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Nonprofiteer
← COMMUNITY HEALTHCARE SYSTEM INC

Form 990 for tax year 2022

Filed by COMMUNITY HEALTHCARE SYSTEM INC.

Totals

Total revenue
$37,700,641
Total expenses
$37,254,287
Contributions and grants received
$2,204,861
Grants paid
$0
Program service revenue
$35,084,519
Investment income
$59,909
Other revenue
$351,352
Total assets, end of year
$21,140,606
Total liabilities, end of year
$4,060,298
Net assets or fund balances, end of year
$17,080,308
Program services expenses (Part IX)
$26,074,747
Management and general expenses
$11,179,540
Fundraising expenses
$0
Program service expenses (Part III)
$26,074,747

Program services were 70.0% 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.

  • 1e · Government grants (contributions)

    $1,730,740

  • 1f · All other contributions, gifts and grants

    $474,121

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

    total $32,987,919 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: TAX SUBSIDY

    total $2,096,600 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $59,909 · unrelated business $0 · excluded $59,909

  • 11a · Other revenue: Other

    total $351,352 · related or exempt $0 · unrelated business $0 · excluded $351,352

  • 11e · Other revenue, total

    $351,352

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $720,643 · program services $547,038 · management and general $173,605 · fundraising $0

  • 7 · Other salaries and wages

    total $19,981,425 · program services $15,620,322 · management and general $4,361,103 · fundraising $0

  • 8 · Pension plan contributions

    total $15,753 · program services $15,011 · management and general $742 · fundraising $0

  • 9 · Other employee benefits

    total $1,917,109 · program services $1,335,355 · management and general $581,754 · fundraising $0

  • 10 · Payroll taxes

    total $1,413,437 · program services $1,093,485 · management and general $319,952 · fundraising $0

  • 12 · Advertising and promotion

    total $181,129 · program services $136,191 · management and general $44,938 · fundraising $0

  • 13 · Office expenses

    total $121,457 · program services $74,601 · management and general $46,856 · fundraising $0

  • 16 · Occupancy

    total $2,795,425 · program services $72,308 · management and general $2,723,117 · fundraising $0

  • 17 · Travel

    total $132,511 · program services $95,616 · management and general $36,895 · fundraising $0

  • 20 · Interest

    total -$405 · program services $0 · management and general -$405 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $940,692 · program services $696,113 · management and general $244,579 · fundraising $0

  • 23 · Insurance

    total $420,781 · program services $242,002 · management and general $178,779 · fundraising $0

  • 24a · Other expenses: Property tax

    total $11,967 · program services $10,948 · management and general $1,019 · fundraising $0

  • 24b · Other expenses: Leased equipment

    total $179,654 · program services $157,146 · management and general $22,508 · fundraising $0

  • 24c · Other expenses: Miscellaneous

    total $122,312 · program services $4,483 · management and general $117,829 · fundraising $0

  • 24d · Other expenses: Dues and subscriptions

    total $681,599 · program services $318,886 · management and general $362,713 · fundraising $0

  • 24e · All other expenses

    total $7,618,798 · program services $5,655,242 · management and general $1,963,556 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $13,055,685 · end of year $7,477,242

  • 2 · Savings and temporary cash investments

    beginning of year $2,038,337 · end of year $2,645,878

  • 4 · Accounts receivable

    beginning of year $2,806,494 · end of year $3,061,426

  • 8 · Inventories for sale or use

    beginning of year $665,238 · end of year $684,363

  • 9 · Prepaid expenses and deferred charges

    beginning of year $753,915 · end of year $749,181

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

    $23,070,034

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

    $17,788,013

  • 10c · Land, buildings and equipment, net

    beginning of year $4,015,189 · end of year $5,282,021

  • 15 · Other assets

    beginning of year $526,259 · end of year $1,240,495

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,891,946 · end of year $3,946,456

  • 23 · Secured mortgages and notes payable

    beginning of year $2,241,575 · end of year $20,200

  • 25 · Other liabilities

    beginning of year $93,642 · end of year $93,642

  • 27 · Net assets without donor restrictions

    beginning of year $16,633,954 · end of year $17,080,308

Mission and programs · 2022

Mission

Community HealthCare System,in partnership with our medical staff, has a long standing tradition in providing quality and compassionate health care to rural communities of NE Kansas and all our patients. Our mission is to enrich the health and lives of the people we serve.

