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← COMMUNITY HOSPITAL OF BREMEN INC

Form 990 for tax year 2024

Filed by COMMUNITY HOSPITAL OF BREMEN INC.

Totals

Total revenue
$31,806,633
Total expenses
$29,868,581
Contributions and grants received
$2,026
Grants paid
$0
Program service revenue
$31,547,349
Investment income
$93,873
Other revenue
$163,385
Total assets, end of year
$19,445,142
Total liabilities, end of year
$9,483,977
Net assets or fund balances, end of year
$9,961,165
Program services expenses (Part IX)
$27,397,174
Management and general expenses
$2,471,407
Fundraising expenses
$0
Program service expenses (Part III)
$27,397,174

Program services were 91.7% 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.

  • 1d · Related organizations

    $2,026

  • 2a · Program service revenue: Radiology Net Patient Revenue

    total $7,013,314 · related or exempt $7,013,314

  • 2b · Program service revenue: Other Net Patient Revenue

    total $6,386,668 · related or exempt $6,386,668

  • 2c · Program service revenue: Emergency Services

    total $6,382,213 · related or exempt $6,382,213

  • 2d · Program service revenue: Surgery Net Patient Revenue

    total $6,358,452 · related or exempt $6,358,452

  • 2e · Program service revenue: Lab Net Patient Revenue

    total $5,263,509 · related or exempt $5,263,509

  • 2f · All other program service revenue

    total $143,193 · related or exempt $143,193

  • 3 · Investment income

    total $93,873 · excluded $93,873

  • 6a · Gross rents

    real property $30,192

  • 6b · Less rental expenses

    real property $7,051

  • 6c · Rental income or loss

    real property $23,141

  • 6d · Net rental income or loss

    total $23,141 · excluded $23,141

  • 11a · Other revenue: CAFE SALES

    total $128,849 · excluded $128,849

  • 11b · Other revenue: MEALS ON WHEELS

    total $10,116 · related or exempt $10,116

  • 11c · Other revenue: MEDICAL RECORDS

    total $75 · related or exempt $75

  • 11d · All other revenue

    total $1,204 · related or exempt $1,204

  • 11e · Other revenue, total

    $140,244

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,400 · management and general $1,400

  • 7 · Other salaries and wages

    total $10,908,764 · program services $9,352,498 · management and general $1,556,266

  • 9 · Other employee benefits

    total $1,984,365 · program services $1,701,053 · management and general $283,312

  • 10 · Payroll taxes

    total $776,277 · program services $665,446 · management and general $110,831

  • 11a · Fees: management

    total $27,760 · program services $23,797 · management and general $3,963

  • 11c · Fees: accounting

    total $5,544 · management and general $5,544

  • 11d · Fees: lobbying

    total $2,726 · program services $2,337 · management and general $389

  • 11f · Fees: investment management

    total $29,675 · management and general $29,675

  • 11g · Fees: other

    total $4,314,369 · program services $4,196,575 · management and general $117,794

  • 12 · Advertising and promotion

    total $194 · program services $166 · management and general $28

  • 13 · Office expenses

    total $652,553 · program services $559,387 · management and general $93,166

  • 16 · Occupancy

    total $480,943 · program services $412,278 · management and general $68,665

  • 17 · Travel

    total $9,427 · program services $8,081 · management and general $1,346

  • 19 · Conferences, conventions and meetings

    total $1,111 · program services $952 · management and general $159

  • 20 · Interest

    total $121,464 · program services $104,122 · management and general $17,342

  • 22 · Depreciation, depletion and amortization

    total $1,018,564 · program services $873,142 · management and general $145,422

  • 23 · Insurance

    total $96,936 · program services $83,096 · management and general $13,840

  • 24a · Other expenses: Corporate Allocation Fe

    total $3,856,509 · program services $3,856,509

  • 24b · Other expenses: Patient Supplies, Drugs

    total $3,413,688 · program services $3,413,688

  • 24c · Other expenses: Hospital Assessment Fee

    total $1,071,056 · program services $1,071,056

  • 24d · Other expenses: Bad Debt Expense

    total $939,307 · program services $939,307

  • 24e · All other expenses

    total $155,949 · program services $133,684 · management and general $22,265

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,250 · end of year $1,250

  • 2 · Savings and temporary cash investments

    beginning of year $2,765,793 · end of year -$134,635

  • 4 · Accounts receivable

    beginning of year $4,407,970 · end of year $6,805,150

  • 7 · Other notes and loans receivable

    beginning of year $260,691 · end of year $287,996

  • 8 · Inventories for sale or use

    beginning of year $336,708 · end of year $403,473

  • 9 · Prepaid expenses and deferred charges

    beginning of year $50,726 · end of year $35,547

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

    $16,426,942

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

    $6,491,299

  • 10c · Land, buildings and equipment, net

    beginning of year $10,326,817 · end of year $9,935,643

  • 14 · Intangible assets

    beginning of year $1,759,124 · end of year $1,759,124

  • 15 · Other assets

    beginning of year $844,888 · end of year $351,594

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,381,290 · end of year $1,234,018

  • 23 · Secured mortgages and notes payable

    beginning of year $8,901,857 · end of year $7,809,005

  • 25 · Other liabilities

    beginning of year $307,080 · end of year $440,954

  • 27 · Net assets without donor restrictions

    beginning of year $10,163,740 · end of year $9,961,165

Mission and programs · 2024

Mission

We deliver outstanding care, inspire health and connect with heart.

