Totals
- Total revenue
- $3,527,975
- Total expenses
- $2,834,988
- Contributions and grants received
- $888,413
- Grants paid
- $0
- Program service revenue
- $2,237,642
- Investment income
- $401,915
- Other revenue
- $5
- Total assets, end of year
- $11,354,344
- Total liabilities, end of year
- $593,435
- Net assets or fund balances, end of year
- $10,760,909
- Program services expenses (Part IX)
- $2,371,579
- Management and general expenses
- $463,409
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,371,579
Program services were 83.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
JOHN ALLEN FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
PEG BRADKE - BOARD SECRETARY
(TO 05/22)/BOARD VICE CHAIR (FR 05/22)
- Total calculated
- $5,737
- From this org
- $0
- From related orgs
- $5,388
- Other
- $349
- Hours/week
- 1 + 1 related
-
MIKE BRINGOLF FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JOHN BRYANT TO 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JULIE DAMIANO FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
CHUCK GARDNER TO 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BRIAN GLOBOKAR FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MICHAEL HENRICH FR 0522
BOARD MEMBER/EXEC VP FINANCE & CFO
- Total calculated
- $478,820
- From this org
- $0
- From related orgs
- $411,994
- Other
- $66,826
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $330,671 related
- Bonus
- $0 + $70,397 related
- Other
- $0 + $10,926 related
- Deferred
- $0 + $55,630 related
- Nontaxable benefits
- $0 + $11,196 related
- Filer's total
- $0 + $478,820 related
-
SHIRLEY HELMRICHS FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ANNE JAHNKE FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BILL JURGENSEN TO 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DONNA KUNDE FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
LARRY MAIERS FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BARB MATIAS FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MICHAEL MCDERMOTT TO 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ROBERT MCMAHAN TO 0522
BOARD VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DAN MINECK FR 0522
BOARD SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ROBIN MIXDORF FR 0522
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
LORI RATHJE TO 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
NANCY SCHOEBEN TO 0422
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BRIAN SCOTT FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DAVE TESDAHL FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MIKE TIERNAN FR 0522
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
PHILIP WASTA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MICHELLE NIERMANN FR 0522
BOARD MEMBER/SLMH PRES/CEO
- Total calculated
- $823,311
- From this org
- $0
- From related orgs
- $700,612
- Other
- $122,699
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $514,622 related
- Bonus
- $0 + $171,213 related
- Other
- $0 + $14,777 related
- Deferred
- $0 + $93,482 related
- Nontaxable benefits
- $0 + $29,217 related
- Filer's total
- $0 + $823,311 related
-
KATHLEEN HORAN
PRESIDENT & CEO
- Total calculated
- $197,281
- From this org
- $0
- From related orgs
- $183,374
- Other
- $13,907
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $183,374 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $7,564 related
- Nontaxable benefits
- $0 + $6,343 related
- Filer's total
- $0 + $197,281 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: MICHAEL HEINRICH $40,380 AND MICHELLE NIERMANN $78,232.
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.
-
ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC
501(C)(3) · MENTAL HEALTH CARE · IA
Directly controlled by ABBEHEALTH INC
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by ST LUKE'S HEALTHCARE
-
501(C)(3) · SENIOR SERVICES · IA
Directly controlled by ABBEHEALTH INC
-
501(C)(3) · EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS · IA
Directly controlled by ALLEN HEALTH SYSTEMS INC
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
ALLEN MEMORIAL HOSPITAL CORPORATION
501(C)(3) · HOSPITAL · IA
Directly controlled by ALLEN HEALTH SYSTEMS INC
-
ANAMOSA AREA AMBULANCE SERVICE
501(C)(3) · PROVIDE AMBULANCE SERVICES · IA
Directly controlled by ST LUKE'SJONES REGIONAL MEDICAL CENTER
-
BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC
