Civic Intelligence

Health - Development Triad Inc

EIN 42-1390171 • 501(c)3 • Mapleton, IA

Profile

None

515 Main StMapleton, IA 51034

n/A

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2013

Liabilities / Revenue

34th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2013

Net Margin

3rd percentile

-131%

Higher net margin than 3% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

32nd percentile

-3.1%

Faster asset growth than 32% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Down

$748,524

Down $24,080 (-3.1%) from 2012

Liabilities

Flat

$0

Flat from 2012

Net Assets

Down

$748,524

Down $24,080 (-3.1%) from 2012

Operations
Liabilities / Revenue34th percentileNet Margin3rd percentile

Revenue

$18,365

No earlier filing loaded for comparison.

Expenses

Down

$42,445

Down $40,964 (-49%) from 2012

Net Income

-$24,080

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth32nd percentile

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

$800K$600K$400K$200K$0Assets 2010: $685,096Liabilities 2010: $0Net Assets 2010: $685,0962010Assets 2011: $763,000Liabilities 2011: $0Net Assets 2011: $763,0002011Assets 2012: $772,604Liabilities 2012: $0Net Assets 2012: $772,6042012Assets 2013: $748,524Liabilities 2013: $0Net Assets 2013: $748,5242013

Highlighted filing

2013

Assets$748,524
Liabilities$0
Net Assets$748,524
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$100K$50K$0-$50KExpenses 2010: $44,0112010Expenses 2011: $33,2632011Expenses 2012: $83,4092012Revenue 2013: $18,365Expenses 2013: $42,445Net Income 2013: -$24,0802013

Highlighted filing

2013

Revenue$18,365
Expenses$42,445
Net Income-$24,080
Open 2013 Filing

Filings

Most recent year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$748,524
Liabilities
$0
Net assets
$748,524
Revenue
$18,365
Expenses
$42,445
Net income
-$24,080
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$7.49$0.00$7.49$0.18$0.42$0.24
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.73$0.00$7.73$0.83
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.63$0.00$7.63$0.33
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.85$0.00$6.85$0.44
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Jan 30, 2014
Return Version
2013v3.0
Gross Receipts
$18,365
Mission and Program Overview

Mission

None

Development and promotion of health services for general public

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$571,528$571,528→ $0
Land, Buildings, and Equipment, Net$459,128$436,725▼ $22,403
Savings and Temporary Cash Investments$218,469$220,988▲ $2,519
Rtn Earn Endowment Incm Other Fnds$201,076$176,996▼ $24,080
Cash and Non-Interest-Bearing Accounts$95,007$90,811▼ $4,196
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$772,604$748,524▼ $24,080
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$772,604$748,524▼ $24,080
Total Liabilities and Net Assets / Fund Balance$772,604$748,524▼ $24,080

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$436,725$437,025$873,750
Other Land Buildings$0$14,500$14,500
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
James R WestergaardPresident
Fran TrampV. President
Todd P SadlerDirector
Gary W ThiesSec.
Russell C WrayTreas.
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$2,565
Other Revenue
$15,800
Change in Net Assets
$-24,080
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$42,445
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
Depreciation Depletion$22,403--$22,403
Insurance$7,622--$7,622
Other Expenses$125--$125
Total Functional Expenses$42,445$0$0$42,445
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
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Fran TrampDirectorDirector and Tramp Is an Employee of BurgessNo-
James R WestergaardDirectorLease of Clinic Building by Burgess Health Corporation. Westergaard IsNo-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

“The corporation has only 2 members, maple valley development, inc., and burgess health corporation. Both are tax exempt organizations.”

Form 990, Part VI, Section A, line 7A

“Maple valley development elects 2 directors. Burgess health corporation elects 3 directors.”

Form 990, Part VI, Section B, line 11

“All members of the board of directors are provided a complete copy of form 990 to review and question”

Form 990, Part VI, Section C, line 19

“Published notice;avaiable on request”

Form 990, Part VII

“James r. Westergaard - 909 walnut st., mapleton, ia 51034. Fran tramp - 27219 linden ave., blencoe, ia 51523. Gary w. Thies - 40718 co hwy e-16, mapleton, ia 51034. Russell c. Wray - 8 elmwood dr., mapleton, ia 51034. Todd p. Sadler - 401 main st., mapleton, ia 51034.”

