Civic Intelligence

Community Medical Center Inc

EIN 47-0421272 • 501(c)3 • Falls City, NE

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Profile

To offer general healthcare services within the scope of its license and capabilities; to render healthcare to all persons without respect to race, regligious beliefs or financial standing.

Refreshing map…

3307 Bill Schock BlvdFalls City, NE 68355

cmcfc.org

Siviq Scores

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

Liabilities / Assets

48th percentile

0.23x

Higher debt load relative to assets than 48% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

45th percentile

0.28x

Higher debt load relative to revenue than 45% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

67th percentile

13%

Higher net margin than 67% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

71st percentile

$532,891

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

74th percentile

13%

Faster asset growth than 74% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

73rd percentile

23%

Faster revenue growth than 73% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets48th percentile

Assets

Up

$51,818,480

Up $1,274,751 (+2.5%) from 2023

Liabilities

Down

$12,411,506

Down $1,220,507 (-9.0%) from 2023

Net Assets

Up

$39,406,974

Up $2,495,258 (+6.8%) from 2023

Operations
Liabilities / Revenue45th percentileNet Margin67th percentile

Revenue

Up

$38,246,467

Up $2,739,697 (+7.7%) from 2023

Expenses

Up

$36,281,694

Up $3,085,496 (+9.3%) from 2023

Net Income

Down

$1,964,773

Down $345,799 (-15%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth74th percentile

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

$60M$40M$20M$0Assets 2010: $33,807,196Liabilities 2010: $21,676,433Net Assets 2010: $12,130,7632010Assets 2011: $33,958,439Liabilities 2011: $21,049,928Net Assets 2011: $12,908,5112011Assets 2012: $35,434,322Liabilities 2012: $20,945,801Net Assets 2012: $14,488,5212012Assets 2013: $36,545,625Liabilities 2013: $20,620,643Net Assets 2013: $15,924,9822013Assets 2014: $39,380,003Liabilities 2014: $21,397,759Net Assets 2014: $17,982,2442014Assets 2015: $40,354,108Liabilities 2015: $20,170,439Net Assets 2015: $20,183,6692015Assets 2016: $41,731,803Liabilities 2016: $19,357,166Net Assets 2016: $22,374,6372016Assets 2017: $43,058,786Liabilities 2017: $18,839,463Net Assets 2017: $24,219,3232017Assets 2018: $42,752,237Liabilities 2018: $17,596,103Net Assets 2018: $25,156,1342018Assets 2019: $42,393,939Liabilities 2019: $16,261,937Net Assets 2019: $26,132,0022019Assets 2020: $49,460,698Liabilities 2020: $20,460,074Net Assets 2020: $29,000,6242020Assets 2021: $48,885,584Liabilities 2021: $14,907,596Net Assets 2021: $33,977,9882021Assets 2022: $49,152,774Liabilities 2022: $14,287,586Net Assets 2022: $34,865,1882022Assets 2023: $50,543,729Liabilities 2023: $13,632,013Net Assets 2023: $36,911,7162023Assets 2024: $51,818,480Liabilities 2024: $12,411,506Net Assets 2024: $39,406,9742024

