CORRECTIONVILLE HEALTH CARE: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CORRECTIONVILLE HEALTH CARE (EIN 42-1508318)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-09-25
- IRS object ID
- 202012699349200401
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-09-25T08:33:05-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 421284539 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULIHAN & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4240 HICKORY LANE SUITE 100 | AddressLine1Txt |
| City | SIOUX CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 511064642 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421508318 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORRECTIONVILLE HEALTH CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CORR | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 392 | AddressLine1Txt |
| City | CORRECTIONVILLE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIM MEBIUS | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Signature | 2020-09-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRENT JENSEN | PreparerPersonNm |
| PTIN | P00338159 | PTIN |
| Phone | 7122553450 | PhoneNum |
| Preparation | 2020-09-01 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 192.30.185.150 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-25 | IPDt |
| IP Tm | 08:33:05 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8D0CE11224BB06584AF599AA14887D5828B743E8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C283739C0260521C8A17C3EC70CD8CDB36A82264 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $41,965 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $5,380 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $35,780 | InvestmentIncomeAmt |
| Other Revenue Total | $805 | OtherRevenueTotalAmt |
| Total Revenue | $41,965 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $8,000 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $412 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $21,892 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $10,096 | OtherExpensesTotalAmt |
| Total Expenses | $40,400 | TotalExpensesAmt |
| Excess Or Deficit For Year | $1,565 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $246,799 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $248,364 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,364 | BOYAmt |
| EOY | $36,543 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,421 | BOYAmt |
| EOY | $208,232 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14 | BOYAmt |
| EOY | $3,589 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,799 | BOYAmt |
| EOY | $248,364 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,799 | BOYAmt |
| EOY | $248,364 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | HEALTH MAINTENANCE FACILITY | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| TO BUILD AND MAINTAIN A FACILITY TO BE USED FOR HEALTH MAINTENANCE OF THE RESIDENTS OF CORRECTIONVILLE AND SURROUNDING COMMUNITIES. | $8,000 | $28,098 |
| TO BUILD AND MAINTAIN A FACILITY TO BE USED FOR HEALTH MAINTENANCE OF THE RESIDENTS OF CORRECTIONVILLE AND SURROUNDING COMMUNITIES. | $12,302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $40,400 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| KIM MEBIUS | ||
| DIRECTOR | 000.00 | $0 |
| SONYA KOSTAN | ||
| DIRECTOR | 000.00 | $0 |
| BARB ROWSE | ||
| DIRECTOR | 000.00 | $0 |
| BILL FORBES | ||
| DIRECTOR | 000.00 | $0 |
| BOB BEAZLEY | ||
| DIRECTOR | 000.00 | $0 |
| KEN SLATER | ||
| DIRECTOR | 000.00 | $0 |
| TANNER MACKEY | ||
| DIRECTOR | 000.00 | $0 |
| JULIE JOY | ||
| DIRECTOR | 000.00 | $0 |
| CARLA MATHERS | ||
| DIRECTOR | 000.00 | $0 |
| ROB STOWE | ||
| DIRECTOR | 000.00 | $0 |
| DARLENE WALKER | ||
| DIRECTOR | 000.00 | $0 |
| DENISE WHITE | ||
| DIRECTOR | 000.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULIHAN & ASSOC PC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1293 | AddressLine1Txt |
| City | SIOUX CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7122553450 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,533 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,549 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,358 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,935 | CurrentTaxYearAmt |
| Total | $211,380 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $805 | CurrentTaxYearAmt |
| Total | $805 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,533 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,549 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,358 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,740 | CurrentTaxYearAmt |
| Total | $212,185 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $212,185 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $293 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30 | CurrentTaxYearAmt |
| Total | $450 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $293 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30 | CurrentTaxYearAmt |
| Total | $450 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,298 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,587 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,416 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,770 | CurrentTaxYearAmt |
| Total | $212,635 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99790 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99790 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 | GIFTS 805 TOTAL 805 |
| FORM 990-EZ, PART I, LINE 10 | CASH CONTRIBUTION: 8,000 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSE 323 SALES TAX 5,412 MEETINGS 47 INSURANCE 3,702 NON-INVESTMENT DEPRECIATION 612 TOTAL 10,096 |
| FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 29,614 33,801 LESS ACCUMULATED DEPRECIATION 29,600 30,212 TOTAL 14 3,589 |
| FORM 990-EZ, PART III | SCHOLARSHIPS: HANNAH COLSHAN - 2,000, MEGAN CARSTENS - 2,000, JACOB HENDERSON - 2,000, TERRA HEILMAN - 2,000 |
| FORM 990-EZ, PART III, LINE 31 | TO BUILD AND MAINTAIN A FACILITY TO BE USED FOR HEALTH MAINTENANCE OF THE RESIDENTS OF CORRECTIONVILLE AND SURROUNDING COMMUNITIES. |