Civic Intelligence

Cloud County Health Center Inc

EIN 48-0545923 • 501(c)3 • Concordia, KS

Profile

Cloud County Health Center is committed to providing quality health care services delivered in a caring and respectful manner through teamwork and professional excellence.

155 W College DrConcordia, KS 66901

www.nckmed.com

Siviq Scores

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

Liabilities / Assets

87th percentile

0.82x

Higher debt load relative to assets than 87% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

85th percentile

1.76x

Higher debt load relative to revenue than 85% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

18th percentile

-8.6%

Higher net margin than 18% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

37th percentile

2.1%

Faster asset growth than 37% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2024

Revenue Growth

49th percentile

6.7%

Faster revenue growth than 49% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2024

Assets

Down

$48,670,649

Down $473,063 (-1.0%) from 2023

Liabilities

Up

$40,102,067

Up $1,355,877 (+3.5%) from 2023

Net Assets

Down

$8,568,582

Down $1,828,940 (-18%) from 2023

Revenue

Down

$22,819,412

Down $710,458 (-3.0%) from 2023

Expenses

Up

$24,783,269

Up $163,484 (+0.7%) from 2023

Net Income

Down

-$1,963,857

Down $873,942 (-80%) from 2023

Trend Graphs

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2010: $6,205,065Liabilities 2010: $2,178,299Net Assets 2010: $4,026,7662010Assets 2011: $6,962,205Liabilities 2011: $1,968,650Net Assets 2011: $4,993,5552011Assets 2012: $6,362,955Liabilities 2012: $2,289,292Net Assets 2012: $4,073,6632012Assets 2013: $5,721,539Liabilities 2013: $2,224,037Net Assets 2013: $3,497,5022013Assets 2014: $7,962,294Liabilities 2014: $4,920,882Net Assets 2014: $3,041,4122014Assets 2015: $6,264,924Liabilities 2015: $3,015,313Net Assets 2015: $3,249,6112015Assets 2016: $9,051,123Liabilities 2016: $5,297,237Net Assets 2016: $3,753,8862016Assets 2017: $6,848,604Liabilities 2017: $3,072,098Net Assets 2017: $3,776,5062017Assets 2018: $6,058,161Liabilities 2018: $2,012,200Net Assets 2018: $4,045,9612018Assets 2019: $7,607,446Liabilities 2019: $1,871,106Net Assets 2019: $5,736,3402019Assets 2020: $13,261,707Liabilities 2020: $5,566,027Net Assets 2020: $7,695,6802020Assets 2021: $19,458,806Liabilities 2021: $9,332,652Net Assets 2021: $10,126,1542021Assets 2022: $46,728,571Liabilities 2022: $34,564,275Net Assets 2022: $12,164,2962022Assets 2023: $49,143,712Liabilities 2023: $38,746,190Net Assets 2023: $10,397,5222023Assets 2024: $48,670,649Liabilities 2024: $40,102,067Net Assets 2024: $8,568,5822024

Highlighted filing

2024

Assets$48,670,649
Liabilities$40,102,067
Net Assets$8,568,582

Operations Trend

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

$30M$20M$10M$0-$10MExpenses 2010: $13,288,4512010Expenses 2011: $13,400,8722011Expenses 2012: $12,945,7492012Revenue 2013: $13,648,043Expenses 2013: $14,387,781Net Income 2013: -$739,7382013Revenue 2014: $14,221,927Expenses 2014: $14,684,426Net Income 2014: -$462,4992014Revenue 2015: $15,938,977Expenses 2015: $15,725,578Net Income 2015: $213,3992015Revenue 2016: $16,480,732Expenses 2016: $16,942,811Net Income 2016: -$462,0792016Revenue 2017: $16,417,749Expenses 2017: $18,594,888Net Income 2017: -$2,177,1392017Revenue 2018: $15,348,464Expenses 2018: $17,430,977Net Income 2018: -$2,082,5132018Revenue 2019: $18,439,810Expenses 2019: $16,842,407Net Income 2019: $1,597,4032019Revenue 2020: $18,382,067Expenses 2020: $16,545,562Net Income 2020: $1,836,5052020Revenue 2021: $19,740,786Expenses 2021: $17,757,412Net Income 2021: $1,983,3742021Revenue 2022: $20,058,770Expenses 2022: $18,319,628Net Income 2022: $1,739,1422022Revenue 2023: $23,529,870Expenses 2023: $24,619,785Net Income 2023: -$1,089,9152023Revenue 2024: $22,819,412Expenses 2024: $24,783,269Net Income 2024: -$1,963,8572024

