Civic Intelligence

Hendricks Community Hospital Assn & Retirement Home

990 • Fiscal year 2016 • EIN 41-0307617

Jul 01, 2015 to Jun 30, 2016 • Filed on Jan 09, 2017

PO Box 106Hendricks, MN 56136

(507) 275-3134

Siviq Scores

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

Liabilities / Assets

30th percentile

0.08x

Higher debt load relative to assets than 30% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

23rd percentile

0.08x

Higher debt load relative to revenue than 23% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

69th percentile

9.0%

Higher net margin than 69% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

90th percentile

$473,776

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 3.3% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

72nd percentile

8.5%

Faster asset growth than 72% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

57th percentile

5.3%

Faster revenue growth than 57% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Assets

Up

$15,241,571

Up $1,198,730 (+8.5%) from 2015

Net Assets

Up

$14,071,745

Up $1,224,858 (+9.5%) from 2015

Liabilities

Down

$1,169,826

Down $26,128 (-2.2%) from 2015

Revenue

Up

$14,229,522

Up $716,117 (+5.3%) from 2015

Expenses

Down

$12,953,296

Down $127,412 (-1.0%) from 2015

Net Income

Up

$1,276,226

Up $843,529 (+195%) from 2015

Historical Trend

Balance Sheet Trend

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

$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

2016

Assets$15,241,571
Liabilities$1,169,826
Net Assets$14,071,745

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$14,229,522
Expenses$12,953,296
Net Income$1,276,226
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Jan 9, 2017
Return Version
2015v3.0
Gross Receipts
$14,237,805
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$6,275,819$6,277,434▲ $1,615
Savings and Temporary Cash Investments$3,526,382$4,779,909▲ $1,253,527
Accounts Receivable$2,046,198$1,819,709▼ $226,489
Investments in Publicly Traded Securities$1,422,060$1,710,537▲ $288,477
Inventories for Sale or Use$228,520$287,269▲ $58,749
Investments Program Related$152,688$134,039▼ $18,649
Receivables From Officers Etc$153,375$90,318▼ $63,057
Prepaid Expenses and Deferred Charges$65,030$67,356▲ $2,326
Other Notes and Loans Receivable, Net$31,807--
Investments Other Securities$15,962--
Total Assets$14,042,841$15,241,571▲ $1,198,730
Other Assets Total$125,000$75,000▼ $50,000
Liabilities
Accounts Payable and Accrued Expenses$798,471$899,383▲ $100,912
Other Liabilities$305,116$238,901▼ $66,215
Unsecured Notes Loans Payable$67,500--
Escrow Account Liability$24,867$31,542▲ $6,675
Total Liabilities$1,195,954$1,169,826▼ $26,128
Net Assets / Fund Balance
Unrestricted Net Assets$12,846,887$14,071,745▲ $1,224,858
Total Net Assets Fund Balance$12,846,887$14,071,745▲ $1,224,858
Total Liabilities and Net Assets / Fund Balance$14,042,841$15,241,571▲ $1,198,730

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,367,277$6,882,806$11,250,083
Equipment$1,059,200$5,036,989$6,096,189
Other Land Buildings$756,445$305,437$1,061,882
Land$94,512-$94,512
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tomasz LisPhysicianFT$437,915$35,861$473,776
Grant EyjolfsonPhysicianFT$348,157$34,997$383,154
Tabb McCluskeyPhysician/Medical DirectorFT$244,401$37,309$281,710
Jeff GollaherCEOFT$153,060$31,017$184,077
Julie HogieBusiness Office ManagerFT$59,551$12,767$72,318
Vince RobinsonTreasurer-$770-$770
Mark VanEckVice President-$690-$690
Allen MolasconPresident-$670-$670
Norris PatrickDirector-$560-$560
Julie LeibfriedSecretary-$530-$530
David B OlsonDirector (thru Aug 2015)-$340-$340
Sharon VettrusDirector-$310-$310
Miriam IversonDirector-$270-$270
Brad DeBeerDirector (thru Aug 2015)-$180-$180

Board Members and Trustees

NameTitle
Dean NielsenDirector (as of Aug 2015)
James NessDirector (as of Aug 2015)

