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Nonprofiteer
← HIAWATHA HOSPITAL ASSOCIATION INC

Form 990 for tax year 2024

Filed by HIAWATHA HOSPITAL ASSOCIATION INC.

Totals

Total revenue
$35,865,499
Total expenses
$34,139,941
Contributions and grants received
$177,687
Grants paid
$0
Program service revenue
$35,491,921
Investment income
$204,492
Other revenue
-$8,601
Total assets, end of year
$20,386,919
Total liabilities, end of year
$7,276,596
Net assets or fund balances, end of year
$13,110,323
Program services expenses (Part IX)
$28,460,668
Management and general expenses
$5,679,273
Fundraising expenses
$0
Program service expenses (Part III)
$28,460,668

Program services were 83.4% 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.

  • 1e · Government grants (contributions)

    $82,210

  • 1f · All other contributions, gifts and grants

    $95,477

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $32,136,617 · related or exempt $32,136,617

  • 2b · Program service revenue: PHARMACY REVENUE

    total $2,725,536 · related or exempt $2,725,536

  • 2c · Program service revenue: PHYSICAL THERAPY

    total $369,994 · related or exempt $369,994

  • 2d · Program service revenue: CAFETERIA

    total $89,484 · related or exempt $89,484

  • 2f · All other program service revenue

    total $170,290 · related or exempt $170,290

  • 3 · Investment income

    total $2,887 · excluded $2,887

  • 6a · Gross rents

    real property $999

  • 6b · Less rental expenses

    real property $9,600

  • 6c · Rental income or loss

    real property -$8,601

  • 6d · Net rental income or loss

    total -$8,601 · excluded -$8,601

  • 7a · Gross sales of assets other than inventory

    other assets $201,605

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $201,605

  • 7d · Net gain or loss

    total $201,605 · excluded $201,605

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $639,498 · program services $344,321 · management and general $295,177

  • 7 · Other salaries and wages

    total $14,560,215 · program services $13,019,289 · management and general $1,540,926

  • 8 · Pension plan contributions

    total $216,177 · program services $204,054 · management and general $12,123

  • 9 · Other employee benefits

    total $2,595,002 · program services $2,358,990 · management and general $236,012

  • 10 · Payroll taxes

    total $1,004,865 · program services $1,004,865

  • 11b · Fees: legal

    total $167,715 · program services $28 · management and general $167,687

  • 11c · Fees: accounting

    total $134,450 · program services $8,600 · management and general $125,850

  • 11d · Fees: lobbying

    total $4,205 · management and general $4,205

  • 11g · Fees: other

    total $3,620,560 · program services $2,312,863 · management and general $1,307,697

  • 12 · Advertising and promotion

    total $124,274 · program services $28,410 · management and general $95,864

  • 13 · Office expenses

    total $2,030,905 · program services $1,912,874 · management and general $118,031

  • 14 · Information technology

    total $1,022,322 · program services $946,804 · management and general $75,518

  • 16 · Occupancy

    total $546,399 · program services $413,765 · management and general $132,634

  • 17 · Travel

    total $103,362 · program services $98,388 · management and general $4,974

  • 20 · Interest

    total $238,542 · program services $1,859 · management and general $236,683

  • 22 · Depreciation, depletion and amortization

    total $2,083,937 · program services $1,284,677 · management and general $799,260

  • 23 · Insurance

    total $305,229 · program services $194,587 · management and general $110,642

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $3,301,553 · program services $3,301,552 · management and general $1

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $1,059,993 · program services $810,158 · management and general $249,835

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $298,711 · program services $203,047 · management and general $95,664

  • 24d · Other expenses: MISCELLANEOUS

    total $82,027 · program services $11,537 · management and general $70,490

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $858 · end of year $808

  • 2 · Savings and temporary cash investments

    beginning of year $1,386,231 · end of year $4,286,772

  • 4 · Accounts receivable

    beginning of year $4,021,764 · end of year $4,465,348

  • 8 · Inventories for sale or use

    beginning of year $389,495 · end of year $282,644

  • 9 · Prepaid expenses and deferred charges

    beginning of year $297,111 · end of year $452,834

  • 10a · Land, buildings and equipment: cost or other basis

    $28,641,439

  • 10b · Land, buildings and equipment: accumulated depreciation

    $19,296,767

  • 10c · Land, buildings and equipment, net

    beginning of year $11,009,628 · end of year $9,344,672

  • 11 · Investments: publicly traded securities

    beginning of year $678,631 · end of year $760,944

  • 14 · Intangible assets

    beginning of year $43,500 · end of year $0

  • 15 · Other assets

    beginning of year $2,251,028 · end of year $792,897

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,418,802 · end of year $2,488,572

  • 20 · Tax-exempt bond liabilities

    beginning of year $5,111,959 · end of year $4,765,074

  • 23 · Secured mortgages and notes payable

    beginning of year $106,898 · end of year $22,328

  • 25 · Other liabilities

    beginning of year $39,757 · end of year $622

  • 27 · Net assets without donor restrictions

    beginning of year $10,781,723 · end of year $12,507,281

  • 28 · Net assets with donor restrictions

    beginning of year $619,107 · end of year $603,042

Mission and programs · 2024

Mission

AMBERWELL HIAWATHA PROVIDES COMPASSIONATE CARE WITH CLINICAL EXCELLENCE.

Activities or mission (Part I)

PROVIDE MODERN, RELIABLE, AFFORDABLE HEALTH CARE THAT BEST MEETS THE NEEDS OF OUR COMMUNITY.

