Cloud County Health Center Inc

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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

1970

Legal Domicile

Principal Officer

David Garnas

Phone

7852431234

Tax Period

2023-10-01 to 2024-09-30

Cloud County Health Center Inc, founded in 1970, is a mid-sized nonprofit in the Health Care sector that reported $22.8M in total revenue in fiscal year 2023.

Mission

Cloud County Health Center is committed to providing quality health care services delivered in a caring and respectful manner through teamwork and professional excellence.

Program Service Accomplishments

Program 1

Expenses: $18,849,037 Revenue: $22,763,991

Cloud County Health Center (dba NCK Medical Center) is a nonprofit acute care hospital located in Concordia, Kansas. The Health Center provides inpatient, outpatient, Rural Health Clinic and...

Cloud County Health Center (dba NCK Medical Center) is a nonprofit acute care hospital located in Concordia, Kansas. The Health Center provides inpatient, outpatient, Rural Health Clinic and Emergency care services to residents of Cloud County and the surrounding area. The Health Center had a total of 233 discharges and 1,493 patient days. The Hospital had a total of 433 surgeries, 2,923 ED visits and 27,070 OP visits and the Family Care Center had 16,155 visits. In addition to providing Inpatient and Outpatient services, the hospital provides the following ancillary services: Lab, Imaging, Pharmacy, Respiratory Therapy, Rehab services, Sleep Lab services,and surgical procedures. Imaging services include all of the following areas: General X-ray, CT Scan, Nuclear Medicine, Ultrasound, Bone Density and Mammography services.

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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 $16,309

Program Service Revenue $22,763,991

Investment Income $31,181

Other Revenue $7,931

TOTAL REVENUE $22,819,412

Expense Breakdown

Grants Paid $5,164

Salaries & Benefits $13,692,323

Fundraising Expenses $0

Program Expenses $18,849,037

Other Expenses $11,085,782

TOTAL EXPENSES $24,783,269

Year-over-Year Comparison

	2023	2022	Change
Revenue	$22,819,412	$23,529,870	0.0%
Expenses	$24,783,269	$24,619,785	+0.0%
Net Income	$-1,963,857	$-1,089,915	+0.8%

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

N/A

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

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Philip Gilliland	Chairperson	1.00	Officer Director	$0	$0	$0
Kurt Kocher	Vice Chairperson	1.00	Officer Director	$0	$0	$0
Chuck Lambertz	Secretary	1.00	Officer Director	$0	$0	$0
Amy Lange	Treasurer	1.00	Officer Director	$0	$0	$0
Joanne Balthazor	Director	1.00	Director	$0	$0	$0
Quentin Breese	Director	1.00	Director	$0	$0	$0
Darrell Gallegos	Director	1.00	Director	$0	$0	$0
Darrel Hosie	Director	1.00	Director	$0	$0	$0
Amber Knoettgen	Director	1.00	Director	$0	$0	$0
Kent Otott	Director	1.00	Director	$0	$0	$0
Sister Marilyn Wall	Director	1.00	Director	$0	$0	$0
Justin Poore	Chief of Staff (until Dec 2023)	40.00	Director	$0	$0	$0
Dorothy Breault	Chief of Staff (beg Jan 2024)	40.00	Director	$0	$0	$0
David Garnas	President	40.00	Officer	$0	$0	$0
Ronald Harrington	CFO	40.00	Officer	$0	$0	$0
Daniel Garlow	Physician	40.00	Highest	$328,184	$32,783	$360,967
Shawna Huggans	Advanced Practice Provider	40.00	Highest	$194,059	$35,280	$229,339
Brandon Fraley	Advanced Practice Provider	40.00	Highest	$190,545	$17,164	$207,709
Layce Siemsen	Advanced Practice Provider	40.00	Highest	$183,843	$36,496	$220,339
Tiffany Naccarto	Advanced Practice Provider	40.00	Highest	$155,608	$8,131	$163,739

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	$22,819,412	$24,783,269	$48,670,649	$-1,963,857
2023	$23,529,870	$24,619,785	$49,143,712	$-1,089,915
2022	$20,058,770	$18,319,628	$46,728,571	$1,739,142
2021	$19,740,786	$17,757,412	$19,458,806	$1,983,374
2020	$18,382,067	$16,545,562	$13,261,707	$1,836,505
2019	$18,439,810	$16,842,407	$7,607,446	$1,597,403
2018	$15,348,464	$17,430,977	$6,058,161	$-2,082,513