Form 990 for tax year 2022
Filed by CITIZENS MEDICAL CENTER INC EMPLOYEE BENEFIT TR.
Totals
- Total revenue
- $57,056,688
- Total expenses
- $56,357,441
- Contributions and grants received
- $815,333
- Grants paid
- $19,130
- Program service revenue
- $53,948,360
- Investment income
- $12,604
- Other revenue
- $2,280,391
- Total assets, end of year
- $37,609,591
- Total liabilities, end of year
- $10,648,151
- Net assets or fund balances, end of year
- $26,961,440
- Program services expenses (Part IX)
- $47,070,418
- Management and general expenses
- $9,202,322
- Fundraising expenses
- $84,701
- Program service expenses (Part III)
- $47,070,418
Program services were 83.5% 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
$401,762
-
1e · Government grants (contributions)
$301,459
-
1f · All other contributions, gifts and grants
$112,112
-
2a · Program service revenue: Net Patient Service Revenue
total $49,781,084 · related or exempt $49,781,084
-
2b · Program service revenue: 340B Drug Program
total $4,167,276 · related or exempt $4,167,276
-
3 · Investment income
total $12,604 · excluded $12,604
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $17,415
-
6c · Rental income or loss
real property $17,415 · personal property $0
-
6d · Net rental income or loss
total $17,415 · excluded $17,415
-
7d · Net gain or loss
total $0
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: Childcare
total $255,417 · excluded $255,417
-
11b · Other revenue: Pharmacy Sales
total $12,792 · related or exempt $12,792
-
11c · Other revenue: Cafeteria & Vending
total $168,083 · excluded $168,083
-
11d · All other revenue
total $1,826,684 · excluded $1,826,684
-
11e · Other revenue, total
$2,262,976
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $4,630 · program services $4,630
-
2 · Grants to domestic individuals
total $14,500 · program services $14,500
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $775,739 · management and general $775,739
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $25,557,066 · program services $23,001,134 · management and general $2,523,195 · fundraising $32,737
-
8 · Pension plan contributions
total $973,426 · program services $909,096 · management and general $64,370 · fundraising -$40
-
9 · Other employee benefits
total $4,121,805 · program services $3,373,707 · management and general $737,497 · fundraising $10,601
-
10 · Payroll taxes
total $1,360,228 · program services $1,187,970 · management and general $170,543 · fundraising $1,715
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $68,898 · management and general $68,898
-
11c · Fees: accounting
total $206,106 · management and general $206,106
-
11d · Fees: lobbying
total $7,247 · management and general $7,247
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $6,021 · management and general $6,021
-
11g · Fees: other
total $5,959,038 · program services $4,219,796 · management and general $1,739,242 · fundraising $0
-
12 · Advertising and promotion
total $73,169 · program services $4,757 · management and general $68,412
-
13 · Office expenses
total $1,696,894 · program services $1,357,630 · management and general $337,126 · fundraising $2,138
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $521,691 · program services $258,790 · management and general $258,656 · fundraising $4,245
-
17 · Travel
total $108,060 · program services $69,130 · management and general $38,684 · fundraising $246
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $88,621 · program services $75,283 · management and general $13,327 · fundraising $11
-
20 · Interest
total $143,550 · program services $71,057 · management and general $71,057 · fundraising $1,436
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $2,255,087 · program services $1,116,268 · management and general $1,116,268 · fundraising $22,551
-
23 · Insurance
total $439,000 · program services $200,310 · management and general $238,690
-
24a · Other expenses: Drugs
total $6,013,566 · program services $6,013,566
-
24b · Other expenses: Medical Supplies
total $2,856,342 · program services $2,856,342
-
24c · Other expenses: Repairs and Maintenance
total $1,178,440 · program services $932,434 · management and general $242,370 · fundraising $3,636
-
24d · Other expenses: Food Expense
total $511,357 · program services $511,357
-
24e · All other expenses
total $1,416,960 · program services $892,661 · management and general $518,874 · fundraising $5,425
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $7,400,213 · end of year $1,897,777
-
2 · Savings and temporary cash investments
beginning of year $0 · end of year $0
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $7,468,200 · end of year $6,480,776
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $326,952 · end of year $266,795
-
8 · Inventories for sale or use
beginning of year $1,629,735 · end of year $1,870,511
-
9 · Prepaid expenses and deferred charges
beginning of year $648,372 · end of year $502,883
-
10a · Land, buildings and equipment: cost or other basis
$54,663,965
-
10b · Land, buildings and equipment: accumulated depreciation
$35,132,689
-
10c · Land, buildings and equipment, net
beginning of year $14,968,494 · end of year $19,531,276
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $579,183
-
15 · Other assets
beginning of year $6,504,753 · end of year $6,480,390
-
17 · Accounts payable and accrued expenses
beginning of year $4,454,736 · end of year $6,557,758
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $4,186,113 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $3,829,822 · end of year $4,090,393
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $0 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $23,578,579 · end of year $25,116,177
-
28 · Net assets with donor restrictions
beginning of year $2,897,469 · end of year $1,845,263
Mission and programs · 2022
Mission
ENHANCING THE LIVES OF THOSE WE SERVE.
