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Nonprofiteer
← MIAMI COUNTY MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by MIAMI COUNTY MEDICAL CENTER INC.

Totals

Total revenue
$37,324,570
Total expenses
$35,839,723
Contributions and grants received
$410,976
Grants paid
$175,265
Program service revenue
$31,918,568
Investment income
$4,920,780
Other revenue
$74,246
Total assets, end of year
$79,492,613
Total liabilities, end of year
$12,677,812
Net assets or fund balances, end of year
$66,814,801
Program services expenses (Part IX)
$31,679,906
Management and general expenses
$4,159,817
Fundraising expenses
$0
Program service expenses (Part III)
$31,679,906

Program services were 88.4% 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

    $206,300

  • 1e · Government grants (contributions)

    $204,676

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

    total $31,072,942 · related or exempt $31,072,942

  • 2b · Program service revenue: PROVIDER RELIEF FUNDS

    total $845,626 · related or exempt $845,626

  • 3 · Investment income

    total $1,426,186 · excluded $1,426,186

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $57,534

  • 6b · Less rental expenses

    real property $56,527

  • 6c · Rental income or loss

    real property $1,007 · personal property $0

  • 6d · Net rental income or loss

    total $1,007 · excluded $1,007

  • 7a · Gross sales of assets other than inventory

    securities $6,656,746

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

    securities $3,162,152

  • 7c · Gain or loss

    securities $3,494,594

  • 7d · Net gain or loss

    total $3,494,594 · excluded $3,494,594

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: REBATES

    total $474 · excluded $474

  • 11b · Other revenue: CAFETERIA SALES

    total $164 · excluded $164

  • 11c · Other revenue: All Other Misc Revenue

    total $72,601 · unrelated business $5,343 · excluded $67,258

  • 11d · All other revenue

    total $72,601 · unrelated business $5,343 · excluded $67,258

  • 11e · Other revenue, total

    $73,239

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $170,265 · program services $170,265

  • 2 · Grants to domestic individuals

    total $5,000 · program services $5,000

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $361,582 · management and general $361,582

  • 6 · Compensation of disqualified persons

    total $105,842 · program services $105,842

  • 7 · Other salaries and wages

    total $14,603,043 · program services $13,643,636 · management and general $959,407

  • 8 · Pension plan contributions

    total $269,672 · program services $229,648 · management and general $40,024

  • 9 · Other employee benefits

    total $1,858,131 · program services $1,409,725 · management and general $448,406

  • 10 · Payroll taxes

    total $926,965 · program services $813,914 · management and general $113,051

  • 11a · Fees: management

    total $690,875 · management and general $690,875

  • 11b · Fees: legal

    total $44,620 · management and general $44,620

  • 11c · Fees: accounting

    total $28,569 · management and general $28,569

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $7,337 · management and general $7,337

  • 11g · Fees: other

    total $4,761,560 · program services $4,223,931 · management and general $537,629

  • 12 · Advertising and promotion

    total $54,087 · management and general $54,087

  • 13 · Office expenses

    total $291,870 · program services $130,235 · management and general $161,635

  • 14 · Information technology

    total $1,100,977 · program services $924,121 · management and general $176,856

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $2,326,356 · program services $2,117,381 · management and general $208,975

  • 17 · Travel

    total $14,743 · program services $12,794 · management and general $1,949

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $1,516,624 · program services $1,307,707 · management and general $208,917

  • 23 · Insurance

    total $213,505 · program services $138,120 · management and general $75,385

  • 24a · Other expenses: Bad Debt Expense

    total $3,081,212 · program services $3,081,212

  • 24b · Other expenses: Medical Supplies

    total $3,187,290 · program services $3,187,290

  • 24c · Other expenses: Repairs & Maintenance

    total $74,059 · program services $74,059

  • 24d · Other expenses: Medicaid Assessment

    total $98,767 · program services $98,767

  • 24e · All other expenses

    total $46,772 · program services $6,259 · management and general $40,513

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $11,812 · end of year $12,287

