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Nonprofiteer
← STEVENS COMMUNITY MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by STEVENS COMMUNITY MEDICAL CENTER INC.

Totals

Total revenue
$50,305,022
Total expenses
$44,782,003
Contributions and grants received
$953,067
Grants paid
$20,389
Program service revenue
$48,806,462
Investment income
$504,522
Other revenue
$40,971
Total assets, end of year
$73,500,191
Total liabilities, end of year
$9,117,559
Net assets or fund balances, end of year
$64,382,632
Program services expenses (Part IX)
$39,059,303
Management and general expenses
$5,722,700
Fundraising expenses
$0
Program service expenses (Part III)
$39,059,303

Program services were 87.2% 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)

    $786,351

  • 1f · All other contributions, gifts and grants

    $166,716

  • 2a · Program service revenue: Patient Service Revenue

    total $48,671,705 · related or exempt $48,671,705

  • 2b · Program service revenue: Supporting Revenue

    total $134,757 · related or exempt $134,757

  • 3 · Investment income

    total $574,564 · excluded $574,564

  • 6a · Gross rents

    real property $34,987

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $34,987

  • 6d · Net rental income or loss

    total $34,987 · excluded $34,987

  • 7a · Gross sales of assets other than inventory

    other assets $6,150

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

    other assets $76,192

  • 7c · Gain or loss

    other assets -$70,042

  • 7d · Net gain or loss

    total -$70,042 · excluded -$70,042

  • 10a · Gross sales of inventory

    $9,533

  • 10b · Cost of goods sold

    $3,549

  • 10c · Net income from sales of inventory

    total $5,984 · excluded $5,984

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $20,389 · program services $20,389

  • 5 · Compensation of officers, directors and key employees

    total $1,818,155 · program services $1,196,292 · management and general $621,863

  • 7 · Other salaries and wages

    total $18,391,160 · program services $16,126,680 · management and general $2,264,480

  • 8 · Pension plan contributions

    total $992,010 · program services $865,833 · management and general $126,177

  • 9 · Other employee benefits

    total $2,364,767 · program services $1,870,227 · management and general $494,540

  • 10 · Payroll taxes

    total $1,275,123 · program services $1,095,913 · management and general $179,210

  • 11b · Fees: legal

    total $16,097 · management and general $16,097

  • 11c · Fees: accounting

    total $110,344 · management and general $110,344

  • 11g · Fees: other

    total $5,832,453 · program services $5,296,157 · management and general $536,296

  • 12 · Advertising and promotion

    total $169,463 · program services $22,182 · management and general $147,281

  • 13 · Office expenses

    total $2,651,551 · program services $2,315,812 · management and general $335,739

  • 14 · Information technology

    total $378,801 · management and general $378,801

  • 16 · Occupancy

    total $528,266 · program services $391,721 · management and general $136,545

  • 17 · Travel

    total $76,659 · program services $75,348 · management and general $1,311

  • 19 · Conferences, conventions and meetings

    total $55,725 · program services $48,558 · management and general $7,167

  • 22 · Depreciation, depletion and amortization

    total $2,062,838 · program services $1,707,372 · management and general $355,466

  • 23 · Insurance

    total $410,061 · program services $398,678 · management and general $11,383

  • 24a · Other expenses: Medical Supplies

    total $5,120,227 · program services $5,120,227

  • 24b · Other expenses: Pharmacy 340B Program c

    total $1,556,975 · program services $1,556,975

  • 24c · Other expenses: MN Care Tax

    total $719,242 · program services $719,242

  • 24d · Other expenses: DHS Medicare Surcharge

    total $231,697 · program services $231,697

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,666 · end of year $1,666

  • 2 · Savings and temporary cash investments

    beginning of year $12,969,446 · end of year $10,875,382

  • 4 · Accounts receivable

    beginning of year $10,051,539 · end of year $8,676,926

  • 8 · Inventories for sale or use

    beginning of year $1,731,944 · end of year $1,988,853

  • 9 · Prepaid expenses and deferred charges

    beginning of year $86,454 · end of year $177,433

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

    $53,930,110

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

    $36,529,666

  • 10c · Land, buildings and equipment, net

    beginning of year $18,445,269 · end of year $17,400,444

  • 11 · Investments: publicly traded securities

    beginning of year $25,503,958 · end of year $33,993,529

  • 15 · Other assets

    beginning of year $383,781 · end of year $385,958

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,883,812 · end of year $5,556,906

