TY 2022 Form 990 Schedule O

efile Public Visual Render ObjectId: 202313469349300101 - Submission: 2023-12-12 TIN: 48-0955489

SCHEDULE O
(Form 990)

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.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

AMBERWELL HEALTH FOUNDATION

Employer identification number

48-0955489

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	MARK WINDSOR, RICHARD BERGER AND KEVIN MCDERMED HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE REVISED IN 2022 TO CHANGE THE NAME TO AMBERWELL HEALTH FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 6	AMBERWELL HEALTH FOUNDATION HAS THREE CLASSES OF MEMBERS. LIFETIME MEMBERSHIPS CONSISTS OF INDIVIDUAL WHO HAVE AT ANY TIME CONTRIBUTED TO THE CORPORATION $1,000 TO $9,999. SUSTAINING MEMBERSHIP CONSISTS OF INDIVIDUALS WHO HAVE AT ANY TIME CONTRIBUTED TO THE CORPORATION $10,000 OR MORE. CORPORATE MEMBERSHIP CONSISTS OF THOSE BUSINESS ENTITIES WHO HAVE AT ANY TIME CONTRIBUTED TO THE CORPORATION $25,000 OR MORE.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS OF RIVERBEND REGIONAL HEALTHCARE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7B	IF THE BOARD RECOMMENDS THE REMOVAL OF A MEMBER FOR ENGAGING IN CONDUCT THAT IS IMMORAL, ILLEGAL, OR OTHERWISE CONTRARY OR DETRIMENTAL TO THE PURPOSE OF THE CORPORATION, THE ISSUE SHALL BE PUT TO A VOTE OF THE MEMBERSHIP. REMOVAL OF A MEMBER SHALL REQUIRE A VOTE OF 2/3 OF ALL MEMBERS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 8B	THERE IS NO COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	AT THE TIME OF ELECTION AND ANNUALLY THEREAFTER, THE GOVERNING BOARD MEMBERS SHALL PROVIDE THE APPLICABLE CONFLICT OF INTEREST DISCLOSURES WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH IT IS BELIEVED A CONFLICT MAY ARISE. IF A CONFLICT ARISES, THE BOARD MEMBER ABSTAINS FROM THE VOTE OF THE CONFLICTED POSITION.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2C	THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 2

MARK WINDSOR, RICHARD BERGER AND KEVIN MCDERMED HAVE A BUSINESS RELATIONSHIP.

FORM 990, PART VI, SECTION A, LINE 4

THE BYLAWS WERE REVISED IN 2022 TO CHANGE THE NAME TO AMBERWELL HEALTH FOUNDATION.

FORM 990, PART VI, SECTION A, LINE 6

AMBERWELL HEALTH FOUNDATION HAS THREE CLASSES OF MEMBERS. LIFETIME MEMBERSHIPS CONSISTS OF INDIVIDUAL WHO HAVE AT ANY TIME CONTRIBUTED TO THE CORPORATION $1,000 TO $9,999. SUSTAINING MEMBERSHIP CONSISTS OF INDIVIDUALS WHO HAVE AT ANY TIME CONTRIBUTED TO THE CORPORATION $10,000 OR MORE. CORPORATE MEMBERSHIP CONSISTS OF THOSE BUSINESS ENTITIES WHO HAVE AT ANY TIME CONTRIBUTED TO THE CORPORATION $25,000 OR MORE.

FORM 990, PART VI, SECTION A, LINE 7A

MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS OF RIVERBEND REGIONAL HEALTHCARE FOUNDATION.

FORM 990, PART VI, SECTION A, LINE 7B

IF THE BOARD RECOMMENDS THE REMOVAL OF A MEMBER FOR ENGAGING IN CONDUCT THAT IS IMMORAL, ILLEGAL, OR OTHERWISE CONTRARY OR DETRIMENTAL TO THE PURPOSE OF THE CORPORATION, THE ISSUE SHALL BE PUT TO A VOTE OF THE MEMBERSHIP. REMOVAL OF A MEMBER SHALL REQUIRE A VOTE OF 2/3 OF ALL MEMBERS OF THE CORPORATION.

FORM 990, PART VI, SECTION A, LINE 8B

THERE IS NO COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.

FORM 990, PART VI, SECTION B, LINE 11B

THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING.

FORM 990, PART VI, SECTION B, LINE 12C

AT THE TIME OF ELECTION AND ANNUALLY THEREAFTER, THE GOVERNING BOARD MEMBERS SHALL PROVIDE THE APPLICABLE CONFLICT OF INTEREST DISCLOSURES WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH IT IS BELIEVED A CONFLICT MAY ARISE. IF A CONFLICT ARISES, THE BOARD MEMBER ABSTAINS FROM THE VOTE OF THE CONFLICTED POSITION.

FORM 990, PART VI, SECTION C, LINE 19

THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

FORM 990, PART XII, LINE 2C

THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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

Cat. No. 51056K

Schedule O (Form 990) 2022

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