Civic Intelligence

Grape Hospital Foundation

990 • Fiscal year 2016 • EIN 42-1335348

Jul 01, 2015 to Jun 30, 2016 • Filed on Sep 26, 2016

PO Box 71Hamburg, IA 51640

(712) 382-2081

Siviq Scores

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

Liabilities / Assets

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

4th percentile

-77%

Higher net margin than 4% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

27th percentile

-4.3%

Faster asset growth than 27% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

18th percentile

-18%

Faster revenue growth than 18% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

Down

$551,297

Down $24,500 (-4.3%) from 2015

Net Assets

Down

$551,297

Down $24,500 (-4.3%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Down

$31,965

Down $6,926 (-18%) from 2015

Expenses

Down

$56,465

Down $9,019 (-14%) from 2015

Net Income

Up

-$24,500

Up $2,093 (+7.9%) from 2015

Historical Trend

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2012: $665,446Liabilities 2012: $0Net Assets 2012: $665,4462012Assets 2013: $576,929Liabilities 2013: $0Net Assets 2013: $576,9292013Assets 2014: $602,390Liabilities 2014: $0Net Assets 2014: $602,3902014Assets 2015: $575,797Liabilities 2015: $0Net Assets 2015: $575,7972015Assets 2016: $551,297Liabilities 2016: $0Net Assets 2016: $551,2972016Assets 2017: $564,330Liabilities 2017: $0Net Assets 2017: $564,3302017Assets 2018: $613,015Liabilities 2018: $0Net Assets 2018: $613,0152018Assets 2019: $586,120Liabilities 2019: $0Net Assets 2019: $586,1202019Assets 2020: $603,970Liabilities 2020: $0Net Assets 2020: $603,9702020Assets 2021: $591,079Liabilities 2021: $0Net Assets 2021: $591,0792021Assets 2022: $572,972Liabilities 2022: $0Net Assets 2022: $572,9722022Assets 2023: $676,452Liabilities 2023: $0Net Assets 2023: $676,4522023Assets 2024: $619,158Liabilities 2024: $0Net Assets 2024: $619,1582024Assets 2025: $666,466Liabilities 2025: $0Net Assets 2025: $666,4662025

Highlighted filing

2016

Assets$551,297
Liabilities$0
Net Assets$551,297

Operations Trend

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

$200K$100K$0-$100KRevenue 2012: $30,567Expenses 2012: $12,913Net Income 2012: $17,6542012Revenue 2013: $39,206Expenses 2013: $127,723Net Income 2013: -$88,5172013Revenue 2014: $69,684Expenses 2014: $44,223Net Income 2014: $25,4612014Revenue 2015: $38,891Expenses 2015: $65,484Net Income 2015: -$26,5932015Revenue 2016: $31,965Expenses 2016: $56,465Net Income 2016: -$24,5002016Revenue 2017: $48,086Expenses 2017: $35,053Net Income 2017: $13,0332017Revenue 2018: $52,386Expenses 2018: $3,701Net Income 2018: $48,6852018Revenue 2019: $49,947Expenses 2019: $76,842Net Income 2019: -$26,8952019Revenue 2020: $21,174Expenses 2020: $3,324Net Income 2020: $17,8502020Revenue 2021: $26,198Expenses 2021: $39,089Net Income 2021: -$12,8912021Revenue 2022: $8,501Expenses 2022: $26,608Net Income 2022: -$18,1072022Revenue 2023: $91,180Expenses 2023: $18,719Net Income 2023: $72,4612023Revenue 2024: $44,163Expenses 2024: $142,889Net Income 2024: -$98,7262024Revenue 2025: $37,373Expenses 2025: $30,629Net Income 2025: $6,7442025

Highlighted filing

2016

Revenue$31,965
Expenses$56,465
Net Income-$24,500
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Sep 26, 2016
Return Version
2015v2.1
Gross Receipts
$46,840
Mission and Program Overview

Mission

Provide support for local community hospital-scholarship, equipment, and reemodeling

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$575,797$551,297▼ $24,500
Savings and Temporary Cash Investments$406,944$307,157▼ $99,787
Investments in Publicly Traded Securities$168,853$244,140▲ $75,287
Total Assets$575,797$551,297▼ $24,500
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$575,797$551,297▼ $24,500
Total Liabilities and Net Assets / Fund Balance$575,797$551,297▼ $24,500
Compensation and Service Providers

Board Members and Trustees

NameTitle
Brian KingsolverPresident
Becky ShullDirector
Ruthie PaperDirector
Steve MeyerDirector
Judy HollimanHospital Board Rep
Darren OsborneHospital Rep
Halley HunterHospital Rep
Nancy MiddaughSectreasurer
Leslie BrooksVice Presidient
Revenue and Support

