990EZ • Fiscal year 2015 • EIN 45-4563243
Scores are not available for this record yet.
Assets
Down$4,841
Down $4,626 (-49%) from 2014
Net Assets
Down-$5,159
Down $14,095 (-158%) from 2014
Liabilities
Up$10,000
Up $9,469 (+1783%) from 2014
Revenue
Down$110,342
Down $53,136 (-33%) from 2014
Expenses
Down$132,313
Down $31,634 (-19%) from 2014
Net Income
Down-$21,971
Down $21,502 (-4585%) from 2014
Creation and implementation of health care simulation training for students, residents, and clinicians of multiple professions.
To establish, maintain and operate a center for cooperative education and training of multi disciplinary health care professionals through the use of simulation, as a shared community and regional resource. The cooperative education and training of multi-disciplinary health care students and professionals through the use of simulation.
| Description | Grants | Expenses |
|---|---|---|
| CREATION AND IMPLEMENTATION OF A FACULTY DEVELOPMENT WORKSHOP AND SUPPORT OF CHSE FACULTY CERTIFICATION. | - | $132,313 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| GARY OBORNY | Chair | - | $0 | - | - |
| DIANA LIPPOLDT RN MBA | Vice Chair | - | $0 | - | - |
| JACK D FLESHER JD | Secretary/ T | - | $0 | - | - |
| MARY PATTERSON MD MED | Director | - | $0 | - | - |
| PAUL UHLIG MD | Co Exec. Di | PT | $0 | - | - |
| MARY KOEHN PHD APRN CHSE | Co Executive | PT | $0 | - | - |
“Expenses promotional materials 684 bank charges 214 conference registrations 180 dues and subscriptions 784 hospitality 589 liability insurance 2,397 ku service fees 337 meals 161 office expenses 460 other g&a expenses 668 supplies 9 miscellaneous 58 total 6,541”
“Transfer of wichita comm. Foundation to fund bala 7,876”
“Accounts payable and accrued expenses 531 2,000 loans from officers 0 8,000”
“To establish, maintain and operate a center for cooperative education and training of multi disciplinary health care professionals through the use of simulation, as a shared community and regional resource. The cooperative education and training of multi-disciplinary health care students and professionals through the use of simulation.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | false |
| IRS990EZ/AddressChangeInd | 0 | X |
| IRS990EZ/BooksInCareOfDetail/PersonNm | 0 | MIKE SHEPHERD |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 3168580186 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1010 N KANSAS SUITE 2211 |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | WICHITA |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | KS |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 67214 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 9467 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt | 0 | 4841 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | false |
| IRS990EZ/ContributionsGiftsGrantsEtcAmt | 0 | 110342 |
| IRS990EZ/DonorAdvisedFndsInd | 0 | false |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | -21971 |
| IRS990EZ/FeesAndOtherPymtToIndCntrctAmt | 0 | 50050 |
| IRS990EZ/FiledScheduleAInd | 0 | true |
| IRS990EZ/ForeignFinancialAccountInd | 0 | false |
| IRS990EZ/ForeignOfficeInd | 0 | false |
| IRS990EZ/Form1120PolFiledInd | 0 | false |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 9467 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 4841 |
| IRS990EZ/GrossReceiptsAmt | 0 | 110342 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/LoansToFromOfficersAmt | 0 | 8000 |
| IRS990EZ/LobbyingActivitiesInd | 0 | false |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | true |
| IRS990EZ/MethodOfAccountingCashInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 8936 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | -5159 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 8936 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | -5159 |
| IRS990EZ/OccupancyRentUtltsAndMaintAmt | 0 | 4173 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 3.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 6.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 6.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | GARY OBORNY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | DIANA LIPPOLDT RN MBA |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | JACK D FLESHER JD |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | MARY PATTERSON MD MED |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | PAUL UHLIG MD |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | MARY KOEHN PHD APRN CHSE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | CHAIR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | SECRETARY/ T |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | CO EXEC. DI |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | CO EXECUTIVE |
| IRS990EZ/OperateHospitalInd | 0 | false |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | false |
| IRS990EZ/OrganizationHadUBIInd | 0 | false |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 7876 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 6541 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | false |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | TO ESTABLISH, MAINTAIN AND OPERATE A CENTER FOR COOPERATIVE EDUCATION AND TRAINING OF MULTI DISCIPLINARY HEALTH CARE PROFESSIONALS THROUGH THE USE OF SIMULATION, AS A SHARED COMMUNITY AND REGIONAL RESOURCE. THE COOPERATIVE EDUCATION AND TRAINING OF MULTI-DISCIPLINARY HEALTH CARE STUDENTS AND PROFESSIONALS THROUGH THE USE OF SIMULATION. |
| IRS990EZ/PrintingPublicationsPostageAmt | 0 | 1036 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | CREATION AND IMPLEMENTATION OF A FACULTY DEVELOPMENT WORKSHOP AND SUPPORT OF CHSE FACULTY CERTIFICATION. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 132313 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990EZ/SalariesOtherCompEmplBnftAmt | 0 | 70513 |
| IRS990EZ/SchoolOperatingInd | 0 | true |
| IRS990EZ/SubjectToProxyTaxInd | 0 | false |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 531 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 10000 |
