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Nonprofiteer
← HENRY COUNTY HOSPITAL INC

Form 990 for tax year 2024

Filed by HENRY COUNTY HOSPITAL INC.

Totals

Total revenue
$37,139,225
Total expenses
$39,493,606
Contributions and grants received
$292,508
Grants paid
$157,586
Program service revenue
$35,233,676
Investment income
$88,946
Other revenue
$1,524,095
Total assets, end of year
$19,662,540
Total liabilities, end of year
$7,304,404
Net assets or fund balances, end of year
$12,358,136
Program services expenses (Part IX)
$32,347,901
Management and general expenses
$7,035,570
Fundraising expenses
$110,135
Program service expenses (Part III)
$32,347,901

Program services were 81.9% 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

    $251,651

  • 1f · All other contributions, gifts and grants

    $40,857

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $34,530,378 · related or exempt $34,520,183 · unrelated business $10,195

  • 2b · Program service revenue: 340B REVENUE

    total $623,645 · related or exempt $623,645

  • 2f · All other program service revenue

    total $79,653 · related or exempt $79,653

  • 3 · Investment income

    total $88,946 · excluded $88,946

  • 6a · Gross rents

    real property $90,560

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $90,560

  • 6d · Net rental income or loss

    total $90,560 · excluded $90,560

  • 11a · Other revenue: JOINT VENTURES

    total $936,524 · related or exempt $936,524

  • 11b · Other revenue: CAFETERIA REVENUE

    total $162,100 · excluded $162,100

  • 11d · All other revenue

    total $334,911 · excluded $334,911

  • 11e · Other revenue, total

    $1,433,535

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $157,586 · program services $157,586

  • 5 · Compensation of officers, directors and key employees

    total $554,213 · program services $432,198 · management and general $122,015

  • 7 · Other salaries and wages

    total $14,760,270 · program services $11,186,865 · management and general $3,494,706 · fundraising $78,699

  • 8 · Pension plan contributions

    total $336,417 · program services $334,737 · management and general $1,680

  • 9 · Other employee benefits

    total $1,633,948 · program services $1,625,789 · management and general $8,159

  • 10 · Payroll taxes

    total $1,266,726 · program services $1,260,400 · management and general $6,326

  • 11b · Fees: legal

    total $22,776 · management and general $22,776

  • 11c · Fees: accounting

    total $75,825 · management and general $75,825

  • 11d · Fees: lobbying

    total $5,499 · management and general $5,499

  • 11g · Fees: other

    total $9,491,702 · program services $8,084,296 · management and general $1,407,406

  • 12 · Advertising and promotion

    total $187,367 · program services $11,733 · management and general $175,634

  • 13 · Office expenses

    total $300,572 · program services $191,062 · management and general $109,510

  • 16 · Occupancy

    total $502,491 · program services $446,479 · management and general $56,012

  • 17 · Travel

    total $17,690 · program services $8,730 · management and general $8,960

  • 19 · Conferences, conventions and meetings

    total $32,753 · program services $26,885 · management and general $5,868

  • 20 · Interest

    total $189,016 · program services $144,032 · management and general $44,984

  • 22 · Depreciation, depletion and amortization

    total $1,131,744 · program services $862,400 · management and general $269,344

  • 23 · Insurance

    total $435,936 · program services $332,187 · management and general $103,749

  • 24a · Other expenses: DRUGS AND MEDICAL SUPPL

    total $3,755,453 · program services $3,754,199 · management and general $1,254

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $3,090,812 · program services $3,090,812

  • 24c · Other expenses: FRANCHISE FEE

    total $995,118 · management and general $995,118

  • 24d · Other expenses: MINOR EQUIPMENT

    total $262,407 · program services $223,214 · management and general $39,193

  • 24e · All other expenses

    total $287,285 · program services $174,297 · management and general $81,552 · fundraising $31,436

