Civic Intelligence

Sioux Center Health

EIN 42-0796764 • 501(c)3 • Sioux Center, IA

Profile

Bring hope, health and healing to life.

1101 9th St SESioux Center, IA 51250

www.siouxcenterhealth.org

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.58x

Higher debt load relative to assets than 73% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Liabilities / Revenue

71st percentile

0.93x

Higher debt load relative to revenue than 71% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Net Margin

48th percentile

3.6%

Higher net margin than 48% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

7th percentile

-9.0%

Faster asset growth than 7% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Revenue Growth

77th percentile

20%

Faster revenue growth than 77% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Assets

Down

$103,990,651

Down $10,260,988 (-9.0%) from 2022

Liabilities

Down

$60,754,321

Down $7,085,402 (-10%) from 2022

Net Assets

Down

$43,236,330

Down $3,175,586 (-6.8%) from 2022

Revenue

Up

$65,118,637

Up $11,056,989 (+20%) from 2022

Expenses

Up

$62,747,832

Up $6,946,177 (+12%) from 2022

Net Income

Up

$2,370,805

Up $4,110,812 (+236%) from 2022

Trend Graphs

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2010: $32,817,897Liabilities 2010: $10,620,068Net Assets 2010: $22,197,8292010Assets 2011: $34,227,371Liabilities 2011: $10,756,464Net Assets 2011: $23,470,9072011Assets 2012: $44,315,112Liabilities 2012: $10,738,085Net Assets 2012: $33,577,0272012Assets 2013: $64,136,626Liabilities 2013: $26,475,644Net Assets 2013: $37,660,9822013Assets 2014: $85,641,219Liabilities 2014: $46,334,886Net Assets 2014: $39,306,3332014Assets 2015: $82,125,464Liabilities 2015: $44,631,337Net Assets 2015: $37,494,1272015Assets 2016: $77,862,177Liabilities 2016: $40,981,401Net Assets 2016: $36,880,7762016Assets 2017: $78,325,823Liabilities 2017: $41,522,553Net Assets 2017: $36,803,2702017Assets 2018: $76,047,825Liabilities 2018: $39,680,570Net Assets 2018: $36,367,2552018Assets 2019: $74,988,976Liabilities 2019: $37,625,147Net Assets 2019: $37,363,8292019Assets 2020: $89,106,831Liabilities 2020: $51,835,910Net Assets 2020: $37,270,9212020Assets 2021: $104,448,697Liabilities 2021: $56,658,409Net Assets 2021: $47,790,2882021Assets 2022: $114,251,639Liabilities 2022: $67,839,723Net Assets 2022: $46,411,9162022Assets 2023: $103,990,651Liabilities 2023: $60,754,321Net Assets 2023: $43,236,3302023

Highlighted filing

2023

Assets$103,990,651
Liabilities$60,754,321
Net Assets$43,236,330

Operations Trend

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $25,366,8062010Expenses 2011: $27,146,8732011Revenue 2012: $37,958,810Expenses 2012: $27,852,690Net Income 2012: $10,106,1202012Expenses 2013: $28,740,0082013Revenue 2014: $31,985,872Expenses 2014: $30,340,521Net Income 2014: $1,645,3512014Revenue 2015: $34,595,686Expenses 2015: $36,407,892Net Income 2015: -$1,812,2062015Revenue 2016: $38,186,779Expenses 2016: $38,800,130Net Income 2016: -$613,3512016Revenue 2017: $40,588,576Expenses 2017: $40,666,082Net Income 2017: -$77,5062017Revenue 2018: $40,824,446Expenses 2018: $42,006,151Net Income 2018: -$1,181,7052018Revenue 2019: $44,628,147Expenses 2019: $44,940,937Net Income 2019: -$312,7902019Revenue 2020: $45,026,290Expenses 2020: $46,595,237Net Income 2020: -$1,568,9472020Revenue 2021: $58,624,352Expenses 2021: $49,781,946Net Income 2021: $8,842,4062021Revenue 2022: $54,061,648Expenses 2022: $55,801,655Net Income 2022: -$1,740,0072022Revenue 2023: $65,118,637Expenses 2023: $62,747,832Net Income 2023: $2,370,8052023