Highest Paid Contractors

ContractorServicesLocationCompensation
WMG Lyfjaberg LLCLocum/ER providers603 S Dakota St PO Box 523, Milbank, SD 57252$553,571
Revenue and Support

Revenue Composition

Contributions and Grants
$438,370
Program Service Revenue
$13,718,134
Investment Income
$8,697
Other Revenue
$64,321
All Other Contributions
$413,259
Change in Net Assets
$1,276,226

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,185,686
Revenue Not Reported on Financial Statements
$43,836
Revenue Not Reported on Form 990
$-110,858
Other Revenue Adjustments
$43,836
Total Revenue per Audited Statements
$14,074,828
Total Revenue per Form 990
$14,229,522
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,717,823
Other Expenses$5,230,478
Grants and Similar Amounts Paid$4,995
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,708,704$173,154-$5,881,858
Fees for Services Other$1,683,330$144,020-$1,827,350
Other Employee Benefits$899,505$53,972-$953,477
Depreciation Depletion$690,882--$690,882
Office Expenses$573,058$23,693-$596,751
Payroll Taxes$392,222$28,035-$420,257
All Other Expenses$146,523$133,111-$279,634
Current Officers, Directors, Trustees, and Key Employees-$271,250-$271,250
Occupancy$250,420$2,348-$252,768
Insurance-$203,310-$203,310
Pension Plan Contributions$156,559$2,874-$159,433
Fees for Services Legal-$71,572-$71,572
Other Expenses$70,472$268,434-$70,472
Travel$63,701$5,938-$69,639
Comp Disqual Persons$31,548--$31,548
Conferences and Meetings$29,116$1,686-$30,802
Advertising$834$28,164-$28,998
Information Technology$15,757--$15,757
Grants to Domestic Orgs$4,995--$4,995
Total Functional Expenses$11,541,735$1,411,561$0$12,953,296

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$12,953,296
Expenses per Audited Statements$12,856,914
Total Expenses per Audited Statements$12,856,914
Expenses Not Reported on Financial Statements$96,382
Other Expense Adjustments$96,382
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$4,376
Fundraising Gross Income$3,459
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Hospice Tour of Tables$12,470$2,630$290$2,340
Hospice Golf Tournament$7,115$829$627$202
Total Events$19,585$3,459$4,376$-917
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Katie WendingerFamily member of board memberCompensation and benefits as an employeeNo$31,548

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$153,375$90,318▼ $63,057
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Payor Settlements$238,901
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
Yes
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 September 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 4

The by-laws and articles of incorporation were updated to assure the association name matched the IRS name filed - Hendricks Community Hospital Assn & Retirement Home.

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 11

The return is reviewed by the Business Office Manager and CEO, 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. This process was last evaluated in 2016. The officers 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
2017-01-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Gollaher
Formed
1941
Legal Domicile
Mn
Voting Board Members
9
Independent Board Members
8
Employees
252
Volunteers
75

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 III, line 3

Hendricks Community Hospital Association and a local physician of the Hospital previously formed Hendricks Imaging, LLC (the Company), a Minnesota limited liability company to provide imaging services and the Hospital had a 69.7% financial interest in the Company. During the year ended June 30, 2016, the Hospital purchased the remaining 30.3% financial interest and the Company was dissolved.

Form 990, Part IX, line 11G

Other Fees: Program service expenses 1,193,567. Management and general expenses 103,167. Fundraising expenses 0. Total expenses 1,296,734. Repairs and Maintenance: Program service expenses 489,763. Management and general expenses 40,853. Fundraising expenses 0. Total expenses 530,616.

Form 990, Part XI, line 9:

Change in net assets for Hendricks Hospital Auxiliary -27,310. Change in net assets for resident funds -1,209. Distributions to Noncontrolling Interest -6,944.

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 $58,972. In addition, the Hospital holds funds on behalf of its residents. The amount held at the end of the year for residents was $7,675.

Part IV, Line 2B:

The organization holds security deposits.

