Civic Intelligence

Central Community Hospital

990 • Fiscal year 2017 • EIN 42-0818642

Jul 01, 2016 to Jun 30, 2017 • Filed on Mar 23, 2018

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

50th percentile

0.16x

Higher debt load relative to assets than 50% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Liabilities / Revenue

49th percentile

0.16x

Higher debt load relative to revenue than 49% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Net Margin

55th percentile

4.5%

Higher net margin than 55% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Top Officer Pay

61st percentile

$145,568

Higher top officer pay than 61% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Asset Growth

35th percentile

0.1%

Faster asset growth than 35% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2016 to 2017

Revenue Growth

55th percentile

6.6%

Faster revenue growth than 55% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2016 to 2017

Assets

Up

$7,946,163

Up $6,256 (+0.1%) from 2016

Net Assets

Up

$6,679,613

Up $371,740 (+5.9%) from 2016

Liabilities

Down

$1,266,550

Down $365,484 (-22%) from 2016

Revenue

Up

$7,820,365

Up $482,929 (+6.6%) from 2016

Expenses

Up

$7,469,678

Up $520,671 (+7.5%) from 2016

Net Income

Down

$350,687

Down $37,742 (-9.7%) from 2016

Historical Trend

Balance Sheet Trend

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 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

2017

Assets$7,946,163
Liabilities$1,266,550
Net Assets$6,679,613

Operations Trend

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 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

2017

Revenue$7,820,365
Expenses$7,469,678
Net Income$350,687
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Mar 23, 2018
Return Version
2016v3.0
Gross Receipts
$7,831,539
Mission and Program Overview

Mission

Every patient matters.

Provide healthcare services to the surrounding community

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,361,700$3,047,021▼ $314,679
Savings and Temporary Cash Investments$2,341,875$2,149,354▼ $192,521
Accounts Receivable$875,079$1,359,078▲ $483,999
Investments in Publicly Traded Securities$1,020,186$1,026,650▲ $6,464
Investments Other Securities$207,324$228,377▲ $21,053
Prepaid Expenses and Deferred Charges$60,100$69,750▲ $9,650
Inventories for Sale or Use$70,995$63,285▼ $7,710
Total Assets$7,939,907$7,946,163▲ $6,256
Other Assets Total$2,648$2,648→ $0
Liabilities
Deferred Revenue$702,117$583,962▼ $118,155
Accounts Payable and Accrued Expenses$473,336$543,492▲ $70,156
Other Liabilities$418,000$120,000▼ $298,000
Mortgage Notes Payable Secured by Investment Property$38,581$19,096▼ $19,485
Total Liabilities$1,632,034$1,266,550▼ $365,484
Net Assets / Fund Balance
Unrestricted Net Assets$6,088,701$6,439,388▲ $350,687
Temporarily Rstr Net Assets$219,172$240,225▲ $21,053
Total Net Assets Fund Balance$6,307,873$6,679,613▲ $371,740
Total Liabilities and Net Assets / Fund Balance$7,939,907$7,946,163▲ $6,256

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,542,290$5,096,415$6,638,705
Buildings$1,478,716$2,561,193$4,039,909
Land$26,015-$26,015
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Fran ZichalCEO (Until Dec 2016)FT$140,801$4,767$145,568
Brooke KensingerCEO (Began Oct 2016)FT$51,032$2,714$53,746

Board Members and Trustees

NameTitle
Robert BodensteinerPresident
Jennifer CowsertVice President
Jay MoserMember
William ReimerMember
LaVonne AugustonMember (Began Nov 2016)
Justin VorwaldSecretary
Kevin IhdeSecretary (Until Sept 2016)
Tom NeuhausTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
WMG Red Hawthorne LLCProvider Coverage107 Flynn Drive Suite 600, Milbank, SD 57252$592,452
Northern Iowa TherapyTherapy Coverage217 East Bremer Ave Suite B, Waverly, IA 50677$452,646
Mercy Health NetworkManagement AgreementDept CH14370, Palatine, IL 60055-4370$269,707
Medical Associates ClinicProvider Coverage1500 Associates Drive, Dubuque, IA 52002$110,287
Revenue and Support

