2023-11-14T08:50:14-06:00 2023-02-28 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2023-01-01 470751304 NORTHEAST HEALTH SERVICES INC NORT 6056688475 402 NORTH MAPLE OSMOND NE 68765 GREG BECKMANN PRESIDENT 6056688475 2023-11-13 1 GREG BECKMANN 999009999 0 LAURIE HANSON CPA P00851848 6053391999 2023-11-13 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X GREG BECKMANN 402 NORTH MAPLE OSMOND NE 68765 29 0 X N/A X 1991 NE PROVIDING SURGERY AND ULTRASOUND SERVICES TO RESIDENTS OF NORTHEASTERN RURAL NEBRASKA. X 6 6 0 7 0 0 0 0 195957 0 11758 29 0 0 207715 29 0 602558 0 0 0 0 0 0 0 214571 10619 214571 613177 -6856 -613148 615866 0 2718 0 613148 0 NONE 0 0 610577 602558 THE ORGANIZATION ADOPTED A PLAN OF DISSOLUTION, WITH DATE OF LAST SERVICES DECEMBER 16, 2022. THE FINAL DISTRIBUTION OF REMAINING ASSETS OCCURED FEBRUARY 17, 2023. 610577 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 1 0 0 0 NE X AVERA EDUCATION AND STAFFING 6056688475 1000 W 4TH ST STE 9 YANKTON SD 57078 X GREG BECKMANN PRESIDENT 0.00 X X 0 0 0 THERESA GUENTHER VICE PRESIDENT (BEG SEPT 2022) 0.00 X X 0 0 0 LON KNIEVEL SECRETARY/TREASURER 0.00 X X 0 0 0 KEVIN LINGENFELTER TRUSTEE 0.00 X 0 0 0 STEVEN SCHINDLER TRUSTEE 0.00 X 0 0 0 DEB SCHMIT TRUSTEE 0.00 X 0 0 0 0 0 0 0 0 0 0 0 29 29 29 0 0 29 602558 602558 2600 2600 2466 2466 5304 5304 MICELLANEOUS 249 249 613177 610577 2600 0 174979 0 257855 0 0 13982 0 0 0 0 0 7769 0 0 0 161281 0 0 0 0 0 0 615866 0 2718 0 2718 0 X 613148 0 613148 0 615866 0 -613148 0 X 0 0 0 X 247402 159971 211463 195957 814793 247402 159971 211463 195957 814793 0 144971 196054 181974 522999 144971 196054 181974 522999 291794 2334 763 633 29 3759 2334 763 633 29 3759 247402 162305 212226 196590 29 818552 0.35650 0.68780 0.00460 0.00900 X SCHEDULE A PART III THE ORGANIZATION IS FILING ITS FINAL FORM 990 ON A 2022 TAX FORM FOR THE SHORT PERIOD JANUARY 1, 2023 THROUGH FEBRUARY 28, 2023. AS SUCH, THE AMOUNTS LISTED ON SCHEDULE A, PART III ARE FOR THE PERIOD 2019 THROUGH 2023. PER THE SCHEDULE, THE YEARS ARE LISTED AS: 2018 2019 2020 2021 2022 HOWEVER, THE ACTUAL YEARS ARE: 2019 2020 2021 2022 SHORT YEAR ENDED FEBRUARY 28, 2023 1 AVERA HEALTH FOUNDATION 3900 WEST AVERA DRIVE STE 300 SIOUX FALLS SD 57108 460422673 TAX-EXEMPT PUBLIC CH 147092 0 GENERAL SUPPORT OSMOND GENERAL HOSPITAL PO BOX 429 OSMOND NE 68765 237161473 TAX-EXEMPT PUBLIC CH 147092 69956 BOOK VALUE EQUPIMENT GENERAL SUPPORT PLAINVIEW AREA HEALTH SYSTEM FOUNDATION PO BOX 489 PLAINVIEW NE 68769 460905227 TAX-EXEMPT PUBLIC CH 147093 0 GENERAL SUPPORT ALEGENT CREIGHTON HEALTH DBA CHI HEALTH-PLAINVIEW HOSPITAL PO BOX 489 PLAINVIEW NE 68769 470757164 TAX-EXEMPT PUBLIC CH 0 53222 BOOK VALUE EQUPIMENT GENERAL SUPPORT SACRED HEART HEALTH SERVICES DBA AVERA CREIGHTON HOSPITAL PO BOX 186 CREIGHTON NE 68729 460225483 TAX-EXEMPT PUBLIC CH 0 38103 BOOK VALUE EQUPIMENT GENERAL SUPPORT 5 0 PART I, LINE 2: THE DISTRIBUTIONS ARE THE RESULT OF THE DISSOLUTION OF THE ORGANIZATION. THE DISTRIBUTION