2014-02-07T10:07:49-06:00 2013-06-30 481292483 HENJES CONNER & WILLIAMS PC 800 FRANCES BLDG SIOUX CITY IA 51101 990 2012-07-01 421411233 SIOUXLAND REGIONAL CANCER CENTER SIOU 7122529418 PO BOX 5017 SIOUX CITY IA 51102 DANIEL K LAUER 7122529418 2014-02-05 1 MELISSA J WILLER P00121904 7122773931 2014-02-04 2012 2015-11-30 17:44:51Z DANIEL K LAUER 230 NEBRASKA ST SIOUX CITY IA 51101 14417302 0 X WWW.NYLENCANCERCENER.COM X 1995 IA PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. 12 12 38 26 0 0 543839 420866 8495507 8464134 187343 414626 712908 836905 9939597 10136531 0 0 0 0 2312404 2967277 0 0 218101 6260405 5740516 8572809 8707793 1366788 1428738 16318371 16745158 7938143 6808143 8380228 9937015 PROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND. 0 0 5510397 9320139 PROVIDE DIAGNOSIS, TREATMENT, EDUCATION AND CARE FOR CANCER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 5510397 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 25 0 38 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 X DAN LAUER 7122529418 230 NEBRASKA STREET PO BOX 5017 SIOUX CITY IA 51101 MILT AVERY 1.00 X X 0 0 0 BOB PEEBLES 1.00 X X 0 0 0 PETER THOREEN 1.00 X X 0 0 0 CHARESE YANNEY 1.00 X X 0 0 0 LYNN WOLD 0.50 X 0 0 0 JIM GOBELL 0.50 X 0 0 0 ELLEN KAPLAN 0.50 X 0 0 0 DR WAYNE BARNES 0.50 X 0 0 0 STEVE GARY 0.50 X 0 0 0 TRACY LARSON 0.50 X 0 0 0 DR JEFFREY KNERL 0.50 X 0 0 0 DR CYNTHIA PALS 0.50 X 0 0 0 KAREN VAN DE STEEG 40.00 X 204506 0 33849 DAN LAUER 40.00 X 133918 0 23428 CHARLES MURPHY MD 40.00 X 426854 0 50099 MIKE SHEA 40.00 X 118338 0 29046 883616 0 136422 4 0 1 0 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 8 420866 6793 420866 PATIENT SERVICE REVENUE 621300 8464134 8464134 8464134 148047 148047 299734 176898 122836 122836 122836 4085699 245031 3819120 245031 266579 0 266579 266579 164365 39722 124643 124643 OTHER REVENUE 900099 434587 434587 OTHER INVESTMENT INCOME 900099 154839 154839 589426 10136531 9320139 0 395526 X 872654 476953 395701 1594326 960195 561589 72542 84960 52012 28219 4729 260663 163902 87578 9183 154674 89355 60005 5314 2119 2119 12200 12200 48627 48627 1669643 1316889 328047 24707 139530 137522 2008 123443 51097 69546 2800 301440 301440 1122591 807446 313465 1680 28305 13415 14533 357 184824 184824 1305307 981278 304312 19717 MEDICAL SUPPLIES 288282 288282 PATIENT PROGRAM SERVICE 287115 287115 MISCELLANEOUS 227090 22458 129568 75064 8707793 5510397 2979295 218101 1694424 2538561 40811 20264 1336915 1408185 273930 302467 17690701 11459477 6905555 6231224 6020965 6224954 45771 19503 16318371 16745158 1938143 1478143 5330000 4875000 670000 455000 7938143 6808143 X 8060827 9641780 319401 295235 8380228 9937015 16318371 16745158 X 1428738 -6349 134398 X X 0 1 X 1 0 X 254199 340588 372101 543839 420866 1931593 8207718 8196967 8924064 8495507 8464134 42288390 8461917 8537555 9296165 9039346 8885000 44219983 110000 100000 100000 100000 177500 587500 0 110000 100000 100000 100000 177500 587500 43632483 101382 73818 87898 103103 148047 514248 101382 73818 87898 103103 148047 514248 371474 383128 545715 470993 434587 2205897 8934773 8994501 9929778 9613442 9467634 46940128 0.92950 0.94020 0.01100 0.01100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200850 200850 6163360 3962399 2200961 256330 240986 15344 10878455 7256092 3622363 191706 191706 6231224 MUTUAL FUNDS 3337406 F US GOVERNMENT SECURITIES 166926 F CORPORATE SECURITIES/EQUITIES 1250064 F CERTIFICATES OF DEPOSIT 1470558 F 6224954 X 10258453 -6349 176898 170549 10087904 48627 48627 10136531 8836064 176898 176898 8659166 48627 48627 8707793 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. WINTER BENEFIT 108941 108941 16211 475 5442 RACE FOR HOPE 55424 55424 2600 14994 164365 164365 2600 16211 475 20436 39722 124643 X 1 1 X X X X 0 0 0 0 0 0 0 0 0 KAREN VAN DE STEEG 204506 0 0 0 0 0 0 0 33849 0 238355 0 0 0 DAN LAUER 133918 0 0 0 0 0 0 0 23428 0 157346 0 0 0 CHARLES MURPHY MD 426854 0 0 0 0 0 0 0 50099 0 476953 0 0 0 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 OTHER FEES 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 134,398. FORM 990, PART XI, LINE 2C NO CHANGES HEALTH INC 230 NEBRASKA STREET SIOUX CITY IA 51101 311712115 SERVE AS THE CENTRAL ORGANIZATION FOR OTHER 501(C) (3) ENTITIES IA 501(C)(3) PF 0 SIOUXLAND PARAMEDICS 1701 TERMINAL DRIVE SIOUX CITY IA 51105 421185707 MEDICAL TRANSPORTATION SERVICE IA 501(C)(3) 509(A)(3) TYPE I 0 MERCY 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 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 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