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IOWA CITY VA MEDICAL RESEARCH FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
IOWA CITY VA MEDICAL RESEARCH FOUNDATION (EIN 39-1886437)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-03-28
IRS object ID
201320879349300117
Schema version
2012v2.1
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)
Timestamp2013-03-28T14:34:57-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 S DUBUQUE STAddressLine1
CityIOWA CITYCity
StateIAState
ZIP Code522404077ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391886437EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IOWA CITY VA MEDICAL RESEARCH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlIOWANameControl
Phone3196883542Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WEST 151AddressLine1
CityIOWA CITYCity
StateIAState
ZIP Code52246ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSARAH ELSEName
TitleEXECUTIVE OFFICERTitle
Phone3196883542Phone
Date Signed2013-03-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJASON WAGNERName
PTINP00505750PTIN
Phone3193541500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSARAH ELSENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WEST 151AddressLine1
CityIOWA CITYCity
StateIAState
ZIP Code52246ZIPCode
FieldValueIRS element (for citing)
Gross Receipts265453GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNONEWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION SUPPORTS MEDICAL RESEARCH TO DISCOVER, DEVELOP OR VERIFY PRIOR RESEARCH RELATING TO THE CAUSES, DIAGNOSIS, TREATMENT OR CONTROL OF DISEASES AND OTHER IMPAIRMENTS OF HUMAN BEINGS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12221ContributionsGrantsPriorYear
Contributions Grants Current Year290ContributionsGrantsCurrentYear
Program Service Revenue Prior Year362489ProgramServiceRevenuePriorYear
Program Service Revenue CY245508ProgramServiceRevenueCY
Investment Income Prior Year20804InvestmentIncomePriorYear
Investment Income Current Year19655InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year395514TotalRevenuePriorYear
Total Revenue Current Year265453TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year114144SalariesEtcPriorYear
Salaries Etc Current Year136472SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year482125OtherExpensePriorYear
Other Expenses Current Year188355OtherExpensesCurrentYear
Total Expenses Prior Year596269TotalExpensesPriorYear
Total Expenses Current Year324827TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-200755RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-59374RevenuesLessExpensesCY
Total Assets BOY1752000TotalAssetsBOY
Total Assets EOY1659240TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY1109367TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1752000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY549873NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE PURPOSE OF THE IOWA CITY VA MEDICAL RESEARCH FOUNDATION IS TO SUPPORT MEDICAL RESEARCH IN ORDER TO DISCOVER, DEVELOP, OR VERIFY KNOWLEDGE RELATING TO THE CAUSES, DIAGNOSIS, TREATMENT, OR CONTROL OF PHYSICAL OR MENTAL DISEASES AND IMPAIRMENTS OF HUMANS, IN CONJUNCTION WITH THE IOWA CITY VA MEDICAL HEALTH CARE SYSTEM LOCATED IN IOWA CITY, IOWA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense246210Expense
Revenue245508Revenue
DescriptionFOR THE YEAR ENDED DECEMBER 31, 2012 THE FOUNDATION RECEIVED FIVE NEW GRANTS AND SUB-GRANTS AND EXPENDED APPROXIMATELY $500,000 FOR THESE AND OTHER GRANTS. THE FOUNDATION MONITORED APPROXIMATELY 25 GRANTS UNDER VARIOUS STAGES OF ACTIVITY.Description
Total Program Service Expense246210TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees9NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SARAH J ELSEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3196883542TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WEST 151AddressLine1
CityIOWA CITYCity
StateIAState
ZIP Code52246ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
DAVID BUSHNELL
DIRECTOR1.00X022981841899
DANIEL KAHN
DIRECTOR1.00X020206532652
RANDY KARDON
DIRECTOR1.00X025881442388
JOHN MIKELSON
DIRECTOR1.00X000
STANLEY PARKER
DIRECTOR1.00X032795458051
ELI PERENCEVICH
DIRECTOR1.00X012744442388
TAMMY RICHARDSON
SECRETARY-TREASURER1.00X000X
PHILLIP SCHMID JR
DIRECTOR1.00X000
BARRY SHARP
DIRECTOR1.00X017501034407
PETER VANDERHOEF
DIRECTOR1.00X000
PATRICIA WINOKUR
DIRECTOR1.00X0220913652
MARK YOREK
CHAIR1.00X010721717286X
SARAH ELSE
EXECUTIVE DIRECTOR25.005815505816X
FieldValueIRS element (for citing)
Total Reportable Comp From Org58155TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1450413TotalReportableCompFrmRltdOrgs
Total Other Compensation278539TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions290AllOtherContributions
Total Contributions290TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUDescription
Business Code900099BusinessCode
Total Revenue Column245508TotalRevenueColumn
Related Or Exempt Function Income245508RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue245508TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19655TotalRevenueColumn
Exclusion$19,655ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column265453TotalRevenueColumn
Related Or Exempt Function Income245508RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$19,655ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total58155Total
Program Services11631ProgramServices
Management And General46524ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total64371Total
Program Services55585ProgramServices
Management And General8786ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13946Total
Program Services4869ProgramServices
Management And General9077ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14200Total
Management And General14200ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7663Total
Program Services7663ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total18773Total
Program Services18773ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7694Total
Program Services7694ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3239Total
Program Services3239ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RESEARCH SERVICES SUPPO8142081420
RESEARCH SUPPLIES AND T3977839778
DUES AND MEMBERSHIPS62876287
SPONSORSHIP53505350

