OSCEOLA COMMUNITY HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- OSCEOLA COMMUNITY HOSPITAL INC (EIN 42-0890973)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-12
- IRS object ID
- 202641329349301749
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-12T08:46:27-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 N REID PL STE 400 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571037034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420890973 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OSCE | BusinessNameControlTxt |
| Phone | 7127542574 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 9TH AVE N | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH HEITRITTER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7127542574 | PhoneNum |
| Signature | 2026-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURIE HANSON CPA | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2026-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA REGIONAL HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH HEITRITTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 9TH AVE N | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,214,222 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.OSCEOLARHC.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE TO THE CITIZENS OF OSCEOLA COUNTY AND THE SURROUNDING AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Volunteers | 72 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $470,679 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,661,898 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,877,702 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,481,952 | CYProgramServiceRevenueAmt |
| PY Investment Income | $130,713 | PYInvestmentIncomeAmt |
| CY Investment Income | $285,129 | CYInvestmentIncomeAmt |
| PY Other Revenue | $159,667 | PYOtherRevenueAmt |
| CY Other Revenue | $381,239 | CYOtherRevenueAmt |
| PY Total Revenue | $15,638,761 | PYTotalRevenueAmt |
| CY Total Revenue | $19,810,218 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,149 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $15,653 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,269,081 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,450,335 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $68,177 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,249,249 | PYOtherExpensesAmt |
| CY Other Expenses | $9,474,777 | CYOtherExpensesAmt |
| PY Total Expenses | $14,522,479 | PYTotalExpensesAmt |
| CY Total Expenses | $16,940,765 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,116,282 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,869,453 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,156,705 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,727,326 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,110,614 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,740,713 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,046,091 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,986,613 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IT IS THE MISSION OF THE OSCEOLA COMMUNITY HOSPITAL TO ENHANCE AND IMPROVE THE QUALITY OF LIFE OF THE POPULATION IT SERVES, TO BE THE AREA'S PREMIER HEALTH CARE SERVICE PROVIDER, AND TO HAVE A POSITIVE IMPACT ON THE LIVES OF THE PEOPLE AND COMMUNITY IT SERVES. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,876,079 | ExpenseAmt |
| Grant | $15,653 | GrantAmt |
| Revenue | $16,504,637 | RevenueAmt |
| Desc | OSCEOLA COMMUNITY HOSPITAL PROVIDES NURSING SERVICES, LAB, RADIOLOGY, PHYSICAL THERAPY, AND OTHER RELATED HOSPITAL FUNCTIONS TO RESIDENTS OF OSCEOLA COUNTY, IOWA, AND NEARBY COUNTIES. IN ADDITION, THE HOSPITAL PROVIDES BEHAVIORAL HEALTH SERVICES TO PROMOTE MENTAL WELLNESS, OFFER DIAGNOSIS, AND TREATMENT TO PATIENTS IN OUR AREA. HEALTH SCREENINGS, SUCH AS CHOLESTEROL AND CARDIAC, ARE PROVIDED AS WELL. THE HOSPITAL WORKS HARD TO BRING OUTREACH SPECIALISTS TO THE FACILITY TO MAKE THESE SERVICES AVAILABLE TO THOSE THAT FIND IT DIFFICULT TO TRAVEL. THE FACILITY'S WELLNESS CENTER PROVIDES PROGRAMS TO THE LOCAL SCHOOL SYSTEM, NURSING HOME FACILITIES, OUTPATIENTS, AND THE COMMUNITY AT LARGE. DURING THE 12 MONTHS OF 7/01/2024-6/30/2025, THE HOSPITAL PROVIDED $25,000 OF CHARITY CARE CHARGES TO INDIVIDUALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,090,419 | ExpenseAmt |
| Revenue | $1,038,707 | RevenueAmt |
| Desc | OSCEOLA REGIONAL HEALTH CENTER OPERATES OSCEOLA SENIOR LIVING TO ENSURE THAT HIGH QUALITY NURSING FACILITY SERVICES ARE AVAILABLE TO COMMUNITY MEMBERS IN OSCEOLA COUNTY AND NEARBY COUNTIES. OSCEOLA SENIOR LIVING CONSISTS OF TWO FACILITIES: A SENIOR LIVING CAMPUS CONSISTING OF A 46 BED LONG-TERM CARE FACILITY LOCATED ADJACENT TO THE CAMPUS OF OSCEOLA REGIONAL HEALTH CENTER, AND A 22 UNIT SENIOR COMMUNITY THAT OFFERS ASSISTED LIVING SERVICES FOR ITS RESIDENTS, PROVIDING A COMFORTABLE, SAFE, AND INCLUSIVE COMMUNITY ENVIRONMENT PROMOTING INDEPENDENCE AND PERSONAL ELDERLY CARE FOR INDIVIDUALS WHO LIVE THERE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $12,966,498 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 146 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREA JOHNSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7127542574 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 9TH AVENUE NORTH | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| JOSEPH HEITRITTER | ||||||||
