2025-11-12T10:33:01-06:00 2024-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2024-01-01 237309596 COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION INC COMM 7654538458 PO BOX 9011 KOKOMO IN 469049011 RHONDA EASTMAN FOUNDATION DIRECTOR 7654538458 2025-11-07 1 1 CASSE TATE P01271193 3175802000 2025-11-07 2024 2025-03-06 01:10:19Z RHONDA EASTMAN PO BOX 9011 KOKOMO IN 469049011 2292477 0 X WWW.ECOMMUNITY.COM/FOUNDATION-HOWARD X 1958 IN TO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY COMMUNITY HOWARD REGIONAL HEALTH. 12 10 1 18 0 0 180645 255429 0 0 76005 268589 22483 10011 279133 534029 184297 166705 0 0 27330 31238 0 0 1368 52803 54514 264430 252457 14703 281572 4768185 5288621 3222 4492 4764963 5284129 TO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY COMMUNITY HOWARD REGIONAL HEALTH. 0 0 138060 138060 54 TO RECEIVE AND MAINTAIN FUNDS FOR THE CONSTRUCTION, FURNISHING, EQUIPPING AND IMPROVEMENT OF THE FACILITIES AND SERVICES OF COMMUNITY HOWARD REGIONAL HEALTH (HOSPITAL). TO PROVIDE FINANCIAL ASSISTANCE FOR THE IMPROVEMENT OF THE HEALTH, SAFETY, AND GENERAL WELFARE AND TO AID IN THE ALLEVIATION OF HUMAN SUFFERING OF ALL PERSONS CONNECTED WITH OR USING THE FACILITIES AND SERVICES OF THE HOSPITAL. 28645 28645 TO PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING DEGREES AND CERTIFICATES IN HEALTH CARE PROFESSIONS. 166705 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 IN X BRIAN MCCONNELL 3173554212 8180 CLEARVISTA PKWY SUITE 200 INDIANAPOLIS IN 46256 CECELIA POWLESS MD DIRECTOR 1.00 50.00 X 0 877653 30402 STEPHANIE COLLINS DIRECTOR 1.00 40.00 X 0 174620 0 RHONDA EASTMAN FOUNDATION DIRECTOR 40.00 0.00 X 0 106121 40654 JEFF CARDWELL DIRECTOR 1.00 0.00 X 0 0 0 JONI DELON 2ND VICE PRESIDENT 1.00 0.00 X X 0 0 0 RICK FILIP DIRECTOR 1.00 0.00 X 0 0 0 ALAN GIRTON 1ST VICE PRESIDENT 1.00 0.00 X X 0 0 0 CATHY KUENZLI DIRECTOR THROUGH JUNE 2024 1.00 0.00 X 0 0 0 LORA LACEY DIRECTOR 1.00 0.00 X 0 0 0 GREG MCCARTY TREASURER THROUGH JUNE 2024 1.00 0.00 X X 0 0 0 TONYA NEWHOUSE PRESIDENT 1.00 0.00 X X 0 0 0 BRIAN PIER DIRECTOR 1.00 0.00 X 0 0 0 JEFF PLOUGH DIRECTOR 1.00 0.00 X 0 0 0 CATHY VALCKE DIRECTOR 1.00 0.00 X 0 0 0 HEATHER WINTERS TREASURER 1.00 0.00 X X 0 0 0 0 1158394 71056 0 0 1 0 0 23021 232408 255429 126976 126976 1761817 123823 1744027 0 17790 123823 141613 141613 24378 23021 14421 9957 9957 HEART SCAN COUPON REV. 621500 49 49 PURCHASE DISCOUNT 900099 5 5 54 534029 54 0 278546 138060 138060 28645 28645 28015 28015 1089 1089 2134 2134 720 720 46434 46434 2443 2443 BOOKS & SUBSCRIPTIONS 2112 2112 MEALS 1437 1437 FUNDRAISING 1368 1368 252457 166705 84384 1368 96593 132295 431163 485803 4145266 4570702 95163 99821 4768185 5288621 539 490 2683 4002 3222 4492 X 3727991 4182236 1036972 1101893 4764963 5284129 4768185 5288621 281572 237594 0 X 0 1 X 1 0 X 190739 142699 238157 180645 255429 1007669 190739 142699 238157 180645 255429 1007669 59556 948113 90614 95697 69474 108660 126976 491421 11375 29985 36675 34595 24378 137008 1636098 0.57950 0.56270 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING ACTIVITY - 2020 AMOUNT: $ 11,375. 2021 AMOUNT: $ 29,985. 2022 AMOUNT: $ 36,675. 2023 AMOUNT: $ 34,595. 2024 AMOUNT: $ 24,378. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 95163 9422 3777 987 99821 88466 11358 3753 908 95163 107134 -14015 3756 897 88466 99942 11770 3543 1035 107134 93684 10685 3537 890 99942 0.00000 0.00000 1.00000 1 0 0 DUE TO AFFILIATES 4002 4002 PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION THE ENDOWMENT PROVIDES FUNDS FOR SCHOLARSHIPS TO STUDENTS PURSUING DEGREES AND CERTIFICATES IN HEALTH CARE PROFESSIONS. GOLF OUTING 36076 21076 15000 1380 1386 4340 1730 747 SHOOT FOR THE STARS 11323 1945 9378 875 1980 918 1065 47399 23021 24378 2255 1386 6320 2648 1812 14421 9957 1 COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 501C3 138060 0 GENERAL PURPOSE 1 0 SCHOLARSHIPS/EDUC EXPENSE 33 28645 PART I, LINE 2 - PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION, INC. ("CHRHF") ISSUES GRANTS TO OTHER TAX-EXEMPT MEMBERS OF THE COMMUNITY HEALTH NETWORK. PRIOR TO THE DISBURSEMENT OF ANY GRANT PROCEEDS, CHRHF ENSURES THAT THE PURPOSE OF THE GRANT IS CONSISTENT WITH CHRHF'S CHARITABLE PURPOSES AS DEFINED IN CODE SECTION 501(C)(3). THE TERMS OF ALL GRANTS REQUIRE THAT THE RECIPIENT EXPEND THE FUNDS SOLELY FOR CHARITABLE PURPOSES AS DEFINED BY CODE SECTION 501(C)(3). WITH REGARD TO GRANTS TO ORGANIZATIONS WITHIN THE NETWORK, CHRHF DOES NOT REQUIRE PERIODIC REPORTING REGARDING THE USE OF THE GRANT PROCEEDS SINCE ALL NETWORK MEMBERS ARE SUBJECT TO COMMON CONTROL BY A TAX-EXEMPT PARENT ORGANIZATIONS (CHNW). CHRHF ALSO AWARDS ACADEMIC SCHOLARSHIPS AND REIMBURSES EDUCATION EXPENSES TO INDIVIDUALS UNDER THE TERMS OF A WRITTEN SCHOLARSHIP PROGRAM. CHRHF MONITORS THE RECIPIENT'S PROGRESS TOWARDS RECEIPT OF THE INTENDED CERTIFICATE OR DEGREE BY REQUIRING ACADEMIC RECORDS DURING THE SCHOLARSHIP PERIOD. 