Civic Intelligence

Cedar Valley Hospice Inc

EIN 42-1135294 • 501(c)3 • Waterloo, IA

View Organization Page

Profile

Cedar valley hospice provides the leadership and sets the standard for excellence in delivering comprehensive palliative and end of life care to patients and services to those that grieve.

PO Box 2880Waterloo, IA 50704-2880

www.cvhospice.org

Siviq Scores

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

Liabilities / Assets

42nd percentile

0.12x

Higher debt load relative to assets than 42% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2023

Liabilities / Revenue

41st percentile

0.16x

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

501(c)3 • $10M-$25M nonprofits • Source year 2023

Net Margin

23rd percentile

-5.5%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2023

Top Officer Pay

67th percentile

$228,036

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2020

Asset Growth

34th percentile

0.4%

Faster asset growth than 34% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2023

Revenue Growth

15th percentile

-15%

Faster revenue growth than 15% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets42nd percentile

Assets

Down

$18,178,538

Down $164,058 (-0.9%) from 2023

Liabilities

Down

$1,939,583

Down $182,232 (-8.6%) from 2023

Net Assets

Up

$16,238,955

Up $18,174 (+0.1%) from 2023

Operations
Liabilities / Revenue41st percentileNet Margin23rd percentile

Revenue

Up

$14,584,532

Up $987,218 (+7.3%) from 2023

Expenses

Up

$15,016,989

Up $674,913 (+4.7%) from 2023

Net Income

Up

-$432,457

Up $312,305 (+42%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth34th percentile

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

$20M$15M$10M$5.0M$0Assets 2010: $10,081,927Liabilities 2010: $1,020,072Net Assets 2010: $9,061,8552010Assets 2011: $10,584,566Liabilities 2011: $1,102,025Net Assets 2011: $9,482,5412011Assets 2012: $10,365,350Liabilities 2012: $1,317,355Net Assets 2012: $9,047,9952012Assets 2013: $10,557,131Liabilities 2013: $1,318,702Net Assets 2013: $9,238,4292013Assets 2014: $9,664,480Liabilities 2014: $1,106,533Net Assets 2014: $8,557,9472014Assets 2015: $8,363,394Liabilities 2015: $1,142,404Net Assets 2015: $7,220,9902015Assets 2016: $7,377,558Liabilities 2016: $1,181,280Net Assets 2016: $6,196,2782016Assets 2017: $7,010,229Liabilities 2017: $1,136,196Net Assets 2017: $5,874,0332017Assets 2018: $6,841,531Liabilities 2018: $972,693Net Assets 2018: $5,868,8382018Assets 2019: $7,796,126Liabilities 2019: $1,169,762Net Assets 2019: $6,626,3642019Assets 2020: $13,416,860Liabilities 2020: $2,839,925Net Assets 2020: $10,576,9352020Assets 2021: $16,940,612Liabilities 2021: $2,346,929Net Assets 2021: $14,593,6832021Assets 2022: $18,277,492Liabilities 2022: $2,046,517Net Assets 2022: $16,230,9752022Assets 2023: $18,342,596Liabilities 2023: $2,121,815Net Assets 2023: $16,220,7812023Assets 2024: $18,178,538Liabilities 2024: $1,939,583Net Assets 2024: $16,238,9552024

Highlighted filing

2024

Assets$18,178,538
Liabilities$1,939,583
Net Assets$16,238,955
Open 2024 Filing

Operations Trend

Revenue Growth15th percentile

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $10,054,5182010Expenses 2011: $10,135,9312011Expenses 2012: $10,887,0062012Revenue 2013: $10,491,291Expenses 2013: $10,668,760Net Income 2013: -$177,4692013Revenue 2014: $10,393,549Expenses 2014: $10,506,720Net Income 2014: -$113,1712014Revenue 2015: $10,123,443Expenses 2015: $11,266,562Net Income 2015: -$1,143,1192015Revenue 2016: $9,199,651Expenses 2016: $10,294,565Net Income 2016: -$1,094,9142016Revenue 2017: $9,406,772Expenses 2017: $9,989,525Net Income 2017: -$582,7532017Revenue 2018: $10,259,687Expenses 2018: $9,849,161Net Income 2018: $410,5262018Revenue 2019: $10,539,400Expenses 2019: $10,291,883Net Income 2019: $247,5172019Revenue 2020: $15,814,998Expenses 2020: $12,300,729Net Income 2020: $3,514,2692020Revenue 2021: $16,803,336Expenses 2021: $12,958,562Net Income 2021: $3,844,7742021Revenue 2022: $15,952,920Expenses 2022: $13,377,359Net Income 2022: $2,575,5612022Revenue 2023: $13,597,314Expenses 2023: $14,342,076Net Income 2023: -$744,7622023Revenue 2024: $14,584,532Expenses 2024: $15,016,989Net Income 2024: -$432,4572024

