2020-06-30T13:19:31-05:00 2019-06-30 450250958 EIDE BAILLY LLP 1545 ASSOCIATES DR STE 101 DUBUQUE IA 52002 990 2018-07-01 421058745 Northeast Iowa Medical Education Foundation Inc NORT 3192722525 2055 Kimball Avenue No 101 Waterloo IA 50702 Anthony A Day Executive Director 3192722525 2020-06-29 1 Carmen Krantz P00031958 5635561790 2020-06-25 216.147.181.47 2020-06-29 14:22:00 CD P 9EB6867304309B5BA7CF1F8994B8B429DCF961D0 9EB6867304309B5BA7CF1F8994B8B429DCF961D0 2018 2021-01-29 14:40:06Z Anthony A Day 2055 Kimball Avenue No 101 Waterloo IA 50702 7585308 0 X www.familypracticeresidency.org X 1975 IA Developing excellent Family Medicine physicians by modeling and teaching compassionate and comprehensive patient care delivered with the highest quality. 10 9 99 90 0 0 3745630 3464023 3787265 4117044 3389 4241 0 0 7536284 7585308 0 0 0 0 5645374 5480823 0 0 0 2025478 2325341 7670852 7806164 -134568 -220856 2434516 2255569 481193 523102 1953323 1732467 X Developing excellent Family Medicine physicians by modeling and teaching compassionate and comprehensive patient care delivered with the highest quality. 0 0 6767683 4117044 The Northeast Iowa Medical Education Foundation was founded in 1975 to develop a Family Medicine training program. The Family Medicine Residency Program is the branch of the Foundation which provides physicians with three years of additional training in the specialty of family medicine. During their training, resident physicians provide comprehensive health care under the supervision of board certified family medicine physicians. Upon graduation, these physicians provide a potential source of family physicians settling to practice in the community.Resident training takes place in the hospital setting, in private physician offices and in the Northeast Iowa Family Practice Center. During their three-year training program, the physicians receive training in internal medicine, obstetrics/gynecology, surgery, pediatrics, emergency medicine, family medicine, community medicine, psychiatry and behavioral science, orthopedics, otorhinolaryngology, ophthalmology and dermatology. In addition, they may use elective time to concentrate on specialties and sub-specialties of their choice. Resident physicians provide comprehensive medical care to a group of up to 250 patient families at the Northeast Iowa Family Practice Center. Residents may consult with faculty physicians during patient visits. Patients requiring care in the hospital are seen by both resident and faculty physicians.Area physicians are committed to the Northeast Iowa Family Medicine Residency Program. Nearly all private physicians in the area volunteer to teach the skills and procedures resident physicians will need in private practice. Physicians selected to be residents in the Northeast Iowa Family Medicine Residency Program are all graduates of accredited medical schools. The Waterloo Program recruits medical school graduates of the highest caliber, taking into consideration personal characteristics, aptitude and academic achievements.Graduates of the Northeast Iowa Family Medicine Residency Program are eligible to sit for the certification examination in the specialty of family medicine. This examination is administered by the American Board of Family Medicine, which is the specialty board that certifies family physicians. During the academic year 2018-19, seven residents graduated and will take the examination for certification.The Residency Program is accredited by the Accreditation Council of Graduate Medical Education (ACGME), which is composed of representatives of five national associations interested in medical education. These associations are the American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges and the Council of Medical Specialty Societies. The ACGME accredits residency programs through their Residency Review Committees with each specialty having its own committee.Educational activities of the Foundation include the Family Medicine Residency Program, undergraduate medical education, continuing medical education, and medical research. The Foundation is sponsored by Allen Memorial Hospital and Covenant Medical Center.During fiscal year ended June 30, 2019, Northeast Iowa Medical Education Foundation trained 19 resident physicians in the specialty of family medicine and one pharmacy resident in traditional and clinical pharmacy services. Clinical experience in family medicine was also provided for 63 medical students, 20 pharmacy students, 3 athletic training students, 7 radiology students, 1 medical assistant student, and 1 research intern. 6767683 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 17 0 1 99 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Bonnie Hough 3192722112 2055 Kimball Avenue Ste 101 Waterloo IA 50702 Matthew Sojka MD President 1.00 X X 0 0 0 Russel Adams MD Vice President 1.00 X X 0 0 0 Jack Dusenbery Secretary 1.00 X X 0 0 0 Pamela Delagardelle Treasurer 1.00 X X 0 0 0 Nicholas Goetsch DO Director 1.00 X 0 0 0 Eric Neverman DO Director 1.00 X 0 0 0 Manju Mahajan MD Director until April 2019 1.00 X 0 0 0 Pankaj Nagaraj MD Director until March 2019 1.00 X 0 0 0 Julie Sandell DO Director 1.00 X 0 0 0 Greg Nelson Director 1.00 X 0 0 0 Attiq-UR Rehman MD Director as of Sept 2018 1.00 X 0 0 0 Anthony A Day MD Executive Director 55.00 X X 284065 0 47289 Bonnie Hough Administrator 45.00 X 102312 0 8295 Robert Friedman MD Undergrad Educ Director 45.00 X 246970 0 36696 James Poock MD Assistant Program Director 45.00 X 231858 0 39625 Suzanne Munns MD Assistant