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Nonprofit · EIN 47-0408242

CHEYENNE COUNTY HOSPITAL ASSOCIATION INC

Also known as SIDNEY REGIONAL MEDICAL CENTER

Tax-exempt · SIDNEY, NE 69162

Financials

$85.6M$78.3M2023$88.5M$87.1M2024
Revenue Expenses · by fiscal year end
Financials of CHEYENNE COUNTY HOSPITAL ASSOCIATION INC by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
December 31, 2024990$88,488,589$87,136,958$1,351,631$121,972,149$60,805,763$61,166,386
December 31, 2023990$85,611,869$78,259,704$7,352,165$107,255,886$47,958,416$59,297,470
Financial details: 990 for the year ended December 31, 2024

Revenue

Contributions, gifts and grants
$1,008,404
of which government grants
$703,861
Program service revenue
$86,526,851
Investment income
$722,210
Net gain from sales of assets
-$99,086
Other revenue
$231,124

Expenses

Grants and similar amounts paid
$49,500
Compensation of officers, directors and key employees
$1,656,390
Other salaries and wages
$34,719,458
Salaries, compensation and benefits (total)
$48,067,499
Professional fundraising fees
$0
Legal fees
$99,344
Accounting fees
$66,095
Occupancy
$1,074,365
Travel
$1,183,068
Depreciation
$4,723,791
Program services (functional)
$76,404,986
Management and general (functional)
$10,731,972

Balance sheet and other

Total assets, start of year
$107,255,886
Total assets, end of year
$121,972,149
Total liabilities, end of year
$60,805,763
Net assets, end of year
$61,166,386
Land, buildings and equipment
$54,042,715
Publicly traded securities
$9,314,384
Net assets without donor restrictions
$61,166,386
Gross receipts
$88,587,675
Employees
559
Volunteers
15
Year formed
1951
State of legal domicile
NE

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended December 31, 2024, highest compensation first.

NameTitleHours / weekCompensationOther / benefits
KELLY CASEY MDSURGEON
Highest-paid employee
40$913,997$51,400
REBECCA L ALLARD MDPHYSICIAN
Highest-paid employee
40$800,348$54,929
JOSHUA CALDWELLUROLOGIST
Highest-paid employee
40$715,163$23,999
JAMES POPOVICH MDPHYSICIAN AT LARGE
Trustee or director
39$667,835$58,579
ARIEL SORIANOPHYSICIAN
Highest-paid employee
40$685,555$36,981
SARA SHOLAR MDPHYSICIAN
Highest-paid employee
40$656,189$50,738
APRIL SMITH MDCHIEF OF MEDICAL STAFF
Trustee or director
40$606,380$50,829
JASON PETIKCEO
Officer
40$413,730$0
KELLY UTLEYCFO
Officer
40$236,322$36,012
WILLIAM PILECHAIRMAN
Trustee or director, Officer
4$0$0
TIM MILLERVICE CHAIRMAN
Trustee or director, Officer
4$0$0
KATHY NARJESSECRETARY
Trustee or director, Officer
4$0$0
JEFF ELLWANGERTREASURER
Trustee or director, Officer
4$0$0
STAN BELIEUMEMBER
Trustee or director
4$0$0
NANCI MCCASLINMEMBER
Trustee or director
4$0$0
3 more people on this return
NameTitleHours / weekCompensation
CLEM SCHUMACHERMEMBER
Trustee or director
4$0
JEFF HELLERMEMBER
Trustee or director
4$0
WILLIAM ROBINSONMEMBER
Trustee or director
4$0
990 for the year ended December 31, 2023: 19 people
NameTitleHours / weekCompensationOther / benefits
KELLY CASEY MDSURGEON
Highest-paid employee
40$749,258$65,579
REBECCA L ALLARD MDPHYSICIAN
Highest-paid employee
40$710,817$58,080
SARA SHOLAR MDPHYSICIAN AT LARGE
Trustee or director
40$669,484$48,477
JAMES POPOVICH MDCHIEF OF MEDICAL STAFF
Trustee or director
39$624,896$50,829
ARIEL SORIANOPHYSICIAN
Highest-paid employee
40$614,660$21,063
THERESA SIMMONSCRNA
Highest-paid employee
40$514,624$36,551
APRIL SMITH MDHOSPITALIST
Highest-paid employee
40$492,926$52,441
KELLY UTLEYCFO
Officer
39$263,484$37,363
WILLIAM PILECHAIRMAN
Trustee or director, Officer
4$0$0
TIM MILLERVICE CHAIRMAN
Trustee or director, Officer
4$0$0
KATHY NARJESSECRETARY
Trustee or director, Officer
4$0$0
JEFF ELLWANGERTREASURER
Trustee or director, Officer
4$0$0
STAN BELIEUMEMBER
Trustee or director
4$0$0
NANCI MCCASLINMEMBER
Trustee or director
4$0$0
CLEM SCHUMACHERMEMBER
Trustee or director
4$0$0
JEFF HELLERMEMBER
Trustee or director
4$0$0
WILLIAM ROBINSONMEMBER
Trustee or director
4$0$0
DWIGHT SMITHMEMBER THRU 8/2024
Trustee or director
4$0$0
JASON PETIKCEO
Officer
40$0$0

