Civic Intelligence

Fitzgibbon Health Services

EIN 43-1731173 • 501(c)3 • Marshall, MO

Profile

To promote quality of life through care and services to residents, their families and the community we serve in as home like, least restrictive environment as possible.

2506 Linden Tree ParkwayMarshall, MO 65340

www.fitzgibbon.org

Siviq Scores

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

Liabilities / Assets

97th percentile

1.34x

Higher debt load relative to assets than 97% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2023

Liabilities / Revenue

74th percentile

0.49x

Higher debt load relative to revenue than 74% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2023

Net Margin

7th percentile

-44%

Higher net margin than 7% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2023

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

57th percentile

7.2%

Faster asset growth than 57% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2023

Revenue Growth

35th percentile

0.4%

Faster revenue growth than 35% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2023

Assets

Down

$1,719,419

Down $34,579 (-2.0%) from 2024

Liabilities

Down

$1,721,084

Down $203,633 (-11%) from 2024

Net Assets

Up

-$1,665

Up $169,054 (+99%) from 2024

Revenue

Up

$6,313,415

Up $412,004 (+7.0%) from 2024

Expenses

Down

$6,522,459

Down $22,778 (-0.3%) from 2024

Net Income

Up

-$209,044

Up $434,782 (+68%) from 2024

Trend Graphs

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0-$2.0M-$4.0MAssets 2010: $3,026,761Liabilities 2010: $4,584,469Net Assets 2010: -$1,557,7082010Assets 2011: $2,937,341Liabilities 2011: $4,664,330Net Assets 2011: -$1,726,9892011Assets 2012: $2,758,711Liabilities 2012: $4,465,667Net Assets 2012: -$1,706,9562012Assets 2013: $3,159,315Liabilities 2013: $4,456,782Net Assets 2013: -$1,297,4672013Assets 2014: $3,068,411Liabilities 2014: $4,173,541Net Assets 2014: -$1,105,1302014Assets 2015: $2,822,655Liabilities 2015: $4,062,489Net Assets 2015: -$1,239,8342015Assets 2016: $2,693,293Liabilities 2016: $3,756,239Net Assets 2016: -$1,062,9462016Assets 2017: $1,758,337Liabilities 2017: $3,824,983Net Assets 2017: -$2,066,6462017Assets 2018: $1,821,241Liabilities 2018: $4,515,879Net Assets 2018: -$2,694,6382018Assets 2019: $1,672,531Liabilities 2019: $3,091,351Net Assets 2019: -$1,418,8202019Assets 2020: $1,885,610Liabilities 2020: $3,169,414Net Assets 2020: -$1,283,8042020Assets 2021: $1,985,732Liabilities 2021: $3,174,661Net Assets 2021: -$1,188,9292021Assets 2022: $1,874,531Liabilities 2022: $2,520,807Net Assets 2022: -$646,2762022Assets 2023: $2,009,391Liabilities 2023: $2,694,547Net Assets 2023: -$685,1562023Assets 2024: $1,753,998Liabilities 2024: $1,924,717Net Assets 2024: -$170,7192024Assets 2025: $1,719,419Liabilities 2025: $1,721,084Net Assets 2025: -$1,6652025

Highlighted filing

2025

Assets$1,719,419
Liabilities$1,721,084
Net Assets-$1,665

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $4,559,3792010Expenses 2011: $5,000,7802011Revenue 2012: $5,656,239Expenses 2012: $5,636,206Net Income 2012: $20,0332012Expenses 2013: $5,757,8352013Revenue 2014: $5,706,164Expenses 2014: $5,513,827Net Income 2014: $192,3372014Revenue 2015: $5,487,140Expenses 2015: $5,621,844Net Income 2015: -$134,7042015Revenue 2016: $5,617,123Expenses 2016: $5,440,235Net Income 2016: $176,8882016Revenue 2017: $5,352,124Expenses 2017: $6,355,824Net Income 2017: -$1,003,7002017Revenue 2018: $4,880,901Expenses 2018: $5,508,893Net Income 2018: -$627,9922018Revenue 2019: $4,555,535Expenses 2019: $5,403,196Net Income 2019: -$847,6612019Revenue 2020: $5,102,001Expenses 2020: $5,761,718Net Income 2020: -$659,7172020Revenue 2021: $5,275,046Expenses 2021: $5,957,534Net Income 2021: -$682,4882021Revenue 2022: $5,503,645Expenses 2022: $7,073,015Net Income 2022: -$1,569,3702022Revenue 2023: $5,527,232Expenses 2023: $7,962,438Net Income 2023: -$2,435,2062023Revenue 2024: $5,901,411Expenses 2024: $6,545,237Net Income 2024: -$643,8262024Revenue 2025: $6,313,415Expenses 2025: $6,522,459Net Income 2025: -$209,0442025

