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Nonprofiteer
← SIDNEY HEALTH CENTER

Form 990 for tax year 2022

Filed by SIDNEY HEALTH CENTER.

Totals

Total revenue
$102,951,228
Total expenses
$102,102,704
Contributions and grants received
$756,153
Grants paid
$35,498
Program service revenue
$99,789,025
Investment income
$1,329,030
Other revenue
$1,077,020
Total assets, end of year
$98,690,761
Total liabilities, end of year
$31,032,626
Net assets or fund balances, end of year
$67,658,135
Program services expenses (Part IX)
$92,413,910
Management and general expenses
$9,291,970
Fundraising expenses
$396,824
Program service expenses (Part III)
$92,413,910

Program services were 90.5% 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

    $380,240

  • 1e · Government grants (contributions)

    $100,000

  • 1f · All other contributions, gifts and grants

    $275,913

  • 2a · Program service revenue: PATIENT REVENUES

    total $88,742,826 · related or exempt $88,742,826

  • 2b · Program service revenue: CLINIC PHARMACY

    total $9,260,680 · related or exempt $7,525,690 · unrelated business $1,734,990

  • 2c · Program service revenue: OTHER PATIENT CARE

    total $1,450,748 · related or exempt $1,450,748

  • 2d · Program service revenue: JOINT VENTURE

    total $334,771 · related or exempt $277,856 · unrelated business $56,915

  • 3 · Investment income

    total $792,722 · excluded $792,722

  • 5 · Royalties

    total $6,708 · excluded $6,708

  • 6a · Gross rents

    real property $600 · personal property $300,000

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $600 · personal property $300,000

  • 6d · Net rental income or loss

    total $300,600 · unrelated business $300,000 · excluded $600

  • 7a · Gross sales of assets other than inventory

    securities $4,361,053

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

    securities $3,810,725 · other assets $14,020

  • 7c · Gain or loss

    securities $550,328 · other assets -$14,020

  • 7d · Net gain or loss

    total $536,308 · excluded $536,308

  • 10a · Gross sales of inventory

    $486,227

  • 10b · Cost of goods sold

    $514,959

  • 10c · Net income from sales of inventory

    total -$28,732 · excluded -$28,732

  • 11a · Other revenue: MEAL INCOME

    total $429,777 · excluded $429,777

  • 11b · Other revenue: MISCELLANEOUS REVENUE

    total $368,667 · excluded $368,667

  • 11e · Other revenue, total

    $798,444

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $35,498 · program services $35,498

  • 5 · Compensation of officers, directors and key employees

    total $1,690,703 · program services $1,236,498 · management and general $410,249 · fundraising $43,956

  • 7 · Other salaries and wages

    total $32,162,663 · program services $29,629,751 · management and general $2,349,643 · fundraising $183,269

  • 8 · Pension plan contributions

    total $693,240 · program services $634,206 · management and general $53,245 · fundraising $5,789

  • 9 · Other employee benefits

    total $4,928,812 · program services $4,478,067 · management and general $398,121 · fundraising $52,624

  • 10 · Payroll taxes

    total $2,279,337 · program services $2,077,265 · management and general $186,502 · fundraising $15,570

  • 11b · Fees: legal

    total $40,299 · management and general $40,299

  • 11c · Fees: accounting

    total $152,452 · program services $1,575 · management and general $149,902 · fundraising $975

  • 11f · Fees: investment management

    total $125,406 · management and general $125,406

  • 11g · Fees: other

    total $23,343,449 · program services $21,374,318 · management and general $1,940,488 · fundraising $28,643

  • 12 · Advertising and promotion

    total $1,035,668 · program services $647,180 · management and general $381,468 · fundraising $7,020

  • 13 · Office expenses

    total $3,396,056 · program services $2,640,328 · management and general $732,710 · fundraising $23,018

  • 14 · Information technology

    total $987,907 · management and general $987,907

  • 16 · Occupancy

    total $924,539 · program services $889,877 · management and general $24,980 · fundraising $9,682

  • 17 · Travel

    total $792,037 · program services $768,090 · management and general $21,263 · fundraising $2,684

  • 20 · Interest

    total $630,224 · program services $607,639 · management and general $22,585

  • 22 · Depreciation, depletion and amortization

    total $4,678,338 · program services $4,274,784 · management and general $386,446 · fundraising $17,108

  • 23 · Insurance

    total $1,246,559 · program services $1,246,559

  • 24a · Other expenses: PHARMACY/LAB EXPENSE

    total $18,639,197 · program services $18,638,731 · management and general $375 · fundraising $91

