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Nonprofiteer
← CHS OF WALTHAM INC

Form 990 for tax year 2023

Filed by CHS OF WALTHAM INC.

Totals

Total revenue
$12,048,560
Total expenses
$12,904,850
Contributions and grants received
$50,084
Grants paid
$0
Program service revenue
$11,684,747
Investment income
-$30,596
Other revenue
$344,325
Total assets, end of year
$7,484,426
Total liabilities, end of year
$8,498,214
Net assets or fund balances, end of year
-$1,013,788
Program services expenses (Part IX)
$11,720,835
Management and general expenses
$1,184,015
Fundraising expenses
$0
Program service expenses (Part III)
$11,720,835

Program services were 90.8% 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.

  • 1d · Related organizations

    $10,000

  • 1f · All other contributions, gifts and grants

    $40,084

  • 2a · Program service revenue: Patient services

    total $11,684,747 · related or exempt $11,684,747

  • 3 · Investment income

    total $24,844 · excluded $24,844

  • 7a · Gross sales of assets other than inventory

    securities $331,401

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

    securities $386,841

  • 7c · Gain or loss

    securities -$55,440

  • 7d · Net gain or loss

    total -$55,440 · excluded -$55,440

  • 11a · Other revenue: Gain on debt extinguishment

    total $344,325 · excluded $344,325

  • 11e · Other revenue, total

    $344,325

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $152,964 · program services $134,967 · management and general $17,997

  • 7 · Other salaries and wages

    total $5,224,787 · program services $4,635,269 · management and general $589,518

  • 8 · Pension plan contributions

    total $65,947 · program services $55,376 · management and general $10,571

  • 9 · Other employee benefits

    total $519,262 · program services $436,026 · management and general $83,236

  • 10 · Payroll taxes

    total $418,836 · program services $351,698 · management and general $67,138

  • 11a · Fees: management

    total $410,555 · management and general $410,555

  • 11c · Fees: accounting

    total $5,000 · management and general $5,000

  • 11g · Fees: other

    total $2,951,189 · program services $2,951,189

  • 12 · Advertising and promotion

    total $52,174 · program services $52,174

  • 13 · Office expenses

    total $309,326 · program services $309,326

  • 14 · Information technology

    total $111,355 · program services $111,355

  • 16 · Occupancy

    total $407,617 · program services $407,617

  • 17 · Travel

    total $2,897 · program services $2,897

  • 19 · Conferences, conventions and meetings

    total $760 · program services $760

  • 20 · Interest

    total $240,893 · program services $240,893

  • 22 · Depreciation, depletion and amortization

    total $359,184 · program services $359,184

  • 23 · Insurance

    total $85,204 · program services $85,204

  • 24a · Other expenses: Medicaid user fee

    total $707,401 · program services $707,401

  • 24b · Other expenses: Drugs/medical supplies

    total $368,923 · program services $368,923

  • 24c · Other expenses: Food and dietary

    total $306,901 · program services $306,901

  • 24d · Other expenses: Provision for bad debts

    total $188,183 · program services $188,183

  • 24e · All other expenses

    total $15,492 · program services $15,492

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $210,340 · end of year $158,294

  • 2 · Savings and temporary cash investments

    beginning of year $23,392 · end of year $48,526

  • 4 · Accounts receivable

    beginning of year $1,390,666 · end of year $1,370,443

  • 8 · Inventories for sale or use

    beginning of year $23,608 · end of year $37,402

  • 9 · Prepaid expenses and deferred charges

    beginning of year $94,892 · end of year $225,786

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

    $12,368,600

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

    $7,822,440

  • 10c · Land, buildings and equipment, net

    beginning of year $4,773,400 · end of year $4,546,160

  • 12 · Investments: other securities

    beginning of year $1,217,839 · end of year $1,066,381

  • 15 · Other assets

    beginning of year $38,876 · end of year $31,434

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,235,694 · end of year $1,464,251

  • 24 · Unsecured notes and loans payable

    beginning of year $6,372,954

  • 25 · Other liabilities

    beginning of year $501,626 · end of year $7,033,963

  • 27 · Net assets without donor restrictions

    beginning of year -$360,653 · end of year -$1,061,945

  • 28 · Net assets with donor restrictions

    beginning of year $23,392 · end of year $48,157

Mission and programs · 2023

Mission

Maristhill is a Catholic skilled nursing and rehabilitation facility that continues the healing ministry of Christ by providing health care services that foster each individual's physical, spiritual, emotional and intellectual well-being.

