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Nonprofiteer
← WINSLOW MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by WINSLOW MEMORIAL HOSPITAL INC.

Totals

Total revenue
$42,760,882
Total expenses
$42,425,185
Contributions and grants received
$91,000
Grants paid
$1,136
Program service revenue
$41,958,654
Investment income
$676,603
Other revenue
$34,625
Total assets, end of year
$45,870,019
Total liabilities, end of year
$18,418,445
Net assets or fund balances, end of year
$27,451,574
Program services expenses (Part IX)
$38,282,300
Management and general expenses
$4,142,885
Fundraising expenses
$0
Program service expenses (Part III)
$38,282,300

Program services were 90.2% 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.

  • 1e · Government grants (contributions)

    $50,000

  • 1f · All other contributions, gifts and grants

    $41,000

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $40,235,015 · related or exempt $40,235,015

  • 2b · Program service revenue: PHARMACY REVENUE

    total $578,769 · related or exempt $578,769

  • 2c · Program service revenue: MEAL & VENDING REVENUE

    total $57,981 · related or exempt $57,981

  • 2f · All other program service revenue

    total $1,086,889 · related or exempt $1,086,889

  • 3 · Investment income

    total $802,302 · excluded $802,302

  • 6a · Gross rents

    real property $34,625

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $34,625

  • 6d · Net rental income or loss

    total $34,625 · excluded $34,625

  • 7a · Gross sales of assets other than inventory

    securities $306,344

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

    securities $0 · other assets $432,043

  • 7c · Gain or loss

    securities $306,344 · other assets -$432,043

  • 7d · Net gain or loss

    total -$125,699 · excluded -$125,699

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,136 · program services $1,136

  • 5 · Compensation of officers, directors and key employees

    total $937,880 · program services $301,317 · management and general $636,563

  • 7 · Other salaries and wages

    total $16,878,360 · program services $16,294,592 · management and general $583,768

  • 8 · Pension plan contributions

    total $551,790 · program services $532,017 · management and general $19,773

  • 9 · Other employee benefits

    total $2,544,571 · program services $2,296,982 · management and general $247,589

  • 10 · Payroll taxes

    total $1,251,608 · program services $1,169,573 · management and general $82,035

  • 11b · Fees: legal

    total $107,291 · management and general $107,291

  • 11c · Fees: accounting

    total $169,492 · management and general $169,492

  • 11g · Fees: other

    total $9,225,853 · program services $9,055,252 · management and general $170,601

  • 12 · Advertising and promotion

    total $34,542 · program services $100 · management and general $34,442

  • 13 · Office expenses

    total $2,521,179 · program services $791,490 · management and general $1,729,689

  • 16 · Occupancy

    total $546,073 · program services $540,323 · management and general $5,750

  • 17 · Travel

    total $173,800 · program services $173,800

  • 19 · Conferences, conventions and meetings

    total $72,284 · program services $66,460 · management and general $5,824

  • 20 · Interest

    total $633,697 · program services $497,823 · management and general $135,874

  • 22 · Depreciation, depletion and amortization

    total $1,654,264 · program services $1,625,492 · management and general $28,772

  • 23 · Insurance

    total $538,609 · program services $457,354 · management and general $81,255

  • 24a · Other expenses: SUPPLIES

    total $3,487,926 · program services $3,462,767 · management and general $25,159

  • 24b · Other expenses: EQUIPMENT RENTAL & MAIN

    total $295,515 · program services $293,671 · management and general $1,844

  • 24c · Other expenses: FOOD

    total $182,832 · program services $175,539 · management and general $7,293

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $100,404 · program services $58,822 · management and general $41,582

  • 24e · All other expenses

    total $516,079 · program services $487,790 · management and general $28,289

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $19,667,637 · end of year $21,761,077

  • 4 · Accounts receivable

    beginning of year $6,253,124 · end of year $5,419,925

  • 8 · Inventories for sale or use

    beginning of year $1,168,355 · end of year $1,182,269

  • 9 · Prepaid expenses and deferred charges

    beginning of year $519,995 · end of year $477,726

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

    $35,354,459

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

    $22,644,721

  • 10c · Land, buildings and equipment, net

    beginning of year $14,457,223 · end of year $12,709,738

  • 11 · Investments: publicly traded securities

    beginning of year $1,464,569 · end of year $1,658,874

  • 12 · Investments: other securities

    beginning of year $1,889,753 · end of year $1,894,950

  • 14 · Intangible assets

    beginning of year $205,099 · end of year $176,809

  • 15 · Other assets

    beginning of year $760,601 · end of year $588,651

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,125,366 · end of year $4,077,335

  • 23 · Secured mortgages and notes payable

    beginning of year $13,223,972 · end of year $12,860,954

  • 25 · Other liabilities

    beginning of year $1,921,833 · end of year $1,480,156

  • 27 · Net assets without donor restrictions

    beginning of year $27,115,185 · end of year $27,451,574

Mission and programs · 2023

Mission

COMPASSIONATE CARE FOR NORTHEASTERN ARIZONA.

