TY 2024 Form 990

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

ASHLAND COMMUNITY HOSPITAL FOUNDATION

Employer identification number

93-0691238

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	723,175	491,022	396,857	1,221,150	1,811,548	4,643,752
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	723,175	491,022	396,857	1,221,150	1,811,548	4,643,752
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.						4,643,752

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..	723,175	491,022	396,857	1,221,150	1,811,548	4,643,752
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	535,673	560,484	565,606	572,922	800,668	3,035,353
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10						7,679,105

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

60.470 %

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

55.320 %

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

ASHLAND COMMUNITY HOSPITAL FOUNDATION

Employer identification number

93-0691238

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization ASHLAND COMMUNITY HOSPITAL FOUNDATION

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization ASHLAND COMMUNITY HOSPITAL FOUNDATION		Employer identification number 93-0691238

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization ASHLAND COMMUNITY HOSPITAL FOUNDATION			Employer identification number 93-0691238
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ASHLAND COMMUNITY HOSPITAL FOUNDATION

Employer identification number

93-0691238

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	5,281,764	4,273,083	5,129,869	4,602,662	4,117,624
b	Contributions ...	688,907	448,426	172,297	557,704	49,194
c	Net investment earnings, gains, and losses	667,334	769,411	-753,173	661,812	609,187
d	Grants or scholarships ...	288,157	181,675	248,923	663,980	148,890
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	30,781	27,481	26,987	28,329	24,452
g	End of year balance ......	6,319,067	5,281,764	4,273,083	5,129,869	4,602,662

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	411,472		411,472
b	Buildings ....	157,771	112,029	45,742
c	Leasehold improvements
d	Equipment ....	9,659	8,211	1,448
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				458,662

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) MUTUAL FUNDS	12,707,322	F
(B) UNITRUST ASSETS	265,820	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	12,973,142

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ANNUITY OBLIGATION	158,460
DEPOSITS	2,600
ACCRUED PAYROLL	11,643






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	172,703
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	3,700,233
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b	19,829
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	-309,476
e	Add lines 2a through 2d .....................			2e	-289,647
3	Subtract line 2e from line 1..................			3	3,989,880
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	3,989,880

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,395,778
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	19,829
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................			2e	19,829
3	Subtract line 2e from line 1...................			3	1,375,949
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,375,949

