TY 2023 Form 990

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

IOWA HEALTH CARE ASSOCIATION FOUNDATION

Employer identification number

42-1326564

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	62,750	183,555	368,199	216,128	6,495,316	7,325,948
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5	62,750	183,555	368,199	216,128	6,495,316	7,325,948
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons					13,250	13,250
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	26,000	135,500	104,299	62,500	204,954	533,253
c	Add lines 7a and 7b..	26,000	135,500	104,299	62,500	218,204	546,503
8	Public support. (Subtract line 7c from line 6.)						6,779,445

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...	62,750	183,555	368,199	216,128	6,495,316	7,325,948
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	308	296	600	516	10,271	11,991
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	308	296	600	516	10,271	11,991
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..	63,058	183,851	368,799	216,644	6,505,587	7,337,939

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

92.390 %

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

44.170 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

0.160 %

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

0.300 %

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:	DESCRIPTION: COVID-19 INFORMATION CAMPAIGN DATE: 12/31/21 AMOUNT: 184000. DESCRIPTION: COVID-19 INFORMATION CAMPAIGN DATE: 12/23/22 AMOUNT: 65000. DESCRIPTION: LONG-TERM CARE ADMINISTRATION DATE: 01/06/23 AMOUNT: 6154988.

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

IOWA HEALTH CARE ASSOCIATION FOUNDATION

Employer identification number

42-1326564

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization IOWA HEALTH CARE ASSOCIATION FOUNDATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization IOWA HEALTH CARE ASSOCIATION FOUNDATION		Employer identification number 42-1326564

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization IOWA HEALTH CARE ASSOCIATION FOUNDATION			Employer identification number 42-1326564
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

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SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

IOWA HEALTH CARE ASSOCIATION FOUNDATION

Employer identification number

42-1326564

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...	69,000
c	Net investment earnings, gains, and losses	5,943
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,450
f	Administrative expenses ....
g	End of year balance ......	71,493

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

100.000 %

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) ENDOWMENT	71,493	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	71,493

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1	6,506,037
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e	0
3	Subtract line 2e from line 1..................		3	6,506,037
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5	6,506,037

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1	6,280,858
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e	0
3	Subtract line 2e from line 1...................		3	6,280,858
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	6,280,858

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2022

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
IOWA HEALTH CARE ASSOCIATION FOUNDATION

