Civic Intelligence

Spencer Regional Healthcare Foundation

EIN 42-1416816 • 501(c)3 • Spencer, IA

Profile

SUPPORT the enhancement of HEALTH CARE technologies and programs in the region served by Spencer Municipal hospital.

1200 1st Avenue EastSpencer, IA 51301

n/A

Siviq Scores

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

Liabilities / Assets

60th percentile

0.32x

Higher debt load relative to assets than 60% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

89th percentile

2.41x

Higher debt load relative to revenue than 89% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

88th percentile

45%

Higher net margin than 88% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

9th percentile

$0

Higher top officer pay than 9% of similar nonprofits.

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

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

34th percentile

1.0%

Faster asset growth than 34% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

91st percentile

86%

Faster revenue growth than 91% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets60th percentile

Assets

Up

$26,684,903

Up $253,857 (+1.0%) from 2024

Liabilities

Down

$8,469,654

Down $838,697 (-9.0%) from 2024

Net Assets

Up

$18,215,249

Up $1,092,554 (+6.4%) from 2024

Operations
Liabilities / Revenue89th percentileNet Margin88th percentile

Revenue

Up

$3,511,911

Up $1,622,233 (+86%) from 2024

Expenses

Up

$1,944,027

Up $1,607,206 (+477%) from 2024

Net Income

Up

$1,567,884

Up $15,027 (+1.0%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth34th percentile

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

$30M$20M$10M$0Assets 2010: $4,527,277Liabilities 2010: $837,328Net Assets 2010: $3,689,9492010Assets 2011: $5,669,966Liabilities 2011: $966,320Net Assets 2011: $4,703,6462011Assets 2012: $5,610,125Liabilities 2012: $1,051,085Net Assets 2012: $4,559,0402012Assets 2013: $6,418,852Liabilities 2013: $732,961Net Assets 2013: $5,685,8912013Assets 2014: $8,790,629Liabilities 2014: $1,842,475Net Assets 2014: $6,948,1542014Assets 2015: $9,815,565Liabilities 2015: $2,603,521Net Assets 2015: $7,212,0442015Assets 2016: $10,667,499Liabilities 2016: $3,216,122Net Assets 2016: $7,451,3772016Assets 2017: $11,999,899Liabilities 2017: $3,316,579Net Assets 2017: $8,683,3202017Assets 2018: $12,780,668Liabilities 2018: $3,321,813Net Assets 2018: $9,458,8552018Assets 2019: $17,940,031Liabilities 2019: $7,635,380Net Assets 2019: $10,304,6512019Assets 2020: $17,741,900Liabilities 2020: $6,711,067Net Assets 2020: $11,030,8332020Assets 2021: $22,209,277Liabilities 2021: $7,141,478Net Assets 2021: $15,067,7992021Assets 2022: $21,686,277Liabilities 2022: $8,274,942Net Assets 2022: $13,411,3352022Assets 2023: $23,775,678Liabilities 2023: $9,476,938Net Assets 2023: $14,298,7402023Assets 2024: $26,431,046Liabilities 2024: $9,308,351Net Assets 2024: $17,122,6952024Assets 2025: $26,684,903Liabilities 2025: $8,469,654Net Assets 2025: $18,215,2492025

Highlighted filing

2025

Assets$26,684,903
Liabilities$8,469,654
Net Assets$18,215,249
Open 2025 Filing

Operations Trend

Revenue Growth91st percentile

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $56,2752010Revenue 2011: $710,649Expenses 2011: $89,995Net Income 2011: $620,6542011Expenses 2012: $75,0072012Expenses 2013: $568,5672013Revenue 2014: $1,738,893Expenses 2014: $108,887Net Income 2014: $1,630,0062014Revenue 2015: $1,822,107Expenses 2015: $430,741Net Income 2015: $1,391,3662015Revenue 2016: $1,927,028Expenses 2016: $154,178Net Income 2016: $1,772,8502016Revenue 2017: $656,575Expenses 2017: $227,784Net Income 2017: $428,7912017Revenue 2018: $936,840Expenses 2018: $537,617Net Income 2018: $399,2232018Revenue 2019: $4,826,346Expenses 2019: $299,006Net Income 2019: $4,527,3402019Revenue 2020: $880,689Expenses 2020: $1,121,716Net Income 2020: -$241,0272020Revenue 2021: $1,430,626Expenses 2021: $129,595Net Income 2021: $1,301,0312021Revenue 2022: $1,955,772Expenses 2022: $891,902Net Income 2022: $1,063,8702022Revenue 2023: $1,346,633Expenses 2023: $1,295,461Net Income 2023: $51,1722023Revenue 2024: $1,889,678Expenses 2024: $336,821Net Income 2024: $1,552,8572024Revenue 2025: $3,511,911Expenses 2025: $1,944,027Net Income 2025: $1,567,8842025