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part V, Line 4:	EVANS SCHOLARSHIP ENDOWMENT 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. NIXON ENDOWMENT INCOME FROM THE NIXON ENDOWMENT FUND IS GIFTED ANNUALLY TO THE FOUNDATION'S LIGHTS FOR LIFE CAMPAIGN. ALLIED HEALTH SCHOLARSHIP INCOME FROM THE ALLIED HEALTH SCHOLARSHIP FUND IS USED TO PROVIDE SCHOLARSHIPS AND FINANCIAL ASSISTANCE TO LOCAL STUDENTS FOR CAREERS IN ALLIED HEALTH PROFESSIONS. KITCHELL ENDOWMENT INCOME FROM THE KITCHELL ENDOWMENT FUND IS USED TO SUPPORT NON-PROFITS FOR SPORTS FOR CHILDREN IN ASHLAND, TALENT, AND PHOENIX. BUTLER ENDOWMENT INCOME FROM THE BUTLER AQUATICS FUND ARE USED TO SUPPORT NON-PROFITS THAT ADDRESS THE NEEDS OR CHILDREN IN ASHLAND, TALENT, AND PHOENIX THROUGH WATER ACTIVITIES AND SPORTS. COLTON ALLEN MEMORIAL SCHOLARSHIP THE COLTON ALLEN MEMORIAL SCHOLARSHIP IS A PERMANENTLY RESTRICTED FUND WHERE THE PRINCIPAL IS HELD IN PERPETUITY. THE COLTON ALLEN FUND IS A TEMPORARILY RESTRICTED FUND USED TO RECEIVE INTEREST INCOME FROM THE ENDOWMENT THAT CAN BE USED TO SUPPORT THE SCHOLARSHIP PROGRAM. DONATIONS FROM THE BROADER COMMUNITY ARE DIRECTED TO THE RESTRICTED FUND, UNLESS DESIGNATED TO THE ENDOWMENT BY THE DONOR. THE SCHOLARSHIP FUND IS USED TO SUPPORT NURSING STUDENTS WITH CAREGIVING EXPERIENCE PURSUING THEIR REGISTERED NURSE DESIGNATION. BARBARA ROASTINGEAR OLIVER ENDOWED SCHOLARSHIP THE BARBARA ROASTINGEAR OLIVER ENDOWED SCHOLARSHIP IS A PERMANENTLY RESTRICTED FUND WHERE THE PRINCIPAL IS HELD IN PERPETUITY. THE ROASTINGEAR OLIVER FUND IS A TEMPORARILY RESTRICTED FUND USED TO RECEIVE INTEREST INCOME FROM THE ENDOWMENT THAT CAN BE USED TO SUPPORT THE SCHOLARSHIP PROGRAM. DONATIONS FROM THE BROADER COMMUNITY ARE DIRECTED TO THE RESTRICTED FUND, UNLESS DESIGNATED TO THE ENDOWMENT BY THE DONOR. THE SCHOLARSHIP FUND IS USED TO SUPPORT LOCAL STUDENTS PURSUING DENTAL AND EMERGENCY HEALTH CAREERS IN THE ROGUE VALLEY. THE CAREOREGON ENDOWMENT FOR HEALTH CARE WORKFORCE THE CAREOREGON ENDOWMENT FOR HEALTH CARE WORKFORCE ACCOUNT IS A PERMANENTLY RESTRICTED FUND WHERE THE PRINCIPAL IS HELD IN PERPETUITY. THE HEALTHCARE WORKFORCE TRAINING FUND IS A TEMPORARILY RESTRICTED FUND USED TO RECEIVE INTEREST INCOME FROM THE ENDOWMENT THAT CAN BE USED TO SUPPORT THE PROGRAM. THE CAREOREGON ENDOWMENT FOR HEALTH CARE WORKFORCE SUPPORTS EDUCATION AND TRAINING TO STRENGTHEN THE BEHAVIORAL HEALTH WORK FORCE THROUGHOUT THE ROGUE VALLEY. FUNDS CAN BE USED FOR SCHOLARSHIPS, TO PROVIDE FOR INTERNSHIPS, OR TO SUPPORT OTHER ACTIVITIES THAT IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR LOW INCOME AND VULNERABLE POPULATIONS.
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, 2024, 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 2021, 2022, AND 2023 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 14,052. UNREALIZED LOSSES ON INVESTMENTS -323,528.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
ASHLAND COMMUNITY HOSPITAL FOUNDATION