Employer identification number
42-1326564

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) GOOD SHEPHERD HEALTH CENTER 302 SECOND STREET NE MASON CITY,IA504013412	42-0725236	77,228	COVID 19 ASSSISTANCE
(2) STONEHILL CARE CENTER 3485 WINDSOR AVENUE DUBUQUE,IA520011312	51-0141775	73,332	COVID 19 ASSSISTANCE
(3) HERITAGE SPECIALTY CARE 200 CLIVE DRIVE SW CEDAR RAPIDS,IA524041324	76-0262402	68,930	COVID 19 ASSSISTANCE
(4) FRIENDSHIP HAVEN 420 SOUTH KENYON ROAD FORT DODGE,IA505015793	42-0698245	61,441	COVID 19 ASSSISTANCE
(5) NEWALDAYA LIFESCAPES 7511 UNIVERSITY AVENUE CEDAR FALLS,IA506135027	42-0794364	53,513	COVID 19 ASSSISTANCE
(6) BETHANY LIFE 212 LAFAYETTE AVENUE STORY CITY,IA502481451	42-0685073	52,293	COVID 19 ASSSISTANCE
(7) MISSISSIPPI VALLEY HEALTHCARE AND REHABILITATION CENTER PO BOX 1270 KEOKUK,IA526322911	20-0473448	49,945	COVID 19 ASSSISTANCE
(8) WINDMILL MANOR 2332 LIBERTY DRIVE CORALVILLE,IA522412771	37-1223846	47,567	COVID 19 ASSSISTANCE
(9) RAVENWOOD SPECIALTY CARE 2651 ST FRANCIS DRIVE WATERLOO,IA507025422	76-0262402	43,765	COVID 19 ASSSISTANCE
(10) REHABILITATION CENTER OF HAMPTON 700 SECOND STREET SE HAMPTON,IA504412655	42-1008939	41,621	COVID 19 ASSSISTANCE
(11) WOODLAND TERRACE 1922 FIFTH AVENUE NW WAVERLY,IA506771903	42-0752685	39,639	COVID 19 ASSSISTANCE
(12) NORTHBROOK MANOR CARE CENTER 6420 COUNCIL STREET NE CEDAR RAPIDS,IA524021129	42-1112959	38,924	COVID 19 ASSSISTANCE
(13) PROMEDICA SKILLED NURSING AND REHABILITATION - WATERLOO 201 WEST RIDGEWAY AVENUE WATERLOO,IA507014235	92-1552309	38,450	COVID 19 ASSSISTANCE
(14) SOLON NURSING CARE CENTER 523 EAST FIFTH STREET SOLON,IA523339620	42-1012594	38,054	COVID 19 ASSSISTANCE
(15) GRANDVIEW HEALTHCARE CENTER 800 FIFTH STREET SE OELWEIN,IA506622547	42-1008939	36,864	COVID 19 ASSSISTANCE
(16) GUTTENBERG CARE CENTER 1315 ACRE STREET GUTTENBERG,IA520529603	42-1008939	36,864	COVID 19 ASSSISTANCE
(17) THE SUITES AT WESTERN HOME COMMUNITIES 5301 CARAWAY LANE CEDAR FALLS,IA50613	42-0680487	36,468	COVID 19 ASSSISTANCE
(18) LIVING CENTER WEST 1050 FOURTH AVENUE SE CEDAR RAPIDS,IA524034073	42-1276632	36,099	COVID 19 ASSSISTANCE
(19) SILVER OAK NURSING AND REHABILITATION LLC 455 31ST STREET MARION,IA523023723	86-1851503	36,072	COVID 19 ASSSISTANCE
(20) BLOOMFIELD CARE CENTER 800 NORTH DAVIS STREET BLOOMFIELD,IA525371107	42-1008939	36,072	COVID 19 ASSSISTANCE
(21) OAKWOOD CARE CENTER 400 HIGHWAY 18 WEST CLEAR LAKE,IA504281108	42-1008939	35,675	COVID 19 ASSSISTANCE
(22) PARKRIDGE SPECIALTY CARE 5800 NE 12TH AVENUE PLEASANT HILL,IA503277228	76-0262402	35,675	COVID 19 ASSSISTANCE
(23) PLEASANT VIEW CARE CENTER 200 SHANNON DRIVE WHITING,IA510631002	42-1020032	35,675	COVID 19 ASSSISTANCE
(24) ST LUKE LUTHERAN NURSING HOME 1301 ST LUKE DRIVE SPENCER,IA513016043	42-6078294	35,279	COVID 19 ASSSISTANCE
(25) I O O F HOME AND COMMUNITY THERAPY CENTER 1037 19TH STREET SW MASON CITY,IA504016499	42-0818810	34,882	COVID 19 ASSSISTANCE
(26) MADRID HOME FOR THE AGING 613 WEST NORTH STREET MADRID,IA501561059	42-1094104	34,882	COVID 19 ASSSISTANCE
(27) SOUTHFIELD WELLNESS COMMUNITY 2416 SOUTH DES MOINES STREET WEBSTER CITY,IA505953049	42-1320660	34,882	COVID 19 ASSSISTANCE
(28) PROMEDICA SKILLED NURSING AND REHABILITATION - UTICA RIDGE 3800 COMMERCE BLVD DAVENPORT,IA528073495	92-1369951	34,614	COVID 19 ASSSISTANCE
(29) HERITAGE CARE & REHABILITATION CENTER 501 SOUTH KENTUCKY AVENUE MASON CITY,IA504014205	42-1008939	34,486	COVID 19 ASSSISTANCE
(30) ATLANTIC SPECIALTY CARE 1300 EAST 19TH STREET ATLANTIC,IA500220270	76-0262402	34,151	COVID 19 ASSSISTANCE
(31) ABCM REHABILITATION CENTERS OF INDEPENDENCE WEST CAMPUS 1610 THIRD STREET NE INDEPENDENCE,IA506442264	42-1008939	34,090	COVID 19 ASSSISTANCE
(32) REHABILITATION CENTER OF BELMOND 1107 SEVENTH STREET NE BELMOND,IA504219702	42-1008939	34,090	COVID 19 ASSSISTANCE
(33) ACCURA HEALTHCARE OF SPIRIT LAKE 1912 ZENITH AVENUE SPIRIT LAKE,IA51360	82-2335861	33,323	COVID 19 ASSSISTANCE
(34) RIVER HILLS VILLAGE 20 VILLAGE CIRCLE KEOKUK,IA526322040	36-4094409	33,297	COVID 19 ASSSISTANCE
(35) ACCURA HEALTHCARE OF MARSHALLTOWN 2401 SOUTH SECOND STREET MARSHALLTOWN,IA501584499	82-2294078	33,296	COVID 19 ASSSISTANCE
(36) WESTVIEW OF INDIANOLA CARE CENTER 1900 WEST THIRD PLACE INDIANOLA,IA501252104	42-1008939	32,900	COVID 19 ASSSISTANCE
(37) CLEARVIEW HOME 406 WEST WASHINGTON MOUNT AYR,IA508540552	42-1251071	32,504	COVID 19 ASSSISTANCE
(38) LONGHOUSE-NORTHSHIRE LTD 711 WEST 11TH STREET SPENCER,IA513013237	42-1481688	32,504	COVID 19 ASSSISTANCE
(39) SHADY OAKS CARE CENTER 1409 WEST MAIN STREET LAKE CITY,IA514499701	88-1542013	31,711	COVID 19 ASSSISTANCE
(40) WESLEY ACRES 3520 GRAND AVENUE DES MOINES,IA503124397	42-0680440	31,711	COVID 19 ASSSISTANCE
(41) CRYSTAL HEIGHTS CARE CENTER 1514 HIGH AVENUE WEST OSKALOOSA,IA525771997	26-0358604	31,596	COVID 19 ASSSISTANCE
(42) IOWA MASONIC HEALTH FACILITIES 2500 GRANT STREET PO BOX 70 BETTENDORF,IA527220002	42-0892476	31,315	COVID 19 ASSSISTANCE
(43) VALLEY VIEW VILLAGE 2571 GUTHRIE AVENUE DES MOINES,IA503173096	42-0868449	31,315	COVID 19 ASSSISTANCE
(44) LAKE MILLS CARE CENTER 406 SOUTH 10TH AVENUE LAKE MILLS,IA504501851	42-1008939	30,918	COVID 19 ASSSISTANCE
(45) ST FRANCIS MANOR 2021 FOURTH AVENUE GRINNELL,IA501122064	42-1056708	30,918	COVID 19 ASSSISTANCE
(46) EASTERN STAR MASONIC HOME 715 WEST THIRD STREET BOONE,IA500364000	42-0680363	30,126	COVID 19 ASSSISTANCE
