2022-10-31T11:02:36-05:00 2021-12-31 204749363 ISLER MEDFORD LLC 839 ALDER CREEK DR MEDFORD OR 97504 990 2021-01-01 930691238 ASHLAND COMMUNITY HOSPITAL FOUNDATION ASHL 5414820367 123 CLEAR CREEK DRIVE 101 ASHLAND OR 97520 CINDY BERNARD PRESIDENT 5412014014 2022-10-31 1 CINDY BERNARD XXX-XX-XXXX CAROLYN M RYDER P00033827 5417797641 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JANET TROY 123 CLEAR CREEK DRIVE 101 ASHLAND OR 97520 5328741 0 X WWW.ACHFOUNDATION.ORG X 1977 OR SEE SCHEDULE O - PAGE 36 FOR FOUNDATION MISSION STATEMENT.ASHLAND COMMUNITY HOSPITAL FOUNDATION GENERATES AND INVESTS RESOURCES TO IMPROVE THE HEALTH OF OUR COMMUNITY.VISION ASHLAND COMMUNITY HOSPITAL FOUNDATION (ACHF) LEADS PHILANTHROPIC EFFORTS TO ADVANCE INNOVATIVE AND EQUITABLE APPROACHES TO COMMUNITY HEALTH AND WELLNESS.VALUES *PASSION FOR ASHLAND'S HOSPITAL AND COMMUNITY HEALTH AND WELLNESS;*INTEGRITY AS WE CAREFULLY STEWARD THE RESOURCES ENTRUSTED TO US;*RELATIONSHIPS WITH DONORS, PARTNERS AND THE COMMUNITY;*ADVOCACY IN SUPPORT OF EQUITABLE ACCESS TO HEALTH CARE;*GENEROSITY WITH CHARITABLE GIFTS, TIME, AND EXPERTISE;*CONTINUITY AS A TRUSTED COMMUNITY PARTNER. 11 0 3 0 280000 0 723175 491022 309105 392542 636615 613092 283890 282372 1952785 1779028 651168 608927 0 0 124279 340674 0 0 0 265137 367710 1040584 1317311 912201 461717 10820525 12070384 171601 230382 10648924 11840002 X ASHLAND COMMUNITY HOSPITAL FOUNDATION GENERATES AND INVESTS RESOURCES TO IMPROVE THE HEALTH OF OUR COMMUNITY. 0 0 654157 608927 729895 SEE SCHEDULE O - REPORTED NET OF UNUSED GRANTS. 5740 37236 THROUGH EFFORTS OF ASHLAND COMMUNITY HOSPITAL FOUNDATION, THE COMMUNITY OF TALENT, OREGON CONTINUES TO RECEIVE QUALITY HEALTHCARE. IN 1994, THE FOUNDATION CONSTRUCTED A PHARMACY IN THAT COMMUNITY, WHICH IS RENTED TO MEDICAP PHARMACY. THIS PROJECT HELPED GUARANTEE ACCESS TO PHARMACEUTICALS IN THE COMMUNITY. 659897 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X X BURNS AND COMPANY CPAS LLC 5414823711 1101 SISKIYOU BLVD ASHLAND OR 97520 KAREN DRESCHER DIRECTOR 2.00 X 0 0 0 LAUREL KIICHLI DIRECTOR 2.00 X 0 0 0 JANE STROMBERG DIRECTOR 2.00 X 0 0 0 MELISSA GRUDIN DIRECTOR 2.00 X 0 0 0 JOANN HOUGHTON DIRECTOR 2.00 X 0 0 0 DONNA MOZINGO DIRECTOR 2.00 X 0 0 0 GARRISON TURNER DIRECTOR 2.00 X 0 0 0 CINDY BERNARD PRESIDENT 2.00 X 0 0 0 ED COLSON PAST PRESIDENT 2.00 X 0 0 0 MARGIE LININGER SECRETARY 2.00 X 0 0 0 ZEPH ROBERTSON TREASURER 2.00 X 0 0 0 JANET TROY EXECUTIVE DIRECTOR 40.00 X 121680 0 0 121680 0 0 1 0 0 0 0 491022 491022 RENT OF MED FACILITIES 531390 37236 37236 355306 355306 392542 240875 240875 280000 0 280000 280000 280000 3921930 3549713 372217 372217 372217 MISCELLANEOUS INCOME 561000 2372 2372 2372 1779028 767131 280000 240875 454248 454248 154679 