2020-05-15T14:53:07-05:00 2019-06-30 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1937 DAKOTA DUNES SD 57049 990 2018-07-01 421411233 SIOUXLAND REGIONAL CANCER CENTER SIOU 7122529418 PO BOX 5017 SIOUX CITY IA 51102 CHAD MARKHAM DIRECTOR 7122529418 2020-05-14 1 MELISSA J WILLER P00121904 6052423900 2020-05-12 66.172.193.33 2020-05-14 13:37:40 CD P E6CC7DE3821211A2CF8AFC51DA2EDD8A239254B8 CC738EC966C998A56CE826455106C2A84F3D9FCE 2018 2021-01-29 14:40:06Z CHAD MARKHAM 230 NEBRASKA ST SIOUX CITY IA 51101 45461549 0 X WWW.NYLENCANCERCENER.COM X 1995 IA PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. 9 9 117 17 94720 768 1578829 127256 42394231 45138063 140704 130070 63475 66160 44177239 45461549 0 0 0 0 7899393 8174135 0 0 101658 35008855 38286394 42908248 46460529 1268991 -998980 22728795 20958904 5847542 5299466 16881253 15659438 PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. 0 0 43194990 45085503 PROVIDE DIAGNOSIS, TREATMENT, EDUCATION AND CARE FOR CANCER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 43194990 1 1 0 0 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 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 28 0 1 117 0 1 1 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 X TIMM FUNK 7122529418 230 NEBRASKA STREET PO BOX 5017 SIOUX CITY IA 51101 MILT AVERY CHAIRPERSON 1.00 X X 550 0 0 DARIN DABY VICE CHAIRPERSON 1.00 X X 0 0 0 LYNN WOLD SECRETARY 1.00 X X 800 0 0 BETH HUGHES TREASURER 1.00 X X 550 0 0 JIM GOBELL DIRECTOR 1.00 X 800 0 0 JESICA HANSON DIRECTOR 1.00 X 0 0 0 TRACY LARSON DIRECTOR 1.00 X 800 0 0 CHAD MARKHAM DIRECTOR 1.00 X 800 0 0 DR CYNTHIA PALS DIRECTOR 1.00 X 0 0 0 KRISTA MCCULLOUGH EXECUTIVE DIRECTOR 40.00 X 119727 0 5741 DAN LAUER CHIEF FINANCIAL OFFICER 40.00 X 152447 0 17819 DONALD WENDER MEDICAL DIRECTOR 40.00 X 464659 0 34417 RADHA RAO PHYSICIAN 40.00 X 202150 0 18484 NASSER ABU-ERREISH PHYSICIAN 40.00 X 385642 0 30861 SANTIAGO MOSCOSO PHYSICIAN 40.00 X 451280 0 37242 ROBERT HOROWITZ PHYSICIAN 40.00 X 314161 0 27644 2094366 0 172208 9 0 1 0 VARIAN MEDICAL SYSTEMS 3100 HANSEN WAY PALO ALTO CA 94304 RADIATION TREATMENT SOFTWARE 669384 WIN IT SERVICES LLC SUITE 1900 233 SOUTH 13TH STREET LINCOLN NE 68508 INFORMATION TECHNOLOGY SERVICES 531305 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 HEALTHCARE SUPPLIES 445578 CASSLING DIAGNOSTIC IMAGING INC 13808 F STREET OMAHA NE 68137 RADIATION ONCOLOGY EQUIPMENT 376017 MCKESSON MEDICAL-SURGICAL 9954 MAYLAND DRIVE SUITE 4000 RICHMOND VA 23233 MEDICAL SUPPLIES 296553 14 127256 127256 PATIENT SERVICE REVENUE 621300 45043343 45043343 BILLING SERVICE REVENUE 561499 94720 94720 45138063 65312 65312 24000 0 24000 24000 24000 64758 0 64758 64758 64758 OTHER REVENUE 900099 42160 42160 42160 45461549 45085503 94720 154070 295734 295734 6416742 6026998 389744 294346 261180 33166 764009 674026 89983 403304 356376 46928 1233000 1233000 22324 22324 3238729 2676198 487594 74937 24925 24176 749 1463814 1165169 286979 11666 15284 13715 1507 62 78049 78049 818319 721928 82567 13824 69385 69385 MEDICATION 29043447 29043447 SUPPLIES 2279118 2177904 100794 420 46460529 43194990 3163881 101658 4290346 3799443 650000 336500 6656058 6161951 1259459 1225325 858540 715202 463123 629200 21490435 15582255 6425631 5908180 1666017 1724753 459621 458350 22728795 20958904 3849890 3614611 0 0 1994256 1681904 3396 2951 5847542 5299466 X 15954789 15074874 926464 584564 16881253 15659438 22728795 20958904 X -998980 -13691 -209144 X X 0 1 X 1 0 X 341336 203959 253944 1578829 127256 2505324 22637266 39064468 