IOWA HEALTHCARE COLLABORATIVE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
IOWA HEALTHCARE COLLABORATIVE (EIN 20-3869767)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-06
IRS object ID
202333109349303228
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-06T15:31:55-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420794029PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DENMAN & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11601 22ND STREET SUITE 400AddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP502661453ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203869767EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IOWA HEALTHCARE COLLABORATIVEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIOWABusinessNameControlTxt
Phone5152839330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18170 HEATHER BOWAddressLine1Txt
CityJOHNSTONCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50131ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS C EVANS MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5152839330PhoneNum
Signature2023-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTHOMASPersonFirstNm
Person LastEVANS MDPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Form8822 B AttachedYes (X)Form8822BAttachedInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVE SCHWEIZERPreparerPersonNm
PTINP01238619PTIN
Phone5152258400PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerTHOMAS C EVANS MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18170 HEATHER BOWAddressLine1Txt
CityJOHNSTONCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50131ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,151,214GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IHCONLINE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionIOWA HEALTHCARE COLLABORATIVE WAS ORGANIZED FOR THE PURPOSE OF PROMOTING QUALITY IMPROVEMENT, PATIENT SAFETY, AND VALUE THROUGH EDUCATION. THE COLLABORATIVE BRINGS TOGETHER PROVIDERS FROM ACROSS THE STATE OF IOWA TO WORK TOWARD THE COMMON GOAL OF EXCEPTIONAL HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,418,375PYContributionsGrantsAmt
CY Contributions Grants$5,795,359CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$35,103CYProgramServiceRevenueAmt
PY Investment Income$175,036PYInvestmentIncomeAmt
CY Investment Income$185,720CYInvestmentIncomeAmt
PY Other Revenue$1,008,290PYOtherRevenueAmt
CY Other Revenue$108,845CYOtherRevenueAmt
PY Total Revenue$5,601,701PYTotalRevenueAmt
CY Total Revenue$6,125,027CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,353,041PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,395,100CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,203CYTotalFundraisingExpenseAmt
PY Other Expenses$2,565,815PYOtherExpensesAmt
CY Other Expenses$2,916,989CYOtherExpensesAmt
PY Total Expenses$5,918,856PYTotalExpensesAmt
CY Total Expenses$6,312,089CYTotalExpensesAmt
PY Revenues Less Expenses-$317,155PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$187,062CYRevenuesLessExpensesAmt
Total Assets BOY$12,881,277TotalAssetsBOYAmt
Total Assets EOY$11,009,949TotalAssetsEOYAmt
Total Liabilities BOY$611,871TotalLiabilitiesBOYAmt
Total Liabilities EOY$455,838TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,269,406NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,554,111NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIOWA HEALTHCARE COLLABORATIVE WAS ORGANIZED FOR THE PURPOSE OF PROMOTING QUALITY IMPROVEMENT, PATIENT SAFETY, AND VALUE THROUGH EDUCATION. THE COLLABORATIVE BRINGS TOGETHER PROVIDERS FROM ACROSS THE STATE OF IOWA TO WORK TOWARD THE COMMON GOAL OF EXCEPTIONAL HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,017,558ExpenseAmt
Revenue$0RevenueAmt
DescHOSPITAL QUALITY IMPROVEMENT CONTRACTOR- IMPROVE BEHAVORIAL HEALTH OUTCOMES, DECREASE OPIOID MISUSE, IMPROVE PATIENT SAFETY, REDUCE HARM, IMPROVE THE QUALITY OF CARE TRANSITIONS AND REDUCE READMISSIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,899,947ExpenseAmt
Revenue$0RevenueAmt
DescOPIOID TORP- EDUCATE AND PROVIDE OUTREACH TO OUTLIER PRESCRIBERS OF OPIOIDS ABOUT BEST PRACTICES FOR PRESCRIBING OPIOIDS AND ALSO ABOUT NON-OPIOID PAIN MANAGEMENT THERAPIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,191,232ExpenseAmt
Revenue$35,103RevenueAmt
DescOTHER PROGRAMS PROVIDED BY IOWA HEALTHCARE COLLABORATIVEDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,108,737TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee25EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS C EVANS MDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5152839330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 EAST GRANDAddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50309ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL ROMANO MD
CHAIR1.00Yes (X)Yes (X)$0$0$0
DAVID WILLIAMS MD
VICE-CHAIR1.00Yes (X)Yes (X)$0$0$0
BRIAN DIETER
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
JENNIFER BRYANT
DIRECTOR1.00Yes (X)$0$0$0
AARON WIESE
DIRECTOR1.00Yes (X)$0$0$0
STEVE CHURCHILL
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER HAVENS
DIRECTOR1.00Yes (X)$0$0$0
KAY TAKES
DIRECTOR1.00Yes (X)$0$0$0
LAURA JACKSON
DIRECTOR1.00Yes (X)$0$0$0
GERARD CLANCY
DIRECTOR1.00Yes (X)$0$0$0
JULIE WHITE
DIRECTOR1.00Yes (X)$0$0$0
W JOHN YOST MD
DIRECTOR1.00Yes (X)$0$0$0
PAT MERRYWEATHER-ARGES
DIRECTOR1.00Yes (X)$0$0$0
SHANNON STRICKLER
DIRECTOR1.00Yes (X)$0$0$0
CHRIS MITCHELL
DIRECTOR1.00Yes (X)$0$0$0
CHRISTINE TAYLOR MD
DIRECTOR1.00Yes (X)$0$0$0
THOMAS EVANS MD
