Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1f · All other contributions, gifts and grants

  $52,410

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $31,799,041 · related or exempt $31,799,041

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $15,408 · excluded $15,408

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7c · Gain or loss

  securities $0 · other assets $0

• 11a · Other revenue: DISCOUNTS AND REBATES

  total $347,041 · related or exempt $347,041

• 11b · Other revenue: OTHER REVENUE

  total $263,419 · related or exempt $263,419

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $610,460

Functional expenses

Part IX, the statement of functional expenses.

• 4 · Benefits paid to or for members

  total $0 · program services $0

• 7 · Other salaries and wages

  total $29,618,264 · program services $26,656,438 · management and general $2,961,826

• 8 · Pension plan contributions

  total $697,642 · program services $627,878 · management and general $69,764

• 9 · Other employee benefits

  total $3,912,327 · program services $3,521,094 · management and general $391,233

• 10 · Payroll taxes

  total $1,578,256 · program services $1,420,430 · management and general $157,826

• 11g · Fees: other

  total $0 · program services $0 · management and general $0 · fundraising $0

• 12 · Advertising and promotion

  total $1,630 · program services $1,630

• 13 · Office expenses

  total $5,879,368 · program services $5,291,431 · management and general $587,937

• 16 · Occupancy

  total $160,401 · program services $144,361 · management and general $16,040

• 17 · Travel

  total $7,162 · program services $7,162

• 19 · Conferences, conventions and meetings

  total $182,612 · program services $164,351 · management and general $18,261

• 20 · Interest

  total $186,934 · program services $186,934

• 22 · Depreciation, depletion and amortization

  total $1,509,849 · program services $1,509,849

• 23 · Insurance

  total $519,686 · program services $467,717 · management and general $51,969

• 24a · Other expenses: MEDICAL SUPPLIES

  total $8,528,513 · program services $8,528,513

• 24b · Other expenses: RECRUITING

  total $255,557 · program services $255,557

• 24c · Other expenses: PHYSICIAN RECRUITMENT

  total $70,387 · program services $70,387

• 24d · Other expenses: LICENSES & TAXES

  total $37,273 · program services $37,273

• 24e · All other expenses

  total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $4,895 · end of year $4,208

• 2 · Savings and temporary cash investments

  beginning of year $11,670,662 · end of year $789,943

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $2,463,283 · end of year $2,122,106

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $464,677 · end of year $806,083

• 8 · Inventories for sale or use

  beginning of year $428,220 · end of year $700,575

• 9 · Prepaid expenses and deferred charges

  beginning of year $124,934 · end of year $254,370

• 10a · Land, buildings and equipment: cost or other basis

  $10,850,946

• 10b · Land, buildings and equipment: accumulated depreciation

  $5,163,051

• 10c · Land, buildings and equipment, net

  beginning of year $7,419,658 · end of year $5,687,895

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $1,450 · end of year $0

• 17 · Accounts payable and accrued expenses

  beginning of year $2,786,921 · end of year $2,508,087

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $0 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $6,286,300 · end of year $5,349,533

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $80,498,590 · end of year $90,170,134

• 27 · Net assets without donor restrictions

  beginning of year -$66,994,032 · end of year -$87,662,574

• 28 · Net assets with donor restrictions

  beginning of year $0 · end of year $0

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

SEVERANCE NONQUALIFIED EQUITY-BASED CHARLES MANTOOTH $0 $11,500 $0 DAVID NATHAN NIPPER $0 $2,675 $0 STEPHANIE GREER $0 $5,300 $0

Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION

NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION AND THE ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY A RELATED ORGANIZATION, ARHS, TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATIONS BY ARHS INCLUDE AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AND BOARD APPROVAL. THE METHOD IS WELL DOCUMENTED.