| CEO | 40.00 | 0.50 | Yes (X) | $163,627 | $0 | $51,299 | ||
| TASHA JENNINGS | ||||||||
| PSYCHIATRIC MENTAL HEALTH | 40.00 | 0.00 | $125,106 | $0 | $53,441 | Yes (X) | ||
| WENDY MARCO | ||||||||
| CNO | 40.00 | 0.00 | $110,384 | $0 | $49,815 | Yes (X) | ||
| TODD HELMERS | ||||||||
| PHYSICAL THERAPIST | 40.00 | 0.00 | $128,081 | $0 | $20,340 | Yes (X) | ||
| ANDREA JOHNSON | ||||||||
| CFO | 40.00 | 0.50 | Yes (X) | $119,410 | $0 | $15,842 | ||
| AMBER BOSMA | ||||||||
| PRESIDENT | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GLORIA TORRES | ||||||||
| VICE PRESIDENT | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BRIAN MINO | ||||||||
| TREASURER | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BRAD JENSEN | ||||||||
| SECRETARY | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BILL BOER | ||||||||
| TRUSTEE | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ABBY DE ZEEUW | ||||||||
| TRUSTEE | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| BRANDON KRIKKEE | ||||||||
| TRUSTEE | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| HOLLY WILSON | ||||||||
| TRUSTEE | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHERYL PETERS | ||||||||
| TRUSTEE | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $646,608 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $190,737 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AVERA MCKENNAN | |||||
| 1325 S CLIFF AVE | SIOUX FALLS | SD | 571175045 | IT AND ADMIN SERVICES | $1,921,299 |
| MEDICAL SOLUTIONS INC | |||||
| 1010 N 102ND ST STE 300 | OMAHA | NE | 68114 | TEMP. NURSING SERVICE | $474,524 |
| JAH ANESTHESIA LLC | |||||
| 9014 W WISDOM PL | SIOUX FALLS | SD | 57106 | CRNA MEDICAL PROVIDER | $216,809 |
| QHR | |||||
| 1573 MALLORY LN STE 200 | BRENTWOOD | TN | 37027 | BILLING SERVICE | $170,750 |
| GOODCARE LLC | |||||
| 1000 N WEST AVE STE 210 | SIOUX FALLS | SD | 57104 | OCCUPATIONAL SERVICES | $166,956 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,459,416 | RelatedOrganizationsAmt |
| Government Grants | $17,416 | GovernmentGrantsAmt |
| All Other Contributions | $185,066 | AllOtherContributionsAmt |
| Noncash Contributions | $1,090,590 | NoncashContributionsAmt |
| Total Contributions | $1,661,898 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621400 | $17,145,189 | $17,145,189 |
| ANCILLARY ACTIVITY | 900099 | $336,763 | $336,763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,481,952 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,811 | TotalRevenueColumnAmt |
| Exclusion | $40,811 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $319,847 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $319,847 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $319,847 | TotalRevenueColumnAmt |
| Exclusion | $319,847 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $642,618 | SecuritiesAmt |
| Other | $5,704 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $404,004 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $238,614 | SecuritiesAmt |
| Other | $5,704 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,318 | TotalRevenueColumnAmt |
| Exclusion | $244,318 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $61,392 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,392 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,392 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,810,218 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,543,344 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $604,976 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,153 | TotalAmt |
| Program Services | $12,153 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,500 | TotalAmt |
| Program Services | $3,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,813 | TotalAmt |
| Management And General | $335,813 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,485,944 | TotalAmt |
| Program Services | $4,549,695 | ProgramServicesAmt |
| Management And General | $913,194 | ManagementAndGeneralAmt |
| Fundraising | $23,055 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,344 | TotalAmt |
| Program Services | $112,874 | ProgramServicesAmt |
| Management And General | $32,306 | ManagementAndGeneralAmt |
| Fundraising | $164 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,076,198 | TotalAmt |
| Program Services | $810,306 | ProgramServicesAmt |
| Management And General | $264,714 | ManagementAndGeneralAmt |
| Fundraising | $1,178 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,036 | TotalAmt |
| Program Services | $297,903 | ProgramServicesAmt |
| Management And General | $108,700 | ManagementAndGeneralAmt |
| Fundraising | $433 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,688 | TotalAmt |
| Management And General | $37,688 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,618 | TotalAmt |
| Management And General | $99,618 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,899,380 | TotalAmt |
| Program Services | $2,972,183 | ProgramServicesAmt |
| Management And General | $919,392 | ManagementAndGeneralAmt |
