Skip to content
Nonprofiteer
← CLOUD COUNTY HEALTH CENTER INC

Form 990 for tax year 2023

Filed by CLOUD COUNTY HEALTH CENTER INC.

Totals

Total revenue
$22,819,412
Total expenses
$24,783,269
Contributions and grants received
$16,309
Grants paid
$5,164
Program service revenue
$22,763,991
Investment income
$31,181
Other revenue
$7,931
Total assets, end of year
$48,670,649
Total liabilities, end of year
$40,102,067
Net assets or fund balances, end of year
$8,568,582
Program services expenses (Part IX)
$18,849,037
Management and general expenses
$5,934,232
Fundraising expenses
$0
Program service expenses (Part III)
$18,849,037

Program services were 76.1% 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

    $4,620

  • 1f · All other contributions, gifts and grants

    $11,689

  • 2a · Program service revenue: Patient Service Revenue

    total $21,287,742 · related or exempt $21,287,742

  • 2b · Program service revenue: Pharmacy Revenue

    total $1,251,334 · related or exempt $1,251,334

  • 2c · Program service revenue: Cafeteria Revenue

    total $107,482 · related or exempt $107,482

  • 2f · All other program service revenue

    total $117,433 · related or exempt $117,433

  • 3 · Investment income

    total $31,181 · excluded $31,181

  • 11a · Other revenue: Miscellaneous Revenue

    total $7,931 · excluded $7,931

  • 11e · Other revenue, total

    $7,931

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $5,164 · program services $5,164

  • 5 · Compensation of officers, directors and key employees

    total $843,108 · program services $342,467 · management and general $500,641

  • 7 · Other salaries and wages

    total $10,436,791 · program services $8,431,507 · management and general $2,005,284

  • 8 · Pension plan contributions

    total $373,569 · program services $302,033 · management and general $71,536

  • 9 · Other employee benefits

    total $1,255,476 · program services $973,246 · management and general $282,230

  • 10 · Payroll taxes

    total $783,379 · program services $609,969 · management and general $173,410

  • 11b · Fees: legal

    total $6,289 · management and general $6,289

  • 11c · Fees: accounting

    total $18,273 · management and general $18,273

  • 11d · Fees: lobbying

    total $3,238 · program services $3,238

  • 11g · Fees: other

    total $1,578,598 · program services $1,164,002 · management and general $414,596

  • 12 · Advertising and promotion

    total $46,681 · program services $35 · management and general $46,646

  • 13 · Office expenses

    total $271,704 · program services $262,624 · management and general $9,080

  • 14 · Information technology

    total $261,366 · program services $64,007 · management and general $197,359

  • 16 · Occupancy

    total $320,411 · program services $10,174 · management and general $310,237

  • 17 · Travel

    total $74,729 · program services $46,594 · management and general $28,135

  • 19 · Conferences, conventions and meetings

    total $11,144 · program services $2,626 · management and general $8,518

  • 20 · Interest

    total $1,294,207 · program services $865,236 · management and general $428,971

  • 22 · Depreciation, depletion and amortization

    total $3,813,229 · program services $2,706,172 · management and general $1,107,057

  • 23 · Insurance

    total $100,500 · program services $19,895 · management and general $80,605

  • 24a · Other expenses: Medical and Patient Sup

    total $2,943,237 · program services $2,880,751 · management and general $62,486

  • 24b · Other expenses: Food Costs

    total $141,331 · program services $5,575 · management and general $135,756

  • 24c · Other expenses: Dues, Licenses, and Tax

    total $71,229 · program services $24,106 · management and general $47,123

  • 24e · All other expenses

    total $129,616 · program services $129,616

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $58,523 · end of year $98,608

  • 4 · Accounts receivable

    beginning of year $2,195,244 · end of year $3,075,663

  • 8 · Inventories for sale or use

    beginning of year $167,986 · end of year $284,536

  • 9 · Prepaid expenses and deferred charges

    beginning of year $393,113 · end of year $339,575

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

    $51,523,786

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

    $13,219,968

  • 10c · Land, buildings and equipment, net

    beginning of year $41,800,005 · end of year $38,303,818

  • 12 · Investments: other securities

    beginning of year $833,378 · end of year $975,682

  • 15 · Other assets

    beginning of year $3,695,463 · end of year $5,592,767

  • 17 · Accounts payable and accrued expenses

    beginning of year $923,213 · end of year $795,327

  • 23 · Secured mortgages and notes payable

    beginning of year $37,822,977 · end of year $37,186,740

  • 25 · Other liabilities

    beginning of year $0 · end of year $2,120,000

  • 27 · Net assets without donor restrictions

    beginning of year $9,564,374 · end of year $7,593,130

  • 28 · Net assets with donor restrictions

    beginning of year $833,148 · end of year $975,452

Mission and programs · 2023

Mission

Cloud County Health Center is committed to providing quality health care services delivered in a caring and respectful manner through teamwork and professional excellence.

