Form 990 for tax year 2022
Filed by HENRY COUNTY HEALTH CENTER INC.
Totals
- Total revenue
- $39,667,258
- Total expenses
- $40,488,792
- Contributions and grants received
- $109,625
- Grants paid
- $0
- Program service revenue
- $39,052,362
- Investment income
- $0
- Other revenue
- $505,271
- Total assets, end of year
- $30,966,020
- Total liabilities, end of year
- $26,188,284
- Net assets or fund balances, end of year
- $4,777,736
- Program services expenses (Part IX)
- $40,488,792
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $40,488,792
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$109,625
-
2a · Program service revenue: NET PATIENT REVENUE
total $38,356,566 · related or exempt $38,356,566
-
2b · Program service revenue: PARTNERSHIP INCOME
total $425,000 · related or exempt $425,000
-
2c · Program service revenue: OTHER OPERATING INCOME
total $270,796 · related or exempt $270,796
-
6a · Gross rents
real property $370,664
-
6b · Less rental expenses
real property $55,573
-
6c · Rental income or loss
real property $315,091
-
6d · Net rental income or loss
total $315,091 · excluded $315,091
-
11a · Other revenue: CAFETERIA
total $141,952 · excluded $141,952
-
11b · Other revenue: MISCELLANEOUS INCOME
total $48,228 · excluded $48,228
-
11e · Other revenue, total
$190,180
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $13,071,740 · program services $13,071,740
-
9 · Other employee benefits
total $2,177,270 · program services $2,177,270
-
11g · Fees: other
total $17,324,617 · program services $17,324,617
-
13 · Office expenses
total $360,638 · program services $360,638
-
16 · Occupancy
total $950,720 · program services $950,720
-
22 · Depreciation, depletion and amortization
total $378,174 · program services $378,174
-
24a · Other expenses: MEDICAL SUPPLIES
total $5,334,645 · program services $5,334,645
-
24b · Other expenses: BAD DEBT EXPENSE
total $890,988 · program services $890,988
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $2,476
-
2 · Savings and temporary cash investments
beginning of year $2,121,696 · end of year $525,226
-
4 · Accounts receivable
beginning of year $3,944,436 · end of year $5,121,452
-
8 · Inventories for sale or use
beginning of year $947,715 · end of year $881,989
-
9 · Prepaid expenses and deferred charges
beginning of year $248,524 · end of year $1,162,525
-
15 · Other assets
beginning of year $1,465,173 · end of year $23,274,828
-
17 · Accounts payable and accrued expenses
beginning of year $1,395,954 · end of year $2,913,458
-
25 · Other liabilities
beginning of year $1,771,105 · end of year $23,274,826
-
27 · Net assets without donor restrictions
beginning of year $5,562,961 · end of year $4,777,736
Mission and programs · 2022
Mission
HENRY COUNTY HEALTH CENTER IS COMMITTED TO ENHANCING THE HEALTH OF INDIVIDUALS AND OUR COMMUNITIES THROUGH HIGH QUALITY, EFFECTIVE AND EFFICIENT SERVICES.
-
HENRY COUNTY HEALTH CENTER, INC., HAS ENTERED INTO A HOSPITAL LEASE AGREEMENT WHERE IT LEASES ALL OF THE FACILITIES AND OPERATIONS, EXCEPT THE AMBULANCE SERVICE, OF HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL, A COUNTY HOSPITAL ORGANIZED UNDER IOWA CODE CHAPTER 347. HENRY COUNTY HEALTH CENTER, INC. MANAGES AND OPERATES HEALTH CARE ORGANIZATIONS, INCLUDING OPERATING THE 74-BED CRITICAL ACCESS HOSPITAL THAT FEATURES 25 ACUTE CARE BEDS ALONG WITH A 49-BED LONG-TERM CARE FACILITY, PARK PLACE. HENRY COUNTY HEALTH CENTER, INC. ALSO MANAGES AND OPERATES A CLINICAL/GROUP PRACTICE LOCATED ON THE GROUNDS OF THE HOSPITAL AND FOUR RURAL HEALTH CLINICS IN THE SURROUNDING RURAL COMMUNITIES AND PROVIDES COMMUNITY HEALTH EDUCATION FOR THE COMMUNITY.
Expenses $40,488,792 · Revenue $39,052,362
As filed on the 2022 return.
