Skip to content
Nonprofiteer
← CHS OF WORCESTER INC

Form 990 for tax year 2022

Filed by CHS OF WORCESTER INC.

Totals

Total revenue
$11,814,374
Total expenses
$12,636,232
Contributions and grants received
$19,258
Grants paid
$0
Program service revenue
$11,795,103
Investment income
$13
Other revenue
$0
Total assets, end of year
$3,878,820
Total liabilities, end of year
$1,520,380
Net assets or fund balances, end of year
$2,358,440
Program services expenses (Part IX)
$11,624,836
Management and general expenses
$1,011,396
Fundraising expenses
$0
Program service expenses (Part III)
$11,624,836

Program services were 92.0% 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.

  • 1f · All other contributions, gifts and grants

    $19,258

  • 2a · Program service revenue: Patient services

    total $11,795,103 · related or exempt $11,795,103

  • 3 · Investment income

    total $13 · excluded $13

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $155,204 · program services $137,816 · management and general $17,388

  • 7 · Other salaries and wages

    total $4,687,826 · program services $4,162,634 · management and general $525,192

  • 8 · Pension plan contributions

    total $57,131 · program services $49,207 · management and general $7,924

  • 9 · Other employee benefits

    total $595,977 · program services $513,268 · management and general $82,709

  • 10 · Payroll taxes

    total $358,722 · program services $309,270 · management and general $49,452

  • 11a · Fees: management

    total $319,965 · management and general $319,965

  • 11b · Fees: legal

    total $6,858 · management and general $6,858

  • 11c · Fees: accounting

    total $1,908 · management and general $1,908

  • 11g · Fees: other

    total $3,740,780 · program services $3,740,780

  • 12 · Advertising and promotion

    total $41,973 · program services $41,973

  • 13 · Office expenses

    total $180,880 · program services $180,880

  • 14 · Information technology

    total $227,383 · program services $227,383

  • 16 · Occupancy

    total $232,513 · program services $232,513

  • 17 · Travel

    total $624 · program services $624

  • 19 · Conferences, conventions and meetings

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

  • 22 · Depreciation, depletion and amortization

    total $213,780 · program services $213,780

  • 23 · Insurance

    total $60,069 · program services $60,069

  • 24a · Other expenses: Medicaid user fee

    total $892,161 · program services $892,161

  • 24b · Other expenses: Dietary and nutrition

    total $374,936 · program services $374,936

  • 24c · Other expenses: Drugs/medical supplies

    total $321,304 · program services $321,304

  • 24d · Other expenses: Provision for bad debts

    total $92,000 · program services $92,000

  • 24e · All other expenses

    total $72,238 · program services $72,238

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $844,035 · end of year $233,864

  • 2 · Savings and temporary cash investments

    beginning of year $36,088 · end of year $15,291

  • 4 · Accounts receivable

    beginning of year $977,164 · end of year $1,329,169

  • 8 · Inventories for sale or use

    end of year $17,664

  • 9 · Prepaid expenses and deferred charges

    beginning of year $30,851 · end of year $16,415

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

    $4,949,959

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

    $2,795,226

  • 10c · Land, buildings and equipment, net

    beginning of year $2,218,020 · end of year $2,154,733

  • 15 · Other assets

    beginning of year $118,759 · end of year $111,684

  • 17 · Accounts payable and accrued expenses

    beginning of year $691,620 · end of year $1,184,414

  • 25 · Other liabilities

    beginning of year $352,999 · end of year $335,966

  • 27 · Net assets without donor restrictions

    beginning of year $3,158,084 · end of year $2,343,149

  • 28 · Net assets with donor restrictions

    beginning of year $22,214 · end of year $15,291

Mission and programs · 2022

Mission

St. Mary Health Care Center, a Catholic rehabilitation and skilled nursing facility, was established as a continuing expression of the vision of St. Marguerite d'Youville, Foundress of the Sisters of Charity of Montreal, the "Grey Nuns". In the spirit of Marguerite, whose legacy we share, we seek to "bring the miracle of love to all" through compassionate care. St. Mary Health Care Center desires, in partnership with others committed to providing holistic and inclusive care for all, to develop innovative and creative means to enhance the physical, emotional, social and spiritual well-being of those we serve.

Activities or mission (Part I)

To provide holistic and inclusive care, and to enhance the physical, emotional, social, and spiritual well-being of those served.

  • The Organization provided 39,968 days of skilled nursing care to elderly patients from all economic, ethnic, and religious backgrounds. Of these days, the Organization provided 36,954 days of skilled services to Medicaid recipients.

    Expenses $11,624,836 · Revenue $11,795,103

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Marihon Alzuhairi

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Gerald Gleich MD

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Eileen Lavallee

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Sr Marie Therese Martin CSJ

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Msgr James P Moroney

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Richard Freije

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Kevin Dowd

    Vice Chair and Secretary

    Total calculated
    $0
    Hours/week
    1

  • Melissa Boyle

    Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Ronald Doty

    President & CEO

    Total calculated
    $155,204
    From this org
    $132,023
    From related orgs
    $0
    Other
    $23,181
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,253
    Bonus
    $5,000
    Other
    $770
    Deferred
    $1,879
    Nontaxable benefits
    $21,302
    Filer's total
    $155,204

  • Emily Bermudez

    Director of Nursing

    Total calculated
    $130,539
    From this org
    $117,320
    From related orgs
    $0
    Other
    $13,219
    Hours/week
    40

  • Eunice Gharbin

    LPN/RN

    Total calculated
    $163,733
    From this org
    $149,757
    From related orgs
    $0
    Other
    $13,976
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,629
    Bonus
    $11,812
    Other
    $316
    Deferred
    $4,208
    Nontaxable benefits
    $9,768
    Filer's total
    $163,733

  • Margaret Waithira

    LPN/RN

    Total calculated
    $118,333
    From this org
    $104,741
    From related orgs
    $0
    Other
    $13,592
    Hours/week
    40

  • Kristin Gorgone

    LPN/RN

    Total calculated
    $111,863
    From this org
    $100,747
    From related orgs
    $0
    Other
    $11,116
    Hours/week
    40

  • Regina Oppong

    LPN/RN

    Total calculated
    $115,050
    From this org
    $104,528
    From related orgs
    $0
    Other
    $10,522
    Hours/week
    40

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

  • 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.

  • Campus Holding

    C · Holding company · ME

  • Covenant Health Insurance LTD

    C · Self-insurance company · CJ

  • GNM Corporation

    C · Real estate holding company · NH

  • SJ Physicians Services

    C · Physician practice · NH

  • St Joseph Corporate Services Inc

    C · Holding company · NH

  • Strauss Incorporated

    C · Repairs and transcriptions · ME

Provenance

Return type
form_990
Tax year
2022
Filed
19 October 2023
IRS schema version
2022v5.0
Source object
202332969349300998

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.