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 AndersonJACK ANDERSON
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Terry MosierTERRY MOSIER
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Jim DeckerJIM DECKER
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Howard NeckelsHOWARD NECKELS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Carlee HansenCARLEE HANSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Colter CuminCOLTER CUMIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ed McCarthyED MCCARTHY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jennifer SpringJENNIFER 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 PfaffTONY PFAFF
CEO
- Total calculated
- $0
- Hours/week
- 40
-
Andrew BeckANDREW 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 RichardsJAENA 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 WilsonJUDITH 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 DrummLORI 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 JohnsonVAUGHN 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 KrachPATRICK 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 MurraySCOT 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 QamarSUMERA 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.
-
POWELL COUNTY MEDICAL FOUNDATION
501(C)(3) · RAISE FUNDS FOR POWELL COUNTY MEMORIAL HOSPITAL. · MT
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.
The source document this was parsed from is served over the API, which is where bulk and document access live.