Civic Intelligence

River Valley Health Network

990 • Fiscal year 2014 • EIN 41-1954804

Oct 01, 2013 to Sep 30, 2014 • Filed on Mar 16, 2015

900 2nd AvenueMadison, MN 56256

(320) 698-7199

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.75x

Higher debt load relative to assets than 92% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Liabilities / Revenue

85th percentile

0.16x

Higher debt load relative to revenue than 85% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

49th percentile

2.9%

Higher net margin than 49% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

89th percentile

$38,413

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 11.1% of source-year revenue.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

98th percentile

758%

Faster asset growth than 98% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

98th percentile

541%

Faster revenue growth than 98% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Up

$72,936

Up $64,431 (+758%) from 2013

Net Assets

Up

$18,443

Up $9,938 (+117%) from 2013

Liabilities

Up

$54,493

Up $54,493 from 2013

Revenue

Up

$347,249

Up $293,046 (+541%) from 2013

Expenses

Up

$337,167

Up $291,365 (+636%) from 2013

Net Income

Up

$10,082

Up $1,681 (+20%) from 2013

Historical Trend

Balance Sheet Trend

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

$100K$50K$0Assets 2010: $5,792Liabilities 2010: $0Net Assets 2010: $5,7922010Assets 2011: $5,660Liabilities 2011: $1,040Net Assets 2011: $4,6202011Assets 2012: $105Liabilities 2012: $0Net Assets 2012: $1052012Assets 2013: $8,505Liabilities 2013: $0Net Assets 2013: $8,5052013Assets 2014: $72,936Liabilities 2014: $54,493Net Assets 2014: $18,4432014Assets 2015: $37,091Liabilities 2015: $13,720Net Assets 2015: $23,3712015Assets 2016: $58,702Liabilities 2016: $15,909Net Assets 2016: $42,7932016Assets 2017: $21,909Liabilities 2017: $11,407Net Assets 2017: $10,5022017Assets 2018: $80,954Liabilities 2018: $62,304Net Assets 2018: $18,6502018Assets 2019: $64,661Liabilities 2019: $38,363Net Assets 2019: $26,2982019Assets 2020: $17,493Liabilities 2020: $3,600Net Assets 2020: $13,8932020Assets 2021: $39,911Liabilities 2021: $0Net Assets 2021: $39,9112021

Highlighted filing

2014

Assets$72,936
Liabilities$54,493
Net Assets$18,443

Operations Trend

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

$600K$400K$200K$0-$200KExpenses 2010: $117,2542010Revenue 2011: $73,557Expenses 2011: $74,729Net Income 2011: -$1,1722011Expenses 2012: $41,2272012Revenue 2013: $54,203Expenses 2013: $45,802Net Income 2013: $8,4012013Revenue 2014: $347,249Expenses 2014: $337,167Net Income 2014: $10,0822014Revenue 2015: $419,423Expenses 2015: $414,496Net Income 2015: $4,9272015Revenue 2016: $415,796Expenses 2016: $396,374Net Income 2016: $19,4222016Revenue 2017: $169,978Expenses 2017: $202,269Net Income 2017: -$32,2912017Revenue 2018: $446,214Expenses 2018: $438,065Net Income 2018: $8,1492018Revenue 2019: $425,064Expenses 2019: $417,503Net Income 2019: $7,5612019Revenue 2020: $266,820Expenses 2020: $279,225Net Income 2020: -$12,4052020Revenue 2021: $66,993Expenses 2021: $40,975Net Income 2021: $26,0182021

Highlighted filing

2014

Revenue$347,249
Expenses$337,167
Net Income$10,082
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Mar 16, 2015
Return Version
2013v4.0
Gross Receipts
$347,249
Mission and Program Overview

Mission

To provide a system for collaboration between its three local, rural community hospital-based provider organization members, johnson memorial health services, madison lutheran home and appleton area health services, to assist in building and maintaining quality healthcare services to the populations of lac qui parle and swift counties.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable-$71,157-
Cash and Non-Interest-Bearing Accounts$8,505$1,779▼ $6,726
Total Assets$8,505$72,936▲ $64,431
Liabilities
Accounts Payable and Accrued Expenses-$54,493-
Total Liabilities$0$54,493▲ $54,493
Net Assets / Fund Balance
Unrestricted Net Assets$8,505$18,443▲ $9,938
Total Net Assets Fund Balance$8,505$18,443▲ $9,938
Total Liabilities and Net Assets / Fund Balance$8,505$72,936▲ $64,431
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Bernice RobinsonExecutive DiFT$38,413$38,413

Board Members and Trustees

NameTitle
Mark RoisenPresident
Colleen TosselDirector
Gene KoosmannDirector
Jill SwensonDirector
Ken PerkinsDirector
Rick GailDirector
Steve MoburgDirector
Jeff CookSecretary/tr
Kathy JohnsonVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$45,010
Program Service Revenue
$302,234
Investment Income
$5
Other Revenue
$0
All Other Contributions
$45,010
Change in Net Assets
$10,082

Audited Revenue Reconciliation

Revenue per Audited Statements
$347,249
Total Revenue per Audited Statements
$347,249
Total Revenue per Form 990
$347,249
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$246,805
Salaries, Compensation, and Employee Benefits$90,362
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$206,256$92-$206,348
Other Salaries and Wages$51,949--$51,949
Current Officers, Directors, Trustees, and Key Employees$29,377$9,036-$38,413
Travel$9,253--$9,253
Occupancy$3,510$390-$3,900
Office Expenses$1,762$676-$2,438
Fees for Services Accounting$2,080$260-$2,340
Other Expenses$1,835$300-$2,135
Conferences and Meetings$424--$424
Total Functional Expenses$326,305$10,862$0$337,167

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$337,167
Total Expenses per Audited Statements$337,167
Total Expenses per Form 990$337,167
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
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
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, Page 6, Part VI, Line 11B

Prior to filing the board of directors approves the form 990.