PRESIDENT, CEO40.00Yes (X)$622,038$0$43,252
JENNIFER BROCKMAN
CHIEF CLINICAL PROGRAM OFFICER40.00$218,055$0$44,872Yes (X)
CHRISTOPHER EVANS
CHIEF OPERATING OFFICER40.00$214,798$0$44,472Yes (X)
CHARISSE COULOMBE
DIRECTOR, HEALTH SERVICES40.00$127,914$0$18,987Yes (X)
DAMON MORRISON
DIRECTOR OF INFORMATION TECHNOLOGY, CPSO40.00$122,418$0$25,392Yes (X)
STEPHANIE MULLER
DIRECTOR OF HUMAN RESOURCES AND PEOPLE OPERATIONS40.00$113,505$0$13,123Yes (X)
CARI SEDDON
DIRECTOR, COMMUNITY QUALITY INITIATIVES40.00$106,853$0$10,625Yes (X)
TARA STEINKUEHLER
DIRECTOR, FINANCE40.00$112,971$0$16,968Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,638,552TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$217,691TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
STADER OPIOID CONSULTANTS LLC
742 JOSEPH CIRCLEGOLDENCO80403GRANT SUPPORT SERVICES$488,748
IOWA HOSPITAL ASSOCIATION
100 EAST GRAND SUITE 100DES MOINESIA50309ADMINISTRATIVE SUPPORT AND GRANT SUPPORT$413,190
KANSAS HEALTHCARE COLLABORATIVE
623 SW 10TH AVENUETOPEKAKS66612GRANT SUPPORT SERVICES$361,722
MHA HEALTH RESEARCH & EDUCATION FOUNDATI
116 WOODGREEN CROSSINGMADISONMS39110GRANT SUPPORT SERVICES$284,057
SOUTH DAKOTA ASSOCIATION OF HEALTHCARE O
3708 WEST BROOKS PLACESIOUX FALLSSD57106GRANT SUPPORT SERVICES$196,799
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$5,695,359GovernmentGrantsAmt
All Other Contributions$100,000AllOtherContributionsAmt
Total Contributions$5,795,359TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCONFERENCE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$35,103TotalRevenueColumnAmt
Related Or Exempt Func Income$35,103RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$35,103TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$190,383TotalRevenueColumnAmt
Exclusion$190,383ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$21,524OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$26,187OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,663OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,663TotalRevenueColumnAmt
Related Or Exempt Func Income-$4,663RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE RETENTION TAX900099$80,692$80,692
MISCELLANEOUS900099$28,153$28,153
FieldValueIRS element (for citing)
Other Revenue Total$108,845OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,125,027TotalRevenueColumnAmt
Related Or Exempt Func Income$139,285RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$190,383ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,856,243TotalAmt
Program Services$1,728,860ProgramServicesAmt
Management And General$120,024ManagementAndGeneralAmt
Fundraising$7,359FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,144,696TotalAmt
Program Services$1,144,696ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,849TotalAmt
Program Services$31,849ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$176,589TotalAmt
Program Services$176,589ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$185,723TotalAmt
Program Services$178,351ProgramServicesAmt
Management And General$6,946ManagementAndGeneralAmt
Fundraising$426FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$32,784TotalAmt
Management And General$32,784ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,497,233TotalAmt
Program Services$1,493,132ProgramServicesAmt
Management And General$3,897ManagementAndGeneralAmt
Fundraising$204FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,241TotalAmt
Program Services$35,488ProgramServicesAmt
Management And General$750ManagementAndGeneralAmt
Fundraising$3FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$187,163TotalAmt
Program Services$185,180ProgramServicesAmt
Management And General$1,878ManagementAndGeneralAmt
Fundraising$105FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$72,855TotalAmt
Program Services$72,050ProgramServicesAmt
Management And General$783ManagementAndGeneralAmt
Fundraising$22FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,757TotalAmt
Program Services$28,055ProgramServicesAmt
Management And General$3,702ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$295,285TotalAmt
Program Services$294,272ProgramServicesAmt
Management And General$1,013ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,789TotalAmt
Program Services$33,789ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,711TotalAmt
Program Services$25,351ProgramServicesAmt
Management And General$346ManagementAndGeneralAmt
Fundraising$14FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONSULTANTS AND CONTRAC$640,877$640,046$791$40
MISCELLANEOUS$53,981$32,228$16,732$5,021
TELEPHONE$9,019$8,801$209$9
MARKETING$294$294

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,312,089TotalAmt
Program Services$6,108,737ProgramServicesAmt
Management And General$190,149ManagementAndGeneralAmt
Fundraising$13,203FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,788,626BOYAmt
EOY$1,984,361EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,703,848BOYAmt
EOY$1,061,229EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$110,399BOYAmt
EOY$107,708EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$129,482LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$116,803LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$62,639BOYAmt
EOY$12,679EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,215,765BOYAmt
EOY$7,843,972EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,881,277BOYAmt
EOY$11,009,949EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$328,210BOYAmt
