IOWA HEALTHCARE COLLABORATIVE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
IOWA HEALTHCARE COLLABORATIVE (EIN 20-3869767)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201823189349306837
Schema version
2017v2.3
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)
Return2018-11-14T14:37:32-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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 NO 360AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50309ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS C EVANS MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5152839330PhoneNum
Signature2018-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES J HINGTGENPreparerPersonNm
PTINP01301731PTIN
Phone5152258400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.142.53.102IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-07IPDt
IP Tm15:42:37IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdED278C2C01D608D0883719C85C403068E0CE6949AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS C EVANS MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 EAST GRAND NO 360AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50309ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,617,033GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee27TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,794,880PYContributionsGrantsAmt
CY Contributions Grants$14,511,502CYContributionsGrantsAmt
PY Program Service Revenue$102,478PYProgramServiceRevenueAmt
CY Program Service Revenue$66,956CYProgramServiceRevenueAmt
PY Investment Income$62,850PYInvestmentIncomeAmt
CY Investment Income$456,360CYInvestmentIncomeAmt
PY Other Revenue$964PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,961,172PYTotalRevenueAmt
CY Total Revenue$15,034,818CYTotalRevenueAmt
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$1,829,101PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,009,550CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,885,085PYOtherExpensesAmt
CY Other Expenses$10,161,548CYOtherExpensesAmt
PY Total Expenses$9,714,186PYTotalExpensesAmt
CY Total Expenses$13,171,098CYTotalExpensesAmt
PY Revenues Less Expenses$3,246,986PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,863,720CYRevenuesLessExpensesAmt
Total Assets BOY$10,614,043TotalAssetsBOYAmt
Total Assets EOY$12,674,780TotalAssetsEOYAmt
Total Liabilities BOY$1,043,326TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,091,952TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,570,717NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,582,828NetAssetsOrFundBalancesEOYAmt
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$3,101,438ExpenseAmt
DescHOSPITAL IMPROVEMENT INNOVATION NETWORK- ENGAGES HOSPITALS, PROVIDERS AND BROADER CARE -GIVER COMMUNITIES TO QUICKLY IMPLEMENT WELL-TESTED AND MEASURED BEST PRACTICES. THE END RESULT OF THE OVERALL INITIATIVE IS THE ANTICIPATED REDUCTION IN HOSPITAL-BASED HARM AND READMISSION FOR PATIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,588,375ExpenseAmt
DescSTATE INNOVATIONS MODEL PROJECT-THE PURPOSE OF THE PROGRAM IS TO OFFER TECHNICAL ASSISTANCE IN LOCAL COMMUNITIES AND COORDINATE LEARNING EVENTS ACROSS THE STATE OF IOWA TO EQUIP COMMUNITY PARTNERS AND PROVIDERS IN HEALTH SYSTEM TRANSFORMATION. THE PROJECT SUPPORTS STATE-LED, MULTI-PAYER HEALTH CARE PAYMENT AND SERVICE DELIVERY MODELS THAT WILL IMPROVE HEALTH SYSTEM PERFORMANCE AND IMPROVE POPULATION HEALTH.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,788,768ExpenseAmt
DescTRANSFORMING CLINICAL PRACTICES INITIATIVE-THIS PROGRAM IS INTENDED TO TEST WHETHER A THREE-PRONGED APPROACH TO NATIONAL TECHNICAL ASSISTANCE WILL ENABLE LARGE SCALE TRANSFORMATION OF THOUSANDS OF CLINICAL PRACTICES TO DELIVER BETTER CARE AND RESULT IN BETTER HEALTH OUTCOMES AT LOWER COSTS FOR MEDICARE, MEDICAID AND CHILDREN'S HEALTH INSURANCE RPOGRAM ENROLLEES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,243,792ExpenseAmt
Revenue$66,956RevenueAmt
DescTHE COLLABORATIVE WORKS TOWARD THE GOAL OF EXCEPTIONAL HEALTHCARE IN IOWA. IHC PROMOTES QUALITY IMPROVEMENT, PATIENT SAFETY AND VALUE THROUGH EDUCATIONAL PROGRAMMING AND THE ORCHESTRATION OF STATEWIDE CLINICAL PERFORMANCE IMPROVEMENT PROJECTS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,243,792TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$66,956TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$12,722,373TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer EntYes (1)BusinessRlnWithOfficerEntInd
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 Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee27EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MICHAEL ROMANO MD
CHAIR1.00Yes (X)Yes (X)$0$0$0
DAVID WILLIAMS MD
VICE-CHAIR1.00Yes (X)Yes (X)$0$0$0
FRAN TRAMP
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
