Civic Intelligence

Keokuk Area Hospital

EIN 42-0710268 • 501(c)3 • Keokuk, IA

Profile

Improving community health and ensuring access to quality healthcare services regardless of ability to pay.

1600 Morgan StreetKeokuk, IA 52632

www.keokukhealthsystems.org

Siviq Scores

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

Liabilities / Assets

82nd percentile

0.63x

Higher debt load relative to assets than 82% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2022

Liabilities / Revenue

41st percentile

0.15x

Higher debt load relative to revenue than 41% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2022

Net Margin

66th percentile

13%

Higher net margin than 66% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2022

Top Officer Pay

99th percentile

$2,014,745

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 9.3% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2022

Asset Growth

41st percentile

1.7%

Faster asset growth than 41% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2021 to 2022

Revenue Growth

90th percentile

78%

Faster revenue growth than 90% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2021 to 2022

Assets

Up

$5,237,631

Up $88,620 (+1.7%) from 2021

Liabilities

Down

$3,292,312

Down $2,657,390 (-45%) from 2021

Net Assets

Up

$1,945,319

Up $2,746,010 (+343%) from 2021

Revenue

Up

$21,632,292

Up $9,485,998 (+78%) from 2021

Expenses

Up

$18,886,282

Up $6,447,969 (+52%) from 2021

Net Income

Up

$2,746,010

Up $3,038,029 (+1040%) from 2021

Trend Graphs

Balance Sheet Trend

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

$40M$20M$0-$20M-$40MAssets 2010: $18,911,626Liabilities 2010: $12,178,370Net Assets 2010: $6,733,2562010Assets 2011: $16,487,269Liabilities 2011: $11,751,250Net Assets 2011: $4,736,0192011Assets 2012: $15,808,372Liabilities 2012: $12,373,410Net Assets 2012: $3,434,9622012Assets 2013: $14,267,387Liabilities 2013: $12,432,783Net Assets 2013: $1,834,6042013Assets 2014: $13,592,057Liabilities 2014: $12,767,913Net Assets 2014: $824,1442014Assets 2015: $12,707,741Liabilities 2015: $12,717,872Net Assets 2015: -$10,1312015Assets 2016: $10,055,919Liabilities 2016: $11,765,708Net Assets 2016: -$1,709,7892016Assets 2017: $13,881,182Liabilities 2017: $13,244,072Net Assets 2017: $637,1102017Assets 2018: $12,381,657Liabilities 2018: $22,352,670Net Assets 2018: -$9,971,0132018Assets 2019: $9,948,775Liabilities 2019: $27,752,197Net Assets 2019: -$17,803,4222019Assets 2020: $11,024,293Liabilities 2020: $35,289,656Net Assets 2020: -$24,265,3632020Assets 2021: $5,149,011Liabilities 2021: $5,949,702Net Assets 2021: -$800,6912021Assets 2022: $5,237,631Liabilities 2022: $3,292,312Net Assets 2022: $1,945,3192022

Highlighted filing

2022

Assets$5,237,631
Liabilities$3,292,312
Net Assets$1,945,319

Operations Trend

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

$40M$20M$0-$20MExpenses 2010: $32,673,0892010Expenses 2011: $31,034,7522011Expenses 2012: $25,744,7662012Expenses 2013: $23,047,2882013Revenue 2014: $21,976,785Expenses 2014: $21,480,123Net Income 2014: $496,6622014Revenue 2015: $19,587,091Expenses 2015: $20,383,147Net Income 2015: -$796,0562015Revenue 2016: $19,419,841Expenses 2016: $21,119,499Net Income 2016: -$1,699,6582016Revenue 2017: $17,650,285Expenses 2017: $19,437,746Net Income 2017: -$1,787,4612017Revenue 2018: $12,535,784Expenses 2018: $23,143,374Net Income 2018: -$10,607,5902018Revenue 2019: $11,685,840Expenses 2019: $19,518,170Net Income 2019: -$7,832,3302019Revenue 2020: $13,556,125Expenses 2020: $20,018,175Net Income 2020: -$6,462,0502020Revenue 2021: $12,146,294Expenses 2021: $12,438,313Net Income 2021: -$292,0192021Revenue 2022: $21,632,292Expenses 2022: $18,886,282Net Income 2022: $2,746,0102022