Highlighted filing

2024

Revenue$14,584,532
Expenses$15,016,989
Net Income-$432,457
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$18,178,538
Liabilities
$1,939,583
Net assets
$16,238,955
Revenue
$14,584,532
Expenses
$15,016,989
Net income
-$432,457
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$18.2$1.94$16.2$14.6$15.0$0.43
2023Detailed filing. Detailed filing data is available for this year.$18.3$2.12$16.2$13.6$14.3$0.74
2022Detailed filing. Detailed filing data is available for this year.$18.3$2.05$16.2$16.0$13.4$2.58
2021Detailed filing. Detailed filing data is available for this year.$16.9$2.35$14.6$16.8$13.0$3.84
2020Detailed filing. Detailed filing data is available for this year.$13.4$2.84$10.6$15.8$12.3$3.51
2019Detailed filing. Detailed filing data is available for this year.$7.80$1.17$6.63$10.5$10.3$0.25
2018Detailed filing. Detailed filing data is available for this year.$6.84$0.97$5.87$10.3$9.85$0.41
2017Detailed filing. Detailed filing data is available for this year.$7.01$1.14$5.87$9.41$9.99$0.58
2016Detailed filing. Detailed filing data is available for this year.$7.38$1.18$6.20$9.20$10.3$1.09
2015Detailed filing. Detailed filing data is available for this year.$8.36$1.14$7.22$10.1$11.3$1.14
2014Detailed filing. Detailed filing data is available for this year.$9.66$1.11$8.56$10.4$10.5$0.11
2013Detailed filing. Detailed filing data is available for this year.$10.6$1.32$9.24$10.5$10.7$0.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.4$1.32$9.05$10.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$1.10$9.48$10.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.1$1.02$9.06$10.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Apr 21, 2025
Return Version
2024v5.1
Gross Receipts
$16,625,666
Mission and Program Overview

Mission

Cedar valley hospice provides the leadership and sets the standard for excellence in delivering comprehensive palliative and end-of-life care to patients and services to those that grieve.

Provide hospice and counseling services to terminally ill patients and their families.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$6,039,002$6,767,754▲ $728,752
Land, Buildings, and Equipment, Net$4,883,766$4,742,181▼ $141,585
Savings and Temporary Cash Investments$4,951,787$4,374,246▼ $577,541
Accounts Receivable$1,489,554$1,415,216▼ $74,338
Pledges and Grants Receivable$764,811$699,580▼ $65,231
Prepaid Expenses and Deferred Charges$102,065$119,239▲ $17,174
Cash and Non-Interest-Bearing Accounts$1,050$1,050→ $0
Total Assets$18,342,596$18,178,538▼ $164,058
Other Assets Total$110,561$59,272▼ $51,289
Liabilities
Accounts Payable and Accrued Expenses$1,625,715$1,669,669▲ $43,954
Mortgage Notes Payable Secured by Investment Property$420,042$245,002▼ $175,040
Other Liabilities$76,058$24,912▼ $51,146
Total Liabilities$2,121,815$1,939,583▼ $182,232
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,411,777$15,429,347▲ $17,570
Net Assets With Donor Restrictions$809,004$809,608▲ $604
Total Net Assets Fund Balance$16,220,781$16,238,955▲ $18,174
Total Liabilities and Net Assets / Fund Balance$18,342,596$18,178,538▼ $164,058

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,375,612$1,662,913$5,038,525
Equipment$335,355$722,267$1,057,622
Land$913,342-$913,342
Leasehold Improvements$117,872$82,977$200,849