| IRS990EZ/TanningServicesProvidedInd | 0 | false |
| IRS990EZ/TotalExpensesAmt | 0 | 132313 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 132313 |
| IRS990EZ/TotalRevenueAmt | 0 | 110342 |
| IRS990EZ/TransactionWithControlEntInd | 0 | false |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | false |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | WWW.HEALTHSIMUNITED.ORG |
| IRS990ScheduleA/SchoolInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990ScheduleE/ComplianceWithRevProc7550Ind | 0 | true |
| IRS990ScheduleE/DiscriminateRaceAdmissPlcyInd | 0 | false |
| IRS990ScheduleE/DiscriminateRaceAthltProgInd | 0 | false |
| IRS990ScheduleE/DiscriminateRaceEducPlcyInd | 0 | false |
| IRS990ScheduleE/DiscriminateRaceEmplmFcultyInd | 0 | false |
| IRS990ScheduleE/DiscriminateRaceOtherActyInd | 0 | false |
| IRS990ScheduleE/DiscriminateRaceSchsInd | 0 | false |
| IRS990ScheduleE/DiscriminateRaceStdntsRghtsInd | 0 | false |
| IRS990ScheduleE/DiscriminateRaceUseOfFcltsInd | 0 | false |
| IRS990ScheduleE/GovernmentFinancialAidRcvdInd | 0 | false |
| IRS990ScheduleE/GovernmentFinancialAidRvkdInd | 0 | false |
| IRS990ScheduleE/MaintainCpyOfAllSolInd | 0 | true |
| IRS990ScheduleE/MaintainCpyOfBrochuresEtcInd | 0 | false |
| IRS990ScheduleE/MaintainRacialCompRecsInd | 0 | false |
| IRS990ScheduleE/MaintainScholarshipsRecsInd | 0 | false |
| IRS990ScheduleE/NondiscriminatoryPolicyStmtInd | 0 | true |
| IRS990ScheduleE/PlcyPblczdViaBroadcastMediaInd | 0 | false |
| IRS990ScheduleE/PolicyStmtInBrochuresEtcInd | 0 | true |
| IRS990ScheduleE/SupplementalInformationDetail/ExplanationTxt | 0 | SINCE THE ORGANIZATION WILL TRAIN ONLY EMPLOYEES OF CERTAIN HOSPITALS AND STUDENTS OF CERTAIN EDUCATIONAL INSTITUTIONS, THE ORGANIZATIONS NONDISCRIMINATION POLICY WILL BE DISTRIBUTED ONLY THROUGH THOSE ENTITIES. |
| IRS990ScheduleE/SupplementalInformationDetail/ExplanationTxt | 1 | IN THE LIMITED BASIS OF CURRENT TRAINING PROGRAMS, THE ATTENDANCE RECORDS ONLY INCLUDE NAME, PROFESSION, AND AFFILIATION. |
| IRS990ScheduleE/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE E, LINE 3 |
| IRS990ScheduleE/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | SCHEDULE E, LINE 4 |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/BalanceDueAmt | 0 | 8000 |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/BoardOrCommitteeApprovalInd | 0 | true |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/DefaultInd | 0 | false |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanPurposeTxt | 0 | OPERATING EXP |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanToOrganizationInd | 0 | X |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/OriginalPrincipalAmt | 0 | 16000 |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/PersonNm | 0 | DR PAUL UHLIG |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/RelationshipWithOrgTxt | 0 | CO- EXEC DIRECTOR |
| IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/WrittenAgreementInd | 0 | true |
| IRS990ScheduleL/TotalBalanceDueAmt | 0 | 8000 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | EXPENSES PROMOTIONAL MATERIALS 684 BANK CHARGES 214 CONFERENCE REGISTRATIONS 180 DUES AND SUBSCRIPTIONS 784 HOSPITALITY 589 LIABILITY INSURANCE 2,397 KU SERVICE FEES 337 MEALS 161 OFFICE EXPENSES 460 OTHER G&A EXPENSES 668 SUPPLIES 9 MISCELLANEOUS 58 TOTAL 6,541 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | TRANSFER OF WICHITA COMM. FOUNDATION TO FUND BALA 7,876 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 531 2,000 LOANS FROM OFFICERS 0 8,000 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | TO ESTABLISH, MAINTAIN AND OPERATE A CENTER FOR COOPERATIVE EDUCATION AND TRAINING OF MULTI DISCIPLINARY HEALTH CARE PROFESSIONALS THROUGH THE USE OF SIMULATION, AS A SHARED COMMUNITY AND REGIONAL RESOURCE. THE COOPERATIVE EDUCATION AND TRAINING OF MULTI-DISCIPLINARY HEALTH CARE STUDENTS AND PROFESSIONALS THROUGH THE USE OF SIMULATION. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART I, LINE 20 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART II, LINE 26 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990-EZ, PART III |
| ReturnHeader/BuildTS | 0 | 2016-08-17 19:52:53Z |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | PAUL N UHLIG MD |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CO-EXECUTIVE DIRECTOR |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 3168580186 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2016-04-06 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | HEALTHSIM UNITED INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | HEAL |
| ReturnHeader/Filer/EIN | 0 | 454563243 |
| ReturnHeader/Filer/PhoneNum | 0 | 3168580186 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 1010 N KANSAS SUITE 2211 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | WICHITA |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | KS |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 67214 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 481089910 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | LARSON & COMPANY PA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 200 W DOUGLAS AVE STE 1000 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | WICHITA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | KS |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 67202 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 3162638030 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2016-04-06 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | DERRY A LARSON |
| ReturnHeader/ReturnTs | 0 | 2016-05-04T08:55:00-05:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2014-07-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2015-06-30 |
| ReturnHeader/TaxYr | 0 | 2014 |
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Displayed year
2015 • Form 990EZDetailed filing. Detailed filing data is available for this year.
