2024-04-03T14:45:43-05:00 2023-06-30 990 2022-07-01 421412497 DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC DESM 5152414455 1415 WOODLAND AVENUE 130 DES MOINES IA 50309 KEN L CHEYNE MD EXEC DIR 5152414455 2024-04-02 KEN CHEYNE MD XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEN L CHEYNE MD 1415 WOODLAND AVENUE 130 DES MOINES IA 50309 1077167 0 X DMCONSORTIUM.ORG X 1993 IA SUPPORT AND PROMOTE HIGH QUALITY GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION. 9 1 0 1 0 0 0 0 859396 1077114 36 53 0 0 859432 1077167 0 0 0 0 497083 534992 0 0 0 293991 507403 791074 1042395 68358 34772 299396 403970 5061 74863 294335 329107 X TO SUPPORT AND PROMOTE HIGH QUALITY GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION WITHIN THE DES MOINES MEMBER INSTITUTIONS. TO MEET THE HEALTH CARE NEEDS OF IOWANS THROUGH COORDINATION AND COLLABORATION IN MEDICAL EDUCATION. 0 0 958265 0 1077114 MEDICAL EDUCATIONTHE DES MOINES AREA MEDICAL EDUCATION CONSORTIUM, INC. PROVIDES MEDICAL TRAINING TO UNIVERSITY OF IOWA CARVER COLLEGE OF MEDICINE (UICCOM) MEDICAL STUDENTS AND COORDINATES MEDICAL TRAINING FOR THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS (UIHC) RESIDENT PHYSICIANS. THE DES MOINES HEALTH CARE INSTITUTIONS WHICH ARE MEMBERS OF THE CONSORTIUM AND TRAIN THESE RESIDENTS AND STUDENTS ARE BROADLAWNS MEDICAL CENTER AND THE CENTRAL IOWA HOSPITAL CORPORATION. THESE DES MOINES HEALTH CARE INSTITUTIONS SPONSOR NINE RESIDENCY PROGRAMS THAT TRAIN APPROXIMATELY 153 RESIDENT PHYSICIANS IN EIGHT SPECIALTY AREAS AND PROVIDE TRAINING FOR UIHC RESIDENTS IN ANESTHESIA, OBSTETRICS/GYNECOLOGY, AND PEDIATRICS. THESE INSTITUTIONS ALSO PROVIDE CLINICAL TRAINING TO SECOND-YEAR, THIRD-YEAR, AND FOURTH-YEAR MEDICAL STUDENTS IN DES MOINES. MEDICAL STUDENTS COMPLETE CORE CLERKSHIP TRAINING DURING THE SECOND-HALF OF THEIR SECOND YEAR AND IN THE FIRST HALF OF THEIR THIRD-YEAR. THIRD-YEAR STUDENTS, IN THE SECOND-HALF OF THEIR THIRD YEAR, AND FOURTH-YEAR STUDENTS MAY COMPLETE THEIR ADVANCED PATHWAY TRAINING IN DES MOINES. IN 2022-2023, 65 MEDICAL STUDENTS COMPLETED 179 CORE CLERKSHIP ROTATIONS WHILE AN ADDITIONAL 39 MEDICAL STUDENTS COMPLETED A TOTAL OF 52 ADVANCED PATHWAY TRAINING ROTATIONS.IN ADDITION TO THESE EDUCATIONAL ACTIVITIES, THE CONSORTIUM PROVIDES OTHER EDUCATIONAL OFFERINGS TO MEMBER INSTITUTIONS. THE CONSORTIUM SPONSORS A JOINT ORIENTATION PROGRAM FOR ALL NEW RESIDENTS EACH YEAR IN JUNE, ALONG WITH A SERIES OF EVIDENCE-BASED MEDICINE EDUCATIONAL PROGRAMS.THE CONSORTIUM COORDINATES THE SCHEDULING OF A CERTIFICATION COURSES IN ADVANCED CARDIAC LIFE SUPPORT FOR MEDICAL STUDENTS.THE CONSORTIUM COORDINATES THE UICCOM FACULTY APPOINTMENT AND REAPPOINTMENT PROCESS FOR DES MOINES FACULTY INVOLVED IN THE TEACHING OF MEDICAL STUDENTS AND UIHC RESIDENT PHYSICIANS. FINALLY, THE CONSORTIUM CONDUCTS FACULTY DEVELOPMENT PROGRAMS ON A QUARTERLY BASIS FOR ALL FACULTY TEACHING MEDICAL STUDENTS AND RESIDENT PHYSICIANS AT THE DES MOINES MEMBER INSTITUTIONS. THESE PROGRAMS ARE CONDUCTED IN COOPERATION WITH THE OFFICE OF CONSULTATION AND RESEARCH IN MEDICAL EDUCATION AT THE UNIVERSITY OF IOWA (OCRME). OFFICE FACILITIES ARE PROVIDED TO THE ORGANIZATION AT NO CHARGE BY THE CENTRAL IOWA HOSPITAL CORPORATION. THE VALUE OF THE DONATED SPACE INCLUDED AS CONTRIBUTIONS IN THE FINANCIAL STATEMENTS AND THE CORRESPONDING PROGRAM EXPENSES FOR BOTH YEARS ENDED JUNE 30, 2023 AND 2022 WAS $9,229. THE CENTRAL IOWA HOSPITAL CORPORATION HAS THE RIGHT TO TERMINATE THE LEASE UPON NINETY DAYS NOTICE. UPON TERMINATION, THE ORGANIZATION SHALL BE ENTITLED TO RELOCATION. 