SIOUXLAND REGIONAL CANCER CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SIOUXLAND REGIONAL CANCER CENTER (EIN 42-1411233)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-07
- IRS object ID
- 201420389349300017
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-07T10:07:49-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481292483 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENJES CONNER & WILLIAMS PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 FRANCES BLDG | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421411233 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIOUXLAND REGIONAL CANCER CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SIOU | NameControl |
| Phone | 7122529418 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5017 | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51102 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL K LAUER | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 7122529418 | Phone |
| Date Signed | 2014-02-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MELISSA J WILLER | Name |
| PTIN | P00121904 | PTIN |
| Phone | 7122773931 | Phone |
| Date Prepared | 2014-02-04 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANIEL K LAUER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 NEBRASKA ST | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14417302 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NYLENCANCERCENER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 38 | TotalNbrEmployees |
| Total Nbr Volunteers | 26 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 543839 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 420866 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8495507 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8464134 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 187343 | InvestmentIncomePriorYear |
| Investment Income Current Year | 414626 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 712908 | OtherRevenuePriorYear |
| Other Revenue Current Year | 836905 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9939597 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10136531 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2312404 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2967277 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 218101 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6260405 | OtherExpensePriorYear |
| Other Expenses Current Year | 5740516 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8572809 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8707793 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1366788 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1428738 | RevenuesLessExpensesCY |
| Total Assets BOY | 16318371 | TotalAssetsBOY |
| Total Assets EOY | 16745158 | TotalAssetsEOY |
| Total Liabilities BOY | 7938143 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6808143 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8380228 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9937015 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5510397 | Expense |
| Revenue | 9320139 | Revenue |
| Description | PROVIDE DIAGNOSIS, TREATMENT, EDUCATION AND CARE FOR CANCER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | Description |
| Total Program Service Expense | 5510397 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 25 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 38 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAN LAUER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7122529418 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 NEBRASKA STREET PO BOX 5017 | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MILT AVERY | ||||||||
| VICE CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | ||
| BOB PEEBLES | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| PETER THOREEN | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| CHARESE YANNEY | ||||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | ||
| LYNN WOLD | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| JIM GOBELL | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| ELLEN KAPLAN | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| DR WAYNE BARNES | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| STEVE GARY | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| TRACY LARSON | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| DR JEFFREY KNERL | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| DR CYNTHIA PALS | ||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||
| KAREN VAN DE STEEG | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 204506 | 0 | 33849 | |||
| DAN LAUER | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 133918 | 0 | 23428 | |||
| CHARLES MURPHY MD | ||||||||
| RADIOLOGIST | 40.00 | 426854 | 0 | 50099 | X | |||
| MIKE SHEA | ||||||||
| DOSIMETRIST | 40.00 | 118338 | 0 | 29046 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 883616 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 136422 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TRI STATE RADIATION ONCOLOGY | |||||
| 230 NEBRASKA STREET | SIOUX CITY | IA | 51101 | CONTRACT PHYSICIAN SERVICES | 774606 |
| WA KLINGER LLC | |||||
| 2015 7TH STREET | SIOUX CITY | IA | 51101 | CONSTRUCTION SERVICES | 530016 |
| PYRAMID TECHNOLOGIES | |||||
| 125 6TH ST | SIOUX CITY | IA | 51103 | CONTRACT COMPUTER SERVICES, SUPLIES AND | 513757 |
| VARIAN MEDICAL SYSTEMS | |||||
| 3100 HANSEN WAY | PALO ALTO | CA | 94304 | EQUIPMENT MAINTENANCE AND RADIATION EQUI | 511867 |
| CASSLING | |||||
| 13808 F STREET | OMAHA | NE | 68137 | EQUIPMENT MAINTENANCE SERVICES | 339511 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| All Other Contributions | 420866 | AllOtherContributions |
| Noncash Contributions | 6793 | NoncashContributions |
| Total Contributions | 420866 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 8464134 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8464134 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8464134 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 148047 | TotalRevenueColumn |
| Exclusion | $148,047 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 299734 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 176898 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 122836 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122836 | TotalRevenueColumn |
| Exclusion | $122,836 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4085699 | Securities |
| Other | 245031 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3819120 | Securities |
| Other | 245031 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 266579 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 266579 | TotalRevenueColumn |
| Related Or Exempt Function Income | 266579 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 164365 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 39722 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 124643 | TotalRevenueColumn |
