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Nonprofiteer
← PLATTE COMMUNITY MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by PLATTE COMMUNITY MEMORIAL HOSPITAL INC.

Totals

Total revenue
$21,787,771
Total expenses
$16,690,297
Contributions and grants received
$3,047,336
Grants paid
$2,921
Program service revenue
$18,308,559
Investment income
$339,379
Other revenue
$92,497
Total assets, end of year
$31,733,413
Total liabilities, end of year
$7,309,066
Net assets or fund balances, end of year
$24,424,347
Program services expenses (Part IX)
$14,118,839
Management and general expenses
$2,571,458
Fundraising expenses
$0
Program service expenses (Part III)
$14,118,839

Program services were 84.6% 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.

  • 1e · Government grants (contributions)

    $3,036,768

  • 1f · All other contributions, gifts and grants

    $10,568

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $12,377,817 · related or exempt $12,377,817

  • 2b · Program service revenue: NURSING HOME REVENUE

    total $2,805,936 · related or exempt $2,805,936

  • 2c · Program service revenue: CLINIC REVENUE

    total $1,925,906 · related or exempt $1,925,906

  • 2d · Program service revenue: PHARMACY REVENUE

    total $1,072,323 · related or exempt $1,072,323

  • 2f · All other program service revenue

    total $126,577 · related or exempt $126,577

  • 3 · Investment income

    total $295,349 · excluded $295,349

  • 6a · Gross rents

    real property $92,497

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $92,497

  • 6d · Net rental income or loss

    total $92,497 · excluded $92,497

  • 7a · Gross sales of assets other than inventory

    securities $44,030

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

    securities $0

  • 7c · Gain or loss

    securities $44,030

  • 7d · Net gain or loss

    total $44,030 · excluded $44,030

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,921 · program services $2,921

  • 5 · Compensation of officers, directors and key employees

    total $439,963 · management and general $439,963

  • 6 · Compensation of disqualified persons

    total $55,537 · program services $55,537

  • 7 · Other salaries and wages

    total $8,338,744 · program services $7,932,269 · management and general $406,475

  • 8 · Pension plan contributions

    total $341,243 · program services $327,835 · management and general $13,408

  • 9 · Other employee benefits

    total $1,693,438 · program services $1,595,362 · management and general $98,076

  • 10 · Payroll taxes

    total $561,419 · program services $511,939 · management and general $49,480

  • 11b · Fees: legal

    total $18,073 · management and general $18,073

  • 11c · Fees: accounting

    total $362,500 · program services $10,137 · management and general $352,363

  • 11g · Fees: other

    total $882,912 · program services $607,198 · management and general $275,714

  • 12 · Advertising and promotion

    total $27,631 · program services $7,224 · management and general $20,407

  • 13 · Office expenses

    total $432,061 · program services $359,341 · management and general $72,720

  • 14 · Information technology

    total $447,718 · program services $35,374 · management and general $412,344

  • 16 · Occupancy

    total $432,905 · program services $417,256 · management and general $15,649

  • 17 · Travel

    total $38,992 · program services $35,679 · management and general $3,313

  • 19 · Conferences, conventions and meetings

    total $45,757 · program services $24,928 · management and general $20,829

  • 20 · Interest

    total $218,254 · program services $160,063 · management and general $58,191

  • 22 · Depreciation, depletion and amortization

    total $839,711 · program services $655,187 · management and general $184,524

  • 23 · Insurance

    total $101,429 · program services $21,719 · management and general $79,710

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $952,990 · program services $952,845 · management and general $145

  • 24b · Other expenses: EQUIPMENT AND REPAIRS

    total $305,081 · program services $301,011 · management and general $4,070

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $44,995 · program services $28,166 · management and general $16,829

  • 24e · All other expenses

    total $106,023 · program services $76,848 · management and general $29,175

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $5,976,430 · end of year $8,029,245

  • 4 · Accounts receivable

    beginning of year $2,124,372 · end of year $1,713,626

  • 8 · Inventories for sale or use

    beginning of year $278,376 · end of year $252,397

  • 9 · Prepaid expenses and deferred charges

    beginning of year $114,721 · end of year $126,762

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

    $20,463,980

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

    $13,977,632

  • 10c · Land, buildings and equipment, net

    beginning of year $6,539,242 · end of year $6,486,348

  • 11 · Investments: publicly traded securities

    beginning of year $1,110,969 · end of year $1,155,408

  • 12 · Investments: other securities

    beginning of year $9,356,925 · end of year $9,998,287

  • 13 · Investments: program-related

    beginning of year $172,968 · end of year $270,817

  • 15 · Other assets

    beginning of year $570,698 · end of year $3,700,523

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,523,623 · end of year $1,742,652

  • 19 · Deferred revenue

    beginning of year $153,603

  • 21 · Escrow or custodial account liability

    beginning of year $803 · end of year $425

  • 23 · Secured mortgages and notes payable

    beginning of year $5,592,715 · end of year $5,190,486

  • 25 · Other liabilities

    beginning of year $292,667 · end of year $375,503

  • 27 · Net assets without donor restrictions

    beginning of year $15,862,642 · end of year $21,405,720

  • 28 · Net assets with donor restrictions

    beginning of year $2,818,648 · end of year $3,018,627

Mission and programs · 2022

Mission

PLATTE COMMUNITY MEMORIAL HOSPITAL, INC. IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES.

