Totals
- Total revenue
- $28,984,074
- Total expenses
- $28,946,274
- Contributions and grants received
- $1,206,415
- Grants paid
- $6,723
- Program service revenue
- $27,622,182
- Investment income
- -$24,767
- Other revenue
- $180,244
- Total assets, end of year
- $47,729,681
- Total liabilities, end of year
- $17,020,880
- Net assets or fund balances, end of year
- $30,708,801
- Program services expenses (Part IX)
- $23,402,942
- Management and general expenses
- $5,543,332
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $23,402,942
Program services were 80.8% 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)
$1,032,482
-
1f · All other contributions, gifts and grants
$173,933
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $25,343,618 · related or exempt $25,343,618
-
2b · Program service revenue: PHARMACY
total $1,906,006 · related or exempt $1,906,006
-
2c · Program service revenue: FITNESS REVENUE
total $178,893 · related or exempt $178,893
-
2d · Program service revenue: DIETARY INCOME
total $44,781 · related or exempt $44,781
-
2e · Program service revenue: LIFELINE
total $192 · related or exempt $192
-
2f · All other program service revenue
total $148,692 · related or exempt $148,692
-
3 · Investment income
total $196,171 · excluded $196,171
-
6a · Gross rents
real property $180,244
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $180,244
-
6d · Net rental income or loss
total $180,244 · excluded $180,244
-
7a · Gross sales of assets other than inventory
securities $443,680 · other assets $67,000
-
7b · Less cost or other basis and sales expenses
securities $422,195 · other assets $309,423
-
7c · Gain or loss
securities $21,485 · other assets -$242,423
-
7d · Net gain or loss
total -$220,938 · excluded -$220,938
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $6,723 · program services $6,723
-
5 · Compensation of officers, directors and key employees
total $254,241 · management and general $254,241
-
7 · Other salaries and wages
total $10,701,158 · program services $8,981,705 · management and general $1,719,453
-
8 · Pension plan contributions
total $374,263 · program services $304,089 · management and general $70,174
-
9 · Other employee benefits
total $1,827,661 · program services $1,472,156 · management and general $355,505
-
10 · Payroll taxes
total $788,503 · program services $631,627 · management and general $156,876
-
11b · Fees: legal
total $10,019 · program services $5,275 · management and general $4,744
-
11c · Fees: accounting
total $57,480 · management and general $57,480
-
11g · Fees: other
total $3,437,650 · program services $3,106,583 · management and general $331,067
-
12 · Advertising and promotion
total $173,537 · management and general $173,537
-
13 · Office expenses
total $346,030 · program services $135,313 · management and general $210,717
-
14 · Information technology
total $991,999 · program services $58,620 · management and general $933,379
-
16 · Occupancy
total $502,816 · program services $502,790 · management and general $26
-
17 · Travel
total $54,497 · program services $54,027 · management and general $470
-
19 · Conferences, conventions and meetings
total $105,232 · program services $73,580 · management and general $31,652
-
20 · Interest
total $284,546 · program services $207,957 · management and general $76,589
-
22 · Depreciation, depletion and amortization
total $2,821,463 · program services $2,062,029 · management and general $759,434
-
23 · Insurance
total $207,272 · management and general $207,272
-
24a · Other expenses: SUPPLIES AND PHARMACEUT
total $4,166,088 · program services $4,137,499 · management and general $28,589
-
24b · Other expenses: EQUIPMENT RENTAL & MAIN
total $1,027,974 · program services $871,171 · management and general $156,803
-
24c · Other expenses: PROVISIONS FOR BAD DEBT
total $769,327 · program services $769,327
-
24e · All other expenses
total $37,795 · program services $22,471 · management and general $15,324
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $171,811 · end of year $210,428
-
2 · Savings and temporary cash investments
beginning of year $10,101,310 · end of year $3,947,514
-
4 · Accounts receivable
beginning of year $3,385,642 · end of year $4,133,031
-
8 · Inventories for sale or use
beginning of year $719,546 · end of year $732,382
-
9 · Prepaid expenses and deferred charges
beginning of year $378,176 · end of year $336,478
-
10a · Land, buildings and equipment: cost or other basis
$53,689,629
-
10b · Land, buildings and equipment: accumulated depreciation
$24,005,369
-
10c · Land, buildings and equipment, net
beginning of year $23,115,660 · end of year $29,684,260
-
11 · Investments: publicly traded securities
beginning of year $7,362,220 · end of year $6,507,886
-
12 · Investments: other securities
beginning of year $288,667 · end of year $290,602
-
15 · Other assets
beginning of year $957,856 · end of year $1,887,100
-
17 · Accounts payable and accrued expenses
beginning of year $2,976,003 · end of year $2,627,823
-
19 · Deferred revenue
beginning of year $595,180 · end of year $73,410
-
20 · Tax-exempt bond liabilities
beginning of year $10,010,632 · end of year $14,098,195
-
23 · Secured mortgages and notes payable
end of year $39,409
-
25 · Other liabilities
beginning of year $1,180,807 · end of year $182,043
-
27 · Net assets without donor restrictions
beginning of year $30,953,333 · end of year $29,967,124
-
28 · Net assets with donor restrictions
beginning of year $764,933 · end of year $741,677
Mission and programs · 2022
Mission
THE MISSION OF PROVIDENCE MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE IN THE SPIRIT OF CHRIST.