  • 2 · Savings and temporary cash investments

    beginning of year $1,699,905 · end of year $1,987,052

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $4,420,306 · end of year $3,143,216

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $830,529 · end of year $901,897

  • 9 · Prepaid expenses and deferred charges

    beginning of year $153,954 · end of year $105,494

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

    $40,208,970

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

    $27,395,840

  • 10c · Land, buildings and equipment, net

    beginning of year $13,573,228 · end of year $12,813,130

  • 11 · Investments: publicly traded securities

    beginning of year $45,844,083 · end of year $39,744,772

  • 12 · Investments: other securities

    beginning of year $11,380,752 · end of year $9,757,825

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $12,135,565 · end of year $11,026,940

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,542,467 · end of year $2,149,874

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $1,050,302 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $10,604,382 · end of year $10,527,938

  • 27 · Net assets without donor restrictions

    beginning of year $75,787,417 · end of year $66,814,801

  • 28 · Net assets with donor restrictions

    beginning of year $65,566 · end of year $0

Mission and programs · 2022

Mission

TO HELP PEOPLE THROUGH HEALING, HEALTH, AND HAPPINESS.

  • SEE SCHEDULE O

    Expenses $31,679,906 · Grants $175,265 · Revenue $31,918,568

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

Listed in Part VII

  • STANLEY HOLM

    PRESIDENT/CEO

    Total calculated
    $1,658,349
    From this org
    $0
    From related orgs
    $1,399,665
    Other
    $258,684
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $951,080 related
    Bonus
    $0 + $430,222 related
    Other
    $0 + $18,363 related
    Deferred
    $0 + $232,884 related
    Nontaxable benefits
    $0 + $25,800 related
    Filer's total
    $0 + $1,658,349 related

  • JASON HANNAGAN

    SECRETARY/CHIEF LEGAL OFFICER

    Total calculated
    $1,362,347
    From this org
    $0
    From related orgs
    $1,207,630
    Other
    $154,717
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $521,334 related
    Bonus
    $0 + $685,208 related
    Other
    $0 + $1,088 related
    Deferred
    $0 + $129,090 related
    Nontaxable benefits
    $0 + $25,627 related
    Filer's total
    $0 + $1,362,347 related

  • KRYSTAL CLAYMORE

    TREASURER/CFO

    Total calculated
    $1,290,122
    From this org
    $0
    From related orgs
    $1,151,323
    Other
    $138,799
    Hours/week
    6 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $478,752 related
    Bonus
    $0 + $670,166 related
    Other
    $0 + $2,405 related
    Deferred
    $0 + $116,357 related
    Nontaxable benefits
    $0 + $22,442 related
    Filer's total
    $0 + $1,290,122 related

  • JEFF DOSSETT

    CHIEF OPERATING OFFICER

    Total calculated
    $1,037,492
    From this org
    $0
    From related orgs
    $927,927
    Other
    $109,565
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,369 related
    Bonus
    $0 + $538,364 related
    Other
    $0 + $6,194 related
    Deferred
    $0 + $84,223 related
    Nontaxable benefits
    $0 + $25,342 related
    Filer's total
    $0 + $1,037,492 related

  • ELIZABETH LONG

    CHIEF MEDICAL OFFICER

    Total calculated
    $596,457
    From this org
    $0
    From related orgs
    $571,269
    Other
    $25,188
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $569,304 related
    Bonus
    $0
    Other
    $0 + $1,965 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,188 related
    Filer's total
    $0 + $596,457 related

  • TERESA KELLER

    SECY/ASSISTANT GENERAL COUNSEL

    Total calculated
    $472,463
    From this org
    $0
    From related orgs
    $434,827
    Other
    $37,636
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $261,723 related
    Bonus
    $0 + $171,146 related
    Other
    $0 + $1,958 related
    Deferred
    $0 + $11,941 related
    Nontaxable benefits
    $0 + $25,695 related
    Filer's total
    $0 + $472,463 related

