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Nonprofiteer
← CITIZENS MEDICAL CENTER INC EMPLOYEE BENEFIT TR

Form 990 for tax year 2024

Filed by CITIZENS MEDICAL CENTER INC EMPLOYEE BENEFIT TR.

Totals

Total revenue
$67,418,722
Total expenses
$71,302,352
Contributions and grants received
$1,087,704
Grants paid
$13,380
Program service revenue
$64,924,722
Investment income
$261,825
Other revenue
$1,144,471
Total assets, end of year
$154,270,469
Total liabilities, end of year
$132,298,469
Net assets or fund balances, end of year
$21,972,000
Program services expenses (Part IX)
$60,431,200
Management and general expenses
$10,777,685
Fundraising expenses
$93,467
Program service expenses (Part III)
$60,431,200

Program services were 84.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BOB STANDAGE

    TRUSTEE /CHAIR

    Total calculated
    $0
    Hours/week
    4

  • LON FRAHM

    TRUSTEE/VICE CHAIR

    Total calculated
    $0
    Hours/week
    4

  • MICHAEL HAMILTON

    TRUSTEE/TREASURER

    Total calculated
    $0
    Hours/week
    4

  • Nichole Moss

    TRUSTEE/Secretary

    Total calculated
    $0
    Hours/week
    4

  • Dr Sam Funk

    Trustee

    Total calculated
    $0
    Hours/week
    4

  • JEANENE BROWN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    4

  • Paul Bange

    Trustee

    Total calculated
    $0
    Hours/week
    4

  • DAVID MCCORKLE

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $302,875
    From this org
    $266,211
    From related orgs
    $0
    Other
    $36,664
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $265,941
    Bonus
    $0
    Other
    $270
    Deferred
    $12,483
    Nontaxable benefits
    $24,181
    Filer's total
    $302,875

  • RYAN STOVER

    CHIEF FINANCIAL OFFICER

    Total calculated
    $198,161
    From this org
    $175,160
    From related orgs
    $0
    Other
    $23,001
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $172,570
    Bonus
    $0
    Other
    $2,590
    Deferred
    $9,459
    Nontaxable benefits
    $13,542
    Filer's total
    $198,161

  • BRENDA KOPRIVA

    PHYSICIAN

    Total calculated
    $463,239
    From this org
    $422,039
    From related orgs
    $0
    Other
    $41,200
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $397,641
    Bonus
    $24,000
    Other
    $398
    Deferred
    $13,579
    Nontaxable benefits
    $27,621
    Filer's total
    $463,239

  • DARREN MATCHELL

    PHYSICIAN

    Total calculated
    $437,162
    From this org
    $400,134
    From related orgs
    $0
    Other
    $37,028
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $398,844
    Bonus
    $0
    Other
    $1,290
    Deferred
    $17,702
    Nontaxable benefits
    $19,326
    Filer's total
    $437,162

  • DERECK TOTTEN

    PHYSICIAN

    Total calculated
    $377,725
    From this org
    $333,357
    From related orgs
    $0
    Other
    $44,368
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $323,057
    Bonus
    $10,000
    Other
    $300
    Deferred
    $17,521
    Nontaxable benefits
    $26,847
    Filer's total
    $377,725

  • Kysha Totten

    Physician

    Total calculated
    $351,461
    From this org
    $329,855
    From related orgs
    $0
    Other
    $21,606
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $319,585
    Bonus
    $10,000
    Other
    $270
    Deferred
    $16,428
    Nontaxable benefits
    $5,178
    Filer's total
    $351,461

  • Stevan Budi

    Physician

    Total calculated
    $473,865
    From this org
    $448,755
    From related orgs
    $0
    Other
    $25,110
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $448,755
    Bonus
    $0
    Other
    $0
    Deferred
    $7,051
    Nontaxable benefits
    $18,059
    Filer's total
    $473,865

  • GREG UNRUH

    FORMER CEO

    Total calculated
    $186,813
    From this org
    $164,031
    From related orgs
    $0
    Other
    $22,782
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,455
    Bonus
    $0
    Other
    $4,576
    Deferred
    $8,729
    Nontaxable benefits
    $14,053
    Filer's total
    $186,813

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 · Approval by the board or compensation committee
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 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)

Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization
DERECK TOTTEN, KYSHA TOTTEN AND BRENDA KOPRIVA RECEIVED A BONUS IN 2024 BASED ON THE REVENUES OF THE ORGANIZATION.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization
DAVID MCCORKLE AND RYAN STOVER ARE COMPENSATED BY CITIZENS MEDICAL CENTER, INC., AND HAVE A BONUS ARRANGEMENT THAT IS BASED ON FOUR AREAS: PATIENT SATISFACTION, NET MARGIN, AR DAYS BELOW 60, AND DOCTOR TO DOOR AVERAGE TIME.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MED-SERV INC

    C Corporation · INACTIVE · KS · 100% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by CMCI

Provenance

Return type
form_990
Tax year
2024
Filed
15 November 2025
IRS schema version
2024v5.1
Source object
202513199349302096

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