Civic Intelligence

Community Hospital Inc

EIN 42-0738969 • 501(c)3 • Hamburg, IA

Profile

George c. Grape community hospital's well trained medical staff and health care team will strive to exceed patients' expectations by providing continuity of personalized care through easy access to services.

2959 US Highway 275Hamburg, IA 51640-5052

www.grapehospital.com

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.31x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

43rd percentile

0.17x

Higher debt load relative to revenue than 43% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

51st percentile

4.9%

Higher net margin than 51% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

53rd percentile

5.8%

Faster asset growth than 53% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

80th percentile

31%

Faster revenue growth than 80% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$9,111,422

Up $495,518 (+5.8%) from 2023

Liabilities

Down

$2,838,429

Down $401,543 (-12%) from 2023

Net Assets

Up

$6,272,993

Up $897,061 (+17%) from 2023

Revenue

Up

$17,126,740

Up $4,031,107 (+31%) from 2023

Expenses

Up

$16,291,851

Up $1,596,370 (+11%) from 2023

Net Income

Up

$834,889

Up $2,434,737 (+152%) from 2023

Trend Graphs

Balance Sheet Trend

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

$15M$10M$5.0M$0Assets 2010: $3,813,616Liabilities 2010: $1,726,936Net Assets 2010: $2,086,6802010Assets 2011: $4,154,112Liabilities 2011: $1,689,003Net Assets 2011: $2,465,1092011Assets 2012: $4,635,124Liabilities 2012: $1,880,761Net Assets 2012: $2,754,3632012Assets 2013: $5,533,159Liabilities 2013: $2,128,035Net Assets 2013: $3,405,1242013Assets 2014: $5,486,792Liabilities 2014: $1,937,944Net Assets 2014: $3,548,8482014Assets 2015: $5,950,127Liabilities 2015: $2,269,799Net Assets 2015: $3,680,3282015Assets 2016: $5,631,310Liabilities 2016: $1,638,695Net Assets 2016: $3,992,6152016Assets 2017: $6,015,419Liabilities 2017: $1,569,900Net Assets 2017: $4,445,5192017Assets 2018: $6,249,220Liabilities 2018: $1,887,214Net Assets 2018: $4,362,0062018Assets 2019: $6,082,088Liabilities 2019: $1,904,634Net Assets 2019: $4,177,4542019Assets 2020: $12,403,675Liabilities 2020: $8,805,994Net Assets 2020: $3,597,6812020Assets 2021: $11,786,963Liabilities 2021: $3,404,014Net Assets 2021: $8,382,9492021Assets 2022: $9,958,587Liabilities 2022: $3,024,549Net Assets 2022: $6,934,0382022Assets 2023: $8,615,904Liabilities 2023: $3,239,972Net Assets 2023: $5,375,9322023Assets 2024: $9,111,422Liabilities 2024: $2,838,429Net Assets 2024: $6,272,9932024

Highlighted filing

2024

Assets$9,111,422
Liabilities$2,838,429
Net Assets$6,272,993

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $9,093,9712010Expenses 2011: $9,503,0912011Expenses 2012: $9,905,0752012Expenses 2013: $10,049,5372013Revenue 2014: $10,828,819Expenses 2014: $10,684,081Net Income 2014: $144,7382014Revenue 2015: $10,629,541Expenses 2015: $10,516,793Net Income 2015: $112,7482015Revenue 2016: $11,370,935Expenses 2016: $11,068,986Net Income 2016: $301,9492016Revenue 2017: $11,386,850Expenses 2017: $10,927,526Net Income 2017: $459,3242017Revenue 2018: $11,100,184Expenses 2018: $11,195,493Net Income 2018: -$95,3092018Revenue 2019: $11,233,056Expenses 2019: $11,436,838Net Income 2019: -$203,7822019Revenue 2020: $11,140,774Expenses 2020: $11,730,441Net Income 2020: -$589,6672020Revenue 2021: $16,443,876Expenses 2021: $11,667,164Net Income 2021: $4,776,7122021Revenue 2022: $12,851,962Expenses 2022: $14,307,239Net Income 2022: -$1,455,2772022Revenue 2023: $13,095,633Expenses 2023: $14,695,481Net Income 2023: -$1,599,8482023Revenue 2024: $17,126,740Expenses 2024: $16,291,851Net Income 2024: $834,8892024

