Iowa Health Information Network

Nonprofit profile at a glance

EIN
815182414
IRS 990 coverage
2019–2024
Forms available
Form 990 2024
Location
La Vista, NE, USA
Phone
4025069900
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health - General and Rehabilitative N.E.C.

Reported finances

Revenue
$15,329,861
Expenses
$14,803,900
Assets
$10,902,432
Liabilities
$4,101,233

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

16 people listed

Executive titles in this filing

  • DR JAIME BLAND (PRESIDENT & CEO)

Highest reported compensation

  • DR JAIME BLAND (PRESIDENT & CEO): $433,971 total reported compensation
  • LORRAINE EGGER (CFO): $318,190 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Provide all entities in the Iowa healthcare ecosystem with connectivity to the Iowa health information network to enable the secure exchange of patient and other healthcare related information.

What it reported doing in 2024

Cynchealth Iowa advanced statewide health information exchange by implementing a web-based portal that enables healthcare providers to access patients' longitudinal health records and deploying a fhir based nfrastructure to improve interoperability among healthcare systems. The organization expanded and enhanced data sources and data quality onboarding at the latest uscdi standards, also onboarding additional health systems and payers, which in turn assists in care coordination, reducing duplication of services, and improving patient outcomes at the point of care.cynchealth Iowa supported public health initiatives through syndromic surveillance and electronic lab reporting, providing timely data to monitor disease trends and improve outbreak response. The launch of a statewide bed availability dashboard reduced patient diversions and strengthened healthcare system resilience.to address social determinants of health, cynchealth Iowa operates a social care platform connecting healthcare providers with community organizations for referrals to housing, food assistance, and transportation services. These programs collectively improve healthcare delivery, promote interoperability, and support a healthier population across Iowa.

Operating model

Revenue model
Grant-funded. 96% of the money available for current operations came from government grants.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 79
  • Accountability: 80
  • Sustainability: 46
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 87.7%; rating input score 88
  • Program expense ratio: 90.8%; rating input score 91
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 88.9%; rating input score 89; 21st percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 3.4%; rating input score 48; 48th percentile among comparable filings
  • Total-asset coverage ratio: 0.74; rating input score 26; 26th percentile among comparable filings
  • Liabilities to assets ratio: 0.38; rating input score 39; 39th percentile among comparable filings
  • Officer compensation ratio: 0.3%; rating input score 91; 91st percentile among comparable filings

Growth

  • Program expense growth: 29.9% per year; rating input score 100; 95th percentile among comparable filings
  • Revenue growth: 34% per year; rating input score 100; 97th percentile among comparable filings
  • Asset growth: 42.8% per year; rating input score 100; 98th percentile among comparable filings

Details

  • Where the money goes: 87.7% of revenue deployed · 90.8% of spending went to programs
  • Governance: 8 of 9 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $13.4M in reported program spending
  • Leadership: top reported pay $434K · 16 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $14M reported
  • Consistency: 24 of 24 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 5 filing years from 2019 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 4 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 48/100.
  • High — Sustainability: Total-asset coverage ratio scored 26/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 39/100.