JACK DUSENBERY
DIRECTOR1.00Yes (X)$0$0$0
BRIAN DIETER
DIRECTOR1.00Yes (X)$0$0$0
JEFF MAIRE DO
DIRECTOR1.00Yes (X)$0$0$0
TOM NEWTON
DIRECTOR1.00Yes (X)$0$0$0
KIRK NORRIS
DIRECTOR1.00Yes (X)$0$0$0
CLIFF ROBERTSON MD
DIRECTOR1.00Yes (X)$0$0$0
MIKE FLESHER
DIRECTOR1.00Yes (X)$0$0$0
SCOTT TRUHLAR MD
DIRECTOR1.00Yes (X)$0$0$0
JULIE WHITE
DIRECTOR1.00Yes (X)$0$0$0
SHEILA LAING
DIRECTOR1.00Yes (X)$0$0$0
THOMAS EVANS MD
PRESIDENT40.00Yes (X)$428,186$0$43,989
FieldValueIRS element (for citing)
Total Reportable Comp From Org$428,186TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$43,989TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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
TELLIGEN
1776 WEST LAKE PARKWAYWEST DES MOINESIA50266GRANT SUPPORT SERVICES$2,089,582
IOWA HOSPITAL ASSOCIATION
100 EAST GRANDDES MOINESIA50309ADMINISTRATIVE SUPPORT AND GRANT SUPPORT$1,280,923
GHA RESEARCH & EDUCATION FOUNDATION
1675 TERRELL MILL ROADMARIETTAGA30067GRANT SUPPORT SERVICES$865,314
SDAHO
3708 WEST BROOKS PLACESIOUX FALLSSD57106GRANT SUPPORT SERVICES$534,140
HCD INTERNATIONAL INC
4390 PARLIAMENT PLACE SUITE ALANHAMMD20706GRANT SUPPORT SERVICES$526,667
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$14,307,169GovernmentGrantsAmt
All Other Contributions$204,333AllOtherContributionsAmt
Total Contributions$14,511,502TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCONFERENCE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$66,956TotalRevenueColumnAmt
Related Or Exempt Func Income$66,956RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$66,956TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$239,632TotalRevenueColumnAmt
Exclusion$239,632ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,798,943SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,582,215SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$216,728SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$216,728TotalRevenueColumnAmt
Exclusion$216,728ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,034,818TotalRevenueColumnAmt
Related Or Exempt Func Income$66,956RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$456,360ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$472,175TotalAmt
Program Services$472,175ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,059,711TotalAmt
Program Services$2,059,711ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$116,678TotalAmt
Program Services$116,678ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$188,355TotalAmt
Program Services$188,355ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$172,631TotalAmt
Program Services$172,631ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$191,580TotalAmt
Program Services$143,685ProgramServicesAmt
Management And General$47,895ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,147TotalAmt
Program Services$8,203ProgramServicesAmt
Management And General$11,944ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,500TotalAmt
Program Services$10,000ProgramServicesAmt
Management And General$6,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,490,442TotalAmt
Program Services$8,472,650ProgramServicesAmt
Management And General$17,792ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$127,322TotalAmt
Program Services$99,028ProgramServicesAmt
Management And General$28,294ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$29,501TotalAmt
Management And General$29,501ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$174,975TotalAmt
Program Services$160,589ProgramServicesAmt
Management And General$14,386ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$113,369TotalAmt
Program Services$84,233ProgramServicesAmt
Management And General$29,136ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$189,714TotalAmt
Program Services$93,212ProgramServicesAmt
Management And General$96,502ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$95,289TotalAmt
Management And General$95,289ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,130TotalAmt
Management And General$14,130ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSULTANTS AND CONTRAC$624,672$587,274$37,398
MARKETING$60,734$53,949$6,785
PRINTING$9,243$9,243
MISCELLANEOUS$3,930$3,930

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,171,098TotalAmt
Program Services$12,722,373ProgramServicesAmt
Management And General$448,725ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$356,403BOYAmt
EOY$47,757EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,430,615BOYAmt
EOY$9,635,033EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,703,852BOYAmt
EOY$2,680,126EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,183BOYAmt
EOY$29,943EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$591,913LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$309,992LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$110,990BOYAmt
