BETA

WellSource: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WellSource (EIN 42-0763978)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-01
IRS object ID
201630329349300958
Schema version
2014v6.0
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)
Return2016-02-01T13:20:40-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420946155PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HONKAMP KRUEGER & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1951 13TH AVENUE NORTHAddressLine1Txt
CityCLINTONCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52732ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

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 AVEAddressLine1Txt
CityMASON CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW EASTWOODPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6414242075PhoneNum
Signature2016-01-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJON F THOMS CPAPreparerPersonNm
PTINP00139911PTIN
Phone5632426911PhoneNum
Preparation2016-01-25PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW EASTWOODPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S EISENHOWER AVEAddressLine1Txt
CityMASON CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,682,028GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWELLSOURCEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionPROVIDES DIAGNOSIS AND TREATMENT OF GENERAL PSYCHIATRIC AND PSYCHOLOGICAL DISORDERS IN A SIX COUNTY AREA.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee71TotalEmployeeCnt
Total Volunteers1960TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$153,934PYContributionsGrantsAmt
CY Contributions Grants$67,382CYContributionsGrantsAmt
PY Program Service Revenue$3,093,790PYProgramServiceRevenueAmt
CY Program Service Revenue$3,601,761CYProgramServiceRevenueAmt
PY Investment Income$11,927PYInvestmentIncomeAmt
CY Investment Income$8,309CYInvestmentIncomeAmt
PY Other Revenue$22,660PYOtherRevenueAmt
CY Other Revenue$4,576CYOtherRevenueAmt
PY Total Revenue$3,282,311PYTotalRevenueAmt
CY Total Revenue$3,682,028CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,224,933PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,115,801CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$643,661PYOtherExpensesAmt
CY Other Expenses$888,024CYOtherExpensesAmt
PY Total Expenses$2,868,594PYTotalExpensesAmt
CY Total Expenses$4,003,825CYTotalExpensesAmt
PY Revenues Less Expenses$413,717PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$321,797CYRevenuesLessExpensesAmt
Total Assets BOY$2,472,641TotalAssetsBOYAmt
Total Assets EOY$2,183,748TotalAssetsEOYAmt
Total Liabilities BOY$292,131TotalLiabilitiesBOYAmt
Total Liabilities EOY$334,135TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,180,510NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,849,613NetAssetsOrFundBalancesEOYAmt
MissionTO FACILITATE PERSONAL 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,010,849ExpenseAmt
Revenue$3,606,337RevenueAmt
DescPROVIDED 13,093 UNITS OF MEDICATION REVIEW, 12,888 UNITS OF INDIVIDUAL AND GROUP THERAPY, AND 1,736 UNITS OF DIAGNOSTIC SERVICES TO PATIENTS IN A SIX COUNTY AREA DURING TAX YEAR 2014.Desc
Total Program Service Expenses$3,010,849TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee71EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW EASTWOODBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6414242075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S EISENHOWER AVEAddressLine1Txt
CityMASON CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PENNEY MORSE
DIRECTOR1.00Yes (X)$0$0$0
RON NOAH
DIRECTOR1.00Yes (X)$0$0$0
LAVONNE WOLF
DIRECTOR1.00Yes (X)$0$0$0
ANDREW A HILL
SECRETARY1.00$0$0$0Yes (X)
JAMES HILL
PRESIDENT1.00$0$0$0Yes (X)
SCOTT HELGESON
TREASURER1.00$0$0$0Yes (X)
ANDREW EASTWOOD
EXECUTIVE DIRECTOR40.00$87,757$0$0Yes (X)
HOLLY MCCLINTOCK
ARNP40.00$106,577$0$0Yes (X)
SHELBY ALLEN-BENITZ
ARNP40.00$128,073$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$322,407TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FASPSYCH LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13260 N HAYDEN ROAD SUITE 105AddressLine1Txt
CitySCOTTSDALECityNm
State AbbreviationAZStateAbbreviationCd
ZIP85251ZIPCd
FieldValueIRS element (for citing)
ServicesPSYCHIATRIC SERVICESServicesDesc
Compensation$151,885CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$65,067GovernmentGrantsAmt
All Other Contributions$2,315AllOtherContributionsAmt
Total Contributions$67,382TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES624100$3,492,813$3,492,813
COUNTY PATIENT FEES PA624100$108,948$108,948
FieldValueIRS element (for citing)
Total Program Service Revenue$3,601,761TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,309TotalRevenueColumnAmt
Exclusion$8,309ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business999999BusinessCd
Total Revenue Column$4,576TotalRevenueColumnAmt
Related Or Exempt Func Income$4,576RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,576OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,682,028TotalRevenueColumnAmt
Related Or Exempt Func Income$3,606,337RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,309ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$429,155TotalAmt
Program Services$343,324ProgramServicesAmt
Management And General$85,831ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,133,296TotalAmt
Program Services$1,708,465ProgramServicesAmt
Management And General$424,831ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$85,127TotalAmt
Program Services$53,011ProgramServicesAmt
Management And General$32,116ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$274,769TotalAmt
Program Services$171,106ProgramServicesAmt
Management And General$103,663ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$193,454TotalAmt
Program Services$153,781ProgramServicesAmt
Management And General$39,673ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,509TotalAmt
Program Services$2,191ProgramServicesAmt
Management And General$1,318ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,178TotalAmt
Management And General$42,178ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$225,874TotalAmt
Program Services$220,497ProgramServicesAmt
Management And General$5,377ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$55,014TotalAmt
Program Services$23,430ProgramServicesAmt
Management And General$31,584ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$176,440TotalAmt
Program Services$125,713ProgramServicesAmt
Management And General$50,727ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$55,345TotalAmt
Program Services$44,105ProgramServicesAmt
Management And General$11,240ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$49,829TotalAmt
Program Services$25,645ProgramServicesAmt
Management And General$24,184ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$31,309TotalAmt
Program Services$10,946ProgramServicesAmt
Management And General$20,363ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROVISION FOR DOUBTFUL$88,600$4,225$84,375
CONTINUED EDUCATION$62,393$60,943$1,450
MISC$30,288$19,168$11,120
PROGRAM SUPPLIES$30,165$30,165

