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Nonprofiteer
← COMMUNITY HOSPITAL ASSOCIATION

Form 990 for tax year 2022

Filed by COMMUNITY HOSPITAL ASSOCIATION.

Totals

Total revenue
$59,974,897
Total expenses
$60,120,323
Contributions and grants received
$1,924,082
Grants paid
$294,782
Program service revenue
$56,537,518
Investment income
$887,554
Other revenue
$625,743
Total assets, end of year
$92,073,756
Total liabilities, end of year
$33,192,371
Net assets or fund balances, end of year
$58,881,385
Program services expenses (Part IX)
$49,298,930
Management and general expenses
$10,419,204
Fundraising expenses
$402,189
Program service expenses (Part III)
$49,298,930

Program services were 82.0% 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

    $355,477

  • 1e · Government grants (contributions)

    $1,568,605

  • 2a · Program service revenue: MEDICARE/MEDICAID PAYMENTS

    total $31,052,149 · related or exempt $31,052,149

  • 2b · Program service revenue: PATIENT SERVICE REVENUE

    total $24,931,295 · related or exempt $24,931,295

  • 2c · Program service revenue: 340B PAYMENT

    total $299,511 · related or exempt $299,511

  • 2d · Program service revenue: OUT-SOURCE SERVICES

    total $254,563 · related or exempt $254,563

  • 3 · Investment income

    total $811,075 · excluded $811,075

  • 6a · Gross rents

    real property $252,616

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $252,616

  • 6d · Net rental income or loss

    total $252,616 · excluded $252,616

  • 7a · Gross sales of assets other than inventory

    other assets $79,085

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

    other assets $2,606

  • 7c · Gain or loss

    other assets $76,479

  • 7d · Net gain or loss

    total $76,479 · excluded $76,479

  • 11a · Other revenue: CAFETERIA/MEALS

    total $235,226 · excluded $235,226

  • 11b · Other revenue: HOUSEKEEPING INCOME

    total $107,710 · related or exempt $107,710

  • 11d · All other revenue

    total $30,191 · related or exempt $30,191

  • 11e · Other revenue, total

    $373,127

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $294,782 · program services $294,782

  • 5 · Compensation of officers, directors and key employees

    total $573,075 · management and general $573,075

  • 6 · Compensation of disqualified persons

    total $74,850 · program services $74,850

  • 7 · Other salaries and wages

    total $22,956,216 · program services $18,114,215 · management and general $4,668,812 · fundraising $173,189

  • 8 · Pension plan contributions

    total $1,427,046 · program services $1,141,559 · management and general $274,559 · fundraising $10,928

  • 9 · Other employee benefits

    total $3,605,071 · program services $2,835,379 · management and general $715,283 · fundraising $54,409

  • 10 · Payroll taxes

    total $1,805,385 · program services $1,413,425 · management and general $378,488 · fundraising $13,472

  • 11b · Fees: legal

    total $63,731 · management and general $63,731

  • 11c · Fees: accounting

    total $84,900 · management and general $84,900

  • 11g · Fees: other

    total $9,250,637 · program services $8,017,486 · management and general $1,233,151

  • 12 · Advertising and promotion

    total $202,889 · management and general $202,889

  • 13 · Office expenses

    total $1,640,531 · program services $1,083,528 · management and general $556,029 · fundraising $974

  • 14 · Information technology

    total $344,144 · program services $264,467 · management and general $79,677

  • 16 · Occupancy

    total $1,087,237 · program services $1,080,614 · management and general $6,623

  • 17 · Travel

    total $56,899 · program services $34,218 · management and general $22,681

  • 19 · Conferences, conventions and meetings

    total $717,263 · program services $387,118 · management and general $328,583 · fundraising $1,562

  • 20 · Interest

    total $1,129,157 · program services $1,124,030 · management and general $5,127

  • 22 · Depreciation, depletion and amortization

    total $5,442,896 · program services $5,044,680 · management and general $398,216

  • 23 · Insurance

    total $368,377 · program services $367,367 · management and general $1,010

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $8,015,619 · program services $8,015,619

  • 24b · Other expenses: MISCELLANEOUS

    total $902,421 · management and general $754,766 · fundraising $147,655

  • 24c · Other expenses: MEMBERSHIPS & DUES

    total $77,197 · program services $5,593 · management and general $71,604

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,600 · end of year $1,600

  • 2 · Savings and temporary cash investments

    beginning of year $35,954,981 · end of year $31,335,385

  • 4 · Accounts receivable

    beginning of year $8,618,946 · end of year $7,835,220

  • 5 · Loans and receivables from officers and key people

    beginning of year $174

  • 8 · Inventories for sale or use

    beginning of year $2,019,565 · end of year $1,922,883

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,058,710 · end of year $2,638,840

