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INDEPENDENT HEALTH NETWORK INC: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
INDEPENDENT HEALTH NETWORK INC (EIN 47-2845823)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-05-04
IRS object ID
202631249349302623
Schema version
2025v4.1
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

FieldValueIRS element (for citing)
Return2026-05-04T16:19:55-05:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 FIRST ST SE SUITE 800AddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472845823EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDEPENDENT HEALTH NETWORK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINDEBusinessNameControlTxt
Phone4024767333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1575 FALLBROOK BLVD STE 204AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP685219040ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRODNEY TRIPLETTPersonNm
Person TitleCEOPersonTitleTxt
Phone4024767333PhoneNum
Signature2026-04-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNA HULSPreparerPersonNm
PTINP01315330PTIN
Phone3192985333PhoneNum
Preparation2026-04-30PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRODNEY TRIPLETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1575 FALLBROOK BLVD STE 204AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP685219040ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$379,765GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionINDEPENDENT HEALTH NETWORK, INC.'S ("CHARITY") PURPOSE IS TO ORGANIZE AND OPERATE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3); IN PARTICULAR, TO PROMOTE HEALTH BY ALLOWING RURAL HEALTH CARE PROVIDERS TO MORE EFFECTIVELY PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO THE COMMUNITIES THEY SERVE. THE CHARITY'S PRIMARY ACTIVITY IN SUPPORT OF THIS PURPOSE WILL BE TO MAKE AVAILABLE TO THOSE PROVIDERS ACCESS TO A BROADBAND TELECOMMUNICATIONS NETWORK AND THE INTERNET.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$398,672PYProgramServiceRevenueAmt
CY Program Service Revenue$365,354CYProgramServiceRevenueAmt
PY Investment Income$19,368PYInvestmentIncomeAmt
CY Investment Income$14,411CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$418,040PYTotalRevenueAmt
CY Total Revenue$379,765CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$471,419PYOtherExpensesAmt
CY Other Expenses$413,959CYOtherExpensesAmt
PY Total Expenses$471,419PYTotalExpensesAmt
CY Total Expenses$413,959CYTotalExpensesAmt
PY Revenues Less Expenses-$53,379PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$34,194CYRevenuesLessExpensesAmt
Total Assets BOY$343,503TotalAssetsBOYAmt
Total Assets EOY$329,765TotalAssetsEOYAmt
Total Liabilities BOY$10,656TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,112TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$332,847NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$298,653NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINDEPENDENT HEALTH NETWORK, INC.'S ("CHARITY") PURPOSE IS TO ORGANIZE AND OPERATE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3); IN PARTICULAR, TO PROMOTE HEALTH BY ALLOWING RURAL HEALTH CARE PROVIDERS TO MORE EFFECTIVELY PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO THE COMMUNITIES THEY SERVE. THE CHARITY'S PRIMARY ACTIVITY IN SUPPORT OF THIS PURPOSE WILL BE TO MAKE AVAILABLE TO THOSE PROVIDERS ACCESS TO A BROADBAND TELECOMMUNICATIONS NETWORK AND THE INTERNET.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$314,166ExpenseAmt
Revenue$365,354RevenueAmt
DescESTABLISH AND OFFER BROADBAND TELECOMMUNICATIONS NETWORK AND INTERNET SERVICES TO RURAL HEALTH CARE PROVIDERS SO THEY CAN MORE EFFECTIVELY PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO THE COMMUNITIES THEY SERVE.Desc
Total Program Service Expenses$314,166TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE HEALTH VENTURES LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4027422205PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1575 FALLBROOK BLVD SUITE 204AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68521ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RODNEY TRIPLETT
PRESIDENT & CEO5.0035.00Yes (X)Yes (X)$0$424,704$54,817
CURTIS HAWKINSON
BOARD CHAIR0.200.00Yes (X)Yes (X)$0$0$0
TIM SCHNACK
VICE CHAIR0.200.00Yes (X)Yes (X)$0$0$0
AMANDA ROEBUCK
DIRECTOR0.200.00Yes (X)$0$0$0
TREG VYZOUREK
DIRECTOR0.200.00Yes (X)$0$0$0
STACY KNOX
DIRECTOR0.200.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$424,704TotReportableCompRltdOrgAmt
Total Other Compensation$54,817TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IP PATHWAYSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13600 109TH STREETAddressLine1Txt
CityURBANDALECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50322ZIPCd
FieldValueIRS element (for citing)
ServicesCARRIER COSTSServicesDesc
Compensation$168,358CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NETWORK SERVICES517000$215,971$215,971
CARRIER CREDIT INCOME517000$108,383$108,383
USAC REVENUE517000$41,000$41,000
FieldValueIRS element (for citing)
Total Program Service Revenue$365,354TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,411TotalRevenueColumnAmt
