Form 990 for tax year 2022
Filed by CLOUD COUNTY HEALTH CENTER INC.
Totals
- Total revenue
- $23,529,870
- Total expenses
- $24,619,785
- Contributions and grants received
- $635,984
- Grants paid
- $2,050
- Program service revenue
- $22,896,339
- Investment income
- -$1,936
- Other revenue
- -$517
- Total assets, end of year
- $49,143,712
- Total liabilities, end of year
- $38,746,190
- Net assets or fund balances, end of year
- $10,397,522
- Program services expenses (Part IX)
- $18,941,108
- Management and general expenses
- $5,678,677
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $18,941,108
Program services were 76.9% 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
$367,229
-
1f · All other contributions, gifts and grants
$268,755
-
2a · Program service revenue: Patient service revenue
total $21,246,438 · related or exempt $21,246,438
-
2b · Program service revenue: Pharmacy Revenue
total $1,006,359 · related or exempt $1,006,359
-
2c · Program service revenue: Cafeteria revenue
total $81,948 · related or exempt $81,948
-
2f · All other program service revenue
total $561,594 · related or exempt $561,594
-
3 · Investment income
total $20,592 · excluded $20,592
-
7b · Less cost or other basis and sales expenses
other assets $22,528
-
7c · Gain or loss
other assets -$22,528
-
7d · Net gain or loss
total -$22,528 · excluded -$22,528
-
11a · Other revenue: Miscellaneous revenue
total -$517 · excluded -$517
-
11e · Other revenue, total
-$517
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $2,050 · program services $2,050
-
5 · Compensation of officers, directors and key employees
total $846,392 · program services $382,494 · management and general $463,898
-
7 · Other salaries and wages
total $10,602,196 · program services $8,708,045 · management and general $1,894,151
-
8 · Pension plan contributions
total $327,506 · program services $294,411 · management and general $33,095
-
9 · Other employee benefits
total $1,134,850 · program services $872,649 · management and general $262,201
-
10 · Payroll taxes
total $783,460 · program services $624,558 · management and general $158,902
-
11b · Fees: legal
total $3,917 · management and general $3,917
-
11c · Fees: accounting
total $11,386 · management and general $11,386
-
11d · Fees: lobbying
total $3,037 · program services $3,037
-
11g · Fees: other
total $2,095,937 · program services $1,053,946 · management and general $1,041,991
-
12 · Advertising and promotion
total $57,833 · management and general $57,833
-
13 · Office expenses
total $421,287 · program services $278,942 · management and general $142,345
-
14 · Information technology
total $289,678 · program services $83,113 · management and general $206,565
-
16 · Occupancy
total $359,893 · program services $283,685 · management and general $76,208
-
17 · Travel
total $75,043 · program services $45,730 · management and general $29,313
-
19 · Conferences, conventions and meetings
total $1,558 · program services $1,480 · management and general $78
-
20 · Interest
total $977,453 · program services $770,478 · management and general $206,975
-
22 · Depreciation, depletion and amortization
total $3,406,437 · program services $2,685,125 · management and general $721,312
-
23 · Insurance
total $82,391 · program services $15,061 · management and general $67,330
-
24a · Other expenses: Medical and Patient Sup
total $2,837,288 · program services $2,782,902 · management and general $54,386
-
24b · Other expenses: Food Costs
total $130,627 · program services $3,610 · management and general $127,017
-
24c · Other expenses: Dues, Licenses, and Tax
total $82,014 · program services $34,292 · management and general $47,722
-
24e · All other expenses
total $87,552 · program services $15,500 · management and general $72,052
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $617,164 · end of year $58,523
-
4 · Accounts receivable
beginning of year $2,272,138 · end of year $2,195,244
-
8 · Inventories for sale or use
beginning of year $289,348 · end of year $167,986
-
9 · Prepaid expenses and deferred charges
beginning of year $227,600 · end of year $393,113
-
10a · Land, buildings and equipment: cost or other basis
$51,206,746
-
10b · Land, buildings and equipment: accumulated depreciation
$9,406,741
-
10c · Land, buildings and equipment, net
beginning of year $40,478,421 · end of year $41,800,005
-
12 · Investments: other securities
beginning of year $1,146,075 · end of year $833,378
-
15 · Other assets
beginning of year $1,697,825 · end of year $3,695,463
-
17 · Accounts payable and accrued expenses
beginning of year $6,654,387 · end of year $923,213
-
23 · Secured mortgages and notes payable
beginning of year $27,551,431 · end of year $37,822,977
-
25 · Other liabilities
beginning of year $358,457 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $11,018,451 · end of year $9,564,374
-
28 · Net assets with donor restrictions
beginning of year $1,145,845 · end of year $833,148
Mission and programs · 2022
Mission
Cloud County Health Center is committed to providing quality health care services delivered in a caring and respectful manner through teamwork and professional excellence.
