Civic Intelligence

Iowa Falls Clinic

EIN 42-1467712 • 501(c)3 • Iowa Falls, IA

Profile

Develop, coordinate, and provide all manners of clinical medical services to residents, visitors, and employees of hardin county and the surrounding area.

920 South Oak StIowa Falls, IA 50126

n/A

Siviq Scores

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

Liabilities / Assets

93rd percentile

1.00x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2022

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

11th percentile

-85%

Faster asset growth than 11% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$0

Down $283,085 (-100%) from 2022

Liabilities

Down

$0

Down $283,085 (-100%) from 2022

Net Assets

Flat

$0

Flat from 2022

Revenue

Flat

$0

Flat from 2022

Expenses

Flat

$0

Flat from 2022

Net Income

Flat

$0

Flat from 2022

Trend Graphs

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2011: $1,942,054Liabilities 2011: $473,163Net Assets 2011: $1,468,8912011Assets 2012: $1,950,310Liabilities 2012: $273,891Net Assets 2012: $1,676,4192012Assets 2013: $2,344,981Liabilities 2013: $193,601Net Assets 2013: $2,151,3802013Assets 2014: $3,204,760Liabilities 2014: $466,827Net Assets 2014: $2,737,9332014Assets 2015: $3,893,467Liabilities 2015: $645,245Net Assets 2015: $3,248,2222015Assets 2016: $3,605,521Liabilities 2016: $872,073Net Assets 2016: $2,733,4482016Assets 2017: $2,866,713Liabilities 2017: $211,557Net Assets 2017: $2,655,1562017Assets 2018: $2,788,202Liabilities 2018: $154,690Net Assets 2018: $2,633,5122018Assets 2019: $2,678,647Liabilities 2019: $216,983Net Assets 2019: $2,461,6642019Assets 2020: $2,175,423Liabilities 2020: $268,117Net Assets 2020: $1,907,3062020Assets 2021: $1,919,600Liabilities 2021: $0Net Assets 2021: $1,919,6002021Assets 2022: $283,085Liabilities 2022: $283,085Net Assets 2022: $02022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2023

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2011: $3,761,613Expenses 2011: $3,294,768Net Income 2011: $466,8452011Expenses 2012: $3,257,2472012Revenue 2013: $4,215,954Expenses 2013: $3,340,993Net Income 2013: $874,9612013Revenue 2014: $3,807,650Expenses 2014: $3,221,097Net Income 2014: $586,5532014Revenue 2015: $4,171,523Expenses 2015: $3,661,234Net Income 2015: $510,2892015Revenue 2016: $3,859,464Expenses 2016: $4,374,238Net Income 2016: -$514,7742016Revenue 2017: $3,534,455Expenses 2017: $3,612,747Net Income 2017: -$78,2922017Revenue 2018: $3,753,471Expenses 2018: $3,775,115Net Income 2018: -$21,6442018Revenue 2019: $3,529,564Expenses 2019: $3,701,412Net Income 2019: -$171,8482019Revenue 2020: $3,402,479Expenses 2020: $3,956,837Net Income 2020: -$554,3582020Revenue 2021: $16,403Expenses 2021: $4,109Net Income 2021: $12,2942021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023

Highlighted filing

2023

Revenue$0
Expenses$0
Net Income$0

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2022Detailed filing. Detailed filing data is available for this year.$0.28$0.28$0.00$0.00$0.00$0.00
2021Detailed filing. Detailed filing data is available for this year.$1.92$0.00$1.92$0.02$0.00$0.01
2020Detailed filing. Detailed filing data is available for this year.$2.18$0.27$1.91$3.40$3.96$0.55
2019Detailed filing. Detailed filing data is available for this year.$2.68$0.22$2.46$3.53$3.70$0.17
2018Detailed filing. Detailed filing data is available for this year.$2.79$0.15$2.63$3.75$3.78$0.02
2017Detailed filing. Detailed filing data is available for this year.$2.87$0.21$2.66$3.53$3.61$0.08
2016Detailed filing. Detailed filing data is available for this year.$3.61$0.87$2.73$3.86$4.37$0.51
2015Detailed filing. Detailed filing data is available for this year.$3.89$0.65$3.25$4.17$3.66$0.51
2014Summary only. Only limited summary data is available for this year.$3.20$0.47$2.74$3.81$3.22$0.59
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.34$0.19$2.15$4.22$3.34$0.87
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.95$0.27$1.68$3.26
2011Summary only. Only limited summary data is available for this year.$1.94$0.47$1.47$3.76$3.29$0.47
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Apr 9, 2024
Return Version
2022v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

Develop, coordinate, and provide all manners of clinical medical services to residents, visitors, and employees of hardin county and the surrounding area.