Highlighted filing

2024

Revenue$17,126,740
Expenses$16,291,851
Net Income$834,889

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9.11$2.84$6.27$17.1$16.3$0.83
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.62$3.24$5.38$13.1$14.7$1.60
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.96$3.02$6.93$12.9$14.3$1.46
2021Detailed filing. Detailed filing data is available for this year.$11.8$3.40$8.38$16.4$11.7$4.78
2020Detailed filing. Detailed filing data is available for this year.$12.4$8.81$3.60$11.1$11.7$0.59
2019Detailed filing. Detailed filing data is available for this year.$6.08$1.90$4.18$11.2$11.4$0.20
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.25$1.89$4.36$11.1$11.2$0.10
2017Detailed filing. Detailed filing data is available for this year.$6.02$1.57$4.45$11.4$10.9$0.46
2016Detailed filing. Detailed filing data is available for this year.$5.63$1.64$3.99$11.4$11.1$0.30
2015Detailed filing. Detailed filing data is available for this year.$5.95$2.27$3.68$10.6$10.5$0.11
2014Detailed filing. Detailed filing data is available for this year.$5.49$1.94$3.55$10.8$10.7$0.14
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.53$2.13$3.41$10.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.64$1.88$2.75$9.91
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.15$1.69$2.47$9.50
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.81$1.73$2.09$9.09
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 31, 2025
Return Version
2023v6.0
Gross Receipts
$17,126,740
Mission and Program Overview

Mission

George c. Grape community hospital's well trained medical staff and health care team will strive to exceed patients' expectations by providing continuity of personalized care through easy access to services.

CRITICAL ACCESS HOSPITAL

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,446,141$5,910,944▲ $464,803
Accounts Receivable$1,204,739$1,366,595▲ $161,856
Savings and Temporary Cash Investments$1,096,562$701,420▼ $395,142
Inventories for Sale or Use$447,280$447,932▲ $652
Investments in Publicly Traded Securities$163,254$225,426▲ $62,172
Cash and Non-Interest-Bearing Accounts$229,786$218,760▼ $11,026
Other Notes and Loans Receivable, Net$4,297$170,324▲ $166,027
Prepaid Expenses and Deferred Charges$23,845$57,551▲ $33,706
Total Assets$8,615,904$9,111,422▲ $495,518
Other Assets Total$0$12,470▲ $12,470
Liabilities
Accounts Payable and Accrued Expenses$907,719$1,075,650▲ $167,931
Mortgage Notes Payable Secured by Investment Property$546,638$869,972▲ $323,334
Other Liabilities$1,732,188$869,303▼ $862,885
Deferred Revenue$53,427$23,504▼ $29,923
Total Liabilities$3,239,972$2,838,429▼ $401,543
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,375,932$6,272,993▲ $897,061
Total Net Assets Fund Balance$5,375,932$6,272,993▲ $897,061
Total Liabilities and Net Assets / Fund Balance$8,615,904$9,111,422▲ $495,518

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,184,947$6,912,484$9,097,431
Buildings$3,358,290$3,712,514$7,070,804
Other Land Buildings$269,707$263,907$533,614
Land$98,000-$98,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cristin HendricksonCEOFT$188,854$8,198$197,052
Holly RihnerRnFT$139,074-$139,074
Douglas BrandtCFOFT$117,459$16,801$134,260
Jamie HuttRadiology SupervisorFT$116,019$5,161$121,180
Tanya HayesDirector of NursingFT$108,358$4,861$113,219
Craig WellsCIOFT$107,884$4,871$112,755
Angela MallasLab TechFT$110,426-$110,426

