Civic Intelligence

Central Community Hospital

990 • Fiscal year 2016 • EIN 42-0818642

Jul 01, 2015 to Jun 30, 2016 • Filed on Jan 27, 2017

Organization Profilewww.centralcommunityhospital.com

View Organization Page

901 Davidson St NWElkader, IA 52043-9015

(563) 245-7000

Siviq Scores

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

Liabilities / Assets

53rd percentile

0.21x

Higher debt load relative to assets than 53% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Liabilities / Revenue

54th percentile

0.22x

Higher debt load relative to revenue than 54% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Net Margin

60th percentile

5.3%

Higher net margin than 60% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Top Officer Pay

63rd percentile

$149,462

Higher top officer pay than 63% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Asset Growth

66th percentile

6.4%

Faster asset growth than 66% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Revenue Growth

73rd percentile

14%

Faster revenue growth than 73% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets53rd percentile

Assets

Flat

$7,939,907

Flat from 2016

Net Assets

Flat

$6,307,873

Flat from 2016

Liabilities

Flat

$1,632,034

Flat from 2016

Revenue And Expenses
Liabilities / Revenue54th percentileNet Margin60th percentile

Revenue

Flat

$7,337,436

Flat from 2016

Expenses

Flat

$6,949,007

Flat from 2016

Net Income

Flat

$388,429

Flat from 2016

Historical Trend

Balance Sheet Trend

Asset Growth66th percentile

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

$15M$10M$5.0M$0Assets 2010: $6,468,661Liabilities 2010: $1,338,736Net Assets 2010: $5,129,9252010Assets 2011: $5,897,745Liabilities 2011: $565,379Net Assets 2011: $5,332,3662011Assets 2012: $5,897,985Liabilities 2012: $389,295Net Assets 2012: $5,508,6902012Assets 2013: $6,171,298Liabilities 2013: $550,101Net Assets 2013: $5,621,1972013Assets 2014: $6,287,458Liabilities 2014: $698,041Net Assets 2014: $5,589,4172014Assets 2015: $7,464,631Liabilities 2015: $1,566,429Net Assets 2015: $5,898,2022015Assets 2016: $7,939,907Liabilities 2016: $1,632,034Net Assets 2016: $6,307,8732016Assets 2016: $7,939,907Liabilities 2016: $1,632,034Net Assets 2016: $6,307,8732016Assets 2017: $7,946,163Liabilities 2017: $1,266,550Net Assets 2017: $6,679,6132017Assets 2018: $7,755,130Liabilities 2018: $1,081,059Net Assets 2018: $6,674,0712018Assets 2019: $8,998,036Liabilities 2019: $1,104,433Net Assets 2019: $7,893,6032019Assets 2020: $12,449,839Liabilities 2020: $3,327,874Net Assets 2020: $9,121,9652020Assets 2021: $12,041,952Liabilities 2021: $1,306,709Net Assets 2021: $10,735,2432021Assets 2022: $11,649,224Liabilities 2022: $1,105,352Net Assets 2022: $10,543,8722022Assets 2023: $13,069,635Liabilities 2023: $1,599,463Net Assets 2023: $11,470,1722023

Highlighted filing

2016

Assets$7,939,907
Liabilities$1,632,034
Net Assets$6,307,873
Open 2016 Filing

Operations Trend

Revenue Growth73rd percentile

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

$15M$10M$5.0M$0-$5.0MExpenses 2010: $5,687,1362010Expenses 2011: $5,890,3752011Expenses 2012: $6,073,7292012Expenses 2013: $5,877,3952013Revenue 2014: $6,018,817Expenses 2014: $6,050,183Net Income 2014: -$31,3662014Revenue 2015: $6,411,597Expenses 2015: $6,116,593Net Income 2015: $295,0042015Revenue 2016: $7,337,436Expenses 2016: $6,949,007Net Income 2016: $388,4292016Revenue 2016: $7,337,436Expenses 2016: $6,949,007Net Income 2016: $388,4292016Revenue 2017: $7,820,365Expenses 2017: $7,469,678Net Income 2017: $350,6872017Revenue 2018: $7,885,694Expenses 2018: $7,907,316Net Income 2018: -$21,6222018Revenue 2019: $8,969,046Expenses 2019: $8,849,171Net Income 2019: $119,8752019Revenue 2020: $9,919,634Expenses 2020: $8,671,871Net Income 2020: $1,247,7632020Revenue 2021: $10,933,825Expenses 2021: $9,344,291Net Income 2021: $1,589,5342021Revenue 2022: $10,309,803Expenses 2022: $10,437,819Net Income 2022: -$128,0162022Revenue 2023: $13,024,919Expenses 2023: $12,325,449Net Income 2023: $699,4702023

