IOWA CITY HOSPICE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
IOWA CITY HOSPICE INC (EIN 42-1154098)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-07-12
IRS object ID
202241939349300329
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)
Return2022-07-12T10:58:44-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411431613PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERGANKDV LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2100AddressLine1Txt
CityWATERLOOCityNm
State AbbreviationIAStateAbbreviationCd
ZIP507042100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421154098EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IOWA CITY HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIOWABusinessNameControlTxt
Phone3193515665PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 SYCAMORE STREETAddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52240ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKARLA KAMALPersonNm
Person TitleCEOPersonTitleTxt
Phone3196884212PhoneNum
Signature2022-07-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKARLAPersonFirstNm
Person LastKAMALPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN ARONSON CPAPreparerPersonNm
PTINP01425251PTIN
Phone3192346885PhoneNum
Preparation2022-06-29PreparationDt

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 OfficerKARLA KAMALPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 SYCAMORE STREETAddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,789,107GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IOWACITYHOSPICE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionPROVIDE INNOVATIVE CARE FOR PEOPLE WITH SERIOUS ADVANCED ILLNESSES AND END OF LIFE CONDITIONS.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee83TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,200,117PYContributionsGrantsAmt
CY Contributions Grants$1,938,196CYContributionsGrantsAmt
PY Program Service Revenue$6,234,262PYProgramServiceRevenueAmt
CY Program Service Revenue$5,763,934CYProgramServiceRevenueAmt
PY Investment Income$31,064PYInvestmentIncomeAmt
CY Investment Income$20,973CYInvestmentIncomeAmt
PY Other Revenue-$4,895PYOtherRevenueAmt
CY Other Revenue-$3,383CYOtherRevenueAmt
PY Total Revenue$7,460,548PYTotalRevenueAmt
CY Total Revenue$7,719,720CYTotalRevenueAmt
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$4,262,347PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,064,337CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$90,876CYTotalFundraisingExpenseAmt
PY Other Expenses$2,531,261PYOtherExpensesAmt
CY Other Expenses$2,516,277CYOtherExpensesAmt
PY Total Expenses$6,793,608PYTotalExpensesAmt
CY Total Expenses$6,580,614CYTotalExpensesAmt
PY Revenues Less Expenses$666,940PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,139,106CYRevenuesLessExpensesAmt
Total Assets BOY$5,184,182TotalAssetsBOYAmt
Total Assets EOY$6,148,159TotalAssetsEOYAmt
Total Liabilities BOY$1,228,888TotalLiabilitiesBOYAmt
Total Liabilities EOY$797,307TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,955,294NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,350,852NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMPASSIONATE CARE FOR ANYONE IN OUR COMMUNITY AFFECTED BY SERIOUS ADVANCED ILLNESS AND END OF LIFE CONDITIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,649,582ExpenseAmt
Revenue$5,763,934RevenueAmt
DescTHE ORGANIZATION PROVIDES SERVICES TO THOSE FACING A LIFE LIMITING ILLNESS. IN 2021, 607 NEW PATIENTS WERE SERVED IN OUR SEVEN COUNTY SERVICE AREA (CEDAR, IOWA, JOHNSON, LINN, LOUISA, MUSCATINE AND WASHINGTON COUNTIES) FOR A TOTAL OF 30,199 DAYS OF CARE. IN ADDITION TO OUR PROFESSIONAL STAFF, IOWA CITY HOSPICE VOLUNTEERS PROVIDE SERVICES THAT ARE AS VARIED AS THE PATIENTS, FAMILIES AND COMMUNITIES WE SERVE. PATIENT CARE VOLUNTEERS PROVIDE COMPANIONSHIP AND SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR LOVED ONES. VOLUNTEERS PROVIDE MANY FORMS OF ASSISTANVE, AT ALL LEVELS OF SKILL. OUR 50 PATIENT CARE VOLUNTEERS PROVIDED 731 HOURS OF SUPPORTIVE SERVICES TO THOSE WE SERVED IN 2021. FOLLOWING A PATIENT'S DEATH, IOWA CITY HOSPICE BEREAVEMENT STAFF IS AVAILABLE TO SUPPORT FAMILY MEMBERS AND FRIENDS THROUGHOUT THE GRIEVING PROCESS. OUR SERVICES ARE ALSO AVAILABLE TO ANYONE WHO IS GRIEVING THE LOSS OF A LOVED ONE, REGARDLESS OF WHETHER THE PERSON WAS IN HOSPICE CARE. IOWA CITY HOSPICE OFFERS A VARIETY OF GRIEF SUPPORT SERVICES INCLUDING SUPPORT GROUPS, GRIEF EDUCATION, AND SPECIAL EVENTS. IOWA CITY HOSPICE STAFF MADE 90 HOME VISITS TO SURVIVORS AND 23 PEOPLE ATTENDED SUPPORT GROUPS, BEREAVEMENT LUNCHEONS AND OTHER EVENTS.Desc
