ASHLAND COMMUNITY HOSPITAL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ASHLAND COMMUNITY HOSPITAL FOUNDATION (EIN 93-0691238)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-07-06
IRS object ID: 201211889349300721
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-07-06T18:38:11-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	204749363	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ISLER MEDFORD LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	839 ALDER CREEK DR	AddressLine1
City	MEDFORD	City
State	OR	State
ZIP Code	97504	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	930691238	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASHLAND COMMUNITY HOSPITAL FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ASHL	NameControl
Phone	5412014014	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	280 MAPLE STREET	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ALAN STEED	Name
Title	TREASURER	Title
Phone	5412014014	Phone
Date Signed	2012-06-29	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CAROLYN M RYDER	Name
PTIN	P00033827	PTIN
Phone	5417797641	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JANET TROY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	280 MAPLE STREET	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1091892	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ACHFOUNDATION.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	OUR MISSION IS TO SOLICIT, STEWARD AND GRANT FUNDS TO SUPPORT ASHLAND COMMUNITY HOSPITAL AND THE HEALTHCARE NEEDS OF THE COMMUNITY. VISION STATEMENTINSPIRING PHILANTHROPY TO IMPROVE THE HEALTH OF OUR COMMUNITY.VALUES STATEMENTWE ACHIEVE OUR VISION AND LIVE OUR MISSION BY VALUING:PASSION, FOR ASHLAND COMMUNITY HOSPITAL AND COMMUNITY HEALTH;GENEROSITY, WITH CHARITABLE GIFTS, TIME, AND EXPERTISE;INTEGRITY, IN STEWARDSHIP OF ASSETS ENTRUSTED TO OUR CARE;PARTNERSHIP, WITH ASHLAND COMMUNITY HOSPITAL AND COMMUNITY MEMBERS;OUTREACH, TO RAISE THE PROFILE OF ASHLAND COMMUNITY HOSPITAL AS AN HONORED INSTITUTION IN THE COMMUNITY; INDEPENDENCE,FOR ASHLAND COMMUNITY HOSPITAL AND THE FOUNDATION	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	208418	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	288247	ContributionsGrantsPriorYear
Contributions Grants Current Year	356672	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	315261	ProgramServiceRevenuePriorYear
Program Service Revenue CY	289810	ProgramServiceRevenueCY
Investment Income Prior Year	97823	InvestmentIncomePriorYear
Investment Income Current Year	94097	InvestmentIncomeCurrentYear
Other Revenue Prior Year	221600	OtherRevenuePriorYear
Other Revenue Current Year	175845	OtherRevenueCurrentYear
Total Revenue Prior Year	922931	TotalRevenuePriorYear
Total Revenue Current Year	916424	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	227924	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	433979	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	497027	OtherExpensePriorYear
Other Expenses Current Year	431901	OtherExpensesCurrentYear
Total Expenses Prior Year	724951	TotalExpensesPriorYear
Total Expenses Current Year	865880	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	197980	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	50544	RevenuesLessExpensesCY
Total Assets BOY	5924262	TotalAssetsBOY
Total Assets EOY	5704140	TotalAssetsEOY
Total Liabilities BOY	2510853	TotalLiabilitiesBOY
Total Liabilities EOY	2316375	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3413409	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3387765	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	OUR MISSION IS TO SOLICIT, STEWARD AND GRANT FUNDS TO SUPPORT ASHLAND COMMUNITY HOSPITAL AND THE HEALTHCARE NEEDS OF THE COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	425798	Expense
Revenue	106959	Revenue
Description	SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	156553	Expense
Revenue	139096	Revenue
Description	TO IMPROVE PATIENT CARE, ASHLAND COMMUNITY HOSPITAL FOUNDATION CONSTRUCTED A TWO-STORY MEDICAL OFFICE BUILDING IN ASHLAND, OREGON IN 1999. THIS ENABLED THE FOUNDATION TO LOCATE A VARIETY OF ASHLAND'S FINEST MEDICAL SPECIALISTS IN ONE LOCATION, CLOSE TO ASHLAND COMMUNITY HOSPITAL. THIS PROJECT HAS IMPROVED PATIENT ACCESS TO CARE AND INCREASED PATIENT CONVENIENCE BY HAVING A VARIETY OF SPECIALISTS IN ONE LOCATION.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	164752	Expense
