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Nonprofiteer
← SIOUXLAND PACE INC

Form 990 for tax year 2022

Filed by SIOUXLAND PACE INC.

Totals

Total revenue
$23,036,062
Total expenses
$21,830,575
Contributions and grants received
$5,770
Grants paid
$0
Program service revenue
$23,032,239
Investment income
-$1,947
Other revenue
$0
Total assets, end of year
$11,521,872
Total liabilities, end of year
$3,729,247
Net assets or fund balances, end of year
$7,792,625
Program services expenses (Part IX)
$20,401,090
Management and general expenses
$1,429,485
Fundraising expenses
$0
Program service expenses (Part III)
$20,401,090

Program services were 93.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $5,770

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $22,998,070 · related or exempt $22,998,070

  • 2b · Program service revenue: MGMT & SUPPORT SVCS

    total $34,169 · related or exempt $34,169

  • 3 · Investment income

    total $107,587 · excluded $107,587

  • 7b · Less cost or other basis and sales expenses

    securities $109,534

  • 7c · Gain or loss

    securities -$109,534

  • 7d · Net gain or loss

    total -$109,534 · excluded -$109,534

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $4,626,842 · program services $3,851,019 · management and general $775,823

  • 8 · Pension plan contributions

    total $179,553 · program services $149,446 · management and general $30,107

  • 9 · Other employee benefits

    total $836,802 · program services $696,488 · management and general $140,314

  • 10 · Payroll taxes

    total $316,347 · program services $263,302 · management and general $53,045

  • 11f · Fees: investment management

    total -$509 · program services $227 · management and general -$736

  • 11g · Fees: other

    total $13,873,049 · program services $13,490,343 · management and general $382,706

  • 12 · Advertising and promotion

    total $1,839 · management and general $1,839

  • 13 · Office expenses

    total $156,161 · program services $131,042 · management and general $25,119

  • 16 · Occupancy

    total $453,979 · program services $453,607 · management and general $372

  • 17 · Travel

    total $83,513 · program services $73,742 · management and general $9,771

  • 19 · Conferences, conventions and meetings

    total $4,306 · program services $3,207 · management and general $1,099

  • 22 · Depreciation, depletion and amortization

    total $229,142 · program services $222,746 · management and general $6,396

  • 23 · Insurance

    total $16,273 · program services $16,273

  • 24a · Other expenses: MISCELLANEOUS EXPENSE

    total $906,353 · program services $902,980 · management and general $3,373

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $146,433 · program services $146,176 · management and general $257

  • 24c · Other expenses: INCOME TAXES

    total $492 · program services $492

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,486,805 · end of year $4,594,456

  • 2 · Savings and temporary cash investments

    beginning of year $937,019 · end of year $2,449,675

  • 4 · Accounts receivable

    beginning of year $36,181 · end of year -$293,361

  • 7 · Other notes and loans receivable

    beginning of year $16,200 · end of year $10,720

  • 9 · Prepaid expenses and deferred charges

    beginning of year $24,500 · end of year $39,500

  • 10a · Land, buildings and equipment: cost or other basis

    $4,275,556

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,253,693

  • 10c · Land, buildings and equipment, net

    beginning of year $3,118,946 · end of year $3,021,863

  • 11 · Investments: publicly traded securities

    beginning of year $2,075,027 · end of year $1,699,019

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,582,900 · end of year $2,600,926

  • 19 · Deferred revenue

    end of year $317,682

  • 24 · Unsecured notes and loans payable

    beginning of year $193,903 · end of year $586,359

  • 25 · Other liabilities

    beginning of year $351,733 · end of year $224,280

  • 27 · Net assets without donor restrictions

    beginning of year $6,566,142 · end of year $7,792,625

Mission and programs · 2022

Mission

TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE.

