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Nonprofiteer
← COLUMBUS COMMUNITY HOSPITAL INC

Form 990 for tax year 2022

Filed by COLUMBUS COMMUNITY HOSPITAL INC.

Totals

Total revenue
$160,196,943
Total expenses
$149,511,459
Contributions and grants received
$9,254,736
Grants paid
$155,293
Program service revenue
$146,739,020
Investment income
$1,270,322
Other revenue
$2,932,865
Total assets, end of year
$208,645,655
Total liabilities, end of year
$18,547,435
Net assets or fund balances, end of year
$190,098,220
Program services expenses (Part IX)
$145,743,906
Management and general expenses
$3,767,553
Fundraising expenses
$0
Program service expenses (Part III)
$145,743,906

Program services were 97.5% 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

    $2,646,156

  • 1f · All other contributions, gifts and grants

    $6,608,580

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

    total $146,739,020 · related or exempt $146,739,020

  • 3 · Investment income

    total $1,270,325 · excluded $1,270,325

  • 6a · Gross rents

    real property $701,242

  • 6b · Less rental expenses

    real property $503,293

  • 6c · Rental income or loss

    real property $197,949

  • 6d · Net rental income or loss

    total $197,949 · excluded $197,949

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

    other assets $3

  • 7c · Gain or loss

    other assets -$3

  • 7d · Net gain or loss

    total -$3 · excluded -$3

  • 11a · Other revenue: CAFETERIA

    total $449,175 · excluded $449,175

  • 11b · Other revenue: MEALS ON WHEELS

    total $103,290 · related or exempt $103,290

  • 11c · Other revenue: HEALTH WATCH

    total $81,798 · related or exempt $81,798

  • 11d · All other revenue

    total $2,100,653 · unrelated business $273,066 · excluded $1,827,587

  • 11e · Other revenue, total

    $2,734,916

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $155,293 · program services $155,293

  • 5 · Compensation of officers, directors and key employees

    total $1,758,375 · management and general $1,758,375

  • 7 · Other salaries and wages

    total $58,323,574 · program services $58,323,574

  • 8 · Pension plan contributions

    total $2,229,667 · program services $2,229,667

  • 9 · Other employee benefits

    total $9,508,481 · program services $9,508,481

  • 10 · Payroll taxes

    total $3,855,584 · program services $3,855,584

  • 11c · Fees: accounting

    total $814,424 · management and general $814,424

  • 11d · Fees: lobbying

    total $9,482 · management and general $9,482

  • 11f · Fees: investment management

    total $30,000 · program services $30,000

  • 11g · Fees: other

    total $9,410,675 · program services $9,410,675

  • 12 · Advertising and promotion

    total $752,764 · management and general $752,764

  • 13 · Office expenses

    total $24,580,719 · program services $24,580,719

  • 14 · Information technology

    total $2,021,548 · program services $2,021,548

  • 16 · Occupancy

    total $2,212,620 · program services $2,212,620

  • 17 · Travel

    total $279,457 · management and general $279,457

  • 19 · Conferences, conventions and meetings

    total $153,051 · management and general $153,051

  • 22 · Depreciation, depletion and amortization

    total $10,720,799 · program services $10,720,799

  • 23 · Insurance

    total $346,247 · program services $346,247

  • 24a · Other expenses: PROVISION FOR BAD DEBTS

    total $8,914,334 · program services $8,914,334

  • 24b · Other expenses: MINOR EQUIP & FINANCING

    total $6,230,930 · program services $6,230,930

  • 24c · Other expenses: PURCHASED SERVICES

    total $3,539,224 · program services $3,539,224

  • 24d · Other expenses: RECRUITING

    total $248,624 · program services $248,624

  • 24e · All other expenses

    total $3,415,587 · program services $3,415,587

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $19,620,895 · end of year $10,973,061

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $17,790,908 · end of year $20,297,867

  • 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 $447,891 · end of year $652,777

  • 8 · Inventories for sale or use

    beginning of year $3,512,914 · end of year $4,047,596

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,709,899 · end of year $3,804,520

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

    $217,578,449

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

    $88,230,416

  • 10c · Land, buildings and equipment, net

    beginning of year $97,915,329 · end of year $129,348,033

  • 11 · Investments: publicly traded securities

    beginning of year $54,454,266 · end of year $38,898,988

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 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 $559,871 · end of year $622,813

  • 17 · Accounts payable and accrued expenses

    beginning of year $18,421,182 · end of year $18,547,435

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · 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 $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $180,590,791 · end of year $190,098,220

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.