EOY$276,764EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$27,678BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$255,983BOYAmt
EOY$179,074EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$611,871BOYAmt
EOY$455,838EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,269,406BOYAmt
EOY$10,554,111EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,269,406BOYAmt
EOY$10,554,111EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,881,277BOYAmt
EOY$11,009,949EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$187,062ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,528,233NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,916,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,572,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,486,993CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,418,375CurrentTaxYearMinus1YearAmt
Current Tax Year$5,795,359CurrentTaxYearAmt
Total$45,189,516TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,916,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,572,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,486,993CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,418,375CurrentTaxYearMinus1YearAmt
Current Tax Year$5,795,359CurrentTaxYearAmt
Total$45,189,516TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$45,189,516PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$305,318CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$229,330CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$162,723CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$175,036CurrentTaxYearMinus1YearAmt
Current Tax Year$190,383CurrentTaxYearAmt
Total$1,062,790TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,618CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$830CurrentTaxYearMinus1YearAmt
Current Tax Year$28,153CurrentTaxYearAmt
Total$70,035TotalAmt
FieldValueIRS element (for citing)
Total Support$46,322,341TotalSupportAmt
Public Support CY1700.97550PublicSupportCY170Pct
Public Support PY1700.97900PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,466OtherCostOrOtherBasisAmt
Depreciation$116,803DepreciationAmt
Book Value$2,663BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,016OtherCostOrOtherBasisAmt
Book Value$10,016BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,679TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED EMPLOYEE COMPENSATIONDesc
Amt$179,074Amt
FieldValueIRS element (for citing)
Total Liability$179,074TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,564,010TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,528,233NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,528,233RevenueNotReportedAmt
Revenue Subtotal$6,092,243RevenueSubtotalAmt
Investment Expenses Not Incld$32,784InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$32,784RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,125,027TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,279,305TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,279,305ExpensesSubtotalAmt
Investment Expenses Not Incld2$32,784InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$32,784ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,312,089TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COLLABORATIVE AND RECOGNIZE A TAX LIABILITY OR ASSET FOR AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURES IN THE FINANCIAL STATEMENTS. THE COLLABORATIVE IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE COLLABORATIVE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS EVANS MD
PRESIDENT, CEO$622,038$0$0$0$0$0$27,450$0$15,802$0$665,290$0$0$0
JENNIFER BROCKMAN
CHIEF CLINICAL PROGRAM OFFICER$218,055$0$0$0$0$0$24,497$0$20,375$0$262,927$0$0$0
CHRISTOPHER EVANS
CHIEF OPERATING OFFICER$214,798$0$0$0$0$0$24,052$0$20,420$0$259,270$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BRIAN DIETER
BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE$413,192IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.0
STEVE CHURCHILL
CEO OF IOWA MEDICAL SOCIETY AND BOARD MEMBER OF IHC$28,532IOWA MEDICAL SOCIETY PROVIDES CONSULTING SERVICES0
LAURIE CONNER
BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE$413,192IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.0
CHRIS MITCHELL
PRESIDENT IOWA HOSPITAL ASSOC. AND BOARD MEMBER, IOWA HEALTHCARE COLL.$413,192IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BEACH BOARD MEMBER RECEIVES A COPY OF THE FORM 990 FOR THEIR REVIEW IN ADVANCE OF ITS SUBMISSION TO THE IRS. MANAGEMENT REVIEWS THE FORM IN DETAIL BEFORE SENDING TO THE BOARD FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. A NEW DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE, CONSISTING OF THE CHAIR, VICE-CHAIR AND SECRETARY-TREASURER, MEET TO ANNUALLY REVIEW PERFORMANCE EVALUATION FEEDBACK FROM A SURVEY OF THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE EVALUATION WITH THE PRESIDENT. THE EXECUTIVE COMMITTEE USES THE RESULTS FROM A COMPENSATION REVIEW PERFORMED BY AN INDEPENDENT THIRD PARTY AS GUIDE IN THEIR NEGOTIATION OF ADDITIONAL COMPENSATION FOR THE PRESIDENT. THE EXCUTIVE COMMITTEE'S RECOMMENDATION ON SALARY ADJUSTMENT COMES TO THE BOARD FOR THEIR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER CONTRACT FEES: PROGRAM SERVICE EXPENSES 1,456,396. MANAGEMENT AND GENERAL EXPENSES 3,514. FUNDRAISING EXPENSES 196. TOTAL EXPENSES 1,460,106. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 36,736. MANAGEMENT AND GENERAL EXPENSES 383. FUNDRAISING EXPENSES 8. TOTAL EXPENSES 37,127.
FORM 990, PART XII, LINE 2C:NO CHANGES FROM PRIOR YEAR.

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