Highlighted filing

2016

Revenue$7,337,436
Expenses$6,949,007
Net Income$388,429
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Jan 27, 2017
Return Version
2015v3.0
Gross Receipts
$7,349,054
Mission and Program Overview

Mission

Every patient matters.

Provide healthcare services to the surrounding community

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$3,176,156$3,362,061▲ $185,905
Land, Buildings, and Equipment, Net$3,211,783$3,361,700▲ $149,917
Accounts Receivable$753,090$875,079▲ $121,989
Investments Other Securities$186,082$207,324▲ $21,242
Inventories for Sale or Use$72,484$70,995▼ $1,489
Prepaid Expenses and Deferred Charges$62,388$60,100▼ $2,288
Total Assets$7,464,631$7,939,907▲ $475,276
Other Assets Total$2,648$2,648→ $0
Liabilities
Deferred Revenue$858,862$702,117▼ $156,745
Accounts Payable and Accrued Expenses$336,815$473,336▲ $136,521
Other Liabilities$314,000$418,000▲ $104,000
Mortgage Notes Payable Secured by Investment Property$56,752$38,581▼ $18,171
Total Liabilities$1,566,429$1,632,034▲ $65,605
Net Assets / Fund Balance
Unrestricted Net Assets$5,700,272$6,088,701▲ $388,429
Temporarily Rstr Net Assets$197,930$219,172▲ $21,242
Total Net Assets Fund Balance$5,898,202$6,307,873▲ $409,671
Total Liabilities and Net Assets / Fund Balance$7,464,631$7,939,907▲ $475,276

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,722,803$4,667,939$6,390,742
Buildings$1,612,882$2,427,027$4,039,909
Land$26,015-$26,015
Compensation and Service Providers
Top Officer Pay63rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Fran ZichalCEOFT$139,176$10,286$149,462

Board Members and Trustees

NameTitle
Robert BodensteinerPresident
Jennifer CowsertVice President
Jay MoserMember
Justin VorwaldMember
William ReimerMember
Darwin WinkeMember until July 2015
Kevin IhdeSecretary
Tom NeuhausTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
WMG Red Hawthorne LLCER physicians107 Flynn Drive Suite 600, Milbank, SD 57252$493,886
Northern Iowa TherapyPt, Ot, St217 East Bremer Ave Suite B, Waverly, IA 50677$413,945
Mercy Health NetworkPurchased servicesDept CH14370, Palatine, IL 60055-4370$247,510
Medical Associates ClinicPurchased services1500 Associates Drive, Dubuque, IA 52002$122,975
Revenue and Support

Revenue Composition

Contributions and Grants
$143,736
Program Service Revenue
$7,143,314
Investment Income
$9,438
Other Revenue
$40,948
All Other Contributions
$124,661
Change in Net Assets
$388,429

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,349,054
Revenue Not Reported on Financial Statements
$-11,618
Revenue Not Reported on Form 990
$-90,409
Other Revenue Adjustments
$-11,618
Total Revenue per Audited Statements
$7,258,645
Total Revenue per Form 990
$7,337,436
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,057,493
Salaries, Compensation, and Employee Benefits$2,890,414
Total Fundraising Expense$38,759
Grants and Similar Amounts Paid$1,100
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,847,196$363,406$31,478$2,242,080
Fees for Services Other$1,786,896$384,915-$2,171,811
Depreciation Depletion$501,357--$501,357
Other Employee Benefits$215,923$42,479$3,680$262,082
Office Expenses$130,039$89,865$610$220,514
Current Officers, Directors, Trustees, and Key Employees-$173,150-$173,150
Payroll Taxes$134,112$26,384$2,285$162,781
Insurance-$94,864-$94,864
Occupancy$85,959$3,571-$89,530
Fees for Services Management-$87,513-$87,513
Fees for Services Accounting-$59,402-$59,402
Pension Plan Contributions$41,062$8,553$706$50,321
Travel$24,545$15,059-$39,604
All Other Expenses$17,184$14,890-$32,074
Advertising-$21,379-$21,379
Other Expenses$8,877$172-$9,049
Interest$3,529--$3,529
Grants to Domestic Orgs$1,100--$1,100
Total Functional Expenses$5,524,646$1,385,602$38,759$6,949,007

