Form 990 for tax year 2022
Filed by CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED.
Totals
- Total revenue
- $7,742,143
- Total expenses
- $7,386,599
- Contributions and grants received
- $4,953,353
- Grants paid
- $0
- Program service revenue
- $1,319,293
- Investment income
- $1,458
- Other revenue
- $1,468,039
- Total assets, end of year
- $4,452,704
- Total liabilities, end of year
- $1,082,895
- Net assets or fund balances, end of year
- $3,369,809
- Program services expenses (Part IX)
- $7,260,018
- Management and general expenses
- $126,581
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $7,260,018
Program services were 98.3% 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)
$4,953,353
-
2a · Program service revenue: MEDICAID/MEDICARE
total $1,149,928 · related or exempt $1,149,928
-
2b · Program service revenue: INSURANCE & CONTRACTUAL SERVI
total $169,365 · related or exempt $169,365
-
3 · Investment income
total $1,458 · related or exempt $1,458
-
10a · Gross sales of inventory
$3,997,675
-
10b · Cost of goods sold
$2,535,208
-
10c · Net income from sales of inventory
total $1,462,467 · related or exempt $1,462,467
-
11a · Other revenue: MISCELLANEOUS INCOME
total $5,572 · related or exempt $5,572
-
11e · Other revenue, total
$5,572
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $4,444,824 · program services $4,444,824
-
8 · Pension plan contributions
total $139,106 · program services $139,106
-
9 · Other employee benefits
total $706,055 · program services $706,055
-
10 · Payroll taxes
total $341,030 · program services $341,030
-
11c · Fees: accounting
total $20,510 · program services $17,010 · management and general $3,500
-
11g · Fees: other
total $476,586 · program services $476,586
-
13 · Office expenses
total $71,385 · program services $45,400 · management and general $25,985
-
17 · Travel
total $99,228 · program services $99,228
-
20 · Interest
total $20,413 · program services $20,413
-
22 · Depreciation, depletion and amortization
total $184,661 · program services $184,661
-
23 · Insurance
total $61,402 · program services $36,227 · management and general $25,175
-
24a · Other expenses: SUPPLIES
total $358,471 · program services $358,471
-
24b · Other expenses: BAD DEBT EXPENSE
total $152,660 · program services $152,660
-
24c · Other expenses: MISCELLANEOUS
total $132,018 · program services $116,755 · management and general $15,263
-
24d · Other expenses: MAINTENANCE
total $84,966 · program services $28,308 · management and general $56,658
-
24e · All other expenses
total $93,284 · program services $93,284
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $206,388 · end of year $10,369
-
4 · Accounts receivable
beginning of year $1,033,757 · end of year $1,651,672
-
8 · Inventories for sale or use
beginning of year $358,083 · end of year $305,707
-
10a · Land, buildings and equipment: cost or other basis
$4,085,186
-
10b · Land, buildings and equipment: accumulated depreciation
$1,618,092
-
10c · Land, buildings and equipment, net
beginning of year $2,572,965 · end of year $2,467,094
-
15 · Other assets
beginning of year $67,411 · end of year $17,862
-
17 · Accounts payable and accrued expenses
beginning of year $479,022 · end of year $348,778
-
24 · Unsecured notes and loans payable
beginning of year $244,741 · end of year $227,350
-
25 · Other liabilities
beginning of year $500,576 · end of year $506,767
-
27 · Net assets without donor restrictions
beginning of year $3,014,265 · end of year $3,369,809
Mission and programs · 2022
Mission
THE PROVIDING OF MEDICAL SERVICES FOR THOSE LIVING IN RESIDENTIAL LOW INCOME POPULATION AREAS IN UTAH WITH NO OTHER MEDICAL SERVICES AVAILABLE WITHIN 35 MILES.
-
THE PROVISION OF MEDICAL SERVICES, INCLUDING PHYSICIANS, DENTAL, MENTAL HEALTH, AND PHARMACY SERVICES TO THOSE LIVING INA RURAL LOW-INCOME AREA OF UTAH. MOST OF THOSE SERVICED BY THE ASSOCIATION ARE MORE THAN 35 MILES FROM ANY OTHER MEDICAL PROVIDERS.
Expenses $7,260,018
As filed on the 2022 return.
Listed in Part VII
-
Darrell ValdezDARRELL VALDEZ
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Jack OriJACK ORI
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Alyssa WilbergALYSSA WILBERG
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Ramona HoltRAMONA HOLT
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Kimalee AllredKIMALEE ALLRED
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Don LogstonDON LOGSTON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Jeff BrabyJEFF BRABY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Michael B O'SheaMICHAEL B O'SHEA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Max CarrilloMAX CARRILLO
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Angelica GarciaANGELICA GARCIA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Dr Douglas PerkinsDR DOUGLAS PERKINS
DO
- Total calculated
- $233,942
- From this org
- $233,942
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $233,942
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $233,942
-
Jordan KofoedJORDAN KOFOED
DENTIST
- Total calculated
- $195,738
- From this org
- $195,738
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $195,738
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $195,738
-
Russell ScowRUSSELL SCOW
PHARMACY DIR
- Total calculated
- $157,685
- From this org
- $157,685
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $157,685
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $157,685
-
Robert TrujilloROBERT TRUJILLO
NETWORK ENGI
- Total calculated
- $155,070
- From this org
- $155,070
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $155,070
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $155,070
-
Michael SmithMICHAEL SMITH
PHARMACIST
- Total calculated
- $150,096
- From this org
- $150,096
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $150,096
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $150,096
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
None.
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
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.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441369349306069
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