Totals
- Total revenue
- $14,081,694
- Total expenses
- $15,339,336
- Contributions and grants received
- $1,521,019
- Grants paid
- $0
- Program service revenue
- $12,548,208
- Investment income
- $6,467
- Other revenue
- $6,000
- Total assets, end of year
- $14,168,336
- Total liabilities, end of year
- $3,470,554
- Net assets or fund balances, end of year
- $10,697,782
- Program services expenses (Part IX)
- $11,730,419
- Management and general expenses
- $3,608,917
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $11,730,419
Program services were 76.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$1,513,443
-
1f · All other contributions, gifts and grants
$7,576
-
2a · Program service revenue: Patient service revenue
total $10,720,939 · related or exempt $10,720,939
-
2b · Program service revenue: Pharmacy revenue
total $1,472,057 · related or exempt $1,472,057
-
2c · Program service revenue: Safety Net Care Pool
total $294,232 · related or exempt $294,232
-
2f · All other program service revenue
total $60,980 · related or exempt $60,980
-
3 · Investment income
total $6,467 · excluded $6,467
-
6a · Gross rents
real property $6,000
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $6,000
-
6d · Net rental income or loss
total $6,000 · excluded $6,000
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $239,063 · program services $239,063
-
7 · Other salaries and wages
total $6,502,829 · program services $5,490,047 · management and general $1,012,782
-
8 · Pension plan contributions
total $106,272 · program services $87,392 · management and general $18,880
-
9 · Other employee benefits
total $510,300 · program services $427,083 · management and general $83,217
-
10 · Payroll taxes
total $412,709 · program services $350,180 · management and general $62,529
-
11a · Fees: management
total $991,652 · program services $593,639 · management and general $398,013
-
11b · Fees: legal
total $28,725 · management and general $28,725
-
11c · Fees: accounting
total $84,500 · management and general $84,500
-
11g · Fees: other
total $1,597,057 · program services $1,425,763 · management and general $171,294
-
12 · Advertising and promotion
total $114,905 · program services $41,637 · management and general $73,268
-
13 · Office expenses
total $481,117 · program services $355,542 · management and general $125,575
-
14 · Information technology
total $39,528 · program services $19,904 · management and general $19,624
-
16 · Occupancy
total $574,407 · program services $197,366 · management and general $377,041
-
17 · Travel
total $133,696 · program services $116,756 · management and general $16,940
-
20 · Interest
total $53,267 · management and general $53,267
-
22 · Depreciation, depletion and amortization
total $752,462 · program services $293,555 · management and general $458,907
-
23 · Insurance
total $459,837 · management and general $459,837
-
24a · Other expenses: Medical Supplies
total $1,200,158 · program services $1,200,158
-
24b · Other expenses: Repairs and Maintenance
total $460,621 · program services $379,467 · management and general $81,154
-
24c · Other expenses: Licenses and Taxes
total $231,134 · program services $227,062 · management and general $4,072
-
24d · Other expenses: Bad Debt
total $215,928 · program services $215,928
-
24e · All other expenses
total $149,169 · program services $69,877 · management and general $79,292
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $2,332,083 · end of year $647,141
-
4 · Accounts receivable
beginning of year $1,162,767 · end of year $1,443,971
-
8 · Inventories for sale or use
beginning of year $402,170 · end of year $333,866
-
9 · Prepaid expenses and deferred charges
beginning of year $160,959 · end of year $119,794
-
10a · Land, buildings and equipment: cost or other basis
$17,899,670
-
10b · Land, buildings and equipment: accumulated depreciation
$8,755,812
-
10c · Land, buildings and equipment, net
beginning of year $9,835,111 · end of year $9,143,858
-
11 · Investments: publicly traded securities
beginning of year $1,444,137 · end of year $1,457,973
-
15 · Other assets
beginning of year $795,831 · end of year $1,021,733
-
17 · Accounts payable and accrued expenses
beginning of year $1,112,610 · end of year $1,366,009
-
19 · Deferred revenue
beginning of year $569,066
-
23 · Secured mortgages and notes payable
beginning of year $2,495,958 · end of year $1,708,774
-
25 · Other liabilities
beginning of year $0 · end of year $395,771
-
27 · Net assets without donor restrictions
beginning of year $11,840,806 · end of year $10,571,836
-
28 · Net assets with donor restrictions
beginning of year $114,618 · end of year $125,946
Mission and programs · 2022
Mission
As a full service, acute care hospital in Clayton, NM, Union County General Hospital provides quality healthcare services to the residents of Union County and surrounding areas.
