Form 990 for tax year 2022
Filed by SIOUXLAND COMMUNITY HEALTH CENTER.
Totals
- Total revenue
- $47,434,658
- Total expenses
- $41,012,454
- Contributions and grants received
- $12,399,042
- Grants paid
- $216,528
- Program service revenue
- $34,496,617
- Investment income
- $329,971
- Other revenue
- $209,028
- Total assets, end of year
- $48,304,504
- Total liabilities, end of year
- $5,715,475
- Net assets or fund balances, end of year
- $42,589,029
- Program services expenses (Part IX)
- $31,164,845
- Management and general expenses
- $9,847,609
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $31,164,845
Program services were 76.0% 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.
-
1e · Government grants (contributions)
$12,086,435
-
1f · All other contributions, gifts and grants
$312,607
-
1g · Noncash contributions included above
$940,405
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $34,370,634 · related or exempt $34,370,634
-
2b · Program service revenue: OTHER REVENUE
total $125,983 · related or exempt $125,983
-
3 · Investment income
total $450,344 · excluded $450,344
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0
-
7a · Gross sales of assets other than inventory
other assets $250
-
7b · Less cost or other basis and sales expenses
other assets $120,623
-
7c · Gain or loss
other assets -$120,373
-
7d · Net gain or loss
total -$120,373 · excluded -$120,373
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: GAIN ON EQUITY INVESTEE
total $209,028 · excluded $209,028
-
11e · Other revenue, total
$209,028
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $216,528 · program services $216,528
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $1,497,478 · program services $973,943 · management and general $523,535
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $20,040,810 · program services $16,274,001 · management and general $3,766,809
-
8 · Pension plan contributions
total $779,563 · program services $650,469 · management and general $129,094
-
9 · Other employee benefits
total $2,109,478 · program services $1,715,886 · management and general $393,592
-
10 · Payroll taxes
total $1,442,791 · program services $1,174,009 · management and general $268,782
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $19,490 · management and general $19,490
-
11c · Fees: accounting
total $160,678 · management and general $160,678
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $2,782,479 · program services $2,084,351 · management and general $698,128
-
12 · Advertising and promotion
total $324,695 · program services $195,885 · management and general $128,810
-
13 · Office expenses
total $540,560 · program services $228,429 · management and general $312,131
-
14 · Information technology
total $1,177,579 · program services $102,362 · management and general $1,075,217
-
15 · Royalties
total $0
-
16 · Occupancy
total $354,978 · program services $331,695 · management and general $23,283
-
17 · Travel
total $12,669 · program services $8,187 · management and general $4,482
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $583,526 · program services $165,593 · management and general $417,933
-
20 · Interest
total $138,888 · program services $634 · management and general $138,254
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $1,675,620 · program services $150,357 · management and general $1,525,263
-
23 · Insurance
total $169,421 · program services $28,766 · management and general $140,655
-
24a · Other expenses: MEDICAL SUPPLIES & DRUGS
total $6,332,466 · program services $6,332,466
-
24b · Other expenses: REPAIRS & MAINTENANCE
total $465,572 · program services $457,128 · management and general $8,444
-
24c · Other expenses: LICENSES, DUES, SUBSCRIPTIONS
total $175,532 · program services $74,041 · management and general $101,491
-
24d · Other expenses: RECRUITING & RETENTION
total $11,653 · program services $115 · management and general $11,538
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $439,276 · end of year $352,701
-
2 · Savings and temporary cash investments
beginning of year $20,813,139 · end of year $20,716,374
-
3 · Pledges and grants receivable
beginning of year $320,461 · end of year $597,931
-
4 · Accounts receivable
beginning of year $4,028,068 · end of year $4,025,170
-
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
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $261,255 · end of year $307,205
-
9 · Prepaid expenses and deferred charges
beginning of year $484,477 · end of year $2,459,604
-
10a · Land, buildings and equipment: cost or other basis
$28,403,496
-
10b · Land, buildings and equipment: accumulated depreciation
$10,316,653
-
10c · Land, buildings and equipment, net
beginning of year $16,970,211 · end of year $18,086,843
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $479,427 · end of year $688,455
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $69,000 · end of year $1,070,221
-
17 · Accounts payable and accrued expenses
beginning of year $3,320,865 · end of year $2,833,579
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $2,844,508 · end of year $2,407,182
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $1,703,029 · end of year $474,714
-
27 · Net assets without donor restrictions
beginning of year $35,873,322 · end of year $42,506,676
-
28 · Net assets with donor restrictions
beginning of year $123,590 · end of year $82,353
Mission and programs · 2022
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 2023: SCHC PROVIDED MEDICAL, PRENATAL, AND BEHAVIORAL HEALTH SERVICES FOR 94,802 PATIENT VISITS. SERVICES WERE PROVIDED BY SIX PRIMARY CARE PHYSICIANS, SEVEN PHYSICIAN ASSISTANTS, AND EIGHTEEN NURSE PRACTITIONERS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
Expenses $21,941,188 · Grants $216,528 · Revenue $24,324,248
-
PHARMACY: THE SCHC PHARMACY IS AVAILABLE TO ALL PATIENTS RECEIVING HEALTH CARE SERVICES AT THE HEALTH CENTER. FOUR 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
Expenses $5,730,279 · Revenue $6,319,675
-
DENTAL CARE FOR FYE 2023: SCHC EMPLOYED SEVEN DENTISTS AND SEVEN 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 17,313 PATIENT VISITS DURING THE YEAR ENDING 1/31/23.