Program Director 45.00 X 203445 0 35564 Adam Roise MD Assistant Program Director 45.00 X 206863 0 20439 Robert Welshons PAC Physician's Assistant 45.00 X 100563 0 22728 1376076 0 210636 7 0 1 0 ICE Technologies 411 SE 9th St Pella IA 50219 Computer consulting 135276 1 279915 3184108 3464023 Clinic revenue 621110 3718212 3718212 Research/faculty devel 900099 306734 306734 Pharmacy residency rei 900099 67932 67932 24166 24166 4117044 4241 4241 7585308 4117044 0 4241 450329 90066 360263 4143664 4080586 63078 155001 151847 3154 453686 437153 16533 278143 254458 23685 19020 19020 380314 316557 63757 30232 20416 9816 159342 87955 71387 151439 151439 391176 365950 25226 13709 13709 56403 41579 14824 2082 2082 146022 137771 8251 155331 155331 Faculty development exp 384314 384314 Medical supplies 282735 282735 Provision for bad debts 57461 57461 Repairs and maintenance 46010 44997 1013 49751 11756 37995 7806164 6767683 1038481 0 1025 1025 509537 435433 48440 49867 358688 491578 65289 122581 2977632 2424563 649108 553069 520965 433113 281464 168903 2434516 2255569 421909 465523 1000 13005 58284 44574 481193 523102 X 1953323 1732467 1953323 1732467 2434516 2255569 -220856 0 X X 0 1 X 1 0 X 3081916 3670263 3739069 3745630 3464023 17700901 4048292 3819303 3732714 3787265 4117044 19504618 7130208 7489566 7471783 7532895 7581067 37205519 0 0 0 37205519 6743 8521 7692 3389 4241 30586 6743 8521 7692 3389 4241 30586 7136951 7498087 7479475 7536284 7585308 37236105 0.99920 0.99920 0.00080 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1536457 1241940 294517 1441175 1182623 258552 553069 Beneficial interest in net assets of the Community Foundation 8170 Educational support 160733 168903 X 7527847 -57461 -57461 7585308 0 7585308 7748703 0 7748703 57461 57461 7806164 Part X, Line 2: The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Provision for bad debts included in expenses for Form 990 -57,461. Part XII, Line 4b - Other Adjustments: Provision for bad debts included in expenses for Form 990 57,461. X X X 0 0 0 0 0 0 0 0 0 Anthony A Day MD Executive Director 284011 0 54 0 0 0 20717 0 29212 0 333994 0 0 0 Robert Friedman MD Undergrad Educ Director 246593 0 377 0 0 0 19441 0 19505 0 285916 0 0 0 James Poock MD Assistant Program Director 231804 0 54 0 0 0 18006 0 23822 0 273686 0 0 0 Suzanne Munns MD Assistant Program Director 203391 0 54 0 0 0 15026 0 22510 0 240981 0 0 0 Adam Roise MD Assistant Program Director 206809 0 54 0 0 0 14724 0 7687 0 229274 0 0 0 Form 990, Part VI, Section A, line 1 The Executive Committee is composed of the officers elected by the Board of Directors. The Executive Committee has authority to transact all regular business of the organization during the period between the meetings of the Board of Directors subject to any prior limitation imposed by the Board of Directors. Form 990, Part VI, Section A, line 2 Pam Delagardelle, Nicholas Goetsch, DO, Russell Adams, MD, Pankaj Nagaraj, MD, and Eric Neverman, DO have a business relationship. Matthew Sojka, MD, Jack Duesenbery, Julie Sandell, DO, Attiq UR Rehman, MD, and Manju Mahajan, MD have a business relationship. Form 990, Part VI, Section A, line 6 The members of Northeast Iowa Medical Education Foundation are Unity Point Health - Allen and MercyOne Waterloo Medical Center. New members may be admitted only with the unanimous consent of the present members. Form 990, Part VI, Section A, line 7a The two members, Unity Point Health - Allen and MercyOne Waterloo Medical Center, appoint the Board of Directors of Northeast Iowa Medical Education Foundation Inc. The President/Chief Executive Officer of each of the Members are automatically, by virtue of their office, Directors of this corporation. The Executive Director of the Northeast Iowa Medical Education Foundation, Inc. serves on the Board. A representative of the University of Iowa College of Medicine serves on the Board as appointed by the Dean of the College. Each Member appoints to the Board of Directors two persons who are members of the medical staff of the appointing Member, and two persons who are also directors of the appointing Member, or an affiliated organization of such appointing Member. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the governing body. The Executive Director and Administrator review the 990 before it is filed. Form 990, Part VI, Section B, line 12c Board members and officers are required to sign a conflict of interest statement annually. The statements are reviewed by the Administrator of the organization. Any potential conflict is brought to the Board's attention for discussion. In the event of a potential conflict, the Member will disclose the potential conflict and either abstain from involvement or discussion of the issue leading to the conflict or resign. Form 990, Part VI, Section B, line 15a The Executive Director's compensation is determined by the Executive Committee of the Board with salary adjustment recommendations based on an annual individual performance evaluation and review of Medical Group compensation surveys published by MGMA, AMGA, and University of Iowa compensation survey of Iowa medical residency programs including size of groups, ownership, productivity, and geographic area. The Executive Director determines the Administrator's compensation annually based on the above process. The Organization documents and provides substantiation for their compensation process. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon written request. Form 990, Part XII, Line 2c: The process did not change from the prior year.