GRINNELL REGIONAL MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GRINNELL REGIONAL MEDICAL CENTER (EIN 42-0933383)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201103199349303210
- Schema version
- 2010v3.4
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T09:44:30-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gronewold Bell Kyhnn & CoPC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1910 East 7th Street | AddressLine1 |
| City | Atlantic | City |
| State | IA | State |
| ZIP Code | 50022 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420933383 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRINNELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GRIN | NameControl |
| Phone | 6412367511 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 FOURTH AVENUE | AddressLine1 |
| City | GRINNELL | City |
| State | IA | State |
| ZIP Code | 50112 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Todd Linden | Name |
| Title | CEO | Title |
| Phone | 6412367511 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Christopher J Nelson | Name |
| Phone | 7122431800 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TODD LINDEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 FOURTH AVENUE | AddressLine1 |
| City | GRINNELL | City |
| State | IA | State |
| ZIP Code | 50112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 39922799 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | http://www.grmc.us/index.html | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1967 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | FOR TREATMENT, HEALING, AND CARE OF THE SICK AND DISABLED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 469 | TotalNbrEmployees |
| Total Nbr Volunteers | 258 | TotalNbrVolunteers |
| Total Gross UBI | 2791 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -4949 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1845308 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1624043 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 38133939 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36004865 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 81788 | InvestmentIncomePriorYear |
| Investment Income Current Year | -9175 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1374500 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2295531 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 41435535 | TotalRevenuePriorYear |
| Total Revenue Current Year | 39915264 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23539683 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23015699 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 129776 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17960501 | OtherExpensePriorYear |
| Other Expenses Current Year | 17845639 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 41500184 | TotalExpensesPriorYear |
| Total Expenses Current Year | 40861338 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -64649 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -946074 | RevenuesLessExpensesCY |
| Total Assets BOY | 39470665 | TotalAssetsBOY |
| Total Assets EOY | 34624485 | TotalAssetsEOY |
| Total Liabilities BOY | 13217906 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12683993 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 26252759 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21940492 | NetAssetsOrFundBalancesEOY |
| Mission Description | FOR TREATMENT, HEALING, AND CARE OF THE SICK AND DISABLED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 39385195 | Expense |
| Grants | 387855 | Grants |
| Revenue | 38298170 | Revenue |
| Description | THE ORGANIZATION IS A PROSPECTIVE PAYMENT SYSTEM HOSPITAL WITH 49 ACUTE BEDS. THE ORGANIZATION PROVIDES ACUTE AND ANCILLARY SERVICES TO INDIVIDUALS IN AN INPATIENT AND OUTPATIENT SETTING. IN ADDITION, THE ORGANIZATION OPERATES SEVERAL PHYSICIANS' CLINICS. DURING 2010, THE ORGANIZATION PROVIDED 4,209 DAYS OF ACUTE CARE, 414 DAYS OF SKILLED NURSING CARE, 459 NURSERY DAYS AND 47,904 OUTPATIENT OCCASIONS OF SERVICE. | Description |
| Total Program Service Expense | 39385195 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 41 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 469 | NumberOfEmployees |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IA | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACK FRITTS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6412367511 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 FOURTH AVENUE | AddressLine1 |
| City | GRINNELL | City |
| State | IA | State |
