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Nonprofiteer
← CENTRAL IOWA HOSPITAL CORPORATION

Form 990 for tax year 2022

Filed by CENTRAL IOWA HOSPITAL CORPORATION.

Totals

Total revenue
$1,053,287,181
Total expenses
$1,058,677,038
Contributions and grants received
$29,455,781
Grants paid
$48,655,408
Program service revenue
$949,735,668
Investment income
$69,830,496
Other revenue
$4,265,236
Total assets, end of year
$1,385,809,161
Total liabilities, end of year
$307,955,053
Net assets or fund balances, end of year
$1,077,854,108
Program services expenses (Part IX)
$962,610,325
Management and general expenses
$96,066,713
Fundraising expenses
$0
Program service expenses (Part III)
$962,610,325

Program services were 90.9% 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.

  • 1d · Related organizations

    $14,643,140

  • 1e · Government grants (contributions)

    $14,591,300

  • 1f · All other contributions, gifts and grants

    $221,341

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $877,911,737 · related or exempt $877,911,737

  • 2b · Program service revenue: REFERENCE LABORATORY SERVICES

    total $37,613,545 · related or exempt $23,143,410 · unrelated business $14,470,135

  • 2c · Program service revenue: MGMT & SUPPORT SVCS

    total $14,308,787 · related or exempt $14,308,787

  • 2d · Program service revenue: SUBS & JOINT VENTURES

    total $14,103,475 · related or exempt $14,965,106 · unrelated business -$861,631

  • 2e · Program service revenue: RETAIL PHARMACY REVENUE

    total $4,648,922 · related or exempt $4,525,085 · unrelated business $123,837

  • 2f · All other program service revenue

    total $1,149,202 · related or exempt $1,149,202

  • 3 · Investment income

    total $15,519,108 · related or exempt $207,839 · excluded $15,311,269

  • 7a · Gross sales of assets other than inventory

    securities $460,048,106 · other assets $977,620

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

    securities $406,534,992 · other assets $179,346

  • 7c · Gain or loss

    securities $53,513,114 · other assets $798,274

  • 7d · Net gain or loss

    total $54,311,388 · excluded $54,311,388

  • 11a · Other revenue: MISCELLANEOUS

    total $3,409,143 · related or exempt $3,409,143

  • 11b · Other revenue: CHILDCARE AND ADULTCARE SERVICES

    total $1,566,108 · excluded $1,566,108

  • 11c · Other revenue: CAFETERIA/FOOD SVCS

    total $83,951 · related or exempt $2,630 · unrelated business $31,438 · excluded $49,883

  • 11d · All other revenue

    total -$793,966 · related or exempt -$793,966

  • 11e · Other revenue, total

    $4,265,236

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $48,578,847 · program services $48,578,847

  • 2 · Grants to domestic individuals

    total $76,561 · program services $76,561

  • 5 · Compensation of officers, directors and key employees

    total $8,549,122 · management and general $8,549,122

  • 6 · Compensation of disqualified persons

    total $1,004,283 · management and general $1,004,283

  • 7 · Other salaries and wages

    total $493,584,853 · program services $439,239,266 · management and general $54,345,587

  • 8 · Pension plan contributions

    total $15,275,888 · program services $13,593,954 · management and general $1,681,934

  • 9 · Other employee benefits

    total $51,117,871 · program services $45,489,598 · management and general $5,628,273

  • 10 · Payroll taxes

    total $26,866,720 · program services $23,908,591 · management and general $2,958,129

  • 11a · Fees: management

    total $85,761,362 · program services $85,761,362

  • 11b · Fees: legal

    total $1,815,171 · program services $65,179 · management and general $1,749,992

  • 11f · Fees: investment management

    total $3,283,308 · program services $875,589 · management and general $2,407,719

  • 11g · Fees: other

    total $50,774,594 · program services $41,502,243 · management and general $9,272,351

  • 12 · Advertising and promotion

    total $728,336 · program services $11,931 · management and general $716,405

  • 13 · Office expenses

    total $5,801,941 · program services $4,610,577 · management and general $1,191,364

  • 14 · Information technology

    total $308,795 · program services $308,795

  • 16 · Occupancy

    total $23,950,795 · program services $21,456,172 · management and general $2,494,623

  • 17 · Travel

    total $572,300 · program services $454,716 · management and general $117,584

  • 19 · Conferences, conventions and meetings

    total $759,707 · program services $257,228 · management and general $502,479

  • 20 · Interest

    total $6,654,855 · program services $6,654,855

  • 22 · Depreciation, depletion and amortization

    total $28,081,897 · program services $25,673,761 · management and general $2,408,136

