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IOWA CITY VA MEDICAL RESEARCH FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
IOWA CITY VA MEDICAL RESEARCH FOUNDATION (EIN 39-1886437)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-23
IRS object ID
202231439349300758
Schema version
2021v4.2
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)
Return2022-05-23T11:43:34-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 3RD AVENUE SE SUITE 300AddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391886437EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IOWA CITY VA MEDICAL RESEARCH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIOWABusinessNameControlTxt
Phone3196883542PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WEST 151AddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52246ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHLEEN HOLTPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3196883542PhoneNum
Signature2022-05-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATHLEENPersonFirstNm
Person LastHOLTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LITTLEPreparerPersonNm
PTINP01480921PTIN
Phone3193632697PhoneNum
Preparation2022-05-23PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATHLEEN HOLTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WEST 151AddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52246ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$334,066GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ICVAFOUNDATION.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO MOBILIZE RESOURCES TO IMPROVE THE HEALTH AND WELL BEING OF THE VETERAN COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,628PYContributionsGrantsAmt
CY Contributions Grants$195CYContributionsGrantsAmt
PY Program Service Revenue$56,415PYProgramServiceRevenueAmt
CY Program Service Revenue$332,179CYProgramServiceRevenueAmt
PY Investment Income$12,082PYInvestmentIncomeAmt
CY Investment Income$1,644CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$48CYOtherRevenueAmt
PY Total Revenue$70,125PYTotalRevenueAmt
CY Total Revenue$334,066CYTotalRevenueAmt
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$69,796PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$325,776CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$333,565PYOtherExpensesAmt
CY Other Expenses$336,074CYOtherExpensesAmt
PY Total Expenses$403,361PYTotalExpensesAmt
CY Total Expenses$661,850CYTotalExpensesAmt
PY Revenues Less Expenses-$333,236PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$327,784CYRevenuesLessExpensesAmt
Total Assets BOY$1,264,052TotalAssetsBOYAmt
Total Assets EOY$928,689TotalAssetsEOYAmt
Total Liabilities BOY$990,927TotalLiabilitiesBOYAmt
Total Liabilities EOY$983,348TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$273,125NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$54,659NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE IOWA CITY VA MEDICAL RESEARCH FOUNDATION'S (ICVARF) MISSION IS TO MOBILIZE RESOURCES THAT HELP IMPROVE VETERANS' HEALTHCARE, EDUCATION, AND LIVES. BASED IN IOWA CITY, A HUB OF RESEARCH AND HEALTH CARE IN THE MIDWEST, THE FOUNDATION SERVICES VETERANS IN IOWA AND EASTERN ILLINOIR. ICVARF ALSO HELPS THE IOWA CITY VA HEALTH CARE SYSTEM ADVANCE ITS HEALTHCARE GOALS. ICVARF SUPPORTS MEDICAL RESEARCH PROJECTS LED BY VA PRINCIPAL INVESTIGATORS AND STAFF TO ASSIST AND IMPROVE THE HEALTHCARE PROVIDED TO THE VETERAN COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$518,633ExpenseAmt
Revenue$332,227RevenueAmt
DescIOWA CITY VA MEDICAL RESEARCH FOUNDATION (ICVARF) MOBILIZES RESOURCES THAT HELP IMPROVE VETERANS' HEALTHCARE, EDUCATION, AND LIVES. BASED IN IOWA CITY, A HUB OF RESEARCH AND HEALTH CARE IN THE MIDWEST, WE SERVE VETERANS IN IOWA AND EASTERN ILLINOIS. ICVARF HELPS THE IOWA CITY VA HEALTH CARE SYSTEM ADVANCE ITS HEALTHCARE GOALS. ICVARF SUPPORTS MEDICAL RESEARCH PROJECTS LED BY PRINCIPAL INVESTIGATORS AND STAFF TO ASSIST AND IMPROVE THE HEALTHCARE PROVIDED TO THE VETERAN COMMUNITY.FOR THE YEAR ENDING DECEMBER 31, 2021 THE FOUNDATION CONTINUED TO MANAGE MORE THAN 10 GRANTS AND PROJECTS THAT HAD ONGOING TIMELINE DELAYS DUE TO THE COVID-19 PANDEMIC. THE FOUNDATION WAS ABLE TO HELP RESEARCHERS RESUME AND MAINTAIN RESEARCH ACTIVITIES BY KEEPING GRANTS COMPLIANT AND ADMINISTERING GRANTS RECEIVABLES AND PAYMENTS. IT WAS A CHALLENGING YEAR FOR MANY INSTITUTIONS INCLUDING THE FOUNDATION, HOWEVER, THE FOUNDATION WAS ABLE TO ADMINISTER ACTIVE GRANTS, SECURE NEW RESEARCH PROJECTS, AND MADE PROGRESS ON NEGOTIATIONS FOR NEW AGREEMENTS.BY THE END OF 2021, THE FOUNDATION