Revenue Composition

Contributions and Grants
$165,526
Program Service Revenue
$7,597,756
Investment Income
$11,776
Other Revenue
$45,307
All Other Contributions
$44,474
Change in Net Assets
$350,687

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,831,539
Revenue Not Reported on Financial Statements
$-11,174
Revenue Not Reported on Form 990
$-84,139
Other Revenue Adjustments
$-11,174
Total Revenue per Audited Statements
$7,747,400
Total Revenue per Form 990
$7,820,365
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,121,528
Salaries, Compensation, and Employee Benefits$3,347,050
Total Fundraising Expense$31,893
Grants and Similar Amounts Paid$1,100
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,116,400$433,775$25,823$2,575,998
Fees for Services Other$1,783,688$296,403-$2,080,091
Depreciation Depletion$554,844--$554,844
Other Employee Benefits$278,557$57,093$3,399$339,049
Current Officers, Directors, Trustees, and Key Employees-$202,139-$202,139
Office Expenses$119,166$77,646$367$197,179
Payroll Taxes$149,843$30,712$1,828$182,383
Fees for Services Management-$180,118-$180,118
Insurance-$106,559-$106,559
Occupancy$99,702$4,443-$104,145
Pension Plan Contributions$38,613$8,392$476$47,481
Fees for Services Accounting-$45,825-$45,825
Travel$20,602$18,511-$39,113
Advertising$531$24,103-$24,634
All Other Expenses$827$16,620-$17,447
Other Expenses$3,545$50-$3,595
Interest$2,166--$2,166
Grants to Domestic Orgs$1,100--$1,100
Information Technology$80--$80
Total Functional Expenses$5,935,396$1,502,389$31,893$7,469,678

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$7,469,678
Total Expenses per Audited Statements$7,396,713
Expenses per Audited Statements$7,385,539
Expenses Not Reported on Financial Statements$84,139
Other Expense Adjustments$84,139
Expenses Not Reported on Form 990$11,174
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$120,000
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 had 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

No committees are able to act on behalf of the board.

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

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

Brooke Kensinger, 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 various tools. The process uses an annual evaluation, CEO wage scales, and scales from a variety of sources and MHN 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. HR of MHN documents and provides substantiation of the recommended CEO wage to the board. The processes are done on an annual basis.

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
2018-03-23
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
106
Volunteers
32

Preparer

Firm
Eide Bailly Llp
Address
1545 ASSOCIATES DR STE 101, DUBUQUE, IA 52002
Preparer
Kim Hunwardsen CPA
Phone
5635561790
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Purchased services: Program service expenses 1,517,437. Management and general expenses 64,726. Fundraising expenses 0. Total expenses 1,582,163. Repairs and maintenance: Program service expenses 194,550. Management and general expenses 225,001. Fundraising expenses 0. Total expenses 419,551. Professional fees: Program service expenses 66,001. Management and general expenses 0. Fundraising expenses 0. Total expenses 66,001. Contract Labor: Program service expenses 5,700. Management and general expenses 6,676. Fundraising expenses 0. Total expenses 12,376.

Form 990, Part XI, line 9:

Change in interest in net assets of Central Community Hospital Foundation 21,053.

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 -84,139.

Part XI, Line 4B - Other Adjustments:

Monona Clinic rent expenses included in revenue on Form 990 -11,174.

Part XII, Line 2D - Other Adjustments:

Monona Clinic rent expenses included in revenue on Form 990 11,174.

