2017-07-07T09:59:40-05:00 2016-12-31 420794029 Denman & Company LLP 1601 22nd Street Suite 400 West Des Moines IA 502661453 990PF 2016-01-01 202017785 Telligen Community Initiative TELL 5152232852 1776 West Lakes Parkway West Des Moines IA 50266 Matt McGarvey Executive Director 5152232852 2017-06-26 1 David Ellis P01306431 5152258400 167.142.53.102 2017-06-26 13:19:48 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0E1B973726001D6F901B89741ACBB070236FD491 2016 2021-01-29 14:40:06Z X 38036220 X X 88497 88497 623899 623899 27710691 42454763 27710691 103218 103218 28526305 28526305 120535 0 107879 25146 0 22506 2622 0 2347 6425 0 5750 53360 0 47757 577752 0 9225 6016 0 5384 301493 225253 68236 1093349 225253 269084 1732712 1508712 2826061 225253 1777796 25700244 28301052 1174867 217550 217550 532431 532431 42042 30028 30028 8607979 37256211 37256211 27600445 0 0 37425333 38036220 38036220 5333 8108 224000 27600445 0 27605778 232108 X 9819555 37804112 9819555 37804112 37425333 38036220 9819555 25700244 2284313 37804112 0 37804112 Installment Gain on Sale of Telligen, Inc D 2013-12-31 2016-01-26 27600445 27600445 27600445 Morgan Stanley #4045 - Short Term 9686594 9371160 315434 315434 Morgan Stanley #4045 - Long Term 5127464 5372912 -245448 -245448 Capital Gains Dividends P 40260 40260 40260 27710691 0 1854858 36297980 0.051101 1334544 32859397 0.040614 147500 28190 5.232352 0 21057 0.000000 146700 4530 32.384106 37.708173 7.541635 36497730 275252558 283011 275535569 1777796 566021 0 566021 0 566021 565500 521 566021 X 0 0 0 0 0 0 0 0 0 0 0 1 1 IA 1 0 0 0 0 1 N/a Telligen Community Initiative 5152232852 1776 West Lakes Parkway West Des Moines IA 50266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 David Thomas MD 1776 West Lakes Parkway west Des Moines IA 50266 President 1.00 0 0 0 Michael Zia MD 1776 West Lakes Parkway west Des Moines IA 50266 Vice President 1.00 0 0 0 VICTORIA SHARP MD 1776 West Lakes Parkway west Des Moines IA 50266 SECRETARY/TREASURER 1.00 0 0 0 Lanny Ward 1776 West Lakes Parkway west Des Moines IA 50266 Director 1.00 0 0 0 GERARD CLANCY MD 1776 West Lakes Parkway West Des Moines IA 50266 DIrector 1.00 0 0 0 pEG MASON 1776 West Lakes Parkway west Des Moines IA 50266 dIrector 1.00 0 0 0 Matt McGarvey 1776 West Lakes Parkway west Des Moines IA 50266 Executive Director 40.00 120535 25146 0 NONE 0 NONE 0 Grantmaking to other charitable organizations 0 0 33899753 3123752 30028 37053533 0 0 37053533 555803 36497730 1824887 1824887 566021 566021 1258866 0 1258866 0 1258866 1777796 0 1777796 0 1777796 1258866 0 0 146473 146090 90129 382692 1777796 0 0 0 1258866 518930 0 0 901622 0 0 0 0 0 0 146473 755149 146090 90129 518930 X A New Leaf 2306 South 1st Place Tulsa OK 74012 501(C)3 Blooming Acres 50000 American Heart Association 3401 NW 63rd Street Suite 200 Oklahoma City OK 73116 501(C)3 Simple Cooking with Heart in Native American Communities 50000 American Heart Association - Midwest Affiliate 5000 Westown Parkway Suite 340 West Des Moines IA 50266 501(C)3 Rural Hospital Stroke Quality Improvement Initiative 50000 Among Friends Activity Center Inc 1185 East Main Street Norman OK 73071 501(C)3 Among Friends Health & Wellness Program 6633 Blank Children's Primary CareUnityPoint Health Foundation 1415 Woodland Avenue E-200 Des Moines IA 50131 501(C)3 Connections in Primary Care 50000 Board of Trustees of the University of Illinois 809 South Marshfield MB 502 M/C 551 Rockford IL 60612 501(C)3 Expanding the Rural Nursing Initiative at UIC 50000 Center for Asian Health Equity dba Asian Health Coalition 180 West Washington Street Ste 1000 Chicago IL 60602 501(C)3 Chicago Southside PROMYS (Program in Research for Outstanding Minority Young Scientists) 49500 Centerstone 902 West Main Street West Frankfort IL 62896 501(C)3 Wellness and Recovery Care Coordination for Adults Following a Behavioral Health Crisis 50000 Children & Families of Iowa 1111 University Avenue Des Moines IA 50314 501(C)3 Telehealth Services for Underserved Rural Iowams 36450 Clay County Hospital 911 Stacy Burk Drive Flora IL 62839 501(C)3 Rural Behavioral Health via Telepsych 25000 Crisis Center for South Suburbia 7700 Timber Drive Tinley Park IL 60477 501(C)3 Medical Advocacy Program 5000 Domestic Violence Intervention Services Inc 4300 South Harvard Avenue Tulsa OK 74135 501(C)3 Coaching Boys Into Men 49775 Four Oaks Family and Children's Services 980 South Iowa Avenue Mason City IA 50401 501(C)3 Regional Trauma Informed Care Workforce Development 49434 Great River Medical Center 1221 South Gear Avenue West Burlington IA 52655 501(C)3 Dual-Diagnosis Partial Hospital Program 48279 Illinois Association of Infant Mental Health 451 North LaSalle Street Chicago IL 60654 501(C)3 Infant & Early Childhood Mental Health Workforce Development 30290 Iowa College Student Aid Commission 430 East Grand Ave FL 3 Des Moines IA 50309 501(C)3 LCANs for Healthcare Talent 50000 Iowa Primary Care Association 9943 Hickman Road Suite 103 Urbandale IA 50322 501(C)3 Behavioral Health Integration Support for Safety Net Providers Through Project ECHO 50000 Iowa Radio Reading Information Service for the Blind and Print Handicapped 100 East Euclid Avenue 117 Des Moines IA 50313 501(C)3 IRIS Connections 6500 Kishwaukee Family YMCA 2500 West Bethany Road Sycamore IL 60178 501(C)3 Pedaling for Parkinson's 26750 Legal Council for Health Justice 180 North Michigan Avenue Ste 2110 Chicago IL 60601 501(C)3 Chicago Medical-Legal Partnership for Children 50000 Lutheran Social Services of Illinois 1001 East Touhy Avenue Ste 50 Des Plaines IL 60018 501(C)3 Wrap-Around Behavioral Health Model 50000 Oklahoma City Community College Foundation 7777 South May Avenue Oklahoma City OK 73159 501(C)3 Workforce Development for SLPAs and Providing Speech-Language Pathology Services for Clients in Shortage Areas Across Oklahoma 41430 Oklahoma City-County Health Department 2600 NE 63rd Street Oklahoma City OK 73111 501(C)3 Increasing Access to Medical-Legal Services of the Under and Uninsured of Oklahoma County 50000 Oklahoma Commission on Children and Youth 1111 North Lee Suite 500 Oklahoma City OK 73103 501(C)3 Child Abuse/Neglect Medical System Infrastructure Development 50000 Oklahoma Project Woman PO Box 14026 Tulsa OK 74159 501(C)3 Breast Health Care for the Uninsured 25000 Oklahoma State University Foundation 400 South