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$2,225,551-▲ $447,853$443,521$2,229,883
2023$2,225,551-▲ $469,393$469,393$2,225,551
2022$2,225,551-▼ $104,072$104,072$2,225,551
2021$2,225,551-▲ $310,136$310,136$2,225,551
2020$2,225,551-▲ $325,125$325,125$2,225,551
Compensation and Service Providers
Top Officer Pay67th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michaela VanderseeExecutive DirectorFT$220,811$80,210$301,021
Tracy RuckerDirector of FinanceFT$127,992$44,268$172,260
Katie UnlandHuman Resources DirectorFT$121,584$47,207$168,791
Deb CardHospice Home & Education ManagerFT$104,193$53,322$157,515
Eric WehrIt & Property ManagerFT$111,340$39,008$150,348
Dr John ZehrMedical DirectorPT$142,230$7,112$149,342
Jen SiechDirector of MarketingFT$102,278$40,598$142,876

Board Members and Trustees

NameTitle
Rick MorrisPresident
Bryan EarnestVice President
Bryan BurtonDirector
Candy SteeleDirector
Carolyn AyersDirector
Chris SchildrothDirector
Dr Matthew SojkaDirector
Lisa WallDirector
Michelle SteffeDirector
Tammy AcuffDirector
Tracie SpencerDirector
Vicki ParsonsDirector
Grant JensenDirector (former)
Deb BurgerSecretary
Craig CoffmanTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Palliative Drug CarePharmacist Consults And Prescriptions2431 E 61ST STREET SUTIE 450, Tulsa, OK 74136$467,165
Qualis Management LLCMedical Equipment Management Services58 AZIMUTH COURT, Rocky Mount, NC 27804$414,165
MercyoneInpatient And Medical ServicesPO BOX 6260, Waterloo, IA 50704$346,343
Western Home CommunitiesPatient Room And Board5307 CARAWAY LANE, Cedar Falls, IA 50613$194,903
Allen HospitalPatient Room And Board1825 LOGAN AVE, Waterloo, IA 50703$153,666
Revenue and Support

Revenue Composition

Contributions and Grants
$1,438,753
Program Service Revenue
$12,658,664
Investment Income
$506,420
Other Revenue
$-19,305
All Other Contributions
$923,732
Change in Net Assets
$-432,457

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Clothing and Household Goods-$52,946Cost
Other Non Cash Contri Table154$32,825Cost
Other Non Cash Contri Table13$8,969Cost
Other Non Cash Contri Table32$2,369Cost
Food Inventory5$1,234Cost
Works of Art2$650Cost
Total Noncash Contributions206$98,993-

Audited Revenue Reconciliation

Revenue per Audited Statements
$13,280,843
Revenue Not Reported on Financial Statements
$1,303,689
Revenue Not Reported on Form 990
$409,938
Other Revenue Adjustments
$1,278,054
Total Revenue per Audited Statements
$13,690,781
Total Revenue per Form 990
$14,584,532
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$9,109,236
Other Expenses$5,736,411
Total Fundraising Expense$295,970
Grants and Similar Amounts Paid$171,342
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,137,509$1,388,193$127,787$6,653,489
Other Employee Benefits$943,103$266,016$31,566$1,240,685
Payroll Taxes$331,550$131,253$9,487$472,290
Current Officers, Directors, Trustees, and Key Employees-$471,437-$471,437
All Other Expenses$75,474$197,030$76,318$348,822
Office Expenses$89,080$225,348$19,311$333,739
Depreciation Depletion$225,813$60,217$15,054$301,084
Pension Plan Contributions$205,604$59,843$5,888$271,335
Travel$246,844$8,029$787$255,660
Information Technology$181,334$45,333-$226,667
Grants to Domestic Individuals$171,342--$171,342
Occupancy$95,942$31,858$6,396$134,196
Fees for Services Legal-$116,630-$116,630
Conferences and Meetings$33,726$64,860$1,503$100,089
Advertising-$94,132-$94,132
Fees for Services Accounting-$51,685-$51,685
Insurance$28,100$7,493$1,873$37,466
Fees for Service Investment Mgmnt Fees-$25,635-$25,635
Other Expenses$22,000$80,762-$22,000
Interest-$13,359-$13,359
Fees for Services Other$8,442$3,010-$11,452
Total Functional Expenses$11,378,896$3,342,123$295,970$15,016,989

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$15,016,989
Expenses per Audited Statements$13,713,300
Total Expenses per Audited Statements$13,672,607
Expenses Not Reported on Financial Statements$1,303,689
Other Expense Adjustments$1,278,054
Expenses Not Reported on Form 990$-40,693
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$28,429
Fundraising Gross Income$2,647
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Nights Event$65,271$2,647$6,883$-4,236
Total Events$65,271$2,647$28,429$-25,782
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$24,912
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“The executive director and finance director review the form 990. Once they have reviewed the return, it is handed out to the board of directors for their review before being filed.”

