2019-05-14T11:19:03-05:00 2018-06-30 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1937 DAKOTA DUNES SD 57049 990 2017-07-01 421411233 SIOUXLAND REGIONAL CANCER CENTER SIOU 7122529418 PO BOX 5017 SIOUX CITY IA 51102 CHAD MARKHAM DIRECTOR 7122529418 2019-05-14 1 MELISSA J WILLER P00121904 6052423900 2019-05-14 66.172.193.33 2019-05-14 10:11:21 CD P 0C1379C83587D199377AD3164A2BD37C335908C9 CC738EC966C998A56CE826455106C2A84F3D9FCE 2017 2019-02-21 02:37:17Z CHAD MARKHAM 230 NEBRASKA ST SIOUX CITY IA 51101 44177239 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. 10 10 119 15 89664 -1742 253944 1578829 36459334 42394231 40261 140704 130551 63475 36884090 44177239 0 0 0 0 7861992 7899393 0 0 173390 29363890 35008855 37225882 42908248 -341792 1268991 19217249 22728795 3831188 5847542 15386061 16881253 PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. 0 0 39300958 42344042 PROVIDE DIAGNOSIS, TREATMENT, EDUCATION AND CARE FOR CANCER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 39300958 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 36 0 119 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 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 GARRETT SMITH CHAIRPERSON 1.00 X X 0 0 0 MILT AVERY VICE CHAIRPERSON 1.00 X X 0 0 0 BETH HUGHES SECRETARY 1.00 X X 0 0 0 LYNN WOLD TREASURER 1.00 X X 0 0 0 DARIN DABY DIRECTOR 0.50 X 0 0 0 JIM GOBELL DIRECTOR 0.50 X 0 0 0 STEVEN JOYCE DIRECTOR 0.50 X 0 0 0 TRACY LARSON DIRECTOR 0.50 X 0 0 0 CHAD MARKHAM DIRECTOR 0.50 X 0 0 0 CYNTHIA PALS DIRECTOR 0.50 X 0 0 0 KAREN VAN DE STEEG EXECUTIVE DIRECTOR 40.00 X 224669 0 40903 DAN LAUER CHIEF FINANCIAL OFFICER 40.00 X 159452 0 26802 DONALD WENDER MEDICAL DIRECTOR 40.00 X 440000 0 42146 STEPHEN KAHANIC PHYSICIAN 40.00 X 126154 0 12928 RADHA RAO PHYSICIAN 40.00 X 344939 0 30471 NASSER ABU-ERREISH PHYSICIAN 40.00 X 396154 0 40085 SUSAN ROEDER PHYSICIAN 40.00 X 400000 0 40266 2091368 0 233601 10 0 1 0 TRI STATE RADIATION 230 NEBRASKA STREET SIOUX CITY IA 51101 RADIATION PHYSICIAN SERVICES 1317913 VARIAN MEDICAL SYSTEMS 3100 HANSEN WAY PALO ALTO CA 94304 RADIATION TREATMENT SOFTWARE 1222039 WA KLINGER LLC 2015 7TH ST SIOUX CITY IA 51101 CONSTRUCTION 855018 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 HEALTHCARE SUPPLIES 439401 JAEGER CORPORATION PO BOX 540365 OMAHA NE 68154 RADIATION PHYSICS SERVICES 384305 15 1578829 1578829 PATIENT SERVICE REVENUE 621300 42304567 42304567 BILLING SERVICE REVENUE 561499 89664 89664 42394231 109674 109674 24000 0 24000 24000 24000 31030 0 31030 31030 31030 OTHER REVENUE 900099 39475 39475 39475 44177239 42344042 89664 164704 451826 451826 6122940 5795216 327724 273195 270316 2879 662822 623603 39219 388610 338355 50255 1500000 1500000 23944 23944 2344646 1955943 245635 143068 12752 11395 1357 1550375 1184253 352670 13452 33007 28155 4630 222 28358 28358 660958 580323 68955 11680 59795 59795 MEDICATION 27510681 27510681 SUPPLIES 1038784 936257 102290 237 MISCELLANEOUS 245555 49498 192683 3374 42908248 39300958 3433900 173390 6329922 4290346 136130 767341 5257895 6656058 1300093 1259459 511510 858540 558383 463123 21185263 14759632 3227453 6425631 1553583 1666017 342280 342280 19217249 22728795 3653764 3849890 177424 1994256 0 3396 3831188 5847542 X 14398637 15954789 987424 926464 15386061 16881253 19217249 22728795 X 1268991 37148 189053 X X 0 1 X 1 0 X 500545 341336 203959 253944 1578829 2878613 8742966 22637266 39064468 36359171 42304567 149108438 9243511 22978602 39268427 36613115 43883396 151987051 0 0 0 151987051 165775 38247 23924 40261 133674 401881 165775 38247 23924 40261 133674 401881 468847 33987 143615 120119 129139 895707 9878133 23050836 39435966 36773495 44146209 153284639 0.99150 0.98490 0.00260 0.00350 X 200850 200850 7522777 5072811 2449966 298438 262797 35641 13163198 9424024 3739174 6425631 ACCRUED INTEREST PAYABLE 3396 3396 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 KAREN VAN DE STEEG EXECUTIVE DIRECTOR 224669 0 0 0 0 0 0 0 40903 0 265572 0 0 0 DAN LAUER CHIEF FINANCIAL OFFICER 159452 0 0 0 0 0 0 0 26802 0 186254 0 0 0 DONALD WENDER MEDICAL DIRECTOR 440000 0 0 0 0 0 0 0 42146 0 482146 0 0 0 RADHA RAO PHYSICIAN 344939 0 0 0 0 0 0 0 30471 0 375410 0 0 0 NASSER ABU-ERREISH PHYSICIAN 396154 0 0 0 0 0 0 0 40085 0 436239 0 0 0 SUSAN ROEDER PHYSICIAN 400000 0 0 0 0 0 0 0 40266 0 440266 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: PENSION ADJUSTMENT 185,357. CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS 3,696. 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 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 HOSPICE OF SIOUXLAND L SIOUXLAND PARAMEDICS M 89400 HEALTH INC M 1500000 UNITYPOINT HEALTH M 120438 UNITYPOINT HEALTH L 177628 MERCY MEDICAL CENTER M 31547 MERCY MEDICAL CENTER L 170768 HOSPICE OF SIOUXLAND K 72612 SIOUXLAND PARAMEDICS A 31366 SIOUXLAND PARAMEDICS E 1259459