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Iowa · Nonprofit

PALMER LUTHERAN HEALTH CENTER INC

PALMER LUTHERAN HEALTH CENTER INC (Iowa) receives grants from 2 organizations whose IRS filings report $42,000 to it, the largest being American Heart Association Inc ($32,000). 1 of them have funded it in more than one year.

Revenue FY2025
$51M
Funders on record
2
Grants received
$42k
Net assets
$32M
1/2 repeat funderspeak grant-dependency 0%
01What it does

What Palmer Lutheran Health Center Inc does

Mission

Together, we inspire your best life by relentlessly caring, learning and innovating. Leading with love, we courageously commit to a future of healthy people and thriving communities.

As stated on its FY2025 Form 990.

Program

  1. Palmer lutheran health center is a 25-licensed bed critical access hospital. The only hospital in west union, iowa, and employs about 220 employees. Palmer lutheran health center also has three rural health clinics in the communities of west union, fayette and postville, a home care department, hospice department, and home medical equipment department, which have offices in both west union and oelwein. In addition, palmer operates a same day clinic, open after-hours and on weekends, allowing patients to be seen 7 days a week in this setting. This is offered to specifically meet community health needs of working families. Annually, palmer has about 400 admissions, 90 live births; over 3,600 emergency center visits, about 20,750 patient visits in the clinics and performs over 600 surgeries (including ambulatory). Accomplishments: when renovated, the hospital was designed to achieve three goals - create a healing environment that welcomes and supports patients/families, design work areas to better accommodate current and future technologies, systems and approaches to care, and to comply more fully with hipaa regulations. Palmer lutheran health center leads delivery of healthcare to…

    $39,712,750 spentof which $2,469,496 as grants$50,658,810 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $39,712,750.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($28M) Expenses 100 ($30M) Net assets 100 ($6.7M)2018 Revenue 104 ($30M) Expenses 102 ($30M) Net assets 92 ($6.2M)2019 Revenue 110 ($31M) Expenses 101 ($30M) Net assets 112 ($7.5M)2020 Revenue 111 ($31M) Expenses 100 ($30M) Net assets 140 ($9.4M)2021 Revenue 151 ($43M) Expenses 114 ($34M) Net assets 280 ($19M)2022 Revenue 134 ($38M) Expenses 122 ($36M) Net assets 308 ($21M)2023 Revenue 108 ($31M) Expenses 102 ($30M) Net assets 313 ($21M)2024 Revenue 177 ($50M) Expenses 147 ($44M) Net assets 413 ($28M)2025 Revenue 180 ($51M) Expenses 159 ($47M) Net assets 472 ($32M)
'17'18'19'20'21'22'23'24'25
Revenue (180)Expenses (159)Net assets (472)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $20M to $33M (+66%).

$21M
$20M
$20M
$33M
$41M
$36M
$31M
$41M
$40M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 2% · 2021 11% · 2022 3% · 2023 0% · 2024 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of PALMER LUTHERAN HEALTH CENTER INC’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 9 reported years ran a deficit.

−$1.3M
’17
−$553k
’18
$1.3M
’19
$1.8M
’20
$9.2M
’21
$1.9M
’22
$322k
’23
$6.6M
’24
$3.7M
’25
5.3
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Scott Rathgaber Md

CEO

Board chair

Kristi Flack

Board of directors, chairman

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed111411141416121916
Joined·+5+0+5+2+3+3+7+3
No longer listed·23221706
03Who funds it

Who funds it, year by year

2017 → 2023: the base held at 1 funder, grant income fell $12k → $10k.

Funder
'17
'23
'25*
total
funders
1
1
1

Left out of every figure on this page: $456k from 3 payers (the payer shares this organization's board, largest Gundersen Lutheran Administrative Services Inc). These are real filings, and they are not money PALMER LUTHERAN HEALTH CENTER INC raised.

From the IRS filings of PALMER LUTHERAN HEALTH CENTER INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

PALMER LUTHERAN HEALTH CENTER INC leans on a few funders — its largest provides 76% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund PALMER LUTHERAN HEALTH CENTER INC.

76%
largest funder
100%
top three
~2
effective funders

Largest funder’s share by year: 2017 100% · 2023 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

PALMER LUTHERAN HEALTH CENTER INC draws 76% of its grant income from funders outside Iowa, across 2 states in all.

IA
TX

In-state vs out-of-state, by year

’17
’23
Iowa out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

PALMER LUTHERAN HEALTH CENTER INC holds deeper cash reserves than three-quarters of the 2,843 health nonprofits its size.

Operating margin7% · above the median
Months of reserve5.3mo · top quartile
Revenue growth (annualized)8% · above the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Organizations like PALMER LUTHERAN HEALTH CENTER INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Iowa

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

84% of spending goes to programs.

Program 84%Management 16%Fundraising 0%

Governance

6
board members
33%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention–Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 32 related entities

  • Bellin Gundersen Health System Inc · exempt
  • Gundersen Lutheran Health System Inc · exempt
  • Gundersen Lutheran Medical Center Inc · exempt
  • Gundersen Clinic Ltd · exempt
  • Gundersen Lutheran Administrative Services Inc · exempt

Screen this organization

A dated, signed PDF of the compliance screen for PALMER LUTHERAN HEALTH CENTER INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds PALMER LUTHERAN HEALTH CENTER INC?
PALMER LUTHERAN HEALTH CENTER INC (Iowa) receives grants from 2 organizations whose IRS filings report $42,000 to it, the largest being American Heart Association Inc ($32,000). 1 of them have funded it in more than one year.
How many funders does PALMER LUTHERAN HEALTH CENTER INC have?
IRS filings report 2 organizations giving $42,000 in grants to PALMER LUTHERAN HEALTH CENTER INC, 1 of which have funded it in more than one year.
Who is the largest funder of PALMER LUTHERAN HEALTH CENTER INC?
American Heart Association Inc is the largest funder on record, with $32,000 in grants. The full list of funders is on this page.
How can an organization like PALMER LUTHERAN HEALTH CENTER INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Iowa. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Palmer Lutheran Health Center →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 2 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing