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Nonprofiteer
← POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION

Form 990 for tax year 2023

Filed by POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION.

Totals

Total revenue
$26,743,974
Total expenses
$25,040,824
Contributions and grants received
$66,207
Grants paid
$0
Program service revenue
$25,762,684
Investment income
$372,730
Other revenue
$542,353
Total assets, end of year
$42,409,090
Total liabilities, end of year
$18,403,858
Net assets or fund balances, end of year
$24,005,232
Program services expenses (Part IX)
$21,641,146
Management and general expenses
$3,399,678
Fundraising expenses
$0
Program service expenses (Part III)
$21,641,146

Program services were 86.4% 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

    $1,899

  • 1e · Government grants (contributions)

    $38,957

  • 1f · All other contributions, gifts and grants

    $25,351

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $22,979,123 · related or exempt $22,979,123

  • 2b · Program service revenue: UTILIZATION FEE REVENUE

    total $2,035,128 · related or exempt $2,035,128

  • 2c · Program service revenue: OTHER OPERATING REVENUE

    total $748,433 · related or exempt $748,433

  • 3 · Investment income

    total $273,470 · excluded $273,470

  • 6a · Gross rents

    real property $53,005

  • 6b · Less rental expenses

    real property $3,034

  • 6c · Rental income or loss

    real property $49,971

  • 6d · Net rental income or loss

    total $49,971 · excluded $49,971

  • 7a · Gross sales of assets other than inventory

    other assets $103,352

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

    other assets $4,092

  • 7c · Gain or loss

    other assets $99,260

  • 7d · Net gain or loss

    total $99,260 · excluded $99,260

  • 11a · Other revenue: 340B REVENUE

    total $492,382 · related or exempt $492,382

  • 11e · Other revenue, total

    $492,382

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $938,842 · program services $827,932 · management and general $110,910

  • 7 · Other salaries and wages

    total $9,135,892 · program services $8,058,456 · management and general $1,077,436

  • 8 · Pension plan contributions

    total $289,476 · program services $254,739 · management and general $34,737

  • 9 · Other employee benefits

    total $2,323,044 · program services $2,044,279 · management and general $278,765

  • 10 · Payroll taxes

    total $743,181 · program services $653,999 · management and general $89,182

  • 11b · Fees: legal

    total $15,691 · management and general $15,691

  • 11g · Fees: other

    total $4,027,284 · program services $3,259,463 · management and general $767,821

  • 12 · Advertising and promotion

    total $95,946 · program services $225 · management and general $95,721

  • 13 · Office expenses

    total $290,611 · program services $207,860 · management and general $82,751

  • 14 · Information technology

    total $390,017 · program services $69,994 · management and general $320,023

  • 16 · Occupancy

    total $218,600 · program services $218,600

  • 17 · Travel

    total $105,988 · program services $65,717 · management and general $40,271

  • 20 · Interest

    total $498,597 · program services $478,653 · management and general $19,944

  • 22 · Depreciation, depletion and amortization

    total $1,220,640 · program services $1,171,814 · management and general $48,826

  • 23 · Insurance

    total $308,277 · program services $295,946 · management and general $12,331

  • 24a · Other expenses: SUPPLIES

    total $2,882,533 · program services $2,786,055 · management and general $96,478

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $494,269 · program services $395,812 · management and general $98,457

  • 24c · Other expenses: LICENSES & TAXES

    total $444,018 · program services $377,573 · management and general $66,445

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $226,417 · program services $226,417

  • 24e · All other expenses

    total $391,501 · program services $247,612 · management and general $143,889

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $882,702 · end of year $1,004,251

  • 2 · Savings and temporary cash investments

    beginning of year $6,910,218 · end of year $7,821,267

  • 4 · Accounts receivable

    beginning of year $3,589,799 · end of year $3,660,408

  • 7 · Other notes and loans receivable

    beginning of year $38,157 · end of year $31,517

  • 8 · Inventories for sale or use

    beginning of year $595,032 · end of year $518,231

  • 9 · Prepaid expenses and deferred charges

    beginning of year $236,123 · end of year $289,123

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

    $31,162,342

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

    $10,468,576

  • 10c · Land, buildings and equipment, net

    beginning of year $21,439,440 · end of year $20,693,766

  • 11 · Investments: publicly traded securities

    beginning of year $5,346,421 · end of year $6,002,802

  • 14 · Intangible assets

    beginning of year $35,698 · end of year $35,698

  • 15 · Other assets

    beginning of year $2,312,135 · end of year $2,352,027

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,934,066 · end of year $2,871,036

  • 20 · Tax-exempt bond liabilities

    beginning of year $12,125,000 · end of year $10,650,000

  • 23 · Secured mortgages and notes payable

    beginning of year $4,416,335 · end of year $4,882,822

  • 27 · Net assets without donor restrictions

    beginning of year $21,910,324 · end of year $24,005,232

Mission and programs · 2023

Mission

TO PROVIDE PATIENT FOCUSED HEALTHCARE.

