Civic Intelligence

Tri-State Medical Group Inc

990 • Fiscal year 2016 • EIN 42-1435525

Oct 01, 2015 to Sep 30, 2016 • Filed on Aug 14, 2017

Organization ProfileKEOKUKHEALTHSYSTEMS.ORG
1600 Morgan StreetKeokuk, IA 52632

(319) 524-7150

Siviq Scores

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

Liabilities / Assets

99th percentile

4.64x

Higher debt load relative to assets than 99% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

92nd percentile

3.04x

Higher debt load relative to revenue than 92% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

5th percentile

-70%

Higher net margin than 5% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

96th percentile

$372,968

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 30.6% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

15th percentile

-8.3%

Faster asset growth than 15% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

20th percentile

-14%

Faster revenue growth than 20% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets99th percentile

Assets

Down

$798,700

Down $72,626 (-8.3%) from 2015

Net Assets

Down

-$2,908,240

Down $846,641 (-41%) from 2015

Liabilities

Up

$3,706,940

Up $774,015 (+26%) from 2015

Revenue And Expenses
Liabilities / Revenue92nd percentileNet Margin5th percentile

Revenue

Down

$1,217,485

Down $204,240 (-14%) from 2015

Expenses

Down

$2,064,126

Down $886,186 (-30%) from 2015

Net Income

Up

-$846,641

Up $681,946 (+45%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth15th percentile

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

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2010: $1,328,222Liabilities 2010: $1,321,587Net Assets 2010: $6,6352010Assets 2011: $1,121,929Liabilities 2011: $1,112,933Net Assets 2011: $8,9962011Assets 2012: $1,030,513Liabilities 2012: $1,021,123Net Assets 2012: $9,3902012Assets 2013: $1,423,514Liabilities 2013: $1,414,878Net Assets 2013: $8,6362013Assets 2014: $1,633,153Liabilities 2014: $2,166,165Net Assets 2014: -$533,0122014Assets 2015: $871,326Liabilities 2015: $2,932,925Net Assets 2015: -$2,061,5992015Assets 2016: $798,700Liabilities 2016: $3,706,940Net Assets 2016: -$2,908,2402016Assets 2017: $604,649Liabilities 2017: $3,853,069Net Assets 2017: -$3,248,4202017Assets 2018: $656,284Liabilities 2018: $3,841,270Net Assets 2018: -$3,184,9862018Assets 2019: $734,477Liabilities 2019: $3,837,080Net Assets 2019: -$3,102,6032019Assets 2020: $823,854Liabilities 2020: $3,837,080Net Assets 2020: -$3,013,2262020Assets 2021: $1,428,685Liabilities 2021: $0Net Assets 2021: $1,428,6852021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2016

Assets$798,700
Liabilities$3,706,940
Net Assets-$2,908,240
Open 2016 Filing

Operations Trend

Revenue Growth20th percentile

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $5,070,2862010Expenses 2011: $4,588,1392011Expenses 2012: $4,501,2732012Revenue 2013: $3,263,676Expenses 2013: $4,019,640Net Income 2013: -$755,9642013Revenue 2014: $2,973,270Expenses 2014: $3,903,579Net Income 2014: -$930,3092014Revenue 2015: $1,421,725Expenses 2015: $2,950,312Net Income 2015: -$1,528,5872015Revenue 2016: $1,217,485Expenses 2016: $2,064,126Net Income 2016: -$846,6412016Revenue 2017: $208,355Expenses 2017: $523,231Net Income 2017: -$314,8762017Revenue 2018: $95,120Expenses 2018: $31,686Net Income 2018: $63,4342018Revenue 2019: $111,236Expenses 2019: $28,853Net Income 2019: $82,3832019Revenue 2020: $112,719Expenses 2020: $23,342Net Income 2020: $89,3772020Revenue 2021: $59,174Expenses 2021: $0Net Income 2021: $59,1742021Revenue 2022: $70,046Expenses 2022: $0Net Income 2022: $70,0462022

Highlighted filing

2016

Revenue$1,217,485
Expenses$2,064,126
Net Income-$846,641
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Aug 14, 2017
Return Version
2015v3.0
Gross Receipts
$1,301,085
Mission and Program Overview

Mission

Providing primary and specialty care to residents of the tri-state region.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$545,447$510,410▼ $35,037
Accounts Receivable$273,306$279,143▲ $5,837
Cash and Non-Interest-Bearing Accounts$52,573$9,147▼ $43,426
Total Assets$871,326$798,700▼ $72,626
Liabilities
Accounts Payable and Accrued Expenses$2,913,181$3,693,622▲ $780,441
Other Liabilities$19,744$13,318▼ $6,426
Total Liabilities$2,932,925$3,706,940▲ $774,015
Net Assets / Fund Balance
Unrestricted Net Assets$-2,061,599$-2,908,240▼ $846,641
Total Net Assets Fund Balance$-2,061,599$-2,908,240▼ $846,641
Total Liabilities and Net Assets / Fund Balance$871,326$798,700▼ $72,626

