Totals
- Total revenue
- $9,448,954
- Total expenses
- $9,299,922
- Contributions and grants received
- $41,311
- Grants paid
- $2,000
- Program service revenue
- $9,179,146
- Investment income
- $152,042
- Other revenue
- $76,455
- Total assets, end of year
- $11,572,025
- Total liabilities, end of year
- $690,369
- Net assets or fund balances, end of year
- $10,881,656
- Program services expenses (Part IX)
- $7,886,471
- Management and general expenses
- $1,413,451
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $7,886,471
Program services were 84.8% 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)
$41,311
-
2a · Program service revenue: PATIENT SERVICE REVENU
total $8,703,153 · related or exempt $8,703,153
-
2b · Program service revenue: 340B PHARMACY REVENUE
total $402,195 · related or exempt $402,195
-
2f · All other program service revenue
total $73,798 · related or exempt $73,798
-
3 · Investment income
total $151,336 · excluded $151,336
-
6a · Gross rents
real property $21,216
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $21,216
-
6d · Net rental income or loss
total $21,216 · excluded $21,216
-
7a · Gross sales of assets other than inventory
other assets $706
-
7b · Less cost or other basis and sales expenses
other assets $0
-
7c · Gain or loss
other assets $706
-
7d · Net gain or loss
total $706 · excluded $706
-
11a · Other revenue: BAD DEBT RECOVERIES
total $41,754 · related or exempt $41,754
-
11b · Other revenue: CAFETERIA
total $13,485 · excluded $13,485
-
11e · Other revenue, total
$55,239
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $2,000 · program services $2,000
-
5 · Compensation of officers, directors and key employees
total $326,494 · management and general $326,494
-
7 · Other salaries and wages
total $3,559,917 · program services $3,128,923 · management and general $430,994
-
8 · Pension plan contributions
total $105,168 · program services $86,355 · management and general $18,813
-
9 · Other employee benefits
total $906,028 · program services $706,889 · management and general $199,139
-
10 · Payroll taxes
total $277,915 · program services $233,273 · management and general $44,642
-
11b · Fees: legal
total $4,691 · management and general $4,691
-
11c · Fees: accounting
total $68,443 · management and general $68,443
-
11g · Fees: other
total $2,327,846 · program services $2,141,923 · management and general $185,923
-
13 · Office expenses
total $197,816 · program services $161,499 · management and general $36,317
-
16 · Occupancy
total $149,049 · program services $148,193 · management and general $856
-
17 · Travel
total $8,190 · program services $6,669 · management and general $1,521
-
19 · Conferences, conventions and meetings
total $7,470 · program services $3,649 · management and general $3,821
-
20 · Interest
total $20,293 · program services $19,377 · management and general $916
-
22 · Depreciation, depletion and amortization
total $461,418 · program services $440,595 · management and general $20,823
-
23 · Insurance
total $80,392 · program services $76,764 · management and general $3,628
-
24a · Other expenses: MEDICAL SUPPLIES
total $669,357 · program services $656,636 · management and general $12,721
-
24b · Other expenses: MISCELLANEOUS
total $103,621 · program services $68,078 · management and general $35,543
-
24c · Other expenses: LICENSES & FEES
total $20,683 · program services $2,517 · management and general $18,166
-
24d · Other expenses: DUES AND SUBSCRIPTIONS
total $3,131 · program services $3,131
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $525 · end of year $525
-
2 · Savings and temporary cash investments
beginning of year $6,584,299 · end of year $7,124,322
-
4 · Accounts receivable
beginning of year $800,722 · end of year $617,827
-
8 · Inventories for sale or use
beginning of year $99,532 · end of year $114,421
-
9 · Prepaid expenses and deferred charges
beginning of year $57,094 · end of year $57,997
-
10a · Land, buildings and equipment: cost or other basis
$8,826,866
-
10b · Land, buildings and equipment: accumulated depreciation
$6,745,902
-
10c · Land, buildings and equipment, net
beginning of year $2,389,438 · end of year $2,080,964
-
11 · Investments: publicly traded securities
beginning of year $1,187,005 · end of year $1,470,070
-
15 · Other assets
beginning of year $464,086 · end of year $105,899
-
17 · Accounts payable and accrued expenses
beginning of year $514,611 · end of year $686,469
-
20 · Tax-exempt bond liabilities
beginning of year $560,250 · end of year $0
-
25 · Other liabilities
beginning of year $58,281 · end of year $3,900
-
27 · Net assets without donor restrictions
beginning of year $10,449,559 · end of year $10,881,656
Mission and programs · 2023
Mission
OSMOND GENERAL HOSPITAL IS COMMITTED TO PROVIDING PATIENT CENTERED, HIGH-QUALITY HEALTHCARE IN A COST EFFECTIVE AND SAFE MANNER.
