Civic Intelligence

Hendricks Community Hospital Assn

EIN 41-0307617 • 501(c)3 • Hendricks, MN

Profile

Hendricks Community Hospital Assn & Retirement Home strives to provide the highest quality health and residential care in a Christian environment.

PO Box 106Hendricks, MN 56136

www.hendrickshosp.org

Siviq Scores

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

Liabilities / Assets

45th percentile

0.17x

Higher debt load relative to assets than 45% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

51st percentile

0.28x

Higher debt load relative to revenue than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

48th percentile

3.7%

Higher net margin than 48% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

68th percentile

$349,116

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

45th percentile

3.9%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

16th percentile

-12%

Faster revenue growth than 16% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$28,380,138

Up $1,061,720 (+3.9%) from 2023

Liabilities

Down

$4,746,537

Down $165,668 (-3.4%) from 2023

Net Assets

Up

$23,633,601

Up $1,227,388 (+5.5%) from 2023

Revenue

Down

$16,953,286

Down $2,213,813 (-12%) from 2023

Expenses

Up

$16,319,800

Up $220,253 (+1.4%) from 2023

Net Income

Down

$633,486

Down $2,434,066 (-79%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $13,683,265Liabilities 2010: $3,694,199Net Assets 2010: $9,989,0662010Assets 2011: $13,606,804Liabilities 2011: $2,942,159Net Assets 2011: $10,664,6452011Assets 2012: $13,588,071Liabilities 2012: $2,721,396Net Assets 2012: $10,866,6752012Assets 2013: $13,797,377Liabilities 2013: $2,314,535Net Assets 2013: $11,482,8422013Assets 2014: $14,620,034Liabilities 2014: $2,194,508Net Assets 2014: $12,425,5262014Assets 2015: $14,042,841Liabilities 2015: $1,195,954Net Assets 2015: $12,846,8872015Assets 2016: $15,241,571Liabilities 2016: $1,169,826Net Assets 2016: $14,071,7452016Assets 2017: $16,886,090Liabilities 2017: $2,062,558Net Assets 2017: $14,823,5322017Assets 2018: $17,637,117Liabilities 2018: $2,805,245Net Assets 2018: $14,831,8722018Assets 2019: $20,969,153Liabilities 2019: $6,552,550Net Assets 2019: $14,416,6032019Assets 2020: $25,272,526Liabilities 2020: $11,624,282Net Assets 2020: $13,648,2442020Assets 2021: $25,862,210Liabilities 2021: $6,786,979Net Assets 2021: $19,075,2312021Assets 2022: $23,986,558Liabilities 2022: $4,970,535Net Assets 2022: $19,016,0232022Assets 2023: $27,318,418Liabilities 2023: $4,912,205Net Assets 2023: $22,406,2132023Assets 2024: $28,380,138Liabilities 2024: $4,746,537Net Assets 2024: $23,633,6012024

Highlighted filing

2024

Assets$28,380,138
Liabilities$4,746,537
Net Assets$23,633,601

Operations Trend

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

$20M$10M$0-$10MExpenses 2010: $10,663,7422010Expenses 2011: $11,368,2602011Revenue 2012: $12,476,336Expenses 2012: $12,212,870Net Income 2012: $263,4662012Revenue 2013: $12,779,579Expenses 2013: $12,332,617Net Income 2013: $446,9622013Revenue 2014: $13,419,486Expenses 2014: $12,830,249Net Income 2014: $589,2372014Revenue 2015: $13,513,405Expenses 2015: $13,080,708Net Income 2015: $432,6972015Revenue 2016: $14,229,522Expenses 2016: $12,953,296Net Income 2016: $1,276,2262016Revenue 2017: $14,390,755Expenses 2017: $13,742,489Net Income 2017: $648,2662017Revenue 2018: $14,297,395Expenses 2018: $14,346,910Net Income 2018: -$49,5152018Revenue 2019: $13,827,715Expenses 2019: $14,277,149Net Income 2019: -$449,4342019Revenue 2020: $13,783,312Expenses 2020: $14,572,424Net Income 2020: -$789,1122020Revenue 2021: $19,716,095Expenses 2021: $14,597,371Net Income 2021: $5,118,7242021Revenue 2022: $15,908,910Expenses 2022: $15,668,401Net Income 2022: $240,5092022Revenue 2023: $19,167,099Expenses 2023: $16,099,547Net Income 2023: $3,067,5522023Revenue 2024: $16,953,286Expenses 2024: $16,319,800Net Income 2024: $633,4862024