| Exclusion | $124,643 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER REVENUE | 900099 | 434587 | 434587 |
| OTHER INVESTMENT INCOME | 900099 | 154839 | 154839 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 589426 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10136531 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9320139 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $395,526 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 872654 | Total |
| Program Services | 476953 | ProgramServices |
| Management And General | 395701 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1594326 | Total |
| Program Services | 960195 | ProgramServices |
| Management And General | 561589 | ManagementAndGeneral |
| Fundraising | 72542 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84960 | Total |
| Program Services | 52012 | ProgramServices |
| Management And General | 28219 | ManagementAndGeneral |
| Fundraising | 4729 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 260663 | Total |
| Program Services | 163902 | ProgramServices |
| Management And General | 87578 | ManagementAndGeneral |
| Fundraising | 9183 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154674 | Total |
| Program Services | 89355 | ProgramServices |
| Management And General | 60005 | ManagementAndGeneral |
| Fundraising | 5314 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2119 | Total |
| Management And General | 2119 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12200 | Total |
| Management And General | 12200 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48627 | Total |
| Management And General | 48627 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1669643 | Total |
| Program Services | 1316889 | ProgramServices |
| Management And General | 328047 | ManagementAndGeneral |
| Fundraising | 24707 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139530 | Total |
| Management And General | 137522 | ManagementAndGeneral |
| Fundraising | 2008 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123443 | Total |
| Program Services | 51097 | ProgramServices |
| Management And General | 69546 | ManagementAndGeneral |
| Fundraising | 2800 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301440 | Total |
| Management And General | 301440 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1122591 | Total |
| Program Services | 807446 | ProgramServices |
| Management And General | 313465 | ManagementAndGeneral |
| Fundraising | 1680 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28305 | Total |
| Program Services | 13415 | ProgramServices |
| Management And General | 14533 | ManagementAndGeneral |
| Fundraising | 357 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184824 | Total |
| Management And General | 184824 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1305307 | Total |
| Program Services | 981278 | ProgramServices |
| Management And General | 304312 | ManagementAndGeneral |
| Fundraising | 19717 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 288282 | 288282 | ||
| PATIENT PROGRAM SERVICE | 287115 | 287115 | ||
| MISCELLANEOUS | 227090 | 22458 | 129568 | 75064 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8707793 | Total |
| Program Services | 5510397 | ProgramServices |
| Management And General | 2979295 | ManagementAndGeneral |
| Fundraising | 218101 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1694424 | BOY |
| EOY | 2538561 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40811 | BOY |
| EOY | 20264 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1336915 | BOY |
| EOY | 1408185 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 273930 | BOY |
| EOY | 302467 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17690701 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11459477 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6905555 | BOY |
| EOY | 6231224 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6020965 | BOY |
| EOY | 6224954 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45771 | BOY |
| EOY | 19503 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16318371 | BOY |
| EOY | 16745158 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1938143 | BOY |
| EOY | 1478143 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5330000 | BOY |
| EOY | 4875000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 670000 | BOY |
| EOY | 455000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7938143 | BOY |
| EOY | 6808143 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8060827 | BOY |
| EOY | 9641780 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 319401 | BOY |
| EOY | 295235 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8380228 | BOY |
| EOY | 9937015 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16318371 | BOY |
| EOY | 16745158 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1428738 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -6349 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 134398 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 254199 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 340588 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 372101 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 543839 | CurrentTaxYearMinus1Year |
| Current Tax Year | 420866 | CurrentTaxYear |
| Total | 1931593 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8207718 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8196967 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8924064 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8495507 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8464134 | CurrentTaxYear |
| Total | 42288390 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8461917 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8537555 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9296165 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9039346 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8885000 | CurrentTaxYear |
| Total | 44219983 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 110000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 100000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 100000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 100000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177500 | CurrentTaxYear |
| Total | 587500 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 110000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 100000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 100000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 100000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177500 | CurrentTaxYear |
| Total | 587500 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 43632483 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 101382 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 73818 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 87898 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103103 | CurrentTaxYearMinus1Year |
