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Nonprofiteer
← MEMORIAL FOUNDATION OF ALLEN HOSPITAL

Form 990 for tax year 2023

Filed by MEMORIAL FOUNDATION OF ALLEN HOSPITAL.

Totals

Total revenue
$4,942,380
Total expenses
$5,318,877
Contributions and grants received
$4,196,428
Grants paid
$4,323,660
Program service revenue
$0
Investment income
$721,395
Other revenue
$24,557
Total assets, end of year
$24,886,216
Total liabilities, end of year
$174,994
Net assets or fund balances, end of year
$24,711,222
Program services expenses (Part IX)
$4,323,660
Management and general expenses
$193,324
Fundraising expenses
$801,893
Program service expenses (Part III)
$4,323,660

Program services were 81.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $112,187

  • 1d · Related organizations

    $1,057,910

  • 1f · All other contributions, gifts and grants

    $3,026,331

  • 1g · Noncash contributions included above

    $1,419,992

  • 3 · Investment income

    total $621,954 · excluded $621,954

  • 7a · Gross sales of assets other than inventory

    securities $1,010,029

  • 7b · Less cost or other basis and sales expenses

    securities $910,588

  • 7c · Gain or loss

    securities $99,441

  • 7d · Net gain or loss

    total $99,441 · excluded $99,441

  • 8a · Fundraising events: gross income

    $20,409

  • 8a · Fundraising events: contributions included on line 1c

    $112,187

  • 8b · Fundraising events: direct expenses

    $20,769

  • 8c · Net income from fundraising events

    total -$360 · excluded -$360

  • 9a · Gaming: gross income

    $8,126

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $8,126 · excluded $8,126

  • 11a · Other revenue: MISCELLANEOUS

    total $16,791 · excluded $16,791

  • 11e · Other revenue, total

    $16,791

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $4,323,660 · program services $4,323,660

  • 7 · Other salaries and wages

    total $607,758 · management and general $97,241 · fundraising $510,517

  • 8 · Pension plan contributions

    total $30,888 · management and general $4,942 · fundraising $25,946

  • 9 · Other employee benefits

    total $75,548 · management and general $12,088 · fundraising $63,460

  • 10 · Payroll taxes

    total $40,466 · management and general $6,475 · fundraising $33,991

  • 11b · Fees: legal

    total -$850 · fundraising -$850

  • 11e · Fees: professional fundraising services

    total $60,092 · fundraising $60,092

  • 11f · Fees: investment management

    total $58,628 · management and general $58,628

  • 11g · Fees: other

    total $47,800 · fundraising $47,800

  • 12 · Advertising and promotion

    total $2,776 · fundraising $2,776

  • 13 · Office expenses

    total $10,420 · fundraising $10,420

  • 16 · Occupancy

    total $14,582 · management and general $13,950 · fundraising $632

  • 17 · Travel

    total $11,284 · fundraising $11,284

  • 19 · Conferences, conventions and meetings

    total $3,340 · fundraising $3,340

  • 23 · Insurance

    total $5,869 · fundraising $5,869

  • 24a · Other expenses: MISCELLANEOUS EXPENSE

    total $26,616 · fundraising $26,616

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,966,984 · end of year $1,603,956

  • 2 · Savings and temporary cash investments

    beginning of year $960,276 · end of year $695,367

  • 3 · Pledges and grants receivable

    beginning of year $3,877,241 · end of year $4,408,918

  • 7 · Other notes and loans receivable

    beginning of year $15,929 · end of year $209,125

  • 10a · Land, buildings and equipment: cost or other basis

    $641,874

  • 10b · Land, buildings and equipment: accumulated depreciation

    $22,401

  • 10c · Land, buildings and equipment, net

    beginning of year $619,473 · end of year $619,473

  • 11 · Investments: publicly traded securities

    beginning of year $15,579,657 · end of year $17,004,908

  • 15 · Other assets

    beginning of year $344,799 · end of year $344,469

  • 17 · Accounts payable and accrued expenses

    beginning of year $122,442 · end of year $159,613

  • 25 · Other liabilities

    beginning of year $63,370 · end of year $15,381

  • 27 · Net assets without donor restrictions

    beginning of year $1,799,987 · end of year $2,269,972

  • 28 · Net assets with donor restrictions

    beginning of year $21,378,560 · end of year $22,441,250

Mission and programs · 2023

Mission

ALLEN FOUNDATION STRENGTHENS THE PROGRAMS, SERVICES AND COMMUNITY RELATIONSHIPS OF ALLEN HEALTH SYSTEM.

