CORRECTIONVILLE HEALTH CARE: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CORRECTIONVILLE HEALTH CARE (EIN 42-1508318)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-09-27
- IRS object ID
- 201712709349200106
- Schema version
- 2016v3.0
- 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 | 2017-09-27T10:31:24-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | 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 | 2017-09-29 | 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 | 2017-09-22 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | C283739C0260521C8A17C3EC70CD8CDB36A82264 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C283739C0260521C8A17C3EC70CD8CDB36A82264 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | 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 | $45,298 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $12,005 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $33,293 | InvestmentIncomeAmt |
| Total Revenue | $45,298 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $4,000 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $427 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $18,304 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $7,314 | OtherExpensesTotalAmt |
| Total Expenses | $30,045 | TotalExpensesAmt |
| Excess Or Deficit For Year | $15,253 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $228,827 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $244,080 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,918 | BOYAmt |
| EOY | $18,987 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,988 | BOYAmt |
| EOY | $238,799 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99 | BOYAmt |
| EOY | $71 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,005 | BOYAmt |
| EOY | $257,857 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,178 | BOYAmt |
| EOY | $13,777 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,827 | BOYAmt |
| EOY | $244,080 | 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. | $4,000 | $29,413 |
| TO BUILD AND MAINTAIN A FACILITY TO BE USED FOR HEALTH MAINTENANCE OF THE RESIDENTS OF CORRECTIONVILLE AND SURROUNDING COMMUNITIES. | $632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $30,045 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (13 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| KIM MEBIUS | ||
| DIRECTOR | 1.00 | $0 |
| SONYA KOSTAN | ||
| DIRECTOR | 1.00 | $0 |
| BARB ROWSE | ||
| DIRECTOR | 2.00 | $0 |
| BILL FORBES | ||
| DIRECTOR | 1.00 | $0 |
| CARMEN BEAZLEY | ||
| DIRECTOR | 1.00 | $0 |
| KEN SLATER | ||
| DIRECTOR | 1.00 | $0 |
| TANNER MACKEY | ||
| DIRECTOR | 1.00 | $0 |
| BRENT HANSON | ||
| DIRECTOR | 1.00 | $0 |
| TAUNYA THOMAS | ||
| DIRECTOR | 1.00 | $0 |
| SUSAN FITCH | ||
| DIRECTOR | 1.00 | $0 |
| BRIAN MONSMA | ||
| DIRECTOR | 1.00 | $0 |
| DENISE WHITE | ||
| DIRECTOR | 1.00 | $0 |
| DARLENE WALKER | ||
| DIRECTOR | 1.00 | $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 | $45,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,700 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,533 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,005 | CurrentTaxYearAmt |
| Total | $195,871 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,700 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,533 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,005 | CurrentTaxYearAmt |
| Total | $195,871 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $195,871 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,293 | CurrentTaxYearAmt |
| Total | $33,420 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,293 | CurrentTaxYearAmt |
| Total | $33,420 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,521 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,749 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,159 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,564 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,298 | CurrentTaxYearAmt |
| Total | $229,291 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.85420 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99860 | PublicSupportPY509Pct |
| Investment Income CY | 0.15000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES TOURNAMENT COSTS 1,174 OFFICE EXPENSE 83 SALES TAX 509 REFUND 130 MEETINGS 115 INTEREST 1,910 INSURANCE 3,365 NON-INVESTMENT DEPRECIATION 28 TOTAL 7,314 |
| FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 29,614 29,614 LESS ACCUMULATED DEPRECIATION 29,515 29,543 TOTAL 99 71 |
| FORM 990-EZ, PART II, LINE 26 | UNSECURED NOTES AND LOANS PAYABLE 42,178 13,777 |
| FORM 990-EZ, PART III | SCHOLARSHIPS: JENNA KNAACK - 2,000, KYLE ROEPKE - 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. |