Form 990 for tax year 2022
Filed by COMMUNITY HOSPITAL HEALTH SERVICES FOUNDATION.
Totals
- Total revenue
- $282,249
- Total expenses
- $1,145,961
- Contributions and grants received
- $31,060
- Grants paid
- $491,664
- Program service revenue
- $196,594
- Investment income
- $47,635
- Other revenue
- $6,960
- Total assets, end of year
- $25,363,445
- Total liabilities, end of year
- $275,661
- Net assets or fund balances, end of year
- $25,087,784
- Program services expenses (Part IX)
- $837,717
- Management and general expenses
- $304,110
- Fundraising expenses
- $4,134
- Program service expenses (Part III)
- $837,717
Program services were 73.1% 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.
-
1f · All other contributions, gifts and grants
$31,060
-
2a · Program service revenue: HEALTH FACILITY LEASES
total $196,594 · related or exempt $196,594
-
3 · Investment income
total $47,635 · excluded $47,635
-
11a · Other revenue: OTHER INCOME
total $6,960 · excluded $6,960
-
11e · Other revenue, total
$6,960
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $491,664 · program services $491,664
-
5 · Compensation of officers, directors and key employees
total $171,545 · program services $106,782 · management and general $62,864 · fundraising $1,899
-
7 · Other salaries and wages
total $149,605 · program services $93,126 · management and general $54,822 · fundraising $1,657
-
9 · Other employee benefits
total $6,883 · program services $6,883
-
11c · Fees: accounting
total $45,927 · management and general $45,927
-
11g · Fees: other
total $200 · management and general $200
-
12 · Advertising and promotion
total $16,658 · management and general $16,658
-
13 · Office expenses
total $4,171 · program services $2,085 · management and general $2,086
-
14 · Information technology
total $3,702 · program services $1,851 · management and general $1,851
-
16 · Occupancy
total $32,344 · program services $23,935 · management and general $8,086 · fundraising $323
-
17 · Travel
total $319 · program services $160 · management and general $159
-
19 · Conferences, conventions and meetings
total $1,141 · management and general $1,141
-
22 · Depreciation, depletion and amortization
total $147,627 · program services $49,028 · management and general $98,344 · fundraising $255
-
23 · Insurance
total $27,675 · program services $17,517 · management and general $10,158
-
24a · Other expenses: PROGRAM EXPENSE
total $39,758 · program services $39,758
-
24b · Other expenses: OTHER EXPENSE
total $2,925 · program services $2,052 · management and general $873
-
24c · Other expenses: DUES AND SUBSCRIPTIONS
total $1,882 · program services $941 · management and general $941
-
24d · Other expenses: MEDICAL SUPPLIES
total $1,351 · program services $1,351
-
24e · All other expenses
total $584 · program services $584
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $285,046 · end of year $523,657
-
4 · Accounts receivable
beginning of year $62 · end of year $72
-
9 · Prepaid expenses and deferred charges
beginning of year $28,680 · end of year $1,300
-
10a · Land, buildings and equipment: cost or other basis
$4,569,728
-
10b · Land, buildings and equipment: accumulated depreciation
$1,825,322
-
10c · Land, buildings and equipment, net
beginning of year $2,892,032 · end of year $2,744,406
-
12 · Investments: other securities
beginning of year $1,213,866 · end of year $1,250,249
-
13 · Investments: program-related
beginning of year $21,066,352 · end of year $20,709,412
-
15 · Other assets
beginning of year $128,859 · end of year $134,349
-
17 · Accounts payable and accrued expenses
beginning of year $295,210 · end of year $275,661
-
27 · Net assets without donor restrictions
beginning of year $24,437,056 · end of year $24,196,559
-
28 · Net assets with donor restrictions
beginning of year $882,631 · end of year $891,225
Mission and programs · 2022
Mission
TO PRESERVE REPRODUCTIVE SERVICES, TO PROMOTE HEALTH AND WELLNESS AND TO ADVOCATE FOR QUALITY HEALTHCARE THROUGH GRANT MAKING AND EDUCATION.
-
COMMUNITY GRANT PROGRAM:CHF PROVIDES SUPPORT TO NON-PROFIT ORGANIZATIONS THROUGH ITS COMMUNITY GRANTS PROGRAM. GRANT FUNDS ARE DIRECTED TO PROJECTS AND INITIATIVES THAT SUPPORT AND PROMOTE: HEALTHY LIVING, REPRODUCTIVE HEALTH, HEALTHY RELATIONSHIPS AND MENTAL, EMOTIONAL HEALTH, AND SAFETY NET SERVICES. GRANT FUNDS WERE PROVIDED TO 64 ORGANIZATIONS DURING FYE JUNE 30, 2023. GRANT FUNDING IS ALSO FOR HEALTH EQUITY PROJECTS INCLUDING PROJECTS IMPROVING THE SOCIAL DETERMINANTS OF HEALTH AS WELL AS ORAL HEALTH PROGRAMS.