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

“The monthly board meeting agenda includes an agenda item that requires board members to review the approved agenda and declare any conflicts of interest”

Form 990, Part VI, Section B, Line 15

“The executive committee determines and approves the executive director's wages based on an annual review, review of form 990 compensation of similar positions and information obtained from independent salary surveys. The director of finance's and medical director's wages are determined based on a review of form 990 compensation of similar positons, information obtained from independent salary surveys and the cola adjustment. The executive director and human resource director determine the director of finance's and medical director's wages based on this information. Board approves all wages through the budget process.”

Form 990, Part VI, Section C, Line 19

“Governing documents conflict of interest policy and financial statements are made available to the public upon wrttten request.”

Filing and Contact Details

Filer

Filer Name
Cedar Valley Hospice Inc
EIN
42-1135294
Phone
3192722002
Address
PO BOX 2880, WATERLOO, IA 50704-2880

Signing Officer

Name
Michaela Vandersee
Title
Executive Director
Phone
3192722002
Signed
2025-04-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michaela Vandersee
Formed
1979
Legal Domicile
Ia
Voting Board Members
14
Independent Board Members
14
Employees
143
Volunteers
226

Preparer

Firm
Creative Planning Tax LLC
Address
100 E PARK AVE STE 300, WATERLOO, IA 50703
Preparer
Brian E Aronson
Phone
3192346885
Supplemental Narrative

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Special event expenses -40,693.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Medicaid room and board 1,278,054.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Special event expenses -40,693.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Medicaid room and board 1,278,054.”

PART V, LINE 4:

“The organization's policy is to distribute all or a portion of the annual net investment earnings to support the organization's programs while maintaining the fair value of the original endowment gifts. Donor restricted endowment funds are not available for general expenditures.”

Raw XML AppendixShowing 400 of 822 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/Desc0CEDAR VALLEY HOSPICE IS DEDICATED TO PROVIDING HOSPICE SERVICES TO THOSE WITH A SIX MONTH PROGNOSIS OR LESS, SERVING 997 PATIENTS DURING 2024. THE AVERAGE DAILY CENSUS WAS 163.9 WHICH ALLOWED US TO PROVIDE 59,993 DAYS OF PATIENT CARE. THE AVERAGE LENGTH OF STAY FOR OUR HOSPICE PATIENTS WAS 63.6 DAYS. CEDAR VALLEY HOSPICE PROVIDES GRIEF SUPPORT SERVICES TO ANYONE STRUGGLING WITH THE DEATH OF A LOVED ONE, DURING 2024, 3,372 GRIEF CLIENT CONTACTS WERE CONDUCTED THROUGH INDIVIDUAL VISITS, SUPPORT GROUPS, SMALL AND LARGE GROUP SETTINGS (I.E. EMPLOYERS/SCHOOL) AND MAILINGS. CEDAR VALLEY HOSPICE PROVIDES HOME CARE SERVICES TO THOSE WITH A LIFE THREATENING ILLNESS, IN 2024, 161 CLIENTS WERE SERVED.
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IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt17MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18HUMAN RESOURCES DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR OF MARKETING
IRS990/Form990PartVIISectionAGrp/TitleTxt20IT & PROPERTY MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt21HOSPICE HOME & EDUCATION MANAGER
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IRS990/MissionDesc0CEDAR VALLEY HOSPICE PROVIDES THE LEADERSHIP AND SETS THE STANDARD FOR EXCELLENCE IN DELIVERING COMPREHENSIVE PALLIATIVE AND END OF LIFE CARE TO PATIENTS AND SERVICES TO THOSE THAT GRIEVE.
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