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Nonprofiteer
← PAWNEE VALLEY COMMUNITY HOSPITAL INC

Form 990 for tax year 2023

Filed by PAWNEE VALLEY COMMUNITY HOSPITAL INC.

Totals

Total revenue
$20,040,631
Total expenses
$19,637,212
Contributions and grants received
$46,479
Grants paid
$12,402
Program service revenue
$19,767,423
Investment income
$54,684
Other revenue
$172,045
Total assets, end of year
$13,833,734
Total liabilities, end of year
$11,222,055
Net assets or fund balances, end of year
$2,611,679
Program services expenses (Part IX)
$17,489,035
Management and general expenses
$2,053,945
Fundraising expenses
$94,232
Program service expenses (Part III)
$17,489,035

Program services were 89.1% 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

    $15,717

  • 1f · All other contributions, gifts and grants

    $30,762

  • 2a · Program service revenue: Patient service revenue

    total $19,288,649 · related or exempt $19,288,649

  • 2b · Program service revenue: 340b drug program

    total $444,730 · related or exempt $444,730

  • 2c · Program service revenue: Lab fairs

    total $28,773 · related or exempt $28,773

  • 2f · All other program service revenue

    total $5,271 · related or exempt $5,271

  • 3 · Investment income

    total $54,571 · excluded $54,571

  • 6a · Gross rents

    real property $12,050

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $12,050

  • 6d · Net rental income or loss

    total $12,050 · related or exempt $12,050

  • 7a · Gross sales of assets other than inventory

    other assets $113

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

    other assets $0

  • 7c · Gain or loss

    other assets $113

  • 7d · Net gain or loss

    total $113 · excluded $113

  • 11a · Other revenue: Meals sold to employees and guest

    total $159,995 · excluded $159,995

  • 11e · Other revenue, total

    $159,995

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $12,402 · program services $12,402

  • 5 · Compensation of officers, directors and key employees

    total $206,559 · management and general $206,559

  • 7 · Other salaries and wages

    total $7,843,188 · program services $7,324,928 · management and general $460,601 · fundraising $57,659

  • 8 · Pension plan contributions

    total $339,024 · program services $318,016 · management and general $18,539 · fundraising $2,469

  • 9 · Other employee benefits

    total $1,016,789 · program services $957,930 · management and general $51,422 · fundraising $7,437

  • 10 · Payroll taxes

    total $568,917 · program services $520,275 · management and general $44,603 · fundraising $4,039

  • 11a · Fees: management

    total $2,285,000 · program services $2,089,633 · management and general $179,144 · fundraising $16,223

  • 11b · Fees: legal

    total $33,502 · management and general $33,502

  • 11c · Fees: accounting

    total $88,902 · program services $6,000 · management and general $82,902

  • 11d · Fees: lobbying

    total $4,537 · management and general $4,537

  • 11g · Fees: other

    total $2,386,184 · program services $2,081,873 · management and general $303,559 · fundraising $752

  • 12 · Advertising and promotion

    total $154,134 · management and general $154,134

  • 13 · Office expenses

    total $104,091 · program services $19,283 · management and general $84,805 · fundraising $3

  • 14 · Information technology

    total $373,685 · program services $278,541 · management and general $95,144

  • 16 · Occupancy

    total $399,923 · program services $300,462 · management and general $98,341 · fundraising $1,120

  • 17 · Travel

    total $23,605 · program services $14,161 · management and general $7,055 · fundraising $2,389

  • 19 · Conferences, conventions and meetings

    total $44,101 · program services $30,887 · management and general $12,220 · fundraising $994

  • 23 · Insurance

    total $74,055 · program services $74,055

  • 24a · Other expenses: Pharmaceuticals

    total $1,865,255 · program services $1,865,255

  • 24b · Other expenses: Medical supplies

    total $650,956 · program services $650,956

  • 24c · Other expenses: Repairs & Maintenance

    total $607,740 · program services $556,998 · management and general $50,254 · fundraising $488

  • 24d · Other expenses: Food & Dietary Supplies

    total $206,869 · program services $165,495 · management and general $41,374

  • 24e · All other expenses

    total $347,794 · program services $221,885 · management and general $125,250 · fundraising $659

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,048,686 · end of year $1,319,613

  • 2 · Savings and temporary cash investments

    beginning of year $5,390,371 · end of year $6,353,675

  • 4 · Accounts receivable

    beginning of year $2,087,166 · end of year $2,752,373

  • 8 · Inventories for sale or use

    beginning of year $508,126 · end of year $475,819

  • 9 · Prepaid expenses and deferred charges

    beginning of year $224,526 · end of year $164,987

  • 11 · Investments: publicly traded securities

    beginning of year $147,105

  • 15 · Other assets

    beginning of year $4,249,231 · end of year $2,767,267

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,224,497 · end of year $1,534,032

  • 19 · Deferred revenue

    beginning of year $150,000 · end of year $150,000

  • 25 · Other liabilities

    beginning of year $9,582,557 · end of year $9,538,023

  • 28 · Net assets with donor restrictions

    beginning of year $2,698,157 · end of year $2,611,679

Mission and programs · 2023

Mission

Pawnee Valley Community Hospital, Inc. is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Corporation is to improve the quality of life for the communities we serve through exceptional healthcare and service excellence.