Part X, Line 2:

The Association is organized as a Minnesota not-for-profit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Association is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Association is subject to income tax on any net income that is derived from business activities that are unrelated to its exempt purpose. The Association has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. 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 consolidated 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 2D - Other Adjustments:

Bad debt expense reported in revenue on financial statements -70,472. Distributions to noncontrolling interest -6,944. Expenses reported in contributions on financial statements -10,593.

Part XI, Line 4B - Other Adjustments:

Auxiliary revenue not included in financial statements 32,683. Auxiliary Thrift Shop expenses reported in revenue on Form 990 -3,907. Resident fund revenue not included in financial statements 15,060.

Part XII, Line 4B - Other Adjustments:

Auxiliary expenses not included in financial statements 1,466. Bad debt expense reported in revenue on financial statements 70,472. Expenses reported as contributions on financial statements 10,593. Resident fund expenses not included in financial statements 13,851.

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IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1131017
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1212767
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1337309
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1434997
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1535861
IRS990/Form990PartVIISectionAGrp/PersonNm0Allen Molascon
IRS990/Form990PartVIISectionAGrp/PersonNm1Mark VanEck
IRS990/Form990PartVIISectionAGrp/PersonNm2Julie Leibfried
IRS990/Form990PartVIISectionAGrp/PersonNm3Vince Robinson
IRS990/Form990PartVIISectionAGrp/PersonNm4Norris Patrick
IRS990/Form990PartVIISectionAGrp/PersonNm5David B Olson
IRS990/Form990PartVIISectionAGrp/PersonNm6Brad DeBeer
IRS990/Form990PartVIISectionAGrp/PersonNm7Sharon Vettrus
IRS990/Form990PartVIISectionAGrp/PersonNm8Miriam Iverson
IRS990/Form990PartVIISectionAGrp/PersonNm9James Ness
IRS990/Form990PartVIISectionAGrp/PersonNm10Dean Nielsen
IRS990/Form990PartVIISectionAGrp/PersonNm11Jeff Gollaher
IRS990/Form990PartVIISectionAGrp/PersonNm12Julie Hogie
IRS990/Form990PartVIISectionAGrp/PersonNm13Tabb McCluskey
IRS990/Form990PartVIISectionAGrp/PersonNm14Grant Eyjolfson
IRS990/Form990PartVIISectionAGrp/PersonNm15Tomasz Lis
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt0670
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1690
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2530
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3770
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt4560
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt5340
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt6180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt7310
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt8270
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt11153060
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1259551
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt13244401
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt14348157
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt15437915
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director (thru Aug 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director (thru Aug 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director (as of Aug 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director (as of Aug 2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt11CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt12Business Office Manager
IRS990/Form990PartVIISectionAGrp/TitleTxt13Physician/Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt14Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt15Physician
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01941
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd01
IRS990/FundraisingAmt016126
IRS990/FundraisingDirectExpensesAmt04376
IRS990/FundraisingGrossIncomeAmt03459
IRS990/GainOrLossGrp/OtherAmt02565
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GovernmentGrantsAmt08985
IRS990/GrantAmt04995
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt04995
IRS990/GrantsToDomesticOrgsGrp/TotalAmt04995
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/OtherAmt02565
IRS990/GrossReceiptsAmt014237805
IRS990/GrossRentsGrp/PersonalAmt0100
IRS990/GrossRentsGrp/RealAmt09507
IRS990/GrossSalesOfInventoryAmt039368
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt08
IRS990/IndivRcvdGreaterThan100KCnt04
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt015757
IRS990/InformationTechnologyGrp/TotalAmt015757
IRS990/InsuranceGrp/ManagementAndGeneralAmt0203310
IRS990/InsuranceGrp/TotalAmt0203310
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0228520
IRS990/InventoriesForSaleOrUseGrp/EOYAmt0287269
IRS990/InvestmentIncomeGrp/ExclusionAmt06132
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt06132
IRS990/InvestmentInJointVentureInd01
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt015962
IRS990/InvestmentsProgramRelatedGrp/BOYAmt0152688
IRS990/InvestmentsProgramRelatedGrp/EOYAmt0134039
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01422060
