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Nonprofiteer
← SIOUXLAND COMMUNITY HEALTH CENTER

Form 990 for tax year 2023

Filed by SIOUXLAND COMMUNITY HEALTH CENTER.

Totals

Total revenue
$54,419,056
Total expenses
$45,852,880
Contributions and grants received
$12,391,747
Grants paid
$258,118
Program service revenue
$41,008,827
Investment income
$952,122
Other revenue
$66,360
Total assets, end of year
$56,997,169
Total liabilities, end of year
$5,816,785
Net assets or fund balances, end of year
$51,180,384
Program services expenses (Part IX)
$34,668,081
Management and general expenses
$11,184,799
Fundraising expenses
$0
Program service expenses (Part III)
$34,668,081

Program services were 75.6% 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)

    $6,797,935

  • 1f · All other contributions, gifts and grants

    $5,593,812

  • 1g · Noncash contributions included above

    $1,171,862

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $40,927,299 · related or exempt $40,927,299

  • 2b · Program service revenue: OTHER REVENUE

    total $81,528 · related or exempt $81,528

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $1,061,959 · excluded $1,061,959

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    other assets $0

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

    other assets $109,837

  • 7c · Gain or loss

    securities $0 · other assets -$109,837

  • 7d · Net gain or loss

    total -$109,837 · excluded -$109,837

  • 11a · Other revenue: GAIN ON EQUITY INVESTEE

    total $66,360 · excluded $66,360

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $66,360

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $258,118 · program services $258,118

  • 5 · Compensation of officers, directors and key employees

    total $1,705,688 · program services $1,104,068 · management and general $601,620

  • 7 · Other salaries and wages

    total $21,907,438 · program services $17,742,656 · management and general $4,164,782

  • 8 · Pension plan contributions

    total $782,135 · program services $680,295 · management and general $101,840

  • 9 · Other employee benefits

    total $2,229,900 · program services $1,871,986 · management and general $357,914

  • 10 · Payroll taxes

    total $1,580,867 · program services $1,285,756 · management and general $295,111

  • 11b · Fees: legal

    total $21,523 · management and general $21,523

  • 11c · Fees: accounting

    total $192,056 · management and general $192,056

  • 11g · Fees: other

    total $3,235,589 · program services $2,090,071 · management and general $1,145,518 · fundraising $0

  • 12 · Advertising and promotion

    total $255,101 · program services $174,697 · management and general $80,404

  • 13 · Office expenses

    total $606,631 · program services $260,087 · management and general $346,544

  • 14 · Information technology

    total $1,552,298 · program services $104,852 · management and general $1,447,446

  • 16 · Occupancy

    total $337,861 · program services $315,180 · management and general $22,681

  • 17 · Travel

    total $63,902 · program services $58,969 · management and general $4,933

  • 19 · Conferences, conventions and meetings

    total $445,488 · program services $162,786 · management and general $282,702

  • 20 · Interest

    total $116,854 · management and general $116,854

  • 22 · Depreciation, depletion and amortization

    total $1,875,296 · program services $220,170 · management and general $1,655,126

  • 23 · Insurance

    total $221,349 · program services $37,828 · management and general $183,521

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $7,980,805 · program services $7,980,805

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $263,810 · program services $257,274 · management and general $6,536

  • 24c · Other expenses: LICENSES, DUES, SUBSCRIPTIONS

    total $168,329 · program services $62,087 · management and general $106,242

  • 24d · Other expenses: RECRUITING & RETENTION

    total $51,842 · program services $396 · management and general $51,446

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $352,701 · end of year $330,241

  • 2 · Savings and temporary cash investments

    beginning of year $20,716,374 · end of year $26,055,726

  • 3 · Pledges and grants receivable

    beginning of year $597,931 · end of year $250,460

  • 4 · Accounts receivable

    beginning of year $4,025,170 · end of year $7,744,037

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $307,205 · end of year $506,169

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,459,604 · end of year $430,416