Part XII, Line 4B - Other Adjustments:

Bad debt expense included in expenses on Form 990 84,139.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt84767
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt92714
IRS990/Form990PartVIISectionAGrp/PersonNm0Robert Bodensteiner
IRS990/Form990PartVIISectionAGrp/PersonNm1Jennifer Cowsert
IRS990/Form990PartVIISectionAGrp/PersonNm2Tom Neuhaus
IRS990/Form990PartVIISectionAGrp/PersonNm3Kevin Ihde
IRS990/Form990PartVIISectionAGrp/PersonNm4Justin Vorwald
IRS990/Form990PartVIISectionAGrp/PersonNm5Jay Moser
IRS990/Form990PartVIISectionAGrp/PersonNm6William Reimer
IRS990/Form990PartVIISectionAGrp/PersonNm7LaVonne Auguston
IRS990/Form990PartVIISectionAGrp/PersonNm8Fran Zichal
IRS990/Form990PartVIISectionAGrp/PersonNm9Brooke Kensinger
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/ReportableCompFromOrgAmt8140801
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt951032
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/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary (Until Sept 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt4Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt5Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Member (Began Nov 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt8CEO (Until Dec 2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt9CEO (Began Oct 2016)
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01961
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt07
IRS990/GovernmentGrantsAmt0121052
IRS990/GrantAmt01100
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt01100
IRS990/GrantsToDomesticOrgsGrp/TotalAmt01100
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt07831539
IRS990/GrossRentsGrp/RealAmt056481
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt07
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt080
IRS990/InformationTechnologyGrp/TotalAmt080
IRS990/InsuranceGrp/ManagementAndGeneralAmt0106559
IRS990/InsuranceGrp/TotalAmt0106559
IRS990/InterestGrp/ProgramServicesAmt02166
IRS990/InterestGrp/TotalAmt02166
IRS990/InventoriesForSaleOrUseGrp/BOYAmt070995
IRS990/InventoriesForSaleOrUseGrp/EOYAmt063285
IRS990/InvestmentIncomeGrp/ExclusionAmt011776
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt011776
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0207324
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0228377
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01020186
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01026650
IRS990/IRPDocumentCnt026
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt07657608
IRS990/LandBldgEquipBasisNetGrp/BOYAmt03361700
IRS990/LandBldgEquipBasisNetGrp/EOYAmt03047021
IRS990/LandBldgEquipCostOrOtherBssAmt010704629
IRS990/LegalDomicileStateCd0IA
IRS990/LessRentalExpensesGrp/RealAmt011174
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/BOYAmt038581
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt019096
IRS990/NetAssetsOrFundBalancesBOYAmt06307873
IRS990/NetAssetsOrFundBalancesEOYAmt06679613
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt045307
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt045307
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt04443
IRS990/OccupancyGrp/ProgramServicesAmt099702
IRS990/OccupancyGrp/TotalAmt0104145
IRS990/OfficeExpensesGrp/FundraisingAmt0367
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt077646
IRS990/OfficeExpensesGrp/ProgramServicesAmt0119166
IRS990/OfficeExpensesGrp/TotalAmt0197179
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt02648
IRS990/OtherAssetsTotalGrp/EOYAmt02648
IRS990/OtherChangesInNetAssetsAmt021053
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt03399
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt057093
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0278557
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0339049
IRS990/OtherExpensesGrp/Desc0Medical supplies
IRS990/OtherExpensesGrp/Desc1Bad debt
IRS990/OtherExpensesGrp/Desc2Food
IRS990/OtherExpensesGrp/Desc3Community benefits
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt050
IRS990/OtherExpensesGrp/ProgramServicesAmt0657928
IRS990/OtherExpensesGrp/ProgramServicesAmt184139
IRS990/OtherExpensesGrp/ProgramServicesAmt223665
IRS990/OtherExpensesGrp/ProgramServicesAmt33545
IRS990/OtherExpensesGrp/TotalAmt0657928
IRS990/OtherExpensesGrp/TotalAmt184139
IRS990/OtherExpensesGrp/TotalAmt223665
IRS990/OtherExpensesGrp/TotalAmt33595
IRS990/OtherLiabilitiesGrp/BOYAmt0418000
IRS990/OtherLiabilitiesGrp/EOYAmt0120000
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt025823
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0433775
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02116400
