Civic Intelligence

Mendota Community Hospital

990 • Fiscal year 2014 • EIN 36-2167785

Apr 01, 2013 to Mar 31, 2014 • Filed on Nov 05, 2014

Organization Profilemendotahospital.org

View Organization Page

1401 E 12th StreetSuite61342

(815) 539-7461

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

86th percentile

0.81x

Higher debt load relative to assets than 86% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Liabilities / Revenue

78th percentile

1.09x

Higher debt load relative to revenue than 78% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Net Margin

18th percentile

-4.9%

Higher net margin than 18% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

8th percentile

-7.5%

Faster asset growth than 8% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Balance Sheet
Liabilities / Assets86th percentile

Assets

Down

$46,993,908

Down $3,815,379 (-7.5%) from 2013

Net Assets

Down

$9,050,378

Down $1,646,619 (-15%) from 2013

Liabilities

Down

$37,943,530

Down $2,168,760 (-5.4%) from 2013

Revenue And Expenses
Liabilities / Revenue78th percentileNet Margin18th percentile

Revenue

$34,674,935

No earlier filing loaded for comparison.

Expenses

Down

$36,386,543

Down $279,900 (-0.8%) from 2013

Net Income

-$1,711,608

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth8th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0Assets 2011: $45,640,488Liabilities 2011: $29,514,548Net Assets 2011: $16,125,9402011Assets 2012: $55,624,565Liabilities 2012: $41,294,695Net Assets 2012: $14,329,8702012Assets 2013: $50,809,287Liabilities 2013: $40,112,290Net Assets 2013: $10,696,9972013Assets 2014: $46,993,908Liabilities 2014: $37,943,530Net Assets 2014: $9,050,3782014Assets 2015: $44,843,640Liabilities 2015: $38,758,876Net Assets 2015: $6,084,7642015Assets 2016: $38,658,000Liabilities 2016: $36,512,465Net Assets 2016: $2,145,5352016Assets 2017: $39,016,514Liabilities 2017: $37,781,164Net Assets 2017: $1,235,3502017Assets 2018: $34,342,051Liabilities 2018: $33,058,937Net Assets 2018: $1,283,1142018Assets 2019: $33,074,155Liabilities 2019: $29,275,455Net Assets 2019: $3,798,7002019Assets 2020: $33,605,582Liabilities 2020: $25,357,726Net Assets 2020: $8,247,8562020Assets 2021: $32,137,344Liabilities 2021: $19,296,078Net Assets 2021: $12,841,2662021Assets 2022: $32,792,778Liabilities 2022: $13,724,107Net Assets 2022: $19,068,6712022Assets 2023: $38,024,833Liabilities 2023: $14,523,396Net Assets 2023: $23,501,4372023Assets 2024: $42,175,757Liabilities 2024: $13,741,412Net Assets 2024: $28,434,3452024

Highlighted filing

2014

Assets$46,993,908
Liabilities$37,943,530
Net Assets$9,050,378
Open 2014 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2011: $31,846,8102011Expenses 2012: $33,037,6652012Expenses 2013: $36,666,4432013Revenue 2014: $34,674,935Expenses 2014: $36,386,543Net Income 2014: -$1,711,6082014Revenue 2015: $33,329,323Expenses 2015: $35,903,378Net Income 2015: -$2,574,0552015Revenue 2016: $36,365,305Expenses 2016: $35,471,187Net Income 2016: $894,1182016Revenue 2017: $34,896,790Expenses 2017: $35,197,222Net Income 2017: -$300,4322017Revenue 2018: $36,338,639Expenses 2018: $35,787,962Net Income 2018: $550,6772018Revenue 2019: $36,151,441Expenses 2019: $33,029,647Net Income 2019: $3,121,7942019Revenue 2020: $37,104,473Expenses 2020: $31,803,299Net Income 2020: $5,301,1742020Revenue 2021: $37,699,197Expenses 2021: $32,819,762Net Income 2021: $4,879,4352021Revenue 2022: $38,611,022Expenses 2022: $31,496,794Net Income 2022: $7,114,2282022Revenue 2023: $42,399,901Expenses 2023: $38,066,650Net Income 2023: $4,333,2512023Revenue 2024: $64,643,270Expenses 2024: $61,053,866Net Income 2024: $3,589,4042024

Highlighted filing

2014

Revenue$34,674,935
Expenses$36,386,543
Net Income-$1,711,608
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Apr 1, 2013 to Mar 31, 2014
Signed
Nov 5, 2014
Return Version
2013v3.1
Gross Receipts
$35,602,036
Mission and Program Overview

Mission

In the spirit of christ and the example of francis of assisi, the mission of osf healthcare is to serve persons with the greatest care and love in a community that celebrates the gift of life.