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

    $30,521,693

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

    $11,780,412

  • 10c · Land, buildings and equipment, net

    beginning of year $18,086,843 · end of year $18,741,281

  • 12 · Investments: other securities

    beginning of year $688,455 · end of year $754,815

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    end of year $1,651,796

  • 15 · Other assets

    beginning of year $1,070,221 · end of year $532,228

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,833,579 · end of year $3,303,033

  • 20 · Tax-exempt bond liabilities

    beginning of year $2,407,182 · end of year $1,947,225

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $474,714 · end of year $566,527

  • 27 · Net assets without donor restrictions

    beginning of year $42,506,676 · end of year $51,027,422

  • 28 · Net assets with donor restrictions

    beginning of year $82,353 · end of year $152,962

Mission and programs · 2023

Mission

INSPIRING AND EMPOWERING OUR COMMUNITY THROUGH HEALTH EQUITY FOR ALL.

Activities or mission (Part I)

TO BE A PATIENT-CENTERED MEDICAL HOME WHICH IMPROVES THE PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH OF THE SIOUXLAND COMMUNITY WHILE ELIMINATING ACCESS BARRIERS.

  • PRIMARY AND SPECIALTY MEDICAL SERVICES FOR FYE 2024: SCHC PROVIDED MEDICAL, PRENATAL, AND BEHAVIORAL HEALTH SERVICES FOR 88,433 PATIENT VISITS. SERVICES WERE PROVIDED BY SIX PRIMARY CARE PHYSICIANS, SIX PHYSICIAN ASSISTANTS, AND TWENTY-TWO NURSE PRACTITIONERS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

    Expenses $24,168,013 · Grants $258,118 · Revenue $28,627,769

  • PHARMACY: THE SCHC PHARMACY IS AVAILABLE TO ALL PATIENTS RECEIVING HEALTH CARE SERVICES AT THE HEALTH CENTER. FIVE PHARMACISTS ARE ON STAFF TO OFFER MEDICATION COUNSELING FOR PRESCRIPTIONS. IN ADDITION, THE HEALTH CENTER EMPLOYED ONE FULL-TIME CLINICAL PHARMACIST TO ASSIST PATIENTS WITH CHRONIC MEDICAL CONDITIONS. SCHC IS A PARTICIPANT IN THE 340B DRUG PRICING PROGRAM AND ALSO OFFERS AN INDIGENT PROGRAM TO PROVIDE PRESCRIPTION ASSISTANCE TO QUALIFYING PATIENTS. THE SCHC PHARMACY ALSO PARTICIPATES IN OTHER PHARMACEUTICAL ASSISTANCE PROGRAMS TO ENSURE PATIENTS HAVE ACCESS TO NEEDED PRESCRIPTION DRUGS.

    Expenses $6,821,677 · Revenue $8,043,717

  • DENTAL CARE FOR FYE 2024: SCHC EMPLOYED SEVEN DENTISTS AND FIVE DENTAL HYGIENISTS TO PROVIDE ROUTINE DENTAL CARE AND TREATMENT TO PATIENTS AGED INFANTS TO ADULTS. EMERGENCY WALK-IN PATIENTS ARE ACCEPTED DAILY. THE DENTAL DEPARTMENT HAD 16,916 PATIENT VISITS DURING THE YEAR ENDING 1/31/24.

    Expenses $3,678,391 · Revenue $4,337,341

As filed on the 2023 return.

