2026-04-27T11:16:30-05:00 2025-06-30 420941961 KING REINSCH PROSSER & CO LLP 522 4TH STREET SUITE 200 SIOUX CITY IA 51101 990 2024-07-01 426122297 SIOUXLAND MENTAL HEALTH SERVICES INC SIOU 7122523871 PO BOX 1917 SIOUX CITY IA 51102 SHEILA MARTIN CHIEF EXECUTIVE OFFICER 7122523871 2026-04-24 1 1 REBECCA GEORGE P01228245 7122585550 2026-04-09 2024 2025-03-06 01:10:19Z SHEILA MARTIN PO BOX 1917 SIOUX CITY IA 51102 13315018 0 X WWW.SIOUXLANDMENTALHEALTH.COM X 1969 IA TO PROVIDE MENTAL HEALTH SERVICES. 12 12 172 71 0 0 1981307 2699856 9200575 10439518 55710 70167 87137 77937 11324729 13287478 0 0 0 0 9207394 9787559 0 0 159157 2332891 2633827 11540285 12421386 -215556 866092 8848011 9532241 4433623 4251761 4414388 5280480 X TO PROVIDE A COMPREHENSIVE RANGE OF MENTAL HEALTH SERVICES FOR THE EVALUATION AND TREATMENT OF PEOPLE OF ALL AGES EXPERIENCING MENTAL ILLNESS, INDIVIDUAL OR FAMILY EMOTIONAL DISTRESS, AND OVERWHELMINGLY STRESSFUL CIRCUMSTANCES; TO PROVIDE EDUCATION SERVICES TO PREVENT OR EASE SUCH CONDITIONS; AND TO PROMOTE THE EMOTIONAL WELL-BEING OF PEOPLE IN WOODBURY COUNTY AND NEARBY COMMUNITIES. 0 0 2620557 2950265 THERAPY - TO PROVIDE THERAPY ON AN OUTPATIENT BASIS. 31,735 SESSIONS WERE HELD. 3,491 PATIENTS WERE SERVED. 2330556 2649400 PSYCHIATRY - TO EVALUATE CHILDREN AND ADULTS AS TO WHETHER TREATMENT SHOULD BE ON AN OUTPATIENT BASIS OR IF HOSPITALIZATION IS REQUIRED. 16,510 SESSIONS WERE HELD. 4,165 PATIENTS WERE SERVED. 1497862 1913970 COMMUNITY SUPPORT PROGRAM - TO PROVIDE SERVICES TO THE SEVERE MENTALLY HANDICAPPED AND DEVELOPMENTALLY DISABLED. 8,028 SESSIONS WERE HELD. 1,511 PATIENTS WERE SERVED. 2182600 2998733 PROJECT COMPASS - TO PROVIDE JAIL DIVERSIONARY SERVICES. 1,211 SESSIONS WERE HELD. ASSESSMENT CENTER - TO PROVIDE 24/7 PROFESSIONAL HELP TO INDIVIDUALS EXPERIENCING AN INCREASE IN THE SEVERITY OF THEIR MENTAL HEALTH SYMPTOMS. 171 PATIENTS WERE SERVED. CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION - TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY MENTAL AND SUBSTANCE USE DISORDER TREATMENT SERVICES THROUGH THE EXPANSION OF CCBHCS.BEHAVIORAL HEALTH INTERVENTION SERVICES (BHIS) - TO PROVIDE CHILDREN AND FAMILIES WITH HELP WITH EMOTIONAL REGULATION, SOCIAL SKILLS, AND BEHAVIOR MANAGEMENT. 2182600 2998733 8631575 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 26 0 172 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X JODI RYAN 7122523871 625 COURT STREET SIOUX CITY IA 51101 MARK MONSON DIRECTOR 1.00 X 0 0 0 DR RYAN MCKENNA PRESIDENT 1.00 X X 0 0 0 CHRISSIE YOUNG VICE-PRESIDENT 1.00 X X 0 0 0 NANCY KNUDSEN TREASURER 1.00 X X 0 0 0 DOUG HARROLD DIRECTOR 1.00 X 0 0 0 BOB HAMMON DIRECTOR 1.00 X 0 0 0 ZACH LEWIS DIRECTOR 1.00 X 0 0 0 WILL ANDERSON DIRECTOR 1.00 X 0 0 0 BEV ZENOR DIRECTOR 1.00 X 0 0 0 AMANDA BAKER SECRETARY 1.00 X X 0 0 0 SCOTT WILSON DIRECTOR 1.00 X 0 0 0 PAUL KOSKOVICH DIRECTOR 1.00 X 0 0 0 SHEILA MARTIN CHIEF EXECUTIVE OFFICER 37.50 X 212267 0 32590 RICARDO OSORIO NURSE PRACTITIONER 40.00 X 157964 0 22879 MELISSA KONKEN NURSE PRACTITIONER 37.50 X 155511 0 18328 LISA MEYER NURSE PRACTITIONER 