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Nonprofiteer
← WAGNER COMMUNITY MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by WAGNER COMMUNITY MEMORIAL HOSPITAL.

Totals

Total revenue
$18,122,683
Total expenses
$16,822,309
Contributions and grants received
$81,768
Grants paid
$4,500
Program service revenue
$17,862,033
Investment income
$175,432
Other revenue
$3,450
Total assets, end of year
$20,064,377
Total liabilities, end of year
$4,178,793
Net assets or fund balances, end of year
$15,885,584
Program services expenses (Part IX)
$14,456,683
Management and general expenses
$2,365,626
Fundraising expenses
$0
Program service expenses (Part III)
$14,456,683

Program services were 85.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DAVID KOTAB

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0.5

  • CHAD PETERS

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0.5

  • KAREN SOULEK

    SECRETARY/TREASURY

    Total calculated
    $0
    Hours/week
    0.5

  • RACHEL WOODS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • MICHELE JUFFER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • KATHE HENKE

    DIRECTOR UNTIL 09/2023

    Total calculated
    $0
    Hours/week
    0.5

  • BRYAN SLABA

    CEO

    Total calculated
    $332,258
    From this org
    $283,011
    From related orgs
    $0
    Other
    $49,247
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $283,011
    Bonus
    $0
    Other
    $0
    Deferred
    $14,562
    Nontaxable benefits
    $34,685
    Filer's total
    $332,258

  • JOSHUA CHRISTENSEN

    CFO FROM 04/2024

    Total calculated
    $0
    Hours/week
    40

  • TIANNA SMITH

    CMO

    Total calculated
    $350,345
    From this org
    $332,221
    From related orgs
    $0
    Other
    $18,124
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $332,221
    Bonus
    $0
    Other
    $0
    Deferred
    $16,615
    Nontaxable benefits
    $1,508
    Filer's total
    $350,344

  • BRITTANY BARRON

    VP OF PATIENT SERVICES

    Total calculated
    $209,422
    From this org
    $164,825
    From related orgs
    $0
    Other
    $44,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,825
    Bonus
    $0
    Other
    $0
    Deferred
    $8,837
    Nontaxable benefits
    $35,760
    Filer's total
    $209,422

  • MIKEALA KOENIG

    PHYSICIAN

    Total calculated
    $259,866
    From this org
    $222,651
    From related orgs
    $0
    Other
    $37,215
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,651
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $37,215
    Filer's total
    $259,866

  • CASSSIE NELSON

    NURSE PRACTITIONER

    Total calculated
    $195,289
    From this org
    $166,620
    From related orgs
    $0
    Other
    $28,669
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,620
    Bonus
    $0
    Other
    $0
    Deferred
    $8,578
    Nontaxable benefits
    $20,091
    Filer's total
    $195,289

  • JORDAN WEBER

    PHYSICIANS ASSISTANT

    Total calculated
    $237,256
    From this org
    $203,824
    From related orgs
    $0
    Other
    $33,432
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,824
    Bonus
    $0
    Other
    $0
    Deferred
    $10,520
    Nontaxable benefits
    $22,913
    Filer's total
    $237,257

  • RYAN KOCER

    NURSE PRACTITIONER

    Total calculated
    $205,518
    From this org
    $166,691
    From related orgs
    $0
    Other
    $38,827
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,691
    Bonus
    $0
    Other
    $0
    Deferred
    $8,700
    Nontaxable benefits
    $30,127
    Filer's total
    $205,518

  • JOSEPH SEES

    PHYSICAL THERAPY MANAGER

    Total calculated
    $224,695
    From this org
    $183,508
    From related orgs
    $0
    Other
    $41,187
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,508
    Bonus
    $0
    Other
    $0
    Deferred
    $9,552
    Nontaxable benefits
    $31,635
    Filer's total
    $224,695

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 · 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

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
12 May 2025
IRS schema version
2023v6.0
Source object
202521339349300122

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