A mission of community and healthcare services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$235,298$0▼ $235,298
Cash and Non-Interest-Bearing Accounts$47,787$0▼ $47,787
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$283,085$0▼ $283,085
Other Assets Total-$0-
Liabilities
Other Liabilities$283,085$0▼ $283,085
Total Liabilities$283,085$0▼ $283,085
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$283,085$0▼ $283,085
Compensation and Service Providers

Board Members and Trustees

NameTitle
Kathleen Haverkamp MdPresident/secretary
Dr Thomas WatersDirector
Francis FritzDirector
Marianne JonesDirector
Maureen BrantnerDirector
George Von MockHfh CEO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Other officer compensation reviewed
No
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

Hansen family hospital was in a joint venture agreement with mercy medical center - north iowa to operate the iowa falls clinic. The clinic provided, developed, and coordinated all manner of clinical medical services to residents, visitors, and employees of hardin county and the surrounding area. Hansen family hospital is a 50% owner of iowa falls clinic and shares income or losses from clinic operations. Hansen family hospital purchased many of the assets of iowa falls clinic on july 1, 2020, and took over clinic operations via an asset purchase agreement. Certain assets of iowa falls clinic were excluded from the asset purchase agreement such as cash and accounts receivable. Remaining cash balances of iowa falls clinic after collection of accounts receivable balances were distributed to hansen family hospital and mercy medical center - north iowa in fy23. Iowa falls clinic was formally dissolved during fiscal year 2022 with the state of iowa. Hansen family hospital received equity distributions during the june 30, 2022 year and the final distribution of remaining funds in fiscal year 2023. Hansen family hospital paid out mercy medical center - north iowa's portion.

Form 990, Part VI, Section A, Line 6

The members of the organization are hansen family and mercy medical center - north iowa. The members have voting rights. Any action required or permitted to be taken by the members should be taken by action of the board of directors or trustees of the members, as appropriate.

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

Hansen family hospital appoints three members of the board. Two of these members are also members of the board of hansen family hospital. The third member appointed is not an employee or board member of hansen family hospital. The administrator of hansen family hospital is the non-voting member of the iowa falls clinic. Mercy medical center - north iowa appoints three members of the board. One member is also a member of mercy medical center - north iowa's board. The other two members are physicians of iowa falls clinic but are appointed by mercy medical center - north iowa.

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

Action of the board of directors on the following matters are effective only if the members have approved and consented to such action: 1. Amendment of the articles of incorporation 2. Encumbrance of, or granting of a lien on assets of the organization 3. Incurrence, assumption or guaranty of any indebtedness, including any capital leases, except indebtedness incurred in connection with the purchase of construction of a capital asset included in the approved annual capital budget and except indebtedness incurred by the organization's drawing down on any line of credit approved by the member 4. Adoption of strategic and annual operating plans and capital and operating budgets of the organization 5. Sale, lease, exchange or other disposition of all, or substantially all, of the property and assets of the organization, or merger or consolidation of the organization with another entity 6. Dissolution of the organization and related distribution of the assets of the organization 7. Appointment and removal of the directors of the organization

Form 990, Part VI, Section A, Line 8B

The organization does not have committees with authority to act on behalf of the governing body.

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

A copy of the form 990 is available to the board before filing. The 990 is reviewed by the cfo at hansen family hospital.