| Fundraising | $7,805 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,548 | TotalAmt |
| Program Services | $245 | ProgramServicesAmt |
| Management And General | $52,303 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,062 | TotalAmt |
| Program Services | $195,207 | ProgramServicesAmt |
| Management And General | $204,855 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,696 | TotalAmt |
| Program Services | $209,514 | ProgramServicesAmt |
| Management And General | $78,756 | ManagementAndGeneralAmt |
| Fundraising | $6,426 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,359 | TotalAmt |
| Program Services | $17,981 | ProgramServicesAmt |
| Management And General | $4,378 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,962 | TotalAmt |
| Program Services | $9,962 | ProgramServicesAmt |
| Management And General | $4,000 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,089 | TotalAmt |
| Program Services | $105,089 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $965,431 | TotalAmt |
| Program Services | $760,619 | ProgramServicesAmt |
| Management And General | $203,772 | ManagementAndGeneralAmt |
| Fundraising | $1,040 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,796 | TotalAmt |
| Program Services | $208,796 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $2,255,539 | $2,235,177 | $19,626 | $736 |
| REPAIR AND MAINTENANCE | $376,797 | $363,523 | $13,033 | $241 |
| DUE AND SUBSCRIPTION | $89,639 | $37,769 | $51,870 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,173 | TotalAmt |
| Program Services | $64,002 | ProgramServicesAmt |
| Management And General | $562,072 | ManagementAndGeneralAmt |
| Fundraising | $27,099 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,940,765 | TotalAmt |
| Program Services | $12,966,498 | ProgramServicesAmt |
| Management And General | $3,906,090 | ManagementAndGeneralAmt |
| Fundraising | $68,177 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,629,240 | BOYAmt |
| EOY | $3,474,490 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,048 | BOYAmt |
| EOY | $59,809 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,201,291 | BOYAmt |
| EOY | $2,107,840 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,969 | BOYAmt |
| EOY | $199,081 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,987 | BOYAmt |
| EOY | $147,723 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,095,181 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,322,617 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,673,183 | BOYAmt |
| EOY | $6,772,564 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,158,923 | BOYAmt |
| EOY | $10,007,713 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,977,501 | BOYAmt |
| EOY | $3,865,123 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,062 | BOYAmt |
| EOY | $78,229 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,501 | BOYAmt |
| EOY | $14,754 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,156,705 | BOYAmt |
| EOY | $26,727,326 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,451,721 | BOYAmt |
| EOY | $1,486,759 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,258,162 | BOYAmt |
| EOY | $3,061,784 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,731 | BOYAmt |
| EOY | $1,192,170 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,110,614 | BOYAmt |
| EOY | $5,740,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,035,486 | BOYAmt |
| EOY | $20,984,304 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,605 | BOYAmt |
| EOY | $2,309 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,046,091 | BOYAmt |
| EOY | $20,986,613 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,156,705 | BOYAmt |
| EOY | $26,727,326 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,869,453 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $995,801 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $75,268 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $298,362 | OtherCostOrOtherBasisAmt |
| Book Value | $298,362 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,944,317 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,466,010 | DepreciationAmt |
| Book Value | $4,478,307 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,178,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,295,040 | DepreciationAmt |
| Book Value | $1,883,850 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $673,612 | OtherCostOrOtherBasisAmt |
| Depreciation | $561,567 | DepreciationAmt |
| Book Value | $112,045 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,772,564 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INTEREST IN AVERA HEALTH FOUNDATION | $3,522,343 | F |
| INVESTMENT IN COUNTRY VIEW MANOR | $342,000 | F |
| OTHER INVESTMENTS | $780 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,865,123 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENT | $759,883 |
| FINANCE LEASE LIABILITY | $417,225 |
| OPERATING LEASE LIABILITY | $15,062 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,192,170 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,037,006 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $995,801 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $718,225 | OtherRevenueAmt |