  • SEE SCHEDULE O

    Expenses $145,743,906 · Grants $155,293 · Revenue $146,924,108

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

Listed in Part VII

  • Brett Bonwell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jeff Gokie

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Julie Haney

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Stan Emerson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • John Pavlik

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Craig Pekny MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Sarah Pillen

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Abbie Tessendorf

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Daniel Rosenquist MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Tim Tooley

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Charles Seadschlag

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Michael Hansen

    PRESIDENT/CEO/SECRETARY

    Total calculated
    $705,603
    From this org
    $585,154
    From related orgs
    $0
    Other
    $120,449
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $501,279
    Bonus
    $63,375
    Other
    $20,500
    Deferred
    $85,141
    Nontaxable benefits
    $39,313
    Filer's total
    $709,608

  • Joe Citta III MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dustin Volkmer MD

    DIRECTOR (END 9/2022)

    Total calculated
    $0
    Hours/week
    1

  • Amy Blaser

    VP BUSINESS DEVELOPMENT

    Total calculated
    $301,123
    From this org
    $233,198
    From related orgs
    $0
    Other
    $67,925
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,043
    Bonus
    $19,612
    Other
    $7,543
    Deferred
    $32,617
    Nontaxable benefits
    $38,006
    Filer's total
    $303,821

  • Chad Van Cleave

    VP FINANCE

    Total calculated
    $336,859
    From this org
    $268,202
    From related orgs
    $0
    Other
    $68,657
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,361
    Bonus
    $23,718
    Other
    $8,123
    Deferred
    $33,349
    Nontaxable benefits
    $38,457
    Filer's total
    $340,008

  • Scott Messersmith

    VP OPERATIONS

    Total calculated
    $297,812
    From this org
    $230,609
    From related orgs
    $0
    Other
    $67,203
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,051
    Bonus
    $19,359
    Other
    $32,199
    Deferred
    $31,895
    Nontaxable benefits
    $37,978
    Filer's total
    $300,482

  • Dorothy Bybee

    VP NURSING

    Total calculated
    $282,490
    From this org
    $237,790
    From related orgs
    $0
    Other
    $44,700
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $217,054
    Bonus
    $20,736
    Other
    $0
    Deferred
    $9,392
    Nontaxable benefits
    $37,940
    Filer's total
    $285,122

  • Keith Luedders

    VP ANCIALLARY SERVICES

    Total calculated
    $261,554
    From this org
    $203,422
    From related orgs
    $0
    Other
    $58,132
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,411
    Bonus
    $17,848
    Other
    $10,163
    Deferred
    $22,824
    Nontaxable benefits
    $37,812
    Filer's total
    $264,058

  • Robert Miller

    PHYSICIAN

    Total calculated
    $404,814
    From this org
    $383,464
    From related orgs
    $0
    Other
    $21,350
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $383,464
    Bonus
    $0
    Other
    $0
    Deferred
    $21,350
    Nontaxable benefits
    $0
    Filer's total
    $404,814

  • John Beauvais

    PHYSICIAN

    Total calculated
    $679,183
    From this org
    $640,957
    From related orgs
    $0
    Other
    $38,226
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $621,457
    Bonus
    $0
    Other
    $19,500
    Deferred
    $12,200
    Nontaxable benefits
    $30,031
    Filer's total
    $683,188

  • Anthony Krueger

    PHYSICIAN

    Total calculated
    $690,079
    From this org
    $651,853
    From related orgs
    $0
    Other
    $38,226
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $500,183
    Bonus
    $131,170
    Other
    $20,500
    Deferred
    $12,200
    Nontaxable benefits
    $30,031
    Filer's total
    $694,084

  • Matthew Pieper

    PHYSICIAN

    Total calculated
    $705,020
    From this org
    $666,884
    From related orgs
    $0
    Other
    $38,136
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $504,833
    Bonus
    $141,551
    Other
    $20,500
    Deferred
    $12,110
    Nontaxable benefits
    $30,031
    Filer's total
    $709,025

