Great River Medical Center

Legal name: Fort Madison Community Hospital

Nonprofit profile at a glance

EIN
421081055
IRS 990 coverage
2009–2020
Official website data refreshed
Sep 2026
Forms available
Form 990 2020, Form 990-T 2020
Location
Fort Madison, IA, US
Phone
(319) 376-2121
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$63,917,889
Expenses
$122,574,415
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2020. Amounts in USD.

Leadership & pay

17 people listed

Executive titles in this filing

  • MATT WENZEL (PRESIDENT & CEO)
  • SHELBY BURCHETT (COO/CEO)

Highest reported compensation

  • MATT WENZEL (PRESIDENT & CEO): $914,631 total reported compensation
  • BRENT WOODBURY MD (PHYSICIAN): $793,794 total reported compensation
  • TIMOTHY STAUDTE MD (PHYSICIAN): $579,294 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2020. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To improve the health and well-being of the communities we serve by providing high-quality, compassionate healthcare services.

What it reported doing in 2020

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.

Operating model

Revenue model
Other-operating. 90% of the money available for current operations came from other operating revenue.
Distribution model
Hybrid. The nonprofit split its reported program spending across 42% for direct work, and 58% for grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 84
  • Accountability: 87
  • Sustainability: 5
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 88%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 91.7%; rating input score 92; 7th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 49th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 85.7%; rating input score 86; 36th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -91.8%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 2.6%; rating input score 43; 43rd percentile among comparable filings

Growth

  • Program expense growth: 11.5% per year; rating input score 100; 82nd percentile among comparable filings
  • Revenue growth: 2.5% per year; rating input score 100; 25th percentile among comparable filings
  • Asset growth: -4.5% per year; rating input score 0; 3rd percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 100% of revenue deployed · 88% of spending went to programs
  • Governance: 6 of 7 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $107.8M in reported program spending
  • Leadership: top reported pay $915K · 17 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.8M reported
  • Consistency: 30 of 31 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 11 filing years from 2009 to 2020
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 15 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 43/100.