Board Members and Trustees

NameTitle
Dr Thomas LargenPresident
Greg WardenVice President
Angie EttlemanDirector
Dr Michael WellsDirector
Loa TrivelyDirector
Troy HendricksonDirector
Connie SmithSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medical Clinic PCEr Physicians1219 MAIN STREET, Hamburg, IA 51640$550,537
The Graham GroupConstruction Services421 GRAND AVENUE, Des Moines, IA 50309$429,415
InspirePhysical/occupational Therapy8181 ARISTA P1 SUITE 100, Broomfield, CO 80021$405,946
Fusion Medical Staffing LLCTraveling PersonnelPO BOX 30131, Omaha, NE 68103$312,116
Get Med Staffing INCTraveling PersonnelPO BOX 8667, Omaha, NE 68108$264,088
Revenue and Support

Revenue Composition

Contributions and Grants
$632,696
Program Service Revenue
$16,412,796
Investment Income
$26,619
Other Revenue
$54,629
All Other Contributions
$41,074
Change in Net Assets
$834,889
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$8,212,784
Salaries, Compensation, and Employee Benefits$8,079,067
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,097,761$1,176,083-$6,273,844
Fees for Services Other$3,871,658$87,644-$3,959,302
Other Employee Benefits$651,488$197,959-$849,447
Depreciation Depletion$513,354$100,280-$613,634
Payroll Taxes$380,245$92,940-$473,185
Current Officers, Directors, Trustees, and Key Employees-$340,094-$340,094
Occupancy$258,160$66,523-$324,683
Office Expenses$194,973$116,839-$311,812
Insurance$85,364$75,827-$161,191
Pension Plan Contributions$112,446$30,051-$142,497
Fees for Services Accounting-$136,892-$136,892
Interest-$69,374-$69,374
Fees for Services Legal-$69,308-$69,308
Information Technology$51,079$196-$51,275
Travel$23,789$3,641-$27,430
Advertising$8,069$14,360-$22,429
Other Expenses$6,367$6,748-$13,115
Conferences and Meetings$8,258$4,008-$12,266
Fees for Services Management-$4,852-$4,852
Total Functional Expenses$13,691,242$2,600,609$0$16,291,851
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
Est Third-party Payor Settlements$863,258
Capital Lease Obligations$6,045
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
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Grape community hospital is a corporation that has members. Membership in the corporation shall consist of the persons, corporations or associations who subscribed as incorporators and such other persons, corporations or associations who have contributed $100 or more to the corporation in cash, property or volunteer services rendered to the corporation.

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

The individual members (not corporate or association members) of grape community hospital (as described on form 990, part vi, section a, line 6) shall elect, at the annual meeting, the board of directors.

Form 990, Part VI, Section A, Line 8B

There is no committee with the authority to act on behalf of the governing body.

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

The ceo and director of finance will review the 990 prior to submission. The 990 will be presented to the board of directors for review prior to submission.

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

All directors and key employees will be required to annually complete the "conflict of interests statement". This policy is reviewed by the board of directors annually and given to each new director for signature during orientation. Any conflicts that arise during the year are disclosed to the board of directors and appropriately documented. Should any conflict require board action, the directors shall hold a meeting to vote on the matter.

Form 990, Part VI, Section B, Line 15

The ceo's salary was determined by using the iowa hospital association (iha) salary survey. It was discussed by independent board members and reviewed by legal counsel. This process has been in place since 2008. All other salaries, regardless of the position, are compared to the iha salary survey with years of experience taken into consideration as well. The hospital has senior administration that are involved in the hiring of management, including the ceo.

Form 990, Part VI, Section C, Line 19

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

Filing and Contact Details

Filer

Filer Name
Community Hospital Inc
EIN
42-0738969
Phone
7123821515
Address
2959 US HIGHWAY 275, HAMBURG, IA 51640-5052
Doing Business As
George C Grape Community Hospital

Signing Officer

Name
Doug Brandt
Title
CFO
Phone
7123821515
Signed
2025-07-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Cristin Hendrickson
Formed
1955
Legal Domicile
Ia
Voting Board Members
7
Independent Board Members
7
Employees
141
Volunteers
7

Preparer

Firm
Eide Bailly Llp
Address
18081 BURT ST STE 200, OMAHA, NE 68022-4722
Preparer
Megan L Koziol CPA
Phone
4023302660
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

Effective december 31, 2023, the hospital purchased the real estate of medical clinic, inc. The clinic operates three rural health clinics providing outpatient services in iowa in the towns of hamburg, sidney and tabor.