Activities or mission (Part I)
PROVIDE HEALTHCARE SERVICES TO ALL INDIVIDUALS IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY.
-
OSMOND GENERAL HOSPITAL, INC SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND DOES NOT LIMIT ITS SERVICES OR DISCRIMINATE BASED ON RACE, SEX, NATIONAL ORGIN, OR RELIGION. DURING 2023-2024, OSMOND PROVIDED 1,330 INPATIENT DAYS, 319 RELATED TO MEDICAL/SURGICAL AND 1,011 RELATED TO SWING-BED. THERE WERE A TOTAL OF 99 OPERATIONS PERFORMED AND THE EMERGENCY ROOM TREATED 619 PATIENTS. IN ADDITION TO PROVIDING DIRECT INPATIENT AND OUTPATIENT SERVICES, OSMOND GENERAL HOSPITAL, INC. PROVIDED THE FOLLOWING SPECIALTY CLINICS: UROLOGY, MAMMOGRAPHY, SURGERY, CARDIOLOGY, PULMONOLOGY, PAIN, AND TELEHEALTH.
Expenses $7,886,471 · Grants $2,000 · Revenue $9,220,900
As filed on the 2023 return.
Listed in Part VII
-
Lon M KnievelLON M KNIEVEL
MEMBER/CEO
- Total calculated
- $216,017
- From this org
- $177,703
- From related orgs
- $0
- Other
- $38,314
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $174,703
- Bonus
- $3,000
- Other
- $0
- Deferred
- $7,298
- Nontaxable benefits
- $31,016
- Filer's total
- $216,017
-
Tim KintTIM KINT
PRESIDENT
- Total calculated
- $0
- Hours/week
- 4
-
Doug KetelsenDOUG KETELSEN
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 4
-
Theresa StapelmanTHERESA STAPELMAN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Doug KoehlerDOUG KOEHLER
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Stephanie AndersonSTEPHANIE ANDERSON
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Kevin Lauck PaKEVIN LAUCK PA
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
William HefnerWILLIAM HEFNER
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Walter AschoffWALTER ASCHOFF
MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Jodi AschoffJODI ASCHOFF
CFO
- Total calculated
- $110,479
- From this org
- $98,722
- From related orgs
- $0
- Other
- $11,757
- Hours/week
- 40
-
Alicia VanderwalleALICIA VANDERWALLE
NURSE PRACTITIONER
- Total calculated
- $170,533
- From this org
- $142,445
- From related orgs
- $0
- Other
- $28,088
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $139,445
- Bonus
- $3,000
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $33,243
- Filer's total
- $175,688
-
Samantha KizzireSAMANTHA KIZZIRE
CLINIC/HOSPITAL APRN
- Total calculated
- $153,649
- From this org
- $125,561
- From related orgs
- $0
- Other
- $28,088
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $123,561
- Bonus
- $2,000
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $33,624
- Filer's total
- $159,185
-
Bobbie Jo MillerBOBBIE JO MILLER
NURSE PRACTITIONER
- Total calculated
- $148,937
- From this org
- $146,953
- From related orgs
- $0
- Other
- $1,984
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $144,953
- Bonus
- $2,000
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $8,621
- Filer's total
- $155,574
-
Dr Kelly BullockDR KELLY BULLOCK
DOCTOR
- Total calculated
- $147,181
- From this org
- $119,093
- From related orgs
- $0
- Other
- $28,088
- Hours/week
- 40
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 · Form 990 of other organizations
- 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.
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 14 March 2025
- IRS schema version
- 2023v6.0
- Source object
- 202540769349301314
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