Skip to content
Nonprofiteer
← MEMORIAL COMMUNITY HEALTH INC

Form 990 for tax year 2022

Filed by MEMORIAL COMMUNITY HEALTH INC.

Totals

Total revenue
$29,466,297
Total expenses
$28,929,145
Contributions and grants received
$893,321
Grants paid
$0
Program service revenue
$27,918,872
Investment income
$300,861
Other revenue
$353,243
Total assets, end of year
$35,490,129
Total liabilities, end of year
$2,764,998
Net assets or fund balances, end of year
$32,725,131
Program services expenses (Part IX)
$21,142,322
Management and general expenses
$7,571,301
Fundraising expenses
$215,522
Program service expenses (Part III)
$21,142,322

Program services were 73.1% 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.

  • 1e · Government grants (contributions)

    $613,043

  • 1f · All other contributions, gifts and grants

    $280,278

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

    total $25,560,985 · related or exempt $25,560,985

  • 2b · Program service revenue: E PARK VILLA-ASSISTED LIV FAC

    total $1,761,848 · related or exempt $1,761,848

  • 2c · Program service revenue: 340B PHARMACY REVENUE

    total $596,039 · related or exempt $596,039

  • 3 · Investment income

    total $304,184 · related or exempt $304,184

  • 6a · Gross rents

    real property $3,000

  • 6c · Rental income or loss

    real property $3,000

  • 6d · Net rental income or loss

    total $3,000 · related or exempt $3,000

  • 7a · Gross sales of assets other than inventory

    other assets $10,770

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

    other assets $14,093

  • 7c · Gain or loss

    other assets -$3,323

  • 7d · Net gain or loss

    total -$3,323 · related or exempt -$3,323

  • 11a · Other revenue: NON-PATIENT REVENUE

    total $350,238 · related or exempt $350,238

  • 11b · Other revenue: ROUNDING

    total $5 · related or exempt $5

  • 11e · Other revenue, total

    $350,243

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $437,263 · program services $437,263

  • 6 · Compensation of disqualified persons

    total $172,391 · program services $172,391

  • 7 · Other salaries and wages

    total $13,902,116 · program services $9,984,520 · management and general $3,808,898 · fundraising $108,698

  • 8 · Pension plan contributions

    total $644,476 · program services $432,781 · management and general $203,123 · fundraising $8,572

  • 9 · Other employee benefits

    total $2,058,807 · program services $1,393,060 · management and general $656,214 · fundraising $9,533

  • 10 · Payroll taxes

    total $1,018,156 · program services $693,392 · management and general $317,008 · fundraising $7,756

  • 11b · Fees: legal

    total $17,823 · management and general $17,823

  • 11c · Fees: accounting

    total $56,195 · management and general $56,195

  • 11g · Fees: other

    total $1,720,603 · program services $1,081,866 · management and general $638,230 · fundraising $507

  • 12 · Advertising and promotion

    total $113,790 · program services $42,051 · management and general $66,061 · fundraising $5,678

  • 13 · Office expenses

    total $291,090 · program services $129,741 · management and general $89,635 · fundraising $71,714

  • 16 · Occupancy

    total $679,949 · program services $36,842 · management and general $643,107

  • 19 · Conferences, conventions and meetings

    total $52,605 · program services $34,450 · management and general $18,155

  • 22 · Depreciation, depletion and amortization

    total $1,620,014 · program services $1,620,014

  • 23 · Insurance

    total $365,544 · program services $365,544

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $3,390,968 · program services $3,194,274 · management and general $193,102 · fundraising $3,592

  • 24b · Other expenses: MINOR EQUIPMENT & REPAIRS

    total $1,480,703 · program services $652,085 · management and general $828,618

  • 24c · Other expenses: FOOD

    total $473,322 · program services $473,322

  • 24d · Other expenses: PROVISION FOR BAD DEBTS

    total $238,736 · program services $238,736

  • 24e · All other expenses

    total $194,594 · program services $159,990 · management and general $35,132 · fundraising -$528

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,260 · end of year $2,106

  • 2 · Savings and temporary cash investments

    beginning of year $9,765,694 · end of year $10,738,053

  • 4 · Accounts receivable

    beginning of year $3,589,911 · end of year $3,788,053

  • 8 · Inventories for sale or use

    beginning of year $963,200 · end of year $825,215

  • 9 · Prepaid expenses and deferred charges

    beginning of year $787,669 · end of year $806,809

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

    $42,174,353

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

    $28,122,914

  • 10c · Land, buildings and equipment, net

    beginning of year $14,915,079 · end of year $14,051,439

  • 11 · Investments: publicly traded securities

    beginning of year $344,727 · end of year $338,497

  • 15 · Other assets

    beginning of year $5,177,086 · end of year $4,939,957

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,031,384 · end of year $2,617,846