  • JONATHAN NEWKIRK

    PHYSICIAN

    Total calculated
    $383,958
    From this org
    $345,201
    From related orgs
    $0
    Other
    $38,757
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $332,205
    Bonus
    $0
    Other
    $12,996
    Deferred
    $26,314
    Nontaxable benefits
    $12,443
    Filer's total
    $383,958

  • PAUL LUCE

    VICE PRESIDENT/COO - MCMC

    Total calculated
    $361,582
    From this org
    $338,151
    From related orgs
    $0
    Other
    $23,431
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $333,100
    Bonus
    $0
    Other
    $5,051
    Deferred
    $7,333
    Nontaxable benefits
    $16,098
    Filer's total
    $361,582

  • BRIAN COOKE

    PHYSICIAN

    Total calculated
    $336,634
    From this org
    $296,892
    From related orgs
    $0
    Other
    $39,742
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $289,363
    Bonus
    $0
    Other
    $7,529
    Deferred
    $14,584
    Nontaxable benefits
    $25,158
    Filer's total
    $336,634

  • SARA COBINE

    PHYSICIAN

    Total calculated
    $280,652
    From this org
    $249,260
    From related orgs
    $0
    Other
    $31,392
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $248,687
    Bonus
    $0
    Other
    $573
    Deferred
    $10,209
    Nontaxable benefits
    $21,183
    Filer's total
    $280,652

  • NATALIE HAGMAN

    PHYSICIAN

    Total calculated
    $275,423
    From this org
    $251,553
    From related orgs
    $0
    Other
    $23,870
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $251,088
    Bonus
    $0
    Other
    $465
    Deferred
    $8,687
    Nontaxable benefits
    $15,183
    Filer's total
    $275,423

  • GEORGINA GREEN

    PHYSICIAN

    Total calculated
    $271,615
    From this org
    $243,036
    From related orgs
    $0
    Other
    $28,579
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $242,193
    Bonus
    $0
    Other
    $843
    Deferred
    $8,562
    Nontaxable benefits
    $20,017
    Filer's total
    $271,615

  • JANELL AUST

    DIRECTOR/CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • BLAKE HEID

    DIRECTOR/VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2

  • CASSI VOHS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARY DIANA NEAL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KATHY MINDEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

SCHEDULE J, PART I, LINE 4B
THE FOLLOWING AMOUNTS WERE ACCRUED IN 2022 TO A 457(F) PLAN FOR THE BENEFIT OF THE SENIOR EXECUTIVE LEADERSHIP AND WERE INCLUDED AS DEFERRED INCOME ON SCHEDULE J FOR THE FOLLOWING: STANLEY HOLM, PRESIDENT AND CHIEF EXECUTIVE OFFICER, $199,268; KRYSTAL CLAYMORE, CHIEF FINANCIAL OFFICER, $85,538; JEFF DOSSETT, CHIEF OPERATING OFFICER, $59,431; AND JASON HANNAGAN, CHIEF LEGAL COUNSEL, $92,861. A SELECT GROUP OF PHYSICIANS ALSO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN 2022 THERE WERE PAYOUTS OF $6,104 TO DR. JONATHAN NEWKIRK AND $5,670 TO BRIAN COOKE. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND INCLUDED ON THEIR RESPECTIVE W-2S. THE FOLLOWING AMOUNTS WERE ACCRUED IN 2022 FOR A 457(F) PLAN AND INCLUDED AS DEFERRED INCOME ON SCHEDULE J FOR THE BENEFIT OF DRS. JONATHAN NEWKIRK, $6,518; SARA COBINE, $2,487; GEORGINA GREEN, $1,271; BRIAN COOKE, $5,580 AND NATALIE HAGMAN, $1,164. $5,580 AND NATALIE HAGMAN, $1,164.

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 corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333199349317528

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