154679 121680 121680 162735 162735 23151 23151 33108 33108 37800 37800 58920 58920 3038 3038 28814 28814 47871 47871 3910 3910 5939 4007 1932 6977 6977 CONSULTING FEES 57185 57185 COMMUNITY OUTREACH 33190 33190 CAMPAIGN EXPENSES 31988 31988 BOARD RECOGNITION AND D 27389 27389 24689 14975 9714 1317311 659897 657414 0 35967 85533 534684 240732 206021 110820 6477 7355 578902 102423 482418 476479 9551458 11145965 3500 3500 10820525 12070384 7984 12221 163617 218161 171601 230382 X 3979009 4622596 6669915 7217406 10648924 11840002 10820525 12070384 X 461717 752974 23562 -37179 -9996 X X 0 1 X 1 0 X 426433 946264 550478 723175 491022 3137372 426433 946264 550478 723175 491022 3137372 3137372 409601 386990 497277 535673 560484 2390025 5527397 0.56760 0.57890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 4602662 557704 661812 663980 28329 5129869 4117624 49194 609187 148890 24452 4602662 3527865 61647 694377 143223 23042 4117624 3821054 60458 -189473 140883 23291 3527865 3502232 31616 443049 133652 22191 3821054 0 0 411472 411472 157771 100008 57763 9659 2415 7244 476479 MUTUAL FUNDS 10916341 F UNITRUST ASSETS 229624 F 11145965 ANNUITY OBLIGATION 168519 DEPOSITS 2600 ACCRUED PAYROLL 47042 218161 X 2569130 752974 23562 13566 790102 1779028 0 1779028 1340873 23562 23562 1317311 0 1317311 Part V, Line 4: INCOME FROM THE EVANS SCHOLARSHIP ENDOWMENT FUND IS TO AWARD SCHOLARSHIPS TO STUDENTS WHO ARE PURSUING NURSING DEGREES FROM OREGON HEALTH & SCIENCE UNIVERSITY AT THE ASHLAND CAMPUS OR ROGUE COMMUNITY COLLEGE. INCOME FROM THE NIXON ENDOWMENT FUND IS GIFTED ANNUALLY TO THE FOUNDATION'S LIGHTS FOR LIFE CAMPAIGN. Part X, Line 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES GENERATED FROM THE RENTAL OF CERTAIN DEBT-FINANCED PROPERTY. AT DECEMBER 31, 2021, THE ACTIVITY REPORTED OPERATING INCOME OF $0 WHICH DID NOT ADD OR SUBTRACT FROM OPERATING LOSS CARRYFORWARDS. THE UNUSED NET OPERATING LOSS CARRYFORWARDS MAY BE APPLIED AGAINST FUTURE TAXABLE INCOME. THE DEFERRED TAX ASSET HAS NOT BEEN RECORDED IN THE FINANCIAL STATEMENTS DUE TO THE UNDETERMINABLE TIMING OF EVENTS OF WHICH THE FOUNDATION WOULD BE ABLE TO UTILIZE THE CARRYFORWARDS. THE FOUNDATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS (FORM 990-T) FOR 2018, 2019, AND 2020 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR 3 YEARS AFTER THEY WERE FILED. MANAGEMENT BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN. Part XI, Line 2d - Other Adjustments: CHANGE IN SPLIT INTEREST AGREEMENT 13,566. Part XII, Line 4b - Other Adjustments: ROUNDING 0 ASANTE ASHLAND COMMUNITY HOSPITAL 280 MAPLE STREET ASHLAND OR 97520 427650 0 FMV FUNDING PROVIDED TO ASSIST WITH: EQUIPMENT PURCHASES, GENERAL EDUCATION, AND ENHANCEMENTS TO PATIENT CARE. PHOENIX - TALENT SCHOOL DISTRICT 401 WEST 4TH STREET PHOENIX OR 97535 21603 0 FUNDING TO THE HELP OUR KIDS THRIVE CAMPAIGN TO SUPPORT SUMMER SCHOOL PROGRAMS. NURSING SCHOLARSHIPS AWARDED 39 154679 FMV FORM 990, PART I LINE 1 - MISSION STATEMENT ASHLAND COMMUNITY HOSPITAL FOUNDATION GENERATES AND INVESTS RESOURCES TO IMPROVE THE HEALTH OF OUR COMMUNITY. FORM 990 PART III, LINE 4a - PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE ACCOMPLISHMENTS ASANTE ASHLAND COMMUNITY HOSPITAL GRANTS - $427,650 AGE FRIENDLY INITIATIVE: $162,500 DONOR DESIGNATED FUNDS FOR HOSPITAL-BASED SERVICES HELPED FUND THE FIRST INSTALLMENT OF A $325,000 GRANT FOR STAFF EDUCATION AND TRAINING FOR THE AGE FRIENDLY INITATIVE SUPPORTING GERIATRIC CARE AT ASHLAND'S HOSPITAL. DIAGNOSTIC IMAGING: $2,206 DONOR DESIGNATED GIFTS SUPPORTED THE PURCHASE OF A NEW ULTRASOUND CHAIR FOR THE DEPARTMENT AND ENABLED AN IMAGING TEAM MEMBER TO ATTEND MAGNETIC RESONANCE SAFETY OFFICER TRAINING. EMPLOYEE ASSISTANCE FUND: $10,250 DONOR DESIGNATED CONTRIBUTIONS SUPPORTED EIGHT EMPLOYEES AT ASHLAND'S HOSPITAL EXPERIENCING FINANCIAL HARDSHIP. PROVIDED A COMPLIMENTARY MEAL TO 130 EMPLOYEES, AND SNACKS TO ALL AACH EMPLOYEES WORKING DURING THE COVID-19 SURGE. HOLBROOK CAFE: $223,736 THANKS TO A GENEROUS CONTRIBUTION FROM THE LATE BOB HOLBROOK AND OTHER DONOR DESIGNATED GIFTS THE CAFETERIA WAS RENOVATED AT ASANTE ASHLAND COMMUNITY HOSPITAL. INTENSIVE CARE UNIT: $1,208 DONOR DESIGNATED GIFTS SUPPORTED THE MAINTENANCE OF THE TELEHEALTH EQUIPMENT USED TO CONNECT ASHLAND PATIENTS WITH INTENSIVISTS AT OTHER AREA HOSPITALS. SCHOOL NURSE PROGRAM: $27,750 DONOR DESIGNATED GIFTS TO THE HELP OUR KIDS THRIVE CAMPAIGN SUPPORTED THE EXPANSION OF SCHOOL NURSE HOURS DURING THE SUMMER OF 2021. COMMUNITY HEALTH INITIATIVE GRANTS: $26,598 DONOR DESIGNATED GIFTS TO THE HELP OUR KIDS THRIVE CAMPAIGN SUPPORTED ROBUST SUMMER SCHOOL PROGRAMS IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICT. ASHLAND SCHOOL DISTRICT: $4,995 GIFTS HELPED PURCHASE INTERACTIVE EDUCATIONAL VIDEOS, ROSETTA STONE FOR LANGUAGE LEARNERS, AND PERSONAL OUTDOOR SCIENCE KITS FOR STUDENTS IN THE ASHLAND SCHOOL DISTRICT. PHOENIX-TALENT SCHOOL DISTRICT: $21,603 GIFTS SUPPORTED SPECIAL TRAINING FOR TEACHERS TO BETTER MEET STUDENTS' SOCIAL-EMOTIONAL NEEDS, AND THE STUDENTS PARTICIPATED IN AN ART THERAPY PROGRAM CALLED THE MANZANITA PROJECT TO HELP PROCESS THEIR TRAUMA FROM THE ALMEDA FIRE. NURSING SCHOLARSHIPS: $154,679 THE WILLIAM G. & RUTH T. EVANS ENDOWED NURSING SCHOLARSHIP SUPPORTED SCHOLARSHIPS FOR 39 STUDENTS ENROLLED IN NURSING PROGRAMS AT ROGUE COMMUNITY COLLEGE AND OREGON HEALTH & SCIENCE UNIVERSITY - ASHLAND CAMPUS. Form 990, Part VI, Section A, line 6 FOUNDATION BOARD MEMBERS SERVE AS VOTING MEMBERS