Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $250,000

• 1e · Government grants (contributions)

  $2,949,458

• 1f · All other contributions, gifts and grants

  $6,564

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

  total $26,420,131 · related or exempt $26,420,131

• 2b · Program service revenue: MEDICARE/MEDICAID

  total $23,153,101 · related or exempt $23,153,101

• 2c · Program service revenue: PHARMACY REVENUE

  total $1,427,205 · related or exempt $1,427,205

• 2f · All other program service revenue

  total $964,517 · related or exempt $964,517

• 3 · Investment income

  total $238,705 · excluded $238,705

• 4 · Income from investment of tax-exempt bond proceeds

  total $22,177 · excluded $22,177

• 6a · Gross rents

  real property $73,985

• 6b · Less rental expenses

  real property $55,247

• 6c · Rental income or loss

  real property $18,738

• 6d · Net rental income or loss

  total $18,738 · excluded $18,738

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $1,948,197 · program services $1,002,175 · management and general $946,022

• 7 · Other salaries and wages

  total $25,494,691 · program services $22,967,383 · management and general $2,527,308

• 8 · Pension plan contributions

  total $330,966 · program services $263,461 · management and general $67,505

• 9 · Other employee benefits

  total $2,206,370 · program services $1,685,751 · management and general $520,619

• 10 · Payroll taxes

  total $1,758,759 · program services $1,530,659 · management and general $228,100

• 11b · Fees: legal

  total $497,445 · management and general $497,445

• 11c · Fees: accounting

  total $183,708 · management and general $183,708

• 11g · Fees: other

  total $6,518,013 · program services $4,262,237 · management and general $2,255,776

• 12 · Advertising and promotion

  total $164,201 · program services $164,201

• 13 · Office expenses

  total $2,911,483 · program services $2,806,022 · management and general $105,461

• 14 · Information technology

  total $1,125,059 · program services $1,125,059

• 16 · Occupancy

  total $980,745 · program services $938,258 · management and general $42,487

• 17 · Travel

  total $292,397 · program services $292,397

• 20 · Interest

  total $803,409 · program services $781,894 · management and general $21,515

• 22 · Depreciation, depletion and amortization

  total $3,739,321 · program services $3,639,213 · management and general $100,108

• 23 · Insurance

  total $552,452 · program services $206,078 · management and general $346,374

• 24a · Other expenses: MEDICAL SUPPLIES

  total $5,877,271 · program services $5,877,271

• 24b · Other expenses: DUES & SUBSCRIPTIONS

  total $543,206 · program services $543,206

• 24c · Other expenses: FOOD

  total $216,401 · program services $216,401

• 24d · Other expenses: COLLECTION FEES

  total $33,268 · program services $33,268

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $8,772,526 · end of year $7,706,798

• 2 · Savings and temporary cash investments

  beginning of year $13,282,133 · end of year $6,732,949

• 4 · Accounts receivable

  beginning of year $7,522,170 · end of year $7,710,055

• 8 · Inventories for sale or use

  beginning of year $1,772,010 · end of year $2,023,900

• 9 · Prepaid expenses and deferred charges

  beginning of year $741,091 · end of year $841,042

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

  $59,610,680

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

  $43,949,593

• 10c · Land, buildings and equipment, net

  beginning of year $15,394,868 · end of year $15,661,087

• 11 · Investments: publicly traded securities

  beginning of year $10,361,785 · end of year $9,013,556

• 13 · Investments: program-related

  beginning of year $193,178 · end of year $245,853

• 14 · Intangible assets

  beginning of year $0 · end of year $514,468

• 15 · Other assets

  beginning of year $0 · end of year $2,044,706

• 17 · Accounts payable and accrued expenses

  beginning of year $4,213,344 · end of year $4,882,337

• 20 · Tax-exempt bond liabilities

  beginning of year $23,139,164 · end of year $20,871,975

• 23 · Secured mortgages and notes payable

  beginning of year $176,843 · end of year $25,718

• 25 · Other liabilities

  beginning of year $3,268,981 · end of year $552,989

• 27 · Net assets without donor restrictions

  beginning of year $26,991,429 · end of year $25,661,395

• 28 · Net assets with donor restrictions

  beginning of year $250,000 · end of year $500,000

The filer's explanations (Part III)

PART I, LINE 1A

SOCIAL CLUB DUES WERE PAID BY THE HOSPITAL FOR JEFF PERRY AND WERE NOT INCLUDED IN HIS W-2 AS TAXABLE COMPENSATION BECAUSE THEY WERE USED 100% FOR BUSINESS.

PART 1, LINE 1A:

SOCIAL CLUB DUES WERE PAID BY THE HOSPITAL FOR JEFF PERRY AND WERE NOT INCLUDED IN HIS W-2 AS TAXABLE COMPENSATION BECAUSE THEY WERE USED 100% FOR BUSINESS.

PART 1, LINE 7:

VARIOUS EMPLOYED PHYSICIANS ARE PROVIDED THE OPPORTUNITY FOR BONUS POTENTIAL. IN THEIR CONTRACT WITH THE HOSPITAL ARE TIERS BASED ON CURRENT MEDICAL GROUP MANAGEMENT ASSOCIATION REGIONAL DATA. IF THE PHYSICIANS ANNUALIZED NET QUALIFIED PATIENT CHARGES EXCEEDS THE TIER, A PERCENTAGE OF THEIR NET QUALIFIED PATIENT CHARGES ARE ELIGIBLE FOR BONUS SUBJECT TO THEIR ANNUAL BASE COMPENSATION.

Disregarded entities

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

• AMBERWELL HEALTH LLC

  CENTRALIZED OFFICE FOR AFFILIATES · KS · income $0 · assets $0

  Directly controlled by AMBERWELL ATCHISON ASSOCIATION