Address and contacts

Address (IRS master file)
1000 POLE CREEK CROSSING, SIDNEY, NE 69162-2901
Principal officer (990 for 2024)
JASON PETIK, 1000 POLE CREEK CROSSING, SIDNEY, NE 691620000
Signed the 990
JASON PETIK, CEO
Phone
(308) 254-5825
Return prepared by
EIDE BAILLY LLP

Mission

TO REVOLUTIONIZE HEALTHCARE SERVICES IN THE REGION.

990 for the year ended December 31, 2024

Program accomplishments

  • SIDNEY REGIONAL MEDICAL CENTER IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY ROOM CARE SERVICE TO PATIENTS IN AND AROUND SIDNEY, NEBRASKA AND THE REGION. IT ALSO OPERATES LONG-TERM CARE FACILITIES AND TWO PROVIDER-BASED RURAL HEALTH CLINICS IN SIDNEY, NEBRASKA. DURING THE CURRENT YEAR, SRMC ALSO BEGAN PROVIDING GROUND AMBULANCE SERVICES UPON EXIT OF THE FORMER SERVICE PROVIDER.
    Expenses $66,623,985 · grants $49,500 · revenue $65,705,832
  • THE EXTENDED CARE UNIT PROVIDED CARE FOR AN AVERAGE OF 48 PATIENTS DAILY DURING 2024. SRMC PROVIDED 17,661 RESIDENT DAYS OF CARE FOR IT'S RESIDENTS FROM THE CHEYENNE, DEUEL, KIMBALL AND SURROUNDING AREAS.
    Expenses $5,180,010 · revenue $5,644,368
  • IN 2024, THE HOSPITAL NURSING DEPARTMENT PROVIDED 2,048 PATIENT DAYS OF CARE, INCLUDING GENERAL INPATIENT, ICU PATIENTS AND SWING BED PATIENTS, AND DELIVERED 71 NEWBORNS FOR THE SEVEN COUNTY AREA THAT SIDNEY REGIONAL MEDICAL CENTER (SRMC) SERVES. SRMC HAD 4,436 PATIENTS SEEK CARE IN THE EMERGENCY DEPARTMENT DURING 2024 AND CARED FOR 351 OSERVATION PATIENTS WHO NEEDED CARE BUT DID NOT QUALIFY FOR INPATIENT SERVICES UNDER CMS RULES.
    Expenses $4,600,991 · revenue $15,176,651

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025December 31, 2025May 15, 2026Not on file
2024December 31, 2024May 15, 2025990 on file
2023December 31, 2023May 15, 2024990 on file

IRS record

EIN
47-0408242
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Publicly supported organization (509(a)(2))
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
1956
Accounting year ends
December
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E220)
Assets (IRS master file)
$121,972,149
Income (IRS master file)
$88,587,675

Filing history

FormYear endedRevenueExpensesAssetsReturn
990December 2024$88,488,589$87,136,958$121,972,149IRS
990December 2023$85,611,869$78,259,704$107,255,886XML
990December 2022$69,126,772$66,372,635$97,113,837IRS
990December 2021–––IRS
990December 2020–––IRS
990December 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 47-0408242).

Questions about CHEYENNE COUNTY HOSPITAL ASSOCIATION INC

What is the EIN of CHEYENNE COUNTY HOSPITAL ASSOCIATION INC?
The employer identification number (EIN) of CHEYENNE COUNTY HOSPITAL ASSOCIATION INC is 47-0408242.
Is CHEYENNE COUNTY HOSPITAL ASSOCIATION INC tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1956.
Are donations to CHEYENNE COUNTY HOSPITAL ASSOCIATION INC tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does CHEYENNE COUNTY HOSPITAL ASSOCIATION INC file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of CHEYENNE COUNTY HOSPITAL ASSOCIATION INC due?
The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did CHEYENNE COUNTY HOSPITAL ASSOCIATION INC last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended December 2024.
Who is the principal officer of CHEYENNE COUNTY HOSPITAL ASSOCIATION INC?
The 990 for the year ended December 31, 2024 names JASON PETIK.
Who are the officers and directors of CHEYENNE COUNTY HOSPITAL ASSOCIATION INC?
The 990 for the year ended December 31, 2024 lists 18 people; 9 received compensation from the organization, the highest $913,997 (KELLY CASEY MD, SURGEON).
How much revenue does CHEYENNE COUNTY HOSPITAL ASSOCIATION INC have?
On its 990 for the year ended December 31, 2024 it reported revenue of $88,488,589, expenses of $87,136,958 and total assets of $121,972,149 at year end.

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