Form 990 Part VI Line 10

“Copy of 990 delivered to all board members for personal review and reviewed at annual meeting.”

Form 990 Part VI Line 19

“PUBLISHED NOTICE”

Filing and Contact Details

Filer

EIN
42-1390171
Phone
7128812321

Signing Officer

Name
James R Westergaard
Title
President
Phone
7128812321
Signed
2014-01-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James R Westergaard
Formed
1992
Legal Domicile
Ia
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Preparer
James R Westergaard
Phone
7128812321
Raw XML Appendix351 raw XML fields

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

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0DEVELOPMENT AND PROMOTION OF HEALTH SERVICES FOR GENERAL PUBLIC
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10RUSSELL C WRAY
IRS990/BooksInCareOfDetail/PhoneNum07128811131
IRS990/BooksInCareOfDetail/USAddress/AddressLine108 ELMWOOD DR
IRS990/BooksInCareOfDetail/USAddress/City0MAPLETON
IRS990/BooksInCareOfDetail/USAddress/State0IA
IRS990/BooksInCareOfDetail/USAddress/ZIPCode051034
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd01
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/CashNonInterestBearingGrp/BOYAmt095007
IRS990/CashNonInterestBearingGrp/EOYAmt090811
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt02565
IRS990/CYOtherExpensesAmt042445
IRS990/CYOtherRevenueAmt015800
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-24080
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt042445
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt018365
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ProgramServicesAmt022403
IRS990/DepreciationDepletionGrp/TotalAmt022403
IRS990/Desc0CLINIC BLDG OPERATING COSTS; REMODELING AND REPAIRS EQUIPMENT RENTAL;
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt042445
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt40.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/PersonNm0JAMES R WESTERGAARD
IRS990/Form990PartVIISectionAGrp/PersonNm1FRAN TRAMP
IRS990/Form990PartVIISectionAGrp/PersonNm2GARY W THIES
IRS990/Form990PartVIISectionAGrp/PersonNm3RUSSELL C WRAY
IRS990/Form990PartVIISectionAGrp/PersonNm4TODD P SADLER
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1V. PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SEC.
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREAS.
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01992
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt018365
IRS990/GrossRentsGrp/RealAmt015800
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt05
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt07622
IRS990/InsuranceGrp/TotalAmt07622
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt02565
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt02565
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0451525
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0459128
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0436725
IRS990/LandBldgEquipCostOrOtherBssAmt0888250
IRS990/LegalDomicileStateCd0IA
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0None
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0772604
IRS990/NetAssetsOrFundBalancesEOYAmt0748524
IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt015800
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt015800
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0REPAIRS & MAINTENANCE
IRS990/OtherExpensesGrp/Desc1SERVICE CONTRACT
IRS990/OtherExpensesGrp/Desc2TAXES
IRS990/OtherExpensesGrp/Desc3MISC
IRS990/OtherExpensesGrp/ProgramServicesAmt010813
IRS990/OtherExpensesGrp/ProgramServicesAmt11302
IRS990/OtherExpensesGrp/ProgramServicesAmt2180
IRS990/OtherExpensesGrp/ProgramServicesAmt3125
IRS990/OtherExpensesGrp/TotalAmt010813
IRS990/OtherExpensesGrp/TotalAmt11302
IRS990/OtherExpensesGrp/TotalAmt2180
IRS990/OtherExpensesGrp/TotalAmt3125
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt0571528
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt0571528
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0JAMES R WESTERGAARD
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt03646
IRS990/PYOtherExpensesAmt083409
IRS990/PYOtherRevenueAmt089367
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt09604
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt083409
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt093013
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-24080
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/RealAmt015800
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0201076
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0176996
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0218469
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0220988
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0436725
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0437025
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0873750
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt014500
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt014500
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0436725
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990/ScheduleJRequiredInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0JAMES R WESTERGAARD
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm1FRAN TRAMP