  • HIAWATHA HOSPITAL ASSOCIATION, INC. DBA AMBERWELL HEALTH HIAWATHA IS A CRITICAL ACCESS HOSPITAL (CAH) THAT PROVIDES RELATED INPATIENT, OUTPATIENT, EMERGENCY CARE, AND PHYSICIAN SERVICES TO PATIENTS IN HIAWATHA, KANSAS AND SURROUNDING AREAS. HIAWATHA COMMUNITY HOSPITAL'S PRIMARY GOAL IS TO PROVIDE QUALITY, MODERN, AFFORDABLE HEALTHCARE TO OUR COMMUNITY. IN 2024, WE PROVIDED SERVICE FOR 2,277 INPATIENT DAYS, 71 INPATIENT SURGERIES AND 714 OUTPATIENT SURGERIES. WE DELIVERED 64 BABIES AND PROVIDED OUTPATIENT SERVICES TO 65,761 PATIENTS. (STATEMENT CONTINUED ON SCHEDULE O)BY PROVIDING SERVICES LIKE OBSTETRICS AND 24 HOUR EMERGENCY SERVICES THAT NOT ALL SMALL RURAL HOSPITALS PROVIDE, EVEN THOUGH THE PROGRAMS ARE NOT ALWAYS PROFITABLE FOR THE HOSPITAL, WE STRONGLY FEEL THAT THESE SERVICES PROVIDE NECESSARY CARE TO ADDRESS OUR COMMUNITY'S OVERALL HEALTH WHILE PROMOTING OUR MISSION AS A CHARITABLE ORGANIZATION.THE HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE POLICY FOR PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR THE HEALTHCARE SERVICES THEY RECEIVE. IT IS THE POLICY OF THE HOSPITAL NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS PATIENT FINANCIAL ASSISTANCE UNDER THE POLICY. ACCORDINGLY, THE HOSPITAL DOES NOT REPORT THESE AMOUNTS IN PATIENT SERVICE REVENUE. THE HOSPITAL DETERMINES THE COSTS ASSOCIATED WITH PROVIDING CHARITY CARE BY AGGREGATING THE DIRECT AND IN DIRECT COSTS, INCLUDING SALARIES, BENEFITS, SUPPLIES, AND OTHER OPERATING EXPENSES, BASED ON AN OVERALL COST TO CHARGE RATIO. THE COSTS OF CARING FOR THESE PATIENTS FOR THE YEAR ENDED DECEMBER 31, 2024 WAS APPROXIMATELY $19,000.

    Expenses $28,460,668 · Revenue $35,491,921

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Greg Rodvelt

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0.25

  • Del Elffner

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0.25

  • John Moore

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    0.25

  • Eric Ingmire

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

  • Willie Geisendorf

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

  • Howard Elliott

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

  • Jason Smith

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

  • Jeffrey Perry

    PRESIDENT & CEO THRU 5/24

    Total calculated
    $118,476
    From this org
    $118,476
    From related orgs
    $0
    Other
    $0
    Hours/week
    20

  • Jared Abel

    PRESIDENT & CEO AS OF 6/24

    Total calculated
    $78,826
    From this org
    $78,826
    From related orgs
    $0
    Other
    $0
    Hours/week
    20

  • Chase Dudzinski

    CFO

    Total calculated
    $97,648
    From this org
    $83,987
    From related orgs
    $0
    Other
    $13,661
    Hours/week
    20

  • Jessica Jarvis MD

    CHIEF OF STAFF

    Total calculated
    $344,322
    From this org
    $294,048
    From related orgs
    $0
    Other
    $50,274
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,707
    Bonus
    $24,341
    Other
    $0
    Deferred
    $6,209
    Nontaxable benefits
    $44,065
    Filer's total
    $344,322

  • Crosby Gernon MD

    RADIOLOGIST

    Total calculated
    $447,233
    From this org
    $397,407
    From related orgs
    $0
    Other
    $49,826
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $397,407
    Bonus
    $0
    Other
    $0
    Deferred
    $7,763
    Nontaxable benefits
    $42,063
    Filer's total
    $447,233

  • Mariah Kriwiel MD

    PHYSICIAN

    Total calculated
    $408,940
    From this org
    $359,773
    From related orgs
    $0
    Other
    $49,167
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $326,773
    Bonus
    $33,000
    Other
    $0
    Deferred
    $3,072
    Nontaxable benefits
    $46,095
    Filer's total
    $408,940

  • Robin Alexander

    CRNA

    Total calculated
    $337,975
    From this org
    $287,470
    From related orgs
    $0
    Other
    $50,505
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $287,470
    Bonus
    $0
    Other
    $0
    Deferred
    $6,569
    Nontaxable benefits
    $43,936
    Filer's total
    $337,975

  • Paige Knudson

    CRNA

    Total calculated
    $279,036
    From this org
    $268,443
    From related orgs
    $0
    Other
    $10,593
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $268,443
    Bonus
    $0
    Other
    $0
    Deferred
    $3,085
    Nontaxable benefits
    $7,508
    Filer's total
    $279,036

  • Dustin Williams

    NURSE PRACTITIONER

    Total calculated
    $296,365
    From this org
    $246,080
    From related orgs
    $0
    Other
    $50,285
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,370
    Bonus
    $12,710
    Other
    $0
    Deferred
    $5,373
    Nontaxable benefits
    $44,911
    Filer's total
    $296,364

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

  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 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

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.

Provenance

Return type
form_990
Tax year
2024
Filed
12 November 2025
IRS schema version
2024v5.2
Source object
202503169349306030

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