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Nonprofiteer
← ELY-BLOOMENSON COMMUNITY HOSPITAL

Form 990 for tax year 2023

Filed by ELY-BLOOMENSON COMMUNITY HOSPITAL.

Totals

Total revenue
$33,604,474
Total expenses
$33,164,686
Contributions and grants received
$565,000
Grants paid
$110,579
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$28,085,702
Management and general expenses
$5,078,984
Fundraising expenses
$0
Program service expenses (Part III)
$28,085,702

Program services were 84.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • RIANA HEGMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • STEPHEN PETERSON SR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • JOHN SAW

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • MARY ANN SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • ROBERT WILMUNEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • JO LANGAN

    DIRECTOR UNTIL 12/31/23

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • TODD HEIMAN

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • KELLY KLUN

    SECRETARY UNTIL 12/31/23

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • BARBARA SODERBERG

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • TIM RILEY

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • DEVON LUTHENS

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • PATTI BANKS

    CEO

    Total calculated
    $291,884
    From this org
    $248,682
    From related orgs
    $0
    Other
    $43,202
    Hours/week
    39.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $248,553
    Bonus
    $0
    Other
    $129
    Deferred
    $10,255
    Nontaxable benefits
    $32,947
    Filer's total
    $291,884

  • BROCK URIE

    CMO/PHYSICIAN

    Total calculated
    $418,927
    From this org
    $418,927
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $418,927
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $418,927

  • SAM RICE

    PHYSICIAN

    Total calculated
    $227,882
    From this org
    $195,241
    From related orgs
    $0
    Other
    $32,641
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,241
    Bonus
    $0
    Other
    $0
    Deferred
    $8,535
    Nontaxable benefits
    $24,106
    Filer's total
    $227,882

  • KARLA GRIZZARD

    RN

    Total calculated
    $220,046
    From this org
    $182,753
    From related orgs
    $0
    Other
    $37,293
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,555
    Bonus
    $0
    Other
    $198
    Deferred
    $7,422
    Nontaxable benefits
    $29,871
    Filer's total
    $220,046

  • JOHN SCHINDELE

    PHARMACIST

    Total calculated
    $219,647
    From this org
    $176,080
    From related orgs
    $0
    Other
    $43,567
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,773
    Bonus
    $18,178
    Other
    $129
    Deferred
    $6,604
    Nontaxable benefits
    $36,963
    Filer's total
    $219,647

  • BETH HARTSHORN

    PHARMACIST

    Total calculated
    $176,572
    From this org
    $160,086
    From related orgs
    $0
    Other
    $16,486
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,059
    Bonus
    $0
    Other
    $27
    Deferred
    $6,402
    Nontaxable benefits
    $10,084
    Filer's total
    $176,572

  • ABIGAIL SIREK

    PHARMACIST

    Total calculated
    $166,391
    From this org
    $150,399
    From related orgs
    $0
    Other
    $15,992
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,381
    Bonus
    $0
    Other
    $18
    Deferred
    $6,015
    Nontaxable benefits
    $9,977
    Filer's total
    $166,391

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 committee
  • 3 · Independent compensation consultant
  • 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

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
2023
Filed
13 August 2025
IRS schema version
2023v6.0
Source object
202542269349301434

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