Sioux Center Health

What it reported doing in 2024

Sioux Center Health operates a 19-bed acute-care hospital, a 99-bed nursing care facility, medical clinics, specialty physician clinic and independent/assisted living facilities (24 independent, 62 assisted apartments) located in Sioux Center, Iowa. During the fiscal year ending June 30, 2025, patient days were 1,559, swing-bed days were 944, and newborn days were 434.The Center also provides a wide variety of medically-related activities at less than, or at no cost to residents of communities throughout northwest Iowa. These activities include general community education programs and sponsorship of support groups for victims of chronic disease and their families. Other activities designed to measure or enhance the general health status of residents of the community include: classes related to CPR, diabetes, cardiac rehabilitation and childbirth; participation in health fairs at industrial and community sites throughout the area; cost free screenings to alert people with high blood pressure; providing use of meeting facilities at no charge to cancer, Alzheimer's, diabetes, weight maintenance, "senior and hospice support groups; programs for children; providing speakers for various events and education groups; and representation in community education programs.The Health Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Since the Health Center does not pursue collection of amounts determined to qualify as charity care, they are not reported as patient service revenue. The estimated cost of providing these services was $423,597 for the year ended June 30, 2025, calculated by multiplying the ratio of cost to gross charges for the Health Center by the gross uncompensated charges associated with providing charity care to its patients.

Financial Efficiency

• Mission deployment rate: 82.1%; rating input score 82
• Program expense ratio: 86.2%; rating input score 86
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 25th 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: 45.2%; rating input score 45; 9th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 91.2%; rating input score 91; 39th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 5.1%; rating input score 57; 57th percentile among comparable filings
• Total-asset coverage ratio: 1.58; rating input score 55; 55th percentile among comparable filings
• Liabilities to assets ratio: 0.53; rating input score 34; 34th percentile among comparable filings
• Officer compensation ratio: 4.9%; rating input score 18; 18th percentile among comparable filings

Growth

• Program expense growth: 7.2% per year; rating input score 100; 59th percentile among comparable filings
• Revenue growth: 6.2% per year; rating input score 100; 54th percentile among comparable filings
• Asset growth: 6.8% per year; rating input score 100; 50th percentile among comparable filings