Civic Intelligence

Great River Foundation Inc

990 • Fiscal year 2014 • EIN 42-1469162

Jul 01, 2013 to Jun 30, 2014 • Filed on May 11, 2015

1221 South Gear Avenue52655

(319) 768-1000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

5th percentile

0.00x

Higher debt load relative to assets than 5% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Liabilities / Revenue

15th percentile

0.12x

Higher debt load relative to revenue than 15% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Net Margin

99th percentile

98%

Higher net margin than 99% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Top Officer Pay

72nd percentile

$749,468

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 16.8% of source-year revenue.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Asset Growth

42nd percentile

4.2%

Faster asset growth than 42% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$133,279,548

Up $5,378,930 (+4.2%) from 2013

Net Assets

Up

$132,747,497

Up $6,145,955 (+4.9%) from 2013

Liabilities

Down

$532,051

Down $767,025 (-59%) from 2013

Revenue

$4,463,197

No earlier filing loaded for comparison.

Expenses

Down

$69,385

Down $1,197,471 (-95%) from 2013

Net Income

$4,393,812

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200M$150M$100M$50M$0Assets 2010: $102,565,936Liabilities 2010: $13,717Net Assets 2010: $102,552,2192010Assets 2011: $122,093,305Liabilities 2011: $1,491,253Net Assets 2011: $120,602,0522011Assets 2012: $117,001,991Liabilities 2012: $1,385,402Net Assets 2012: $115,616,5892012Assets 2013: $127,900,618Liabilities 2013: $1,299,076Net Assets 2013: $126,601,5422013Assets 2014: $133,279,548Liabilities 2014: $532,051Net Assets 2014: $132,747,4972014Assets 2015: $129,707,279Liabilities 2015: $577,898Net Assets 2015: $129,129,3812015Assets 2016: $142,134,987Liabilities 2016: $938,206Net Assets 2016: $141,196,7812016Assets 2017: $146,499,286Liabilities 2017: $853,740Net Assets 2017: $145,645,5462017Assets 2018: $151,564,970Liabilities 2018: $432,875Net Assets 2018: $151,132,0952018Assets 2019: $144,765,034Liabilities 2019: $775,459Net Assets 2019: $143,989,5752019Assets 2020: $138,817,012Liabilities 2020: $1,116,677Net Assets 2020: $137,700,3352020Assets 2021: $178,156,738Liabilities 2021: $640,806Net Assets 2021: $177,515,9322021

Highlighted filing

2014

Assets$133,279,548
Liabilities$532,051
Net Assets$132,747,497

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0Expenses 2010: $33,388,7842010Expenses 2011: $7,535,9202011Expenses 2012: $4,068,5032012Expenses 2013: $1,266,8562013Revenue 2014: $4,463,197Expenses 2014: $69,385Net Income 2014: $4,393,8122014Revenue 2015: $5,001,461Expenses 2015: $52,284Net Income 2015: $4,949,1772015Revenue 2016: $5,674,133Expenses 2016: $51,487Net Income 2016: $5,622,6462016Revenue 2017: $6,515,704Expenses 2017: $52,933Net Income 2017: $6,462,7712017Revenue 2018: $10,203,696Expenses 2018: $67,455Net Income 2018: $10,136,2412018Revenue 2019: $8,213,650Expenses 2019: $59,550Net Income 2019: $8,154,1002019Revenue 2020: $7,271,464Expenses 2020: $54,888Net Income 2020: $7,216,5762020Revenue 2021: $8,082,964Expenses 2021: $36,044Net Income 2021: $8,046,9202021

Highlighted filing

2014

Revenue$4,463,197
Expenses$69,385
Net Income$4,393,812
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 11, 2015
Return Version
2013v4.0
Gross Receipts
$21,742,706
Mission and Program Overview

Mission

To provide support to great river medical center and its health care resources.

To support the exempt purpose and mission of great river medical center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$121,315,989$132,180,500▲ $10,864,511
Cash and Non-Interest-Bearing Accounts$5,243,149$527,828▼ $4,715,321
Total Assets$127,900,618$133,279,548▲ $5,378,930
Other Assets Total$1,341,480$571,220▼ $770,260
Liabilities
Other Liabilities$1,292,620$525,742▼ $766,878
Accounts Payable and Accrued Expenses$6,456$6,309▼ $147
Total Liabilities$1,299,076$532,051▼ $767,025
Net Assets / Fund Balance
Unrestricted Net Assets$126,601,542$132,747,497▲ $6,145,955
Total Net Assets Fund Balance$126,601,542$132,747,497▲ $6,145,955
Total Liabilities and Net Assets / Fund Balance$127,900,618$133,279,548▲ $5,378,930
Compensation and Service Providers

