Form 990 for tax year 2022

1f · All other contributions, gifts and grants

$32,386

2a · Program service revenue: MEDICAID REVENUE

total $695,758,746 · related or exempt $695,758,746

2b · Program service revenue: COST SHARE/ROOM & BOARD

total $80,479,883 · related or exempt $80,479,883

2c · Program service revenue: MEDICAID ADJUSTMENTS

total $16,224,910 · related or exempt $16,224,910

2d · Program service revenue: INTERCOMPANY REVENUE

total $5,479,524 · related or exempt $5,479,524

2e · Program service revenue: HOSTING REVENUE

total $100,000 · related or exempt $100,000

3 · Investment income

total $2,495,173 · excluded $2,495,173

7a · Gross sales of assets other than inventory

securities $64,292,403 · other assets $413,923

7b · Less cost or other basis and sales expenses

securities $64,622,087 · other assets $0

7c · Gain or loss

securities -$329,684 · other assets $413,923

7d · Net gain or loss

total $84,239 · excluded $84,239

11a · Other revenue: ALL OTHER REVENUE

total $24,269 · excluded $24,269

11b · Other revenue: EMPLOYEE BENEFIT REFUNDS/DIVIDEND

total $21,408 · related or exempt $21,408

11c · Other revenue: CERTIFICATION FEES

total $808 · related or exempt $808

11e · Other revenue, total

$46,485

4 · Benefits paid to or for members

total $671,740,571 · program services $671,740,571

5 · Compensation of officers, directors and key employees

total $2,546,830 · management and general $2,546,830

7 · Other salaries and wages

total $48,572,238 · program services $36,553,198 · management and general $12,019,040

8 · Pension plan contributions

total $2,355,946 · program services $1,880,005 · management and general $475,941

9 · Other employee benefits

total $8,544,377 · program services $7,065,978 · management and general $1,478,399

10 · Payroll taxes

total $4,827,563 · program services $3,768,663 · management and general $1,058,900

11b · Fees: legal

total $622,064 · management and general $622,064

11c · Fees: accounting

total $775,558 · management and general $775,558

11f · Fees: investment management

total $139,474 · management and general $139,474

11g · Fees: other

total $4,749,573 · program services $12,518 · management and general $4,737,055

12 · Advertising and promotion

total $672,749 · management and general $672,749

13 · Office expenses

total $1,217,363 · program services $498,049 · management and general $719,314

14 · Information technology

total $3,305,752 · management and general $3,305,752

16 · Occupancy

total $2,051,524 · program services $1,060,021 · management and general $991,503

17 · Travel

total $1,077,226 · program services $1,022,251 · management and general $54,975

19 · Conferences, conventions and meetings

total $17,285 · program services $8,543 · management and general $8,742

20 · Interest

total $1,050 · management and general $1,050

22 · Depreciation, depletion and amortization

total $1,331,012 · program services $659,811 · management and general $671,201

23 · Insurance

total $429,418 · management and general $429,418

24a · Other expenses: BAD DEBT EXPENSE

total $7,297,682 · program services $7,297,682

24b · Other expenses: LICENSE & REGISTRATION

total $244,412 · program services $8,833 · management and general $235,579

24c · Other expenses: BANK FEES

total $198,222 · management and general $198,222

24d · Other expenses: DUES & SUBSCRIPTIONS

total $43,289 · management and general $43,289

1 · Cash, non-interest-bearing

beginning of year $215,270 · end of year $579,293

2 · Savings and temporary cash investments

beginning of year $89,961,054 · end of year $158,817,918

4 · Accounts receivable

beginning of year $8,560,615 · end of year $4,842,987

9 · Prepaid expenses and deferred charges

beginning of year $615,833 · end of year $785,903

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

$7,084,677

10b · Land, buildings and equipment: accumulated depreciation

$3,850,772

10c · Land, buildings and equipment, net

beginning of year $2,622,656 · end of year $3,233,905

11 · Investments: publicly traded securities

beginning of year $69,605,709 · end of year $77,444,835

13 · Investments: program-related

beginning of year $19,526,701 · end of year $9,526,701

14 · Intangible assets

beginning of year $2,726,076 · end of year $2,331,299

15 · Other assets

beginning of year $536,013 · end of year $5,937,024

17 · Accounts payable and accrued expenses

beginning of year $7,726,106 · end of year $10,330,438

25 · Other liabilities

beginning of year $58,861,543 · end of year $88,654,492

27 · Net assets without donor restrictions

beginning of year $127,782,278 · end of year $164,514,935