Civic Intelligence

Ch Allied Services Inc.

990 • Fiscal year 2022 • EIN 43-1279063

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 10, 2023

1600 E BroadwayColumbia, MO 65201

(573) 815-8732

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

74th percentile

0.61x

Higher debt load relative to assets than 74% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Liabilities / Revenue

45th percentile

0.45x

Higher debt load relative to revenue than 45% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Net Margin

9th percentile

-17%

Higher net margin than 9% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Top Officer Pay

62nd percentile

$1,136,503

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Asset Growth

6th percentile

-18%

Faster asset growth than 6% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Revenue Growth

12th percentile

-21%

Faster revenue growth than 12% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Assets

Down

$263,339,191

Down $57,611,032 (-18%) from 2021

Net Assets

Down

$102,144,257

Down $35,916,581 (-26%) from 2021

Liabilities

Down

$161,194,934

Down $21,694,451 (-12%) from 2021

Revenue

Down

$358,512,656

Down $97,592,767 (-21%) from 2021

Expenses

Up

$420,765,967

Up $38,755,961 (+10%) from 2021

Net Income

Down

-$62,253,311

Down $136,348,728 (-184%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2021: $320,950,223Liabilities 2021: $182,889,385Net Assets 2021: $138,060,8382021Assets 2022: $263,339,191Liabilities 2022: $161,194,934Net Assets 2022: $102,144,2572022Assets 2023: $246,489,087Liabilities 2023: $181,349,358Net Assets 2023: $65,139,7292023Assets 2024: $238,031,619Liabilities 2024: $200,250,533Net Assets 2024: $37,781,0862024

Highlighted filing

2022

Assets$263,339,191
Liabilities$161,194,934
Net Assets$102,144,257

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200MRevenue 2021: $456,105,423Expenses 2021: $382,010,006Net Income 2021: $74,095,4172021Revenue 2022: $358,512,656Expenses 2022: $420,765,967Net Income 2022: -$62,253,3112022Revenue 2023: $398,663,553Expenses 2023: $436,756,503Net Income 2023: -$38,092,9502023Revenue 2024: $438,261,156Expenses 2024: $466,931,473Net Income 2024: -$28,670,3172024

Highlighted filing

2022

Revenue$358,512,656
Expenses$420,765,967
Net Income-$62,253,311
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 10, 2023
Return Version
2022v5.0
Gross Receipts
$358,564,170
Mission and Program Overview

Mission

Our mission is to improve the health of the people and communities we serve.

Full service hospital striving to improve the health of the people and communities served.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$83,606,540$73,007,723▼ $10,598,817
Accounts Receivable$51,452,705$48,623,219▼ $2,829,486
Pledges and Grants Receivable$28,322,530$26,104,911▼ $2,217,619
Inventories for Sale or Use$12,766,453$11,567,314▼ $1,199,139
Cash and Non-Interest-Bearing Accounts$44,499,431$11,322,877▼ $33,176,554
Prepaid Expenses and Deferred Charges$6,343,495$4,777,723▼ $1,565,772
Investments in Publicly Traded Securities$1,377,384$1,430,419▲ $53,035
Other Notes and Loans Receivable, Net$295,592$316,279▲ $20,687
Total Assets$320,950,223$263,339,191▼ $57,611,032
Other Assets Total$92,286,093$86,188,726▼ $6,097,367
Liabilities
Mortgage Notes Payable Secured by Investment Property$89,967,715$89,654,175▼ $313,540
Accounts Payable and Accrued Expenses$42,891,539$51,253,041▲ $8,361,502
Other Liabilities$49,987,642$20,245,229▼ $29,742,413
Deferred Revenue$42,489$42,489→ $0
Total Liabilities$182,889,385$161,194,934▼ $21,694,451
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$109,738,308$74,255,550▼ $35,482,758
Net Assets With Donor Restrictions$28,322,530$27,888,707▼ $433,823
Total Net Assets Fund Balance$138,060,838$102,144,257▼ $35,916,581
Total Liabilities and Net Assets / Fund Balance$320,950,223$263,339,191▼ $57,611,032

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$54,399,605$34,190,667$88,590,272
Buildings$11,228,436$4,618,659$15,847,095
Other Land Buildings$6,733,054-$6,733,054
Leasehold Improvements$646,628$153,800$800,428
Other Assets Org$85,770,668--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard MellittCardiothoracic SurgeonFT$969,184$167,319$1,136,503
Joss FernandezCardiothoracic SurgeonFT$914,422$180,136$1,094,558
Anne PetersenGeneral SurgeonFT$681,244$75,640$756,884
Tareq Abu SalahPulmonologistFT$411,462$299,342$710,804
Reggie VadenColorectal SurgeonFT$629,116$74,665$703,781
Troy GreerPresident/CEOPT$613,636$53,697$667,333
Robin BlountCMOPT$355,197$185,897$541,094
Monica SmithCOOPT$303,907$155,009$458,916
Chad PewVP Provider ServicesPT$272,337$103,582$375,919
Kenyon WoodwardCIOFT$227,228$117,786$345,014
Michelle ZvanutVP - Human ResourcesFT$201,728$131,783$333,511
Laura ThomasCFO (term Ended August 2022)PT$280,941$46,383$327,324
Kate PitzerHospital Administration/secretaryFT$210,765$87,861$298,626
Ed ClaytonCFOPT$162,678$47,502$210,180