Activities or mission (Part I)

STRENGTHENS THE PROGRAMS, SERVICES AND COMMUNITY RELATIONSHIPS OF ALLEN HEALTH SYSTEM.

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $4,323,660 · Grants $4,323,660

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Steve Armbrecht

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Brian Aronson

    BOARD TREASURER/SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Deb Caughron

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Pamela Delagardelle To 823

    BOARD MEMBER/PRESIDENT/CEO

    Total calculated
    $1,082,998
    From this org
    $0
    From related orgs
    $980,661
    Other
    $102,337
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $545,718 related
    Bonus
    $0 + $389,506 related
    Other
    $0 + $45,437 related
    Deferred
    $0 + $86,308 related
    Nontaxable benefits
    $0 + $16,029 related
    Filer's total
    $0 + $1,082,998 related

  • Jennifer Friedly Fr 823

    BOARD MEMBER/MARKET PRES

    Total calculated
    $483,184
    From this org
    $0
    From related orgs
    $407,057
    Other
    $76,127
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $338,461 related
    Bonus
    $0 + $63,874 related
    Other
    $0 + $4,722 related
    Deferred
    $0 + $57,045 related
    Nontaxable benefits
    $0 + $19,082 related
    Filer's total
    $0 + $483,184 related

  • Jeff Guse Arnp

    BOARD MEMBER

    Total calculated
    $308,953
    From this org
    $0
    From related orgs
    $285,779
    Other
    $23,174
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $280,289 related
    Bonus
    $0
    Other
    $0 + $5,490 related
    Deferred
    $0 + $14,380 related
    Nontaxable benefits
    $0 + $8,794 related
    Filer's total
    $0 + $308,953 related

  • Joan Headington

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Nicholas Hildebrandt

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Wilfred Johnson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Bob Justis

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Luke Lesyshen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Helen Melicher

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Donna Miller

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Atul Patel

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Pradeep Ramesh

    BOARD MEMBER

    Total calculated
    $620,332
    From this org
    $0
    From related orgs
    $568,543
    Other
    $51,789
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $531,148 related
    Bonus
    $0 + $36,767 related
    Other
    $0 + $628 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $35,289 related
    Filer's total
    $0 + $620,332 related

  • Julie Ritland

    BOARD MEMBER

    Total calculated
    $70,917
    From this org
    $0
    From related orgs
    $65,859
    Other
    $5,058
    Hours/week
    1 + 40 related

  • Lance Vanderloo

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Robert Yuska

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mike Lind

    EXCUTIVE DIRECTOR

    Total calculated
    $160,162
    From this org
    $0
    From related orgs
    $136,491
    Other
    $23,671
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $124,268 related
    Bonus
    $0 + $12,163 related
    Other
    $0 + $60 related
    Deferred
    $0 + $4,901 related
    Nontaxable benefits
    $0 + $18,770 related
    Filer's total
    $0 + $160,162 related

  • Zachary French

    VP FINANCE

    Total calculated
    $243,151
    From this org
    $0
    From related orgs
    $226,659
    Other
    $16,492
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $188,068 related
    Bonus
    $0 + $36,818 related
    Other
    $0 + $1,773 related
    Deferred
    $0 + $6,805 related
    Nontaxable benefits
    $0 + $9,687 related
    Filer's total
    $0 + $243,151 related

  • Steven Palmersheim To 1221

    FORMER VP FIN/CFO UPC & ACO

    Total calculated
    $528,348
    From this org
    $0
    From related orgs
    $451,102
    Other
    $77,246
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $322,310 related
    Bonus
    $0 + $125,574 related
    Other
    $0 + $3,218 related
    Deferred
    $0 + $48,926 related
    Nontaxable benefits
    $0 + $28,320 related
    Filer's total
    $0 + $528,348 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: PAMELA DELAGARDELLE $ 69,808, JENNIFER FRIEDLY $ 40,749, & STEVEN PALMERSHEIM $ 32,426.
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

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

    GROUP PURCHASING · IA · general or managing partner

  • 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
202433199349309723

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