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,750 · end of year $2,100

  • 2 · Savings and temporary cash investments

    beginning of year $6,159,242 · end of year $4,195,189

  • 4 · Accounts receivable

    beginning of year $5,538,416 · end of year $4,570,155

  • 8 · Inventories for sale or use

    beginning of year $836,269 · end of year $792,582

  • 9 · Prepaid expenses and deferred charges

    beginning of year $387,140 · end of year $377,258

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

    $27,615,694

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

    $20,263,558

  • 10c · Land, buildings and equipment, net

    beginning of year $6,501,172 · end of year $7,352,136

  • 11 · Investments: publicly traded securities

    beginning of year $1,377,945 · end of year $1,490,928

  • 12 · Investments: other securities

    beginning of year $515,602 · end of year $661,537

  • 15 · Other assets

    beginning of year $1,324,264 · end of year $220,655

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,869,512 · end of year $1,824,952

  • 20 · Tax-exempt bond liabilities

    beginning of year $4,414,060 · end of year $4,049,491

  • 25 · Other liabilities

    beginning of year $747,029 · end of year $1,429,961

  • 27 · Net assets without donor restrictions

    beginning of year $13,170,724 · end of year $10,816,343

  • 28 · Net assets with donor restrictions

    beginning of year $1,440,475 · end of year $1,541,793

Mission and programs · 2024

Mission

HENRY COUNTY HOSPITAL PROVIDES QUALITY HEALTHCARE AND WELLNESS SERVICES WHILE EMPHASIZING PERSONALIZED PATIENT CARE AND EXCELLENT CUSTOMER SERVICE.

Activities or mission (Part I)

HENRY COUNTY HOSPITAL PROVIDES QUALITY HEALTHCARE AND WELLNESS SERVICES WHILE EMPHASIZING PATIENT CARE AND EXCELLENT CUSTOMER SERVICE. HENRY COUNTY HOSPITAL WILL BE THE HEALTHCARE PROVIDER OF CHOICE BY BEING THE BEST PLACE TO RECEIVE PATIENT-CENTERED CARE, WORK AND PRACTICE MEDICINE.

  • OTHER SERVICES - PROVIDED BY HENRY COUNTY HOSPITAL ARE: MEDICAL IMAGING, INCLUDING X-RAY, CT SCANS, MRI, ULTRASOUND, DEXA, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, VASCULAR LAB AND STRESS TESTING; PHARMACY SERVICES; REHAB SERVICES, INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY; ONCOLOGY SERVICES; INPATIENT AND INTENSIVE CARE SERVICES; WOMEN'S HEALTH SERVICES; CARDIAC REHAB, EKG, AND RESPIRATORY THERAPY, SLEEP CENTER, URGENT CARE, VASCULAR, ORTHOPEDICS, CARDIOLOGY, UROLOGY; AND MEDICATION MANAGEMENT TREATMENT. HENRY COUNTY HOSPITAL PROVIDED OVER 228 INPATIENTS ADMISSION WITH OVER 805 DAYS OF CARE, 51 SWING BED PATIENTS WITH OVER 670 DAYS OF CARE, 0 BIRTHS, AND OVER 71,628 VISITS IN 2025.

    Expenses $25,656,320 · Grants $157,586 · Revenue $20,154,010

  • PHARMACY - IV INFUSIONS AND MEDICATIONS ARE PROVIDED CONTINUALLY TO PATIENTS PRESENTING INJURIES AND ILLNESSES REQUIRING TREATMENT AS PRESCRIBED BY LICENSE MEDICAL PROFESSIONALS. TOTAL PATIENT DOSES/INFUSIONS PROVIDED TOTALED OVER 89,140 FOR 2025.

    Expenses $2,537,662 · Revenue $5,424,692

  • LABORATORY - PROVIDING SERVICES FOR IP AND OP, EXTENDED CARE FACILITIES, PHYSICIAN OFFICES AND AREA BUSINESSES. THE LABORATORY PROVIDED OVER 118,989 BILLED TESTS IN 2025.

    Expenses $2,440,523 · Revenue $5,542,547

  • SURGERY - PROVIDING PRE-, INTRA-, AND POST PROCEDURE CARE FOR SURGICAL INPATIENTS AND OUTPATIENTS. INCLUDES GENERAL, ORTHOPEDIC, CATARACT, VEIN, UROLOGY, OBSTETRIC, GYNECOLOGICAL, PAIN, OPHTHALMIC AND ENDOSCOPIC PROCEDURES. SURGICAL CARE SERVICES PERFORMED OVER 1,890 PROCEDURES IN 2025.