  • THE HOSPITAL PROVIDES DAILY PATIENT CARE SERVICES AND IS THE ONLY SOURCE OF THESE SERVICES IN THE AREA. THE HOSPITAL NOW ALSO HAS AN AMBULANCE SERVICE.

    Expenses $21,641,146 · Revenue $26,255,066

As filed on the 2023 return.

Listed in Part VII

  • Jack Anderson

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Terry Mosier

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Jim Decker

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Howard Neckels

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Carlee Hansen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Colter Cumin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ed McCarthy

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jennifer Spring

    CFO

    Total calculated
    $175,303
    From this org
    $166,771
    From related orgs
    $0
    Other
    $8,532
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,271
    Bonus
    $3,500
    Other
    $0
    Deferred
    $8,189
    Nontaxable benefits
    $343
    Filer's total
    $175,303
  • Tony Pfaff

    CEO

    Total calculated
    $0
    Hours/week
    40
  • Andrew Beck

    CNO

    Total calculated
    $207,243
    From this org
    $173,795
    From related orgs
    $0
    Other
    $33,448
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,295
    Bonus
    $3,500
    Other
    $0
    Deferred
    $9,123
    Nontaxable benefits
    $24,325
    Filer's total
    $207,243
  • Jaena Richards

    COO

    Total calculated
    $250,135
    From this org
    $211,742
    From related orgs
    $0
    Other
    $38,393
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $208,242
    Bonus
    $3,500
    Other
    $0
    Deferred
    $10,850
    Nontaxable benefits
    $27,543
    Filer's total
    $250,135
  • Judith Wilson

    MD

    Total calculated
    $257,293
    From this org
    $243,127
    From related orgs
    $0
    Other
    $14,166
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $239,627
    Bonus
    $3,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,166
    Filer's total
    $257,293
  • Lori Drumm

    DO

    Total calculated
    $303,843
    From this org
    $260,074
    From related orgs
    $0
    Other
    $43,769
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $256,574
    Bonus
    $3,500
    Other
    $0
    Deferred
    $13,550
    Nontaxable benefits
    $30,219
    Filer's total
    $303,843
  • Vaughn Johnson

    MD

    Total calculated
    $431,522
    From this org
    $394,283
    From related orgs
    $0
    Other
    $37,239
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $390,783
    Bonus
    $3,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $37,239
    Filer's total
    $431,522
  • Patrick Krach

    COO

    Total calculated
    $246,108
    From this org
    $231,747
    From related orgs
    $0
    Other
    $14,361
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $228,247
    Bonus
    $3,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,361
    Filer's total
    $246,108
  • Scot Murray

    MD

    Total calculated
    $545,167
    From this org
    $488,928
    From related orgs
    $0
    Other
    $56,239
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $485,428
    Bonus
    $3,500
    Other
    $0
    Deferred
    $16,500
    Nontaxable benefits
    $39,739
    Filer's total
    $545,167
  • Sumera Qamar

    MD

    Total calculated
    $293,480
    From this org
    $279,629
    From related orgs
    $0
    Other
    $13,851
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $276,129
    Bonus
    $3,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $13,851
    Filer's total
    $293,480

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 · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 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

The filer's explanations (Part III)

PART I, LINE 1A
THE ORGANIZATION PAYS CEO, TONY PFAFF'S DUES TO ROCK CREEK CATTLE COMPANY AS THE ORGANIZATION USES THE FACILITY FOR DINING AND LODGING WHEN RECRUITING PHYSICIANS AND OTHER KEY EMPLOYEES. THIS IS NOT INCLUDED IN TONY'S TAXABLE INCOME.

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.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • POWELL EMERGENCY MEDICAL SERVICES LLC

    AMBULANCE SERVICE · MT · income $1,069,473 · assets $329,765

    Directly controlled by POWELL COUNTY MEMORIAL HOSPITAL ASSOC

Provenance

Return type
form_990
Tax year
2023
Filed
22 April 2025
IRS schema version
2023v6.0
Source object
202541289349303444

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

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