Highlighted filing

2023

Revenue$65,118,637
Expenses$62,747,832
Net Income$2,370,805

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$104$60.8$43.2$65.1$62.7$2.37
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$114$67.8$46.4$54.1$55.8$1.74
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$104$56.7$47.8$58.6$49.8$8.84
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$89.1$51.8$37.3$45.0$46.6$1.57
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$75.0$37.6$37.4$44.6$44.9$0.31
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$76.0$39.7$36.4$40.8$42.0$1.18
2017Summary only. Only limited summary data is available for this year.$78.3$41.5$36.8$40.6$40.7$0.08
2016Detailed filing. Detailed filing data is available for this year.$77.9$41.0$36.9$38.2$38.8$0.61
2015Summary only. Only limited summary data is available for this year.$82.1$44.6$37.5$34.6$36.4$1.81
2014Summary only. Only limited summary data is available for this year.$85.6$46.3$39.3$32.0$30.3$1.65
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$64.1$26.5$37.7$28.7
2012Summary only. Only limited summary data is available for this year.$44.3$10.7$33.6$38.0$27.9$10.1
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.2$10.8$23.5$27.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.8$10.6$22.2$25.4
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Mar 17, 2022
Return Version
2020v4.2
Gross Receipts
$58,706,196
Mission and Program Overview

Mission

Bring hope, health and healing to life.

To provide medical care for all ages.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$44,853,825$56,239,404▲ $11,385,579
Savings and Temporary Cash Investments$22,053,588$22,481,637▲ $428,049
Investments Other Securities$7,383,062$9,345,797▲ $1,962,735
Investments in Publicly Traded Securities$5,936,829$6,385,297▲ $448,468
Accounts Receivable$4,924,030$5,520,531▲ $596,501
Inventories for Sale or Use$708,823$788,171▲ $79,348
Prepaid Expenses and Deferred Charges$413,964$565,922▲ $151,958
Investments Program Related$377,674$234,489▼ $143,185
Pledges and Grants Receivable$83,791--
Intangible Assets$79,819$59,880▼ $19,939
Total Assets$89,106,831$104,448,697▲ $15,341,866
Other Assets Total$2,291,426$2,827,569▲ $536,143
Liabilities
Mortgage Notes Payable Secured by Investment Property$22,348,307$22,921,884▲ $573,577
Tax Exempt Bond Liabilities$7,791,532$16,120,297▲ $8,328,765
Accounts Payable and Accrued Expenses$4,278,741$8,427,567▲ $4,148,826
Deferred Revenue$10,284,184$4,949,972▼ $5,334,212
Unsecured Notes Loans Payable$4,388,200--
Other Liabilities$2,633,226$4,133,569▲ $1,500,343
Escrow Account Liability$111,720$105,120▼ $6,600
Total Liabilities$51,835,910$56,658,409▲ $4,822,499
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$35,563,074$45,218,697▲ $9,655,623
Net Assets With Donor Restrictions$1,707,847$2,571,591▲ $863,744
Total Net Assets Fund Balance$37,270,921$47,790,288▲ $10,519,367
Total Liabilities and Net Assets / Fund Balance$89,106,831$104,448,697▲ $15,341,866

