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Nonprofiteer
← PROVIDENCE MEDICAL CENTER

Form 990 for tax year 2024

Filed by PROVIDENCE MEDICAL CENTER.

Totals

Total revenue
$33,985,616
Total expenses
$34,595,390
Contributions and grants received
$48,924
Grants paid
$0
Program service revenue
$33,281,536
Investment income
$405,789
Other revenue
$249,367
Total assets, end of year
$49,371,980
Total liabilities, end of year
$17,067,790
Net assets or fund balances, end of year
$32,304,190
Program services expenses (Part IX)
$26,871,958
Management and general expenses
$7,723,432
Fundraising expenses
$0
Program service expenses (Part III)
$26,871,958

Program services were 77.7% 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

    $32,187

  • 1e · Government grants (contributions)

    $16,737

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $30,059,456 · related or exempt $30,059,456

  • 2b · Program service revenue: PHARMACY

    total $2,863,013 · related or exempt $2,863,013

  • 2c · Program service revenue: FITNESS REVENUE

    total $192,021 · related or exempt $192,021

  • 2d · Program service revenue: DIETARY INCOME

    total $45,361 · related or exempt $45,361

  • 2f · All other program service revenue

    total $121,685 · related or exempt $121,685

  • 3 · Investment income

    total $405,789 · excluded $405,789

  • 6a · Gross rents

    real property $210,865

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $210,865

  • 6d · Net rental income or loss

    total $210,865 · excluded $210,865

  • 11d · All other revenue

    total $38,502 · excluded $38,502

  • 11e · Other revenue, total

    $38,502

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $542,410 · management and general $542,410

  • 7 · Other salaries and wages

    total $10,733,059 · program services $9,257,327 · management and general $1,475,732

  • 8 · Pension plan contributions

    total $350,237 · program services $310,097 · management and general $40,140

  • 9 · Other employee benefits

    total $2,568,458 · program services $2,117,943 · management and general $450,515

  • 10 · Payroll taxes

    total $770,883 · program services $621,656 · management and general $149,227

  • 11b · Fees: legal

    total $14,458 · management and general $14,458

  • 11c · Fees: accounting

    total $137,793 · management and general $137,793

  • 11d · Fees: lobbying

    total $3,061 · management and general $3,061

  • 11g · Fees: other

    total $5,155,213 · program services $3,249,155 · management and general $1,906,058

  • 12 · Advertising and promotion

    total $240,995 · program services $5,550 · management and general $235,445

  • 13 · Office expenses

    total $143,386 · program services $46,135 · management and general $97,251

  • 14 · Information technology

    total $242,999 · program services $55,888 · management and general $187,111

  • 16 · Occupancy

    total $491,928 · program services $491,928

  • 17 · Travel

    total $53,204 · program services $50,510 · management and general $2,694

  • 19 · Conferences, conventions and meetings

    total $85,753 · program services $50,026 · management and general $35,727

  • 20 · Interest

    total $367,722 · program services $267,092 · management and general $100,630

  • 22 · Depreciation, depletion and amortization

    total $3,289,169 · program services $2,389,062 · management and general $900,107

  • 23 · Insurance

    total $270,074 · management and general $270,074

  • 24a · Other expenses: SUPPLIES AND PHARMACEUT

    total $5,181,003 · program services $5,151,276 · management and general $29,727

  • 24b · Other expenses: EQUIPMENT RENTAL & MAIN

    total $1,654,146 · program services $822,065 · management and general $832,081

  • 24c · Other expenses: PROVISIONS FOR BAD DEBT

    total $1,652,373 · program services $1,652,373

  • 24d · Other expenses: DIETARY EXPENSE

    total $92,588 · program services $92,588

  • 24e · All other expenses

    total $554,478 · program services $241,287 · management and general $313,191

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,712,153 · end of year $373,772

  • 2 · Savings and temporary cash investments

    beginning of year $3,661,760 · end of year $4,788,488

  • 4 · Accounts receivable

    beginning of year $4,562,308 · end of year $4,431,227

  • 8 · Inventories for sale or use

    beginning of year $673,167 · end of year $692,936

  • 9 · Prepaid expenses and deferred charges

    beginning of year $340,465 · end of year $398,297

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

    $60,591,625

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

    $30,498,095

  • 10c · Land, buildings and equipment, net

    beginning of year $31,851,667 · end of year $30,093,530

  • 11 · Investments: publicly traded securities

    beginning of year $6,552,894 · end of year $7,155,946

  • 12 · Investments: other securities

    beginning of year $291,719 · end of year $292,075

  • 15 · Other assets

    beginning of year $971,308 · end of year $1,145,709

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,408,135 · end of year $2,446,553

  • 19 · Deferred revenue

    beginning of year $57,028 · end of year $58,168

  • 20 · Tax-exempt bond liabilities

    beginning of year $15,064,200 · end of year $14,251,033

  • 25 · Other liabilities

    beginning of year $778,002 · end of year $312,036

  • 27 · Net assets without donor restrictions

    beginning of year $31,493,479 · end of year $31,311,904

  • 28 · Net assets with donor restrictions

    beginning of year $816,597 · end of year $992,286

Mission and programs · 2024

Mission

THE MISSION OF PROVIDENCE MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE IN THE SPIRIT OF CHRIST.

