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IOWA CITY VA MEDICAL RESEARCH FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
IOWA CITY VA MEDICAL RESEARCH FOUNDATION (EIN 39-1886437)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-21
IRS object ID
202132949349301013
Schema version
2020v4.1
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)
Return2021-10-21T09:14:59-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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)
PersonBRIANNA WILLSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3196883542PhoneNum
Signature2021-06-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRIANNAPersonFirstNm
Person LastWILLSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LITTLEPreparerPersonNm
PTINP01480921PTIN
Phone3193632697PhoneNum
Preparation2021-06-25PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIANNA WILLSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WEST 151AddressLine1Txt
CityIOWA CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52246ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$70,125GrossReceiptsAmt
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 Employee3TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$34,198PYContributionsGrantsAmt
CY Contributions Grants$1,628CYContributionsGrantsAmt
PY Program Service Revenue$880,583PYProgramServiceRevenueAmt
CY Program Service Revenue$56,415CYProgramServiceRevenueAmt
PY Investment Income$14,719PYInvestmentIncomeAmt
CY Investment Income$12,082CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$929,500PYTotalRevenueAmt
CY Total Revenue$70,125CYTotalRevenueAmt
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$44,385PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$69,796CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$797,524PYOtherExpensesAmt
CY Other Expenses$333,565CYOtherExpensesAmt
PY Total Expenses$841,909PYTotalExpensesAmt
CY Total Expenses$403,361CYTotalExpensesAmt
PY Revenues Less Expenses$87,591PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$333,236CYRevenuesLessExpensesAmt
Total Assets BOY$1,611,234TotalAssetsBOYAmt
Total Assets EOY$1,264,052TotalAssetsEOYAmt
Total Liabilities BOY$1,138,487TotalLiabilitiesBOYAmt
Total Liabilities EOY$990,927TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$472,747NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$273,125NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE IOWA CITY VA MEDICAL RESEARCH FOUNDATION'S (ICVARF) MISSION IS TO MOBILIZE RESOURCES TO IMPROVE THE HEALTH AND WELL BEING OF THE VETERAN COMMUNITY. EFFORTS ARE FOCUSED TO ACHIEVE OUR VISION: TO DISCOVER KNOWLEDGE AND CREATE INNOVATIONS THAT HELP ADVANCE THE HEALTH AND CARE OF OUR NATION'S HEROES, VETERANS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$283,298ExpenseAmt
Grant$0GrantAmt
Revenue$56,415RevenueAmt
DescICVARF MOBILIZES RESOURCES THAT HELP TARGET, CURE, AND IMPROVE VETERANS' HEALTHCARE. 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 VA STAFF IN ORDER TO ASSIST AND IMPROVE THE HEALTHCARE PROVIDED TO THE VETERAN COMMUNITY.FOR THE YEAR ENDING DECEMBER 31, 2020 THE FOUNDATION CONTINUED TO MANAGE MORE THAN 15 GRANTS AND PROJECTS THAT HAD TO BE SHUTTERED DUE TO THE COVID-19 PANDEMIC. THE FOUNDATION WAS ABLE TO HELP RESEARCHERS PAUSE STUDIES AND WAIT UNTIL 2021 TO RE-OPEN THEIR RESEARCH ACTIVITIES. IT WAS A CHALLENGING YEAR FOR MANY INSTITUTIONS INCLUDING THE FOUNDATION WHICH WAS UNABLE TO ACTIVELY SEEK NEW RESEARCH PROJECTS OR CONTINUE WITH ACTIVE TRIALS. THE FOUNDATION CLOSED MUCH OF ITS FUNCTIONS IN THE SPRING OF 2020 TO ESSENTIAL COSTS ONLY TO BE AS CONSERVATIVE IN BUDGETING AS POSSIBLE. MUCH OF 2020 WAS SPENT IN A WAIT-AND-SEE-APPROACH AS FUNDING AND RESOURCES WERE UNCERTAIN BECAUSE OF THE COVID-19 PANDEMIC.BY THE END OF 2020, THE FOUNDATION HAD BEEN AWARDED A NATIONAL ALL OF US GRANT WHICH WAS SIMILAR TO THE FEDERAL MILLION VETERANS PROGRAM THAT ALREADY IS IN OPERATIONS AT THE IOWA CITY VA. THE FOUNDATION IS THE 8TH VA SITE AWARDED THIS GRANT AND IS EXPECTED TO BE A 3+ YEAR ENDEAVOR TO MAP THE GENETICS OF VETERANS ACROSS AMERICA TO RESEARCH THEIR HEALTH AND NEEDS. THE EXECUTIVE DIRECTOR OF THE FOUNDATION RESIGNED IN JULY AND A NEW EXECUTIVE DIRECTOR WAS HIRED AND BEGAN IN NOVEMBER.Desc
Total Program Service Expenses$283,298TotalProgramServiceExpensesAmt
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 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 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
Employee3EmployeeCnt