| ZIP Code | 50112 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SUSAN WITT | ||||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| DEBBY POHLSON | ||||||||
| PAST - CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| ED HATCHER | ||||||||
| CHAIR ELECT | 1.00 | X | X | 0 | 0 | 0 | ||
| FRANK BROWNELL | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| STANLEY GREENWALD MD | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| LAURA M FERGUSON MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOANN MANATT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| BILL MENNER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LAURA VAN CLEVE DO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| KARLA ERICKSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MICHELLE S REBELSKY MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TODD REDING | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WALLY WALKER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOANNE YUSKA | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TODD LINDEN | ||||||||
| DIRECTOR & CEO | 40.00 | X | X | 332984 | 0 | 50174 | ||
| JACK FRITTS | ||||||||
| CFO | 40.00 | X | 154897 | 0 | 9977 | |||
| SUZANNE COONER | ||||||||
| VICE - PRESIDENT | 40.00 | 182265 | 0 | 9977 | X | |||
| DAVID NESS | ||||||||
| VICE - PRESIDENT | 40.00 | 168509 | 0 | 9977 | X | |||
| CHRISTINE LINDGREN | ||||||||
| PHYSICIAN | 40.00 | 251086 | 0 | 369 | X | |||
| JOHN BAMBARA | ||||||||
| PHYSICIAN | 40.00 | 281210 | 0 | 10174 | X | |||
| KENNETH WHIPPLE | ||||||||
| PHYSICIAN | 40.00 | 305881 | 0 | 28827 | X | |||
| KEVIN EMGE | ||||||||
| PHYSICIAN | 40.00 | 316193 | 0 | 12330 | X | |||
| PATRICK COGLEY | ||||||||
| PHYSICIAN | 40.00 | 211411 | 0 | 23030 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2204436 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 154835 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MERCY CLINICAL LAB | |||||
| PO BOX 4867 | DES MOINES | IA | 50305 | CLINICAL LAB SERVICES | 499367 |
| PHILIPS MEDICAL SYSTEMS | |||||
| PO BOX 847182 | DALLAS | TX | 75284 | RADIOLOGY MAINTENANCE | 193155 |
| G & K SERVICES | |||||
| 1325 METRO EAST DR | PLEASANT HILL | IA | 50327 | LAUNDRY PROVIDER | 191229 |
| MEDASSETS | |||||
| 16482 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | COLLECTION SERVICES | 182132 |
| GENE GESSNER MD DBA PAIN CLINIC LLC | |||||
| 2180 NORCOR AVE B | CORALVILLE | IA | 52241 | ANESTHESIA PROVIDER | 174971 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Government Grants | 387855 | GovernmentGrants |
| All Other Contributions | 1236188 | AllOtherContributions |
| Total Contributions | 1624043 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 36004865 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36004865 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36004865 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -9740 | TotalRevenueColumn |
| Exclusion | -$9,740 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8100 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7535 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 565 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 565 | TotalRevenueColumn |
| Related Or Exempt Function Income | 565 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | 1854654 | 1854654 | |
| HOME HEALTH AGENCY GRA | 621300 | 438086 | 438086 | |
| OUTSIDE LAUNDRY | 812300 | 2791 | 2791 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2295531 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39915264 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38298170 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2791 | UnrelatedBusinessRevenue |
| Exclusion | -$9,740 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 838655 | Total |
| Program Services | 154897 | ProgramServices |
| Management And General | 683758 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16992417 | Total |
| Program Services | 16834827 | ProgramServices |
| Management And General | 75379 | ManagementAndGeneral |
| Fundraising | 82211 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141393 | Total |
| Program Services | 134721 | ProgramServices |
| Management And General | 6020 | ManagementAndGeneral |
| Fundraising | 652 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3841647 | Total |
| Program Services | 3660380 | ProgramServices |
| Management And General | 163554 | ManagementAndGeneral |
| Fundraising | 17713 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1201587 | Total |
| Program Services | 1144891 | ProgramServices |
| Management And General | 51156 | ManagementAndGeneral |
