEOPLE IN A PATIENT CENTERED ENVIRONMENT. OUR WORK IS TO ENCOURAGE OTHERS TO JOIN US WITH THEIR RESOURCES OF TIME, TALENT AND FINANCIAL MEANS.

Activities or mission (Part I)

The Community Hospital Foundation is dedicated to supporting the Hospital's mission.

  • Support services and programs administered and endorsed by Community Hospital through effective public relations and fundraising activities.

    Expenses $2,238,329 · Grants $2,056,000

As filed on the 2022 return.

Listed in Part VII

  • Christian Thomas

    President & CEO, Ex officio

    Total calculated
    $725,602
    From this org
    $0
    From related orgs
    $692,647
    Other
    $32,955
    Hours/week
    0.8 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $493,898 related
    Bonus
    not reported + $194,225 related
    Other
    not reported + $4,524 related
    Deferred
    not reported + $8,721 related
    Nontaxable benefits
    not reported + $24,234 related
    Filer's total
    not reported + $725,602 related

  • Thomas Bishop

    Board Member (from 2/2022)

    Total calculated
    $141,409
    From this org
    $0
    From related orgs
    $118,428
    Other
    $22,981
    Hours/week
    0.8 + 40 related

  • Nicole Bergquist

    Board Member (from 02/2022)

    Total calculated
    $135,124
    From this org
    $0
    From related orgs
    $105,863
    Other
    $29,261
    Hours/week
    0.8 + 40 related

  • Taryn Warren

    Board Member (to 1/2022)

    Total calculated
    $80,171
    From this org
    $0
    From related orgs
    $55,222
    Other
    $24,949
    Hours/week
    0.8 + 40 related

  • Chris Allen

    Chair (to 1/2022)

    Total calculated
    $0
    Hours/week
    0.8

  • Eric Yarina

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.8

  • Melissa Guillen

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    0.8

  • Brandi Pollock

    Board Member

    Total calculated
    $0
    Hours/week
    0.8

  • Jennifer Brownell

    Board Member

    Total calculated
    $0
    Hours/week
    0.8

  • Theresa Hodges

    Board Member

    Total calculated
    $0
    Hours/week
    0.8

  • Jessica Migliaccio

    Board Member (to 1/2022)

    Total calculated
    $0
    Hours/week
    0.8

  • Cassie Tufly

    Chair (from 2/2022)

    Total calculated
    $0
    Hours/week
    0.8

  • Natalie Redding

    Board Member

    Total calculated
    $0
    Hours/week
    0.8

  • Jerry Sheets

    Board Member (to 10/2022)

    Total calculated
    $0
    Hours/week
    0.8

  • Cody Carlson

    Board Member

    Total calculated
    $0
    Hours/week
    0.8

  • Matt Price

    Board Member (from 5/2022)

    Total calculated
    $0
    Hours/week
    0.8

  • Justin Menge

    Board Member (from 7/2022)

    Total calculated
    $0
    Hours/week
    0.8

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)

schedule j, part i, line 3
related organization, colorado west healthcare system's (community hospital) compensation policy: Community Hospital is a Quorum Health Resources managed hospital. Quorum conducts national wage surveys to suggest market rates for CEO and CFO salaries based on Hospital revenue. The final salary is determined by the Board based on this information and local market conditions. Board based on this information and local market conditions. the following
schedule j, part i, line 4b
related organization, colorado west healthcare system's (community hospital) Nonqualified retirement plan: The Hospital has a 457(b) plan for senior executives and physicians. The Hospital did not make contributions to the plan for the years ending December 31, 2022. The Hospital has a 457(f) plan for senior executives. The contributions to this plan for the year ended December 31, 2022 was $54,081.

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.

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.

  • Physicians Choice Real Estate

    related · Real Estate · CO · 0% owned · share of income $0 · share of assets $0

    Directly controlled by com hospital

  • Healthcare Management LLC

    related · Acct Collections · CO · 0% owned · share of income $0 · share of assets $0

    Directly controlled by Com Hospital

Related corporations and trusts

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

  • Doctor's Clinic Building

    c corp · Real Estate · CO · 0% owned · share of income $0 · share of assets $0

    Directly controlled by Com Hospital

  • Community Health Providers Organization

    c corp · insurance liaison · CO · 0% owned · share of income $0 · share of assets $0

    Directly controlled by Com Hospital

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202323189349304327

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