  • RURAL HOSPITAL PROVIDING MEDICAL CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS TO AREA RESIDENTS. SERVICES PROVIDED INCLUDE EMERGENCY, OBSTETRICS, SURGICAL, RADIOLOGY, REHABILITATION, RURAL HEALTH CLINIC, HOME HEALTH CARE, AND LONG TERM CARE

    Expenses $26,074,747 · Revenue $35,495,780

As filed on the 2022 return.

Listed in Part VII

  • Justin Boswell

    CHAIRMAN

    Total calculated
    $5,378
    From this org
    $5,378
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Alan Fischer

    SECRETARY

    Total calculated
    $2,194
    From this org
    $2,194
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Karen Harder

    VICE CHAIRMAN

    Total calculated
    $2,098
    From this org
    $2,098
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Robert Ladner

    DIRECTOR

    Total calculated
    $2,265
    From this org
    $2,265
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Tracy Ahlquist

    DIRECTOR

    Total calculated
    $1,839
    From this org
    $1,839
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Tim Kite

    DIRECTOR

    Total calculated
    $1,422
    From this org
    $1,422
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Melisa Wegner

    Director

    Total calculated
    $2,168
    From this org
    $2,168
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Todd Willert

    CEO

    Total calculated
    $198,638
    From this org
    $187,573
    From related orgs
    $0
    Other
    $11,065
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,573
    Bonus
    $0
    Other
    $0
    Deferred
    $1,827
    Nontaxable benefits
    $9,238
    Filer's total
    $198,638

  • Mindy Olberding

    CNO

    Total calculated
    $131,861
    From this org
    $116,712
    From related orgs
    $0
    Other
    $15,149
    Hours/week
    40

  • Monica Holthaus

    CFO

    Total calculated
    $162,820
    From this org
    $160,652
    From related orgs
    $0
    Other
    $2,168
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,652
    Bonus
    $0
    Other
    $0
    Deferred
    $1,410
    Nontaxable benefits
    $758
    Filer's total
    $162,820

  • Dr David Allen

    PHYSICIAN

    Total calculated
    $427,424
    From this org
    $409,216
    From related orgs
    $0
    Other
    $18,208
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $58,917
    Bonus
    $350,300
    Other
    $0
    Deferred
    $3,780
    Nontaxable benefits
    $14,428
    Filer's total
    $427,425

  • Dr Kendra Reith

    PHYSICIAN

    Total calculated
    $309,222
    From this org
    $307,507
    From related orgs
    $0
    Other
    $1,715
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $307,507
    Bonus
    $0
    Other
    $0
    Deferred
    $530
    Nontaxable benefits
    $1,185
    Filer's total
    $309,222

  • Dr Marcus Weiser

    PHYSICIAN

    Total calculated
    $500,355
    From this org
    $481,544
    From related orgs
    $0
    Other
    $18,811
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $16,715
    Bonus
    $464,829
    Other
    $0
    Deferred
    $4,572
    Nontaxable benefits
    $14,239
    Filer's total
    $500,355

  • Dr David Cancelada

    Surgeon

    Total calculated
    $425,885
    From this org
    $420,711
    From related orgs
    $0
    Other
    $5,174
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $420,711
    Bonus
    $0
    Other
    $0
    Deferred
    $3,870
    Nontaxable benefits
    $1,303
    Filer's total
    $425,884

  • Dr Dagoberto Heredia

    Physician

    Total calculated
    $268,998
    From this org
    $253,110
    From related orgs
    $0
    Other
    $15,888
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,110
    Bonus
    $0
    Other
    $0
    Deferred
    $2,039
    Nontaxable benefits
    $13,848
    Filer's total
    $268,997

  • Lorraine Meyer

    Risk/COO

    Total calculated
    $141,882
    From this org
    $131,632
    From related orgs
    $0
    Other
    $10,250
    Hours/week
    40

  • Merica Surdez

    CPMO

    Total calculated
    $116,677
    From this org
    $106,709
    From related orgs
    $0
    Other
    $9,968
    Hours/week
    40

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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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)

Pt I Line 5a
Physician compensation based, in part, on patient clinic charges

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.

  • COMMUNITY HOSPITAL DISTRICT NO 1 OF POTTAWATOMIE JACKSON AND NEMAHA COUNTIE

    HOSPITAL DISTIRCT · KS

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
8 February 2024
IRS schema version
2022v5.0
Source object
202430469349302188

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