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,080TotalAmt
Program Services$14,134ProgramServicesAmt
Management And General$22,946ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,003,825TotalAmt
Program Services$3,010,849ProgramServicesAmt
Management And General$992,976ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$279,843BOYAmt
EOY$316,119EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$167,074BOYAmt
EOY$166,359EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,128BOYAmt
EOY$3,400EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,677,018BOYAmt
EOY$1,380,251EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,663BOYAmt
EOY$17,447EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,616,361LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,422,758LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$213,195BOYAmt
EOY$193,603EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$105,720BOYAmt
EOY$106,569EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,472,641BOYAmt
EOY$2,183,748EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$292,131BOYAmt
EOY$334,135EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$292,131BOYAmt
EOY$334,135EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,164,569BOYAmt
EOY$1,833,676EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,672BOYAmt
EOY$14,668EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,180,510BOYAmt
EOY$1,849,613EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,472,641BOYAmt
EOY$2,183,748EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$321,797ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$9,100NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$152,289CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,951CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,662CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,934CurrentTaxYearMinus1YearAmt
Current Tax Year$67,382CurrentTaxYearAmt
Total$496,218TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$415,778CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$377,227CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$379,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$199,201CurrentTaxYearMinus1YearAmt
Current Tax Year$108,948CurrentTaxYearAmt
Total$1,480,528TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$568,067CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$429,178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$450,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$353,135CurrentTaxYearMinus1YearAmt
Current Tax Year$176,330CurrentTaxYearAmt
Total$1,976,746TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$60,970SubstantialContributorsTotAmt
Public Support Total170$1,915,776PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,611CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,267CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,927CurrentTaxYearMinus1YearAmt
Current Tax Year$8,309CurrentTaxYearAmt
Total$68,143TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,773CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,618CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,660CurrentTaxYearMinus1YearAmt
Current Tax Year$4,576CurrentTaxYearAmt
Total$49,800TotalAmt
FieldValueIRS element (for citing)
Total Support$2,094,689TotalSupportAmt
Public Support CY1700.91460PublicSupportCY170Pct
Public Support PY1700.92210PublicSupportPY170Pct
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$851,115OtherCostOrOtherBasisAmt
Depreciation$721,562DepreciationAmt
Book Value$129,553BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$728,085OtherCostOrOtherBasisAmt
Depreciation$669,867DepreciationAmt
Book Value$58,218BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,161OtherCostOrOtherBasisAmt
Depreciation$31,329DepreciationAmt
Book Value$3,832BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$193,603TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,672,932TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$9,100NetUnrealizedGainsInvstAmt
Other Revenue$4OtherRevenueAmt
Revenue Not Reported-$9,096RevenueNotReportedAmt
Revenue Subtotal$3,682,028RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,682,028TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,003,825TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,003,825ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,003,825TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THERE IS NO PROVISION FOR INCOME TAX EXPENSE OR LIABILITY SINCE THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ROUNDING 4.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BOARD MEMBERS AND THE EXECUTIVE DIRECTOR ARE GIVEN A COPY OF THE 990 TO REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CENTER'S CONFLICT OF INTEREST POLICY REQUIRES EACH EMPLOYEE, STUDENT, INDEPENDENT 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, SECTION B, LINE 15COMPENSATION FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES IS DETERMINED USING COMPARATIVE DATA AND IS SUBSTANTIATED IN THE PERSONNEL FILES. THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING 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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