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$6,949,007
Total Expenses per Audited Statements$6,870,216
Expenses per Audited Statements$6,858,598
Expenses Not Reported on Financial Statements$90,409
Other Expense Adjustments$90,409
Expenses Not Reported on Form 990$11,618
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
Estimated third-party payor settlements$418,000
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
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, Part VI, Section A, line 1

“The Executive Committee consists of the officers of the Board. The President of the Board chairs the Committee. The Committee has the power to exercise authority of the Board when necessary or advisable between meetings of the Board. The Committee reports all of its actions to the Board at the next regular or special meeting of the Board, and such actions are subject to revision and alteration by the Board; provided however, that the rights of third parties are not affected by any revision or alteration. The Committee has the duty of reviewing the Bylaws of the Board at least annually and recommending to the Board the amendment of the Bylaws of the Hospital. The Executive Committee oversees compliance of the Hospital with requirements of regulatory bodies and meets on the call of the President. Minutes are kept of all meetings.”

Form 990, Part VI, Section A, line 2

“Kevin Ihde and Justin Vorwald have a family relationship.”

Form 990, Part VI, Section A, line 6

“The Organization has members who are all of one class and resident citizens of the Central Community Hospital service area.”

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

“Members of the Board are elected by the resident citizens of the Central Community Hospital service area at the annual meeting to serve for a term of four years.”

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

“The Executive Committee did not meet during FY 2016.”

Form 990, Part VI, Section B, line 11

“The Form 990 is made available to all Board Members before it is filed. The CEO reviews and approves the 990.”

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

“Any duality of interest or possible conflict of interest on the part of any Board member and officer is disclosed to the other members of the Board and made a matter of record through an annual procedure and also when the interest becomes a matter of Board action. Any individual having a duality of interest or possible conflict of interest on any matter should not vote or use his or her personal influence on the matter, and should not be counted in determining the quorum for the meeting, even where permitted by law. The minutes of the meeting reflect the disclosure, the abstention from voting, and the quorum situation. Any new member of the Board will be advised of this policy upon entering on the duties of office. The governing board and CEO complete and sign the conflict of interest form yearly. The forms are reviewed by the Board President, and if a potential conflict is identified the Board President follows up.”

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

“Fran Zichal, CEO, is considered a common law employee of Central Community Hospital. The process for determining compensation for the CEO is based on salary adjustment recommendations using a variety of tools. The process uses an annual evaluation, CEO wage scales, and scales from a variety of sources and Mercy Medical Center Dubuque compensation system. All of the tools include a review of wages in comparison to comparable positions, bed size of hospital, size of community, and other factors. The CEO of Mercy Medical Center Dubuque documents and provides substantiation of the recommended CEO wage to the board.”

Form 990, Part VI, Section C, line 19

“The Organization's governing documents and conflict of interest policy are available upon written request. The financial statements are attached to the Form 990 and therefore available for public inspection.”

Filing and Contact Details

Filer

Filer Name
Central Community Hospital
EIN
42-0818642
Phone
5632457000
Address
901 Davidson St NW, Elkader, IA 52043-9015

Signing Officer

Name
Brooke Kensinger
Title
CEO
Phone
5632457000
Signed
2017-01-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brooke Kensinger
Formed
1961
Legal Domicile
Ia
Voting Board Members
7
Independent Board Members
7
Employees
94
Volunteers
32

Preparer

Firm
Eide Bailly Llp
Address
1545 ASSOCIATES DR STE 101, DUBUQUE, IA 52002
Preparer
Carmen Krantz
Phone
5635561790
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

“Purchased services: Program service expenses 1,461,023. Management and general expenses 159,170. Fundraising expenses 0. Total expenses 1,620,193. Repairs and maintenance: Program service expenses 187,161. Management and general expenses 225,745. Fundraising expenses 0. Total expenses 412,906. Professional fees: Program service expenses 138,712. Management and general expenses 0. Fundraising expenses 0. Total expenses 138,712.”