  • 24b · Other expenses: BAD DEBT

    total $1,289,141 · program services $1,289,141

  • 24c · Other expenses: GOOD CENTS STORE

    total $408,369 · program services $408,369

  • 24d · Other expenses: UBI TAXES

    total $26,445 · program services $26,445

  • 24e · All other expenses

    total $2,596,365 · program services $1,509,589 · management and general $1,080,381 · fundraising $6,395

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $23,858,936 · end of year $11,678,011

  • 2 · Savings and temporary cash investments

    beginning of year $24,386 · end of year $14,569

  • 4 · Accounts receivable

    beginning of year $14,159,158 · end of year $17,085,684

  • 8 · Inventories for sale or use

    beginning of year $2,188,895 · end of year $2,799,612

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,118,209 · end of year $1,347,566

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

    $93,181,920

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

    $58,683,278

  • 10c · Land, buildings and equipment, net

    beginning of year $29,637,908 · end of year $34,498,642

  • 11 · Investments: publicly traded securities

    beginning of year $22,987,807 · end of year $25,758,903

  • 12 · Investments: other securities

    beginning of year $1,262,285 · end of year $939,164

  • 13 · Investments: program-related

    beginning of year $1,449,631 · end of year $2,022,868

  • 15 · Other assets

    beginning of year $2,125,121 · end of year $2,545,742

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,288,918 · end of year $9,045,216

  • 19 · Deferred revenue

    beginning of year $1,100,000 · end of year $800,000

  • 20 · Tax-exempt bond liabilities

    beginning of year $18,437,171 · end of year $16,792,702

  • 21 · Escrow or custodial account liability

    beginning of year $24,386 · end of year $14,569

  • 23 · Secured mortgages and notes payable

    beginning of year $1,777,073 · end of year $1,450,394

  • 24 · Unsecured notes and loans payable

    beginning of year $331,767

  • 25 · Other liabilities

    beginning of year $3,947,515 · end of year $2,929,745

  • 27 · Net assets without donor restrictions

    beginning of year $63,951,934 · end of year $66,446,585

  • 28 · Net assets with donor restrictions

    beginning of year $953,572 · end of year $1,211,550

Mission and programs · 2022

Mission

TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH AND WELL-BEING.

Activities or mission (Part I)

TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH BY PROVIDING QUALITY MEDICAL CARE.