| Fundraising | 5540 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20393 | Total |
| Management And General | 20393 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11628741 | Total |
| Program Services | 11357317 | ProgramServices |
| Management And General | 247764 | ManagementAndGeneral |
| Fundraising | 23660 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115122 | Total |
| Program Services | 115122 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569619 | Total |
| Program Services | 569619 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2718408 | Total |
| Program Services | 2718408 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 1910055 | 1910055 | |
| PROFESSIONAL FEES | 599481 | 501138 | 98343 |
| INSURANCE | 237425 | 237425 | |
| POSTAGE | 46395 | 46395 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40861338 | Total |
| Program Services | 39385195 | ProgramServices |
| Management And General | 1346367 | ManagementAndGeneral |
| Fundraising | 129776 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4233665 | BOY |
| EOY | 4399822 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10353125 | BOY |
| EOY | 6269593 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80000 | BOY |
| EOY | 20000 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90426 | BOY |
| EOY | 180568 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1268740 | BOY |
| EOY | 1320753 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 597191 | BOY |
| EOY | 985432 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 51226087 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 32778617 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20065978 | BOY |
| EOY | 18447470 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1542084 | BOY |
| EOY | 1681027 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1239456 | BOY |
| EOY | 1319820 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39470665 | BOY |
| EOY | 34624485 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3478762 | BOY |
| EOY | 3841278 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9306734 | BOY |
| EOY | 8455510 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432410 | BOY |
| EOY | 387205 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13217906 | BOY |
| EOY | 12683993 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25490103 | BOY |
| EOY | 20788405 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 666153 | BOY |
| EOY | 1057174 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96503 | BOY |
| EOY | 94913 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26252759 | BOY |
| EOY | 21940492 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39470665 | BOY |
| EOY | 34624485 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -946074 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3366193 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $5,042 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 5042 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 493179 | InvestmentCostOrOtherBasis |
| Book Value | 493179 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 25583525 | InvestmentCostOrOtherBasis |
| Depreciation | 13675040 | Depreciation |
| Book Value | 11908485 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 23237266 | InvestmentCostOrOtherBasis |
| Depreciation | 17544881 | Depreciation |
| Book Value | 5692385 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1912117 | InvestmentCostOrOtherBasis |
| Depreciation | 1558696 | Depreciation |
| Book Value | 353421 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18447470 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO GRMC FOUNDATION | Description |
| Amount | $387,205 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 387205 | TotalOfAmounts |
| Total Revenue | 39915264 | TotalRevenue |
| Total Expenses | 40861338 | TotalExpenses |
| Excess Or Deficit For Year | -946074 | ExcessOrDeficitForYear |
| Other | -$3,366,193 | OtherAmount |
| Total Adjustments | -3366193 | TotalAdjustments |
| Excess Or Deficit Per FS | -4312267 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 40258583 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 343319 | OtherRevenues |
| Revenue Not Rptd F990 | 343319 | RevenueNotRptdF990 |
| Revenue Subtotal | 39915264 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 39915264 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 40916512 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 55174 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 55174 | ExpensesNotRptdF990 |