Listed in Part VII

  • Andrea Buckley

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1
  • David Olson

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Dr Dona Prince

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Treyla Lee

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Abdullahi Urur

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Diane Prieksat

    MEMBER AT LARGE END 7/23

    Total calculated
    $0
    Hours/week
    1
  • Dora Jung

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Dr Keith Vollstedt

    MEMBER AT LARGE BEG 8/23

    Total calculated
    $0
    Hours/week
    1
  • Jane Arnold

    MEMBER AT LARGE BEG 4/23

    Total calculated
    $0
    Hours/week
    1
  • Jay Rosenberg

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Jennifer Bravante-Burkhart

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Jennifer Jackson

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Kelley McCarthy

    MEMBER AT LARGE END 2/23

    Total calculated
    $0
    Hours/week
    1
  • Lawrence Jensen

    MEMBER AT LARGE BEG 9/23

    Total calculated
    $0
    Hours/week
    1
  • Mona Zuffante

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Neil Bartholomew

    MEMBER AT LARGE BEG 9/23

    Total calculated
    $0
    Hours/week
    1
  • Revathi Truong

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Willie Suarez

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1
  • Jan Anderson

    CHIEF FINANCIAL OFFICER

    Total calculated
    $294,223
    From this org
    $226,836
    From related orgs
    $0
    Other
    $67,387
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,038
    Bonus
    $3,100
    Other
    $12,698
    Deferred
    $30,000
    Nontaxable benefits
    $37,387
    Filer's total
    $294,223
  • Mari Kaptain-Dahlen

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $307,397
    From this org
    $251,712
    From related orgs
    $0
    Other
    $55,685
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,187
    Bonus
    $3,100
    Other
    $9,425
    Deferred
    $20,519
    Nontaxable benefits
    $35,166
    Filer's total
    $307,397
  • Michael Piplani

    CHIEF MEDICAL OFFICER

    Total calculated
    $398,812
    From this org
    $357,173
    From related orgs
    $0
    Other
    $41,639
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $348,143
    Bonus
    $7,625
    Other
    $1,405
    Deferred
    $16,500
    Nontaxable benefits
    $25,139
    Filer's total
    $398,812
  • Ashley Huber

    DENTAL DIRECTOR

    Total calculated
    $324,456
    From this org
    $265,884
    From related orgs
    $0
    Other
    $58,572
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $246,964
    Bonus
    $8,500
    Other
    $10,420
    Deferred
    $13,727
    Nontaxable benefits
    $44,845
    Filer's total
    $324,456
  • David Faldmo

    QUALITY DIRECTOR

    Total calculated
    $380,800
    From this org
    $300,578
    From related orgs
    $0
    Other
    $80,222
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $266,406
    Bonus
    $22,540
    Other
    $11,632
    Deferred
    $28,157
    Nontaxable benefits
    $52,065
    Filer's total
    $380,800
  • Dylan Greene

    PHYSICIAN

    Total calculated
    $357,473
    From this org
    $290,447
    From related orgs
    $0
    Other
    $67,026
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,444
    Bonus
    $4,840
    Other
    $4,163
    Deferred
    $15,276
    Nontaxable benefits
    $51,750
    Filer's total
    $357,473
  • Kelly Ryder

    PHYSICIAN

    Total calculated
    $315,408
    From this org
    $284,681
    From related orgs
    $0
    Other
    $30,727
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $279,336
    Bonus
    $3,940
    Other
    $1,405
    Deferred
    $14,262
    Nontaxable benefits
    $16,465
    Filer's total
    $315,408
  • Kristi Walz

    PHYSICIAN

    Total calculated
    $393,915
    From this org
    $330,372
    From related orgs
    $0
    Other
    $63,543
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $315,420
    Bonus
    $14,310
    Other
    $642
    Deferred
    $12,362
    Nontaxable benefits
    $51,181
    Filer's total
    $393,915
  • Thomas Morgan

    PHYSICIAN

    Total calculated
    $357,315
    From this org
    $294,457
    From related orgs
    $0
    Other
    $62,858
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,527
    Bonus
    $2,875
    Other
    $10,055
    Deferred
    $12,203
    Nontaxable benefits
    $50,655
    Filer's total
    $357,315
  • Tyler Wendel

    PHYSICIAN

    Total calculated
    $374,136
    From this org
    $311,339
    From related orgs
    $0
    Other
    $62,797
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $287,049
    Bonus
    $14,235
    Other
    $10,055
    Deferred
    $15,985
    Nontaxable benefits
    $46,812
    Filer's total
    $374,136

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 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 7 Non-fixed payments
MONTHLY INCENTIVE PAYMENTS BASED ON PRODUCTION ARE PAID TO EMPLOYEES SUBJECT TO THE DISCRETION OF THE BOARD OF DIRECTORS.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
30 September 2024
IRS schema version
2023v5.1
Source object
202402749349301390

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