2024-04-04T21:22:37-05:00 2023-12-31 420714325 RSM US LLP 201 FIRST ST SE SUITE 800 CEDAR RAPIDS IA 52401 990 2023-01-01 472845823 INDEPENDENT HEALTH NETWORK INC INDE 4024767333 575 FALLBROOK BLVD STE 204 LINCOLN NE 685219040 RODNEY TRIPLETT CEO 4024767333 2024-04-02 1 RODNEY TRIPLETT 999009999 1 SHAWNA HULS P01315330 3192985333 2024-04-02 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z RODNEY TRIPLETT 600 I STREET PO BOX 433 PAWNEE CITY NE 684200433 449119 0 X N/A X 2015 NE INDEPENDENT HEALTH NETWORK, INC.'S ("CHARITY") PURPOSE IS TO ORGANIZE AND OPERATE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3); IN PARTICULAR, TO PROMOTE HEALTH BY ALLOWING RURAL HEALTH CARE PROVIDERS TO MORE EFFECTIVELY PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO THE COMMUNITIES THEY SERVE. THE CHARITY'S PRIMARY ACTIVITY IN SUPPORT OF THIS PURPOSE WILL BE TO MAKE AVAILABLE TO THOSE PROVIDERS ACCESS TO A BROADBAND TELECOMMUNICATIONS NETWORK AND THE INTERNET. 6 5 0 6 0 0 0 0 597462 429636 6239 19483 0 0 603701 449119 0 0 0 0 0 0 0 0 0 511506 439187 511506 439187 92195 9932 385831 413565 9537 27339 376294 386226 X INDEPENDENT HEALTH NETWORK, INC.'S ("CHARITY") PURPOSE IS TO ORGANIZE AND OPERATE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3); IN PARTICULAR, TO PROMOTE HEALTH BY ALLOWING RURAL HEALTH CARE PROVIDERS TO MORE EFFECTIVELY PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO THE COMMUNITIES THEY SERVE. THE CHARITY'S PRIMARY ACTIVITY IN SUPPORT OF THIS PURPOSE WILL BE TO MAKE AVAILABLE TO THOSE PROVIDERS ACCESS TO A BROADBAND TELECOMMUNICATIONS NETWORK AND THE INTERNET. 0 0 344656 429636 ESTABLISH AND OFFER BROADBAND TELECOMMUNICATIONS NETWORK AND INTERNET SERVICES TO RURAL HEALTH CARE PROVIDERS SO THEY CAN MORE EFFECTIVELY PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO THE COMMUNITIES THEY SERVE. 344656 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X PRAIRIE HEALTH VENTURES LLC 4027422205 575 FALLBROOK BLVD SUITE 204 LINCOLN NE 68521 RODNEY TRIPLETT PRESIDENT & CEO 5.00 35.00 X X 0 411723 39542 CURTIS HAWKINSON BOARD CHAIR 0.20 0.00 X X 0 0 0 TIM SCHNACK VICE CHAIR 0.20 0.00 X X 0 0 0 AMANDA ROEBUCK DIRECTOR 0.20 0.00 X 0 0 0 TREG VYZOUREK DIRECTOR 0.20 0.00 X 0 0 0 STACY KNOX DIRECTOR 0.20 0.00 X 0 0 0 0 411723 39542 0 0 1 0 IP PATHWAYS 3600 109TH STREET URBANDALE IA 50322 CARRIER COSTS 197725 PRAIRIE HEALTH VENTURES 575 FALLBROOK BLVD SUITE 204 LINCOLN NE 68521 MANAGEMENT FEE 149360 2 NETWORK SERVICES 517000 238156 238156 CARRIER CREDIT INCOME 517000 155580 155580 USAC REVENUE 517000 35900 35900 429636 19483 19483 449119 429636 0 19483 X 91797 91797 2598 2598 344656 344656 QUICKBOOKS PAYMENT FEES 136 136 439187 344656 94531 0 5221 5319 369100 398583 11510 9663 385831 413565 9537 27339 9537 27339 X 0 0 2800000 2800000 -2423706 -2413774 376294 386226 385831 413565 9932 0 X 0 0 0 X 600000 450000 81916 0 0 1131916 600000 450000 81916 1131916 560628 571288 2200 403 27 6239 19483 28352 1160268 3123376 0.49240 0.49550 X 0 0 0 0 0 0 0 0 0 RODNEY TRIPLETT PRESIDENT & CEO 0 285018 0 126705 0 0 0 21350 0 18192 0 451265 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS THE FOLLOWING THREE CLASSES OF MEMBERS: CLASS A, CLASS B AND CLASS C. PRAIRIE HEALTH VENTURES IS THE SOLE CLASS A MEMBER; CLASS B MEMBERS ARE ALL ELIGIBLE HEALTHCARE PROVIDERS; CLASS C MEMBERS ARE ALL INELIGIBLE HEALTHCARE PROVIDERS. FORM 990, PART VI, SECTION A, LINE 7A CLASS C MEMBERS DO NOT PARTICIPATE IN THE GOVERNANCE OF THE CORPORATION, INCLUDING VOTING ON ANY MATTERS, OTHER THAN IN AN ADVISORY CAPACITY TO THE EXTENT PERMITTED AND REQUESTED BY THE BOARD. THE CLASS A MEMBER HAS MORE THAN FIFTY PERCENT (50%) OF THE VOTING POWER OF ALL MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B ONLY CLASS A AND CLASS B MEMBERS MAY ELECT DIRECTORS. CLASS A MEMBER APPOINTS OVER 50% OF ALL DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING AND REVIEWED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 12C ON APRIL 10, 2015, THE BOARD OF DIRECTORS OF THE CHARITY PASSED A RESOLUTION ADOPTING THE CHARITY'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MONITORING COSTS: PROGRAM SERVICE EXPENSES 500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500. USAC EXPENSES: PROGRAM SERVICE EXPENSES 146,431. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,431. CARRIER COSTS: PROGRAM SERVICE EXPENSES 197,725. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,725. PRAIRIE HEALTH VENTURES LLC 575 FALLBROOK BLVD SUITE 204 LINCOLN NE 68521 204962103 HEALTHCARE SOLUTIONS NE N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0