NORTHWEST IOWA HOSPITAL CORPORATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: NORTHWEST IOWA HOSPITAL CORPORATION (EIN 42-1019872)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202403199349310205
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T13:35:09-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	421019872	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWEST IOWA HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	7122793500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2720 STONE PARK BLVD	AddressLine1Txt
City	SIOUX CITY	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51104	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LEAH KNAPP	PersonNm
Person Title	VP FINANCE	PersonTitleTxt
Phone	7122793824	PhoneNum
Signature	2024-11-12	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JANE ARNOLD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2720 STONE PARK BLVD	AddressLine1Txt
City	SIOUX CITY	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51104	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$241,381,579	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNITYPOINT.ORG (SEE SCH O)	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1974	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1364	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$495,438	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,012,375	PYContributionsGrantsAmt
CY Contributions Grants	$2,457,674	CYContributionsGrantsAmt
PY Program Service Revenue	$190,317,062	PYProgramServiceRevenueAmt
CY Program Service Revenue	$216,011,007	CYProgramServiceRevenueAmt
PY Investment Income	$4,813,930	PYInvestmentIncomeAmt
CY Investment Income	$323,560	CYInvestmentIncomeAmt
PY Other Revenue	$1,880,557	PYOtherRevenueAmt
CY Other Revenue	$2,524,985	CYOtherRevenueAmt
PY Total Revenue	$208,023,924	PYTotalRevenueAmt
CY Total Revenue	$221,317,226	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,143,731	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,742,661	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$132,506,837	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$127,480,084	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$80,105,883	PYOtherExpensesAmt
CY Other Expenses	$91,632,662	CYOtherExpensesAmt
PY Total Expenses	$219,756,451	PYTotalExpensesAmt
CY Total Expenses	$225,855,407	CYTotalExpensesAmt
PY Revenues Less Expenses	-$11,732,527	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,538,181	CYRevenuesLessExpensesAmt
Total Assets BOY	$225,194,445	TotalAssetsBOYAmt
Total Assets EOY	$223,071,056	TotalAssetsEOYAmt
Total Liabilities BOY	$88,114,617	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$81,167,353	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$137,079,828	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$141,903,703	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF NORTHWEST IOWA HOSPITAL CORPORATION, D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER, IS TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$189,634,640	ExpenseAmt
Grant	$2,717,846	GrantAmt
Revenue	$217,216,713	RevenueAmt
Desc	HEALTH-CARE SERVICESNORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH CARE DELIVERY SYSTEM THAT SIOUXLAND COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. NORTHWEST IOWA HOSPITAL CORPORATION PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDING DECEMBER 31, 2023, NORTHWEST IOWA HOSPITAL CORPORATION ADMITTED 11,153 PATIENTS. THE HOSPITAL HAD A TOTAL NUMBER OF 92,726 PATIENT DAYS. OUTPATIENT VISITS TOTALED 124,209 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 2,309. THERE WERE ALSO 33,408 EMERGENCY ROOM VISITS AND 2,225 BABIES DELIVERED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,153,484	ExpenseAmt
Grant	$4,024,815	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: NORTHWEST IOWA HOSPITAL CORPORATION PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $1,671,118 IN 2023. OFTENTIMES, NORTHWEST IOWA HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES OR SERVICES. NORTHWEST IOWA HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT SPONSORED HEALTH-CARE PROGRAMS. NORTHWEST IOWA HOSPITAL CORPORATION'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $848,948 FOR 2023. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE WAS $2,520,066. OTHER BENEFITS: NORTHWEST IOWA HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. NORTHWEST IOWA HOSPITAL CORPORATION COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. NORTHWEST IOWA HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE WAS $6,633,418.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$198,788,124	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1364	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEAH KNAPP VP FINANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7122793824	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2720 STONE PARK BLVD	AddressLine1Txt
