2023-05-15T09:27:54-05:00 2022-06-30 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2021-07-01 421411233 SIOUXLAND REGIONAL CANCER CENTER SIOU 7122529418 230 NEBRASKA ST SIOUX CITY IA 51101 KARA WINKER DIRECTOR OF FINANCE 7122529418 2023-05-12 1 KARA WINKER 999009999 LAURIE HANSON CPA P00851848 6053391999 2023-05-12 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z X KRISTA MCCULLOUGH 230 NEBRASKA ST SIOUX CITY IA 51101 64937524 0 X WWW.NYLENCANCERCENTER.COM X 1992 IA PROVIDE THE HIGHEST QUALITY COMPASSIONATE CANCER CARE. 8 8 147 9 23365 302 454605 956979 56265134 63799794 74494 114161 967379 53428 57761612 64924362 0 57033 0 0 10302511 10940603 0 0 41428 46274897 53165775 56577408 64163411 1184204 760951 22869484 22578642 7124767 6328769 15744717 16249873 TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE THROUGH PREVENTION, TREATMENT AND RESEARCH. 0 0 60488408 57033 63776429 DURING THE FISCAL YEAR THE ORGANIZATION PROVIDED OUTPATIENT SERVICES TO 7,897 CANCER AND HEMATOLOGY PATIENTS. THE ORGANIZATION ALSO PROVIDED PATIENTS ACTIVELY RECEIVING TREATMENT WITH RENT AND UTILITY ASSISTANCE IN THE AMOUNT OF $57,033. 60488408 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 1 147 1 1 1 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 X KARA WINKER 7122529418 230 NEBRASKA STREET PO BOX 5017 SIOUX CITY IA 51101 CRAIG BERENSTEIN PRESIDENT 1.00 1.60 X X 0 0 0 DOUG SKINNER VICE PRESIDENT 1.00 1.60 X X 0 0 0 ELIZABETH HUGHES TREASURER 1.00 2.10 X X 0 0 0 LORENZO SUTER SECRETARY (BEGIN 07/2021) 1.00 1.60 X X 0 0 0 LEAH GLASGO SECRETARY (END 07/2021) 1.00 1.60 X X 0 0 0 JAMES GOBELL DIRECTOR 1.00 1.60 X 0 0 0 JESICA HANSON DIRECTOR 1.00 1.60 X 0 0 0 TRACY LARSON DIRECTOR 1.00 1.60 X 0 0 0 WENDY LINDLEY DIRECTOR 1.00 1.60 X 0 0 0 KRISTA MCCULLOUGH EXECUTIVE DIRECTOR 40.00 0.00 X 136124 0 10168 KARA WINKER DIRECTOR OF FINANCE 30.00 20.00 X 85476 0 17597 MARY ANNE MILLER INTERIM EXEC DIR UNTIL 1/28/22 40.00 X 0 0 0 DONALD WENDER PHYSICIAN 40.00 0.00 X 620295 0 35315 NASSER ABU-ERREISH PHYSICIAN 40.00 0.00 X 539489 0 29205 SANTIAGO MOSCOSO MARTINEZ PHYSICIAN 40.00 0.00 X 482428 0 23151 CHANDANA JAVVAJI PHYSICIAN 40.00 0.00 X 473660 0 28561 MATTHEW NWANERI PHYSICIAN 40.00 0.00 X 460311 0 22403 2797783 0 166400 10 0 1 0 VARIAN MEDICAL SYSTEMS 3100 HANSEN WAY PALO ALTO CA 94304 SOFTWARE SUPPORT 821329 COMPHEALTH 7259 S BINGHAM JCT BLVD MIDVALE UT 84047 CONTRACT PHYSICIANS 622429 TRI-STATE RADIATION ONCOLOGY 230 NEBRASKA ST SIOUX CITY IA 51101 RADIATION ONCOLOGY PHYSICIAN 564980 JAEGER CORPORATION 4848 180TH ST OMAHA NE 68135 DOSIMETRY 428632 CASSLING DIAGNOSTIC IMAGING 13808 F STREET OMAHA NE 68137 MAINTENANCE CONTRACT 339329 11 34556 922423 956979 PATIENT REVENUE 621300 63561074 63561074 BILLING SERVICES INCOME 564199 23365 23365 215355 215355 63799794 50402 50402 4000 0 4000 4000 4000 63759 0 63759 63759 63759 62590 34556 13162 49428 49428 64924362 63776429 23365 167589 57033 57033 218730 218730 8789540 8026260 