EOY$281,921EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,614,043BOYAmt
EOY$12,674,780EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$858,879BOYAmt
EOY$841,202EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,150BOYAmt
EOY$5,850EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$182,297BOYAmt
EOY$244,900EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,043,326BOYAmt
EOY$1,091,952EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,570,717BOYAmt
EOY$11,582,828EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,570,717BOYAmt
EOY$11,582,828EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,614,043BOYAmt
EOY$12,674,780EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,863,720ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$148,391NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$3,963,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,672,557CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,351,651CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,794,880CurrentTaxYearMinus1YearAmt
Current Tax Year$14,511,502CurrentTaxYearAmt
Total$39,293,803TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,963,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,672,557CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,351,651CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,794,880CurrentTaxYearMinus1YearAmt
Current Tax Year$14,511,502CurrentTaxYearAmt
Total$39,293,803TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$39,293,803PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,247CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,496CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,064CurrentTaxYearMinus1YearAmt
Current Tax Year$239,632CurrentTaxYearAmt
Total$438,054TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$110CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$964CurrentTaxYearMinus1YearAmt
Total$1,274TotalAmt
FieldValueIRS element (for citing)
Total Support$39,733,131TotalSupportAmt
Public Support CY1700.98890PublicSupportCY170Pct
Public Support PY1700.99290PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,578OtherCostOrOtherBasisAmt
Depreciation$19,587DepreciationAmt
Book Value$24,991BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$547,335OtherCostOrOtherBasisAmt
Depreciation$290,405DepreciationAmt
Book Value$256,930BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$281,921TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED EMPLOYEE COMPENSATIONDesc
Amt$244,900Amt
FieldValueIRS element (for citing)
Total Liability$244,900TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,183,209TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$148,391NetUnrealizedGainsInvstAmt
Revenue Not Reported$148,391RevenueNotReportedAmt
Revenue Subtotal$15,034,818RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,034,818TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,171,098TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,171,098ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,171,098TotalExpensesPerForm990Amt

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.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

FieldValueIRS element (for citing)
PersonTHOMAS EVANS MDPersonNm
TitlePRESIDENTTitleTxt
Base Compensation Filing Org$428,186BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$29,150DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$14,839NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$472,175TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JAMES KIRK NORRIS
PRESIDENT OF IOWA HOSPITAL ASSOCIATION AND BOARD MEMBER OF IHC$1,153,470IOWA HOSPITAL ASSOCIATION PROVIDES ADMINISTRATIVE AND SUPPORTING SERVICES TO THE COLLABORATIVE, INCLUDING THE HEN CONTRACT. THESE SERVICES INCLUDE ADMINISTRATIVE, FINANCIAL, HUMAN RESOURCES, DATA PROCESSING AND IT SUPPORT.0
JACK DUSENBERY
BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE$1,153,470IOWA HOSPITAL ASSOCIATION PROVIDES ADMINISTRATIVE AND SUPPORTING SERVICES TO THE COLLABORATIVE, INCLUDING THE HEN CONTRACT. THESE SERVICES INCLUDE ADMINISTRATIVE, FINANCIAL, HUMAN RESOURCES,DATA PROCESSING AND IT SUPPORT.0
BRIAN DIETER
BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE$1,153,470IOWA HOSPITAL ASSOCIATION PROVIDES ADMINISTRATIVE AND SUPPORTING SERVICES TO THE COLLABORATIVE INCLUDING THE HEN CONTRACT. THERE SERVIES INCLUDE ADMINISTRATIVE, FINANCIAL, HUMAN RESOURCES, DATA PROCESSING AND IT SUPPORT.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 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 11GOHTER CONTRACT FEES: PROGRAM SERVICE EXPENSES 8,472,650. MANAGEMENT AND GENERAL EXPENSES 17,792. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,490,442.

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