Highlighted filing

2024

Assets$51,818,480
Liabilities$12,411,506
Net Assets$39,406,974
Open 2024 Filing

Operations Trend

Revenue Growth73rd percentile

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

$40M$30M$20M$10M$0Expenses 2010: $16,904,8722010Expenses 2011: $17,409,3482011Expenses 2012: $19,026,9742012Expenses 2013: $20,639,8942013Revenue 2014: $23,947,398Expenses 2014: $21,888,942Net Income 2014: $2,058,4562014Revenue 2015: $25,069,531Expenses 2015: $22,875,203Net Income 2015: $2,194,3282015Revenue 2016: $26,145,648Expenses 2016: $23,952,713Net Income 2016: $2,192,9352016Revenue 2017: $26,730,731Expenses 2017: $24,884,266Net Income 2017: $1,846,4652017Revenue 2018: $28,466,515Expenses 2018: $27,530,776Net Income 2018: $935,7392018Revenue 2019: $28,237,011Expenses 2019: $27,226,080Net Income 2019: $1,010,9312019Revenue 2020: $29,160,580Expenses 2020: $26,268,791Net Income 2020: $2,891,7892020Revenue 2021: $31,365,709Expenses 2021: $26,388,345Net Income 2021: $4,977,3642021Revenue 2022: $31,518,730Expenses 2022: $29,645,887Net Income 2022: $1,872,8432022Revenue 2023: $35,506,770Expenses 2023: $33,196,198Net Income 2023: $2,310,5722023Revenue 2024: $38,246,467Expenses 2024: $36,281,694Net Income 2024: $1,964,7732024

Highlighted filing

2024

Revenue$38,246,467
Expenses$36,281,694
Net Income$1,964,773
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$51,818,480
Liabilities
$12,411,506
Net assets
$39,406,974
Revenue
$38,246,467
Expenses
$36,281,694
Net income
$1,964,773
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$51.8$12.4$39.4$38.2$36.3$1.96
2023Summary only. Only limited summary data is available for this year.$50.5$13.6$36.9$35.5$33.2$2.31
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$49.2$14.3$34.9$31.5$29.6$1.87
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$48.9$14.9$34.0$31.4$26.4$4.98
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$49.5$20.5$29.0$29.2$26.3$2.89
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$42.4$16.3$26.1$28.2$27.2$1.01
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$42.8$17.6$25.2$28.5$27.5$0.94
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$43.1$18.8$24.2$26.7$24.9$1.85
2016Detailed filing. Detailed filing data is available for this year.$41.7$19.4$22.4$26.1$24.0$2.19
2015Detailed filing. Detailed filing data is available for this year.$40.4$20.2$20.2$25.1$22.9$2.19
2014Detailed filing. Detailed filing data is available for this year.$39.4$21.4$18.0$23.9$21.9$2.06
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.5$20.6$15.9$20.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.4$20.9$14.5$19.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.0$21.0$12.9$17.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.8$21.7$12.1$16.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Aug 1, 2023 to Jul 31, 2024
Signed
May 19, 2025
Return Version
2023v6.0
Gross Receipts
$38,247,566
Mission and Program Overview

Mission

To offer general healthcare services within the scope of its license and capabilities; to render healthcare to all persons without respect to race, religious beliefs or financial standing.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$17,089,332$20,935,057▲ $3,845,725
Land, Buildings, and Equipment, Net$17,146,947$17,102,914▼ $44,033
Accounts Receivable$3,995,917$6,189,172▲ $2,193,255
Cash and Non-Interest-Bearing Accounts$11,009,125$6,042,092▼ $4,967,033
Prepaid Expenses and Deferred Charges$693,452$549,544▼ $143,908
Inventories for Sale or Use$488,813$456,450▼ $32,363
Investments in Publicly Traded Securities$10,971$11,251▲ $280
Total Assets$50,543,729$51,818,480▲ $1,274,751
Other Assets Total$109,172$532,000▲ $422,828
Liabilities
Tax Exempt Bond Liabilities$5,404,955$4,737,480▼ $667,475
Accounts Payable and Accrued Expenses$2,877,737$3,956,259▲ $1,078,522
Mortgage Notes Payable Secured by Investment Property$3,367,961$2,958,401▼ $409,560
Other Liabilities$1,981,360$759,366▼ $1,221,994
Total Liabilities$13,632,013$12,411,506▼ $1,220,507
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$36,911,716$39,406,974▲ $2,495,258
Total Net Assets Fund Balance$36,911,716$39,406,974▲ $2,495,258
Total Liabilities and Net Assets / Fund Balance$50,543,729$51,818,480▲ $1,274,751