Highlighted filing

2024

Revenue$16,953,286
Expenses$16,319,800
Net Income$633,486

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28.4$4.75$23.6$17.0$16.3$0.63
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$27.3$4.91$22.4$19.2$16.1$3.07
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$24.0$4.97$19.0$15.9$15.7$0.24
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.9$6.79$19.1$19.7$14.6$5.12
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.3$11.6$13.6$13.8$14.6$0.79
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.0$6.55$14.4$13.8$14.3$0.45
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.6$2.81$14.8$14.3$14.3$0.05
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.9$2.06$14.8$14.4$13.7$0.65
2016Detailed filing. Detailed filing data is available for this year.$15.2$1.17$14.1$14.2$13.0$1.28
2015Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$14.0$1.20$12.8$13.5$13.1$0.43
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.6$2.19$12.4$13.4$12.8$0.59
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$13.8$2.31$11.5$12.8$12.3$0.45
2012Summary only. Only limited summary data is available for this year.$13.6$2.72$10.9$12.5$12.2$0.26
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.6$2.94$10.7$11.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.7$3.69$9.99$10.7
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Jan 19, 2022
Return Version
2020v4.1
Gross Receipts
$19,717,325
Mission and Program Overview

Mission

Hendricks Community Hospital Association strives to provide the highest quality health and residential care in a Christian environment.

Provision of healthcare

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,693,131$11,412,403▼ $280,728
Savings and Temporary Cash Investments$9,209,769$9,141,759▼ $68,010
Investments in Publicly Traded Securities$2,368,293$2,908,878▲ $540,585
Accounts Receivable$1,635,702$2,034,032▲ $398,330
Inventories for Sale or Use$229,760$173,566▼ $56,194
Prepaid Expenses and Deferred Charges$61,235$111,307▲ $50,072
Other Notes and Loans Receivable, Net-$10,133-
Receivables From Officers Etc$70,259$3,822▼ $66,437
Investments Program Related$4,377$1,287▼ $3,090
Total Assets$25,272,526$25,862,210▲ $589,684
Other Assets Total$0$65,023▲ $65,023
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,029,272$4,932,744▼ $96,528
Unsecured Notes Loans Payable$1,431,800$0▼ $1,431,800
Accounts Payable and Accrued Expenses$1,027,925$1,085,280▲ $57,355
Other Liabilities$4,107,243$739,455▼ $3,367,788
Escrow Account Liability$28,042$29,500▲ $1,458
Total Liabilities$11,624,282$6,786,979▼ $4,837,303
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$13,648,244$19,075,231▲ $5,426,987
Total Net Assets Fund Balance$13,648,244$19,075,231▲ $5,426,987
Total Liabilities and Net Assets / Fund Balance$25,272,526$25,862,210▲ $589,684

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,293,406$9,221,238$15,514,644
Equipment$4,797,723$6,583,540$11,381,263
Other Land Buildings$213,262-$213,262
Land$108,012-$91,512
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tabb McCluskey DOPhysicianFT$317,925$47,486$365,411
Grant Eyjolfson MDPhysicianFT$291,558$35,437$326,995
Tomasz Lis MDPhysicianFT$225,304$28,055$253,359
Jeff GollaherCEOFT$183,320$21,690$205,010
Kathryn Christensen NPNurse PractitionerFT$122,855$40,799$163,654
Julie Hogie - BusinessOffice Manager (Jul-Dec)FT$78,665$15,046$93,711
Travis OlsenCFOFT$37,913$1,152$39,065
Vince RobinsonTreasurer-$1,150-$1,150
Mark VanEckVice President-$1,110-$1,110
John EngelsSecretary-$1,040-$1,040
Allen MolasconPresident-$960-$960
Dean NielsenDirector (Jul-Aug)-$800-$800
James NessDirector-$800-$800
Norris PatrickDirector-$760-$760

Board Members and Trustees

NameTitle
Dawn PopowskiDirector
Jacki TrooienDirector
Jamie EngelstadDirector
Miriam IversonDirector (Jul-Aug)

