2026-08-26T09:22:16-04:00 2026-02-28 421125570 ANDERSON LARKIN & CO PC 221 N WAPELLO OTTUMWA IA 52501 990 2025-03-01 421489471 RIVER HILLS COMMUNITY HEALTH CENTER INC RIVE 6419549971 PO BOX 458 OTTUMWA IA 52501 JOY ALEXANDER CEO 6416835773 2026-07-22 true ADAM STURM P02441078 6416845489 2026-08-11 2025 2025-03-06 01:10:19Z JOY ALEXANDER PO BOX 458 OTTUMWA IA 52501 32309799 false X WWW.RIVERHILLSHEALTH.ORG X 1999 IA TO IMPROVE THE HEALTH OUTCOMES OF OUR PATIENTS BY PROVIDING EXCEPTIONAL HEALTH CARE SERVICES. 9 9 255 0 5384184 6046520 23710488 25183801 424562 414343 529171 665135 30048405 32309799 0 0 20322510 20759494 0 0 9936636 12763996 30259146 33523490 -210741 -1213691 33039316 30241865 9925886 8395796 23113430 21846069 TO IMPROVE THE HEALTH OUTCOMES OF OUR PATIENTS BY PROVIDING EXCEPTIONAL HEALTH CARE SERVICES. false false 18138066 18808286 RIVER HILLS COMMUNITY HEALTH CENTER SERVED MORE THAN 14,865 MEDICAL AND MENTAL HEALTH PATIENTS DURING THE FISCAL YEAR 2026. A SIGNIFICANT NUMBER OF THE PATIENTS SERVED WERE BELOW THE POVERTY LEVEL. 6153203 6375515 RIVER HILLS COMMUNITY HEALTH CENTER SERVED MORE THAN 12,871 DENTAL PATIENTS DURING THE FISCAL YEAR 2026. A SIGNIFICANT NUMBER OF THE PATIENTS SERVED WERE BELOW THE POVERTY LEVEL. 24291269 true true false false false false false false false true true false false true true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 47 0 true 255 true false false false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X JOY ALEXANDER 6419549971 PO BOX 458 OTTUMWA IA 52501 CYNDI MCCORMICK PSYCHIATRIST 40.00 X 333829 0 49178 ADEL DIMASSI PHYSICIAN 40.00 X 343712 0 1104 KEN JONES DENTIST 40.00 X 275066 0 18804 MAYRA ROOK DENTIST 40.00 X 240726 0 21152 NICOLE AINSWORTH DENTIST 40.00 X 243969 0 8279 JOY ALEXANDER CEO 40.00 X 183216 0 52646 GINA THROCKMORTON COO 40.00 X 160950 0 35896 LORI MILLER CFO 40.00 X 161344 0 7500 TIM BRCKA DIRECTOR 1.00 X 0 0 0 BONNIE CAMPBELL VICE CHAIR 1.00 X X 0 0 0 DIANA DOMINGUEZ DIRECTOR 1.00 X 0 0 0 BRENDA HOSTETLER DIRECTOR 1.00 X 0 0 0 RACHELLE MITCHELL-SHADDUCK TREASURER 1.00 X X 0 0 0 BETHANY SHORT SECRETARY 1.00 X X 0 0 0 JOSHUA STEVENS CHAIR 1.00 X X 0 0 0 MICHELLE WELDON DIRECTOR 1.00 X 0 0 0 BEATHRICIA WILCOXON DIRECTOR 1.00 X 0 0 0 1942812 194559 33 false true false SBS SERVICES GROUP LLC CLEANING 257542 MARK GROSSMAN 31166 VINTAGE PT WAUKEE IA 50263 RENT 217811 LITTLER MENDELSON PC PROFESSIONAL 185696 340B TECHNOLOGIES INC PROFESSIONAL 170095 FORVIS MAZARS LLP PROFESSIONAL 135190 6 5201370 845150 794216 6046520 PATIENT FEES 25183801 25183801 25183801 414343 414343 MISCELLANEOUS 665135 665135 665135 32309799 25848936 414343 505510 505510 16298409 11986518 4311891 2752302 1788460 963842 1203273 849739 353534 230230 230230 26300 26300 2740117 1476031 1264086 67867 52630 15237 273855 245229 28626 165209 87324 77885 132544 132544 952705 829085 123620 271614 197170 