Civic Intelligence

Kosciusko Health Services Pavilion Inc

EIN 26-1444362 • 501(c)3 • Warsaw, IN

Profile

Provide low-rent facilities to non-profit organizations that provide health-related services.

1515 Provident Drive 250Warsaw, IN 46580

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

35th percentile

0.02x

Higher debt load relative to assets than 35% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

63rd percentile

0.16x

Higher debt load relative to revenue than 63% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

6th percentile

-58%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

25th percentile

-4.4%

Faster asset growth than 25% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

31st percentile

-3.1%

Faster revenue growth than 31% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Down

$2,792,211

Down $129,267 (-4.4%) from 2023

Liabilities

Up

$42,056

Up $18,945 (+82%) from 2023

Net Assets

Down

$2,750,155

Down $148,212 (-5.1%) from 2023

Revenue

Down

$256,387

Down $8,324 (-3.1%) from 2023

Expenses

Up

$404,598

Up $59,966 (+17%) from 2023

Net Income

Down

-$148,211

Down $68,290 (-85%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2014: $4,552,976Liabilities 2014: $3,510,733Net Assets 2014: $1,042,2432014Assets 2015: $4,365,225Liabilities 2015: $3,505,835Net Assets 2015: $859,3902015Assets 2016: $4,186,422Liabilities 2016: $2,748,390Net Assets 2016: $1,438,0322016Assets 2017: $3,995,965Liabilities 2017: $2,062,901Net Assets 2017: $1,933,0642017Assets 2018: $3,779,239Liabilities 2018: $1,288,792Net Assets 2018: $2,490,4472018Assets 2019: $3,575,413Liabilities 2019: $791,953Net Assets 2019: $2,783,4602019Assets 2020: $3,425,002Liabilities 2020: $803,879Net Assets 2020: $2,621,1232020Assets 2021: $3,203,204Liabilities 2021: $35,153Net Assets 2021: $3,168,0512021Assets 2022: $3,021,260Liabilities 2022: $42,972Net Assets 2022: $2,978,2882022Assets 2023: $2,921,478Liabilities 2023: $23,111Net Assets 2023: $2,898,3672023Assets 2024: $2,792,211Liabilities 2024: $42,056Net Assets 2024: $2,750,1552024

Highlighted filing

2024

Assets$2,792,211
Liabilities$42,056
Net Assets$2,750,155

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2014: $1,072,101Expenses 2014: $588,312Net Income 2014: $483,7892014Revenue 2015: $348,416Expenses 2015: $531,270Net Income 2015: -$182,8542015Revenue 2016: $1,120,248Expenses 2016: $541,605Net Income 2016: $578,6432016Revenue 2017: $1,014,730Expenses 2017: $519,698Net Income 2017: $495,0322017Revenue 2018: $1,066,596Expenses 2018: $509,214Net Income 2018: $557,3822018Revenue 2019: $777,454Expenses 2019: $483,796Net Income 2019: $293,6582019Revenue 2020: $297,345Expenses 2020: $459,682Net Income 2020: -$162,3372020Revenue 2021: $1,022,335Expenses 2021: $475,407Net Income 2021: $546,9282021Revenue 2022: $258,405Expenses 2022: $448,168Net Income 2022: -$189,7632022Revenue 2023: $264,711Expenses 2023: $344,632Net Income 2023: -$79,9212023Revenue 2024: $256,387Expenses 2024: $404,598Net Income 2024: -$148,2112024

Highlighted filing

2024

Revenue$256,387
Expenses$404,598
Net Income-$148,211

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 29, 2025
Return Version
2024v5.2
Gross Receipts
$256,387
Mission and Program Overview

Mission

Provide low-rent facilities to non-profit organizations that provide health-related services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,828,479$2,705,437▼ $123,042
Accounts Receivable$45,583$52,192▲ $6,609
Savings and Temporary Cash Investments$46,181$28,946▼ $17,235
Cash and Non-Interest-Bearing Accounts$1,235$5,636▲ $4,401
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$2,921,478$2,792,211▼ $129,267
Other Assets Total-$0-
Liabilities
Other Liabilities$2,408$31,304▲ $28,896
Accounts Payable and Accrued Expenses$20,703$10,752▼ $9,951
Total Liabilities$23,111$42,056▲ $18,945
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,898,367$2,750,155▼ $148,212
Total Net Assets Fund Balance$2,898,367$2,750,155▼ $148,212
Total Liabilities and Net Assets / Fund Balance$2,921,478$2,792,211▼ $129,267

