MANNING REGIONAL HEALTHCARE CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MANNING REGIONAL HEALTHCARE CENTER (EIN 39-1902797)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201321359349306467
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T14:03:11-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN476097913EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1
CityOMAHACity
StateNEState
ZIP Code680224722ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391902797EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MANNING REGIONAL HEALTHCARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMANNNameControl
Phone7126552072Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 MAIN STREETAddressLine1
CityMANNINGCity
StateIAState
ZIP Code51455ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameABBEY STANGLName
TitleCFOTitle
Phone7126552072Phone
Date Signed2013-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J FAJENName
PTINP00400874PTIN
Phone4023302660Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonABBEY STANGLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1410 MAIN STREETAddressLine1
CityMANNINGCity
StateIAState
ZIP Code51455ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14342849GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MRHCIA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionMANNING REGIONAL HEALTHCARE CENTER (MRHC) IS A LICENSED CRITICAL ACCESS HOSPITAL THAT PROVIDES THE FOLLOWING HEALTHCARE SERVICES FOR THE MANNING, IA AND SURROUNDING COMMUNITIES: ACUTE AND SKILLED CARE, EMERGENCY CARE, OUTPATIENT SPECIALTY CLINICS, NURSING HOME CARE, SURGERY, ANCILLARY SERVICES (I.E. - LABORATORY AND RADIOLOGY), HOME HEALTH CARE, AND SUBSTANCE ABUSE TREATMENT. MRHC HAS 17 LICENSED SWING-BEDS USED FOR ACUTE AND SKILLED CARE, 13 LICENSED, PARTIAL-RESIDENTIAL, SUBSTANCE ABUSE TREATMENT BEDS (UNDER THE MANNING FAMILY RECOVERY CENTER - A DISTINCT PART UNIT), AND 56 LICENSED LONG-TERM CARE BEDS (UNDER THE MANNING PLAZA). ALL THE MRHC ACTIVITIES ARE PROVIDED BY LICENSED PROFESSIONALS AS REQUIRED BY THE REGULATIONS GOVERNING A HOSPITAL AND NURSING HOME. MRHC PROVIDES FAMILY PRACTICE PHYSICIAN SERVICES AT THE MANNING REGIONAL HEALTHCARE CLINIC.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees223TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year340552ContributionsGrantsPriorYear
Contributions Grants Current Year396177ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12032139ProgramServiceRevenuePriorYear
Program Service Revenue CY13868417ProgramServiceRevenueCY
Investment Income Prior Year27000InvestmentIncomePriorYear
Investment Income Current Year24386InvestmentIncomeCurrentYear
Other Revenue Prior Year63014OtherRevenuePriorYear
Other Revenue Current Year53692OtherRevenueCurrentYear
Total Revenue Prior Year12462705TotalRevenuePriorYear
Total Revenue Current Year14342672TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6108052SalariesEtcPriorYear
Salaries Etc Current Year7225297SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5339065OtherExpensePriorYear
Other Expenses Current Year5447368OtherExpensesCurrentYear
Total Expenses Prior Year11447117TotalExpensesPriorYear
Total Expenses Current Year12672665TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1015588RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1670007RevenuesLessExpensesCY
Total Assets BOY11296522TotalAssetsBOY
Total Assets EOY12968312TotalAssetsEOY
Total Liabilities BOY3171595TotalLiabilitiesBOY
Total Liabilities EOY3175017TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8124927NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9793295NetAssetsOrFundBalancesEOY
Mission DescriptionMANNING REGIONAL HEALTHCARE CENTER (MRHC) WILL PROVIDE A COMPASSIONATE, HOLISTIC HEALTH CARE EXPERIENCE THE COMMUNITY CAN TRUST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7021616Expense
Revenue7890316Revenue
DescriptionTHE MANNING GENERAL HOSPITAL IS A 17-BED FACILITY FEDERALLY DESIGNATED AS A CRITICAL ACCESS HOSPITAL. HOSPITAL SERVICES INCLUDE ACUTE AND SKILLED CARE, EMERGENCY CARE, OUTPATIENT SPECIALTY CLINICS, SURGERY, AND ANCILLARY (I.E. - LABORATORY AND RADIOLOGY) SERVICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2979953Expense
Revenue3337622Revenue
DescriptionTHE MANNING PLAZA (THE PLAZA) PROVIDES INTERMEDIATE CARE TO THE ELDERLY. THE PLAZA IS A 56-BED LONG-TERM CARE FACILITY OFFERING 24-HOUR NURSING CARE AND SPECIALIZED DIETARY SERVICE. IT ALSO OFFERS RECREATIONAL PROGRAMS, REHABILITATIVE SERVICES AND SOCIAL SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1201663Expense
Revenue2640479Revenue
DescriptionTHE MANNING FAMILY RECOVERY CENTER (MFRC) PROVIDES SAFE, EFFICIENT, AND EFFECTIVE CHEMICAL DEPENDENCY TREATMENT TO CHEMICALLY DEPENDENT INDIVIDUALS AND THEIR FAMILIES ACROSS IOWA AND NEBRASKA. SERVICES INCLUDE DETOX AND OUTPATIENT CHEMICAL DEPENDENCY TREATMENT, CO-DEPENDENCY TREATMENT, AFTERCARE, OUTREACH SERVICES, EMPLOYEE ASSISTANCE PROGRAMMING, AND OWI EVALUATION/EDUCATION. THE MFRC IS A 13-BED CO-ED MULTI-LEVEL TREATMENT CENTER.Description
FieldValueIRS element (for citing)
Total Program Service Expense11203232TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees223NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ABBEY L STANGL CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7126558123TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1410 MAIN STREETAddressLine1
CityMANNINGCity
StateIAState
ZIP Code51455ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RANDY BEHRENS
PRESIDENT1.00XX000
SHARON KELDERMAN