HAD SUCCESSFULLY COMPLETED YEAR 1 OF THE NATIONAL ALL OF US GRANT. WHILE THE RECRUITMENT METRICS WERE BELOW THE PROJECTED GOALS, CENTRAL OVERSIGHT HELPED WORK WITH THE TEAM TO MITIGATE PANDEMIC-RELATED DELAYS. THE THREE EMPLOYEES MANAGING THE ALL OF US GRANT ARE FULLY ON-BOARDED WITH HEALTHCARE BENEFITS AND 401K PLANS. THE NEGOTIATIONS FOR THEIR LIFE INSURANCE BENEFITS ARE UNDERWAY. THE FOUNDATION IS THE 8TH VA SITE AWARDED THIS GRANT AND IT IS EXPECTED TO BE A 3+ YEAR ENDEAVOR TO MAP THE GENETICS OF VERTERANS ACROSS AMERICA TO RESEARCH THEIR HEALTH AND NEEDS. ALSO BY THE END OF 2021, THE FOUNDATION WAS SUCCESSFUL IN GETING DOD CONTRACT W81XWH2010811, A GRANT AIMED AT STUDYING BLOOD BASED BIOMARKERS OF PARKINSON'S DISEASE IN VETERANS, FULLY COMPLIANT IN THE FEDERAL GRANTS ADMINISTRATION PORTALS WITH SUCCESSFUL SUBMISSION OF TARDY INVOICES. THIS GRANT HAD BEEN AWARDED IN SEPT. 2020, AND ALTHOUGH WORK HAD BEEN COMPLETED, NO PAYMENT VOUCHERS HAD BEEN SUBMITTED DUE TO FAILURE TO COMPLY WITH FEDERAL FINANCIAL PORTALS. THE FOUNDATION WAS SUCCESSFUL IN LAUNCHING A CRADA WITH DR. GOTO AND MERCK TO STUDY PNEUMOCCOCCAL AND INFLUENZA VACCINATION OUTCOMES IN VETERANS, WITH AGREEMENTS ESTABLISHED TO COVER SALARIES FOR UNIVERSITY OF IOWA BIOSTATISTICIANS. FINALLY, THE FOUNDATION MADE PROGRESS TOWARDS NEGOTIATIONS WITH NOVARTIS TO PARTICIPATE IN THEIR INTERNATIONAL ONGOING PHASE III CLINICAL TRIAL LOOKING AT A TARGETED RADIONUCLIDE THERAPY FOR PROSTATE CANCER.THE EXECUTIVE DIRECTOR OF THE FOUNDATION RESIGNED IN JULY AND A NEW EXECUTIVE DIRECTOR WAS HIRED AND BEGAN IN OCTOBER. THE NEW EXECUTIVE DIRECTOR ATTENDED NAVREF'S EXECUTIVE DIRECTOR ESSENTIAL TRAINING 2-DAY COURSE IN DENVER IN MAR. 2022. THE TRIANNUAL NONPROFIT PROGRAM OFFICE (NPPO) ON-SITE REVIEW AND AUDIT IS SCHEDULED FOR JUNE 15-16, 2022.Desc
Total Program Service Expenses$518,633TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
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 Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee9EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKATHLEEN HOLTPersonNm
Phone3196883542PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WEST 151AddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52246ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARK YOREK
CHAIR2.0040.00Yes (X)Yes (X)$0$133,974$0
JOHN MIKELSON
SECRETARY/TREASURER2.00Yes (X)Yes (X)$0$0$0
JUDITH JOHNSON-MEKOTA
DIRECTOR2.00Yes (X)$0$0$0
JOEL KLINE
DIRECTOR2.00Yes (X)$0$0$0
VICTOR MIZRACHI
DIRECTOR2.00Yes (X)$0$0$0
STANLEY PARKER
DIRECTOR2.00Yes (X)$0$0$0
KARI POINTS
DIRECTOR2.0040.00Yes (X)$0$116,383$0
PETER VANDERHOEF
DIRECTOR2.00Yes (X)$0$0$0
KATHLEEN HOLT
EXECUTIVE DIRECTOR25.00Yes (X)$11,617$0$0
BRIANNA WILLS
EXECUTIVE DIRECTOR25.00Yes (X)$60,714$0$3,036
FieldValueIRS element (for citing)
Total Reportable Comp From Org$72,331TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$250,357TotReportableCompRltdOrgAmt
Total Other Compensation$3,036TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$195AllOtherContributionsAmt
Total Contributions$195TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE FEESDesc
Business541700BusinessCd
Total Revenue Column$332,179TotalRevenueColumnAmt
Related Or Exempt Func Income$332,179RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$332,179TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,644TotalRevenueColumnAmt
Exclusion$1,644ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMANAGEMENT FEEDesc
Business999999BusinessCd
Total Revenue Column$48TotalRevenueColumnAmt
Related Or Exempt Func Income$48RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$48OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$334,066TotalRevenueColumnAmt
Related Or Exempt Func Income$332,227RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,644ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$75,367TotalAmt
Management And General$75,367ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$209,227TotalAmt
Program Services$209,227ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,380TotalAmt
Program Services$7,380ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,237TotalAmt
Program Services$12,237ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,565TotalAmt
Program Services$16,228ProgramServicesAmt
Management And General$5,337ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,680TotalAmt
Management And General$7,680ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$290TotalAmt
Management And General$290ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,985TotalAmt
Management And General$4,985ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,651TotalAmt