Employer identification number
93-0691238

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ASANTE ASHLAND COMMUNITY HOSPITAL 280 MAPLE STREET ASHLAND,OR97520	102,639	FUNDING PROVIDED TO ASSIST WITH: EMPLOYEES EXPERIENCING FINANCIAL HARDSHIP; PURCHASE OF A NEW ULTRASOUND UNIT; SUPPORT THE GENERAL OPERATIONS OF THE FAMILY BIRTH CENTER; SUPPORT CARE OF UNINSURED AND THE GENERAL OPERATIONS OF THE SAME DAY SURGERY DEPARTMENT.
(2) ASHLAND FAMILY YMCA 540 YMCA WAY ASHLAND,OR97520	15,270	TO HOST WATER SAFETY INSTRUCTOR CLASSES AND TO HOST A FLU AND COVID VACCINE CLINIC FOR UNINSURED OR UNDERINSURED INDIVIDUALS.
(3) ASHLAND SCHOOL DISTRICT 201 S MOUNTAIN AVENUE ASHLAND,OR97520	44,521	GIFTS WERE USED TO SUPPORT THE SCHOOL NURSE PROGRAM AND SUPPORTED THE BEHAVIORAL HEALTH INTERN PROGRAM.
(4) ASHLAND WATER POLO TEAM PO BOX 623 ASHLAND,OR97520	10,000	SUPPORTED A SUMMER CAMP FOR KIDS TO INTRODUCE THEM TO THE SPORT AND HELP BUILD SKILLS. FUNDS WERE USED TO HELP PAY COACHING FEES, NEW EQUIPMENT, AND SCHOLARSHIPS FOR KIDS.
(5) ARMADILLO COMMUNITY CHARTER SCHOOL PO BOX 1560 PHOENIX,OR97535	15,000	TO PURCHASE SUPPLIES FOR THEIR PANTRY OF BASIC RESOURCES FOR STUDENTS, COOKING CLASSES, AND SUBSTANCE MISUSE SUPPORT.
(6) DAVID'S CHAIR 185 EASTERN St STE 400 WHITE CITY,OR97503	20,000	USED TO PURCHASE AN ALL-TERRAIN POWERED CHAIR FOR USE IN LITHIA PARK TO INCREASE TRAIL ACCESS FOR PEOPLE WITH DISABILITIES.
(7) LA CLINICA 931 CHEVY WAY MEDFORD,OR97504	50,000	TO PURCHASE A NEW VAN FOR THE HAPPY SMILES MOBILE IN-SCHOOL DENTAL PROGRAM SERVING ASHLAND, TALENT, AND PHOENIX.
(8) MEDICAL TEAMS INTERNATIONAL 14150 SW MILTON CT TIGARD,OR97224	30,000	TO SUPPORT THEIR MOBILE CLINIC, WHICH PROVIDES DENTAL AND INTEGRATED CARE TO UNDERSERVED SENIORS AND VETERANS.
(9) PEACE HOUSE PO BOX 524 ASHLAND,OR97520	6,000	SUPPORT THE LOW-INCOME SENIOR FOOT CLINIC FOR THE NEXT TWO YEARS.
(10) PHOENIX TALENT SCHOOL DISTRICT 401 WEST 4TH STREET PHOENIX,OR97535	57,864	SUPPORT THE SCHOOL NURSE PROGRAM AND FOR THE CHILDRENS'S MENTAL HEALTH SUPPORTED THE LATINO FAMILY OUTREACH PROGRAM.
(11) ROGUE VALLEY FARM TO SCHOOL PO BOX 898 ASHLAND,OR97520	25,000	TO BENEFIT THEIR DIGGING DEEPER PROGRAM BY ADDING HARVEST MEAL FIELD TRIPS, COOKING MODULES AND GARDEN EDUCATION AT PHOENIX ELEMENTARY SCHOOL.
(12) ROGUE VALLEY MENTORING 2931 S PACIFIC HWY MEDFORD,OR97501	26,000	SUPPORT MENTAL HEALTH FOR TALENT MIDDLE SCHOOL STUDENTS.
(13) SOUTHERN OREGON UNIVERSITY 1250 SISKIYOU BLVD ASHLAND,OR97520	110,000	TO SUPPORT THE ADDITION OF A FACULTY MEMBER IN THE CLINICAL MENTAL HEALTH COUNSELING PROGRAM.
(14) TALENT MAKER CITY 304 E MAIN ST TALENT,OR97540	30,000	SUPPORT FOR THEIR PARTNERSHIP WITH THE OREGON SPINAL CORD INJURY CONNECTION, INCLUDING WORKSHOPS, CUSTOMIZED TOOLS FOR WHEELCHAIR USERS, AND EDUCATION.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIPS PROVIDED FOR NURSING, ALLIED AND EMERGENCY HEALTH	202,846	FMV
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