  • HEALTH-CARE SERVICESSIOUXLAND PACE PROVIDES QUALITY CARE TO INDIVIDUALS IN THE SIOUXLAND COMMUNITY WHO COULD LIVE IN A NURSING HOME, HOWEVER BECAUSE OF SERVICES OFFERED THROUGH SIOUXLAND PACE, THESE FRAIL AND ELDERLY INDIVIDUALS ARE ABLE TO LIVE INDEPENDENTLY AT HOME. SIOUXLAND PACE OFFERS SERVICES INCLUDING, BUT NOT LIMITED TO, PRIMARY AND SPECIALTY MEDICAL CARE, DAY HEALTH SERVICES, REHABILITATION AND RESTORATIVE THERAPIES, IN-HOME SUPPORT AND CARE, SOCIAL WORK SERVICES, RESPITE CARE, HOSPITALIZATION AND EMERGENCY CARE, DIETARY SERVICES AND ALL OTHER SERVICES PROVIDED BY MEDICARE AND MEDICAID. IN 2022, 215 PARTICIPANTS WERE SERVED.

    Expenses $20,401,090 · Revenue $23,032,239

As filed on the 2022 return.

Listed in Part VII

  • Craig Berenstein

    BOARD CHAIR

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 1 related

  • Mike Crone

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Barbara Knepper

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Flora Lee

    BOARD MEMBER

    Total calculated
    $250
    From this org
    $0
    From related orgs
    $250
    Other
    $0
    Hours/week
    1 + 1 related

  • Jim Palmer

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Garrett Smith

    BOARD MEMBER

    Total calculated
    $12,250
    From this org
    $0
    From related orgs
    $12,250
    Other
    $0
    Hours/week
    1 + 1 related

  • Joy Taylor MD

    BOARD MEMBER

    Total calculated
    $150,058
    From this org
    $0
    From related orgs
    $136,592
    Other
    $13,466
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $102,364 related
    Bonus
    $0 + $33,973 related
    Other
    $0 + $255 related
    Deferred
    $0 + $6,539 related
    Nontaxable benefits
    $0 + $6,927 related
    Filer's total
    $0 + $150,058 related

  • Leah Glasgo Fr 722

    BOARD MEMBER & PRES/CEO (SC & FD)

    Total calculated
    $1,168,456
    From this org
    $0
    From related orgs
    $1,067,658
    Other
    $100,798
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $459,262 related
    Bonus
    $0 + $153,147 related
    Other
    $0 + $455,249 related
    Deferred
    $0 + $69,078 related
    Nontaxable benefits
    $0 + $31,720 related
    Filer's total
    $0 + $1,168,456 related

  • Lorenzo Suter To 722

    PRESIDENT/CEO

    Total calculated
    $551,287
    From this org
    $0
    From related orgs
    $519,612
    Other
    $31,675
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $266,375 related
    Bonus
    $0 + $60,010 related
    Other
    $0 + $193,227 related
    Deferred
    $0 + $6,100 related
    Nontaxable benefits
    $0 + $25,575 related
    Filer's total
    $0 + $551,287 related

  • James Gobell To 0722

    VP/CFO

    Total calculated
    $889,183
    From this org
    $0
    From related orgs
    $805,630
    Other
    $83,553
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,905 related
    Bonus
    $0 + $57,218 related
    Other
    $0 + $511,507 related
    Deferred
    $0 + $60,223 related
    Nontaxable benefits
    $0 + $23,330 related
    Filer's total
    $0 + $889,183 related

  • Corey Snider

    VP/COO

    Total calculated
    $290,948
    From this org
    $0
    From related orgs
    $259,357
    Other
    $31,591
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,724 related
    Bonus
    $0
    Other
    $0 + $19,633 related
    Deferred
    $0 + $11,129 related
    Nontaxable benefits
    $0 + $20,462 related
    Filer's total
    $0 + $290,948 related

  • Sarah Marsh

    INTERIM VP/CFO (FR 08/22)

    Total calculated
    $256,945
    From this org
    $0
    From related orgs
    $218,564
    Other
    $38,381
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $187,578 related
    Bonus
    $0 + $28,893 related
    Other
    $0 + $2,093 related
    Deferred
    $0 + $11,417 related
    Nontaxable benefits
    $0 + $26,964 related
    Filer's total
    $0 + $256,945 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINES 4A-B
SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: LORENZO SUTER $187,131. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: LEAH GLASGO $53,828 AND JAMES GOBELL $33,830. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: LEAH GLASGO $449,085 AND JAMES GOBELL $504,209.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • ADVANCED IMAGING CENTER LLC