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)
PersonBRIANNA WILLSPersonNm
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 (12 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$127,661$63,642
KARI POINTS
DIRECTOR2.0040.00Yes (X)$0$116,812$0
JULIE SLINGER
EXECUTIVE DIRECTOR25.000.00Yes (X)$32,280$0$0
BRIANNA WILLS
EXECUTIVE DIRECTOR25.000.00Yes (X)$7,350$0$0
JOHN MIKELSON
SECRETARY/TREASURER2.000.00Yes (X)Yes (X)$0$0$0
BETH ANN BITNER
DIRECTOR2.000.00Yes (X)$0$0$0
JUDITH JOHNSON-MEKOTA
DIRECTOR2.000.00Yes (X)$0$0$0
JOEL KLINE
DIRECTOR2.000.00Yes (X)$0$0$0
VICTOR MIZRACHI
DIRECTOR2.0040.00Yes (X)$0$0$0
STANLEY PARKER
DIRECTOR2.000.00Yes (X)$0$0$0
JAVED TUNIO
DIRECTOR2.0040.00Yes (X)$0$0$0
PETER VANDERHOEF
DIRECTOR2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$39,630TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$244,473TotReportableCompRltdOrgAmt
Total Other Compensation$63,642TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,628AllOtherContributionsAmt
Total Contributions$1,628TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE FEESDesc
Business541700BusinessCd
Total Revenue Column$56,415TotalRevenueColumnAmt
Related Or Exempt Func Income$56,415RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$56,415TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,082TotalRevenueColumnAmt
Exclusion$12,082ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,125TotalRevenueColumnAmt
Related Or Exempt Func Income$56,415RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,082ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$39,630TotalAmt
Management And General$39,630ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,100TotalAmt
Management And General$25,100ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,066TotalAmt
Management And General$5,066ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,779TotalAmt
Management And General$14,779ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,273TotalAmt
Program Services$1,037ProgramServicesAmt
Management And General$10,236ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,042TotalAmt
Management And General$15,042ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,600TotalAmt
Program Services$982ProgramServicesAmt
Management And General$618ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,587TotalAmt
Program Services$1,132ProgramServicesAmt
Management And General$455ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,347TotalAmt
Program Services$216ProgramServicesAmt
Management And General$2,131ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RESEARCH SUPPORT/SUPPLI$278,614$278,088$526
DUES/MEMBERSHIPS$7,695$1,343$6,352
INTERNAL REVIEW$500$500
MISCELLANEOUS EXPENSES$128$128

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$403,361TotalAmt
Program Services$283,298ProgramServicesAmt
Management And General$120,063ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,603,595BOYAmt
EOY$1,258,867EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,969BOYAmt
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$1,611,234BOYAmt
EOY$1,264,052EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$136,269BOYAmt
EOY-$1,240EOYAmt

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$263,749BOYAmt
EOY$253,698EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,138,487BOYAmt
EOY$990,927EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$472,747BOYAmt
EOY$273,125EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$472,747BOYAmt
EOY$273,125EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,611,234BOYAmt
EOY$1,264,052EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$333,236ReconcilationRevenueExpnssAmt
Prior Period Adjustments$133,614PriorPeriodAdjustmentsAmt
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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
PersonMARK YOREKPersonNm
TitleCHAIRTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$127,661CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$63,642NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$191,303TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE 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. THIS PROCESS LAST TOOK PLACE IN 2020. COMPENSATION OF THE EXECUTIVE DIRECTOR DOES NOT RISE TO THE LEVEL WHERE DISCLOSURE IS REQUIRED ON SCHEDULE J, PART II, THEREFORE BOXES ON SCHEDULE J, PART I, LINE 3 HAVE BEEN LEFT BLANK.ExplanationTxt

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 2020. 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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