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Nonprofiteer
← GRANT REGIONAL HEALTH CENTER INC

Form 990 for tax year 2023

Filed by GRANT REGIONAL HEALTH CENTER INC.

Totals

Total revenue
$51,230,069
Total expenses
$49,045,014
Contributions and grants received
$629,305
Grants paid
$41,000
Program service revenue
$49,974,485
Investment income
$619,603
Other revenue
$6,676
Total assets, end of year
$78,164,623
Total liabilities, end of year
$35,969,572
Net assets or fund balances, end of year
$42,195,051
Program services expenses (Part IX)
$39,813,300
Management and general expenses
$9,231,714
Fundraising expenses
$0
Program service expenses (Part III)
$39,813,300

Program services were 81.2% 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.

  • 1c · Fundraising events

    $51,555

  • 1f · All other contributions, gifts and grants

    $577,750

  • 1g · Noncash contributions included above

    $60,538

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $49,412,726 · related or exempt $49,303,883 · unrelated business $108,843

  • 2b · Program service revenue: DIETARY

    total $156,566 · related or exempt $156,566

  • 2c · Program service revenue: THERAPEUTIC SERVICE REVENUE

    total $100,779 · unrelated business $100,779

  • 2d · Program service revenue: CONTRACT SERVICE REVENUE

    total $35,044 · unrelated business $35,044

  • 2f · All other program service revenue

    total $269,370 · excluded $269,370

  • 3 · Investment income

    total $726,620 · excluded $726,620

  • 6a · Gross rents

    real property $53,384

  • 6b · Less rental expenses

    real property $43,874

  • 6c · Rental income or loss

    real property $9,510

  • 6d · Net rental income or loss

    total $9,510 · excluded $9,510

  • 7a · Gross sales of assets other than inventory

    securities $12,307,942 · other assets $21,950

  • 7b · Less cost or other basis and sales expenses

    securities $12,357,615 · other assets $79,294

  • 7c · Gain or loss

    securities -$49,673 · other assets -$57,344

  • 7d · Net gain or loss

    total -$107,017 · excluded -$107,017

  • 8a · Fundraising events: gross income

    $20,040

  • 8a · Fundraising events: contributions included on line 1c

    $51,555

  • 8b · Fundraising events: direct expenses

    $22,874

  • 8c · Net income from fundraising events

    total -$2,834 · excluded -$2,834

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $25,000 · program services $25,000

  • 2 · Grants to domestic individuals

    total $16,000 · program services $16,000

  • 5 · Compensation of officers, directors and key employees

    total $817,576 · management and general $817,576

  • 7 · Other salaries and wages

    total $21,507,562 · program services $18,916,624 · management and general $2,590,938

  • 8 · Pension plan contributions

    total $845,332 · program services $693,403 · management and general $151,929

  • 9 · Other employee benefits

    total $3,804,503 · program services $3,047,534 · management and general $756,969

  • 10 · Payroll taxes

    total $1,402,306 · program services $1,106,680 · management and general $295,626

  • 11b · Fees: legal

    total $50,272 · management and general $50,272

  • 11c · Fees: accounting

    total $64,050 · management and general $64,050

  • 11d · Fees: lobbying

    total $5,468 · management and general $5,468

  • 11f · Fees: investment management

    total $57,285 · management and general $57,285

  • 11g · Fees: other

    total $2,673,228 · program services $2,179,763 · management and general $493,465

  • 12 · Advertising and promotion

    total $378,919 · program services $36,226 · management and general $342,693

  • 13 · Office expenses

    total $710,535 · program services $440,151 · management and general $270,384

  • 14 · Information technology

    total $1,837,487 · management and general $1,837,487

  • 16 · Occupancy

    total $487,586 · program services $479,695 · management and general $7,891

  • 17 · Travel

    total $20,669 · program services $18,458 · management and general $2,211

  • 19 · Conferences, conventions and meetings

    total $60,734 · program services $56,451 · management and general $4,283

  • 20 · Interest

    total $814,512 · program services $691,270 · management and general $123,242

  • 22 · Depreciation, depletion and amortization

    total $3,452,395 · program services $2,930,021 · management and general $522,374

  • 23 · Insurance

    total $269,529 · program services $70,795 · management and general $198,734

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $6,395,136 · program services $6,387,147 · management and general $7,989

  • 24b · Other expenses: EQUIPMENT RENTAL AND RE

    total $1,231,040 · program services $1,190,150 · management and general $40,890

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $627,621 · program services $627,621

  • 24d · Other expenses: SUBSCRIPTIONS AND LICEN

    total $375,747 · program services $106,974 · management and general $268,773

  • 24e · All other expenses

    total $1,114,522 · program services $793,337 · management and general $321,185

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $221,609 · end of year $243,241

  • 2 · Savings and temporary cash investments

    beginning of year $13,735,388 · end of year $16,058,230

  • 4 · Accounts receivable

    beginning of year $6,815,135 · end of year $6,232,983

  • 8 · Inventories for sale or use

    beginning of year $1,216,770 · end of year $952,420

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,412,348 · end of year $2,203,159