(47) SUNRISE HILL CARE CENTER 909 SIXTH STREET TRAER,IA506751399	42-0952734	30,126	COVID 19 ASSSISTANCE
(48) FLEUR HEIGHTS CENTER FOR WELLNESS & REHAB 4911 SW 19TH STREET DES MOINES,IA503154484	47-0867368	29,786	COVID 19 ASSSISTANCE
(49) IVY AT DAVENPORT 800 EAST RUSHOLME STREET DAVENPORT,IA528032599	81-4726947	29,729	COVID 19 ASSSISTANCE
(50) SOUTHERN HILLS SPECIALTY CARE 444 NORTH WEST DRIVE PO BOX 122 OSCEOLA,IA502130444	76-0262402	29,472	COVID 19 ASSSISTANCE
(51) GOOD SAMARITAN SOCIETY - ESTHERVILLE 1646 FIFTH AVENUE NORTH ESTHERVILLE,IA513341795	45-0228055	29,452	COVID 19 ASSSISTANCE
(52) CHILDSERVE HABILITATION CENTER 5900 PIONEER PARKWAY JOHNSTON,IA501310707	42-0680245	29,333	COVID 19 ASSSISTANCE
(53) PARK VIEW REHABILITATION CENTER 601 PARK AVENUE SAC CITY,IA505832429	42-1008939	29,066	COVID 19 ASSSISTANCE
(54) PRAIRIE VIEW HOME 610 N EASTERN STREET SANBORN,IA51248	42-1467496	28,937	COVID 19 ASSSISTANCE
(55) GRANDVIEW HEIGHTS 910 EAST OLIVE STREET MARSHALLTOWN,IA501584195	42-1365622	28,923	COVID 19 ASSSISTANCE
(56) IOWA JEWISH SENIOR LIFE CENTER 900 POLK BOULEVARD DES MOINES,IA503122225	42-0332670	28,540	COVID 19 ASSSISTANCE
(57) FRIENDSHIP VILLAGE RETIREMENT CENTER 600 PARK LANE WATERLOO,IA507025299	42-0926078	28,540	COVID 19 ASSSISTANCE
(58) MANOR HOUSE CARE CENTER 1212 SOUTH STUART STREET SIGOURNEY,IA525911300	42-1008939	28,540	COVID 19 ASSSISTANCE
(59) UNIVERSITY PARK NURSING AND REHABILITATION CENTER 233 UNIVERSITY AVENUE DES MOINES,IA503143124	84-3913968	28,260	COVID 19 ASSSISTANCE
(60) CORYDON SPECIALTY CARE 745 EAST SOUTH BOX 387 CORYDON,IA500601830	76-0262402	28,144	COVID 19 ASSSISTANCE
(61) FIELDSTONE OF DEWITT (FORMERLY WESTWING PLACE) 1118 11TH STREET DE WITT,IA52742	83-3724025	27,747	COVID 19 ASSSISTANCE
(62) HARMONY HOUSE HEALTH CARE CENTER 2950 WEST SHAULIS ROAD WATERLOO,IA507019218	42-1008939	27,747	COVID 19 ASSSISTANCE
(63) THE BRIDGES AT ANKENY 3510 NORTHWEST ABILENE ROAD ANKENY,IA50023	46-4779739	27,747	COVID 19 ASSSISTANCE
(64) PARKVIEW CARE CENTER 2237 HIGHWAY 34 FAIRFIELD,IA525568560	42-0994108	27,747	COVID 19 ASSSISTANCE
(65) ACCURA HEALTHCARE OF CARROLL 2241 NORTH WEST STREET CARROLL,IA514013607	82-2262303	27,747	COVID 19 ASSSISTANCE
(66) PERRY LUTHERAN HOME 2323 E WILLIS AVENUE PERRY,IA502202148	42-1402559	27,747	COVID 19 ASSSISTANCE
(67) AASE HAUGEN HOME FOUR OHIO STREET DECORAH,IA521010510	42-0680299	27,453	COVID 19 ASSSISTANCE
(68) METH WICK HEALTH CENTER 1625 BRENDELWOOD DRIVE CEDAR RAPIDS,IA524052499	42-0838541	27,351	COVID 19 ASSSISTANCE
(69) ROLLING GREEN VILLAGE 100 SIXTH STREET NEVADA,IA502012529	42-1008939	27,351	COVID 19 ASSSISTANCE
(70) COMMUNITY MEMORIAL HEALTH CENTER 231 NORTH EIGHTH AVENUE WEST HARTLEY,IA513460188	42-0845331	26,955	COVID 19 ASSSISTANCE
(71) PROMEDICA SKILLED NURSING AND REHABILITATION - WEST DES MOINES 5010 GRAND RIDGE DRIVE WEST DES MOINES,IA50265	88-4400076	26,853	COVID 19 ASSSISTANCE
(72) ACCURA HEALTHCARE OF AMES LLC 3440 GRAND AVENUE AMES,IA500104158	42-1496024	26,737	COVID 19 ASSSISTANCE
(73) SOUTHRIDGE SPECIALTY CARE 309 WEST MERLE HIBBS BLVD MARSHALLTOWN,IA501585961	76-0262402	26,537	COVID 19 ASSSISTANCE
(74) WESTVIEW CARE CENTER 445 EIGHTH AVENUE SW BRITT,IA504239780	42-1008939	26,477	COVID 19 ASSSISTANCE
(75) GOOD SAMARITAN SOCIETY - INDIANOLA 708 SOUTH JEFFERSON PO BOX 319 INDIANOLA,IA501250319	45-0228055	26,389	COVID 19 ASSSISTANCE
(76) CONCORD CARE CENTER 490 WEST LYON STREET GARNER,IA504381906	42-1008939	26,162	COVID 19 ASSSISTANCE
(77) THE MADISON 1702 41ST STREET FORT MADISON,IA526270327	84-3968254	26,130	COVID 19 ASSSISTANCE
(78) CARLISLE CENTER FOR WELLNESS & REHAB 680 COLE STREET CARLISLE,IA500478733	47-0867368	26,096	COVID 19 ASSSISTANCE
(79) WESTHAVEN COMMUNITY 112 WEST FOURTH STREET BOONE,IA500363398	42-0707094	26,045	COVID 19 ASSSISTANCE
(80) COMMUNITY CARE CENTER 325 SW SEVENTH STREET STUART,IA502500000	42-0954861	25,765	COVID 19 ASSSISTANCE
(81) CRESTVIEW SPECIALTY CARE 451 WEST ORANGE STREET WEST BRANCH,IA523589701	76-0262402	25,765	COVID 19 ASSSISTANCE
(82) REHABILITATION CENTER OF LISBON 905 WEST MAIN STREET LISBON,IA52253	42-1008939	25,369	COVID 19 ASSSISTANCE
(83) GOOD NEIGHBOR HOME 105 MCCARREN DRIVE MANCHESTER,IA520571800	42-0846668	25,319	COVID 19 ASSSISTANCE
(84) GLEN HAVEN HOME 252 INDIAN HILLS DRIVE GLENWOOD,IA515341129	42-1088300	24,761	COVID 19 ASSSISTANCE
(85) BRIARWOOD HEALTHCARE CENTER 605 GREENWOOD DRIVE IOWA CITY,IA522460605	27-4036617	24,576	COVID 19 ASSSISTANCE
(86) NORTH CREST LIVING CENTER 34 NORTHCREST DRIVE COUNCIL BLUFFS,IA515031695	35-2362552	24,564	COVID 19 ASSSISTANCE
(87) MIDLANDS LIVING CENTER LLC 2452 NORTH BROADWAY COUNCIL BLUFFS,IA515030434	47-0924532	24,471	COVID 19 ASSSISTANCE
(88) PINNACLE SPECIALTY CARE 1223 PRAIRIE ROAD CEDAR FALLS,IA50613	76-0262402	24,240	COVID 19 ASSSISTANCE
(89) HILLCREST HOME INC 915 WEST FIRST STREET SUMNER,IA506741271	42-0892136	24,180	COVID 19 ASSSISTANCE
(90) OELWEIN HEALTH CARE CENTER 600 SEVENTH STREET SE OELWEIN,IA506622800	42-1008939	24,180	COVID 19 ASSSISTANCE
(91) WESTWOOD SPECIALTY CARE 4201 FIELDCREST DRIVE SIOUX CITY,IA511042401	76-0262402	24,139	COVID 19 ASSSISTANCE
(92) EXIRA CARE CENTER 411 SOUTH CARTHAGE EXIRA,IA500761502	81-3176971	23,783	COVID 19 ASSSISTANCE
(93) OAKVIEW NURSING AND REHABILITATION 1212 INDIAN HILLS DRIVE BURLINGTON,IA52601	81-1586874	23,783	COVID 19 ASSSISTANCE
