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Nonprofiteer
← CCMH CORPORATION

Form 990 for tax year 2022

Filed by CCMH CORPORATION.

Totals

Total revenue
$22,263,428
Total expenses
$23,025,628
Contributions and grants received
$467,881
Grants paid
$0
Program service revenue
$19,230,731
Investment income
$7,167
Other revenue
$2,557,649
Total assets, end of year
$13,268,932
Total liabilities, end of year
$8,179,770
Net assets or fund balances, end of year
$5,089,162
Program services expenses (Part IX)
$21,810,982
Management and general expenses
$1,214,646
Fundraising expenses
$0
Program service expenses (Part III)
$21,810,982

Program services were 94.7% 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)

    $148,587

  • 1f · All other contributions, gifts and grants

    $319,294

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $19,230,731 · related or exempt $19,230,731

  • 3 · Investment income

    total $7,167 · excluded $7,167

  • 6a · Gross rents

    real property $103,123

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $103,123

  • 6d · Net rental income or loss

    total $103,123 · excluded $103,123

  • 11a · Other revenue: 340B PROGRAM

    total $1,541,936 · related or exempt $1,541,936

  • 11b · Other revenue: MEDICAID HRIP

    total $661,027 · related or exempt $661,027

  • 11c · Other revenue: MISCELLANEOUS

    total $251,563 · related or exempt $193,437 · excluded $58,126

  • 11e · Other revenue, total

    $2,454,526

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $242,300 · program services $121,150 · management and general $121,150

  • 7 · Other salaries and wages

    total $10,252,869 · program services $10,153,951 · management and general $98,918

  • 9 · Other employee benefits

    total $1,299,499 · program services $1,283,674 · management and general $15,825

  • 10 · Payroll taxes

    total $731,752 · program services $695,164 · management and general $36,588

  • 11b · Fees: legal

    total $19,211 · management and general $19,211

  • 11c · Fees: accounting

    total $49,375 · management and general $49,375

  • 11g · Fees: other

    total $2,424,536 · program services $1,595,598 · management and general $828,938

  • 12 · Advertising and promotion

    total $68,295 · program services $28,001 · management and general $40,294

  • 13 · Office expenses

    total $116,311 · program services $115,208 · management and general $1,103

  • 16 · Occupancy

    total $1,051,760 · program services $1,051,760

  • 17 · Travel

    total $23,174 · program services $19,930 · management and general $3,244

  • 20 · Interest

    total $161,151 · program services $161,151

  • 22 · Depreciation, depletion and amortization

    total $721,647 · program services $721,647

  • 23 · Insurance

    total $348,113 · program services $348,113

  • 24a · Other expenses: BAD DEBT

    total $2,690,938 · program services $2,690,938

  • 24b · Other expenses: MEDICAL SUPPLIES AND DR

    total $2,271,567 · program services $2,271,567

  • 24c · Other expenses: PROVIDER TAX

    total $282,586 · program services $282,586

  • 24d · Other expenses: MISCELLANEOUS

    total $270,544 · program services $270,544

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,950,076 · end of year $4,230,395

  • 2 · Savings and temporary cash investments

    beginning of year $17,491 · end of year $17,517

  • 4 · Accounts receivable

    beginning of year $1,463,664 · end of year $1,488,785

  • 8 · Inventories for sale or use

    beginning of year $216,697 · end of year $241,160

  • 9 · Prepaid expenses and deferred charges

    beginning of year $468,733 · end of year $388,527

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

    $22,384,862

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

    $16,256,793

  • 10c · Land, buildings and equipment, net

    beginning of year $6,262,653 · end of year $6,128,069

  • 15 · Other assets

    beginning of year $660,840 · end of year $774,479

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,984,439 · end of year $1,755,209

  • 23 · Secured mortgages and notes payable

    beginning of year $6,017,460 · end of year $5,790,700

  • 25 · Other liabilities

    beginning of year $1,186,893 · end of year $633,861

  • 27 · Net assets without donor restrictions

    beginning of year $5,851,362 · end of year $5,089,162

Mission and programs · 2022

Mission

PROVIDE A HEALTHCARE FACILITY OFFERING ACUTE CARE, SKILLED CARE, OUTPATIENT SERVICES, AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF CARROLL COUNTY, KENTUCKY AND SURROUNDING AREAS.

  • SERVICED 54,511 PATIENTS THIS YEAR. APPROXIMATELY 7,293 PATIENTS WERE SERVICED IN EMERGENCY ROOMS. ALSO HAD 18,691 PHYSICIAN CLAIMS.PROVIDED MEDICAL CARE FOR THOSE UNABLE TO PAY.PROVIDED RURAL HEALTH CLINIC TO SERVE THE INDIGENT OF THE COMMUNITY.

    Expenses $21,810,982 · Revenue $21,627,131

As filed on the 2022 return.

Listed in Part VII

  • Valerie Hines

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Nick Marsh

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Robert Yowler

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Harold Tomlinson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • John Spike Wright

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Scott Nab

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Laman Stark

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Casey Ellis

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Vicky Rand

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • James Stevenson

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Dennis Raisor

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Kimberly Haverly

    CEO/CFO

    Total calculated
    $242,300
    From this org
    $221,123
    From related orgs
    $0
    Other
    $21,177
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,973
    Bonus
    $26,150
    Other
    $0
    Deferred
    $20,023
    Nontaxable benefits
    $1,154
    Filer's total
    $242,300
  • Ranjhan Gopang

    PHYSICIAN

    Total calculated
    $959,356
    From this org
    $923,878
    From related orgs
    $0
    Other
    $35,478
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $654,423
    Bonus
    $269,455
    Other
    $0
    Deferred
    $27,000
    Nontaxable benefits
    $8,478
    Filer's total
    $959,356
  • Sherrell Nunnelley

    PHYSICIAN

    Total calculated
    $288,464
    From this org
    $256,520
    From related orgs
    $0
    Other
    $31,944
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $246,904
    Bonus
    $0
    Other
    $9,616
    Deferred
    $27,000
    Nontaxable benefits
    $4,944
    Filer's total
    $288,464
  • Winston Yap

    PHYSICIAN

    Total calculated
    $309,412
    From this org
    $270,927
    From related orgs
    $0
    Other
    $38,485
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $244,177
    Bonus
    $26,750
    Other
    $0
    Deferred
    $23,946
    Nontaxable benefits
    $14,539
    Filer's total
    $309,412
  • Kevin Richardson

    PHYSICIAN

    Total calculated
    $128,787
    From this org
    $106,418
    From related orgs
    $0
    Other
    $22,369
    Hours/week
    40
  • Herb Hunter

    PHARMACIST

    Total calculated
    $177,262
    From this org
    $141,805
    From related orgs
    $0
    Other
    $35,457
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,805
    Bonus
    $0
    Other
    $0
    Deferred
    $4,986
    Nontaxable benefits
    $30,471
    Filer's total
    $177,262

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 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
PHYSICIANS ARE ELIGIBLE FOR BONUSES BASED ON PRODUCTIVITY (RVU'S).

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
8 November 2023
IRS schema version
2022v5.0
Source object
202343149349300134

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