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← DYERSVILLE HEALTH FOUNDATION INC

Form 990 for tax year 2022

Filed by DYERSVILLE HEALTH FOUNDATION INC.

Totals

Total revenue
$109,845
Total expenses
$254,468
Contributions and grants received
$86,411
Grants paid
$216,655
Program service revenue
$0
Investment income
$11,096
Other revenue
$12,338
Total assets, end of year
$1,486,306
Total liabilities, end of year
$25,387
Net assets or fund balances, end of year
$1,460,919
Program services expenses (Part IX)
$236,260
Management and general expenses
$3,134
Fundraising expenses
$15,074
Program service expenses (Part III)
$236,260

Program services were 92.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KIM DUWE

    VP FINANCE EASTERN IOWA REGION

    Total calculated
    $326,603
    From this org
    $0
    From related orgs
    $278,632
    Other
    $47,971
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,180 related
    Bonus
    $0 + $34,161 related
    Other
    $0 + $5,291 related
    Deferred
    $0 + $12,838 related
    Nontaxable benefits
    $0 + $35,133 related
    Filer's total
    $0 + $326,603 related

  • DAVID MOORE

    DIR & EXEC DIR AT 8/22; DEV. OFFICER

    Total calculated
    $122,336
    From this org
    $0
    From related orgs
    $89,268
    Other
    $33,068
    Hours/week
    10 + 30 related

  • ELLIOT SALTER

    DIRECTOR; CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • DERRICK PARSONS

    DIRECTOR; VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • MARTINA BOCKENSTEDT

    DIRECTOR; TREASURER

    Total calculated
    $0
    Hours/week
    0.5

  • JOAN STEGER

    DIRECTOR; SECRETARY

    Total calculated
    $0
    Hours/week
    0.5

  • JIM KLOSTERMANN

    DIRECTOR THROUGH 12/22

    Total calculated
    $0
    Hours/week
    0.5

  • REX MASSEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • DR KAREN RUNDE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • OLIVIA SALTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • SHEILA TEGELER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • DR JOSH WOODLAND

    DIRECTOR THROUGH 12/22

    Total calculated
    $0
    Hours/week
    0.5

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 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
DYERSVILLE HEALTH FOUNDATION (THE FOUNDATION) IS A SUBSIDIARY OF MERCYONE DYERSVILLE MEDICAL CENTER, A DIVISION OF MERCY HEALTH SERVICES - IOWA (MHS-IA). THE FOUNDATION'S EXECUTIVE DIRECTOR IS PAID DIRECTLY BY MHS-IA. MHS-IA USED THE FOLLOWING METHOD TO ESTABLISH THE COMPENSATION OF THE FOUNDATION'S EXECUTIVE DIRECTOR: -COMPENSATION SURVEY OR STUDY

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202411319349302266

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