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$33,131,699$23,523,617$56,655,316
Equipment$5,573,257$11,143,378$16,716,635
Other Land Buildings$14,675,337$646,033$15,321,370
Land$2,859,111-$2,229,111
Other Securities$134,462--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$247,170---$247,170
2019$247,170---$247,170
2018$385,500-▲ $24,315$162,645$247,170
2017$356,032-▲ $29,468-$385,500
2016$324,809-▲ $31,223-$356,032
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Nicholas MouwGeneral SurgeonFT$562,109$642,049$1,204,158
Dr Scott A Rens MDFamily Medicine/OBFT$464,688$44,456$509,144
Alanna JanssenPhysicianFT$359,768$116,033$475,801
David JanssenPhysicianFT$306,742$102,354$409,096
Jason KoelwynPhysicianFT$322,747$83,223$405,970
Yvonne Rayborn MDDirector-$210,404$107,505$317,909
Cory NelsonCEOFT$248,031$38,721$286,752
Kari TimmerCFOFT$122,614$12,643$135,257

Board Members and Trustees

NameTitle
Tim BylPresident
Doug Van MeeterenVice President
Ardith LeinDirector
Betty VermeerDirector
Bob BruxvoortDirector
Brenda DokterDirector
Brian Van EngenDirector
Bruce DooyemaDirector
Cory GottoDirector
Curt HohmanDirector
Dale Vander BergDirector
Dan HibmaDirector
David EekhoffDirector
Delbert BroekDirector
Dorinda OosteninkDirector
Janet BooneDirector
Jeff TimmerDirector
Jennifer JansenDirector
Jody KockDirector
John KoerselmanDirector
Josh BowarDirector
Lauren KaemingkDirector
Leslie BrommerDirector
Lisa ChristiansDirector
Lyle VermeerDirector
Marj WagnerDirector
Matt NiceDirector
Neil Van SchouwenDirector
Paul ClousingDirector
Rick KattenbergDirector
Scott PetersonDirector
Scott WynjaDirector
Stan SpeerDirector
Terry BooteDirector
Verdean WynjaDirector
Vernon BeerninkDirector
Kyle HiemstraSecretary
Nathan BakkerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Northwest Iowa Diagnosticsanesthesia services2183 Ridge Rd, Sioux Center, SD 51250$368,730
Creative Dining Services IncUltrasound Readings714 Lincoln St NE, le Mars, IA 51031$239,790
Independent Radiology ServicesRadiology Readings234 Marina Dell Ave, Yankton, SD 57078$147,034
-dietary professional feesOne Royal Park Dr Ste3, Zeeland, MI 49464$109,893
-radiologyPO Box 2746, Fargo, ND 58108$100,117
Revenue and Support

Revenue Composition

Contributions and Grants
$10,020,424
Program Service Revenue
$48,453,810
Investment Income
$103,629
Other Revenue
$46,489
All Other Contributions
$267,854
Change in Net Assets
$8,842,406

Audited Revenue Reconciliation

Revenue per Audited Statements
$58,624,352
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,676,961
Total Revenue per Audited Statements
$60,301,313
Total Revenue per Form 990
$58,624,352
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$28,832,513
Other Expenses$20,934,363
Total Fundraising Expense$81,364
Grants and Similar Amounts Paid$15,070
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$21,016,325$1,470,074$68,868$22,555,267
Fees for Services Other$3,700,659$1,721,301-$5,421,960
Depreciation Depletion$3,558,163$426,115-$3,984,278
Other Employee Benefits$3,080,760$201,028$5,894$3,287,682
Office Expenses$889,276$644,398$113$1,533,787
Payroll Taxes$1,351,514$126,880$4,104$1,482,498
Interest$640,049$163,283-$803,332
Occupancy$761,532$4,976-$766,508
Pension Plan Contributions$691,205$49,606$2,261$743,072
Current Officers, Directors, Trustees, and Key Employees$236,873$416,330-$653,203
Insurance$212,863$198,033-$410,896
Other Expenses$294,912$2,897$124$294,912
Advertising$3,284$269,145-$272,429
All Other Expenses$88,262$43,017-$131,279
Comp Disqual Persons$110,791--$110,791
Travel$71,440$5,177-$76,617
Conferences and Meetings$67,968$1,911-$69,879
Fees for Services Legal-$50,662-$50,662
Grants to Domestic Orgs$15,070--$15,070
Total Functional Expenses$43,905,749$5,794,833$81,364$49,781,946

