2013-03-28T14:34:57-05:00 2012-12-31 420714325 MCGLADREY LLP 125 S DUBUQUE ST IOWA CITY IA 522404077 990 2012-01-01 391886437 IOWA CITY VA MEDICAL RESEARCH FOUNDATION IOWA 3196883542 601 HIGHWAY 6 WEST 151 IOWA CITY IA 52246 SARAH ELSE 3196883542 2013-03-28 1 JASON WAGNER P00505750 3193541500 2012 2016-02-25 16:41:14Z SARAH ELSE 601 HIGHWAY 6 WEST 151 IOWA CITY IA 52246 265453 0 X NONE X 1997 IA THE 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. 12 4 9 14 0 0 12221 290 362489 245508 20804 19655 0 0 395514 265453 0 0 0 0 114144 136472 0 0 0 482125 188355 596269 324827 -200755 -59374 1752000 1659240 0 1109367 1752000 549873 X THE 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. 0 0 246210 245508 FOR 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. 246210 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 0 0 1 2 0 1 9 1 0 0 0 0 0 0 0 0 0 0 X 12 4 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL MN NJ X SARAH J ELSE 3196883542 601 HIGHWAY 6 WEST 151 IOWA CITY IA 52246 DAVID BUSHNELL 1.00 X 0 229818 41899 DANIEL KAHN 1.00 X 0 202065 32652 RANDY KARDON 1.00 X 0 258814 42388 JOHN MIKELSON 1.00 X 0 0 0 STANLEY PARKER 1.00 X 0 327954 58051 ELI PERENCEVICH 1.00 X 0 127444 42388 TAMMY RICHARDSON 1.00 X X 0 0 0 PHILLIP SCHMID JR 1.00 X 0 0 0 BARRY SHARP 1.00 X 0 175010 34407 PETER VANDERHOEF 1.00 X 0 0 0 PATRICIA WINOKUR 1.00 X 0 22091 3652 MARK YOREK 1.00 X X 0 107217 17286 SARAH ELSE 25.00 X 58155 0 5816 58155 1450413 278539 0 0 1 0 0 290 290 PROGRAM SERVICE REVENU 900099 245508 245508 245508 19655 19655 265453 245508 0 19655 58155 11631 46524 64371 55585 8786 13946 4869 9077 14200 14200 7663 7663 18773 18773 7694 7694 3239 3239 RESEARCH SERVICES SUPPO 81420 81420 RESEARCH SUPPLIES AND T 39778 39778 DUES AND MEMBERSHIPS 6287 6287 SPONSORSHIP 5350 5350 3951 3921 30 324827 246210 78617 0 369887 318341 1382113 1272728 0 62403 0 5768 1752000 1659240 0 57099 0 359642 0 692626 0 1109367 X 548291 1582 1752000 549873 1752000 1659240 X -59374 -1142753 X X 0 1 X 1 0 X IOWA CITY VA MEDICAL HEALTH CARE SYSTEM IOWA CITY IA 0 AMOUNT DUE TO AFFLIATE 692626 692626 X 265453 0 265453 0 265453 324827 0 324827 0 324827 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE 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. X X X X 0 0 0 0 0 0 0 0 0 DAVID BUSHNELL 0 222030 0 7788 0 0 0 37523 0 4376 0 271717 0 0 DANIEL KAHN 0 180526 0 21539 0 0 0 30485 0 2167 0 234717 0 0 RANDY KARDON 0 250814 0 8000 0 0 0 42388 0 0 0 301202 0 0 STANLEY PARKER 0 314954 0 13000 0 0 0 53227 0 4824 0 386005 0 0 ELI PERENCEVICH 0 119322 0 8122 0 0 0 42388 0 0 0 169832 0 0 BARRY SHARP 0 173014 0 1996 0 0 0 29239 0 5168 0 209417 0 0 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 4 THE 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 11 THE 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 12C A 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 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. FORM 990, PART VI, SECTION C, LINE 19 THE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CASH TO ACCRUAL ADJUSTMENT -1,142,753. 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. IOWA CITY VA MEDICAL HEALTH CARE SYSTEM 601 HIGHWAY 6 WEST IOWA CITY IA 52240 470376487 HOSPITAL IA 501(C)(3) 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0