SIOUXLAND REGIONAL CANCER CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SIOUXLAND REGIONAL CANCER CENTER (EIN 42-1411233)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-02
IRS object ID
201240629349301204
Schema version
2010v3.4
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)
Timestamp2012-03-02T08:56:33-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HENJES CONNER & WILLIAMS PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1800 FRANCES BLDGAddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421411233EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SIOUXLAND REGIONAL CANCER CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSIOUNameControl
Phone7122529418Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5017AddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANIEL K LAUERName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7122529418Phone
Date Signed2012-03-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELISSA J WILLERName
Phone7122773931Phone
Date Prepared2012-03-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL K LAUERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1230 NEBRASKA STAddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11646328GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NYLENCANCERCENER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionPROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees22TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year340588ContributionsGrantsPriorYear
Contributions Grants Current Year372101ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8196967ProgramServiceRevenuePriorYear
Program Service Revenue CY8924064ProgramServiceRevenueCY
Investment Income Prior Year76132InvestmentIncomePriorYear
Investment Income Current Year116919InvestmentIncomeCurrentYear
Other Revenue Prior Year484125OtherRevenuePriorYear
Other Revenue Current Year870764OtherRevenueCurrentYear
Total Revenue Prior Year9097812TotalRevenuePriorYear
Total Revenue Current Year10283848TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2341991SalariesEtcPriorYear
Salaries Etc Current Year2450154SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year146502TotalFundrsngExpCurrentYear
Other Expense Prior Year5962418OtherExpensePriorYear
Other Expenses Current Year6161973OtherExpensesCurrentYear
Total Expenses Prior Year8304409TotalExpensesPriorYear
Total Expenses Current Year8612127TotalExpensesCurrentYear
Revenues Less Expenses Prior Year793403RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1671721RevenuesLessExpensesCY
Total Assets BOY16073257TotalAssetsBOY
Total Assets EOY16757470TotalAssetsEOY
Total Liabilities BOY10753262TotalLiabilitiesBOY
Total Liabilities EOY9174134TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5319995NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7583336NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE THROUGH PREVENTION, TREATMENT, AND RESEARCH FOR THE PEOPLE OF SIOUXLAND.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5484371Expense
Revenue9492860Revenue
DescriptionPROVIDE DIAGNOSIS, TREATMENT, EDUCATION AND CARE FOR CANCER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.Description
Total Program Service Expense5484371TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109638NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees22NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAN LAUERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7122529418TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1230 NEBRASKA STREET PO BOX 5017AddressLine1
CitySIOUX CITYCity
StateIAState
ZIP Code51101ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CHIC WOLFE
CHAIRPERSON0.50XX000
MILT AVERY
VICE CHAIRPERSON1.00XX000
BOB PEEBLES
TREASURER1.00XX000
PETER THOREEN
SECRETARY1.00XX000
CHARESE YANNEY
DIRECTOR1.00X000
MARI KAPTAIN-DAHLEN
DIRECTOR0.50X000
LYNN WOLD
DIRECTOR0.50X000
STEVE EAVENSON
DIRECTOR0.50X000
MARK JOHNSON
DIRECTOR0.50X000
RON PETERSON
DIRECTOR0.50X000
KAREN VAN DE STEEG
EXECUTIVE DIRECTOR40.00X194771020385
DAN LAUER
CHIEF FINANCIAL OFFICER40.00X126442018465
MIKE SHEA
DOSIMETRIST40.00113830024084X
FieldValueIRS element (for citing)
Total Reportable Comp From Org435043TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation62934TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TRI STATE RADIATION ONCOLOGY
230 NEBRASKA STREETSIOUX CITYIA51101RADIATION ONCOLOGY PROFESSIONAL SERVICES1432492
CASSLING
13808 F STREETOMAHANE68137EQUIPMENT MAINTENANCE SERVICES591867
PYRAMID TECHNOLOGIES
125 6TH STSIOUX CITYIA51103CONTRACT COMPUTER SERVICES, SUPLIES AND517589
VARIAN MEDICAL SYSTEMS
3100 HANSEN WAYPALO ALTOCA94304RADIATION ONCOLOGY SUPPLIES AND EQUIPMEN239583
ACCELETRONICS INC
602 GORDON DRIVEEXTONPA19341EQUIPMENT MAINTENANCE SERVICES224593
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions372101AllOtherContributions
Noncash Contributions6600NoncashContributions
Total Contributions372101TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code621300BusinessCode
Total Revenue Column8924064TotalRevenueColumn
Related Or Exempt Function Income8924064RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8924064TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column87897TotalRevenueColumn
Exclusion$87,897ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real361566Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real170999Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real190567Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column190567TotalRevenueColumn
Exclusion$190,567ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1184263Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1155241Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities29022Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column29022TotalRevenueColumn