Form 990, Part XI, line 9:

“Change in interest in net assets of Central Community Hospital Foundation 21,242.”

Financial Statement Notes

Part X, Line 2:

“The Hospital is organized as an Iowa nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Interanl Revenue Code Section 501(c)(3). The Hospital is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Hospital is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Hospital has determined that 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 Hospital 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 Hospital 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 included in expenses on Form 990 -90,409.”

Part XI, Line 4B - Other Adjustments:

“Monona Clinic rent expenses included in revenue on Form 990 -11,618.”

Part XII, Line 2D - Other Adjustments:

“Monona Clinic rent expenses included in revenue on Form 990 11,618.”

Part XII, Line 4B - Other Adjustments:

“Bad debt expense included in expenses on Form 990 90,409.”

Raw XML AppendixShowing 400 of 677 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.

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IRS990/Desc0Central Community Hospital is a 25-Bed Critical Access Hospital serving residents of Clayton County, Iowa. Requirements of the IRS community benefit standard for tax-exempt organizations are integral to Central Community Hospital's charitable mission. Central Community Hospital is governed by an independent Board, which includes community leaders, consumer representatives and business experts. The Board has a history of commitment to acting with the highest integrity. During this year, the Board worked with management to continue to make improvements to assure the organization is in compliance with all rules and regulations governing the healthcare industry and non-profit organizations.Central Community Hospital makes care accessible to the entire community it serves. Central Community Hospital operates a full-time emergency room and provides care regardless of ability to pay. Central Community Hospital had 994 emergency visits and 153 outpatient surgery cases this year.The Hospital provided 917 acute, swing-bed, and respect patient days and 5,873 outpatient visits to the residents in the service area. Central Community Hospital provided care at many levels including SCU, Acute, Skilled, Intermediate, Same-Day-Surgery, Observation Care, Outpatient, and Rehab services. In addition, Central Community Hospital provides non-emergency services. These services are accessible to the community through participation in government programs like Medicare and Medicaid. Financial counseling is available to patients. The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The amount of charges foregone for services provided under the Hospital's charity care policy were $85,419 for the year ended June 30, 2016. The direct and indirect costs related to these forgone charges were $51,000 at June 30, 2016, based on an average ratio of costs to gross charges.The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt810286
IRS990/Form990PartVIISectionAGrp/PersonNm0Robert Bodensteiner
IRS990/Form990PartVIISectionAGrp/PersonNm1Jennifer Cowsert
IRS990/Form990PartVIISectionAGrp/PersonNm2Tom Neuhaus
IRS990/Form990PartVIISectionAGrp/PersonNm3Kevin Ihde
IRS990/Form990PartVIISectionAGrp/PersonNm4Jay Moser
IRS990/Form990PartVIISectionAGrp/PersonNm5William Reimer
IRS990/Form990PartVIISectionAGrp/PersonNm6Justin Vorwald
IRS990/Form990PartVIISectionAGrp/PersonNm7Darwin Winke
IRS990/Form990PartVIISectionAGrp/PersonNm8Fran Zichal
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt8139176
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/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt4Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Member until July 2015
IRS990/Form990PartVIISectionAGrp/TitleTxt8CEO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01961
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt07
IRS990/GovernmentGrantsAmt019075
IRS990/GrantAmt01100
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt01100
IRS990/GrantsToDomesticOrgsGrp/TotalAmt01100
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt07349054
IRS990/GrossRentsGrp/RealAmt052566
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt07
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt094864
IRS990/InsuranceGrp/TotalAmt094864
IRS990/InterestGrp/ProgramServicesAmt03529
IRS990/InterestGrp/TotalAmt03529
IRS990/InventoriesForSaleOrUseGrp/BOYAmt072484
IRS990/InventoriesForSaleOrUseGrp/EOYAmt070995
IRS990/InvestmentIncomeGrp/ExclusionAmt09438
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt09438
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0186082
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0207324
