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Nonprofiteer
← CITIZENS MEDICAL CENTER INC EMPLOYEE BENEFIT TR

Form 990 for tax year 2023

Filed by CITIZENS MEDICAL CENTER INC EMPLOYEE BENEFIT TR.

Totals

Total revenue
$65,772,724
Total expenses
$64,788,072
Contributions and grants received
$2,937,915
Grants paid
$14,632
Program service revenue
$61,091,210
Investment income
$4,957
Other revenue
$1,738,642
Total assets, end of year
$42,466,298
Total liabilities, end of year
$16,610,668
Net assets or fund balances, end of year
$25,855,630
Program services expenses (Part IX)
$54,834,227
Management and general expenses
$9,872,824
Fundraising expenses
$81,021
Program service expenses (Part III)
$54,834,227

Program services were 84.6% 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.

  • 1e · Government grants (contributions)

    $410,251

  • 1f · All other contributions, gifts and grants

    $2,527,664

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

    total $57,188,015 · related or exempt $57,188,015

  • 2b · Program service revenue: 340B DRUG PROGRAM

    total $3,903,195 · related or exempt $3,903,195

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $4,456 · excluded $4,456

  • 6a · Gross rents

    real property $18,500

  • 6c · Rental income or loss

    real property $18,500 · personal property $0

  • 6d · Net rental income or loss

    total $18,500 · excluded $18,500

  • 7a · Gross sales of assets other than inventory

    other assets $97,110

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

    other assets $96,609

  • 7c · Gain or loss

    securities $0 · other assets $501

  • 7d · Net gain or loss

    total $501 · excluded $501

  • 11a · Other revenue: CHILDCARE

    total $394,134 · excluded $394,134

  • 11b · Other revenue: CAFETERIA & VENDING

    total $202,943 · excluded $202,943

  • 11c · Other revenue: PHARMACY SALES

    total $19,713 · related or exempt $19,713

  • 11d · All other revenue

    total $1,103,352 · related or exempt $0 · unrelated business $0 · excluded $1,103,352

  • 11e · Other revenue, total

    $1,720,142

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $8,632 · program services $8,632

  • 2 · Grants to domestic individuals

    total $6,000 · program services $6,000

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $750,181 · management and general $750,181

  • 7 · Other salaries and wages

    total $26,699,163 · program services $23,644,560 · management and general $3,026,147 · fundraising $28,456

  • 8 · Pension plan contributions

    total $989,223 · program services $926,334 · management and general $62,835 · fundraising $54

  • 9 · Other employee benefits

    total $3,805,497 · program services $3,229,265 · management and general $569,684 · fundraising $6,548

  • 10 · Payroll taxes

    total $1,440,592 · program services $1,251,104 · management and general $187,588 · fundraising $1,900

  • 11b · Fees: legal

    total $140,632 · management and general $140,632

  • 11c · Fees: accounting

    total $369,368 · management and general $369,368

  • 11d · Fees: lobbying

    total $9,106 · management and general $9,106

  • 11f · Fees: investment management

    total $6,102 · management and general $6,102

  • 11g · Fees: other

    total $9,111,797 · program services $7,466,111 · management and general $1,645,686 · fundraising $0

  • 12 · Advertising and promotion

    total $62,994 · program services $876 · management and general $62,118

  • 13 · Office expenses

    total $1,482,391 · program services $1,286,700 · management and general $194,279 · fundraising $1,412

  • 16 · Occupancy

    total $508,631 · program services $270,341 · management and general $234,027 · fundraising $4,263

  • 17 · Travel

    total $185,672 · program services $129,377 · management and general $56,170 · fundraising $125

  • 19 · Conferences, conventions and meetings

    total $75,261 · program services $59,888 · management and general $15,302 · fundraising $71

  • 20 · Interest

    total $451,044 · program services $223,267 · management and general $223,267 · fundraising $4,510

  • 22 · Depreciation, depletion and amortization

    total $2,320,002 · program services $1,148,439 · management and general $1,148,364 · fundraising $23,199

  • 23 · Insurance

    total $456,341 · program services $178,649 · management and general $277,692

  • 24a · Other expenses: DRUGS

    total $8,499,230 · program services $8,499,230

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $3,417,594 · program services $3,417,594

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $1,321,819 · program services $1,021,443 · management and general $296,089 · fundraising $4,287

  • 24d · Other expenses: FOOD EXPENSE

    total $604,474 · program services $604,474

  • 24e · All other expenses

    total $2,066,326 · program services $1,461,943 · management and general $598,187 · fundraising $6,196

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,897,777 · end of year $3,648

  • 4 · Accounts receivable

    beginning of year $6,480,776 · end of year $8,169,940

  • 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 $266,795 · end of year $309,782

  • 8 · Inventories for sale or use

    beginning of year $1,870,511 · end of year $1,813,982

  • 9 · Prepaid expenses and deferred charges

    beginning of year $502,883 · end of year $765,320

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

    $64,110,375

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

    $37,432,484

  • 10c · Land, buildings and equipment, net

    beginning of year $19,531,276 · end of year $26,677,891

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $579,183 · end of year $933,509

  • 15 · Other assets

    beginning of year $6,480,390 · end of year $3,792,226

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,557,758 · end of year $12,308,172

  • 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 $4,090,393 · end of year $4,302,496

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $25,116,177 · end of year $24,917,904

  • 28 · Net assets with donor restrictions

    beginning of year $1,845,263 · end of year $937,726

Mission and programs · 2023

Mission

ENHANCING THE LIVES OF THOSE WE SERVE.

