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WellSource: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WellSource (EIN 42-0763978)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-02-16
IRS object ID
201540479349301134
Schema version
2013v4.0
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)
Return2015-02-16T10:31:01-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420946155PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HONKAMP KRUEGER & CO PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1951 13TH AVENUE NORTHAddressLine1
CityCLINTONCity
StateIAState
ZIP Code52732ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420763978EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MENTAL HEALTH CENTER OF NORTH IOWA INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMENTBusinessNameControlTxt
Phone6414242075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S EISENHOWER AVEAddressLine1
CityMASON CITYCity
StateIAState
ZIP Code50401ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW EASTWOODPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6414242075PhoneNum
Signature2015-02-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEVIN M STEINES CPAPreparerPersonNm
PTINP01356913PTIN
Phone5632426911PhoneNum
Preparation2015-02-09PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW EASTWOODPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S EISENHOWER AVEAddressLine1
CityMASON CITYCity
StateIAState
ZIP Code50401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,282,311GrossReceiptsAmt
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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee67TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$70,662PYContributionsGrantsAmt
CY Contributions Grants$153,934CYContributionsGrantsAmt
PY Program Service Revenue$2,508,769PYProgramServiceRevenueAmt
CY Program Service Revenue$3,093,790CYProgramServiceRevenueAmt
PY Investment Income$7,522PYInvestmentIncomeAmt
CY Investment Income$11,927CYInvestmentIncomeAmt
PY Other Revenue$2,618PYOtherRevenueAmt
CY Other Revenue$22,660CYOtherRevenueAmt
PY Total Revenue$2,589,571PYTotalRevenueAmt
CY Total Revenue$3,282,311CYTotalRevenueAmt
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$1,935,997PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,224,933CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$662,872PYOtherExpensesAmt
CY Other Expenses$643,661CYOtherExpensesAmt
PY Total Expenses$2,598,869PYTotalExpensesAmt
CY Total Expenses$2,868,594CYTotalExpensesAmt
PY Revenues Less Expenses-$9,298PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$413,717CYRevenuesLessExpensesAmt
Total Assets BOY$2,020,517TotalAssetsBOYAmt
Total Assets EOY$2,472,641TotalAssetsEOYAmt
Total Liabilities BOY$257,854TotalLiabilitiesBOYAmt
Total Liabilities EOY$292,131TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,762,663NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,180,510NetAssetsOrFundBalancesEOYAmt
MissionPROVIDES DIAGNOSIS AND TREATMENT OF GENERAL PSYCHIATRIC AND PSYCHOLOGICAL DISORDERS IN A SIX COUNTY AREAMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,120,445ExpenseAmt
Revenue$3,116,450RevenueAmt
DescPROVIDED 5,891 UNITS OF MEDICATION REVIEW, 13,630 UNITS OF INDIVIDUAL AND GROUP THERAPY, AND 1,241 UNITS OF DIAGNOSTIC SERVICES TO PATIENTS IN A SIX COUNTY AREA DURING TAX YEAR 2013Desc
Total Program Service Expenses$2,120,445TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee67EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 EASTWOODBusinessNameLine1
FieldValueIRS element (for citing)
Phone6414242075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 S EISENHOWER AVEAddressLine1
CityMASON CITYCity
StateIAState
ZIP Code50401ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (10 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
TERRI TESCH
DIRECTOR1.00Yes (X)$0$0$0
DOUGLAS A KRULL
DIRECTOR1.00Yes (X)$0$0$0
RON NOAH
DIRECTOR1.00Yes (X)$0$0$0
ANDREW EASTWOOD
EXECUTIVE DIRECTOR40.00$84,458$0$0Yes (X)
SCOTT HELGESON
TREASURER1.00$0$0$0Yes (X)
ANDREW A HILL
SECRETARY1.00$0$0$0Yes (X)
JAMES HILL
PRESIDENT1.00$0$0$0Yes (X)
SHELBY ALLEN-BENITZ
ARNP40.00$119,556$0$0Yes (X)
ABBIE WHITE
ARNP40.00$113,314$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$317,328TotalReportableCompFromOrgAmt
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 LLCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13260 N HAYDEN ROAD SUITE 105AddressLine1
CitySCOTTSDALECity
StateAZState
ZIP Code85251ZIPCode
FieldValueIRS element (for citing)
ServicesPSYCHIATRIC SERVICESServicesDesc
Compensation$110,808CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$50,837GovernmentGrantsAmt
All Other Contributions$103,097AllOtherContributionsAmt
Total Contributions$153,934TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES624100$2,894,589$2,894,589
COUNTY PATIENT FEES PA624100$199,201$199,201
FieldValueIRS element (for citing)
Total Program Service Revenue$3,093,790TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,927TotalRevenueColumnAmt
Exclusion$11,927ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business999999BusinessCd
Total Revenue Column$22,660TotalRevenueColumnAmt
Related Or Exempt Func Income$22,660RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$22,660OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,282,311TotalRevenueColumnAmt
Related Or Exempt Func Income$3,116,450RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,927ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$312,411TotalAmt
Program Services$221,385ProgramServicesAmt
Management And General$91,026ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,504,529TotalAmt
Program Services$1,133,895ProgramServicesAmt
Management And General$370,634ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$86,077TotalAmt
Program Services$60,656ProgramServicesAmt
Management And General$25,421ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$185,661TotalAmt
Program Services$130,831ProgramServicesAmt
Management And General$54,830ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$136,255TotalAmt
Program Services$101,634ProgramServicesAmt
Management And General$34,621ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,964TotalAmt
Management And General$17,964ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,745TotalAmt
Management And General$22,745ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,083TotalAmt
