Form 990 for tax year 2022
Filed by COMMUNITY HEALTH NETWORK FOUNDATION INC.
Totals
- Total revenue
- $17,170,063
- Total expenses
- $20,102,604
- Contributions and grants received
- $17,641,743
- Grants paid
- $15,440,892
- Program service revenue
- $0
- Investment income
- $860,293
- Other revenue
- -$1,331,973
- Total assets, end of year
- $87,283,426
- Total liabilities, end of year
- $9,310,518
- Net assets or fund balances, end of year
- $77,972,908
- Program services expenses (Part IX)
- $15,582,848
- Management and general expenses
- $2,703,080
- Fundraising expenses
- $1,816,676
- Program service expenses (Part III)
- $15,582,848
Program services were 77.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
BRYAN A MILLS
NON-VOTING DIRECTOR
- Total calculated
- $2,533,482
- From this org
- $0
- From related orgs
- $2,112,016
- Other
- $421,466
- Hours/week
- 2 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $1,357,500 related
- Bonus
- $0 + $731,897 related
- Other
- $0 + $22,619 related
- Deferred
- $0 + $393,904 related
- Nontaxable benefits
- $0 + $27,562 related
- Filer's total
- $0 + $2,533,482 related
-
PATRICK MCGILL MD
DIRECTOR
- Total calculated
- $1,049,466
- From this org
- $0
- From related orgs
- $901,383
- Other
- $148,083
- Hours/week
- 2 + 53 related
Schedule J breakdown matched by us
- Base
- $0 + $624,866 related
- Bonus
- $0 + $233,078 related
- Other
- $0 + $43,439 related
- Deferred
- $0 + $113,341 related
- Nontaxable benefits
- $0 + $34,742 related
- Filer's total
- $0 + $1,049,466 related
-
ROBIN LEDYARD MD
DIRECTOR
- Total calculated
- $697,245
- From this org
- $0
- From related orgs
- $648,036
- Other
- $49,209
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $497,686 related
- Bonus
- $0 + $127,731 related
- Other
- $0 + $22,619 related
- Deferred
- $0 + $38,850 related
- Nontaxable benefits
- $0 + $10,359 related
- Filer's total
- $0 + $697,245 related
-
JON JANSEN MD
DIRECTOR
- Total calculated
- $647,518
- From this org
- $0
- From related orgs
- $593,139
- Other
- $54,379
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $476,475 related
- Bonus
- $0 + $80,063 related
- Other
- $0 + $36,601 related
- Deferred
- $0 + $18,300 related
- Nontaxable benefits
- $0 + $36,079 related
- Filer's total
- $0 + $647,518 related
-
JOYCE IRWIN
NON-VOTING DIR/PRESIDENT
- Total calculated
- $583,596
- From this org
- $520,334
- From related orgs
- $0
- Other
- $63,262
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $351,028
- Bonus
- $149,983
- Other
- $19,323
- Deferred
- $51,922
- Nontaxable benefits
- $11,340
- Filer's total
- $583,596
-
BENTE WEITEKAMP
VP DEVELOPMENT
- Total calculated
- $313,151
- From this org
- $265,717
- From related orgs
- $0
- Other
- $47,434
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $222,171
- Bonus
- $42,522
- Other
- $1,024
- Deferred
- $16,636
- Nontaxable benefits
- $30,798
- Filer's total
- $313,151
-
ROBERT BAKER
VP FOUNDATION OPERATIONS
- Total calculated
- $310,270
- From this org
- $270,670
- From related orgs
- $0
- Other
- $39,600
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $228,371
- Bonus
- $41,328
- Other
- $971
- Deferred
- $16,411
- Nontaxable benefits
- $23,189
- Filer's total
- $310,270
-
RYAN CHELLI
EXEC DIRECTOR - MARKETING
- Total calculated
- $263,874
- From this org
- $249,015
- From related orgs
- $0
- Other
- $14,859
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $211,130
- Bonus
- $36,960
- Other
- $925
- Deferred
- $14,859
- Nontaxable benefits
- $0
- Filer's total
- $263,874
-
LAURA PICKARD
DEVELOPMENT DIRECTOR
- Total calculated
- $177,095
- From this org
- $140,495
- From related orgs
- $0
- Other
- $36,600
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $124,003
- Bonus
- $15,914
- Other
- $578
- Deferred
- $2,948
- Nontaxable benefits
- $33,652
- Filer's total
- $177,095
-
LIBBY PEDIGO
DEVELOPMENT DIRECTOR
- Total calculated
- $170,616
- From this org
- $138,171
- From related orgs
- $0
- Other
- $32,445
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $121,943
- Bonus
- $15,668
- Other
- $560
- Deferred
- $1,432
- Nontaxable benefits
- $31,013
- Filer's total
- $170,616
-
MELISSA MAU
DIRECTOR GRANT/COMPLIANCE
- Total calculated
- $159,639
- From this org
- $137,864
- From related orgs
- $0
- Other
- $21,775
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $121,840
- Bonus
- $15,494
- Other
- $530
- Deferred
- $8,495
- Nontaxable benefits
- $13,280
- Filer's total
- $159,639
-
GERRY BAILEY
DIRECTOR THROUGH JANUARY 2022
- Total calculated
- $0
- Hours/week
- 2
-
DAVID BALDWIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
ZAINAB BASS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
SUMEETA BHATIA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
DARYL GRAHAM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
JAN KEEFER
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
CHOU-IL LEE
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
CANDELARIO MARTINEZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
LARRY MCQUEARY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
ANN MERKEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
KURT MEYER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
DAVID MOORE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
MARY BETH OAKES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
DEBORAH OATTS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