  • 23 · Insurance

    total $12,669,731 · program services $12,637,001 · management and general $32,730

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $192,025,680 · program services $191,603,635 · management and general $422,045

  • 24b · Other expenses: INCOME TAXES

    total $268,985 · program services $14,305 · management and general $254,680

  • 24c · Other expenses: MISCELLANEOUS EXPENSE

    total $206,468 · program services -$123,059 · management and general $329,527

  • 24d · Other expenses: BAD DEBT EXPENSE

    total -$41,032 · program services -$40,782 · management and general -$250

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $57,427,729 · end of year $14,000,384

  • 2 · Savings and temporary cash investments

    beginning of year $26,885,309 · end of year $10,926,223

  • 4 · Accounts receivable

    beginning of year $125,267,664 · end of year $132,982,532

  • 7 · Other notes and loans receivable

    beginning of year $44,271,527 · end of year $66,227,631

  • 8 · Inventories for sale or use

    beginning of year $18,916,858 · end of year $18,479,086

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,715,703 · end of year $3,750,636

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

    $963,398,505

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

    $659,935,974

  • 10c · Land, buildings and equipment, net

    beginning of year $299,958,152 · end of year $303,462,531

  • 11 · Investments: publicly traded securities

    beginning of year $867,883,387 · end of year $751,484,468

  • 13 · Investments: program-related

    beginning of year $67,895,038 · end of year $62,827,088

  • 14 · Intangible assets

    beginning of year $292,624 · end of year $289,165

  • 15 · Other assets

    beginning of year $20,324,943 · end of year $21,379,417

  • 17 · Accounts payable and accrued expenses

    beginning of year $67,642,270 · end of year $84,479,463

  • 19 · Deferred revenue

    beginning of year $44,443,798 · end of year $1,971,470

  • 23 · Secured mortgages and notes payable

    beginning of year $1,412,895 · end of year $1,152,904

  • 24 · Unsecured notes and loans payable

    beginning of year $4,805,716 · end of year $4,295,662

  • 25 · Other liabilities

    beginning of year $199,500,325 · end of year $216,055,554

  • 27 · Net assets without donor restrictions

    beginning of year $1,160,207,172 · end of year $1,027,223,618

  • 28 · Net assets with donor restrictions

    beginning of year $54,826,758 · end of year $50,630,490

Mission and programs · 2022

Mission

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

  • HEALTH-CARE SERVICESCENTRAL IOWA HOSPITAL CORPORATION IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CENTRAL IOWA COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. CENTRAL IOWA HOSPITAL CORPORATION PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2022, CENTRAL IOWA HOSPITAL CORPORATION ADMITTED 32,062 PATIENTS RESULTING IN A TOTAL OF 186,829 PATIENT DAYS. OUTPATIENT VISITS TOTALED 206,026 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 13,633. THERE WERE ALSO 111,008 EMERGENCY ROOM VISITS AND 5,095 BABIES DELIVERED.

    Expenses $845,155,378 · Grants $26,814,288 · Revenue $952,592,752

  • CHARITY CARE, MEANS-TESTED PROGRAMS AND OTHER COMMUNITY BENEFITSCHARITY CARE AND MEANS-TESTED PROGRAMS: CENTRAL IOWA HOSPITAL CORPORATION PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $4,433,726 IN 2022. OFTENTIMES, CENTRAL IOWA HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. CENTRAL IOWA HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. IOWA METHODIST MEDICAL CENTER, IOWA LUTHERAN HOSPITAL AND METHODIST WEST HOSPITALS' NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $57,513,037 FOR 2022. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $61,946,763.OTHER BENEFITS: CENTRAL IOWA HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. CENTRAL IOWA HOSPITAL CORPORATION COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. CENTRAL IOWA HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL NET OTHER BENEFITS REPORTED VALUE: $55,508,184.

