Wrap up of transactions involving a nonprofit acute care facility in TN, sold 9/01/2021.

501(c)(3) charity; gifts are tax-deductible.
70¢ of each $1 spent went to programs.
$1.3M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2020 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
2 of 6
filings with a surplus
Average deficit $7.4M a year · 25% of revenue · last 6 filings
Concern: a surplus in 2 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
70%
of spending
Fine: 70% of spending went to programs; 65% to 75%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$1.3M
to officers and key staff · 2% of spending
Looks good: pay to officers and key staff is 2% of spending; 15% or less.
Pt VII · Sec A
3 mo
of spending, in cash
Looks good: 3.4 months of spending in cash; 3 or more.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $15K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$50.5M
50% of total assets
Looks good: liabilities are 50% of assets; 50% or less.
Pt X · Ln 26
Independent board members
7
of 11 voting members
Looks good: 7 of 11 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$74.6M
Spent
$69.9M
To programs
70%
Net assets
$50.1M
By yearFY2020–FY2025
Revenue
$74.6M
FY2020
Tap a bar for its year
Revenue by fiscal year
FY2020$74.6M
FY2021$80.2M
FY2022$23.6M
FY2023$224K
FY2024$103K
FY2025$1.0M
Expenses
$69.9M
FY2020
Tap a bar for its year
Expenses by fiscal year
FY2020$69.9M
FY2021$73.3M
FY2022$75.8M
FY2023$1.5M
FY2024$1.2M
FY2025$2.2M
Net assets
$50.1M
FY2020
Tap a bar for its year
Net assets by fiscal year
FY2020$50.1M
FY2021$57.6M
FY2022$5.2M
FY2023$4.5M
FY2024$3.5M
FY2025$2.3M

From the FY2020 Form 990 (year ending June 2020) · figures checked against the IRS filing · see the original

990 PDF Claim
You’re viewing the FY2020 filing — not the latest on file. See the latest (FY2025) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Mar 1989.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

70 cents of each dollar spent went to programs.

Program services 70% · $49.0M Management & general 30% · $20.9M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

20 people listed on the 990; $1.3M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2019); the FY2020 filing did not itemize Part VII
CEO/Officer-President
$345,855Pt VII · Sec A
Cco/VP of Clinical Service
$247,150Pt VII · Sec A
VP Business Development
$145,146Pt VII · Sec A
$116,118Pt VII · Sec A
Pfs Director
$114,307Pt VII · Sec A
HR Director
$109,247Pt VII · Sec A
$103,849Pt VII · Sec A
$87,247Pt VII · Sec A

Kenneth Ward End 821’s $429K as CFO is at the 95th percentile of top reported officer pay among 3129 $1–10M health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2022FY2021FY2020
Kenneth Ward End 821$429,261——
Angela Beard End 821$424,365——
Randy Davis—$331,912$345,855
Randall Davis End 821$298,833——
Kenneth Ward—$254,172$87,247
Angela Beard—$237,069$247,150
Christopher Locke End 821$194,661——
Michael Tinal End 821$161,035——

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Facilitated the sale of a nonprofit acute care facility.

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Provided by the organization

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1 program · $49.0M · in their own filed words · FY2019
01

In addition to health services, northcrest medical center sponsors monthly support groups for grief, cancer and diabetes education, hosts prenatal classes, publishes a quarterly newsletter, and provides stroke and prostate cancer screenings along with free blood pressure checks.

$49.0Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2022
Total grants receivedfrom 1 funder$15K
Grants paid · 13 grants · $24.1M · 2019–2024
Robertson Community Health FoundationFY2024$2,007,185
Robertson Community Health FoundationFY2023$1,000,000
Robertson Community Health FoundationFY2022$1,063,000
Robertson Community Health FoundationFY2021$19,661,475
Robertson County GovernmentFY2020$210,000
Hope SmilesTN · FY2020$90,000
YMCATN · FY2020$12,500
Robertson County Board of EducationFY2020$9,009
Apsu AthleticsFY2019$14,525
Robertson County Board of EducationFY2019$9,009
Aspire ClarksvilleTN · FY2019$5,000

By the numbers

The FY2020 990, line by line.