Highlighted filing

2022

Revenue$21,632,292
Expenses$18,886,282
Net Income$2,746,010

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.24$3.29$1.95$21.6$18.9$2.75
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.15$5.95$0.80$12.1$12.4$0.29
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.0$35.3$24.3$13.6$20.0$6.46
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.95$27.8$17.8$11.7$19.5$7.83
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.4$22.4$9.97$12.5$23.1$10.6
2017Detailed filing. Detailed filing data is available for this year.$13.9$13.2$0.64$17.7$19.4$1.79
2016Detailed filing. Detailed filing data is available for this year.$10.1$11.8$1.71$19.4$21.1$1.70
2015Detailed filing. Detailed filing data is available for this year.$12.7$12.7$0.01$19.6$20.4$0.80
2014Detailed filing. Detailed filing data is available for this year.$13.6$12.8$0.82$22.0$21.5$0.50
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.3$12.4$1.83$23.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.8$12.4$3.43$25.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.5$11.8$4.74$31.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.9$12.2$6.73$32.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2021 to Sep 30, 2022
Signed
Jul 6, 2023
Return Version
2021v4.0
Gross Receipts
$21,942,792
Mission and Program Overview

Mission

Improving community health and ensuring access to quality healthcare services regardless of ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,349,087$1,999,262▲ $650,175
Accounts Receivable$1,312,198$1,404,493▲ $92,295
Pledges and Grants Receivable$1,024$639,843▲ $638,819
Cash and Non-Interest-Bearing Accounts$1,608,211$498,365▼ $1,109,846
Inventories for Sale or Use$541,879$293,377▼ $248,502
Other Notes and Loans Receivable, Net$28,500$240,704▲ $212,204
Investments in Publicly Traded Securities$167,888$111,551▼ $56,337
Prepaid Expenses and Deferred Charges$107,653$50,036▼ $57,617
Total Assets$5,149,011$5,237,631▲ $88,620
Other Assets Total$32,571--
Liabilities
Accounts Payable and Accrued Expenses$4,065,450$3,150,106▼ $915,344
Deferred Revenue$1,570,863--
Other Liabilities$248,299$142,206▼ $106,093
Mortgage Notes Payable Secured by Investment Property$65,090--
Total Liabilities$5,949,702$3,292,312▼ $2,657,390
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-855,423$1,945,011▲ $2,800,434
Net Assets With Donor Restrictions$54,732$308▼ $54,424
Total Net Assets Fund Balance$-800,691$1,945,319▲ $2,746,010
Total Liabilities and Net Assets / Fund Balance$5,149,011$5,237,631▲ $88,620

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,092,702$88,950$1,181,652
Equipment$728,233$188,187$916,420
Land$165,800-$165,800
Leasehold Improvements$12,527$1,016$13,543
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Maureen KahnPresident/ce--$2,014,745$2,014,745
Kathleen E HullAdministrato--$360,420$360,420
Vickie ReneauAdministratoFT$172,359$22,566$194,925
Maureen KahnPresident/CEO-$172,359$22,566$194,925
Teresa ConleeSecretaryFT$50,556-$50,556

Board Members and Trustees

NameTitle
Michael MaherChair
Tom RichardsonVice Chair
Barb SmidtDirector
Dr Donza WordenDirector
Dr Kiran KhanolkarDirector
Kyle KeckDirector
Michael KlauserDirector
Mike DunnDirector
Kathleen E HullAdministrator
Vickie ReneauAdministrator
Patrick GervelerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Iowa Emergency Physicians LLPStaffing3421 W 9TH ST, Waterloo, IA 50702$1,966,219
Grape Tree Medical Staffing LLCStaffing2501 BOJI BEND DR SUITE 100, Milford, IA 51351$421,692
Bloomfield Anesthesists PllcAnesthesiology105 E LOCUST ST, Bloomfield, IA 52537$132,699
Revenue and Support

Revenue Composition

Contributions and Grants
$11,320,814
Program Service Revenue
$10,084,157
Investment Income
$11,085
Other Revenue
$216,236
All Other Contributions
$10,468,963
Change in Net Assets
$2,746,010