Board Members and Trustees

NameTitle
Jerry KennettChair
Bob McdavidVice Chair
Charles BondurantBoard Member
Dianne LynchBoard Member
Gary ThompsonBoard Member
Judy StarrBoard Member
Randy MorrowBoard Member
Stayce SmithBoard Member
William OrschelnBoard Member
Jan BeckettSecretary
Greg SteinhoffTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
MedefisStaffing AgencyPO BOX 5068, New York, NY 10087$25,082,608
Missouri Cardiovascular SpecialistsCardiovascular Physician Services1605 E BROADWAY STE 300, Columbia, MO 65201$22,516,957
Ensemble Rcm LLCRevenue Cycle Management11511 REED HARTMAN HIGHWAY, Cincinatti, OH 45241$12,647,898
Mid America Anesthesia ConsultantsAnesthesia Physician Services1316 OLD HIGHWAY 63 SUITE 102, Columbia, MO 65201$5,207,742
Huber & Associates INCInformation Technology Services1400 CREEK TRAIL DRIVE, Jefferson City, MO 65109$4,515,958
Revenue and Support

Revenue Composition

Contributions and Grants
$7,353,216
Program Service Revenue
$348,393,494
Investment Income
$368,686
Other Revenue
$2,397,260
Change in Net Assets
$-62,253,311
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$231,590,186
Salaries, Compensation, and Employee Benefits$189,133,311
Grants and Similar Amounts Paid$42,470
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$126,902,533$25,076,549-$151,979,082
Fees for Services Other$54,194,059$10,709,004-$64,903,063
Depreciation Depletion$19,395,703$3,832,684-$23,228,387
Other Employee Benefits$14,819,546$2,928,413-$17,747,959
Occupancy$8,823,520$1,743,570-$10,567,090
Information Technology$8,045,589$1,589,847-$9,635,436
Payroll Taxes$7,322,764$1,447,013-$8,769,777
Pension Plan Contributions$5,910,611$1,167,965-$7,078,576
Fees for Services Management$4,832,077$954,841-$5,786,918
Office Expenses$4,225,728$835,024-$5,060,752
Current Officers, Directors, Trustees, and Key Employees$2,970,861$587,056-$3,557,917
Insurance$2,630,169$519,734-$3,149,903
Interest$2,626,593$519,158-$3,145,751
All Other Expenses$1,917,865$378,979-$2,296,844
Other Expenses$1,516,011$299,571-$1,815,582
Fees for Services Legal$829,752$163,963-$993,715
Advertising$669,116$132,220-$801,336
Travel$164,287$32,464-$196,751
Grants to Domestic Orgs$42,470--$42,470
Fees for Services Accounting$21,865$4,321-$26,186
Fees for Services Lobbying$18,145$3,585-$21,730
Total Functional Expenses$351,346,484$69,419,483$0$420,765,967
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Columbia Public SchoolsColumbia, MOGovernmentAthletics and Activities Initiative$20,000
American Heart AssociationDallas, TX501(c)(3)Operating Support$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Practice of Board Member Jerry KennettPsa PaymentsNo$22,516,957
-Practice of Board Member Charles BondurantPsa PaymentsNo$1,946,073
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Third Party Payors$18,788,727
Section 457 Plan Payable$1,456,502
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The organization has established an executive committee, which consists of the chair, vice chair, secretary, treasurer and up to one other board member. The executive committee has the authority to transact routine business of the organization in the interim period between regularly scheduled meetings of the board of directors, provided that such actions taken shall be consistent with and not conflict with any actions or policies of the board of directors, the organization's bylaws or applicable law. All actions taken by the executive committee are promptly reported to the board of directors at the next meeting, and the executive committee keeps regular minutes of its proceedings.

Form 990, Part VI, Section A, Line 6

The sole member of the organization is boone health, inc., a missouri nonprofit corporation.

Form 990, Part VI, Section A, Line 7A

This organization's board of directors shall at all times be those persons who serve from time to time on the board of directors of the sole member, and any appointment, term, election, resignation, removal, or vacancy on the sole member's board of directors shall automatically and simultaneously have an identical effect on this organization's board of directors.