40.00 X 159611 0 37704 DANIKA HANSEN NURSE PRACTITIONER 40.00 X 148314 0 26758 JOADA BEST NURSE PRACTITIONER 32.00 X 140308 0 8160 973975 0 146419 12 0 1 0 INSYNC HEALTHCARE SOLUTIONS PO BOX 4577 CAROL STREAM IL 601974577 EMR PROVIDER 159324 1 62431 2408983 228442 641000 2699856 FEES FROM INDIVIDUALS 624100 7711933 7711933 WOODBURY COUNTY 624100 2441601 2441601 OTHER REGIONS 624100 285984 285984 10439518 70167 70167 32627 62431 27540 5087 5087 MISCELLANEOUS REVENUE 624100 62098 62098 MEDICAL RECORDS 624100 10752 10752 72850 13287478 10512368 0 75254 314099 314099 7998402 6191559 1731144 75699 233695 191890 41805 613826 472209 141187 430 627537 473043 148816 5678 461 461 30840 30840 388409 168425 219984 86525 6978 2197 77350 471014 201494 269520 354654 272627 82027 54633 25027 29606 63110 31113 31997 222674 222674 443528 248963 194565 81492 61433 20059 CREDIT LOSS 251280 161235 90045 CLIENT CO-PAY 98198 98198 MISCELLANEOUS 44492 11931 32561 DUES 25976 35 25941 16541 15415 1126 12421386 8631575 3630654 159157 1002291 1506937 192741 145065 1703255 1701935 33176 42936 8824586 3134407 5430504 5690179 486044 445189 8848011 9532241 644092 649429 27902 2097 3682369 3550659 79260 49576 4433623 4251761 X 4269416 5259030 144972 21450 4414388 5280480 8848011 9532241 866092 0 X X 0 1 X 1 1 1 X 642685 645781 1434115 1940515 2699856 7362952 6513825 7489970 8573507 9200575 10439518 42217395 7156510 8135751 10007622 11141090 13139374 49580347 0 0 0 49580347 3788 2756 78492 55710 70167 210913 3788 2756 78492 55710 70167 210913 136438 131272 54710 87137 72850 482407 7296736 8269779 10140824 11283937 13282391 50273667 0.98620 0.98210 0.00420 0.00330 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS MEDICAL RECORDS SPECIAL EVENTS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 813504 813504 6330853 1724768 4606085 1680229 1409639 270590 5690179 LEASE LIABILITY - OPERATING 49576 49576 13287478 0 13287478 0 13287478 12421386 0 12421386 0 12421386 STAND UP AND TALK 71346 53581 17765 1777 3056 10818 2714 1072 GOLF "FORE" MENTAL HEALTH 23712 8850 14862 228 0 3139 4600 137 95058 62431 32627 2005 3056 13957 7314 1209 27541 5086 X 0 0 0 0 0 0 0 0 0 SHEILA MARTIN CHIEF EXECUTIVE OFFICER 212267 0 0 0 0 0 11949 0 20641 0 244857 0 0 0 LISA MEYER NURSE PRACTITIONER 159611 0 0 0 0 0 8915 0 28789 0 197315 0 0 0 RICARDO OSORIO NURSE PRACTITIONER 157964 0 0 0 0 0 8888 0 13991 0 180843 0 0 0 DANIKA HANSEN NURSE PRACTITIONER 148314 0 0 0 0 0 8711 0 18047 0 175072 0 0 0 MELISSA KONKEN NURSE PRACTITIONER 155511 0 0 0 0 0 8266 0 10062 0 173839 0 0 0 A WOODBURY COUNTY IA 426005221 97907AAA5 2022-12-08 4000000 TO FINANCE THE COSTS OF ACQUIRING AND EQUIPPING A MENTAL HEALTH FACILITY. 0 0 0 A 355000 4000000 361639 119247 3535591 2024 0 0 1 1 A 0 0 0 0 0 0 0 0 0 A 0 X 1 641000 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE COMMITTEE AND THE CHIEF EXECUTIVE OFFICER REVIEWED THE FORM 990 BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CHIEF EXECUTIVE OFFICER MONITORS THE STAFF AND BOARD'S COMPLIANCE WITH THIS POLICY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.