Total Program Service Expenses$4,649,582TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee83EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 Line1KAREN DEGROOTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3196884212PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11526 SYCAMORE STREETAddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52240ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KARLA KAMAL
CEO40.00Yes (X)Yes (X)$118,690$0$28,171
JOSHUA CURPHY
ARNP40.00$114,065$0$5,432Yes (X)
KAREN DEGROOT
DIRECTOR OF FINANCE40.00Yes (X)$92,763$0$21,238
SARA KRIEGER
COO40.00Yes (X)Yes (X)$93,362$0$7,445
KARA THOMA
PSYCHOSOCIAL SERVICES MANAGER40.00Yes (X)Yes (X)$66,703$0$32,637
BEN EVANS
TREASURER1.00Yes (X)Yes (X)$0$0$0
RANDY MCDONOUGH
SECRETARY1.00Yes (X)Yes (X)$0$0$0
SUSAN STUTZEL
FORMER TREASURER1.00Yes (X)Yes (X)$0$0$0
DIANA LUNDELL
FORMER CHAIR1.00Yes (X)Yes (X)$0$0$0
DR STEPHEN SCHECKEL
FORMER DIRECTOR0.50Yes (X)$0$0$0
LATASHA DELOACH
FORMER DIRECTOR0.50Yes (X)$0$0$0
CYNTHIA SCHROCK
FORMER DIRECTOR0.50Yes (X)$0$0$0
CATHERINE PUGH
FORMER DIRECTOR0.50Yes (X)$0$0$0
BEN RUSSELL
FORMER DIRECTOR0.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$485,583TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$94,923TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$126,581FundraisingAmt
Government Grants$1,168,103GovernmentGrantsAmt
All Other Contributions$643,512AllOtherContributionsAmt
Total Contributions$1,938,196TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT CARE FEESDesc
Business623990BusinessCd
Total Revenue Column$5,763,934TotalRevenueColumnAmt
Related Or Exempt Func Income$5,763,934RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,763,934TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,849TotalRevenueColumnAmt
Exclusion$2,849ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$84,128OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$66,004OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$18,124OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,124TotalRevenueColumnAmt
Exclusion$18,124ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$126,581ContriRptFundraisingEventAmt
Fundraising Direct Expenses$3,383FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,383TotalRevenueColumnAmt
Exclusion-$3,383ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,719,720TotalRevenueColumnAmt
Related Or Exempt Func Income$5,763,934RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,590ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$262,055TotalAmt
Management And General$262,055ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,179,647TotalAmt
Program Services$2,092,553ProgramServicesAmt
Management And General$1,028,518ManagementAndGeneralAmt
Fundraising$58,576FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$92,601TotalAmt
Program Services$62,060ProgramServicesAmt
Management And General$28,804ManagementAndGeneralAmt
Fundraising$1,737FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$264,862TotalAmt
Program Services$177,151ProgramServicesAmt
Management And General$82,752ManagementAndGeneralAmt
Fundraising$4,959FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$265,172TotalAmt
Program Services$162,751ProgramServicesAmt
Management And General$97,865ManagementAndGeneralAmt
Fundraising$4,556FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$98,764TotalAmt
Management And General$98,764ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,880TotalAmt
Management And General$41,880ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$196,581TotalAmt
Program Services$193,912ProgramServicesAmt
Management And General$2,669ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,760TotalAmt
Program Services$4,649ProgramServicesAmt
Management And General$7,111ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$117,687TotalAmt
Program Services$74,937ProgramServicesAmt
Management And General$40,490ManagementAndGeneralAmt
Fundraising$2,260FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$73,403TotalAmt
Program Services$51,382ProgramServicesAmt