  • Founded in 1948, Community Hospital Of Bremen, Inc. (CHB) is a not-for-profit, 24-bed critical access hospital serving the healthcare needs of Bremen and the surrounding communities. With the primary physician medical staff base, CHB embraces a holistic approach to patient care. Inpatient services include medical/surgical, obstetrics, physical and occupational therapy, and swing bed/skilled nursing. Outpatient services include medical/surgical and physical and occupation therapy. Services in the emergency department are available 24 hours per day. A full service CAP accredited laboratory and comprehensive radiology department meets the diagnostic testing needs of inpatients and outpatients. The physicians also provide primary care and specialty care services such as cardiology, orthopedics, urology, gynecology, podiatry, and more through hospital-based outpatient clinics. In additional, the Hospital provides the following programs: - free care and/or subsidized care - care provided to persons covered by governmental programs at/or below cost - other health activities and programs to support the community such as wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities.

    Expenses $27,397,174 · Revenue $31,558,744

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kreg R Gruber

    CEO

    Total calculated
    $2,136,422
    From this org
    $0
    From related orgs
    $1,848,714
    Other
    $287,708
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,081,233 related
    Bonus
    $0 + $557,131 related
    Other
    $0 + $210,350 related
    Deferred
    $0 + $259,693 related
    Nontaxable benefits
    $0 + $28,015 related
    Filer's total
    $0 + $2,136,422 related

  • Jeffrey P Costello

    CFO

    Total calculated
    $1,266,210
    From this org
    $0
    From related orgs
    $1,077,612
    Other
    $188,598
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $626,239 related
    Bonus
    $0 + $261,724 related
    Other
    $0 + $189,649 related
    Deferred
    $0 + $166,583 related
    Nontaxable benefits
    $0 + $22,015 related
    Filer's total
    $0 + $1,266,210 related

  • David H Bailey

    President

    Total calculated
    $476,756
    From this org
    $0
    From related orgs
    $400,833
    Other
    $75,923
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $251,789 related
    Bonus
    $0 + $105,335 related
    Other
    $0 + $43,709 related
    Deferred
    $0 + $73,071 related
    Nontaxable benefits
    $0 + $2,852 related
    Filer's total
    $0 + $476,756 related

  • Jason Marker MD

    Vice Chair, Chief Med Officer

    Total calculated
    $378,064
    From this org
    $0
    From related orgs
    $316,255
    Other
    $61,809
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $280,939 related
    Bonus
    $0 + $34,426 related
    Other
    $0 + $890 related
    Deferred
    $0 + $28,412 related
    Nontaxable benefits
    $0 + $33,397 related
    Filer's total
    $0 + $378,064 related

  • Bill Davis

    Chair

    Total calculated
    $200
    From this org
    $200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Greg Miller

    Secretary

    Total calculated
    $200
    From this org
    $200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Carol Hochstetler

    Director

    Total calculated
    $200
    From this org
    $200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Dennis Hochstetler

    Director

    Total calculated
    $200
    From this org
    $200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Anthony Wagner

    Director

    Total calculated
    $200
    From this org
    $200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Trend Weldy

    Director

    Total calculated
    $200
    From this org
    $200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Linda Yoder

    Director

    Total calculated
    $200
    From this org
    $200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Jeffrey Brinkman

    Secretary/Treasurer thru 3/31/24

    Total calculated
    $0
    Hours/week
    2

  • Alfred Alvarado

    Director thru 3/31/24

    Total calculated
    $0
    Hours/week
    2

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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 3
Community Hospital of Bremen, Inc. uses a related organization's (Beacon Health System, Inc.) compensation review process. This review process includes an extensive examination using comparable market data that is then reviewed by an independent consultant hired by, and reporting to, the board of directors. Recommendations are presented to the board for deliberation and final decision.
Part I, Line 4b
Beacon Health System implemented an executive retention plan to attract and retain key employees by providing additional deferred compensation. The Chief Executive Officer will participate in the plan and will select other participants pursuant to the guidelines set by the employer's board of directors. The employer may make contributions under the plan and has sole discretion over whether to make a contribution. Vesting occurs on January 1 of the fifth year for which such contributions are made for participants who have been continuously employed. The plan also allows vesting to occur if the participant attains the age of 62. The following individuals received vested payments in 2024, reflected in column (b)(iii): Kreg Gruber, $198,816 Jeffrey Costello, $130,545 David Bailey, $32,166 The following individuals received deferred payments in 2024 that will vest in future years, which are reflected in column c: Kreg Gruber, $215,393 Jeffrey Costello, $122,283 David Bailey, $47,692

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • South Bend Specialty Surgery Center LLC

    Ambulatory Surgery Center · IN

Related corporations and trusts

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

  • Beacon Health Ventures Inc

    C · Home Medical · IN

  • Beacon Health Ventures Michigan Inc

    C · Home Medical · MI

Provenance

Return type
form_990
Tax year
2024
Filed
7 November 2025
IRS schema version
2024v5.2
Source object
202543189349311059

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