| Revenue Not Reported | $1,714,026 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,322,980 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,487,238 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,487,238 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,810,218 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,493,676 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $664,292 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $664,292 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,829,384 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $111,381 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $111,381 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,940,765 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HEALTH 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 HEALTH 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. THE HEALTH CENTER AND AFFILIATE'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | HEARTWOOD HEIGHTS REVENUE 718,225. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS WITH DONOR RESTRICTIONS 27,822. CONTRIBUTION OF HEARTWOOD HEIGHTS 1,459,416. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | HEARTWOOD HEIGHTS EXPENSE 664,292. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY ACTIVITY NOT RECORDED ON AUDIT 111,381. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,815 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $85,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,453,652 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,912,889 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $540,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03190 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,230 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,571,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,912,889 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $658,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03890 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,596,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,912,889 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $683,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $213,049 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $50,109 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,872,971 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,899,146 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$26,175 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 NINTH AVENUE NORTH | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.OSCEOLARHC.ORG/ | WebsiteAddressTxt |
| State License | 720109H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | ONE PROVIDER BASED CLINIC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE 7D | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V SECTION B | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V SECTION B | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/PAY-MY-BILL/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/PAY-MY-BILL/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/PAY-MY-BILL/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| OSCEOLA COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: THE ASSESSMENT WAS CONDUCTED BY OSCEOLA REGIONAL HEALTH CENTER AND OSCEOLA COMMUNITY HEALTH SERVICES, WHICH ALSO PROVIDED THE FINANCIAL AND IN-KIND SUPPORT FOR THE ASSESSMENT PROCESS. SINCE THE GREATEST PORTION OF THE ORGANIZATION'S PATIENTS AND CUSTOMERS RESIDE IN OSCEOLA AND LYON COUNTIES, PEOPLE FROM THOSE COMMUNITIES WERE SPECIFICALLY ASKED TO PROVIDE FEEDBACK VIA PAPER/ONLINE SURVEYS. TO ENSURE ALL AGE GROUPS AND INCOME LEVELS WERE ABLE TO PROVIDE HONEST FEEDBACK, PARTICIPANTS WERE ASKED TO TAKE THE TIME TO SUBMIT A THOUGHTFUL SURVEY. THE SURVEYS WERE SUBMITTED BY REPRESENTATIVES FROM THE MEDICAL COMMUNITY AND CIVIC ORGANIZATIONS, BUSINESS OWNERS, FARMERS, PUBLIC HEALTH OFFICIALS, EMTS, FIREFIGHTERS, CITY AND COUNTY OFFICIALS, SIBLEY-OCHEYEDAN SCHOOL PERSONNEL AND PARENTS, MENTAL HEALTH PROVIDERS, SUBSTANCE ABUSE AND MENTAL HEALTH COUNSELORS, MINISTERIAL ASSOCIATION MEMBERS, BOARD OF TRUSTEE MEMBERS, PATIENTS, PEOPLE REPRESENTING THE UNINSURED/UNDERINSURED POPULATION AND PEOPLE REPRESENTING THOSE IN MOST NEED OF ASSISTANCE IN OUR SERVICE AREA. ALL AGE GROUPS AND INCOME LEVELS WERE REPRESENTED. A TOTAL OF 201 SURVEYS WERE COMPLETED FROM SEPTEMBER 20, 2024 TO DECEMBER 31, 2024. SPECIAL ATTENTION WAS TAKEN THROUGHOUT THE PRIMARY DATA COLLECTION PROCESS TO ENSURE THE HOSPITAL'S ASSESSMENT TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH. A SMALL GROUP MEETING WAS SET UP TO LET SENIORS FROM ALL OVER OSCEOLA COUNTY PROVIDE FEEDBACK. PAPER/ONLINE SURVEYS IN BOTH ENGLISH AND SPANISH WERE TAKEN TO VARIOUS LOCATIONS AND EVENTS (WIC CLINICS, FOOD BANKS, DINNER DATES, LUNCH & LEARNS, LIBRARIES, ETC.) IN THE TOWNS OF SIBLEY, MELVIN, OCHEYEDAN, ASHTON, LITTLE ROCK AND GEORGE, ALL IN IOWA. INFORMATION ABOUT THE CHNA WAS INCLUDED IN OUR ANNUAL REPORT WHICH WAS DIRECTLY MAILED TO ALL HOMES IN THE FOLLOWING TOWNS IN IOWA: ARCHER, ASHTON, GEORGE, HARRIS, LITTLE ROCK, MELVIN, OCHEYEDAN, SANBORN, SIBLEY AND LAKE PARK; AS WELL AS THE FOLLOWING TOWNS IN MINNESOTA: BIGELOW, ELLSWORTH, ROUND LAKE AND RUSHMORE. ADVERTISEMENTS AND PRESS RELEASES WITH A LINK TO THE ONLINE SURVEY RAN IN LOCAL NEWSPAPERS OF THE FOLLOWING TOWNS: SIBLEY, MELVIN, OCHEYEDAN, GEORGE AND LITTLE ROCK. ADDITIONAL SUPPORT IN DISTRIBUTION OF THE SURVEYS WAS PROVIDED BY THE SIBLEY-OCHEYEDAN SCHOOL DISTRICT, BRIGHT BEGINNINGS DAYCARE, SIBLEY CHAMBER OF COMMERCE AND OSCEOLA MINISTERIAL ASSOCIATION. |