  • Maristhill Nursing and Rehabilitation Center provided 33,759 days of skilled nursing services during 2023, and 24,330 days of skilled services to Medicaid recipients.

    Expenses $11,720,835 · Revenue $11,684,747

As filed on the 2023 return.

Listed in Part VII

  • James Tracy

    President & CEO

    Total calculated
    $152,964
    From this org
    $137,425
    From related orgs
    $0
    Other
    $15,539
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,036
    Bonus
    $0
    Other
    $2,389
    Deferred
    $4,150
    Nontaxable benefits
    $11,389
    Filer's total
    $152,964

  • Joseph Cuzzupoli

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Sr Joyce Ann Edelmann

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Ellen Leiter

    Trustee (end 2023)

    Total calculated
    $0
    Hours/week
    1

  • Bridget Stewart

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Kelly Hill

    Chair (end 2023)

    Total calculated
    $0
    Hours/week
    1

  • Judith Allen Ferretti

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Johnie Chhen

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Shirly Yellamaty

    RN Manager

    Total calculated
    $158,612
    From this org
    $138,840
    From related orgs
    $0
    Other
    $19,772
    Hours/week
    43

    Schedule J breakdown matched by us

    Base
    $137,958
    Bonus
    $0
    Other
    $882
    Deferred
    $4,164
    Nontaxable benefits
    $15,608
    Filer's total
    $158,612

  • Rondi Bloom

    Director of Nursing

    Total calculated
    $121,466
    From this org
    $110,083
    From related orgs
    $0
    Other
    $11,383
    Hours/week
    40

  • Eric Gwanyalla

    LPN

    Total calculated
    $235,745
    From this org
    $223,033
    From related orgs
    $0
    Other
    $12,712
    Hours/week
    79

    Schedule J breakdown matched by us

    Base
    $219,782
    Bonus
    $2,899
    Other
    $352
    Deferred
    $0
    Nontaxable benefits
    $12,712
    Filer's total
    $235,745

  • Rose Mukibi Nabatanzi

    RN

    Total calculated
    $176,419
    From this org
    $154,458
    From related orgs
    $0
    Other
    $21,961
    Hours/week
    57

    Schedule J breakdown matched by us

    Base
    $153,199
    Bonus
    $1,100
    Other
    $159
    Deferred
    $3,136
    Nontaxable benefits
    $18,825
    Filer's total
    $176,419

  • Eliza Genece

    Nurse Manager/LPN

    Total calculated
    $167,618
    From this org
    $152,804
    From related orgs
    $0
    Other
    $14,814
    Hours/week
    54

    Schedule J breakdown matched by us

    Base
    $150,845
    Bonus
    $600
    Other
    $1,359
    Deferred
    $4,421
    Nontaxable benefits
    $10,393
    Filer's total
    $167,618

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable.
Part I, Line 7
A Compensation Committee recommends the variable pay award that may be issued to qualifying employees and officers. The payment of the award is discretionary and is subject to meeting the pre-determined goals of the Organization.

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.

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 corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Covenant Health Insurance LTD

    C · Self-insurance company · CJ

  • Campus Holding

    C · Holding company · ME

  • St Joseph Corporate Services Inc

    C · Holding company · NH

  • Strauss Incorporated

    C · Repairs and transcriptions · ME

  • GNM Corporation

    C · Real estate holding company · NH

  • SJ Physicians Services

    C · Physician practice · NH

Provenance

Return type
form_990
Tax year
2023
Filed
3 November 2024
IRS schema version
2023v5.1
Source object
202403199349304265

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