2025-07-10T13:55:58-04:00 2024-12-31 421104473 MHCS PC 1601 W LAKES PKWY STE 300 WEST DES MOINES IA 50266 990 2024-01-01 932883804 RURAL IOWA COMMUNITY HEALTH ALLIANCE BENEFITS TRUST RURA 6414445621 1600 DIAMOND ST ONAWA IA 51040 AMY MCDANIEL TRUSTEE CHAIR 6414445621 2025-07-03 true false ALEXANDRA KAFER CPA P02066016 5152883279 2025-07-03 2024 2025-03-06 01:10:19Z X X AMY MCDANIEL 35621257 false X X 2023 IA TO PROVIDE FOR THE PAYMENT OF LIFE, SICK, ACCIDENT AND OTHER PERMISSIBLE BENEFITS OFFERED UNDER THE PLAN TO THE PARTICIPATING EMPLOYEES AND OTHER PARTICIPANTS THROUGH INSURANCE AND OTHER QUALIFYING BENEFITS. 8 0 0 8 0 0 35563581 57676 0 35621257 0 26966626 0 0 0 2946424 29913050 5708207 6451479 12012 6439467 NONE false false RURAL IOWA COMMUNITY HEALTH ALLIANCE BENEFITS TRUST FUNDS THE BENEFITS OF THE PLAN WHICH PROVIDES VARIOUS TYPES OF GROUP INSURANCE COVERAGE FOR PARTICIPATING EMLOYEES AND OTHER PARTICIPANTS. THE TRUST RECEIVES, CARES FOR, MANAGES AND INVESTS THE FUNDS CONTRIBUTED BY THE PARTICIPATING EMPLOYERS AND PAYMENTS MADE BY PARTICIPATING EMPLOYEES. false false false false false false false false false false false false true false true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 0 0 0 false false false false false false false false X 8 0 false false false false false true false true true false false true true true true true true false false false X ERPELDING VOIGT CO 5152957917 307 E CALL STREET ALGONA IA 50511 AMY MCDANIEL TRUSTEE CHAI 1.00 40.00 X X 0 397835 49061 BARRY JACOBSEN TRUSTEE TREA 1.00 40.00 X X 0 362766 45249 DANETTE KRAMER TRUSTEE 1.00 40.00 X 0 355904 45992 MIKE O'NEAL TRUSTEE 1.00 40.00 X 0 285257 52584 MATT IVES TRUSTEE SECR 1.00 40.00 X X 0 259379 50542 LYNN WOLD TRUSTEE 1.00 40.00 X 0 256627 35899 BRENT FEICKERT TRUSTEE 1.00 40.00 X 0 185108 38164 SHANNON FOX TRUSTEE 1.00 40.00 X 0 107910 22184 2210786 339675 false true false MILLIMAN 1120 SOUTH 101ST STREET OMAHA NE 68124 ACTUARY SERVICE 123840 1 INSURANCE PREMIUMS 524298 31946681 31946681 PHARMACY REBATES 900099 2369813 2369813 EXCESS STOP LOSS 900099 1247087 1247087 35563581 57676 57676 35621257 35563581 57676 26966626 34711 28450 1644813 608 STOP LOSS INS. PREMIUMS 1190692 ADMINISTRATIVE CHARGES 32646 14504 29913050 0 0 0 5825087 11547 614845 0 6451479 12012 0 12012 X 6439467 0 6439467 0 6451479 X 5708207 731260 X false true X true false PHARMACY REBATE RECEIVABLE 614845 614845 X 35621257 35621257 35621257 29913050 29913050 29913050 SCHEDULE D, PAGE 3, PART X THE VEBA TRUST FUNDING THE BENEFITS OF THE PLAN HAS APPLIED FOR AN EXEMPTION FROM THE INTERNAL REVENUE SERVICE FOR THE TRUST TO BE TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). THE INTERNAL REVENUE SERVICE HAS NOT RESPONDED TO THE APPLICATION AS OF DECEMBER 31, 2024. THE PLAN TRUSTEES BELIEVE THE PLAN IS OPERATING IN ACCORDANCE WITH THE PROVISIONS OF 501(C)(9) AND WILL FILE THE RELATED TAX RETURNS ACCORDINGLY. UNRELATED BUSINESS INCOME TAX, IF ANY, WOULD BE RECORDED AS AN ADMINISTRATIVE EXPENSE OF THE PLAN. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN THE FISCAL YEAR ENDING DECEMBER 31, 2024 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE INCOME TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY TAX PERIODS. false false false AMY MCDANIEL TRUSTEE CHAIR 311384 85649 802 31281 17780 446896 BARRY JACOBSEN TRUSTEE TREASURER 362766 30494 14755 408015 DANETTE KRAMER TRUSTEE 320533 31771 3600 30569 15423 401896 MIKE O'NEAL TRUSTEE 281160 4097 25869 26715 337841 MATT IVES TRUSTEE SECRETARY 259379 21866 28676 309921 LYNN WOLD TRUSTEE 256627 7956 27943 292526 BRENT FEICKERT TRUSTEE 184493 525 90 17721 20443 223272 FORM 990, PAGE 6, PART VI, LINE 7A UNDER THE TRUST AGREEMENT, EACH PARTICIPATING HOSPITAL SHALL APPOINT ONE INDIVIDUAL TO SERVE AS A VOTING TRUSTEE ON THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 11B EACH YEAR BEFORE THE FINAL VERSION OF THE TRUST'S ANNUAL INFORMATION RETURN ON FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE, THE CHAIR OF RURAL IOWA COMMUNITY HEALTH ALLIANCE BENEFITS TRUST SHALL DISTRIBUTE OR CAUSE TO BE DISTRIBUTED TO EACH TRUSTEE A COPY OF THE TRUST'S FORM 990, COMPLETE WITH ALL SCHEDULES AND ATTACHMENTS TO BE FILED. DISTRIBUTION MAY BE MADE IN PAPER OR ELECTRONIC FORM, OR BY PROVIDING THE TRUSTEES WITH A PASSWORD- PROTECTED WEBSITE ON WHICH THE ENTIRE FORM 990 CAN BE VIEWED. FORM 990, PAGE 6, PART VI, LINE 12C EACH TRUSTEE AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, AND C. HAS AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OF TRUSTEES AND MEMBERS OF COMMITTEES CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMEBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART XI, LINE 9 MEMBER CONTRIBUTIONS 731,260 MONTGOMERY COUNTY MEMORIAL HOSPITAL NA false KEOKUK COUNTY HOSPITAL AND CLINICS NA false JEFFERSON COUNTY HEALTH CENTER NA false DELAWARE COUNTY MEMORIAL HOSPITAL NA false IOWA SPECIALTY HOSPITAL - CLARION NA false SHELBY COUNTY CHRIS A MYRTUE MEMOR IAL HOSPITAL N/A false IDA COUNTY IOWA COMMUNITY HOSPITAL INC NA false BURGESS HEALTH CENTER NA false RURAL IOWA COMMUNITY HEALTH ALLIANC 1600 DIAMOND ST ONAWA IA 51040 812429780 PLAN SPONS IA N/A C CORP false false false true false false false false false false false false false true true true true true false false SCHEDULE R PART II & IV, IDENTIFICATION OF RELATED ORGANIZATIONS: NAME OF RELATED ORGANIZATION: RURAL IOWA COMMUNITY HEALTH ALLIANCE, INC. PRIMARY ACTIVITY: PLAN ADMINISTRATION NAME OF RELATED ORGANIZATION: SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL NAME OF RELATED ORGANIZATION: IDA COUNTY IOWA COMMUNITY HOSPITAL INC.