CORRECTIONVILLE HEALTH CARE: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CORRECTIONVILLE HEALTH CARE (EIN 42-1508318)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-08-26
- IRS object ID
- 201312389349200611
- 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 | 2013-08-26T12:06:43-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULIHAN & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4240 HICKORY LANE SUITE 100 | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 511064642 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421508318 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORRECTIONVILLE HEALTH CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CORR | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 392 | AddressLine1 |
| City | CORRECTIONVILLE | City |
| State | IA | State |
| ZIP Code | 51016 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM MEBIUS | Name |
| Title | PRESIDENT | Title |
| Date Signed | 2013-08-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENT JENSEN | Name |
| Phone | 7122553450 | Phone |
| Date Prepared | 2013-08-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts Less Than25000 | X | GrossReceiptsLessThan25000 |
| Gross Receipts | 45521 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 12513 | ContributionsGiftsGrantsEtc |
| Investment Income | 33008 | InvestmentIncome |
| Total Revenue | 45521 | TotalRevenue |
| Grants And Similar Amounts Paid | 2333 | GrantsAndSimilarAmountsPaid |
| Fees And Oth Pymt To Ind Contractors | 394 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 17433 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 15866 | OtherExpensesTotal |
| Total Expenses | 36026 | TotalExpenses |
| Excess Or Deficit For Year | 9495 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 178182 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | -2 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 187675 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23452 | BOY |
| EOY | 23579 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289743 | BOY |
| EOY | 279554 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4021 | BOY |
| EOY | 1703 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317216 | BOY |
| EOY | 304836 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139034 | BOY |
| EOY | 117161 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178182 | BOY |
| EOY | 187675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | HEALTH MAINTENANCE FACILITY | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (2 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| TO BUILD AND MAINTAIN A FACILITY TO BE USED FOR HEALTH MAINTENANCE OF THE RESIDENTS OF CORRECTIONVILLE AND SURROUNDING COMMUNITIES. | 2333 | 36026 |
| TO BUILD AND MAINTAIN A FACILITY TO BE USED FOR HEALTH MAINTENANCE OF THE RESIDENTS OF CORRECTIONVILLE AND SURROUNDING COMMUNITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 36026 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (11 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| KIM MEBIUS | ||
| PRESIDENT | 000.00 | 0 |
| SONYA KOSTAN | ||
| VICE PRESIDE | 000.00 | 0 |
| BARB ROWSE | ||
| TREASURER | 000.00 | 0 |
| BILL FORBES | ||
| SECRETARY | 000.00 | 0 |
| JONATHAN MOE | ||
| DIRECTOR | 000.00 | 0 |
| GAIL STANTON | ||
| DIRECTOR | 000.00 | 0 |
| DANITA JOENS | ||
| DIRECTOR | 000.00 | 0 |
| SUSAN FITCH | ||
| DIRECTOR | 000.00 | 0 |
| BRIAN MONSMA | ||
| DIRECTOR | 000.00 | 0 |
| WANDA FREESE | ||
| DIRECTOR | 000.00 | 0 |
| DARLENE WALKER | ||
| DIRECTOR | 000.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULIHAN & ASSOC PC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1293 | AddressLine1 |
| City | SIOUX CITY | City |
| State | IA | State |
| ZIP Code | 51101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7122553450 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
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 | 47477 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 47393 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46064 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47581 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45513 | CurrentTaxYear |
| Total | 234028 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 47477 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 47393 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46064 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47581 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45513 | CurrentTaxYear |
| Total | 234028 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 234028 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 69 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 111 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 198 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8 | CurrentTaxYear |
| Total | 436 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 69 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 111 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 198 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8 | CurrentTaxYear |
| Total | 436 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 47527 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 47462 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46175 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47779 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45521 | CurrentTaxYear |
| Total | 234464 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99810 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.29850 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.70000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING 45 TOURNAMENT COSTS 1,352 OFFICE EXPENSE 107 MEETINGS 45 INTEREST 7,771 INSURANCE 3,599 NON-INVESTMENT DEPRECIATION 2,947 TOTAL 15,866 |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990-EZ, PART I, LINE 20 | BOOK / TAX DEPRECIATION DIFFERENCE -2 |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 28,979 29,614 LESS ACCUMULATED DEPRECIATION 24,958 27,911 TOTAL 4,021 1,703 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | UNSECURED NOTES AND LOANS PAYABLE 139,034 117,161 |
| ADDITIONAL INFORMATION | FORM 990-EZ, PART III | SCHOLARSHIPS: HAILEY MANDICINO 333 , SHELBY HILL 2,000 |
| ALL OTHER ACCOMPLISHMENT | FORM 990-EZ, PART III, LINE 31 | TO BUILD AND MAINTAIN A FACILITY TO BE USED FOR HEALTH MAINTENANCE OF THE RESIDENTS OF CORRECTIONVILLE AND SURROUNDING COMMUNITIES. |
Compensation Explanation CompensationExplanation
Compensation Compensation (11 entries)
| KIM MEBIUS |
| SONYA KOSTAN |
| BARB ROWSE |
| BILL FORBES |
| JONATHAN MOE |
| GAIL STANTON |
| DANITA JOENS |
| SUSAN FITCH |
| BRIAN MONSMA |
| WANDA FREESE |
| DARLENE WALKER |