Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: THRIFT SHOP REVENUE

  total $236,017 · related or exempt $236,017

• 3 · Investment income

  total $23 · excluded $23

• 8a · Fundraising events: gross income

  $19,496

• 8b · Fundraising events: direct expenses

  $4,763

• 8c · Net income from fundraising events

  total $14,733 · excluded $14,733

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $53,718 · program services $53,718

• 2 · Grants to domestic individuals

  total $16,495 · program services $16,495

• 7 · Other salaries and wages

  total $130,439 · program services $117,395 · management and general $13,044

• 10 · Payroll taxes

  total $9,850 · program services $8,865 · management and general $985

• 11g · Fees: other

  total $23,980 · program services $23,980

• 13 · Office expenses

  total $17,801 · program services $16,021 · management and general $1,780

• 16 · Occupancy

  total $15,830 · program services $14,247 · management and general $1,583

• 22 · Depreciation, depletion and amortization

  total $11,747 · program services $11,747

• 23 · Insurance

  total $1,809 · program services $1,809

• 24a · Other expenses: SUPPLIES

  total $3,467 · program services $3,467

• 24b · Other expenses: MISC

  total $1,780 · program services $1,780

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $162,057 · end of year $127,891

• 4 · Accounts receivable

  end of year $644

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

  $385,101

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

  $206,821

• 10c · Land, buildings and equipment, net

  beginning of year $190,027 · end of year $178,280

• 17 · Accounts payable and accrued expenses

  beginning of year $10,054

• 27 · Net assets without donor restrictions

  beginning of year $342,030 · end of year $306,815

The filer's explanations (Part III)

PART I, LINE 5

DURING THE CALENDAR YEAR 2022, THE REPORTABLE INDIVIDUAL ON SCHEDULE J, PART II WAS PAID BY MEMORIAL COMMUNITY HOSPITAL (MCH), A REALTED ORGANIZATION. ON A QUARTERLY BASIS, PROVIDERS ARE ELIGIBLE FOR A BONUS IF THEIR OWN PERSONAL GROSS REVENUE PRODUCTION (WITH CERTAIN LIMITS ON WHAT IS INCLUDED) EXCEED A THRESHOLD. THEY THEN GET X% OF THE AMOUNT OVER THAT GROSS REVENUE THRESHOLD. THEY ARE ALSO ELIGIBLE FOR A KEY PERFORMANCE INDICATOR (KPI) ANNUAL BONUS ONLY IF THE COMBINED EBIDA (MCH AND ITS RELATED ORGANIZATION) TARGET IS ACHIEVED. THE KPI ANNUAL BONUSES ARE NOT BASED ON THE PROVIDERS' SALARIES BUT BASED ON HOW THEY PERFORM ON THE 5 METRICS OF THE KPI PLAN. MCH PROVIDERS ARE ELIGIBLE FOR A KEY PERFORMANCE INDICATOR (KPI) ANNUAL BONUS ONLY IF THE COMBINED EBIDA (MCH AND ITS RELATED ORGANIZATION) TARGET IS ACHIEVED. THE KPI ANNUAL BONUSES ARE NOT BASED ON THE PROVIDERS' SALARIES BUT BASED ON HOW THEY PERFORM ON THE 5 METRICS OF THE KPI PLAN.