Mendota community hospital's mission is to work for the health and well-being of the citizens of our area through a broad range of high-quality, efficient health services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$40,424,566$37,039,141▼ $3,385,425
Accounts Receivable$4,873,178$3,611,590▼ $1,261,588
Savings and Temporary Cash Investments$1,790,227$3,231,463▲ $1,441,236
Investments in Publicly Traded Securities$2,506,873$1,806,629▼ $700,244
Inventories for Sale or Use$705,529$753,120▲ $47,591
Prepaid Expenses and Deferred Charges$504,584$443,465▼ $61,119
Cash and Non-Interest-Bearing Accounts$3,711$3,353▼ $358
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$50,809,287$46,993,908▼ $3,815,379
Other Assets Total$619$105,147▲ $104,528
Liabilities
Mortgage Notes Payable Secured by Investment Property$36,839,350$34,642,834▼ $2,196,516
Accounts Payable and Accrued Expenses$3,247,940$3,275,696▲ $27,756
Other Liabilities$25,000$25,000→ $0
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$40,112,290$37,943,530▼ $2,168,760
Net Assets / Fund Balance
Unrestricted Net Assets$10,036,038$8,389,375▼ $1,646,663
Permanently Rstr Net Assets$619,135$619,135→ $0
Temporarily Rstr Net Assets$41,824$41,868▲ $44
Total Net Assets Fund Balance$10,696,997$9,050,378▼ $1,646,619
Total Liabilities and Net Assets / Fund Balance$50,809,287$46,993,908▼ $3,815,379

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$26,304,526$4,518,053$30,822,579
Equipment$5,326,554$9,434,742$14,761,296
Other Land Buildings$4,095,459$881,642$4,977,101
Land$1,312,602-$1,272,124
Leasehold Improvements$0$0$0

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$3,797,903$0▲ $154,423$43,760$3,908,566
2012$4,638,248$0▲ $170,921$1,011,266$3,797,903
2011$6,386,687$0▲ $190,366$1,938,805$4,638,248
2010$4,915,223$1,311,605▲ $159,859$0$6,386,687
2009$6,628,180$0▲ $452,043$2,165,000$4,915,223
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Keith Minihane MdOrthopedic SurgeonFT$554,149$63,861$618,010
Kenneth K PottsNurse AnesthetistPT$298,505$27,246$325,751
Eric Kivisto MdGeneral SurgeonFT$241,841$16,430$258,271
David Scholl MdPhysicianFT$177,876$48,202$226,078
Amy Matheis-soliman MdPhysicianFT$195,572$30,219$225,791
Richard BakerNurse AnesthetistPT$197,031$23,064$220,095
Mary Chinn MdPhysicianFT$176,646$43,188$219,834
Lynn E KleinCEOFT$136,678$72,121$208,799
Howard SchouCFOFT$65,389$4,065$69,454
Gary EichCFOFT$4,300-$4,300
Judy ChristiansenCEOFT$684-$684

Board Members and Trustees

NameTitle
Joseph BeetzPast President
Margo Gallagher Schmitz RnPresident
Michael Phalen1st Vice President
Christine KleinDirector
Eric AndersonDirector
Jose De J ArteagaDirector
Kathleen StevensonDirector
Keri Sundberg DdsDirector
Steven F GahanDirector
Robert F Stachlewitz JrSecretary
P Daniel Doyle OdTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Er Doctors LtdMedical Physicians-$1,686,566
Medical Outsourcing Solutions INCRadiology Service-$519,700
Ready Link HealthcareNursing Agency-$127,114
Medical Staffing NetworkNursing Agency-$126,095
Revenue and Support

Revenue Composition

Contributions and Grants
$80,429
Program Service Revenue
$34,366,710
Investment Income
$88,563
Other Revenue
$139,233
All Other Contributions
$68,629
Change in Net Assets
$-1,711,608

Audited Revenue Reconciliation

Revenue per Audited Statements
$33,425,124
Revenue Not Reported on Financial Statements
$1,249,811
Revenue Not Reported on Form 990
$84,318
Other Revenue Adjustments
$1,249,811
Total Revenue per Audited Statements
$33,509,442
Total Revenue per Form 990
$34,674,935
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,635,816
Salaries, Compensation, and Employee Benefits$17,745,727
Total Fundraising Expense$73,717
Grants and Similar Amounts Paid$5,000
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,240,841$1,519,846$34,711$13,795,398
Office Expenses$3,607,200$1,491,836$8,670$5,107,706
Depreciation Depletion$3,641,724--$3,641,724
Fees for Services Other$2,501,240$112,452-$2,613,692
Interest-$2,165,158-$2,165,158
Other Employee Benefits$1,731,105$240,680$4,856$1,976,641
Other Expenses$1,300,193$575,383-$1,875,576
Payroll Taxes$848,642$123,504$2,331$974,477
Insurance$753,302$64,950-$818,252
Current Officers, Directors, Trustees, and Key Employees$447,470$341,694-$789,164
Occupancy$348,491$37,753-$386,244
All Other Expenses$107,740$79,794$22,605$210,139
Pension Plan Contributions$186,157$23,346$544$210,047
Advertising$20,055$155,833-$175,888
Fees for Services Accounting-$114,297-$114,297
Travel$54,205$15,159-$69,364
Fees for Services Legal-$25,708-$25,708
Grants to Domestic Orgs$5,000--$5,000
Total Functional Expenses$29,142,801$7,170,025$73,717$36,386,543