| Expenses Subtotal | 40861338 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 40861338 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | CHANGE IN FV OF INTEREST RATE SWAP CONTRACTS CHANGE IN ACCOUNTING ESTIMATE |
| Part XII, Line 2d - Other Adjustments: | CHANGE IN FV OF SWAP CONTRACT GRMC FOUNDATION REVENUES HEALTH ADVANTAGE PLUS REVENUES LOSS ON DEER CREEK CLINIC OPERATIONS |
| Part XIII, Line 2d - Other Adjustments: | GRMC FOUNDATION MGMT FEES HEALTH ADVANTAGE PLUS EXPENSES |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 0 | FPGReferenceFreeCare |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 232774 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 232774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2774312 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1995418 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 778894 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01910 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3007086 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1995418 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1011668 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02480 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 7444 | PersonsServed |
| Total Community Benefit Expense | 614079 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 87322 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 526757 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 4 | PersonsServed |
| Total Community Benefit Expense | 2300 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 11100 | PersonsServed |
| Total Community Benefit Expense | 7893700 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5714100 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2179600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05330 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 12832 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12832 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 18548 | PersonsServed |
| Total Community Benefit Expense | 8522911 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5801422 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2721489 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06660 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 18548 | PersonsServed |
| Total Community Benefit Expense | 11529997 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7796840 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3733157 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09140 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,110,814 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 8879629 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12452666 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3573037 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRINNELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 4TH AVENUE | AddressLine1 |
| City | GRINNELL | City |
| State | IA | State |
| ZIP Code | 50112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRINNELL REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 0 | UsesFPGFree |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| GRINNELL REGIONAL COMMUNITY CARE CLINIC | ||||
| 306 4TH AVENUE | GRINNELL | IA | 50112 | CLINIC |
| GRINNELL REGIONAL PAIN CLINIC | ||||
| 210 4TH AVENUE | GRINNELL | IA | 50112 | CLINIC |
| GRINNELL HEALTH ALLIANCE | ||||
| 210 4TH AVENUE | GRINNELL | IA | 50112 | CLINIC |
| LYNNVILLE CLINIC | ||||
| 30 EAST STREET | LYNNVILLE | IA | 50153 | RURAL HEALTH CLINIC |
| NEW SHARON MEMORIAL CLINIC | ||||
| 302 SOUTH PARK | NEW SHARON | IA | 50207 | RURAL HEALTH CLINIC |
| DEER CREEK HEALTH CENTER | ||||
| 401 FIRST AVENUE | TOLEDO | IA | 52342 | CLINIC |
| POSTELS COMMUNITY HEALTH PARK | ||||
| 807 BROAD STREET | GRINNELL | IA | 50112 | CLINIC |
| VICTOR CLINIC | ||||
| 709 2ND STREET | VICTOR | IA | 52347 | RURAL HEALTH CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part III, Line 9b: IF PATIENTS DON'T APPLY FOR ASSISTANCE PRIOR TO SERVICE AND LATER INDICATE THEY ARE HAVING DIFFICULTY PAYING, OUR STAFF WORKS WITH THEM TO FIND THE APPROPRIATE FORM OF ASSISTANCE. | ||
| Part V, Section B, Line 21: HOSPITAL DID NOT IMPLEMENT ITS' DISCOUNT FOR UNINSURED PATIENTS UNTIL JANUARY 1, 2011. | GRINNELL REGIONAL MEDICAL CENTER | |
| Part VI, Line 2: POWESHIEK COUNTY RESIDENTS RECENTLY PARTICIPATED IN AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS SURVEY PROVIDED DIRECTION FOR GRINNELL REGIONAL MEDICAL CENTER (GRMC) AND GRINNELL REGIONAL PUBLIC HEALTH OVER THE NEXT FIVE YEARS TO DEVELOP A HEALTH IMPROVEMENT PLAN AND DETERMINE WHAT IS IMPORTANT FOR THE HEALTH OF THE COUNTY. GRMC HAS RECENTLY SURVEYED IT'S COMMUNITY HEALTHCARE PROVIDERS TO IDENTIFY WHAT THEY FEEL ARE THE MOST URGENT NEEDS. WE ALSO REVIEW STATEWIDE DATABASES (I.E. TEEN PREGNANCY, CANCER RATES) TO IDENTIFY AREAS TO CONCENTRATE OUR EFFORTS. | ||