    DIAGNOSTIC RADIOLOGY CENTER · IA · general or managing partner

  • ANKENY MEDICAL PARK SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC

    CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY

    ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • CENTRAL IOWA PHYSIO LLC

    PHYSICAL THERAPY SERVICES · IA · general or managing partner

  • CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC

    SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • DUBUQUE ENDOSCOPY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • EASTERN IOWA SLEEP SUPPLY LLC

    MEDICAL EQUIPMENT RETAIL SALES · IA · general or managing partner

  • HEALTH CARE AFFILIATES OF THE TRI-STATES LLC

    PROVIDE ACCESS TO LICENSED SOFTWARE · IA · general or managing partner

  • IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC

    OUTPATIENT DIAGNOSTIC IMAGING · IA · general or managing partner

  • IOWA HEALTH SYSTEM CONTRACTING SERVICES LC

    GROUP PURCHASING · IA · general or managing partner

  • LAKEVIEW SURGERY CENTER LC

    SURGERY CENTER · IA · general or managing partner

  • MR ASSOCIATES LLP

    OWN AND OPERATE MR UNIT · IA · general or managing partner

  • ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • REHABILITATION THERAPY SERVICES LLC

    REHABILATION THERAPY · IL

  • THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC

    AMBULATORY SURGERY CENTER. · IA · general or managing partner

  • UNITED MEDICAL PARK ASC LLC DBA THE SURGERY CENTER AT UNITED MEDICAL PARK

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • UPHT-SCA HOLDINGS LLC

    AMBULATORY SURGERY CENTER INVESTMENT · DE

  • WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC

    ORTHOPEDIC SERVICE LINES MANAGEMENT · IA · general or managing partner

  • WEST LAKES SLEEP CENTER LLC

    SLEEP DISORDER DIAGNOSTIC TESTING FACILITY · IA · general or managing partner

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ABBE MANAGEMENT CORPORATION

    C · MANAGEMENT SERVICES · IA

  • BELCREST SERVICES LTD

    C · MEDICAL SERVICES · IL

  • BROADBAND INC

    C · INFORMATION TECHNOLOGY MGMT. · IA

  • DELHI POINT CONDO ASSOCIATION

    C · REAL ESTATE MANAGEMENT · IA

  • HCP CORPORATION

    C · REAL ESTATE RENTAL · WI

  • HANSEN CHARITABLE REMAINDER ANNUITY TRUST

    T · INVESTMENT · IA

  • HANSEN CHARITABLE REMAINDER UNITRUST

    T · INVESTMENT · IA

  • HEALTH ADVANTAGE PLUS INC

    C · PHYSICAL THERAPY · IA

  • HEALTH PLUS INC

    C · MANAGED CARE ADMINISTRATION · IL

  • HNC SERVICES

    C · FIBER OPTIC NETWORK SERVICES · IA

  • MEDIMORE INC

    C · MANAGED CARE · IA

  • MERITER HEALTH ENTERPRISES INC

    C · MANAGEMENT SERVICES · WI

  • MERITER MANAGEMENT SERVICES INC

    C · ADMINISTRATIVE SERVICES · WI

  • METHODIST HEALTH VENTURES INC & SUB

    C · PHARMACY/OFFICE STAFFING · IL

  • OPTIMUM HEALTH SOLUTIONS INC

    C · HEALTH & WELLNESS CONSULTING · IA

  • PEKIN PROHEALTH INC

    C · CLINIC · IL

  • PRECEDENCE INC

    C · MANAGED MENTAL CARE · IA

  • PRECEDENCE PLUS INC

    C · MANAGED MENTAL CARE · IA

  • PROVIDER RESOURCE MANAGEMENT INC

    C · RESOURCE MANAGEMENT · IL

  • STL HEALTH RESOURCES CO

    C · PHYSICIAN OFFICE RENTAL · IA

  • TRINITY HEALTH ENTERPRISES INC

    C · RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY · IL

Provenance

Return type
form_990
Tax year
2022
Filed
3 November 2023
IRS schema version
2022v5.0
Source object
202303189349305940

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