Highlighted filing

2025

Revenue$3,511,911
Expenses$1,944,027
Net Income$1,567,884
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$26,684,903
Liabilities
$8,469,654
Net assets
$18,215,249
Revenue
$3,511,911
Expenses
$1,944,027
Net income
$1,567,884
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$26.7$8.47$18.2$3.51$1.94$1.57
2024Detailed filing. Detailed filing data is available for this year.$26.4$9.31$17.1$1.89$0.34$1.55
2023Detailed filing. Detailed filing data is available for this year.$23.8$9.48$14.3$1.35$1.30$0.05
2022Detailed filing. Detailed filing data is available for this year.$21.7$8.27$13.4$1.96$0.89$1.06
2021Detailed filing. Detailed filing data is available for this year.$22.2$7.14$15.1$1.43$0.13$1.30
2020Detailed filing. Detailed filing data is available for this year.$17.7$6.71$11.0$0.88$1.12$0.24
2019Detailed filing. Detailed filing data is available for this year.$17.9$7.64$10.3$4.83$0.30$4.53
2018Detailed filing. Detailed filing data is available for this year.$12.8$3.32$9.46$0.94$0.54$0.40
2017Detailed filing. Detailed filing data is available for this year.$12.0$3.32$8.68$0.66$0.23$0.43
2016Detailed filing. Detailed filing data is available for this year.$10.7$3.22$7.45$1.93$0.15$1.77
2015Detailed filing. Detailed filing data is available for this year.$9.82$2.60$7.21$1.82$0.43$1.39
2014Detailed filing. Detailed filing data is available for this year.$8.79$1.84$6.95$1.74$0.11$1.63
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.42$0.73$5.69$0.57
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.61$1.05$4.56$0.08
2011Summary only. Only limited summary data is available for this year.$5.67$0.97$4.70$0.71$0.09$0.62
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.53$0.84$3.69$0.06
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Oct 28, 2025
Return Version
2024v5.2
Gross Receipts
$8,095,103
Mission and Program Overview

Mission

SUPPORT the enhancement of HEALTH CARE technologies and programs in the region served by Spencer Municipal hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$20,154,571$20,690,730▲ $536,159
Savings and Temporary Cash Investments$800,417$470,998▼ $329,419
Pledges and Grants Receivable$13,000$0▼ $13,000
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$26,431,046$26,684,903▲ $253,857
Other Assets Total$5,463,058$5,523,175▲ $60,117
Liabilities
Other Liabilities$9,308,351$8,462,211▼ $846,140
Accounts Payable and Accrued Expenses-$7,443-
Total Liabilities$9,308,351$8,469,654▼ $838,697
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$17,087,014$18,178,787▲ $1,091,773
Net Assets With Donor Restrictions$35,681$36,462▲ $781
Total Net Assets Fund Balance$17,122,695$18,215,249▲ $1,092,554
Total Liabilities and Net Assets / Fund Balance$26,431,046$26,684,903▲ $253,857

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$53,822--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$10,248,843$374,907▲ $618,857-$10,665,993
2023$9,419,334$769,029▲ $523,884$55,000$10,248,843
2022$8,855,132$556,132▲ $209,708-$9,419,334
2021$8,196,183$624,925▲ $208,339-$8,855,132
2020$6,905,071$572,052▲ $982,346-$8,196,183
Compensation and Service Providers
Top Officer Pay9th percentile

Board Members and Trustees

NameTitle
Wes SimpsonPresident
Nate SchmidtVice President
Amanda BareDirector
Ben Hollesendirector
Brenda TiefenthalerDirector
Brent SwartDirector
Cole MilbrathDirector
Dr Nathan RohlingDirector
Dr Sonia SatherDirector
Joe ConoverDirector
Kim UpahDirector
Marianne FuchsenDirector
Pat RenoDirector
Jill DavisTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$542,221
Program Service Revenue
$0
Investment Income
$2,939,690
Other Revenue
$30,000
All Other Contributions
$542,221
Change in Net Assets
$1,567,884