    Expenses $117,454,947 · Grants $21,841,120

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kirk Abrahamson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kim Bakey

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Brad Brody

    BOARD MEMBER

    Total calculated
    $26,750
    From this org
    $0
    From related orgs
    $26,750
    Other
    $0
    Hours/week
    1 + 1 related

  • Jen Cross

    BOARD MEMBER

    Total calculated
    $130
    From this org
    $130
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • Bishop Amy Current

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Rosalind Fox

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Corrine Ganske MD

    BOARD MEMBER

    Total calculated
    $130
    From this org
    $130
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • Diana Gorsche RN Bsn Ccm

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Bishop Laurie Haller

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Clint Hawthorne MD

    BOARD MEMBER

    Total calculated
    $440,629
    From this org
    $399,851
    From related orgs
    $0
    Other
    $40,778
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $399,413
    Bonus
    $0
    Other
    $438
    Deferred
    $15,250
    Nontaxable benefits
    $25,528
    Filer's total
    $440,629

  • Thomas Houser

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Bruce James MD

    BOARD MEMBER

    Total calculated
    $11,750
    From this org
    $0
    From related orgs
    $11,750
    Other
    $0
    Hours/week
    1 + 1 related

  • Joseph Jones

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sid Juwarker

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Anish Keshwani MD

    BOARD MEMBER

    Total calculated
    $494,988
    From this org
    $0
    From related orgs
    $450,640
    Other
    $44,348
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $438,519 related
    Bonus
    $0 + $9,000 related
    Other
    $0 + $3,121 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $29,098 related
    Filer's total
    $0 + $494,988 related

  • Angela Knoblauch Do

    BOARD MEMBER

    Total calculated
    $328,015
    From this org
    $0
    From related orgs
    $301,876
    Other
    $26,139
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,284 related
    Bonus
    $0
    Other
    $0 + $592 related
    Deferred
    $0 + $14,974 related
    Nontaxable benefits
    $0 + $11,165 related
    Filer's total
    $0 + $328,015 related

  • Sally Lang

    BOARD MEMBER

    Total calculated
    $130
    From this org
    $130
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • Jose Laracuente

    BOARD MEMBER

    Total calculated
    $19,750
    From this org
    $0
    From related orgs
    $19,750
    Other
    $0
    Hours/week
    1 + 1 related

  • Greg Lin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sheldon Ohringer

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Rick Pertzborn

    BOARD MEMBER

    Total calculated
    $130
    From this org
    $130
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • Reed Pulver

    BOARD MEMBER

    Total calculated
    $130
    From this org
    $130
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • John Schmidt

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kasey Johnson Steen

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • David Stark

    BOARD MEMBER/CEO

    Total calculated
    $1,775,138
    From this org
    $1,646,674
    From related orgs
    $0
    Other
    $128,464
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $573,849
    Bonus
    $172,266
    Other
    $900,559
    Deferred
    $102,789
    Nontaxable benefits
    $25,675
    Filer's total
    $1,775,138

  • Tiffany Tauscheck

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Shannon Winters

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Thomas Mathews

    SENIOR VP FINANCE/CFO

    Total calculated
    $457,130
    From this org
    $416,653
    From related orgs
    $0
    Other
    $40,477
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $356,090
    Bonus
    $57,615
    Other
    $2,948
    Deferred
    $15,250
    Nontaxable benefits
    $25,227
    Filer's total
    $457,130

  • Brian Benson

    EXECUTIVE DIRECTOR PHARMACY

    Total calculated
    $278,396
    From this org
    $241,027
    From related orgs
    $0
    Other
    $37,369
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,618
    Bonus
    $18,151
    Other
    $258
    Deferred
    $12,317
    Nontaxable benefits
    $25,052
    Filer's total
    $278,396

  • Kevin Carroll Edh Fache

    VP BEHAVIORAL HEALTH (TO 12/22)

    Total calculated
    $249,903
    From this org
    $221,064
    From related orgs
    $0
    Other
    $28,839
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,973
    Bonus
    $31,089
    Other
    $4,002
    Deferred
    $11,214
    Nontaxable benefits
    $17,625
    Filer's total
    $249,903

  • Denise Cundy Ms Bsn RN Ne-Bc

    CHIEF NURSING EXECUTIVE

    Total calculated
    $418,307
    From this org
    $362,348
    From related orgs
    $0
    Other
    $55,959
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $305,900
    Bonus
    $48,946
    Other
    $7,502
    Deferred
    $46,023
    Nontaxable benefits
    $9,936
    Filer's total
    $418,307

  • Tracy L Ekhardt MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $713,835
    From this org
    $663,127
    From related orgs
    $0
    Other
    $50,708
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $592,194
    Bonus
    $65,052
    Other
    $5,881
    Deferred
    $15,250
    Nontaxable benefits
    $35,458
    Filer's total
    $713,835

  • Laurie Johnson

    EXECUTIVE DIRECTOR SURGICAL SERVICES

    Total calculated
    $228,547
    From this org
    $208,084
    From related orgs
    $0
    Other
    $20,463
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,282
    Bonus
    $18,593
    Other
    $4,209
    Deferred
    $10,511
    Nontaxable benefits
    $9,952
    Filer's total
    $228,547

