Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $240,613

• 1e · Government grants (contributions)

  $596,818

• 1f · All other contributions, gifts and grants

  $23,390

• 2a · Program service revenue: NET PATIENT REVENUE

  total $2,255,499 · related or exempt $2,255,499

• 2b · Program service revenue: RENTAL INCOME

  total $71,837 · related or exempt $57,284 · unrelated business $14,553

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

  total $28,208 · related or exempt $28,208

• 3 · Investment income

  total $197,067 · excluded $197,067

• 7a · Gross sales of assets other than inventory

  securities $255,215

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

  securities $201,551

• 7c · Gain or loss

  securities $53,664

• 7d · Net gain or loss

  total $53,664 · excluded $53,664

• 11a · Other revenue: MISCELLANEOUS

  total $565 · excluded $565

• 11e · Other revenue, total

  $565

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $1,335,094 · program services $1,138,560 · management and general $196,534

• 8 · Pension plan contributions

  total $57,014 · program services $48,621 · management and general $8,393

• 9 · Other employee benefits

  total $214,428 · program services $182,863 · management and general $31,565

• 10 · Payroll taxes

  total $98,061 · program services $83,626 · management and general $14,435

• 11a · Fees: management

  total $221,856 · management and general $221,856

• 11f · Fees: investment management

  total $24,125 · program services $56 · management and general $24,069

• 11g · Fees: other

  total $118,515 · program services $115,742 · management and general $2,773

• 12 · Advertising and promotion

  total $653 · program services $653

• 13 · Office expenses

  total $187,490 · program services $185,935 · management and general $1,555

• 16 · Occupancy

  total $243,075 · program services $241,350 · management and general $1,725

• 17 · Travel

  total $5,018 · program services $4,764 · management and general $254

• 19 · Conferences, conventions and meetings

  total $1,380 · program services $1,380

• 20 · Interest

  total $11,717 · program services $11,717

• 22 · Depreciation, depletion and amortization

  total $274,385 · program services $274,274 · management and general $111

• 23 · Insurance

  total $10,182 · program services $10,182

• 24a · Other expenses: MISCELLANEOUS EXPENSE

  total $3,664 · program services $3,664

• 24b · Other expenses: MEDICAL SUPPLIES

  total $1,310 · program services $1,310

• 24c · Other expenses: BAD DEBT EXPENSE

  total $395 · program services $395

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $323,849 · end of year $785,190

• 2 · Savings and temporary cash investments

  beginning of year -$216,772 · end of year $2,112

• 3 · Pledges and grants receivable

  beginning of year $39,750 · end of year $10,713

• 4 · Accounts receivable

  beginning of year $229,247 · end of year $225,636

• 7 · Other notes and loans receivable

  end of year $249,068

• 9 · Prepaid expenses and deferred charges

  beginning of year $424

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

  $6,906,738

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

  $4,696,328

• 10c · Land, buildings and equipment, net

  beginning of year $2,349,499 · end of year $2,210,410

• 11 · Investments: publicly traded securities

  beginning of year $4,707,693 · end of year $5,276,172

• 13 · Investments: program-related

  beginning of year $184,768 · end of year $320,960

• 15 · Other assets

  beginning of year $3,735,886 · end of year $3,464,164

• 17 · Accounts payable and accrued expenses

  beginning of year $167,415 · end of year $179,295

• 19 · Deferred revenue

  end of year $12,060

• 23 · Secured mortgages and notes payable

  beginning of year $325,356 · end of year $255,952

• 24 · Unsecured notes and loans payable

  beginning of year $90,206

• 25 · Other liabilities

  beginning of year $10,458 · end of year $42,098

• 27 · Net assets without donor restrictions

  beginning of year $10,639,223 · end of year $11,810,270

• 28 · Net assets with donor restrictions

  beginning of year $121,686 · end of year $244,750

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 $26,911, MICHAEL HEINRICH $50,344 AND MICHELLE NIERMANN $72,058.

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.

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 PHYSIO LLC

  PHYSICAL THERAPY 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

• 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 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

• 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

• 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

• PRECEDENCE INC

  C · MANAGED MENTAL CARE · IA

• PRECEDENCE PLUS INC

  C · MANAGED MENTAL CARE · IA

• STL HEALTH RESOURCES CO

  C · PHYSICIAN OFFICE RENTAL · IA

• TRINITY HEALTH ENTERPRISES INC

  C · RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY · IL