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$49,781,946
Total Expenses per Audited Statements$49,781,946
Total Expenses per Form 990$49,781,946
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Val HiemstraFamily member of Cory Gotto, Board memberCompensation as an employeeNo$45,444
Kim BosmaFamily member of Cory Gotto, Board memberCompensation as an employeeNo$44,062
Brooke Van EngenFamily member of Brian Van Engen, DirectorCompensation as an employeeNo$21,285
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$2,827,569
Estimated third-party payor settlements$1,306,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
BCity of Hull Iowa2019-12-30$9,500,000Short term Construction Financing
ACity of Hull Iowa2017-12-18$8,300,000Hospital Facility Revenue Refunding Bond, Series 2017(2012 issue).
CSioux County Iowa2019-12-30$8,000,000Short term Construction Financing
DCity of Hull Iowa2020-11-18$8,000,000Health Facility Revenue Bond (Sioux Center Health Project), Series 2020B
ASioux County Iowa2020-11-18$4,500,000Health Facility Revenue Bond (Sioux Center Health Project), Series 2020BB

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$9,500,000--$144,006
A$8,300,000$8,143,319$1,151,069$156,681
C$8,000,000--$121,268
D$8,000,000--$102,865
A$4,500,000--$57,657

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
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
Yes
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 four officers: President, Vice President, Secretary, Treasurer, and seven board members. The Executive Committee shall have power to transact all regular business of the facility 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.

Form 990, Part VI, Section A, line 2

Board members Verdean Wynja and Scott Wynja have a family relationship.

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

One member of the governing body is appointed by Avera McKennan.

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

The 990 is emailed to members of the Board of Directors for review and any questions are addressed prior to filing the return with the IRS.

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

Officers, Directors and Trustees are required to complete conflict of interest questionnaires which are monitored and tracked. The questionnaires are reviewed by the Board for any possible conflicts with any noted conflicts being brought to management's attention. Conflicts are also reviewed at the Board level. After a conflict is deemed to exist, the individual(s) involved must abstain from the discussion and vote related to the issue.

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

The CEO is employed through a management agreement with Avera McKennan but is considered a common law employee of Sioux Center Health. Avera McKennan annually reviews the compensation of the CEO, using comparability data and a performance rating system and meets with the Board of Directors of Sioux Center Health. Avera McKennan recommends a salary adjustment for the CEO. The Board of Directors is responsible for approval of the salary adjustment. The deliberation and decision is documented at Avera McKennan and in the board minutes. Compensation for the CFO is reviewed and approved annually by the CEO and Human Resources. Market data is used to determine an appropriate salary range. The review process and salary adjustment is documented in the personnel file.

Form 990, Part VI, Section C, line 19

The documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Sioux Center Health
EIN
42-0796764
Phone
7127221271
Address
1101 9th St SE, Sioux Center, IA 51250

Signing Officer

Name
Cory Nelson
Title
CEO
Phone
7127221271
Signed
2022-03-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Cory Nelson
Formed
1951
Legal Domicile
Ia
Voting Board Members
39
Independent Board Members
36
Employees
620
Volunteers
68

Preparer

Firm
Eide Bailly LLP
Address
200 E 10th St Ste 500, Sioux Falls, SD 57104-6375
Preparer
Laurie Hanson CPA
Phone
6053391999
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Professional Fees: Program service expenses 65,111. Management and general expenses 507,331. Fundraising expenses 0. Total expenses 572,442. Purchased services: Program service expenses 3,081,162. Management and general expenses 1,112,143. Fundraising expenses 0. Total expenses 4,193,305. Repairs and maintenance: Program service expenses 554,386. Management and general expenses 101,827. Fundraising expenses 0. Total expenses 656,213.