Revenue Composition

Contributions and Grants
$1,774
Program Service Revenue
$0
Investment Income
$834
Other Revenue
$29,357
All Other Contributions
$1,774
Change in Net Assets
$-24,500
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$54,616
Other Expenses$1,849
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$54,616--$54,616
Insurance$1,264--$1,264
Fees for Services Accounting$575--$575
Office Expenses$10--$10
Total Functional Expenses$56,465$0$0$56,465
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
George C Grape Community HospitalHamburg, IA-Hospital Improvements$53,116
George C Grape Hospital AuxiliaryHamburg, IA-Scholarships$1,500
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$44,232
Fundraising Direct Expenses$14,875
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tourn$33,429$33,429$9,314$24,115
Diner Theatr$10,803$10,803$5,561$5,242
Total Events$44,232$44,232$14,875$29,357
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

The 990 is presented to the board at one of their meetings and approved for filing by a vote of the board

Other officer or key employee compensation Part VI line 15B

No officers or directors receive any compensation or benefits from the foundation

Form 990 availability to public Part VI line 18

These documents are made available to anyone who asks to see them upon a request to any officer or board member

Governing documents etc available to public Part VI line 19

These documents are made available to anyone who asks to see them upon a request to any officer or board member.

Filing and Contact Details

Filer

Filer Name
Grape Hospital Foundation
EIN
42-1335348
Address
PO BOX 71, HAMBURG, IA 51640

Signing Officer

Name
Nancy Middabaugh
Title
Secretarytreas
Phone
7123822081
Signed
2016-09-26
Discuss with paid preparer
Yes

Organization Details

Formed
1989
Legal Domicile
Ia
Voting Board Members
0
Independent Board Members
0
Employees
0

Preparer

Firm
Miller Shearer Lashier & Co
Address
PO BOX 307, SHENANDOAH, IA 51601
Preparer
Chris Hilding
Phone
7122462029
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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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IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1GEORGE C GRAPE HOSPITAL AUXILIARY
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt02959 US HWY 275
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt12959 US HWY 275
IRS990ScheduleI/RecipientTable/USAddress/CityNm0HAMBURG
IRS990ScheduleI/RecipientTable/USAddress/CityNm1HAMBURG
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0IA
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd1IA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd051640
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd151640
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 IS PRESENTED TO THE BOARD AT ONE OF THEIR MEETINGS AND APPROVED FOR FILING BY A VOTE OF THE BOARD
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO OFFICERS OR DIRECTORS RECEIVE ANY COMPENSATION OR BENEFITS FROM THE FOUNDATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THESE DOCUMENTS ARE MADE AVAILABLE TO ANYONE WHO ASKS TO SEE THEM UPON A REQUEST TO ANY OFFICER OR BOARD MEMBER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THESE DOCUMENTS ARE MADE AVAILABLE TO ANYONE WHO ASKS TO SEE THEM UPON A REQUEST TO ANY OFFICER OR BOARD MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990 availability to public Part VI line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Governing documents etc available to public Part VI line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IA
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0575797
IRS990/TotalAssetsEOYAmt0551297
IRS990/TotalAssetsGrp/BOYAmt0575797
IRS990/TotalAssetsGrp/EOYAmt0551297
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt01774
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt056465
IRS990/TotalFunctionalExpensesGrp/TotalAmt056465
IRS990/TotalGrossUBIAmt029357
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0575797
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0551297
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt056465
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0834
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt031965
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt029357
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0575797
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0551297
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0NANCY MIDDABAUGH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARYTREAS
ReturnHeader/BusinessOfficerGrp/PhoneNum07123822081
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-09-26
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GRAPE HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0GRAP
ReturnHeader/Filer/EIN0421335348
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 71
ReturnHeader/Filer/USAddress/CityNm0HAMBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IA
ReturnHeader/Filer/USAddress/ZIPCd051640
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0421028246
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MILLER SHEARER LASHIER & CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 307
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SHENANDOAH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd051601
ReturnHeader/PreparerPersonGrp/PhoneNum07122462029
ReturnHeader/PreparerPersonGrp/PreparationDt02016-09-30
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CHRIS HILDING
ReturnHeader/ReturnTs02016-09-30T11:40:01-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-07-01
ReturnHeader/TaxPeriodEndDt02016-06-30
ReturnHeader/TaxYr02015

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.66$0.00$6.66$0.37$0.31$0.07
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.19$0.00$6.19$0.44$1.43$0.99
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.76$0.00$6.76$0.91$0.19$0.72
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.73$0.00$5.73$0.09$0.27$0.18
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.91$0.00$5.91$0.26$0.39$0.13
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.04$0.00$6.04$0.21$0.03$0.18
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.86$0.00$5.86$0.50$0.77$0.27
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.13$0.00$6.13$0.52$0.04$0.49
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.64$0.00$5.64$0.48$0.35$0.13
2016Detailed filing. Detailed filing data is available for this year.$5.51$0.00$5.51$0.32$0.56$0.25
2015Detailed filing. Detailed filing data is available for this year.$5.76$0.00$5.76$0.39$0.65$0.27
2014Summary only. Only limited summary data is available for this year.$6.02$0.00$6.02$0.70$0.44$0.25
2013Summary only. Only limited summary data is available for this year.$5.77$0.00$5.77$0.39$1.28$0.89
2012Summary only. Only limited summary data is available for this year.$6.65$0.00$6.65$0.31$0.13$0.18