ASHLAND COMMUNITY HOSPITAL FOUNDATION

Employer identification number

93-0691238

Return Reference	Explanation
FORM 990, PART I LINE 1 - MISSION STATEMENT	ASHLAND COMMUNITY HEALTH FOUNDATION GENERATES AND INVESTS RESOURCES TO IMPROVE THE HEALTH OF OUR COMMUNITY.
FORM 990 PART III, LINE 4a - PROGRAM SERVICE ACCOMPLISHMENTS	ASANTE ASHLAND COMMUNITY HOSPITAL GRANTS - $102,639 AACH: $83,130 DONOR DESIGNATED FUNDS WERE USED TO SUPPORT THE PURCHASE A NEW ULTRASOUND UNIT TO BENEFIT AACH. THE NEW MOBILE UNIT INCLUDES MUSCULOSKELETAL IMAGING SERVICES AND BENEFITS INPATIENTS, OUTPATIENTS, AND PATIENTS SERVED IN THE FAMILY BIRTH CENTER AND EMERGENCY DEPARTMENT. BIRTH CENTER: $1,000 A DONOR DESIGNATED GIFT WAS USED TO SUPPORT THE GENERAL OPERATIONS OF THE FAMILY BIRTH CENTER. CARDIAC AND CANCER CARE: $15,611 THROUGH A BEQUEST FROM THE BIEGEL FAMILY MEMORIAL FOUNDATION, FUNDS WERE USED TO PURCHASE A NEW ECG MACHINE FOR THE EMERGENCY DEPARTMENT AT AACH. EMPLOYEE ASSISTANCE FUND: $2,098 DONOR DESIGNATED CONTRIBUTIONS SUPPORTED X EMPLOYEES AT ASHLAND'S HOSPITAL EXPERIENCING FINANCIAL HARDSHIP. EMERGENCY SERVICES FUND: $600 FUNDS WERE USED TO SUPPORT CARE OF UNINSURED PATIENTS. SAME DAY SURGERY: $200 A DONOR DESIGNATED GIFT WAS USED TO SUPPORT THE GENERAL OPERATIONS OF THE SAME DAY SURGERY DEPARTMENT. COMMUNITY GRANTS: $445,038 ACHF MITTEN, HAT & GLOVE DRIVE: $683 TO SUPPORT THE PURCHASE OF MITTENS, HATS, AND GLOVES FOR K-5 STUDENTS IN THE ASHLAND AND PHOENIX-TALENT SCHOOL DISTRICT. OVER 1,000 ITEMS WERE DISTRIBUTED TO STUDENTS. ITEMS WERE DONATED BY COMMUNITY MEMBERS, WITH SUPPLEMENTAL ITEMS PURCHASED BY ACHF TO ENSURE THAT EVERY CHILD HAS SOMETHING TO SELECT. ACHF COMMUNITY HEALTH SYMPOSIUM: $2,500 A GRANT FROM THE FORD FAMILY FOUNDATION HELPED SUPPORT THE COSTS ASSOCIATED WITH HOSTING THE COMMUNITY HEALTH SYMPOSIUM. ASHLAND FAMILY YMCA: $15,270 A GRANT FROM THE CHUCK BUTLER AQUATICS FUND WAS USED TO HOST WATER SAFETY INSTRUCTOR CLASSES. COMMUNITY CARE FUND DOLLARS WERE USED TO HOST A FLU AND COVID VACCINE CLINIC FOR UNINSURED OR UNDERINSURED INDIVIDUALS. ASHLAND FOOTBALL CLUB: $1,000 A GRANT FROM THE DAVE KITCHELL FUND WAS USED TO SUPPORT THE 2024 FOOTBALL SEASON TO HELP PAY FOR PREGAME MEALS, TRAVEL SNACKS, EQUIPMENT NEEDS, AND SCHOLARSHIPS FOR STUDENTS. ASHLAND SCHOOL DISTRICT: $44,520.50 DONOR DESIGNATED GIFTS WERE USED TO SUPPORT THE SCHOOL NURSE PROGRAM. A GRANT FROM THE LANG FAMILY CHILDREN'S MENTAL HEALTH FUND SUPPORTED THE BEHAVIORAL HEALTH INTERN PROGRAM. A GRANT FROM THE DAVE KITCHELL FUND SUPPORTED TRACK T-SHIRTS FOR 4th AND 5th GRADE STUDENTS AT BELLVIEW ELEMENTARY. ASHLAND WATER POLO TEAM: $10,000 A GRANT FROM THE CHUCK BUTLER AQUATICS FUND SUPPORTED A SUMMER CAMP FOR KIDS TO INTRODUCE THEM TO THE SPORT AND HELP BUILD THEIR SKILLS. FUNDS WERE ALSO USED TO HELP PAY FOR COACHING FEES, NEW EQUIPMENT, AND SCHOLARSHIPS FOR KIDS. ARMADILLO COMMUNITY CHARTER SCHOOL: $15,000 A COMBINATION OF FUNDS FROM COMMUNITY HEALTH INITIATIVES AND THE MACKRIS GROVEMAN FUND WERE USED TO PURCHASE SUPPLIES FOR THEIR PANTRY OF BASIC RESOURCES FOR STUDENTS, COOKING CLASSES, AND SUBSTANCE MISUSE SUPPORT. DAVID'S CHAIR: $20,000 COMMUNITY HEALTH INITIATIVE FUNDS WERE USED TO PURCHASE AN ALL-TERRAIN POWERED CHAIR FOR USE IN LITHIA PARK TO INCREASE TRAIL ACCESS FOR PEOPLE WITH DISABILITIES. LA CLINICA: $50,000 COMMUNITY HEALTH INITIATIVE FUNDS WERE USED TO PURCHASE A NEW VAN FOR THE HAPPY SMILES MOBILE IN-SCHOOL DENTAL PROGRAM SERVING ASHLAND, TALENT, AND PHOENIX. MEDICAL TEAMS INTERNATIONAL: $30,000 COMMUNITY HEALTH INITIATIVE FUNDS WERE USED TO SUPPORT THEIR MOBILE CLINIC, WHICH PROVIDES DENTAL AND INTEGRATED CARE TO UNDERSERVED SENIORS AND VETERANS. PEACE HOUSE: $6,000 COMMUNITY CARE FUNDS WERE USED TO SUPPORT THE LOW-INCOME SENIOR FOOT CLINIC FOR THE NEXT TWO YEARS, WHICH IS OPERATED UNDER THE FISCAL UMBRELLA OF THE PEACE HOUSE. PHOENIX TALENT SCHOOL DISTRICT: $57,864.50 DONOR DESIGNATED GIFTS WERE USED TO SUPPORT THE SCHOOL NURSE PROGRAM. A GIFT FROM THE LANG FAMILY FUND FOR CHILDREN'S MENTAL HEALTH SUPPORTED THE LATINO FAMILY OUTREACH PROGRAM. THE COMMUNITY CARE FUND HELPED SUPPORT THE PURCHASE OF DIAPERS AND HYGIENE PRODUCTS FOR THEIR COMMUNITY CLOSEST THAT BENEFITS FAMILIES IN NEED. ROGUE VALLEY FARM TO SCHOOL: $25,000 COMMUNITY HEALTH INITIATIVE FUNDS WERE USED TO BENEFIT THEIR DIGGING DEEPER PROGRAM BY ADDING HARVEST MEAL FIELD TRIPS, COOKING MODULES AND GARDEN EDUCATION AT THE PHOENIX ELEMENTARY SCHOOL. ROGUE VALLEY MENTORING: $26,000 COMMUNITY HEALTH INITIATIVE FUNDS WERE USED TO SUPPORT THE MENTAL HEALTH OF STUDENTS AT THE TALENT MIDDLE SCHOOL. ROGUE VALLEY YOUTH LACROSSE ASSOCIATION: $1,000 A GRANT FROM THE DAVE KITCHELL FUND SUPPORTED RVYLA'S "FREE TRY LACROSSE DAYS" FOR STUDENTS WHO WANT TO TRY THE SPORT BEFORE THE SEASON BEGINS. SOUTHERN OREGON UNIVERSITY: $110,000 GRANT FUNDS FROM CAREOREGON AND JACKSON CARE CONNECT'S HEALTHCARE WORKFORCE TRAINING FUND WERE USED TO SUPPORT THE ADDITION OF A FACULTY MEMBER IN THE CLINICAL MENTAL HEALTH COUNSELING PROGRAM. TALENT MAKER CITY: $30,000 COMMUNITY HEALTH INITIATIVE FUNDS WERE USED TO SUSTAIN THEIR PARTNERSHIP WITH THE OREGON SPINAL CORD INJURY CONNECTION, INCLUDING WORKSHOPS, CUSTOMIZED TOOLS FOR WHEELCHAIR USERS, AND EDUCATION AND ACCESSIBILITY