Form 990, Page 6, Part VI, Line 12C

Annually board members, officers and key employees review for and, if any, disclose in writing potential conflicts of interest to the board of directors.

Form 990, Page 6, Part VI, Line 15A

Annually board members review and approve the executive director's compensation using comparable compensation data.

Form 990, Page 6, Part VI, Line 19

At its madison office the organization makes available to the public upon request its governing documents, conflict of interest policy, and financial statements, if available.

Filing and Contact Details

Filer

EIN
41-1954804
Phone
3206987199

Signing Officer

Name
Bernice Robinson
Title
Executive Director
Phone
3206987199
Signed
2015-03-16

Organization Details

Principal Officer
Bernice Robinson
Formed
1998
Legal Domicile
Mn
Voting Board Members
9
Independent Board Members
9
Employees
2
Volunteers
1

Preparer

Preparer
Bryan Swartz
Phone
6514811128
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

To provide a system for collaboration between its three local, rural community hospital-based provider organization members, johnson memorial health services, madison lutheran home and appleton area health services, to assist in building and maintaining quality healthcare services to the populations of lac qui parle and swift counties.

Form 990, Part XI, Line 9

PRIOR YEAR ADJUSTMENT

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IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0647101
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/ExpensesSubtotalAmt0337167
IRS990ScheduleD/RevenueSubtotalAmt0347249
IRS990ScheduleD/TotalExpensesPerForm990Amt0337167
IRS990ScheduleD/TotalRevenuePerForm990Amt0347249
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0347249
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0337167
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TO PROVIDE A SYSTEM FOR COLLABORATION BETWEEN ITS THREE LOCAL, RURAL COMMUNITY HOSPITAL-BASED PROVIDER ORGANIZATION MEMBERS, JOHNSON MEMORIAL HEALTH SERVICES, MADISON LUTHERAN HOME AND APPLETON AREA HEALTH SERVICES, TO ASSIST IN BUILDING AND MAINTAINING QUALITY HEALTHCARE SERVICES TO THE POPULATIONS OF LAC QUI PARLE AND SWIFT COUNTIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PRIOR TO FILING THE BOARD OF DIRECTORS APPROVES THE FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ANNUALLY BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES REVIEW FOR AND, IF ANY, DISCLOSE IN WRITING POTENTIAL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ANNUALLY BOARD MEMBERS REVIEW AND APPROVE THE EXECUTIVE DIRECTOR'S COMPENSATION USING COMPARABLE COMPENSATION DATA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4AT ITS MADISON OFFICE THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC UPON REQUEST ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, IF AVAILABLE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PRIOR YEAR ADJUSTMENT
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0MN
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt08505
IRS990/TotalAssetsEOYAmt072936
IRS990/TotalAssetsGrp/BOYAmt08505
IRS990/TotalAssetsGrp/EOYAmt072936
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt045010
IRS990/TotalEmployeeCnt02
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt010862
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0326305
IRS990/TotalFunctionalExpensesGrp/TotalAmt0337167
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt054493
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt054493
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt08505
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt018443
IRS990/TotalProgramServiceExpensesAmt0326305
IRS990/TotalProgramServiceRevenueAmt0302234
IRS990/TotalReportableCompFromOrgAmt038413
IRS990/TotalRevenueGrp/ExclusionAmt05
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0302234
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0347249
IRS990/TotalVolunteersCnt01
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt08505
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt072936
IRS990/TravelGrp/ProgramServicesAmt09253
IRS990/TravelGrp/TotalAmt09253
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt08505
IRS990/UnrestrictedNetAssetsGrp/EOYAmt018443
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine10900 2ND AVENUE
IRS990/USAddress/City0MADISON
IRS990/USAddress/State0MN
IRS990/USAddress/ZIPCode056256
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/PersonNm0BERNICE ROBINSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03206987199
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-03-16
ReturnHeader/Filer/BusinessName/BusinessNameLine10LAC QUI PARLE HEALTH NETWORK
ReturnHeader/Filer/BusinessName/BusinessNameLine20HOSPITAL SERVICES COOPERATIVE
ReturnHeader/Filer/BusinessNameControlTxt0LACQ
ReturnHeader/Filer/EIN0411954804
ReturnHeader/Filer/PhoneNum03206987199
ReturnHeader/Filer/USAddress/AddressLine10900 2ND AVENUE
ReturnHeader/Filer/USAddress/City0MADISON
ReturnHeader/Filer/USAddress/State0MN
ReturnHeader/Filer/USAddress/ZIPCode056256
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0411532347
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10HARRINGTON LANGER & ASSOCIATES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10563 PHALEN BLVD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0SAINT PAUL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode055130
ReturnHeader/PreparerPersonGrp/PhoneNum06514811128
ReturnHeader/PreparerPersonGrp/PreparationDt02015-03-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRYAN SWARTZ
ReturnHeader/ReturnTs02015-03-23T15:43:43-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-10-01
ReturnHeader/TaxPeriodEndDt02014-09-30
ReturnHeader/TaxYr02013

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