Totals
- Total revenue
- $300,680
- Total expenses
- $969,089
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $300,680
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $375,171
- Total liabilities, end of year
- $1,043,580
- Net assets or fund balances, end of year
- -$668,409
- Program services expenses (Part IX)
- $969,089
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $969,089
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: Patient Service Revenu
total $300,680 · related or exempt $300,680
Functional expenses
Part IX, the statement of functional expenses.
-
11g · Fees: other
total $838,696 · program services $838,696
-
13 · Office expenses
total $2,106 · program services $2,106
-
16 · Occupancy
total $46,101 · program services $46,101
-
19 · Conferences, conventions and meetings
total $200 · program services $200
-
23 · Insurance
total $3,341 · program services $3,341
-
24a · Other expenses: Bad Debt Expense
total $7,805 · program services $7,805
-
24b · Other expenses: Medical Supplies
total $2,031 · program services $2,031
-
24e · All other expenses
total $68,809 · program services $68,809
Balance sheet
Part X, book values.
-
4 · Accounts receivable
end of year $28,152
-
5 · Loans and receivables from officers and key people
end of year $14,571
-
15 · Other assets
beginning of year $0 · end of year $332,448
-
17 · Accounts payable and accrued expenses
end of year $83
-
25 · Other liabilities
beginning of year $0 · end of year $1,043,497
-
27 · Net assets without donor restrictions
beginning of year $0 · end of year -$668,409
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2022
Mission
To arrange for the provision of health care services.
-
The organization arranges for the provision of charitable healthcare services, conducting medical research and health education. The organization began operations and contracted with its first medical providers during the second half of 2022. During this time very minimal activity was incurred.
Expenses $969,089 · Revenue $300,680
As filed on the 2022 return.
Listed in Part VII
-
Clint Purvance
Chair/CEO
- Total calculated
- $1,205,132
- From this org
- $0
- From related orgs
- $1,150,056
- Other
- $55,076
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $655,105 related
- Bonus
- $0 + $491,932 related
- Other
- $0 + $3,019 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $39,826 related
- Filer's total
- $0 + $1,205,132 related
-
Kelly Neiger
Treasurer/Secretary/CFO
- Total calculated
- $612,751
- From this org
- $0
- From related orgs
- $559,498
- Other
- $53,253
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $400,620 related
- Bonus
- $0 + $155,859 related
- Other
- $0 + $3,019 related
- Deferred
- $0 + $11,389 related
- Nontaxable benefits
- $0 + $41,864 related
- Filer's total
- $0 + $612,751 related
-
Matthew Wonnacott
Trustee
- Total calculated
- $717,535
- From this org
- $0
- From related orgs
- $671,492
- Other
- $46,043
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $478,327 related
- Bonus
- $0 + $190,146 related
- Other
- $0 + $3,019 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $30,793 related
- Filer's total
- $0 + $717,535 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Part I, Line 4b
- Clint Purvance received payments of $119,168 from a related organization, BHC MSO, LLC, for participation in a 409(A) plan.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
Barton Memorial Hospital Foundation Inc
501(c)(3) · Fundraising · NV
Directly controlled by Barton Healthcare System
-
501(c)(3) · Hospital · CA
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
ACO Collaborative LLC
Arrange for the provision of Health Care Services · DE
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
BHC MSO LLC
C · Management Services · CA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323199349302802
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