Form 990, Part IX, Line 11G

Other fees for service: program service expenses 1,752,479. Management and general expenses 87,644. Fundraising expenses 0. Total expenses 1,840,123. Er coverage: program service expenses 160,976. Management and general expenses 0. Fundraising expenses 0. Total expenses 160,976. Nursing services: program service expenses 1,229,985. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,229,985. Anesthesia services: program service expenses 221,862. Management and general expenses 0. Fundraising expenses 0. Total expenses 221,862. Lab services: program service expenses 358,912. Management and general expenses 0. Fundraising expenses 0. Total expenses 358,912. Radiology services: program service expenses 147,444. Management and general expenses 0. Fundraising expenses 0. Total expenses 147,444.

FORM 990, PART XII, LINE 2C:

The board of directors assumes responsibility for oversight of the audit and selection of an independent accountant. This process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

The hospital accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in financial accounting standards board (fasb) accounting standards codification (asc) 740, income taxes. The hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At september 30, 2024 and 2023, the hospital had no uncertain tax positions accrued.

Raw XML AppendixShowing 400 of 772 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/Desc0GEORGE C. GRAPE COMMUNITY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL THAT RECEIVED INITIAL CERTIFICATION ON AUGUST 1, 2001. THE HOSPITAL IS OWNED AND OPERATED BY COMMUNITY HOSPITAL INC., DOING BUSINESS AS GEORGE C. GRAPE COMMUNITY HOSPITAL.AS A CRITICAL ACCESS HOSPITAL, GEORGE C. GRAPE COMMUNITY HOSPITAL PERFORMS AN ANNUAL PROGRAM EVALUATION IN ORDER TO DETERMINE WHETHER THE SERVICE IS APPROPRIATE, ADEQUATE, EFFECTIVE AND EFFICIENT. THIS EVALUATION ALSO DETERMINES WHETHER THE UTILIZATION OF SERVICES WAS APPROPRIATE, ESTABLISHED POLICIES WERE FOLLOWED, DETERMINES ANY CHANGES NEEDED AND RECOMMENDS PROJECTS FOR DEVELOPMENT DURING THE NEXT YEAR. STATISTICAL ANALYSIS: 1.) ACUTE CARE- THERE WERE A TOTAL OF 88 INPATIENT ADMISSIONS DURING FISCAL YEAR 2024 COMPARED TO 79 ADMISSIONS DURING FISCAL YEAR 2023.2.) SWING BED- 43 SWING BED ADMISSIONS WERE RECORDED DURING FISCAL YEAR 2024 COMPARED TO 49 ADMISSIONS DURING FISCAL YEAR 2023. 3.) SURGICAL CASES- THERE WERE A TOTAL OF 148 SURGICAL CASES FOR THE 2024 FISCAL YEAR AS COMPARED TO 155 SURGICAL CASES DURING FISCAL YEAR 2023.4.) OUTPATIENT SERVICES- EMERGENCY ROOM SERVICES DECREASED FROM 871 VISITS IN FISCAL YEAR 2023 TO 847 VISITS IN FISCAL YEAR 2024. LABORATORY SERVICES DECREASED FROM 14,505 IN FISCAL YEAR 2023 TO 14,149 IN FISCAL YEAR 2024. RADIOLOGY SERVICES DECREASED FROM 2,253 IN FISCAL YEAR 2023 TO 2,218 IN FISCAL YEAR 2024. ULTRASOUND SERVICES DECREASED FROM 540 IN FISCAL YEAR 2023 TO 479 IN FISCAL YEAR 2024. NUCLEAR MEDICINE SERVICES DECREASED FROM 40 IN FISCAL YEAR 2023 TO 39 IN FISCAL YEAR 2024.
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