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0DIRECTOR
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1DIRECTOR
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd10
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0LEASE OF CLINIC BUILDING BY BURGESS HEALTH CORPORATION. WESTERGAARD IS
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1DIRECTOR AND TRAMP IS AN EMPLOYEE OF BURGESS
IRS990ScheduleL/DisqualifiedPersonExBnftTrGrp/PersonNm0JAMES R WESTERGAARD
IRS990ScheduleL/DisqualifiedPersonExBnftTrGrp/RlnDisqualifiedPersonOrgTxt0PRESIDENT
IRS990ScheduleL/DisqualifiedPersonExBnftTrGrp/TransactionCorrectedInd00
IRS990ScheduleL/DisqualifiedPersonExBnftTrGrp/TransactionDesc0DIRECTOR OF BURGESS HEALTH CORPORATION WHICH LEASES SPACE IN CLINIC BUILDING
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION HAS ONLY 2 MEMBERS, MAPLE VALLEY DEVELOPMENT, INC., AND BURGESS HEALTH CORPORATION. BOTH ARE TAX EXEMPT ORGANIZATIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MAPLE VALLEY DEVELOPMENT ELECTS 2 DIRECTORS. BURGESS HEALTH CORPORATION ELECTS 3 DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL MEMBERS OF THE BOARD OF DIRECTORS ARE PROVIDED A COMPLETE COPY OF FORM 990 TO REVIEW AND QUESTION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PUBLISHED NOTICE;AVAIABLE ON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4JAMES R. WESTERGAARD - 909 WALNUT ST., MAPLETON, IA 51034. FRAN TRAMP - 27219 LINDEN AVE., BLENCOE, IA 51523. GARY W. THIES - 40718 CO HWY E-16, MAPLETON, IA 51034. RUSSELL C. WRAY - 8 ELMWOOD DR., MAPLETON, IA 51034. TODD P. SADLER - 401 MAIN ST., MAPLETON, IA 51034.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5COPY OF 990 DELIVERED TO ALL BOARD MEMBERS FOR PERSONAL REVIEW AND REVIEWED AT ANNUAL MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6PUBLISHED NOTICE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VII
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990 PART VI LINE 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990 PART VI LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10MAPLE VALLEY DEVELOPMENT INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11BURGESS HEALTH CORPORATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0421379719
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501 (C) (3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501 (C) (3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1IA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0DEVELOPMENT PROGRESS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine10515 MAIN ST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine111600 DIAMOND ST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0MAPLETON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City1ONAWA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0IA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State1IA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode051034
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode151040
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd01
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt015400
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0CHECKS
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine10BURGESS HEALTH CORPORATION
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0A
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0772604
IRS990/TotalAssetsEOYAmt0748524
IRS990/TotalAssetsGrp/BOYAmt0772604
IRS990/TotalAssetsGrp/EOYAmt0748524
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt042445
IRS990/TotalFunctionalExpensesGrp/TotalAmt042445
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0772604
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0748524
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt042445
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt018365
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt018365
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0772604
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0748524
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine10909 WALNUT ST
IRS990/USAddress/City0MAPLETON
IRS990/USAddress/State0IA
IRS990/USAddress/ZIPCode051034
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JAMES R WESTERGAARD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum07128812321
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-01-30
ReturnHeader/Filer/BusinessName/BusinessNameLine10HEALTH - DEVELOPMENT TRIAD INC
ReturnHeader/Filer/BusinessNameControlTxt0HEAL
ReturnHeader/Filer/EIN0421390171
ReturnHeader/Filer/PhoneNum07128812321
ReturnHeader/Filer/USAddress/AddressLine10515 MAIN ST
ReturnHeader/Filer/USAddress/City0MAPLETON
ReturnHeader/Filer/USAddress/State0IA
ReturnHeader/Filer/USAddress/ZIPCode051034
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0421415697
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10GAUKEL NEVINS & WESTERGAARD PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10515 MAIN ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0MAPLETON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode051034
ReturnHeader/PreparerPersonGrp/PhoneNum07128812321
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0James R Westergaard
ReturnHeader/ReturnTs02014-01-31T14:28:56-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.