Revenue	48719	Revenue
Description	TO ENSURE ADEQUATE OFFICE SPACE FOR PHYSICIANS, THE FOUNDATION ACQUIRED A MEDICAL OFFICE BUILDING TO MEET THE INTERNAL MEDICINE DEMANDS OF OUR AGING COMMUNITY. MEDICAL OFFICE SPACE IN THE BUILDING IS RENTED TO ASHLAND COMMUNITY HOSPITAL'S CENTER FOR FAMILY MEDICINE. THIS ACQUISITION HAS HELPED ENSURE QUALITY CARE FOR ASHLAND FAMILIES.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	747103	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	1	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	REID HANNA & COMPANY LLP	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5414823711	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1101 SISKIYOU BLVD	AddressLine1
City	ASHLAND	City
State	OR	State
ZIP Code	97520	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
PAT ACKLIN
DIRECTOR	2.00	X	0	0	0
JOHN ALEXANDER
DIRECTOR	2.00	X	0	0	0
BRIAN ALMQUIST
DIRECTOR	2.00	X	0	0	0
CHARLES BUTLER
DIRECTOR	2.00	X	0	0	0
ED COLSON
DIRECTOR	2.00	X	0	0	0
BRANDT CULLEN
DIRECTOR	2.00	X	0	0	0
GLENN CUNNINGHAM
DIRECTOR	2.00	X	0	0	0
JACK DAVIS
DIRECTOR	2.00	X	0	0	0
JONATHON ELDRIDGE
DIRECTOR	2.00	X	0	0	0
THOMAS B KENNEDY
DIRECTOR	2.00	X	0	0	0
MARJORIE LININGER
DIRECTOR	2.00	X	0	0	0
ELIZABETH A MURPHY
DIRECTOR	2.00	X	0	0	0
DENNIS M POWERS
DIRECTOR	2.00	X	0	0	0
PAUL ROSTYKUS
DIRECTOR	2.00	X	0	0	0
BART RUPERT
DIRECTOR	2.00	X	0	0	0
SANDRA SLATTERY
DIRECTOR	2.00	X	0	0	0
GARRISON TURNER
DIRECTOR	2.00	X	0	0	0
ALAN STEED
TREASURER	2.00		0	0	0	X
TOM GRIMLAND
PRESIDENT	2.00		0	0	0	X
JULIE AUSTAD
PAST-PRESIDENT	2.00		0	0	0	X
RICHARD BERNARD
SECRETARY	2.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	356672	AllOtherContributions
Total Contributions	356672	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	RENT OF MED FACILITIES	Description
Business Code	531390	BusinessCode
Total Revenue Column	289810	TotalRevenueColumn
Related Or Exempt Function Income	289810	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	289810	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	56392	TotalRevenueColumn
Exclusion	$56,392	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	206129	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	30452	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	175677	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	175677	TotalRevenueColumn
Unrelated Business Revenue	175677	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	4964	Securities
Other	175000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	142259	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4964	Securities
Other	32741	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	37705	TotalRevenueColumn
Related Or Exempt Function Income	4964	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	32741	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	2925	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	2757	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	168	TotalRevenueColumn
Exclusion	$168	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	916424	TotalRevenueColumn
Related Or Exempt Function Income	294774	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	208418	UnrelatedBusinessRevenue
Exclusion	$56,560	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	433979	Total
Program Services	433979	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26070	Total
Management And General	26070	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	11971	Total
Management And General	11971	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9410	Total
Management And General	9410	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2652	Total
Management And General	2652	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	37	Total
Management And General	37	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	13677	Total
Management And General	13677	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	131839	Total
Program Services	131839	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	81876	Total
Program Services	81876	ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
OTHER RENTAL EXPENSE	99409	99409