Highlighted filing

2024

Revenue$22,819,412
Expenses$24,783,269
Net Income-$1,963,857

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$48.7$40.1$8.57$22.8$24.8$1.96
2023Detailed filing. Detailed filing data is available for this year.$49.1$38.7$10.4$23.5$24.6$1.09
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$46.7$34.6$12.2$20.1$18.3$1.74
2021Detailed filing. Detailed filing data is available for this year.$19.5$9.33$10.1$19.7$17.8$1.98
2020Detailed filing. Detailed filing data is available for this year.$13.3$5.57$7.70$18.4$16.5$1.84
2019Detailed filing. Detailed filing data is available for this year.$7.61$1.87$5.74$18.4$16.8$1.60
2018Detailed filing. Detailed filing data is available for this year.$6.06$2.01$4.05$15.3$17.4$2.08
2017Detailed filing. Detailed filing data is available for this year.$6.85$3.07$3.78$16.4$18.6$2.18
2016Detailed filing. Detailed filing data is available for this year.$9.05$5.30$3.75$16.5$16.9$0.46
2015Detailed filing. Detailed filing data is available for this year.$6.26$3.02$3.25$15.9$15.7$0.21
2014Detailed filing. Detailed filing data is available for this year.$7.96$4.92$3.04$14.2$14.7$0.46
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.72$2.22$3.50$13.6$14.4$0.74
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.36$2.29$4.07$12.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.96$1.97$4.99$13.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.21$2.18$4.03$13.3
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 22, 2025
Return Version
2023v6.0
Gross Receipts
$22,819,412
Mission and Program Overview

Mission

Cloud County Health Center is committed to providing quality health care services delivered in a caring and respectful manner through teamwork and professional excellence.

Operation of critical access hospital

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$41,800,005$38,303,818▼ $3,496,187
Accounts Receivable$2,195,244$3,075,663▲ $880,419
Investments Other Securities$833,378$975,682▲ $142,304
Prepaid Expenses and Deferred Charges$393,113$339,575▼ $53,538
Inventories for Sale or Use$167,986$284,536▲ $116,550
Savings and Temporary Cash Investments$58,523$98,608▲ $40,085
Total Assets$49,143,712$48,670,649▼ $473,063
Other Assets Total$3,695,463$5,592,767▲ $1,897,304
Liabilities
Mortgage Notes Payable Secured by Investment Property$37,822,977$37,186,740▼ $636,237
Other Liabilities$0$2,120,000▲ $2,120,000
Accounts Payable and Accrued Expenses$923,213$795,327▼ $127,886
Total Liabilities$38,746,190$40,102,067▲ $1,355,877
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,564,374$7,593,130▼ $1,971,244
Net Assets With Donor Restrictions$833,148$975,452▲ $142,304
Total Net Assets Fund Balance$10,397,522$8,568,582▼ $1,828,940
Total Liabilities and Net Assets / Fund Balance$49,143,712$48,670,649▼ $473,063

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$31,297,529$4,184,736$35,482,265
Equipment$5,832,655$8,937,022$14,769,677
Land$719,202-$719,202
Other Land Buildings$454,432$98,210$552,642
Other Assets Org$1,199,781--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Daniel GarlowPhysicianFT$220,431$143,484$363,915
Shawna HuggansAdvanced Practice ProviderFT$194,059$35,737$229,796
Layce SiemsenAdvanced Practice ProviderFT$115,257$105,263$220,520
Brandon FraleyAdvanced Practice ProviderFT$108,914$98,957$207,871
Tiffany NaccartoAdvanced Practice ProviderFT$113,592$50,410$164,002