| OSCEOLA COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: OSCEOLA COMMUNITY HEALTH SERVICES |
| OSCEOLA COMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/OSCEOLA-COUNTY-CHNA/ |
| OSCEOLA COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS COMPLETED DURING FY25 (CALENDAR YEAR 2024), THE FOLLOWING HEALTH NEED PRIORITIES WERE IDENTIFIED: MENTAL HEALTH/BEHAVIORAL HEALTH ACCESS TO SPECIALTY CARE COMMUNITY WELLNESS/EDUCATION/PREVENTION FOOD INSECURITY - NON-HEALTHCARE AFFORDABLE HOUSING - NON-HEALTHCAREFOLLOWING ARE THE ACTIONS THAT OCH TOOK DURING THE YEAR TO ADDRESS NEEDS IDENTIFIED IN ITS FY25 CHNA:MENTAL HEALTH/BEHAVIORAL HEALTH: OSCEOLA REGIONAL HEALTH CENTER RECOGNIZES THAT MENTAL HEALTH IS AN ESSENTIAL PART OF OVERALL WELLNESS AND OUR TEAM IS COMMITTED TO PROVIDING PERSONALIZED CARE THAT MEETS INDIVIDUALS WHERE THEY ARE. BY PRIORITIZING ACCESS, EDUCATION AND EARLY INTERVENTION, OSCEOLA REGIONAL HEALTH CENTER CONTINUES TO OFFER BEHAVIORAL HEALTH SUPPORT BECAUSE CARING FOR THE MIND IS JUST AS IMPORTANT AS CARING FOR THE BODY. IN JUNE 2025, OSCEOLA REGIONAL HEALTH CENTER HIRED A SECOND PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER (PMHNP) TO MEET THE ONGOING NEEDS OF THE COMMUNITY. THE PMHNP PROMOTES MENTAL WELLNESS BY OFFERING COMMUNITY EDUCATION AT EVENTS AT A LOCAL BUSINESS TO EDUCATE THE PUBLIC ON THE IMPORTANCE OF MENTAL HEALTH IN OUR COMMUNITY. OUR BEHAVIORAL HEALTH TEAM HAS HOSTED FREE LUNCH AND LEARN EVENTS SPECIFICALLY ABOUT MENTAL HEALTH (INCLUDING TOPICS: DESTIGMATIZING MENTAL HEALTH, ADDICTION, SUICIDE PREVENTION AND MORE). THEY ALSO PROVIDED ARTICLES TO OUR ONLINE BLOG AND TO THE LOCAL NEWSPAPERS OFFERING INSIGHTS TO ONES MENTAL HEALTH AND HOW TO GET SUPPORT. OUR PMHNP WAS ABLE TO CONTINUE TO PROVIDE BEHAVIORAL HEALTH SERVICES THROUGH OUTREACH OPPORTUNITIES AT AREA SCHOOLS AND NURSING HOMES. IN ADDITION TO OUR OWN BEHAVIORAL HEALTH STAFF, OSCEOLA REGIONAL HEALTH CENTER CONTINUES TO PARTNER WITH INTERCONNECTIONS THERAPY TO HAVE A FULL-TIME MENTAL HEALTH COUNSELOR WHO PROVIDES INDIVIDUAL, FAMILY, AND COUPLES THERAPY/COUNSELING.PROVIDING ACCESS TO HIGH-QUALITY SPECIALIZED SERVICES IS ONE OF OUR TOP PRIORITIES. WE WILL CONTINUE TO STRIVE TOWARD EXPANDING AND IMPROVING ACCESS TO SPECIALTY CARE IN OSCEOLA COUNTY. CURRENTLY, OUR TEAMS HAVE FURTHERED THEIR EDUCATION, TRAINING AND CERTIFICATIONS TO ENSURE WE CAN SAFELY AND EFFECTIVELY INTRODUCE NEW SERVICES RIGHT HERE IN SIBLEY. OUR PHYSICAL THERAPY DEPARTMENT BEGAN OFFERING A FULL RANGE OF PEDIATRIC THERAPY SERVICES AND ALSO BEGAN OFFERING NEUROLOGICAL REHABILITATION SERVICES UTILIZING THE LSVT BIG AND LSVT LOUD TREATMENT PROGRAMS DURING THE CURRENT FISCAL YEAR. OSCEOLA REGIONAL HEALTH CENTER IS COMMITTED TO FOSTERING COMMUNITY HEALTH THROUGH PREVENTION, EDUCATION AND WELLNESS INITIATIVES. BY COLLABORATING WITH LOCAL ORGANIZATIONS, SCHOOLS AND REGIONAL PARTNERS, THE HOSPITAL AND PUBLIC HEALTH PROMOTES HEALTHIER LIFESTYLES, REDUCES CHRONIC DISEASE RISK AND ENHANCES OVERALL WELLBEING. OSCEOLA REGIONAL HEALTH CENTER AND AVERA MEDICAL GROUP SIBLEY CONTINUE TO WORK TOGETHER TO HOST COMMUNITY 5K RUN/ WALKS TO PROMOTE PHYSICAL ACTIVITY ACROSS ALL AGES, ALONG WITH BRINGING AWARENESS TO THE COMMUNITY OF CERTAIN DISEASES (E.G. PINK PUMPKIN 5K RUN/WALK/BIKE IN OCTOBER PROMOTES BREAST CANCER AWARENESS). LUNCH AND LEARN PROGRAMS WERE OFFERED TO PROVIDE NO-COST HEALTH EDUCATION, ACCESSIBLE IN-PERSON AND VIA LIVESTREAM, EDUCATING THE PUBLIC ON DIVERSE HEALTH TOPICS. OSCEOLA COMMUNITY HEALTH SERVICES OFFERS IMMUNIZATIONS, MATERNAL AND CHILD HEALTH SERVICES, FOOT CARE CLINICS, COMMUNITY EDUCATION AND HOMEMAKER SUPPORT PROGRAMS TO ADVANCE PREVENTION AND PROMOTE HEALTH. OSCEOLA REGIONAL HEALTH CENTER ALSO HAD AN OPPORTUNITY TO PARTNER WITH HIGH SCHOOL BIOLOGY AND HEALTH SCIENCE CLASSES TO PROVIDE EXPERIENTIAL LEARNING OPPORTUNITIES WITHIN THE HOSPITAL'S WELLNESS CENTER, EMPHASIZING DISEASE PREVENTION AND POPULATION HEALTH.NON-HEALTHCARE FOOD INSECURITY: FOOD INSECURITY CONTINUES TO BE A SIGNIFICANT PUBLIC HEALTH CONCERN IN OSCEOLA COUNTY AND SURROUNDING COMMUNITIES, IMPACTING FAMILIES, SENIORS AND INDIVIDUALS WITH LIMITED INCOME. LIMITED ACCESS TO AFFORDABLE, NUTRITIOUS FOOD CONTRIBUTES TO CHRONIC HEALTH CONDITIONS SUCH AS OBESITY, DIABETES AND HEART DISEASE, WHILE ALSO AFFECTING CHILD DEVELOPMENT, EDUCATIONAL OUTCOMES AND OVERALL COMMUNITY WELL-BEING. RURAL BARRIERS (INCLUDING TRANSPORTATION CHALLENGES, LACK OF GROCERY OPTIONS AND RELIANCE ON FOOD PANTRIES) FURTHER COMPOUND THE PROBLEM. OSCEOLA REGIONAL HEALTH CENTER WILL FOSTER A FOCUS ON INCREASING AWARENESS ON FOOD RESOURCES AND PARTNERSHIPS TO INCREASE FOOD COLLECTION TO DECREASE FOOD INSECURITIES THROUGHOUT THE SERVICE AREA. OSCEOLA REGIONAL HEALTH CENTER ORGANIZES INTERNAL FOOD DRIVES, WITH ALL COLLECTED DONATIONS DIRECTED TO FOOD BANKS SERVING OSCEOLA COUNTY. NON-HEALTHCARE HOUSING: WHILE