Activities or mission (Part I)
25-bed acute care critical access hospital serving those in need in and near Union County, NM
-
Union County General Hospital is a 25-bed acute care hospital located in Clayton, New Mexico. The Hospital provides services to individuals from Northeastern New Mexico, Southeastern Colorado, Western Panhandle of Oklahoma, and the Western Panhandle of Texas. These services include inpatient, swingbed, various outpatient services, emergency patient care and two rural health clinics. There were a total of 260 admissions and 7,056 patient visits at the Hospital as well as 6,803 patient visits at the Union County Health Center RHC and 286 patient visits at the Des Moines Health Center during fiscal year ending 6/30/2023.(Continued on Schedule O)The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. Charges for charity care provided during June 30, 2023, totaled $137,333 and the estimated cost of providing these services was $138,142 calculated by multiplying the ratio of costs to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care.
Expenses $11,730,419 · Revenue $12,548,208
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Robert Williams
Secretary and CRNA
- Total calculated
- $219,033
- From this org
- $177,610
- From related orgs
- $0
- Other
- $41,423
- Hours/week
- 41
Schedule J breakdown matched by us
- Base
- $177,610
- Bonus
- $0
- Other
- $0
- Deferred
- $20,790
- Nontaxable benefits
- $20,633
- Filer's total
- $219,033
-
Judith Cooper
President
- Total calculated
- $0
- Hours/week
- 1
-
Nick Diller
Vice President
- Total calculated
- $0
- Hours/week
- 1
-
Craig Reeves
Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Paul Briesh
Director
- Total calculated
- $0
- Hours/week
- 1
-
Tammie Stump
CEO
- Total calculated
- $0
- Hours/week
- 40
-
Melissa Prante
CFO
- Total calculated
- $0
- Hours/week
- 40
-
Mark Van Wormer MD
Family Medicine-Chief of Staff
- Total calculated
- $684,472
- From this org
- $638,224
- From related orgs
- $0
- Other
- $46,248
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $638,224
- Bonus
- $0
- Other
- $0
- Deferred
- $21,046
- Nontaxable benefits
- $25,202
- Filer's total
- $684,472
-
Jessica Wright DNP-C
Certified Nurse Practitioner
- Total calculated
- $207,494
- From this org
- $170,871
- From related orgs
- $0
- Other
- $36,623
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $170,871
- Bonus
- $0
- Other
- $0
- Deferred
- $12,676
- Nontaxable benefits
- $23,946
- Filer's total
- $207,493
-
Jay Fluhman FNP-C ACNP
Certified Nurse Practitioner
- Total calculated
- $231,467
- From this org
- $188,396
- From related orgs
- $0
- Other
- $43,071
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $188,396
- Bonus
- $0
- Other
- $0
- Deferred
- $32,541
- Nontaxable benefits
- $10,530
- Filer's total
- $231,467
-
Paul Wheeler MD
Family Medicine
- Total calculated
- $294,643
- From this org
- $271,158
- From related orgs
- $0
- Other
- $23,485
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $271,158
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $23,485
- Filer's total
- $294,643
-
Russell Lees PT
Director of Rehabiliation
- Total calculated
- $178,273
- From this org
- $141,289
- From related orgs
- $0
- Other
- $36,984
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $141,289
- Bonus
- $0
- Other
- $0
- Deferred
- $9,001
- Nontaxable benefits
- $27,983
- Filer's total
- $178,273
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Part I, Line 3
- The Board of Directors approves the contract with Community Hospital Corporation, the management company that employs the CEO.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
County of Union
Government · NM
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 6 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441289349300444
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.