Civic Intelligence

Community Hospital Association Inc

EIN 44-0537826 • 501(c)3 • Fairfax, MO

View Organization Page

Profile

To be the healthcare provider of choice for the communities we serve.

26136 US 59Fairfax, MO 64446

www.fairfaxmed.com

Siviq Scores

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

Liabilities / Assets

94th percentile

1.01x

Higher debt load relative to assets than 94% of similar nonprofits.

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

Liabilities / Revenue

56th percentile

0.34x

Higher debt load relative to revenue than 56% of similar nonprofits.

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

Net Margin

26th percentile

-2.9%

Higher net margin than 26% of similar nonprofits.

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

Top Officer Pay

90th percentile

$762,832

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 2.7% of source-year revenue.

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

Asset Growth

7th percentile

-13%

Faster asset growth than 7% of similar nonprofits.

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

Revenue Growth

49th percentile

7.1%

Faster revenue growth than 49% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets94th percentile

Assets

Down

$9,461,747

Down $1,453,496 (-13%) from 2024

Liabilities

Down

$9,540,113

Down $1,189,971 (-11%) from 2024

Net Assets

Down

-$78,366

Down $263,525 (-142%) from 2024

Operations
Liabilities / Revenue56th percentileNet Margin26th percentile

Revenue

Up

$27,895,451

Up $1,839,694 (+7.1%) from 2024

Expenses

Up

$28,715,618

Up $1,993,391 (+7.5%) from 2024

Net Income

Down

-$820,167

Down $153,697 (-23%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth7th percentile

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

$30M$20M$10M$0-$10MAssets 2010: $17,641,477Liabilities 2010: $10,080,447Net Assets 2010: $7,561,0302010Assets 2011: $20,517,337Liabilities 2011: $13,439,241Net Assets 2011: $7,078,0962011Assets 2012: $19,529,044Liabilities 2012: $13,037,596Net Assets 2012: $6,491,4482012Assets 2013: $23,503,036Liabilities 2013: $12,627,349Net Assets 2013: $10,875,6872013Assets 2014: $22,658,090Liabilities 2014: $12,243,065Net Assets 2014: $10,415,0252014Assets 2015: $21,732,306Liabilities 2015: $12,952,911Net Assets 2015: $8,779,3952015Assets 2016: $19,617,975Liabilities 2016: $11,807,396Net Assets 2016: $7,810,5792016Assets 2017: $18,471,387Liabilities 2017: $11,792,431Net Assets 2017: $6,678,9562017Assets 2018: $16,810,428Liabilities 2018: $11,746,292Net Assets 2018: $5,064,1362018Assets 2019: $13,576,687Liabilities 2019: $11,357,877Net Assets 2019: $2,218,8102019Assets 2020: $23,523,575Liabilities 2020: $21,433,246Net Assets 2020: $2,090,3292020Assets 2021: $20,924,222Liabilities 2021: $15,509,700Net Assets 2021: $5,414,5222021Assets 2022: $16,710,906Liabilities 2022: $11,573,407Net Assets 2022: $5,137,4992022Assets 2023: $12,508,765Liabilities 2023: $10,376,969Net Assets 2023: $2,131,7962023Assets 2024: $10,915,243Liabilities 2024: $10,730,084Net Assets 2024: $185,1592024Assets 2025: $9,461,747Liabilities 2025: $9,540,113Net Assets 2025: -$78,3662025

Highlighted filing

2025

Assets$9,461,747
Liabilities$9,540,113
Net Assets-$78,366
Open 2025 Filing

Operations Trend

Revenue Growth49th percentile

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

$30M$20M$10M$0-$10MExpenses 2010: $9,302,8962010Expenses 2011: $12,080,5392011Revenue 2012: $12,136,906Expenses 2012: $12,723,554Net Income 2012: -$586,6482012Expenses 2013: $12,586,2412013Revenue 2014: $11,900,519Expenses 2014: $12,905,967Net Income 2014: -$1,005,4482014Revenue 2015: $13,939,647Expenses 2015: $14,788,467Net Income 2015: -$848,8202015Revenue 2016: $14,742,186Expenses 2016: $15,658,092Net Income 2016: -$915,9062016Revenue 2017: $15,395,009Expenses 2017: $16,771,782Net Income 2017: -$1,376,7732017Revenue 2018: $19,072,870Expenses 2018: $20,931,259Net Income 2018: -$1,858,3892018Revenue 2019: $19,616,083Expenses 2019: $22,511,120Net Income 2019: -$2,895,0372019Revenue 2020: $20,777,208Expenses 2020: $22,240,933Net Income 2020: -$1,463,7252020Revenue 2021: $25,831,625Expenses 2021: $22,831,929Net Income 2021: $2,999,6962021Revenue 2022: $24,227,206Expenses 2022: $24,204,619Net Income 2022: $22,5872022Revenue 2023: $25,423,649Expenses 2023: $25,797,577Net Income 2023: -$373,9282023Revenue 2024: $26,055,757Expenses 2024: $26,722,227Net Income 2024: -$666,4702024Revenue 2025: $27,895,451Expenses 2025: $28,715,618Net Income 2025: -$820,1672025

