2024-05-13T15:35:37-05:00 2023-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2022-07-01 421411233 SIOUXLAND REGIONAL CANCER CENTER SIOU 7122520088 230 NEBRASKA ST SIOUX CITY IA 51101 KARA WINKER DIRECTOR OF FINANCE 7122520088 2024-05-13 1 KARA WINKER 999009999 1 LAURIE HANSON CPA P00851848 6053391999 2024-05-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KRISTA MCCULLOUGH 230 NEBRASKA ST SIOUX CITY IA 51101 68964646 0 X WWW.NYLENCANCERCENTER.COM X 1992 IA PROVIDE THE HIGHEST QUALITY COMPASSIONATE CANCER CARE. 8 8 143 9 0 0 956979 430927 63799794 68389140 114161 94309 53428 15046 64924362 68929422 57033 36952 0 0 10940603 10678738 0 0 8378 53165775 59841409 64163411 70557099 760951 -1627677 22578642 23555688 6328769 8740755 16249873 14814933 TO PROVIDE THE HIGHEST QUALITY, COMPASSIONATE CARE THROUGH PREVENTION, TREATMENT AND RESEARCH. 0 0 66917493 36952 68389083 DURING THE FISCAL YEAR THE ORGANIZATION PROVIDED OUTPATIENT SERVICES TO 7,505 CANCER AND HEMATOLOGY PATIENTS. THE ORGANIZATION ALSO PROVIDED PATIENTS ACTIVELY RECEIVING TREATMENT WITH RENT AND UTILITY ASSISTANCE IN THE AMOUNT OF $36,952.14. 66917493 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 1 143 1 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 1 0 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 0 X KARA WINKER 7122529418 230 NEBRASKA STREET PO BOX 5017 SIOUX CITY IA 51101 DONALD WENDER PHYSICIAN 40.00 0.00 X 665567 0 14157 MATTHEW NWANERI PHYSICIAN 40.00 0.00 X 623399 0 40445 NIBASH BUDHATHOKI PHYSICIAN 40.00 0.00 X 507399 0 32564 CHANDANA JAVVAJI PHYSICIAN 40.00 0.00 X 471192 0 38292 NASSER ABU-ERREISH PHYSICIAN 40.00 0.00 X 287284 0 33054 KRISTA MCCULLOUGH EXECUTIVE DIRECTOR 40.00 0.00 X 154916 0 11139 KARA WINKER DIRECTOR OF FINANCE 30.00 20.00 X 93951 0 20847 JIM PALMER PRESIDENT FROM 12/22 1.00 1.60 X X 0 0 0 CRAIG BERENSTEIN PRESIDENT UNTIL 12/22 1.00 1.60 X X 0 0 0 DOUG SKINNER VICE PRESIDENT 1.00 1.60 X X 0 0 0 THOMAS CLARK TREASURER FROM 03/23 1.00 1.60 X X 0 0 0 ELIZABETH HUGHES TREASURER UNTIL 08/22 1.00 2.10 X X 0 0 0 LEAH GLASGO SECRETARY FROM 08/22 1.00 1.60 X X 0 0 0 LORENZO SUTER SECRETARY UNTIL 07/22 1.00 1.60 X X 0 0 0 JAMES GOBELL DIRECTOR 1.00 1.60 X 0 0 0 JESICA HANSON DIRECTOR 1.00 1.60 X 0 0 0 TRACY LARSON DIRECTOR 1.00 1.60 X 0 0 0 WENDY LINDLEY DIRECTOR 1.00 1.60 X 0 0 0 2803708 0 190498 10 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 CONTRACT PHYSICIANS 881628 VARIAN MEDICAL SYSTEMS 3100 HANSEN WAY PALO ALTO CA 94304 SOFTWARE SUPPORT 692389 HAYES LOCUMS LLC PO BOX 88122 CHICAGO IL 60680 CONTRACT PHYSICIANS 650326 JAEGER CORPORATION 4848 180TH ST OMAHA NE 68135 DOSIMETRY 393912 CASSLING DIAGNOSTIC IMAGING 13808 F STREET OMAHA NE 68137 MAINTENANCE CONTRACT 345432 11 56922 374005 430927 PATIENT REVENUE 621300 68228524 68228524 160616 160616 68389140 68824 68824 25485 0 25485 25485 25485 50270 56922 35224 15046 15046 68929422 68389140 0 109355 36952 36952 261321 261321 8570283 7762229 808054 1308934 924658 384276 538200 