Expenses $491,664 · Grants $491,664
-
FAMILY HEALTH EDUCATION:CHF DISTRIBUTED OVER 2,992 COPIES OF ITS HEALTH RESOURCE GUIDE FOR CLARK AND CHAMPAIGN COUNTIES TO THE GENERAL PUBLIC AND SOCIAL SERVICE OR HEALTH AGENCIES THAT SERVE THE PUBLIC. THERE IS NO CHARGE FOR THIS PUBLICATION. THE GUIDE WAS ALSO MAINTAINED AND UPDATED ON OUR WEBSITE AND IS SEARCHABLE AND DOWNLOADABLE. HEALTH EXPO '22 WAS HELD ON SEPTEMBER 28, 2022 WITH FREE HEALTH SCREENINGS AND HEALTH AND WELLNESS EXHIBITORS; MORE THAN 400 ATTENDED HEALTH EXPO '22. CHF ALSO PARTICIPATES IN MANY HEALTH FAIRS AND EXPOS PROVIDING "MY PLATES", IN ENGLISH AND SPANISH, TO ELEMENTARY AGED CHILDREN TO PROMOTE HEALTHY EATING HABITS AND PORTION CONTROL, AS WELL AS INFORMATION ON HEALTHY LIVING.
Expenses $69,211
-
REPRODUCTIVE HEALTH EDUCATION AND INFORMATION:THROUGH ITS REPRODUCTIVE HEALTH EDUCATION, CHF PROVIDED COMPREHENSIVE SEXUALITY EDUCATION PROGRAMS TO MIDDLE AND HIGH SCHOOL YOUTH USING TRAINED AND CERTIFIED HEALTH EDUCATORS, SERVING 224 STUDENTS AT 3 DIFFERENT VENUES AS WELL AS VIRTUALLY. THE PURPOSE OF THIS EDUCATION IS TO IMPROVE ADOLESCENT SEXUAL HEALTH BY REDUCING THE INCIDENCE OF RISK TAKING SEXUAL BEHAVIORS IN TEENS, LOWERING UNPLANNED PREGNANCY RATES AND REDUCING THE NUMBER OF SEXUALLY TRANSMITTED INFECTIONS.
Expenses $41,526
-
CHF PROVIDES CLINICAL REPRODUCTIVE SERVICES IN ITS PAVILION TO INCLUDE TUBAL LIGATIONS, VASECTOMIES AND CONTRACEPTIVE SHOTS.
Expenses $235,316 · Revenue $196,594
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
LEANN CASTILLO
CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
AMY STACY
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
WENDY FORD
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
MATTHEW SHROYER
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
KYLE CONROY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOHN BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
STEPHANIE MCCUISTION
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MICHAEL COOPER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ANNE HOLTZ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MEGAN MILLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ANDREA O'CONNOR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
LORI ZAKEL PHD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
YAMINI TEEGALA MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CHRISTOPHER WELLS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOY A ROGERS
EXECUTIVE DIRECTOR
- Total calculated
- $171,545
- From this org
- $154,532
- From related orgs
- $0
- Other
- $17,013
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $154,532
- Bonus
- $0
- Other
- $0
- Deferred
- $4,314
- Nontaxable benefits
- $12,699
- Filer's total
- $171,545
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
- 3 · Compensation committee
- 3 · Approval by the board or compensation committee
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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- A COMPENSATION COMMITTEE OF 3-4 DISINTERESTED MEMBERS OF THE BOARD OF TRUSTEES IS APPOINTED BY THE BOARD CHAIR. PROGRESS REPORT ON CEO GOALS IS REVIEWED, PERFORMANCE REVIEW SCORE SHEETS ARE COMPLETED INDIVIDUALLY BY MEMBERS, AND EXECUTIVE DIRECTOR PERFORMANCE IS REVIEWED AND COMPENSATION DETERMINED DURING A MEETING OF THE WHOLE COMMITTEE. COMPENSATION IS SET TAKING INTO ACCOUNT PERFORMANCE (MERIT) AND MARKET RANGES FOR SIMILAR POSITIONS. THERE ARE NO OTHER OFFICERS OR KEY EMPLOYEES RECEIVING COMPENSATION.
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
-
$109,000
SCREENING INCENTIVE PROGRAMS AND DENTAL CLINIC, COMMUNITY HEALTH WORKER PROGRAM
-
MATERNAL & INFANT VITALITY, HEALTH EQUITY COORDINATOR,AND SEXUAL HEALTH AND WELLNESS CLINIC
-
1159 SOUTH COMMUNITY DEVELOPMENT
$25,000
AFFORDABLE HOUSING FOR SOUTHWEST SPRINGFIELD
-
$21,000
CHILD SUMMER POWER PACK GRANT
-
$19,000
PROVIDE OPERATING SUPPORT FOR AFTERSCHOOL PROGRAM
-
$15,000
REPRODUCTIVE HEALTH CARE AND EDUCATION GRANT
-
$15,000
OPERATING SUPPORT
-
$10,000
EXPAND NEIGHBORHOOD OUTREACH AND RESIDENTS GROWING HEALTHY FOOD GRANT
-
SPRINGFIELD PROMISE NEIGHBORHOOD
$10,000
EXPAND FAMILY GROWTH CENTER AT PROMISE VISIONING GARDEN
-
SUCCESS PROGRAM
The 10 largest by cash amount. The API serves every itemized grant.
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.
-
501(C)(3) · COMMUNITY HEALTH SYSTEM · OH
-
COMMUNITY MERCY HEALTH PARTNERS
501(C)(3) · COMMUNITY HEALTH SYSTEM · OH
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 20 December 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333559349301108
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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