Highlighted filing

2025

Revenue$27,895,451
Expenses$28,715,618
Net Income-$820,167
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$9,461,747
Liabilities
$9,540,113
Net assets
-$78,366
Revenue
$27,895,451
Expenses
$28,715,618
Net income
-$820,167
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.46$9.54$0.08$27.9$28.7$0.82
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.9$10.7$0.19$26.1$26.7$0.67
2023Summary only. Only limited summary data is available for this year.$12.5$10.4$2.13$25.4$25.8$0.37
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.7$11.6$5.14$24.2$24.2$0.02
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.9$15.5$5.41$25.8$22.8$3.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$23.5$21.4$2.09$20.8$22.2$1.46
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.6$11.4$2.22$19.6$22.5$2.90
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.8$11.7$5.06$19.1$20.9$1.86
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.5$11.8$6.68$15.4$16.8$1.38
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$19.6$11.8$7.81$14.7$15.7$0.92
2015Detailed filing. Detailed filing data is available for this year.$21.7$13.0$8.78$13.9$14.8$0.85
2014Detailed filing. Detailed filing data is available for this year.$22.7$12.2$10.4$11.9$12.9$1.01
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.5$12.6$10.9$12.6
2012Summary only. Only limited summary data is available for this year.$19.5$13.0$6.49$12.1$12.7$0.59
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.5$13.4$7.08$12.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.6$10.1$7.56$9.30
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Jan 29, 2026
Return Version
2024v5.1
Gross Receipts
$27,895,451
Mission and Program Overview

Mission

To be the healthcare provider of choice for the communities we serve.

To provide quality acute care, emergency primary care and outpatient services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,614,334$3,494,927▼ $119,407
Accounts Receivable$2,452,362$3,375,402▲ $923,040
Savings and Temporary Cash Investments$1,742,760$637,435▼ $1,105,325
Inventories for Sale or Use$593,414$491,885▼ $101,529
Prepaid Expenses and Deferred Charges$146,230$66,850▼ $79,380
Cash and Non-Interest-Bearing Accounts$107,651$58,393▼ $49,258
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
Loans From Officers Directors$0$0→ $0
Total Assets$10,915,243$9,461,747▼ $1,453,496
Other Assets Total$2,258,492$1,336,855▼ $921,637
Liabilities
Mortgage Notes Payable Secured by Investment Property$7,476,514$7,364,470▼ $112,044
Accounts Payable and Accrued Expenses$3,005,818$1,546,497▼ $1,459,321
Other Liabilities$247,752$629,146▲ $381,394
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$10,730,084$9,540,113▼ $1,189,971
Net Assets / Fund Balance
Net Assets With Donor Restrictions$11,948$1,700▼ $10,248
Net Assets Without Donor Restrictions$173,211$-80,066▼ $253,277
Total Net Assets Fund Balance$185,159$-78,366▼ $263,525
Total Liabilities and Net Assets / Fund Balance$10,915,243$9,461,747▼ $1,453,496

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,150,301$12,111,871$14,262,172
Buildings$1,100,322$6,851,099$7,951,421
Land$244,304-$244,304
Other Land Buildings$0$0$0
Leasehold Improvements$0$0$0
Other Assets Org$61,977--
Compensation and Service Providers
Top Officer Pay90th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard Aron Burke MdDirector/chief Medical OfficerFT$714,317$48,515$762,832
Julie JonesCEOFT$287,185$35,779$322,964
Dr Dustin Carpenter MdPhysicianFT$273,829$25,424$299,253
Dr Mina MasseyDoctorFT$268,531$16,320$284,851
Kelly OsbornCrnaFT$219,292$39,588$258,880
Renee KreifelsCrnaFT$213,174$37,534$250,708
Jon DavisCFOFT$171,768$20,757$192,525
Melissa WilliamsonAprn ManagerFT$152,363$16,147$168,510