VICE PRESIDENT0.50XX000
VIRGINIA RASMUSSEN
TREASURER/SECRETARY0.50XX000
LARRY HAGEDORN
DIRECTOR0.50X000
SHERRY HUEHN
DIRECTOR (07/11 - 03/12)0.50X000
RUTH OHDE
DIRECTOR0.50X000
BRET RICHARDS
DIRECTOR0.50X000
ANGELA JOHNSON
CEO (07/11 - 01/12)40.00X000
JOHN O'BRIEN
CEO (01/12 - PRESENT)40.00X000
ABBEY STANGL
CFO40.00X81360011635
AMY DAWSON
CCO40.00X76731015370
DR TRACY KAHL
PHYSICIAN40.00318834021209X
FieldValueIRS element (for citing)
Total Reportable Comp From Org476925TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation48214TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FAWAD ZAFAR MD PC
13682 LAKESHORE DRIVECLIVEIA50325EQUIPMENT RENTAL185600
ST ANTHONY REGIONAL HOSPITAL
311 S CLARK STREETCARROLLIA51401CONTRACT PHYSICAL THERAPY151645
LOCALE ANESTHESIA PC
5137 PANORAMA DRIVEPANORAIA50216CRNA SERVICES104100
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants353299GovernmentGrants
All Other Contributions42878AllOtherContributions
Total Contributions396177TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE62410084662868466286
MEDICARE PAYMENTS62410033768653376865
MEDICAID PAYMENTS62410019951071995107
IMMUNIZATION CLINIC RE6241001133811338

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column18821TotalRevenueColumn
Related Or Exempt Function Income18821RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13868417TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23608TotalRevenueColumn
Exclusion$23,608ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3100Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3100Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3100TotalRevenueColumn
Exclusion$3,100ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other955Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other177Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other778Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column778TotalRevenueColumn
Exclusion$778ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA REVENUEDescription
Business Code624100BusinessCode
Total Revenue Column50592TotalRevenueColumn
Exclusion$50,592ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue50592TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14342672TotalRevenueColumn
Related Or Exempt Function Income13868417RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$78,078ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total185096Total
Management And General185096ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5801671Total
Program Services5352096ProgramServices
Management And General449575ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total84993Total
Program Services78180ProgramServices
Management And General6813ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total738229Total
Program Services676206ProgramServices
Management And General62023ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total415308Total
Program Services372553ProgramServices
Management And General42755ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41794Total
Management And General41794ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51587Total
Management And General51587ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1274921Total
Program Services1034130ProgramServices
Management And General240791ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total121852Total
Program Services121852ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1179124Total
Program Services1020283ProgramServices
Management And General158841ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total269171Total
Program Services239562ProgramServices
Management And General29609ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total66192Total
Program Services47017ProgramServices
Management And General19175ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8764Total
Program Services8764ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total599866Total
Program Services533881ProgramServices
Management And General65985ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total175032Total
Program Services167832ProgramServices
Management And General7200ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES10057801005780
BAD DEBT EXPENSE342303342303
DUES & SUBSCRIPTIONS1275126265064862
MISCELLANEOUS EXPENSES1227498490537844

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total60721Total
Program Services55238ProgramServices
Management And General5483ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12672665Total
Program Services11203232ProgramServices
Management And General1469433ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY44570BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5004634BOY
EOY5576426EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1347292BOY
EOY1438743EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY30000EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY70987BOY
EOY305348EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY225026BOY
EOY166978EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY56231BOY
EOY67978EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12128236LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7222050LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4073525BOY
EOY4906186EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY241639BOY
EOY293704EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY68471BOY
EOY76079EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY164147BOY
EOY106870EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11296522BOY
EOY12968312EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY995984BOY
