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Nonprofiteer
← PAWNEE VALLEY COMMUNITY HOSPITAL INC

Form 990 for tax year 2022

Filed by PAWNEE VALLEY COMMUNITY HOSPITAL INC.

Totals

Total revenue
$21,487,951
Total expenses
$19,837,006
Contributions and grants received
$572,117
Grants paid
$6,574
Program service revenue
$20,743,423
Investment income
$34,183
Other revenue
$138,228
Total assets, end of year
$13,655,211
Total liabilities, end of year
$10,957,054
Net assets or fund balances, end of year
$2,698,157
Program services expenses (Part IX)
$17,778,966
Management and general expenses
$1,987,020
Fundraising expenses
$71,020
Program service expenses (Part III)
$17,778,966

Program services were 89.6% 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.

  • 1d · Related organizations

    $30,234

  • 1e · Government grants (contributions)

    $293,310

  • 1f · All other contributions, gifts and grants

    $248,573

  • 2a · Program service revenue: Patient service revenue

    total $20,256,173 · related or exempt $20,256,173

  • 2b · Program service revenue: 340b drug program

    total $437,466 · related or exempt $437,466

  • 2c · Program service revenue: Lab fairs

    total $49,197 · related or exempt $49,197

  • 2f · All other program service revenue

    total $587 · related or exempt $587

  • 3 · Investment income

    total $34,183 · excluded $34,183

  • 6a · Gross rents

    real property $1,000

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $1,000

  • 6d · Net rental income or loss

    total $1,000 · related or exempt $1,000

  • 11a · Other revenue: Meals sold to employees and guest

    total $137,228 · excluded $137,228

  • 11e · Other revenue, total

    $137,228

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $6,574 · program services $6,574

  • 5 · Compensation of officers, directors and key employees

    total $193,150 · management and general $193,150

  • 7 · Other salaries and wages

    total $7,487,754 · program services $7,059,393 · management and general $388,543 · fundraising $39,818

  • 8 · Pension plan contributions

    total $329,388 · program services $312,404 · management and general $15,259 · fundraising $1,725

  • 9 · Other employee benefits

    total $834,479 · program services $796,292 · management and general $33,790 · fundraising $4,397

  • 10 · Payroll taxes

    total $548,917 · program services $506,980 · management and general $39,138 · fundraising $2,799

  • 11a · Fees: management

    total $3,050,000 · program services $2,816,980 · management and general $217,465 · fundraising $15,555

  • 11b · Fees: legal

    total $32,684 · management and general $32,684

  • 11c · Fees: accounting

    total $81,526 · management and general $81,526

  • 11d · Fees: lobbying

    total $3,369 · management and general $3,369

  • 11g · Fees: other

    total $2,882,937 · program services $2,591,373 · management and general $291,402 · fundraising $162

  • 12 · Advertising and promotion

    total $243,771 · program services $1,038 · management and general $242,733

  • 13 · Office expenses

    total $100,088 · program services $22,706 · management and general $77,382

  • 14 · Information technology

    total $293,556 · program services $220,167 · management and general $73,389

  • 16 · Occupancy

    total $440,617 · program services $331,035 · management and general $108,348 · fundraising $1,234

  • 17 · Travel

    total $34,830 · program services $24,789 · management and general $8,751 · fundraising $1,290

  • 19 · Conferences, conventions and meetings

    total $63,085 · program services $54,593 · management and general $8,492

  • 23 · Insurance

    total $78,611 · program services $78,611

  • 24a · Other expenses: Pharmaceuticals

    total $1,492,085 · program services $1,492,085

  • 24b · Other expenses: Repairs & Maintenance

    total $536,196 · program services $503,453 · management and general $32,386 · fundraising $357

  • 24c · Other expenses: Medical supplies

    total $474,944 · program services $474,944

  • 24d · Other expenses: Food & Dietary Supplies

    total $181,689 · program services $145,352 · management and general $36,337

  • 24e · All other expenses

    total $446,756 · program services $340,197 · management and general $102,876 · fundraising $3,683

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,046,388 · end of year $1,048,686

  • 2 · Savings and temporary cash investments

    beginning of year $6,402,975 · end of year $5,390,371

  • 4 · Accounts receivable

    beginning of year $1,644,626 · end of year $2,087,166

  • 8 · Inventories for sale or use

    beginning of year $487,240 · end of year $508,126

  • 9 · Prepaid expenses and deferred charges

    beginning of year $169,253 · end of year $224,526

  • 11 · Investments: publicly traded securities

    beginning of year $126,183 · end of year $147,105

  • 15 · Other assets

    beginning of year $2,738,487 · end of year $4,249,231

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,358,015 · end of year $1,224,497

  • 19 · Deferred revenue

    beginning of year $435,040 · end of year $150,000

  • 25 · Other liabilities

    beginning of year $8,412,781 · end of year $9,582,557

  • 28 · Net assets with donor restrictions

    beginning of year $2,409,316 · end of year $2,698,157

Mission and programs · 2022

Mission

Pawnee Valley Community Hospital, Inc. is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Corporation is to improve the quality of life for the communities we serve through exceptional healthcare and service excellence.

