WellSource: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WellSource (EIN 42-0763978)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201811349349303876
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

FieldValueIRS element (for citing)
Return2018-05-14T09:47:44-07:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POTTER & BRANT PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7AddressLine1Txt
CityCLEAR LAKECityNm
State AbbreviationIAStateAbbreviationCd
ZIP504280007ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420763978EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WellSourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWELLBusinessNameControlTxt
Phone6414242075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S Eisenhower AvenueAddressLine1Txt
CityMason CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAndrew EastwoodPersonNm
Person TitleExecutive Dir.PersonTitleTxt
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKristan M BrantPreparerPersonNm
PTINP01336518PTIN
Phone6413575291PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAndrew EastwoodPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S Eisenhower AvenueAddressLine1Txt
CityMason CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,415,853GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Formation1955FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO FACILITATE GROWTH THROUGH HEALTH IN MIND AND BODY BY PROVIDING DIAGNOSIS AND TREATMENT OF GENERAL PSYCHIATRIC AND PSYCHOLOGICAL DISORDERS IN A SIX COUNTY AREA.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee54TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$130,965PYContributionsGrantsAmt
CY Contributions Grants$112,849CYContributionsGrantsAmt
PY Program Service Revenue$3,201,111PYProgramServiceRevenueAmt
CY Program Service Revenue$3,286,270CYProgramServiceRevenueAmt
PY Investment Income$8,852PYInvestmentIncomeAmt
CY Investment Income$9,800CYInvestmentIncomeAmt
PY Other Revenue$35,064PYOtherRevenueAmt
CY Other Revenue$6,934CYOtherRevenueAmt
PY Total Revenue$3,375,992PYTotalRevenueAmt
CY Total Revenue$3,415,853CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,819,073PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,988,110CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,013,354PYOtherExpensesAmt
CY Other Expenses$1,081,820CYOtherExpensesAmt
PY Total Expenses$3,832,427PYTotalExpensesAmt
CY Total Expenses$4,069,930CYTotalExpensesAmt
PY Revenues Less Expenses-$456,435PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$654,077CYRevenuesLessExpensesAmt
Total Assets BOY$1,706,149TotalAssetsBOYAmt
Total Assets EOY$1,443,350TotalAssetsEOYAmt
Total Liabilities BOY$279,585TotalLiabilitiesBOYAmt
Total Liabilities EOY$629,334TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,426,564NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$814,016NetAssetsOrFundBalancesEOYAmt
MissionTO FACILITATE GROWTH THROUGH HEALTH IN MIND AND BODY BY PROVIDING DIAGNOSIS AND TREATMENT OF GENERAL PSYCHIATRIC AND PSYCHOLOGICAL DISORDERS IN A SIX COUNTY AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,106,070ExpenseAmt
Grant$112,615GrantAmt
Revenue$3,241,586RevenueAmt
DescPROVIDE MEDICATION REVIEW, INDIVIDUAL AND GROUP THERAPY, AND DIAGNOSTIC SERVICES TO PATIENTS IN A SIX COUNTY AREA DURING TAX YEAR 2016Desc
Total Program Service Expenses$3,106,070TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee54EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJulie Barkela Billing ManagerPersonNm
Phone6414242075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S Eisenhower AvenueAddressLine1Txt
CityMason CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
James Hill
Chairman1.000.00Yes (X)Yes (X)$0$0$0
Ron Noah
Treasurer1.000.00Yes (X)Yes (X)$0$0$0
Crystal Ely
Director1.000.00Yes (X)$0$0$0
Penney Morse
Director1.000.00Yes (X)$0$0$0
Andrew A Hill
Secretary1.000.00Yes (X)Yes (X)$0$0$0
Andrew Eastwood
Executive Dir.40.000.00Yes (X)$92,003$0$0
Holly McClintock
ARNP40.000.00$110,078$0$0Yes (X)
Shelby Allen-Benitz
ARNP40.000.00$127,840$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$329,921TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FASPSYCH LLC
8687 EAST VIA DE VENTURASCOTTSDALEAZ85258Psychiatric Services$186,978
Principal Financial Group
111 W State StMason CityIA50401Retirement Services$103,670
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$112,615GovernmentGrantsAmt
All Other Contributions$234AllOtherContributionsAmt
Total Contributions$112,849TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
County Patient Fees624100$44,684$44,684
Patient Fees624100$3,241,586$3,241,586
FieldValueIRS element (for citing)
Total Program Service Revenue$3,286,270TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,800TotalRevenueColumnAmt
Exclusion$9,800ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business624100BusinessCd
Total Revenue Column$6,934TotalRevenueColumnAmt
Related Or Exempt Func Income$6,934RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,934OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,415,853TotalRevenueColumnAmt
Related Or Exempt Func Income$3,293,204RelatedOrExemptFuncIncomeAmt
Exclusion$9,800ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$384,454TotalAmt
Program Services$237,918ProgramServicesAmt
Management And General$146,536ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,076,876TotalAmt
Program Services$1,704,233ProgramServicesAmt
Management And General$372,643ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$343,672TotalAmt
Program Services$229,658ProgramServicesAmt
Management And General$114,014ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$183,108TotalAmt
Program Services$143,947ProgramServicesAmt
Management And General$39,161ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$105,229TotalAmt
Program Services$81,767ProgramServicesAmt
Management And General$23,462ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$24,648TotalAmt
Management And General$24,648ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$91,160TotalAmt
Management And General$91,160ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$231,880TotalAmt
Program Services$231,880ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$43,373TotalAmt
Program Services$24,617ProgramServicesAmt
Management And General$18,756ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$170,566TotalAmt
Program Services$129,769ProgramServicesAmt
Management And General$40,797ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$40,329TotalAmt
Program Services$35,652ProgramServicesAmt
Management And General$4,677ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,742TotalAmt
Program Services$8,660ProgramServicesAmt
Management And General$16,082ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,793TotalAmt
Program Services$8,878ProgramServicesAmt
Management And General$12,915ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROVISION FOR DOUBTFUL ACCOUNT$163,122$163,122
CONTINUED EDUCATION$90,225$90,058$167
CERNER$43,413$43,413
MISCELLANEOUS$14,289$1,818$12,471

