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Nonprofiteer
← CENTRAL IOWA HEALTH SYSTEM

Form 990 for tax year 2023

Filed by CENTRAL IOWA HEALTH SYSTEM.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Mission and programs · 2023

Mission

IMPROVING THE HEALTH OF THE COMMUNITY THROUGH HEALING, CARING AND TEACHING.

  • AFFILIATE SUPPORT SERVICESCENTRAL IOWA HEALTH SYSTEM IS ORGANIZED TO SUPPORT THE MISSIONS OF SEVERAL RELATED CHARITABLE, TAX-EXEMPT ORGANIZATIONS INCLUDING CENTRAL IOWA HOSPITAL CORPORATION, CENTRAL IOWA HEALTH PROPERTIES CORPORATION AND IOWA HEALTH FOUNDATION. THE SUPPORT SERVICES PROVIDED TO THESE ORGANIZATIONS ARE TO CONSTRUCT, OWN, LEASE, MANAGE, OPERATE, PROVIDE AND MAINTAIN ANY FACILITIES, PROGRAMS, SERVICES AND RELATED ACTIVITIES, IN FURTHERANCE OF HEALTH-CARE OR HEALTH EDUCATION. FACILITIES INCLUDE IOWA METHODIST MEDICAL CENTER, IOWA LUTHERAN HOSPITAL, BLANK CHILDRENS HOSPITAL, METHODIST WEST HOSPITAL, PARTNERS IN HEALTH PHYSICIAN CLINICS, AND OTHER ESTABLISHMENTS CREATED TO CARRY THROUGH HEALTH-CARE AND EDUCATIONAL PROGRAMS. THE PRIMARY PURPOSE OF THE CORPORATION IS TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, RELIGIOUS AND SCIENTIFIC ACTIVITIES IN ACCORDANCE WITH PREVIOUSLY STATED PURPOSES.

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kirk Abrahamson

    BOARD MEMBER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • Kim Bakey

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Bishop Kennetha Bigham-Tsai

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Brad Brody

    BOARD MEMBER

    Total calculated
    $25,000
    From this org
    $0
    From related orgs
    $25,000
    Other
    $0
    Hours/week
    1 + 1 related

  • Darwin Copeman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Bishop Amy Current

    BOARD MEMBER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • Doug Den Adel

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Diana Gorsche RN Bsn Ccm

    BOARD MEMBER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • Clint Hawthorne MD

    BOARD MEMBER

    Total calculated
    $444,095
    From this org
    $0
    From related orgs
    $401,800
    Other
    $42,295
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $401,424 related
    Bonus
    $0
    Other
    $0 + $376 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $25,795 related
    Filer's total
    $0 + $444,095 related

  • Thomas Houser

    BOARD MEMBER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • Bruce James MD

    BOARD MEMBER

    Total calculated
    $7,385
    From this org
    $0
    From related orgs
    $7,385
    Other
    $0
    Hours/week
    1 + 1 related

  • Kasey Johnson Steen

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Joseph Jones

    BOARD MEMBER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • Sid Juwarker

    BOARD MEMBER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • Anish Keshwani MD

    BOARD MEMBER

    Total calculated
    $492,974
    From this org
    $0
    From related orgs
    $445,844
    Other
    $47,130
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $433,580 related
    Bonus
    $0 + $9,000 related
    Other
    $0 + $3,264 related
    Deferred
    $0 + $15,797 related
    Nontaxable benefits
    $0 + $31,333 related
    Filer's total
    $0 + $492,974 related

  • Angela Knoblauch Do

    BOARD MEMBER

    Total calculated
    $367,664
    From this org
    $0
    From related orgs
    $339,660
    Other
    $28,004
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $338,943 related
    Bonus
    $0
    Other
    $0 + $717 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $11,504 related
    Filer's total
    $0 + $367,664 related

  • Jose Laracuente

    BOARD MEMBER

    Total calculated
    $14,635
    From this org
    $0
    From related orgs
    $14,635
    Other
    $0
    Hours/week
    1 + 1 related

  • Greg Lin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Rose Mitchell

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Dave Moench

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sheldon Ohringer

    BOARD SECRETARY/TREASURER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • John Schmidt

