Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: PATIENT SERVICE REVENU

  total $1,063,990 · related or exempt $1,063,990

• 3 · Investment income

  total $530 · excluded $530

• 11a · Other revenue: OTHER

  total $5,201 · excluded $5,201

• 11e · Other revenue, total

  $5,201

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $1,226,667 · program services $1,226,667

• 9 · Other employee benefits

  total $196,100 · program services $196,100

• 11g · Fees: other

  total $120,446 · program services $120,446

• 16 · Occupancy

  total $71,864 · program services $71,864

• 19 · Conferences, conventions and meetings

  total $7,302 · program services $7,302

• 22 · Depreciation, depletion and amortization

  total $26,734 · program services $26,734

• 24a · Other expenses: MEDICAL SUPPLIES

  total $53,059 · program services $53,059

• 24b · Other expenses: SOFTWARE

  total $30,970 · program services $30,970

• 24c · Other expenses: MAINTENANCE

  total $19,026 · program services $3,167 · management and general $15,859

• 24d · Other expenses: OTHER

  total $16,459 · management and general $16,459

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $165 · end of year $165

• 2 · Savings and temporary cash investments

  beginning of year $445,133 · end of year $168,761

• 4 · Accounts receivable

  beginning of year $329,612 · end of year $210,929

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

  $298,281

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

  $121,440

• 10c · Land, buildings and equipment, net

  beginning of year $233,029 · end of year $176,841

• 17 · Accounts payable and accrued expenses

  beginning of year $435,151 · end of year $90,703

• 25 · Other liabilities

  beginning of year $5,277,661 · end of year $6,532,828

• 27 · Net assets without donor restrictions

  beginning of year -$4,704,873 · end of year -$6,066,835

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3

A RELATED ORGANIZATION OF CARONDELET REGIONAL MEDICAL, PC USES THE FOLLOWING METHODS TO ESTABLISH THE COMPESNATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

SCHEDULE J, PART I, LINE 4B

ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.