Highest Paid Contractors

ContractorServicesLocationCompensation
Wapiti Medical Group LLCLocum/ER Providers107 Flynn Dr, Milbank, SD 57252$572,367
Fusion Medical Staffing LLCContracted Nursing ServicePO Box 82674, Lincoln, NE 68501-2674$136,865
AnnLeo IncContracted Nursing Service2501 Boji Bend Dr Ste 200, Milford, IA 51351$132,776
Revenue and Support

Revenue Composition

Contributions and Grants
$5,304,030
Program Service Revenue
$14,373,057
Investment Income
$12,040
Other Revenue
$26,968
All Other Contributions
$40,886
Change in Net Assets
$5,118,724

Audited Revenue Reconciliation

Revenue per Audited Statements
$19,688,285
Revenue Not Reported on Financial Statements
$27,810
Revenue Not Reported on Form 990
$336,073
Other Revenue Adjustments
$27,810
Total Revenue per Audited Statements
$20,024,358
Total Revenue per Form 990
$19,716,095
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,804,107
Other Expenses$6,788,839
Grants and Similar Amounts Paid$4,425
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,830,890$127,771-$5,958,661
Fees for Services Other$2,124,755$62,430-$2,187,185
Depreciation Depletion$1,050,720$60,717-$1,111,437
Other Employee Benefits$868,354$41,733-$910,087
Payroll Taxes$394,145$29,177-$423,322
Occupancy$348,807--$348,807
Current Officers, Directors, Trustees, and Key Employees-$344,419-$344,419
All Other Expenses$233,165$96,390-$329,555
Insurance$212,842$20,179-$233,021
Interest$187,846$17,809-$205,655
Office Expenses$115,281$26,008-$141,289
Pension Plan Contributions$113,719--$113,719
Travel$70,457$1,258-$71,715
Other Expenses$70,516$124,744-$70,516
Conferences and Meetings$59,852$1,072-$60,924
Fees for Services Legal-$58,947-$58,947
Comp Disqual Persons$53,899--$53,899
Advertising$24,532--$24,532
Information Technology$17,922--$17,922
Grants to Domestic Orgs$4,425--$4,425
Total Functional Expenses$13,584,717$1,012,654$0$14,597,371

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$14,597,371
Total Expenses per Audited Statements$14,597,371
Total Expenses per Form 990$14,597,371
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Katie WendingerFamily member of board member Dean NielsenEmployee CompensationNo$42,057
Betty JohnsonFamily member of board member Dean NielsenEmployee CompensationNo$11,842

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$70,259$3,822▼ $66,437
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Refundable Advance$570,451
Insurance Loss Liability$169,004
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 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
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

Governance Explanations

Form 990, Part VI, Section A, line 1

The Executive Committee is composed of the President, Vice-President, Secretary and Treasurer of the governing board. Responsibilities include: A. General management and control of the affairs of the corporation. In addition to formal meetings, the committee has informal conferences about corporation activities. B. Shall have the power to transact all regular business of the hospital during the interim between the meetings of the Board of Directors provided any action taken shall not conflict with the policies and expressed wishes of the Board of Directors, and that it shall refer all matters of major importance to the Board of Directors. C. It shall cause to be prepared and submit to the Board of Directors at its last meeting before the end of the fiscal year, a budget showing the expected receipts and income and expense for the ensuing year. It shall be the further duty of the Executive Committee to examine the monthly financial reports and to require an explanation from the Administrator for any material variation from the budget. D. The Executive Committee shall evaluate in April annually or as deemed necessary, the Chief Executive Officer's performance and recommend his/her remuneration to the full Board of Directors. This committee shall meet as necessary.

Form 990, Part VI, Section A, line 6

There is one class of membership. Membership is open to any natural person who is of legal voting age and a voting resident within the organization's primary service area.

Form 990, Part VI, Section A, line 7A

Each member receives one vote.

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

The return is reviewed by the CEO and CFO, then by the Board of Directors before it is filed.

Form 990, Part VI, Section B, line 12C

The policy covers all officers, directors, and key employees. A conflict of interest form is signed upon orientation to the Board of Directors. The form is reviewed by the CEO and any potential conflicts are reviewed with the Board of Directors. If a conflict exists, the person with the conflict is restricted from voting on related matters. Conflict of interest forms are completed annually by board of directors and key employees. These are reviewed by the HR director, and compliance report submitted to the governing board.