Activities or mission (Part I)

Pawnee Valley Community Hospital, Inc. is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to improve the quality of life for the communities we serve through exceptional healthcare and service excellence. The Organization is striving to be the best Critical Access Hospital in rural America.

  • Patient care: Program services consist of routine and ancillary department healthcare services provided by a healthcare organization as described in 501(c)(3) of the IRS code.

    Expenses $17,778,966 · Grants $6,574 · Revenue $20,744,423

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

Listed in Part VII

  • Shae Veach

    President

    Total calculated
    $337,095
    From this org
    $0
    From related orgs
    $253,558
    Other
    $83,537
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $242,717 related
    Bonus
    $0
    Other
    $0 + $10,841 related
    Deferred
    $0 + $54,434 related
    Nontaxable benefits
    $0 + $29,103 related
    Filer's total
    $0 + $337,095 related

  • George Harms

    Treasurer thru. Sept. 2022

    Total calculated
    $320,142
    From this org
    $0
    From related orgs
    $248,555
    Other
    $71,587
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $202,710 related
    Bonus
    $0
    Other
    $0 + $45,845 related
    Deferred
    $0 + $52,864 related
    Nontaxable benefits
    $0 + $18,723 related
    Filer's total
    $0 + $320,142 related

  • John Haas

    Vice President

    Total calculated
    $0
    Hours/week
    0.5

  • Sarah Johnson

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Edward Herrman

    Secretary

    Total calculated
    $727,886
    From this org
    $0
    From related orgs
    $586,768
    Other
    $141,118
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $584,336 related
    Bonus
    $0 + $107 related
    Other
    $0 + $2,325 related
    Deferred
    $0 + $107,525 related
    Nontaxable benefits
    $0 + $33,593 related
    Filer's total
    $0 + $727,886 related

  • Terry Siek

    Director

    Total calculated
    $293,463
    From this org
    $0
    From related orgs
    $234,484
    Other
    $58,979
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $232,921 related
    Bonus
    $0
    Other
    $0 + $1,563 related
    Deferred
    $0 + $49,290 related
    Nontaxable benefits
    $0 + $9,689 related
    Filer's total
    $0 + $293,463 related

  • Michelle Beckner

    Treasurer begin. Nov. 2022

    Total calculated
    $46,824
    From this org
    $0
    From related orgs
    $41,108
    Other
    $5,716
    Hours/week
    4 + 36 related

  • Melanie Urban

    Administrator

    Total calculated
    $193,692
    From this org
    $0
    From related orgs
    $155,760
    Other
    $37,932
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $142,235 related
    Bonus
    $0 + $13,055 related
    Other
    $0 + $470 related
    Deferred
    $0 + $9,664 related
    Nontaxable benefits
    $0 + $28,268 related
    Filer's total
    $0 + $193,692 related

  • Crystal Hill

    Physician

    Total calculated
    $353,081
    From this org
    $307,729
    From related orgs
    $0
    Other
    $45,352
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $259,903
    Bonus
    $20,116
    Other
    $27,710
    Deferred
    $17,976
    Nontaxable benefits
    $27,376
    Filer's total
    $353,081

  • Dusty Atterbury

    APRN

    Total calculated
    $184,991
    From this org
    $150,588
    From related orgs
    $0
    Other
    $34,403
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,884
    Bonus
    $444
    Other
    $14,260
    Deferred
    $9,237
    Nontaxable benefits
    $25,166
    Filer's total
    $184,991

  • Calvin Kruger

    Physician Assistant

    Total calculated
    $183,370
    From this org
    $171,935
    From related orgs
    $0
    Other
    $11,435
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,839
    Bonus
    $619
    Other
    $27,477
    Deferred
    $10,289
    Nontaxable benefits
    $1,146
    Filer's total
    $183,370

  • Stacy Trout

    Physician Assistant

    Total calculated
    $176,367
    From this org
    $165,306
    From related orgs
    $0
    Other
    $11,061
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,765
    Bonus
    $6,420
    Other
    $14,121
    Deferred
    $9,906
    Nontaxable benefits
    $1,155
    Filer's total
    $176,367

  • Angela Beck

    APRN

    Total calculated
    $171,733
    From this org
    $152,644
    From related orgs
    $0
    Other
    $19,089
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $116,418
    Bonus
    $104
    Other
    $36,122
    Deferred
    $9,279
    Nontaxable benefits
    $9,810
    Filer's total
    $171,733

  • Bryce Young

    Former President

    Total calculated
    $1,358,172
    From this org
    $0
    From related orgs
    $1,358,172
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,358,172 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,358,172 related

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
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 3
A related organization uses a compensation committee, independent compensation consultant, written employment contract, and approval by the board or compensation committee to establish the compensation of the Hospital's Administrator.
Part I, Lines 4a-b
Executive benefit plan distribution: Bryce Young - $1,358,172 Contributions to the plan: Edward Herrman - $89,225 George Harms - $37,760 Shae Veach - $38,881 Terry Siek - $35,207

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
10 May 2024
IRS schema version
2022v5.0
Source object
202401319349303885

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

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