OTHER OPERATING EXPENSE	54960		54960

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	865880	Total
Program Services	747103	ProgramServices
Management And General	118777	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6770	BOY
EOY	14420	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	354860	BOY
EOY	274527	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	14136	BOY
EOY	26934	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	170000	BOY
EOY	170000	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	30976	BOY
EOY	16335	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4811222	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1136883	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3882867	BOY
EOY	3674339	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1452567	BOY
EOY	1501060	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	12086	BOY
EOY	26525	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5924262	BOY
EOY	5704140	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1713	BOY
EOY	3669	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	25000	BOY
EOY	3265	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	10298	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2157960	BOY
EOY	1985730	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	326180	BOY
EOY	313413	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2510853	BOY
EOY	2316375	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2303738	BOY
EOY	2248373	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	433971	BOY
EOY	444008	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	675700	BOY
EOY	695384	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3413409	BOY
EOY	3387765	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5924262	BOY
EOY	5704140	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	50544	ReconcilationRevenueExpenses
Reconcilation Other Changes	-76188	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	384682	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	479713	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	254930	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	288247	CurrentTaxYearMinus1Year
Current Tax Year	356672	CurrentTaxYear
Total	1764244	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	384682	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	479713	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	254930	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	288247	CurrentTaxYearMinus1Year
Current Tax Year	356672	CurrentTaxYear
Total	1764244	Total

Field	Value	IRS element (for citing)
Public Support Total170	1764244	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	606689	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	627603	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	577919	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	675727	CurrentTaxYearMinus1Year
Current Tax Year	552331	CurrentTaxYear
Total	3040269	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-59975	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	-55509	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	-79305	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	-1701	CurrentTaxYearMinus1Year
Current Tax Year	7056	CurrentTaxYear
Total	-189434	Total

Field	Value	IRS element (for citing)
Total Support	4615079	TotalSupport
Gross Receipts From Admissions Etc	63338	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.38230	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.37820	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Number DA Fs Held	1	NumberDAFsHeld
Donor Advised Contributions	41951	DonorAdvisedContributions
Grants Paid From Donor Funds	10667	GrantsPaidFromDonorFunds
Aggregate DAF Value	326662	AggregateDAFValue
Disclosed Orgs Legal Control	0	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	0	DisclosedForCharitablePurposes

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	675700	BeginningOfYearBalance
Contributions	44426	Contributions
Investment Earnings Or Losses	2609	InvestmentEarningsOrLosses
Grants Or Scholarships	10667	GrantsOrScholarships
Other Expenditures	12025	OtherExpenditures
Administrative Expenses	4659	AdministrativeExpenses
End Of Year Balance	695384	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	632530	BeginningOfYearBalance
