IOWA HEALTHCARE COLLABORATIVE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
IOWA HEALTHCARE COLLABORATIVE (EIN 20-3869767)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-18
IRS object ID
202212919349301016
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)
Return2022-10-18T09:39:24-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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 Line1100 EAST GRAND 360AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50309ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS C EVANS MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5152839330PhoneNum
Signature2022-10-18SignatureDt
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

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)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS C EVANS MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 EAST GRAND 360AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50309ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,601,701GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee34TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,486,993PYContributionsGrantsAmt
CY Contributions Grants$4,418,375CYContributionsGrantsAmt
PY Program Service Revenue$38PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$162,723PYInvestmentIncomeAmt
CY Investment Income$175,036CYInvestmentIncomeAmt
PY Other Revenue$12,261PYOtherRevenueAmt
CY Other Revenue$1,008,290CYOtherRevenueAmt
PY Total Revenue$5,662,015PYTotalRevenueAmt
CY Total Revenue$5,601,701CYTotalRevenueAmt
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$3,235,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,353,041CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$20,304CYTotalFundraisingExpenseAmt
PY Other Expenses$2,731,765PYOtherExpensesAmt
CY Other Expenses$2,565,815CYOtherExpensesAmt
PY Total Expenses$5,966,874PYTotalExpensesAmt
CY Total Expenses$5,918,856CYTotalExpensesAmt
PY Revenues Less Expenses-$304,859PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$317,155CYRevenuesLessExpensesAmt
Total Assets BOY$13,595,405TotalAssetsBOYAmt
Total Assets EOY$12,881,277TotalAssetsEOYAmt
Total Liabilities BOY$1,447,273TotalLiabilitiesBOYAmt
Total Liabilities EOY$611,871TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,148,132NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,269,406NetAssetsOrFundBalancesEOYAmt
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$2,673,784ExpenseAmt
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$1,743,088ExpenseAmt
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$1,068,496ExpenseAmt
DescOTHER PROGRAMS PROVIDED BY IOWA HEALTHCARE COLLABORATIVEDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,485,368TotalProgramServiceExpensesAmt
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 Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee34EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 (19 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
LAURIE CONNER
DIRECTOR1.00Yes (X)$0$0$0
AARON WIESE
DIRECTOR1.00Yes (X)$0$0$0
MIKE FLESHER
DIRECTOR1.00Yes (X)$0$0$0
PERRY MEYER
DIRECTOR1.00Yes (X)$0$0$0
KAY TAKES
DIRECTOR1.00Yes (X)$0$0$0
LAURA JACKSON
DIRECTOR1.00Yes (X)$0$0$0
MARYGRACE ELSON MD
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
THOMAS EVANS MD
PRESIDENT40.00Yes (X)$561,264$0$88,089
LINDA FIRKINS
FORMER CFO40.00Yes (X)$132,052$0$20,620
JENNIFER BROCKMAN
VICE PRESIDENT, HEALTH SERVICES40.00$188,247$0$38,032Yes (X)
CHRISTOPHER EVANS
VICE PRESIDENT, ADMINISTRATIVE SERVICES40.00$197,085$0$39,630Yes (X)
STEPHANIE MULLER
DIRECTOR OF HUMAN RESOURCES40.00$103,168$0$11,917Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,181,816TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$198,288TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
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
IOWA HOSPITAL ASSOCIATION
100 EAST GRANDDES MOINESIA50309ADMINISTRATIVE SUPPORT AND GRANT SUPPORT$428,345
STADER OPIOID CONSULTANTS LLC
742 JOSEPH CIRCLEGOLDENCO80403GRANT SUPPORT SERVICES$299,886
KANSAS HEALTHCARE COLLABORATIVE
623 SW 10TH AVENUETOPEKAKS66612GRANT SUPPORT SERVICES$261,649
MHA HEALTH RESEARCH & EDUCATION FOUNDATI
116 WOODGREEN CROSSINGMADISONMS39110GRANT SUPPORT SERVICES$187,226
SOUTH DAKOTA ASSOCIATION OF HEALTHCARE O
3708 WEST BROOKS PLACESIOUX FALLSSD57106GRANT SUPPORT SERVICES$153,303
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$4,418,375GovernmentGrantsAmt
Total Contributions$4,418,375TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$175,036TotalRevenueColumnAmt
Exclusion$175,036ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE RETENTION TAX900099$545,453$545,453
PPP LOAN FORGIVENESS900099$462,007$462,007
MISCELLANEOUS900099$830$830
FieldValueIRS element (for citing)
Other Revenue Total$1,008,290OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,601,701TotalRevenueColumnAmt
Related Or Exempt Func Income$1,008,290RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$175,036ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,380,104TotalAmt
Program Services$1,073,894ProgramServicesAmt
Management And General$287,908ManagementAndGeneralAmt
Fundraising$18,302FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,593,943TotalAmt
Program Services$1,593,943ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$50,077TotalAmt
Program Services$50,077ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$160,953TotalAmt
Program Services$160,953ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$167,964TotalAmt
Program Services$151,230ProgramServicesAmt
Management And General$15,734ManagementAndGeneralAmt
Fundraising$1,000FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$46,806TotalAmt
Management And General$46,806ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,389,720TotalAmt
Program Services$1,358,125ProgramServicesAmt
Management And General$31,022ManagementAndGeneralAmt
Fundraising$573FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56,315TotalAmt
Program Services$55,556ProgramServicesAmt
Management And General$693ManagementAndGeneralAmt
Fundraising$66FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$253,536TotalAmt
Program Services$251,207ProgramServicesAmt
Management And General$2,237ManagementAndGeneralAmt
Fundraising$92FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$99,347TotalAmt
Program Services$95,969ProgramServicesAmt
Management And General$3,248ManagementAndGeneralAmt
Fundraising$130FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,424TotalAmt
Program Services$6,160ProgramServicesAmt
Management And General$264ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$94,394TotalAmt
Program Services$93,154ProgramServicesAmt
Management And General$1,240ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$91,072TotalAmt
Program Services$91,072ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,289TotalAmt
Program Services$29,302ProgramServicesAmt
Management And General$957ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONSULTANTS AND CONTRAC$433,113$430,636$2,398$79
MISCELLANEOUS$56,142$35,539$20,580$23
TELEPHONE$7,855$7,749$97$9
REPAIRS AND MAINTENANCE$802$802