(94) REHABILITATION CENTER OF ALLISON 900 SEVENTH STREET WEST ALLISON,IA506029440	42-1008939	23,783	COVID 19 ASSSISTANCE
(95) ACCURA HEALTHCARE OF KNOXVILLE LLC 606 NORTH SEVENTH STREET KNOXVILLE,IA501389599	46-3242630	23,783	COVID 19 ASSSISTANCE
(96) HUBBARD CARE CENTER 403 SOUTH STATE STREET HUBBARD,IA501220667	42-1400253	23,783	COVID 19 ASSSISTANCE
(97) BROOKLYN COMMUNITY ESTATES 406 NORTH STREET BROOKLYN,IA522119444	42-0925544	23,783	COVID 19 ASSSISTANCE
(98) WEST RIDGE CARE CENTER 3131 F AVENUE NW CEDAR RAPIDS,IA524052946	42-1322047	23,783	COVID 19 ASSSISTANCE
(99) MAYFLOWER HOME 616 BROAD STREET GRINNELL,IA501122298	42-0727497	23,783	COVID 19 ASSSISTANCE
(100) COLONIAL MANOR OF AMANA 3207 220TH TRAIL AMANA,IA52203	42-0947134	23,783	COVID 19 ASSSISTANCE
(101) AZRIA HEALTH ROSE VISTA 1109 NORMAL STREET WOODBINE,IA515790006	86-2251234	23,678	COVID 19 ASSSISTANCE
(102) AZRIA HEALTH CLARINDA 600 MANOR DRIVE CLARINDA,IA516320475	84-2121191	23,079	COVID 19 ASSSISTANCE
(103) CRESTON SPECIALTY CARE 1001 COTTONWOOD ROAD CRESTON,IA508011012	76-0262402	23,025	COVID 19 ASSSISTANCE
(104) GOLDEN AGE CARE CENTER 1915 SOUTH 18TH STREET CENTERVILLE,IA525443199	47-1806363	22,991	COVID 19 ASSSISTANCE
(105) OAKNOLL RETIREMENT RESIDENCE 1 OAKNOLL COURT IOWA CITY,IA52246	42-0919486	22,991	COVID 19 ASSSISTANCE
(106) ROSE HAVEN NURSING HOME 1500 N FRANKLYN AVENUE MARENGO,IA523011399	47-5357703	22,991	COVID 19 ASSSISTANCE
(107) MOUNT CARMEL BLUFFS 1160 CARMEL DRIVE DUBUQUE,IA52003	83-1842463	22,935	COVID 19 ASSSISTANCE
(108) CALVIN COMMUNITY 4210 HICKMAN ROAD DES MOINES,IA503103395	42-0891140	22,743	COVID 19 ASSSISTANCE
(109) AZRIA HEALTH LONGVIEW 1010 LONGVIEW ROAD MISSOURI VALLEY,IA515551227	86-2250993	22,689	COVID 19 ASSSISTANCE
(110) NORTHERN MAHASKA SPECIALTY CARE 2401 CRESTVIEW DRIVE OSKALOOSA,IA52577	76-0262402	22,628	COVID 19 ASSSISTANCE
(111) COLONIAL MANOR OF ELMA 407 NINTH STREET ELMA,IA506280499	42-1073689	22,594	COVID 19 ASSSISTANCE
(112) PERRY LUTHERAN HOME EDEN ACRES CAMPUS 3000 EAST WILLIS AVENUE PERRY,IA50220	42-1402559	22,594	COVID 19 ASSSISTANCE
(113) RISEN SON CHRISTIAN VILLAGE 3000 RISEN SON BOULEVARD COUNCIL BLUFFS,IA515031900	42-1279738	22,390	COVID 19 ASSSISTANCE
(114) GREEN HILLS HEALTH CARE CENTER 2200 HAMILTON DRIVE SUITE 100 AMES,IA500148274	42-1490784	22,198	COVID 19 ASSSISTANCE
(115) WELLINGTON PLACE 2479 RIVER ROAD DECORAH,IA521017303	42-1316873	22,198	COVID 19 ASSSISTANCE
(116) CREEKSIDE 503 WICAL WAY GRUNDY CENTER,IA506382096	47-1181061	21,801	COVID 19 ASSSISTANCE
(117) KEYSTONE NURSING CARE CENTER 250 FIFTH STREET KEYSTONE,IA522499521	42-1004908	21,801	COVID 19 ASSSISTANCE
(118) WESTVIEW ACRES CARE CENTER 203 SW LORRAINE LEON,IA501440140	47-1802761	21,801	COVID 19 ASSSISTANCE
(119) MAPLE CREST MANOR 100 BOLGER DRIVE FAYETTE,IA521429762	42-1049045	21,801	COVID 19 ASSSISTANCE
(120) LAKESIDE LUTHERAN HOME 301 NORTH LAWLER STREET EMMETSBURG,IA505361099	42-0937127	21,801	COVID 19 ASSSISTANCE
(121) SPURGEON MANOR 1204 LINDEN STREET DALLAS CENTER,IA500631052	42-0926896	21,801	COVID 19 ASSSISTANCE
(122) HALLMARK CARE CENTER 215 HIGHWAY 30 WEST MOUNT VERNON,IA52314	42-1008939	21,801	COVID 19 ASSSISTANCE
(123) CEDAR MANOR NURSING HOME 1200 MULBERRY STREET TIPTON,IA527721347	42-1133100	21,766	COVID 19 ASSSISTANCE
(124) CRESTVIEW NURSING & REHAB 2401 SOUTH DES MOINES STREET WEBSTER CITY,IA505953099	45-4183743	21,500	COVID 19 ASSSISTANCE
(125) NORTHCREST COMMUNITY 1801 20TH STREET AMES,IA500105179	42-0883987	21,405	COVID 19 ASSSISTANCE
(126) ACCURA HEALTHCARE OF NEWTON EAST LLC 1743 SOUTH EIGHTH AVENUE EAST NEWTON,IA502085099	42-1496025	21,405	COVID 19 ASSSISTANCE
(127) HALCYON HOUSE 1015 SOUTH IOWA AVENUE WASHINGTON,IA523531199	42-0680440	21,405	COVID 19 ASSSISTANCE
(128) THE VILLAGE 1202 NORTH E STREET INDIANOLA,IA501251117	42-0680440	21,405	COVID 19 ASSSISTANCE
(129) WESTBROOK ACRES 605 GARFIELD STREET GLADBROOK,IA50635	42-1392019	21,405	COVID 19 ASSSISTANCE
(130) NORTHCREST SPECIALTY CARE 2001 HEATH STREET WATERLOO,IA50703	76-0262402	21,382	COVID 19 ASSSISTANCE
(131) LANTERN PARK SPECIALTY CARE 2200 OAKDALE ROAD CORALVILLE,IA522411499	76-0262402	21,146	COVID 19 ASSSISTANCE
(132) ACCURA HEALTHCARE OF PLEASANTVILLE LLC 909 NORTH STATE STREET PLEASANTVILLE,IA502259789	42-1481662	21,009	COVID 19 ASSSISTANCE
(133) ACCURA HEALTHCARE OF NEWTON WEST LLC 2130 WEST 18TH STREET NEWTON,IA502085607	42-1481664	21,009	COVID 19 ASSSISTANCE
(134) GOOD SAMARITAN SOCIETY - LE MARS 1140 LINCOLN STREET NE LEMARS,IA510313398	45-0228055	20,645	COVID 19 ASSSISTANCE
(135) WESLEY PARK CENTRE 500 FIRST STREET NORTH NEWTON,IA502083112	42-0680440	20,494	COVID 19 ASSSISTANCE
(136) BETHANY HOME 1005 LINCOLN AVENUE DUBUQUE,IA520013499	42-0698260	20,097	COVID 19 ASSSISTANCE
(137) KAHL HOME FOR AGED & INFIRM 6701 JERSEY RIDGE ROAD DAVENPORT,IA52807	42-0760833	20,089	COVID 19 ASSSISTANCE
(138) PRAIRIE GATE 16 VALLEY VIEW DRIVE COUNCIL BLUFFS,IA51503	82-3917566	20,067	COVID 19 ASSSISTANCE
(139) LUTHERAN LIVING SENIOR CAMPUS 2421 LUTHERAN DRIVE MUSCATINE,IA527619392	42-0698201	20,030	COVID 19 ASSSISTANCE
(140) PROMEDICA SKILLED NURSING AND REHABILITATION - CEDAR RAPIDS 1940 FIRST AVENUE NE CEDAR RAPIDS,IA524020000	88-4393256	19,869	COVID 19 ASSSISTANCE
(141) SAVANNAH HEIGHTS 601 S PRAIRIE STREET MOUNT PLEASANT,IA526411609	42-0995874	19,820	COVID 19 ASSSISTANCE
(142) ACCURA HEALTHCARE OF MILFORD 1600 13TH STREET MILFORD,IA513511373	82-2307715	19,820	COVID 19 ASSSISTANCE