  • CMCI PROVIDED A WIDE RANGE OF HEALTHCARE SERVICES TO RESIDENTS OF ITS SERVICE AREA. 4,098 PATIENT DAYS OF INPATIENT CARE, 17,843 PATIENT DAYS OF NURSING FACILITY CARE, 3,544 EMERGENCY ROOM VISITS, AND 36,980 PHYSICIAN CLINIC VISITS WERE PROVIDED DURING THE FISCAL YEAR.

    Expenses $54,834,227 · Grants $14,632 · Revenue $61,110,923

As filed on the 2023 return.

Listed in Part VII

  • Bob Standage

    CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Janet Saddler

    SECRETARY

    Total calculated
    $0
    Hours/week
    4

  • Lon Frahm

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Michael Hamilton

    TREASURER

    Total calculated
    $0
    Hours/week
    4

  • Eileen Lovenstein

    TRUSTEE

    Total calculated
    $0
    Hours/week
    4

  • Jeanene Brown

    TRUSTEE

    Total calculated
    $0
    Hours/week
    4

  • Jennifer Schoenfeld

    TRUSTEE

    Total calculated
    $0
    Hours/week
    4

  • David McCorkle

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $324,123
    From this org
    $285,079
    From related orgs
    $0
    Other
    $39,044
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $245,329
    Bonus
    $39,480
    Other
    $270
    Deferred
    $14,415
    Nontaxable benefits
    $24,629
    Filer's total
    $324,123

  • Ryan Stover

    CHIEF FINANCIAL OFFICER

    Total calculated
    $218,206
    From this org
    $193,759
    From related orgs
    $0
    Other
    $24,447
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $176,690
    Bonus
    $16,619
    Other
    $450
    Deferred
    $10,314
    Nontaxable benefits
    $14,133
    Filer's total
    $218,206

  • Brenda Kopriva

    PHYSICIAN

    Total calculated
    $454,453
    From this org
    $417,257
    From related orgs
    $0
    Other
    $37,196
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $416,957
    Bonus
    $0
    Other
    $300
    Deferred
    $8,512
    Nontaxable benefits
    $28,684
    Filer's total
    $454,453

  • Darren Matchell

    PHYSICIAN

    Total calculated
    $470,215
    From this org
    $429,359
    From related orgs
    $0
    Other
    $40,856
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $428,069
    Bonus
    $0
    Other
    $1,290
    Deferred
    $19,086
    Nontaxable benefits
    $21,770
    Filer's total
    $470,215

  • Dereck Totten

    PHYSICIAN

    Total calculated
    $407,774
    From this org
    $361,948
    From related orgs
    $0
    Other
    $45,826
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $351,678
    Bonus
    $10,000
    Other
    $270
    Deferred
    $17,711
    Nontaxable benefits
    $28,115
    Filer's total
    $407,774

  • Kysha Nichols-Totten

    PHYSICIAN

    Total calculated
    $378,093
    From this org
    $356,539
    From related orgs
    $0
    Other
    $21,554
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $346,239
    Bonus
    $10,000
    Other
    $300
    Deferred
    $17,264
    Nontaxable benefits
    $4,290
    Filer's total
    $378,093

  • Mallory Forsyth

    PHYSICIAN

    Total calculated
    $369,417
    From this org
    $340,242
    From related orgs
    $0
    Other
    $29,175
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $340,002
    Bonus
    $0
    Other
    $240
    Deferred
    $16,692
    Nontaxable benefits
    $12,483
    Filer's total
    $369,417

  • Greg Unruh

    FORMER CEO

    Total calculated
    $242,158
    From this org
    $217,116
    From related orgs
    $0
    Other
    $25,042
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $213,306
    Bonus
    $0
    Other
    $3,810
    Deferred
    $11,399
    Nontaxable benefits
    $13,643
    Filer's total
    $242,158

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

  • 3 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 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 5a
DERECK TOTTEN, KYSHA NICHOLS-TOTTEN, DAVID MCCORKLE, AND RYAN STOVER RECEIVED A BONUS IN 2023 BASED ON THE REVENUES OF THE ORGANIZATION.
Schedule J, Part I, Line 6a
DAVID MCCORKLE AND RYAN STOVER ARE COMPENSATED BY CITIZENS MEDICAL CENTER, INC., AND HAVE A BONUS ARRANGEMENT THAT IS BASED ON FOUR AREAS: PATIENT SATISFACTION, NET MARGIN, AR DAYS BELOW 60, AND DOCTOR TO DOOR AVERAGE TIME.

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.

Related corporations and trusts

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

  • MED-SERV INC

    C Corporation · INACTIVE · KS · 100% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by CMCI

Provenance

Return type
form_990
Tax year
2023
Filed
16 November 2024
IRS schema version
2023v5.1
Source object
202433209349329103

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