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Nonprofiteer
← NELLIE R SHERWOOD TRUST

Form 990 for tax year 2022

Filed by NELLIE R SHERWOOD TRUST.

Totals

Total revenue
$12,157
Total expenses
$8,725
Contributions and grants received
$0
Grants paid
$7,273
Program service revenue
$0
Investment income
$12,157
Other revenue
$0
Total assets, end of year
$138,012
Total liabilities, end of year
$18,064
Net assets or fund balances, end of year
$119,948
Program services expenses (Part IX)
$7,273
Management and general expenses
$1,452
Fundraising expenses
$0
Program service expenses (Part III)
$7,273

Program services were 83.4% 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.

  • 3 · Investment income

    total $5,162 · excluded $5,162

  • 7a · Gross sales of assets other than inventory

    securities $55,950

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

    securities $48,955

  • 7c · Gain or loss

    securities $6,995

  • 7d · Net gain or loss

    total $6,995 · excluded $6,995

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $7,273 · program services $7,273

  • 11b · Fees: legal

    total $1,002 · management and general $1,002

  • 11f · Fees: investment management

    total $450 · management and general $450

Balance sheet

Part X, book values.

  • 11 · Investments: publicly traded securities

    beginning of year $147,967 · end of year $138,012

  • 25 · Other liabilities

    beginning of year $10,791 · end of year $18,064

  • 28 · Net assets with donor restrictions

    beginning of year $137,176 · end of year $119,948

Mission and programs · 2022

Mission

TO REIMBURSE RETIRED CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT TEACHERS FOR CERTAIN HEALTH/WELLNESS EXPENSES NOT COVERED/REIMBURSED BY INSURANCE.

Activities or mission (Part I)

TO REIMBURSE RETIRED TEACHERS FOR CERTAIN EXPENSES NOT COVERED/REIMBURSED BY INSURANCE.

  • NELLIE R. SHERWOOD TRUST REIMBURSED QUALIFIED RETIRED TEACHERS OF THE CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT FOR THEIR OUT-OF-POCKET HOSPITAL-RELATED EXPENSES, AS WELL AS QUALIFYING WELLNESS EXPENSES IN 2022. THE TRUST PROVIDED FINANCIAL ASSISTANCE FOR 20 QUALIFIED RETIRED TEACHERS.

    Expenses $7,273 · Grants $7,273

As filed on the 2022 return.

Listed in Part VII

  • Charles Becker

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Anne Carter

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Gregory Churchill

    BOARD MEMBER

    Total calculated
    $12,500
    From this org
    $0
    From related orgs
    $12,500
    Other
    $0
    Hours/week
    1 + 1 related

  • Kari Cooling To 0722

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kathy Epley

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Brian Globokar

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sally Gray

    BOARD MEMBER

    Total calculated
    $14,250
    From this org
    $0
    From related orgs
    $14,250
    Other
    $0
    Hours/week
    1 + 1 related

  • Anne Gruenewald

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Curtis Heideman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Donald Johnson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jared Kray Do

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Doug Laird To 0522

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Lura McBride

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kathleen Minette

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Robin Mixdorf

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Michelle Niermann

    BOARD MEMBER & PRESIDENT/CEO

    Total calculated
    $823,311
    From this org
    $0
    From related orgs
    $700,612
    Other
    $122,699
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $514,622 related
    Bonus
    $0 + $171,213 related
    Other
    $0 + $14,777 related
    Deferred
    $0 + $93,482 related
    Nontaxable benefits
    $0 + $29,217 related
    Filer's total
    $0 + $823,311 related

  • Amanda O'Connor MD

    BOARD MEMBER

    Total calculated
    $421,957
    From this org
    $0
    From related orgs
    $381,860
    Other
    $40,097
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $354,380 related
    Bonus
    $0 + $27,000 related
    Other
    $0 + $480 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $24,847 related
    Filer's total
    $0 + $421,957 related

  • Anne Parmley

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • William Prowell

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Chris Skogman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Lori Sundberg

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Steven Wahle MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Casey Greene

    VP/COO

    Total calculated
    $359,969
    From this org
    $0
    From related orgs
    $296,097
    Other
    $63,872
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $240,576 related
    Bonus
    $0 + $52,419 related
    Other
    $0 + $3,102 related
    Deferred
    $0 + $38,610 related
    Nontaxable benefits
    $0 + $25,262 related
    Filer's total
    $0 + $359,969 related

  • Michael Heinrich

    EXEC VP/CFO

    Total calculated
    $478,820
    From this org
    $0
    From related orgs
    $411,994
    Other
    $66,826
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $330,671 related
    Bonus
    $0 + $70,397 related
    Other
    $0 + $10,926 related
    Deferred
    $0 + $55,630 related
    Nontaxable benefits
    $0 + $11,196 related
    Filer's total
    $0 + $478,820 related

  • Theodore Townsend Jr To 1218

    FORMER PRESIDENT/CEO

    Total calculated
    $462,778
    From this org
    $0
    From related orgs
    $462,778
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $462,778 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $462,778 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: CASEY GREENE $25,069, MICHAEL HEINRICH $40,380, AND MICHELLE NIERMANN $78,232. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: THEODORE TOWNSEND JR. $462,778. 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

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.

  • 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 CARDIOVASCULAR CO-MANAGEMENT CO LLC

    CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY

    ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • CENTRAL IOWA PHYSIO LLC

    PHYSICAL THERAPY SERVICES · IA · general or managing partner

  • CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC

    SURGICAL MANAGEMENT & ADMINISTRATIVE 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

  • REHABILITATION THERAPY SERVICES LLC

    REHABILATION THERAPY · IL

  • 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

    ORTHOPEDIC SERVICE LINES MANAGEMENT · IA · general or managing partner

  • 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

  • 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
3 November 2023
IRS schema version
2022v5.0
Source object
202333189349306443

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