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,001,962
Revenue Not Reported on Financial Statements
$509,949
Revenue Not Reported on Form 990
$-714,591
Other Revenue Adjustments
$509,949
Total Revenue per Audited Statements
$2,287,371
Total Revenue per Form 990
$3,511,911
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,922,217
Other Expenses$21,810
Total Fundraising Expense$1,694
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,412,767--$1,412,767
Grants to Domestic Individuals$509,450--$509,450
Fees for Service Investment Mgmnt Fees-$19,763-$19,763
Other Expenses-$62$1,694$62
Total Functional Expenses$1,922,217$20,116$1,694$1,944,027

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,944,027
Total Expenses per Audited Statements$1,175,054
Expenses per Audited Statements$1,016,883
Expenses Not Reported on Financial Statements$927,144
Other Expense Adjustments$907,381
Expenses Not Reported on Form 990$158,171
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Spencer Municipal HospitalSpencer, IA-To Provide Financial Support for Medical Services$1,412,767
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Endowment Funds Held on Behalf of Others$7,380,246
Amounts Held on Behalf of Others$951,025
Due to Smh$127,000
Annuities Payable$3,940
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 A, Line 2

“Brenda Tiefenthaler, Dr. Nathan Rohling and Dr. Sonia Sather are employees of Spencer Municipal Hospital which has a business relationship with the Organization.”

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

“THE ORGANIZATION'S STAFF AND selected BOARD MEMBERS REVIEW A DRAFT OF FORM 990 AND MAKE ANY CHANGES TO IT BEFORE IT IS FILED.”

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

“The by-laws of the organization have a conflict of interest section that addresses this issue. The governing body is cognizant of any potential conflicts of interest and follows the protocol found in the by-laws. If a conflict of interest arises, the board member is prohibited from participating in deliberations, voting on the matter and any decisions related to the transaction. The organization has all board members complete an annual conflict of interest questionnaire to assist in identifying conflicts.”

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

“This is not applicable since the foundation does not have any employees.”

Form 990, Part VI, Section B, Line 15B

“This is not applicable since the foundation does not have any employees.”

Form 990, Part VI, Section C, Line 19

“THE FOUNDATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. The Financial statements are available on the Iowa State auditor's web site.”

Filing and Contact Details

Filer

Filer Name
Spencer Regional Healthcare Foundation
EIN
42-1416816
Phone
7122646226
Address
1200 1st Avenue East, Spencer, IA 51301

Signing Officer

Name
Sara Taylor
Title
Executive Director
Signed
2025-10-28
Discuss with paid preparer
Yes

Organization Details

Formed
1993
Legal Domicile
Ia
Voting Board Members
14
Independent Board Members
11
Employees
0

Preparer

Firm
Winther Stave & Co Llp
Address
1316 W 18TH ST PO BOX 175, SPENCER, IA 51301
Preparer
Arvin D Druvenga
Phone
7122623117
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Amounts raised on behalf of others = -$420175”

Form 990, Part XI, Line 9

“Donated services and materials expenses = -$158171”

Form 990, Part XI, Line 9

“Donated services and use of facilities = $158171”

Form 990, Part XI, Line 9

“Endowment funds raised on behalf of others = -$4817”

Form 990, Part XI, Line 9

“Fund raising expenses paid from restricted funds = $1694”

Form 990, Part XI, Line 9

“Grant expenses paid from restricted funds = $820730”

Form 990, Part XI, Line 9

“Net income (loss) in community foundations funds = $185125”

Form 990, Part XI, Line 9

“Net unrealized gains or losses on investments = -$1057887”

Financial Statement Notes

Part V, Line 4: Intended uses of the endowment fund.

“To provide future support to Spencer Municipal Hospital.”

Part XI, Line 2D: Other revenue amounts included in F/S but not included on form 990

“Net inc (loss) in comm. Foundation funds $185125”

Part XI, Line 4B: Other revenue amounts included on 990 but not included in F/S

“Amounts raised on behalf of others $420175 endowment funds raised on behalf of othe $4817 community foundation contributions $84957 net unrealized losses on invest $0”

Part XII, Line 4B: Other revenue amounts included on 990 but not included in F/S

“Fundraising expenses paid from rstr fund $1694 grant expenses paid from restrictd funds $820730 community foundation transfers $84957”

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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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