(143) COUNTRY VIEW MANOR INC 100 CEDAR LANE SIBLEY,IA512491051	42-0947306	19,820	COVID 19 ASSSISTANCE
(144) EMMETSBURG CARE CENTER 2405 21ST STREET EMMETSBURG,IA505360490	42-1008939	19,820	COVID 19 ASSSISTANCE
(145) FAITH LUTHERAN HOME 914 DAVIDSON DRIVE OSAGE,IA504611474	42-0896119	19,820	COVID 19 ASSSISTANCE
(146) MAPLE MANOR VILLAGE 345 PARRIOTT STREET APLINGTON,IA506041063	42-1008939	19,820	COVID 19 ASSSISTANCE
(147) MORNING SUN CARE CENTER 200 WASHINGTON MORNING SUN,IA526400009	42-1008939	19,820	COVID 19 ASSSISTANCE
(148) NORA SPRINGS CARE CENTER 907 WEST CONGRESS NORA SPRINGS,IA504580366	42-1008939	19,820	COVID 19 ASSSISTANCE
(149) NORTHGATE CARE CENTER 960 FOURTH STREET NW WAUKON,IA521721034	42-1008939	19,820	COVID 19 ASSSISTANCE
(150) VALLEY VUE CARE CENTER 108 SECOND AVENUE BOX 200 ARMSTRONG,IA505140228	42-1008939	19,820	COVID 19 ASSSISTANCE
(151) WILLOW DALE WELLNESS VILLAGE 404 FIRST STREET BATTLE CREEK,IA510069425	42-1008939	19,820	COVID 19 ASSSISTANCE
(152) MARTIN HEALTH CENTER INC 420 EAST 11TH STREET CEDAR FALLS,IA506133364	42-0680487	19,523	COVID 19 ASSSISTANCE
(153) AZRIA HEALTH PARK PLACE 2401 EAST EIGHTH STREET DES MOINES,IA503160000	84-2112596	19,364	COVID 19 ASSSISTANCE
(154) ACCURA HEALTHCARE OF CHEROKEE LLC 921 RIVERVIEW DRIVE CHEROKEE,IA510121492	42-1496018	19,027	COVID 19 ASSSISTANCE
(155) ST LUKE'S HELEN G NASSIF TRANSITIONAL CARE CENTER 1420 UNITYPOINT WAY CEDAR RAPIDS,IA52403	42-1276632	19,027	COVID 19 ASSSISTANCE
(156) THORNTON MANOR NURSING AND CARE CENTER 1329 MAIN STREET LANSING,IA521510700	42-1025182	19,027	COVID 19 ASSSISTANCE
(157) GOOD SAMARITAN SOCIETY - ALGONA 412 WEST KENNEDY STREET ALGONA,IA505113199	45-0228055	18,572	COVID 19 ASSSISTANCE
(158) ALTOONA NURSING AND REHABILITATION CENTER 200 SEVENTH AVENUE SW ALTOONA,IA500091630	84-3508406	18,499	COVID 19 ASSSISTANCE
(159) ACCURA HEALTHCARE OF SIOUX CITY LLC 3800 INDIAN HILLS DRIVE SIOUX CITY,IA511041620	42-1496015	18,234	COVID 19 ASSSISTANCE
(160) ACCURA HEALTHCARE OF CASCADE 701 JOHNSON STREET NW CASCADE,IA520330130	87-0927352	18,234	COVID 19 ASSSISTANCE
(161) ACCURA HEALTHCARE OF CRESCO 701 VERNON ROAD SW CRESCO,IA521361944	82-2277737	18,234	COVID 19 ASSSISTANCE
(162) ACCURA HEALTHCARE OF LEMARS 954 7TH AVENUE SE LEMARS,IA510312602	83-2344363	18,234	COVID 19 ASSSISTANCE
(163) ACCURA HEALTHCARE OF MANNING LLC 402 MAIN STREET MANNING,IA51455	83-3914604	18,234	COVID 19 ASSSISTANCE
(164) ACCURA HEALTHCARE OF OGDEN LLC 625 EAST OAK STREET OGDEN,IA502123310	42-1496016	18,234	COVID 19 ASSSISTANCE
(165) ACCURA HEALTHCARE OF STANTON 213 HALLAND AVENUE STANTON,IA515730017	81-4914573	18,234	COVID 19 ASSSISTANCE
(166) ALGONA MANOR CARE CENTER 2221 EAST MCGREGOR STREET ALGONA,IA505113008	39-1870395	18,234	COVID 19 ASSSISTANCE
(167) CLARENCE NURSING HOME 402 SECOND AVE CLARENCE,IA522160485	42-0934286	18,234	COVID 19 ASSSISTANCE
(168) LUTHERAN RETIREMENT HOME 701 NINTH STREET NORTH NORTHWOOD,IA504590108	42-0807185	18,234	COVID 19 ASSSISTANCE
(169) MAQUOKETA CARE CENTER 1202 GERMAN STREET MAQUOKETA,IA520602055	42-1011222	18,234	COVID 19 ASSSISTANCE
(170) OSSIAN SENIOR HOSPICE 114 FISHER AVENUE OSSIAN,IA521610098	42-6076605	18,234	COVID 19 ASSSISTANCE
(171) SUNRISE TERRACE NURSING & REHABILITATION CENTER 706 WEST CENTRAL AVENUE WINFIELD,IA526599768	42-1025590	18,234	COVID 19 ASSSISTANCE
(172) THE AMBASSADOR SIDNEY INC 115 MAIN STREET SIDNEY,IA51652	20-0983905	18,234	COVID 19 ASSSISTANCE
(173) TIMELY MISSION NURSING HOME 109 MISSION DRIVE BUFFALO CENTER,IA504241206	42-0884869	18,234	COVID 19 ASSSISTANCE
(174) TWILIGHT ACRES 600 WEST SIXTH STREET WALL LAKE,IA51466	42-0885532	18,234	COVID 19 ASSSISTANCE
(175) WEST POINT CARE CENTER 607 6TH STREET PO BOX 398 WEST POINT,IA526569502	42-1286274	18,234	COVID 19 ASSSISTANCE
(176) WINSLOW HOUSE CARE CENTER 3456 INDIAN CREEK ROAD MARION,IA523021119	85-3787408	18,009	COVID 19 ASSSISTANCE
(177) ACCURA HEALTHCARE OF SHENANDOAH 1203 SOUTH ELM STREET SHENANDOAH,IA516012221	85-1565207	17,838	COVID 19 ASSSISTANCE
(178) BLACKHAWK LIFE CARE CENTER 73 WEST FIFTH STREET LAKE VIEW,IA514500140	42-1330867	17,838	COVID 19 ASSSISTANCE
(179) WEST RIDGE SPECIALTY CARE 1904 WEST HOWARD STREET KNOXVILLE,IA501383416	76-0262402	17,530	COVID 19 ASSSISTANCE
(180) SHELL ROCK SENIOR LIVING 920 NORTH CHERRY STREET SHELL ROCK,IA506709757	41-1810984	17,441	COVID 19 ASSSISTANCE
(181) ACCURA HEALTHCARE OF AURELIA 401 WEST 5TH STREET AURELIA,IA510050067	83-3607441	17,441	COVID 19 ASSSISTANCE
(182) MILL VALLEY CARE CENTER 1201 PARK STREET BELLEVUE,IA520311911	42-1068513	17,346	COVID 19 ASSSISTANCE
(183) REGENCY PARK NURSING AND REHABILITATION CENTER 100 RAM DRIVE JEFFERSON,IA501292728	84-3766189	17,204	COVID 19 ASSSISTANCE
(184) SIMPSON MEMORIAL HOME 1000 NORTH MILLER STREET WEST LIBERTY,IA527760000	42-0950871	16,813	COVID 19 ASSSISTANCE
(185) CLARKSVILLE SKILLED NURSING AND REHABILITATION CENTER 115 NORTH HILTON STREET CLARKSVILLE,IA506190159	42-1005013	16,648	COVID 19 ASSSISTANCE
(186) RIDGEWOOD SPECIALTY CARE 1977 ALBIA ROAD OTTUMWA,IA525013708	76-0262402	16,299	COVID 19 ASSSISTANCE
(187) WAPELLO SPECIALTY CARE 601 HIGHWAY 61 SOUTH WAPELLO,IA526531364	76-0262402	16,276	COVID 19 ASSSISTANCE
(188) MONTROSE HEALTH CENTER INC 400 SOUTH 7TH STREET MONTROSE,IA526390248	84-3983514	16,089	COVID 19 ASSSISTANCE