EOY860374EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1405000BOY
EOY1235000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY770611BOY
EOY1079643EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3171595BOY
EOY3175017EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7788059BOY
EOY9489424EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY336868BOY
EOY303871EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8124927BOY
EOY9793295EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11296522BOY
EOY12968312EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1670007ReconcilationRevenueExpenses
Reconcilation Other Changes-1639ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,594OtherActivitiesAmount
Total Lobbying Expenditures IIB2594TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationMANNING REGIONAL HEALTHCARE CENTER (MRHC) PAYS ASSOCIATION DUES TO THE IOWA HOSPITAL ASSOCIATION (IHA). PORTIONS OF ASSOCIATION DUES ARE EXPENDED BY THE ASSOCIATION FOR LOBBYING PURPOSES. IN FY 2012, MRHC PAID IHA DUES OF $11,326, OF WHICH 22.9% WAS ESTIMATED TO BE NON-DEDUCTIBLE EXPENSE (BY IHA) FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis428518OtherCostOrOtherBasis
Book Value428518BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis547341InvestmentCostOrOtherBasis
Other Cost Or Other Basis5810536OtherCostOrOtherBasis
Depreciation4352958Depreciation
Book Value2004919BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis170748InvestmentCostOrOtherBasis
Other Cost Or Other Basis3120844OtherCostOrOtherBasis
Depreciation2119636Depreciation
Book Value1171956BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis7309InvestmentCostOrOtherBasis
Other Cost Or Other Basis2042940OtherCostOrOtherBasis
Depreciation749456Depreciation
Book Value1300793BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4906186TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$53,016
DUE TO FISCAL INTERMEDIARY$485,776
DEFERRED MEDICARE REVENUE$125,386
BANK OVERDRAFT$415,465
FieldValueIRS element (for citing)
Total Of Amounts1079643TotalOfAmounts
Total Revenue14342672TotalRevenue
Total Expenses12672665TotalExpenses
Excess Or Deficit For Year1670007ExcessOrDeficitForYear
Net Unrealized GL On Investments-1639NetUnrealizedGLOnInvestments
Total Adjustments-1639TotalAdjustments
Excess Or Deficit Per FS1668368ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14341033TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1639NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1639RevenueNotRptdF990
Revenue Subtotal14342672RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014342672TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12672665TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12672665ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012672665TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE HEALTHCARE CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN THE HEALTHCARE CENTER'S TAX-EXEMPT STATUS. THE HEALTHCARE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2009.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage190.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served35PersonsServed
Total Community Benefit Expense144976TotalCommunityBenefitExpense
Net Community Benefit Expense144976NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense50776TotalCommunityBenefitExpense
Net Community Benefit Expense50776NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served35PersonsServed
Total Community Benefit Expense195752TotalCommunityBenefitExpense
Net Community Benefit Expense195752NetCommunityBenefitExpense
Percent Of Total Expense0.01590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served456PersonsServed
Total Community Benefit Expense4897TotalCommunityBenefitExpense
Direct Offsetting Revenue80DirectOffsettingRevenue
Net Community Benefit Expense4817NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense11602TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense11602NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served456PersonsServed
Total Community Benefit Expense16499TotalCommunityBenefitExpense
Direct Offsetting Revenue80DirectOffsettingRevenue
Net Community Benefit Expense16419NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served491PersonsServed
Total Community Benefit Expense212251TotalCommunityBenefitExpense
Direct Offsetting Revenue80DirectOffsettingRevenue
Net Community Benefit Expense212171NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$342,303BadDebtExpenseAmount
Amount Reimbursed By Medicare3293793AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3261181CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall32612MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MANNING REGIONAL HEALTHCARE CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1410 MAIN STREETAddressLine1
CityMANNINGCity
StateIAState
ZIP Code51455ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours
OtherOUTPATIENT PHYSICIAN CLINIC, SKILLED NURSING FACILITY, CHEM DEP REHAB CENTEROther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MANNING REGIONAL HEALTHCARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent190.000000000000FPGDiscountPercent
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1MANNING REGIONAL HEALTHCARE CLINICBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1321 CENTER STREETAddressLine1
CityMANNINGCity
StateIAState
ZIP Code51455ZIPCode
FieldValueIRS element (for citing)
Facility TypeHEALTHCARE CLINICFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.
