Siouxland Community Health Center
Nonprofit profile at a glance
- EIN
- 421374894
- IRS 990 coverage
- 2010–2025
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2025, Form 990-T 2025
- Location
- Sioux City, IA, US
- Phone
- 712-252-2477
- Rating
- 80
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $59,403,149
- Expenses
- $55,630,803
- Assets
- $57,792,346
- Liabilities
- $5,479,589
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
30 people listed
Executive titles in this filing
- MARK DONALDSON (CHIEF EXECUTIVE OFFICER)
Highest reported compensation
- DR KRISTI WALZ (MEDICAL DIRECTOR BEG 02/25): $453,939 total reported compensation
- DAVID FALDMO (QUALITY DIRECTOR): $445,904 total reported compensation
- DR DYLAN GREENE (PHYSICIAN): $395,034 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To improve the health of the communities we serve by providing access to high quality health and wellness services.
What it reported doing in 2025
Primary and specialty medical services for fye 2026: schc provided medical, prenatal, and behavioral health services for 96,500 patient visits. Services were provided by six primary care physicians, eight physician assistants, and twenty nurse practitioners. Laboratory siouxland community health center laboratory currently conducts approximately 96% of its laboratory tests onsite and is a moderate complex laboratory. For those tests not performed onsite, they are sent to a reference laboratory where the majority of test results are returned within 24-72 hours. Conducting the majority of tests onsite ensures rapid turnaround for diagnosis and monitoring of chronic medical conditions. The laboratory was accredited by clia through the year ending 9/23/27. The laboratory performed 938,549 tests. Radiology schc conducts radiology services. It performed 5,594 exams for the year ending 1/31/26. Schc also provides ultrasound services and performed 3,834 exams for the year ending 1/31/26. HIV/AIDS and hepatitis the HIV team serves the tri-state siouxland area, as well as 14 additional Iowa counties, 2 counties in Nebraska, and 2 counties in South Dakota. Approximately 36.2% of patients receiving HIV/AIDS care live in rural areas. In addition to medical care, the HIV team coordinates dental care, case management, transportation, and housing assistance. For the fiscal year ending 1/31/26, the HIV team served 269 patients. Financial services to ensure patients have access to care at an affordable rate, schc offers a sliding fee discount to patients based on income eligibility and accepts medicaid (title 19), medicare (title 18), hawk-i (state chip) and most private insurances. For fiscal year ending 1/31/26, 12% of patients receiving care were uninsured, 46% had coverage by medicaid/hawk-i, 11% had medicare coverage, and 31% had coverage by other sources. Schc employed six certified application counselors to assist individuals with enrollment in the health insurance exchange.
Operating model
- Revenue model
- Other-operating. 87% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
STRONG - The filed numbers largely add up and a large share of available resources goes toward mission work. Total assets are small relative to annual expenses; liquid coverage is unknown and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 66
- Transparency & Controls: 92
- Accountability: 95
- Sustainability: 47
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 72.9%; rating input score 73
- Program expense ratio: 77.4%; rating input score 77
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 66th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 81st percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 65th 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: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 6.4%; rating input score 59; 59th percentile among comparable filings
- Total-asset coverage ratio: 1.04; rating input score 29; 29th percentile among comparable filings
- Liabilities to assets ratio: 0.09; rating input score 77; 77th percentile among comparable filings
- Officer compensation ratio: 7.1%; rating input score 10; 10th percentile among comparable filings
Growth
- Program expense growth: 8.3% per year; rating input score 100; 62nd percentile among comparable filings
- Revenue growth: 8.6% per year; rating input score 100; 65th percentile among comparable filings
- Asset growth: 9.3% per year; rating input score 100; 64th percentile among comparable filings
Details
- What they do: 4 programs and campaigns described on the official site · 2 operating locations identified
- Where the money goes: 72.9% of revenue deployed · 77.4% of spending went to programs
- Governance: 17 of 17 board members independent · 8 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $43.1M in reported program spending
- Leadership: top reported pay $454K · 30 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $3.5M reported
- Consistency: 37 of 37 current checks pass
- Schedules: 9 filed schedules · includes major donors, grants, and executive pay
- Filing history: 16 filing years from 2010 to 2025
- Contacts: How to reach this organization
- Money network: 13 filed money-flow records
- Related organizations: Filed and resolved organization relationships.
- 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: Total-asset coverage ratio scored 29/100.
- Review — Sustainability: Operating margin scored 59/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- High — Sustainability: Officer compensation ratio scored 10/100.