Activities or mission (Part I)
Operation of critical access hospital
-
Cloud County Health Center (Health Center) is a nonprofit acute care hospital located in Concordia, Kansas. The Health Center provides inpatient, outpatient, Rural Health Clinic and Emergency care services to residents of Cloud County and the surrounding area. Health Center had a total of 234 discharges and 1,524 patient days. The hospital had a total of 352 surgeries, 2,950 ED visits and 25,300 OP visits and the Family Care Center had 16,442 visits. In addition to providing Inpatient and Outpatient services, the hospital provides the following ancillary services: Lab, Imaging, Pharmacy, Respiratory Therapy, Rehab services, and Sleep Lab services. Imaging services include all of the following areas: General X-ray, CT Scan, Nuclear Medicine, Ultrasound, Bone Density and Mammography services. A new MRI unit was installed in November 2022 when we moved to our new hospital facility.
Expenses $18,941,108 · Grants $2,050 · Revenue $22,896,339
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Philip Gilliland
Chairperson
- Total calculated
- $0
- Hours/week
- 1
-
Kurt Kocher
Vice Chairperson
- Total calculated
- $0
- Hours/week
- 1 + 0.1 related
-
Charles Lambertz
Secretary
- Total calculated
- $0
- Hours/week
- 1
-
Amy Lange
Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Joanne Balthazor
Director
- Total calculated
- $0
- Hours/week
- 1 + 0.1 related
-
Quentin Breese
Director
- Total calculated
- $0
- Hours/week
- 1
-
Darrell Gallegos
Director
- Total calculated
- $0
- Hours/week
- 1
-
Darrel Hosie
Director
- Total calculated
- $0
- Hours/week
- 1
-
Amber Knoettgen
Director
- Total calculated
- $0
- Hours/week
- 1
-
Kent Otott
Director
- Total calculated
- $0
- Hours/week
- 1
-
Sister Jean Rosemarynoski
Director
- Total calculated
- $0
- Hours/week
- 1
-
Justin Poore
Chief of Staff/Physician
- Total calculated
- $0
- Hours/week
- 40
-
David Garnas
Adminstrator/CEO
- Total calculated
- $0
- Hours/week
- 40
-
Ronald Harrington
CFO
- Total calculated
- $0
- Hours/week
- 40 + 0.1 related
-
Dorothy Breault
Physician
- Total calculated
- $307,949
- From this org
- $268,487
- From related orgs
- $0
- Other
- $39,462
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $201,267
- Bonus
- $67,220
- Other
- $0
- Deferred
- $11,874
- Nontaxable benefits
- $29,615
- Filer's total
- $309,976
-
Brandon Fraley
Advanced Practice Provider
- Total calculated
- $168,442
- From this org
- $158,148
- From related orgs
- $0
- Other
- $10,294
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $109,560
- Bonus
- $48,588
- Other
- $0
- Deferred
- $7,966
- Nontaxable benefits
- $2,421
- Filer's total
- $168,535
-
Daniel Garlow
Physician
- Total calculated
- $315,961
- From this org
- $284,012
- From related orgs
- $0
- Other
- $31,949
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $213,195
- Bonus
- $70,817
- Other
- $0
- Deferred
- $14,285
- Nontaxable benefits
- $19,754
- Filer's total
- $318,051
-
Shawna Huggans
Advanced Practice Provider
- Total calculated
- $217,673
- From this org
- $185,007
- From related orgs
- $0
- Other
- $32,666
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $183,007
- Bonus
- $2,000
- Other
- $0
- Deferred
- $9,554
- Nontaxable benefits
- $23,255
- Filer's total
- $217,816
-
Tiffany Naccarato
Advanced Practice Provider
- Total calculated
- $188,677
- From this org
- $179,692
- From related orgs
- $0
- Other
- $8,985
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $177,692
- Bonus
- $2,000
- Other
- $0
- Deferred
- $8,985
- Nontaxable benefits
- $143
- Filer's total
- $188,820
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
None.
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
The filer's explanations (Part III)
- Schedule J, Part III
- Daniel Garlow, Dorothy Breault, Shawna Huggans, Tiffany Naccarato, and Brandon Fraley were paid by an unrelated organization, Salina Regional Health Center, for medical services performed. See Schedule J, Part II and Form 990 Part VII for amounts paid for these services.
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.
-
Cloud County Foundation for Health Care Inc
501(c)(3) · support community health and welfare · KS
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202442279349303264
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