PART I, LINE 7: THE PATIENT CARE COST TO CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE AT COST. OTHER COMMUNITY BENEFIT EXPENSES ARE STATED AT COST AS DERIVED FROM MANNING REGIONAL HEALTHCARE CENTER'S INTERNAL ACCOUNTING RECORDS.
PART I, LINE 7G: THERE ARE NO SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 342303.
PART II: THE ORGANIZATION CURRENTLY DOES NOT ENGAGE IN COMMUNITY BUILDING ACTIVITIES.
PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, THE FOLLOWING IS THE TEXT OF THE FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLE" AND "CHARITY CARE":PAYMENT FOR SERVICES IS EXPECTED WITHIN THIRTY DAYS OF RECEIPT OF THE BILLING. ACCOUNTS CONSIDERED PAST DUE ARE SENT TO COLLECTION AGENCIES WHEN INTERNAL COLLECTION EFFORTS HAVE BEEN UNSUCCESSFUL. ANY AMOUNTS DEEMED UNCOLLECTIBLE ARE WRITTEN OFF ON A MONTHLY BASIS. THE HEALTHCARE CENTER DOES NOT CHARGE INTEREST ON OUTSTANDING BALANCES OWED.THE HEALTHCARE CENTER ALSO MAINTAINS A CHARITY CARE POLICY.THE HEALTHCARE CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HEALTHCARE CENTER DOES NOT PURSUE COLLECTION OF THESE AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED IN THE STATEMENTS OF OPERATIONS. CHARGES EXCLUDED FROM REVENUE UNDER THE HEALTHCARE CENTER'S CHARITY CARE POLICY WERE $64,080 AND $29,763 FOR 2012 AND 2011, RESPECTIVELY.
PART III, LINE 8: "MEDICARE ALLOWABLE COSTS OF CARE" WAS CALCULATED FROM INFORMATION IN THE MEDICARE COST REPORT, D, E, H AND M WORKSHEETS, OR PS&R.
PART III, LINE 9B: PART 1 OF THE PATIENT FINANCIAL ASSISTANCE POLICY "GUIDELINES" SECTION PROVIDES THAT ONCE THE RESPONSIBLE PARTY HAS BEEN DETERMINED TO BE ELIGIBLE FOR PATIENT FINANCIAL ASSISTANCE, A BILL WILL NOT BE SENT TO THE REPSONSIBLE PARTY.
PART V, SECTION B, LINE 19D: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS SILENT ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGILBE INDIVIDUALS.MANNING REGIONAL HEALTHCARE CENTER
PART VI, LINE 2: MANNING REGIONAL HEALTH CENTER INCLUDES INPUT AND INFORMATION FROM REPRESENTATIVES OF THE MEDICAL STAFF, BOARD COMMITTEE, AND HOSPITAL ADMINISTRATIVE STAFF TO REVIEW THE TREATMENT OF PATIENTS TO DETERMINE MEDICAL NECESSITY AND OTHER CRITERIA ARE MET IN ORDER TO PROMOTE MAXIMUM TREATMENT BENEFITS. THIS GROUP OVERSEES THE QUALITY OF PATIENT CARE, ASSURING RESOURCES ARE USED APPROPRIATELY TO PROMOTE OPTIMAL PATIENT CARE.MANNING REGIONAL HEALTH CENTER ALSO PARTICIPATED IN AND SET GOALS BASED ON A HEALTH NEEDS ASSESSMENT PERFORMED BY CARROLL COUNTY, IOWA.