763280 1404685 1034084 370601 527648 456767 70881 27249 27249 75925 75925 25967 25967 3556600 2577706 953269 25625 177785 177785 92166 43587 48153 426 9650 8876 774 329155 216423 112732 62418 37333 22823 2262 46131 15921 29910 300 104430 104430 1182819 949802 233017 145028 22097 122931 MEDICATION 43678965 43678965 MEDICAL SUPPLIES 1811624 1757512 54112 REPAIRS & MAINTENANCE 1592639 1438011 154628 DUES & MEMBERSHIPS 186428 63022 123231 175 60796 579 47577 12640 64163411 60488408 3633575 41428 3508223 3800708 48000 209000 5846692 6080256 17000 1030987 1427187 805124 753798 21624647 13640340 9032951 7984307 2189817 1959446 239596 407690 107344 22869484 22578642 4246185 3679343 2871174 2417524 7408 231902 7124767 6328769 X 14982804 15061505 761913 1188368 15744717 16249873 22869484 22578642 X 760951 -311586 55791 X 0 1 X 1 0 X 1578829 127256 496797 454605 956979 3614466 42304567 45043345 47718236 56168423 63776429 255011000 43883396 45170601 48215033 56623028 64733408 258625466 0 254680 254680 254680 254680 258370786 133674 130070 104855 74494 54402 497495 1302 1302 133674 130070 104855 74494 55704 498797 49428 49428 129139 136880 108286 188484 562789 44146209 45437551 48428174 56886006 64838540 259736480 0.99470 0.99500 0.00190 0.00210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200850 200850 7927835 5921439 2006396 13091109 7425722 5665387 404853 293179 111674 7984307 PENSION CONTRIBUTION 231902 231902 X 64655763 -311586 55792 -255794 64911557 25967 -13162 12805 64924362 64150606 0 64150606 25967 -13162 12805 64163411 PART X, LINE 2: THE CORPORATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE CORPORATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN TRUSTS -26,773. PENSION ADJUSTMENT 82,565. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE -13,162. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE -13,162. ROCK THE CURE 97146 34556 62590 4423 7150 1589 97146 34556 62590 4423 7150 1589 13162 49428 1 RENT AND UTILITY ASSISTANCE TO CANCER PATIENTS 40 57033 PART I, LINE 2: PATIENTS PROVIDE SRCC WITH RENT, MORTGAGE, AND/OR UTILITY BILLS AND PAYMENT IS MADE DIRECTLY TO THE BILLING ENTITY ON BEHALF OF THE PATIENT. X X 0 0 0 0 0 0 0 0 0 DONALD WENDER PHYSICIAN 572350 0 47520 0 425 0 4350 0 31565 0 656210 0 0 0 NASSER ABU-ERREISH PHYSICIAN 492374 0 46990 0 125 0 4350 0 25425 0 569264 0 0 0 SANTIAGO MOSCOSO MARTINEZ PHYSICIAN 434568 0 47660 0 200 0 4350 0 19229 0 506007 0 0 0 CHANDANA JAVVAJI PHYSICIAN 425485 0 48100 0 75 0 4350 0 24781 0 502791 0 0 0 MATTHEW NWANERI PHYSICIAN 373358 0 61878 0 25075 0 4350 0 18484 0 483145 0 0 0 SCHEDULE J PHYSICIANS BONUSES ARE DETERMINED BASED ON PATIENT SATISFACTION SCORES. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY AND TREASURER. TO THE EXTENT PERMITTED BY LAW AND SUBJECT TO ANY APPROVAL OF THE MEMBER AS REQUIRED BY THE BYLAWS, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS DURING THE PERIOD OF TIME BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 CRAIG BERENSTEIN, LORENZO SUTER, LEAH GLASGO, JIM GOBELL, AND WENDY LINDLEY HAVE A BUSINESS RELATIONSHIP. DOUG SKINNER, BETH HUGHES, JESICA HANSON, AND TRACY LARSON HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS HEALTH, INC., AN IOWA NON-PROFIT, EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). FORM 990, PART VI, SECTION A, LINE 7A THE NUMBER OF DIRECTORS SHALL BE DETERMINED BY THE MEMBER AND BE COMPOSED OF FOUR MEMBER DIRECTORS. ADDITIONAL DIRECTORS MAY BE APPOINTED BY THE MEMBER'S SPONSORING ORGANZATIONS ON A ONE FOR ONE BASIS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DUTIES ARE RESERVED FOR THE MEMBER: - SELECTION AND REMOVAL OF DIRECTORS - APPROVAL OF MONTHLY FINANCIAL REPORTS - APPROVAL OF AN ANNUAL BUDGET, CAPITAL EXPENDITURES BUDGET, LONG-RANGE PLAN - APPROVAL OF CAPITAL EXPENDITURES AND ANY UNBUDGETED EXPENDITURES WHEN EITHER EXCEED THE THRESHOLD AMOUNTS DETERMINED BY THE MEMBER FROM TIME TO TIME, THE INCURRENCE OF ALL DEBT PRIOR TO ITS INCURRENCE, AND SUCH OTHER FINANCIAL ACTIVIES AS THE MEMBER DEEMS APPROPRIATE - APPOINTMENT AND REMOVAL OF THE EXECUTIVE DIRECTOR - APPROVAL OF ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS - APPROVAL OF CORPORATE MISSION STATEMENT AND ALL AMENDMENTS TO SUCH MISSION STATEMENT - APPROVAL OF ANY TAXABLE OR TAX-EXEMPT SUBSIDIARY ORGANIZATION - APPOINTMENT OF OUTSIDE AUDITORS AND INTERNAL AUDITORS - ADOPTION OF RESOLUTIONS FOR THE GENERAL GUIDANCE AND DIRECTION OF THE CORPORATION AT ANY ANNUAL OR SPECIAL MEETING OF THE BOARD OF DIRECTORS, AND - TO CARRY OUT SUCH OTHER POWERS AS ARE PROVIDED BY LAW. SUCH ACTIONS SHALL BE DEEMED TO BE AUTHORIZED BY THE MEMBER IF THEY ARE APPROVED IN WRITING BY THE PRESIDENT/CEO OF BOTH OF THE MEMBER'S SPONSORING ORGANIZATIONS OR THEIR RESPECTIVE DESIGNEES. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE 990. A COPY OF THE RETURN IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A FORM DETAILING ANY AND ALL BUSINESS RELATIONSHIPS WITH HEALTH, INC. AND RELATED ENTITIES. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS. FAILURE TO DISCLOSE EXISTING OR POTENTIAL CONFLICTS OF INTEREST IS GROUNDS FOR TERMINATION OF EMPLOYMENTS OR BOARD APPOINTMENT. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE AFFECTED BOARD MEMBER WILL BE REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 TWO TO THREE DESIGNATED BOARD MEMBERS DETERMINE REASONABLE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR USING AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN TRUST -26,774. PENSION ADJUSTMENT 82,565. HEALTH INC 230 NEBRASKA STREET SIOUX CITY IA 51101 311712115 HEALTHCARE SERVICES IA 501(C)(3) PF 0 SIOUXLAND PARAMEDICS 1701 TERMINAL DRIVE SIOUX CITY IA 51105 421185707 MEDICAL TRANSPORTATION SERVICES IA 501(C)(3) LINE 12A, I 0 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51101 383320710 HOSPICE AND PALLIATIVE CARE IA 501(C)(3) LINE 12A, I 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0