Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $230,000

• 1f · All other contributions, gifts and grants

  $33,943

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

  total $28,392,154 · related or exempt $28,392,154

• 2b · Program service revenue: 340B PHARMACY SERVICES

  total $1,650,282 · related or exempt $1,650,282

• 3 · Investment income

  total $204,158 · excluded $204,158

• 6a · Gross rents

  real property $12,084

• 6b · Less rental expenses

  real property $2,092

• 6c · Rental income or loss

  real property $9,992

• 6d · Net rental income or loss

  total $9,992 · excluded $9,992

• 7a · Gross sales of assets other than inventory

  other assets $3,250

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

  other assets $0

• 7c · Gain or loss

  other assets $3,250

• 7d · Net gain or loss

  total $3,250 · excluded $3,250

• 11a · Other revenue: CAFETERIA INCOME

  total $176,453 · related or exempt $176,453

• 11b · Other revenue: ACCOUNTABLE CARE ORG SHARED SAVIN

  total $101,630 · related or exempt $101,630

• 11c · Other revenue: PURCHASE DISCOUNTS

  total $41,650 · related or exempt $41,650

• 11d · All other revenue

  total $8,917 · related or exempt $2,079 · excluded $6,838

• 11e · Other revenue, total

  $328,650

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $20,532 · program services $20,532

• 5 · Compensation of officers, directors and key employees

  total $404,596 · program services $339,375 · management and general $65,221

• 6 · Compensation of disqualified persons

  total $74,215 · program services $62,252 · management and general $11,963

• 7 · Other salaries and wages

  total $10,924,357 · program services $9,163,350 · management and general $1,761,007

• 8 · Pension plan contributions

  total $204,521 · program services $171,552 · management and general $32,969

• 9 · Other employee benefits

  total $3,323,873 · program services $2,788,065 · management and general $535,808

• 10 · Payroll taxes

  total $810,899 · program services $680,182 · management and general $130,717

• 11a · Fees: management

  total $793,246 · management and general $793,246

• 11b · Fees: legal

  total $44,154 · management and general $44,154

• 11c · Fees: accounting

  total $113,105 · management and general $113,105

• 11g · Fees: other

  total $7,493,499 · program services $6,707,216 · management and general $786,283

• 12 · Advertising and promotion

  total $193,460 · program services $160,958 · management and general $32,502

• 13 · Office expenses

  total $264,631 · program services $220,174 · management and general $44,457

• 16 · Occupancy

  total $433,645 · program services $360,794 · management and general $72,851

• 17 · Travel

  total $55,779 · program services $46,408 · management and general $9,371

• 20 · Interest

  total $21,114 · program services $21,114

• 22 · Depreciation, depletion and amortization

  total $852,643 · program services $709,399 · management and general $143,244

• 23 · Insurance

  total $291,711 · program services $278,008 · management and general $13,703

• 24a · Other expenses: MEDICAL SUPPLIES AND DR

  total $2,703,000 · program services $2,703,000

• 24b · Other expenses: REPAIRS AND MAINTENANCE

  total $779,297 · program services $744,025 · management and general $35,272

• 24c · Other expenses: IL HOSPITAL ASSESSMENT

  total $693,868 · program services $693,868

• 24d · Other expenses: MINOR EQUIPMENT

  total $60,575 · program services $50,399 · management and general $10,176

• 24e · All other expenses

  total $190,456 · program services $158,459 · management and general $31,997

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $213,148 · end of year $189,354

• 2 · Savings and temporary cash investments

  beginning of year $5,377,541 · end of year $6,422,219

• 4 · Accounts receivable

  beginning of year $5,590,411 · end of year $5,051,111

• 8 · Inventories for sale or use

  beginning of year $400,653 · end of year $348,122

• 9 · Prepaid expenses and deferred charges

  beginning of year $196,772 · end of year $284,677

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

  $21,992,008

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

  $12,738,871

• 10c · Land, buildings and equipment, net

  beginning of year $9,053,667 · end of year $9,253,137

• 15 · Other assets

  beginning of year $1,032,865 · end of year $1,620,356

• 17 · Accounts payable and accrued expenses

  beginning of year $2,823,407 · end of year $4,846,373

• 19 · Deferred revenue

  beginning of year $1,498,081 · end of year $2,225,467

• 23 · Secured mortgages and notes payable

  beginning of year $839,286 · end of year $839,286

• 24 · Unsecured notes and loans payable

  beginning of year $539,254 · end of year $10,394

• 25 · Other liabilities

  beginning of year $2,425 · end of year $626,790

• 27 · Net assets without donor restrictions

  beginning of year $16,162,604 · end of year $14,620,666

The filer's explanations (Part III)

PART I, LINE 7

PHYSICIAN COMPENSATION PAID OUT IS BASED ON ANTICIPATED VOLUME (VISITS) AND RECONCILED QUARTERLY.