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$493,602$1,092,807$1,586,409
Equipment$16,808$362,392$379,200
Other Land Buildings$0$86,588$86,588
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Christopher Dupuis MdOrthopedic SurgeonFT$315,700$57,268$372,968
Kiran Khanolkar MdBoard MemberFT$112,605$10,217$122,822

Board Members and Trustees

NameTitle
Walt StephensBoard Chair
Kent NixonBoard Vice Chair/treasurer
Jack SmithBoard Member
Mike MaherBoard Member
Neville Crenshaw DoBoard Member
Ron ScottBoard Member
Tom RichardsonBoard Member
Tom MarionBoard Member (to 12/15)
Wendy SwankBoard Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Hayes Locum LLCGeneral Surgery Locums6700 N ANDREWS AVENUE SUITE 600, Fort Lauderdale, FL 33309$227,053
Community Health Centers Of Se IowaHealthcare Services1706 WEST AGENCY ROAD, West Burlington, IA 52655$128,024
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,187,129
Investment Income
$0
Other Revenue
$30,356
Change in Net Assets
$-846,641

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,217,485
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$83,600
Total Revenue per Audited Statements
$1,301,085
Total Revenue per Form 990
$1,217,485
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,577,900
Other Expenses$486,226
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,276,737--$1,276,737
Other Employee Benefits$179,691--$179,691
Fees for Services Management$87,090$68,939-$156,029
Current Officers, Directors, Trustees, and Key Employees$121,472--$121,472
Office Expenses$40,225--$40,225
Depreciation Depletion$35,038--$35,038
Insurance$31,808--$31,808
Information Technology$25,255--$25,255
Occupancy$23,545--$23,545
Travel$10,902--$10,902
Other Expenses$4,323--$4,323
Interest$1,237--$1,237
Total Functional Expenses$1,995,187$68,939$0$2,064,126

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$2,147,726
Expenses per Audited Statements$2,064,126
Total Expenses per Form 990$2,064,126
Expenses Not Reported on Form 990$83,600
Expenses Not Reported on Financial Statements$0
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
Capital Lease Payable$13,318
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The organization delegated control over management duties to fitch healthcare.”

Form 990, Part VI, Section A, Line 6

“Keokuk health systems, inc., a tax-exempt iowa nonprofit corporation, is the sole member.”

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

“Keokuk health systems, inc., as sole member, has the reserve power of appointing board members, selling assets, etc. Keokuk area hospital foundation's current president and keokuk area hospital's current cheif of staff have seats on the board.”

Form 990, Part VI, Section A, Line 7B

“Keokuk health systems, inc., as sole member, has the reserve power of appointing board members, selling assets, etc.”

Form 990, Part VI, Section B, Line 11

“A draft of the 990 is reviewed by top management and then provided to the board of directors prior to filing.”

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

“All employees, officers, and directors are required to disclose any conflict of interest at the point they arise and to sign a conflict of interest statement annually attesting that they have disclosed any conflicts of interest.”

Form 990, Part VI, Section B, Line 15

“The board of directors executive committee reviews and establishes all compensation arrangements with highly paid employees utilizing benchmarks data from various sources including the iowa hospital association wage and salary surveys and physician compensation surveys.”

Form 990, Part VI, Section C, Line 19

“Organizational documents are available upon request.”

Filing and Contact Details

Filer

Filer Name
Tri-state Medical Group Inc
EIN
42-1435525
Phone
3195247150
Address
1600 MORGAN STREET, KEOKUK, IA 52632

Signing Officer

Name
Walt Stephens
Title
Board Chair
Phone
3195247150
Signed
2017-08-14

Organization Details

Principal Officer
Walt Stephens
Formed
1997
Legal Domicile
Ia
Voting Board Members
10
Independent Board Members
9
Employees
10
Volunteers
9
Supplemental Narrative

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Rental expenses reported as offset to rental income 83,600.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Rental expenses reported as an offset to rental income 83,600.”