IRS990/IRPDocumentCnt026
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt07094966
IRS990/LandBldgEquipBasisNetGrp/BOYAmt03211783
IRS990/LandBldgEquipBasisNetGrp/EOYAmt03361700
IRS990/LandBldgEquipCostOrOtherBssAmt010456666
IRS990/LegalDomicileStateCd0IA
IRS990/LessRentalExpensesGrp/RealAmt011618
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0"Every patient matters"
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt056752
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt038581
IRS990/NetAssetsOrFundBalancesBOYAmt05898202
IRS990/NetAssetsOrFundBalancesEOYAmt06307873
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt040948
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt040948
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt03571
IRS990/OccupancyGrp/ProgramServicesAmt085959
IRS990/OccupancyGrp/TotalAmt089530
IRS990/OfficeExpensesGrp/FundraisingAmt0610
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt089865
IRS990/OfficeExpensesGrp/ProgramServicesAmt0130039
IRS990/OfficeExpensesGrp/TotalAmt0220514
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt02648
IRS990/OtherAssetsTotalGrp/EOYAmt02648
IRS990/OtherChangesInNetAssetsAmt021242
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt03680
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt042479
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0215923
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0262082
IRS990/OtherExpensesGrp/Desc0Medical supplies
IRS990/OtherExpensesGrp/Desc1Bad debt
IRS990/OtherExpensesGrp/Desc2Food
IRS990/OtherExpensesGrp/Desc3Community benefits
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0172
IRS990/OtherExpensesGrp/ProgramServicesAmt0608577
IRS990/OtherExpensesGrp/ProgramServicesAmt190409
IRS990/OtherExpensesGrp/ProgramServicesAmt227881
IRS990/OtherExpensesGrp/ProgramServicesAmt38877
IRS990/OtherExpensesGrp/TotalAmt0608577
IRS990/OtherExpensesGrp/TotalAmt190409
IRS990/OtherExpensesGrp/TotalAmt227881
IRS990/OtherExpensesGrp/TotalAmt39049
IRS990/OtherLiabilitiesGrp/BOYAmt0314000
IRS990/OtherLiabilitiesGrp/EOYAmt0418000
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt031478
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0363406
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01847196
IRS990/OtherSalariesAndWagesGrp/TotalAmt02242080
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/FundraisingAmt02285
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt026384
IRS990/PayrollTaxesGrp/ProgramServicesAmt0134112
IRS990/PayrollTaxesGrp/TotalAmt0162781
IRS990/PensionPlanContributionsGrp/FundraisingAmt0706
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt08553
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt041062
IRS990/PensionPlanContributionsGrp/TotalAmt050321
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt062388
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt060100
IRS990/PrincipalOfficerNm0Brooke Kensinger
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0622110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/Desc0Patient service revenu
IRS990/ProgramServiceRevenueGrp/Desc1Electronic health reco
IRS990/ProgramServiceRevenueGrp/Desc2Supporting revenue
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt06919913
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1210826
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt212575
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt06919913
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1210826
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt212575
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt038635
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0400
IRS990/PYInvestmentIncomeAmt07015
IRS990/PYOtherExpensesAmt03563392
IRS990/PYOtherRevenueAmt042740
IRS990/PYProgramServiceRevenueAmt06323207
IRS990/PYRevenuesLessExpensesAmt0295004
IRS990/PYSalariesCompEmpBnftPaidAmt02552801
IRS990/PYTotalExpensesAmt06116593
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt06411597
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0388429
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt040948
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt07143314
IRS990/SavingsAndTempCashInvstGrp/BOYAmt03176156
IRS990/SavingsAndTempCashInvstGrp/EOYAmt03362061
IRS990ScheduleA/HospitalInd0X
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/ScheduleBRequiredInd01
IRS990ScheduleD/BuildingsGrp/BookValueAmt01612882
IRS990ScheduleD/BuildingsGrp/DepreciationAmt02427027
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt04039909
IRS990ScheduleD/EquipmentGrp/BookValueAmt01722803
IRS990ScheduleD/EquipmentGrp/DepreciationAmt04667939
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt06390742
IRS990ScheduleD/ExpensesNotReportedAmt011618