PART VI, LINE 3: PATIENTS ARE MADE AWARE THROUGH A FINANCIAL ASSISTANCE INFORMATION PACKET, USUALLY OBTAINED AT ADMISSION. THOSE WITHOUT INSURANCE ARE PROVIDED THE INFORMATION PACKET AT ADMISSION, AND THE PACKET IS PROVIDED AS PART OF THE DISCHARGE PROCESS FOR ER SERVICES. ADDITIONALLY, MANNING REGIONAL HEALTH CARE CENTER HAS CONTRACTED WITH A THIRD-PARTY VENDOR FOR BILLINGS AND COLLECTIONS. THE VENDOR CONTACTS FORMER PATIENTS BY TELEPHONE DURING THE 2ND 30 DAYS THAT AN INVOICE IS PAST DUE. PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE NEEDS WITH THAT TELEPHONE CALL.THE FINANCIAL ASSISTANCE INFORMATION PACKET, INCLUDING THE APPLICATION, ARE ALSO AVAILABLE ON THE HEALTH CENTER'S WEBSITE.
PART VI, LINE 4: CITIES OF MANNING (POPULATION 1500), TEMPLETON (POPULATION 350, AND MANILLA (POPULATION 900) ALONG WITH OTHER SURROUNDING RURAL COMMUNITIES IN WEST CENTRAL IOWA. MANNING, IOWA IS 90 MILES NORTHWEST OF DES MOINES, 80 MILES NORTHEAST OF OMAHA, AND 80 MILES SOUTHEAST OF SIOUX CITY.
PART VI, LINE 5: MANNING GENERAL HOSPITAL PROVIDES OUTPATIENT CLINICS IN WHICH SPECIALTY DOCTORS COME TO MANNING ON A REGULAR BASIS. THE HOSPITAL ALSO SPONSORS FREE EDUCATIONAL SEMINARS ON VARIOUS HEALTH TOPICS TO THE COMMUNITY. THE MANNING FAMILY RECOVERY CENTER PROVIDES ALCOHOLICS ANONYMOUS, AL-ANON, AND NARCOTICS ANONYMOUS MEETINGS. THE CENTER ALSO PROVIDES A FREE, OPEN TO THE PUBLIC, EDUCATION PROGRAM THAT EXPLORES CHEMICAL DEPENDENCY AND ITS EFFECTS.
PART VI, LINE 6: NOT APPLICABLE
IAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDR TRACY KAHLNamePerson
Base Compensation Filing Org318834BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org9581DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org11628NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org340043TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDR MCLAWSNamePerson
Purpose Of LoanSIGNING AND STARTING BONUSPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$30,000OriginalPrincipalAmount
Balance Due30000BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due30000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3MANAGED CONTRACT AFFILIATION AGREEMENT WITH MERCY HOSPITAL MEDICAL CENTER OF DES MOINES, IOWA - THE ADMINISTRATOR OF MANNING REGIONAL HEALTHCARE CENTER (MRHC) IS AN EMPLOYEE OF MERCY BUT REPORTS TO THE MRHC BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCIAL STATEMENT PREPARATION AND RECORDING PROCESSES OF MRHC ARE THE PRIMARY RESPONSIBILITIES OF ABBEY STANGL, CFO. UPON THE ISSUANCE OF THE FORM 990 ORGANIZER FROM THE TAX RETURN PREPARER, SEIM JOHNSON, THE CFO BEGINS TO PREPARE DOCUMENTATION FOR THE FORM 990. UPON THE SUBMISSION OF THE FORM 990 ORGANIZER TO THE PREPARER, ANY QUESTIONS ARE CLARIFIED AND ANSWERED. PRIMARY REVIEWING RESPONSIBILITY OF THE FORM 990 LIES WITH THE CFO, THE CEO, AND THE FINANCE SUB-COMMITTEE OF THE BOARD OF DIRECTORS, WHICH ENABLES BOARD REVIEW DURING INTERIM BOARD MEETING PERIODS. IT IS ALWAYS THE INTENT TO HAVE THE FORM 990 PREPARED AND REVIEWED PRIOR TO INITIAL FILING DEADLINES, BUT IF FOR ANY REASON, THIS CANNOT BE ACHIEVED, APPROPRIATE FILINGS TO EXTEND THE FILING DEADLINE ARE FILED. EACH MEMBER OF THE BOARD OF DIRECTORS IS GIVEN A COPY OF THE FORM 990 TO REVIEW BEFORE FILING IS COMPLETED.