  • Eric Lothe Fache

    SVP & COO (TO 12/22)

    Total calculated
    $620,863
    From this org
    $575,564
    From related orgs
    $0
    Other
    $45,299
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $416,583
    Bonus
    $139,818
    Other
    $19,163
    Deferred
    $15,250
    Nontaxable benefits
    $30,049
    Filer's total
    $620,863

  • Joyce McDanel

    VP HUMAN RESOURCES

    Total calculated
    $473,260
    From this org
    $388,752
    From related orgs
    $0
    Other
    $84,508
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $326,722
    Bonus
    $52,314
    Other
    $9,716
    Deferred
    $72,909
    Nontaxable benefits
    $11,599
    Filer's total
    $473,260

  • Kristin Mohr

    EXEC DIR PROPERTIES & FACILITIES

    Total calculated
    $183,485
    From this org
    $157,993
    From related orgs
    $0
    Other
    $25,492
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,091
    Bonus
    $11,742
    Other
    $160
    Deferred
    $8,102
    Nontaxable benefits
    $17,390
    Filer's total
    $183,485

  • Thomas Mulrooney Fache Vp Surg

    CARDIO SVCS/COO ILH & IMMC

    Total calculated
    $409,920
    From this org
    $339,977
    From related orgs
    $0
    Other
    $69,943
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $292,072
    Bonus
    $44,746
    Other
    $3,159
    Deferred
    $45,080
    Nontaxable benefits
    $24,863
    Filer's total
    $409,920

  • Sidney Ramsey

    VP MARKETING & BUSINESS DEVELOPMENT

    Total calculated
    $444,812
    From this org
    $407,236
    From related orgs
    $0
    Other
    $37,576
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $326,230
    Bonus
    $51,697
    Other
    $29,309
    Deferred
    $27,450
    Nontaxable benefits
    $10,126
    Filer's total
    $444,812

  • Wendy Rockey

    EXECUTIVE DIRECTOR CARDIOLOGY

    Total calculated
    $208,409
    From this org
    $182,420
    From related orgs
    $0
    Other
    $25,989
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,924
    Bonus
    $12,853
    Other
    $6,643
    Deferred
    $8,929
    Nontaxable benefits
    $17,060
    Filer's total
    $208,409

  • Stephen Stephenson MD Prescoo

    BLANK CHILDRENS HOSPITAL (TO 12/22)

    Total calculated
    $1,167,766
    From this org
    $1,149,486
    From related orgs
    $0
    Other
    $18,280
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $395,895
    Bonus
    $65,320
    Other
    $688,271
    Deferred
    $15,250
    Nontaxable benefits
    $3,030
    Filer's total
    $1,167,766

  • William Yost MD

    VP MEDICAL EDUCATION & RESEARCH

    Total calculated
    $478,077
    From this org
    $442,818
    From related orgs
    $0
    Other
    $35,259
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $364,263
    Bonus
    $58,212
    Other
    $20,343
    Deferred
    $14,850
    Nontaxable benefits
    $20,409
    Filer's total
    $478,077

  • Robert Isaak MD

    PHYSICIAN-RADATION ONCOLOGY

    Total calculated
    $1,086,480
    From this org
    $1,051,261
    From related orgs
    $0
    Other
    $35,219
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,050,157
    Bonus
    $0
    Other
    $1,104
    Deferred
    $15,250
    Nontaxable benefits
    $19,969
    Filer's total
    $1,086,480

  • Samuel Schroeder MD

    PHYSICIAN-RADATION ONCOLOGY

    Total calculated
    $891,094
    From this org
    $844,318
    From related orgs
    $0
    Other
    $46,776
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $843,888
    Bonus
    $0
    Other
    $430
    Deferred
    $15,250
    Nontaxable benefits
    $31,526
    Filer's total
    $891,094

  • Arshin Sheybani MD

    PHYSICIAN-RADATION ONCOLOGY

    Total calculated
    $952,403
    From this org
    $908,691
    From related orgs
    $0
    Other
    $43,712
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $908,259
    Bonus
    $0
    Other
    $432
    Deferred
    $15,250
    Nontaxable benefits
    $28,462
    Filer's total
    $952,403