1The main four
Money inPt VIII
$74.6M
Ln 12
Fees for servicesLn 2g$68.3M
Other incomeLn 4–11$4.8M
Gifts and grantsLn 1h$1.0M
Money outPt IX
$69.9M
Ln 25
Programscol B$49.0M
Managementcol C$20.9M
Owns and owesPt X
$50.1M
net assets · Ln 32
Cash and savingsLn 1–2$20.1M
Total assetsLn 16$100.5M
LiabilitiesLn 26$50.5M
PeoplePt VI, VII
20
listed · VII A
PaidVII A20
Voting boardVI 1a11
IndependentVI 1b7
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$1.0M
Government grantsLn 1e$36K
Fees for servicesLn 2g$68.3M
Investment incomeLn 3$391K
Other incomeLn 4–11$4.8M
Total revenueLn 12$74.6M
Assets in detailPt X, end of year
CashLn 1$19.5M
SavingsLn 2$598K
Cash and savings togetherLn 1–2$20.1M
InvestmentsLn 11–13$14.2M
Land, buildings, equipmentLn 10c$23.4M
Other assetsLn 15$33.6M
Total assetsLn 16$100.5M
LiabilitiesLn 26$50.5M
Net assetsLn 32$50.1M
OperationsPt I, VI
EmployeesI 50
VolunteersI 63
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY20End FY20
Cash and savingsLn 1–2$4.2M$20.1M
InvestmentsLn 11–13$15.0M$14.2M
Land, buildings, equipmentLn 10c$24.7M$23.4M
Total assetsLn 16$84.3M$100.5M
LiabilitiesLn 26$38.1M$50.5M
Net assetsLn 32$46.3M$50.1M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$35K$35K
Pay of current officers, directors and key staffLn 5$745K$261K$485K
Other salaries and wagesLn 7$23.6M$17.0M$6.7M
Other employee benefitsLn 9$5.3M$3.7M$1.6M
Payroll taxesLn 10$1.9M$1.3M$543K
Other fees for servicesLn 11g$677K$676K$988
Advertising and promotionLn 12$154K$154K
OccupancyLn 16$2.2M$591K$1.6M
TravelLn 17$50K$16K$34K
InterestLn 20$1.5M$1.5M
Depreciation, depletion and amortizationLn 22$2.2M$2.2M
InsuranceLn 23$460K$460K
Other expenses (24a–d)Ln 24$27.8M$23.2M$4.5M
All other expensesLn 24e$3.3M$2.2M$1.1M
Total functional expensesLn 25$69.9M$49.0M$20.9M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest $1.0M$2.2M−$1.2M$2.3M 990 PDF
FY2024 $103K$1.2M−$1.1M$3.5M 990 PDF
FY2023 $224K$1.5M−$1.2M$4.5M 990 PDF
FY2022 $23.6M$75.8M−$52.2M$5.2M 990 PDF
FY2021 $80.2M$73.3M$6.9M$57.6M 990 PDF
FY2020 Viewing $74.6M$69.9M$4.7M$50.1M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support J · Pay O · Explanations
See the full FY2020 990 (6 parts)
Part I · Summary $74,579,149 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $712,945$1,008,150
I-9 Program service revenuePrior year $62,810,612$68,346,179
I-10 Investment incomePrior year $3,119,886$390,888
I-11 Other revenuePrior year $2,382,486$4,833,932
I-12 Total revenuePrior year $69,025,929$74,579,149
I-13 Grants and similar amounts paidPrior year $68,347$34,534
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $31,900,481$31,521,007
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $39,564,639$38,343,327
I-18 Total expensesPrior year $71,533,467$69,898,868
I-19 Revenue less expensesPrior year −$2,507,538$4,680,281
Part VI · Governance 7 of 11 board members independent, no flags
VI-1a Voting members of the governing body11
VI-1b Independent voting members7
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $74,579,149 across 8 lines filed
Lines not itemized here account for $176,625 of total revenue; see the IRS return.
VIII-1e Government grants$35,563
VIII-1f All other contributions, gifts and grants$972,587
VIII-1h Total contributions, gifts and grants$1,008,150