City	SIOUX CITY	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51104	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RENEE BEAULIEU
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
CRAIG BERENSTEIN
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
TOM CARROLL MD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
MIKE CRONE
BOARD TREASURER	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
ANGELO JAMES
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
BARBARA KNEPPER TO 723
BOARD SECRETARY	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
JIM PALMER
BOARD CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
GARRETT SMITH
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$14,500	$0
JOY TAYLOR MD
BOARD VICE CHAIR	1.00	40.00	Yes (X)	$0	$126,511	$6,326	Yes (X)
BETH TREJO
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
MICHELLE VENABLE-RIDLEY TO 623
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
CHIC WOLFE
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
JANE ARNOLD FR 1023
PRESIDENT/CEO	40.00	1.00		$251,848	$78,920	$62,104	Yes (X)
LEAH GLASGO TO 1023
INTERIM PRES/CEO SC & FD	40.00	1.00		$0	$886,332	$94,671	Yes (X)
SARAH MARSH TO 923
INTERIM VP/CFO	1.00	40.00		$0	$283,879	$41,604	Yes (X)
LEAH KNAPP FR 0923
VP FINANCE	40.00	1.00		$134,728	$0	$38,337	Yes (X)
WENDY LINDLEY
VP/CNE	40.00	1.00		$297,704	$0	$38,592	Yes (X)
COREY SNIDER TO 923
VP/COO	40.00	1.00		$280,700	$0	$23,343	Yes (X)
KARI WINKLEPLECK
VP FUNDRAISING DEVELOPMENT	40.00	1.00		$180,291	$0	$28,567	Yes (X)
SHEILA FOSTER DO
PHYSICIAN	40.00	0.00		$1,310,130	$0	$49,739		Yes (X)
KEVIN FOLCHERT MD
PHYSICIAN	40.00	0.00		$712,396	$0	$36,511		Yes (X)
FADY JABRE MD
PHYSICIAN	40.00	0.00		$639,957	$0	$48,406		Yes (X)
JEFFREY O'TOOL MD
PHYSICIAN/DIRECTOR ER	40.00	0.00		$724,262	$0	$49,176		Yes (X)
KHALIL YOUSEF MD
PHYSICIAN	40.00	0.00		$641,102	$0	$42,720		Yes (X)
JAMES GOBELL TO 722
FORMER VP/CFO	0.00	0.00		$283,643	$0	$26,258			Yes (X)
LORENZO SUTER TO 722
FORMER PRESIDENT/CEO	0.00	0.00		$268,869	$0	$13,491			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,725,630	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,390,142	TotReportableCompRltdOrgAmt
Total Other Compensation	$599,845	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	133	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN HEALTHCARE INC
PO BOX 910738	DALLAS	TX	75391	MEDICAL STAFFING	$6,856,834
SIOUXLAND HOSPITALISTS PLLC
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	PHYSICIAN STAFFING	$4,242,844
AMERICAN HEALTH STAFFING GROUP
3051 WILLOWOOD RD	EDMOND	OK	73034	MEDICAL STAFFING	$3,540,698
WEATHERBY LOCUMS INC
6541 NORTH FEDERAL HWY SUITE 700	FORT LAUDERDALE	FL	33308	MEDICAL STAFFING	$2,741,399
WA KLINGER LLC
2015 E 7TH ST	SIOUX CITY	IA	51102	CONSTRUCTION SERVICES	$1,616,218

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,170,343	GovernmentGrantsAmt
All Other Contributions	$1,287,331	AllOtherContributionsAmt
Total Contributions	$2,457,674	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$210,692,098	$210,692,098
EDUCATION & RESEARCH	611310	$2,871,222	$2,871,222
LABORATORY SERVICES	900099	$1,037,231	$541,793	$495,438
MGMT & SUPPORT SVCS	561000	$716,395	$716,395
RENTAL INCOME	531390	$694,061	$694,061

Field	Value	IRS element (for citing)
Total Program Service Revenue	$216,011,007	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,298,746	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,123	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,297,623	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$18,719,057	SecuritiesAmt
Other	$166,178	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$19,751,605	SecuritiesAmt
Other	$108,816	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,032,548	SecuritiesAmt
Other	$57,362	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$975,186	TotalRevenueColumnAmt
Exclusion	-$975,186	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$219,737	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$203,932	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,805	TotalRevenueColumnAmt
Exclusion	$15,805	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
MISCELLANEOUS	900099	$1,137,246	$1,137,246
CAFETERIA/FOOD SVCS	722210	$1,098,095		$1,098,095
CHILDCARE AND ADULTCARE SERVICES	624410	$206,502		$206,502