Form 990, Part VI, Section A, Line 7B

The board of trustees of boone county hospital reserves the authority to approve of the following actions before they are undertaken: any change or modification to the purpose of the organization; any termination, amendment, or modification to the lease; the incurrence of debt for the corporation or the health system that is collateralized by the hospital, the healthcare facilities located on the campus of the hospital, or is otherwise owned by the trustees or the county (collectively, the "facilities") and/or any revenue of the hospital or the facilities (other than any existing bonds issued for the benefit of the hospital or the facilities; any action expected to affect the tax-exempt status of the corporation or any other tax-exempt subsidiary of the corporation while there is any tax-exempt debt outstanding, the proceeds of which financed or refinanced all or any portion of the hospital or the facilities, any action that could affect the tax-exempt status of any entity owning or operating the hospital or the facilities that are obligated on such debt, or any action that could adversely affect the tax-exempt status of such debt; any action subject to any rights vested to the trustees under chapter 205 revised missouri statutes, section 160 et seq., as such act may be amended, modified, supplemented, consolidated, or replaced from time to time; or any action required to ensure the trustees' compliance with any of its obligations under any indenture, loan agreement, covenant agreement, disclosure agreement, tax agreement, or similar agreement relating to outstanding indebtedness secured by all or any portion of the hospital or the facilities or revenue of the hospital or the facilities.

Form 990, Part VI, Section B, Line 11B

A intial, detailed review of the form 990 is conducted by the executive director of finance. A cursory review will then be completed by the chief financial officer, legal counsel and director of finance before it is presented to the board of directors for approval.

Form 990, Part VI, Section B, Line 12C

All personnel of the organization at the director level or above (including key employees) complete an annual survery to disclose any potential conflicts of interest. The organization's risk management group reviews the surveys and monitors any items that may lead to a conflict of interest.

Form 990, Part VI, Section B, Line 15

The organization utilizes an independent compensation consultant to determine standard base rates for the ceo and other officers. An incentive plan, which is based on organizational performaion as compared to key performance indicators chosen prior to the fiscal year, is also determined by the independent compensation consultant. The board of directors must then approve the base rate and incentive plan for the organization's ceo.

Form 990, Part VI, Section C, Line 18

The organization provides these forms upon request.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy and financial statements are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Ch Allied Services Inc
EIN
43-1279063
Phone
5738158732
Address
1600 E BROADWAY, COLUMBIA, MO 65201
Doing Business As
Boone Hospital Center

Signing Officer

Name
Edward Clayton
Title
Chief Financial Officer
Phone
5738158732
Signed
2023-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Troy Greer
Formed
1983
Legal Domicile
Mo
Voting Board Members
11
Independent Board Members
11
Employees
2,659
Volunteers
53

Preparer

Firm
Cliftonlarsonallen Llp
Address
600 WASHINGTON AVENUE SUITE 1800, ST LOUIS, MO 63101
Preparer
Amber Rognan-hamilton
Phone
3149254300
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased physician services: program service expenses 6,573,998. Management and general expenses 1,299,053. Fundraising expenses 0. Total expenses 7,873,051. Maintenance contracts: program service expenses 3,321,282. Management and general expenses 656,301. Fundraising expenses 0. Total expenses 3,977,583. Janitorial and houskeeping contracts: program service expenses 203,435. Management and general expenses 40,200. Fundraising expenses 0. Total expenses 243,635. Consulting fees: program service expenses 110,369. Management and general expenses 21,809. Fundraising expenses 0. Total expenses 132,178. Other purchased services: program service expenses 40,790,755. Management and general expenses 8,060,449. Fundraising expenses 0. Total expenses 48,851,204. Answering service: program service expenses 49,383. Management and general expenses 9,758. Fundraising expenses 0. Total expenses 59,141. Collections service: program service expenses 2,220. Management and general expenses 439. Fundraising expenses 0. Total expenses 2,659. Courier service: program service expenses 227,421. Management and general expenses 44,939. Fundraising expenses 0. Total expenses 272,360. Lab fees: program service expenses 11,020. Management and general expenses 2,178. Fundraising expenses 0. Total expenses 13,198. Outside services: program service expenses 2,434,739. Management and general expenses 481,116. Fundraising expenses 0. Total expenses 2,915,855. Security: program service expenses 406. Management and general expenses 80. Fundraising expenses 0. Total expenses 486. Service contracts: program service expenses 371,360. Management and general expenses 73,382. Fundraising expenses 0. Total expenses 444,742. Food services: program service expenses 97,671. Management and general expenses 19,300. Fundraising expenses 0. Total expenses 116,971.

FORM 990, PART XI, LINE 9:

Asset transfers from board of trustees 24,969,240. Net amortization of contributed rent -433,823. Transfer of net assets from affiliate 17,521.

Form 990, Page 12, Part XII, Line 2C

The process has not changed from the prior year.

Raw XML AppendixShowing 400 of 1,373 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE ORGANIZATION OPERATES A 392-BED FULL SERVICE HOSPITAL AND EMPLOYED PHYSICIAN PRACTICES LOCATED IN COLUMBIA, MO. AS A REGIONAL REFERRAL CENTER LOCATED IN THE CENTER OF THE STATE, THE ORGANIZATION PROVIDES PROGRESSIVE HEALTHCARE PROGRAMS, SERVICES, AND TECHNOLOGY TO PEOPLE IN 25 MID-MISSOURI COUNTIES. FOR THE YEAR ENDED DECEMBER 31, 2022, THE ORGANIZATION PROVIDED CARE TO ITS COMMUNITY THROUGH 29,638 EMERGENCY DEPARTMENT VISITS, 9,246 SURGERY CASES AND 12,270 ADMISSIONS.
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