Exclusion$29,022ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events147641GrossIncomeFundraisingEvents
Fundraising Direct Expenses36240FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column111401TotalRevenueColumn
Exclusion$111,401ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE900099545715545715
OTHER INVESTMENT INCOM9000992308123081
FieldValueIRS element (for citing)
Total Other Revenue568796TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10283848TotalRevenueColumn
Related Or Exempt Function Income9492860RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$418,887ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total360063Total
Management And General360063ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1546090Total
Program Services975363ProgramServices
Management And General501640ManagementAndGeneral
Fundraising69087Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total131541Total
Program Services64613ProgramServices
Management And General62161ManagementAndGeneral
Fundraising4767Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total282133Total
Program Services138583ProgramServices
Management And General133324ManagementAndGeneral
Fundraising10226Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total130327Total
Program Services67541ProgramServices
Management And General57661ManagementAndGeneral
Fundraising5125Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total38866Total
Management And General38866ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2155858Total
Program Services1828307ProgramServices
Management And General327551ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total136550Total
Management And General136270ManagementAndGeneral
Fundraising280Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total343114Total
Program Services283459ProgramServices
Management And General57947ManagementAndGeneral
Fundraising1708Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total265257Total
Management And General265257ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total996302Total
Program Services731895ProgramServices
Management And General264407ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24832Total
Program Services7738ProgramServices
Management And General15844ManagementAndGeneral
Fundraising1250Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total230337Total
Management And General230337ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1326414Total
Program Services958077ProgramServices
Management And General348749ManagementAndGeneral
Fundraising19588Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT PROGRAM EXPENSE241044241044
BAD DEBTS178206178206
MISCELLANEOUS163943954511992734471
REAL ESTATE TAXES6125061250

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8612127Total
Program Services5484371ProgramServices
Management And General2981254ManagementAndGeneral
Fundraising146502Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2291515BOY
EOY1804533EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY166796BOY
EOY96226EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1678653BOY
EOY1593438EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY263860BOY
EOY274639EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17026464LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9126577LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8814173BOY
EOY7899887EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2745171BOY
EOY5017168EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY113089BOY
EOY71579EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16073257BOY
EOY16757470EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1938262BOY
EOY1729134EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4415000BOY
EOY3045000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4400000BOY
EOY4400000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10753262BOY
EOY9174134EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5033139BOY
EOY7248168EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY286856BOY
EOY335168EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5319995BOY
EOY7583336EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16073257BOY
EOY16757470EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1671721ReconcilationRevenueExpenses
Reconcilation Other Changes591620ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1175013CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years450552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years254199CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year340588CurrentTaxYearMinus1Year
Current Tax Year372101CurrentTaxYear
Total2592453Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7381224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8089971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8207718CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8196967CurrentTaxYearMinus1Year
Current Tax Year8924064CurrentTaxYear
Total40799944Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8556237CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8540523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8461917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8537555CurrentTaxYearMinus1Year
Current Tax Year9296165CurrentTaxYear
Total43392397Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years125000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100000CurrentTaxYearMinus1Year
Current Tax Year100000CurrentTaxYear
Total450000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years125000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100000CurrentTaxYearMinus1Year
Current Tax Year100000CurrentTaxYear
