SIOUXLAND REGIONAL CANCER CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SIOUXLAND REGIONAL CANCER CENTER (EIN 42-1411233)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-02-16
- IRS object ID
- 201520479349302012
- Schema version
- 2013v4.0
- 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 | 2015-02-16T14:41:38-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481292483 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENJES CONNER & WILLIAMS PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 FRANCES BLDG | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421411233 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIOUXLAND REGIONAL CANCER CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SIOU | BusinessNameControlTxt |
| Phone | 7122529418 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5017 | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51102 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL K LAUER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7122529418 | PhoneNum |
| Signature | 2015-02-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELISSA J WILLER | PreparerPersonNm |
| PTIN | P00121904 | PTIN |
| Phone | 7122773931 | PhoneNum |
| Preparation | 2015-02-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL K LAUER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 NEBRASKA ST | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,957,630 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NYLENCANCERCENER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 39 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $420,866 | PYContributionsGrantsAmt |
| CY Contributions Grants | $500,546 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,464,134 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,742,966 | CYProgramServiceRevenueAmt |
| PY Investment Income | $414,626 | PYInvestmentIncomeAmt |
| CY Investment Income | $464,466 | CYInvestmentIncomeAmt |
| PY Other Revenue | $836,905 | PYOtherRevenueAmt |
| CY Other Revenue | $895,671 | CYOtherRevenueAmt |
| PY Total Revenue | $10,136,531 | PYTotalRevenueAmt |
| CY Total Revenue | $10,603,649 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,967,277 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,603,219 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $177,492 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,740,516 | PYOtherExpensesAmt |
| CY Other Expenses | $6,125,468 | CYOtherExpensesAmt |
| PY Total Expenses | $8,707,793 | PYTotalExpensesAmt |
| CY Total Expenses | $8,728,687 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,428,738 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,874,962 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,745,158 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,110,740 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,808,143 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,300,069 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,937,015 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,810,671 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,195,118 | ExpenseAmt |
| Revenue | $9,672,736 | RevenueAmt |
| Desc | PROVIDE DIAGNOSIS, TREATMENT, EDUCATION AND CARE FOR CANCER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $7,195,118 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 39 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAN LAUER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7122529418 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 NEBRASKA STREET PO BOX 5017 | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MILT AVERY | |||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES FITZPATRICK | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNN WOLD | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ELLEN KAPLAN | |||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JIM GOBELL | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DR WAYNE BARNES | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| TRACY LARSON | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DR JEFFREY KNERL | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DR CYNTHIA PALS | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| HUGH DEPAULIS | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SKIP PERLEY | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHAD MARKHAM | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KAREN VAN DE STEEG | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $173,358 | $0 | $34,452 | ||
| DAN LAUER | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $109,283 | $0 | $21,372 | ||
| CHARLES MURPHY MD | |||||||
| RADIOLOGIST | 40.00 | $108,207 | $0 | $12,132 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $390,848 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $67,956 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRI STATE RADIATION ONCOLOGY | |||||
| 230 NEBRASKA STREET | SIOUX CITY | IA | 51101 | CONTRACT PHYSICIAN SERVICES | $1,075,485 |
| VARIAN MEDICAL SYSTEMS | |||||
| 3100 HANSEN WAY | PALO ALTO | CA | 94304 | EQUIPMENT MAINTENANCE AND RADIATION EQUI | $553,936 |
| PYRAMID TECHNOLOGIES | |||||
| 125 6TH ST | SIOUX CITY | IA | 51103 | CONTRACT COMPUTER SERVICES, SUPLIES AND | $354,958 |
| CASSLING | |||||
| 13808 F STREET | OMAHA | NE | 68137 | EQUIPMENT MAINTENANCE SERVICES | $339,511 |
| CARDINAL HEALTH | |||||
| 7000 CARDINAL PLACE | DUBLIN | OH | 43017 | MEDICAL EQUIPMENT | $245,492 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $500,546 | AllOtherContributionsAmt |
| Noncash Contributions | $7,800 | NoncashContributionsAmt |
| Total Contributions | $500,546 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $8,742,966 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,742,966 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,742,966 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,775 | TotalRevenueColumnAmt |
| Exclusion | $165,775 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $311,412 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $197,593 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $113,819 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,819 | TotalRevenueColumnAmt |
| Exclusion | $113,819 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,417,539 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,116,421 | SecuritiesAmt |
| Other | $2,427 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $301,118 | SecuritiesAmt |
| Other | -$2,427 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $298,691 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $298,691 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $188,313 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $37,540 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $150,773 | TotalRevenueColumnAmt |
| Exclusion | $150,773 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER REVENUE | 900099 | $468,847 | $468,847 |
