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Nonprofiteer
← LAWRENCE COUNTY MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by LAWRENCE COUNTY MEMORIAL HOSPITAL.

Totals

Total revenue
$27,128,124
Total expenses
$26,059,505
Contributions and grants received
$1,030,365
Grants paid
$17,761
Program service revenue
$25,863,154
Investment income
$59,696
Other revenue
$174,909
Total assets, end of year
$21,865,057
Total liabilities, end of year
$5,702,453
Net assets or fund balances, end of year
$16,162,604
Program services expenses (Part IX)
$19,420,920
Management and general expenses
$6,638,585
Fundraising expenses
$0
Program service expenses (Part III)
$19,420,920

Program services were 74.5% 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

    $230,000

  • 1e · Government grants (contributions)

    $510,557

  • 1f · All other contributions, gifts and grants

    $289,808

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

    total $24,910,328 · related or exempt $24,910,328

  • 2b · Program service revenue: 340B PHARMACY SERVICES

    total $952,826 · related or exempt $952,826

  • 3 · Investment income

    total $59,696 · excluded $59,696

  • 6a · Gross rents

    real property $21,902

  • 6b · Less rental expenses

    real property $5,666

  • 6c · Rental income or loss

    real property $16,236

  • 6d · Net rental income or loss

    total $16,236 · excluded $16,236

  • 11a · Other revenue: CAFETERIA INCOME

    total $112,002 · related or exempt $112,002

  • 11b · Other revenue: MISCELLANEOUS REVENUE

    total $46,671 · related or exempt $31,232 · excluded $15,439

  • 11e · Other revenue, total

    $158,673

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $17,761 · program services $17,761

  • 5 · Compensation of officers, directors and key employees

    total $509,245 · program services $381,934 · management and general $127,311

  • 6 · Compensation of disqualified persons

    total $73,487 · program services $55,115 · management and general $18,372

  • 7 · Other salaries and wages

    total $10,144,609 · program services $7,608,456 · management and general $2,536,153

  • 8 · Pension plan contributions

    total $177,432 · program services $133,075 · management and general $44,357

  • 9 · Other employee benefits

    total $2,344,469 · program services $1,758,352 · management and general $586,117

  • 10 · Payroll taxes

    total $747,711 · program services $560,783 · management and general $186,928

  • 11a · Fees: management

    total $789,130 · management and general $789,130

  • 11b · Fees: legal

    total $37,111 · management and general $37,111

  • 11c · Fees: accounting

    total $78,483 · management and general $78,483

  • 11g · Fees: other

    total $5,569,697 · program services $4,376,085 · management and general $1,193,612

  • 12 · Advertising and promotion

    total $168,176 · program services $137,081 · management and general $31,095

  • 13 · Office expenses

    total $301,491 · program services $74,914 · management and general $226,577

  • 16 · Occupancy

    total $443,359 · program services $332,519 · management and general $110,840

  • 17 · Travel

    total $101,403 · program services $101,403

  • 20 · Interest

    total $11,736 · program services $11,736

  • 22 · Depreciation, depletion and amortization

    total $840,643 · program services $630,483 · management and general $210,160

  • 23 · Insurance

    total $297,743 · program services $223,307 · management and general $74,436

  • 24a · Other expenses: MEDICAL SUPPLIES AND DR

    total $1,991,363 · program services $1,991,363

  • 24b · Other expenses: IL HOSPITAL ASSESSMENT

    total $646,510 · program services $646,510

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $488,674 · program services $121,426 · management and general $367,248

  • 24d · Other expenses: MINOR EQUIPMENT

    total $82,638 · program services $61,983 · management and general $20,655

  • 24e · All other expenses

    total $196,634 · program services $196,634

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $14,009 · end of year $213,148

  • 2 · Savings and temporary cash investments

    beginning of year $10,673,487 · end of year $5,377,541

  • 4 · Accounts receivable

    beginning of year $5,398,565 · end of year $5,590,411

  • 8 · Inventories for sale or use

    beginning of year $439,356 · end of year $400,653

  • 9 · Prepaid expenses and deferred charges

    beginning of year $177,788 · end of year $196,772

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

    $20,954,015

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

    $11,900,348

  • 10c · Land, buildings and equipment, net

    beginning of year $6,521,226 · end of year $9,053,667

  • 15 · Other assets

    beginning of year $0 · end of year $1,032,865

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,312,531 · end of year $2,823,407

  • 19 · Deferred revenue

    beginning of year $2,427,638 · end of year $1,498,081

  • 23 · Secured mortgages and notes payable

    end of year $839,286

  • 24 · Unsecured notes and loans payable

    beginning of year $1,183,859 · end of year $539,254

  • 25 · Other liabilities

    beginning of year $1,206,418 · end of year $2,425

  • 27 · Net assets without donor restrictions

    beginning of year $15,093,985 · end of year $16,162,604

Mission and programs · 2022

Mission

AT LAWRENCE COUNTY MEMORIAL HOSPITAL, WE OFFER COMPASSIONATE, PROFESSIONAL HEALTHCARE THAT MEETS THE HIGHEST STANDARDS OF EXCELLENCE.