| Current Tax Year | 148047 | CurrentTaxYear |
| Total | 514248 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 101382 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 73818 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 87898 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103103 | CurrentTaxYearMinus1Year |
| Current Tax Year | 148047 | CurrentTaxYear |
| Total | 514248 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 371474 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 383128 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 545715 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 470993 | CurrentTaxYearMinus1Year |
| Current Tax Year | 434587 | CurrentTaxYear |
| Total | 2205897 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8934773 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8994501 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9929778 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9613442 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9467634 | CurrentTaxYear |
| Total | 46940128 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.92950 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.94020 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01100 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01100 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 200850 | OtherCostOrOtherBasis |
| Book Value | 200850 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6163360 | OtherCostOrOtherBasis |
| Depreciation | 3962399 | Depreciation |
| Book Value | 2200961 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 256330 | OtherCostOrOtherBasis |
| Depreciation | 240986 | Depreciation |
| Book Value | 15344 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10878455 | OtherCostOrOtherBasis |
| Depreciation | 7256092 | Depreciation |
| Book Value | 3622363 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 191706 | OtherCostOrOtherBasis |
| Book Value | 191706 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6231224 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| MUTUAL FUNDS | 3337406 | F |
| US GOVERNMENT SECURITIES | 166926 | F |
| CORPORATE SECURITIES/EQUITIES | 1250064 | F |
| CERTIFICATES OF DEPOSIT | 1470558 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 6224954 | TotalOfBookValueSecurities |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 10258453 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -6349 | NetUnrealizedGainsInvestments |
| Other Revenues | 176898 | OtherRevenues |
| Revenue Not Rptd F990 | 170549 | RevenueNotRptdF990 |
| Revenue Subtotal | 10087904 | RevenueSubtotal |
| Investment Expenses Not Included | 48627 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 48627 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10136531 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8836064 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 176898 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 176898 | ExpensesNotRptdF990 |
| Expenses Subtotal | 8659166 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 48627 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 48627 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8707793 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 OPERATING STATEMENT OR ACCRUED IN THE BALANCE SHEET. TAX RETURNS OF THE ENTITY ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE DATE THE RETURNS ARE FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES 176,898. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES 176,898. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | WINTER BENEFIT | NameOfEvent1 |
| Gross Receipts Event1 | 108941 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 108941 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 16211 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 475 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 5442 | OtherDirectExpensesEvent1 |
| Name Of Event2 | RACE FOR HOPE | NameOfEvent2 |
| Gross Receipts Event2 | 55424 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 55424 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 2600 | CashPrizesEvent2 |
| Other Direct Expenses Event2 | 14994 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 164365 | GrossReceiptsTotal |
| Gross Revenue Total Events | 164365 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 2600 | CashPrizesTotalEvents |
| Food And Beverage Total Events | 16211 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 475 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 20436 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 39722 | DirectExpenseSummaryEvents |
| Net Income Summary | 124643 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN VAN DE STEEG | ||||||||||||||
| EXECUTIVE DIRECTOR | 204506 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 33849 | 0 | 238355 | 0 | 0 | 0 |
| DAN LAUER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 133918 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 23428 | 0 | 157346 | 0 | 0 | 0 |
| CHARLES MURPHY MD | ||||||||||||||
| RADIOLOGIST | 426854 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 50099 | 0 | 476953 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | HALF OF THE BOARD WORKS FOR NORTHWEST IOWA HOSPITAL CORPORATION OR IS ON THE NORTHWEST IOWA HOSPITAL CORPORATION BOARD AND HALF OF THE BOARD WORKS FOR MERCY HEALTH SERVICES OR IS ON THE MERCY HEALTH SERVICES BOARD. | |
| FORM 990, PART VI, SECTION A, LINE 6 | HEALTH INC., NORTHWEST IOWA HOSPITAL CORPORATION AND SUBSIDIARIES, MERCY HEALTH SERVICES 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 | TRINITY HEALTH AND IOWA HEALTH SYSTEMS HAVE TO APPROVE LARGE CAPITAL PROJECTS | |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,316,889. MANAGEMENT AND GENERAL EXPENSES 328,047. FUNDRAISING EXPENSES 24,707. TOTAL EXPENSES 1,669,643. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | PENSION ADJUSTMENT 134,398. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2C | NO CHANGES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| 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 HEALTH SERVICES | |||||||||
| 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 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |||||||||
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| HOSPICE OF SIOUXLAND | |
| M | 21400 |
| HOSPICE OF SIOUXLAND | |
| L | 100835 |
| HOSPICE OF SIOUXLAND | |
| O | 219000 |
| SIOUXLAND PARAMEDICS | |
| O | 98400 |
| SIOUXLAND PARAMEDICS | |
| M | 119600 |
| MERCY HEALTH SERVICES | |
| E | 2665000 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |
| E | 2665000 |
| MERCY HEALTH SERVICES | |
| M | 35038 |
| MERCY HEALTH SERVICES | |
| L | 226642 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |
| M | 75268 |
| NORTHWEST IOWA HOSPITAL CORPORATION | |
| L | 211834 |
Comments