Management And General$19,819ManagementAndGeneralAmt
Fundraising$2,202FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$45,487TotalAmt
Management And General$45,487ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,423TotalAmt
Program Services$50,423ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,224TotalAmt
Program Services$22,224ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$70,178TotalAmt
Program Services$70,178ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$186,147TotalAmt
Program Services$130,303ProgramServicesAmt
Management And General$50,260ManagementAndGeneralAmt
Fundraising$5,584FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,158TotalAmt
Management And General$4,158ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUG$851,762$851,762
PATIENT EXPENSES$606,946$606,946
DUES AND SUBSCRIPTIONS$43,478$18,689$15,361$9,428
BAD DEBT$42,942$42,942

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$52,457TotalAmt
Program Services$36,720ProgramServicesAmt
Management And General$14,163ManagementAndGeneralAmt
Fundraising$1,574FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,580,614TotalAmt
Program Services$4,649,582ProgramServicesAmt
Management And General$1,840,156ManagementAndGeneralAmt
Fundraising$90,876FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,128,997BOYAmt
EOY$1,001,076EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$761,746EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$983,521BOYAmt
EOY$585,076EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$35,216BOYAmt
EOY$32,901EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,813,530LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$877,785LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,121,815BOYAmt
EOY$935,745EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,914,633BOYAmt
EOY$2,831,615EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,184,182BOYAmt
EOY$6,148,159EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$524,450BOYAmt
EOY$446,581EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$244,046BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$460,392BOYAmt
EOY$350,726EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,228,888BOYAmt
EOY$797,307EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,465,341BOYAmt
EOY$3,863,214EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,489,953BOYAmt
EOY$1,487,638EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,955,294BOYAmt
EOY$5,350,852EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,184,182BOYAmt
EOY$6,148,159EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,139,106ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$256,452OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$493,152CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$505,009CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$551,703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,200,117CurrentTaxYearMinus1YearAmt
Current Tax Year$1,176,450CurrentTaxYearAmt
Total$3,926,431TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$493,152CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$505,009CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$551,703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,200,117CurrentTaxYearMinus1YearAmt
Current Tax Year$1,176,450CurrentTaxYearAmt
Total$3,926,431TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$44,182SubstantialContributorsTotAmt
Public Support Total170$3,882,249PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,967CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,634CurrentTaxYearMinus1YearAmt
Current Tax Year$2,849CurrentTaxYearAmt
Total$102,729TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,060CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,745CurrentTaxYearMinus2YearsAmt
Total$11,725TotalAmt
FieldValueIRS element (for citing)
Total Support$4,040,885TotalSupportAmt
Gross Receipts Rltd Activities$29,940,688GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96070PublicSupportCY170Pct
Public Support PY1700.94720PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FUNDRAISING INCOME - 2017 AMOUNT: $ 3,920. 2018 AMOUNT: $ 4,060. 2019 AMOUNT: $ 3,745.
SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:DESCRIPTION: BEQUEST DATE: 06/06/19 AMOUNT: 235760. DESCRIPTION: ERC DATE: 12/31/21 AMOUNT: 761746.