Board Members and Trustees

NameTitle
Philip GillilandChairperson
David GarnasPresident
Kurt KocherVice Chairperson
Amber KnoettgenDirector
Darrel HosieDirector
Darrell GallegosDirector
Joanne BalthazorDirector
Kent OtottDirector
Quentin BreeseDirector
Sister Marilyn WallDirector
Ronald HarringtonCFO
Dorothy BreaultChief of Staff (beg Jan 2024)
Justin PooreChief of Staff (until Dec 2023)
Chuck LambertzSecretary
Amy LangeTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$16,309
Program Service Revenue
$22,763,991
Investment Income
$31,181
Other Revenue
$7,931
All Other Contributions
$11,689
Change in Net Assets
$-1,963,857

Audited Revenue Reconciliation

Revenue per Audited Statements
$22,811,481
Revenue Not Reported on Financial Statements
$7,931
Revenue Not Reported on Form 990
$2,564,606
Other Revenue Adjustments
$7,931
Total Revenue per Audited Statements
$25,376,087
Total Revenue per Form 990
$22,819,412
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$13,692,323
Other Expenses$11,085,782
Grants and Similar Amounts Paid$5,164
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,431,507$2,005,284-$10,436,791
Depreciation Depletion$2,706,172$1,107,057-$3,813,229
Fees for Services Other$1,164,002$414,596-$1,578,598
Interest$865,236$428,971-$1,294,207
Other Employee Benefits$973,246$282,230-$1,255,476
Current Officers, Directors, Trustees, and Key Employees$342,467$500,641-$843,108
Payroll Taxes$609,969$173,410-$783,379
Pension Plan Contributions$302,033$71,536-$373,569
Occupancy$10,174$310,237-$320,411
Office Expenses$262,624$9,080-$271,704
Information Technology$64,007$197,359-$261,366
All Other Expenses$129,616--$129,616
Insurance$19,895$80,605-$100,500
Travel$46,594$28,135-$74,729
Other Expenses$24,106$47,123-$71,229
Advertising$35$46,646-$46,681
Fees for Services Accounting-$18,273-$18,273
Conferences and Meetings$2,626$8,518-$11,144
Fees for Services Legal-$6,289-$6,289
Grants to Domestic Individuals$5,164--$5,164
Fees for Services Lobbying$3,238--$3,238
Total Functional Expenses$18,849,037$5,934,232$0$24,783,269

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$27,347,331
Total Expenses per Form 990$24,783,269
Expenses per Audited Statements$24,778,105
Expenses Not Reported on Form 990$2,569,226
Expenses Not Reported on Financial Statements$5,164
Other Expense Adjustments$5,164
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third-Party Payor Settlements$2,120,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
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
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

The Hospital entered into a management and operating agreement with Salina Regional Health Center (SRHC) effective May 1, 2016. Under the agreement, SRHC is responsible for the daily management and operation of the Hospital, including the employment of all staff needed to manage and operate Cloud County Health Center. For calendar year-end 12/31/2023, SRHC paid the following in compensation and benefits for individuals listed in Part VII: Ronald Harrington $173,873 David Garnas $305,285 Justin Poore $381,713 Dorothy Breault $312,655

Form 990, Part VI, Section A, line 6

The Health Center's Board of Trustees is the sole member of the Health Center.

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

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

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

Form 990 is reviewed by the President & CFO. A copy of the return is provided to board members prior to filing with the IRS.

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

The Health Center requires the trustees and key employees to sign an annual conflict of interest form. On the form they designate if they have any conflicts. Potential conflicts of interest are presented to the Board of Directors. The Board determines whether a conflict exists. If a conflict exists, the effected person will be required to abstain from voting on the matter.

Form 990, Part VI, Section B, line 15A

The Organization's process for determining the President's compensation begins with an initiative led by the Executive Compensation Committee (ECC) of Salina Regional Health Center (SRHC). The ECC compares compensation and salary data provided by Integrated Health Strategies (IHS) for overall reasonableness of base compensation and total compensation for all SRHC executive staff. The ECC reviews the data and makes a recommendation to the SRHC board of trustees in a closed executive meeting. This process occurs every October. Cloud County Health Center's President's salary is then set by the President/CEO of SRHC. The Cloud County Health Center CFO's salary is set by Salina Regional Hospital Vice President of Finance using an annual salary survey and is increased using the same percentage as all other employees.

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 request.

