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Nonprofiteer
← SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC.

Totals

Total revenue
$361,654,937
Total expenses
$380,420,311
Contributions and grants received
$34,495,455
Grants paid
$11,733,292
Program services expenses (Part IX)
$367,299,824
Management and general expenses
$13,106,190
Fundraising expenses
$14,297
Program service expenses (Part III)
$367,299,824

Program services were 96.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LOUIS KANZAVELOS

    PHYSICIAN

    Total calculated
    $1,277,829
    From this org
    $1,235,319
    From related orgs
    $0
    Other
    $42,510
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,228,565
    Bonus
    $0
    Other
    $6,754
    Deferred
    $15,250
    Nontaxable benefits
    $27,260
    Filer's total
    $1,277,829

  • MATT WENZEL

    PRESIDENT/CEO (THROUGH 10/12/22)

    Total calculated
    $1,175,711
    From this org
    $0
    From related orgs
    $1,122,540
    Other
    $53,171
    Hours/week
    24 + 19 related

    Schedule J breakdown matched by us

    Base
    $0 + $740,784 related
    Bonus
    $0 + $213,774 related
    Other
    $0 + $167,982 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $37,921 related
    Filer's total
    $0 + $1,175,711 related

  • BRENT WOODBURY

    PHYSICIAN

    Total calculated
    $909,535
    From this org
    $872,640
    From related orgs
    $0
    Other
    $36,895
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $866,148
    Bonus
    $0
    Other
    $6,492
    Deferred
    $10,355
    Nontaxable benefits
    $26,540
    Filer's total
    $909,535

  • TIMOTHY STAUDTE

    PHYSICIAN

    Total calculated
    $814,410
    From this org
    $764,140
    From related orgs
    $0
    Other
    $50,270
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $755,974
    Bonus
    $0
    Other
    $8,166
    Deferred
    $15,250
    Nontaxable benefits
    $35,020
    Filer's total
    $814,410

  • JEREMY ALEXANDER

    CFO

    Total calculated
    $723,224
    From this org
    $0
    From related orgs
    $671,653
    Other
    $51,571
    Hours/week
    40 + 3 related

    Schedule J breakdown matched by us

    Base
    $0 + $552,461 related
    Bonus
    $0 + $117,896 related
    Other
    $0 + $1,296 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $36,321 related
    Filer's total
    $0 + $723,224 related

  • MEGHAN WOOSTER

    PHYSICIAN

    Total calculated
    $709,485
    From this org
    $693,849
    From related orgs
    $0
    Other
    $15,636
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $692,727
    Bonus
    $0
    Other
    $1,122
    Deferred
    $0
    Nontaxable benefits
    $15,636
    Filer's total
    $709,485

  • DR MICHAEL MCCOY

    PRESIDENT/CEO

    Total calculated
    $675,775
    From this org
    $0
    From related orgs
    $624,684
    Other
    $51,091
    Hours/week
    24 + 19 related

    Schedule J breakdown matched by us

    Base
    $0 + $532,528 related
    Bonus
    $0 + $80,672 related
    Other
    $0 + $11,484 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $35,841 related
    Filer's total
    $0 + $675,775 related

  • CHARLES FRANK

    PHYSICIAN

    Total calculated
    $374,408
    From this org
    $360,261
    From related orgs
    $0
    Other
    $14,147
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $358,133
    Bonus
    $0
    Other
    $2,128
    Deferred
    $0
    Nontaxable benefits
    $14,147
    Filer's total
    $374,408

  • DAVE POLAND

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • VICKI STEPHENSON

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • JOY ANDERSON

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DR STEVE DAVIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • NEAL DODD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BOB HUFFMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

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 — 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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment

Answered no

  • 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)

PART I, LINE 1A
MATT WENZEL, HEALTH/SOCIAL CLUB DUES, $4,463. THIS AMOUNT WAS INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 3
THE COMPENSATION OF THE OFFICERS IS PAID BY RIVERVIEW SYSTEMS LTD., A RELATED ORGANIZATION, BUT DETERMINED BY GREAT RIVER HEALTH SYSTEM. THE FOLLOWING WERE USED BY GREAT RIVER HEALTH SYSTEM IN DETERMINING THE OFFICERS' COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. WRITTEN EMPLOYMENT CONTRACT 5. COMPENSATION SURVEY OR STUDY 6. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4A
MATT WENZEL RECEIVED A SEVERANCE PAYMENT OF $164,442. THIS AMOUNT WAS INCLUDED IN W-2 WAGES.

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

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
8 May 2024
IRS schema version
2022v5.0
Source object
202431329349300128

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