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Commercial2$870,955Appraiser
Other Non Cash Contri Table1$9,331DONOR'S BASIS
Total Noncash Contributions3$880,286-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,430,508
Other Expenses$6,455,774
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,722,008$1,860,755-$10,582,763
Fees for Services Other$1,536,120$1,320,962-$2,857,082
Other Employee Benefits$882,489$213,108-$1,095,597
Office Expenses$595,906$102,053-$697,959
Occupancy$626,197--$626,197
Payroll Taxes$397,571$96,007-$493,578
Current Officers, Directors, Trustees, and Key Employees-$245,481-$245,481
Depreciation Depletion$146,972--$146,972
Other Expenses$104,495--$104,495
Advertising-$47,037-$47,037
Insurance$36,556--$36,556
Travel$15,667$422-$16,089
Pension Plan Contributions$10,543$2,546-$13,089
Interest-$6,512-$6,512
Conferences and Meetings$778--$778
Total Functional Expenses$14,991,399$3,894,883$0$18,886,282
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Medicare Reimbursments$140,706
Other Lt Liabilities$1,500
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI

Keokuk area hospital contracts with blessing corporate services to execute the duties normally performed by management. The management company carries out the governing decisions of the board of directors, similar to the role and functions of an employee-officer. Blessing corporate services paid compensation to various employees collectively acting as managment. The compensation paid to those employees who serve on keokuk area hospital's board of directors is disclosed on part vii.

Form 990, Page 6, Part VI, Line 3

Blessing corporate services provides general management services.

Form 990, Page 6, Part VI, Line 6

Keokuk health systems, inc. Is the sole voting member of keokuk area hospital.

Form 990, Page 6, Part VI, Line 7A

Keokuk health systems, inc., the sole voting member of keokuk area hospital, shall possess the rights and responsibilities, with the approval of blessing corporate services, inc. (who has final authority) to appoint and/or remove at-large directors of the corporation at any time, with or without cause and appoint and remove the corporation's president.

Form 990, Page 6, Part VI, Line 7B

Blessing corporate services, inc. ("bcs") shall possess the rights and responsibilites to approve: (a) appointment and/or removal of at-large the directors of the corporation at any time, with or without cause, (b) appointment and removal of the corporation's president, (c) amending the corporation's articles of incorporation and bylaws, (d) borrowing of money and other forms of indebtedness, including, but not limited to, leases; (e) long-range plans, capital and operating budgets; and strategic or business plans, (f) purchasing and selling real and personal property and entering into contracts, not expressly made part of an approved budget, the reasonable value of which exceeds 250,000, (g) material investment decisions, including without limitation establishment and modification of investment policies, engagement and removal of investment managers and advisors, and changes in investment allocations not permitted by an existing investment policy; (h) determining the parameters for terms of employment of physicians, if any, including physician compensation plans, and any material variances from such parameters for individual physicians; (i) selection of auditors and legal counsel; (j) adoption of charity care and community benefits-related policies; (k) formation of subsidiary entities and/or joint ventures; (l) filing of a petition in bankruptcy, making an assignment for the benefit of creditors, or applying for protection under any insolvency laws; (m) participation in any merger, combination, consolidation, liquidation, dissolution or other corporate or business entity restructuring; and (n) entry into any contract and the enforcement and/or performance of any contractual obligation; (o) addition of any new members of corporation; (p) creation, transfer of ownership in and/or dissolution of any subsidiary of corporation; and (q) changes to the use of the corporation name and branding of the corporation with or without reference to bcs.

Form 990, Page 6, Part VI, Line 9

Patrick gerveler broadway at 11th st. Quincy, il 62305

Form 990, Page 6, Part VI, Line 11B

Following management and legal review, the form 990 was provided to the board of trustees for review and comment prior to filing.

