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Nonprofiteer
← COFFEYVILLE REGIONAL MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by COFFEYVILLE REGIONAL MEDICAL CENTER INC.

Totals

Total revenue
$43,800,038
Total expenses
$52,940,771
Contributions and grants received
$3,534,886
Grants paid
$7,727
Program service revenue
$39,903,766
Investment income
$155,140
Other revenue
$206,246
Total assets, end of year
$25,595,451
Total liabilities, end of year
$8,741,922
Net assets or fund balances, end of year
$16,853,529
Program services expenses (Part IX)
$47,958,052
Management and general expenses
$4,924,226
Fundraising expenses
$58,493
Program service expenses (Part III)
$47,958,052

Program services were 90.6% 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

    $392,606

  • 1e · Government grants (contributions)

    $3,136,680

  • 1f · All other contributions, gifts and grants

    $5,600

  • 1g · Noncash contributions included above

    $245,318

  • 2a · Program service revenue: Net patient service revenue

    total $39,271,019 · related or exempt $39,271,019

  • 2b · Program service revenue: 340b Pharmacy

    total $265,183 · related or exempt $265,183

  • 2c · Program service revenue: Ambulance services

    total $225,318 · related or exempt $225,318

  • 2d · Program service revenue: Education, wellness, and miscella

    total $132,748 · related or exempt $132,748

  • 2e · Program service revenue: Other patient related services

    total $9,498 · related or exempt $9,498

  • 3 · Investment income

    total $155,140 · excluded $155,140

  • 6a · Gross rents

    real property $39,825

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $39,825

  • 6d · Net rental income or loss

    total $39,825 · excluded $39,825

  • 11a · Other revenue: Cafeteria and dietary income

    total $166,421 · excluded $166,421

  • 11e · Other revenue, total

    $166,421

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $7,727 · program services $7,727

  • 5 · Compensation of officers, directors and key employees

    total $545,749 · management and general $545,749

  • 7 · Other salaries and wages

    total $21,889,850 · program services $20,618,877 · management and general $1,243,530 · fundraising $27,443

  • 8 · Pension plan contributions

    total $1,907,963 · program services $1,804,128 · management and general $101,885 · fundraising $1,950

  • 9 · Other employee benefits

    total $3,537,958 · program services $3,298,077 · management and general $235,996 · fundraising $3,885

  • 10 · Payroll taxes

    total $1,542,421 · program services $1,427,048 · management and general $113,831 · fundraising $1,542

  • 11a · Fees: management

    total $83,929 · management and general $83,929

  • 11b · Fees: legal

    total $118,154 · management and general $118,154

  • 11f · Fees: investment management

    total $125,857 · management and general $125,857

  • 11g · Fees: other

    total $9,511,929 · program services $8,183,784 · management and general $1,318,238 · fundraising $9,907

  • 12 · Advertising and promotion

    total $103,496 · management and general $103,496

  • 13 · Office expenses

    total $154,988 · program services $72,319 · management and general $81,914 · fundraising $755

  • 14 · Information technology

    total $25,245 · program services $21,842 · management and general $3,221 · fundraising $182

  • 16 · Occupancy

    total $714,915 · program services $576,794 · management and general $136,763 · fundraising $1,358

  • 17 · Travel

    total $87,021 · program services $80,040 · management and general $6,981

  • 19 · Conferences, conventions and meetings

    total $7,053 · program services $4,948 · management and general $2,105

  • 20 · Interest

    total $40,158 · program services $40,158

  • 22 · Depreciation, depletion and amortization

    total $3,015,115 · program services $2,645,669 · management and general $365,391 · fundraising $4,055

  • 23 · Insurance

    total $599,951 · program services $519,077 · management and general $76,554 · fundraising $4,320

  • 24a · Other expenses: Pharmacy drugs

    total $3,963,893 · program services $3,963,893

  • 24b · Other expenses: Medical supplies

    total $3,469,610 · program services $3,467,705 · management and general $0 · fundraising $1,905

  • 24c · Other expenses: Medicaid provider asses

    total $651,698 · program services $651,698

  • 24d · Other expenses: Miscellaneous

    total $284,380 · program services $90,644 · management and general $192,835 · fundraising $901

  • 24e · All other expenses

    total $551,711 · program services $483,624 · management and general $67,797 · fundraising $290

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,883,727 · end of year $718,338