958265 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X KEN L CHEYNE MD 5152414455 1415 WOODLAND AVENUE SUITE 130 DES MOINES IA 50309 ANTHONY COLEMAN BOARD SECRETARY/TREASURER 1.00 40.00 X X 0 606440 2693 CHRIS COOPER MD BOARD MEMBER 1.00 40.00 X 0 613299 50612 DANA DANLEY MD BOARD MEMBER (FR 3/23) 1.00 40.00 X 0 298028 29284 BROOKS JACKSON MD BOARD VICE CHAIR 1.00 40.00 X X 0 1277995 69212 LARRY SEVERIDT MD BOARD MEMBER (TO 3/23) 1.00 40.00 X 0 403374 50271 DAVID STARK BOARD CHAIR 1.00 40.00 X X 0 1646674 128464 LISA VEACH MD BOARD MEMBER 1.00 0.00 X 0 0 0 MARK WILSON MD BOARD MEMBER 1.00 40.00 X 0 331722 48980 WENDY WOODS-SWAFFORD MD BOARD MEMBER 1.00 40.00 X 0 294368 18178 W JOHN YOST MD BOARD MEMBER 1.00 40.00 X 0 442818 35259 KEN CHEYNE MD EXECUTIVE DIRECTOR 40.00 1.00 X 0 314089 39044 0 6228807 471997 0 0 1 0 0 PROGRAM COORDINATION S 611710 1042359 1042359 STUDENT SERVICES 900099 31121 31121 MISCELLANEOUS REVENUE 900099 3634 3634 1077114 53 53 1077167 1077114 0 53 X 353134 353134 138265 138265 8103 8103 10572 10572 24918 24918 3600 3600 197250 197250 14119 10181 3938 208285 168075 40210 5128 5128 2910 2910 4844 4844 MISCELLANEOUS EXPENSES 48326 47767 559 RECRUITING EVENT EXPENS 22941 22941 1042395 958265 84130 0 208907 384836 90489 9866 9268 88346 88346 0 0 299396 403970 5061 74863 5061 74863 X 294335 329107 294335 329107 299396 403970 34772 0 X 1 X 0 1 0 X X 3 BROADLAWNS MEDICAL CENTER 426005830 3 1 91423 0 CENTRAL IOWA HOSPITAL CORPORATION 420680452 3 1 499584 0 UNIVERSITY OF IOWA HOSPITALS AND CLINICS 426004813 6 1 451352 0 3 1042359 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X X 0 1 SECTION A, LINE 2: THE CONSORTIUM SUPPORTS THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS, WHICH IS NOT REQUIRED TO OBTAIN RECOGNITION OF ITS PUBLIC CHARITY STATUS BECAUSE IT IS A STATE UNIVERSITY. SECTION D, LINE 3: BROADLAWNS MEDICAL CENTER, CENTRAL IOWA HOSPITAL CORPORATION AND THE UNIVERSITY OF IOWA, SUPPORTED ORGANIZATIONS OF THE ORGANIZATION, DESIGNATE THEIR REPRESENTATIVES TO THE BOARD OF DIRECTORS; APPROVE AMENDMENTS TO ARTICLES AND BYLAWS, APPROVE MERGERS, CONSOLIDATIONS OR DISSOLUTIONS; AND OVERSEE THE GENERAL MANAGEMENT AND CONTROL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION. SECTION E, LINE 1(C): THE CONSORTIUM SUPPORTS THE MEDICAL PROGRAMS OF THE UNIVERSITY OF IOWA HOSPITALS (A GOVERNMENTAL AGENCY EXEMPT UNDER CODE SECTION 170(C)(1)). SECTION E, LINE 2B: THE CONSORTIUM PROVIDES MEDICAL TRAINING TO UNIVERSITY OF IOWA CARVER COLLEGE OF MEDICINE (UICCOM) MEDICAL STUDENTS; COORDINATES MEDICAL TRAINING FOR THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS (UIHC) RESIDENT PHYSICIANS; THE UICCOM FACULTY APPOINTMENT AND REAPPOINTMENT PROCESS FOR DES MOINES FACULTY INVOLVED IN THE TEACHING OF MEDICAL STUDENTS AND UIHC RESIDENT PHYSICIANS; AND PROVIDES EDUCATIONAL OFFERINGS AND COORDINATES THE SCHEDULING OF CERTIFICATION COURSES FOR MEMBER INSTITUTIONS, WHICH INCLUDES THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS (A GOVERNMENTAL AGENCY EXEMPT UNDER CODE SECTION 170(C)(1)). WITHOUT THE INVOLVEMENT OF THE DES MOINES AREA MEDICAL EDUCATION CONSORTIUM, MEMBER ENTITIES WOULD NEED TO SEPARATELY FACILITATE THESE ACTIVITIES FOR THEIR STAFF AND/OR STUDENTS. 