Civic Intelligence

Health-Development Triad Inc.

990 • Fiscal year 2013 • EIN 42-1390171

Jan 01, 2013 to Dec 31, 2013 • Filed on Jan 30, 2014

Organization ProfileN/A
515 Main StMapleton, IA 51034

(712) 881-2321

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

24th percentile

0.00x

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

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

Liabilities / Revenue

25th percentile

0.00x

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

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

Net Margin

2nd percentile

-131%

Higher net margin than 2% of similar nonprofits.

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

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

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

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

Asset Growth

30th percentile

-3.1%

Faster asset growth than 30% of similar nonprofits.

2013 filings • 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 / Assets24th percentile

Assets

Down

$748,524

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

Net Assets

Down

$748,524

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

Liabilities

Flat

$0

Flat from 2012

Revenue And Expenses
Liabilities / Revenue25th percentileNet Margin2nd 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.

Historical Trend

Balance Sheet Trend

Asset Growth30th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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 across loaded years, with this 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
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 Pay49th percentile

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.

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IRS990/BooksInCareOfDetail/PhoneNum07128811131
IRS990/BooksInCareOfDetail/USAddress/AddressLine108 ELMWOOD DR
IRS990/BooksInCareOfDetail/USAddress/City0MAPLETON
IRS990/BooksInCareOfDetail/USAddress/State0IA
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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
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
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IRS990/GroupReturnForAffiliatesInd00
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IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
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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
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IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
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IRS990/OtherExpensesGrp/Desc2TAXES
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IRS990/OtherExpensesGrp/TotalAmt2180
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IRS990/PartialLiquidationInd00
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IRS990/PoliticalCampaignActyInd00
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IRS990/ScheduleBRequiredInd00
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IRS990ScheduleI/GrantRecordsMaintainedInd01
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm1FRAN TRAMP
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0DIRECTOR
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1DIRECTOR
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd10
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1DIRECTOR AND TRAMP IS AN EMPLOYEE OF BURGESS
IRS990ScheduleL/DisqualifiedPersonExBnftTrGrp/PersonNm0JAMES R WESTERGAARD
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IRS990ScheduleL/DisqualifiedPersonExBnftTrGrp/TransactionCorrectedInd00
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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
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10MAPLE VALLEY DEVELOPMENT INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11BURGESS HEALTH CORPORATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0421379719
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine10515 MAIN ST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine111600 DIAMOND ST
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City1ONAWA
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IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
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IRS990ScheduleR/PerformOfServicesForOthOrgInd00
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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
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IRS990ScheduleR/TransferToOtherOrgInd00
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IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalOtherCompensationAmt00
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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

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Filings

Displayed 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