FORT MADISON COMMUNITY HOSPITAL

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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

1977

Legal Domicile

Principal Officer

DAN LINHART

Phone

3193726530

Tax Period

2020-07-01 to 2021-06-30

FORT MADISON COMMUNITY HOSPITAL, founded in 1977, is a mid-sized nonprofit that reported $63.9M in total revenue in fiscal year 2020. Revenue surged 38% from the prior year, signaling strong growth momentum. Expenses of $122.6M exceeded revenue, resulting in a 92% operating deficit.

Mission

TO ADVANCE THE HEALTH AND WELL-BEING OF ALL PEOPLE THROUGH COMPASSIONATE, QUALITY CARE, EDUCATION, AND COMMUNITY SERVICE.

Program Service Accomplishments

Program 1

Expenses: $107,819,699 Revenue: $57,747,810

FORT MADISON COMMUNITY HOSPITAL IS A GENERAL, MEDICAL, AND SURGICAL HOSPITAL LOCATED IN FORT MADISON, IOWA, TO MEET THE HEATLH CARE NEEDS OF ITS COMMUNITIES AS WELL AS PROVIDE PROGRAMS AND SERVICES AIMED AT HEALTH, SAFETY, EDUCATION, PREVENTION, AND OVERALL HEALTH AND WELLNESS. IN DOING SO, THEY STRENGTHEN THEIR ROLE AS A PARTNER IN HTE COMMUNITY BY IMPROVING THE HEALTH OF AREA CITIZENS AND THE QUALITY OF LIFE IN THE COMMUNITIES THEY SERVE FORT MADISON COMMUNITY HOSPITAL (FMCH) IS COMMITTED TO PROVIDING HEALTH CARE SERVICES TO AREA RESIDENTS. FMCH SERVICES THE RESIDENTS OF SOUTHEAST IOWA AND WEST CENTRAL ILLINOIS. THE 50-BED HOSPITAL HAD 1082 PATIENT ADMISSIONS AND 2,943 PATIENT DAYS OF MEDICAL CARE. HEALTH SERVICES AND CARE PROVIDED BY FMCH INCLUDE PHYSICIANS AND SURGEONS PRACTICING IN THE FOLLOWING AREAS: FAMILY PRACTICE, INTERNAL MEDICINE, OBSTETRICS & GYNECOLOGY, ORTHOPEDICS & SPORTS MEDICINE, PEDIATRICS, PSYCHIATRY, SURGERY AND UROLOGY, AND BIRTHPLACE SERVICES. IN ADDITION, FMCH HAS SPECIALTY CLINICS IN THE FOLLOWING AREAS: CARDIOLOGY, DERMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY AND NEUROLOGY, EMERGENCY DEPARTMENT SERVICES, HOME HEALTH CARE, HOSPICE, REHABILITATION/THERAPY SERVICES, LABORATORY AND PATHOLOGY SERVICES, AND WOUND HEALING CARE.

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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 (2020)

Revenue Breakdown

Contributions & Grants $5,843,531

Program Service Revenue $57,781,995

Investment Income $294,006

Other Revenue $-1,643

TOTAL REVENUE $63,917,889

Expense Breakdown

Grants Paid $62,661,060

Salaries & Benefits $30,739,393

Fundraising Expenses $0

Program Expenses $107,819,699

Other Expenses $29,173,962

TOTAL EXPENSES $122,574,415

Year-over-Year Comparison

	2020	2019	Change
Revenue	$63,917,889	$46,446,712	+0.4%
Expenses	$122,574,415	$45,879,825	+1.7%
Net Income	$-58,656,526	$566,887	-104.5%

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

491

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

$1,954,790

Total Directors

$914,631

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DAVE POLAND	CHAIRPERSON	2.00	Officer Director	$0	$0	$0
NEAL DODD	VICE CHAIRPERSON	2.00	Officer Director	$0	$0	$0
VICKI STEPHENSON	SECRETARY	2.00	Officer Director	$0	$0	$0
MATT WENZEL	PRESIDENT & CEO	24.00	Officer Director	$0	$55,534	$914,631
STEVE DAVIS MD	DIRECTOR	2.00	Director	$0	$0	$0
ANN MENKE	DIRECTOR	2.00	Director	$0	$0	$0
JOANN LAMPE	DIRECTOR	2.00	Director	$0	$0	$0
DEANNA BARR	DIRECTOR (THRU 1/21)	2.00	Director	$0	$0	$0
JOHN MCKILLIP	DIRECTOR (THRU 1/21)	2.00	Director	$0	$0	$0
SHELBY BURCHETT	COO/CEO	10.00	Officer	$0	$42,131	$276,524
DAN LINDHART	VP OF FINANCE	40.00	Officer	$181,123	$36,197	$217,320
JEREMY ALEXANDER	CFO	1.00	Officer	$0	$45,513	$546,315
BRENT WOODBURY MD	PHYSICIAN	40.00	Highest	$749,598	$44,196	$793,794
TIMOTHY STAUDTE MD	PHYSICIAN	40.00	Highest	$533,906	$45,388	$579,294
DEREK BREDER MD	PHYSICIAN	40.00	Highest	$532,104	$35,261	$567,365
YADIRA GARCIA MD	PHYSICIAN	40.00	Highest	$400,789	$42,954	$443,743
KOLLEEN BURNETT-BARNHARDT MD	PHYSICIAN	40.00	Highest	$354,924	$44,742	$399,666

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
2021	$63,917,889	$122,574,415	No data	$-58,656,526
2019	$70,660,441	$61,936,552	$61,295,317	$8,723,889
2018	$56,686,119	$61,592,928	$55,938,673	$-4,906,809