Contributions	43300	Contributions
Investment Earnings Or Losses	18200	InvestmentEarningsOrLosses
Grants Or Scholarships	18330	GrantsOrScholarships
End Of Year Balance	675700	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	630230	BeginningOfYearBalance
Contributions	2300	Contributions
End Of Year Balance	632530	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	504930	BeginningOfYearBalance
Contributions	125300	Contributions
End Of Year Balance	630230	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.08990	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.91010	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1503172	InvestmentCostOrOtherBasis
Book Value	1503172	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3280492	InvestmentCostOrOtherBasis
Depreciation	1110704	Depreciation
Book Value	2169788	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	27558	InvestmentCostOrOtherBasis
Depreciation	26179	Depreciation
Book Value	1379	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3674339	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
MUTUAL FUNDS	1322149	F
UNITRUST ASSETS	178911	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1501060	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ANNUITY OBLIGATION	$138,163
DEPOSITS	$5,250
INTERFUND LOAN PAYABLE	$170,000

Field	Value	IRS element (for citing)
Total Of Amounts	313413	TotalOfAmounts
Total Revenue	916424	TotalRevenue
Total Expenses	865880	TotalExpenses
Excess Or Deficit For Year	50544	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-76647	NetUnrealizedGLOnInvestments
Other	$459	OtherAmount
Total Adjustments	-76188	TotalAdjustments
Excess Or Deficit Per FS	-25644	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1063019	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-76647	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	189574	DonatedSrvcAndUseOfFacilities
Other Revenues	459	OtherRevenues
Revenue Not Rptd F990	113386	RevenueNotRptdF990
Revenue Subtotal	949633	RevenueSubtotal
Other Revenues Not Included	-33209	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-33209	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	916424	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1088663	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	189574	DonatedServicesUseOfFacilities
Other Expenses Included	33209	OtherExpensesIncluded
Expenses Not Rptd F990	222783	ExpensesNotRptdF990
Expenses Subtotal	865880	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	865880	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	INCOME FROM EVANS SCHOLARSHIP ENDOWMENT FUND IS TO AWARD SCHOLARSHIPS TO STUDENTS WHO ARE PURSUING NURSING DEGREES FROM OREGON HEALTH SCIENCES UNIVERSITY AT SOUTHERN OREGON UNIVERSITY OR ROGUE COMMUNITY COLLEGE. INCOME FROM THE NIXON ENDOWMENT FUND IS GIFTED ANNUALLY TO THE FOUNDATION'S LIGHTS FOR LIFE CAMPAIGN.
Description of Uncertain Tax Positions Under FIN 48:	Part X:	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, 2011, THE ACTIVITY REPORTED NET OPERATING LOSSES THAT WAS APPLIED AGAINST THE GAIN REPORTED ON FORM 4797 FROM SALE OF PROPERTY. 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 2008, 2009, AND 2010 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 8 - Other Adjustments:		CHANGE IN MARKET VALUE OF TRUST ASSETS 459.
Part XII, Line 2d - Other Adjustments:		CHANGE IN SPLIT INTEREST AGREEMENT 459.
Part XII, Line 4b - Other Adjustments:		SPECIAL EVENT EXPENSE -2,757. RENTAL EXPENSES -30,452.
Part XIII, Line 2d - Other Adjustments:		RENTAL EXPENSES 30,452. SPECIAL EVENT EXPENSES 2,757.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	0	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	EIN Of RecipientEINOfRecipient
ASHLAND COMMUNITY HOSPITAL
PO BOX 98	ASHLAND	OR	97520	383237	7461	FMV	GIFTS, GIFT CERTIFICATES, BOOKS, BABY PRODUCTS	FUNDING PROVIDED TO ASSIST WITH THE FOLLOWING PROGRAMS: HOSPICE AND PALLIATIVE CARE SERVICES, BIRTHING CENTER, STRETCHERS & CARDIAC MONITORS FOR THE EMERGENCY DEPARTMENT AND I.C.U., ELECTRONIC WORKFLOW MANAGEMENT SOLUTIONS, EMPLOYEE ASSISTANCE & EDUCATION, PLANETREE INITIATIVES AND HOME HEALTH, PATIENT ASSISTANCE, PHYSICAL THERAPY, WOMEN'S HEALTH, AND GREATEST NEEDS OF ACH.