| Part VI, Line 3: WE HAVE A BROCHURE AVAILABLE THAT IDENTIFIES THE PATIENT ACCOUNTING PHONE NUMBER PATIENTS CAN CALL FOR INFORMATION ABOUT ANY TYPE OF ASSISTANCE. IF PATIENTS DON'T APPLY FOR ASSISTANCE PRIOR TO SERVICE AND LATER INDICATE THEY ARE HAVING DIFFICULTY PAYING, OUR STAFF WORKS WITH THEM TO FIND THE APPROPRIATE FORM OF ASSISTANCE. WE ALSO PLAN TO INCLUDE MORE DETAILED INFORMATION ON OUR WEBSITE. | ||
| Part VI, Line 4: GRINNELL REGIONAL MEDICAL CENTER(GRMC) IS A PRIVATE, NON-PROFIT AND NON-TAX SUPPORTED MEDICAL CENTER, SERVING MORE THAN 47,000 RESIDENTS IN A SIX-COUNTY RURAL AREA OF EAST CENTRAL IOWA. GRMC IS A PROGRESSIVE, RURAL HOSPITAL LOCATED IN GRINNELL, IOWA. GRINNELL IS 50 MILES EAST OF DES MOINES AND 60 MILES WEST OF IOWA CITY. DES MOINES AND IOWA CITY ARE THE CLOSEST CITIES WITH TERTIARY HOSPITALS FOR OUR SERVICE AREA. MEDIAN HOUSEHOLD INCOME FOR THE AREA IS ESTIMATED AT $46,650, BELOW THE STATE AVERAGE OF $48,065BASED ON STATEWIDE AVERAGES: - 17 PERCENT OF THE PEOPLE IN THIS SERVICE ARE 65 AND OLDER AND USE MEDICARE - 9.5 PERCENT ARE UNINSURED - 27.7 PERCENT USE SOME FORM OF PUBLIC INSURANCE, SUCH AS MEDICAID - 14.1 PERCENT ARE COVERED INDIVIDUALLY - 62.2 PERCENT CARRY EMPLOYER-SPONSORED INSURANCE - SPECIFICALLY, GRMC REPORTS THAT APPROXIMATELY 51 PERCENT OF ITS PATIENTS RELY ON MEDICARE FOR THEIR HEALTH INSURANCE. | ||
| IA | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TODD LINDEN | |||||||||||||
| 332784 | 0 | 200 | 0 | 0 | 0 | 40000 | 0 | 10174 | 0 | 383158 | 0 | 0 | 0 |
| JACK FRITTS | |||||||||||||
| 154897 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9977 | 0 | 164874 | 0 | 0 | 0 |
| SUZANNE COONER | |||||||||||||
| 182065 | 0 | 200 | 0 | 0 | 0 | 0 | 0 | 9977 | 0 | 192242 | 0 | 0 | 0 |
| DAVID NESS | |||||||||||||
| 168309 | 0 | 200 | 0 | 0 | 0 | 0 | 0 | 9977 | 0 | 178486 | 0 | 0 | 0 |
| CHRISTINE LINDGREN | |||||||||||||
| 251086 | 0 | 0 | 0 | 0 | 0 | 369 | 0 | 0 | 0 | 251455 | 0 | 0 | 0 |
| JOHN BAMBARA | |||||||||||||
| 279161 | 0 | 2049 | 0 | 0 | 0 | 0 | 0 | 10174 | 0 | 291384 | 0 | 0 | 0 |
| KENNETH WHIPPLE | |||||||||||||
| 305681 | 0 | 200 | 0 | 0 | 0 | 16497 | 0 | 12330 | 0 | 334708 | 0 | 0 | 0 |
| KEVIN EMGE | |||||||||||||
| 316193 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12330 | 0 | 328523 | 0 | 0 | 0 |
| PATRICK COGLEY | |||||||||||||
| 205111 | 0 | 6300 | 0 | 0 | 0 | 10700 | 0 | 12330 | 0 | 234441 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DR LINDGREN | NamePerson |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $30,000 | OriginalPrincipalAmount |
| Balance Due | 20000 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 20000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | DISTRIBUTED TO THE FULL BOARD PRIOR TO FILING AND REVIEWED IN DETAIL AT THE NEXT MEETING OF THE BOARD FOLLOWING DISTRIBUTION. | |
| REQUIRED TO DISCLOSE CONFLICTS OF INTEREST. | Form 990, Part VI, Section B, line 12c | |
| COMPENSATION IS DETERMINED BY BOARD OF DIRECTORS WITH THE USE OF INDEPENDENT CONSULTANTS. | Form 990, Part VI, Section B, line 15 | |
| AVAILABLE UPON WRITTEN REQUEST. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | CHANGE IN FV OF INTEREST RATE SWAP CONTRACTS 198352. CHANGE IN ACCOUNTING ESTIMATE -3564545. Total to Form 990, Part XI, Line 5: -3366193. | Form 990, Part XI, line 5: |
| BOARD SELECTS AUDITORS AND AUDITORS PRESENT FINANCIAL STATEMENTS TO THE BOARD OF DIRECTORS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRINNELL REGIONAL MEDICAL CENTER FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 FOURTH AVE | AddressLine1 |
| City | GRINNELL | City |
| State | IA | State |
| ZIP Code | 50112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421454737 | EIN |
| Primary Activities | SUPPORT FOR GRMC | PrimaryActivities |
| Legal Domicile State | IA | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | 11 | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH ADVANTAGE PLUS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 MAIN STREET | AddressLine1 |
| City | GRINNELL | City |
| State | IA | State |
| ZIP Code | 50112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421436490 | EIN |
| Primary Activity | PHYSICIAN BILLING SERVICES | PrimaryActivity |
| Legal Domicile State | IA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH ADVANTAGE PLUS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 138943 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |
Comments