2023-08-21T08:56:30-05:00 2022-12-31 351178661 BLUE & CO LLC 813 WEST SECOND STREET SEYMOUR IN 47274 990 2022-01-01 356023714 COLUMBUS REGIONAL HOSPITAL FOUNDATION INC COLU 8123765100 2400 EAST 17TH STREET COLUMBUS IN 47201 JULIA ABEDIAN PRESIDENT 8123765100 2023-08-09 1 JULIA ABEDIAN 999009999 1 KANDY L WISCHMEIER CPA P00118327 8125228416 2023-08-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JULIA ABEDIAN 2400 EAST 17TH STREET COLUMBUS IN 47201 4698211 0 X WWW.CRH.ORG X 1951 IN TO IMPROVE THE HEALTH OF THE PEOPLE IN SOUTHEASTERN INDIANA BY ACTIVELY RAISING CHARITABLE CONTRIBUTIONS TO SUPPORT COLUMBUS REGIONAL HOSPITAL HEALTHCARE INITIATIVES AND TO PROVIDE FINANCIAL SUPPORT AND PROMOTE ADVOCACY FOR HEALTHY COMMUNITIES INITIATIVES AND VIMCARE CLINIC THROUGH PUBLIC AWARENESS, PHILANTHROPY AND STEWARDSHIP. 18 18 7 18 0 0 2787529 2626435 0 0 1379156 1181578 28817 -13010 4195502 3795003 2326966 2084263 0 0 570005 604647 0 0 329899 113938 150622 3010909 2839532 1184593 955471 26317758 21991466 7120265 5872876 19197493 16118590 X TO IMPROVE THE HEALTH OF THE PEOPLE IN SOUTHEASTERN INDIANA BY ACTIVELY RAISING CHARITABLE CONTRIBUTIONS TO SUPPORT COLUMBUS REGIONAL HOSPITAL HEALTHCARE INITIATIVES AND TO PROVIDE FINANCIAL SUPPORT AND PROMOTE ADVOCACY FOR HEALTHY COMMUNITIES INITIATIVES AND VIMCARE CLINIC THROUGH PUBLIC AWARENESS, PHILANTHROPY AND STEWARDSHIP. 0 0 1202627 984231 CRHF PROVIDES SUPPORT TO COLUMBUS REGIONAL HOSPITAL, AN ORGANIZATION EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3). THE FOUNDATION ALSO PROVIDES GRANTS, THAT SUPPPORT MEDICAL CARE AT CRH, AND SCHOLARSHIPS TO ASSIST WITH THOSE PURSUING AN EDUCATION IN THE MEDICAL FIELD. CRHF ALSO PROVIDES SUPPORT TO OTHER EXEMPT ORGANIZATIONS TO FURTHER PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY. IN 2022, CRHF PROVIDED SUPPORT TO A COMMUNITY-WIDE INITIATIVE RESPONDING TO THE EMERGENT OPIOID CRISIS IN BARTHOLOMEW COUNTY. FUNDING FOR THIS INITIATIVE (THE ALLIANCE FOR SUBSTANCE ABUSE PROGRESS IN BARTHOLOMEW COUNTY) PRIMARILY CONSISTED OF FUNDING FOR NEW CRH EMPLOYEES LEADING THE INITIATIVE.COLUMBUS REGIONAL HOSPITAL FOUNDATION ACTS AS FIDUCIARY FOR OUR HOSPICE OF SOUTH CENTRAL INDIANA (OHSCI) TO RECEIVE AND INVEST A PORTION OF OHSCI'S CASH RESERVE ASSETS. AS ENTITIES OF THE COLUMBUS REGIONAL HOSPITAL SYSTEM, THIS IS AN APPROPRIATE SERVICE RELATIONSHIP BETWEEN CRHF AND OUR HOSPICE. CRHF AND OUR HOSPICE ALSO WORK COLLABORATIVELY TO RAISE FUNDS FOR BOTH ORGANIZATIONS. 2022 OHSCI ASSETS MANAGED BY CRHF TOTALED $5,528,282. 508800 508800 CRHF PROVIDES PHILANTHROPIC SUPPORT TO VIMCARE CLINIC, A DEPARTMENT OF COLUMBUS REGIONAL HOSPITAL AND THE HOSPITAL'S SAFETY NET CLINIC FOR LOW-INCOME ADULTS. FUNDING FOR VIMCARE COVERS BEHAVORIAL HEALTH SERVICES, FINANCIAL NAVIGATION, CASE MANAGEMENT, MEDICATION ASSISTANCE, AND TRANSLATION SERVICES. 591232 591232 CRHF IS THE PRIMARY FUNDER OF HEALTHY COMMUNITIES INITIATIVE, AN ORGANIZATION WHOSE STAFF IS EMPLOYED BY COLUMBUS REGIONAL HOSPITAL, AND WORKS TO IMPROVE THE LONG-TERM QUALITY OF LIFE IN BARTHOLOMEW COUNTY THROUGH LOCAL ACTION TEAMS: TOBACCO AWARENESS AND PREVENTION, MEDICATION ASSISTANCE, DOMESTIC VIOLENCE, CARING PARENTS, PROYECTO SALUD, BREASTFEEDING COALITION AND HEALTHY LIFESTYLES. CRHF SUBSIDIZES HCI STAFF EXPENSES AND COVERS PROGRAM EXPENSES. 