Shenandoah Medical Center in Shenandoah, Iowa (IA)

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Shenandoah Medical Center
Employer Identification Number (EIN)421101835
Name of OrganizationShenandoah Medical Center
Address300 Pershing Ave, Shenandoah, IA 51601-2355
ActivitiesHospital, Nursing or convalescent home, Care and housing for the aged (see also 382)
SubsectionCharitable Organization
Ruling Date06/1978
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$10,000,000 to $49,999,999
Income$10,000,000 to $49,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$31,599,910
Amount of Income$31,453,446
Form 990 Revenue Amount$31,448,658
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2013: $31,453,446 (it was $28,703,599 in 2012)
Shenandoah Medical Center: 

 $31,453,446
Other organizations performing similar types of work: 

 $13,972,681

Assets in 2013: $31,599,910 (it was $27,500,142 in 2012)
This organization: 

 $31,599,910
Other organizations performing similar types of work: 

 $11,373,581

Expenses in 2013: $32,265,599
This organization: 

 $32,265,599
Other organizations performing similar types of work: 

 $14,578,904

Income to expenses ratio in 2013: 1.0
This organization: 

 1.0
Other organizations performing similar types of work: 

 1.1

Number of employees in 2013: 370
Shenandoah Medical Center: 

 370
Other organizations performing similar types of work: 

 196

Employees paid over $100,000 in 2013: 7.6%
This organization: 

 7.6%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.7%
This organization: 

 0.7%
Other organizations performing similar types of work: 

