2021-05-10T16:44:04-05:00 2020-06-30 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1937 DAKOTA DUNES SD 57049 990 2019-07-01 383320710 HOSPICE OF SIOUXLAND HOSP 7122334144 4300 HAMILTON BLVD SIOUX CITY IA 51104 KARA WINKER DIR OF FINANCE 7122529418 2021-02-22 1 MELISSA J WILLER P00121904 6052423900 2021-02-22 2019 2022-09-23 18:48:47Z KARA WINKER 230 NEBRASKA ST SIOUX CITY IA 51101 12280447 0 X WWW.HOSPICEOFSIOUXLAND.ORG X 1982 IA PROVIDE COMFORT, SUPPORT, AND COMPASSIONATE CARE TO TERMINALLY ILL PEOPLE AND THEIR FAMILIES THAT RESPECTS THE DIGNITY OF EACH INDIVIDUAL, AND TO FOSTER COMMUNITY ACCEPTANCE THAT DYING IS AN INTEGRAL PART OF LIVING. 8 8 114 132 0 0 199905 312322 11177518 11653768 384185 273587 -65889 13839 11695719 12253516 0 0 0 0 5381023 5588146 0 0 306885 5134587 5809625 10515610 11397771 1180109 855745 10624241 12763286 2477777 4007924 8146464 8755362 PROVIDE COMFORT, SUPPORT, AND COMPASSIONATE CARE TO TERMINALLY ILL PEOPLE AND THEIR FAMILIES THAT RESPECTS THE DIGNITY OF EACH INDIVIDUAL, AND TO FOSTER COMMUNITY ACCEPTANCE THAT DYING IS AN INTEGRAL PART OF LIVING. 0 0 8530257 11667607 HOSPICE OF SIOUXLAND'S MISSION IS TO PROVIDE COMFORT, SUPPORT AND COMPASSIONATE CARE TO PEOPLE WITH LIFE-LIMITING ILLNESSES AND TO THEIR FAMILIES IN A MANNER THAT RESPECTS THE DIGNITY OF EACH INDIVIDUAL AND TO FOSTER COMMUNITY ACCEPTANCE THAT DYING IS AN INTEGRAL PART OF LIVING. ALL PATIENTS WHO MEET ADMISSION CRITERIA ARE ELIGIBLE FOR HOSPICE CARE, NO MATTER WHAT THEIR FINANCIAL CIRCUMSTANCES, OR ABILITY TO PAY. 8530257 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 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 29 0 1 114 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 X KARA WINKER 7122529418 230 NEBRASKA ST PO BOX 5017 SIOUX CITY IA 51101 MILT AVERY CHAIRPERSON 1.00 X X 0 0 0 LYNN WOLD SECRETARY 1.00 X X 0 0 0 BETH HUGHES TREASURER 1.00 X X 0 0 0 JIM GOBELL DIRECTOR 1.00 X 0 0 0 JESSICA HANSON DIRECTOR 1.00 X 0 0 0 TRACY LARSON DIRECTOR 1.00 X 0 0 0 CHAD MARKHAM DIRECTOR 1.00 X 0 0 0 CRAIG BERENSTEIN VICE CHAIRPERSON 1.00 X X 0 0 0 KRISTI TURNER EXECUTIVE DIRECTOR 40.00 X 0 0 0 KARA WINDER DIRECTOR OF FINANCE 40.00 X 0 0 0 ANN MYERS DIRECTOR OF OPERATIONS 40.00 X 130813 0 19169 DALE HOLDIMAN MEDICAL DIRECTOR 40.00 X 244977 0 18842 MICHELLE HUBER PHARMACIST 40.00 X 128620 0 6438 504410 0 44449 3 0 1 0 REGENCY SQUARE CARE CENTER 3501 DAKOTA AVE SOUTH SIOUX CITY NE 68776 RESIDENTIAL SERVICES 455327 OPTUM HOSPICE PHARMACY SERVICES 11000 OPTUM CIRCLE EDEN PRAIRIE MN 55344 PHARMACY AND EDUCATION 425957 NATIONAL HME INC 7451 AIRPORT FREEWAY RICHLAND HILLS TX 56118 EQUIPMENT AND TECHNOLOGY 418244 MID STEP SERVICES INC 4303 STONE AVENUE SIOUX CITY IA 51106 RESIDENTIAL