2302659 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 1 7 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X THE ORGANIZATION 8123765100 2400 EAST 17TH STREET COLUMBUS IN 47201 ADAM LIENHOOP DIRECTOR 0.50 X 0 0 0 BRIAN NIEDBALSKI MD DIRECTOR 0.50 X 0 0 0 CARY CHENANDA DIRECTOR 0.50 X 0 0 0 FATHER CLEM DAVIS DIRECTOR 0.50 X 0 0 0 JAMES BICKEL DIRECTOR 0.50 X 0 0 0 JESSIE DEWEESE DIRECTOR 0.50 X 0 0 0 KENNY VIETH DIRECTOR 0.50 X 0 0 0 KEVINA A SCHUMAKER DIRECTOR 0.50 X 0 0 0 LORI L MONTALBANO DIRECTOR 0.50 X 0 0 0 POLLY KRAMER DIRECTOR 0.50 X 0 0 0 RICK SILVERS DIRECTOR 0.50 X 0 0 0 SCOTT POLING DIRECTOR 0.50 X 0 0 0 SHERRY STARK DIRECTOR 0.50 X 0 0 0 SUSAN SAWIN DIRECTOR 0.50 X 0 0 0 THOMAS SONDERMAN MD DIRECTOR 0.50 X 0 0 0 DAVID B MCKINNEY CHAIR 1.00 X X 0 0 0 ANDREW WEISNER VICE CHAIR 1.00 X X 0 0 0 LISA DURET SECRETARY/TREASURER 1.00 X X 0 0 0 JULIA ABEDIAN FOUNDATION PRESIDENT 14.00 26.00 X 102625 230563 17791 102625 230563 17791 1 0 1 0 0 6603 129864 1072000 134348 1283620 2626435 826776 826776 1200100 845298 354802 354802 354802 0 129864 49629 -49629 -49629 44900 8281 36619 36619 3795003 0 0 1168568 2060563 2060563 23700 23700 108141 64884 32443 10814 453538 104049 125115 224374 42968 12923 12053 17992 15009 15009 110424 33127 11042 66255 6900 6900 6230 6230 605 454 151 MISCELLANEOUS EXPENSE 6826 3413 3413 EDUCATION EXPENSES 3515 3515 REPAIRS 1113 1113 2839532 2302659 206974 329899 1306329 1591790 611 481 18686 18686 0 0 24940350 20345224 70468 53971 26317758 21991466 7120265 5872876 7120265 5872876 X 6242473 4868611 12955020 11249979 19197493 16118590 26317758 21991466 X 955471 -4022993 -11381 X X 0 1 X 1 0 X X 1 COLUMBUS REGIONAL HOSPITAL 351129669 3 1 1072000 0 1 1072000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, QUESTION 1 THE DIRECTORS OF THE SUPPORTED ORGANIZATION APPOINT ALL THE DIRECTORS OF THE SUPPORTING ORGANIZATION. ANNUALLY, THE ORGANIZATION REPORTS ITS ACTIVITIES TO THE DIRECTORS OF THE SUPPORTED ORGANIZATION. SOME DIRECTORS OF THE SUPPORTED ORGANIZATION HOLD EX-OFFICIO SEATS ON THE ORGANIZATION'S BOARD OF DIRECTORS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11012183 503767 -2394324 77485 9044141 9704277 82231 1359306 133631 11012183 8584560 81441 1132739 94463 9704277 7333416 103517 1228490 80863 8584560 10755260 117443 -3517379 21908 7333416 0.71000 0.29000 0 0 18686 18686 0 0 LIABILITY UNDER CHARITABLE TRUST 13785 CHARITABLE GIFT ANNUITY LIABILITY 330809 ASSETS HELD ON BEHALF OF OUR HOSPICE OF SC INDIANA 5528282 5872876 X -189742 -4022993 38248 -3984745 3795003 0 3795003 2889161 49629 49629 2839532 0 2839532 PART X, LINE 2: THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. AS SUCH, THE FOUNDATION IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE FOUNDATION IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SPLIT INTEREST AGREEMENT -11,381. SPECIAL EVENTS 49,629. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 49,629. VIMCARE CLINIC 129864 129864 49629 129864 129864 49629 49629 -49629 44900 8281 0 44900 8281 8281 36619 IN 1 0 0 0 1.00000 VICKI ROTH 2400 E 17TH STREET COLUMBUS IN 47201 0 0 1 FAMILY SERVICE 1531 13TH STREET COLUMBUS IN 47201 351148259 501(C)(3) 25000 0 TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION REINS TO RECOVERY PO BOX 1492 COLUMBUS IN 47201 282145180 501(C)(3) 21643 0 TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION THRIVE ALLIANCE-AGING & COMMUNITY SERVICES 1531 13TH STREET COLUMBUS IN 47201 311017271 501(C)(3) 10000 0 TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION JUST FRIENDS ADULT DAY SERVICES 900 LINDSEY ST COLUMBUS IN 47201 311138552 501(C)(3) 9869 0 TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION BARTHOLOMEW CO SOCIETY FOR DISABLED-ACCESS-ABILITY 1531 13TH STREET COLUMBUS IN 47201 237540586 501(C)(3) 30000 0 TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION COLUMBUS FELLOWSHIP CLUB PO BOX 1096 COLUMBUS IN 472011096 310986035 501(C)(3) 25000 0 TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION 6 0 SCHOLARSHIPS 5 23700 PART I, LINE 2: A SEPARATE FUND ACCOUNT IS USED FOR STATE GRANTS. OTHER GRANTS ARE MONITORED BASED ON SEPARATE FUNDS OR SPREADSHEETS FOR EACH GRANT. X X 0 0 0 0 0 0 0 0 0 JULIA ABEDIAN FOUNDATION PRESIDENT 102625 230563 0 0 0 0 0 0 5515 12276 108140 242839 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD AND PRESENTED TO THE FOUNDATION'S BOARD AND APPROVED BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C GOVERNANCE COMMITTEE REVIEWS POLICIES AND FORMS ANNUALLY; BOARD MEMBERS SIGN FORM ANNUALLY FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION FOLLOWS THE SAME APPROACH AS COLUMBUS REGIONAL HOSPITAL INCLUDING: MARKET WAGE COMPARISONS AND INTERNAL EQUITY REVIEW. ALSO, PERFORMANCE IS EVALUATED ANNUALLY BY THE BOARD AND COMPENSATION REVIEWED ANNUALLY BY CRH CEO AND FOUNDATION BOARD EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN SPLIT INTEREST AGREEMENT -11,381. FORM 990, PART XI, LINE 1 COLUMBUS REGIONAL HOSPITAL FOUNDATION USES A MODIFIED CASH METHOD OF ACCOUNTING. SUPPORT AND REVENUES ARE RECOGNIZED WHEN COLLECTED RATHER THAN WHEN EARNED, AND EXPENSES AND GRANTS ARE RECOGNIZED WHEN PAID RATHER THAN WHEN INCURRED, EXCEPT FOR THE RECORDING OF INVESTMENTS AT FAIR VALUE, EDUCATION LOANS RECEIVABLE, AND A LIABILITY UNDER SPLIT INTEREST AGREEMENTS. FORM 990, PART XII, LINE 2C THE PROCEDURES THE AUDIT COMMITTEE TAKES ANNUALLY DID NOT CHANGE IN THE CURRENT YEAR. ADDITIONAL INFORMATION REGARDING THE ORGANIZATIONS ASSETS: COLUMBUS REGIONAL HOSPITAL FOUNDATION ACTS AS FIDUCIARY FOR OUR HOSPICE OF SOUTH CENTRAL INDIANA (OHSCI) TO RECEIVE AND INVEST A PORTION OF OHSCI'S CASH RESERVE ASSETS. AS ENTITIES OF THE COLUMBUS REGIONAL HOSPITAL SYSTEM, THIS IS AN APPROPRIATE SERVICE RELATIONSHIP BETWEEN CRHF AND OUR HOSPICE. CRHF AND OUR HOSPICE ALSO WORK COLLABORATIVELY TO RAISE FUNDS FOR BOTH ORGANIZATIONS. 2022 OHSCI ASSETS MANAGED BY CRHF TOTALED $5,528,282. COLUMBUS REGIONAL HOSPITAL 2400 E 17TH STREET COLUMBUS IN 47201 351129669 HOSPITAL IN N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0