Civic Intelligence

River Hills Community Health Center Inc

EIN 42-1489471 • 501(c)3 • Ottumwa, IA

View Organization Page

Profile

To provide a comprehensive community mental health and physical health program for the care and treatment of persons suffering from mental and physical illness, disease, or disability.

PO Box 458Ottumwa, IA 52501

www.riverhillshealth.org

Siviq Scores

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

Liabilities / Assets

58th percentile

0.30x

Higher debt load relative to assets than 58% of similar nonprofits.

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

Liabilities / Revenue

55th percentile

0.33x

Higher debt load relative to revenue than 55% of similar nonprofits.

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

Net Margin

32nd percentile

-0.7%

Higher net margin than 32% of similar nonprofits.

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

Top Officer Pay

74th percentile

$396,866

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

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

Asset Growth

49th percentile

4.9%

Faster asset growth than 49% of similar nonprofits.

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

Revenue Growth

29th percentile

-1.3%

Faster revenue growth than 29% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets58th percentile

Assets

Up

$33,039,316

Up $1,550,717 (+4.9%) from 2024

Liabilities

Up

$9,925,886

Up $1,984,259 (+25%) from 2024

Net Assets

Down

$23,113,430

Down $433,542 (-1.8%) from 2024

Operations
Liabilities / Revenue55th percentileNet Margin32nd percentile

Revenue

Down

$30,048,405

Down $391,503 (-1.3%) from 2024

Expenses

Up

$30,259,146

Up $1,186,266 (+4.1%) from 2024

Net Income

Down

-$210,741

Down $1,577,769 (-115%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth49th percentile

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

$40M$30M$20M$10M$0Assets 2011: $4,248,007Liabilities 2011: $1,477,104Net Assets 2011: $2,770,9032011Assets 2012: $6,344,646Liabilities 2012: $1,149,745Net Assets 2012: $5,194,9012012Assets 2013: $7,429,799Liabilities 2013: $1,149,447Net Assets 2013: $6,280,3522013Assets 2014: $7,851,382Liabilities 2014: $1,843,146Net Assets 2014: $6,008,2362014Assets 2015: $8,545,229Liabilities 2015: $1,673,752Net Assets 2015: $6,871,4772015Assets 2016: $12,270,781Liabilities 2016: $3,800,704Net Assets 2016: $8,470,0772016Assets 2017: $17,771,035Liabilities 2017: $5,456,207Net Assets 2017: $12,314,8282017Assets 2018: $19,388,572Liabilities 2018: $5,469,802Net Assets 2018: $13,918,7702018Assets 2019: $19,047,670Liabilities 2019: $5,115,064Net Assets 2019: $13,932,6062019Assets 2020: $19,486,478Liabilities 2020: $4,956,894Net Assets 2020: $14,529,5842020Assets 2021: $23,147,884Liabilities 2021: $7,149,064Net Assets 2021: $15,998,8202021Assets 2022: $24,695,238Liabilities 2022: $5,939,946Net Assets 2022: $18,755,2922022Assets 2023: $30,311,720Liabilities 2023: $8,181,475Net Assets 2023: $22,130,2452023Assets 2024: $31,488,599Liabilities 2024: $7,941,627Net Assets 2024: $23,546,9722024Assets 2025: $33,039,316Liabilities 2025: $9,925,886Net Assets 2025: $23,113,4302025

Highlighted filing

2025

Assets$33,039,316
Liabilities$9,925,886
Net Assets$23,113,430
Open 2025 Filing

Operations Trend

Revenue Growth29th percentile

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

$40M$30M$20M$10M$0-$10MExpenses 2011: $8,469,4802011Expenses 2012: $8,901,3822012Expenses 2013: $10,666,9472013Revenue 2014: $11,192,134Expenses 2014: $11,497,996Net Income 2014: -$305,8622014Revenue 2015: $11,758,915Expenses 2015: $10,994,088Net Income 2015: $764,8272015Revenue 2016: $13,135,537Expenses 2016: $12,296,235Net Income 2016: $839,3022016Revenue 2017: $16,923,266Expenses 2017: $13,011,278Net Income 2017: $3,911,9882017Revenue 2018: $16,324,879Expenses 2018: $15,143,972Net Income 2018: $1,180,9072018Revenue 2019: $16,664,034Expenses 2019: $17,114,963Net Income 2019: -$450,9292019Revenue 2020: $17,854,328Expenses 2020: $17,272,799Net Income 2020: $581,5292020Revenue 2021: $19,726,881Expenses 2021: $18,310,859Net Income 2021: $1,416,0222021Revenue 2022: $22,979,354Expenses 2022: $21,371,348Net Income 2022: $1,608,0062022Revenue 2023: $27,922,408Expenses 2023: $25,220,174Net Income 2023: $2,702,2342023Revenue 2024: $30,439,908Expenses 2024: $29,072,880Net Income 2024: $1,367,0282024Revenue 2025: $30,048,405Expenses 2025: $30,259,146Net Income 2025: -$210,7412025