  • THE HOSPITAL'S MISSION IS TO PROVIDE HIGH QUALITY CARE AND COST EFFECTIVE HEALTHCARE, WHICH INCLUDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO THE RESIDENTS OF LAWRENCE COUNTY, IL. ALL EXPENSES RELATE TO COSTS ASSOCIATED WITH PROVIDING THESE SERVICES, AND MAINLY INCLUDE SALARY AND WAGES TO STAFF AND COST OF SUPPLIES.

    Expenses $19,420,920 · Grants $17,761 · Revenue $26,006,388

As filed on the 2022 return.

Listed in Part VII

  • Ann Barnwell

    SURGEON

    Total calculated
    $439,478
    From this org
    $384,372
    From related orgs
    $0
    Other
    $55,106
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $384,372
    Bonus
    $0
    Other
    $0
    Deferred
    $11,700
    Nontaxable benefits
    $43,406
    Filer's total
    $439,478
  • Dr Steven Ramsaran

    TRUSTEE/PHYSICIAN

    Total calculated
    $289,118
    From this org
    $233,431
    From related orgs
    $0
    Other
    $55,687
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $76,891
    Bonus
    $0
    Other
    $156,540
    Deferred
    $7,203
    Nontaxable benefits
    $48,484
    Filer's total
    $289,118
  • Jessica Paulin

    CRNA

    Total calculated
    $214,766
    From this org
    $213,573
    From related orgs
    $0
    Other
    $1,193
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $213,573
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $1,193
    Filer's total
    $214,766
  • Valerie Burns

    PHYSICIAN

    Total calculated
    $211,348
    From this org
    $187,300
    From related orgs
    $0
    Other
    $24,048
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,300
    Bonus
    $0
    Other
    $0
    Deferred
    $5,700
    Nontaxable benefits
    $18,348
    Filer's total
    $211,348
  • Logan Fiscus

    PHARMACIST

    Total calculated
    $199,945
    From this org
    $164,065
    From related orgs
    $0
    Other
    $35,880
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,065
    Bonus
    $0
    Other
    $0
    Deferred
    $5,048
    Nontaxable benefits
    $30,832
    Filer's total
    $199,945
  • Tanna McCullough

    NURSE PRACTITIONER

    Total calculated
    $199,472
    From this org
    $150,717
    From related orgs
    $0
    Other
    $48,755
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,717
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $48,755
    Filer's total
    $199,472
  • Will Schultz

    CNO

    Total calculated
    $146,124
    From this org
    $127,459
    From related orgs
    $0
    Other
    $18,665
    Hours/week
    40
  • Don Robbins

    CEO (END 03/23)

    Total calculated
    $221,778
    From this org
    $0
    From related orgs
    $194,542
    Other
    $27,236
    Hours/week
    45 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,542 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $27,236 related
    Filer's total
    $0 + $221,778 related
  • Shana Strange

    CFO

    Total calculated
    $158,134
    From this org
    $0
    From related orgs
    $138,714
    Other
    $19,420
    Hours/week
    45 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $138,714 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $5,714 related
    Nontaxable benefits
    $0 + $13,706 related
    Filer's total
    $0 + $158,134 related
  • Keith Miller

    CEO (BEG 04/23)

    Total calculated
    $0
    Hours/week
    45 + 1 related
  • Carl Aten

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    5 + 1 related
  • Ron Waldrop

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • Dennis Zehner

    TREASURER

    Total calculated
    $0
    Hours/week
    2
  • Natalie Puntney

    SECRETARY

    Total calculated
    $0
    Hours/week
    2 + 0.5 related
  • Annette Akers

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Stanley Williams

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Jared Florence

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Kevin Strange

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 0.5 related
  • Dr Allen White

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Travis Trainer

    TRUSTEE (BEG 08/22)

    Total calculated
    $0
    Hours/week
    2

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 survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
PHYSICIAN COMPENSATION PAID OUT IS BASED ON ANTICIPATED VOLUME (VISITS) AND RECONCILED QUARTERLY.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411369349311271

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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