Activities or mission (Part I)

PROVIDE INPATIENT AND OUTPATIENT HEALTHCARE SERVICES.

  • THE PURPOSE OF THE PLATTE COMMUNITY MEMORIAL HOSPITAL, INC. IS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY OF PLATTE AND THE SURROUNDING AREAS. THE FACILITY CONSISTS OF A 17-BED CRITICAL ACCESS HOSPITAL, A 48-BED LONG-TERM CARE FACILITY, AND THREE RURAL HEALTH CLINICS IN PLATTE, GEDDES, AND WHITE LAKE, SOUTH DAKOTA. SERVICES OFFERED INCLUDE PRIMARY CARE, EMERGENCY, SAME-DAY SURGERY, CARDIAC REHAB, PHARMACY, LABORATORY, IMAGING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, TELEMEDICINE, AND NUMEROUS SPECIALTIES VIA OUTREACH PROVIDERS. INPATIENT AND OUTPATIENT STATISTICAL DATA FOR THE YEAR WERE AS FOLLOWS: 404 INPATIENT DAYS; 467 SWING BED DAYS; 10,785 LONG-TERM CARE DAYS; 8,497 OUTPATIENT VISITS; AND 10,837 CLINIC VISITS.TO FULFILL ITS MISSION OF COMMUNITY SERVICE, THE PLATTE HEALTH CENTER PROVIDES CHARITY CARE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE. CONSISTENT WITH ITS MISSION TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES, PHC STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.PHC ATTESTED TO THE PROGRAM YEAR 2022 OF MEANINGFUL USE. THIS ATTESTATION TO CMS STATES PHC HAS MET AND WILL COMPLY WITH THE REQUIREMENTS FOR MEANINGFUL USE. WITH THIS, PHC HAS ENHANCED PATIENT CARE BY IMPLEMENTING AN ELECTRONIC HEALTH RECORD SYSTEM AS WELL AS THE MANY PATIENT SAFETY MEASURES THAT COMES WITH IT.

    Expenses $14,118,839 · Grants $2,921 · Revenue $18,308,559

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dr Nelson Batoon

    PHYSICIAN

    Total calculated
    $388,468
    From this org
    $338,677
    From related orgs
    $0
    Other
    $49,791
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $337,877
    Bonus
    $0
    Other
    $800
    Deferred
    $9,462
    Nontaxable benefits
    $40,802
    Filer's total
    $388,941

  • Mark Burket

    CEO

    Total calculated
    $303,898
    From this org
    $233,862
    From related orgs
    $0
    Other
    $70,036
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,000
    Bonus
    $0
    Other
    $862
    Deferred
    $32,557
    Nontaxable benefits
    $37,781
    Filer's total
    $304,200

  • Dr Jerome Bentz

    PHYSICIAN

    Total calculated
    $300,451
    From this org
    $252,399
    From related orgs
    $0
    Other
    $48,052
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,599
    Bonus
    $0
    Other
    $800
    Deferred
    $13,131
    Nontaxable benefits
    $35,379
    Filer's total
    $300,909

  • Jeffrey Konstanz

    PHYSICIAN ASSISTANT

    Total calculated
    $265,466
    From this org
    $197,863
    From related orgs
    $0
    Other
    $67,603
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,262
    Bonus
    $11,601
    Other
    $0
    Deferred
    $30,727
    Nontaxable benefits
    $37,147
    Filer's total
    $265,737

  • Dr Lisa Mofle

    PHYSICIAN

    Total calculated
    $248,048
    From this org
    $212,143
    From related orgs
    $0
    Other
    $35,905
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $212,143
    Bonus
    $0
    Other
    $0
    Deferred
    $10,979
    Nontaxable benefits
    $25,163
    Filer's total
    $248,285

  • April Veurink

    CNP

    Total calculated
    $204,450
    From this org
    $165,644
    From related orgs
    $0
    Other
    $38,806
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,421
    Bonus
    $0
    Other
    $9,223
    Deferred
    $8,297
    Nontaxable benefits
    $30,789
    Filer's total
    $204,730

  • Vicki Jensen

    CFO

    Total calculated
    $144,684
    From this org
    $102,647
    From related orgs
    $0
    Other
    $42,037
    Hours/week
    40

  • Dennis Vanderwerff

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Jesse Block

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Jill Gustad

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Brandi Delange

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Karen Turnis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Robert Graves

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • William Millar

    DIRECTOR UNTIL 07/22

    Total calculated
    $0
    Hours/week
    1

  • Ann Johnson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kim Ehlers

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dennis Severson

    DIRECTOR BEG 11/22

    Total calculated
    $0
    Hours/week
    1

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 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

The filer's explanations (Part III)

SCHEDULE J, PART I
PHYSICIANS AND ADVANCED PRACTICE PROVIDERS CAN ACHIEVE INCENTIVE PAY BASED ON EXCEEDING PRODUCTIVITY STANDARDS AS OUTLINED IN THEIR RESPECTIVE EMPLOYMENT CONTRACTS. FOR THE CALENDAR YEAR ENDED 12/31/22, JEFFREY KONSTANZ ACHIEVED THAT BENCHMARK.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
4 April 2024
IRS schema version
2022v5.0
Source object
202401029349302000

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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