Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $318,407

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $90,065,824 · related or exempt $90,065,824

• 2b · Program service revenue: FIXED PROSPECTIVE REVENUE

  total $6,134,878 · related or exempt $6,134,878

• 2c · Program service revenue: OTHER REVENUE

  total $1,270,491 · related or exempt $1,270,491

• 2d · Program service revenue: CAFETERIA

  total $467,765 · related or exempt $467,765

• 2e · Program service revenue: MANAGEMENT FEE REVENUE

  total $82,000 · related or exempt $82,000

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $143,816 · excluded $143,816

• 6a · Gross rents

  real property $7,563

• 6c · Rental income or loss

  real property $7,563 · personal property $0

• 6d · Net rental income or loss

  total $7,563 · excluded $7,563

• 7a · Gross sales of assets other than inventory

  other assets $3,000

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

  other assets $43,674

• 7c · Gain or loss

  securities $0 · other assets -$40,674

• 7d · Net gain or loss

  total -$40,674 · excluded -$40,674

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $1,807,767 · program services $655,822 · management and general $1,151,945

• 6 · Compensation of disqualified persons

  total $19,681 · program services $19,681

• 7 · Other salaries and wages

  total $42,534,422 · program services $36,109,720 · management and general $6,424,702

• 8 · Pension plan contributions

  total $939,614 · program services $800,896 · management and general $138,718

• 9 · Other employee benefits

  total $5,606,436 · program services $4,694,193 · management and general $912,243

• 10 · Payroll taxes

  total $2,918,524 · program services $2,423,716 · management and general $494,808

• 11b · Fees: legal

  total $21,631 · management and general $21,631

• 11c · Fees: accounting

  total $100,131 · management and general $100,131

• 11g · Fees: other

  total $14,179,425 · program services $12,009,385 · management and general $2,170,040 · fundraising $0

• 12 · Advertising and promotion

  total $120,683 · program services $100,222 · management and general $20,461

• 13 · Office expenses

  total $1,087,688 · program services $903,282 · management and general $184,406

• 16 · Occupancy

  total $2,157,043 · program services $1,791,337 · management and general $365,706

• 17 · Travel

  total $72,676 · program services $60,354 · management and general $12,322

• 19 · Conferences, conventions and meetings

  total $81,447 · program services $67,638 · management and general $13,809

• 20 · Interest

  total $206,862 · program services $171,791 · management and general $35,071

• 22 · Depreciation, depletion and amortization

  total $3,047,395 · program services $2,766,271 · management and general $281,124

• 23 · Insurance

  total $1,242,776 · program services $1,032,075 · management and general $210,701

• 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

  total $17,451,645 · program services $17,451,645

• 24b · Other expenses: PROVIDER TAX

  total $5,405,174 · program services $5,405,174

• 24c · Other expenses: REPAIRS & MAINTENANCE

  total $375,850 · program services $312,128 · management and general $63,722

• 24d · Other expenses: LICENSES, DUES, & SUBSCRIPTIONS

  total $302,071 · program services $250,858 · management and general $51,213

• 24e · All other expenses

  total $123,699 · program services $102,727 · management and general $20,972 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $2,900 · end of year $3,000

• 2 · Savings and temporary cash investments

  beginning of year $16,664,514 · end of year $11,255,543

• 4 · Accounts receivable

  beginning of year $12,922,197 · end of year $16,231,085

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $2,620,459 · end of year $2,640,515

• 9 · Prepaid expenses and deferred charges

  beginning of year $2,358,579 · end of year $2,447,281

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

  $72,456,069

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

  $39,267,937

• 10c · Land, buildings and equipment, net

  beginning of year $31,324,543 · end of year $33,188,132

• 12 · Investments: other securities

  beginning of year $6,250,022 · end of year $6,776,801

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  end of year $73,250

• 15 · Other assets

  beginning of year $4,413,825 · end of year $5,721,644

• 17 · Accounts payable and accrued expenses

  beginning of year $7,823,609 · end of year $10,675,283

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $10,821,833 · end of year $10,232,502

• 24 · Unsecured notes and loans payable

  beginning of year $143,426 · end of year $145,972

• 25 · Other liabilities

  beginning of year $10,106,042 · end of year $10,447,156

• 27 · Net assets without donor restrictions

  beginning of year $41,412,107 · end of year $40,059,537

• 28 · Net assets with donor restrictions

  beginning of year $6,250,022 · end of year $6,776,801

The filer's explanations (Part III)

Schedule J, Part I, Line 5a COMPENSATION CONTINGENT ON REVENUES:

INCENTIVE BONUSES ARE PAID TO OUR ORTHOPEDIC SURGEONS BASED UPON GROSS REVENUE PRODUCED INDIVIDUALLY FOR THE HOSPITAL. THE BONUS IS 20% OF THE EXCESS REVENUE PRODUCED OVER THAT LEVEL.

Related corporations and trusts

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

• HEALTH CENTER BUILDING INC

  C Corporation · BUILDING RENTAL · VT

  Directly controlled by CHSI