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

The organization has a conflict of interest policy. Annually all officers, directors, key employees and reporting physicians are requested to complete a questionnaire to report potential conflicts of interest. Persons who have not returned questionnaires are contacted additional times in an effort to receive complete and accurate responses from all persons. The annual questionnaires include an acknowledgement that the officer, director, key employee or reporting physician: 1) has access to a copy of the conflict of interest policy; 2) has read and understands the policy; 3) agrees to comply with the policy; 4) understands that the policy applies to all committees and subcommittees having board-delegated powers; and 5) understands that the organization is a charitable organization and that in order to maintain its tax-exempt status, it must continuously engage primarily in activities which accomplish one or more of its tax-exempt purposes. The information disclosed is used to identify potential conflicts of interest and to assist in completing irs and medicaid questionnaires. Any duality of interest or possible conflict of interest on the part of any organizational officer, director, key employee or reporting physician together with all material facts, should be disclosed to the board of directors and made a matter of record, either through an annual procedure or when the interest occurs or becomes a matter of board action. Any organizational officer, director, key employee or reporting physician having a conflict of interest in any matter should not be present during general discussion nor vote or use his or her personal influence on the matter, and he or she should not be counted in determining the existence of a quorum for purposes of the matter or item as to which a conflict exists. The board should exclude the individual from any discussion or vote in which the board decides whether or not a conflict of interest exists. In cases in which an officer, director, key employee, reporting physician or the individuals household member has a conflict of interest in an arrangement or transaction, the following additional steps may be taken at the direction of the board of directors: 1) after disclosure of the financial interest and all material facts, and after any discussion with the interested person, he or she shall leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall 1) decide if a conflict of interest exists, 2) a disinterested person or committee may be appointed to investigate alternatives to the proposed arrangement or transaction; 3) in order to approve the arrangement or transaction, the board must first find, by majority vote of disinterested members, that the arrangement or transaction is in the organizations best interest, is fair and reasonable to the organization, and, after reasonable investigation, the disinterested members have determined that a more advantageous transaction or arrangement cannot be obtained with reasonable efforts under the circumstances; the minutes of the board and all committees with board-delegated powers shall contain: 1) the names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the boards or committees decision as to whether a conflict of interest in fact existed; 2) the names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith; in order to protect the organizations best interests, appropriate disciplinary action may be taken with respect to an officer, director, key em

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

Compensation arrangements with highly paid employees utilize benchmark data from various sources including the iowa hospital association wage and salary surveys and physician compensation surveys.

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

Compensation arrangements with highly paid employees utilize benchmark data from various sources including the iowa hospital association wage and salary surveys and physician compensation surveys.

Form 990, Page 6, Part VI, Line 19

These forms are located in the corporate administrative offices and are available upon request for public inspection.

Filing and Contact Details

Filer

Filer Name
Keokuk Area Hospital
EIN
42-0710268
Phone
3195247150
Address
1600 MORGAN STREET, KEOKUK, IA 52632
Doing Business As
Blessing Health Keokuk

Signing Officer

Name
Patrick Gerveler
Title
Treasurer
Phone
2172231200
Signed
2023-07-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brian T Canfield
Formed
1975
Legal Domicile
Ia
Voting Board Members
8
Independent Board Members
7
Employees
227

Preparer

Firm
Gray Hunter Stenn Llp
Address
500 MAINE ST, QUINCY, IL 62301
Preparer
Erin J Wharton CPA
Phone
2172220304
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 3

The organization ceased operations in september 2022 with the anticipation of transferring the entity to a new member that would allow a recommencement of operations in the future.

Form 990, Part IX, Line 11G

Health professionals 365,769 0 0 misc. Purchased services 1,170,351 1,320,962 0 total 1,536,120 1,320,962 0

Raw XML AppendixShowing 400 of 965 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
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IRS990/DepreciationDepletionGrp/ProgramServicesAmt0146972
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IRS990/Desc0KEOKUK AREA HOSPITAL (KAH) IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL FULLY ACCREDITED BY THE JOINT COMMISSION. ANNUALLY, KAH SERVICES APPROXIMATELY 300 ADMISSIONS, 7,000 EMERGENCY ROOM VISITS, AND 20,000 OUTPATIENT VISITS TO THE RESIDENTS OF KEOKUK, IOWA AND SURROUNDING AREAS. KAH ALSO SERVICES PATIENTS FROM A TRI-STATE AREA INCLUDING LEE COUNTY, IA, HANCOCK COUNTY, IL, AND CLARK COUNTY, MO. THE HOSPITAL HAS APPROXIMATELY 103 CREDENTIALED PHYSICIANS AND 9 CRNA/ARNPS ON THE MEDICAL STAFF AND IS GOVERNED BY THE KEOKUK HEALTH SYSTEMS BOARD OF DIRECTORS WHICH IS MADE UP OF LOCAL COMMUNITY MEMBERS.
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