  • SIDNEY HEALTH CENTER IS A NOT-FOR-PROFIT COMMUNITY-BASED MEDICAL CENTER THAT HAS BEEN SERVING PEOPLE IN THE MONDAK REGION FOR MORE THAN 100 YEARS. OUR PASSION FOR CARING IS SHARED BY THE DOCTORS, NURSES, AND SEVERAL HUNDRED EMPLOYEES AND VOLUNTEERS. THIS COMMITMENT TO CARING IS OUR ALLEGIANCE TO THE COMMUNITY AS WE STRIVE TO PROVIDE "EXCEPTIONAL CARE FOR LIFE."LOCATED IN THE HEART OF RICHLAND COUNTY, THE ATTRACTIVE EASTERN MONTANA CAMPUS INCLUDES AN ACUTE CARE HOSPITAL, CLINIC, CANCER CARE, RETAIL PHARMACY AND AN EXTENDED CARE FACILITY OFFERING A COMPLETE RANGE OF SERVICES FROM BIRTH THROUGH END-OF-LIFE, WHICH IS COMPLEMENTED BY AN ARRAY OF OUTREACH SERVICES.THIS CONTINUUM OR SUCCESSION OF SERVICES IS NOT TYPICAL OF RURAL HEALTHCARE ORGANIZATIONS, BUT SIDNEY HEALTH CENTER IS NOT TYPICAL. A STRONG COMPLEMENT OF PRIMARY CARE PHYSICIANS AND A UNIQUE SELECTION OF SURGICAL SPECIALISTS, COMBINED WITH A MODERN FACILITY AND UP-TO-DATE MEDICAL EQUIPMENT, MAKES SIDNEY HEALTH CENTER A SPECIAL PLACE TO WORK, RECEIVE CARE AND PRACTICE MEDICINE.SIDNEY HEALTH CENTER ALSO PROVIDES VARIOUS COMMUNITY BENEFIT PROGRAMS FOR THE INDIVIDUALS IN OUR SERVICE REGION.RICHLAND COUNTY TRANSPORTATION - THIS PROGRAM GIVES OPPORTUNITIES FOR THOSE WHO CANNOT DRIVE THE OPTION OF A RIDE. SIDNEY HEALTH CENTER PROVIDES A DRIVER AND HELPS PAY FOR BUSSES. SINCE ITS CONCEPTION, WE HAVE GONE FROM ONE BUS AND ONE DRIVER FOR THE FULL PROGRAM TO MULTIPLE BUSSES AND DRIVERS. WE WORK WITH THE HEALTH DEPARTMENT, RICHLAND COUNTY AND THE LODGE.MILES CITY NURSING PROGRAM - WE PROVIDE THE FACILITY AND PROGRAM COSTS TO HAVE MILES CITY COMMUNITY COLLEGE RUN A SATELLITE SCHOOL HERE IN SIDNEY. THIS PROMOTES NURSING AS A PROFESSION AND KEEPS THOSE WHO ARE INTERESTED IN OUR COMMUNITY AS POSSIBLE EMPLOYEES LATER.OUTREACH CLINIC - SOME OF THE OUTLYING COMMUNITIES DO NOT HAVE ACCESS TO SPECIALTY SERVICES. SIDNEY HEALTH CENTER SENDS PROVIDERS TO THESE NEIGHBORING COMMUNITIES SO PATIENTS DO NOT HAVE TO TRAVEL. SHC ALSO HOSTS SPECIALISTS FROM LARGER FACILITIES TO OFFER QUALITY AND CONVENIENT CARE WE ARE UNABLE TO PROVIDE TO PATIENTS IN AND AROUND RICHLAND COUNTY.HEALTH SCREENINGS, EDUCATION AND MAINTENANCE - SIDNEY HEALTH CENTER SUPPORTS A VARIETY OF EVENTS WHERE OUR COMMUNITY CAN BE EDUCATED ON HEALTH ISSUES. OUR CANCER CENTER SPONSORS THE "TOUGH ENOUGH TO WEAR PINK" DAY THE COUNTY FAIR; SUPPORTS "PINK NIGHTS" AT AREA SCHOOLS FOR VOLLEYBALL AND FOOTBALL DURING THE MONTH OF OCTOBER; AND HOLDS ANNUAL MENS HEALTH SCREENINGS. THE MENS SCREENING PROVIDES FREE PSA TESTS AND DRE EXAMS. IN OCTOBER, THE RADIOLOGY DEPARTMENT EXTENDS ITS HOURS TO OFFER MAMMOGRAMS A FEW EVENINGS DURING THE MONTH. SIDNEY HEALTH CENTER PROMOTES PREVENTATIVE CARE, DIABETES EDUCATION, LAB SCREENINGS AND MANY OTHER TOPICS. SIDNEY HEALTH CENTER OFTEN PARTNERS WITH THE RICHLAND COUNTY HEALTH DEPARTMENT, COALITION ON AGING, FIRE, POLICE AND MENTAL HEALTH PROFESSIONS, JUST TO NAME A FEW. SIDNEY HEALTH CENTER