IRS990/OtherSalariesAndWagesGrp/TotalAmt02575998
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/FundraisingAmt01828
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt030712
IRS990/PayrollTaxesGrp/ProgramServicesAmt0149843
IRS990/PayrollTaxesGrp/TotalAmt0182383
IRS990/PensionPlanContributionsGrp/FundraisingAmt0476
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt08392
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt038613
IRS990/PensionPlanContributionsGrp/TotalAmt047481
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt060100
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt069750
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/RelatedOrExemptFuncIncomeAmt07421965
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1153826
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt221965
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt07421965
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1153826
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt221965
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0143736
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt01100
IRS990/PYInvestmentIncomeAmt09438
IRS990/PYOtherExpensesAmt04057493
IRS990/PYOtherRevenueAmt040948
IRS990/PYProgramServiceRevenueAmt07143314
IRS990/PYRevenuesLessExpensesAmt0388429
IRS990/PYSalariesCompEmpBnftPaidAmt02890414
IRS990/PYTotalExpensesAmt06949007
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt07337436
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0350687
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt045307
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt07598198
IRS990/SavingsAndTempCashInvstGrp/BOYAmt02341875
IRS990/SavingsAndTempCashInvstGrp/EOYAmt02149354
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt01478716
IRS990ScheduleD/BuildingsGrp/DepreciationAmt02561193
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt04039909
IRS990ScheduleD/EquipmentGrp/BookValueAmt01542290
IRS990ScheduleD/EquipmentGrp/DepreciationAmt05096415
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt06638705
IRS990ScheduleD/ExpensesNotReportedAmt011174
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt084139
IRS990ScheduleD/ExpensesSubtotalAmt07385539
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt026015
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt026015
IRS990ScheduleD/OtherExpensesIncludedAmt011174
IRS990ScheduleD/OtherExpensesNotIncludedAmt084139
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0120000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Estimated third-party payor settlements
IRS990ScheduleD/OtherRevenueAmt0-84139
IRS990ScheduleD/OtherRevenuesNotIncludedAmt0-11174
IRS990ScheduleD/RevenueNotReportedAmt0-84139
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0-11174
IRS990ScheduleD/RevenueSubtotalAmt07831539
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 -84,139.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Monona Clinic rent expenses included in revenue on Form 990 -11,174.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3Monona Clinic rent expenses included in revenue on Form 990 11,174.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt4Bad debt expense included in expenses on Form 990 84,139.
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/TotalBookValueLandBuildingsAmt03047021
IRS990ScheduleD/TotalExpensesPerForm990Amt07469678
IRS990ScheduleD/TotalLiabilityAmt0120000
IRS990ScheduleD/TotalRevenuePerForm990Amt07820365
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt07747400
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt07396713
IRS990ScheduleH/AllHospitalsPolicyInd0X
IRS990ScheduleH/AnnualCommunityBnftReportInd01
IRS990ScheduleH/BadDebtExpenseAmt084139
IRS990ScheduleH/BadDebtExpenseAttributableAmt04291
IRS990ScheduleH/BadDebtExpenseReportedInd01
IRS990ScheduleH/CoalitionBuildingGrp/NetCommunityBenefitExpnsAmt0675
IRS990ScheduleH/CoalitionBuildingGrp/TotalCommunityBenefitExpnsAmt0675
IRS990ScheduleH/CoalitionBuildingGrp/TotalExpensePct00.00010
IRS990ScheduleH/CommunityHealthServicesGrp/NetCommunityBenefitExpnsAmt064944
IRS990ScheduleH/CommunityHealthServicesGrp/TotalCommunityBenefitExpnsAmt064944
IRS990ScheduleH/CommunityHealthServicesGrp/TotalExpensePct00.00880
IRS990ScheduleH/CostingMethodologyUsedGrp/OtherInd0X
IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt03651855

Document Assets

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Filings

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
2017Detailed filing. Detailed filing data is available for this year.$7.95$1.27$6.68$7.82$7.47$0.35
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