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,705,437$2,436,089$5,141,526
Other Land Buildings-$285,123$285,123
Compensation and Service Providers

Board Members and Trustees

NameTitle
Rich HaddadChairman
Pam BrookshirePresident
Dave KoontzVice President
Angie SummersBoard Member
Bob WeaverBoard Member
Brenda WhiteheadBoard Member
Kelly BuggBoard Member
Liliana QuinteroBoard Member
Lisa HarmanBoard Member
Stephanie KnellerBoard Member
Melanie HufferSecretary
Glenn HallTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$37,182
Program Service Revenue
$219,161
Investment Income
$44
Other Revenue
$0
All Other Contributions
$37,182
Change in Net Assets
$-148,211
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$368,938
Salaries, Compensation, and Employee Benefits$35,660
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$215,362--$215,362
Depreciation Depletion$141,633--$141,633
Other Salaries and Wages-$35,660-$35,660
Insurance$5,450--$5,450
Fees for Services Accounting-$477-$477
Fees for Services Other-$415-$415
Other Expenses$400$25-$25
Total Functional Expenses$367,993$36,605$0$404,598
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Prepaid Rent$31,304
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

A draft of form 990 is sent to each director and officer prior to filing.

Form 990, Part VI, Section C, Line 19

Documents are availble upon request.

Filing and Contact Details

Filer

Filer Name
Kosciusko Health Services Pavilion Inc
EIN
26-1444362
Phone
5743723500
Address
1515 PROVIDENT DRIVE 250, WARSAW, IN 46580

Signing Officer

Name
Glenn Hall
Title
Treasurer
Signed
2025-07-29
Discuss with paid preparer
Yes

Organization Details

Formed
2009
Legal Domicile
In
Voting Board Members
12
Independent Board Members
10
Employees
0

Preparer

Firm
Dahms & Yarian Inc
Address
110 S Columbia St, Warsaw, IN 46580
Preparer
Darrin R Miller CPA
Phone
5742678141
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

ROUNDING = -$1

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IRS990/OtherExpensesGrp/Desc3BANK FEES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt028
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt125
IRS990/OtherExpensesGrp/ProgramServicesAmt05148
IRS990/OtherExpensesGrp/ProgramServicesAmt1400
IRS990/OtherExpensesGrp/TotalAmt05148
IRS990/OtherExpensesGrp/TotalAmt1400
IRS990/OtherExpensesGrp/TotalAmt228
IRS990/OtherExpensesGrp/TotalAmt325
IRS990/OtherLiabilitiesGrp/BOYAmt02408
IRS990/OtherLiabilitiesGrp/EOYAmt031304
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt035660
IRS990/OtherSalariesAndWagesGrp/TotalAmt035660
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0TENANT FEES & EXP CHARGES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0219161
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0219161
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt029
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0314235
IRS990/PYProgramServiceRevenueAmt0264682
IRS990/PYRevenuesLessExpensesAmt0-79921
IRS990/PYSalariesCompEmpBnftPaidAmt030397
IRS990/PYTotalExpensesAmt0344632
IRS990/PYTotalRevenueAmt0264711
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-148211
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0219161
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt046181
IRS990/SavingsAndTempCashInvstGrp/EOYAmt028946
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt037182
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt025000
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0821760
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt032983
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0916925
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0219161
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0264682
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0233392
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0200565
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0264349
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt01182149
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt02099074
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0256343
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0264682
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0258392
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt01022325
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0297332
IRS990ScheduleA/Total509Grp/TotalAmt02099074
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0256343
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0264682
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0258392
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt01022325
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0297332
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02099074
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt02705437
IRS990ScheduleD/BuildingsGrp/DepreciationAmt02436089
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt05141526
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt0285123
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0285123
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt031304
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0PREPAID RENT
IRS990ScheduleD/TotalBookValueLandBuildingsAmt02705437
IRS990ScheduleD/TotalLiabilityAmt031304
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A DRAFT OF FORM 990 IS SENT TO EACH DIRECTOR AND OFFICER PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCUMENTS ARE AVAILBLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ROUNDING = -$1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part XI, Line 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt02921478
IRS990/TotalAssetsEOYAmt02792211
IRS990/TotalAssetsGrp/BOYAmt02921478
IRS990/TotalAssetsGrp/EOYAmt02792211
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt037182
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt036605
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0367993

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