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

    $69,028,032

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

    $31,313,070

  • 10c · Land, buildings and equipment, net

    beginning of year $36,926,691 · end of year $37,714,962

  • 11 · Investments: publicly traded securities

    beginning of year $14,059,702 · end of year $13,625,857

  • 15 · Other assets

    beginning of year $369,238 · end of year $1,133,771

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,407,955 · end of year $3,473,687

  • 19 · Deferred revenue

    beginning of year $63,247 · end of year $60,184

  • 20 · Tax-exempt bond liabilities

    beginning of year $33,813,933 · end of year $32,395,575

  • 23 · Secured mortgages and notes payable

    beginning of year $20,921 · end of year $0

  • 25 · Other liabilities

    beginning of year $91,657 · end of year $40,126

  • 27 · Net assets without donor restrictions

    beginning of year $39,084,982 · end of year $41,928,366

  • 28 · Net assets with donor restrictions

    beginning of year $274,186 · end of year $266,685

Mission and programs · 2023

Mission

TOGETHER WE ARE DEDICATED TO IMPROVE THE HEALTH AND WELLNESS OF ALL GENERATIONS THROUGH HIGH QUALITY, COMPASSIONATE, AND PATIENT-CENTERED CARE.

Activities or mission (Part I)

WE ARE THE REGION'S FIRST CHOICE FOR EXCEPTIONAL HEALTHCARE SERVICES.

  • GRANT REGIONAL HEALTH CENTER, INC. ("GRANT REGIONAL") PROVIDES HEALTH CARE SERVICES AND OTHER SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY, INCLUDING THE HEALTH OF LOW-INCOME PATIENTS. THE ORGANIZATION OPERATES A CRITICAL ACCESS HOSPITAL WHICH PROVIDES INPATIENT ACUTE CARE AND SWING BED SERVICES; ALONG WITH AN EMERGENCY DEPARTMENT, WHICH IS OPEN TWENTY-FOUR HOURS PER DAY; AND OTHER OUTPATIENT SERVICES. AMONG THE SERVICES PROVIDED ARE DIAGNOSTIC CARE INCLUDING LABORATORY AND RADIOLOGY SERVICES, OBSTETRICS, REHABILITATION, SURGICAL SERVICES, AND WALK-IN CARE. GRANT REGIONAL ALSO HAS RELATIONSHIPS WITH REGIONAL CENTERS IN MADISON, WISCONSIN AND DUBUQUE, IOWA WHO COME TO THE FACILITY ON A REGULAR BASIS TO PROVIDE SPECIALTY SERVICES. GRANT REGIONAL'S LOCAL AND CONTRACTED SPECIALTY SERVICES INCLUDE, BUT ARE NOT LIMITED TO: AUDIOLOGY, OPHTHALMOLOGY, ORTHOPEDICS, UROLOGY, ENT, AND NEUROLOGY. DURING 2023, GRANT REGIONAL HAD 838 ROUTINE MED/SURG PATIENT DAYS, 894 SWING BED DAYS, 250 NURSERY DAYS, 294 OBSTETRIC DAYS, AND 16 DAYS OF ROUTINE HOSPICE CARE FOR INPATIENT CARE AND PROVIDED 8,344 VISITS TO PATIENTS NEEDING EMERGENCY OR URGENT CARE IN THE EMERGENCY DEPARTMENT. GRANT REGIONAL ALSO OPERATES TWO SATELLITE CLINICS IN POTOSI AND CASSVILLE. OUR TWO HOMETOWN CLINICS PROVIDE IMPORTANT HEALTHCARE SERVICES FOR SURROUNDING COMMUNITIES. THE CLOSE PROXIMITY HELPS THOSE WHO HAVE DIFFICULTY WITH TRANSPORTATION GET THE IMPORTANT HEALTH CARE THEY REQUIRE WITH LESS TRAVEL.CONSISTENT WITH THE MISSION OF GRANT REGIONAL, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE EITHER UNDERINSURED OR CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID HOSPITAL SERVICES, ARE ALSO CONSIDERED PART OF GRANT REGIONAL'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE.PATIENTS WHO MEET CERTAIN CRITERIA FOR CHARITY CARE, BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE AT A SIGNIFICANTLY REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN GRANT REGIONAL'S COMMUNITY CARE POLICY, AND FROM APPLICATIONS COMPLETED BY PATIENTS. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS POLICY FOR 2023 TOTALED APPROXIMATELY $288,000. IN ADDITION, PATIENT CHARGES TO BENEFICIARIES OF THE WISCONSIN MEDICAID PROGRAM WERE REDUCED BY APPROXIMATELY $6,240,000 IN DISCOUNTS IN 2023. (SEE ALSO SCHEDULE H TO THE FORM 990 FOR ADDITIONAL INFORMATION ON THE COST OF PROVIDING THESE MEDICAL SERVICES TO MEMBERS OF THE COMMUNITY.)IN ADDITION TO THE VARIOUS INPATIENT, OUTPATIENT, AND CHARITY CARE SERVICES, GRANT REGIONAL PROVIDED NUMEROUS BENEFITS TO ITS SURROUNDING COMMUNITIES. GRANT REGIONAL PROVIDED EDUCATION ON TOPICS SUCH AS BREASTFEEDING, CANCER, DIABETES, HEART DISEASE, AND WOMEN'S HEALTH. HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, CHOLESTEROL, DIABETES, HEARING, MAMMOGRAPHY, AND WOMEN'S HEALTH WERE ALSO PROVIDED. (SEE ALSO SCHEDULE H TO THE FORM 990 FOR INFORMATION ON THE COST OF PROVIDING THESE SERVICES IN THE COMMUNITY AND SURROUNDING AREAS.)GRANT REGIONAL ALSO PROVIDES ON-THE-JOB EDUCATION TO COLLEGE STUDENTS PURSUING CAREERS IN HEALTH CARE. STUDENTS ARE MENTORED DURING THEIR TIME AT THE FACILITY BY EMPLOYEES OF GRANT REGIONAL AND GRANT REGIONAL PROVIDES PRACTICAL EXPERIENCE THROUGH ITS CARE ENVIRONMENT FOR STUDENTS TO USE THROUGHOUT THEIR FUTURE CAREERS IN THE NURSING SERVICES FIELD.