    Expenses $1,713,396 · Revenue $5,038,756

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • MARVIN BARLOW

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    4

  • BRENT GERKEN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • JIM BURKHART

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • DR MIKE CARPENTER

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • DR ERAST HAFTKOWYCZ

    BOARD MEMBER & OB/GYN

    Total calculated
    $308,213
    From this org
    $287,233
    From related orgs
    $0
    Other
    $20,980
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $283,691
    Bonus
    $0
    Other
    $3,542
    Deferred
    $8,666
    Nontaxable benefits
    $12,314
    Filer's total
    $308,213

  • JOY ERMIE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • MELISSA PEPER FIRESTONE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RICKY FRUTH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KRISTI BARND

    CEO

    Total calculated
    $252,636
    From this org
    $234,609
    From related orgs
    $0
    Other
    $18,027
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $234,360
    Bonus
    $0
    Other
    $249
    Deferred
    $6,402
    Nontaxable benefits
    $11,625
    Filer's total
    $252,636

  • LYNDSEY LUCAS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KELLEY WACHTMAN

    CNO

    Total calculated
    $180,467
    From this org
    $142,616
    From related orgs
    $0
    Other
    $37,851
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,356
    Bonus
    $0
    Other
    $260
    Deferred
    $3,409
    Nontaxable benefits
    $34,442
    Filer's total
    $180,467

  • JAMES NOWACZYK

    CFO (TERM 03/25)

    Total calculated
    $219,178
    From this org
    $190,590
    From related orgs
    $0
    Other
    $28,588
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,399
    Bonus
    $0
    Other
    $1,191
    Deferred
    $5,572
    Nontaxable benefits
    $23,016
    Filer's total
    $219,178

  • DIANE WALTHER

    CONTROLLER

    Total calculated
    $142,398
    From this org
    $107,841
    From related orgs
    $0
    Other
    $34,557
    Hours/week
    40

  • RYAN LAUF

    PHYSICIAN FAMILY PRACTICE

    Total calculated
    $379,233
    From this org
    $341,961
    From related orgs
    $0
    Other
    $37,272
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $316,687
    Bonus
    $0
    Other
    $25,274
    Deferred
    $2,799
    Nontaxable benefits
    $34,473
    Filer's total
    $379,233

  • JESSIE REYNOLDS

    PHYSICIAN FAMILY PRACTICE

    Total calculated
    $213,971
    From this org
    $204,496
    From related orgs
    $0
    Other
    $9,475
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,733
    Bonus
    $12,500
    Other
    $10,263
    Deferred
    $1,557
    Nontaxable benefits
    $7,918
    Filer's total
    $213,971

  • AMANDA MANLY

    PHYSICIAN FAMILY PRACTICE

    Total calculated
    $179,108
    From this org
    $171,591
    From related orgs
    $0
    Other
    $7,517
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,039
    Bonus
    $15,000
    Other
    $7,552
    Deferred
    $1,716
    Nontaxable benefits
    $5,801
    Filer's total
    $179,108

  • MICHELE JAKUTOWICZ

    PHARMACIST

    Total calculated
    $184,678
    From this org
    $153,396
    From related orgs
    $0
    Other
    $31,282
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,973
    Bonus
    $0
    Other
    $423
    Deferred
    $4,767
    Nontaxable benefits
    $26,515
    Filer's total
    $184,678

  • SARAH HUBER

    MANAGER MEDICAL IMAGING

    Total calculated
    $185,562
    From this org
    $154,695
    From related orgs
    $0
    Other
    $30,867
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,963
    Bonus
    $0
    Other
    $732
    Deferred
    $4,492
    Nontaxable benefits
    $26,375
    Filer's total
    $185,562

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

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 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

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.

  • HENRY COUNTY PAIN MANAGEMENT LLC

    RELATED · MEDICAL PAIN MANAGEMENT · OH · 51% owned · share of income $2,314,172 · share of assets $827,691 · general or managing partner

    Directly controlled by HENRY COUNTY HOSPITAL INC

Provenance

Return type
form_990
Tax year
2024
Filed
14 September 2026
IRS schema version
2024v5.5
Source object
202602589349300005

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