Form 990 for tax year 2023
Filed by COMMUNITY HOSPITAL ANDERSON FOUNDATION INC.
Totals
- Total revenue
- $806,146
- Total expenses
- $3,206,485
- Contributions and grants received
- $477,242
- Grants paid
- $2,665,772
- Program service revenue
- $0
- Investment income
- $341,998
- Other revenue
- -$13,094
- Total assets, end of year
- $15,480,798
- Total liabilities, end of year
- $1,437,552
- Net assets or fund balances, end of year
- $14,043,246
- Program services expenses (Part IX)
- $2,695,435
- Management and general expenses
- $511,050
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,695,435
Program services were 84.1% 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
DIRECTOR
- Total calculated
- $842,307
- From this org
- $0
- From related orgs
- $543,274
- Other
- $299,033
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $519,670 related
- Bonus
- $0
- Other
- $0 + $23,604 related
- Deferred
- $0 + $278,131 related
- Nontaxable benefits
- $0 + $20,902 related
- Filer's total
- $0 + $842,307 related
-
TERESA QUANT-CALLENDAR MD
DIRECTOR
- Total calculated
- $376,268
- From this org
- $0
- From related orgs
- $296,189
- Other
- $80,079
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $270,437 related
- Bonus
- $0
- Other
- $0 + $25,752 related
- Deferred
- $0 + $59,419 related
- Nontaxable benefits
- $0 + $20,660 related
- Filer's total
- $0 + $376,268 related
-
TOM BANNON
CHIEF FOUNDATION OFFICER
- Total calculated
- $315,006
- From this org
- $155,560
- From related orgs
- $66,669
- Other
- $92,777
- Hours/week
- 31 + 12 related
Schedule J breakdown matched by us
- Base
- $154,907 + $66,389 related
- Bonus
- $0
- Other
- $653 + $280 related
- Deferred
- $56,611 + $24,262 related
- Nontaxable benefits
- $8,333 + $3,571 related
- Filer's total
- $220,504 + $94,502 related
-
IVY WALSH
DIRECTOR
- Total calculated
- $97,048
- From this org
- $0
- From related orgs
- $55,402
- Other
- $41,646
- Hours/week
- 1 + 39 related
-
ERIC DAVIS PHD
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
-
LUCINDA MCCORD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
LINDA J MILLER
DIRECTOR THROUGH OCTOBER 2023
- 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
-
JESSE REYNOLDS PHD
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
NANCY RICKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
KIM TOWNSEND
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
KEITH TRENT
CHAIR
- 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, 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
- 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 FOLLOWS THE EXECUTIVE COMPENSATION PRACTICES OF CHNW, THE NETWORK PARENT, AND 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
-
COMM HOSP OF ANDERSON & MADISON CTY
$2,558,451
GENERAL SUPPORT
-
ANDERSON COMMUNITY SCHOOL CORP
$17,000
GENERAL SUPPORT
-
$15,000
GENERAL SUPPORT
-
GENERAL SUPPORT
-
GENERAL SUPPORT
-
$8,000
GENERAL SUPPORT
-
$6,781
GENERAL SUPPORT
-
$6,000
POLICE DEPARTMENT
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) · HOSPITAL · IN
-
COMMUNITY HEALTH NETWORK FOUNDATION
501(C)(3) · CHARITY · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMMUNITY HOME HEALTH SERVICES INC
501(C)(3) · HEALTH CARE · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMM HOSP OF ANDERSON & MADISON COUNTY
501(C)(3) · HOSPITAL · IN
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMMUNITY HOWARD REGIONAL HEALTH INC
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMM HOWARD REGIONAL HEALTH FDN
501(C)(3) · SUPPORT · IN
-
COMMUNITY PHYSICIANS OF INDIANA INC
501(C)(3) · PHYSICIAN SERVICES · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
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.
-
DIAG/REHAB · IN
-
COMMUNITY ENDOSCOPY CENTER LLC
SURGERY · IN
-
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
-
SURGERY · IN
-
INVESTMENT · IL
-
HOWARD COMMUNITY SURGERY CTR LLC
SURGERY · IN
-
INDIANAPOLIS ENDOSCOPY CENTER LLC
SURGERY · IN
-
NORTH CAMPUS OFFICE ASSOCIATES LP
RENTAL PROPERTY · IN
-
NORTH CAMPUS SURGERY CENTERS LLC
SURGERY · IN
-
HEALTH CARE · IN
-
HOUSING · IN
-
MANAGEMENT SERVICES · IN
-
SURGERY · IN
-
SOUTH CAMPUS SURGERY CENTER LLC
SURGERY · IN
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · SELF INSURANCE · CJ · controlled entity
-
C · HOUSING · IN · controlled entity
-
C · MANAGEMENT SERVICES · IN · controlled entity
-
C · MANAGEMENT SERVICES · IN · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 1 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433179349303698
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