Highlighted filing

2025

Revenue$30,048,405
Expenses$30,259,146
Net Income-$210,741
Open 2025 Filing

Filings

Most recent year

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

Open filing
Assets
$33,039,316
Liabilities
$9,925,886
Net assets
$23,113,430
Revenue
$30,048,405
Expenses
$30,259,146
Net income
-$210,741
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$33.0$9.93$23.1$30.0$30.3$0.21
2024Detailed filing. Detailed filing data is available for this year.$31.5$7.94$23.5$30.4$29.1$1.37
2023Detailed filing. Detailed filing data is available for this year.$30.3$8.18$22.1$27.9$25.2$2.70
2022Detailed filing. Detailed filing data is available for this year.$24.7$5.94$18.8$23.0$21.4$1.61
2021Detailed filing. Detailed filing data is available for this year.$23.1$7.15$16.0$19.7$18.3$1.42
2020Detailed filing. Detailed filing data is available for this year.$19.5$4.96$14.5$17.9$17.3$0.58
2019Detailed filing. Detailed filing data is available for this year.$19.0$5.12$13.9$16.7$17.1$0.45
2018Detailed filing. Detailed filing data is available for this year.$19.4$5.47$13.9$16.3$15.1$1.18
2017Detailed filing. Detailed filing data is available for this year.$17.8$5.46$12.3$16.9$13.0$3.91
2016Detailed filing. Detailed filing data is available for this year.$12.3$3.80$8.47$13.1$12.3$0.84
2015Detailed filing. Detailed filing data is available for this year.$8.55$1.67$6.87$11.8$11.0$0.76
2014Detailed filing. Detailed filing data is available for this year.$7.85$1.84$6.01$11.2$11.5$0.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.43$1.15$6.28$10.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.34$1.15$5.19$8.90
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.25$1.48$2.77$8.47
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Mar 1, 2024 to Feb 28, 2025
Signed
Nov 11, 2025
Return Version
2024v5.0
Gross Receipts
$30,048,405
Mission and Program Overview

Mission

To improve the health outcomes of our patients by providing exceptional health care services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$12,698,419$13,465,485▲ $767,066
Land, Buildings, and Equipment, Net$11,786,531$11,609,896▼ $176,635
Accounts Receivable$3,657,728$3,467,488▼ $190,240
Investments Other Securities$712,131$760,505▲ $48,374
Prepaid Expenses and Deferred Charges$394,914$470,711▲ $75,797
Inventories for Sale or Use$213,255$201,433▼ $11,822
Total Assets$31,488,599$33,039,316▲ $1,550,717
Other Assets Total$2,025,621$3,063,798▲ $1,038,177
Liabilities
Accounts Payable and Accrued Expenses$2,387,594$4,738,755▲ $2,351,161
Mortgage Notes Payable Secured by Investment Property$3,609,050$3,424,815▼ $184,235
Unsecured Notes Loans Payable$1,842,818$1,474,930▼ $367,888
Deferred Revenue$68,102$185,170▲ $117,068
Other Liabilities$34,063$102,216▲ $68,153
Total Liabilities$7,941,627$9,925,886▲ $1,984,259
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$23,335,682$22,893,515▼ $442,167
Net Assets With Donor Restrictions$211,290$219,915▲ $8,625
Total Net Assets Fund Balance$23,546,972$23,113,430▼ $433,542
Total Liabilities and Net Assets / Fund Balance$31,488,599$33,039,316▲ $1,550,717

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,133,365$4,796,597$13,929,962
Equipment$1,760,448$1,660,526$3,420,974
Land$716,083-$716,083
Other Assets Org$102,216--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$211,290$58,858▲ $5,462$55,695$219,915
2023$183,042$47,385▲ $4,787$23,924$211,290
2022$172,635$34,722▲ $186$24,501$183,042
2021$148,111$29,021▲ $11$4,507$172,635
2020$155,716$44,803▲ $1,343$53,751$148,111
Compensation and Service Providers
Top Officer Pay74th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cyndi MccormickPsychiatristFT$334,945$61,921$396,866
Ken JonesDentistFT$271,231$25,218$296,449
Shilo HilgerDentistFT$225,402$52,947$278,349
Brandon RookDentistFT$232,596$44,061$276,657
Mayra RookDentistFT$233,685$33,474$267,159
Joy AlexanderCEOFT$182,849$51,062$233,911
Gina ThrockmortonCOOFT$156,710$39,913$196,623
Lori MillerCFOFT$147,047$8,914$155,961

