Form 990 for tax year 2022
Filed by GREAT RIVER HEALTH FOUNDATION INC.
Totals
- Total revenue
- $2,286,008
- Total expenses
- $2,337,122
- Contributions and grants received
- $2,028,900
- Grants paid
- $2,336,542
- Program service revenue
- $0
- Investment income
- $269,922
- Other revenue
- -$12,814
- Total assets, end of year
- $4,454,309
- Total liabilities, end of year
- $80,000
- Net assets or fund balances, end of year
- $4,374,309
- Program services expenses (Part IX)
- $2,336,542
- Management and general expenses
- $580
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,336,542
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
KERRY FLEMING
DIRECTOR
- Total calculated
- $188,674
- From this org
- $0
- From related orgs
- $146,226
- Other
- $42,448
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $145,536 related
- Bonus
- $0
- Other
- $0 + $690 related
- Deferred
- $0 + $8,000 related
- Nontaxable benefits
- $0 + $34,448 related
- Filer's total
- $0 + $188,674 related
-
HEATHER PERRY DPM
DIRECTOR
- Total calculated
- $273,003
- From this org
- $0
- From related orgs
- $233,178
- Other
- $39,825
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $232,698 related
- Bonus
- $0
- Other
- $0 + $480 related
- Deferred
- $0 + $8,728 related
- Nontaxable benefits
- $0 + $31,097 related
- Filer's total
- $0 + $273,003 related
-
CHRIS HUTSON
DIRECTOR
- Total calculated
- $105,061
- From this org
- $0
- From related orgs
- $69,790
- Other
- $35,271
- Hours/week
- 1 + 40 related
-
CHUCK OSMANSKI
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1
-
TAMMY MCCOY
VICE CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1
-
BOB HUFFMAN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
RACHAEL BENDA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
TERRY HOPE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
CHUCK KEMPKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MARCIA KRUSE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DOUG MARTIN
EX-OFFICIO-VOTING
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ANN MENKE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JAN MORRIS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MIO SANTIAGO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JENNY STEFFENSMEIER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MATT WENZEL
PRESIDENT/CEO (THROUGH 10/12/22)
- Total calculated
- $1,175,711
- From this org
- $0
- From related orgs
- $1,122,540
- Other
- $53,171
- Hours/week
- 1 + 42 related
Schedule J breakdown matched by us
- Base
- $0 + $740,784 related
- Bonus
- $0 + $213,774 related
- Other
- $0 + $167,982 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $37,921 related
- Filer's total
- $0 + $1,175,711 related
-
JEREMY ALEXANDER
CFO
- Total calculated
- $723,224
- From this org
- $0
- From related orgs
- $671,653
- Other
- $51,571
- Hours/week
- 1 + 42 related
Schedule J breakdown matched by us
- Base
- $0 + $552,461 related
- Bonus
- $0 + $117,896 related
- Other
- $0 + $1,296 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $36,321 related
- Filer's total
- $0 + $723,224 related
-
JASON HUTCHESON
EXECUTIVE DIRECTOR
- Total calculated
- $152,520
- From this org
- $0
- From related orgs
- $128,734
- Other
- $23,786
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $128,734 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $13,950 related
- Nontaxable benefits
- $0 + $9,836 related
- Filer's total
- $0 + $152,520 related
-
DR MICHAEL MCCOY
PRESIDENT/CEO
- Total calculated
- $675,775
- From this org
- $0
- From related orgs
- $624,684
- Other
- $51,091
- Hours/week
- 1 + 42 related
Schedule J breakdown matched by us
- Base
- $0 + $532,528 related
- Bonus
- $0 + $80,672 related
- Other
- $0 + $11,484 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $35,841 related
- Filer's total
- $0 + $675,775 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
- 4a · Severance or change-of-control payment
Answered no
- 4b · Supplemental nonqualified retirement plan
- 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 3
- THE COMPENSATION OF THE OFFICERS IS PAID BY RIVERVIEW SYSTEMS LTD., A RELATED ORGANIZATION, BUT DETERMINED BY GREAT RIVER HEALTH SYSTEM. THE FOLLOWING WERE USED BY GREAT RIVER HEALTH SYSTEM IN DETERMINING THE OFFICERS COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. WRITTEN EMPLOYMENT CONTRACT 5. COMPENSATION SURVEY OR STUDY 6. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
- PART I, LINE 4A
- MATT WENZEL RECEIVED A SEVERANCE PAYMENT OF $164,442. THIS AMOUNT WAS INCLUDED IN W-2 WAGES.
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
-
SOUTHEASTERN COMMUNITY COLLEGE
$918,316
NURSING PROGRAM SUPPORT
-
SUPPLIES/GENERAL SUPPORT
-
$46,489
SUPPLIES
-
KEOKUK AREA COMMUNITY FOUNDATION
$10,000
ESTABLISH SOUTHEAST IOWA REGIONAL HOSPICE ENDOWMENT FUND
-
$8,317
EDUCATION PROGRAMS
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.
-
501(C)(3) · HEALTH CARE · IA
-
SOUTHEAST IOWA REGIONAL MEDICAL CENTER
501(C)(3) · HOSPITAL · IA
Directly controlled by GREAT RIVER HEALTH SYSTEM INC
-
501(C)(3) · SUPPORT RELATED ORGANIZATIONS · IA
Directly controlled by GREAT RIVER HEALTH SYSTEM INC
-
HENRY COUNTY HEALTH CENTER INC
501(C)(3) · HOSPITAL · IA
Directly controlled by GREAT RIVER HEALTH SYSTEM INC
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.
-
MEDICAL SERVICES · IA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · MEDICAL SERVICES · IA
-
GREAT RIVER MEDICAL SERVICES INC
C · MEDICAL SERVICES · IA
-
MUTUAL CONSULTING AND MANAGEMENT SERVICES
C · MANAGEMENT SERVICES · IA
-
C · PHARMACY · IA
-
HERITAGE MEDICAL EQUIPMENT AND SUPPLY
C · MEDICAL SUPPLY · IA
-
C · STAFFING AGENCY · IA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202431319349302013
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