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$10,230,345$17,012,249$27,242,594
Equipment$4,526,197$10,246,019$14,772,216
Leasehold Improvements$418,044$1,502,645$1,920,689
Land$1,175,312-$1,175,312
Other Land Buildings$753,016-$753,016

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$4,866,959-▲ $311,800-$5,178,759
2022$4,854,205-▲ $12,754-$4,866,959
2021$4,987,235$45,000▼ $178,030-$4,854,205
2020$3,672,159$1,314,311▲ $865$100$4,987,235
2019$4,130,577$535,306▲ $6,395$1,000,120$3,672,159
Compensation and Service Providers
Top Officer Pay71st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Justin WestengaardPhysicianFT$274,556$85,177$509,778
Hannah SielPhysicianFT$291,769$73,349$392,612
Ryan LarsenCEOFT$226,168$137,178$363,346
Alyssa FinckPhysicianFT$257,129$232,661$350,633
David BorgPhysicianFT$214,793$78,529$255,865
Sandra CatlinAprnFT$139,582$76,816$215,473
Kari HoldsworthCCOFT$112,713$26,873$139,586
Allan TrampDirector-$51,363-$51,363

Board Members and Trustees

NameTitle
Nicole MasonChairperson
Steve SeverinVice-chair
Adam MorrisDirector
Barb HowardDirector
Davin TurnerDirector
Debra LewisDirector
Susan JohnsonDirector
Randy WillyCFO
Vicki BangertSecretary
Trent ScheitelTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Grace Anesthesia Services LLCAnesthesia SvcsPO BOX 535, Carroll, IA 51401$882,730
Adam Streit Do LLCOrthopedic70307 633 AVENUE, Dubois, NE 68345$741,063
Cardinal HealthPharmacy Svcs21337 NETWORK PLACE, Chicago, IL 60673$601,785
National Therapeutic AssocationPt/ot Services11623 ARBOR STREET, Omaha, NE 68144$326,919
Shared Medical ServicesMri Services209 LIMESTONE PASS, Cottage Grove, WI 53527$302,125
Revenue and Support

Revenue Composition

Contributions and Grants
$350,604
Program Service Revenue
$36,907,604
Investment Income
$988,259
Other Revenue
$0
All Other Contributions
$218,500
Change in Net Assets
$1,964,773
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$19,467,327
Salaries, Compensation, and Employee Benefits$16,774,918
Grants and Similar Amounts Paid$39,449
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,210,147$1,941,530-$12,151,677
Fees for Services Other$4,658,729$981,981-$5,640,710
Other Employee Benefits$1,595,015$1,236,046-$2,831,061
Depreciation Depletion$2,085,608$415,121-$2,500,729
All Other Expenses$1,337,186$132,140-$1,469,326
Payroll Taxes$690,954$160,757-$851,711
Occupancy$618,013$10,714-$628,727
Pension Plan Contributions$420,497$101,091-$521,588
Other Expenses$32,473$459,733-$492,206
Current Officers, Directors, Trustees, and Key Employees-$418,881-$418,881
Interest$18,639$186,226-$204,865
Office Expenses$82,382$77,883-$160,265
Insurance$46,856$112,269-$159,125
Travel$76,201$25,316-$101,517
Advertising$27,440$59,261-$86,701
Fees for Services Legal-$72,258-$72,258
Fees for Services Accounting-$51,210-$51,210
Conferences and Meetings$36,547$4,424-$40,971
Grants to Domestic Orgs$39,449--$39,449
Total Functional Expenses$28,752,895$7,528,799$0$36,281,694
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Falls City Public SchoolsFalls City, NEGovMental Health$20,026
Blue Valley Behavioral HealthFalls City, NE501c3Mental Health$19,423
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Allan TrampBoard MemberSupervisor/physicianNo$51,363
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Conditional Contribution$700,000
Est Third-party Payor Settlements$100,000
Debt Issue Cost$-40,634

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Falls City Nebraska2015-12-23$9,945,000Refund 2009 new hospital debt

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$9,945,000$9,945,000$5,207,520-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
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
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
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, Page 6, Part VI, Line 11B

“The form 990 is reviewed by the cfo and is presented to the finance committee of the board of directors for approval prior to filing the return.”