Highlighted filing

2025

Revenue$6,313,415
Expenses$6,522,459
Net Income-$209,044

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$1.72$1.72$0.00$6.31$6.52$0.21
2024Detailed filing. Detailed filing data is available for this year.$1.75$1.92$0.17$5.90$6.55$0.64
2023Detailed filing. Detailed filing data is available for this year.$2.01$2.69$0.69$5.53$7.96$2.44
2022Detailed filing. Detailed filing data is available for this year.$1.87$2.52$0.65$5.50$7.07$1.57
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.99$3.17$1.19$5.28$5.96$0.68
2020Detailed filing. Detailed filing data is available for this year.$1.89$3.17$1.28$5.10$5.76$0.66
2019Detailed filing. Detailed filing data is available for this year.$1.67$3.09$1.42$4.56$5.40$0.85
2018Detailed filing. Detailed filing data is available for this year.$1.82$4.52$2.69$4.88$5.51$0.63
2017Detailed filing. Detailed filing data is available for this year.$1.76$3.82$2.07$5.35$6.36$1.00
2016Detailed filing. Detailed filing data is available for this year.$2.69$3.76$1.06$5.62$5.44$0.18
2015Detailed filing. Detailed filing data is available for this year.$2.82$4.06$1.24$5.49$5.62$0.13
2014Detailed filing. Detailed filing data is available for this year.$3.07$4.17$1.11$5.71$5.51$0.19
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.16$4.46$1.30$5.76
2012Summary only. Only limited summary data is available for this year.$2.76$4.47$1.71$5.66$5.64$0.02
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.94$4.66$1.73$5.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.03$4.58$1.56$4.56
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2024 to Apr 30, 2025
Signed
Mar 16, 2026
Return Version
2024v5.1
Gross Receipts
$6,313,415
Mission and Program Overview

Mission

NONE

To promote quality of life through care and services to residents, their families and the community we serve in as home like, least restrictive environment as possible.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$806,600$910,164▲ $103,564
Land, Buildings, and Equipment, Net$922,639$788,588▼ $134,051
Savings and Temporary Cash Investments$24,509$20,417▼ $4,092
Cash and Non-Interest-Bearing Accounts$250$250→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$1,753,998$1,719,419▼ $34,579
Other Assets Total$0$0→ $0
Liabilities
Tax Exempt Bond Liabilities$1,682,384$1,416,848▼ $265,536
Accounts Payable and Accrued Expenses$193,478$197,133▲ $3,655
Other Liabilities$40,611$100,706▲ $60,095
Escrow Account Liability$8,244$6,397▼ $1,847
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Total Liabilities$1,924,717$1,721,084▼ $203,633
Net Assets / Fund Balance
Net Assets With Donor Restrictions$4,843$4,843→ $0
Net Assets Without Donor Restrictions$-175,562$-6,508▲ $169,054
Total Net Assets Fund Balance$-170,719$-1,665▲ $169,054
Total Liabilities and Net Assets / Fund Balance$1,753,998$1,719,419▼ $34,579

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$473,596$4,476,753$4,950,349
Equipment$295,792$1,201,538$1,497,330
Other Land Buildings$4,200$15,157$19,357
Land$15,000-$15,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Delma HeartingTLC AdministratorFT$104,095$27,901$131,996
Paula ArthDirector of NursingFT$95,737$29,717$125,454

Board Members and Trustees

NameTitle
William L SummersPresident
Jared RomneyPresident of Medical Staff
Angela LittrellPresident/CEO
Jan StapletonVice President
Mary Lou PorterDirector
Nancy K HarrisCOO/CFO
Scott HartwigSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$6,313,415
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-209,044

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,272,101
Other Expenses$2,250,358
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,965,781$270,690-$3,236,471
Other Employee Benefits$737,478$62,337-$799,815
Fees for Services Other$654,144$36,662$0$690,806
Office Expenses$386,388$61,562-$447,950
Payroll Taxes$186,344$49,471-$235,815
Depreciation Depletion$128,131$23,205-$151,336
Occupancy$96,505$15,692-$112,197
Interest$78,335$14,187-$92,522
Fees for Services Management-$60,000-$60,000
Insurance-$51,254-$51,254
Travel$20,334$3,258-$23,592
Fees for Services Accounting-$20,217-$20,217
Other Expenses$9,639$3,155-$12,794
Conferences and Meetings$2,059$705-$2,764
Total Functional Expenses$5,850,064$672,395$0$6,522,459

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$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
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$100,706
Estimated Self Insurance Costs-
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 & 7A: MEMBERS OR STOCKHOLDERS

The organization is affiliated with fitzgibbon memorial hospital by having a common board of trustees. Also, the medical staff votes on the chief of the medical staff who is a voting member of the board.