LA CLINICA DEL VALLE FAMILY HEALTH CENTER
3617 S PACIFIC HWY	MEDFORD	OR	97501	10000		FMV		CONTRIBUTE TO CAPITAL CAMPAIGN TO FUND THE NEW CENTRAL POINT HEALTH CENTER EXPANSION.	943096772
PHOENIX-TALENT SCHOOL DISTRICT 4
401 W 4TH STREET	PHOENIX	OR	97535	30075		FMV		FUNDING PROVIDED FOR THE SCHOOL NURSE PROGRAM FOR THE ELEMENTARY SCHOOLS IN THE PHOENIX-TALENT SCHOOL DISTRICT.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	NURSING SCHOLARSHIPS AWARDED	TypeOfGrant
Number Of Recipients	12	NumberOfRecipients
Amount Of Cash Grant	10667	AmountOfCashGrant
Method Of Valuation	FMV	MethodOfValuation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	OTHER SERVICES/GIFTS	13	22849	COMPARABLE SALES
X	ACH ADMIN/OFFICE SPACE	1	166725	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Organization Mission Statement	Form 990, Part I, Line 1	ASHLAND COMMUNITY HOSPITAL FOUNDATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES, INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (AND SIMILAR PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW). THE FOUNDATION SHALL HAVE THE FOLLOWING POWERS: (1) TO ASSIST, ENCOURAGE, PROMOTE AND ADVANCE THE QUALITY OF CARE, TREATMENT AND REHABILITATION OF THE SICK, AFFLICTED, INFIRM AND INJURED PATIENTS OF ASHLAND COMMUNITY HOSPITAL, ASHLAND, OREGON. (2) TO FURTHER THE CHARITABLE, SCIENTIFIC, EDUCATIONAL AND SERVICE ACTIVITIES OF ASHLAND COMMUNITY HOSPITAL. (3) TO SUPPORT ASHLAND COMMUNITY HOSPITAL, ITS OBJECTIVES AND PROJECTS BY APPROPRIATE REPRESENTATIONS TO THE PUBLIC WITH RESPECT TO THE HOSPITAL'S NEEDS, MISSION AND REQUIREMENTS AND TO SOLICIT FUNDS FOR ITS USE IN PROVIDING THE MEDICAL AND HOSPITAL FACILITIES NEEDED IN THE GENERAL COMMUNITY SERVED BY ASHLAND COMMUNITY HOSPITAL. (4) TO ACCEPT DONATIONS, GRANTS, BEQUESTS AND DEVISES FROM ANY SOURCES, AND TO ACCEPT PROPERTY OF ALL KINDS APPROPRIATE TO FOUNDATION PURPOSES. (5) TO FACILITATE, ASSIST, ENCOURAGE, SUPPORT, PROMOTE AND ADVANCE THE PHYSICAL, MENTAL AND EMOTIONAL HEALTH OF PERSONS WITHIN THE GEOGRAPHIC AREA SERVED BY ASHLAND COMMUNITY HOSPITAL THROUGH ANY LAWFUL ACTIVITIES, WHICH ARE AUTHORIZED UNDER THE LAWS APPLICABLE TO OREGON NONPROFIT CORPORATIONS WHICH ARE NOT PROHIBITED UNDER ARTICLE III OF THE ARTICLES OF INCORPORATION. (6) TO DO AND PERFORM SUCH OTHER ACTS AS MAY BE NECESSARY OR APPROPRIATE FOR CARRYING OUT THE FOREGOING PURPOSES OF THE CORPORATION AND IN CONNECTION THEREWITH TO ENGAGE IN ANY LAWFUL ACTIVITY AUTHORIZED BY THE OREGON NONPROFIT CORPORATION LAW AND NOT PROHIBITED BY THE ARTICLES OF INCORPORATION OR SECTION 2 OF THIS ARTICLE.