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,918,856TotalAmt
Program Services$5,485,368ProgramServicesAmt
Management And General$413,184ManagementAndGeneralAmt
Fundraising$20,304FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,699,394BOYAmt
EOY$11,004,391EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,596,929BOYAmt
EOY$1,703,848EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$145,371BOYAmt
EOY$110,399EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$788,693LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$726,054LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$153,711BOYAmt
EOY$62,639EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,595,405BOYAmt
EOY$12,881,277EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,140,917BOYAmt
EOY$328,210EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$56,634BOYAmt
EOY$27,678EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249,722BOYAmt
EOY$255,983EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,447,273BOYAmt
EOY$611,871EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,148,132BOYAmt
EOY$12,269,406EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,148,132BOYAmt
EOY$12,269,406EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,595,405BOYAmt
EOY$12,881,277EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$317,155ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$438,429NetUnrlzdGainsLossesInvstAmt
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 AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$14,511,502CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,916,589CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,572,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,486,993CurrentTaxYearMinus1YearAmt
Current Tax Year$4,418,375CurrentTaxYearAmt
Total$53,905,659TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,511,502CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,916,589CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,572,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,486,993CurrentTaxYearMinus1YearAmt
Current Tax Year$4,418,375CurrentTaxYearAmt
Total$53,905,659TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$53,905,659PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$239,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305,318CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$229,330CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,723CurrentTaxYearMinus1YearAmt
Current Tax Year$175,036CurrentTaxYearAmt
Total$1,112,039TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,618CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,261CurrentTaxYearMinus1YearAmt
Current Tax Year$830CurrentTaxYearAmt
Total$41,882TotalAmt
FieldValueIRS element (for citing)
Total Support$55,059,580TotalSupportAmt
Public Support CY1700.97900PublicSupportCY170Pct
Public Support PY1700.98360PublicSupportPY170Pct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,630OtherCostOrOtherBasisAmt
Depreciation$54,326DepreciationAmt
Book Value$25,304BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$709,063OtherCostOrOtherBasisAmt
Depreciation$671,728DepreciationAmt
Book Value$37,335BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$62,639TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED EMPLOYEE COMPENSATIONDesc
Amt$255,983Amt
FieldValueIRS element (for citing)
Total Liability$255,983TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,993,324TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$438,429NetUnrealizedGainsInvstAmt
Revenue Not Reported$438,429RevenueNotReportedAmt
Revenue Subtotal$5,554,895RevenueSubtotalAmt
Investment Expenses Not Incld$46,806InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$46,806RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,601,701TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,872,050TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,872,050ExpensesSubtotalAmt
Investment Expenses Not Incld2$46,806InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$46,806ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,918,856TotalExpensesPerForm990Amt

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 2018.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 (4 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$561,264$0$0$0$0$0$72,803$0$15,286$0$649,353$0$0$0
LINDA FIRKINS
FORMER CFO$132,052$0$0$0$0$0$14,564$0$6,056$0$152,672$0$0$0
JENNIFER BROCKMAN
VICE PRESIDENT, HEALTH SERVICES$188,247$0$0$0$0$0$21,125$0$16,907$0$226,279$0$0$0
CHRISTOPHER EVANS
VICE PRESIDENT, ADMINISTRATIVE SERVI$197,085$0$0$0$0$0$22,080$0$17,550$0$236,715$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$527,919IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.0
MIKE FLESHER
CEO OF IOWA MEDICAL SOCIETY AND BOARD MEMBER OF IHC$17,526IOWA MEDICAL SOCIETY PROVIDES CONSULTING SERVICES0
LAURIE CONNER
BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE$527,919IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.0
PERRY MEYER
EXECUTIVE VP, IOWA HOSPITAL ASSOC. AND BOARD MEMBER, IOWA HEALTHCARE COLL.$527,919IOWA 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 1,323,535. MANAGEMENT AND GENERAL EXPENSES 11,944. FUNDRAISING EXPENSES 569. TOTAL EXPENSES 1,336,048. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 34,590. MANAGEMENT AND GENERAL EXPENSES 19,078. FUNDRAISING EXPENSES 4. TOTAL EXPENSES 53,672.
FORM 990, PART XII, LINE 2C:NO CHANGES FROM PRIOR YEAR.

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