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← MEMORIAL COMMUNITY HOSPITAL CORPORATION

Form 990 for tax year 2023

Filed by MEMORIAL COMMUNITY HOSPITAL CORPORATION.

Totals

Total revenue
$54,123,435
Total expenses
$47,029,362
Contributions and grants received
$365,246
Grants paid
$0
Program service revenue
$50,570,975
Investment income
$401,719
Other revenue
$2,785,495
Total assets, end of year
$63,204,493
Total liabilities, end of year
$11,549,306
Net assets or fund balances, end of year
$51,655,187
Program services expenses (Part IX)
$33,792,272
Management and general expenses
$13,237,090
Fundraising expenses
$0
Program service expenses (Part III)
$33,792,272

Program services were 71.9% 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

    $102,160

  • 1e · Government grants (contributions)

    $263,011

  • 1f · All other contributions, gifts and grants

    $75

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $50,570,975 · related or exempt $50,570,975

  • 3 · Investment income

    total $419,650 · excluded $419,650

  • 6a · Gross rents

    real property $117,193

  • 6b · Less rental expenses

    real property $1,230

  • 6c · Rental income or loss

    real property $115,963

  • 6d · Net rental income or loss

    total $115,963 · excluded $115,963

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

    other assets $17,931

  • 7c · Gain or loss

    other assets -$17,931

  • 7d · Net gain or loss

    total -$17,931 · excluded -$17,931

  • 11a · Other revenue: PHARMACY

    total $2,532,626 · excluded $2,532,626

  • 11b · Other revenue: DIETARY

    total $72,512 · excluded $72,512

  • 11c · Other revenue: OTHER MISC REVENUES

    total $64,394 · excluded $64,394

  • 11e · Other revenue, total

    $2,669,532

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $23,024,309 · program services $16,402,457 · management and general $6,621,852

  • 8 · Pension plan contributions

    total $518,360 · program services $369,278 · management and general $149,082

  • 9 · Other employee benefits

    total $2,489,727 · program services $1,773,675 · management and general $716,052

  • 10 · Payroll taxes

    total $1,393,479 · program services $992,711 · management and general $400,768

  • 11a · Fees: management

    total $500,000 · management and general $500,000

  • 11b · Fees: legal

    total $15,542 · management and general $15,542

  • 11c · Fees: accounting

    total $42,300 · management and general $42,300

  • 11d · Fees: lobbying

    total $7,246 · program services $7,246

  • 11g · Fees: other

    total $1,785,045 · program services $1,332,828 · management and general $452,217

  • 12 · Advertising and promotion

    total $121,369 · program services $86,463 · management and general $34,906

  • 13 · Office expenses

    total $59,167 · program services $48,800 · management and general $10,367

  • 16 · Occupancy

    total $534,849 · program services $534,849

  • 17 · Travel

    total $15,563 · program services $4,497 · management and general $11,066

  • 19 · Conferences, conventions and meetings

    total $147,977 · program services $136,479 · management and general $11,498

  • 20 · Interest

    total $291,610 · program services $291,610

  • 22 · Depreciation, depletion and amortization

    total $2,541,991 · program services $2,526,543 · management and general $15,448

  • 23 · Insurance

    total $288,465 · management and general $288,465

  • 24a · Other expenses: SUPPLIES

    total $8,291,808 · program services $6,817,854 · management and general $1,473,954

  • 24b · Other expenses: PURCHASED SERVICES

    total $3,728,336 · program services $1,726,559 · management and general $2,001,777

  • 24c · Other expenses: EQUIPMENT RENTAL AND MA

    total $843,770 · program services $593,076 · management and general $250,694

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $177,584 · program services $111,996 · management and general $65,588

  • 24e · All other expenses

    total $210,865 · program services $35,351 · management and general $175,514

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $20,764,874 · end of year $26,134,868