Board Members and Trustees

NameTitle
Mark RichardsonPresident and CEO
Tony HayesVice-president and COO
Kenneth AspelmeierTrustee
Robert FlemingTrustee
Todd SladkySecetary/treasurer and CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$4,463,197
Other Revenue
$0
Change in Net Assets
$4,393,812
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$69,385
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Service Investment Mgmnt Fees-$58,129-$58,129
Fees for Services Management-$11,256-$11,256
Total Functional Expenses$0$69,385$0$69,385
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payable Under Investment Loan Agreement$525,742
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Robert fleming, kenneth aspelmeier, mark richardson and todd sladky have business relationships by serving on for-profit subsidiaries of great river health system.

Form 990, Part VI, Section A, Line 3

All executive leadership functions for great river foundation are provided by mutual consulting and management services, inc. Mutual consulting and management services is a subsidiary of riverview systems ltd, which is a subsidiary of great river health systems.

Form 990, Part VI, Section A, Line 6

Great river health systems, inc. (grhs) is the sole member of great river foundation.

Form 990, Part VI, Section A, Line 7A

The sole member, grhs, shall elect all directors at the annual meeting for a term of one year.

Form 990, Part VI, Section A, Line 7B

Action of the board of directors of great river foundation on any of the following matters shall be effective only if the sole member, grhs, shall have approved and consented to such action: (a) amendment of the articles of incorporation or bylaws of the corporation; (b) ratification or amendment of the philosophy, mission, role and goals of the corporation; (c) encumbrance of, or granting of a lien on any assets of the corporation; (d) incurrence, assumption or guaranty of any long-term indebtedness, including any capital leases; (e) incurrence, assumption or guaranty of any short-term indebtedness outstanding for more than 30 days in excess of $500,000 (f) incurrence of indebtedness which is secured by any assets of the corporation; (g) adoption of a strategic and annual operating plan and the capital and operating budgets of the corporation; (h) acquisition, or disposition, or assets of the corporation by means of purchase, sale, lease or any other manner resulting in expenditures by the corporation, or having a net book value, respectively, in excess of $500,000; (i) sale, lease, exchange or other disposition of all, or substantially all, of the property and assets of the corporation, and merger, consolidation or affiliation of the corporation with another entity; (j) dissolution of the corporation; and (k) establishment of, or amendment of articles of incorporation or bylaws of, or change of ownership of, any entity which is solely or partially owned or controlled by the corporation, either directly or through one or more other entities which are solely or partially owned or controlled by the corporation. (l) approval of the corporation's investment policy. (m) the expenditure of funds of, or the sale, lease, exchange or other disposition of property and assets of the corporation other than for the direct support of great river medical center or great river health systems, inc.

Form 990, Part VI, Section A, Line 8B

Great river foundation does not have committees with authority to act on behalf of the board, therefore no meetings are documented.

Form 990, Part VI, Section B, Line 11

The form 990 is prepared by an external accountant. A draft of the form 990 is reviewed in detail by the accountant, accounting manager and cfo. Any necessary adjustments are made prior to finalizing the form. A copy of the final 990 is made available to the board members for their review prior to filing with the irs. Any questions of the board members are addressed through the accounting department.

Form 990, Part VI, Section B, Line 12C

Every year, the accounting manager in the accounting department provides the board of directors the meaning of the conflict of interest statement, how it applies, how it impacts the board, and what their responsibilities are. All board members are required to fill out a conflict of interest form and the form is then reviewed by the accounting manager. Relationships noted on the form may be discussed with the board member if there are questions. If an individual has a conflict of interest, they may not participate in discussions of the transaction and may not vote on matters related to the transaction.

Form 990, Part VI, Section B, Line 15

Compensation of the officers of great river health systems is paid by a related for-profit subsidiary. The compensation for the ceo and other officers is determined by the executive compensation committee of great river health systems. The role of the compensation committee is to act on behalf of the board in adopting, reviewing and maintaining an executive compensation philosophy. The compensation committee is comprised of five board members, all of whom are independent from the ceo and other officers. The compensation committee reviews the compensation of the ceo and other officers on an annual basis. The deliberations and decisions are documented in minutes taken at the meetings. Great river health sytems participates and utilizes four executive salary surveys to determine compensation ranges. The committee reviews prevailing market data to ensure continued market competitiveness. The compensation committee also engages an independent third party compensation consulting group to assess and validate the entirety of the executive compensation and benefits packages to ensure regulatory compliance, external competitiveness, and internal equity. The most recent year of an independent third party review was 2012.