WITH AUTHORITY AND RESPONSIBILITY TO DEVELOP POLICIES, PROCEDURES, AND REGULATIONS NECESSARY TO OPERATE THE FOUNDATION, PARTICIPATE IN FUNDRAISING THROUGH PERSONAL CONTRIBUTIONS, AND PARTICPATE IN THE VARIOUS CAMPAIGNS NECESSARY TO FINANCE THE ONGOING OPERATION OF THE FOUNDATION. BOARD MEMBERS SERVE A THREE YEAR TERM (UNLESS ELECTED TO FILL AN UNEXPIRED TERM). Form 990, Part VI, Section A, line 7a THE OFFICERS SHALL BE ELECTED BY, AND SHALL SERVE AT THE PLEASURE OF, THE BOARD, AND SHALL HOLD THEIR RESPECTIVE OFFICES UNTIL THEIR RESIGNATION, REMOVAL, OR OTHER DISQUALIFICATION FROM SERVICE, OR UNTIL THEIR RESPECTIVE SUCCESSORS SHALL BE ELECTED. THE PRESIDENT SHALL BE ELECTED FOR A TWO-YEAR TERM OF OFFICE. VICE-PRESIDENT, SECRETARY AND TREASURER SHALL BE ELECTED ANNUALLY. Form 990, Part VI, Section B, line 11b THE ACH FOUNDATION HAS A STANDING ASSET MANAGEMENT COMMITTEE THAT MEETS QUARTERLY TO REVIEW FINANCIAL STATEMENTS, INCLUDING EXPENSES, INCOME, GRANTS, CASH DISBURSEMENTS, BALANCE SHEET, PROFIT AND LOSS, AND ANY AUDIT LETTERS. IN ADDITION, TIME IS ALLOCATED AT EACH QUARTERLY BOARD MEETING TO REVIEW FINANCIAL STATEMENTS AND THE ANNUAL AUDIT IS PRESENTED TO THE FULL FOUNDATION BOARD UPON ITS COMPLETION. BOTH THE ASSET MANAGEMENT COMMITTEE AND THE BOARD MONITOR THE FINANCIAL RESOURCES TO ENSURE THAT FUNDS ARE APPROPRIATELY ACCOUNTED FOR. THE FOUNDATION BOARD TREASURER REVIEWS THE FINANCIAL STATEMENTS ON A MONTHLY BASIS. FINANCIAL STATEMENTS: 1. THE ACH FOUNDATION IS NOT REQUIRED BY LAW TO UNDERGO AN AUDIT BY AN INDEPENDENT AUDITOR. 2. THE ACH FOUNDATION HAS NOT RECEIVED FEDERAL FUNDS THAT REQUIRES ONE OR MORE AUDITS. 3. THE ACH FOUNDATION BOARD HAS AN ESTABLISHED ASSET MANAGEMENT COMMITTEE WHICH MAKES RECOMMENDATIONS ON THE SELECTION OF THE INDEPENDENT AUDITOR TO THE FOUNDATION BOARD. IN ADDITION, THEY OVERSEE THE INDEPENDENT AUDITOR. 4. THE ACH FOUNDATION CURRENTLY HAS FINANCIAL STATEMENTS COMPILED BY AN INDEPENDENT ACCOUNTANT AND AUDITED ANNUALLY BY A QUALIFIED THIRD-PARTY. Form 990, Part VI, Section B, line 12c ALL BOARD MEMBERS ARE EXPECTED TO ACCEPT AND ADHERE TO POLICIES AND HOLD FELLOW BOARD MEMBERS AND STAFF TO THE SAME STANDARDS. MONITORING OF SUCH IS ONGOING. Form 990, Part VI, Section C, line 18 THE FOUNDATION'S DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION MAY BE REQUESTED FOR VIEWING BY CONTACTING THE FOUNDATION'S OFFICE. Form 990, Part VI, Section C, line 19 THE FOUNDATION'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AND BY VISITING THE WEBSITE WWW.ACHFOUNDATION.ORG Form 990, Part XI, line 9: CHANGE IN MARKET VALUE OF TRUST ASSETS 13,566. IN-KIND EXPENSES -23,562. FINANCIAL STATEMENT AND AUDIT OVERSIGHT THE OVERSIGHT OR SELECTION PROCESS HAS NOT CHANGED DURING THE YEAR.