474362 63838 28782 28782 62945 62945 21312 21312 5048084 4283898 761028 3158 151201 151201 274327 204339 67323 2665 13695 11306 2389 326502 61786 264716 50390 24816 23239 2335 36682 16082 20555 45 119153 119153 1352426 1153933 198493 149416 22875 126541 MEDICATION 48350737 48350737 MEDICAL SUPPLIES 2147426 2082865 64561 REPAIRS & MAINTENANCE 1626444 1351021 275423 DUES & MEMBERSHIPS 34075 22429 11471 175 47812 14052 33760 70557099 66917493 3631228 8378 3800708 4163313 209000 235000 6080256 5516582 17000 17000 1427187 1601377 753798 302893 22159270 12846542 7984307 9312728 1959446 2095563 239596 205368 107344 105864 22578642 23555688 3679343 5034435 2417524 3545108 231902 161212 6328769 8740755 X 15061505 14113329 1188368 701604 16249873 14814933 22578642 23555688 X -1627677 84461 108276 X 0 1 X 1 0 X 127256 496797 454605 956979 430927 2466564 45043345 47718236 56168423 63776429 68389140 281095573 45170601 48215033 56623028 64733408 68820067 283562137 0 254680 194539 449219 254680 194539 449219 283112918 130070 104855 74494 54402 68824 432645 1302 1302 130070 104855 74494 55704 68824 433947 49428 15046 64474 136880 108286 188484 433650 45437551 48428174 56886006 64838540 68903937 284494208 0.99510 0.99470 0.00150 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200850 200850 7870377 5896627 1973750 13668974 6644715 7024259 419069 305200 113869 9312728 PENSION CONTRIBUTION 161212 161212 X 69136067 84461 108272 192733 68943334 21312 -35224 -13912 68929422 70571011 0 70571011 21312 -35224 -13912 70557099 PART X, LINE 2: THE CORPORATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE CORPORATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN TRUSTS -1,850. PENSION ADJUSTMENT 110,122. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE -35,224. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE -35,224. ROCK THE CURE 51410 29230 22180 5659 6000 5220 PINK RIBBON GOLF CLASSIC 55782 27692 28090 12585 5760 107192 56922 50270 12585 5659 11760 5220 35224 15046 1 RENT AND UTILITY ASSISTANCE TO CANCER PATIENTS 29 36952 PART I, LINE 2: PATIENTS PROVIDE SRCC WITH RENT, MORTGAGE, AND/OR UTILITY BILLS AND PAYMENT IS MADE DIRECTLY TO THE BILLING ENTITY ON BEHALF OF THE PATIENT. X X 0 0 0 0 0 0 0 1 0 DONALD WENDER PHYSICIAN 618812 0 46600 0 155 0 13275 0 2476 0 681318 0 0 0 MATTHEW NWANERI PHYSICIAN 525974 0 97300 0 125 0 13275 0 28990 0 665664 0 0 0 NIBASH BUDHATHOKI PHYSICIAN 461574 0 45700 0 125 0 4575 0 29786 0 541760 0 0 0 CHANDANA JAVVAJI PHYSICIAN 426367 0 44750 0 75 0 13275 0 26837 0 511304 0 0 0 NASSER ABU-ERREISH PHYSICIAN 244934 0 42350 0 0 0 13125 0 21446 0 321855 0 0 0 KRISTA MCCULLOUGH EXECUTIVE DIRECTOR 144334 0 5000 0 5582 0 11139 0 1399 0 167454 0 0 0 PART I, LINE 7 KRISTA MCCULLOUGH RECEIVED A $5000 RETENTION BONUS IN 2022. FORM 990, PART VI, SECTION A, LINE 2 CRAIG BERENSTEIN AND JIM PALMER HAVE A BUSINESS RELATIONSHIP WITH LORENZO SUTER, JAMES GOBELL, WENDY LINDLEY, AND LEAH GLASGO. DOUG SKINNER HAS A BUSINESS RELATIONSHIP WITH ELIZABETH HUGHES, JESICA HANSON, TRACY LARSON AND THOMAS CLARK. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT AMENDMENTS TO THE BYLAWS INCLUDE THE FOLLOWING: - IN ADDITION TO THE POWER TO APPOINT AND REMOVE THE EXECUTIVE DIRECTOR, THE MEMBER, HEALTH, INCORPORATED, HAS THE POWER TO APPOINT AND REMOVE THE DIRECTOR OF FINANCE OF THE CORPORATION. -BOARD MEMBERS NEED NOT BE RESIDENTS OF THE STATE OF IOWA OR EMPLOYEES OF HEALTH, INCORPORATED OR ONE OF HEALTH, INCORPORATED'S MEMBERS. ALL BOARD MEMBERS ARE NOW SELECTED BY THE MEMBER, HEALTH, INCORPORATED. PREVIOUSLY, MEMBER DIRECTORS INCLUDED THE CEO OF ST. LUKE'S HEALTH SYSTEM, INC., THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF ST. LUKE'S HEALTH SYSTEM, INC., THE CEO OF MERCY MEDICAL CENTER-SIOUX CITY, THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF MERCY MEDICAL CENTER-SIOUX CITY, AND ADDITIONAL DIRECTORS COULD BE APPOINTED BY THE MEMBER'S SPONSORING ORGANIZATIONS ON A ONE FOR ONE BASIS TO INCLUDE UP TO FOUR DIRECTORS APPOINTED BY ST. LUKE'S HEALTH SYSTEM, INC., AND UP TO FOUR DIRECTORS APPOINTED BY MERCY MEDICAL CENTER-SIOUX CITY. -TRANSFER OF MEMBERSHIP. THE MEMBER MAY NOT ASSIGN OR TRANSFER OR ASSIGN ITS INTERESTS AS A MEMBER OF THE CORPORATION EXCEPT TO A NONPROFIT, TAX EXEMPT ORGANIZATION THAT IS THE PARENT ORGANIZATION OF THE MEMBER OR IS A SUBSIDIARY OF THE MEMBER OR THE PARENT ORGANIZATION. -THE BOARD OF DIRECTORS MAY ELECT OR APPOINT ONE OR MORE VICE PRESIDENTS, ONE OR MORE ASSISTANT SECRETARIES AND ONE OR MORE ASSISTANT TREASURERS, AS IT SHALL DEEM DESIRABLE, TO HAVE THE AUTHORITY AND PERFORM THE DUTIES PRESCRIBED BY THE BOARD OF DIRECTORS. ANY TWO OR MORE OFFICES MAY BE HELD BY THE SAME PERSON. PREVIOUSLY, THE VICE-PRESIDENT POSITION WAS AN OFFICER POSITION BUT, IN THE BOARD OF DIRECTORS DISCRETION, MAY HAVE BEEN LEFT UNFILLED. -ANY OFFICER MAY RESIGN AT ANY TIME BY GIVING WRITTEN NOTICE OF SUCH RESIGNATION TO THE BOARD OF DIRECTORS. PREVIOUSLY, THE RESIGNATION COULD BE GIVEN TO THE BOARD OF DIRECTORS, THE PRESIDENT OR THE VICE-PRESIDENT. -THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE SHALL SERVE AS ADDITIONAL OFFICERS OF THE CORPORATION, PROVIDED SUCH PERSON SHALL BE AUTOMATICALLY REMOVED AS AN OFFICER OF THE CORPORATION UPON SEPARATION FROM EMPLOYMENT. -COMMITTEES OF DIRECTORS: BOARD COMMITTEES SHALL CONSIST OF TWO OR MORE DIRECTORS. NO SUCH COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO AUTHORIZED DISTRIBUTIONS; APPROVE OR RECOMMEND TO THE MEMBER DISSOLUTION, MERGER, OR SALE, PLEDGE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECT, APPOINT, OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; OR ADOPT, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. THE APPOINTMENT OF ANY SUCH COMMITTEE AND THE DELEGATION OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS OF ANY RESPONSIBILITY IMPOSED UPON IT BY LAW. -THE EXECUTIVE COMMITTEE WAS OMITTED FROM THE AMENDED BYLAWS. -DIRECTORS SHALL NOT RECEIVE ANY STATED SALARIES FOR THEIR