Activities or mission (Part I)

Pawnee Valley Community Hospital, Inc. is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to improve the quality of life for the communities we serve through exceptional healthcare and service excellence. The Organization is striving to be the best Critical Access Hospital in rural America.

  • Patient care: Program services consist of routine and ancillary department healthcare services provided by a healthcare organization as described in 501(c)(3) of the IRS code.

    Expenses $17,489,035 · Grants $12,402 · Revenue $19,779,473

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Shae Veach

    President

    Total calculated
    $370,530
    From this org
    $0
    From related orgs
    $284,429
    Other
    $86,101
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,040 related
    Bonus
    $0 + $24,926 related
    Other
    $0 + $18,463 related
    Deferred
    $0 + $55,716 related
    Nontaxable benefits
    $0 + $30,385 related
    Filer's total
    $0 + $370,530 related

  • John Haas

    Vice President

    Total calculated
    $0
    Hours/week
    0.5

  • Michelle Beckner

    Treasurer

    Total calculated
    $486,400
    From this org
    $0
    From related orgs
    $394,228
    Other
    $92,172
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $313,223 related
    Bonus
    $0 + $30,391 related
    Other
    $0 + $50,614 related
    Deferred
    $0 + $58,602 related
    Nontaxable benefits
    $0 + $33,570 related
    Filer's total
    $0 + $486,400 related

  • Sarah Johnson

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Edward Herrman

    Secretary

    Total calculated
    $980,518
    From this org
    $0
    From related orgs
    $813,427
    Other
    $167,091
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $685,170 related
    Bonus
    $0 + $81,491 related
    Other
    $0 + $46,766 related
    Deferred
    $0 + $133,169 related
    Nontaxable benefits
    $0 + $33,922 related
    Filer's total
    $0 + $980,518 related

  • Terry Siek

    Director

    Total calculated
    $338,802
    From this org
    $0
    From related orgs
    $276,253
    Other
    $62,549
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $232,775 related
    Bonus
    $0 + $26,047 related
    Other
    $0 + $17,431 related
    Deferred
    $0 + $52,945 related
    Nontaxable benefits
    $0 + $9,604 related
    Filer's total
    $0 + $338,802 related

  • Melanie Urban

    Administrator

    Total calculated
    $208,161
    From this org
    $0
    From related orgs
    $172,236
    Other
    $35,925
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $146,267 related
    Bonus
    $0 + $24,326 related
    Other
    $0 + $1,643 related
    Deferred
    $0 + $8,836 related
    Nontaxable benefits
    $0 + $27,089 related
    Filer's total
    $0 + $208,161 related

  • Crystal Hill

    Physician

    Total calculated
    $309,110
    From this org
    $272,226
    From related orgs
    $0
    Other
    $36,884
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,365
    Bonus
    $20,000
    Other
    $20,861
    Deferred
    $13,252
    Nontaxable benefits
    $23,632
    Filer's total
    $309,110

  • Kurtis Herwich

    Physician

    Total calculated
    $289,510
    From this org
    $271,378
    From related orgs
    $0
    Other
    $18,132
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,000
    Bonus
    $14,000
    Other
    $22,378
    Deferred
    $8,700
    Nontaxable benefits
    $9,432
    Filer's total
    $289,510

  • Arlo Reimer

    Physician

    Total calculated
    $220,763
    From this org
    $199,109
    From related orgs
    $0
    Other
    $21,654
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,539
    Bonus
    $10,000
    Other
    $2,570
    Deferred
    $3,354
    Nontaxable benefits
    $18,300
    Filer's total
    $220,763

  • Dusty Atterbury

    Physician Assistant

    Total calculated
    $186,393
    From this org
    $153,557
    From related orgs
    $0
    Other
    $32,836
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,542
    Bonus
    $1,221
    Other
    $12,794
    Deferred
    $7,855
    Nontaxable benefits
    $24,981
    Filer's total
    $186,393

  • Calvin Kruger

    Physician Assistant

    Total calculated
    $161,111
    From this org
    $152,364
    From related orgs
    $0
    Other
    $8,747
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,472
    Bonus
    $3,061
    Other
    $4,831
    Deferred
    $7,595
    Nontaxable benefits
    $1,152
    Filer's total
    $161,111

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)

Part I, Line 3
A related organization uses a compensation committee, independent compensation consultant, written employment contract, and approval by the board or compensation committee to establish the compensation of the Hospital's Administrator.
Part I, Line 4b
Contributions to the plan: Edward Herrman - $116,669 Michelle Beckner - $48,750 Shae Veach - $41,128 Terry Siek - $39,114

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
2023
Filed
9 May 2025
IRS schema version
2023v6.0
Source object
202521349349308517

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

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