Form 990, Part VII, Section B, Independent Contractors

Cloud County Health Center, Inc. has independent contractors, however, Salina Regional Health Center, the management company, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. However, due to software limitations, CCHC is unable to obtain independent contractor information and feels it's appropriate to report no independent contractors on Part VII.

Filing and Contact Details

Filer

Filer Name
Cloud County Health Center Inc
EIN
48-0545923
Phone
7852431234
Address
155 W College Dr, Concordia, KS 66901
Doing Business As
North Central Kansas Medical Center

Signing Officer

Name
Ron Harrington
Title
CFO
Phone
7852431234
Signed
2025-07-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Garnas
Formed
1970
Legal Domicile
Ks
Voting Board Members
12
Independent Board Members
11
Employees
0
Volunteers
25

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A, Number reported in Box 3 of Form 1096:

Cloud County Health Center, Inc. has independent contractors, however, Salina Regional Health Center, the management company, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity.

Form 990, Part V, Line 2A, Number of employees on W-3:

Under a management agreement, Salina Regional Health Center (SRHC) is responsible for the daily management and operation of the hospital, including employment of all staff. All payroll and benefits are paid by SRHC and payroll reporting is done by SRHC. Allocable compensation by individual is charged to Cloud County Health Center, Inc. and is shown on lines 5-7 of Part IX.

Form 990, Part XI, line 9:

Net Income From Auxiliary -2,767. Change in Beneficial Interest in Net Assets of the Foundation 137,684.

Financial Statement Notes

Part X, Line 2:

The Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 2D - Other Adjustments:

Change in beneficial interest of Foundation -4,620.

Part XI, Line 4B - Other Adjustments:

Net Auxiliary Income 7,931.

Part XII, Line 4B - Other Adjustments:

Auxiliary expense 5,164.

Raw XML AppendixShowing 400 of 871 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/Form990PartVIISectionAGrp/OtherCompensationAmt60
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt140
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1635280
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1717164
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1836496
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt198131
IRS990/Form990PartVIISectionAGrp/PersonNm0Philip Gilliland
IRS990/Form990PartVIISectionAGrp/PersonNm1Kurt Kocher
IRS990/Form990PartVIISectionAGrp/PersonNm2Chuck Lambertz
IRS990/Form990PartVIISectionAGrp/PersonNm3Amy Lange
IRS990/Form990PartVIISectionAGrp/PersonNm4Joanne Balthazor
IRS990/Form990PartVIISectionAGrp/PersonNm5Quentin Breese
IRS990/Form990PartVIISectionAGrp/PersonNm6Darrell Gallegos
IRS990/Form990PartVIISectionAGrp/PersonNm7Darrel Hosie
IRS990/Form990PartVIISectionAGrp/PersonNm8Amber Knoettgen
IRS990/Form990PartVIISectionAGrp/PersonNm9Kent Otott
IRS990/Form990PartVIISectionAGrp/PersonNm10Sister Marilyn Wall
IRS990/Form990PartVIISectionAGrp/PersonNm11Justin Poore
IRS990/Form990PartVIISectionAGrp/PersonNm12Dorothy Breault
IRS990/Form990PartVIISectionAGrp/PersonNm13David Garnas
IRS990/Form990PartVIISectionAGrp/PersonNm14Ronald Harrington
IRS990/Form990PartVIISectionAGrp/PersonNm15Daniel Garlow
IRS990/Form990PartVIISectionAGrp/PersonNm16Shawna Huggans
IRS990/Form990PartVIISectionAGrp/PersonNm17Brandon Fraley
IRS990/Form990PartVIISectionAGrp/PersonNm18Layce Siemsen
IRS990/Form990PartVIISectionAGrp/PersonNm19Tiffany Naccarto
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IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chairperson
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt12Chief of Staff (beg Jan 2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt13President
IRS990/Form990PartVIISectionAGrp/TitleTxt14CFO
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IRS990/Form990PartVIISectionAGrp/TitleTxt16Advanced Practice Provider
IRS990/Form990PartVIISectionAGrp/TitleTxt17Advanced Practice Provider
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IRS990/MinutesOfCommitteesInd00
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IRS990/PYTotalProfFndrsngExpnsAmt00
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