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

The organization's conflict of interest policy is completed annually and covers board members and officers. Board members and officers are required to disclose any family or business relationship and transactions as part of the 990 process as well. The president of the board reviews the completed policies and any potential conflicts are brought to the board's attention for review. Individuals with conflicts are required to abstain from voting on the matter and may be asked to leave the meeting. Any individual not disclosing a conflict may be terminated.

Form 990, Part VI, Section B, Line 15

Officers are contracted through mercy medical center - north iowa. Iowa falls clinic does not pay compensation.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are available to the public upon written request.

Filing and Contact Details

Filer

Filer Name
Iowa Falls Clinic
EIN
42-1467712
Phone
6416484631
Address
920 SOUTH OAK ST, IOWA FALLS, IA 50126

Signing Officer

Name
George Von Mock
Title
CEO
Phone
6416484631
Signed
2024-04-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
George Von Mock
Formed
1997
Legal Domicile
Ia
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Firm
Cliftonlarsonallen Llp
Address
220 S 6TH STREET SUITE 300, MINNEAPOLIS, MN 55402
Preparer
Ryan Engebretson
Phone
6123764500
Raw XML Appendix318 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0A MISSION OF COMMUNITY AND HEALTHCARE SERVICES.
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0RUTH STEIG
IRS990/BooksInCareOfDetail/PhoneNum05152970586
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0920 SOUTH OAK STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0IOWA FALLS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd050126
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt047787
IRS990/CashNonInterestBearingGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt00
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt00
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt00
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt00
IRS990/DecisionsSubjectToApprovaInd01
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd01
IRS990/Desc0HANSEN FAMILY HOSPITAL WAS IN A JOINT VENTURE AGREEMENT WITH MERCY MEDICAL CENTER - NORTH IOWA TO OPERATE THE IOWA FALLS CLINIC. THE CLINIC PROVIDED, DEVELOPED, AND COORDINATED ALL MANNER OF CLINICAL MEDICAL SERVICES TO RESIDENTS, VISITORS, AND EMPLOYEES OF HARDIN COUNTY AND THE SURROUNDING AREA.HANSEN FAMILY HOSPITAL IS A 50% OWNER OF IOWA FALLS CLINIC AND SHARES INCOME OR LOSSES FROM CLINIC OPERATIONS. HANSEN FAMILY HOSPITAL PURCHASED MANY OF THE ASSETS OF IOWA FALLS CLINIC ON JULY 1, 2020, AND TOOK OVER CLINIC OPERATIONS VIA AN ASSET PURCHASE AGREEMENT. CERTAIN ASSETS OF IOWA FALLS CLINIC WERE EXCLUDED FROM THE ASSET PURCHASE AGREEMENT SUCH AS CASH AND ACCOUNTS RECEIVABLE. REMAINING CASH BALANCES OF IOWA FALLS CLINIC AFTER COLLECTION OF ACCOUNTS RECEIVABLE BALANCES WERE DISTRIBUTED TO HANSEN FAMILY HOSPITAL AND MERCY MEDICAL CENTER - NORTH IOWA IN FY23. IOWA FALLS CLINIC WAS FORMALLY DISSOLVED DURING FISCAL YEAR 2022 WITH THE STATE OF IOWA. HANSEN FAMILY HOSPITAL RECEIVED EQUITY DISTRIBUTIONS DURING THE JUNE 30, 2022 YEAR AND THE FINAL DISTRIBUTION OF REMAINING FUNDS IN FISCAL YEAR 2023. HANSEN FAMILY HOSPITAL PAID OUT MERCY MEDICAL CENTER - NORTH IOWA'S PORTION.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt40.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt50.01
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/PersonNm0KATHLEEN HAVERKAMP MD
IRS990/Form990PartVIISectionAGrp/PersonNm1FRANCIS FRITZ
IRS990/Form990PartVIISectionAGrp/PersonNm2MARIANNE JONES
IRS990/Form990PartVIISectionAGrp/PersonNm3MAUREEN BRANTNER
IRS990/Form990PartVIISectionAGrp/PersonNm4DR THOMAS WATERS
IRS990/Form990PartVIISectionAGrp/PersonNm5GEORGE VON MOCK