Total450000Total
FieldValueIRS element (for citing)
Public Support Total50942942397PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years169132CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142632CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101382CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73818CurrentTaxYearMinus1Year
Current Tax Year87898CurrentTaxYear
Total574862Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years169132CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years142632CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101382CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73818CurrentTaxYearMinus1Year
Current Tax Year87898CurrentTaxYear
Total574862Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years335311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49636CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years371474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year383128CurrentTaxYearMinus1Year
Current Tax Year545715CurrentTaxYear
Total1685264Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9060680CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8732791CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8934773CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8994501CurrentTaxYearMinus1Year
Current Tax Year9929778CurrentTaxYear
Total45652523Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94060PublicSupportPercentage509
Prior Year Support Percentage0.94980PriorYearSupportPercentage
Investment Income Percentage0.01260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01550PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5780319OtherCostOrOtherBasis
Depreciation3696440Depreciation
Book Value2083879BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis256330OtherCostOrOtherBasis
Depreciation235578Depreciation
Book Value20752BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10973294OtherCostOrOtherBasis
Depreciation5194559Depreciation
Book Value5778735BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16521OtherCostOrOtherBasis
Book Value16521BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7899887TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS814418F
US GOVERNMENT SECURITIES288253F
CORPORATE SECURITIES/EQUITIES3830935F
CASH AND EQUIVALENTS83562F
FieldValueIRS element (for citing)
Total Of Book Value Securities5017168TotalOfBookValueSecurities
Total Revenue10283848TotalRevenue
Total Expenses8612127TotalExpenses
Excess Or Deficit For Year1671721ExcessOrDeficitForYear
Net Unrealized GL On Investments458180NetUnrealizedGLOnInvestments
Other$133,440OtherAmount
Total Adjustments591620TotalAdjustments
Excess Or Deficit Per FS2263341ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10874161TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments458180NetUnrealizedGainsInvestments
Other Revenues170999OtherRevenues
Revenue Not Rptd F990629179RevenueNotRptdF990
Revenue Subtotal10244982RevenueSubtotal
Investment Expenses Not Included38866InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt38866RevenueNotRptdOnFinStmt
Total Revenue Per Form99010283848TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8744260TotExpensesEtcAuditedFinclStmt
Other Expenses Included170999OtherExpensesIncluded
Expenses Not Rptd F990170999ExpensesNotRptdF990
Expenses Subtotal8573261ExpensesSubtotal
Investment Expenses Not Included238866InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt38866ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908612127TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 8 - OTHER ADJUSTMENTS:PENSION ADJUSTMENT 133,440.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENT EXPENSES 170,999.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENT EXPENSES 170,999.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WINTER BENEFITNameOfEvent1
Gross Receipts Event195666GrossReceiptsEvent1
Gross Revenue Event195666GrossRevenueEvent1
Food And Beverage Event112067FoodAndBeverageEvent1
Entertainment Event1400EntertainmentEvent1
Other Direct Expenses Event15971OtherDirectExpensesEvent1
Name Of Event2RACE FOR HOPENameOfEvent2
Gross Receipts Event251975GrossReceiptsEvent2
Gross Revenue Event251975GrossRevenueEvent2
Cash Prizes Event21800CashPrizesEvent2
Other Direct Expenses Event216002OtherDirectExpensesEvent2
Gross Receipts Total147641GrossReceiptsTotal
Gross Revenue Total Events147641GrossRevenueTotalEvents
Cash Prizes Total Events1800CashPrizesTotalEvents
Food And Beverage Total Events12067FoodAndBeverageTotalEvents
Entertainment Total Events400EntertainmentTotalEvents
Other Direct Expenses Total Events21973OtherDirectExpensesTotalEvents
Direct Expense Summary Events36240DirectExpenseSummaryEvents
Net Income Summary111401NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKAREN VAN DE STEEGNamePerson
Base Compensation Filing Org155706BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org39065BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org20385NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org215156TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WOODBURY COUNTY IABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN426004221IssuerEIN
Date Issued2005-12-30DateIssued
Issue Price5300000IssuePrice
Description Of PurposePURCHASE OF CANCER TREATMENT EQUIPMENTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired2255000AmountRetired
Total Proceeds5300000TotalProceeds
Capital Expenditures5300000CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2HALF 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 6HEALTH INC., NORTHWEST IOWA HOSPITAL CORPORATION AND SUBSIDIARIES, MERCY HEALTH SERVICES AND SUBSIDIARIES
FORM 990, PART VI, SECTION A, LINE 7AHOSPITAL BOARDS HAVE TO APPOINT/ELECT THEIR REPRESENTATIVES.