| OTHER INVESTMENT INCOME | 900099 | $162,232 | $162,232 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $631,079 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,603,649 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,672,736 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $430,367 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,940 | TotalAmt |
| Program Services | $158,475 | ProgramServicesAmt |
| Management And General | $338,465 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,639,981 | TotalAmt |
| Program Services | $1,128,589 | ProgramServicesAmt |
| Management And General | $434,241 | ManagementAndGeneralAmt |
| Fundraising | $77,151 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,717 | TotalAmt |
| Program Services | $49,939 | ProgramServicesAmt |
| Management And General | $23,607 | ManagementAndGeneralAmt |
| Fundraising | $4,171 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,392 | TotalAmt |
| Program Services | $278,263 | ProgramServicesAmt |
| Management And General | $17,948 | ManagementAndGeneralAmt |
| Fundraising | $4,181 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,189 | TotalAmt |
| Program Services | $61,350 | ProgramServicesAmt |
| Management And General | $21,322 | ManagementAndGeneralAmt |
| Fundraising | $5,517 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,160 | TotalAmt |
| Management And General | $7,160 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,700 | TotalAmt |
| Management And General | $12,700 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,660 | TotalAmt |
| Management And General | $51,660 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,992 | TotalAmt |
| Program Services | $2,445,752 | ProgramServicesAmt |
| Management And General | $94,134 | ManagementAndGeneralAmt |
| Fundraising | $34,106 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,599 | TotalAmt |
| Fundraising | $2,599 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,089 | TotalAmt |
| Program Services | $48,034 | ProgramServicesAmt |
| Management And General | $46,559 | ManagementAndGeneralAmt |
| Fundraising | $9,496 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,177,617 | TotalAmt |
| Program Services | $1,113,623 | ProgramServicesAmt |
| Management And General | $55,702 | ManagementAndGeneralAmt |
| Fundraising | $8,292 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,928 | TotalAmt |
| Program Services | $8,661 | ProgramServicesAmt |
| Management And General | $20,964 | ManagementAndGeneralAmt |
| Fundraising | $303 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,215 | TotalAmt |
| Program Services | $148,688 | ProgramServicesAmt |
| Management And General | $30,878 | ManagementAndGeneralAmt |
| Fundraising | $3,649 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,256,324 | TotalAmt |
| Program Services | $1,162,712 | ProgramServicesAmt |
| Management And General | $70,267 | ManagementAndGeneralAmt |
| Fundraising | $23,345 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $341,629 | $341,629 | ||
| PATIENT PROGRAM SERVICE | $224,249 | $224,249 | ||
| MISCELLANEOUS | $160,306 | $25,154 | $130,470 | $4,682 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,728,687 | TotalAmt |
| Program Services | $7,195,118 | ProgramServicesAmt |
| Management And General | $1,356,077 | ManagementAndGeneralAmt |
| Fundraising | $177,492 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,538,561 | BOYAmt |
| EOY | $5,411,199 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,264 | BOYAmt |
| EOY | $98,036 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,408,185 | BOYAmt |
| EOY | $1,509,096 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,467 | BOYAmt |
| EOY | $301,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,027,316 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,685,273 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,231,224 | BOYAmt |
| EOY | $5,342,043 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,224,954 | BOYAmt |
| EOY | $5,442,654 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,503 | BOYAmt |
| EOY | $5,736 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,745,158 | BOYAmt |
| EOY | $18,110,740 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,478,143 | BOYAmt |
| EOY | $1,425,069 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,875,000 | BOYAmt |
| EOY | $4,875,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,808,143 | BOYAmt |
| EOY | $6,300,069 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,641,780 | BOYAmt |
| EOY | $11,164,112 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $295,235 | BOYAmt |
| EOY | $646,559 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,937,015 | BOYAmt |
| EOY | $11,810,671 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,745,158 | BOYAmt |
| EOY | $18,110,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,874,962 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $25,259 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$26,565 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $340,588 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $372,101 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $543,839 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $420,866 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $500,545 | CurrentTaxYearAmt |
| Total | $2,177,939 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,196,967 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,924,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,495,507 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,464,134 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,742,966 | CurrentTaxYearAmt |
| Total | $42,823,638 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,537,555 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,296,165 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,039,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,885,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,243,511 | CurrentTaxYearAmt |
| Total | $45,001,577 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $100,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $100,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $177,500 | CurrentTaxYearMinus1YearAmt |
| Total | $477,500 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $100,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $100,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $177,500 | CurrentTaxYearMinus1YearAmt |
| Total | $477,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $44,524,077 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $73,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $87,898 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,103 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $148,047 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $165,775 | CurrentTaxYearAmt |
