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Nonprofiteer
← CENTRAL IOWA HEALTH SYSTEM

Form 990 for tax year 2022

Filed by CENTRAL IOWA HEALTH SYSTEM.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Mission and programs · 2022

Mission

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

  • AFFILIATE SUPPORT SERVICESCENTRAL IOWA HEALTH SYSTEM IS ORGANIZED TO SUPPORT THE MISSIONS OF SEVERAL RELATED CHARITABLE, TAX-EXEMPT ORGANIZATIONS INCLUDING CENTRAL IOWA HOSPITAL CORPORATION, CENTRAL IOWA HEALTH PROPERTIES CORPORATION AND IOWA HEALTH FOUNDATION. THE SUPPORT SERVICES PROVIDED TO THESE ORGANIZATIONS ARE TO CONSTRUCT, OWN, LEASE, MANAGE, OPERATE, PROVIDE AND MAINTAIN ANY FACILITIES, PROGRAMS, SERVICES AND RELATED ACTIVITIES, IN FURTHERANCE OF HEALTH-CARE OR HEALTH EDUCATION. FACILITIES INCLUDE IOWA METHODIST MEDICAL CENTER, IOWA LUTHERAN HOSPITAL, BLANK CHILDRENS HOSPITAL, METHODIST WEST HOSPITAL, PARTNERS IN HEALTH PHYSICIAN CLINICS, AND OTHER ESTABLISHMENTS CREATED TO CARRY THROUGH HEALTH-CARE AND EDUCATIONAL PROGRAMS. THE PRIMARY PURPOSE OF THE CORPORATION IS TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, RELIGIOUS AND SCIENTIFIC ACTIVITIES IN ACCORDANCE WITH PREVIOUSLY STATED PURPOSES.

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
    $0
    From related orgs
    $130
    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
    $0
    From related orgs
    $130
    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
    $0
    From related orgs
    $399,851
    Other
    $40,778
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

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

  • 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
    $0
    From related orgs
    $130
    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
    $0
    From related orgs
    $130
    Other
    $0
    Hours/week
    1 + 1 related

  • REED PULVER

    BOARD MEMBER

    Total calculated
    $130
    From this org
    $0
    From related orgs
    $130
    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
    $0
    From related orgs
    $1,646,674
    Other
    $128,464
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $573,849 related
    Bonus
    $0 + $172,266 related
    Other
    $0 + $900,559 related
    Deferred
    $0 + $102,789 related
    Nontaxable benefits
    $0 + $25,675 related
    Filer's total
    $0 + $1,775,138 related

  • 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
    $0
    From related orgs
    $416,653
    Other
    $40,477
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $356,090 related
    Bonus
    $0 + $57,615 related
    Other
    $0 + $2,948 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $25,227 related
    Filer's total
    $0 + $457,130 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: DAVID STARK $87,539. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: 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

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
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202303189349306495

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