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3951Total
Program Services3921ProgramServices
Management And General30ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total324827Total
Program Services246210ProgramServices
Management And General78617ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY369887BOY
EOY318341EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1382113BOY
EOY1272728EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY62403EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY5768EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1752000BOY
EOY1659240EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY57099EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY359642EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY692626EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY1109367EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
EOY548291EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY1582EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1752000BOY
EOY549873EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1752000BOY
EOY1659240EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-59374ReconcilationRevenueExpenses
Reconcilation Other Changes-1142753ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research Org170b1 AiiiXMedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress

Name Name

FieldValueIRS element (for citing)
Business Name Line1IOWA CITY VA MEDICAL HEALTH CARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
CityIOWA CITYCity
StateIAState

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAMOUNT DUE TO AFFLIATEDescription
Amount$692,626Amount
FieldValueIRS element (for citing)
Total Of Amounts692626TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt265453TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal265453RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990265453TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt324827TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal324827ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990324827TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE FOUNDATION IS INCORPORATED AS A NOT-FOR-PROFIT ORGANIZATION UNDER THE CODE OF IOWA, AND HAS OBTAINED EXEMPT STATUS FROM FEDERAL INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3). THE FOUNDATION RECEIVED A DETERMINATION LETTER DATED FEBRUARY 5, 1998. WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGAION PROCESSES, IF ANY. THE FOUNDATION HAS NO UNCERTAIN TAX POSITIONS THAT ARE REQUIRED TO BE RECORDED AS OF DECEMBER 31, 2012. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL AUTHORITIES FOR YEARS ENDING BEFORE JANUARY 31, 2010 NOR HAS THE FOUNDATION BEEN NOTIFIED OF ANY IMPENDING EXAMINATION AND NO EXAMINATIONS ARE CURRENTLY IN PROCESS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID BUSHNELL
DIRECTOR0222030077880003752304376027171700
DANIEL KAHN
DIRECTOR01805260215390003048502167023471700
RANDY KARDON
DIRECTOR0250814080000004238800030120200
STANLEY PARKER
DIRECTOR03149540130000005322704824038600500
ELI PERENCEVICH
DIRECTOR0119322081220004238800016983200
BARRY SHARP
DIRECTOR0173014019960002923905168020941700