IN THEIR NEW BUILDING. UNITED ROTARY CLUBS OF SOUTHERN OREGON: $200 TO SUPPORT THEIR DOLLY PARTON IMAGINATION LIBRARY INITIATIVE TO PROVIDE A FREE AGE-APPROPRIATE BOOK EACH MONTH TO CHILDREN FROM BIRTH TO AGE FIVE IN ASHLAND, TALENT, AND PHOENIX. SCHOLARSHIP AWARDS: $202,846 EVANS NURSING SCHOLARSHIPS: $191,546 THE WILLIAM G. & RUTH T. EVANS ENDOWED NURSING SCHOLARSHIP SUPPORTED SCHOLARSHIPS FOR 37 STUDENTS ENROLLED IN NURSING PROGRAMS AT ROGUE COMMUNITY COLLEGE AND OREGON HEALTH & SCIENCE UNIVERSITY - ASHLAND CAMPUS. ALLIED HEALTH SCHOLARSHIPS $5,833 SCHOLARSHIPS BENEFITED FOUR STUDENTS PURSUING CERTIFICATIONS AS MEDICAL ASSISTANTS AND PHLEBOTOMISTS AT ROGUE COMMUNITY COLLEGE. ROASTINGEAR OLIVER SCHOLARSHIP FUND: $5,467 SCHOLARSHIPS BENEFITED THREE STUDENTS PURSUING THEIR PARAMEDICINE CERTIFICATION AT ROGUE COMMUNITY COLLEGE. FOOTNOTE: IN 2024 THE FOUNDATION PROVIDED MEETING ROOM SPACE TO THE ROTARY CLUB OF ASHLAND AND TO SOROPTIMIST INTERNATIONAL OF ASHLAND FOR THEIR BOARD AND COMMITTEE MEETINGS.
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 14,052. IN-KIND EXPENSES -19,829.
FINANCIAL STATEMENT AND AUDIT OVERSIGHT	THE OVERSIGHT OR SELECTION PROCESS HAS NOT CHANGED DURING THE YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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 HEALTH FOUNDATION (ACHF) LEADS PHILANTHROPIC EFFORTS TO ADVANCE INNOVATIVE AND EQUITABLE APPROACHES TO COMMUNITY HEALTH AND WELLNESS.VALUES PASSION FOR COMMUNITY HEALTH AND WELLNESS AND HOSPITAL;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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	6
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	361,200
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,221,150	1,811,548
9	Program service revenue (Part VIII, line 2g) .........	39,504	40,689
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	413,988	1,772,340
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	279,328	365,303
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,953,970	3,989,880
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	562,797	750,523
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	364,185	287,377
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	311,522	338,049
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,238,504	1,375,949
19	Revenue less expenses. Subtract line 18 from line 12.......	715,466	2,613,931
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	11,608,714	13,924,255
21	Total liabilities (Part X, line 26).............	172,684	183,770
22	Net assets or fund balances. Subtract line 21 from line 20.....	11,436,030	13,740,485