Form 990, Part VI, Section B, line 15A

The Executive Committee reviews the CEO's compensation annually and compares to similar positions at other hospitals of similar size and geographic location. The Board of Directors reviews and approves the recommendations of the Executive Committee. The compensation of other officers is determined by the CEO. The officers and directors of the board receive a stipend for attending meetings. The fee structure is based on meetings attended. This compensation process is determined by board members and the fee schedule is discussed by the board annually.

Form 990, Part VI, Section C, line 19

The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Hendricks Community Hospital Assn
EIN
41-0307617
Phone
5072753134
Address
PO Box 106, Hendricks, MN 56136

Signing Officer

Name
Jeff Gollaher
Title
CEO
Phone
5072753134
Signed
2022-01-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Gollaher
Formed
1941
Legal Domicile
Mn
Voting Board Members
9
Independent Board Members
9
Employees
201
Volunteers
56

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Contracted services: Program service expenses 1,169,477. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,169,477. Medical fees: Program service expenses 743,004. Management and general expenses 0. Fundraising expenses 0. Total expenses 743,004. Purchased services: Program service expenses 184,435. Management and general expenses 62,430. Fundraising expenses 0. Total expenses 246,865. Collection fees: Program service expenses 12,181. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,181. Recruitment: Program service expenses 15,658. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,658.

Form 990, Part XI, line 9:

Change in net assets for Hendricks Hospital Auxiliary -23,179. Change in net assets for Resident Funds -4,631.

Financial Statement Notes

Part IV, Line 1B:

The assets of Hendricks Hospital Auxiliary are held by Hendricks Community Hospital Association. The Auxiliary uses the EIN of the Hospital, therefore the activity is reported on Form 990 of the Hospital. The ending balance for the Auxiliary was $67,688. In addition, the Hospital holds funds on behalf of its residents. The amount held at the end of the year for residents was $5,807.

Part IV, Line 2B:

The organization holds security deposits.

Part X, Line 2:

The Association believes it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The Association would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 4B - Other Adjustments:

Auxiliary revenue not included in financial statements 24,408. Auxiliary thrift shop expenses reported in revenue on Form 990 -1,229. Resident fund revenue not included in financial statements 4,631.

Raw XML AppendixShowing 400 of 863 raw XML fields

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

Path#Value
IRS990/AccountantCompileOrReviewInd00
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IRS990/ActivitiesConductedPrtshpInd00
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IRS990/AdvertisingGrp/ProgramServicesAmt024532
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IRS990/AllOtherContributionsAmt040886
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt096390
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0233165
IRS990/AllOtherExpensesGrp/TotalAmt0329555
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/AuditedFinancialStmtAttInd01
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IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0Travis Olsen
IRS990/BooksInCareOfDetail/PhoneNum05072753134
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO Box 106
IRS990/BooksInCareOfDetail/USAddress/CityNm0Hendricks
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MN
IRS990/BooksInCareOfDetail/USAddress/ZIPCd056136
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IRS990/ContractorCompensationGrp/CompensationAmt2132776
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1PO Box 82674
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1Fusion Medical Staffing LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2AnnLeo Inc
IRS990/ContractorCompensationGrp/ServicesDesc0Locum/ER Providers
IRS990/ContractorCompensationGrp/ServicesDesc1Contracted Nursing Service
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IRS990/CostOfGoodsSoldAmt01230
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IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt060717
IRS990/DepreciationDepletionGrp/ProgramServicesAmt01050720
IRS990/DepreciationDepletionGrp/TotalAmt01111437
IRS990/Desc0Hendricks Community Hospital, a 24-bed hospital, 48-bed long-term care facility, a clinic, 16-unit senior rental housing facility, home health agency, and hospice agency; promotes health of the community by providing a variety of health care services. The facility had 51 acute, 63 swing bed, 3 transitional bed and 50 long-term care facility admissions for the year ended June 30, 2021; 405 visits to the Emergency Room; and 79 surgical cases (including ambulatory).The hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as patient and resident service revenue. The amount of charges foregone for services provided under the Hospital's charity care policy were approximately $38,710 for the year ended June 30, 2021. The estimated cost of providing these services was approximately $30,000 for the year ended June 30, 2021 based on average ratio of cost to gross charges.
IRS990/DescribedInSection501c3Ind01
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