2018-02-20T08:56:15-06:00 2017-06-30 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1528 SIOUX CITY IA 51102 990 2016-07-01 421411233 SIOUXLAND REGIONAL CANCER CENTER SIOU 7122529418 PO BOX 5017 SIOUX CITY IA 51101 DANIEL K LAUER CHIEF FINANCIAL OFFICER 7122529418 2018-02-15 1 MELISSA J WILLER P00121904 7122773931 2018-02-15 192.30.185.22 2018-02-15 10:24:53 CS P 218AFE1164C54EC742846DF0C2C2004D2A020A2C F4849073982E2CEC7C065CC25B23D064E764DD15 2016 2021-01-29 14:40:06Z DANIEL K LAUER 230 NEBRASKA ST SIOUX CITY IA 51101 37001077 0 X WWW.NYLENCANCERCENER.COM X 1995 IA PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. 12 12 119 15 100163 6143 203959 253944 39064468 36459334 28585 40261 274023 130551 39571035 36884090 0 0 0 0 7683121 7861992 0 0 195708 29707900 29363890 37391021 37225882 2180014 -341792 19033742 19217249 3499431 3831188 15534311 15386061 PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. 0 0 33369021 36379127 PROVIDE DIAGNOSIS, TREATMENT, EDUCATION AND CARE FOR CANCER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 33369021 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 119 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 X DAN LAUER 7122529418 230 NEBRASKA STREET PO BOX 5017 SIOUX CITY IA 51101 MILT AVERY CHAIRPERSON 1.00 X X 650 0 0 LYNN WOLD SECRETARY 1.00 X X 0 0 0 JAMES FITZPATRICK TREASURER 1.00 X X 0 0 0 GARRETT SMITH VICE-CHAIRPERSON 1.00 X X 0 0 0 JIM GOBELL DIRECTOR 0.50 X 0 0 0 CHAD MARKHAM DIRECTOR 0.50 X 0 0 0 HUGH DEPAULIS DIRECTOR 0.50 X 0 0 0 TRACY LARSON DIRECTOR 0.50 X 0 0 0 WAYNE BARNES DIRECTOR 0.50 X 0 0 0 STEVEN JOYCE DIRECTOR 0.50 X 0 0 0 CYNTHIA PALS DIRECTOR 0.50 X 0 0 0 JON PEACOCK DIRECTOR 0.50 X 250 0 0 SKIP PERLEY DIRECTOR 0.50 X 600 0 0 KAREN VAN DE STEEG EXECUTIVE DIRECTOR 40.00 X 244081 0 35310 DAN LAUER CHIEF FINANCIAL OFFICER 40.00 X 158606 0 22379 DONALD WENDER MEDICAL DIRECTOR 40.00 X 440000 0 35893 STEPHEN KAHANIC PHYSICIAN 40.00 X 400000 0 34013 RADHA RAO PHYSICIAN 40.00 X 400000 0 28907 NASSER ABU-ERREISH PHYSICIAN 40.00 X 324615 0 26596 SUSAN ROEDER PHYSICIAN 40.00 X 275000 0 28237 2243802 0 211335 10 0 1 0 TRI STATE RADIATION 230 NEBRASKA STREET SIOUX CITY IA 51101 RADIATION PHYSICIAN SERVICES 1086492 WA KLINGER LLC 2015 7TH ST SIOUX CITY IA 51101 CONSTRUCTION 914177 VARIAN MEDICAL SYSTEMS 3100 HANSEN WAY PALO ALTO CA 94304 RADIATION TREATMENT SOFTWARE 587555 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 HEALTHCARE SUPPLIES 438029 JAEGER CORPORATION PO BOX 540365 OMAHA NE 68154 RADIATION PHYSICS SERVICES 376176 18 253944 253944 PATIENT SERVICE REVENUE 621300 36359171 36359171 BILLING SERVICE REVENUE 561499 100163 100163 36459334 34868 34868 24000 0 24000 24000 24000 84817 79424 5393 5393 5393 124158 37563 86595 86595 OTHER REVENUE 900099 19956 19956 19956 36884090 36379127 100163 150856 460376 460376 6017237 5627373 389864 271728 254122 17606 718464 664397 54067 394187 337213 56974 1650000 1650000 22494 22494 2762356 2237458 356747 168151 7579 7211 368 1407774 1158086 239865 9823 29717 22301 7120 296 1150962 1059024 77846 14092 40386 40386 MEDICATION 21019982 21019982 SUPPLIES 1056203 933721 122417 65 MISCELLANEOUS 216437 55344 158180 2913 37225882 33369021 3661153 195708 6047188 6329922 127303 136130 5856010 5257895 1300093 761333 511510 545987 558383 19461250 16233797 3638519 3227453 1715122 1553583 342280 342280 19033742 19217249 3499431 3653764 177424 3499431 3831188 X 14620593 14398637 913718 987424 15534311 15386061 19033742 19217249 X -341792 78170 115372 X X 0 1 X 1 0 X 420866 500545 341336 203959 253944 1720650 8464134 8742966 22637266 39064468 36359171 115268005 8885000 9243511 22978602 39268427 36613115 116988655 177500 177500 0 177500 177500 116811155 148047 165775 38247 23924 40261 416254 148047 165775 38247 23924 40261 416254 434587 468847 33987 143615 120119 1201155 9467634 9878133 23050836 39435966 36773495 118606064 0.98490 0.97480 0.00350 0.00520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200850 200850 6495445 4903374 1592071 298438 256454 41984 11917996 11073969 844027 548521 548521 3227453 X 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 STATEMENTS OF ACTIVITIES OR ACCRUED IN THE STATEMENTS OF FINANCIAL POSITION. RACE FOR HOPE 47573 47573 1475 468 18001 COMEDY FOR A CAUSE 76585 76585 10050 7569 124158 124158 1475 468 10050 25570 37563 86595 X 1 1 X X X X 0 0 0 0 0 0 0 0 0 KAREN VAN DE STEEG EXECUTIVE DIRECTOR 244081 0 0 0 0 0 0 0 35310 0 279391 0 0 0 DAN LAUER CHIEF FINANCIAL OFFICER 158606 0 0 0 0 0 0 0 22379 0 180985 0 0 0 DONALD WENDER MEDICAL DIRECTOR 440000 0 0 0 0 0 0 0 35893 0 475893 0 0 0 STEPHEN KAHANIC PHYSICIAN 400000 0 0 0 0 0 0 0 34013 0 434013 0 0 0 RADHA RAO PHYSICIAN 400000 0 0 0 0 0 0 0 28907 0 428907 0 0 0 NASSER ABU-ERREISH PHYSICIAN 324615 0 0 0 0 0 0 0 26596 0 351211 0 0 0 SUSAN ROEDER PHYSICIAN 275000 0 0 0 0 0 0 0 28237 0 303237 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 ALL ITEMS ARE AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 113,705. CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS 1,667. 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 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 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 UNITYPOINT HEALTH 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 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 HOSPICE OF SIOUXLAND L 1001 SIOUXLAND PARAMEDICS M 75100 HEALTH INC M 1650000 UNITYPOINT HEALTH M 492818 UNITYPOINT HEALTH L 201114 MERCY MEDICAL CENTER M 55550 MERCY MEDICAL CENTER L 218846 HOSPICE OF SIOUXLAND K 34906