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Nonprofiteer
← IVINSON MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by IVINSON MEMORIAL HOSPITAL.

Totals

Total revenue
$147,185,037
Total expenses
$126,708,145
Contributions and grants received
$668,080
Grants paid
$3,750,863
Program service revenue
$139,581,066
Investment income
$5,798,217
Other revenue
$1,137,674
Total assets, end of year
$365,736,374
Total liabilities, end of year
$22,758,603
Net assets or fund balances, end of year
$342,977,771
Program services expenses (Part IX)
$105,346,662
Management and general expenses
$21,083,842
Fundraising expenses
$277,641
Program service expenses (Part III)
$105,346,662

Program services were 83.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DOUG FAUS

    CEO

    Total calculated
    $0
    Hours/week
    40

  • JOSEPH STEINER

    CHAIR

    Total calculated
    $0
    Hours/week
    3

  • BRAD JACKSON

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • CATIE BALLARD

    PAST CHAIR

    Total calculated
    $0
    Hours/week
    3

  • GARY CRUM

    TREASURER

    Total calculated
    $0
    Hours/week
    3

  • DENNIS COOK

    SECRETARY

    Total calculated
    $0
    Hours/week
    3

  • PAM DUNNUCK

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JACKIE GONZALES

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • PETER GOSAR

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • STAN GUNSTREAM MD

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • ROLAND MALDONADO

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RICK MELONE

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • SHARON WEBER

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JAMES BANDS

    CFO

    Total calculated
    $365,991
    From this org
    $319,104
    From related orgs
    $0
    Other
    $46,887
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $290,256
    Bonus
    $28,848
    Other
    $0
    Deferred
    $14,081
    Nontaxable benefits
    $32,806
    Filer's total
    $365,991

  • TERRY MOSS

    COO

    Total calculated
    $294,042
    From this org
    $259,697
    From related orgs
    $0
    Other
    $34,345
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $240,946
    Bonus
    $18,751
    Other
    $0
    Deferred
    $1,539
    Nontaxable benefits
    $32,806
    Filer's total
    $294,042

  • NICOLE ROONEY

    CNO

    Total calculated
    $288,745
    From this org
    $235,439
    From related orgs
    $0
    Other
    $53,306
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,020
    Bonus
    $20,419
    Other
    $0
    Deferred
    $20,500
    Nontaxable benefits
    $32,806
    Filer's total
    $288,745

  • BURK YOUNG MD

    PHYSICIAN

    Total calculated
    $681,425
    From this org
    $665,022
    From related orgs
    $0
    Other
    $16,403
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $565,022
    Bonus
    $100,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $16,403
    Filer's total
    $681,425

  • JOHN KENNEDY MD

    PHYSICIAN

    Total calculated
    $653,631
    From this org
    $597,825
    From related orgs
    $0
    Other
    $55,806
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $597,825
    Bonus
    $0
    Other
    $0
    Deferred
    $23,000
    Nontaxable benefits
    $32,806
    Filer's total
    $653,631

  • ERIC UHLMAN MD

    PHYSICIAN

    Total calculated
    $527,838
    From this org
    $500,904
    From related orgs
    $0
    Other
    $26,934
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $500,904
    Bonus
    $0
    Other
    $0
    Deferred
    $12,074
    Nontaxable benefits
    $14,860
    Filer's total
    $527,838

  • JOHN ULLRICH MD

    PHYSICIAN

    Total calculated
    $666,646
    From this org
    $609,224
    From related orgs
    $0
    Other
    $57,422
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $505,668
    Bonus
    $0
    Other
    $103,556
    Deferred
    $27,000
    Nontaxable benefits
    $30,422
    Filer's total
    $666,646

  • PAUL JOHNSON MD

    PHYSICIAN

    Total calculated
    $506,825
    From this org
    $490,070
    From related orgs
    $0
    Other
    $16,755
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $490,070
    Bonus
    $0
    Other
    $0
    Deferred
    $15,939
    Nontaxable benefits
    $816
    Filer's total
    $506,825

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

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.

  • IMH QALICB

    501(C)(3) · SUPPORT IVINSON MEMORIAL HOSPITAL · WY · controlled entity

    Directly controlled by IMH

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.

Provenance

Return type
form_990
Tax year
2022
Filed
1 March 2024
IRS schema version
2022v5.0
Source object
202410649349301111

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