2016-06-17T09:03:23-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 600 3RD AVE SE STE 300 CEDAR RAPIDS IA 52401 990 2015-01-01 391886437 IOWA CITY VA MEDICAL RESEARCH FOUNDATION IOWA 3196883542 601 HIGHWAY 6 WEST 151 IOWA CITY IA 52246 SARAH ELSE EXECUTIVE DIRECTOR 3196883542 2016-06-17 1 DAVID LITTLE P01480921 3193632697 2015 2016-09-27 15:27:22Z SARAH ELSE 601 HIGHWAY 6 WEST 151 IOWA CITY IA 52246 571489 0 X WWW.ICVAFOUNDATION.COM X 1997 IA TO MOBILIZE RESOURCES TO IMPROVE THE HEALTH AND WELL BEING OF THE VETERAN COMMUNITY 9 3 7 6 0 0 519 17214 391547 550581 4613 3694 22215 0 418894 571489 0 0 0 0 91077 111249 0 0 0 345147 499937 436224 611186 -17330 -39697 1246469 1213446 914731 921405 331738 292041 X THE 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. 0 0 475585 550581 ICVARF MOBILIZES RESOURCES THAT HELP TARGET, CURE, AND IMPROVE VETERANS' HEALTH PROBLEMS. 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 ENDED DECEMBER 31, 2015 THE FOUNDATION CONTINUED TO MANAGE TWO DEPARTMENT OF DEFENSE (DOD) GRANTS AND RECEIVED TWO NEW INDUSTRY SPONSORED GRANTS. ONE DOD GRANT SUPPORTS RESEARCH FOR VETERANS WITH SEVERE HEARING LOSS THROUGH COCHLEAR IMPLANT TECHNOLOGY AND THE SECOND DOD GRANT FOCUSES ON TRAUMATIC BRAIN INJURY AS A RESULT OF MULTIPLE IMPACTS OR BLASTS. THE TWO NEW INDUSTRY SPONSORED GRANTS BOTH SUPPORT MEDICAL RESEARCH RELATED TO CHRONIC HEPATITIS C. THE FOUNDATION HAS APPROXIMATELY 20 MEDICAL RESEARCH ACCOUNTS IN VARIOUS STAGES OF ACTIVITY AND EXPENDED APPROXIMATELY $488,000 TO SUPPORT MEDICAL RESEARCH ACTIVITIES.HOSPITALS, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS OFTEN FALL SHORT OF USING THE FINDINGS FROM RESEARCH STUDIES TO IMPROVE HEALTH CARE SERVICES FOR VETERANS. WHILE RESEARCH STUDIES SHOW THAT THE VA DOES A BETTER JOB OF USING RESEARCH INFORMATION THAN PROVIDERS IN THE PRIVATE SECTOR, MORE CAN STILL BE DONE TO IMPROVE THE TRANSFER OF INFORMATION FROM RESEARCHERS TO CLINICIANS. THIS TRANSFER OF INFORMATION IS REFERRED TO AS "IMPLEMENTATION". THE CENTER FOR RESEARCH IN THE IMPLEMENTATION OF INNOVATIVE STRATEGIES IN PRACTICE (CRIISP) WAS ESTABLISHED IN JUNE 2004 AS A NEW VA HEALTH SERVICES RESEARCH AND DEVELOPMENT (HSR&D) CENTER OF EXCELLENCE FOCUSING ON IMPLEMENTATION OR TRANSFER OF INFORMATION.CRIISP'S GOAL IS TO CREATE WAYS TO CHANNEL RESEARCH INFORMATION TO CLINICIANS IN A MORE DIRECT FASHION IN ORDER TO IMPROVE VETERANS' WELL BEING. SPECIFICALLY, THE CENTER AIMS TO:1. IDENTIFY EXISTING PROCESSES THAT ASSIST OR HINDER THE TRANSFER OF RESEARCH INFORMATION2. DEVELOP, TEST, AND DISTRIBUTE NEW PROCESSES THAT IMPROVE THE QUALITY AND COSTS OF MEDICAL SERVICES 475585 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 7 1 0 0 0 0 0 0 0 0 0 0 X 9 3 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 FL MN NJ X SARAH