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • David Stark

    BOARD MEMBER/CEO

    Total calculated
    $1,133,577
    From this org
    $0
    From related orgs
    $1,041,723
    Other
    $91,854
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $603,461 related
    Bonus
    $0 + $421,773 related
    Other
    $0 + $16,489 related
    Deferred
    $0 + $67,576 related
    Nontaxable benefits
    $0 + $24,278 related
    Filer's total
    $0 + $1,133,577 related

  • Tiffany Tauscheck

    BOARD MEMBER

    Total calculated
    $135
    From this org
    $0
    From related orgs
    $135
    Other
    $0
    Hours/week
    1 + 1 related

  • Shannon Winters

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Daniel Zinnel

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Thomas Mathews

    SENIOR VP FINANCE/CFO

    Total calculated
    $503,939
    From this org
    $0
    From related orgs
    $462,835
    Other
    $41,104
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $364,026 related
    Bonus
    $0 + $95,028 related
    Other
    $0 + $3,781 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $24,604 related
    Filer's total
    $0 + $503,939 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DAVID STARK $51,076.
SCHEDULE J, PART I, LINE 3 - ESTABLISHING COMPENSATION
THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • ADVANCED IMAGING CENTER LLC

    DIAGNOSTIC RADIOLOGY CENTER · IA · general or managing partner

  • ANKENY MEDICAL PARK SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • CENTRAL IOWA PHYSIO LLC

    PHYSICAL THERAPY SERVICES · IA · general or managing partner

  • DUBUQUE ENDOSCOPY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • EASTERN IOWA SLEEP SUPPLY LLC

    MEDICAL EQUIPMENT RETAIL SALES · IA · general or managing partner

  • HEALTH CARE AFFILIATES OF THE TRI-STATES LLC

    PROVIDE ACCESS TO LICENSED SOFTWARE · IA · general or managing partner

  • IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC

    OUTPATIENT DIAGNOSTIC IMAGING · IA · general or managing partner

  • IOWA HEALTH SYSTEM CONTRACTING SERVICES LC

    RELATED · GROUP PURCHASING · IA · 100% owned · share of income $15,790,671 · share of assets $1,259,791 · general or managing partner

    Directly controlled by IOWA HEALTH SYSTEM

  • LAKEVIEW SURGERY CENTER LC

    SURGERY CENTER · IA · general or managing partner

  • MR ASSOCIATES LLP

    OWN AND OPERATE MR UNIT · IA · general or managing partner

  • ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC

    AMBULATORY SURGERY CENTER. · IA · general or managing partner

  • UNITED MEDICAL PARK ASC LLC DBA THE SURGERY CENTER AT UNITED MEDICAL PARK

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • UPHT-SCA HOLDINGS LLC

    AMBULATORY SURGERY CENTER INVESTMENT · DE

  • WEST LAKES SLEEP CENTER LLC

    SLEEP DISORDER DIAGNOSTIC TESTING FACILITY · IA · general or managing partner

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ABBE MANAGEMENT CORPORATION

    C · MANAGEMENT SERVICES · IA

  • BROADBAND INC

    C · INFORMATION TECHNOLOGY MGMT. · IA

  • DELHI POINT CONDO ASSOCIATION

    C · REAL ESTATE MANAGEMENT · IA

  • HCP CORPORATION

    C · REAL ESTATE RENTAL · WI

  • HANSEN CHARITABLE REMAINDER ANNUITY TRUST

    T · INVESTMENT · IA

  • HANSEN CHARITABLE REMAINDER UNITRUST

    T · INVESTMENT · IA

  • HEALTH ADVANTAGE PLUS INC

    C · PHYSICAL THERAPY · IA

  • HNC SERVICES

    C · FIBER OPTIC NETWORK SERVICES · IA

  • MEDIMORE INC

    C · MANAGED CARE · IA

  • MERITER HEALTH ENTERPRISES INC

    C · MANAGEMENT SERVICES · WI

  • MERITER MANAGEMENT SERVICES INC

    C · ADMINISTRATIVE SERVICES · WI

  • PRECEDENCE INC

    C · MANAGED MENTAL CARE · IA

  • PRECEDENCE PLUS INC

    C · MANAGED MENTAL CARE · IA

  • STL HEALTH RESOURCES CO

    C · PHYSICIAN OFFICE RENTAL · IA

  • TRINITY HEALTH ENTERPRISES INC

    C · RETAIL PHARMACY · IL

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202423199349308977

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