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,337	TotalRevenueColumnAmt
Related Or Exempt Func Income	$67,337	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,509,180	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221,317,226	TotalRevenueColumnAmt
Related Or Exempt Func Income	$216,721,275	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$495,438	UnrelatedBusinessRevenueAmt
Exclusion	$1,642,839	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,484,339	TotalAmt
Program Services	$6,484,339	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$258,322	TotalAmt
Program Services	$258,322	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,325,353	TotalAmt
Management And General	$1,325,353	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$669,335	TotalAmt
Management And General	$669,335	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$106,140,581	TotalAmt
Program Services	$97,830,376	ProgramServicesAmt
Management And General	$8,310,205	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,985,362	TotalAmt
Program Services	$2,751,625	ProgramServicesAmt
Management And General	$233,737	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,780,949	TotalAmt
Program Services	$9,936,862	ProgramServicesAmt
Management And General	$844,087	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,578,504	TotalAmt
Program Services	$5,141,739	ProgramServicesAmt
Management And General	$436,765	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$20,063,018	TotalAmt
Program Services	$8,230,125	ProgramServicesAmt
Management And General	$11,832,893	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$690,051	TotalAmt
Management And General	$690,051	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$362,988	TotalAmt
Program Services	$188,005	ProgramServicesAmt
Management And General	$174,983	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,341,907	TotalAmt
Program Services	$14,413,379	ProgramServicesAmt
Management And General	$928,528	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$415,181	TotalAmt
Program Services	$127,286	ProgramServicesAmt
Management And General	$287,895	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,386,495	TotalAmt
Program Services	$3,161,333	ProgramServicesAmt
Management And General	$225,162	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$379,942	TotalAmt
Program Services	$379,942	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,744,032	TotalAmt
Program Services	$4,967,960	ProgramServicesAmt
Management And General	$776,072	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$259,962	TotalAmt
Program Services	$204,495	ProgramServicesAmt
Management And General	$55,467	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$127,541	TotalAmt
Program Services	$38,564	ProgramServicesAmt
Management And General	$88,977	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,666,244	TotalAmt
Program Services	$2,666,244	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,773,997	TotalAmt
Program Services	$5,668,734	ProgramServicesAmt
Management And General	$105,263	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,163,774	TotalAmt
Program Services	$1,163,774	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$35,177,067	$35,099,281	$77,786
MISCELLANEOUS EXPENSE	$107,757	$74,290	$33,467
INCOME TAXES	$1,509	$1,509
BAD DEBT EXPENSE	-$28,803	-$60	-$28,743

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$225,855,407	TotalAmt
Program Services	$198,788,124	ProgramServicesAmt
Management And General	$27,067,283	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$828,519	BOYAmt
EOY	$4,314,996	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,887	BOYAmt
EOY	$2,560,187	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,205,049	BOYAmt
EOY	$30,886,869	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$59,573,154	BOYAmt
EOY	$68,288,957	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,335,765	BOYAmt
EOY	$4,812,526	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$601,909	BOYAmt
EOY	$605,782	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$216,962,617	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$156,655,813	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$61,351,016	BOYAmt
EOY	$60,306,804	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$57,743,175	BOYAmt
EOY	$46,377,457	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,537,971	BOYAmt
EOY	$4,823,340	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$94,138	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$225,194,445	BOYAmt
EOY	$223,071,056	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,827,783	BOYAmt