MYRA SELBY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
JOAN SERVAAS
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
FRANK SHORT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
ROBERT SHORTLE
DIRECTOR THROUGH JANUARY 2022
- Total calculated
- $0
- Hours/week
- 2
-
MARINA HADJIOANNOU WATERS
CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
TIM WRIGHT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
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
- 7 · Other non-fixed payments
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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION
- COMMUNITY HEALTH NETWORK FOUNDATION, INC. ("CHF") 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 COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS
- JOYCE IRWIN SEVERANCE: 0 NONQUALIFIED: $11,865 EQUITY-BASED: 0
- PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS
- COMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN COMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN ("PLAN") AS OF JANUARY 1, 2016 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFIT AS DESCRIBED IN THE PLAN DOCUMENT. COMMUNITY HEALTH NETWORK FOUNDATION, INC. ("CHF") IS INCLUDED IN THE PLAN. THE PLAN IS INTENDED TO BE EXEMPT FROM THE REQUIREMENTS OF CODE SECTION 409A AS A SHORT-TERM DEFERRAL PROGRAM DESCRIBED UNDER TREAS. REG. 1.409A-1 (B)(4). 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 DESIGNATED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH NETWORK, INC. CONTRIBUTIONS: ANNUALLY FROM 2021 TO 2025 COMMUNITY WILL CREDIT A CONTRIBUTION TO A PARTICIPANT'S ACCOUNT IN AN AMOUNT EQUAL TO TEN PERCENT OF THEIR BASE COMPENSATION AS DEFINED IN THE PARTICIPANT'S EMPLOYMENT AGREEMENT WITH COMMUNITY. VESTING: SINGLE VESTING METHOD ELECTED BY THE EMPLOYER, IN ITS DISCRETION, FOR EACH PARTICIPANT, WHICH APPLIES TO ALL EMPLOYER CONTRIBUTION CREDITS. UNLESS VESTED OR FORFEITED EARLIER, THE ENTIRE ACCOUNT SHALL VEST ON JANUARY 1, 2026. IN ADDITION, A PARTICIPANT'S ENTIRE ACCOUNT SHALL VEST ON THE PARTICIPANT'S DEATH, AN INVOLUNTARY TERMINATION OF THE PARTICIPANT'S EMPLOYMENT WITHOUT CAUSE (AS REASONABLY DETERMINED BY THE EMPLOYER), THE PARTICIPANT'S DISABILITY (AS DEFINED BY THE SOCIAL SECURITY ADMINISTRATION), OR THE PARTICIPANT'S VOLUNTARY TERMINATION FOR GOOD REASON. FORFEITURE: IF ACCOUNT IS NOT VESTED AS DESCRIBED ABOVE, THE ACCOUNT WILL BE COMPLETELY FORFEITED. AMOUNTS FORFEITED DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY. 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 HEALTH NETWORK FOUNDATION, INC. ("CHF") 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 LIMIT 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 PARTICPANT 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 PARTICPANT'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 PARTICPANT'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 DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY.
- PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED
- SENIOR LEADERSHIP INCENTIVE PROGRAM CHF PARTICIPATES IN THE NETWORK'S SENIOR LEADERSHIP INCENTIVE PROGRAM. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN THIS PROGRAM. THE PROGRAM WAS ADOPTED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE BY THE SENIOR LEADERS, AS MEASURED AGAINST ORGANIZATIONAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY THE 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. LONG TERM INCENTIVE PLAN CHNW DEVELOPED ITS COMPENSATION PLAN IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT. IN ADDITION, THE PLAN WAS APPROVED BY THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADOPTING ITS INCENTIVE BASED COMPENSATION PLAN, CHNW (TOGETHER WITH ITS INDEPENDENT COMPENSATION CONSULTANT, ITS EXTERNAL LEGAL COUNSEL, AND THE NETWORK EXECUTIVE COMPENSATION COMMITTEE) CONSIDERED AND APPLIED THE PROVISIONS OF CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS TO ENSURE THAT ITS COMPENSATION DECISIONS REFLECT 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
-
$6,854,809
GENERAL SUPPORT
-
COMMUNITY PHYSICIANS OF IN INC
$5,257,921
GENERAL SUPPORT
-
COMMUNITY HOWARD REGIONAL HEALTH INC
$706,840
GENERAL SUPPORT
-
$678,092
GENERAL SUPPORT
-
GENERAL SUPPORT
-
GENERAL SUPPORT
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 HOME HEALTH SERVICES INC
501(C)(3) · HEALTH CARE · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMM HOSP OF ANDERSON & MADISON CTY
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMMUNITY HOSP ANDERSON FDN INC
501(C)(3) · SUPPORT · IN · controlled entity
Directly controlled by COMM HOSP OF ANDERSON & MADISON CTY
-
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMMUNITY HOWARD REGIONAL HEALTH
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 IN 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
HEALTH CARE · IN
-
HEALTH CARE · IN
-
COMMUNITY HEALTH NETWORK REHAB HOSP LLC
REHAB · IN
-
COMMUNITY HLTH NTWRK REHAB HOSP SOUTH LLC
REHAB · IN
-
COMMUNITY HLTH 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 LLP
HEALTH CARE · IN
-
NORTH CAMPUS OFFICE ASSOCIATES LP
RENTAL PROPERTY · IN
-
NORTH CAMPUS SURGERY CENTER LLC
SURGERY · IN
-
HEALTH CARE · IN
-
SURGERY · IN
-
HOUSING · IN
-
CONSULTING · IN
-
HEALTH CARE · 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
- 2022
- Filed
- 2 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323119349304107
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