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Nonprofiteer
← CHS OF WORCESTER INC

Form 990 for tax year 2023

Filed by CHS OF WORCESTER INC.

Totals

Total revenue
$12,026,070
Total expenses
$12,722,960
Contributions and grants received
$22,533
Grants paid
$7,400
Program service revenue
$12,003,066
Investment income
$471
Other revenue
$0
Total assets, end of year
$4,152,099
Total liabilities, end of year
$2,490,549
Net assets or fund balances, end of year
$1,661,550
Program services expenses (Part IX)
$11,594,133
Management and general expenses
$1,128,827
Fundraising expenses
$0
Program service expenses (Part III)
$11,594,133

Program services were 91.1% 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

    $10,000

  • 1f · All other contributions, gifts and grants

    $12,533

  • 2a · Program service revenue: Patient services

    total $11,931,066 · related or exempt $11,931,066

  • 2b · Program service revenue: Day care rental

    total $72,000 · related or exempt $72,000

  • 3 · Investment income

    total $471 · excluded $471

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $7,400 · program services $7,400

  • 5 · Compensation of officers, directors and key employees

    total $153,892 · program services $138,373 · management and general $15,519

  • 7 · Other salaries and wages

    total $5,086,361 · program services $4,573,434 · management and general $512,927

  • 8 · Pension plan contributions

    total $64,516 · program services $58,073 · management and general $6,443

  • 9 · Other employee benefits

    total $620,258 · program services $558,314 · management and general $61,944

  • 10 · Payroll taxes

    total $384,697 · program services $346,265 · management and general $38,432

  • 11a · Fees: management

    total $456,672 · management and general $456,672

  • 11b · Fees: legal

    total $30,962 · management and general $30,962

  • 11c · Fees: accounting

    total $5,928 · management and general $5,928

  • 11g · Fees: other

    total $3,547,610 · program services $3,547,610

  • 12 · Advertising and promotion

    total $30,538 · program services $30,538

  • 13 · Office expenses

    total $137,899 · program services $137,899

  • 14 · Information technology

    total $103,572 · program services $103,572

  • 16 · Occupancy

    total $272,144 · program services $272,144

  • 17 · Travel

    total $301 · program services $301

  • 19 · Conferences, conventions and meetings

    total $11,000 · program services $11,000

  • 22 · Depreciation, depletion and amortization

    total $195,067 · program services $195,067

  • 23 · Insurance

    total $78,921 · program services $78,921

  • 24a · Other expenses: Dietary and nutrition

    total $420,988 · program services $420,988

  • 24b · Other expenses: Provision for bad debts

    total $394,394 · program services $394,394

  • 24c · Other expenses: Drugs/medical supplies

    total $312,866 · program services $312,866

  • 24d · Other expenses: Medicaid user fee

    total $308,886 · program services $308,886

  • 24e · All other expenses

    total $98,088 · program services $98,088

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $233,864 · end of year $652,252

  • 2 · Savings and temporary cash investments

    beginning of year $15,291 · end of year $25,142

  • 4 · Accounts receivable

    beginning of year $1,329,169 · end of year $1,331,572

  • 8 · Inventories for sale or use

    beginning of year $17,664 · end of year $13,328

  • 9 · Prepaid expenses and deferred charges

    beginning of year $16,415 · end of year $37,492

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

    $4,963,765

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

    $2,990,294

  • 10c · Land, buildings and equipment, net

    beginning of year $2,154,733 · end of year $1,973,471

  • 15 · Other assets

    beginning of year $111,684 · end of year $118,842

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,184,414 · end of year $1,289,978

  • 25 · Other liabilities

    beginning of year $335,966 · end of year $1,200,571

  • 27 · Net assets without donor restrictions

    beginning of year $2,343,149 · end of year $1,636,408

  • 28 · Net assets with donor restrictions

    beginning of year $15,291 · end of year $25,142

Mission and programs · 2023

Mission

St. Mary Health Care Center, a Catholic rehabilitation and skilled nursing facility, was established as a continuing expression of the vision of St. Marguerite d'Youville, Foundress of the Sisters of Charity of Montreal, the "Grey Nuns". In the spirit of Marguerite, whose legacy we share, we seek to "bring the miracle of love to all" through compassionate care. St. Mary Health Care Center desires, in partnership with others committed to providing holistic and inclusive care for all, to develop innovative and creative means to enhance the physical, emotional, social and spiritual well-being of those we serve.

Activities or mission (Part I)

To provide holistic and inclusive care, and to enhance the physical, emotional, social, and spiritual well-being of those served.

  • The Organization provided 41,073 days of skilled nursing care to elderly patients from all economic, ethnic, and religious backgrounds. Of these days, the Organization provided 39,052 days of skilled services to Medicaid recipients.

    Expenses $11,594,133 · Grants $7,400 · Revenue $12,003,066

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Marihon Alzuhairi

    Trustee (end 5/2023)

    Total calculated
    $0
    Hours/week
    1

  • Gerald Gleich MD

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Eileen Lavallee

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Sr Marie Therese Martin CSJ

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Msgr James P Moroney

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Richard Freije

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Melissa Boyle

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Kevin Dowd

    Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Ronald Doty

    President & CEO

    Total calculated
    $153,892
    From this org
    $129,388
    From related orgs
    $0
    Other
    $24,504
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $128,599
    Bonus
    $0
    Other
    $789
    Deferred
    $2,575
    Nontaxable benefits
    $21,929
    Filer's total
    $153,892

  • Audra Kelliher

    Director of Nursing

    Total calculated
    $134,061
    From this org
    $108,490
    From related orgs
    $0
    Other
    $25,571
    Hours/week
    40

  • Eunice Gharbin

    LPN/RN

    Total calculated
    $148,564
    From this org
    $134,751
    From related orgs
    $0
    Other
    $13,813
    Hours/week
    40

  • Margaret Waithira

    LPN/RN

    Total calculated
    $117,417
    From this org
    $104,279
    From related orgs
    $0
    Other
    $13,138
    Hours/week
    40

  • Matt Jinon

    RN

    Total calculated
    $119,064
    From this org
    $118,102
    From related orgs
    $0
    Other
    $962
    Hours/week
    40

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

  • 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 3
Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable.
Part I, Line 7
A Compensation Committee recommends the variable pay award that may be issued to qualifying employees and officers. The payment of the award is discretionary and is subject to meeting the pre-determined goals of the Organization.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Campus Holding

    C · Holding company · ME

  • Covenant Health Insurance LTD

    C · Self-insurance company · CJ

  • GNM Corporation

    C · Real estate holding company · NH

  • SJ Physicians Services

    C · Physician practice · NH

  • St Joseph Corporate Services Inc

    C · Holding company · NH

  • Strauss Incorporated

    C · Repairs and transcriptions · ME

Provenance

Return type
form_990
Tax year
2023
Filed
3 November 2024
IRS schema version
2023v5.1
Source object
202423119349303652

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