SERVICES 349465 TOUCHSTONE LIVING CENTER 1800 INDIAN HILLS DR SIOUX CITY IA 51104 RESIDENTIAL SERVICES 265785 19 312322 312322 PATIENT SERVICE REVENUE 621610 11653768 11653768 11653768 273587 273587 26931 -26931 -26931 -26931 OTHER INCOME 900099 40770 40770 40770 12253516 11667607 0 273587 X 149982 149982 4456888 2977478 1240909 238501 156755 111296 45459 500265 351197 138611 10457 324256 228252 90843 5161 13858 13858 53662 53662 3765776 3343559 418237 3980 7609 122 7487 47548 47548 296995 193592 89703 13700 151071 138948 10611 1512 23204 23204 113843 10170 103673 56834 21184 35650 MEDICAL SUPPLIES 698608 698608 MEDICATIONS 409027 409027 OTHER COSTS 109936 46946 62170 820 DUES AND SUBSCRIPTIONS 36387 36387 25267 25267 11397771 8530257 2560629 306885 1541813 3733012 1118577 994951 114339 122049 3204927 2082142 1225207 1122785 5632361 5830679 991944 959810 10624241 12763286 2477777 3036524 0 971400 2477777 4007924 X 6685730 7320147 1460734 1435215 8146464 8755362 10624241 12763286 X 855745 -17504 -229343 X X 0 1 X 1 0 X X 2 MERCY MEDICAL CENTER AND SUBSIDIARIES 311373080 3 1 0 0 NORTHWEST IOWA HOSPITAL CORPORATION 421019872 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 782509 23464 805973 743765 38744 782509 704611 39154 743765 840612 63999 200000 704611 859871 -19259 840612 0.38000 0.62000 0 0 2582594 1580649 1001945 7455 4733 2722 614878 496760 118118 1122785 BENEFICIAL INTEREST IN TRUSTS 929970 ACCOUNTS RECEIVABLE-OTHER 29840 959810 LOAN PPP 971400 971400 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 X X X 0 0 0 0 0 0 0 0 0 DALE HOLDIMAN MEDICAL DIRECTOR 244977 0 0 0 0 0 0 0 18842 0 263819 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 ORGANIZATION'S DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 3,343,559. MANAGEMENT AND GENERAL EXPENSES 418,237. FUNDRAISING EXPENSES 3,980. TOTAL EXPENSES 3,765,776. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTERESTS IN TRUSTS -29,857. PENSION ADJUSTMENT -336,988. INTERCOMPANY TRANSFERS 137,502. 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 REGIONAL CANCER CENTER PO BOX 5017 SIOUX CITY IA 51102 421411233 DEDICATED TO CANCER TREATMENT, RESEARCH AND EDUCATION & SERVICES ALL PATIENT IA 501(C)(3) 170(B)(1)(A)(I) 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 5TH STREET SIOUX CITY IA 51102 311373080 PROVIDES A FULL CONTINUUM OF WELLNESS, PRIMARY, ACUTE AND TERTIARY SERVICES IA 501(C)(3) 170(B)(1)(A)(III) 0 UNITYPOINT HEALTH 2720 STONE PARK BOULEVARD SIOUX CITY IA 51104 421019872 STRIVES TO PROVIDE THE MOST PATIENT-CENTERED CARE IN SIOUXLAND IA 501(C)(3) 170(B)(1)(A)(III) 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HEALTH INC C 137502 UNITY POINT HEALTH M 68827 MERCY MEDICAL CENTER M 203116