36359171 42304567 45043345 185408817 22978602 39268427 36613115 43883396 45170601 187914141 0 0 0 187914141 38247 23924 40261 133674 130070 366176 38247 23924 40261 133674 130070 366176 33987 143615 120119 129139 136880 563740 23050836 39435966 36773495 44146209 45437551 188844057 0.99510 0.99150 0.00190 0.00260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200850 200850 7684111 5286563 2397548 298439 269140 29299 13307035 10026552 3280483 5908180 ACCRUED INTEREST PAYABLE 2951 2951 X PART X, LINE 2: MANAGEMENT HAS CONCLUDED THAT ANY UNCERTAIN TAX POSITIONS WOULD BE IMMATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE ANY PROVISION FOR UNCERTAIN TAX POSITIONS, AND NO RELATED INTEREST OR PENALTIES HAVE BEEN RECORDED IN THE STATEMENTS OF ACTIVITIES OR ACCRUED IN THE STATEMENTS OF FINANCIAL POSITION. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 DAN LAUER CHIEF FINANCIAL OFFICER 152447 0 0 0 0 0 0 0 17819 0 170266 0 0 0 DONALD WENDER MEDICAL DIRECTOR 464659 0 0 0 0 0 0 0 34417 0 499076 0 0 0 RADHA RAO PHYSICIAN 202150 0 0 0 0 0 0 0 18484 0 220634 0 0 0 NASSER ABU-ERREISH PHYSICIAN 385642 0 0 0 0 0 0 0 30861 0 416503 0 0 0 SANTIAGO MOSCOSO PHYSICIAN 451280 0 0 0 0 0 0 0 37242 0 488522 0 0 0 ROBERT HOROWITZ PHYSICIAN 314161 0 0 0 0 0 0 0 27644 0 341805 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 HALF OF THE BOARD WORKS FOR UNITYPOINT HEALTH OR IS ON THE UNITYPOINT HEALTH BOARD AND HALF OF THE BOARD WORKS FOR MERCY MEDICAL CENTER OR IS ON THE MERCY MEDICAL CENTER BOARD. FORM 990, PART VI, SECTION A, LINE 6 HEALTH INC., UNITYPOINT HEALTH AND SUBSIDIARIES, MERCY MEDICAL CENTER AND SUBSIDIARIES FORM 990, PART VI, SECTION A, LINE 7A HOSPITAL BOARDS HAVE TO APPOINT/ELECT THEIR REPRESENTATIVES. FORM 990, PART VI, SECTION A, LINE 7B MERCY MEDICAL CENTER AND UNITYPOINT HEALTH HAVE TO APPROVE LARGE CAPITAL PROJECTS FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION REVIEWED AND SUBMITTED RETURN UPON COMPLETION BY PREPARER 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. ALL COMPLETED FORMS ARE REVIEWED AND DISCUSSED WITH THE BOARD AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 TOP MANAGEMENT EMPLOYEES PROVIDE INDEPENDENT DOCUMENTATION FROM TRADE SOURCES TO SUBSTANTIATE PAY LEVELS. FORM 990, PART VI, SECTION C, LINE 19 ALL ITEMS ARE AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS 2,599. PENSION ADJUSTMENT -211,743. FORM 990, PART XI, LINE 2C NO CHANGES HEALTH INC 230 NEBRASKA STREET SIOUX CITY IA 51101 311712115 SERVE AS THE CENTRAL ORGANIZATION FOR OTHER 501(C) (3) ENTITIES IA 501(C)(3) PF 0 SIOUXLAND PARAMEDICS 1701 TERMINAL DRIVE SIOUX CITY IA 51105 421185707 MEDICAL TRANSPORTATION SERVICE IA 501(C)(3) 509(A)(3) TYPE I 0 MERCY MEDICAL CENTER 801 FIFTH STREET SIOUX CITY IA 51102 311019872 PROVIDES A FULL CONTINUUM OF WELLNESS, PRIMARY, ACUTE AND TERTIARY SERVICES IA 501(C)(3) 509(A)(3) TYPE III 0 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51101 383320710 PROVIDE COMFORT, SUPPORT, AND COMPASSIONATE CARE TO TERMINALLY ILL PEOPLE AN IA 501(C)(3) 509(A)(3) TYPE I 0 UNITYPOINT HEALTH 2720 STONE PARK BLVD SIOUX CITY IA 51104 421019872 STRIVES TO PROVIDE THE MOST PATIENT-CENTERED CARE IN SIOUXLAND IA 501(C)(3) 509(A)(3) TYPE III 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 HOSPICE OF SIOUXLAND L 12 SIOUXLAND PARAMEDICS M 107500 HEALTH INC M 1233000 UNITYPOINT HEALTH M 14912 UNITYPOINT HEALTH L 18013 MERCY MEDICAL CENTER M 43538 MERCY MEDICAL CENTER L 54037 HOSPICE OF SIOUXLAND K 25364 SIOUXLAND PARAMEDICS A 25867 SIOUXLAND PARAMEDICS D 1225325