Civic Intelligence

Iowa Kidney Stone Center

EIN 42-1295710 • 501(c)3

Profile

The organization's mission is to nurture the healing ministry of the church by bringing it new life, energy and viability in the 21st century. Fidelity to the gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.

207 Crocker Street50309-1318

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

1st percentile

-90700%

Higher net margin than 1% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Down

$0

Down $64,421 (-100%) from 2013

Liabilities

Flat

$0

Flat from 2013

Net Assets

Down

$0

Down $64,421 (-100%) from 2013

Revenue

Down

$1

Down $118,721 (-100%) from 2013

Expenses

Down

$908

Down $48,979 (-98%) from 2013

Net Income

Down

-$907

Down $69,742 (-101%) from 2013

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0Assets 2010: $991,497Liabilities 2010: $5,151Net Assets 2010: $986,3462010Assets 2011: $975,217Liabilities 2011: $3,780Net Assets 2011: $971,4372011Assets 2012: $902,865Liabilities 2012: $7,279Net Assets 2012: $895,5862012Assets 2013: $64,421Liabilities 2013: $0Net Assets 2013: $64,4212013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100KExpenses 2010: $239,7952010Revenue 2011: $212,405Expenses 2011: $227,314Net Income 2011: -$14,9092011Expenses 2012: $152,5012012Revenue 2013: $118,722Expenses 2013: $49,887Net Income 2013: $68,8352013Revenue 2014: $1Expenses 2014: $908Net Income 2014: -$9072014

Highlighted filing

2014

Revenue$1
Expenses$908
Net Income-$907

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2013 to Mar 25, 2014
Signed
Feb 13, 2015
Return Version
2013v4.0
Gross Receipts
$1
Mission and Program Overview

Mission

The organization's mission is to nurture the healing ministry of the church by bringing it new life, energy and viability in the 21st century. Fidelity to the gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.

To operate a not-for-profit health care facility providing lithotripsy and refractive laser eye surgery to the community on a non-discriminatory basis.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$64,421--
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$64,421$0▼ $64,421
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$64,421--
Total Net Assets Fund Balance$64,421$0▼ $64,421
Total Liabilities and Net Assets / Fund Balance$64,421$0▼ $64,421

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$0--
Other Land Buildings$0--
Land$0--
Equipment$0--
Leasehold Improvements$0--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joseph CorfitsPresident
David StarksDirector
Amy BethelSecretary
Randall RubinTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$1
Other Revenue
$0
Change in Net Assets
$-907
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$908
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses-$730-$730
Office Expenses-$178-$178
Total Functional Expenses$0$908$0$908
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders

According to iowa kidney stone center's articles of incorporation, the organization has two members, central iowa hospital corporation and catholic health initiatives - iowa corp dba mercy medical center - des moines, both iowa not-for-profit corporations. Each member has one vote upon all matters subject to vote by the members.

Form 990, Part VI, Sec A, Line 7A, Members or stockholders electing members of governing body

According to iowa kidney stone center's articles of incorporation, there shall be seven directors on the board. Three directors shall be selected, and may from time to time be removed and replaced, by central iowa hospital corporation. Three directors shall be selected, and may from time to time be removed and replaced, by catholic health initiatives-iowa corp dba mercy medical center - des moines. One director shall be a practicing urologist who is a member of the iowa kidney stone center's medical staff and a member of the medical staff of central iowa hospital corporation and/or mercy medical center - des moines. The urologist is no longer a member of the governing body due to the winding down of operations. Additionally, due to the winding down of operations terminated board members have not been replaced.

Form 990, Part VI, Sec A, Line 7B, Decisions requiring approval by members or stockholders

Decisions of the governing body must be unanimously approved by the members of the organization.

Form 990, Part VI, Sec B, Line 11B, Review of form 990 by governing body

The organization's accounting personnel work with the parent tax department personnel to prepare the form 990. When available, the board treasurer reviews the return and any necessary revisions are included in the final version which is approved for filing with the irs. Subsequent to review by the board treasurer, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.

