Form 990 for tax year 2022
Filed by WRAY COMMUNITY DISTRICT HOSPITAL.
Totals
- Total revenue
- $4,958,875
- Total expenses
- $5,536,281
- Contributions and grants received
- $717,368
- Grants paid
- $0
- Program service revenue
- $4,208,058
- Investment income
- $348
- Other revenue
- $33,101
- Total assets, end of year
- $4,540,273
- Total liabilities, end of year
- $2,373,057
- Net assets or fund balances, end of year
- $2,167,216
- Program services expenses (Part IX)
- $4,814,850
- Management and general expenses
- $721,431
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,814,850
Program services were 87.0% 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.
-
1d · Related organizations
$500,000
-
1e · Government grants (contributions)
$78,368
-
1f · All other contributions, gifts and grants
$139,000
-
2a · Program service revenue: NET RESIDENT SERVICE REVENUE
total $4,207,098 · related or exempt $4,207,098
-
2b · Program service revenue: OTHER PROGRAM REVENUE
total $960 · related or exempt $960
-
3 · Investment income
total $348 · excluded $348
-
8a · Fundraising events: gross income
$2,644
-
8b · Fundraising events: direct expenses
$794
-
8c · Net income from fundraising events
total $1,850 · excluded $1,850
-
11a · Other revenue: OTHER
total $28,720 · excluded $28,720
-
11b · Other revenue: GIFT SHOP
total $2,321 · excluded $2,321
-
11c · Other revenue: MEALS
total $210 · excluded $210
-
11e · Other revenue, total
$31,251
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $3,063,606 · program services $2,712,212 · management and general $351,394
-
9 · Other employee benefits
total $444,793 · program services $393,781 · management and general $51,012
-
10 · Payroll taxes
total $289,296 · program services $256,117 · management and general $33,179
-
11b · Fees: legal
total $18,573 · management and general $18,573
-
11c · Fees: accounting
total $16,815 · management and general $16,815
-
11g · Fees: other
total $408,691 · program services $296,214 · management and general $112,477
-
12 · Advertising and promotion
total $40,391 · management and general $40,391
-
13 · Office expenses
total $66,178 · program services $36,084 · management and general $30,094
-
14 · Information technology
total $39,385 · program services $39,385
-
16 · Occupancy
total $113,861 · program services $111,484 · management and general $2,377
-
17 · Travel
total $8,246 · program services $7,862 · management and general $384
-
19 · Conferences, conventions and meetings
total $19,207 · program services $3,534 · management and general $15,673
-
20 · Interest
total $53,556 · program services $52,415 · management and general $1,141
-
22 · Depreciation, depletion and amortization
total $280,656 · program services $274,769 · management and general $5,887
-
23 · Insurance
total $93,799 · program services $93,799
-
24a · Other expenses: DIETARY SUPPLIES
total $197,358 · program services $197,358
-
24b · Other expenses: MEDICAL SUPPLIES & DRUGS
total $161,184 · program services $161,184
-
24c · Other expenses: REPAIRS & MAINTENANCE
total $61,952 · program services $60,773 · management and general $1,179
-
24e · All other expenses
total $158,734 · program services $117,879 · management and general $40,855
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $430,168 · end of year $286,671
-
2 · Savings and temporary cash investments
beginning of year $539,111 · end of year $185,176
-
3 · Pledges and grants receivable
beginning of year $230,484 · end of year $221,838
-
9 · Prepaid expenses and deferred charges
beginning of year $81,936 · end of year $57,381
-
10a · Land, buildings and equipment: cost or other basis
$6,000,699
-
10b · Land, buildings and equipment: accumulated depreciation
$2,211,492
-
10c · Land, buildings and equipment, net
beginning of year $3,892,447 · end of year $3,789,207
-
17 · Accounts payable and accrued expenses
beginning of year $407,980 · end of year $399,925
-
19 · Deferred revenue
beginning of year $96,550 · end of year $71,196
-
21 · Escrow or custodial account liability
beginning of year $4,966 · end of year $3,534
-
23 · Secured mortgages and notes payable
beginning of year $1,920,028 · end of year $1,898,402
-
27 · Net assets without donor restrictions
beginning of year $2,744,622 · end of year $2,167,216
Mission and programs · 2022
Mission
TO PROMOTE HEALTHIER SENIOR LIVING THROUGH COMPASSIONATE, QUALITY, PERSON DIRECTED CARE...FAMILY CARE WITH A FAMILY TOUCH.