Activities or mission (Part I)
SEE SCHEDULE O.
-
PROVIDENCE MEDICAL CENTER IS A NOT-FOR-PROFIT, 21 BED, CRITICAL ACCESS HOSPITAL LOCATED IN WAYNE, NEBRASKA. PROVIDENCE SERVES OVER 15,000 AREA RESIDENTS IN NORTHEAST NEBRASKA AND EMPLOYS OVER 215 PEOPLE. PROVIDENCE OFFERS ACUTE, SKILLED, AND OBSTETRICAL CARE ALONG WITH 24 HOURS A DAY, SEVEN DAYS A WEEK EMERGENCY CARE AND AMBULANCE SERVICES. THE HOSPITAL ALSO PROVIDES DIAGNOSTIC IMAGING, SURGICAL, THERAPY, LABORATORY, ONCOLOGY, RESPIRATORY, HOME HEALTH, BEHAVIORAL HEALTH AND MANY OTHER HEALTH AND WELLNESS SERVICES. THERE ARE OVER 23 SPECIALTY CLINIC DOCTORS OF DIFFERENT SPECIALTIES THAT CONDUCT CLINICS AT THE HOSPITAL IN ORDER TO BRING SPECIALIZED CARE TO THE COMMUNITY.
Expenses $23,402,942 · Grants $6,723 · Revenue $27,622,182
As filed on the 2022 return.
Listed in Part VII
-
Kristine GieseKRISTINE GIESE
COO (THRU DEC 2022)
- Total calculated
- $233,607
- From this org
- $207,856
- From related orgs
- $0
- Other
- $25,751
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $202,731
- Bonus
- $5,000
- Other
- $125
- Deferred
- $8,698
- Nontaxable benefits
- $17,053
- Filer's total
- $233,607
-
Kimberly LuedersKIMBERLY LUEDERS
DIRECTOR OF PHARMACY
- Total calculated
- $172,022
- From this org
- $163,065
- From related orgs
- $0
- Other
- $8,957
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $157,040
- Bonus
- $5,300
- Other
- $725
- Deferred
- $6,488
- Nontaxable benefits
- $2,469
- Filer's total
- $172,022
-
Nicole HaglundNICOLE HAGLUND
CNO
- Total calculated
- $151,830
- From this org
- $107,653
- From related orgs
- $0
- Other
- $44,177
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $102,528
- Bonus
- $5,000
- Other
- $125
- Deferred
- $4,997
- Nontaxable benefits
- $39,180
- Filer's total
- $151,830
-
Kimberly HixsonKIMBERLY HIXSON
CFO
- Total calculated
- $141,693
- From this org
- $133,912
- From related orgs
- $0
- Other
- $7,781
- Hours/week
- 40
-
Andrea BleckeANDREA BLECKE
DIRECTOR OF THERAPY
- Total calculated
- $133,754
- From this org
- $112,994
- From related orgs
- $0
- Other
- $20,760
- Hours/week
- 40
-
Danielle GearhartDANIELLE GEARHART
CEO
- Total calculated
- $112,549
- From this org
- $104,847
- From related orgs
- $0
- Other
- $7,702
- Hours/week
- 40
-
Matthew LeyMATTHEW LEY
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Richard BrandowRICHARD BRANDOW
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Eric KnutsonERIC KNUTSON
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Melissa GrahamMELISSA GRAHAM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ross HansenROSS HANSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jodi PulferJODI PULFER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Nathan RaabeNATHAN RAABE
DIRECTOR
- 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
- 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
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333199349307478
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.