EOY	$14,973,448	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,380,853	BOYAmt
EOY	$2,071,707	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,196,469	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,709,512	BOYAmt
EOY	$64,122,198	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$88,114,617	BOYAmt
EOY	$81,167,353	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$132,294,367	BOYAmt
EOY	$136,536,772	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,785,461	BOYAmt
EOY	$5,366,931	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$137,079,828	BOYAmt
EOY	$141,903,703	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$225,194,445	BOYAmt
EOY	$223,071,056	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,538,181	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,684,063	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,677,993	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$56,911,466	BeginningYearBalanceAmt
Contributions	-$13,898,285	ContributionsAmt
Investment Earnings Or Losses	$3,763,575	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$50,000	GrantsOrScholarshipsAmt
Administrative Expenses	$161,941	AdministrativeExpensesAmt
End Year Balance	$46,564,815	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,551,257	BeginningYearBalanceAmt
Contributions	$6,917,033	ContributionsAmt
Investment Earnings Or Losses	-$4,415,730	InvestmentEarningsOrLossesAmt
Administrative Expenses	$141,094	AdministrativeExpensesAmt
End Year Balance	$56,911,466	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,719,905	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,013,245	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$51,849	GrantsOrScholarshipsAmt
Administrative Expenses	$130,044	AdministrativeExpensesAmt
End Year Balance	$54,551,257	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,501,785	BeginningYearBalanceAmt
Contributions	$26,041	ContributionsAmt
Investment Earnings Or Losses	$3,314,920	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,531	GrantsOrScholarshipsAmt
Administrative Expenses	$117,310	AdministrativeExpensesAmt
End Year Balance	$49,719,905	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$41,210,940	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,409,611	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	$117,766	AdministrativeExpensesAmt
End Year Balance	$46,501,785	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.88474	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02666	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.08860	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,498,665	OtherCostOrOtherBasisAmt
Book Value	$5,498,665	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,306,686	OtherCostOrOtherBasisAmt
Depreciation	$90,665,301	DepreciationAmt
Book Value	$35,641,385	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,797,722	OtherCostOrOtherBasisAmt
Depreciation	$61,741,196	DepreciationAmt
Book Value	$17,056,526	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,359,544	OtherCostOrOtherBasisAmt
Depreciation	$4,249,316	DepreciationAmt
Book Value	$2,110,228	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$60,306,804	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$45,175,985
ASBESTOS REMOVAL LIABILITY	$4,349,297
SELF-INSURANCE RESERVE	$9,269,885
LONG-TERM RETENTION INCENTIVES	$3,367,266
HEALTH AND WELFARE BENEFITS RESERVE	$1,199,382
MISCELLANEOUS LIABILITY	$666,245
OPERATING LEASE LIABILITY	$94,138

Field	Value	IRS element (for citing)
Total Liability	$64,122,198	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$223,634,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,684,063	NetUnrealizedGainsInvstAmt
Other Revenue	$203,932	OtherRevenueAmt
Revenue Not Reported	$3,887,995	RevenueNotReportedAmt
Revenue Subtotal	$219,746,005	RevenueSubtotalAmt
Investment Expenses Not Incld	$174,983	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$1,396,238	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,571,221	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$221,317,226	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$220,328,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$203,932	OtherExpensesIncludedAmt
Expenses Not Reported	$203,932	ExpensesNotReportedAmt
Expenses Subtotal	$220,124,068	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$174,983	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$5,556,356	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,731,339	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$225,855,407	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY.