Board Members and Trustees

NameTitle
Tim UmbargerChairman of the Board
Amy RyanDirector/vice-president
Corey HerronDirector
Garrett WoodDirector
Glenn ScottDirector
Susan NolandDirector
Teresa SmithDirector
Tom BullockDirector
Virginia LowDirector
Rebekah GebhardsSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Inspire Rehabilitation LLCRehab Services8181 ARISTA PLACE SUITE 100, Broomfield, CO 80021$1,660,064
Focusone SolutionsStaffing ServicesPO BOX 850861, Minneapolis, MN 55485$746,208
Psychiatric Medical Care LLCSenior Mental HealthPO BOX 734606, Dallas, TX 75373$712,314
TrubridgeEhr System54 St Emanuel Street, Mobile, AL 36602$574,542
Docs Who CareStaffing Services800 W FRONTIER LN, Olathe, KS 66061$224,254
Revenue and Support

Revenue Composition

Contributions and Grants
$126,628
Program Service Revenue
$27,412,856
Investment Income
$33,238
Other Revenue
$322,729
All Other Contributions
$115,328
Change in Net Assets
$-820,167

Audited Revenue Reconciliation

Revenue per Audited Statements
$26,329,705
Revenue Not Reported on Financial Statements
$1,565,746
Revenue Not Reported on Form 990
$531,583
Other Revenue Adjustments
$1,565,746
Total Revenue per Audited Statements
$26,861,288
Total Revenue per Form 990
$27,895,451
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$14,840,896
Salaries, Compensation, and Employee Benefits$13,874,722
Total Fundraising Expense$11,648
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,415,532$1,929,228$5,175$10,349,935
Fees for Services Other$3,651,678$723,114$1,940$4,376,732
Office Expenses$1,418,410$325,165$873$1,744,448
Current Officers, Directors, Trustees, and Key Employees$1,007,111$230,876$619$1,238,606
All Other Expenses$926,941$212,498$570$1,140,009
Other Employee Benefits$920,892$210,378$564$1,131,834
Payroll Taxes$745,880$170,990$459$917,329
Other Expenses$614,598$140,894$378$755,870
Depreciation Depletion$535,513$122,764$329$658,606
Interest$431,308$98,876$265$530,449
Occupancy$300,952$68,992$185$370,129
Insurance$260,557$59,732$160$320,449
Comp Disqual Persons$150,161--$150,161
Travel$117,119$26,849$72$144,040
Fees for Services Accounting-$136,434-$136,434
Fees for Services Legal-$116,404-$116,404
Pension Plan Contributions$70,623$16,190$44$86,857
Advertising$23,741$5,443$15$29,199
Fees for Services Lobbying-$8,804-$8,804
Total Functional Expenses$24,100,339$4,603,631$11,648$28,715,618

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$28,715,618
Total Expenses per Audited Statements$27,204,939
Expenses per Audited Statements$27,149,872
Expenses Not Reported on Financial Statements$1,565,746
Other Expense Adjustments$1,565,746
Expenses Not Reported on Form 990$55,067
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Joanna Burke Is the Wife of Dr. Richard Aron Burke, a Director of the Organization.Joanna Is Compensated as a Pediatric Nurse Practitioner in One of Our Related Clinics.No$89,292
-Jamie Burke Is the Daughter of Dr. Richard Aron Burke, a Director of the Organization.Jamie Is Compensated as an Lpn for the Orgranization.No$60,869

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$566,000
Due to Third Party$63,146
Rou Liability-
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
Yes
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A & 15B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL

“The organization uses comparability data to determine the compensation of the ceo and other officers. The compensation of the ceo is reviewed and approved by the board of directors. The last review was in 2024.”

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

“An independent accounting firm prepares and reviews the form 990. The 990 is then reviewed by the organization's administration. Any questions or concerns the organization's administration have are addressed and any corrections or clarifications are made. The 990 with all completed schedules is then provided to all voting members of the board prior to filing the 990.”

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

“The organization annually obtains written affirmations from each officer and director as to their compliance with the conflict of interest policy. If a disclosure occurs, the matter is forwarded to an executive committee of the board of direcors to review all circumstances surrounding the conflict of interest. The determination of such matters is deemed final by the board. The conflicted individual may not vote or participate in discussions and/or determinations involving the conflict. It is noted in the board meeting minutes of any individuals abstaining from voting due to any conflict.”

