Community Health Systems Foundation
Community Health Systems Foundation's assets have declined by over 87% in a decade amidst highly inconsistent revenue.
EIN: 203323391 · Franklin, TN · NTEE: T21 · Updated: 2026-03-28
| Metric | Value |
|---|---|
| Total Revenue | $500K |
| Total Expenses | $441K |
| Program Spending | 70% |
| Net Assets | $964K |
| Transparency Score | 45/100 |
Is Community Health Systems Foundation Legit?
Significant Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Community Health Systems Foundation directs 70% of its spending to programs. This meets the industry benchmark of 65% for efficient nonprofits.
About Community Health Systems Foundation
Community Health Systems Foundation (EIN: 203323391) is a nonprofit organization based in Franklin, TN, classified under NTEE code T21. The organization reported total revenue of $500K and total assets of $1.1M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Community Health Systems Foundation's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Community Health Systems Foundation is a small nonprofit that has been operating for 21 years, with 10 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 198.5%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $500K |
| Total Expenses | $441K |
| Surplus / Deficit | +$59K |
| Total Assets | $966K |
| Total Liabilities | $2K |
| Net Assets | $964K |
| Operating Margin | 11.7% |
| Debt-to-Asset Ratio | 0.2% |
| Months of Reserves | 26.3 months |
Financial Health Grade: A
In 2023, Community Health Systems Foundation reported a surplus of $59K with revenue exceeding expenses, holds 26.3 months of operating reserves (strong position), has a debt-to-asset ratio of 0.2% (very low leverage).
Financial Trends
Over 10 years of filings (2011–2023), Community Health Systems Foundation's revenue has grown at a compound annual growth rate (CAGR) of 198.5%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +49999900.0% | -61.4% | -10.4% |
| 2022 | -100.0% | +23.3% | -51.5% |
| 2021 | +249999900.0% | -46.3% | +241.4% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 2005 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Community Health Systems Foundation with a Mission Score of 45 out of 100 (Fair). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 20%
- programs: 70%
- fundraising: 10%
According to IRS 990 filings, Community Health Systems Foundation allocates its expenses as follows: admin: 20%, programs: 70%, fundraising: 10%. Approximately 70% goes to programs, indicating moderate mission focus.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a surplus of $59K, with revenue exceeding expenses.
- Debt-to-asset ratio: 0.2%.
Executive Compensation Analysis
Executive compensation is reported as 0% across all available filings, indicating that officers are either unpaid volunteers or compensated through an external entity, which can be a positive for minimizing overhead costs relative to the organization's size and fluctuating revenue.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Community Health Systems Foundation's IRS 990 filings:
- Highly inconsistent and often negligible reported revenue (e.g., $1 in 2022, $0 in 2019).
- Significant and consistent deficit spending, with expenses frequently far exceeding revenue.
- Dramatic decline in total assets over the past decade (from $7.8M in 2011 to $0.9M in 2023).
- Lack of clear, consistent funding strategy indicated by revenue volatility.
- Potential long-term sustainability issues due to asset depletion.
Strengths
The following positive indicators were identified for Community Health Systems Foundation:
- Zero reported officer compensation, suggesting efficient use of funds for executive leadership.
- Consistent, albeit low, liabilities ($2,300 across all filings) indicating minimal debt.
- Latest filing (2023) shows revenue exceeding expenses, a positive shift from previous years.
Frequently Asked Questions about Community Health Systems Foundation
Is Community Health Systems Foundation a legitimate charity?
Community Health Systems Foundation (EIN: 203323391) is a registered tax-exempt nonprofit based in Tennessee. Our AI analysis gives it a Mission Score of 45/100. It has 10 years of IRS 990 filings on record. Total revenue: $500K. 5 red flags identified. 3 strengths noted. Financial health grade: A.
How does Community Health Systems Foundation spend its money?
Community Health Systems Foundation directs 70% of its spending to programs and services. Fundraising costs 10%. This meets the 65% industry benchmark.
Are donations to Community Health Systems Foundation tax-deductible?
Community Health Systems Foundation is registered as a tax-exempt nonprofit (EIN: 203323391). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
What percentage of Community Health Systems Foundation's spending goes to programs?