Expenses $3,493,378 · Revenue $3,852,694
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Kristi WalzKRISTI WALZ
PHYSICIAN
- Total calculated
- $370,882
- From this org
- $324,173
- From related orgs
- $0
- Other
- $46,709
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $296,038
- Bonus
- $6,740
- Other
- $21,395
- Deferred
- $14,500
- Nontaxable benefits
- $32,209
- Filer's total
- $370,882
-
Michael PiplaniMICHAEL PIPLANI
CMO
- Total calculated
- $368,000
- From this org
- $346,336
- From related orgs
- $0
- Other
- $21,664
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $332,740
- Bonus
- $3,475
- Other
- $10,121
- Deferred
- $14,500
- Nontaxable benefits
- $7,164
- Filer's total
- $368,000
-
Tyler WendelTYLER WENDEL
PHYSICIAN
- Total calculated
- $353,058
- From this org
- $309,330
- From related orgs
- $0
- Other
- $43,728
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $273,198
- Bonus
- $26,520
- Other
- $9,612
- Deferred
- $14,500
- Nontaxable benefits
- $29,228
- Filer's total
- $353,058
-
Thomas MorganTHOMAS MORGAN
PHYSICIAN
- Total calculated
- $330,341
- From this org
- $283,452
- From related orgs
- $0
- Other
- $46,889
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $276,618
- Bonus
- $5,820
- Other
- $1,014
- Deferred
- $14,115
- Nontaxable benefits
- $32,774
- Filer's total
- $330,341
-
Dylan GreeneDYLAN GREENE
PHYSICIAN
- Total calculated
- $327,596
- From this org
- $283,868
- From related orgs
- $0
- Other
- $43,728
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $272,524
- Bonus
- $2,000
- Other
- $9,344
- Deferred
- $14,500
- Nontaxable benefits
- $29,228
- Filer's total
- $327,596
-
David FaldmoDAVID FALDMO
QUALITY DIRECTOR
- Total calculated
- $327,472
- From this org
- $278,858
- From related orgs
- $0
- Other
- $48,614
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $249,274
- Bonus
- $12,080
- Other
- $17,504
- Deferred
- $14,500
- Nontaxable benefits
- $34,114
- Filer's total
- $327,472
-
Kelly RyderKELLY RYDER
PHYSICIAN
- Total calculated
- $293,653
- From this org
- $279,210
- From related orgs
- $0
- Other
- $14,443
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $268,229
- Bonus
- $2,000
- Other
- $8,981
- Deferred
- $13,969
- Nontaxable benefits
- $474
- Filer's total
- $293,653
-
Ashley HuberASHLEY HUBER
DENTAL DIRECTOR
- Total calculated
- $278,471
- From this org
- $236,698
- From related orgs
- $0
- Other
- $41,773
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $224,275
- Bonus
- $7,250
- Other
- $5,173
- Deferred
- $12,254
- Nontaxable benefits
- $29,519
- Filer's total
- $278,471
-
Mari Kaptain-DahlenMARI KAPTAIN-DAHLEN
CEO
- Total calculated
- $272,519
- From this org
- $239,987
- From related orgs
- $0
- Other
- $32,532
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $227,824
- Bonus
- $2,000
- Other
- $10,163
- Deferred
- $11,981
- Nontaxable benefits
- $20,551
- Filer's total
- $272,519
-
Jan AndersonJAN ANDERSON
CFO
- Total calculated
- $251,016
- From this org
- $215,871
- From related orgs
- $0
- Other
- $35,145
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $200,522
- Bonus
- $2,000
- Other
- $13,349
- Deferred
- $11,184
- Nontaxable benefits
- $23,961
- Filer's total
- $251,016
-
Jennifer Bravante-BurkhartJENNIFER BRAVANTE-BURKHART
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Willie SuarezWILLIE SUAREZ
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Abdullahi UrurABDULLAHI URUR
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Andrea BuckleyANDREA BUCKLEY
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
David OlsonDAVID OLSON
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Diane PrieksatDIANE PRIEKSAT
MEMBER AT LARGE BEG 10/22
- Total calculated
- $0
- Hours/week
- 1
-
Dora JungDORA JUNG
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Dr Dona PrinceDR DONA PRINCE
BOARD VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Jay RosenbergJAY ROSENBERG
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Jennifer JacksonJENNIFER JACKSON
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Kelley McCarthyKELLEY MCCARTHY
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Lorenzo SuterLORENZO SUTER
MEMBER AT LARGE END 07/22
- Total calculated
- $0
- Hours/week
- 1
-
Mona ZuffanteMONA ZUFFANTE
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Revathi TruongREVATHI TRUONG
MEMBER AT LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Tim DaughertyTIM DAUGHERTY
MEMBER AT LARGE END 07/22
- Total calculated
- $0
- Hours/week
- 1
-
Treyla LeeTREYLA LEE
MBR AT LRG/SECRETARY BEG 04/22
- Total calculated
- $0
- Hours/week
- 1
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
- NONFIXED 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
- 2022
- Filed
- 15 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202302339349300885
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