-
CMCI PROVIDED A WIDE RANGE OF HEALTHCARE SERVICES TO RESIDENTS OF ITS SERVICE AREA. 3,802 PATIENT DAYS OF INPATIENT CARE, 17,595 PATIENT DAYS OF NURSING FACILITY CARE, 3,703 EMERGENCY ROOM VISITS, AND 34,237 PHYSICIAN CLINIC VISITS WERE PROVIDED DURING THE FISCAL YEAR.
Expenses $47,070,418 · Grants $12,130 · Revenue $53,961,152
As filed on the 2022 return.
Listed in Part VII
-
Kelly GabelKELLY GABEL
PHYSICIAN
- Total calculated
- $495,771
- From this org
- $440,487
- From related orgs
- $0
- Other
- $55,284
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $439,862
- Bonus
- $325
- Other
- $300
- Deferred
- $22,791
- Nontaxable benefits
- $32,493
- Filer's total
- $495,771
-
Darren MatchellDARREN MATCHELL
PHYSICIAN
- Total calculated
- $474,950
- From this org
- $435,581
- From related orgs
- $0
- Other
- $39,369
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $435,256
- Bonus
- $325
- Other
- $0
- Deferred
- $17,140
- Nontaxable benefits
- $22,229
- Filer's total
- $474,950
-
Brenda KoprivaBRENDA KOPRIVA
PHYSICIAN
- Total calculated
- $462,762
- From this org
- $424,863
- From related orgs
- $0
- Other
- $37,899
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $424,238
- Bonus
- $325
- Other
- $300
- Deferred
- $8,646
- Nontaxable benefits
- $29,253
- Filer's total
- $462,762
-
Dereck TottenDERECK TOTTEN
PHYSICIAN
- Total calculated
- $432,620
- From this org
- $381,082
- From related orgs
- $0
- Other
- $51,538
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $380,487
- Bonus
- $325
- Other
- $270
- Deferred
- $19,824
- Nontaxable benefits
- $31,714
- Filer's total
- $432,620
-
Kysha Nichols-TottenKYSHA NICHOLS-TOTTEN
PHYSICIAN
- Total calculated
- $417,123
- From this org
- $392,491
- From related orgs
- $0
- Other
- $24,632
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $391,896
- Bonus
- $325
- Other
- $270
- Deferred
- $19,624
- Nontaxable benefits
- $5,008
- Filer's total
- $417,123
-
Greg UnruhGREG UNRUH
CEO
- Total calculated
- $312,888
- From this org
- $281,713
- From related orgs
- $0
- Other
- $31,175
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $228,439
- Bonus
- $49,464
- Other
- $3,810
- Deferred
- $14,598
- Nontaxable benefits
- $16,577
- Filer's total
- $312,888
-
David McCorkleDAVID MCCORKLE
CHIEF EXECUTIVE OFFICER
- Total calculated
- $244,332
- From this org
- $209,076
- From related orgs
- $0
- Other
- $35,256
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $193,987
- Bonus
- $14,826
- Other
- $263
- Deferred
- $10,998
- Nontaxable benefits
- $24,258
- Filer's total
- $244,332
-
Ryan StoverRYAN STOVER
CHIEF FINANCIAL OFFICER
- Total calculated
- $218,519
- From this org
- $193,906
- From related orgs
- $0
- Other
- $24,613
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $174,081
- Bonus
- $19,375
- Other
- $450
- Deferred
- $10,332
- Nontaxable benefits
- $14,281
- Filer's total
- $218,519
-
Bob StandageBOB STANDAGE
CHAIR
- Total calculated
- $0
- Hours/week
- 4
-
Lon FrahmLON FRAHM
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 4
-
Janet SaddlerJANET SADDLER
SECRETARY
- Total calculated
- $0
- Hours/week
- 4
-
Michael HamiltonMICHAEL HAMILTON
TREASURER
- Total calculated
- $0
- Hours/week
- 4
-
Jeanene BrownJEANENE BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
-
Eileen LovensteinEILEEN LOVENSTEIN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
-
Jennifer SchoenfeldJENNIFER SCHOENFELD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
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 · Written employment contract
- 3 · Approval by the board or compensation committee
- 5a · Pay contingent on this organization's revenues
- 6a · Pay contingent on this organization's net earnings
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
- 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)
- SCHEDULE J, PART I, LINE 5A
- KELLY GABEL, KYSHA NICHOLS-TOTTEN, BRENDA KOPRIVA, DARREN MATCHELL, AND DERECK TOTTEN RECEIVED A BONUS IN 2022 BASED ON THE REVENUES OF THE ORGANIZATION.
- SCHEDULE J, PART I, LINE 6A
- DAVID MCCORKLE AND RYAN STOVER ARE COMPENSATED BY CITIZENS MEDICAL CENTER, INC., AND HAVE A BONUS ARRANGEMENT THAT IS BASED ON FOUR AREAS: PATIENT SATISFACTION, NET MARGIN, AR DAYS BELOW 60, AND DOCTOR TO DOOR AVERAGE TIME.
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.
-
CITIZENS MEDICAL CENTER EMPLOYEE BENEFIT
501(C)(9) · BENEFITS · KS · controlled entity
Directly controlled by CMCI
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
MED-SERV INC
C · INACTIVE · KS · 100% owned · share of income $0 · share of assets $0 · controlled entity
Directly controlled by CMCI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303179349308345
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