Health System
Organizations
ABOUT US
SERVICES
FINANCE
Plans
Reports
LIBRARY
IRS FORM 990 AND ANNUAL REPORTS
Although not-for-profit entities are generally exempt from paying federal income tax, they are not free from filing requirements with the Internal Revenue Service. Not-for-profits that normally have gross annual receipts of more than $25,000 must file a Form 990 with the IRS within 5 months of the close of the fiscal year. Form 990 contains information relative to revenue, expenses, assets, liabilities and fund balance. It includes statement of mission, description of significant activities and program services, disclosure of compensation, relationships and transactions of board members and key employees, and information on governance practices. The IRS requires the Form 990 be made available to the public.
FORM 990
2008 ANNUAL REPORT (PRESENTED TO THE BOARD OF TRUSTEES ON OCTOBER 20, 2008)
GOAL 1: FUNDING
Develop capacity to raise funds
Initiated Community Hospital Independent Endowment Fund (CHIEF)/Community Hospital Health Services Foundation (CHF) merger process
Submitted grant proposals to four funders as first step to establish Womens Health/Health Education Fund
Improve return on investments
Researched investment consultant/ manager alternatives while protecting CHF capital
Address stability of medical service investments
Restructured Clark County Dialysis Facility (CCDF) and Midwest Dialysis Centers of Springfield, Fairborn and Urbana
Maintained flexible approach to preserve Springfield Surgery Center partnership
Develop MOB as an investment opportunity
Played a lead role in the developer selection process and identified semi-finalist firms
Determined that CHF would not be located in the Medical Office Building (MOB), but may invest in the building
CHF Balance Sheet at June 30, 2008
Net Assets $8,336,516
Net Income 499,191
Total Capital $8,835,707
CH Venture Company Balance Sheet at June 30, 2008
Retained Earnings ($26,272)
Paid-in Capital 582,155
Distributions (501,500)
Net Income 329,183
Total Capital $383,560
GOAL II: REPRODUCTIVE HEALTH SERVICES
Reproductive Services Pavilion
Secured appropriate adjacencies to the hospital for CHF services on the new campus in lieu of location in MOB
Represented CHFs interests with regard to platting, site plans, program and schematic design
Reproductive Health Education
Hired/trained program coordinator and health educator and conducted youth and parent programs throughout the community
Held community forum on comprehensive sexuality education
Held bi-monthly meetings of Advisory Council and adopted mission, guiding principles, strategic goals
Developed strategies to address opposition to comprehensive sexuality education
Published and distributed 10,000 copies of the 2008 Womens Health Resource Guide
Collaborated with United Way to expand 211 to include womens health information
Posted searchable version of guide on our website to allow instant updates
GOAL III: PARTNERSHIP WITH CMHP
Established rationale and process for determining annual case rates in Service Agreement
Nominated one of our board members to CMHP Board of Directors
Explored question of CMHP Board authority granted by the Definitive Agreement
GOAL IV: PARTNERSHIPS WITH PHYSICIANS
Clinical Service Enhancement
Purchased the Minilap Filshie Clip system and created inventory system for disposable supplies
Performed Essure(c) implant for high risk patient
Re-established the Physician Advisory Committee, expanded membership and improved participation
New Ambulatory Surgery Model
Continued dialogue regarding options for new partnerships
GOAL V: ORGANIZATION
Established Investment Committee and researched various options for investment management