  • 19 · Deferred revenue

    beginning of year $523,573 · end of year $130,205

  • 25 · Other liabilities

    beginning of year $2,930,578 · end of year $3,430,448

  • 27 · Net assets without donor restrictions

    beginning of year $58,611,929 · end of year $64,098,223

  • 28 · Net assets with donor restrictions

    beginning of year $224,165 · end of year $284,409

Mission and programs · 2022

Mission

Stevens Community Medical Center's mission is to strive for excellence in the delivery of inpatient and outpatient care through cooperation with qualified health care providers; through the provision of appropriate facilities and technology; and through active promotion of health education among the public.Our pledge to the recipients of this Medical Center's health care is to address their needs in as expert, efficient, compassionate, and convenient manner as possible.

Activities or mission (Part I)

Promotion of health

  • Stevens Community Medical Center is a not-for-profit integrated health care system. The mission of the Medical Center is to make available high-quality health care. The Medical Center serves the population of West Central Minnesota and is becoming a regional health care center."CARING IS OUR REASON FOR BEING"SCMC provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of SCMC, it is recognized that not all individuals possess the ability to purchase essential medical services. To further that, our mission is to serve the community with respect to providing health care services and health care education. For example, the Medical Center is committed to provide medical services to all members of its community, provide free care and/or subsidized care, promote health activities and programs to support the community, and provide care to persons covered by governmental programs at below cost. Therefore, financial assistance will be considered where the need and/or an individual's inability to pay exists. SCMC had 39,202 hospital outpatient visits, 38,890 clinic and urgent care visits, 1,284 inpatient days, 6,828 outpatient counseling visits, 83 deliveries, 605 surgeries, 2,562 emergency room visits, and 22,887 therapy treatments in 2022. SCMC also owns and operates the Courage Cottage, an assisted living facility specializing in care for the terminally ill. In 2022, 8 residents were served, and the cost to provide their care was subsidized by community donations.Recognizing its mission to the community, SCMC provides services to Medicare, Medicaid, and other patients covered by governmental programs, sometimes at a reimbursement below cost. The total discounts accepted for providing care to patients was $38,030,580 in 2022. The charges foregone for services supplied under SCMC's charity care policy (free and/or subsidized care) was $1,691,030 in 2022.Charity care is also provided through many reduced price services and free SCMC programs and information offered throughout the year based on activities and services which SCMC believes will serve a bona fide community need. These include: various brochures to educate patients; staff speaking for a variety of community events including SCMC sponsored "health nights," elderly and adult education; sponsoring a smoking cessation program and a variety of other "wellness" type programs at subsidized cost; providing meeting facilities for various community groups; offering support groups; and providing assistance to educators through our work with student nurses.

    Expenses $39,059,303 · Grants $20,389 · Revenue $48,806,462

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

Listed in Part VII

  • David Paul

    Chair

    Total calculated
    $560
    From this org
    $560
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Bart Finzel

    Vice Chair

    Total calculated
    $720
    From this org
    $720
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Ward Vorhees

    Secretary

    Total calculated
    $660
    From this org
    $660
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jan Hagen

    Treasurer

    Total calculated
    $900
    From this org
    $900
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jodi DeCamp

    Director

    Total calculated
    $450
    From this org
    $450
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Paul Martin

    Director

    Total calculated
    $600
    From this org
    $600
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Darryl Larson

    Director

    Total calculated
    $400
    From this org
    $400
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Rachel Johnson