  • 25 · Other liabilities

    beginning of year $549,728 · end of year $147,152

  • 27 · Net assets without donor restrictions

    beginning of year $27,592,056 · end of year $28,139,671

  • 28 · Net assets with donor restrictions

    beginning of year $4,372,458 · end of year $4,585,460

Mission and programs · 2022

Mission

PROVIDING PRIMARY HEALTHCARE SERVICES FROM BEGINNING TO END IN ORDER TO IMPROVE LIVES THROUGH COMMUNITY HEALTH SERVICES.

  • PRIMARY HEALTHCARE SERVICES ARE PROVIDED TO THE RESIDENTS OF HAMILTON AND CLAY COUNTIES IN RURAL NEBRASKA.

    Expenses $21,142,322

As filed on the 2022 return.

Listed in Part VII

  • Jennifer Harney

    PHYSICIAN

    Total calculated
    $307,122
    From this org
    $292,700
    From related orgs
    $0
    Other
    $14,422
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,434
    Bonus
    $90,663
    Other
    $15,603
    Deferred
    $9,600
    Nontaxable benefits
    $4,822
    Filer's total
    $307,122
  • Scott Johnson

    PHYSICIAN

    Total calculated
    $302,250
    From this org
    $278,107
    From related orgs
    $0
    Other
    $24,143
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,809
    Bonus
    $40,989
    Other
    $10,309
    Deferred
    $9,600
    Nontaxable benefits
    $14,543
    Filer's total
    $302,250
  • Jeffrey Muilenburg

    PHYSICIAN

    Total calculated
    $295,377
    From this org
    $271,234
    From related orgs
    $0
    Other
    $24,143
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,570
    Bonus
    $47,304
    Other
    $17,360
    Deferred
    $9,600
    Nontaxable benefits
    $14,543
    Filer's total
    $295,377
  • Holly Talkington

    PHYSICIAN

    Total calculated
    $290,349
    From this org
    $266,206
    From related orgs
    $0
    Other
    $24,143
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,206
    Bonus
    not reported
    Other
    $1,000
    Deferred
    $9,600
    Nontaxable benefits
    $14,543
    Filer's total
    $290,349
  • Michael Sullivan

    PHYSICIAN

    Total calculated
    $270,606
    From this org
    $250,840
    From related orgs
    $0
    Other
    $19,766
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $212,722
    Bonus
    $24,704
    Other
    $13,414
    Deferred
    $9,600
    Nontaxable benefits
    $10,166
    Filer's total
    $270,606
  • Phil Fendt

    CFO

    Total calculated
    $208,017
    From this org
    $190,770
    From related orgs
    $0
    Other
    $17,247
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,770
    Bonus
    not reported
    Other
    $1,000
    Deferred
    $9,600
    Nontaxable benefits
    $7,647
    Filer's total
    $208,017
  • Diane Keller

    CEO

    Total calculated
    $188,320
    From this org
    $173,391
    From related orgs
    $0
    Other
    $14,929
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,391
    Bonus
    not reported
    Other
    $1,000
    Deferred
    $9,600
    Nontaxable benefits
    $5,329
    Filer's total
    $188,320
  • Lindy Flynn

    COO

    Total calculated
    $139,588
    From this org
    $139,588
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Justin Wolf

    CEO

    Total calculated
    $107,905
    From this org
    $107,905
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Brad Bish

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Chad Garrett

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Wayne Hahn

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Cody Hoegh

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Mark Klute

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Pamela Riley

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Harlan Schafer

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Roger Scott

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Jayne Smith

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Kenneth Spray

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Dennis Ferguson

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Jennie Kuehner

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Jason Schneider

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

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

  • 5a · Pay contingent on this organization's revenues

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
  • 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)

SCHEDULE J, PAGE 1, PART I, LINE 5A
FOR PHYSICIAN PRODUCTION WORK RVUS PERFORMED DURING THE CONTRACT YEAR IN EXCESS OF 2128, PHYSICIAN SHALL BE COMPENSATED AT THE RATE OF 43 PER WORK RVU.
SCHEDULE J, PART III
FOR BONUS/INCENTIVE COMPENSATION LISTED PER PART II, PHYSICIAN COMPENSATION INCENTIVE BONUS DETERMINED BASED UPON PRODUCTION USING A CLINIC RVU METHODOLOGY - SEE PART 1, LINE 5A.

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
2022
Filed
20 June 2024
IRS schema version
2022v5.0
Source object
202431769349301088

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.