Form 990, Part XI, line 9:

Change in interest in net assets of Avera Health Foundation 1,676,961.

Financial Statement Notes

Part V, Line 4:

The Health Center's endowment consists of a portion of their interest in the net assets of the Avera Health Foundation. The Avera Health Foundation includes endowment funds which have been established for a variety of purposes. The Center does not have a formal policy or agreement with the Foundation covering the distribution of endowment fund earnings. The Center expects the Foundation to allow its endowment to grow consistent with the Center's objective to maintain the purchasing power of the endowment assets in order to provide additional real growth through new gifts and investment return. However, there is no current intention of using the permanently endowed funds.

Part X, Line 2:

The Health Center believes that 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 Health Center 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:

Change in net assets of Avera Health Foundation 1,676,961.

Raw XML AppendixShowing 400 of 1,443 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
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt04278741
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt08427567
IRS990/AccountsReceivableGrp/BOYAmt04924030
IRS990/AccountsReceivableGrp/EOYAmt05520531
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0To provide medical care for all ages.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0269145
IRS990/AdvertisingGrp/ProgramServicesAmt03284
IRS990/AdvertisingGrp/TotalAmt0272429
IRS990/AllOtherContributionsAmt0267854
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt043017
IRS990/AllOtherExpensesGrp/ProgramServicesAmt088262
IRS990/AllOtherExpensesGrp/TotalAmt0131279
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IRS990/BooksInCareOfDetail/PhoneNum07127228158
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt01101 9th St SE
IRS990/BooksInCareOfDetail/USAddress/CityNm0Sioux Center
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd051250
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IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0653203
IRS990/CompDisqualPersonsGrp/ProgramServicesAmt0110791
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1714 Lincoln St NE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt2234 Marina Dell Ave
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt3One Royal Park Dr Ste3
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt4PO Box 2746
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0Sioux Center
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm1le Mars
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm2Yankton
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm4Fargo
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0SD
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd2SD
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4ND
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd257078
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0Northwest Iowa Diagnostics
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1Creative Dining Services Inc
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IRS990/ContractorCompensationGrp/ContractorName/PersonNm0Michael Tadlock
IRS990/ContractorCompensationGrp/ContractorName/PersonNm1Thomas Posch
IRS990/ContractorCompensationGrp/ServicesDesc0anesthesia services
IRS990/ContractorCompensationGrp/ServicesDesc1Ultrasound Readings
IRS990/ContractorCompensationGrp/ServicesDesc2Radiology Readings
IRS990/ContractorCompensationGrp/ServicesDesc3dietary professional fees
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IRS990/Desc0Sioux Center Health operates a 19-bed acute-care hospital, a 69-bed nursing care facility, medical clinics, specialty physician clinics, two independent assisted living facilities, and a daycare center located in Sioux Center, Iowa. During the fiscal year ending June 30, 2021, patient days were 1,595, swing-bed days were 1,042, and newborn days were 383.The Center also provides a wide variety of medically-related activities at less than, or at no cost to residents of communities throughout northwest Iowa. These activities include general community education programs and sponsorship of support groups for victims of chronic disease and their families. Other activities designed to measure or enhance the general health status of residents of the community include: classes related to CPR, diabetes, cardiac rehabilitation and childbirth; participation in health fairs at industrial and community sites throughout the area; cost free screenings to alert people with high blood pressure; providing use of meeting facilities at no charge to cancer, Alzheimer's, diabetes, weight maintenance, "senior and hospice support groups; programs for children; providing speakers for various events and education groups; and representation in community education programs.The Health Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Since the Health Center does not pursue collection of amounts determined to qualify as charity care, they are not reported as patient service revenue. The estimated cost of providing these services was $270,000 for the year ended June 30, 2021, calculated by multiplying the ratio of cost to gross charges for the Health Center by the gross uncompensated charges associated with providing charity care to its patients.
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