501(C)(3) · MENTAL HEALTH CARE · IA
Directly controlled by ALLEN HEALTH SYSTEMS INC
-
CENTER FOR ALCOHOL AND DRUG SERVICES INC
501(C)(3) · SUBSTANCE ABUSE SERVICES · IA
Directly controlled by THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
-
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
501(C)(2) · PROPERTY HOLDING COMPANY · IA
Directly controlled by CENTRAL IOWA HEALTH SYSTEM
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
CENTRAL IOWA HOSPITAL CORPORATION
501(C)(3) · HOSPITAL · IA
Directly controlled by CENTRAL IOWA HEALTH SYSTEM
-
DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC
501(C)(3) · COORDINATION OF MEDICAL EDUCATION PROGRAMS · IA
-
EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES
501(C)(3) · MENTAL HEALTH CARE · IA
Directly controlled by CENTRAL IOWA HEALTH SYSTEM
-
FINLEY TRI-STATES HEALTH GROUP INC
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER
501(C)(3) · CHARITABLE FUNDRAISING · IA
Directly controlled by ALLEN HEALTH SYSTEMS INC
-
GRINNELL REGIONAL MEDICAL CENTER
501(C)(3) · HOSPITAL · IA
Directly controlled by CENTRAL IOWA HEALTH SYSTEM
-
GRINNELL REGIONAL MEDICAL CENTER FOUNDATION
501(C)(3) · CHARITABLE FUNDRAISING · IA
Directly controlled by GRINNELL REGIONAL MEDICAL CENTER
-
HULT CENTER FOR HEALTHY LIVING INC
501(C)(3) · HEALTH EDUCATION TO THE COMMUNITY · IL
Directly controlled by PROCTOR HOSPITAL
-
501(C)(3) · MENTAL HEALTH CARE · IL
Directly controlled by UNITYPOINT HEALTH - UNITYPLACE
-
501(C)(3) · CHARITABLE FUNDRAISING · IA
Directly controlled by CENTRAL IOWA HEALTH SYSTEM
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
-
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
501(C)(3) · PRIMARY HEALTH CARE SERVICES · IA
Directly controlled by IOWA HEALTH SYSTEM
-
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
501(C)(3) · CHARITABLE FUNDRAISING · IA
Directly controlled by ALLEN HEALTH SYSTEMS INC
-
501(C)(3) · CHARITABLE FUNDRAISING · WI
Directly controlled by MERITER HEALTH SERVICES INC
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · WI
Directly controlled by IOWA HEALTH SYSTEM
-
501(C)(3) · HOSPITAL · WI
Directly controlled by MERITER HEALTH SERVICES INC
-
METHODIST HEALTH SERVICES CORPORATION
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IL
Directly controlled by IOWA HEALTH SYSTEM
-
METHODIST MEDICAL CENTER FOUNDATION
501(C)(3) · CHARITABLE FUNDRAISING · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
METHODIST MEDICAL CENTER OF ILLINOIS
501(C)(3) · HOSPITAL · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
501(C)(3) · OFFICE RENTAL · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
501(C)(3) · PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY · IA
Directly controlled by ST LUKE'S METHODIST HOSPITAL
-
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED
501(C)(3) · MENTAL HEALTH CARE · IA
Directly controlled by TRINITY HEALTH SYSTEMS INC
-
NORTHWEST IOWA HOSPITAL CORPORATION
501(C)(3) · HOSPITAL · IA
Directly controlled by ST LUKE'S HEALTH SYSTEM INC
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
501(C)(3) · HOSPITAL · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
501(C)(3) · MENTAL HEALTH AND/OR DISABILITY RESIDENTIAL TREATMENT SERVICES · IL
Directly controlled by TAZWOOD MENTAL HEALTH CENTER INC
-
501(C)(3) · PRIMARY HEALTH CARE SERVICES · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
501(C)(3) · HOSPITAL · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
SELF INSURANCE TRUST AGREEMENT EST BY METHODIST MEDICAL CENTER OF ILLINOIS
501(C)(3) · FUND SELF-INSURANCE PLAN · IL
Directly controlled by METHODIST MEDICAL CENTER OF ILLINOIS
-
501(C)(3) · ALL-INCLUSIVE CARE FOR THE ELDERLY · IA
Directly controlled by ST LUKE'S HEALTH SYSTEM INC
-
501(C)(3) · OUTPATIENT CLINICS AND HEALTHCARE SERVICES · IA
Directly controlled by ST LUKE'S HEALTH SYSTEM INC
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
501(C)(3) · HOSPITAL · IA
Directly controlled by ST LUKE'S HEALTHCARE
-
ST LUKE'SJONES REGIONAL MEDICAL CENTER
501(C)(3) · HOSPITAL · IA
Directly controlled by ST LUKE'S HEALTHCARE
-
501(C)(3) · IMPROVE PUBLIC HEALTH SERVICES · IA
Directly controlled by ST LUKE'S HEALTHCARE
-
TAZWOOD MENTAL HEALTH CENTER INC
501(C)(3) · MENTAL HEALTH CARE · IL
Directly controlled by UNITYPOINT HEALTH - UNITYPLACE
-
THE DUBUQUE VISITING NURSE ASSOCIATION
501(C)(3) · PUBLIC HEALTH SERVICES/HOME CARE · IA
Directly controlled by FINLEY TRI-STATES HEALTH GROUP INC