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT/SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5HFH CEO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01997
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt05
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0IA
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0DEVELOP, COORDINATE, AND PROVIDE ALL MANNERS OF CLINICAL MEDICAL SERVICES TO RESIDENTS, VISITORS, AND EMPLOYEES OF HARDIN COUNTY AND THE SURROUNDING AREA.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt00
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt0283085
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0GEORGE VON MOCK
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt00
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt00
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt00
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt00
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt00
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0235298
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH AND INVESTMENTS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0HANSEN FAMILY HOSPITAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02023-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0283085
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0FAIR MARKET VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0920 SOUTH OAK STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0IOWA FALLS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0IA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd050126
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0HANSEN FAMILY HOSPITAL WAS IN A JOINT VENTURE AGREEMENT WITH MERCY MEDICAL CENTER - NORTH IOWA TO OPERATE THE IOWA FALLS CLINIC. THE CLINIC PROVIDED, DEVELOPED, AND COORDINATED ALL MANNER OF CLINICAL MEDICAL SERVICES TO RESIDENTS, VISITORS, AND EMPLOYEES OF HARDIN COUNTY AND THE SURROUNDING AREA. HANSEN FAMILY HOSPITAL IS A 50% OWNER OF IOWA FALLS CLINIC AND SHARES INCOME OR LOSSES FROM CLINIC OPERATIONS. HANSEN FAMILY HOSPITAL PURCHASED MANY OF THE ASSETS OF IOWA FALLS CLINIC ON JULY 1, 2020, AND TOOK OVER CLINIC OPERATIONS VIA AN ASSET PURCHASE AGREEMENT. CERTAIN ASSETS OF IOWA FALLS CLINIC WERE EXCLUDED FROM THE ASSET PURCHASE AGREEMENT SUCH AS CASH AND ACCOUNTS RECEIVABLE. REMAINING CASH BALANCES OF IOWA FALLS CLINIC AFTER COLLECTION OF ACCOUNTS RECEIVABLE BALANCES WERE DISTRIBUTED TO HANSEN FAMILY HOSPITAL AND MERCY MEDICAL CENTER - NORTH IOWA IN FY23. IOWA FALLS CLINIC WAS FORMALLY DISSOLVED DURING FISCAL YEAR 2022 WITH THE STATE OF IOWA. HANSEN FAMILY HOSPITAL RECEIVED EQUITY DISTRIBUTIONS DURING THE JUNE 30, 2022 YEAR AND THE FINAL DISTRIBUTION OF REMAINING FUNDS IN FISCAL YEAR 2023. HANSEN FAMILY HOSPITAL PAID OUT MERCY MEDICAL CENTER - NORTH IOWA'S PORTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE MEMBERS OF THE ORGANIZATION ARE HANSEN FAMILY AND MERCY MEDICAL CENTER - NORTH IOWA. THE MEMBERS HAVE VOTING RIGHTS. ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN BY THE MEMBERS SHOULD BE TAKEN BY ACTION OF THE BOARD OF DIRECTORS OR TRUSTEES OF THE MEMBERS, AS APPROPRIATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2HANSEN FAMILY HOSPITAL APPOINTS THREE MEMBERS OF THE BOARD. TWO OF THESE MEMBERS ARE ALSO MEMBERS OF THE BOARD OF HANSEN FAMILY HOSPITAL. THE THIRD MEMBER APPOINTED IS NOT AN EMPLOYEE OR BOARD MEMBER OF HANSEN FAMILY HOSPITAL. THE ADMINISTRATOR OF HANSEN FAMILY HOSPITAL IS THE NON-VOTING MEMBER OF THE IOWA FALLS CLINIC. MERCY MEDICAL CENTER - NORTH IOWA APPOINTS THREE MEMBERS OF THE BOARD. ONE MEMBER IS ALSO A MEMBER OF MERCY MEDICAL CENTER - NORTH IOWA'S BOARD. THE OTHER TWO MEMBERS ARE PHYSICIANS OF IOWA FALLS CLINIC BUT ARE APPOINTED BY MERCY MEDICAL CENTER - NORTH IOWA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ACTION OF THE BOARD OF DIRECTORS ON THE FOLLOWING MATTERS ARE EFFECTIVE ONLY IF THE MEMBERS HAVE APPROVED AND