NOT A DIRECT HEALTH SERVICE PROVIDED AT OSCEOLA REGIONAL HEALTH CENTER, HOUSING CONTINUES TO BE A SIGNIFICANT NEED RELATED TO POPULATION HEALTH AND COMMUNITY VITALITY. ENSURING SUSTAINABLE HOUSING SUPPORTS THE OVERALL WELL-BEING OF OSCEOLA COUNTY RESIDENTS AND STRENGTHENS THE CONTINUUM OF CARE. IN PARTNERSHIP WITH THE SIBLEY HOUSING AND DEVELOPMENT CORPORATION, LOCAL LEADERS AND COMMUNITY PARTNERS, A COMPREHENSIVE PLAN IS UNDERWAY TO IDENTIFY OPPORTUNITIES THAT ADDRESS GAPS IN AFFORDABLE HOUSING WITHIN THE COMMUNITIES. OSCEOLA REGIONAL HEALTH CENTER IS ENGAGED IN THE SIBLEY HOUSING AND DEVELOPMENT CORPORATION TO OVERSEE HOUSING AND COMMUNITY DEVELOPMENT EFFORTS. IN APRIL OF 2025, OSCEOLA REGIONAL HEALTH CENTER FINALIZED THE ACQUISITION OF A LOCAL NURSING HOME. THIS EFFORT AIMS TO KEEP THE FACILITY OPERATIONAL, ENSURING ELDERLY RESIDENTS HAVE A PLACE TO RELOCATE WHILE PREVENTING DISRUPTION OF CARE. WHILE ALL IDENTIFIED NEEDS ARE IMPORTANT, OSCEOLA REGIONAL HEALTH CENTER WILL NOT ADDRESS THE FOLLOWING NEEDS AS PART OF ITS IMPLEMENTATION STRATEGY:-ACCESS TO DENTAL CARE: OSCEOLA COUNTY IS IN NEED OF DENTAL CARE OPTIONS. OSCEOLA REGIONAL HEALTH CENTER HAS BEEN COMMITTED TO AND WILL CONTINUE TO SEEK OUT OPPORTUNITIES TO HELP PROVIDE DENTAL CARE TO OUR AREA.-TRANSPORTATION: OSCEOLA REGIONAL HEALTH CENTER RECOGNIZES THE COMMUNITY EXPRESS BUS AS A VALUABLE RESOURCE IN ADDRESSING TRANSPORTATION BARRIERS, PARTICULARLY FOR INDIVIDUALS NEEDING ACCESS TO MEDICAL APPOINTMENTS. OSCEOLA REGIONAL HEALTH CENTER SUPPORTS THIS SERVICE AS PART OF ITS COMMITMENT TO IMPROVING ACCESS TO CARE AND FOOD INSECURITY HEALTH NEEDS. THE COMMUNITY EXPRESS BUS OPERATES AS A NON-PROFIT ENTITY, RELYING PRIMARILY ON DONATIONS FROM LOCAL ORGANIZATIONS AND INDIVIDUALS TO REMAIN SUSTAINABLE. WHILE THE BUS PLAYS A MEANINGFUL ROLE IN SUPPORTING COMMUNITY HEALTH, OSCEOLA REGIONAL HEALTH CENTER HAS ELECTED NOT TO PRIORITIZE THIS TOPIC WITHIN THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE. NONETHELESS, THE OSCEOLA REGIONAL HEALTH CENTER REMAINS COMMITTED TO ONGOING SUPPORT FOR THE PROGRAM AS PART OF ITS BROADER MISSION TO REDUCE NON-MEDICAL BARRIERS TO CARE. |
| OSCEOLA COMMUNITY HOSPITAL | PART V, SECTION B, LINE 13H: THE HOSPITAL WILL PRESUMPTIVELY DETERMINE THAT AN INDIVIDUAL QUALIFIES FOR 100% FINANCIAL ASSISTANCE IF THE HOSPITAL OR ITS AGENT OBTAINS EVIDENCE OF ANY OF THE FOLLOWING SITUATIONS. IF A PERSON IS PRESUMPTIVELY DETERMINED TO QUALIFY, THE HOSPITAL WILL SEND A WRITTEN NOTICE INFORMING THE INDIVIDUAL THAT THEIR LIABILITY HAS BEEN FORGIVEN AND NO FURTHER PAYMENTS ARE DUE.- HOMELESSNESS OR RECEIVED CARE FROM A HOMELESS CLINIC;- NO INCOME;- PARTICIPATE IN THE WOMEN'S, INFANT'S, AND CHILDREN'S PROGRAM ("WIC");- ELIGIBLE FOR FOOD STAMPS;- PARTICIPATE IN A SUBSIDIZED SCHOOL LUNCH PROGRAM;- ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED, SUCH AS MEDICAID SPEND-DOWN;- FAMILY OR FRIENDS OF THE INDIVIDUAL PROVIDE INFORMATION ESTABLISHING THE INDIVIDUAL'S INABILITY TO PAY;- LOW-INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS;- PATIENT IS DECEASED WITH NO KNOWN ESTATE; OR- PATIENT/GRANTOR IS INCARCERATED, HAS NO ASSETS, AND IS NOT ELIGIBLE FOR PAROLE WITHIN THE NEXT 18 MONTHS. |
| PART V, SECTION B, LINE 10A | THE IMPLEMENTATION STRATEGY IS AVAILABLE AT: HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/OSCEOLA-COUNTY-CHNA/ |
| PART V, SECTION B, LINE 7B | THE COMMUNITY HEALTH NEEDS ASSESSMENT (AS WELL AS THE IMPLEMENTATION STRATEGY) CAN ALSO BE FOUND AT: HTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - OSCEOLA SENIOR LIVING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 NINTH AVENUE NORTH | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | LONG-TERM CARE FACILITY, NURSING FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO USING FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE FACILITY USES AN ASSET TEST AND MAY PROVIDE PRESUMPTIVE ELIGIBILITY IF WARRANTED. |
| PART I, LINE 6A: | THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN A REPORT PREPARED BY THE IOWA HOSPITAL ASSOCIATION, RATHER THAN IN A SEPARATE REPORT PREPARED BY THE ORGANIZATION. THIS REPORT IS MADE AVAILABLE BY THE IOWA HOSPITAL ASSOCIATION TO THE PUBLIC THROUGH THEIR WEBSITE.HTTPS://WWW.IHAONLINE.ORG/INFORMATION/ECONOMIC-IMPACT-COMMUNITY-BENEFITS/FIND-REPORTS/ |
| PART I, LINE 7: | CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR LINE 7E AND 7I.LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. |
| PART III, LINE 2: | THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. |
| PART III, LINE 3: | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN 2024. THEREFORE, 23.52% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. |
| PART III, LINE 4: | THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS ON PAGE 13 AND 14 OF THE ATTACHED AUDIT REPORT. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/25. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.HOSPITAL SERVICES REIMBURSED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATION PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED THE HOSPITAL WOULD HAVE HAD A GREATER LOSS FROM MEDICARE SERVICES OF $182,760.MEDICARE FEE SCHEDULE REVENUE: $184,196MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS $(366,956)NET (SHORTAGE) $(182,760) |