| Total | $578,641 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $73,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $87,898 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,103 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $148,047 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $165,775 | CurrentTaxYearAmt |
| Total | $578,641 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $383,128 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $545,715 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $470,993 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $434,587 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $468,847 | CurrentTaxYearAmt |
| Total | $2,303,270 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,994,501 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,929,778 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,613,442 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,467,634 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,878,133 | CurrentTaxYearAmt |
| Total | $47,883,488 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92950 | PublicSupportPY509Pct |
| Investment Income CY | 0.01210 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01100 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,850 | OtherCostOrOtherBasisAmt |
| Book Value | $200,850 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,317,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,216,475 | DepreciationAmt |
| Book Value | $2,101,481 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $266,946 | OtherCostOrOtherBasisAmt |
| Depreciation | $243,867 | DepreciationAmt |
| Book Value | $23,079 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,188,614 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,224,931 | DepreciationAmt |
| Book Value | $2,963,683 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,950 | OtherCostOrOtherBasisAmt |
| Book Value | $52,950 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,342,043 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MUTUAL FUNDS | $2,523,778 | F |
| US GOVERNMENT SECURITIES | $1,514,090 | F |
| CORPORATE SECURITIES/EQUITIES | $1,158,867 | F |
| CERTIFICATES OF DEPOSIT | $245,919 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $5,442,654 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,774,841 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $25,259 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $197,593 | OtherRevenueAmt |
| Revenue Not Reported | $222,852 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,551,989 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $51,660 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $51,660 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,603,649 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,874,620 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $197,593 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $197,593 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,677,027 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $51,660 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $51,660 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,728,687 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | HEALTH, INC. AND ITS SUBSIDIARIES ARE NON-PROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, INCOME EARNED IN THE PERFORMANCE OF ITS EXEMPT PURPOSE IS NOT SUBJECT TO INCOME TAX AND ACCORDINGLY, THE FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. 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 OPERATING STATEMENT OR ACCRUED IN THE BALANCE SHEET. TAX RETURNS OF THE ENTITY ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE DATE THE RETURNS ARE FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES 197,593. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES 197,593. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | WINTER BENEFIT | NameOfEvent1Amt |
| Gross Receipts Event1 | $137,909 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $137,909 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $15,015 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $300 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $7,392 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | RACE FOR HOPE | NameOfEvent2Amt |
| Gross Receipts Event2 | $50,404 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $50,404 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $2,600 | CashPrizesEvent2Amt |
| Other Direct Expenses Event2 | $12,233 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $188,313 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $188,313 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $2,600 | CashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $15,015 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $300 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $19,625 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $37,540 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $150,773 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN VAN DE STEEG | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $173,358 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $34,452 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $207,810 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | HALF OF THE BOARD WORKS FOR NORTHWEST IOWA HOSPITAL CORPORATION OR IS ON THE NORTHWEST IOWA HOSPITAL CORPORATION BOARD AND HALF OF THE BOARD WORKS FOR MERCY HEALTH SERVICES OR IS ON THE MERCY HEALTH SERVICES BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | HEALTH INC., NORTHWEST IOWA HOSPITAL CORPORATION AND SUBSIDIARIES, MERCY HEALTH SERVICES 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 | TRINITY HEALTH AND IOWA HEALTH SYSTEMS HAVE TO APPROVE LARGE CAPITAL PROJECTS |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,445,752. MANAGEMENT AND GENERAL EXPENSES 94,134. FUNDRAISING EXPENSES 34,106. TOTAL EXPENSES 2,573,992. |
| FORM 990, PART XI, LINE 9: | PENSION ADJUSTMENT -26,565. |
| FORM 990, PART XI, LINE 2C | NO CHANGES |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 HEALTH SERVICES | |||||||||
| 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 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |||||||||
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| HOSPICE OF SIOUXLAND | |
| M | $21,600 |
| HOSPICE OF SIOUXLAND | |
| L | $67,390 |
| HOSPICE OF SIOUXLAND | |
| O | $324,000 |
| SIOUXLAND PARAMEDICS | |
| O | $87,000 |
| SIOUXLAND PARAMEDICS | |
| M | $157,600 |
| MERCY HEALTH SERVICES | |
| E | $2,437,500 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |
| E | $2,437,500 |
| MERCY HEALTH SERVICES | |
| M | $128,901 |
| MERCY HEALTH SERVICES | |
| L | $388,355 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |
| M | $60,045 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |
| L | $135,303 |