Activities or mission (Part I)

Operation of critical access hospital

  • Cloud County Health Center (dba NCK Medical Center) is a nonprofit acute care hospital located in Concordia, Kansas. The Health Center provides inpatient, outpatient, Rural Health Clinic and Emergency care services to residents of Cloud County and the surrounding area. The Health Center had a total of 233 discharges and 1,493 patient days. The Hospital had a total of 433 surgeries, 2,923 ED visits and 27,070 OP visits and the Family Care Center had 16,155 visits. In addition to providing Inpatient and Outpatient services, the hospital provides the following ancillary services: Lab, Imaging, Pharmacy, Respiratory Therapy, Rehab services, Sleep Lab services,and surgical procedures. Imaging services include all of the following areas: General X-ray, CT Scan, Nuclear Medicine, Ultrasound, Bone Density and Mammography services.

    Expenses $18,849,037 · Grants $5,164 · Revenue $22,763,991

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

Listed in Part VII

  • Philip Gilliland

    Chairperson

    Total calculated
    $0
    Hours/week
    1
  • Kurt Kocher

    Vice Chairperson

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Chuck Lambertz

    Secretary

    Total calculated
    $0
    Hours/week
    1
  • Amy Lange

    Treasurer

    Total calculated
    $0
    Hours/week
    1
  • Joanne Balthazor

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Quentin Breese

    Director

    Total calculated
    $0
    Hours/week
    1
  • Darrell Gallegos

    Director

    Total calculated
    $0
    Hours/week
    1
  • Darrel Hosie

    Director

    Total calculated
    $0
    Hours/week
    1
  • Amber Knoettgen

    Director

    Total calculated
    $0
    Hours/week
    1
  • Kent Otott

    Director

    Total calculated
    $0
    Hours/week
    1
  • Sister Marilyn Wall

    Director

    Total calculated
    $0
    Hours/week
    1
  • Justin Poore

    Chief of Staff (until Dec 2023)

    Total calculated
    $0
    Hours/week
    40
  • Dorothy Breault

    Chief of Staff (beg Jan 2024)

    Total calculated
    $0
    Hours/week
    40
  • David Garnas

    President

    Total calculated
    $0
    Hours/week
    40 + 1 related
  • Ronald Harrington

    CFO

    Total calculated
    $0
    Hours/week
    40 + 1 related
  • Daniel Garlow

    Physician

    Total calculated
    $360,967
    From this org
    $328,184
    From related orgs
    $0
    Other
    $32,783
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,431
    Bonus
    $107,753
    Other
    $0
    Deferred
    $15,195
    Nontaxable benefits
    $20,536
    Filer's total
    $363,915
  • Shawna Huggans

    Advanced Practice Provider

    Total calculated
    $229,339
    From this org
    $194,059
    From related orgs
    $0
    Other
    $35,280
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,059
    Bonus
    $0
    Other
    $0
    Deferred
    $9,132
    Nontaxable benefits
    $26,605
    Filer's total
    $229,796
  • Brandon Fraley

    Advanced Practice Provider

    Total calculated
    $207,709
    From this org
    $190,545
    From related orgs
    $0
    Other
    $17,164
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $108,914
    Bonus
    $81,631
    Other
    $0
    Deferred
    $8,768
    Nontaxable benefits
    $8,558
    Filer's total
    $207,871
  • Layce Siemsen

    Advanced Practice Provider

    Total calculated
    $220,339
    From this org
    $183,843
    From related orgs
    $0
    Other
    $36,496
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $115,257
    Bonus
    $68,586
    Other
    $0
    Deferred
    $9,664
    Nontaxable benefits
    $27,013
    Filer's total
    $220,520
  • Tiffany Naccarto

    Advanced Practice Provider

    Total calculated
    $163,739
    From this org
    $155,608
    From related orgs
    $0
    Other
    $8,131
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $113,592
    Bonus
    $0
    Other
    $42,016
    Deferred
    $4,769
    Nontaxable benefits
    $3,625
    Filer's total
    $164,002

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

  • 4a · Severance or change-of-control payment

Answered no

  • 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

The filer's explanations (Part III)

Part I, Line 4a
Tiffany Naccarto received a severance payment of $42,016.
Schedule J, Part III
Daniel Garlow, Shawna Huggans, Tiffany Naccarato, Layce Siemsen, and Brandon Fraley were paid by an unrelated organization, Salina Regional Health Center, for medical services performed. See Schedule J, Part II and Form 990 Part VII for amounts paid for these services.

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
22 July 2025
IRS schema version
2023v6.0
Source object
202522049349301452

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

The source document this was parsed from is served over the API, which is where bulk and document access live.