Activities or mission (Part I)

SEE SCHEDULE O.

  • PROVIDENCE MEDICAL CENTER IS A NOT-FOR-PROFIT, 21 BED, CRITICAL ACCESS HOSPITAL LOCATED IN WAYNE, NEBRASKA. PROVIDENCE SERVES OVER 15,000 AREA RESIDENTS IN NORTHEAST NEBRASKA AND EMPLOYS OVER 219 PEOPLE. PROVIDENCE OFFERS ACUTE, SKILLED, AND OBSTETRICAL CARE ALONG WITH 24 HOURS A DAY, SEVEN DAYS A WEEK EMERGENCY CARE AND AMBULANCE SERVICES. THE HOSPITAL ALSO PROVIDES DIAGNOSTIC IMAGING, SURGICAL, THERAPY, LABORATORY, ONCOLOGY, RESPIRATORY, HOME HEALTH, BEHAVIORAL HEALTH AND MANY OTHER HEALTH AND WELLNESS SERVICES. THERE ARE OVER 30 SPECIALTY CLINIC DOCTORS OF DIFFERENT SPECIALTIES THAT CONDUCT CLINICS AT THE HOSPITAL IN ORDER TO BRING SPECIALIZED CARE TO THE COMMUNITY.

    Expenses $26,871,958 · Revenue $33,281,536

As filed on the 2024 return.

Listed in Part VII

  • Richard Brandow

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Matthew Ley

    VICE CHAIR (THRU 12/24)

    Total calculated
    $0
    Hours/week
    1
  • Melissa Graham

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Steven Ausdemore

    DIRECTOR (THRU 6/24)

    Total calculated
    $0
    Hours/week
    1
  • Kristi Fox

    DIRECTOR (THRU 1/24)

    Total calculated
    $0
    Hours/week
    1
  • Ross Hansen

    DIRECTOR (THRU 12/24)

    Total calculated
    $0
    Hours/week
    1
  • Jodi Pulfer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Nicole Haglund

    CNO/INTERIM CEO

    Total calculated
    $212,951
    From this org
    $168,899
    From related orgs
    $0
    Other
    $44,052
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,774
    Bonus
    $0
    Other
    $125
    Deferred
    $5,965
    Nontaxable benefits
    $38,087
    Filer's total
    $212,951
  • Danielle Gearhart

    CEO (THRU 7/24)

    Total calculated
    $221,637
    From this org
    $180,290
    From related orgs
    $0
    Other
    $41,347
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $134,608
    Bonus
    $600
    Other
    $45,082
    Deferred
    $24,339
    Nontaxable benefits
    $17,008
    Filer's total
    $221,637
  • Bruce Craven

    CFO

    Total calculated
    $107,821
    From this org
    $101,032
    From related orgs
    $0
    Other
    $6,789
    Hours/week
    40
  • Kimberly Hixson

    CFO (THRU 1/24)

    Total calculated
    $0
    Hours/week
    40
  • Kimberly Lueders

    DIRECTOR OF PHARMACY

    Total calculated
    $215,144
    From this org
    $177,199
    From related orgs
    $0
    Other
    $37,945
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,274
    Bonus
    $800
    Other
    $125
    Deferred
    $23,018
    Nontaxable benefits
    $14,927
    Filer's total
    $215,144
  • Heather Kreber

    APP

    Total calculated
    $162,789
    From this org
    $149,825
    From related orgs
    $0
    Other
    $12,964
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,500
    Bonus
    $5,200
    Other
    $125
    Deferred
    $12,231
    Nontaxable benefits
    $733
    Filer's total
    $162,789
  • Makayla Garcia

    APP

    Total calculated
    $186,157
    From this org
    $140,259
    From related orgs
    $0
    Other
    $45,898
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,000
    Bonus
    $9,134
    Other
    $125
    Deferred
    $11,311
    Nontaxable benefits
    $34,587
    Filer's total
    $186,157
  • Trisha Goembel

    APP

    Total calculated
    $167,484
    From this org
    $131,795
    From related orgs
    $0
    Other
    $35,689
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $129,740
    Bonus
    $1,930
    Other
    $125
    Deferred
    $12,990
    Nontaxable benefits
    $22,699
    Filer's total
    $167,484
  • Scot Surber

    PHARMACIST

    Total calculated
    $163,956
    From this org
    $120,319
    From related orgs
    $0
    Other
    $43,637
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $120,044
    Bonus
    $150
    Other
    $125
    Deferred
    $5,550
    Nontaxable benefits
    $38,087
    Filer's total
    $163,956

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 survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 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

The filer's explanations (Part III)

PART I, LINE 4A
DANIELLE GEARHART - $45,000 SEVERANCE PAYMENT

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
2024
Filed
29 October 2025
IRS schema version
2024v5.2
Source object
202533099349300928

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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