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

    $103,075,363

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

    $59,886,546

  • 10c · Land, buildings and equipment, net

    beginning of year $45,175,307 · end of year $43,188,817

  • 11 · Investments: publicly traded securities

    beginning of year $3,254,878 · end of year $3,495,268

  • 12 · Investments: other securities

    beginning of year $343,852 · end of year $464,702

  • 15 · Other assets

    beginning of year $0 · end of year $1,191,041

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,655,088 · end of year $4,336,469

  • 19 · Deferred revenue

    beginning of year $378,009 · end of year $493,584

  • 23 · Secured mortgages and notes payable

    beginning of year $28,329,222 · end of year $28,345,753

  • 25 · Other liabilities

    beginning of year $5,225,889 · end of year $16,565

  • 27 · Net assets without donor restrictions

    beginning of year $58,839,805 · end of year $58,881,385

Mission and programs · 2022

Mission

LEADING OUR REGION TO A HEALTHIER FUTURE.

Activities or mission (Part I)

TO EXCEL AT PROVIDING FOR THE HEALTHCARE NEEDS OF OUR REGION THROUGH QUALITY, EFFICIENT AND PATIENT-CENTERED CARE.

  • 25-BED CRITICAL ACCESS ACUTE CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT CARE, DIAGNOSTIC, REHABILITATION, SURGICAL, NURSERY, VISITING MEDICAL SPECIALISTS, HOME HEALTH AND HOSPICE, TWO RURAL HEALTH CLINICS, AND HEALTH AND EDUCATION PROGRAMS.

    Expenses $49,298,930 · Grants $294,782 · Revenue $56,675,419

As filed on the 2022 return.

Listed in Part VII

  • Richard Lawton

    ORTHO PHYSICAN

    Total calculated
    $771,843
    From this org
    $721,726
    From related orgs
    $0
    Other
    $50,117
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $719,795
    Bonus
    $0
    Other
    $1,931
    Deferred
    $21,350
    Nontaxable benefits
    $28,767
    Filer's total
    $771,843

  • Ross Beavers

    CRNA

    Total calculated
    $349,665
    From this org
    $327,235
    From related orgs
    $0
    Other
    $22,430
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $319,875
    Bonus
    $6,570
    Other
    $790
    Deferred
    $21,350
    Nontaxable benefits
    $1,080
    Filer's total
    $349,665

  • Troy Bruntz

    CEO

    Total calculated
    $340,033
    From this org
    $297,126
    From related orgs
    $0
    Other
    $42,907
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $289,611
    Bonus
    $6,148
    Other
    $1,367
    Deferred
    $21,202
    Nontaxable benefits
    $21,705
    Filer's total
    $340,033

  • Evan Geilenkirchen

    CRNA

    Total calculated
    $335,422
    From this org
    $292,297
    From related orgs
    $0
    Other
    $43,125
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $284,371
    Bonus
    $5,960
    Other
    $1,966
    Deferred
    $21,020
    Nontaxable benefits
    $22,105
    Filer's total
    $335,422

  • Gabrial Scheer

    CRNA

    Total calculated
    $318,622
    From this org
    $278,870
    From related orgs
    $0
    Other
    $39,752
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $272,563
    Bonus
    $5,557
    Other
    $750
    Deferred
    $19,996
    Nontaxable benefits
    $19,756
    Filer's total
    $318,622

  • Sean Wolfe

    CFO

    Total calculated
    $237,926
    From this org
    $194,008
    From related orgs
    $0
    Other
    $43,918
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,535
    Bonus
    $3,822
    Other
    $651
    Deferred
    $14,202
    Nontaxable benefits
    $29,716
    Filer's total
    $237,926

  • Anthony Rodewald

    PHARMACY DIRECTOR

    Total calculated
    $241,704
    From this org
    $201,548
    From related orgs
    $0
    Other
    $40,156
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,554
    Bonus
    $3,454
    Other
    $540
    Deferred
    $14,651
    Nontaxable benefits
    $25,505
    Filer's total
    $241,704

  • Kristin Stagemeyer CPA

    CHAIR

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • Garrett Rippen

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Matthew Nielsen

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Lena Koebel

    SECRETARY THRU 12/22

    Total calculated
    $0
    Hours/week
    2

  • Darren Esch

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Jana Kmoch

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kurt Vosburg

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Michael Lord

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Ashley Vontz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Matthew Davidson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Rick Haney

    DIRECTOR THRU 12/22

    Total calculated
    $0
    Hours/week
    1 + 1 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

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 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

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.

  • COMMUNITY HOSPITAL HEALTH FOUNDATION

    501(C)(3) · SUPPORTING ORGANIZATION PROVIDES FUNDRAISING FOR THE HOSPITAL · NE · controlled entity

    Directly controlled by COMMUNITY HOSPITAL ASSOCIATION OF MCCOOK

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202411359349307496

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