 0.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?YesYes
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoYes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?YesYes
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoYes
Did the organization report an amount for other liabilities?YesNo
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoYes
Did the organization obtain separate, independent audited financial statements for the tax year?YesYes
Was the organization included in consolidated, independent audited financial statements for the tax year?NoNo
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?YesYes
Did the organization attach a copy of its audited financial statements?YesYes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?NoYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?NoNo
Did the organization have a controlled entity within the meaning of section 512(b)(13)?NoNo
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10962228
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return331370
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesYes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$2,083,920$2,074,619
Total reportable compensation from related organizations$0$0
Total estimated amount of other compensation from the organization and related organizations$152,419$140,531
Total number of individuals who received more than $100,000 of reportable compensation from the organization819
Total number of independent contractors who received more than $100,000 of compensation from the organization89
Statement of Revenue
201120122013
Total revenue$27,371,596$26,639,728$31,448,658
Contributions, Gifts, Grants and Other Similar Amounts$243,254$205,842$210,849
Program Service Revenue$26,805,621$25,789,085$30,567,549
624100$25,789,085$14,903,792
624100$0$14,358,175
Ambulance Services $0$516,228
624100$0$462,396
624100$0$196,215
All other program service revenue$0$130,743
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$166,588$219,633$350,823
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$194,704$181,462$152,689
Gross rents (Real / Personal)$264,598 / $0$255,051 / $0$152,689 / $0
Less: rental expenses (Real / Personal)$69,894 / $0$73,589 / $0$0 / $0
Rental income or (loss) (Real / Personal)$194,704 / $0$181,462 / $0$152,689 / $0
Net gain/loss from sales of assets other than inventory$-72,893$242,408$-1,165
Gross amount from sales of assets other than inventory (Securities / Other)$482,696 / $5,711$2,232,190 / $500$0 / $3,623
Less: cost or other basis and sales expenses (Securities / Other)$537,220 / $24,080$1,988,540 / $1,742$3,500 / $1,288
Gain or (loss) (Securities / Other)$-54,524 / $-18,369$243,650 / $-1,242$-3,500 / $2,335
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$34,322$1,298$167,913
624200$6,805$166,813
Caterers$-5,507$1,100
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$26,025,010$25,674,607$32,265,599
Grants and other assistance to domestic organizations and domestic governments$0$137,168
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$467,999$297,207$469,120
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$11,011,656$12,071,216$14,383,700
Pension plan accruals and contributions$290,994$326,352
Other employee benefits$1,343,388$1,336,983
Payroll taxes$766,290$825,884$1,003,937
Fees for services (non-employees)
Management$0$0
Legal$17,832$61,518
Accounting$56,767$70,972
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$2,110,321$3,635,238
Advertising and promotion$0$164,093
Office expenses$0$1,294,197
Information technology$0$0
Royalties$0$0
Occupancy$0$423,066
Travel$0$161,175
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$0$0
Interest$0$0
Payments to affiliates$0$0
Depreciation, depletion, and amortization$1,408,404$1,889,800
Insurance$0$295,805
Other expenses$6,388,326$3,222,206
Other expenses$864,268$2,821,725
Other expenses$0$291,948
Other expenses$0$214,210
Other expenses$0$62,386
Balance Sheet
201120122013
Total assets$25,598,581$27,500,142$31,599,910
Cash - non-interest-bearing$2,232,391$914,990
Savings and temporary cash investments$319,874$2,850,924
Pledges and grants receivable, net$0$0
Accounts receivable, net$4,495,305$5,160,961
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$832,009$834,190
Prepaid expenses and deferred charges$211,562$216,890
Land, buildings, and equipment: cost or other basis$8,438,633$8,904,260
Investments - publicly traded securities$9,734,922$7,117,116
Investments - other securities$0$0
Investments - program-related$0$327,523
Intangible assets$0$0
Other assets$1,235,446$5,273,056
Total liabilities$2,662,721$3,500,104$3,177,450
Accounts payable and accrued expenses$2,014,032$2,637,414
Grants payable$0$0
Deferred revenue$0$540,036
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$1,486,072$0
Total net assets or fund balances$22,935,860$24,000,038$28,422,460
Unrestricted net assets$22,778,262$22,336,832
Temporarily restricted net assets$954,665$1,077,663
Permanently restricted net assets$267,111$5,007,965
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported0
Sum of amounts of support$0
Unrelated Trade or Business Income (for 2008)
IncomeExpensesNet
Total$134,791$0$13,479
Gross receipts or sales less returns and allowances$13,479$0$0
Cost of goods sold$0$0$0
Gross profit$13,479$0$13,479
Capital gain net income$0$0$0
Net gain$0$0$0
Capital loss deduction for trusts$0$0$0
Income (loss) from partnerships and S corporations$0$0$0
Rent income$0$0$0
Unrelated debt-financed income$0$0$0
Interest, annuities, royalties, and rents from controlled organizations$0$0$0
Investment income of a section 501(c)(7), (9), or (17) organization$0$0$0
Exploited exempt activity income$0$0$0
Advertising income$0$0$0
Other income$0$0$0
Deductions Not Taken Elsewhere (for 2008)
Total deductions$80,566
Compensation of officers, directors, and trustees$0
Salaries and wages$38,279
Repairs and maintenance$1,246
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$0
Depreciation$1,540
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$5,765
Excess exempt expenses$0
Excess readership costs$0
Other deductions$33,736
Unrelated business taxable income$-67,087
Unrelated business taxable income before net operating loss deduction$-67,087
Net operating loss deduction$0
Unrelated business taxable income before specific deduction$-67,087
Specific deduction$1,000
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Virginia Gay Hospital502 N 9th Ave, Vinton, IA 52349-2299IA1976-10$24,172,097
2United Helpers Nursing Home Inc8101 State Highway 68, Ogdensburg, NY 13669-4403NY1970-06$15,273,370
3Central Community Hospital901 Davidson St Nw, Elkader, IA 52043-9015IA1972-05$6,000,796
4United Memorial Medical Center127 North St, Batavia, NY 14020-1631NY1960-07$82,203,961
5Bert Fish Medical Center Inc401 Palmetto St, New Smyrna, FL 32168-7322FL1995-10$71,517,904
6Sweetwater Hospital Association304 Church St, Sweetwater, TN 37874-2823TN1976-03$58,739,879
7South Peninsula Hospital Inc4300 Bartlett St, Homer, AK 99603-7005AK1972-08$54,972,418
8Troy Community Hospital Incorporated275 Guthrie Dr, Troy, PA 16947-8115PA1954-03$50,585,986
9Wright State Physicians Inc725 University Blvd, Dayton, OH 45435-0001OH1992-08$43,886,596
10West Louisiana Health Services Inc, Beauregare Memorial HospitalPO BOX 730, Deridder, LA 70634-0730LA1950-08$42,608,888
11Shenandoah Medical Center300 Pershing Ave, Shenandoah, IA 51601-2355IA1978-06$31,453,446
12Stewart Memorial Community HospitalPO BOX 114, Lake City, IA 51449-0114IA1964-04$30,603,228
13Knoxville Community Hospital Inc1002 S Lincoln St, Knoxville, IA 50138-3121IA1977-12$28,256,137
14Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center300 Sioux Valley Dr, Cherokee, IA 51012-1205IA1940-06$25,391,031
15Alegent Health-Community Memorial Hospital Of Missouri Valley Iowa631 N 8th St, Missouri Vly, IA 51555-1102IA1963-02$24,649,288
16Hegg Memorial Hospital1202 21st Ave, Rock Valley, IA 51247-1420IA1973-01$18,667,018
17Mercy Hospital Of Franciscan Sisters Inc201 8th Ave Se, Oelwein, IA 50662-2447IA1946-03$12,911,536
18Sumner Community Club, Community Memorial HospitalPO BOX 148, Sumner, IA 50674-0148IA1955-05$12,489,737
19Schoitz Medical Center3421 W 9th St, Waterloo, IA 50702-5401IA1960-04$263,378
20Eldora Regional Medical Center2413 Edgington Ave, Eldora, IA 50627-1541IA1997-06$0
Number of organizations performing similar types of work
Alaska2
Alabama4
Arkansas10
Arizona70
California20
Colorado2
Connecticut2
District of Columbia1
Delaware1
Florida12
Georgia9
Hawaii3
Iowa15
Idaho1
Illinois16
Indiana21
Kansas13
Kentucky18
Louisiana4
Massachusetts8
Maryland6
Maine8
Michigan28
Minnesota12
Missouri11
Mississippi3
Montana10
North Carolina11
North Dakota8
Nebraska8
New Hampshire3
New Jersey8
New Mexico1
Nevada2
New York20
Ohio24
Oklahoma13
Oregon3
Pennsylvania27
South Carolina6
South Dakota6
Tennessee19
Texas24
Utah1
Virginia12
Vermont3
Washington8
Wisconsin16
West Virginia9
Total542

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