CONSENTED TO SUCH ACTION: 1. AMENDMENT OF THE ARTICLES OF INCORPORATION 2. ENCUMBRANCE OF, OR GRANTING OF A LIEN ON ASSETS OF THE ORGANIZATION 3. INCURRENCE, ASSUMPTION OR GUARANTY OF ANY INDEBTEDNESS, INCLUDING ANY CAPITAL LEASES, EXCEPT INDEBTEDNESS INCURRED IN CONNECTION WITH THE PURCHASE OF CONSTRUCTION OF A CAPITAL ASSET INCLUDED IN THE APPROVED ANNUAL CAPITAL BUDGET AND EXCEPT INDEBTEDNESS INCURRED BY THE ORGANIZATION'S DRAWING DOWN ON ANY LINE OF CREDIT APPROVED BY THE MEMBER 4. ADOPTION OF STRATEGIC AND ANNUAL OPERATING PLANS AND CAPITAL AND OPERATING BUDGETS OF THE ORGANIZATION 5. SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE ORGANIZATION, OR MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ENTITY 6. DISSOLUTION OF THE ORGANIZATION AND RELATED DISTRIBUTION OF THE ASSETS OF THE ORGANIZATION 7. APPOINTMENT AND REMOVAL OF THE DIRECTORS OF THE ORGANIZATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5A COPY OF THE FORM 990 IS AVAILABLE TO THE BOARD BEFORE FILING. THE 990 IS REVIEWED BY THE CFO AT HANSEN FAMILY HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS COMPLETED ANNUALLY AND COVERS BOARD MEMBERS AND OFFICERS. BOARD MEMBERS AND OFFICERS ARE REQUIRED TO DISCLOSE ANY FAMILY OR BUSINESS RELATIONSHIP AND TRANSACTIONS AS PART OF THE 990 PROCESS AS WELL. THE PRESIDENT OF THE BOARD REVIEWS THE COMPLETED POLICIES AND ANY POTENTIAL CONFLICTS ARE BROUGHT TO THE BOARD'S ATTENTION FOR REVIEW. INDIVIDUALS WITH CONFLICTS ARE REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER AND MAY BE ASKED TO LEAVE THE MEETING. ANY INDIVIDUAL NOT DISCLOSING A CONFLICT MAY BE TERMINATED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7OFFICERS ARE CONTRACTED THROUGH MERCY MEDICAL CENTER - NORTH IOWA. IOWA FALLS CLINIC DOES NOT PAY COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN 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 A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0283085
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0283085
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt00
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0283085
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0283085
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0283085
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0920 SOUTH OAK ST
IRS990/USAddress/CityNm0IOWA FALLS
IRS990/USAddress/StateAbbreviationCd0IA
IRS990/USAddress/ZIPCd050126
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0GEORGE VON MOCK
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum06416484631
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-04-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0IOWA FALLS CLINIC
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0C/O HANSEN FAMILY HOSPITAL
ReturnHeader/Filer/BusinessNameControlTxt0IOWA
ReturnHeader/Filer/EIN0421467712
ReturnHeader/Filer/PhoneNum06416484631
ReturnHeader/Filer/USAddress/AddressLine1Txt0920 SOUTH OAK ST
ReturnHeader/Filer/USAddress/CityNm0IOWA FALLS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IA
ReturnHeader/Filer/USAddress/ZIPCd050126
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0410746749
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLIFTONLARSONALLEN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0220 S 6TH STREET SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MINNEAPOLIS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd055402
ReturnHeader/PreparerPersonGrp/PhoneNum06123764500
ReturnHeader/PreparerPersonGrp/PreparationDt02024-04-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RYAN ENGEBRETSON
ReturnHeader/ReturnTs02024-04-19T18:49:08-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0GEORGE
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0VON MOCK
ReturnHeader/TaxPeriodBeginDt02022-07-01
ReturnHeader/TaxPeriodEndDt02023-06-30
ReturnHeader/TaxYr02022

Document Assets

No mirrored PDF or thumbnail assets are attached yet.