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6:VOLUNTEERS ARE MADE UP OF BOARD OF DIRECTORS AND 2 COLLEGE STUDENTS.
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION REVISED THE BY-LAWS AS OF JANUARY 26, 2012. THE SIGNIFICANT CHANGES TO THE BY-LAWS INCLUDE THE FOLLOWING: 1. IN ADDITION TO THE BY-LAWS, THE PROVISIONS OF THE VHA HANDBOOK SHALL BE FOLLOWED IN THE OPERATION OF THE CORPORATION. 2. THE NUMBER OF DIRECTORS WAS INCREASED FROM 7 TO 9 OR SUCH OTHER NUMBER AS MAY BE DESIGNATED BY RESOLUTION OF A MAJORITY OF THE ENTIRE BOARD OF DIRECTORS, BUT SHALL NEVER BE LESS THAN FIVE. INCLUDED IN THOSE DIRECTORS, THE BOARD OF DIRECTORS SHALL HAVE THE AUTHORITY TO APPOINT UP TO THREE ADVISORY MEMBERS. 3. THE OFFICERS OF THE CORPORATION SHALL BE ELECTED BI-ANNUALLY BY THE BOARD WHICH IS A CHANGE FROM BEING ELECTED ANNUALLY. 4. ADDITIONS WERE MADE TO THE BY-LAWS IN WHICH THE BOARD MAY GIVE AUTHORIZATION TO OFFICER(S) OR AGENT(S) OF THE CORPORATION TO ENTER INTO ANY CONTRACT OR EXECUTE AND DELIVER ANY INSTRUMENT IN THE NAME OF AND ON BEHALF OF THE CORPORATION. ALSO ADDING THAT CHECKS, DRAFTS OR ORDERS FOR THE PAYMENT OF MONEY, NOTES OR OTHER EVIDENCES OF INDEBTEDNESS ISSUED IN THE NAME OF THE CORPORATION SHALL BE SIGNED BY THOSE OFFICERS OR AGENTS. AND, THE BOARD MAY ACCEPT ANY CONTRIBUTION, GIFT, BEQUEST OR DEVISE FOR THE GENERAL PURPOSES OR FOR ANY SPECIAL PURPOSE OF THE CORPORATION. 5. AT LEAST FIVE DAYS' WRITTEN NOTICE MUST BE GIVEN TO EACH DIRECTOR OF INTENTION TO ALTER, AMEND OR REPEAL OR TO ADOPT NEW BY-LAWS. 6. THE INDEMNIFICATION ARTICLE WAS CHANGED TO STATE, "THE CORPORATION SHALL, IN ACCORDANCE WITH THE ARTICLES, INDEMNIFY AND HOLD HARMLESS EACH DIRECTOR NOW OR HEREAFTER SERVING THE CORPORATION OR ANY SUBSIDIARY THEREOF."
FORM 990, PART VI, SECTION B, LINE 11THE AUDITORS ISSUE THE FORM 990 TO THE EXECUTIVE DIRECTOR. THE FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR. 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 12CA CONFLICT OF INTEREST QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY EACH BOARD MEMBER, AS DOES AN ANNUAL REVIEW AND REAFFIRMATION OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
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.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. REQUESTS MUST BE MADE TO THE FOUNDATION EXECUTIVE DIRECTOR OR A BOARD OFFICER.
FORM 990, PART XI, LINE 9:CASH TO ACCRUAL ADJUSTMENT -1,142,753.CHANGES IN NET ASSETS OR FUND BALANCES:
DURING THE YEAR ENDED DECEMBER 31, 2012, THE BOARD OF DIRECTORS OF THE FOUNDATION ELECTED TO CHANGE FROM THE CASH BASIS METHOD OF ACCOUNTING TO ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE CHANGE WAS RETROACTIVELY MADE BY AN ADJUSTMENT TO INCREASE BEGINNING NET ASSETS BY $124,153.
FORM 990, PART XI, LINE 2C:THE FULL BOARD OF DIRECTORS HAS RESPONSIBILITY FOR THE AUDIT PROCESS AND CONTRACTS WITH THE AUDITOR. ON A QUARTERLY BASIS, FINANCIAL STATEMENTS AND FINANCIAL ACTIVITY DETAIL REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL. THE FINANCIAL STATEMENTS AND REPORTS OF THE INDEPENDENT AUDITOR ARE DISTRIBUTED TO THE FULL BOARD AND APPROVED IN THE MINUTES. CORRECTIVE ACTIONS ARE DISCUSSED IN THE BOARD MINUTES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1IOWA CITY VA MEDICAL HEALTH CARE SYSTEMBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1601 HIGHWAY 6 WESTAddressLine1
CityIOWA CITYCity
StateIAState
ZIP Code52240ZIPCode
FieldValueIRS element (for citing)
EIN470376487EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateIALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status3PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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