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Nonprofiteer
← SELBY GENERAL HOSPITAL

Form 990 for tax year 2022

Filed by SELBY GENERAL HOSPITAL.

Totals

Total revenue
$78,207,608
Total expenses
$71,837,907
Contributions and grants received
$908,023
Grants paid
$0
Program service revenue
$77,250,903
Investment income
$0
Other revenue
$48,682
Total assets, end of year
$64,086,139
Total liabilities, end of year
$24,949,078
Net assets or fund balances, end of year
$39,137,061
Program services expenses (Part IX)
$49,363,544
Management and general expenses
$22,474,363
Fundraising expenses
$0
Program service expenses (Part III)
$49,363,544

Program services were 68.7% 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)

    $908,023

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $77,250,903 · related or exempt $77,250,903

  • 6a · Gross rents

    real property $17,248

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $17,248

  • 6d · Net rental income or loss

    total $17,248 · related or exempt $17,248

  • 11a · Other revenue: OTHER REVENUE

    total $31,434 · related or exempt $31,244 · excluded $190

  • 11e · Other revenue, total

    $31,434

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $89,867 · program services $89,867

  • 7 · Other salaries and wages

    total $15,492,047 · program services $12,185,462 · management and general $3,306,585

  • 8 · Pension plan contributions

    total $318,757 · program services $237,338 · management and general $81,419

  • 9 · Other employee benefits

    total $4,872,540 · program services $3,537,952 · management and general $1,334,588

  • 10 · Payroll taxes

    total $1,077,611 · program services $833,623 · management and general $243,988

  • 11b · Fees: legal

    total $19,502 · management and general $19,502

  • 11c · Fees: accounting

    total $24,376 · management and general $24,376

  • 11g · Fees: other

    total $15,723,809 · program services $4,652,405 · management and general $11,071,404

  • 12 · Advertising and promotion

    total $77,118 · program services $5,764 · management and general $71,354

  • 13 · Office expenses

    total $2,068,634 · program services $543,817 · management and general $1,524,817

  • 16 · Occupancy

    total $375,257 · management and general $375,257

  • 17 · Travel

    total $15,012 · program services $7,025 · management and general $7,987

  • 20 · Interest

    total $1,147,513 · management and general $1,147,513

  • 22 · Depreciation, depletion and amortization

    total $2,116,168 · management and general $2,116,168

  • 23 · Insurance

    total $535,115 · management and general $535,115

  • 24a · Other expenses: MEDICAL SUPPLIES AND DR

    total $22,925,582 · program services $22,845,039 · management and general $80,543

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $4,280,468 · program services $4,280,468

  • 24c · Other expenses: OTHER EXPENSES

    total $678,531 · program services $144,784 · management and general $533,747

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $550 · end of year $550

  • 4 · Accounts receivable

    beginning of year $10,790,709 · end of year $8,081,348

  • 8 · Inventories for sale or use

    beginning of year $789,248 · end of year $935,634

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

    $70,991,152

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

    $39,037,024

  • 10c · Land, buildings and equipment, net

    beginning of year $30,556,122 · end of year $31,954,128

  • 15 · Other assets

    beginning of year $16,794,691 · end of year $23,114,479

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,157,283 · end of year $4,145,014

  • 19 · Deferred revenue

    beginning of year $1,565,206

  • 25 · Other liabilities

    beginning of year $21,807,346 · end of year $20,804,064

  • 27 · Net assets without donor restrictions

    beginning of year $32,401,485 · end of year $39,137,061

Mission and programs · 2022

Mission

SELBY GENERAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHERE SERVICE EXCELLENCE AND CLINICAL QUALITY CREATE THE REGION'S BEST EXPERIENCE FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS, THE COMMUNITY, AND OUR EMPLOYEES.

Activities or mission (Part I)

WE ARE 300 STRONG. WE ENHANCE THE QUALITY OF LIFE IN THE MID-OHIO VALLEY. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBORS, AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY -- WITH ACCREDITATIONS, CERTIFICATIONS, AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE PART OF A SYSTEM THAT EXTENDS ACCESS TO SPECIALISTS AND NATIONALLY RECOGNIZED CARE. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY ALL.

  • DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2023, THE HOSPITAL PROVIDED 6,393 INPATIENT CARE DAYS, 1,673 DAYS OF OBSERVATION CARE, 3,305 SURGICAL CASES, 20,901 PHYSICAL THERAPY PROCEDURES, 6,947 EMERGENCY VISITS AND 18,837 IMAGING PROCEDURES. SELBY BELIEVES IN MORE THAN PROVIDING THE BEST LOCAL HEALTHCARE. WE BELIEVE IN INVESTING IN OUR COMMUNITY, SUPPORTING OUR NEIGHBORS, OUR FAMILIES, AND FRIENDS. OUR COMMITMENT IS TRULY TO OUR COMMUNITY - AS AN EMPLOYER, AS A CORPORATE CITIZEN AND AS A COMMUNITY RESOURCE AND AS A HEALTHCARE PROVIDER. TO THAT END, THE HOSPITAL, ITS PHYSICIANS, STAFF, AND VOLUNTEERS EXTEND THEMSELVES WELL BEYOND PATIENT CARE. WE PROVIDE COMMUNITY CLINICAL SUPPORT SERVICES, WELLNESS EDUCATION, PROGRAMS, SUPPORT GROUPS, FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS, AND OUR OWN PERSONAL TIME TO ENSURE THE HIGHEST QUALITY OF LIFE FOR EVERYONE WITHIN OUR COMMUNITY. WE CALL IT GIVING BACK. PART OF OUR MISSION EXTENDS TO WELLNESS EDUCATION AND HEALTH PREVENTION. WE SPEAK OUT IN OUR COMMUNITY, WE SPONSOR SUPPORT GROUPS, WE PROVIDE DOZENS OF WELLNESS PROGRAMS, AND WE PROVIDE MONTHLY OPPORTUNITIES FOR FREE AND/OR LOW-COST HEALTH SCREENINGS. THE HOSPITAL SUPPORTS PARTNERSHIPS, COMMUNITY HEALTH COALITIONS, AREA CHAMBERS OF COMMERCE, LOCAL NOT-FOR-PROFIT ORGANIZATIONS, LOCAL SCHOOLS, AND GOVERNMENTS. ADDITIONALLY, MANY OF OUR STAFF MEMBERS, PHYSICIANS AND VOLUNTEERS DONATE THEIR TIME TO SERVE ON LOCAL BOARDS, COMMITTEES, AND ASSOCIATIONS. WE PROVIDE OPPORTUNITIES FOR LOCAL STUDENTS TO TRAIN WITHIN OUR HOSPITAL UNDER VARIOUS EDUCATIONAL PROGRAMS AND AGREEMENTS WITH AREA SCHOOL SYSTEMS. THIS SERVES BOTH THE STUDENTS AND THE COMMUNITY AS IT OFTEN INCREASES OUR SUPPLY OF LOCAL HEALTH CARE WORKERS.

    Expenses $49,363,544 · Revenue $77,299,395

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

Listed in Part VII

  • Michael Archer

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Stephen Keiser

    VICE-CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Gregg Emrick

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Carol Schneeberger

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Richard Hoyt MD

    PRESIDENT

    Total calculated
    $538,043
    From this org
    $0
    From related orgs
    $473,614
    Other
    $64,429
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $473,614 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $19,000 related
    Nontaxable benefits
    $0 + $45,429 related
    Filer's total
    $0 + $538,043 related
  • James Barengo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Christopher Cockerham MD

    BOARD MEMBER

    Total calculated
    $610,364
    From this org
    $0
    From related orgs
    $547,351
    Other
    $63,013
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $532,351 related
    Bonus
    $0 + $15,000 related
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $42,513 related
    Filer's total
    $0 + $610,364 related
  • Colleen Cook

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Joseph Cooper MD

    BOARD MEMBER

    Total calculated
    $468,229
    From this org
    $0
    From related orgs
    $422,978
    Other
    $45,251
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $422,978 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $24,751 related
    Filer's total
    $0 + $468,229 related
  • Thomas Danford DDS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Ann Helmick

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Sheryl Holdren

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Michael Iaderosa

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Terry Rataiczak

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Larry Unroe

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • J Scott Cantley

    CEO - MARIETTA AREA HEALTH

    Total calculated
    $1,270,166
    From this org
    $0
    From related orgs
    $1,184,697
    Other
    $85,469
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $887,994 related
    Bonus
    $0 + $232,203 related
    Other
    $0 + $64,500 related
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $64,969 related
    Filer's total
    $0 + $1,270,166 related
  • Scott Silvestri

    CFO - MARIETTA AREA HEALTH

    Total calculated
    $680,799
    From this org
    $0
    From related orgs
    $595,109
    Other
    $85,690
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $489,484 related
    Bonus
    $0 + $102,375 related
    Other
    $0 + $3,250 related
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $65,190 related
    Filer's total
    $0 + $680,799 related
  • Melissa Montgomery

    CAO

    Total calculated
    $210,884
    From this org
    $89,867
    From related orgs
    $101,590
    Other
    $19,427
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $89,867 + $101,590 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $19,427 related
    Filer's total
    $89,867 + $121,017 related
  • Vince Stollar

    STAFF PHARMACIST

    Total calculated
    $207,880
    From this org
    $163,812
    From related orgs
    $0
    Other
    $44,068
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,842
    Bonus
    $2,970
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $44,068
    Filer's total
    $207,880
  • Jennifer Steed

    THERAPY SUPERVISOR

    Total calculated
    $156,423
    From this org
    $118,759
    From related orgs
    $0
    Other
    $37,664
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $114,782
    Bonus
    $3,977
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $37,664
    Filer's total
    $156,423
  • Kevin Gannon

    WEEKEND REGISTERED NURSE

    Total calculated
    $212,571
    From this org
    $174,715
    From related orgs
    $0
    Other
    $37,856
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $134,535
    Bonus
    $40,180
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $37,856
    Filer's total
    $212,571
  • Kris Lindsey

    DIRECTOR, INPATIENT THERAPY

    Total calculated
    $169,362
    From this org
    $138,288
    From related orgs
    $0
    Other
    $31,074
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,245
    Bonus
    $2,043
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $31,074
    Filer's total
    $169,362
  • Melissa Earley

    REGISTERED NURSE

    Total calculated
    $176,728
    From this org
    $157,534
    From related orgs
    $0
    Other
    $19,194
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $123,604
    Bonus
    $33,930
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $19,194
    Filer's total
    $176,728

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 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 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

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.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MARIETTA OCCUPATIONAL HEALTH PARTNERS LLC

    OCCUPATIONAL HEALTH · OH

  • MARIETTA SURGERY CENTER LLC

    SURGERY · OH

Provenance

Return type
form_990
Tax year
2022
Filed
9 August 2024
IRS schema version
2022v5.0
Source object
202432279349301048

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