Listed in Part VII
-
Matt WenzelMATT WENZEL
DIRECTOR (THROUGH 10/12/22)
- Total calculated
- $1,175,711
- From this org
- $0
- From related orgs
- $1,122,540
- Other
- $53,171
- Hours/week
- 0.5 + 42.5 related
Schedule J breakdown matched by us
- Base
- $0 + $740,784 related
- Bonus
- $0 + $213,774 related
- Other
- $0 + $167,982 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $37,921 related
- Filer's total
- $0 + $1,175,711 related
-
Dr Michael McCoyDR MICHAEL MCCOY
DIRECTOR
- Total calculated
- $675,775
- From this org
- $0
- From related orgs
- $624,684
- Other
- $51,091
- Hours/week
- 0.5 + 42.5 related
Schedule J breakdown matched by us
- Base
- $0 + $532,528 related
- Bonus
- $0 + $80,672 related
- Other
- $0 + $11,484 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $35,841 related
- Filer's total
- $0 + $675,775 related
-
Robb GardnerROBB GARDNER
CEO (THROUGH JULY 2022)
- Total calculated
- $626,044
- From this org
- $0
- From related orgs
- $553,735
- Other
- $72,309
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $219,407 related
- Bonus
- $0 + $43,750 related
- Other
- $0 + $290,578 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $57,059 related
- Filer's total
- $0 + $626,044 related
-
Teresa ColganTERESA COLGAN
CEO
- Total calculated
- $544,545
- From this org
- $0
- From related orgs
- $494,596
- Other
- $49,949
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $421,350 related
- Bonus
- $0 + $65,421 related
- Other
- $0 + $7,825 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $34,699 related
- Filer's total
- $0 + $544,545 related
-
David MuhsDAVID MUHS
CFO
- Total calculated
- $242,552
- From this org
- $191,144
- From related orgs
- $0
- Other
- $51,408
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $191,144
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $51,408
- Filer's total
- $242,552
-
David FileDAVID FILE
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 0.5
-
Mike PattenMIKE PATTEN
VICE CHAIRMAN & DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Whitney RogersWHITNEY ROGERS
DIRECTOR & VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0.5
-
Sara Beth SchurrSARA BETH SCHURR
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 0.5
-
Dr Dewayne FrazierDR DEWAYNE FRAZIER
DIRECTOR (THROUGH 3/28/23)
- Total calculated
- $0
- Hours/week
- 0.5
-
Chad HudsonCHAD HUDSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Jen MoutrieJEN MOUTRIE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Dr Joel RyonDR JOEL RYON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Dr Joe TanseyDR JOE TANSEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
Answered no
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4A
- MATT WENZEL RECEIVED A SEVERANCE PAYMENT OF $164,442. THIS AMOUNT WAS INCLUDED IN W-2 WAGES. ROBB GARDNER RECEIVED A SEVERANCE PAYMENT OF $250,000. THIS AMOUNT WAS INCLUDED IN W-2 WAGES.
- FORM 990, PART VII, SECTION A, LINE 5:
- DAVID MUHS IS EMPLOYED BY HENRY COUNTY SOLDIERS & SAILORS MEMORIAL HOSPITAL. THE EMPLOYEES FROM THAT HOSPITAL ARE LEASED TO HENRY COUNTY HEALTH CENTER INC.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTH CARE · IA
-
SOUTHEAST IOWA REGIONAL MEDICAL CENTER
501(C)(3) · HOSPITAL · IA
Directly controlled by GREAT RIVER HEALTH SYSTEM INC
-
501(C)(3) · SUPPORT RELATED ORGANIZATIONS · IA
Directly controlled by GREAT RIVER HEALTH SYSTEM INC
-
GREAT RIVER HEALTH FOUNDATION INC
501(C)(3) · SUPPORT RELATED ORGANIZATIONS · IA
Directly controlled by GREAT RIVER HEALTH SYSTEM INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
SOUTHEAST RENAL DIALYSIS LC
RELATED · MEDICAL SERVICES · IA · 25% owned · share of income $348,110 · share of assets $1,635,953
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
RIVERVIEW SYSTEM LTD
C · MEDICAL SERVICES · IA
-
GREAT RIVER MEDICAL SERVICES INC
C · MEDICAL SERVICES · IA
-
MUTUAL CONSULTING & MANAGEMENT SERVICES
C · MANAGEMENT SERVICES · IA
-
HERITAGE PARK PHARMACY
C · PHARMACY · IA
-
HERITAGE MEDICAL EQUIPMENT & SUPPLY
C · MEDICAL SUPPLY · IA
-
RIGHTCHOICE INC
C · STAFFING AGENCY · IA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202421309349302017
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