FORM 990, PART VI, SECTION A, LINE 7BTRINITY HEALTH AND IOWA HEALTH SYSTEMS HAVE TO APPROVE LARGE CAPITAL PROJECTS
FORM 990, PART VI, SECTION B, LINE 11ORGANIZATION REVIEWED AND SUBMITTED RETURN UPON COMPLETION BY PREPARER
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 12C
TOP MANAGEMENT EMPLOYEES PROVIDE INDEPENDENT DOCUMENTATION FROM TRADE SOURCES TO SUBSTANTIATE PAY LEVELS.FORM 990, PART VI, SECTION B, LINE 15
ALL ITEMS ARE AVAILABLE UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 458,180. PENSION ADJUSTMENT 133,440. TOTAL TO FORM 990, PART XI, LINE 5: 591,620.FORM 990, PART XI, LINE 5:
NO CHANGESFORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
HEALTH INC
230 NEBRASKA STREETSIOUX CITYIA51101311712115SERVE AS THE CENTRAL ORGANIZATION FOR OTHER 501(C) (3) ENTITIESIA501(C)(3)PF0
SIOUXLAND PACE
313 COOK STREETSIOUX CITYIA51103261120134PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLYIA501(C)(3)170(B)(1)(A)(III)0
SIOUXLAND PARAMEDICS
1701 TERMINAL DRIVESIOUX CITYIA51105421185707MEDICAL TRANSPORTATION SERVICEIA501(C)(3)509(A)(3) TYPE I0
MERCY HEALTH SERVICES
801 FIFTH STREETSIOUX CITYIA51102311019872PROVIDES A FULL CONTINUUM OF WELLNESS, PRIMARY, ACUTE AND TERTIARY SERVICESIA501(C)(3)509(A)(3) TYPE III0
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVDSIOUX CITYIA51101383320710PROVIDE COMFORT, SUPPORT, AND COMPASSIONATE CARE TO TERMINALLY ILL PEOPLE ANIA501(C)(3)509(A)(3) TYPE I0
NORTHWEST IOWA HOSPITAL CORPORATION
2720 STONE PARK BLVDSIOUX CITYIA51104421019872STRIVES TO PROVIDE THE MOST PATIENT-CENTERED CARE IN SIOUXLANDIA501(C)(3)509(A)(3) TYPE III0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HOSPICE OF SIOUXLAND
P105342
SIOUXLAND PACE
N162300
HOSPICE OF SIOUXLAND
N102600
SIOUXLAND PACE
P9766
SIOUXLAND PARAMEDICS
N147300
SIOUXLAND PARAMEDICS
O85100
MERCY HEALTH SERVICES
E3100000
NORTHWEST IOWA HOSPITAL CORPORATION
E3100000
MERCY HEALTH SERVICES
O56626
MERCY HEALTH SERVICES
P119840
NORTHWEST IOWA HOSPITAL CORPORATION
O30287
NORTHWEST IOWA HOSPITAL CORPORATION
P64178

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