0 0 0 0 0 0 0 0 0 CECELIA POWLESS MD DIRECTOR 0 648260 0 93604 0 135789 0 20700 0 9702 0 908055 0 93604 STEPHANIE COLLINS DIRECTOR 0 153091 0 20906 0 623 0 0 0 0 0 174620 0 20906 PART I, LINE 3 COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION, INC. ("CHRHF") 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 SURVEY OR STUDY 990, PART V, LINE 1A - BOX 3 OF FORM 1096 FORM 1096 WAS PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FINANCE COMMITTEE OF THE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO ITS SIGNING AND SUBMISSION TO THE INTERNAL REVENUE SERVICE CHRHF IS ALSO USING THE PROCESS ESTABLISHED BY COMMUNITY HEALTH NETWORK, INC. ("CHNW") FOR REVIEWING THE FORM 990. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHRHF'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHRHF'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHRHF'S FORM 990. IN ADDITION, CHRHF'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHRHF UTILIZED THIS PROCESS TO ENSURE THAT CHRHF'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHRHF'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY ALL INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST, OR POSSIBLE CONFLICTS OF INTEREST THAT MIGHT POTENTIALLY AFFECT THEIR JUDGMENT IN MAKING DECISIONS ON BEHALF OF THE FOUNDATION BY COMPLETING A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL CHRHF HAS DELEGATED AUTHORITY FOR EXECUTIVE COMPENSATION TO CHNW. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHRHF. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHRHF'S COMPENSATION ARRANGEMENTS WITH RELATED PARTIES ARE EVALUATED AND ENTERED AT ARMS LENGTH AND THAT ANY COMPENSATION THAT IS PAID TO A RELATED PARTY IS REASONABLE AND REFLECTS FAIR MARKET VALUE. THIS POLICY ENCOURAGES THE APPLICATION OF THE REBUTTABLE PRESUMPTION STANDARD OF CODE SECTION 4958 AND THE RELATED TREASURY REGULATIONS BY: A) EXCLUDING ANY INTERESTED PARTY FROM THE DECISION MAKING PROCESS, B) REQUIRING DISINTERESTED BOARD OR COMMITTEE MEMBERS TO OBTAIN AND RELY UPON COMPARABILITY DATA WHEN SETTING THE PROPOSED COMPENSATION TERMS, C) REQUIRING APPROVAL OF THE TRANSACTION IN ADVANCE BY DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS, AND D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E., MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. CHNW DELEGATED AUTHORITY REGARDING CHRHF'S EXECUTIVE COMPENSATION TO THE NETWORK CHIEF HUMAN RESOURCES OFFICER WHO IS RESPONSIBLE FOR OBTAINING COMPARATIVE SALARY MARKET DATA FOR THE CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES, ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE REASONABLE COMPENSATION ANALYSIS AND/OR CONFIRM THE REASONABLENESS OF COMPENSATION, AND PROVIDING STAFF SUPPORT TO THE NETWORK EXECUTIVE COMPENSATION COMMITTEE. DURING 2024, THE NETWORK CHIEF HUMAN RESOURCES OFFICER FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SALARIES WERE COMPARED AGAINST COMPARATIVE SALARY MARKET DATA FOR ALL POSITIONS REPRESENTING MANAGERS, CHIEF EXECUTIVE OFFICERS, CHIEF FINANCIAL OFFICERS, AND HUMAN RESOURCES REPRESENTATIVES FOR ALL NETWORK ENTITIES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION A) THE ARTICLES OF INCORPORATION AND BUSINESS ENTITY REPORT ARE ON FILE WITH THE INDIANA SECRETARY OF STATE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE INDIANA SECRETARY OF STATE OR FREE OF CHARGE ON THE SECRETARY OF STATE'S WEBSITE. B) CHRHF'S CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. C) CHRHF DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CHNW AND AFFILIATES. AS SUCH, THERE ARE NO INDIVIDUAL FINANCIAL STATEMENTS TO POST. CHRHF DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.ORG. D) COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. 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