Program Service Statement	Form 990, Part III, Line 4a	PROGRAM SERVICE ACCOMPLISHMENTS A. THE FOUNDATION CONTRIBUTED TO THE HOSPITAL'S HOSPICE AND PALLIATIVE CARE SERVICES, WHICH PROVIDES END-OF-LIFE CARE THAT INCLUDES THE PHYSICAL, SPIRITUAL AND PSYCHOLOGICAL NEEDS OF PATIENTS AND FAMILIES. ALSO PROVIDED FUNDING FOR HOSPICE PATIENT SPECIAL NEEDS FUNDED BY A GRANT FROM THE SOUTHERN OREGON FRIENDS OF HOSPICE. $19,399 B. THROUGH THE GENEROSITY OF DR. WILLIAM AND MRS. RUTH EVANS, ASHLAND COMMUNITY HOSPITAL FOUNDATION PROVIDES SCHOLARSHIPS EACH YEAR TO FUTURE ROGUE VALLEY NURSES. SCHOLARSHIPS ARE AWARDED TO STUDENTS ENROLLED IN THE NURSING PROGRAM OF OREGON HEALTH SCIENCE UNIVERSITY AT SOUTHERN OREGON UNIVERSITY AND ROGUE COMMNITY COLLEGE. FOR THE 2011 CALENDAR YEAR, THE FOUNDATION PROVIDED SCHOLARSHIPS TO 12 STUDENTS. $10,667 C. THE FOUNDATION PROVIDED FUNDS TO PURCHASE NEW CARDIAC MONITORS FOR THE EMERGENCY DEPARTMENT AND I.C.U. THROUGH THE ANNUAL PATRONS CAMPAIGN, LIGHTS FOR LIFE CAMPAIGN, BEQUEST FROM THE ELMER C. BIEGEL FAMILY FOUNDATION, AND DONOR-DESIGNATED GIFTS. $194,636 D. THE FOUNDATION PROVIDED FUNDING FOR THE SCHOOL NURSE PROGRAM FOR THE ELEMENTARY SCHOOLS IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICTS. THE FUNDING WAS MADE POSSIBLE THROUGH THE REED AND CAROLEE WALKER FUND OF THE OREGON COMMUNITY FOUNDATION AND DONOR DESIGNATED FUNDS. $30,075 E. THE FOUNDATION SUPPORTED THE PATIENT-CENTERED CARE INITIATIVES OF PLANETREE, INCLUDING THE CHAPLAIN PROGRAM AND RENOVATION OF THE COMFORT ZONES AND PATIENT ROOMS. $1,060 F. ASSISTED PATIENTS UNABLE TO PAY FOR THEIR TREATMENTS THROUGH CONTRIBUTIONS AND ENDOWMENT EARNINGS. $1,628 G. THE FOUNDATION PROVIDED FUNDING THROUGH THE ANNUAL PATRONS CAMPAIGN TO PURCHASE NEW STRETCHERS FOR THE EMERGENCY DEPARTMENT AS PART OF THE DEPARTMENT RENOVATION AND FACELIFT. $4,600 H. THROUGH THE FOUNDATION'S ANNUAL EMPLOYEE CAMPAIGN, PROVIDED FUNANCIAL SUPPORT TO EMPLOYEES DURING TIME OF CRISIS THROUGH EMPLOYEE PAYROLL DEDUCTIONS AND OUTRIGHT GIFTS. $16,626 I. THE FOUNDATION PROVIDED FUNDING FOR THE GREATEST NEEDS OF ACH. $24,690 J. THE FOUNDATION PROVIDED FUNDING TO IMPLEMENT AN ELECTRONIC APPLICATION THAT WILL PROVIDE COMPREHENSIVE ELECTRONIC SELF-REPORTING, EVENT TRACKING, MONITORING, AND WORKFLOW MANAGEMENT SOLUTIONS. THE FUNDING WAS MADE POSSIBLE THROUGH THE SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM. $8,305 K. THE FOUNDATION PROVIDED A NUMBER OF SMALL GRANTS TO SUPPORT ASHLAND COMMUNITY HOSPITAL INCLUDING FUNDING FOR DIAGNOSTIC IMAGING INCLUDING WOMEN'S HEALTH AND MAMMOGRAMS, THE LABORATORY, SAME DAY SURGERY, SURGERY, PHYSICAL THERAPY, AND THE WOUND CENTER. $1,528 L. THE FOUNDATION PROVIDED A GRANT TO FUND ACH FOUNDATION STAFFING. $3,265 M. PROVIDED FUNDING FOR PLANS TO RENOVATE THE ASHLAND COMMUNITY HOSPITAL BIRTH CENTER. $7,500 N. THE FOUNDATION PARTICIPATED IN