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 BarnwellANN 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 RamsaranDR 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 PaulinJESSICA 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 BurnsVALERIE 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 FiscusLOGAN 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 McCulloughTANNA 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 SchultzWILL SCHULTZ
CNO
- Total calculated
- $146,124
- From this org
- $127,459
- From related orgs
- $0
- Other
- $18,665
- Hours/week
- 40
-
Don RobbinsDON 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 StrangeSHANA 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 MillerKEITH MILLER
CEO (BEG 04/23)
- Total calculated
- $0
- Hours/week
- 45 + 1 related
-
Carl AtenCARL ATEN
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 5 + 1 related
-
Ron WaldropRON WALDROP
VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 2
-
Dennis ZehnerDENNIS ZEHNER
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Natalie PuntneyNATALIE PUNTNEY
SECRETARY
- Total calculated
- $0
- Hours/week
- 2 + 0.5 related
-
Annette AkersANNETTE AKERS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Stanley WilliamsSTANLEY WILLIAMS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Jared FlorenceJARED FLORENCE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Kevin StrangeKEVIN STRANGE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 0.5 related
-
Dr Allen WhiteDR ALLEN WHITE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Travis TrainerTRAVIS 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.
-
LAWRENCE COUNTY MEMORIAL HOSPITAL ENDOWMENT & DEVELOPMENT FOUNDATION
501(C)(3) · SUPPORT THE HOSPITAL · IL
-
DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC
501(C)(3) · HEALTHCARE · IN · controlled entity
Directly controlled by DEACONESS HEALTH SYSTEM INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411369349311271
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