(189) SUNRISE RETIREMENT COMMUNITY 5501 GORDON DRIVE EAST SIOUX CITY,IA511062098	42-0805391	15,963	COVID 19 ASSSISTANCE
(190) ST ANTHONY REGIONAL HOSPITAL 311 SOUTH CLARK STREET CARROLL,IA514013038	42-0733472	15,864	COVID 19 ASSSISTANCE
(191) ROCKWELL COMMUNITY NURSING HOME 707 ELM STREET ROCKWELL,IA504690270	42-1043747	15,856	COVID 19 ASSSISTANCE
(192) EDGEWATER A WESLEY ACTIVE LIFE COMMUNITY LLC 9225 CASCADE AVENUE WEST DES MOINES,IA502668592	26-0358303	15,856	COVID 19 ASSSISTANCE
(193) OAKVIEW NURSING & REHABILITATION 720 OAKBROOK DRIVE MARION,IA52302	81-0712097	15,856	COVID 19 ASSSISTANCE
(194) THE GARDENS OF CEDAR RAPIDS 5710 DEAN ROAD SW CEDAR RAPIDS,IA52404	81-2845792	15,856	COVID 19 ASSSISTANCE
(195) THE SUMMIT OF BETTENDORF 4699 53RD AVENUE BETTENDORF,IA52722	84-4019369	15,856	COVID 19 ASSSISTANCE
(196) VIRGINIA GAY HOSPITAL 502 NORTH NINTH AVENUE VINTON,IA52349	42-1231996	15,856	COVID 19 ASSSISTANCE
(197) NEW HAMPTON NURSING & REHAB CENTER 703 SOUTH FOURTH AVENUE NEW HAMPTON,IA506590428	42-1068513	15,727	COVID 19 ASSSISTANCE
(198) BEDFORD SPECIALTY CARE 1005 W PEARL STREET BEDFORD,IA508331276	76-0262402	15,459	COVID 19 ASSSISTANCE
(199) COLONIAL MANORS OF COLUMBUS COMMUNITY 814 SPRINGER AVENUE COLUMBUS JUNCTION,IA527380266	42-1025716	15,459	COVID 19 ASSSISTANCE
(200) LINN HAVEN REHAB & HEALTHCARE 530 SOUTH LINN AVENUE NEW HAMPTON,IA506592002	35-2435692	15,394	COVID 19 ASSSISTANCE
(201) STATE CENTER SPECIALTY CARE 702 THIRD STREET NW STATE CENTER,IA502471012	76-0262402	15,265	COVID 19 ASSSISTANCE
(202) AVOCA SPECIALTY CARE 610 EAST YORK ROAD AVOCA,IA515210728	76-0262402	15,081	COVID 19 ASSSISTANCE
(203) LAURENS CARE CENTER 304 EAST VETERANS ROAD LAURENS,IA505541542	42-1069089	15,063	COVID 19 ASSSISTANCE
(204) TITONKA CARE CENTER 312 FIRST AVENUE NW TITONKA,IA50480	42-1004647	14,666	COVID 19 ASSSISTANCE
(205) BETHANY LUTHERAN HOME SEVEN ELLIOTT STREET COUNCIL BLUFFS,IA515030297	42-1014553	14,663	COVID 19 ASSSISTANCE
(206) UNITED PRESBYTERIAN HOME 1203 EAST WASHINGTON WASHINGTON,IA523532198	42-0713662	14,555	COVID 19 ASSSISTANCE
(207) MAPLE HEIGHTS NURSING HOME TWO SUNRISE AVENUE MAPLETON,IA510341338	42-0933683	14,437	COVID 19 ASSSISTANCE
(208) PLEASANTVIEW HOME 811 THIRD STREET KALONA,IA522470309	42-0803935	14,401	COVID 19 ASSSISTANCE
(209) CHEROKEE SPECIALTY CARE 1011 NORTH ROOSEVELT AVENUE CHEROKEE,IA510121223	76-0262402	14,351	COVID 19 ASSSISTANCE
(210) INDEPENDENCE VILLAGE OF WAUKEE 1645 SE HOLIDAY CREST CIRCLE WAUKEE,IA50263	84-2425996	14,313	COVID 19 ASSSISTANCE
(211) BRIO OF JOHNSTON LLC 6901 PECKHAM STREET JOHNSTON,IA50131	81-4615602	14,270	COVID 19 ASSSISTANCE
(212) CORNING SPECIALTY CARE 1614 NORTHGATE DRIVE PO BOX 479 CORNING,IA508410479	76-0262402	14,108	COVID 19 ASSSISTANCE
(213) AZRIA HEALTH PRAIRIE RIDGE 608 PRAIRIE STREET MEDIAPOLIS,IA526370815	84-2112414	13,975	COVID 19 ASSSISTANCE
(214) THE COTTAGES 1742 MAIN STREET PELLA,IA50219	27-0992962	13,916	COVID 19 ASSSISTANCE
(215) KAREN ACRES HEALTHCARE CENTER 3605 ELM DRIVE URBANDALE,IA50322	42-1392019	13,874	COVID 19 ASSSISTANCE
(216) GOOD SAMARITAN SOCIETY - SAINT ANSGAR 701 EAST FOURTH STREET ST ANSGAR,IA504720340	45-0228055	13,811	COVID 19 ASSSISTANCE
(217) DUNLAP SPECIALTY CARE 1403 HARRISON ROAD DUNLAP,IA515299737	76-0262402	13,604	COVID 19 ASSSISTANCE
(218) RICEVILLE FAMILY CARE AND THERAPY CENTER 915 WOODLAND AVENUE RICEVILLE,IA504667507	23-7147827	13,477	COVID 19 ASSSISTANCE
(219) PARKVIEW HOME 102 NORTH JACKSON WAYLAND,IA526540038	42-0847787	13,477	COVID 19 ASSSISTANCE
(220) WILTON RETIREMENT COMMUNITY 307 OVESEN DRIVE WILTON,IA52778	42-0950871	13,477	COVID 19 ASSSISTANCE
(221) GOOD SAMARITAN SOCIETY - FOREST CITY 606 SOUTH SEVENTH STREET FOREST CITY,IA504362032	45-0228055	13,422	COVID 19 ASSSISTANCE
(222) LAPORTE CITY SPECIALTY CARE HIGHWAY 218 NORTH BOX 175 LA PORTE CITY,IA506510175	76-0262402	13,224	COVID 19 ASSSISTANCE
(223) PANORA SPECIALTY CARE 805 EAST MAIN STREET BOX 69 PANORA,IA502160069	76-0262402	13,202	COVID 19 ASSSISTANCE
(224) DUBUQUE SPECIALTY CARE 2935 KAUFMAN AVENUE DUBUQUE,IA520011696	76-0262402	13,085	COVID 19 ASSSISTANCE
(225) LINN MANOR CARE CENTER 1140 ELIM DRIVE MARION,IA523025899	42-1107110	13,052	COVID 19 ASSSISTANCE
(226) HEGG MEMORIAL HEALTH CENTER 2116 14TH STREET ROCK VALLEY,IA512471497	42-0932564	13,015	COVID 19 ASSSISTANCE
(227) MANLY SPECIALTY CARE 601 EAST SOUTH STREET MANLY,IA504560460	76-0262402	12,772	COVID 19 ASSSISTANCE
(228) ON WITH LIFE AT GLENWOOD 714 LACEY STREET SUITE 100 GLENWOOD,IA51534	42-1308032	12,580	COVID 19 ASSSISTANCE
(229) SIBLEY SPECIALTY CARE 700 9TH AVENUE NORTH SIBLEY,IA512491050	76-0262402	12,446	COVID 19 ASSSISTANCE
(230) GOOD SAMARITAN SOCIETY - HOLSTEIN 505 WEST SECOND STREET HOLSTEIN,IA510255111	45-0228055	12,443	COVID 19 ASSSISTANCE
(231) DENVER SUNSET HOME 235 NORTH MILL STREET DENVER,IA506220383	42-0893350	12,288	COVID 19 ASSSISTANCE
(232) VALLEY VIEW COMMUNITY 108 SOUTH HIGH STREET GREENE,IA506360617	47-4616849	12,288	COVID 19 ASSSISTANCE
(233) ACCURA HEALTHCARE OF POMEROY LLC PO BOX 10 POMEROY,IA505750010	81-1363326	11,892	COVID 19 ASSSISTANCE
(234) THE NEW HOMESTEAD CARE CENTER 2306 STATE STREET GUTHRIE CENTER,IA501158896	85-3751356	11,474	COVID 19 ASSSISTANCE
(235) FONDA SPECIALTY CARE 607 QUEEN STREET FONDA,IA505400504	76-0262402	11,306	COVID 19 ASSSISTANCE
(236) CHARITON SPECIALTY CARE 1214 NORTH SEVENTH STREET CHARITON,IA500491299	76-0262402	11,272	COVID 19 ASSSISTANCE