Form 990, Part VI, Line 15 COMPENSATION DETERMINATION

John fitzgibbon memorial hospital, a related organization, uses an independent compensation consultant which was engaged to review the compensation of angela littrell as well as other officers and key employees and their report was reviewed by the executive committee of the board.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. A draft of the return is reviewed by the president/ceo and cfo/coo before being finalized. The 990 is presented to the board after it is filed.

Form 990, Part VI, Line 12C Conflict of interest policy

The compliance officer monitors the conflict of interest policy and annually requires officers, directors and key employees to sign a conflict of interest disclosure form. All conflicts must be reviewed by the president/ceo and/or board of directors. A board member with any conflict of interest would abstain from voting on any decision related to that conflict of interest.

Form 990, Part VI, Line 19 Required documents available to the public

The annual form 990 of the related organization, john fitzgibbon memorial hospital, includes the annual audited financial statements and are available to the public. The organization does not make the conflict of interest policy, governing documents, or other financial statements available to the public.

Form 990, Part VII, Section A BOARD MEMBER COMPENSATION

No trustees received compensation for their duties as trustees. Jared romney received compensation for other clinic services provided to john fitzgibbon memorial hospital.

Filing and Contact Details

Filer

Filer Name
Fitzgibbon Health Services
EIN
43-1731173
Phone
6608313271
Address
2506 LINDEN TREE PARKWAY, MARSHALL, MO 65340
Doing Business As
The Living Center

Signing Officer

Name
Nancy Harris
Title
CFO
Phone
6608313271
Signed
2026-03-16
Discuss with paid preparer
Yes

Organization Details

Formed
1995
Legal Domicile
Mo
Voting Board Members
5
Independent Board Members
4
Employees
106
Volunteers
4

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Brian Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENTS

Rehabilitation services are available which include physical, respiratory, speech and occupational therapies. The therapists coordinate efforts with the physicians and nursing staff to ensure that each resident's therapy needs are being met. Dietary services are under the direction of a registered dietician. Dietary needs are assessed, planned and implemented to promote adequate nutritional intake and taking into account residents preferences. The activity department assesses, plans and implements daily activity programs based on the residents' needs and desires. In addition, special weekly activities are planned which include church, bible study, bingo, social hour, birthday parties, musical entertainment, craft club, and walks outside the facility (weather permitting). The center encourages families to come and have special gatherings with their loved ones. The facility also has a permanent live bird display and welcomes visits from cats and dogs to interact with residents, all in an effort to provide a more homelike atmosphere.

Form 990, Part IV, Line 24A & PART X, LINE 20: TAX EXEMPT BONDS

The organization's related entity, john fitzgibbon memorial hospital, received qualified hospital bond proceeds from 2010 and 2016 bond issues. A portion of the bond proceeds were allocated to fitzgibbon health services for audit and tax purposes. Information about the bonds are reported on john fitzgibbon memorial hospital's schedule k.

Form 990, Part V, Line 1A NUMBER OF 1099S

John fitzgibbon memorial hospital, a related organization, files all required 1099s for the fitzgibbon health services. The number reported on form 990, part v, line 1a represents the number of 1099s filed on behalf of the organization.

Form 990, Part IX, Line 11G Other Fees

CONTRACT SERVICES - Total Expense: 627191, Program Service Expense: 616172, Management and General Expenses: 11019, Fundraising Expenses: ; OUTSIDE SERVICES - Total Expense: 63615, Program Service Expense: 37972, Management and General Expenses: 25643, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

TRANSFER FROM AFFILIATE - 378098; Total - 378098;

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part IV, Line 2B Explanation of escrow agreement

Fitzgibbon health services provides each resident with an opportunity to deposit his/her personal funds into resident trust account held by fitzgibbon health services. The resident or their responsible party must authorize in writing who has permission (other than fitzgibbon health services) to handle or withdraw-if appropriate- from these funds. A copy is placed in the resident's financial file. No additional service charge will be levied against the resident. The cost of such service is included in fitzgibbon health services' basic room rate. Funds in excess of fifty (50) dollars will be deposited in an interest-bearing account that is separate from the facility's operating expenses. Any interest earned on this pooled account is pro-rated and posted per individual on the basis of actual earnings or end-of quarter balance. The resident shall have access to funds of fifty (50) dollars or less within twenty-four (24) hours of request. Requests for funds in excess of fifty (50) dollars shall be honored within three (3) business days. The resident or their responsible party will receive a confidential statement quarterly of funds.

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IRS990/Form990PartVIISectionAGrp/PersonNm4Mary Lou Porter
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