Form 990, Part VI, Section C, Line 19

Great river foundation makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

EIN
42-1469162
Phone
3197681000

Signing Officer

Name
Todd Sladky
Title
CFO
Phone
3197681000
Signed
2015-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Richardson
Formed
1997
Legal Domicile
Ia
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
2

Preparer

Preparer
Kacie Mcewen
Phone
6123764500
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Transfers to related organizations -16,650,000.

Financial Statement Notes

PART X, LINE 2:

Description from consolidated audited financial statement footnote 1: the organization is exempt from income taxes under section 501(c)(3) of the internal revenue code. The organization's income tax returns are subject to review and examination by federal, state and local authorities. The organization is not aware of any activities that would jeopardize its tax exempt status. The organization is not aware of any activities that are subject to tax on unrelated business income or excise or other tax except for those that are already reported annually. The tax returns for the years 2009 through 2013 are open to examination by federal, state and local authorities.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION FROM CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. THE TAX RETURNS FOR THE YEARS 2009 THROUGH 2013 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MARK RICHARDSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1TONY HAYES
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2TODD SLADKY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT AND CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VICE-PRESIDENT AND COO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SECETARY/TREASURER AND CFO
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE COMPENSATION OF THE OFFICERS IS DETERMINED BY GREAT RIVER HEALTH SYSTEMS, A RELATED ORGANIZATION. THE FOLLOWING WERE USED BY GREAT RIVER HEALTH SYSTEMS IN DETERMINING THE OFFICERS COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. WRITTEN EMPLOYMENT CONTRACT 5. COMPENSATION SURVEY OR STUDY 6. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ROBERT FLEMING, KENNETH ASPELMEIER, MARK RICHARDSON AND TODD SLADKY HAVE BUSINESS RELATIONSHIPS BY SERVING ON FOR-PROFIT SUBSIDIARIES OF GREAT RIVER HEALTH SYSTEM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL EXECUTIVE LEADERSHIP FUNCTIONS FOR GREAT RIVER FOUNDATION ARE PROVIDED BY MUTUAL CONSULTING AND MANAGEMENT SERVICES, INC. MUTUAL CONSULTING AND MANAGEMENT SERVICES IS A SUBSIDIARY OF RIVERVIEW SYSTEMS LTD, WHICH IS A SUBSIDIARY OF GREAT RIVER HEALTH SYSTEMS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GREAT RIVER HEALTH SYSTEMS, INC. (GRHS) IS THE SOLE MEMBER OF GREAT RIVER FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE SOLE MEMBER, GRHS, SHALL ELECT ALL DIRECTORS AT THE ANNUAL MEETING FOR A TERM OF ONE YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ACTION OF THE BOARD OF DIRECTORS OF GREAT RIVER FOUNDATION ON ANY OF THE FOLLOWING MATTERS SHALL BE EFFECTIVE ONLY IF THE SOLE MEMBER, GRHS, SHALL HAVE APPROVED AND CONSENTED TO SUCH ACTION: (A) AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (B) RATIFICATION OR AMENDMENT OF THE PHILOSOPHY, MISSION, ROLE AND GOALS OF THE CORPORATION; (C) ENCUMBRANCE OF, OR GRANTING OF A LIEN ON ANY ASSETS OF THE CORPORATION; (D) INCURRENCE, ASSUMPTION OR GUARANTY OF ANY LONG-TERM INDEBTEDNESS, INCLUDING ANY CAPITAL LEASES; (E) INCURRENCE, ASSUMPTION OR GUARANTY OF ANY SHORT-TERM INDEBTEDNESS OUTSTANDING FOR MORE THAN 30 DAYS IN EXCESS OF $500,000 (F) INCURRENCE OF INDEBTEDNESS WHICH IS SECURED BY ANY ASSETS OF THE CORPORATION; (G) ADOPTION OF A STRATEGIC AND ANNUAL OPERATING PLAN AND THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (H) ACQUISITION, OR DISPOSITION, OR ASSETS OF THE CORPORATION BY MEANS OF PURCHASE, SALE, LEASE OR ANY OTHER MANNER RESULTING IN EXPENDITURES BY THE CORPORATION, OR HAVING A NET BOOK VALUE, RESPECTIVELY, IN EXCESS OF $500,000; (I) SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE CORPORATION, AND MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER ENTITY; (J) DISSOLUTION OF THE CORPORATION; AND (K) ESTABLISHMENT OF, OR AMENDMENT OF ARTICLES OF INCORPORATION OR BYLAWS OF, OR CHANGE OF OWNERSHIP OF, ANY ENTITY WHICH IS SOLELY OR PARTIALLY OWNED OR CONTROLLED BY THE CORPORATION, EITHER