(237) MECHANICSVILLE SPECIALTY CARE 104 EAST FOURTH STREET BOX 430 MECHANICSVILLE,IA523060430	76-0262402	11,155	COVID 19 ASSSISTANCE
(238) ACCURA HEALTHCARE OF BANCROFT 546 EAST RAMSEY BANCROFT,IA50517	82-2256548	11,099	COVID 19 ASSSISTANCE
(239) ON WITH LIFE 715 SW ANKENY ROAD ANKENY,IA500239798	42-1308032	11,099	COVID 19 ASSSISTANCE
(240) TRIPOLI NURSING & REHAB 604 THIRD STREET SW TRIPOLI,IA506769614	42-0922280	11,099	COVID 19 ASSSISTANCE
(241) ENGLISH VALLEY NURSING CARE CENTER 150 WEST WASHINGTON STREET PO BOX 430 NORTH ENGLISH,IA523160430	42-0992926	10,898	COVID 19 ASSSISTANCE
(242) HERITAGE HOUSE 1200 BROOKRIDGE CIRCLE ATLANTIC,IA500222351	42-0680440	10,856	COVID 19 ASSSISTANCE
(243) MONTICELLO NURSING & REHAB CENTER 500 PINEHAVEN DRIVE MONTICELLO,IA523102098	42-1446169	10,623	COVID 19 ASSSISTANCE
(244) KANAWHA COMMUNITY HOME INC 130 WEST SIXTH STREET KANAWHA,IA504475026	42-0937262	10,306	COVID 19 ASSSISTANCE
(245) AZRIA HEALTH WINTERSET 1015 WEST SUMMIT WINTERSET,IA502732209	84-2121127	10,172	COVID 19 ASSSISTANCE
(246) CENTERVILLE SPECIALTY CARE 1208 EAST CROSS STREET CENTERVILLE,IA525443599	76-0262402	10,047	COVID 19 ASSSISTANCE
(247) NEW LONDON SPECIALTY CARE 100 CARE CIRCLE STREET NEW LONDON,IA526450136	76-0262402	9,983	COVID 19 ASSSISTANCE
(248) MONROE CARE CENTER 120 NORTH 13TH STREET ALBIA,IA525312823	39-1870393	9,785	COVID 19 ASSSISTANCE
(249) ODEBOLT SPECIALTY CARE 801 SOUTH DES MOINES STREET ODEBOLT,IA514584867	76-0262402	9,640	COVID 19 ASSSISTANCE
(250) FELLOWSHIP VILLAGE 300 EAST JEFFERSON STREET INWOOD,IA512407766	42-1224601	9,550	COVID 19 ASSSISTANCE
(251) NEWTON VILLAGE HEALTH CARE CENTER 114 N 5TH AVE W NEWTON,IA50208	42-1008939	9,513	COVID 19 ASSSISTANCE
(252) KINGSLEY SPECIALTY CARE PO BOX 10 KINGSLEY,IA510280407	76-0262402	9,155	COVID 19 ASSSISTANCE
(253) BELLE PLAINE SPECIALTY CARE 1505 SUNSET DRIVE BELLE PLAINE,IA522081319	76-0262402	9,048	COVID 19 ASSSISTANCE
(254) CORRECTIONVILLE SPECIALTY CARE 1115 EAST HIGHWAY 20 BOX H CORRECTIONVILLE,IA510161403	76-0262402	9,016	COVID 19 ASSSISTANCE
(255) FRIENDSHIP HOME ASSOCIATION 714 NORTH DIVISION STREET AUDUBON,IA500251300	42-0819620	8,980	COVID 19 ASSSISTANCE
(256) GREENFIELD REHABILITATION & HEALTH CARE CENTER 615 SE KENT GREENFIELD,IA508499453	39-2045109	8,930	COVID 19 ASSSISTANCE
(257) MARIAN HOME 2400 SIXTH AVENUE NORTH FORT DODGE,IA505013541	42-1025626	8,770	COVID 19 ASSSISTANCE
(258) ELDORA SPECIALTY CARE 1510 22ND STREET ELDORA,IA506271511	76-0262402	8,718	COVID 19 ASSSISTANCE
(259) EDGEWOOD CONVALESCENT HOME 513 BELL STREET EDGEWOOD,IA520420038	42-0859368	8,519	COVID 19 ASSSISTANCE
(260) LAMONI SPECIALTY CARE 215 SOUTH OAK BOX 69 LAMONI,IA501400460	76-0262402	8,462	COVID 19 ASSSISTANCE
(261) LYON SPECIALTY CARE 1010 SOUTH UNION BOX 268 ROCK RAPIDS,IA512460268	76-0262402	8,367	COVID 19 ASSSISTANCE
(262) FRANKLIN GENERAL HOSPITAL 1720 CENTRAL AVENUE EAST HAMPTON,IA504411859	42-0869203	8,353	COVID 19 ASSSISTANCE
(263) OAKWOOD SPECIALTY CARE 200 16TH AVENUE EAST ALBIA,IA525312718	76-0262402	8,336	COVID 19 ASSSISTANCE
(264) PROMEDICA SKILLED NURSING AND REHABILITATION - DAVENPORT 815 EAST LOCUST STREET DAVENPORT,IA528073039	88-4393325	8,328	COVID 19 ASSSISTANCE
(265) ASPIRE OF MUSCATINE 2002 CEDAR STREET MUSCATINE,IA527612612	86-1664205	8,271	COVID 19 ASSSISTANCE
(266) GOOD SAMARITAN SOCIETY - OTTUMWA 2035 CHESTER AVENUE OTTUMWA,IA525013798	45-0228055	8,164	COVID 19 ASSSISTANCE
(267) ATRIUM VILLAGE 117 SOUTH THIRD STREET HILLS,IA522350220	42-1143518	7,928	COVID 19 ASSSISTANCE
(268) MOUNT AYR HEALTH CARE CENTER 1504 EAST SOUTH STREET MOUNT AYR,IA508540547	42-1331133	7,905	COVID 19 ASSSISTANCE
(269) REGENCY PARK NURSING AND REHABILITATION CENTER OF CARROLL 500 EAST VALLEY DRIVE CARROLL,IA514010821	84-3524067	7,745	COVID 19 ASSSISTANCE
(270) PRAIRIE VISTA VILLAGE 2785 1ST AVENUE S ALTOONA,IA50009	46-1279280	7,688	COVID 19 ASSSISTANCE
(271) ASPIRE OF WASHINGTON 601 EAST POLK STREET WASHINGTON,IA523531298	85-4267465	7,444	COVID 19 ASSSISTANCE
(272) STRATFORD SPECIALTY CARE 1200 HIGHWAY 175 EAST BOX 260 STRATFORD,IA502490260	76-0262402	7,424	COVID 19 ASSSISTANCE
(273) EVANS MEMORIAL HOME 1010 NORTH ELM STREET CRESCO,IA521361083	42-0869258	7,335	COVID 19 ASSSISTANCE
(274) ENNOBLE NURSING AND REHABILITATION 2000 PASADENA DRIVE DUBUQUE,IA520010808	92-2230753	7,311	COVID 19 ASSSISTANCE
(275) ANAMOSA CARE CENTER 1209 EAST THIRD STREET ANAMOSA,IA522051503	42-1446167	7,294	COVID 19 ASSSISTANCE
(276) MONTEZUMA SPECIALTY CARE 316 MEADOW LANE DRIVE PO BOX 790 MONTEZUMA,IA501711114	76-0262402	7,140	COVID 19 ASSSISTANCE
(277) DENISON CARE CENTER 1202 RIDGE ROAD DENISON,IA514420188	61-1776386	6,960	COVID 19 ASSSISTANCE
(278) GRISWOLD REHABILITATION & HEALTH CARE CENTER 106 HARRISON STREET GRISWOLD,IA515350610	26-0011884	6,805	COVID 19 ASSSISTANCE
(279) PROMEDICA SKILLED NURSING AND REHABILITATION - DUBUQUE 901 WEST THIRD STREET DUBUQUE,IA520016699	92-1365866	6,800	COVID 19 ASSSISTANCE
(280) STRAWBERRY POINT LUTHERAN HOME 313 ELKADER STREET STRAWBERRY POINT,IA520760034	42-0810175	6,342	COVID 19 ASSSISTANCE
(281) HUMBOLDT COUNTY MEMORIAL HOSPITAL 1000 NORTH 15TH STREET HUMBOLDT,IA50548	42-0933292	5,366	COVID 19 ASSSISTANCE
(282) GRANGER NURSING AND REHABILITATION CENTER 2001 KENNEDY STREET GRANGER,IA501099746	84-3579783	5,313	COVID 19 ASSSISTANCE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