Form 990, Part VI, Sec B, Line 12C, Conflict of interest policy

The organization's conflict of interest policy requires that each board member complete an annual questionnaire that discloses potential and actual conflicts of interest. Board members are asked to disclose any potential conflicts at the beginning of each board or committee meeting. If a potential conflict exists, the board or committee determines whether the board member should be excluded from voting on that particular matter. During the year ended march 25, 2014, the organization had no employees.

Form 990, Part VI, Line 15, Process Used to Establish Compensation

During the tax year ended 3/25/14, no officers, directors or trustees received compensation from the organization. Therefore, these questions are more appropriately answered as "n/a" but have been answered "no" in accordance with the form 990 instructions.

Form 990, Part VI, Sec C, Line 19, Required documents available to the public

The organization will provide any documents open to public inspection upon request.

Filing and Contact Details

Filer

EIN
42-1295710
Phone
5156437243

Signing Officer

Name
Randall L Rubin
Title
Treasurer
Signed
2015-02-13
Discuss with paid preparer
Yes

Organization Details

Formed
1986
Legal Domicile
Ia
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
5

Preparer

Preparer
Pamela Krohn
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990 , Part XI, Line 9, Other changes in net assets or fund balances

Distribution to chi-iowa corp - -31757; distribution to central iowa hospital corporation - -31757;

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1DISTRIBUTION TO CENTRAL IOWA HOSPITAL CORPORATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine10CHI - IOWA CORP
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine11CENTRAL IOWA HOSPITAL CORPORATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-04-28
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12014-04-28
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0420680448
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1420680452
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt031757
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt131757
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine101111 6TH AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine111200 PLEASANT STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City0DES MOINES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City1DES MOINES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State0IA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State1IA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode050314
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode150309
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0THE FOLLOWING INDIVIDUALS ARE (OR WERE PREVIOUSLY) EMPLOYEES OF CENTRAL IOWA HEALTH CORPORATION PRIOR TO THE TERMINATION OF IOWA KIDNEY STONE CENTER AND WILL CONTINUE ON IN THE SAME CAPACITY AFTER THE TERMINATION OF IOWA KIDNEY STONE CENTER. CENTRAL IOWA HEALTH CORPORATION, AN IOWA NOT-FOR-PROFIT CORPORATION, IS A MEMBER OF IOWA KIDNEY STONE CENTER. -AMY BETHEL -JOSEPH CORFITS -DAVID STARKS THE FOLLOWING INDIVIDUAL WAS AN EMPLOYEE OF CATHOLIC HEALTH INITIATIVES - IOWA CORP DBA MERCY MEDICAL CENTER - DES MOINES PRIOR TO THE TERMINATION OF IOWA KIDNEY STONE CENTER AND WILL CONTINUE ON IN THE SAME CAPACITY AFTER THE TERMINATION OF IOWA KIDNEY STONE CENTER. CATHOLIC HEALTH INITIATIVES - IOWA CORP DBA MERCY MEDICAL CENTER - DES MOINES, AND IOWA NOT-FOR-PROFIT CORPORATION, IS A MEMBER OF IOWA KIDNEY STONE CENTER. -RANDALL RUBIN
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule N, Part I, Line 2b, Interested person is an employee or ind. contractor of successor org.
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ACCORDING TO IOWA KIDNEY STONE CENTER'S ARTICLES OF INCORPORATION, THE ORGANIZATION HAS TWO MEMBERS, CENTRAL IOWA HOSPITAL CORPORATION AND CATHOLIC HEALTH INITIATIVES - IOWA CORP DBA MERCY MEDICAL CENTER - DES MOINES, BOTH IOWA NOT-FOR-PROFIT CORPORATIONS. EACH MEMBER HAS ONE VOTE UPON ALL MATTERS SUBJECT TO VOTE BY THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ACCORDING TO IOWA KIDNEY STONE CENTER'S ARTICLES OF INCORPORATION, THERE SHALL BE SEVEN DIRECTORS ON THE BOARD. THREE DIRECTORS SHALL BE SELECTED, AND MAY FROM TIME TO TIME BE REMOVED AND REPLACED, BY CENTRAL IOWA HOSPITAL CORPORATION. THREE DIRECTORS SHALL BE SELECTED, AND MAY FROM TIME TO TIME BE REMOVED AND REPLACED, BY CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER - DES MOINES. ONE DIRECTOR SHALL BE A PRACTICING UROLOGIST WHO IS A MEMBER OF THE IOWA KIDNEY STONE CENTER'S MEDICAL STAFF AND A MEMBER OF THE MEDICAL STAFF OF CENTRAL IOWA HOSPITAL CORPORATION AND/OR MERCY MEDICAL CENTER - DES MOINES. THE UROLOGIST IS NO LONGER A MEMBER OF THE GOVERNING BODY DUE TO THE WINDING DOWN OF OPERATIONS. ADDITIONALLY, DUE TO THE WINDING DOWN OF OPERATIONS TERMINATED BOARD MEMBERS HAVE NOT BEEN REPLACED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DECISIONS OF THE GOVERNING BODY MUST BE UNANIMOUSLY APPROVED BY THE MEMBERS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S ACCOUNTING PERSONNEL WORK WITH THE PARENT TAX DEPARTMENT PERSONNEL TO PREPARE THE FORM 990. WHEN AVAILABLE, THE BOARD TREASURER REVIEWS THE RETURN AND ANY NECESSARY REVISIONS ARE INCLUDED IN THE FINAL VERSION WHICH IS APPROVED FOR FILING WITH THE IRS. SUBSEQUENT TO REVIEW BY THE BOARD TREASURER, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT EACH BOARD MEMBER COMPLETE AN ANNUAL QUESTIONNAIRE THAT DISCLOSES POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. BOARD MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. IF A POTENTIAL CONFLICT EXISTS, THE BOARD OR COMMITTEE DETERMINES WHETHER THE BOARD MEMBER SHOULD BE EXCLUDED FROM VOTING ON THAT PARTICULAR MATTER. DURING THE YEAR ENDED MARCH 25, 2014, THE ORGANIZATION HAD NO EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DURING THE TAX YEAR ENDED 3/25/14, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS "N/A" BUT HAVE BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7DISTRIBUTION TO CHI-IOWA CORP - -31757; DISTRIBUTION TO CENTRAL IOWA HOSPITAL CORPORATION - -31757;
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, LINE 15, PROCESS USED TO ESTABLISH COMPENSATION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Sec C, Line 19, Required documents available to the public
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990 , Part XI, Line 9, Other changes in net assets or fund balances
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IRS990/TaxablePartyNotificationInd0false
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IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt064421
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IRS990/TotalAssetsGrp/BOYAmt064421
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IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0908
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0908
IRS990/TotalGrossUBIAmt00
IRS990/TotalJointCostsGrp/TotalAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt064421
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
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IRS990/TotalRevenueGrp/ExclusionAmt01
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt05
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt064421
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt064421
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine10207 CROCKER STREET SUITE 400
IRS990/USAddress/City0DES MOINES
IRS990/USAddress/State0IA
IRS990/USAddress/ZIPCode0503091318
IRS990/VotingMembersGoverningBodyCnt04
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IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0RANDALL L RUBIN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-02-13
ReturnHeader/Filer/BusinessName/BusinessNameLine10IOWA KIDNEY STONE CENTER
ReturnHeader/Filer/BusinessNameControlTxt0IOWA
ReturnHeader/Filer/EIN0421295710
ReturnHeader/Filer/PhoneNum05156437243

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