Carlos G Otis Health Care Center

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1949

Legal Domicile

Principal Officer

L Olivia Sweetnam

Phone

8023657920

Tax Period

2023-10-01 to 2024-09-30

Carlos G Otis Health Care Center, founded in 1949, is a mid-sized nonprofit in the Health Care sector that reported $38.2M in total revenue in fiscal year 2023. Revenue grew 12% year-over-year, indicating healthy expansion.

Mission

Carlos G. Otis Health Care Center (d/b/a Grace Cottage Hospital) is organized for charitable, benevolent, scientific, and educational purposes. In particular, it supports and encourages the development of comprehensive, integrated health care related services, advancing the health and well-being of the community, through all relevant means.

Program Service Accomplishments

Program 1

Expenses: $36,447,008 Revenue: $36,772,935

Grace Cottage Hospital is a critical access hospital offering 24-hour emergency services, inpatient acute and skilled care, 24-hour diagnostic imaging services, a full-service laboratory, a pharmacy, a variety of outpatient medical care services, including physical therapy, occupational therapy, and speech therapy, and a rural health clinic providing primary care and psychiatric services. Please refer to this Form 990, Schedule H, for additional information regarding the Hospital's patient services and community benefits.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $1,400,183

Program Service Revenue $36,772,935

Investment Income $-5,522

Other Revenue $0

TOTAL REVENUE $38,167,596

Expense Breakdown

Grants Paid $0

Salaries & Benefits $24,186,539

Fundraising Expenses $390,407

Program Expenses $36,447,008

Other Expenses $15,872,059

TOTAL EXPENSES $40,058,598

Year-over-Year Comparison

	2023	2022	Change
Revenue	$38,167,596	$34,161,645	+0.1%
Expenses	$40,058,598	$34,616,276	+0.2%
Net Income	$-1,891,002	$-454,631	+3.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

270

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$791,427

Total Directors

$278,773

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Timothy P Shafer MD	Trustee/Physician	41.00	Director	$244,439	$34,334	$278,773
Al Claussen III	Trustee	1.00	Director	$0	$0	$0
Thomas Kalchthaler	Trustee	1.00	Director	$0	$0	$0
Karren Meyer	Trustee	1.00	Director	$0	$0	$0
Winthrop Pennock	Trustee (start 11/2023)	1.00	Director	$0	$0	$0
Terry Pollio	Trustee	1.00	Director	$0	$0	$0
Tracy Sloan	Trustee (start 11/2023)	1.00	Director	$0	$0	$0
Rachel Stettler	Trustee (end 10/2023)	1.00	Director	$0	$0	$0
Sarah Vangel	Trustee	1.00	Director	$0	$0	$0
Martha Dale	President	1.00	Officer Director	$0	$0	$0
Edward Druke	Vice President	1.00	Officer Director	$0	$0	$0
Lucas Farrell	Treasurer	1.00	Officer Director	$0	$0	$0
Barry Emerson	Treasurer (end 11/2023)	1.00	Officer Director	$0	$0	$0
Sheila Scheuerman	Secretary	1.00	Officer Director	$0	$0	$0
Douglas DiVello	CEO	41.00	Officer	$371,406	$51,885	$423,291
Stephen A Brown	CFO	45.58	Officer	$331,467	$36,669	$368,136
George Terwilliger	Physician	40.00	Highest	$281,335	$35,441	$316,776
Wyll Everett MD	Physician	40.26	Highest	$237,776	$46,064	$283,840
Philip Schafer	PA-C (Physician Assistant)	40.38	Highest	$218,980	$32,936	$251,916
Jeremy Morrison MD	Physician	34.19	Highest	$206,927	$45,272	$252,199
Marc-Olivier Ratte MD	Physician	33.84	Highest	$202,179	$21,930	$224,109

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$38,167,596	$40,058,598	$24,904,522	$-1,891,002
2023	$34,161,645	$34,616,276	$19,995,508	$-454,631
2022	$31,228,374	$31,503,356	$18,760,118	$-274,982
2021	$30,843,865	$27,373,599	$26,686,067	$3,470,266
2020	$27,461,990	$26,316,265	$24,243,053	$1,145,725
2019	$24,375,604	$24,783,162	$16,126,241	$-407,558
2018	$24,339,708	$23,837,945	$15,316,029	$501,763