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 824,395 including grants of $ 750,523 ) (Revenue $ 1,377,664 )
	See Schedule O

4b	(Code: ) (Expenses $ 5,550 including grants of $ ) (Revenue $ 40,689 )
	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.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses829,945

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) BLANCALUZ BROSSARD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(2) DIANE YALEY KNOX...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(3) ERIN COKE...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(4) REBECCA ORF...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(5) MELISSA GRUDIN...................................................................... TREASURER	2.00 .................	X	X	0	0	0
(6) LARRY GIBBS...................................................................... SECRETARY	2.00 .................	X	X	0	0	0
(7) TIFFANIE LAMBERT...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(8) GARY LAVENTURE...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(9) JEFFREY MCCULLOUGH...................................................................... PRESIDENT	2.00 .................	X	X	0	0	0
(10) DANA PRESTON...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(11) LIZ MURPHY...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(12) JUDITH PAVLIK...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(13) NICK PALMESANO...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(14) CINDY BERNARD...................................................................... PAST PRESIDENT	2.00 .................		X	0	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,811,548

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,811,548

		Business Code
2a	RENT OF MED FACILITIES	531390	40,689	40,689
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		40,689

3 Investment income (including dividends, interest, and othersimilar amounts) ......			398,779			398,779
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	361,200
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	361,200
d	Net rental income or (loss).......			361,200
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	7,474,340
b	Less: cost or other basis and sales expenses	7b	6,100,779
c	Gain or (loss)	7c	1,373,561
d	Net gain or (loss).........			1,373,561	1,373,561
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MISCELLANEOUS INCOME		561000	4,103	4,103
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,103
12	Total revenue. See instructions.....			3,989,880	1,418,353	361,200	398,779

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	547,677	547,677
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	202,846	202,846
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	112,981		112,981
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	142,827		142,827
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,639		7,639
9	Other employee benefits .......
10	Payroll taxes ...........	23,930		23,930
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	40,167		40,167
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	63,832		63,832
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....
13	Office expenses .......	1,545		1,545
14	Information technology ......	28,059		28,059
15	Royalties ..
16	Occupancy ...........	47,066		47,066
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	5,798		5,798
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	5,939	4,007	1,932
23	Insurance ...	8,034		8,034
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	CAMPAIGN EXPENSES	34,861	34,861
b	CONSULTING FEES	23,850		23,850
c	DONOR RELATIONS	21,076	21,076
d	PAYROLL PROCESSING COST	14,190	14,190
e	All other expenses	43,632	5,288	38,344
25	Total functional expenses. Add lines 1 through 24e	1,375,949	829,945	546,004	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			48,642	1	86,356
2	Savings and temporary cash investments .........			214,722	2	256,560
3	Pledges and grants receivable, net ......			159,626	3	138,700
4	Accounts receivable, net .............			2,439	4	2,442
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			7,979	9	4,893
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	578,902
b	Less: accumulated depreciation	10b	120,240	464,601	10c	458,662
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			10,607,205	12	12,973,142
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			103,500	15	3,500
16	Total assets. Add lines 1 through 15 (must equal line 33)...			11,608,714	16	13,924,255

17	Accounts payable and accrued expenses .....	8,944	17	11,067
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	163,740	25	172,703
26	Total liabilities. Add lines 17 through 25..	172,684	26	183,770

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,866,311	27	4,452,712
28	Net assets with donor restrictions ...........	7,569,719	28	9,287,773
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	11,436,030	32	13,740,485
33	Total liabilities and net assets/fund balances ........	11,608,714	33	13,924,255