Activities or mission (Part I)

211

  • WINSLOW MEMORIAL HOSPITAL D/B/A LITTLE COLORADO MEDICAL CENTER (LCMC) GENERAL MEDICAL & SURGICAL HOSPITAL - PRIMARILY ENGAGED IN PROVIDING DIAGNOSTIC, MEDICAL TREATMENT (BOTH SURGICAL AND NONSURGICAL) TO PATIENTS WITH A WIDE VARIETY OF MEDICAL CONDITIONS. LCMC MAINTAINED 25-BEDS, PROVIDED INPATIENTS WITH FOOD SERVICES THAT MET THEIR NUTRITIONAL REQUIREMENTS, AND USED AN ORGANIZED STAFF OF PHYSICIANS AND OTHER MEDICAL STAFF TO PROVIDE PROFESSIONAL CARE SERVICES AS WELL AS OTHER SERVICES. THESE SERVICES INCLUDE OUTPATIENT SERVICES, ANATOMICAL PATHOLOGY SERVICES, DIAGNOSTIC X-RAY SERVICES, CLINICAL LABORATORY SERVICES, OPERATING ROOM SERVICES FOR A VARIETY OF PROCEDURES, AND PHARMACY SERVICES IN THE CITY OF WINSLOW, NAVAJO COUNTY, ARIZONA. LCMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES WHICH INCLUDE THE COST OF SUPPLIES AND SERVICES FURNISHED UNDER THE CHARITY CARE POLICY ALONG WITH ASSOCIATED EQUIVALENT SERVICE STATISTICS.

    Expenses $38,282,300 · Grants $1,136 · Revenue $41,958,654

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Brian Bucina MD

    SURGEON

    Total calculated
    $613,194
    From this org
    $566,774
    From related orgs
    $0
    Other
    $46,420
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $563,099
    Bonus
    $0
    Other
    $3,675
    Deferred
    $9,875
    Nontaxable benefits
    $36,993
    Filer's total
    $613,642
  • John J Dempsey

    CEO UNTIL 04/2024

    Total calculated
    $383,972
    From this org
    $357,565
    From related orgs
    $0
    Other
    $26,407
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $320,665
    Bonus
    $36,900
    Other
    $0
    Deferred
    $13,275
    Nontaxable benefits
    $15,835
    Filer's total
    $386,675
  • Randall Reid MD

    OB/GYN

    Total calculated
    $377,681
    From this org
    $323,791
    From related orgs
    $0
    Other
    $53,890
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $320,771
    Bonus
    $0
    Other
    $3,020
    Deferred
    $14,566
    Nontaxable benefits
    $39,762
    Filer's total
    $378,119
  • Thomas Greenwood MD

    DIRECTOR, CHIEF OF STAFF

    Total calculated
    $315,868
    From this org
    $264,504
    From related orgs
    $0
    Other
    $51,364
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $264,504
    Bonus
    $0
    Other
    $0
    Deferred
    $11,867
    Nontaxable benefits
    $39,946
    Filer's total
    $316,317
  • James Page

    GENERAL MEDICINE

    Total calculated
    $244,418
    From this org
    $197,554
    From related orgs
    $0
    Other
    $46,864
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $184,459
    Bonus
    $0
    Other
    $13,095
    Deferred
    $7,367
    Nontaxable benefits
    $39,886
    Filer's total
    $244,807
  • Pamela Ruland

    RN

    Total calculated
    $231,993
    From this org
    $211,793
    From related orgs
    $0
    Other
    $20,200
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $206,793
    Bonus
    $5,000
    Other
    $0
    Deferred
    $9,531
    Nontaxable benefits
    $10,958
    Filer's total
    $232,282
  • Lona King

    CFO

    Total calculated
    $217,663
    From this org
    $198,750
    From related orgs
    $0
    Other
    $18,913
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,750
    Bonus
    $0
    Other
    $0
    Deferred
    $8,014
    Nontaxable benefits
    $11,337
    Filer's total
    $218,101
  • Rebecca Heward

    INFORMATICS NURSE

    Total calculated
    $202,924
    From this org
    $195,019
    From related orgs
    $0
    Other
    $7,905
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $189,074
    Bonus
    $5,000
    Other
    $945
    Deferred
    $7,905
    Nontaxable benefits
    $296
    Filer's total
    $203,220
  • Travis Udall

    CEO FROM 01/2024

    Total calculated
    $0
    Hours/week
    40
  • Jr Despain

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    5 + 0.5 related
  • Frank Armao MD

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Rhonda Greer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Chris Bavasi

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Robert Salabye

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Roberta Cano

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Darrin Fry

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Elizabeth McKey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Greg Hackler

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Allysen Kelly

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Sage White MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kathleen Smith

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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 4B
LCMC ENTERED INTO AN AGREEMENT WITH JOHN DEMPSEY TO PAY HIM A RETENTION BONUS WHICH VESTED ON 7/31/2020. THE FULL RETENTION BONUS WILL BE PAID OVER AN EIGHT-YEAR PERIOD. THIS DEFERRED COMPENSATION BENEFIT BECAME EFFECTIVE JANUARY 1, 2019. MONTHLY PAYMENTS BEGAN ON JULY 1, 2020. JOHN DEMPSEY WAS PAID $36,900 IN DEFERRED COMPENSATION IN CALENDAR YEAR 2023 AND WILL CONTINUE TO RECEIVE THE DEFERRED COMPENSATION UNTIL 2030.
PART I, LINE 7
BONUSES WERE PROVIDED BASED ON COMPLETION OF TASKS DETERMINED AS PART OF EACH INDIVIDUALS PERFORMANCE PLANS.

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.

  • LITTLE COLORADO HEALTHCARE FOUNDATION

    501(C)(3) · CHARITABLE · AZ

    Directly controlled by WINSLOW MEMORIAL HOSPITAL INC

Provenance

Return type
form_990
Tax year
2023
Filed
27 March 2025
IRS schema version
2023v6.0
Source object
202530869349301493

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