  • John Triantafyllos MD

    PHYSICIAN-RADATION ONCOLOGY

    Total calculated
    $935,079
    From this org
    $893,036
    From related orgs
    $0
    Other
    $42,043
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $890,972
    Bonus
    $0
    Other
    $2,064
    Deferred
    $15,250
    Nontaxable benefits
    $26,793
    Filer's total
    $935,079

  • Nicholas Loudas MD

    PHYSICIAN-RADATION ONCOLOGY

    Total calculated
    $780,677
    From this org
    $754,923
    From related orgs
    $0
    Other
    $25,754
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $754,539
    Bonus
    $0
    Other
    $384
    Deferred
    $15,250
    Nontaxable benefits
    $10,504
    Filer's total
    $780,677

  • Mark Purtle MD Education Consult Sr

    FORMER-VP MEDICAL AFFAIRS

    Total calculated
    $1,611,523
    From this org
    $1,605,456
    From related orgs
    $5,731
    Other
    $336
    Hours/week
    1 + 1 related

    Schedule J breakdown matched by us

    Base
    $983 + $5,731 related
    Bonus
    $0
    Other
    $1,604,473
    Deferred
    $49 + $287 related
    Nontaxable benefits
    $0
    Filer's total
    $1,605,505 + $6,018 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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, LINES 4A-B
SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: KEVIN CARROLL $3,816, ERIC LOTHE $8,367 AND STEPHEN STEPHENSON, MD $625,090. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DENISE CUNDY $30,773, JOYCE MCDANEL $57,659, THOMAS MULROONEY $29,830 AND DAVID STARK $87,539. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: MARK PURTLE, MD $1,604,473 AND DAVID STARK $883,999. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • YOUNKER REHABILITATION THERAPY SERVICES LLC

    REHABILITATION THERAPY SERVICES · IA · income $4,320,736 · assets $5,094,472

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

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

    RELATED · AMBULATORY SURGERY CENTER · IA · 45% owned · share of income $1,719,823 · share of assets $5,108,375 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC

    RELATED · CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES · IA · share of income $147,915 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY

    RELATED · ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES · IA · 20% owned · share of income $141,528 · share of assets $95,899 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • CENTRAL IOWA PHYSIO LLC

    PHYSICAL THERAPY SERVICES · IA · general or managing partner

  • CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC

    RELATED · SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES · IA · share of income $329,674 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • 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

    RELATED · OUTPATIENT DIAGNOSTIC IMAGING · IA · 50% owned · share of income $2,187,807 · share of assets $5,429,013 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • IOWA HEALTH SYSTEM CONTRACTING SERVICES LC

    GROUP PURCHASING · IA · general or managing partner

  • LAKEVIEW SURGERY CENTER LC

    RELATED · SURGERY CENTER · IA · 50% owned · share of income $5,698,643 · share of assets $6,573,002 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • MR ASSOCIATES LLP

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

  • ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC

    RELATED · AMBULATORY SURGERY CENTER · IA · 50% owned · share of income $4,967,156 · share of assets $6,317,199 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • REHABILITATION THERAPY SERVICES LLC

    REHABILATION THERAPY · IL · 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 HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC

    RELATED · ORTHOPEDIC SERVICE LINES MANAGEMENT · IA · 20% owned · share of income $153,874 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

  • WEST LAKES SLEEP CENTER LLC

    RELATED · SLEEP DISORDER DIAGNOSTIC TESTING FACILITY · IA · 50% owned · share of income -$48,376 · share of assets $240,001 · general or managing partner

    Directly controlled by CENTRAL IOWA HOSPITAL CORPORATION

Related corporations and trusts

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

  • ABBE MANAGEMENT CORPORATION

    C · MANAGEMENT SERVICES · IA

  • BELCREST SERVICES LTD

    C · MEDICAL SERVICES · IL

  • 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

  • HEALTH PLUS INC

    C · MANAGED CARE ADMINISTRATION · IL

  • 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

  • METHODIST HEALTH VENTURES INC & SUB

    C · PHARMACY/OFFICE STAFFING · IL

  • OPTIMUM HEALTH SOLUTIONS INC

    C · HEALTH & WELLNESS CONSULTING · IA

  • PEKIN PROHEALTH INC

    C · CLINIC · IL

  • PRECEDENCE INC

    C · MANAGED MENTAL CARE · IA

  • PRECEDENCE PLUS INC

    C · MANAGED MENTAL CARE · IA

  • PROVIDER RESOURCE MANAGEMENT INC

    C · RESOURCE MANAGEMENT · IL

  • STL HEALTH RESOURCES CO

    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
9 November 2023
IRS schema version
2022v5.0
Source object
202343189349306999

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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