PART X, LINE 2:	UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2020. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TAX ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	GIFT SHOP EXPENSES 203,932.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	ROUNDING 256. REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 1,166,050. REVENUES IN NET ASSETS WITH DONOR RESTRICTIONS 229,932.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GIFT SHOP EXPENSES 203,932.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 5,326,032. EXPENSES IN NET ASSETS WITH DONOR RESTRICTIONS 229,924. ROUNDING 400.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,671,118	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,671,118	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,132,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,283,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$848,948	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,803,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,283,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,520,066	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,243,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,369,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$874,219	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,991,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,407,683	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,583,346	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,115,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,083,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,032,233	NetCommunityBenefitExpnsAmt
Total Expense	0.01790	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,494,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,860,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,633,418	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,297,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,144,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,153,484	NetCommunityBenefitExpnsAmt
Total Expense	0.04060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$2,355,019	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$32,882,743	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$27,120,360	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,762,383	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 PIERCE STREET SAME DAY SURGERY LC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2720 STONEPARK BLVD	AddressLine1Txt
City	SIOUX CITY	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51104	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.UNITYPOINT.ORG/SIOUXCITY	WebsiteAddressTxt
State License	970180H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. LUKE'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: THE CHNA PLANNING COMMITTEE, MADE UP OF REPRESENTATIVES FROM BRIAR CLIFF UNIVERSITY, DUNES SURGICAL HOSPITAL, GROWING COMMUNITY CONNECTIONS, MERCYONE SIOUXLAND MEDICAL CENTER, SIOUXLAND COMMUNITY HEALTH CENTER, SIOUXLAND DISTRICT HEALTH DEPARTMENT, SOURCE FOR SIOUXLAND AND UNITYPOINT HEALTH ST. LUKE'S ELECTED TO UTILIZE THE NATIONAL ASSOCIATION OF COUNTIES AND CITIES HEALTH OFFICIALS (NACCHO), MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS TO COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. AS A RESULT, THIS REPORT INCLUDES COMMUNITY THOUGHTS FROM THE FOLLOWING: - 609 ONLINE SURVEY RESPONDENTS - 2 COMMUNITY WIDE MEETINGS WITH A COMBINED 93 ATTENDEES - 38 DIFFERENT COMMUNITY AND CITY-BASED ORGANIZATIONS - 4 FOCUS GROUP MEETINGS WITH A COMBINED 25 ATTENDEES