SERVICES, BUT BY RESOLUTION OF THE BOARD OF DIRECTORS A FIXED SUM AND EXPENSES OF ATTENDANCE, FI ANY, MAY BE ALLOWED FOR ATTENDANCE AT EACH REGULAR OR SPECIAL MEETING OF THE BOARD. -THE ANNUAL MEETING SHALL BE HELD IN JULY OF EACH YEAR. PREVIOUSLY, THE ANNUAL MEETING WAS TO BE HELD IN SEPTEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS HEALTH, INC., AN IOWA NON-PROFIT, EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). FORM 990, PART VI, SECTION A, LINE 7A THE NUMBER OF DIRECTORS SHALL BE DETERMINED BY THE MEMBER AND BE NO FEWER THAN FOUR AND NO GREATER THAN TWELVE WITH THE NUMBER TO BE SET BY A RESOLUTION OF THE BOARD OF DIRECTORS. THE MEMBER SHALL APPOINT THE DIRECTORS FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DUTIES ARE RESERVED FOR THE MEMBER: - SELECTION AND REMOVAL OF DIRECTORS - APPROVAL OF MONTHLY FINANCIAL REPORTS - APPROVAL OF AN ANNUAL BUDGET, CAPITAL EXPENDITURES BUDGET, LONG-RANGE PLAN - APPROVAL OF CAPITAL EXPENDITURES AND ANY UNBUDGETED EXPENDITURES WHEN EITHER EXCEED THE THRESHOLD AMOUNTS DETERMINED BY THE MEMBER FROM TIME TO TIME, THE INCURRENCE OF ALL DEBT PRIOR TO ITS INCURRENCE, AND SUCH OTHER FINANCIAL ACTIVITIES AS THE MEMBER DEEMS APPROPRIATE - APPOINTMENT AND REMOVAL OF THE EXECUTIVE DIRECTOR AND/OR THE DIRECTOR OF FINANCE OF THE CORPORATION, SUBJECT TO PRIOR CONSULTATION WITH THE BOARD OF DIRECTORS - APPROVAL OF ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS - APPROVAL OF CORPORATE MISSION STATEMENT AND ALL AMENDMENTS TO SUCH MISSION STATEMENT - APPROVAL OF ANY TAXABLE OR TAX-EXEMPT SUBSIDIARY ORGANIZATION - APPOINTMENT OF OUTSIDE AUDITORS AND INTERNAL AUDITORS - ADOPTION OF RESOLUTIONS FOR THE GENERAL GUIDANCE AND DIRECTION OF THE CORPORATION AT ANY ANNUAL OR SPECIAL MEETING OF THE BOARD OF DIRECTORS, AND - TO CARRY OUT SUCH OTHER POWERS AS ARE PROVIDED BY LAW. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE 990. A COPY OF THE RETURN IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING WITH THE IRS. 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. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS. FAILURE TO DISCLOSE EXISTING OR POTENTIAL CONFLICTS OF INTEREST IS GROUNDS FOR TERMINATION OF EMPLOYMENTS OR BOARD APPOINTMENT. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE AFFECTED BOARD MEMBER WILL BE REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 TWO TO THREE DESIGNATED BOARD MEMBERS DETERMINE REASONABLE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR USING AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN TRUST -1,850. PENSION ADJUSTMENT 110,126. HEALTH INC 230 NEBRASKA STREET SIOUX CITY IA 51101 311712115 HEALTHCARE SERVICES IA 501(C)(3) PF 0 SIOUXLAND PARAMEDICS 1701 TERMINAL DRIVE SIOUX CITY IA 51105 421185707 MEDICAL TRANSPORTATION SERVICES IA 501(C)(3) LINE 12A, I 0 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51101 383320710 HOSPICE AND PALLIATIVE CARE IA 501(C)(3) LINE 12A, I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0