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,145,317BeginningYearBalanceAmt
Contributions$10,175ContributionsAmt
Investment Earnings Or Losses$287,999InvestmentEarningsOrLossesAmt
End Year Balance$2,443,491EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,890,030BeginningYearBalanceAmt
Contributions$5,313ContributionsAmt
Investment Earnings Or Losses$249,974InvestmentEarningsOrLossesAmt
End Year Balance$2,145,317EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,578,173BeginningYearBalanceAmt
Contributions$6,870ContributionsAmt
Investment Earnings Or Losses$304,987InvestmentEarningsOrLossesAmt
End Year Balance$1,890,030EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,102,063BeginningYearBalanceAmt
Contributions$7,895ContributionsAmt
Investment Earnings Or Losses-$81,785InvestmentEarningsOrLossesAmt
Grants Or Scholarships$450,000GrantsOrScholarshipsAmt
End Year Balance$1,578,173EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,190,680BeginningYearBalanceAmt
Contributions$9,160ContributionsAmt
Investment Earnings Or Losses$310,348InvestmentEarningsOrLossesAmt
Grants Or Scholarships$408,125GrantsOrScholarshipsAmt
End Year Balance$2,102,063EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.11000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.89000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$143,130OtherCostOrOtherBasisAmt
Book Value$143,130BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,009,289OtherCostOrOtherBasisAmt
Depreciation$487,010DepreciationAmt
Book Value$522,279BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$661,111OtherCostOrOtherBasisAmt
Depreciation$390,775DepreciationAmt
Book Value$270,336BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$935,745TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN ASSETS HELD$2,171,056
DUE FROM RELATED PARTY$660,559
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,831,615TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE OBLIGATIONSDesc
Amt$350,726Amt
FieldValueIRS element (for citing)
Total Liability$350,726TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUND REPRESENTS AMOUNTS HELD BY A COMMUNITY FOUNDATION FOR THE ORGANIZATION. THE FUNDS CAN BE USED FOR OPERATING PURPOSES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION AMENDED ITS BYLAWS TO ADD IOWA CARE COMMUNITY, INC. AS THE SOLE MEMBER, REDUCE THE NUMBER OF DIRECTORS FROM 15 TO 3, AND APPOINT THE CEO AS THE CHAIR OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7AIOWA CARE COMMUNITY, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE CEO EMAILS THE FINAL COPY OF THE FORM 990 TO THE IOWA CARE COMMUNITY, INC. BOARD OF DIRECTORS TO REVIEW AND APPROVE BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO DECLARE ALL CONFLICTS OF INTEREST AT LEAST ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S HUMAN RESOURCE SPECIALIST EVALUATES THE PAY RANGE OF THE CEO ANNUALLY BY USING COMPARATIVE DATA. PAY RANGES FOR THE ORGANIZATION ARE APPROVED CEO BY IOWA CARE COMMUNITY INC.'S BOARD OF DIRECTORS. THIS INFORMATION IS TAKEN INTO ACCOUNT WHEN THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY THE ENTIRE BOARD OF DIRECTORS. ANY CHANGES TO THE COMPENSATION ARE APPROVED THROUGH THE BUDGETING PROCESS; REVIEWED AND APPROVED BY FIRST THE FINANCE COMMITTEE AND THEN THE BOARD OF DIRECTORS. COMMITTEE WORK HAPPENS THE SECOND HALF OF THE YEAR FOR IMPLEMENTATION IN THE SUBSEQUENT JANUARY. THE APPROVED PAY RATE IS THEN DOCUMENTED AND PLACED IN THE CEO'S PERSONNEL FILE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF BENEFICIAL INTEREST 256,452.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
VISTING NURSE ASSOCIATION OF JOHNSON COUNTY
1526 SYCAMORE STREETIOWA CITYIA52240420703760NURSE ASSOCIATIONIA501(C)(3)LINE 7IOWA CARE COMMUNITY INC0
IOWA CARE COMMUNITY INC
1526 SYCAMORE STREETIOWA CITYIA52240863945811SUPPORTING ORGANIZATIONIA501(C)(3)LINE 12C, III-FI0
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VISITING NURSE ASSOCIATION OF JOHNSON COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$660,563InvolvedAmt
Method Of Amount DeterminationACTUAL EXPENSESMethodOfAmountDeterminationTxt

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