Program Services$24,606ProgramServicesAmt
Management And General$10,477ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,572TotalAmt
Program Services$19,873ProgramServicesAmt
Management And General$10,699ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$156,660TotalAmt
Program Services$138,007ProgramServicesAmt
Management And General$18,653ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,517TotalAmt
Program Services$9,207ProgramServicesAmt
Management And General$6,310ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,455TotalAmt
Management And General$7,455ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$43,556TotalAmt
Program Services$34,450ProgramServicesAmt
Management And General$9,106ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$26,227TotalAmt
Program Services$15,728ProgramServicesAmt
Management And General$10,499ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PSYCHIATRIC SERVICES$152,674$152,674
ANASAZI, CERNER AND OTH$46,800$11,346$35,454
PROGRAM SUPPLIES$41,791$41,791
CONTINUED EDUCATION$16,427$14,511$1,916

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$30,190TotalAmt
Program Services$9,851ProgramServicesAmt
Management And General$20,339ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,868,594TotalAmt
Program Services$2,120,445ProgramServicesAmt
Management And General$748,149ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$57,914BOYAmt
EOY$279,843EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$360,196BOYAmt
EOY$167,074EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,618BOYAmt
EOY$7,128EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,316,089BOYAmt
EOY$1,677,018EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$37,046BOYAmt
EOY$22,663EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,586,124LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,372,929LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$192,654BOYAmt
EOY$213,195EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$105,720EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,020,517BOYAmt
EOY$2,472,641EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$257,854BOYAmt
EOY$292,131EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$257,854BOYAmt
EOY$292,131EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,746,770BOYAmt
EOY$2,164,569EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,625BOYAmt
EOY$14,672EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,268BOYAmt
EOY$1,269EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,762,663BOYAmt
EOY$2,180,510EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,020,517BOYAmt
EOY$2,472,641EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$413,717ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,130NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 CommitteeYes (1)AuditCommitteeInd
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$134,958CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$152,289CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,951CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,662CurrentTaxYearMinus1YearAmt
Current Tax Year$153,934CurrentTaxYearAmt
Total$563,794TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$445,566CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$415,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$377,227CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$379,374CurrentTaxYearMinus1YearAmt
Current Tax Year$199,201CurrentTaxYearAmt
Total$1,817,146TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$580,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$568,067CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$429,178CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$450,036CurrentTaxYearMinus1YearAmt
Current Tax Year$353,135CurrentTaxYearAmt
Total$2,380,940TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$52,359SubstantialContributorsTotAmt
Public Support Total170$2,328,581PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,611CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,267CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,029CurrentTaxYearMinus1YearAmt
Current Tax Year$11,927CurrentTaxYearAmt
Total$89,624TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,459CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,773CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,618CurrentTaxYearMinus1YearAmt
Current Tax Year$22,660CurrentTaxYearAmt
Total$54,683TotalAmt
FieldValueIRS element (for citing)
Total Support$2,525,247TotalSupportAmt
Public Support CY1700.92210PublicSupportCY170Pct
Public Support PY1700.93790PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$706,124DepreciationAmt
Book Value$144,991BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$697,848OtherCostOrOtherBasisAmt
Depreciation$636,106DepreciationAmt
Book Value$61,742BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,161OtherCostOrOtherBasisAmt
Depreciation$30,699DepreciationAmt
Book Value$4,462BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$213,195TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,286,393TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,082NetUnrealizedGainsInvstAmt
Revenue Not Reported$4,082RevenueNotReportedAmt
Revenue Subtotal$3,282,311RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,282,311TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,868,594TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,868,594ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,868,594TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHERE IS NO PROVISION FOR INCOME TAX EXPENSE OR LIABILITY SINCE THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 50L(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION RECOGNIZES TAX BENEFITS ONLY TO THE EXTENT THAT THE ORGANIZATION BELIEVES IT IS "MORE LIKELY THAN NOT" THAT ITS TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT ALL OF THE POSITIONS TAKEN ON ITS FEDERAL INCOME TAX RETURNS WOULD MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION. THE ORGANIZATION'S TAX RETURNS FOR 2011, 2012, AND 2013, ARE SUBJECT TO POSSIBLE FEDERAL EXAMINATION, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 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.
FORM 990, PART XII, LINE 2C:THE AUDIT COMMITTEE OVERSIGHT PROCESS OR SELECTION HAS NOT CHANGED FROM THE PRIOR YEAR.

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