Program Services$3,279ProgramServicesAmt
Management And General$32,372ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,157TotalAmt
Management And General$11,157ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$459TotalAmt
Program Services$327ProgramServicesAmt
Management And General$132ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESEARCH SUPPORT/SUPPLI$268,341$268,263$78
DUES/MEMBERSHIPS$6,829$1,192$5,637
INTERNAL REVIEW$500$500
MISCELLANEOUS EXPENSES$182$182

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$661,850TotalAmt
Program Services$518,633ProgramServicesAmt
Management And General$143,217ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,258,867BOYAmt
EOY$923,504EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,515BOYAmt
EOY$3,515EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,670BOYAmt
EOY$1,670EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,264,052BOYAmt
EOY$928,689EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY-$1,240BOYAmt
EOY$4,096EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$738,469BOYAmt
EOY$738,469EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$253,698BOYAmt
EOY$240,783EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$990,927BOYAmt
EOY$983,348EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$273,125BOYAmt
EOY-$54,659EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$273,125BOYAmt
EOY-$54,659EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,264,052BOYAmt
EOY$928,689EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$327,784ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1IOWA CITY VA MEDICAL HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7A"THE BOARD OF DIRECTORS SHALL INCLUDE THREE STATUTORY MEMBERS, DEFINED AS THOSE INDIVIDUALS WHO HOLD THE FOLLOWING POSITIONS AT THE IOWA CITY VA HEALTH CARE SYSTEM: 1. MEDICAL CENTER DIRECTOR 2. CHIEF OF STAFF ASSOCIATE CHIEF OF STAFF FOR RESEARCH AND DEVELOPMENT THE BOARD OF DIRECTORS, INITIAL OR OTHERWISE, IS SUBJECT TO REMOVAL BY THE SECRETARY OF VETERANS AFFAIRS OR THE SECRETARY'S DESIGNEE."
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS TAKEN BY THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEDICAL CENTER DIRECTOR AT THE IOWA CITY VA HEALTH CARE SYSTEM: 1. FILLING VACANCIES IN NON-STATUTORY BOARD POSITIONS 2. APPOINTMENT OF THE EXECUTIVE DIRECTOR
FORM 990, PART VI, SECTION A, LINE 8BNO SEPARATE COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, WHO PROVIDES A DRAFT TO THE EXECUTIVE DIRECTOR FOR REVIEW AND INITIAL APPROVAL. IT IS THEN DISTRIBUTED TO EACH BOARD MEMBER FOR REVIEW. THE FINAL FORM 990 IS APPROVED BY THE BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH MEMBER OF THE BOARD OF DIRECTORS, OFFICERS, AND EMPLOYEES OF THE ORGANIZATION SHALL ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE AS WELL AS SIGN A STATEMENT CERTIFYING THAT THEY ARE AWARE OF AND HAVE COMPLIED WITH ALL FEDERAL LAWS AND REGULATIONS WITH RESPECT TO CONFLICTS OF INTEREST IN THE PERFORMANCE OF ANY AND ALL OFFICIAL FUNCTIONS. THE BOARD OF DIRECTORS WHO ARE NOT IN CONFLICT ARE RESPONSIBLE FOR DETERMINING WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. IF AN ACTUAL CONFLICT OF INTEREST WERE TO ARISE THE CONFLICTED PARTY WOULD RECUSE THEMSELVES FROM DISCUSSION AND VOTE ON THE MATTER IN CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE FULL BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR. COMPENSATION IS BASED ON COMPARABLE COMPENSATION WITHIN THE VETERANS ADMINISTRATION SYSTEM AND BY A NATION-WIDE COMPENSATION SURVEY COMPLETED BY THE NATIONAL ASSOCIATION OF VETERANS RESEARCH AND EDUCATION FOUNDATION. OTHER EMPLOYEE COMPENSATION IS REVIEWED BY THE EXECUTIVE DIRECTOR USING COMPARABLE DATA AND BASED ON COMPARABLE POSITIONS WITHIN THE VETERANS ADMINISTRATIVE SYSTEM. BOARD MEMBERS ARE NOT COMPENSATED. THIS PROCESS LAST TOOK PLACE IN 2021. FORM 990, PART VI, SECTION B, LINE 15B: NO OTHER COMPENSATED INDIVIDUAL MEETS THE IRS DEFINITION OF OFFICER OR KEY EMPLOYEE.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST MADE TO THE EXECUTIVE DIRECTOR OR VOTING BOARD MEMBER.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1IOWA CITY VA MEDICAL HEALTH CARE SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WESTAddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52240ZIPCd
FieldValueIRS element (for citing)
EIN470376487EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateIALegalDomicileStateCd
Exempt Code Section501(C)(1)ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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