DIRECTLY OR THROUGH ONE OR MORE OTHER ENTITIES WHICH ARE SOLELY OR PARTIALLY OWNED OR CONTROLLED BY THE CORPORATION. (L) APPROVAL OF THE CORPORATION'S INVESTMENT POLICY. (M) THE EXPENDITURE OF FUNDS OF, OR THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION OTHER THAN FOR THE DIRECT SUPPORT OF GREAT RIVER MEDICAL CENTER OR GREAT RIVER HEALTH SYSTEMS, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5GREAT RIVER FOUNDATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD, THEREFORE NO MEETINGS ARE DOCUMENTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTANT. A DRAFT OF THE FORM 990 IS REVIEWED IN DETAIL BY THE ACCOUNTANT, ACCOUNTING MANAGER AND CFO. ANY NECESSARY ADJUSTMENTS ARE MADE PRIOR TO FINALIZING THE FORM. A COPY OF THE FINAL 990 IS MADE AVAILABLE TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. ANY QUESTIONS OF THE BOARD MEMBERS ARE ADDRESSED THROUGH THE ACCOUNTING DEPARTMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7EVERY YEAR, THE ACCOUNTING MANAGER IN THE ACCOUNTING DEPARTMENT PROVIDES THE BOARD OF DIRECTORS THE MEANING OF THE CONFLICT OF INTEREST STATEMENT, HOW IT APPLIES, HOW IT IMPACTS THE BOARD, AND WHAT THEIR RESPONSIBILITIES ARE. ALL BOARD MEMBERS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM AND THE FORM IS THEN REVIEWED BY THE ACCOUNTING MANAGER. RELATIONSHIPS NOTED ON THE FORM MAY BE DISCUSSED WITH THE BOARD MEMBER IF THERE ARE QUESTIONS. IF AN INDIVIDUAL HAS A CONFLICT OF INTEREST, THEY MAY NOT PARTICIPATE IN DISCUSSIONS OF THE TRANSACTION AND MAY NOT VOTE ON MATTERS RELATED TO THE TRANSACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8COMPENSATION OF THE OFFICERS OF GREAT RIVER HEALTH SYSTEMS IS PAID BY A RELATED FOR-PROFIT SUBSIDIARY. THE COMPENSATION FOR THE CEO AND OTHER OFFICERS IS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF GREAT RIVER HEALTH SYSTEMS. THE ROLE OF THE COMPENSATION COMMITTEE IS TO ACT ON BEHALF OF THE BOARD IN ADOPTING, REVIEWING AND MAINTAINING AN EXECUTIVE COMPENSATION PHILOSOPHY. THE COMPENSATION COMMITTEE IS COMPRISED OF FIVE BOARD MEMBERS, ALL OF WHOM ARE INDEPENDENT FROM THE CEO AND OTHER OFFICERS. THE COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE CEO AND OTHER OFFICERS ON AN ANNUAL BASIS. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN MINUTES TAKEN AT THE MEETINGS. GREAT RIVER HEALTH SYTEMS PARTICIPATES AND UTILIZES FOUR EXECUTIVE SALARY SURVEYS TO DETERMINE COMPENSATION RANGES. THE COMMITTEE REVIEWS PREVAILING MARKET DATA TO ENSURE CONTINUED MARKET COMPETITIVENESS. THE COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTING GROUP TO ASSESS AND VALIDATE THE ENTIRETY OF THE EXECUTIVE COMPENSATION AND BENEFITS PACKAGES TO ENSURE REGULATORY COMPLIANCE, EXTERNAL COMPETITIVENESS, AND INTERNAL EQUITY. THE MOST RECENT YEAR OF AN INDEPENDENT THIRD PARTY REVIEW WAS 2012.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9GREAT RIVER FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10TRANSFERS TO RELATED ORGANIZATIONS -16,650,000.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd5N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd6N/A
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt6C
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd6IA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0MEDICAL SERVICES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1MEDICAL SERVICES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2MANAGEMENT SERVICES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3REAL ESTATE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt4PHARMACY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt5MEDICAL SUPPLY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt6PHYSICIAN CLINICS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine10RIVERVIEW SYSTEMS LTD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine11GREAT RIVER MEDICAL SERVICES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine12MUTUAL CONSULTING & MANAGEMENT SERVICES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine13HEALTH CARE REALTY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine14HERITAGE PARK PHARMACY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine15HERITAGE MEDICAL EQUIPMENT & SUPPLY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine16SOUTHEASTERN IOWA MEDICAL SERVICES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine101221 SOUTH GEAR AVENUE
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