Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $75,000

• 1e · Government grants (contributions)

  $36,713

• 1f · All other contributions, gifts and grants

  $41,777

• 2a · Program service revenue: Patient service revenue

  total $44,562,800 · related or exempt $44,562,800

• 2b · Program service revenue: Pharmacy revenue

  total $90,501 · related or exempt $90,501

• 2f · All other program service revenue

  total $300,360 · related or exempt $300,360

• 3 · Investment income

  total $341,492 · excluded $341,492

• 6a · Gross rents

  real property $226,546

• 6b · Less rental expenses

  real property $330,179

• 6c · Rental income or loss

  real property -$103,633

• 6d · Net rental income or loss

  total -$103,633 · unrelated business -$18,450 · excluded -$85,183

• 7a · Gross sales of assets other than inventory

  securities $92,710 · other assets $994

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

  securities $42,710 · other assets $0

• 7c · Gain or loss

  securities $50,000 · other assets $994

• 7d · Net gain or loss

  total $50,994 · excluded $50,994

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $228,104 · program services $228,104

• 7 · Other salaries and wages

  total $18,544,560 · program services $15,581,159 · management and general $2,963,401

• 8 · Pension plan contributions

  total $457,401 · program services $383,061 · management and general $74,340

• 9 · Other employee benefits

  total $3,079,608 · program services $2,593,128 · management and general $486,480

• 10 · Payroll taxes

  total $1,368,856 · program services $1,152,620 · management and general $216,236

• 11a · Fees: management

  total $1,131,867 · management and general $1,131,867

• 11b · Fees: legal

  total $85,372 · management and general $85,372

• 11c · Fees: accounting

  total $256,460 · management and general $256,460

• 11g · Fees: other

  total $5,983,638 · program services $5,061,793 · management and general $921,845

• 12 · Advertising and promotion

  total $261,160 · management and general $261,160

• 13 · Office expenses

  total $4,435,231 · program services $2,970,363 · management and general $1,464,868

• 14 · Information technology

  total $66,074 · management and general $66,074

• 16 · Occupancy

  total $339,839 · program services $339,839

• 17 · Travel

  total $56,510 · program services $31,994 · management and general $24,516

• 19 · Conferences, conventions and meetings

  total $203,577 · program services $15,346 · management and general $188,231

• 20 · Interest

  total $541,504 · program services $425,138 · management and general $116,366

• 22 · Depreciation, depletion and amortization

  total $2,312,464 · program services $1,796,265 · management and general $516,199

• 23 · Insurance

  total $500,681 · program services $114,802 · management and general $385,879

• 24a · Other expenses: Medical supplies

  total $3,204,236 · program services $3,204,236

• 24b · Other expenses: Food

  total $348,846 · program services $348,846

• 24c · Other expenses: Repairs and maintenance

  total $69,827 · program services $56,683 · management and general $13,144

• 24e · All other expenses

  total $179,901 · program services $36,763 · management and general $143,138

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $11,323,199 · end of year $7,118,624

• 4 · Accounts receivable

  beginning of year $4,872,927 · end of year $5,279,575

• 8 · Inventories for sale or use

  beginning of year $318,966 · end of year $341,665

• 9 · Prepaid expenses and deferred charges

  beginning of year $315,041 · end of year $379,840

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

  $42,012,548

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

  $27,749,159

• 10c · Land, buildings and equipment, net

  beginning of year $15,370,829 · end of year $14,263,389

• 11 · Investments: publicly traded securities

  beginning of year $5,318,278 · end of year $11,002,182

• 12 · Investments: other securities

  beginning of year $125,000 · end of year $125,000

• 15 · Other assets

  beginning of year $693,549 · end of year $828,047

• 17 · Accounts payable and accrued expenses

  beginning of year $3,083,363 · end of year $3,056,583

• 19 · Deferred revenue

  beginning of year $568,234

• 23 · Secured mortgages and notes payable

  beginning of year $13,058,340 · end of year $12,247,273

• 25 · Other liabilities

  beginning of year $376,806 · end of year $978,531

• 27 · Net assets without donor restrictions

  beginning of year $20,650,597 · end of year $22,427,555

• 28 · Net assets with donor restrictions

  beginning of year $600,449 · end of year $628,380

The filer's explanations (Part III)

Part I, Line 3

Carlinville Area Hospital Association does not pay compensation to the CEO directly. The CEO is compensated by an unrelated management company, HealthTech S3. The Hospital Board of Directors use the processes described in Part I, Question 3 to determine appropriate compensation for the CEO. The Board of Directors also approves the Organization's contract with the Management Company.