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

“The organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Community Hospital Association Inc
EIN
44-0537826
Phone
6606862320
Address
26136 US 59, Fairfax, MO 64446

Signing Officer

Name
Julie Jones
Title
CEO
Phone
6606862320
Signed
2026-01-29
Discuss with paid preparer
Yes

Organization Details

Formed
1976
Legal Domicile
Mo
Voting Board Members
11
Independent Board Members
10
Employees
185
Volunteers
80

Preparer

Firm
Forvis Mazars LLP
Address
1201 Walnut Street Suite 1700, Kansas City, MO 64106-2246
Preparer
Michael Engle
Phone
8162216300
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

“PHYSICAN FEES - Total Expense: 497366, Program Service Expense: 497366, Management and General Expenses: 0, Fundraising Expenses: 0; FEES FOR SERVICES - Total Expense: 3483137, Program Service Expense: 2832138, Management and General Expenses: 649257, Fundraising Expenses: 1742; PROFESSIONAL FEES - Total Expense: 269797, Program Service Expense: 219372, Management and General Expenses: 50290, Fundraising Expenses: 135; CONSULTING FEES - Total Expense: 126432, Program Service Expense: 102802, Management and General Expenses: 23567, Fundraising Expenses: 63;”

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

“TRANSFER TO RELATED ORGANIZATION - 556642; Total - 556642;”

Financial Statement Notes

Schedule D, Part X, Line 2

“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 XI, Line 2(D) Other revenues in audited financial statements not in form 990

“Related organization's revenue - 521335 net assets released from restriction - 10248”

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

“Bad debt expense - 1565746”

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

“Related organization's expenses - 55067”

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

“Bad debt expense - 1565746”

Raw XML AppendixShowing 400 of 1,159 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/Desc0COMMUNITY HOSPITAL-FAIRFAX (CH-F) PRIDES ITSELF IN PROVIDING ACCESS TO HEALTHCARE TO A REGION WHERE HEALTH SERVICES ARE SPARSE. WITH THE LOCAL PHYSICIAN RATIO THREE TIMES THE NATIONAL BENCHMARK. EMERGENCY SERVICES WOULD OTHERWISE BE 30 MILES OR MORE FROM THE POPULATION CENTERS. COMMUNITY HOSPITAL-FAIRFAX PROVIDES THE NORTHWEST MISSOURI AREA POPULATION OF 11,000 IN HOLT, ATCHISON AND WESTERN NODAWAY COUNTY WITH A 24-HOUR EMERGENCY ROOM, ACUTE CARE (INCLUDING OBSTETRICS) AND POST-ACUTE CARE SERVICES, PRIMARY CARE SERVICES, MANY OUTPATIENT SERVICES, SURGERY, ANCILLARY SERVICES, AND A FULL-SERVICE THERAPY DEPARTMENT. IN ADDITION TO SERVING THE HEALTH NEEDS OF A POPULATION THAT WOULD OTHERWISE NOT HAVE ACCESS TO CARE, COMMUNITY HOSPITAL-FAIRFAX CONTINUES TO INVEST IN A HEALTHY FUTURE FOR THE COMMUNITY. CH-F TRIES TO FOCUS ON THE GREATEST HEALTH NEEDS IN THE COMMUNITY WHICH TEND TO BE CHRONIC DISEASES SUCH AS HEART DISEASE, COPD AND ASTHMA, STROKE AND DIABETES. RISK FACTORS FOR THESE DISEASES ARE OBESITY, CIGARETTE SMOKING AND PHYSICAL INACTIVITY. NEARLY 30% OF THE CH-F SERVICE POPULATION IS OBESE, 35% REPORT PHYSICAL INACTIVITY AND 22% SMOKE. TO EDUCATE AND PROVIDE SERVICES TO A COMMUNITY WHERE THESE CHRONIC CONDITIONS PREVAIL, THE FOLLOWING ACTIVITIES ARE PART OF CH-F'S RESPONSE TO HEALTH NEEDS OF THE COMMUNITY: CH-F LAUNCHED A CHRONIC CARE MANAGEMENT PROGRAM BY DECEMBER 1, 2019. COMMUNITY HOSPITAL-FAIRFAX HIRED A NURSE TO BEGIN A CHRONIC CARE PROGRAM. FOR ALL OTHER ACTIVITIES AND STRATEGIES RELATED TO THE CHNA, SEE THE REPORT AND IMPLEMENTATION STRATEGY AT WWW.FAIRFAXMED.COM/CHHA.
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