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt090409
IRS990ScheduleD/ExpensesSubtotalAmt06858598
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt026015
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt026015
IRS990ScheduleD/OtherExpensesIncludedAmt011618
IRS990ScheduleD/OtherExpensesNotIncludedAmt090409
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0418000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Estimated third-party payor settlements
IRS990ScheduleD/OtherRevenueAmt0-90409
IRS990ScheduleD/OtherRevenuesNotIncludedAmt0-11618
IRS990ScheduleD/RevenueNotReportedAmt0-90409
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0-11618
IRS990ScheduleD/RevenueSubtotalAmt07349054
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Hospital is organized as an Iowa nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Interanl Revenue Code Section 501(c)(3). The Hospital is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Hospital is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Hospital has determined that 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 Hospital 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 Hospital 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.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Bad debt expense included in expenses on Form 990 -90,409.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Monona Clinic rent expenses included in revenue on Form 990 -11,618.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3Monona Clinic rent expenses included in revenue on Form 990 11,618.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt4Bad debt expense included in expenses on Form 990 90,409.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 2d - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Part XI, Line 4b - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3Part XII, Line 2d - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc4Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03361700
IRS990ScheduleD/TotalExpensesPerForm990Amt06949007
IRS990ScheduleD/TotalLiabilityAmt0418000
IRS990ScheduleD/TotalRevenuePerForm990Amt07337436
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt07258645
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt06870216
IRS990ScheduleH/AllHospitalsPolicyInd0X
IRS990ScheduleH/AnnualCommunityBnftReportInd01
IRS990ScheduleH/BadDebtExpenseAmt090409
IRS990ScheduleH/BadDebtExpenseAttributableAmt04701
IRS990ScheduleH/BadDebtExpenseReportedInd01
IRS990ScheduleH/CoalitionBuildingGrp/ActivitiesOrProgramsCnt07
IRS990ScheduleH/CoalitionBuildingGrp/NetCommunityBenefitExpnsAmt03663
IRS990ScheduleH/CoalitionBuildingGrp/PersonsServedCnt032
IRS990ScheduleH/CoalitionBuildingGrp/TotalCommunityBenefitExpnsAmt03663
IRS990ScheduleH/CoalitionBuildingGrp/TotalExpensePct00.00050
IRS990ScheduleH/CommunitySupportGrp/ActivitiesOrProgramsCnt052
IRS990ScheduleH/CommunitySupportGrp/NetCommunityBenefitExpnsAmt020693
IRS990ScheduleH/CommunitySupportGrp/PersonsServedCnt0296
IRS990ScheduleH/CommunitySupportGrp/TotalCommunityBenefitExpnsAmt020693
IRS990ScheduleH/CommunitySupportGrp/TotalExpensePct00.00300
IRS990ScheduleH/CostingMethodologyUsedGrp/OtherInd0X
IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt03391203
IRS990ScheduleH/ExpensesExceedBudgetInd01

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$7,939,907
Liabilities
$1,632,034
Net assets
$6,307,873
Revenue
$7,337,436
Expenses
$6,949,007
Net income
$388,429
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$13.1$1.60$11.5$13.0$12.3$0.70
2022Summary only. Only limited summary data is available for this year.$11.6$1.11$10.5$10.3$10.4$0.13
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.0$1.31$10.7$10.9$9.34$1.59
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.4$3.33$9.12$9.92$8.67$1.25
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.00$1.10$7.89$8.97$8.85$0.12
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.76$1.08$6.67$7.89$7.91$0.02
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.95$1.27$6.68$7.82$7.47$0.35
2016Detailed filing. Detailed filing data is available for this year.$7.94$1.63$6.31$7.34$6.95$0.39
2016Summary only. Only limited summary data is available for this year.$7.94$1.63$6.31$7.34$6.95$0.39
2015Detailed filing. Detailed filing data is available for this year.$7.46$1.57$5.90$6.41$6.12$0.30
2014Detailed filing. Detailed filing data is available for this year.$6.29$0.70$5.59$6.02$6.05$0.03
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.17$0.55$5.62$5.88
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.90$0.39$5.51$6.07
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.90$0.57$5.33$5.89
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.47$1.34$5.13$5.69