    Expenses $39,813,300 · Grants $41,000 · Revenue $49,483,323

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Tom Gildersleeve

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Jason Kenney

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Robert Hoffman

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Craig Bierman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Andy Buttles

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Rich Dhyanchand

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Jessica Hermsen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Mark Hoehne

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Sarah Kirschbaum

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Dr Eric Stader

    DIRECTOR/PHYSICIAN

    Total calculated
    $128,400
    From this org
    $128,400
    From related orgs
    $0
    Other
    $0
    Hours/week
    24

  • Kris Wolf

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • David Smith

    PRESIDENT/CEO

    Total calculated
    $408,534
    From this org
    $355,976
    From related orgs
    $0
    Other
    $52,558
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $333,101
    Bonus
    $22,875
    Other
    $0
    Deferred
    $18,150
    Nontaxable benefits
    $34,408
    Filer's total
    $408,534

  • Joel Gehling

    CHIEF FINANCIAL OFFICER

    Total calculated
    $220,995
    From this org
    $194,234
    From related orgs
    $0
    Other
    $26,761
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,234
    Bonus
    $0
    Other
    $0
    Deferred
    $5,417
    Nontaxable benefits
    $21,344
    Filer's total
    $220,995

  • Tamara Chambers

    CHIEF CLINICAL OFFICER

    Total calculated
    $188,047
    From this org
    $176,951
    From related orgs
    $0
    Other
    $11,096
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,951
    Bonus
    $0
    Other
    $0
    Deferred
    $9,732
    Nontaxable benefits
    $1,364
    Filer's total
    $188,047

  • Bradley G Binsfeld

    ORTHOPEDIC SURGEON

    Total calculated
    $724,192
    From this org
    $693,766
    From related orgs
    $0
    Other
    $30,426
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $643,676
    Bonus
    $50,000
    Other
    $90
    Deferred
    $18,000
    Nontaxable benefits
    $12,426
    Filer's total
    $724,192

  • Darren W Perttu

    SURGEON

    Total calculated
    $899,036
    From this org
    $849,466
    From related orgs
    $0
    Other
    $49,570
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $602,501
    Bonus
    $212,360
    Other
    $34,605
    Deferred
    $18,150
    Nontaxable benefits
    $31,420
    Filer's total
    $899,036

  • Dale R Chilson

    PHYSICIAN/SURGEON

    Total calculated
    $821,538
    From this org
    $793,484
    From related orgs
    $0
    Other
    $28,054
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $793,088
    Bonus
    $0
    Other
    $396
    Deferred
    $6,923
    Nontaxable benefits
    $21,131
    Filer's total
    $821,538

  • Kimberly A Perttu

    PHYSICIAN

    Total calculated
    $485,233
    From this org
    $462,727
    From related orgs
    $0
    Other
    $22,506
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $327,123
    Bonus
    $95,514
    Other
    $40,090
    Deferred
    $18,150
    Nontaxable benefits
    $4,356
    Filer's total
    $485,233

  • David Eduardo Casillas

    PHYSICIAN

    Total calculated
    $408,757
    From this org
    $386,676
    From related orgs
    $0
    Other
    $22,081
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $331,389
    Bonus
    $20,000
    Other
    $35,287
    Deferred
    $0
    Nontaxable benefits
    $22,081
    Filer's total
    $408,757

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 · Form 990 of other organizations
  • 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
11 November 2024
IRS schema version
2023v5.1
Source object
202433179349304558

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