ST. LUKE'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: MERCYONE SIOUXLAND MEDICAL CENTER & DUNES SURGICAL HOSPITAL
ST. LUKE'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: SIOUXLAND DISTRICT HEALTH DEPARTMENT
ST. LUKE'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: EVALUATION OF IMPACT 2022-2023COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS COMPLETED EVERY THREE YEARS AS A JOINT EFFORT BY SIOUXLAND DISTRICT HEALTH DEPT., MERCYONE, & UNITYPOINT HEALTH-ST. LUKE'S TO DETERMINE THE COMMUNITY'S GREATEST HEALTH NEEDS & IMPROVE POPULATION HEALTH OUTCOMES FOR THE SIOUXLAND AREA. COMMUNITY PARTNERS WORK TOGETHER TO IDENTIFY & ADDRESS THE TOP IDENTIFIED HEALTH PRIORITIES. STRONG, EFFECTIVE PARTNERSHIPS ARE ESSENTIAL FOR OUR COMMUNITY TO CREATE THE CONDITIONS THAT WILL LEAD TO IMPROVED HEALTH & WELL-BEING OF OUR SIOUXLAND AREA RESIDENTS & THE HEALTH OF OUR COMMUNITY. TOP PRIORITIES FOR 2022-2023 WERE:PREVENTATIVE CARE, SUBSTANCE MISUSE, PHYSICAL HEALTH, & MENTAL HEALTH ALL INCLUDE A FOCUS OF HEALTH EQUITY & INCLUSION.THE FOLLOWING ARE HIGHLIGHTS OF THE IMPACT ST. LUKE'S REGIONAL MEDICAL CENTER MADE ON THESE TOP PRIORITIES FOR OUR COMMUNITY FROM 2022-2023. INVESTED IN RECRUITING PROVIDERS BASED ON COMMUNITY NEED & PHYSICIAN-TO-POPULATION RATIOS FOR BOTH PRIMARY & SPECIALTY CARE SERVICES.CONTINUED INVESTMENT IN PEDIATRIC HOSPITALIST PROGRAM, STARTED IN 2018, TO PROVIDE CARE IN OUR LOCAL COMMUNITY TO OUR YOUTH POPULATION. EMPLOYED PEDIATRIC INFECTIOUS DISEASE PHYSICIAN. RETAINED INTERVENTIONAL RADIOLOGISTS TO INCREASE ACCESS. EMPLOYED GASTROENTEROLOGIST & PROVIDED EDUCATION ON THE IMPORTANCE OF PREVENTATIVE SCREENINGS. ADDED FAMILY MEDICINE & URGENT CARE PROVIDERS AT SUNNYBROOK CLINIC ADDED PEDIATRICIAN APP AT SUNNYBROOK PEDIATRIC CLINIC OPENED FAMILY MEDICINE & URGENT CARE AT MARKETPLACE TO INCREASE ACCESS FOR COMMUNITY. RECRUITING CARDIOLOGISTS. RECRUITING MENTAL HEALTH PROVIDERS.SUPPORT & SUBSIDIZE THE SIOUXLAND MED. ED. FOUNDATION RESIDENCY PROGRAM 2022-2023 FOR FAMILY PRACTICE PHYSICIANS TO ENCOURAGE NEW PROVIDERS TO SIOUXLAND AREA.SIOUXLAND STREET PROJECT PARTICIPATE & CONTRIBUTE FUNDING TO PROJECTS FOR THE HOMELESS POPULATION. SUPPORTED THE NEW SOBER LIVING FACILITY THAT OPENED IN THE COMMUNITY IN 2019.SUMMER FARMER'S MARKET BOOTH TO PROMOTE PREVENTION SCREENINGS, HEALTHY LIFESTYLES, & SERVICES SLRMC OFFERS TO OUR COMMUNITY.CO-SPONSORED HOCKEY EVENT TO RAISE FUNDS FOR ALL CANCER SURVIVORS, FIGHTERS, & ALL ONCOLOGY RELATED PROGRAMS & SERVICES AT SLRMC.DONE IN A DAY DISCOUNTED SCREENING APPTS. TO ENCOURAGE PEOPLE TO COMPLETE ANNUAL WELLNESS EXAMS & HEART SCREENINGS.UNITYPOINT CLINIC PROVIDERS PROMOTE & SCHEDULE REGULAR PREVENTATIVE SCREENINGS FOR PATIENTS & FOLLOW-UP WITH THOSE WHO ARE DUE FOR OR MISS SCHEDULED SCREENINGS.PROMOTED & PROVIDED STAFF RESOURCES FOR THE ANNUAL JUNE E. NYLEN FREE CANCER SCREENINGS. PARTNERED WITH JUNE E NYLEN CANCER CENTER FOR SERVING OUR SISTERS PROGRAM TO PROMOTE THE IMPORTANCE OF MAMMOGRAPHY SCREENINGS.SERVE AS PROVIDER FOR THE IA BREAST & CERVICAL CANCER