Board Members and Trustees

NameTitle
Joshua StevensChair
Bonnie CampbellVice Chair
Beathricia WilcoxonDirector
Bethany ShortDirector
Brenda HostetlerDirector
Michelle WeldonDirector
Rachelle Mitchell-shadduckDirector
Shuting ZhangDirector
Jim HansenSecretary
Tim BrckaTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Absolute CleaningCleaning512 NORTH B ST, Albia, IA 52531$225,969
Mark GrossmanRent31166 VINTAGE PT, Waukee, IA 50263$218,205
Michael SmithartRent12378 SYCAMORE RD, Ottumwa, IA 52501$107,623
Revenue and Support

Revenue Composition

Contributions and Grants
$5,384,184
Program Service Revenue
$23,710,488
Investment Income
$424,562
Other Revenue
$529,171
All Other Contributions
$913,047
Change in Net Assets
$-210,741

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies1$549,126Fair Market Value (FMV) of Goods
Other Non Cash Contri Table1$253,327Estimated Fair Market Value (FMV) of Services
Other Non Cash Contri Table1$11,106Estimated Fair Market Value (FMV)
Total Noncash Contributions3$813,559-

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,048,405
Revenue Not Reported on Form 990
$48,374
Total Revenue per Audited Statements
$30,096,779
Total Revenue per Form 990
$30,048,405
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$20,322,510
Other Expenses$9,936,636
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,642,398$4,356,576-$15,998,974
Other Employee Benefits$1,746,268$895,614-$2,641,882
Fees for Services Other$1,154,464$529,334-$1,683,798
Payroll Taxes$828,623$357,552-$1,186,175
Depreciation Depletion$755,929$127,074-$883,003
All Other Expenses$543,459$332,377-$875,836
Current Officers, Directors, Trustees, and Key Employees-$495,479-$495,479
Other Expenses$1,152,745$394,201-$394,201
Insurance$187,897$79,338-$267,235
Occupancy$225,823$27,094-$252,917
Conferences and Meetings$70,886$86,804-$157,690
Interest-$140,007-$140,007
Office Expenses$41,409$13,317-$54,726
Fees for Services Accounting-$24,500-$24,500
Fees for Services Legal-$18,431-$18,431
Total Functional Expenses$22,129,003$8,130,143$0$30,259,146

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$30,261,379
Expenses per Audited Statements$30,259,146
Total Expenses per Form 990$30,259,146
Expenses Not Reported on Form 990$2,233
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
Deferred Compensation Liabilities$102,216
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, Page 6, Part VI, Line 11B

“The board receives the form 990 and reviews for accuracy before it is approved, signed and submitted to the internal revenue service.”

Form 990, Page 6, Part VI, Line 12C

“The board reviews the policy every year and each board member must disclose any known conflicts in writing to the organization.”

Form 990, Page 6, Part VI, Line 15A

“The board must approve all compensation for all employees regardless of position. Salary increases are brought up at board meetings and the board will approve it or dismiss it.”

Form 990, Page 6, Part VI, Line 15B

“The board must approve all compensation for all employees regardless of position. Salary increases are brought up at board meetings and the board will approve it or dismiss it.”

Form 990, Page 6, Part VI, Line 19

“The documents are made available to the public if a member of the community requests to see the documents.”

Filing and Contact Details

Filer

Filer Name
River Hills Community Health
EIN
42-1489471
Phone
6419549971
Address
PO BOX 458, OTTUMWA, IA 52501

Signing Officer

Name
Joy Alexander
Title
CEO
Phone
6416835773
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joy Alexander
Formed
1999
Legal Domicile
Ia
Voting Board Members
10
Independent Board Members
10
Employees
264

Preparer

Firm
Anderson Larkin & Co Pc
Address
221 N WAPELLO, OTTUMWA, IA 52501
Preparer
Adam Sturm
Phone
6416845489
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Loss on disposal of assets -2,233”

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

“The intended use of the endowment funds are to provide medication, transportation to and from medical appointments, or to purchase medical equipment for those in need that are not able to afford to do so on their own, the goal being to improve the health and well-being of the community it serves.”

Raw XML AppendixShowing 400 of 620 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/Desc0RIVER HILLS COMMUNITY HEALTH CENTER SERVED MORE THAN 14,715 MEDICAL AND MENTAL HEALTH PATIENTS DURING THE FISCAL YEAR 2025. A SIGNIFICANT NUMBER OF THE PATIENTS SERVED WERE BELOW THE POVERTY LEVEL.
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