2018-05-14T09:47:44-07:00 2017-06-30 POTTER & BRANT PLC PO BOX 7 CLEAR LAKE IA 504280007 990 2016-07-01 420763978 WellSource WELL 6414242075 235 S Eisenhower Avenue Mason City IA 50401 Andrew Eastwood Executive Dir. 2018-05-14 true Kristan M Brant P01336518 6413575291 2016 2022-09-23 18:48:47Z Andrew Eastwood 235 S Eisenhower Avenue Mason City IA 50401 3415853 false false X N/A X 1955 IA TO FACILITATE GROWTH THROUGH HEALTH IN MIND AND BODY BY PROVIDING DIAGNOSIS AND TREATMENT OF GENERAL PSYCHIATRIC AND PSYCHOLOGICAL DISORDERS IN A SIX COUNTY AREA. 5 5 54 10 0 130965 112849 3201111 3286270 8852 9800 35064 6934 3375992 3415853 0 0 2819073 2988110 0 0 1013354 1081820 3832427 4069930 -456435 -654077 1706149 1443350 279585 629334 1426564 814016 TO FACILITATE GROWTH THROUGH HEALTH IN MIND AND BODY BY PROVIDING DIAGNOSIS AND TREATMENT OF GENERAL PSYCHIATRIC AND PSYCHOLOGICAL DISORDERS IN A SIX COUNTY AREA. false false 3106070 112615 3241586 PROVIDE MEDICATION REVIEW, INDIVIDUAL AND GROUP THERAPY, AND DIAGNOSTIC SERVICES TO PATIENTS IN A SIX COUNTY AREA DURING TAX YEAR 2016 3106070 true false false false false false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 15 0 true 54 true false false false false false false false false 0 false false false false false false false false false false X 5 5 false false false false false false false true true false false true true true true true true true true false X Julie Barkela Billing Manager 6414242075 235 S Eisenhower Avenue Mason City IA 50401 James Hill Chairman 1.00 0.00 X X 0 0 0 Ron Noah Treasurer 1.00 0.00 X X 0 0 0 Crystal Ely Director 1.00 0.00 X 0 0 0 Penney Morse Director 1.00 0.00 X 0 0 0 Andrew A Hill Secretary 1.00 0.00 X X 0 0 0 Andrew Eastwood Executive Dir. 40.00 0.00 X 92003 0 0 Holly McClintock ARNP 40.00 0.00 X 110078 0 0 Shelby Allen-Benitz ARNP 40.00 0.00 X 127840 0 0 329921 2 false false false FASPSYCH LLC 8687 EAST VIA DE VENTURA SCOTTSDALE AZ 85258 Psychiatric Services 186978 Principal Financial Group 111 W State St Mason City IA 50401 Retirement Services 103670 2 112615 234 112849 County Patient Fees 624100 44684 44684 Patient Fees 624100 3241586 3241586 3286270 9800 9800 0 0 0 0 0 0 0 MISCELLANEOUS 624100 6934 6934 6934 3415853 3293204 9800 0 0 0 0 384454 237918 146536 0 2076876 1704233 372643 0 343672 229658 114014 183108 143947 39161 105229 81767 23462 24648 24648 91160 91160 0 0 0 231880 231880 0 43373 24617 18756 0 0 170566 129769 40797 40329 35652 4677 0 0 0 0 24742 8660 16082 21793 8878 12915 PROVISION FOR DOUBTFUL ACCOUNT 163122 163122 CONTINUED EDUCATION 90225 90058 167 CERNER 43413 43413 MISCELLANEOUS 14289 1818 12471 17051 14093 2958 4069930 3106070 963860 0 305917 628122 0 0 1052817 477515 0 0 0 0 16775 13758 1648078 1491785 178285 156293 152355 167662 0 0 0 0 1706149 1443350 279585 629334 279585 629334 X 1410627 797409 14668 15208 1269 1399 1426564 814016 1706149 1443350 -654077 6534 34995 X false true X true false X 70662 153934 67382 130965 112849 535792 379374 199201 108948 88183 44684 820390 0 450036 353135 176330 219148 157533 1356182 0 1356182 15029 11927 8309 8852 9800 53917 0 0 1410099 0.96180 0.96590 X 2000 2000 868703 747616 121087 35161 32132 3029 742214 712037 30177 156293 3422387 6534 6534 3415853 3415853 4069930 4069930 4069930 Form 990, Part VI, Line 11b: Form 990 Review Process BOARD 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 Conflicts THE 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 Management COMPENSATION 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 Employees COMPENSATION 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 Available GOVERNING 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.