ALSO PARTICIPATES IN SUPPORTIVE HEALTH MAINTENANCE GROUPS, INCLUDING COMMUNITIES IN ACTION GROUPS.RICHLAND COUNTY FAIR & RODEO - SIDNEY HEALTH CENTER IS THE DAY SPONSOR AT THE COUNTY FAIR (DAILY ATTENDANCE OF AROUND 5,000), WHERE PEOPLE CAN HAVE THEIR BLOOD PRESSURE CHECKED AND RECEIVE A FREE COLD LEMONADE OR WATER DURING THE HOT AUGUST FAIR.GRIEF RECOVERY SUPPORT GROUPS - SIDNEY HEALTH CENTER ASSISTS INDIVIDUALS IN CONNECTING WITH LOCAL BEREAVEMENT SUPPORT GROUPS AND INDIVIDUAL COUNSELING AS REQUESTED OR WHEN A NEED IS IDENTIFIED. IN ADDITION, THE HOSPITAL'S BEREAVEMENT PROGRAM PROVIDES FAMILIES WITH MATERIALS AND RESOURCES FOLLOWING THE LOSS OF A LOVED ONE WHO RECEIVED CARE IN OUR FACILITY.BIRTHDAY HEALTH FAIR - PATIENTS WHO SIGN UP CAN GET AN ANNUAL HEALTH SCREEN AT A DISCOUNTED RATE DURING THEIR BIRTHDAY MONTH. THE LAB SCREENING INCLUDES A CHEMISTRY PANEL THAT EVALUATES KIDNEY AND LIVER FUNCTION, BLOOD SUGAR AND ELECTROLYTES, A BLOOD COUNT WITH IDENTIFIES ANEMIA OR INFECTION AS WELL AS LIPIDS (CHOLESTEROL) PANEL.VISITING NURSE SERVICE - INITIAL NURSE VISIT AND POST DISCHARGE MEDICATION RECONCILIATION ALONG WITH ONGOING MEDICATION SETUPS TO THOSE IN NEED.MEDICATION ASSISTANCE THE MEDICATION ASSISTANCE PROGRAM OFFERS A 30-DAY SUPPLY OF SOME MEDICATIONS PRESCRIBED BY SIDNEY HEALTH CENTER PHYSICIANS AND ADVANCED PRACTICE PROVIDERS FREE OF CHARGE TO THOSE WHO QUALIFY. THIS PROGRAM WORKS WITH PATIENTS WHO ARE UNINSURED OR UNDERINSURED TO SECURE ONGOING COVERAGE FOR MEDICATIONS. THE PROGRAM WAS EXPANDED IN 2020 TO INCLUDE THE LIFELINE SERVICES FOR THOSE WHO FIT WITHIN THE 200% FPG.RX BOXES - PHARMACY SETS UP PILLS IN MEDICATION BOXES SO THAT GROUP HOME RESIDENTS GET THE CORRECT PILLS FOR EACH ADMINISTRATION TIME.CHAMBER OF COMMERCE - VARIOUS DONATIONS FOR COMMUNITY AND CHAMBER FUNCTIONS.CHILDBIRTH CLASSES - CLASSES OFFERED ON A QUARTERLY BASIS TO THE COMMUNITY.INTERACTIVE TOUR FOR ELEMENTARY STUDENTS - AS REQUESTED, LOCAL ELEMENTARY CLASSES PARTICIPATE IN INTERACTIVE STATIONS THAT ARE HOSTED BY VARIOUS SIDNEY HEALTH CENTER DEPARTMENTS.REACH TOUR - EVERY OTHER YEAR, SIDNEY HEALTH CENTER HOSTS R.E.A.C.H. (RESEARCH AND EXPLORE AWESOME CAREERS IN HEALTHCARE) TOUR THROUGH AHEC FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTHCARE CAREERS. STUDENTS SPEND THE DAY AT SIDNEY HEALTH CENTER PARTICIPATING IN INTERACTIVE DEMONSTRATIONS, VISITING WITH HEALTHCARE PROFESSIONALS AND MORE.FITNESS CENTER - SIDNEY HEALTH CENTER PARTNERED WITH HEALTHWORKS FITNESS CENTER TO SUBSIDIZE MEMBERSHIPS TO LOW-INCOME INDIVIDUALS WITH DOCTOR ORDERED FITNESS REGIMENS.COVID-19 VACCINATION CLINICS SIDNEY HEALTH CENTER PARTNERS WITH THE RICHLAND COUNTY HEALTH DEPARTMENT TO VACCINATE INDIVIDUALS AGAINST COVID-19 ACCORDING TO THE STATE DISTRIBUTION PLAN. COVID-19 DRIVE-THRU TESTING SIDNEY HEALTH CENTER OFFERS FREE COVID-19 TESTS TO SYMPTOMATIC INDIVIDUALS MONDAY THROUGH FRIDAY BY APPOINTMENT. TEST RESULTS ARE SHARED VIA MY CHART WITHIN A FEW HOURS.