  • Shawn Brandenburg

    PHYSICIAN

    Total calculated
    $892,327
    From this org
    $854,101
    From related orgs
    $0
    Other
    $38,226
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $653,009
    Bonus
    $181,592
    Other
    $19,500
    Deferred
    $12,200
    Nontaxable benefits
    $30,031
    Filer's total
    $896,332

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 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings

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
  • 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 PAID FOR SOCIAL AND HEALTH CLUB DUES AS PART OF THE CEO'S EMPLOYMENT AGREEMENT. THESE AMOUNTS WERE REFLECTED ON THE CEO'S W-2.
PART I, LINE 4B
THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE 2022 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: MICHAEL HANSEN - $69,891 AMY BLASER - $16,474 SCOTT MESSERSMITH - $16,261 CHAD VAN CLEAVE - $19,923 KEITH LUEDDERS - $14,993 PART I, LINE 4C: THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT HOSPITAL BOARD MEMBERS, REVIEWS THE CEO'S COMPENSATION ANNUALLY. THE WAGE RANGE IS COMPARED TO INFORMATION PROVIDED BY THIRD PARTY CONSULTANTS. DECISIONS ARE DOCUMENTED.
PART I, LINE 6
WITH THE ASSISTANCE OF TOWERS-WATSON, EXECUTIVE COMPENSATION CONSULTANTS, THE BOARD AUTHORIZED PAYING AN INCENTIVE TO THE EXECUTIVES FOR MEETING SPECIFIC BOARD-ESTABLISHED DIRECTIVES. THE BOARD AUTHORIZED PAYING UP TO 25% OF BASE COMPENSATION FOR MICHAEL HANSEN AND UP TO 20% FOR THE FOLLOWING VPS: - DOROTHY BYBEE - AMY BLASER - CHAD VAN CLEAVE - SCOTT MESSERSMITH - KEITH LUEDDERS THE INCENTIVE IS BASED ON GOALS ESTABLISHED BY THE BOARD WHICH ARE NOW REVIEWED ANNUALLY. ONE OF THE GOALS IS THE HOSPITAL'S OPERATING MARGIN. THE BOARD DETERMINES THE ASSOCIATED METRICS FOR EACH INDIVIDUAL GOAL. EACH OF THE GOALS IS THEN ASSIGNED A WEIGHT BASED ON THE LEVEL OF IMPORTANCE, AS DETERMINED BY THE BOARD. THE RESULTS ARE ENTERED AND THE METRIC IS TABULATED. THAT NUMBER IS MULTIPLIED BY THE CORRESPONDING WEIGHT. ONCE WEIGHTED, THE FIGURES ARE ADDED IN TOTAL TO ESTABLISH A SCORE BETWEEN 1 AND 5. NO INCENTIVE IS PAID IF THE HOSPITAL'S OPERATING MARGIN FALLS BELOW 5.0%, REGARDLESS OF THE OUTCOMES OF THE OTHER MEASURES. ANY PHYSICIAN BONUSES ARE BASED ON PRODUCTIVITY. THE INCENTIVES WERE PAID IN THIS FISCAL YEAR FOR WORK DONE IN THE PREVIOUS FISCAL YEAR. THE BONUSES PAID WERE: DOROTHY BYBEE - $20,735.52 CHAD VAN CLEAVE - $23,718.24 AMY BLASER - $19,612.32 SCOTT MESSERSMITH - $19,358.56 MICHAEL HANSEN - $63,375.00 KEITH LUEDDERS - $17,848.48 SHAWN BRANDENBURG - $181,592.36 MATTHEW PIEPER - $141,551.00 ANTHONY KRUEGER - $131,170.00

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.

  • ZARZ LLC

    PROPERTY MGMT · NE · 0.89% owned · share of income $1,255 · share of assets $18,700 · general or managing partner

    Directly controlled by HLTHPK TITLE CO

  • HEALTHPARK LLC

    PROPERTY MGMT · NE · 22.92% owned · share of income $154,131 · share of assets $1,698,929 · general or managing partner

    Directly controlled by HLTHPK TITLE CO

Related corporations and trusts

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

  • PLATTE VALLEY PHYSICIAN ORG

    HEALTH ADMIN · NE · 100% owned · share of income $7,720 · share of assets $21,305 · controlled entity

    Directly controlled by CCH

Provenance

Return type
form_990
Tax year
2022
Filed
4 March 2024
IRS schema version
2022v5.0
Source object
202410669349300426

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