OF ASSETS WAS DETERMINED BY AND AGREED TO BY THE BOARD OF DIRECTORS. CASH 2023-02-17 147092 460422673 AVERA HEALTH FOUNDATION 3900 WEST AVERA DRIVE STE 300 SIOUX FALLS SD 57108 501(C)(3) CASH 2023-02-17 147092 237161473 OSMOND GENERAL HOSPITAL PO BOX 429 OSMOND NE 68765 501(C)(3) CASH 2023-02-17 147092 460905227 PLAINVIEW AREA HEALTH SYSTEM FOUNDATION PO BOX 489 PLAINVIEW NE 68769 501(C)(3) EQUIPMENT 2023-01-01 53222 BOOK VALUE 470757164 ALEGENT CREIGHTON HEALTH DBA CHI HEALTH-PLAINVIEW HOSPITAL PO BOX 489 PLAINVIEW NE 68769 501(C)(3) EQUIPMENT 2023-01-01 38103 BOOK VALUE 460225483 SACRED HEART HEALTH SERVICES DBA AVERA CREIGHTON HOSPITAL PO BOX 186 1503 MAIN STREET CREIGHTON NE 68729 501(C)(3) EQUIPMENT 2023-01-01 69956 BOOK VALUE 237161473 OSMOND GENERAL HOSPITAL INC PO BOX 429 OSMOND NE 68765 501(C)(3) 0 0 0 0 1 1 1 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERSHIP. MEMBERSHIP IS LIMITED TO QUALIFYING HOSPITAL ORGANIZATIONS LOCATED WITHIN THE DESIGNATES SERVICE AREA OF THE SPECIFIC DIAGNOSTIC SERVICES PERFORMED. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER APPOINTS A REPRESENTATIVE TO THE BOARD OF DIRECTORS FROM THE MEMBER'S ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH BROAD AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS THE 990 PRIOR TO SUBMITTING TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST DISCLOSURE IS REQUIRED TO BE COMPLETED ANNUALLY. THE CONFLICT REVIEW COMMITTEE, WHICH IS APPOINTED BY THE BOARD MEMBERS, REVIEWS QUESTIONAIRES, IDENTIFIES, INVESTIGATES AND EVALUATES POTENTIAL CONFLICTS OF INTEREST AND REPORTS FINDINGS BACK TO THE BOARD. IF A CONFLICT IS DEEMED TO EXIST, THE MEMBER(S) INVOLVED MAY BE REQUIRED TO LEAVE THE MEETING FOR GENERAL DISCUSSIONS AND VOTING ON THE MATTER CAUSING CONFLICT. FURTHERMORE, A DISINTERESTED PERSON MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPSED ARRANGEMENT OR TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. THE RETURN IS FOR THE SHORT PERIOD JANUARY 1, 2023 THROUGH FEBRUARY 28, 2023, AND IS A FINAL RETURN. THE ORGANIZATION HAS TERMINATED. BECAUSE THE 2023 TAX SOFTWARE WAS NOT AVAILABLE WHEN THE ORGANIZATION TERMINATED, THE FORM 990 WAS PAPER FILED. THE TAX PREPARER'S SOFTWARE DID NOT ALLOW FOR ELECTRONICALLY FILING OF A 2023 TAX RETURN ON A 2022 TAX FORM. THE PAPER FILED FORM WAS TIMELY FILED IN MARCH, 2023. THE IRS REJECTED IT BECAUSE IT WAS NOT EFILED, AND RETURNED THE PAPER FILED RETURN IN MAY, 2023. THE TAX PREPARER ADVISED SENDING THE RETURN BACK TO THE IRS WITH A LETTER EXPLAINING WHY IT WAS BEING PAPER FILED, BUT THE IRS REJECTED THAT FILING IN NOVEMBER, 2023. THE TAX PREPARER HAS SINCE LEARNED THAT THE SOFTWARE PROVIDER CAN PROVIDE AN OVERRIDE CODE TO ALLOW FOR THE ELECTRONIC FILING OF THE FINAL TAX RETURN. AS SUCH, THE FINAL 2023 RETURN IS BEING ELECTRONICALLY FILED ON A 2022 TAX FORM. THE TAXPAYER RESPECTFULLY REQUESTS AN ABATEMENT OF ANY LATE FILING FEES AS IT TRIED ITS BEST TO FILE THE FINAL RETURN BY THE DUE DATE.