Exclusion$14,411ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$379,765TotalRevenueColumnAmt
Related Or Exempt Func Income$365,354RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,411ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$96,694TotalAmt
Management And General$96,694ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,919TotalAmt
Management And General$2,919ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$314,166TotalAmt
Program Services$314,166ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescQUICKBOOKS PAYMENT FEESDesc
Total$180TotalAmt
Management And General$180ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$413,959TotalAmt
Program Services$314,166ProgramServicesAmt
Management And General$99,793ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,727BOYAmt
EOY$5,988EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$335,951BOYAmt
EOY$322,361EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,825BOYAmt
EOY$1,416EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$343,503BOYAmt
EOY$329,765EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,656BOYAmt
EOY$31,112EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,656BOYAmt
EOY$31,112EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$2,800,000BOYAmt
EOY$2,800,000EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$2,467,153BOYAmt
EOY-$2,501,347EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$332,847BOYAmt
EOY$298,653EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$343,503BOYAmt
EOY$329,765EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$34,194ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$81,916CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$81,916TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$81,916CurrentTaxYearMinus4YearsAmt
Total$81,916TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$29,677SubstantialContributorsTotAmt
Public Support Total170$52,239PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,483CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,368CurrentTaxYearMinus1YearAmt
Current Tax Year$14,411CurrentTaxYearAmt
Total$59,528TotalAmt
FieldValueIRS element (for citing)
Total Support$141,444TotalSupportAmt
Gross Receipts Rltd Activities$2,813,519GrossReceiptsRltdActivitiesAmt
Public Support CY1700.36930PublicSupportCY170Pct
Public Support PY1700.47980PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonRODNEY TRIPLETTPersonNm
TitlePRESIDENT & CEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$298,994CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$125,710BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$24,150DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$30,667NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$479,521TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3:FormAndLineReferenceDesc
ExplanationTHE RELATED ORGANIZATION USES A COMPENSATION STUDY TO SET THE PRESIDENT/CEO'S COMPENSATION. FINAL COMPENSATION IS DETERMINED BY THE RELATED ORGANIZATION'S BOARD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS THE FOLLOWING THREE CLASSES OF MEMBERS: CLASS A, CLASS B AND CLASS C. PRAIRIE HEALTH VENTURES IS THE SOLE CLASS A MEMBER; CLASS B MEMBERS ARE ALL ELIGIBLE HEALTHCARE PROVIDERS; CLASS C MEMBERS ARE ALL INELIGIBLE HEALTHCARE PROVIDERS.
FORM 990, PART VI, SECTION A, LINE 7ACLASS C MEMBERS DO NOT PARTICIPATE IN THE GOVERNANCE OF THE CORPORATION, INCLUDING VOTING ON ANY MATTERS, OTHER THAN IN AN ADVISORY CAPACITY TO THE EXTENT PERMITTED AND REQUESTED BY THE BOARD. THE CLASS A MEMBER HAS MORE THAN FIFTY PERCENT (50%) OF THE VOTING POWER OF ALL MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BONLY CLASS A AND CLASS B MEMBERS MAY ELECT DIRECTORS. CLASS A MEMBER APPOINTS OVER 50% OF ALL DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING AND REVIEWED BY THE CEO.
FORM 990, PART VI, SECTION B, LINE 12CON APRIL 10, 2015, THE BOARD OF DIRECTORS OF THE CHARITY PASSED A RESOLUTION ADOPTING THE CHARITY'S CONFLICT OF INTEREST POLICY. AN ANNUAL STATEMENT IS REQUIRED OF THE BOARD MEMBERS TO AFFIRM UNDERSTANDING OF THE POLICY AND COMPLIANCE. IF A CONFLICT OF INTEREST ARISES OR IS OF QUESTION, STEPS WITHIN THE CONFLICT OF INTEREST POLICY ARE FOLLOWED TO ENSURE MITIGATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. ORGANIZATIONAL DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GCARRIER COSTS: PROGRAM SERVICE EXPENSES 168,358. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 168,358. USAC EXPENSES: PROGRAM SERVICE EXPENSES 145,283. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,283. MONITORING COSTS: PROGRAM SERVICE EXPENSES 525. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 525.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE HEALTH VENTURES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1575 FALLBROOK BLVD SUITE 204AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68521ZIPCd
FieldValueIRS element (for citing)
EIN204962103EIN
Primary ActivitiesHEALTHCARE SOLUTIONSPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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