| PART III, LINE 9B: | ACCOUNTS THAT MEET THE CRITERIA FOR THE FINANCIAL ASSISTANCE POLICY WILL BE WRITTEN OFF IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS THAT DO NOT MEET THE CRITERIA FOR FINANCIAL ASSISTANCE WILL PROCEED THROUGH THE COLLECTION PROCESS. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT AN ACCOUNT IN COLLECTION BELONGS TO A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT WILL BE REMOVED FROM COLLECTION AND RETURNED TO THE HOSPITAL FOR RESOLUTION. |
| PART VI, LINE 2: | THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH FORMAL PROCESSES THAT INCLUDE MEETINGS, SURVEY AND COMMUNITY INPUT PRIOR TO UNDERTAKING ANY LARGE PROJECTS. THROUGHOUT THE YEAR, COMMUNITY NEEDS ARE ASSESSED INFORMALLY AT VARIOUS COMMUNITY MEETINGS AND THROUGH PATIENT SURVEYS. THE ORGANIZATION ALSO ASSISTS THE HOME HEALTH DEPARTMENT/PUBLIC HEALTH WITH A COMMUNITY NEEDS ASSESSMENT AND INFORMATION FROM THE CHNA IS UTILIZED TO HELP PLAN SERVICES THE ORGANIZATION OFFERS. |
| PART VI, LINE 3: | DURING THE COURSE OF PRE-REGISTRATION A MODE OF PAYMENT IS RECORDED ON THE ADMISSION FORM. IF INSURANCE IS INDICATED, BENEFITS ARE REQUESTED FROM THE INSURANCE COMPANY. IF IT IS NOTED THAT THE ACCOUNT HAS A LARGE DEDUCTIBLE OR IS SELF-PAY, THE INFORMATION IS FORWARDED TO THE COLLECTION STAFF AND SOCIAL SERVICES. OPTIONS FOR HANDLING PAYMENT OF THE ACCOUNT ARE THEN DISCUSSED WITH THE PATIENT OR THE RESPONSIBLE PARTY. IF THE PATIENT OR RESPONSIBLE PARTY IS NOT AVAILABLE AT THE TIME THE INFORMATION IS RECEIVED BY THE BUSINESS OFFICE OR SOCIAL SERVICE STAFF, EFFORTS TO CONTACT THEM INCLUDE PHONE AND WRITTEN CORRESPONDENCE. IF THE PARTY DOES NOT RESPOND, THE ACCOUNT IS HANDED OVER TO THE COLLECTION AREA. THIS PROCESS OFTEN REQUIRES A COMBINATION OF BUSINESS OFFICE AND SOCIAL SERVICE STAFF WORKING TOGETHER.OPTIONS FOR ANY SELF-PAY OBLIGATIONS INCLUDE PAYMENT IN FULL, PAYMENT PLANS, VARIOUS ASSISTANCE PROGRAMS, AND THE FINANCIAL ASSISTANCE OFFERED BY OSCEOLA COMMUNITY HOSPITAL'S CHARITY CARE. INFORMATION REGARDING THESE OPTIONS IS MADE AVAILABLE AT THIS TIME.DURING THE DISCUSSIONS, INFORMATION IS REQUESTED TO ASSESS AND APPROVE FINANCIAL STATUS IF PAYMENTS, PROGRAM APPLICATION, OR CHARITY ARE INDICATED. ASSISTANCE IS OFFERED FOR COMPLETION OF APPLICATIONS AND INSTRUCTIONS ARE GIVEN FOR COMPLETION OF FINANCIAL ASSESSMENTS. PARTICULAR ACCOUNTS MAY ALSO BE BROUGHT TO THE ATTENTION OF THE BUSINESS OFFICE OR SOCIAL SERVICES BY THE COLLECTIONS STAFF, PATIENTS THEMSELVES, OR RELATIVES OF PATIENTS. THIS USUALLY OCCURS WHEN THE CIRCUMSTANCES OF THE PATIENT CHANGES AFTER A TIME PERIOD HAS PASSED. WHEN NOTIFICATION IS RECEIVED, THESE CASES ARE REASSESSED. |
| PART VI, LINE 4: | SIBLEY IS LOCATED IN OSCEOLA COUNTY IOWA. SIBLEY HAS A POPULATION OF 2,749. IT IS ALSO THE COUNTY SEAT OF OSCEOLA COUNTY. SIBLEY IS CURRENTLY DECLINING AT A RATE OF 0.69% ANNUALLY AND ITS POPULATION HAS DECREASED BY 3.98% SINCE THE MOST RECENT CENSUS. THE MEDIAN HOUSEHOLD INCOME IN SIBLEY IS $55,070 WITH A POVERTY RATE OF 23.52%. THE MEDIAN AGE IN SIBLEY IS 37.1 YEARS. |
| PART VI, LINE 5: | OSCEOLA COMMUNITY HOSPITAL IS FOCUSED ON SERVING THE NEEDS OF THE COMMUNITY. THE GOVERNING BODY OF THE HOSPITAL IS MADE UP ENTIRELY OF VOLUNTEERS FROM THE COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY. EXCESS FUNDS ARE USED FOR THE IMPROVEMENT OF PATIENT CARE AND FACILITIES. THE HOSPITAL IS CONTRACTED WITH SEVERAL HIGHER LEARNING HEALTH CARE RELATED INSTITUTIONS TO BE A CLINICAL SITE FOR VARIOUS HEALTH CARE FIELDS. THE FACILITY IS OPEN TO ANYONE WHO WANTS TO LEARN ABOUT CAREERS IN THE HEALTH CARE INDUSTRY THROUGH THE CLINICAL PROGRAM AND THROUGH A HIGH SCHOOL SHADOWING PROGRAM. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ADMINISTRATION IS VERY RECEPTIVE TO INPUT FROM THE COMMUNITY. OSCEOLA COMMUNITY HOSPITAL DEDICATES RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU SHOT CLINICS, BLOOD DRIVES, COMMUNITY HEALTH EDUCATION AND VARIOUS OTHER ACTIVITIES. WE ALSO HAVE A FITNESS CENTER SO PATIENTS AND THE COMMUNITY CAN MAINTAIN A HEALTHY LIFESTYLE. |
| PART VI, LINE 6: | OSCEOLA COMMUNITY HOSPITAL IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND OSCEOLA COMMUNITY HOSPITAL WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY THE HOSPITAL. OSCEOLA COMMUNITY HOSPITAL ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO THE HOSPITAL AT A COST BELOW THAT WHICH OSCEOLA COMMUNITY HOSPITAL COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE. AVERA HEALTH AND OSCEOLA COMMUNITY HOSPITAL DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, COMMUNITY HEALTH EDUCATION AND VARIOUS OTHER ACTIVITIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH HEITRITTER | ||||||||||||||
| CEO | $157,516 | $0 | $5,000 | $0 | $1,111 | $0 | $5,209 | $0 | $46,802 | $0 | $215,638 | $0 | $0 | $0 |
| TASHA JENNINGS | ||||||||||||||
| PSYCHIATRIC MENTAL HEALTH | $101,708 | $0 | $3,750 | $0 | $19,648 | $0 | $4,150 | $0 | $50,113 | $0 | $179,369 | $0 | $0 | $0 |
| WENDY MARCO | ||||||||||||||