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

“Management continually reviews officers, directors, trustees and key employees annual disclosures and relationships with community medical center to identify possible conflicts of interest. Once a conflict of interest is identified, the conflict would be documented and monitored to ensure appropriate action is taken based on the situation.”

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

“Compensation for the ceo is determined by the board of directors. The board of directors utilize independent parties or studies occasionally.”

Form 990, Page 6, Part VI, Line 19

“Governing documents, conflicts of interest statements, and financial statements are not made available to the public without approval by the board of directors.”

Filing and Contact Details

Filer

Filer Name
Community Medical Center Inc
EIN
47-0421272
Phone
4022456500
Address
3307 BILL SCHOCK BLVD, FALLS CITY, NE 68355

Signing Officer

Name
Ryan Larsen
Title
CEO
Phone
4022456501
Signed
2025-05-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ryan Larsen
Formed
1995
Legal Domicile
Ne
Voting Board Members
10
Independent Board Members
9
Employees
245

Preparer

Firm
Dohman Akerlund & Eddy LLC
Address
PO BOX 470, AURORA, NE 68818-0470
Preparer
Timothy J Coufal CPA
Phone
4026946404
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Consulting fees 43,000 52,867 0 collection fees 0 5,802 0 billing fees 13,720 71,555 0 computer maintenance 0 52,608 0 service and license fees 2,547 18,890 0 bank/credit card fees 0 78,932 0 contract labor 1,054,718 36,595 0 purchased service 1,321,764 664,732 0 contract service 2,222,980 0 0 total 4,658,729 981,981 0”

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

“The funds include 4,326,754 designated by the board for capital improvements and 852,005 designated by a long-term debt covenant on the american national bank loan.”

Schedule D, Page 3, Part X

“As of july 31, 2024 and 2023, there is no reserve for uncertain tax positions.”

Raw XML AppendixShowing 400 of 898 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
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IRS990/ActivityOrMissionDesc0TO OFFER GENERAL HEALTHCARE SERVICES WITHIN THE SCOPE OF ITS LICENSE AND CAPABILITIES; TO RENDER HEALTHCARE TO ALL PERSONS WITHOUT RESPECT TO RACE, RELIGIOUS BELIEFS OR FINANCIAL STANDING.
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IRS990/BooksInCareOfDetail/USAddress/CityNm0FALLS CITY
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1ADAM STREIT DO LLC
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3NATIONAL THERAPEUTIC ASSOCATION
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IRS990/Desc0COMMUNITY MEDICAL CENTER PROVIDES MEDICAL SERVICES TO MEET THE NEEDS OF THE PEOPLE OF RICHARDSON COUNTY AND THE SURROUNDING COMMUNITIES. COMMUNITY MEDICAL CENTER PROVIDED 1,909 INPATIENT DAYS, 296 SWING-BED DAYS, 17,736 CLINIC VISITS AND NUMEREOUS OUTPATIENT SERVICES DURING THE YEAR. COMMUNITY BENEFITS INCLUDE 1,524,308 OF SUBSIDIZED HEALTH SERVICES, 441,350 OF TRADITIONAL CHARITY CARE, 343,243 OF BAD DEBT, 70,617 OF COMMUNITY ACTIVITIES, 25,147 OF COMMUNITY SERVICES, 47,500 OF PHYSICAL IMPROVEMENTS AND HOUSING, 27,040 OF HEALTH EDUCATION, AND 2,100 OF CONTRIBUTIONS FOR COMMUNITY BENEFIT.
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