ELSE 3196883542 601 HIGHWAY 6 WEST 151 IOWA CITY IA 52246 RICHARD CHARLAT DIRECTOR 1.00 40.00 X 0 285842 61666 ANN DAVIDSHOFERR DIRECTOR 1.00 40.00 X 0 87433 14331 JUDITH JOHNSON-MEKOTA DIRECTOR 1.00 X 0 0 0 RANDY KARDON DIRECTOR 1.00 40.00 X 0 309905 55490 ELI PERENCEVICH DIRECTOR 1.00 40.00 X 0 238950 53790 PHILLIP SCHMID JR DIRECTOR 1.00 X 0 0 0 PETER VANDERHOEF DIRECTOR 1.00 X 0 0 0 JOHN MIKELSON SECRETARY/TREASURER 2.00 X X 0 0 0 MARK YOREK CHAIR 2.00 40.00 X X 0 117459 21379 TAMMY RICHARDSON SECRETARY/TREASURER - LEFT MAY 2015 2.00 X X 0 0 0 DAWN OXLEY DIRECTOR - LEFT JAN 2015 1.00 X 0 180246 24304 SARAH ELSE EXECUTIVE DIRECTOR 25.00 X 56641 0 5664 56641 1219835 236624 0 0 1 0 UNIVERSITY OF IOWA 107 CALVIN HALL IOWA CITY IA 52240 RESEARCH SERVICES 345113 1 17214 17214 PROGRAM SERVICE FEES 541700 544988 544988 CRIISP MANAGEMENT FEES 561000 5593 5593 550581 3694 3694 571489 550581 0 3694 62305 62305 38540 8742 29798 3542 466 3076 6862 347 6515 430 430 19575 19575 1017 1017 750 750 6871 5600 1271 3629 3629 6423 6423 9325 9325 7404 5799 1605 2511 2046 465 RESEARCH SUPPORT/SUPPLI 403146 403146 NURSE SUPPORT/SUPPLIES 34035 34035 DUES/MEMBERSHIPS 4630 1195 3435 191 75 116 611186 475585 135601 0 1209739 1188344 34833 23771 1897 1331 1246469 1213446 167489 262808 256963 255711 490279 402886 914731 921405 X 331738 292041 331738 292041 1246469 1213446 -39697 0 X X 0 1 X 1 0 X IOWA CITY VA MEDICAL HEALTH CARE SYSTEM IOWA CITY IA 0 DUE TO AFFILIATE 402886 402886 X 571489 0 571489 0 571489 611186 0 611186 0 611186 PART X, LINE 2: THE FOUNDATION FOLLOWS THE STANDARD FOR EVALUATING UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. 0 0 0 0 0 0 0 0 0 RICHARD CHARLAT DIRECTOR 0 268388 0 13500 0 3954 0 49146 0 12520 0 347508 0 0 RANDY KARDON DIRECTOR 0 302905 0 7000 0 0 0 55490 0 0 0 365395 0 0 ELI PERENCEVICH DIRECTOR 0 225280 0 13670 0 0 0 41256 0 12534 0 292740 0 0 DAWN OXLEY DIRECTOR - LEFT JAN 2015 0 158922 0 0 0 21324 0 12215 0 12089 0 204550 0 0 PART I, LINE 3 THE 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 2013. 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 3. 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 7B THE 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 B, LINE 11 THE 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 12C EACH 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 15 THE 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 2013. FORM 990, PART VI, SECTION C, LINE 19 THE 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. FORM 990, PART XII, LINE 2C: NO CHANGE FROM THE PRIOR YEAR. IOWA CITY VA MEDICAL HEALTH CARE SYSTEM 601 HIGHWAY 6 WEST IOWA CITY IA 52240 470376487 HOSPITAL IA N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 IOWA CITY VA MEDICAL HEALTH CARE SYSTEM M 87393 FAIR MARKET VALUE