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $68,346,179$68,346,179
VIII-3 Investment incomeExcluded from tax $390,888$390,888
VIII-6 Net rental income or lossExcluded from tax $1,363,205$1,363,205
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $3,294,102$3,294,102
VIII-12 Total revenueRelated to mission $71,816,906 · Unrelated business $0 · Excluded from tax $1,754,093$74,579,149
Part IX · Statement of functional expenses $69,898,868 across 14 lines filed
IX-1 Grants to domestic organizationsPrograms $34,534$34,534
IX-5 Pay of current officers, directors and key staffPrograms $260,900 · Management $484,528$745,428
IX-7 Other salaries and wagesPrograms $16,957,452 · Management $6,679,838$23,637,290
IX-9 Other employee benefitsPrograms $3,666,513 · Management $1,591,046$5,257,559
IX-10 Payroll taxesPrograms $1,338,173 · Management $542,557$1,880,730
IX-11g Other fees for servicesPrograms $675,907 · Management $988$676,895
IX-12 Advertising and promotionManagement $153,748$153,748
IX-16 OccupancyPrograms $590,506 · Management $1,612,585$2,203,091
IX-17 TravelPrograms $16,162 · Management $33,928$50,090
IX-20 InterestManagement $1,494,542$1,494,542
IX-22 Depreciation, depletion and amortizationManagement $2,186,940$2,186,940
IX-23 InsuranceManagement $460,265$460,265
IX-24 Other expenses (24a–d)Programs $23,246,105 · Management $4,523,475$27,769,580
IX-24e All other expensesPrograms $2,226,690 · Management $1,121,486$3,348,176
IX-25 Total functional expensesPrograms $49,012,942 · Management $20,885,926 · Fundraising $0$69,898,868
Part X · Balance sheet $100,531,319 assets, 17 lines filed
Asset lines not itemized here account for $33,265; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $1,550,423$19,472,041
X-2 Savings and temporary cash investmentsStart of year $2,640,689$598,415
X-4 Accounts receivableStart of year $7,039,499$6,892,199
X-8 Inventories for sale or useStart of year $1,551,399$1,524,991
X-9 Prepaid expenses and deferred chargesStart of year $802,213$794,527
X-10c Land, buildings and equipment, netStart of year $24,701,227$23,387,823
X-12 Other securitiesStart of year $15,011,389$14,246,926
X-15 Other assetsStart of year $30,980,496$33,581,132
X-16 Total assetsStart of year $84,320,868$100,531,319
X-17 Accounts payable and accrued expensesStart of year $5,160,186$5,570,286
X-19 Deferred revenue$13,633,102
X-25 Other liabilitiesStart of year $3,074,270$3,737,558
X-26 Total liabilitiesStart of year $38,065,075$50,461,437
X-27 Net assets without donor restrictionsStart of year $45,578,793$49,173,857
X-28 Net assets with donor restrictionsStart of year $677,000$896,025
X-32 Total net assets or fund balancesStart of year $46,255,793$50,069,882
X-33 Total liabilities and net assetsStart of year $84,320,868$100,531,319
Part XI · Reconciliation of net assets $50,069,882 net assets at year end
XI-1 Total revenue$74,579,149
XI-2 Total expenses$69,898,868
XI-3 Revenue less expenses$4,680,281
XI-4 Net assets at start of year$46,255,793
XI-5 Net unrealized gains (losses) on investments−$202,904
XI-9 Other changes in net assets−$663,288
XI-10 Net assets at end of year$50,069,882

Form 990 e-file (XML) FY2020 from the IRS · Classification, formation year and address from the IRS Business Master File

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