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$36,386,543
Total Expenses per Audited Statements$35,156,061
Expenses per Audited Statements$35,136,732
Expenses Not Reported on Financial Statements$1,249,811
Other Expense Adjustments$1,249,811
Expenses Not Reported on Form 990$19,329
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$14,771
Fundraising Direct Expenses$11,808
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$15,005$7,555$1,521$6,034
Event 2$11,566$7,216$4,619$2,597
Total Events$26,571$14,771$11,808$2,963
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jared WiseSon-in-law of Board MembeEmployeeNo$73,444
Joellyn GahanSpouse of Board MemberEmployeeNo$43,083
Brigitte KleinDaughter of CEOEmployeeNo$15,695

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Legal Claims Reserve$25,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
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
Filing and Contact Details

Filer

EIN
36-2167785
In Care Of
% GARY EICH CFO
Phone
8155397461

Signing Officer

Name
Gary Eich
Title
CFO
Phone
8155397461
Signed
2014-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Judy Christiansen
Formed
1944
Legal Domicile
Il
Voting Board Members
13
Independent Board Members
9
Employees
390
Volunteers
75

Preparer

Preparer
Donna J Larson
Phone
8155397461
Supplemental Narrative

Additional Explanations

OFFICERS WHO CANNOT BE REACHED AT THE ORGANIZATION'S ADDRESS

“Form 990, part vi, section a, line 9 lynne klein po box 246 cherry, il 61317 howard schou 1420 deerfield road princeton, il 61356”

Copy of 990 Provided to Governing Body

“Form 990, part vi, line 11 mendota community hospital emails the governing body a copy of the form 990 before it is filed so they can review it. In addition, the ceo and cfo review the form 990 before it is filed with the government.”

Compliance With Written Conflict of Interest Policy

“Form 990, part vi, line 12c the conflict of interest policy covers the governing body. Administration requires the governing body to fill out an annual conflict of interest policy. Administration reviews the forms. If a problem arises, the ceo will contact the president of the governing body to discuss how to handle the issue. The person involved in the conflict of interest would not be involved in the deliberations held on the issue in question.”

Compensation Determination

“Form 990, part vi, line 15a the executive board conducted a review of the compensation for the ceo on april 1, 2013.”

Available to the Public

“Form 990, part vi, line 19 the organization does not make these documents available to the public. However, the audited financial statements are included in the copy of form 990 that is made available to the public.”

Financial Statement Notes

Intended Uses of Endowment Funds

“Part v, line 4 proceeds of funded depreciation endowment, as dictated by the donors, are used as best determined by administration of the hospital.”

Other Revenue Included on Books But Not on Return

“Part xi, line 2d special events direct expense $11,808 rental expense $ 7,521 ------------------------------------------ total $19,329”

Other Expenses on Books But Not on Return

“Part xii, line 2d special events direct expense $11,808 rental expense $ 7,521 ------------------------------------------ total $19,329”

Uncertain Tax Positions

“Part x, line 2 management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”

Other Revenue Included on Return But Not on Books

“Part xi, line 4b provision for bad debt $1,249,811”

Other Expenses on Return But Not on Books

“Part xii, line 4b provision for bad debt $1,249,811”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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Document Assets

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Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$46,993,908
Liabilities
$37,943,530
Net assets
$9,050,378
Revenue
$34,674,935
Expenses
$36,386,543
Net income
-$1,711,608
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$42.2$13.7$28.4$64.6$61.1$3.59
2023Detailed filing. Detailed filing data is available for this year.$38.0$14.5$23.5$42.4$38.1$4.33
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.8$13.7$19.1$38.6$31.5$7.11
2021Detailed filing. Detailed filing data is available for this year.$32.1$19.3$12.8$37.7$32.8$4.88
2020Detailed filing. Detailed filing data is available for this year.$33.6$25.4$8.25$37.1$31.8$5.30
2019Detailed filing. Detailed filing data is available for this year.$33.1$29.3$3.80$36.2$33.0$3.12
2018Detailed filing. Detailed filing data is available for this year.$34.3$33.1$1.28$36.3$35.8$0.55
2017Detailed filing. Detailed filing data is available for this year.$39.0$37.8$1.24$34.9$35.2$0.30
2016Detailed filing. Detailed filing data is available for this year.$38.7$36.5$2.15$36.4$35.5$0.89
2015Detailed filing. Detailed filing data is available for this year.$44.8$38.8$6.08$33.3$35.9$2.57
2014Detailed filing. Detailed filing data is available for this year.$47.0$37.9$9.05$34.7$36.4$1.71
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.8$40.1$10.7$36.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$55.6$41.3$14.3$33.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$45.6$29.5$16.1$31.8