    Expenses $91,482,243 · Grants $35,498 · Revenue $97,301,537

  • SIDNEY HEALTH CENTER CARE FLIGHT OFFERS HIGH QUALITY, AFFORDABLE, AIR MEDICAL TRANSPORTATION FOR PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE THAT IS NOT PROVIDED LOCALLY. APPROXIMATELY 24 PATIENTS ARE FLOWN OUT EACH MONTH FOR CRITICAL MEDICAL CONDITIONS INCLUDING HEART, STROKE, TRAUMA AND PEDIATRIC NEEDS.

    Expenses $931,667 · Revenue $695,583

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Rajohn Karanjai MD

    TRUSTEE/CMO

    Total calculated
    $1,090,748
    From this org
    $1,090,748
    From related orgs
    $0
    Other
    $0
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $1,090,748
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $1,090,748

  • Leszek Jaszczak MD

    FORMER OFFICER

    Total calculated
    $713,745
    From this org
    $681,078
    From related orgs
    $0
    Other
    $32,667
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $680,078
    Bonus
    $1,000
    Other
    $0
    Deferred
    $5,861
    Nontaxable benefits
    $26,806
    Filer's total
    $713,745

  • Eric Sigmond MD

    PHYSICIAN

    Total calculated
    $686,096
    From this org
    $638,592
    From related orgs
    $0
    Other
    $47,504
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $637,567
    Bonus
    $1,025
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $38,354
    Filer's total
    $686,096

  • Jerome Kessler MD

    PHYSICIAN

    Total calculated
    $603,814
    From this org
    $567,858
    From related orgs
    $0
    Other
    $35,956
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $566,858
    Bonus
    $1,000
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $26,806
    Filer's total
    $603,814

  • Peter Deveaux MD

    PHYSICIAN

    Total calculated
    $600,550
    From this org
    $556,622
    From related orgs
    $0
    Other
    $43,928
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $555,622
    Bonus
    $1,000
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $34,778
    Filer's total
    $600,550

  • Malua Tambi MD

    CHIEF OF MEDICAL STAFF

    Total calculated
    $589,094
    From this org
    $545,166
    From related orgs
    $0
    Other
    $43,928
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $544,066
    Bonus
    $1,100
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $34,778
    Filer's total
    $589,094

  • Chad Pederson MD

    PHYSICIAN

    Total calculated
    $517,067
    From this org
    $501,540
    From related orgs
    $0
    Other
    $15,527
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $500,540
    Bonus
    $1,000
    Other
    $0
    Deferred
    $577
    Nontaxable benefits
    $14,950
    Filer's total
    $517,067

  • Herve Nguewoun MD

    PHYSICIAN

    Total calculated
    $494,593
    From this org
    $483,494
    From related orgs
    $0
    Other
    $11,099
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $482,494
    Bonus
    $1,000
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $1,949
    Filer's total
    $494,593

  • Ralf Kiehl MD Chief Of

    MEDICAL STAFF (THROUGH 12/31/22)

    Total calculated
    $470,350
    From this org
    $447,346
    From related orgs
    $0
    Other
    $23,004
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $446,321
    Bonus
    $1,025
    Other
    $0
    Deferred
    $7,877
    Nontaxable benefits
    $15,127
    Filer's total
    $470,350

  • Jen Doty

    CEO

    Total calculated
    $307,916
    From this org
    $275,289
    From related orgs
    $0
    Other
    $32,627
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $272,889
    Bonus
    $2,400
    Other
    $0
    Deferred
    $8,456
    Nontaxable benefits
    $24,171
    Filer's total
    $307,916

  • Tina Montgomery

    CFO

    Total calculated
    $207,715
    From this org
    $182,722
    From related orgs
    $0
    Other
    $24,993
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $180,472
    Bonus
    $2,250
    Other
    $0
    Deferred
    $5,607
    Nontaxable benefits
    $19,386
    Filer's total
    $207,715

  • Lance Averett

    PRESIDENT & VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Robert Burnison

    TRUSTEE & PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Randy Johnson

    VICE PRESIDENT & TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Rebecca Bradley

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Eric Beenken

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Susan Duffey

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Stephanie Livers

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kevin Mayer

    TRUSTEE (THROUGH 11/16/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Cheryl Van Every

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

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

  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 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 1A
RALF KIEHL RECEIVED A HOUSING ALLOWANCE OF $14,640. THIS AMOUNT WAS INCLUDED IN HIS TAXABLE COMPENSATION.
PART I, LINE 5
PHYSICIANS RECEIVE BONUSES BASED ON PRODUCTIVITY, AMONG OTHER FACTORS. PRODUCTIVITY IS CLOSELY CONNECTED WITH REVENUES.
PART I, LINE 6
FOR THE EXECUTIVES, ANNUAL RAISES ARE BASED ON MEETING ORGANIZATIONAL GOALS RELATED TO VARIOUS FACTORS INCLUDING EMPLOYEE RETENTION, PATIENT SATISFACTION, QUALITY METRICS, AND OPERATING MARGIN.

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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SHC 2021 LLC

    RELATED · AIR AMBULANCE · ND · 49% owned · share of income $455,727 · share of assets $1,563,676 · general or managing partner

Provenance

Return type
form_990
Tax year
2022
Filed
6 May 2024
IRS schema version
2022v5.0
Source object
202411289349301471

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