  • 4 · Accounts receivable

    beginning of year $9,634,550 · end of year $11,335,576

  • 8 · Inventories for sale or use

    beginning of year $667,753 · end of year $792,139

  • 9 · Prepaid expenses and deferred charges

    beginning of year $185,365 · end of year $232,194

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

    $66,174,627

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

    $48,170,785

  • 10c · Land, buildings and equipment, net

    beginning of year $18,758,451 · end of year $18,003,842

  • 11 · Investments: publicly traded securities

    beginning of year $6,280,959 · end of year $6,344,081

  • 15 · Other assets

    beginning of year $372,571 · end of year $361,793

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,577,504 · end of year $5,431,440

  • 20 · Tax-exempt bond liabilities

    beginning of year $6,576,742 · end of year $5,372,919

  • 25 · Other liabilities

    beginning of year $1,419,407 · end of year $744,947

  • 27 · Net assets without donor restrictions

    beginning of year $44,090,870 · end of year $51,655,187

Mission and programs · 2023

Mission

AS A COMMUNITY HOSPITAL, MEMORIAL COMMUNITY HOSPITAL AND HEALTH SYSTEM OF BLAIR HAS STAYED COMMITTED TO KEEPING RESIDENTS OF WASHINGTON AND BURT COUNTY IN GOOD HEALTH. MEMORIAL COMMUNITY HOSPITAL HAS STRIVEN TO IMPROVE THE HEALTH STATUS OF RURAL NEBRASKA RESIDENTS THROUGH THE FOLLOWING SERVICES: 24-HOUR EMERGENCY CARE WITH HELIPORT ACCOMMODATIONS, LABOR AND DELIVERY AND CARDIOVASCULAR. CARDIOVASCULAR SERVICES INCLUDE THE FOLLOWING NON-INVASIVE DIAGNOSTICS STUDIES SUCH AS EKG, TELEMETRY MONITORING, TREADMILL STRESS TESTING, ECHO CARDIOGRAM, AND STRESS ECHO CARDIOGRAM. MEMORIAL COMMUNITY HOSPITAL AND HEALTH SYSTEM PROVIDES A VARIETY OF SPECIALTY CLINICS LOCATED IN BLAIR. ALLERGY/ASTHMA/IMMUNOLOGY, PAIN MANAGEMENT/ANESTHESIA, CARDIOLOGY, ENDOCRINOLOGY, ENT, GENERAL SURGERY, OB/GYN, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, ONCOLOGY, ORTHOPEDICS, ORTHOTICS/PROSTHETICS, PLASTIC SURGERY, DERMATOLOGY, AND PODIATRY.

Activities or mission (Part I)

AS AN ENGAGED TEAM OF PHYSICIANS, MEDICAL PROFESSIONALS, AND SUPPORT STAFF WE ARE COMMITTED TO DELIVERING STATE-OF-THE-ART HEALTH CARE TAILORED TO OUR UNIQUE COMMUNITY AND SECOND TO NONE IN THE AREA.

  • MEMORIAL COMMUNITY HOSPITAL OF BLAIR PROVIDES HEALTH CLINICS FOR THE RESIDENTS OF BLAIR AND SURROUNDING COMMUNITIES WITH HEALTH CARE PROVIDERS IN A VARIETY OF MEDICAL SPECIALTIES. THE HEALTH CLINICS REVENUE OF $8,736,167 IS THE GROSS REVENUE AFTER CONTRACTUAL ADJUSTMENTS.

    Expenses $5,971,164 · Revenue $8,736,167

  • MEMORIAL COMMUNITY HOSPITAL OF BLAIR PROVIDES THE RESIDENTS OF BLAIR AND SURROUNDING COMMUNITIES 24 HOUR EMERGENCY ROOM SERVICES. THE EMERGENCY SERVICES REVENUE OF $4,114,911 IS THE GROSS REVENUE AFTER CONTRACTUAL ADJUSTMENTS.

    Expenses $1,799,383 · Revenue $4,114,911

  • MEMORIAL COMMUNITY HOSPITAL OF BLAIR PROVIDES THE RESIDENTS OF BLAIR AND SURROUNDING COMMUNITIES WITH A VARIETY OF THERAPY SERVICES, INCLUDING PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, SLEEP STUDIES, AND RESPIRATORY THERAPY. THE THERAPY SERVICES REVENUE OF $5,177,402 IS THE GROSS REVENUE AFTER CONTRACTUAL ADJUSTMENTS.