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,051TotalAmt
Program Services$14,093ProgramServicesAmt
Management And General$2,958ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,069,930TotalAmt
Program Services$3,106,070ProgramServicesAmt
Management And General$963,860ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$305,917BOYAmt
EOY$628,122EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,052,817BOYAmt
EOY$477,515EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,775BOYAmt
EOY$13,758EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,648,078LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,491,785LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$178,285BOYAmt
EOY$156,293EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$152,355BOYAmt
EOY$167,662EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,706,149BOYAmt
EOY$1,443,350EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$279,585BOYAmt
EOY$629,334EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$279,585BOYAmt
EOY$629,334EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,410,627BOYAmt
EOY$797,409EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,668BOYAmt
EOY$15,208EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,269BOYAmt
EOY$1,399EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,426,564BOYAmt
EOY$814,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,706,149BOYAmt
EOY$1,443,350EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$654,077ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,534NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$34,995PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,662CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$153,934CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,382CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,965CurrentTaxYearMinus1YearAmt
Current Tax Year$112,849CurrentTaxYearAmt
Total$535,792TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$379,374CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$199,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$108,948CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,183CurrentTaxYearMinus1YearAmt
Current Tax Year$44,684CurrentTaxYearAmt
Total$820,390TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$450,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$353,135CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$176,330CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$219,148CurrentTaxYearMinus1YearAmt
Current Tax Year$157,533CurrentTaxYearAmt
Total$1,356,182TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$1,356,182PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,029CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,927CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,309CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,852CurrentTaxYearMinus1YearAmt
Current Tax Year$9,800CurrentTaxYearAmt
Total$53,917TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$1,410,099TotalSupportAmt
Public Support CY1700.96180PublicSupportCY170Pct
Public Support PY1700.96590PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,000OtherCostOrOtherBasisAmt
Book Value$2,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$868,703OtherCostOrOtherBasisAmt
Depreciation$747,616DepreciationAmt
Book Value$121,087BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,161OtherCostOrOtherBasisAmt
Depreciation$32,132DepreciationAmt
Book Value$3,029BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$742,214OtherCostOrOtherBasisAmt
Depreciation$712,037DepreciationAmt
Book Value$30,177BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$156,293TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$3,422,387TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$6,534NetUnrealizedGainsInvstAmt
Revenue Not Reported$6,534RevenueNotReportedAmt
Revenue Subtotal$3,415,853RevenueSubtotalAmt
Total Revenue Per Form990$3,415,853TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,069,930TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,069,930ExpensesSubtotalAmt
Total Expenses Per Form990$4,069,930TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessBOARD MEMBERS AND THE EXECUTIVE DIRECTOR ARE GIVEN A COPY OF THE 990 TO REVIEW
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE CENTER'S CONFLICT OF INTEREST POLICY REQUIRES EACH EMPLOYEE, STUDENT, INSEPENDENT CONTRACTOR, VOLUNTEER AND BOARD MEMBER TO ADVISE THE EXECUTIVE DIRECTOR IMMEDIATELY OF ANY CONFLICT OF INTEREST. WRITTEN DISCLOSURES ARE OBTAINED AND REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCOMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED USING COMPARATIVE DATA AND IS SUBSTAINTIATED IN THE PERSONNEL FILES. THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED USING COMPARATIVE DATA AND IS SUBSTAINTIATED IN THE PERSONNEL FILES. THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO THE PUBLIC AT THE FACILITY'S CENTRAL LOCATION, 235 S. EISENHOWER AVENUE, MASON CITY, IOWA 50401. FINANCIAL STATEMENTS ARE ALSO AVAILABLE AT THE IOWA AUDITOR'S WEBSITE AT HTTP://AUDITOR.IOWA.GOV/REPORTS/INDEX.HTML.

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