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Nonprofiteer
← BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC

Form 990 for tax year 2023

Filed by BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC.

Totals

Total revenue
$7,061,036
Total expenses
$6,942,625
Contributions and grants received
$3,031,255
Grants paid
$13,895
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$5,780,473
Management and general expenses
$1,162,152
Fundraising expenses
$0
Program service expenses (Part III)
$5,780,473

Program services were 83.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JENA BURCH

    BOARD MEMBER

    Total calculated
    $160,650
    From this org
    $0
    From related orgs
    $123,396
    Other
    $37,254
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $118,710 related
    Bonus
    $0 + $4,626 related
    Other
    $0 + $60 related
    Deferred
    $0 + $6,524 related
    Nontaxable benefits
    $0 + $30,730 related
    Filer's total
    $0 + $160,650 related

  • PAMELA DELAGARDELLE TO 823

    BOARD MEMBER & PRESIDENT/CEO- AMHC

    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

  • SHARON DROSTE

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • JENNIFER FRIEDLY FR 823

    BOARD MEMBER & MARKET PRESIDENT- AMHC

    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

  • DENITA GADSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SANDI HASAN TO 523

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KATIE LANG

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SARA LAURES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • LINDA LAYLIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARK LITTLE

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1

  • HEIDI NEDERHOFF

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • HEMANSHU PATEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SUSAN ROLINGER

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SHANE SCHELLHORN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DAPHNE SCHLAMPP

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JEAN SEELAND

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • THOMAS EACHUS

    EXECUTIVE DIRECTOR

    Total calculated
    $184,839
    From this org
    $0
    From related orgs
    $150,674
    Other
    $34,165
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $133,408 related
    Bonus
    $0 + $13,459 related
    Other
    $0 + $3,807 related
    Deferred
    $0 + $8,075 related
    Nontaxable benefits
    $0 + $26,090 related
    Filer's total
    $0 + $184,839 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

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.

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
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202433199349309663

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