    Expenses $2,273,364 · Revenue $5,177,402

  • Expenses $23,748,361 · Revenue $32,542,495

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

Listed in Part VII

  • John Simonson MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $321,092
    From this org
    $312,627
    From related orgs
    $0
    Other
    $8,465
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $223,693
    Bonus
    $88,934
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $8,465
    Filer's total
    $321,092
  • Sarah Chatt

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Neil Smith

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Kyle Acre

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Sandra Baumberger MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $290,767
    From this org
    $277,694
    From related orgs
    $0
    Other
    $13,073
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,231
    Bonus
    $63,463
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $13,073
    Filer's total
    $290,767
  • Robin Conyers

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Gregg Drabek MD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    25
  • Lori Nahnsen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Manuela Wolf

    PRESIDENT & CEO

    Total calculated
    $0
    Hours/week
    40 + 1 related
  • Tim Schnack

    FORMER CFO (TERMED 09/23)

    Total calculated
    $0
    Hours/week
    40 + 1 related
  • Jennifer Newby

    CFO

    Total calculated
    $0
    Hours/week
    40 + 1 related
  • Kevin Sisk MD

    PHYSICIAN

    Total calculated
    $551,088
    From this org
    $539,665
    From related orgs
    $0
    Other
    $11,423
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,546
    Bonus
    $270,119
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $11,423
    Filer's total
    $551,088
  • Tony Tran

    CRNA

    Total calculated
    $373,204
    From this org
    $360,131
    From related orgs
    $0
    Other
    $13,073
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $351,798
    Bonus
    $8,333
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $13,073
    Filer's total
    $373,204
  • Jeremy Lee MD

    PHYSICIAN

    Total calculated
    $376,780
    From this org
    $372,311
    From related orgs
    $0
    Other
    $4,469
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $361,978
    Bonus
    $10,333
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $4,469
    Filer's total
    $376,780
  • Santosh Kumar MD

    PHYSICIAN

    Total calculated
    $372,042
    From this org
    $357,826
    From related orgs
    $0
    Other
    $14,216
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $346,326
    Bonus
    $11,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,216
    Filer's total
    $372,042
  • Amanda Duxbury MD

    PHYSICIAN

    Total calculated
    $320,056
    From this org
    $308,553
    From related orgs
    $0
    Other
    $11,503
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,635
    Bonus
    $57,918
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $11,503
    Filer's total
    $320,056

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

  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 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
DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE CEO WAS ESTABLISHED AND PAID BY CHI HEALTH, AN UNRELATED ORGANIZATION. CHI HEALTH USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE.
PART I, LINE 5
ON A QUARTERLY BASIS, PHYSICIANS ARE ELIGIBLE FOR A BONUS IF THEIR OWN PERSONAL GROSS REVENUE PRODUCTION (WITH CERTAIN LIMITS ON WHAT IS INCLUDED) EXCEED A THRESHOLD. THEY THEN GET X% OF THE AMOUNT OVER THAT GROSS REVENUE THRESHOLD. THEY ARE ALSO ELIGIBLE FOR A KEY PERFORMANCE INDICATOR (KPI) ANNUAL BONUS ONLY IF THE COMBINED EBIDA (MCH AND ITS RELATED ORGANIZATION) TARGET IS ACHIEVED. THE KPI ANNUAL BONUSES ARE NOT BASED ON THE PHYSICIANS' SALARIES BUT BASED ON HOW THEY PERFORM ON THE 5 METRICS OF THE KPI PLAN. MCH PHYSICIANS ARE ELIGIBLE FOR A KEY PERFORMANCE INDICATOR (KPI) ANNUAL BONUS ONLY IF THE COMBINED EBIDA (MCH AND ITS RELATED ORGANIZATION) TARGET IS ACHIEVED. THE KPI ANNUAL BONUSES ARE NOT BASED ON THE PHYSICIANS' SALARIES BUT BASED ON HOW THEY PERFORM ON THE 5 METRICS OF THE KPI PLAN.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202403199349306505

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