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Nonprofiteer
← CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION

Form 990 for tax year 2022

Filed by CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION.

Totals

Total revenue
$8,677,534
Total expenses
$8,239,353
Contributions and grants received
$633,350
Grants paid
$0
Program service revenue
$7,755,836
Investment income
-$11,814
Other revenue
$300,162
Total assets, end of year
$10,132,530
Total liabilities, end of year
$1,705,768
Net assets or fund balances, end of year
$8,426,762
Program services expenses (Part IX)
$6,914,076
Management and general expenses
$1,279,018
Fundraising expenses
$46,259
Program service expenses (Part III)
$6,914,076

Program services were 83.9% 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.

  • 1d · Related organizations

    $63,315

  • 1e · Government grants (contributions)

    $94,437

  • 1f · All other contributions, gifts and grants

    $475,598

  • 2a · Program service revenue: PATIENT REVENUE

    total $7,314,634 · related or exempt $7,314,634

  • 2b · Program service revenue: MISC REVENUE

    total $441,202 · related or exempt $441,202

  • 3 · Investment income

    total -$11,814 · related or exempt -$11,814

  • 11a · Other revenue: HOSPITAL DISTRICT SUBSIDY

    total $299,662 · related or exempt $299,662

  • 11b · Other revenue: GAIN ON DISPOSAL OF ASSETS

    total $500 · related or exempt $500

  • 11e · Other revenue, total

    $300,162

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $264,656 · management and general $264,656

  • 7 · Other salaries and wages

    total $3,225,066 · program services $2,816,760 · management and general $371,099 · fundraising $37,207

  • 8 · Pension plan contributions

    total $14,072 · program services $11,357 · management and general $2,564 · fundraising $151

  • 9 · Other employee benefits

    total $207,801 · program services $163,026 · management and general $42,619 · fundraising $2,156

  • 10 · Payroll taxes

    total $305,392 · program services $246,381 · management and general $55,668 · fundraising $3,343

  • 11g · Fees: other

    total $2,292,322 · program services $2,154,307 · management and general $137,978 · fundraising $37

  • 12 · Advertising and promotion

    total $16,259 · management and general $16,259

  • 13 · Office expenses

    total $342,225 · program services $222,293 · management and general $119,144 · fundraising $788

  • 17 · Travel

    total $445 · program services $445

  • 19 · Conferences, conventions and meetings

    total $29,423 · program services $24,469 · management and general $4,928 · fundraising $26

  • 20 · Interest

    total $44,500 · program services $35,794 · management and general $8,581 · fundraising $125

  • 22 · Depreciation, depletion and amortization

    total $448,578 · program services $360,791 · management and general $86,531 · fundraising $1,256

  • 23 · Insurance

    total $105,012 · program services $84,461 · management and general $20,257 · fundraising $294

  • 24a · Other expenses: REPAIRS & MAINTENANCE

    total $431,210 · program services $324,769 · management and general $105,632 · fundraising $809

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $427,519 · program services $427,519

  • 24c · Other expenses: MISC

    total $43,153 · program services $39,215 · management and general $3,871 · fundraising $67

  • 24d · Other expenses: BED TAX

    total $35,093 · management and general $35,093

  • 24e · All other expenses

    total $6,627 · program services $2,489 · management and general $4,138

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,656,863 · end of year $2,275,474

  • 3 · Pledges and grants receivable

    beginning of year $134,993 · end of year $127,655

  • 4 · Accounts receivable

    beginning of year $2,348,342 · end of year $1,879,282

  • 8 · Inventories for sale or use

    beginning of year $222,789 · end of year $207,219

  • 9 · Prepaid expenses and deferred charges

    beginning of year $186,447 · end of year $185,898

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

    $9,670,750

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

    $5,870,992

  • 10c · Land, buildings and equipment, net

    beginning of year $4,146,196 · end of year $3,799,758

  • 15 · Other assets

    beginning of year $221,986 · end of year $1,657,244

  • 17 · Accounts payable and accrued expenses

    beginning of year $870,639 · end of year $459,296

  • 19 · Deferred revenue

    beginning of year $88,542

  • 23 · Secured mortgages and notes payable

    beginning of year $1,152,090 · end of year $1,099,795

  • 24 · Unsecured notes and loans payable

    beginning of year $150,000 · end of year $146,677

  • 25 · Other liabilities

    beginning of year $133,087

  • 27 · Net assets without donor restrictions

    beginning of year $6,516,173 · end of year $6,975,069

  • 28 · Net assets with donor restrictions

    beginning of year $7,085 · end of year $1,451,693

Mission and programs · 2022

Mission

ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE.

  • ROOSEVELT MEDICAL CENTER IS DEDICATED TO PROVIDING PATIENTS WITH APPROPRIATE, PERSONALIZED, AND QUALITY HEALTH CARE.

    Expenses $6,914,076 · Revenue $7,755,836

As filed on the 2022 return.

Listed in Part VII

  • Danielle Christensen

    RN

    Total calculated
    $189,221
    From this org
    $180,761
    From related orgs
    $0
    Other
    $8,460
    Hours/week
    58

    Schedule J breakdown matched by us

    Base
    $180,761
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $8,460
    Filer's total
    $189,221

  • Zoe Fugere

    FNP

    Total calculated
    $171,998
    From this org
    $163,237
    From related orgs
    $0
    Other
    $8,761
    Hours/week
    34

    Schedule J breakdown matched by us

    Base
    $163,237
    Bonus
    not reported
    Other
    not reported
    Deferred
    $300
    Nontaxable benefits
    $8,461
    Filer's total
    $171,998

  • Joann Smith

    LAB MANAGER

    Total calculated
    $149,057
    From this org
    $140,297
    From related orgs
    $0
    Other
    $8,760
    Hours/week
    49

  • Audrey Stromberg

    ADMINISTRATO

    Total calculated
    $142,791
    From this org
    $134,330
    From related orgs
    $0
    Other
    $8,461
    Hours/week
    40

  • Blaine White

    PA

    Total calculated
    $140,242
    From this org
    $139,942
    From related orgs
    $0
    Other
    $300
    Hours/week
    35

  • Jennifer Kessner

    CFO

    Total calculated
    $137,406
    From this org
    $128,645
    From related orgs
    $0
    Other
    $8,761
    Hours/week
    44

  • Janet Royan

    RN

    Total calculated
    $131,067
    From this org
    $123,012
    From related orgs
    $0
    Other
    $8,055
    Hours/week
    43

  • Cassandra Bergum

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Robbie Dent-Savelkoul

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Amber Fox

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Steve Larsen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Paula Schledewitz

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Sharon Schmitz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kathy McCabe Thompson

    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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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.

Provenance

Return type
form_990
Tax year
2022
Filed
6 March 2024
IRS schema version
2022v5.0
Source object
202420689349301407

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