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01710537
IRS990/IRPDocumentCnt034
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt012225232
IRS990/LandBldgEquipBasisNetGrp/BOYAmt06275819
IRS990/LandBldgEquipBasisNetGrp/EOYAmt06277434
IRS990/LandBldgEquipCostOrOtherBssAmt018502666
IRS990/LegalDomicileStateCd0MN
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LessRentalExpensesGrp/PersonalAmt00
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd01
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0Hendricks Community Hospital Assn & Retirement Home strives to provide the highest quality health and residential care in a Christian environment.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt012846887
IRS990/NetAssetsOrFundBalancesEOYAmt014071745
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt02565
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt02565
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-917
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-917
IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt035461
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt035461
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt09607
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt09607
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-22849
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt02348
IRS990/OccupancyGrp/ProgramServicesAmt0250420
IRS990/OccupancyGrp/TotalAmt0252768
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt023693
IRS990/OfficeExpensesGrp/ProgramServicesAmt0573058
IRS990/OfficeExpensesGrp/TotalAmt0596751
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0125000
IRS990/OtherAssetsTotalGrp/EOYAmt075000
IRS990/OtherChangesInNetAssetsAmt0-35463
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt053972
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0899505
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0953477
IRS990/OtherExpensesGrp/Desc0Medical Supplies
IRS990/OtherExpensesGrp/Desc1Food
IRS990/OtherExpensesGrp/Desc2MN Care Tax
IRS990/OtherExpensesGrp/Desc3Bad Debt Expense
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0268434
IRS990/OtherExpensesGrp/ProgramServicesAmt0537043
IRS990/OtherExpensesGrp/ProgramServicesAmt1287066
IRS990/OtherExpensesGrp/ProgramServicesAmt270472
IRS990/OtherExpensesGrp/TotalAmt0537043
IRS990/OtherExpensesGrp/TotalAmt1287066
IRS990/OtherExpensesGrp/TotalAmt2268434
IRS990/OtherExpensesGrp/TotalAmt370472
IRS990/OtherLiabilitiesGrp/BOYAmt0305116
IRS990/OtherLiabilitiesGrp/EOYAmt0238901
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0AR Interest
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt020170
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt020170
IRS990/OtherRevenueTotalAmt020170
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0173154
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt05708704
IRS990/OtherSalariesAndWagesGrp/TotalAmt05881858
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt031807
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt028035
IRS990/PayrollTaxesGrp/ProgramServicesAmt0392222
IRS990/PayrollTaxesGrp/TotalAmt0420257
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt02874
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0156559
IRS990/PensionPlanContributionsGrp/TotalAmt0159433
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt065030
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt067356
IRS990/PrincipalOfficerNm0Jeff Gollaher
IRS990/PriorPeriodAdjustmentsAmt06944
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0622110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/BusinessCd3900099
IRS990/ProgramServiceRevenueGrp/Desc0Net patient & resident service re
IRS990/ProgramServiceRevenueGrp/Desc1EHR incentive
IRS990/ProgramServiceRevenueGrp/Desc2Supporting revenue
IRS990/ProgramServiceRevenueGrp/Desc3Loss on Partnership
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt013561943
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt190590
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt281337
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt3-15736
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt013561943
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt190590
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt281337
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3-15736
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0614664
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt010165
IRS990/PYInvestmentIncomeAmt0-27034
IRS990/PYOtherExpensesAmt04948415
IRS990/PYOtherRevenueAmt025494
IRS990/PYProgramServiceRevenueAmt012900281
IRS990/PYRevenuesLessExpensesAmt0432697
IRS990/PYSalariesCompEmpBnftPaidAmt08122128
IRS990/PYTotalExpensesAmt013080708
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt013513405
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt0153375
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt090318
IRS990/ReconcilationRevenueExpnssAmt01276226
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/RentalIncomeOrLossGrp/PersonalAmt0100
IRS990/RentalIncomeOrLossGrp/RealAmt09507
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt013773765
IRS990/SavingsAndTempCashInvstGrp/BOYAmt03526382
IRS990/SavingsAndTempCashInvstGrp/EOYAmt04779909
IRS990ScheduleA/HospitalInd0X
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $10M-$25M nonprofits