Community Health Systems Foundation directs 70% to programs, 10% to fundraising. This meets the 65% industry benchmark for efficient nonprofits.
How does Community Health Systems Foundation compare to similar nonprofits?
With a transparency score of 45/100 (Fair), Community Health Systems Foundation is near average for NTEE category T21 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Community Health Systems Foundation located?
Community Health Systems Foundation is headquartered in Franklin, Tennessee and files with the IRS under EIN 203323391. It is classified under NTEE code T21.
How many years of IRS 990 filings does Community Health Systems Foundation have?
Community Health Systems Foundation has 10 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $500K in total revenue.
What is the primary source of funding for Community Health Systems Foundation, given its highly inconsistent reported revenue?
The filings show highly erratic revenue, with many years reporting $0 or $1. This suggests the organization may be primarily funded by large, infrequent grants, asset liquidation, or potentially receives significant in-kind contributions not fully reflected as revenue, or operates as a pass-through entity for a larger system.
How does Community Health Systems Foundation sustain its operations with such low and inconsistent revenue?
The organization has sustained operations by drawing down its significant asset base, which decreased from $7,849,293 in 2011 to $966,385 in 2023. This model is not sustainable long-term without a significant and consistent increase in revenue.
What are the specific programs or activities that Community Health Systems Foundation funds or operates?
The NTEE code T21 indicates 'General and Rehabilitative Hospitals (including specialty hospitals)', suggesting a focus on healthcare services. However, without detailed program expense breakdowns in the provided data, the specific nature of its programs is unclear.
Why did the organization's assets decrease so dramatically over the past decade?
The dramatic decrease in assets from $7,849,293 in 2011 to $966,385 in 2023 is primarily due to consistent expenses often far exceeding reported revenue, leading to a reliance on its endowment or accumulated funds to cover operational costs.
Filing History
IRS 990 filing history for Community Health Systems Foundation showing financial trends over 10 years of public records:
Over 10 years of IRS 990 filings (2011–2023), Community Health Systems Foundation's revenue has grown by 49999900%, moving from $1 to $500K. Total assets decreased by 87.7% over the same period, from $7.8M to $966K. Total functional expenses rose by 79.5%, from $246K to $441K. In its most recent filing year (2023), Community Health Systems Foundation reported a surplus of $59K, with revenue exceeding expenses. The organization holds $2K in liabilities against $966K in assets (debt-to-asset ratio: 0.2%), resulting in net assets of $964K.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $500K | $441K | $966K | $2K | — | — |
| 2022 | $1 | $1.1M | $1.1M | $2K | — | View 990 |
| 2021 | $2.5M | $928K | $2.2M | $2K | — | View 990 |
| 2020 | $1 | $1.7M | $651K | $2K | — | View 990 |
| 2019 | $0 | $504K | $2.4M | $2K | — | View 990 |
| 2015 | $0 | $757K | $5.9M | $2K | — | View 990 |
| 2014 | $0 | $492K | $6.7M | $2K | — | View 990 |
| 2013 | $0 | $388K | $7.2M | $2K | — | View 990 |
| 2012 | $1K | $285K | $7.6M | $2K | — | View 990 |
| 2011 | $1 | $246K | $7.8M | $2K | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $500K, expenses of $441K, and assets of $966K (revenue +49999900.0% year-over-year).
- 2022: Revenue of $1, expenses of $1.1M, and assets of $1.1M (revenue -100.0% year-over-year).
- 2021: Revenue of $2.5M, expenses of $928K, and assets of $2.2M (revenue +249999900.0% year-over-year).
- 2020: Revenue of $1, expenses of $1.7M, and assets of $651K.
- 2019: Revenue of $0, expenses of $504K, and assets of $2.4M.
- 2015: Revenue of $0, expenses of $757K, and assets of $5.9M.
- 2014: Revenue of $0, expenses of $492K, and assets of $6.7M.
- 2013: Revenue of $0, expenses of $388K, and assets of $7.2M (revenue -100.0% year-over-year).
- 2012: Revenue of $1K, expenses of $285K, and assets of $7.6M (revenue +122400.0% year-over-year).
- 2011: Revenue of $1, expenses of $246K, and assets of $7.8M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Community Health Systems Foundation:
Data Sources and Methodology
This transparency report for Community Health Systems Foundation is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.