| CNO | $110,354 | $0 | $0 | $0 | $30 | $0 | $3,615 | $0 | $47,022 | $0 | $161,021 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | ORHC PAID THE FAMILY MEMBERSHIP DUES TO THE SIBLEY MUNICIPAL GOLF COURSE FOR THE CEO. THE BENEFIT WAS INCLUDED IN TAXABLE INCOME ON CEO'S W-2. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF SIBLEYIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 426005203 | BondIssuerEIN |
| Bond Issued | 2016-02-24 | BondIssuedDt |
| Issue Price | $4,776,000 | IssuePriceAmt |
| Purpose | TO REFINANCE SERIES 2001 AND 2007 BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,662,874 | RetiredAmt |
| Total Proceeds | $4,776,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $95,520 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $4,680,101 | OtherSpentProceedsAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Securities Closely Held Stock SecuritiesCloselyHeldStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $12,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | ESTIMATED VALUE | MethodOfDeterminingRevenuesTxt |
Real Estate Residential RealEstateResidentialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,029,533 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | BOOK VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | EQUIPMENT | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $49,057 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | BOOK VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | IN APRIL, 2025 THE ORGANIZATION BEGAN OFFERING LONG-TERM CARE SERVICES THROUGH ITS SUBSIDIARY, OSCEOLA SENIOR LIVING, LLC. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE ORGANIZATION. THE PRESIDENT SHALL SERVE AS THE CHAIR OF THE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF TRUSTEES, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF TRUSTEES, AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 6 | REGULAR MEMBERS ARE THOSE PERSONS, CORPORATIONS, ASSOCIATIONS OR PARTNERSHIPS WHO HAVE CONTRIBUTED AND PAID INTO THE CORPORATION A MINIMUM OF $100 OR MORE TO FURTHER THE OBJECTIVES OF THE CORPORATION. MEMBERSHIP SHALL BE LIFELONG AND NONTRANSFERABLE. EACH MEMBER WHOSE NAME IS ENDORSED ON THE MEMBERSHIP CERTIFICATES SHALL BE QUALIFIED TO ORIGINATE AND TAKE PART IN THE DISCUSSION OF ANY SUBJECT THAT MAY PROPERLY COME BEFORE THE ANNUAL MEETING OF THE CORPORATION, TO VOTE ON SUCH SUBJECTS, AND TO HOLD ANY OFFICE TO WHICH THE MEMBER MAY TO ELECTED OR APPOINTED. NO EMPLOYEE OR EMPLOYEE'S SPOUSE OF THE CORPORATION MAY BE ELECTED TO THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7A | TRUSTEES ARE ELECTED TO THE BOARD OF TRUSTEES FROM THE MEMBERS AT THE ANNUAL MEETING OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT OF THE HOSPITAL. A COPY OF THE 990 WILL BE PROVIDED TO BOARD MEMBERS PRIOR TO FILING IT WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR/TRUSTEE, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF A FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE DIRECTORS/TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER THE INTERESTED PERSON LEAVES THE MEETING, THE REMAINING BOARD OR COMMITTEE MEMBERS WILL DISCUSS AND VOTE UPON WHETHER A CONFLICT OF INTEREST EXISTS. ALSO, IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A DIRECTOR, TRUSTEE, OR MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN IF NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | A COMPENSATION SPECIALIST REVIEWS THE COMPENSATION WITH THE BOARD OF TRUSTEES ANNUALLY. THE SPECIALIST REVIEWS MARKET VALUE AND PRESENTS A RECOMMENDATION TO THE BOARD OF TRUSTEES. THE BOARD MAKES THEIR DECISION ON THE INFORMATION PRESENTED. THE COMPENSATION REVIEW PROCESS IS COMPLETED ANNUALLY FOR ALL OFFICERS AND TOP MANAGEMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND THE FORM 990 IS AVAILABLE AT THE ANNUAL MEETING AND UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,525,859. MANAGEMENT AND GENERAL EXPENSES 919,392. FUNDRAISING EXPENSES 7,805. TOTAL EXPENSES 2,453,056. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,446,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,446,324. |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS -36,118. AUXILIARY ACTIVITY NOT RECORDED ON AUDIT 111,386. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA SENIOR LIVING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CEDAR LANE | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331631440 | EIN |
| Primary Activities | NURSING HOME, CARE CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Total Income | $1,038,707 | TotalIncomeAmt |
| End Of Year Assets | $1,432,303 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEARTWOOD HEIGHTS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 9TH AVE NORTH | AddressLine1Txt |
| City | SIBLEY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421495686 | EIN |
| Primary Activities | INDEPENDENT;ASSISTED LIVING | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | PF | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSCEOLA COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEARTWOOD HEIGHTS | ||
| Q | $114,624 | ACTUAL COST |
| HEARTWOOD HEIGHTS | ||
| B | $12,459,416 | BOOK VALUE |
| HEARTWOOD HEIGHTS | ||
| O | $311,798 | ACTUAL COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART II | FormAndLineReferenceDesc |
| Explanation | HEARTWOOD HEIGHTS DISSOLVED APRIL, 2025. | ExplanationTxt |
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