Form 990 for tax year 2022
Filed by MEDICAL STAFF OF CAPITAL HEALTH SYSTEM.
Totals
- Total revenue
- $155,000
- Total expenses
- $148,152
- Contributions and grants received
- $155,000
- Grants paid
- $15,100
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $218,457
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $218,457
- Program services expenses (Part IX)
- $145,640
- Management and general expenses
- $2,512
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $145,640
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.
-
1b · Membership dues
$155,000
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $15,100 · program services $15,100
-
5 · Compensation of officers, directors and key employees
total $85,000 · program services $85,000
-
11c · Fees: accounting
total $1,125 · management and general $1,125
-
24a · Other expenses: STIPENDS
total $30,000 · program services $30,000
-
24b · Other expenses: ANNUAL DINNER
total $14,500 · program services $14,500
-
24c · Other expenses: BANK SERVICE CHARGES
total $1,387 · management and general $1,387
-
24d · Other expenses: FLOWERS
total $1,040 · program services $1,040
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $395,542 · end of year $218,457
-
27 · Net assets without donor restrictions
beginning of year $390,542 · end of year $213,457
-
28 · Net assets with donor restrictions
beginning of year $5,000 · end of year $5,000
Mission and programs · 2022
Mission
GOVERNING THE MEDICAL STAFF AT EACH LICENSED CAMPUS OF CAPITAL HEALTH SYSTEMS, INC. THE MEDICAL STAFF OF CAPITAL HEALTH SYSTEMS,INC IS RESPONSIBLE FOR MATTERS INVOLVING THE QUALITY OF MEDICAL CARE AND THE ORDERLY RESOLUTION OF THOSE MATTERS.
Activities or mission (Part I)
GOVERNING BOARD OF THE MEDICAL STAFF OF CAPITAL HEALTH SYSTEMS.
-
GOVERNING THE MEDICAL STAFF AT EACH LICENSED CAMPUS OF CAPITAL HEALTH SYSTEMS, INC. THE MEDICAL STAFF OF CAPITAL HEALTH SYSTEMS,INC IS RESPONSIBLE FOR MATTERS INVOLVING THE QUALITY OF MEDICAL CARE AND THE ORDERLY RESOLUTION OF THOSE MATTERS.
Expenses $145,640 · Grants $15,100
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
ARMEN SIMONIAN MD
PRESIDENT
- Total calculated
- $50,000
- From this org
- $50,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
DOMINICK J EBOLI MD
VICE PRESIDE
- Total calculated
- $35,000
- From this org
- $35,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2.5
-
GARY A BROWN DO
SEC./TREASUR
- Total calculated
- $0
- Hours/week
- 2.5
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.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303199349304505
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