74444 PHARMACEUTICALS 2772833 2772833 SUPPLIES AND SMALL EQUIP 2280767 2089721 191046 COMPUTER SUPPORT 1412857 1311675 101182 RENT 403995 403995 1033103 604854 428249 33523490 24291269 9232221 0 13465485 11258787 3467488 2729239 201433 378205 470711 605076 19641659 7308864 11609896 12332795 760505 801705 3063798 2136058 33039316 30241865 4738755 2930248 185170 854111 3424815 3233387 1474930 1181069 102216 196981 9925886 8395796 X 22893515 21619064 219915 227005 23113430 21846069 33039316 30241865 X -1213691 41200 -80932 -13938 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 219915 56529 5299 54738 227005 211290 58858 5462 55695 219915 183042 47385 4787 23924 211290 172635 34722 186 24501 183042 148111 29021 11 4507 172635 1.00000 false false 733370 733370 15472704 5476154 9996550 3435585 1832710 1602875 12332795 RIGHT OF USE LEASE ASSETS 1302737 CONSTRUCTION IN PROGRESS 636340 ASSETS HELD FOR DEFERREDCOMPENSATION 196981 2136058 DEFERRED COMPENSATION LIABILITIES 196981 196981 32350999 41200 41200 32309799 32309799 33537428 13938 13938 33523490 33523490 SCHEDULE D, PAGE 2, PART V, LINE 4 THE INTENDED USE OF THE ENDOWMENT FUNDS ARE TO PROVIDE MEDICATION, TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS, OR TO PURCHASE MEDICAL EQUIPMENT FOR THOSE IN NEED THAT ARE NOT ABLE TO AFFORD TO DO SO ON THEIR OWN, THE GOAL BEING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY IT SERVES. X false false false false false false false false false CYNDI MCCORMICK PSYCHIATRIST 333829 49178 383007 ADEL DIMASSI PHYSICIAN 236611 95079 12022 1104 344816 KEN JONES DENTIST 275066 18804 293870 MAYRA ROOK DENTIST 240726 21152 261878 NICOLE AINSWORTH DENTIST 243969 8279 252248 JOY ALEXANDER CEO 183216 52646 235862 GINA THROCKMORTON COO 156000 4950 35896 196846 LORI MILLER CFO 161344 7500 168844 X 1 523582 FMV OF GOODS X OTHER SERVICES 1 266493 ESTIMATED FMV OF SERVICES X OTHER MISC 1 4141 ESTIMATED FMV false false false FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD RECEIVES THE FORM 990 AND REVIEWS FOR ACCURACY BEFORE IT IS APPROVED, SIGNED AND SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD REVIEWS THE POLICY EVERY YEAR AND EACH BOARD MEMBER MUST DISCLOSE ANY KNOWN CONFLICTS IN WRITING TO THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD MUST APPROVE ALL COMPENSATION FOR ALL EMPLOYEES REGARDLESS OF POSITION. SALARY INCREASES ARE BROUGHT UP AT BOARD MEETINGS AND THE BOARD WILL APPROVE IT OR DISMISS IT. FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD MUST APPROVE ALL COMPENSATION FOR ALL EMPLOYEES REGARDLESS OF POSITION. SALARY INCREASES ARE BROUGHT UP AT BOARD MEETINGS AND THE BOARD WILL APPROVE IT OR DISMISS IT. FORM 990, PAGE 6, PART VI, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC IF A MEMBER OF THE COMMUNITY REQUESTS TO SEE THE DOCUMENTS. FORM 990, PART XI, LINE 9 LOSS ON DISPOSAL OF ASSETS -13,938