Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $161,104

• 2a · Program service revenue: NET PATIENT HOSPITAL REVENUE

  total $20,282,137 · related or exempt $20,282,137

• 2b · Program service revenue: HOME HEALTH CARE REVENUE

  total $722,960 · related or exempt $722,960

• 2c · Program service revenue: WELLNESS CENTER SERVICE REVENUE

  total $303,408 · related or exempt $303,408

• 2d · Program service revenue: WIC PROGRAM REVENUE

  total $64,660 · related or exempt $64,660

• 2e · Program service revenue: CLINIC RENT REVENUE

  total $211,930 · related or exempt $211,930

• 2f · All other program service revenue

  total $355,338 · related or exempt $355,338 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $5,096,072 · excluded $5,096,072

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7a · Gross sales of assets other than inventory

  securities $98,056,743 · other assets $74,748,028

• 7b · Less cost or other basis and sales expenses

  securities $97,962,308 · other assets $38,218,975

• 7c · Gain or loss

  securities $94,435 · other assets $36,529,053

• 7d · Net gain or loss

  total $36,623,488 · excluded $36,623,488

• 10a · Gross sales of inventory

  $440,882

• 10b · Cost of goods sold

  $90,127

• 10c · Net income from sales of inventory

  total $350,755 · related or exempt $350,755

• 11a · Other revenue: Miscellaneous Revenue

  total $3,801,285 · related or exempt $3,785,162 · excluded $16,123

• 11b · Other revenue: BAD DEBT RECOVERY

  total $454,590 · related or exempt $454,590

• 11c · Other revenue: AUXILIARY REVENUE

  total $1,950 · related or exempt $1,950

• 11d · All other revenue

  total $295 · related or exempt $295 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $4,258,120

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $2,418,408 · program services $2,418,408

• 2 · Grants to domestic individuals

  total $50,192 · program services $50,192

• 5 · Compensation of officers, directors and key employees

  total $2,286,661 · management and general $2,286,661

• 7 · Other salaries and wages

  total $6,867,624 · program services $6,073,032 · management and general $794,592

• 8 · Pension plan contributions

  total $83,952 · program services $83,952

• 9 · Other employee benefits

  total $1,713,952 · program services $1,526,848 · management and general $187,104

• 10 · Payroll taxes

  total $705,378 · program services $446,400 · management and general $258,978

• 11b · Fees: legal

  total $2,330,083 · management and general $2,330,083

• 11c · Fees: accounting

  total $54,715 · management and general $54,715

• 11g · Fees: other

  total $4,389,161 · program services $3,381,247 · management and general $1,007,914 · fundraising $0

• 12 · Advertising and promotion

  total $259,776 · program services $42,982 · management and general $216,794

• 13 · Office expenses

  total $1,292,323 · program services $948,803 · management and general $343,520

• 14 · Information technology

  total $183,968 · program services $67,043 · management and general $116,925

• 16 · Occupancy

  total $1,695,007 · program services $1,182,300 · management and general $512,707

• 17 · Travel

  total $37,965 · program services $20,499 · management and general $17,466

• 19 · Conferences, conventions and meetings

  total $18,928 · program services $18,928

• 20 · Interest

  total $17,515 · management and general $17,515

• 22 · Depreciation, depletion and amortization

  total $1,478,872 · program services $1,278,718 · management and general $200,154

• 23 · Insurance

  total $106,784 · program services $48,253 · management and general $58,531

• 24a · Other expenses: MEDICAL SUPPLIES

  total $5,174,703 · program services $5,174,703

• 24b · Other expenses: Other Expenses

  total $1,232,339 · program services $1,151,231 · management and general $81,108

• 24c · Other expenses: RECRUITMENT & RECOGNITION

  total $44,900 · program services $13,270 · management and general $31,630

• 24d · Other expenses: DUES & SUBSCRIPTIONS

  total $41,223 · program services $9,208 · management and general $32,015

• 24e · All other expenses

  total $19,775 · program services $7,858 · management and general $11,917 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $7,478,630 · end of year $9,091,501

• 2 · Savings and temporary cash investments

  beginning of year $54,512,803 · end of year $137,401,735

• 4 · Accounts receivable

  beginning of year $8,789,526 · end of year $2,915,570

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $2,810,440 · end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $6,491,190 · end of year $118,192

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

  $13,257,163

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

  $1,454,271

• 10c · Land, buildings and equipment, net

  beginning of year $44,917,706 · end of year $11,802,892

• 12 · Investments: other securities

  beginning of year $33,491,388 · end of year $40,934,766

• 13 · Investments: program-related

  beginning of year $0

• 15 · Other assets

  beginning of year $73,444,561 · end of year $4,753,245

• 17 · Accounts payable and accrued expenses

  beginning of year $13,980,095 · end of year $1,904,712

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $7,881,685 · end of year $1,734,182

• 27 · Net assets without donor restrictions

  beginning of year $176,583,076 · end of year $203,379,007

• 28 · Net assets with donor restrictions

  beginning of year $33,491,388 · end of year $0

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Change-of-Control Payment

The Board of Directors consulted with legal counsel and approved retention/change of control payments in advance of the transaction in an effort to retain key senior staff in place for the duration of the transaction. Retention agreements are key elements in such transactions. The loss of key staff during the eighteen months of negotiation, diligence and closing, had the potential to result in an economic loss through either diminished operations or a reduction in the purchase price or both in excess of 10 million dollars. The amount of the retention agreements was confirmed through an independent third party national compensation consultant. The cost of the retention agreements was reasonable and appropriate in light of the material potential enterprise risk. The following individuals received payment: Jayne Pope $410,000 Susan Neves $325,000 Clinton Kotal $325,000 Maureen Polivka $116,126 Amanda Stevens $92,498

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• FREDERICKSBURG ACO LLC

  ACO · TX · income $0 · assets $0

  Directly controlled by CHM

• MARBLE FALLS ASC LLC

  SURGERY CTR · TX · income $355,338 · assets $0

  Directly controlled by CHM