Totals
- Total revenue
- $6,121,328
- Total expenses
- $5,806,949
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $6,119,068
- Investment income
- $2,260
- Other revenue
- $0
- Total assets, end of year
- $745,307
- Total liabilities, end of year
- $294,825
- Net assets or fund balances, end of year
- $450,482
- Program services expenses (Part IX)
- $5,636,642
- Management and general expenses
- $170,307
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $5,636,642
Program services were 97.1% 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.
-
2a · Program service revenue: CONTRACT REVENUE
total $6,073,068 · related or exempt $6,073,068
-
2f · All other program service revenue
total $46,000 · related or exempt $46,000
-
3 · Investment income
total $2,260 · excluded $2,260
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $456,135 · program services $456,135
-
7 · Other salaries and wages
total $3,665,752 · program services $3,665,752
-
8 · Pension plan contributions
total $207,912 · program services $207,912
-
9 · Other employee benefits
total $182,661 · program services $182,661
-
10 · Payroll taxes
total $176,366 · program services $176,366
-
11c · Fees: accounting
total $2,900 · management and general $2,900
-
11g · Fees: other
total $985,898 · program services $821,706 · management and general $164,192
-
13 · Office expenses
total $34 · management and general $34
-
17 · Travel
total $3,181 · management and general $3,181
-
19 · Conferences, conventions and meetings
total $23,567 · program services $23,567
-
23 · Insurance
total $85,052 · program services $85,052
-
24a · Other expenses: DUES AND SUBSCRIPTIONS
total $17,491 · program services $17,491
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $316,703 · end of year $424,205
-
7 · Other notes and loans receivable
beginning of year $76,163 · end of year $305,391
-
9 · Prepaid expenses and deferred charges
beginning of year $45,446 · end of year $15,711
-
17 · Accounts payable and accrued expenses
beginning of year $302,209 · end of year $294,825
-
27 · Net assets without donor restrictions
beginning of year $136,103 · end of year $450,482
Mission and programs · 2022
Mission
NONE
Activities or mission (Part I)
PROVIDING SUPPORT FOR SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL AND SIMILAR ORGANIZATIONS.
-
SHELBY COUNTY MEDICAL CORPORATION RECRUITED, EMPLOYED, AND FURNISHED PHYSICIANS FOR RURAL HEALTH CLINICS, OTHER PHYSICIAN CLINICS, AN EMERGENCY ROOM, AND A HOSPITAL PHYSICIAN PRACTICE AT SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL. SERVICES PROVIDED INCLUDED SERVING AS MEDICAL STAFF FOR THE HOSPITAL AND APPROXIMATELY 123,115 PATIENT SERVICE VISITS.
Expenses $5,636,642 · Revenue $6,119,068
As filed on the 2022 return.
Listed in Part VII
-
Leroy HodgesLEROY HODGES
PHYSICIAN
- Total calculated
- $571,984
- From this org
- $508,809
- From related orgs
- $0
- Other
- $63,175
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $445,701
- Bonus
- $45,981
- Other
- $17,127
- Deferred
- $32,604
- Nontaxable benefits
- $30,571
- Filer's total
- $571,984
-
Bret HeilesonBRET HEILESON
PHYSICIAN
- Total calculated
- $528,616
- From this org
- $480,406
- From related orgs
- $0
- Other
- $48,210
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $228,593
- Bonus
- $191,369
- Other
- $60,444
- Deferred
- $21,518
- Nontaxable benefits
- $26,692
- Filer's total
- $528,616
-
Timothy BreljeTIMOTHY BRELJE
PHYSICIAN
- Total calculated
- $485,099
- From this org
- $435,296
- From related orgs
- $0
- Other
- $49,803
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $127,074
- Bonus
- $82,971
- Other
- $225,251
- Deferred
- $23,267
- Nontaxable benefits
- $26,536
- Filer's total
- $485,099
-
Tina SchechingerTINA SCHECHINGER
PHYSICIAN
- Total calculated
- $479,003
- From this org
- $426,040
- From related orgs
- $0
- Other
- $52,963
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $237,527
- Bonus
- $177,399
- Other
- $11,114
- Deferred
- $23,577
- Nontaxable benefits
- $29,386
- Filer's total
- $479,003
-
Scott MarkhamSCOTT MARKHAM
DIRECTOR/PHYSICIAN
- Total calculated
- $456,135
- From this org
- $416,599
- From related orgs
- $0
- Other
- $39,536
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $236,542
- Bonus
- $111,189
- Other
- $68,868
- Deferred
- $21,169
- Nontaxable benefits
- $18,367
- Filer's total
- $456,135
-
Brian AndersonBRIAN ANDERSON
PHYSICIAN
- Total calculated
- $449,482
- From this org
- $395,934
- From related orgs
- $0
- Other
- $53,548
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $237,844
- Bonus
- $97,455
- Other
- $60,635
- Deferred
- $24,262
- Nontaxable benefits
- $29,286
- Filer's total
- $449,482
-
Barry JacobsenBARRY JACOBSEN
CEO/DIRECTOR
- Total calculated
- $350,557
- From this org
- $0
- From related orgs
- $305,072
- Other
- $45,485
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $284,649 related
- Bonus
- $0 + $13,084 related
- Other
- $0 + $7,339 related
- Deferred
- $0 + $26,887 related
- Nontaxable benefits
- $0 + $18,598 related
- Filer's total
- $0 + $350,557 related
-
Matt HudsonMATT HUDSON
PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.2
-
Terry TornetenTERRY TORNETEN
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.2 + 0.5 related
-
Tim MeyerTIM MEYER
VICE PRESIDENT THRU 10/22
- Total calculated
- $0
- Hours/week
- 0.2
-
Jeanine LarsenJEANINE LARSEN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 0.2 + 0.2 related
-
Kristen Van BaaleKRISTEN VAN BAALE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.2
-
Kelli KlaassenKELLI KLAASSEN
DIRECTOR THRU 12/22
- Total calculated
- $0
- Hours/week
- 0.2 + 0.2 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, 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
- 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 3
- SHELBY COUNTY MEDICAL CORPORATION (SCMC) DOES NOT PAY COMPENSATION TO A CEO OR EXECUTIVE DIRECTOR. SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL PAYS THE COMPENSATION OF BARRY JACOBSEN WHO SERVES AS THE TOP MANAGEMENT OFFICIAL OF SCMC. SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL UTILIZED THE FOLLOWING FOR DETERMINING HIS COMPENSATION: INFORMATION PROVIDED BY MEDICAL GROUP MANAGEMENT ASSOCIATION FOR PEER GROUPS AND OTHER AVAILABLE SURVEYS AND BOARD APPROVAL.
- PART I, LINE 7
- ALL PHYSICIANS ARE PAID A BASE SALARY PLUS ADDITIONAL COMPENSATION BASED ON RVUS PRODUCED.
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.
-
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
501(C)(1) · HOSPITAL · IA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202421349349304527
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