Activities or mission (Part I)
TO PROMOTE AN ELDER-CENTERED CARE COMMUNITY WHERE RESIDENTS FEEL LOVED, SECURE AND CONTENT WHILE MAINTAINING INDEPENDENCE AND CHOICE IN DAILY LIFE.
-
WRAY COMMUNITY LONG TERM CARE, INC. D/B/A HILLCREST CARE CENTER AND THE TOWERS OPERATES A 45-BED SKILLED NURSING FACILITY AND A 24-UNIT ASSISTED LIVING FACILITY. THE PURPOSE OF HILLCREST CARE CENTER IS TO MAINTAIN AN ENVIRONMENT THAT WILL BE RESPONSIVE TO THE NEEDS OF OUR RESIDENTS AND THEIR FAMILIES, THUS ALLOWING PEOPLE TO BE IN THIS COMMUNITY AND TO LIVE WHERE FAMILIES AND FRIENDS CAN VISIT WITHOUT HAVING TO TRAVEL A LONG DISTANCE. HILLCREST CARE CENTER AND THE TOWERS SERVED 109 RESIDENTS AND PROVIDED 16,723 DAYS OF RESIDENT SERVICES TO AGING ADULTS DURING THE YEAR.
Expenses $4,814,850 · Revenue $4,208,058
As filed on the 2022 return.
Listed in Part VII
-
John HartJOHN HART
CEO
- Total calculated
- $230,882
- From this org
- $0
- From related orgs
- $202,099
- Other
- $28,783
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- not reported + $187,772 related
- Bonus
- not reported + $14,327 related
- Other
- not reported
- Deferred
- not reported + $27,000 related
- Nontaxable benefits
- not reported + $1,783 related
- Filer's total
- not reported + $230,882 related
-
Toby StultsTOBY STULTS
CFO
- Total calculated
- $201,976
- From this org
- $0
- From related orgs
- $188,423
- Other
- $13,553
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- not reported + $144,570 related
- Bonus
- not reported + $43,853 related
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported + $13,553 related
- Filer's total
- not reported + $201,976 related
-
Jennifer KramerJENNIFER KRAMER
CMO
- Total calculated
- $206,372
- From this org
- $0
- From related orgs
- $181,012
- Other
- $25,360
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- not reported + $155,761 related
- Bonus
- not reported + $25,251 related
- Other
- not reported
- Deferred
- not reported + $20,500 related
- Nontaxable benefits
- not reported + $4,860 related
- Filer's total
- not reported + $206,372 related
-
Horacio Reynosos JrHORACIO REYNOSOS JR
RN
- Total calculated
- $124,966
- From this org
- $112,372
- From related orgs
- $0
- Other
- $12,594
- Hours/week
- 40
-
Jolene CusterJOLENE CUSTER
RN
- Total calculated
- $120,713
- From this org
- $109,486
- From related orgs
- $0
- Other
- $11,227
- Hours/week
- 40
-
Craig SoehnerCRAIG SOEHNER
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Philip RigglemanPHILIP RIGGLEMAN
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
James HendrixJAMES HENDRIX
SECRETARY/TR
- Total calculated
- $0
- Hours/week
- 1
-
Rebecca LenzREBECCA LENZ
PAST CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Jeffrey WingfieldJEFFREY WINGFIELD
MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Amanda KerbsAMANDA KERBS
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. 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 · Compensation survey or study
- 3 · Approval by the board or compensation committee
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
The filer's explanations (Part III)
- SCHEDULE J, PAGE 1, PART I, LINE 3
- COMPENSATION IS PAID BY A RELATED ORGANIZATION. THE SHARED BOARD OF WRAY DISTRICT HOSPITAL AND WRAY COMMUNITY LONT TERM CARE REVIEWS COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS BEFORE APPROVING THE COMPENSATION OF THE CEO AND ADMINISTRATOR. THIS PROCESS AND DECISION REACHED ARE DOCUMENTED IN THE BOARD MINUTES AND PERSONNEL FILES.
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.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
WRAY COMMUNITY DISTRICT HOSPITAL
GOV · HOSPITAL · CO
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 24 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343049349302459
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