Monroe Stillwater OK 74074 501(C)3 Project ECHO OSU Substance Abuse Disorders Clinic 50000 School for Healthy Lifestyles 500 North Broadway Ste 225 Oklahoma City OK 73102 501(C)3 Schools for Healthy Lifestyles: Health Education Implementation 50000 Sinai Urban Health Institute 1500 South Fairfield Avenue K446 Chicago IL 60608 501(C)3 Center for Community Health Worker Research, Outcomes and Workforce Development (CROWD) 50000 South Side Office of Concern 202 NE Madison Avenue Peoria IL 61602 501(C)3 Community Healthcare Homeless Outreach Program 50000 State Hygienic Laboratory - University of Iowa 2490 Crosspark Road Iowa City IA 52241 501(C)3 iExplore Laboratory Sciences 50000 The Homestead 1625 Adventureland Drive Suite B Altoona IA 50009 501(C)3 Capacity Building for The Homestead's Children's Autism Project (CAP Centers) 50000 University of Oklahoma - Dept of Medical Informatics 4502 East 41st Street Tulsa OK 74135 501(C)3 Oklahoma Academy for Integrated Care 49991 University of Oklahoma Foundation (OU-Tulsa) 4502 East 41st Street Room 3B07 Tulsa OK 74135 501(C)3 Preparing Oklahoma's Future Health Care Providers: The Professional ACEs-Informed Training for Health (PATH) 46180 University of Tulsa 800 South Tucker Drive Tulsa OK 74104 501(C)3 Health Care Delivery Sciences Executive Leadership Program Development 37500 Young Invincibles 234 South Wabash 6th Floor Chicago IL 60604 501(C)3 Chicago Homeless Youth Mobile App 50000 Youth & Family Counseling 1113 South Milwaukee Avenue Ste 104 Libertyville IL 60048 501(C)3 Waukegan Integration Project 25000 1508712 de Beaumont Foundation 7501 Wisconsin Ave 1310e Bethesda MD 20814 501(C)3 BUILD 2.0 - Local Funding Partner (de Beaumont Fdn is serving as fiscal agent for the national initiative) 155000 University of Iowa Iowa Center for Higher Education N459 Lindquist Center Iowa City IA 52242 501(C)3 Health/Human Services Incubator Place (HIP) 59000 Active TCI Grantees 1776 West Lakes Parkway West Des Moines IA 50266 501(C)3 Strategic Grantee Convening 10000 224000 14 88497 14 623899 18 110246 27600445 Interest Income- Note Receivable 103218 0 822642 27703663 28526305 8 GAIN FROM THE INSTALLMENT SALE OF NEW TELLIGEN STOCK TO THE ESOP. 8 THE INSTALLMENT SALE WAS A NECESSARY COMPONENT OF THE REORGANIZATION 8 OF A RELATED ENTITY AND IS INCLUDED IN NET INVESTMENT INCOME. 11 INTEREST IS RELATED TO THE INSTALLMENT SALE AND IS INCLUDED IN NET 11 INVESTMENT INCOME. 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 6425 0 5750 MUTUAL FUNDS FMV 9084750 9084750 EXCHANGE TRADED & CLOSED-END FUNDS FMV 7817660 7817660 Equities FMV 16644262 16644262 Corporate Fixed Income Funds FMV 1132069 1132069 Government Securities FMV 2577470 2577470 LEGAL 2622 0 2347 Receivable - Installment sale 27600445 0 0 Miscellaneous 2106 0 1885 ADMINISTRATIVE SERVICES 45957 0 41132 INSURANCE 26814 0 23999 INVESTMENT FEES 225253 225253 0 Office Expenses 1363 0 1220 Interest Income- Note Receivable 103218 103218 103218 Unrealized Gain/(Loss) on Investments 2284313 Deferred Gain - installment sale 27600445 0 OTHER PROFESSIONAL SERVICES 53360 0 47757 Investment Income Tax 567440 0 0 PENALTIES 5 0 0 PAYROLL TAXES 10307 0 9225