    Director

    Total calculated
    $350
    From this org
    $350
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Toby Christie-Perkins DO

    Director/Physician

    Total calculated
    $375,142
    From this org
    $323,615
    From related orgs
    $0
    Other
    $51,527
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $302,181
    Bonus
    $21,120
    Other
    $314
    Deferred
    $16,800
    Nontaxable benefits
    $38,231
    Filer's total
    $378,646

  • Jason Huikko MD

    Director/Physician

    Total calculated
    $374,354
    From this org
    $348,010
    From related orgs
    $0
    Other
    $26,344
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $346,946
    Bonus
    $576
    Other
    $488
    Deferred
    $14,700
    Nontaxable benefits
    $15,156
    Filer's total
    $377,866

  • Elizabeth Meichsner MD

    Director/Physician

    Total calculated
    $439,453
    From this org
    $376,461
    From related orgs
    $0
    Other
    $62,992
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $351,320
    Bonus
    $23,093
    Other
    $2,048
    Deferred
    $25,615
    Nontaxable benefits
    $37,703
    Filer's total
    $439,779

  • Kerrie McEvilly

    President/CEO

    Total calculated
    $418,888
    From this org
    $363,373
    From related orgs
    $0
    Other
    $55,515
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $356,574
    Bonus
    $5,256
    Other
    $1,543
    Deferred
    $23,638
    Nontaxable benefits
    $35,416
    Filer's total
    $422,427

  • Jeffery Lewis

    Director of Finance

    Total calculated
    $194,714
    From this org
    $171,769
    From related orgs
    $0
    Other
    $22,945
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,294
    Bonus
    $2,754
    Other
    $9,721
    Deferred
    $9,313
    Nontaxable benefits
    $13,715
    Filer's total
    $194,797

  • Timothy Jay MD

    Orthopedic Surgeon

    Total calculated
    $741,284
    From this org
    $709,407
    From related orgs
    $0
    Other
    $31,877
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $615,712
    Bonus
    $89,514
    Other
    $4,181
    Deferred
    $0
    Nontaxable benefits
    $35,561
    Filer's total
    $744,968

  • Andrea Giambi DO

    Radiologist (Jan-April)

    Total calculated
    $357,174
    From this org
    $349,396
    From related orgs
    $0
    Other
    $7,778
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $316,499
    Bonus
    $31,500
    Other
    $1,397
    Deferred
    $0
    Nontaxable benefits
    $8,950
    Filer's total
    $358,346

  • Brent Barnstuble MD

    Physician

    Total calculated
    $424,008
    From this org
    $371,823
    From related orgs
    $0
    Other
    $52,185
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $316,484
    Bonus
    $54,739
    Other
    $600
    Deferred
    $16,800
    Nontaxable benefits
    $38,957
    Filer's total
    $427,580

  • Somkiat Viratyosin MD

    Surgeon

    Total calculated
    $446,410
    From this org
    $394,569
    From related orgs
    $0
    Other
    $51,841
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $367,884
    Bonus
    $6,756
    Other
    $19,929
    Deferred
    $21,700
    Nontaxable benefits
    $33,711
    Filer's total
    $449,980

  • Eric Larson

    CRNA

    Total calculated
    $483,647
    From this org
    $430,062
    From related orgs
    $0
    Other
    $53,585
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,200
    Bonus
    $180,422
    Other
    $440
    Deferred
    $18,300
    Nontaxable benefits
    $37,703
    Filer's total
    $486,065

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 · Form 990 of other organizations
  • 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)

Part I, Line 5
The physicians are eligible to receive quarterly incentive compensation based on their personal gross revenue production for non-ancillary services, according to the terms of their contracts. The CRNAs also receive quarterly bonuses contingent on the services they provide to patients of SCMC.

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

Provenance

Return type
form_990
Tax year
2022
Filed
17 October 2023
IRS schema version
2022v5.0
Source object
202302919349301105

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