THE CAPITAL CAMPAIGN TO FUND THE NEW LA CLINICA CENTRAL POINT HEALTH CENTER. SUPPORTING THE LA CLINICA EXPANSION FULFILLS AN URGENT NEED IN OUR COMMUNITY TO PROVIDE AFFORDABLE AND QUALITY HEALTHCARE TO UNINSURED AND OTHER UNDERSERVED POPULATIONS. $10,000 (FOURTH AND FINAL INSTALLMENT OF $40,000 PLEDGE) O. THROUGH THE CONTINUING EFFORTS OF ASHLAND COMMUNITY HOSPITAL FOUNDATION, THE COMMUNITY OF TALENT, OREGON CONTINUES TO RECEIVE QUALITY HEALTHCARE. IN 1994, THE FOUNDATION CONSTRUCTED A MEDICAL OFFICE BUILDING AND PHARMACY IN THAT COMMUNITY. MEDICAL OFFICE SPACE IN THE BUILDING IS RENTED TO ASHLAND COMMUNITY HOSPITAL'S CENTER FOR FAMILY MEDICINE. BOTH OF THESE PROJECTS HELPED GUARANTEE HEALTH SERVICES TO THE COMMUNITY. $59,180 P. TO PROVIDE ADEQUATE FAMILY PRACTICE CARE IN THE COMMUNITY, IN 1999 ASHLAND COMMUNITY HOSPITAL FOUNDATION CONVERTED A SINGLE-FAMILY RESIDENCE INTO A THREE-PERSON MEDICAL OFFICE BUILDING LOCATED DIRECTLY ACROSS THE STREET FROM THE HOSPITAL. $31,710 Q. TO IMPROVE PATIENT CARE, ASHLAND COMMUNITY HOSPITAL FOUNDATION CONSTRUCTED A TWO-STORY MEDICAL OFFICE BUILDING IN ASHLAND, OREGON IN 1999. THIS ENABLED THE FOUNDATION TO LOCATE A VARIETY OF ASHLAND'S FINEST MEDICAL SPECIALISTS IN ONE LOCATION, CLOSE TO ASHLAND COMMUNITY HOSPITAL. THIS PROJECT HAS IMPROVED PATIENT ACCESS TO CARE AND INCREASED PATIENT CONVENIENCE BY HAVING A VARIETY OF SPECIALISTS IN ONE LOCATION. $156,553 R. TO ENSURE ADEQUATE OFFICE SPACE FOR PHYSICIANS, THE FOUNDATION ACQUIRED A MEDICAL OFFICE BUILDING TO MEET THE INTERNAL MEDICINE DEMANDS OF OUR AGING COMMUNITY. MEDICAL OFFICE SPACE IN THE BUILDING IS RENTED TO ASHLAND COMMUNITY HOSPITAL'S CENTER FOR FAMILY MEDICINE. THIS ACQUISITION HAS HELPED ENSURE QUALITY CARE FOR ASHLAND FAMILIES. $164,752 S. PARKING LOT AT 530 CATALINA. $929 TOTAL PROGRAM SERVICE EXPENSES $747,103
	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 AND ITS WORK WITH THE HOSPITAL. 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 A, line 7b	FOUNDATION BOARD MEMBERS ARE EXPECTED TO ATTEND MONTHLY BOARD MEETINGS, STANDING COMMITTEES (AS ASSIGNED), AD HOC COMMITTEE MEETINGS (AS APPOINTED) AND SPECIAL EVENTS (AS ANNOUNCED). CONTINUITY OF ATTENDANCE AND PARTICIPATION AS A POLICY MAKER AND PLANNER IS IMPERATIVE FOR SERVING AS A VOTING MEMBER.
	Form 990, Part VI, Section B, line 11	THE ACH FOUNDATION HAS A STANDING ASSET MANAGEMENT COMMITTEE THAT MEETS MONTHLY 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 MONTHLY 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. 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
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized losses on investments: -76,647. CHANGE IN MARKET VALUE OF TRUST ASSETS 459. Total to Form 990, Part XI, Line 5: -76,188.
FINANCIAL STATEMENT AND AUDIT OVERSIGHT		THE OVERSIGHT OR SELECTION PROCESS HAS NOT CHANGED DURING THE YEAR.