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Nonprofiteer
← CHURCH HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by CHURCH HEALTH SERVICES INC.

Totals

Total revenue
$1,304,907
Total expenses
$1,085,342
Contributions and grants received
$943,537
Grants paid
$0
Program service revenue
$352,451
Investment income
$8,919
Other revenue
$0
Total assets, end of year
$1,680,519
Total liabilities, end of year
$148,671
Net assets or fund balances, end of year
$1,531,848
Program services expenses (Part IX)
$800,747
Management and general expenses
$198,833
Fundraising expenses
$85,762
Program service expenses (Part III)
$800,747

Program services were 73.8% 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.

  • 1c · Fundraising events

    $6,789

  • 1e · Government grants (contributions)

    $57,000

  • 1f · All other contributions, gifts and grants

    $879,748

  • 1g · Noncash contributions included above

    $13,950

  • 2a · Program service revenue: PROGRAM REVENUES

    total $352,451 · related or exempt $352,451

  • 3 · Investment income

    total $165 · related or exempt $165

  • 7a · Gross sales of assets other than inventory

    securities $40,010

  • 7b · Less cost or other basis and sales expenses

    securities $31,256

  • 7c · Gain or loss

    securities $8,754

  • 7d · Net gain or loss

    total $8,754 · related or exempt $8,754

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $6,789

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $80,000 · program services $12,000 · management and general $40,000 · fundraising $28,000

  • 7 · Other salaries and wages

    total $745,418 · program services $651,748 · management and general $52,063 · fundraising $41,607

  • 8 · Pension plan contributions

    total $9,611 · program services $4,925 · management and general $2,616 · fundraising $2,070

  • 9 · Other employee benefits

    total $24,876 · program services $822 · management and general $15,324 · fundraising $8,730

  • 10 · Payroll taxes

    total $64,781 · program services $52,367 · management and general $7,059 · fundraising $5,355

  • 11b · Fees: legal

    total $75 · management and general $75

  • 11c · Fees: accounting

    total $11,203 · management and general $11,203

  • 12 · Advertising and promotion

    total $3,724 · program services $3,724

  • 13 · Office expenses

    total $11,699 · program services $4,486 · management and general $7,213

  • 14 · Information technology

    total $44,439 · program services $22,219 · management and general $22,220

  • 16 · Occupancy

    total $21,239 · program services $5,441 · management and general $15,798

  • 17 · Travel

    total $1,715 · management and general $1,715

  • 19 · Conferences, conventions and meetings

    total $5,190 · program services $5,190

  • 20 · Interest

    total $4,829 · program services $2,415 · management and general $2,414

  • 22 · Depreciation, depletion and amortization

    total $20,761 · program services $13,621 · management and general $7,140

  • 23 · Insurance

    total $10,470 · management and general $10,470

  • 24a · Other expenses: MEDICAL SUPPLIES/SERVIC

    total $19,662 · program services $19,662

  • 24b · Other expenses: MISCELLANEOUS EXPENSE

    total $3,477 · program services $2,127 · management and general $1,350

  • 24c · Other expenses: PRINTING, PUBLICATIONS,

    total $2,173 · management and general $2,173

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $62,225 · end of year $566,603

  • 2 · Savings and temporary cash investments

    beginning of year $15,397 · end of year $516

  • 3 · Pledges and grants receivable

    beginning of year $1,750 · end of year $4,000

  • 4 · Accounts receivable

    beginning of year $95,200 · end of year $25,166

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

    $782,930

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

    $294,423

  • 10c · Land, buildings and equipment, net

    beginning of year $509,268 · end of year $488,507

  • 11 · Investments: publicly traded securities

    beginning of year $34,646 · end of year $0

  • 15 · Other assets

    beginning of year $764,549 · end of year $595,727

  • 17 · Accounts payable and accrued expenses

    beginning of year $20,710 · end of year $63,671

  • 23 · Secured mortgages and notes payable

    end of year $85,000

  • 27 · Net assets without donor restrictions

    beginning of year $1,424,910 · end of year $993,348

  • 28 · Net assets with donor restrictions

    beginning of year $37,415 · end of year $538,500

Mission and programs · 2022

Mission

CHURCH HEALTH SERVICES IS A FAITH BASED HEALTH CARE ORGANIZATION THAT CONDUCTS PRIMARY, DENTAL AND MENTAL HEALTH CLINICS FOR THE POOR, UNINSURED OR UNDERINSURED.

  • CHURCH HEALTH SERVICES IS A FAITH BASED HEALTH CARE ORGANIZATION THAT CONDUCTS PRIMARY, DENTAL AND MENTAL HEALTH CLINICS FOR THE POOR, UNINSURED OR UNDERINSURED.

    Expenses $800,747 · Revenue $361,370

As filed on the 2022 return.

Listed in Part VII

  • THEA O'CONNOR

    EXECUTIVE DIRECTOR

    Total calculated
    $85,266
    From this org
    $80,000
    From related orgs
    $0
    Other
    $5,266
    Hours/week
    35
  • STEVE VESSEY

    PRESIDENT/BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • MARY VOGL-RAUSCHER

    VICE PRESIDENT/BOARD MEMBE

    Total calculated
    $0
    Hours/week
    1
  • RICH ZIEMAN

    TREASURER/BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • RICK VANT HOFF

    SECRETARY/BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • JENNIFER CAMPBELL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • KAREN COLEY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • HEIDI WEISS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • TOM HEFFRON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • CATHY NELSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • JIM HANKES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

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.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202343199349322154

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