68544 68544 0 19802 19802 0 0 X 1086396 9229 9229 1077167 0 1077167 1051624 9229 9229 1042395 0 1042395 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER CODE SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) FOR AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT BEEN NOTIFIED OF ANY IMPENDING EXAMINATIONS BY TAX AUTHORITIES, AND NO EXAMINATIONS ARE IN PROCESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NONCASH DONATION OF FACILITIES FROM CENTRAL IOWA HOSPITAL CORPORATION 9,229. PART XII, LINE 2D - OTHER ADJUSTMENTS: NONCASH DONATION OF FACILITIES FROM CENTRAL IOWA HOSPITAL CORPORATION 9,229. 0 1 0 0 0 0 0 0 0 DAVID STARK BOARD CHAIR 0 573849 0 172266 0 900559 0 102789 0 25675 0 1775138 0 817368 BROOKS JACKSON MD BOARD VICE CHAIR 0 1066488 0 203698 0 7809 0 30340 0 38872 0 1347207 0 0 CHRIS COOPER MD BOARD MEMBER 0 592490 0 11582 0 9227 0 30500 0 20112 0 663911 0 0 ANTHONY COLEMAN BOARD SECRETARY/TREASURER 0 549839 0 56000 0 601 0 0 0 2693 0 609133 0 0 W JOHN YOST MD BOARD MEMBER 0 364263 0 58212 0 20343 0 14850 0 20409 0 478077 0 0 LARRY SEVERIDT MD BOARD MEMBER (TO 3/23) 0 388373 0 0 0 15001 0 28792 0 21479 0 453645 0 0 MARK WILSON MD BOARD MEMBER 0 318717 0 2793 0 10212 0 30500 0 18480 0 380702 0 0 KEN CHEYNE MD EXECUTIVE DIRECTOR 0 298417 0 14910 0 762 0 27450 0 11594 0 353133 0 0 DANA DANLEY MD BOARD MEMBER (FR 3/23) 0 286825 0 0 0 11203 0 27029 0 2255 0 327312 0 0 WENDY WOODS-SWAFFORD MD BOARD MEMBER 0 274719 0 19017 0 632 0 14780 0 3398 0 312546 0 0 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. FORM 990, PART VI, SECTION A, LINE 6 BROADLAWNS MEDICAL CENTER, A COUNTY AGENCY, CENTRAL IOWA HOSPITAL CORPORATION, A TAX-EXEMPT IOWA NONPROFIT CORPORATION AND THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS, A STATE AGENCY, ARE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A BROADLAWNS MEDICAL CENTER, CENTRAL IOWA HOSPITAL CORPORATION AND THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS DESIGNATE REPRESENTATIVES TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B BROADLAWNS MEDICAL CENTER, CENTRAL IOWA HOSPITAL CORPORATION AND THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS MUST APPROVE AMENDMENTS TO ARTICLES AND BYLAWS, AND APPROVE DISSOLUTIONS OR MERGER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE IOWA HEALTH SYSTEM TAX SERVICES DEPARTMENT USING INFORMATION GATHERED FROM THE FINANCIAL SERVICES AND ADMINISTRATIVE OFFICES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED UNTIL THE QUESTIONNAIRES ARE COMPLETED AND RETURNED. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR IS REIMBURSED BY A SET CONTRACTUAL PAYMENT AS A MANAGEMENT SERVICE TO THE ORGANIZATION. THIS IS BASED ON FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE SECRETARY OF STATE'S OFFICE. OTHER GOVERNING DOCUMENTS MAY BE AVAILABLE UPON REQUEST. THE ORGANIZATION WILL PROVIDE COPIES OF ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 197,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,250. BROADLAWNS MEDICAL CENTER 1801 HICKMAN ROAD DES MOINES IA 50314 426005830 COUNTY HOSPITAL IA 501(C)(3) 170(B)(1)(A)(VI) POLK COUNTY 0 CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 420680452 HOSPITAL IA 501(C)(3) 170(B)(1)(A)(III) CENTRAL IOWA HEALTH SYSTEM 0 UNIVERSITY OF IOWA HOSPITALS AND CLINICS 200 HAWKINS DRIVE IOWA CITY IA 52242 426004813 STATE SCHOOL HOSPITAL IA 501(C)(1) 170(B)(1)(A)(V) UNIVERSITY OF IOWA 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 UNIVERSITY OF IOWA HOSPITALS AND CLINICS L 451352 BASED ON GAAP, CASH, AND/OR FMV.