  • 2 · Savings and temporary cash investments

    beginning of year $6,057,162 · end of year $2,824,992

  • 4 · Accounts receivable

    beginning of year $4,848,419 · end of year $3,664,285

  • 8 · Inventories for sale or use

    beginning of year $1,424,827 · end of year $1,595,048

  • 9 · Prepaid expenses and deferred charges

    beginning of year $744,280 · end of year $448,152

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

    $60,713,273

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

    $47,479,655

  • 10c · Land, buildings and equipment, net

    beginning of year $15,212,889 · end of year $13,233,618

  • 15 · Other assets

    beginning of year $2,728,566 · end of year $3,111,018

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,376,141 · end of year $7,968,028

  • 18 · Grants payable

    beginning of year $1,904,882

  • 23 · Secured mortgages and notes payable

    beginning of year $985,083 · end of year $321,680

  • 25 · Other liabilities

    beginning of year $193,363 · end of year $452,214

  • 27 · Net assets without donor restrictions

    beginning of year $23,756,666 · end of year $14,598,447

  • 28 · Net assets with donor restrictions

    beginning of year $2,683,735 · end of year $2,255,082

Mission and programs · 2022

Mission

To promote general health and well being through the development, promotion, improvement, and support of all forms of health care services in Coffeyville, Kansas and the surrounding area.

Activities or mission (Part I)

Medical care and services by an acute care hospital.

  • Coffeyville Regional Medical Center operates an acute care hospital located in southeast Kansas. We provide inpatient, outpatient, urgent and emergent care, and physician services to all patients regardless of race, creed, sex, national origin, sexual preference, or ability to pay.

    Expenses $47,958,052 · Grants $7,727 · Revenue $39,903,766

As filed on the 2022 return.

Listed in Part VII

  • Neal Barkley

    Director

    Total calculated
    $0
    Hours/week
    2

  • Monte Coffman

    Chairman

    Total calculated
    $0
    Hours/week
    2

  • Debbie Carter

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Jeff Morris

    Director

    Total calculated
    $0
    Hours/week
    2

  • Craig Correll

    Director

    Total calculated
    $0
    Hours/week
    2

  • Mike Ewy

    Vice-Chair

    Total calculated
    $0
    Hours/week
    2

  • Dr Garrick Rettele

    Director

    Total calculated
    $0
    Hours/week
    2

  • Brian Lawrence

    CEO

    Total calculated
    $318,281
    From this org
    $266,762
    From related orgs
    $0
    Other
    $51,519
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $258,404
    Bonus
    $8,358
    Other
    $0
    Deferred
    $23,464
    Nontaxable benefits
    $28,055
    Filer's total
    $318,281

  • Dale Guffey

    CFO

    Total calculated
    $194,127
    From this org
    $164,743
    From related orgs
    $0
    Other
    $29,384
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,589
    Bonus
    $6,154
    Other
    $0
    Deferred
    $14,315
    Nontaxable benefits
    $15,069
    Filer's total
    $194,127

  • Michelle McGuirk

    Physician

    Total calculated
    $498,174
    From this org
    $463,232
    From related orgs
    $0
    Other
    $34,942
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $423,132
    Bonus
    $40,100
    Other
    $0
    Deferred
    $25,732
    Nontaxable benefits
    $9,210
    Filer's total
    $498,174

  • Sunil Menon

    Physician

    Total calculated
    $556,573
    From this org
    $518,086
    From related orgs
    $0
    Other
    $38,487
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $488,086
    Bonus
    $30,000
    Other
    $0
    Deferred
    $25,732
    Nontaxable benefits
    $12,755
    Filer's total
    $556,573

  • William Tinker

    Physician

    Total calculated
    $411,623
    From this org
    $380,402
    From related orgs
    $0
    Other
    $31,221
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $380,402
    Bonus
    $0
    Other
    $0
    Deferred
    $26,147
    Nontaxable benefits
    $5,074
    Filer's total
    $411,623

  • Baba Abudu

    Anesthesiologist

    Total calculated
    $484,223
    From this org
    $442,139
    From related orgs
    $0
    Other
    $42,084
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $442,139
    Bonus
    $0
    Other
    $0
    Deferred
    $25,732
    Nontaxable benefits
    $16,352
    Filer's total
    $484,223

  • Perry Yung Ping Lin

    Physician

    Total calculated
    $441,618
    From this org
    $386,625
    From related orgs
    $0
    Other
    $54,993
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $333,088
    Bonus
    $53,537
    Other
    $0
    Deferred
    $26,880
    Nontaxable benefits
    $28,113
    Filer's total
    $441,618

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 · 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.

Provenance

Return type
form_990
Tax year
2022
Filed
20 October 2023
IRS schema version
2022v5.0
Source object
202312979349300431

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