-
501(C)(3) · HOSPITAL · IA
Directly controlled by FINLEY TRI-STATES HEALTH GROUP INC
-
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
501(C)(3) · MENTAL HEALTH CARE · IL
Directly controlled by TRINITY REGIONAL HEALTH SYSTEM
-
501(C)(3) · SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES · IA
Directly controlled by TRINITY HEALTH SYSTEMS INC
-
TRINITY COLLEGE OF NURSING & HEALTH SCIENCES
501(C)(3) · EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS · IL
Directly controlled by TRINITY MEDICAL CENTER
-
501(C)(3) · CHARITABLE FUNDRAISING · IA
Directly controlled by TRINITY HEALTH SYSTEMS INC
-
501(C)(3) · CHARITABLE FUNDRAISING · IL
Directly controlled by TRINITY REGIONAL HEALTH SYSTEM
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
501(C)(3) · HOSPITAL · IL
Directly controlled by TRINITY REGIONAL HEALTH SYSTEM
-
TRINITY REGIONAL HEALTH SYSTEM
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IL
Directly controlled by IOWA HEALTH SYSTEM
-
TRINITY REGIONAL MEDICAL CENTER
501(C)(3) · HOSPITAL · IA
Directly controlled by TRINITY HEALTH SYSTEMS INC
-
501(C)(3) · HOSPITAL · IA
Directly controlled by TRINITY REGIONAL HEALTH SYSTEM
-
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IA
Directly controlled by UNITY HEALTHCARE
-
UNITYPOINT HEALTH - MARSHALLTOWN
501(C)(3) · HOSPITAL · IA
Directly controlled by ALLEN HEALTH SYSTEMS INC
-
UNITYPOINT HEALTH - MARSHALLTOWN FOUNDATION
501(C)(3) · CHARITABLE FUNDRAISING · IA
Directly controlled by ALLEN HEALTH SYSTEMS INC
-
UNITYPOINT HEALTH - UNITYPLACE
501(C)(3) · SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE · IL
Directly controlled by METHODIST HEALTH SERVICES CORPORATION
-
501(C)(3) · HOME HEALTH CARE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
501(C)(3) · EMPLOYER ONSITE MEDICAL SERVICES AND OCCUPATIONAL MEDICINE · IA
Directly controlled by IOWA HEALTH SYSTEM
-
501(C)(3) · OUTPATIENT KIDNEY DIALYSIS · WI
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.
-
DIAGNOSTIC RADIOLOGY CENTER · IA · general or managing partner
-
ANKENY MEDICAL PARK SURGERY CENTER LC
AMBULATORY SURGERY CENTER · IA · general or managing partner
-
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner
-
CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner
-
PHYSICAL THERAPY SERVICES · IA · general or managing partner
-
CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC
SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner
-
AMBULATORY SURGERY CENTER · IA · general or managing partner
-
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
GROUP PURCHASING · IA · general or managing partner
-
SURGERY CENTER · IA · general or managing partner
-
OWN AND OPERATE MR UNIT · IA · general or managing partner
-
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
AMBULATORY SURGERY CENTER · IA · general or managing partner
-
REHABILITATION THERAPY SERVICES LLC
REHABILATION THERAPY · IL
-
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
-
AMBULATORY SURGERY CENTER INVESTMENT · DE
-
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
ORTHOPEDIC SERVICE LINES MANAGEMENT · IA · general or managing partner
-
SLEEP DISORDER DIAGNOSTIC TESTING FACILITY · IA · general or managing partner
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · MANAGEMENT SERVICES · IA
-
C · MEDICAL SERVICES · IL
-
C · INFORMATION TECHNOLOGY MGMT. · IA
-
C · REAL ESTATE MANAGEMENT · IA
-
C · REAL ESTATE RENTAL · WI
-
HANSEN CHARITABLE REMAINDER ANNUITY TRUST
T · INVESTMENT · IA
-
HANSEN CHARITABLE REMAINDER UNITRUST
T · INVESTMENT · IA
-
C · PHYSICAL THERAPY · IA
-
C · MANAGED CARE ADMINISTRATION · IL
-
C · FIBER OPTIC NETWORK SERVICES · IA
-
C · MANAGED CARE · IA
-
MERITER HEALTH ENTERPRISES INC
C · MANAGEMENT SERVICES · WI
-
MERITER MANAGEMENT SERVICES INC
C · ADMINISTRATIVE SERVICES · WI
-
METHODIST HEALTH VENTURES INC & SUB
C · PHARMACY/OFFICE STAFFING · IL
-
C · HEALTH & WELLNESS CONSULTING · IA
-
C · CLINIC · IL
-
C · MANAGED MENTAL CARE · IA
-
C · MANAGED MENTAL CARE · IA
-
PROVIDER RESOURCE MANAGEMENT INC
C · RESOURCE MANAGEMENT · IL
-
C · PHYSICIAN OFFICE RENTAL · IA
-
TRINITY HEALTH ENTERPRISES INC
C · RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY · IL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 6 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303189349306540
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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