Raw XML AppendixShowing 400 of 510 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/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0PROVIDING PRIMARY AND SPECIALTY CARE TO RESIDENTS OF THE TRI-STATE REGION.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-2061599
IRS990/NetAssetsOrFundBalancesEOYAmt0-2908240
IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt028368
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt028368
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt023545
IRS990/OccupancyGrp/TotalAmt023545
IRS990/OfficeExpensesGrp/ProgramServicesAmt040225
IRS990/OfficeExpensesGrp/TotalAmt040225
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0179691
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0179691
IRS990/OtherExpensesGrp/Desc0CHC SUBSIDY EXPENSE
IRS990/OtherExpensesGrp/Desc1MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc2MISCELLANEOUS
IRS990/OtherExpensesGrp/ProgramServicesAmt0100000
IRS990/OtherExpensesGrp/ProgramServicesAmt157864
IRS990/OtherExpensesGrp/ProgramServicesAmt24323
IRS990/OtherExpensesGrp/TotalAmt0100000
IRS990/OtherExpensesGrp/TotalAmt157864
IRS990/OtherExpensesGrp/TotalAmt24323
IRS990/OtherLiabilitiesGrp/BOYAmt019744
IRS990/OtherLiabilitiesGrp/EOYAmt013318
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS
IRS990/OtherRevenueMiscGrp/ExclusionAmt01988
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01988
IRS990/OtherRevenueTotalAmt01988
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01276737
IRS990/OtherSalariesAndWagesGrp/TotalAmt01276737
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0WALT STEPHENS
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT REVENUE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01187129
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01187129
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt0772121
IRS990/PYOtherRevenueAmt066155
IRS990/PYProgramServiceRevenueAmt01355570
IRS990/PYRevenuesLessExpensesAmt0-1528587
IRS990/PYSalariesCompEmpBnftPaidAmt02178191
IRS990/PYTotalExpensesAmt02950312
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01421725
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-846641
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt028368
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt01215497
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0493602
IRS990ScheduleD/BuildingsGrp/DepreciationAmt01092807
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01586409
IRS990ScheduleD/EquipmentGrp/BookValueAmt016808
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0362392
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0379200
IRS990ScheduleD/ExpensesNotReportedAmt083600
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt02064126
IRS990ScheduleD/OtherExpensesIncludedAmt083600
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt086588
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt086588
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt013318
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CAPITAL LEASE PAYABLE
IRS990ScheduleD/OtherRevenueAmt083600
IRS990ScheduleD/RevenueNotReportedAmt083600
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt01217485
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0RENTAL EXPENSES REPORTED AS OFFSET TO RENTAL INCOME 83,600.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1RENTAL EXPENSES REPORTED AS AN OFFSET TO RENTAL INCOME 83,600.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0510410
IRS990ScheduleD/TotalExpensesPerForm990Amt02064126
IRS990ScheduleD/TotalLiabilityAmt013318
IRS990ScheduleD/TotalRevenuePerForm990Amt01217485
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01301085
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02147726
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/Form990OfOtherOrganizationsInd0X
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0315700
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount036702
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt020566
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0CHRISTOPHER DUPUIS MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0ORTHOPEDIC SURGEON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0372968
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO FITCH HEALTHCARE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1KEOKUK HEALTH SYSTEMS, INC., A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2KEOKUK HEALTH SYSTEMS, INC., AS SOLE MEMBER, HAS THE RESERVE POWER OF APPOINTING BOARD MEMBERS, SELLING ASSETS, ETC. KEOKUK AREA HOSPITAL FOUNDATION'S CURRENT PRESIDENT AND KEOKUK AREA HOSPITAL'S CURRENT CHEIF OF STAFF HAVE SEATS ON THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3KEOKUK HEALTH SYSTEMS, INC., AS SOLE MEMBER, HAS THE RESERVE POWER OF APPOINTING BOARD MEMBERS, SELLING ASSETS, ETC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4A DRAFT OF THE 990 IS REVIEWED BY TOP MANAGEMENT AND THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ALL EMPLOYEES, OFFICERS, AND DIRECTORS ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AT THE POINT THEY ARISE AND TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY ATTESTING THAT THEY HAVE DISCLOSED ANY CONFLICTS OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE REVIEWS AND ESTABLISHES ALL COMPENSATION ARRANGEMENTS WITH HIGHLY PAID EMPLOYEES UTILIZING BENCHMARKS DATA FROM VARIOUS SOURCES INCLUDING THE IOWA HOSPITAL ASSOCIATION WAGE AND SALARY SURVEYS AND PHYSICIAN COMPENSATION SURVEYS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7ORGANIZATIONAL DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0IA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0DME SALES & RENTALS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0KEOKUK AREA MEDICAL EQUIPMENT & SUPPLY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt01600 MORGAN STREET
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0KEOKUK
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0IA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd052632
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0KEOKUK HEALTH SYSTEMS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1KEOKUK HEALTH SYSTEMS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0KEOKUK AREA HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1KEOKUK AREA HOSPITAL FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2KEOKUK HEALTH SYSTEMS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0420710268
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1421202608
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2421237361
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)

Document Assets

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Filings

Displayed year

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

Open filing
Assets
$798,700
Liabilities
$3,706,940
Net assets
-$2,908,240
Revenue
$1,217,485
Expenses
$2,064,126
Net income
-$846,641
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.07$0.00$0.07
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.43$0.00$1.43$0.06$0.00$0.06
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.82$3.84$3.01$0.11$0.02$0.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.73$3.84$3.10$0.11$0.03$0.08
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.66$3.84$3.18$0.10$0.03$0.06
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.60$3.85$3.25$0.21$0.52$0.31
2016Detailed filing. Detailed filing data is available for this year.$0.80$3.71$2.91$1.22$2.06$0.85
2015Detailed filing. Detailed filing data is available for this year.$0.87$2.93$2.06$1.42$2.95$1.53
2014Detailed filing. Detailed filing data is available for this year.$1.63$2.17$0.53$2.97$3.90$0.93
2013Summary only. Only limited summary data is available for this year.$1.42$1.41$0.01$3.26$4.02$0.76
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.03$1.02$0.01$4.50
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.12$1.11$0.01$4.59
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.33$1.32$0.01$5.07