FORM 990, PART VI, SECTION B, LINE 12CTHROUGHOUT THE YEAR, ANY ISSUE THAT INVOLVES A CONFLICT OF INTEREST WITH A TRUSTEE, DIRECTOR, OFFICER, OR KEY EMPLOYEE WOULD REQUIRE THAT THE INDIVIDUAL BE SEPARATED FROM THE DECISION-MAKING PROCESS RELATED TO THE POTENTIAL CONFLICT OF INTEREST. IN REGARD TO ANNUAL COMPLIANCE, THE REFERENCE TO THE CONFLICT OF INTEREST POLICY OUTLINES CURRENT PRACTICES. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FULFILLMENT OF THIS OBJECTIVE WILL FALL UNDER THE MRHC ADMINISTRATIVE POLICY REVIEW PROCESS.
FORM 990, PART VI, SECTION B, LINE 15MANNING REGIONAL HEALTHCARE CENTER (MRHC) DETERMINES COMPENSATION FOR ITS OFFICERS AND KEY EMPLOYEES BY CONSULTING THE CURRENT IOWA HOSPITAL ASSOCIATION (IHA) SALARY SURVEY. THIS SURVEY IS DONE ANNUALLY WITH THE HOPE OF GETTING 100% PARTICIPATION OF ALL IOWA HOSPITALS. MRHC USES THE INFORMATION FROM ITS PEER GROUP AS COMPARATIVE DATA FOR DETERMINING WAGES. THE PEER GROUP IS SELECTED BY MRHC AND CONSISTS OF HOSPITALS IN THE VICINITY OF MRHC AND HOSPITALS THAT ARE APPROXIMATELY THE SAME SIZE AS MRHC. MRHC WILL ALSO FACTOR IN YEARS OF EXPERIENCE WHEN DETERMINING WAGES FOR NEWLY HIRED EMPLOYEES OR WHETHER OR NOT MARKET INCREASES ARE NEEDED FOR EXISTING KEY EMPLOYEES OR OFFICERS. IN ADDITION TO ASSESSING MARKET INFORMATION, ANY ANNUAL COMPENSATION INCREASES (I.E - MERIT RAISES) ARE DETERMINED BY ASSESSING FACILITY-WIDE FINANCIAL PERFORMANCE AND INSTITUTED CONSISTENTLY FOR ALL POSITIONS FACILITY-WIDE. FOR THE CEO POSITION SPECIFICALLY, AS THAT POSITION IS MANAGED THROUGH MERCY HOSPITAL MEDICAL CENTER OF DES MOINES, THE SALARY AND COMPENSATION IS DETERMINED BY SARA DROBNICH, MERCY NETWORK VICE PRESIDENT, IN CONJUNCTION WITH THE MRHC BOARD OF DIRECTORS. TO DETERMINE THE SALARY, THE IHA SALARY SURVEY IS FIRST REVIEWED, WHICH RECOGNIZES SALARY RANGES BASED ON HOSPITAL REVENUES, NUMBER OF FTES AND ALSO BASED ON CAH. A CHICAGO-BASED COMPANY, HR ADVANTAGE, IS ALSO USED IN A SURVEY COMPILING COMMUNITY DEMOGRAPHICS.
FORM 990, PART VI, SECTION C, LINE 19MRHC PROVIDES INFORMATION REGARDING THESE DOCUMENTS TO INDIVIDUALS AND BUSINESSES UPON REQUEST. AS THE ORGANIZATION IS A NOT-FOR-PROFIT ENTITY, IRS FILINGS ARE AVAILABLE VIA THE IRS WEBSITE AND PUBLIC PORTALS (I.E. GUIDESTAR) THAT FACILITATES THE PRESENTATION OF THIS DATA.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,639.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR. THE BOARD OF DIRECTORS TAKES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.

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