282

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIP AWARDS	67	98,319
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	ALL GRANTEES MUST SUBMIT AN APPLICATION FOR FUNDING WHICH IS REVIEWED BY A GRANT AWARDING COMMITTEE. THE FOUNDATION'S BOARD OF DIRECTORS HAS ESTABLISHED GRANT AWARD GUIDELINES WHICH ARE USED BY THE AWARDING COMMITTEE TO EVALUATE APPLICATIONS.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

IOWA HEALTH CARE ASSOCIATION FOUNDATION

Employer identification number

42-1326564

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1BRENT WILLETT CEO, IHCA	(i) (ii)	0 ------------- 727,586	0 ------------- 0	0 ------------- 0	0 ------------- 16,500	0 ------------- 44,378	0 ------------- 788,464	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

IOWA HEALTH CARE ASSOCIATION FOUNDATION

Employer identification number

42-1326564

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:	NO CHANGES FROM PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

IOWA HEALTH CARE ASSOCIATION FOUNDATION

Employer identification number

42-1326564

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)IOWA HEALTH CARE ASSOCIATION 1775 90TH STREET WEST DES MOINES,IA50266 42-6067903	PROFESSIONAL TRADE ASSOCIATION SERVING THE LONG-TERM CARE PROFESSION IN IOWA	IA	501(C)(6)				No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) IOWA HEALTH CARE ASSOCIATION	C	12,500	CASH VALUE
(2) IOWA HEALTH CARE ASSOCIATION	O	37,523	CASH VALUE

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE SCHOLARSHIPS FOR THE EMPLOYEES OF MEMBER FACILITIES OF IOWA HEALTH CARE ASSOCIATION WHO ARE FURTHERING THEIR HEALTH CARE EDUCATION.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	216,128	6,495,316
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	516	10,721
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	216,644	6,506,037
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	121,523	6,253,306
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	98,979	27,552
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	220,502	6,280,858
19	Revenue less expenses. Subtract line 18 from line 12.......	-3,858	225,179
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	232,542	465,201
21	Total liabilities (Part X, line 26).............	12,581	20,061
22	Net assets or fund balances. Subtract line 21 from line 20.....	219,961	445,140

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 6,155,959 including grants of $ 6,154,987 ) (Revenue $ )
	COVID-19 RELIEF PROGRAMS

4b	(Code: ) (Expenses $ 98,319 including grants of $ 98,319 ) (Revenue $ )
	SCHOLARSHIP PROGRAM

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	LONG-TERM CARE WORKFORCE AND INFECTION CONTROL

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses6,254,278

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) DAVE DIXON...................................................................... CHAIR	2.00 .................	X	X		0	0	0
(2) ANNE PETERS...................................................................... VICE CHAIR	2.00 .................	X	X		0	0	0
(3) DAVID CHENSVOLD...................................................................... TREASURER, SECRETARY	2.00 .................	X	X		0	0	0
(4) LAVONNE EDWARDS...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(5) DIANA ROBERTS...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(6) WENDY NELSON...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(7) JESSICA MCDYER...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(8) DEBBIE KLATT...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(9) JEFFREY SCHMIDT...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(10) REBEKAH TJADEN...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(11) BRIANNE FISTER...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(12) JOANIE STEIL...................................................................... DIRECTOR	2.00 .................	X			0	0	0
(13) BRENT WILLETT...................................................................... CEO, IHCA	1.00 ................. 50.00		X		0	727,586	60,878
(14) LORI RISTAU...................................................................... VP, STRATEGIC COMMUNICATIO	1.00 ................. 40.00			X	0	128,486	19,201

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	856,072	80,079

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	6,154,988

f	All other contributions, gifts, grants, and similar amounts not included above		1f	340,328

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		6,495,316

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....

3 Investment income (including dividends, interest, and othersimilar amounts) ......			10,721			10,721
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			6,506,037	0	0	10,721

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	6,154,987	6,154,987
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	98,319	98,319
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	16,676		16,676
b	Legal .........	791		791
c	Accounting ...........	1,000		1,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....
13	Office expenses .......	2,109		2,109
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	5,210		5,210
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MISCELLANEOUS	1,766	972	794
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	6,280,858	6,254,278	26,580	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		36,468	1	182,401
2	Savings and temporary cash investments .........		196,074	2	211,307
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............			4
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....		0	12	71,493
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		232,542	16	465,201

17	Accounts payable and accrued expenses .....	12,581	17	20,061
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	12,581	26	20,061

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	219,961	27	203,637
28	Net assets with donor restrictions ...........		28	241,503
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	219,961	32	445,140
33	Total liabilities and net assets/fund balances ........	232,542	33	465,201