DETECTION PROGRAM WITH SIOUXLAND DISTRICT HEALTH DEPT. & SIOUXLAND COMMUNITY HEALTH CENTER.PROMOTE HEALTHY OBSERVANCES TO EDUCATE PUBLIC ON IMPORTANCE OF SCREENINGS FOR THE EARLY DETECTION OF VARIOUS CANCERS.OFFERING FREE BREASTFEEDING CLINIC TO SUPPORT NEW MOTHERS & ENCOURAGE THE BENEFITS OF BREASTFEEDING.PROMOTE MATERNAL HEALTH & IMPORTANCE OF NOT SMOKING, DRINKING, OR SUBSTANCE USE DURING PREGNANCY. TARGETED CAMPAIGN IN 2022-2023PARTICIPATE IN YMCA HEALTH KIDS DAY ANNUAL EVENT TO PROMOTE HEALTHY EATING & PHYSICAL ACTIVITY.SLRMC COMMUNITY GARDEN OFFER 36 RAISED GARDEN BEDS FOR RESIDENTS.PROVIDE FINANCIAL SUPPORT FOR LOCAL FITNESS PROGRAMS, YOUTH SPORTS & CAMPS.PARTICIPATED IN COMMUNITY ACTIVITIES & HEALTH FAIRS ENCOURAGING HEALTHY LIFESTYLES & IMPORTANCE OF PREVENTATIVE SCREENINGS & CARE FOR CHRONIC DISEASES.PROVIDE EDUCATION ON TOP HEALTH PRIORITIES AT VARIOUS COMMUNITY EVENTS, HEALTH FAIRS, POP-UP PARKS, & FARMER'S MARKET.PROMOTED THE "IT'S OK TO NOT BE OK" CAMPAIGN TO REDUCE STIGMA AROUND MENTAL HEALTH.HOSPITAL PROVIDED BOTH INPATIENT & OUTPATIENT DIABETIC EDUCATION SERVICES.IMPLEMENTED & EXPANDED TELEHEALTH SERVICES IN HOSPITAL FOR MENTAL HEALTH, NEUROLOGY & OTHER SPECIALTY SERVICES KEEPING CARE IN THE COMMUNITYPROVIDE TRANSPORTATION TO PATIENTS DISCHARGED FROM HOSPITAL FOR THOSE IN NEED.CONTRIBUTE FINANCIALLY TO WARMING SHELTER THAT PROVIDES EMERGENCY SHELTER TO HOMELESS.SLRMC EMPLOYS A BEHAVIORAL HEALTH CONSULTANT, LMSW, RESPONSIBLE FOR PROVIDING BEHAVIORAL HEALTH ASSESSMENTS, MENTAL HEALTH THERAPY, & LEVEL OF CARE RECOMMENDATIONS IN THE HOSPITAL SETTING & WITHIN THIS COMMUNITY. COMMUNITY COLLABORATION & PARTNERSHIPS WITH LOCAL SOCIAL SERVICES AGENCIES IS A FUNDAMENTAL ROLE WITHIN THIS POSITION. IT REQUIRES FREQUENT COLLABORATION WITH MENTAL HEALTH AGENCIES, DEPT. OF HEALTH & HUMAN SERVICES, NURSING FACILITIES, PRIMARY CARE OFFICES, SUBSTANCE ABUSE AGENCIES, IOWA JUDICIAL SYSTEM, & LAW ENFORCEMENT AGENCIES TO ENSURE THE BEST OUTCOME FOR OUR PATIENTS IN THE HOSPITAL & THE COMMUNITY. SOME OF THAT COLLABORATION IS VIA COURT COMMUNICATION, MARKETING WITH OTHER BEHAVIORAL HEALTH PROVIDERS, NETWORKING SERVICES THAT UPH ST LUKE'S BEHAVIORAL HEALTH HAS TO OFFER, & COMMUNITY ENGAGEMENT WITHIN THE MENTAL HEALTH & DISABILITIES REGION. THE BEHAVIORAL HEALTH CONSULTANT ATTENDS QUARTERLY MEETINGS WITH LAW ENFORCEMENT, COMMUNITY BEHAVIORAL HEALTH PROVIDERS, CITY OFFICIALS, & MEMBERS OF THE JUDICIAL SYSTEM TO IDENTIFY GAPS & BARRIERS IN THE LEGAL PROCESS, EXPLORE OPPORTUNITIES TO REFRAME SERVICES PROVIDED, & EXPLORE HOW TO BETTER MEET THE NEEDS OF THE COMMUNITY. DAILY COMMUNICATION WITH THE JUDICIAL SYSTEM & LOCAL LAW ENFORCEMENT AGENCIES TAKES PLACE TO OBTAIN COLLATERAL INFORMATION & PROVIDE BEHAVIORAL HEALTH RESOURCES PRIOR TO HOSPITALIZATION, TO ENSURE THE SAFETY OF OUR PATIENT'S & THE COMMUNITY. PARTNERSHIP WITH IOWA MEDICARE, IOWA MEDICAID, VETERAN'S AFFAIRS, PRIVATE INS. AGENCIES, & LOCAL MCO CASE MANAGERS ARE A NECESSITY WITHIN THIS ROLE TO PROVIDE WRAP AROUND SERVICES, SUCCESSFUL DISCHARGE PLANNING, & PREVENT READMISSIONS TO THE HOSPITAL. WRAP AROUND SERVICES ENTAIL PREVENTATIVE CARE & CASE MANAGEMENT SERVICES FOR PATIENTS IN THE COMMUNITY. PATIENTS ARE EDUCATED ON RESOURCES THROUGHOUT THEIR STAY, ENSURING THEIR NEEDS ARE BEING MET CURRENTLY & IN THE FUTURE. THE BEHAVIORAL HEALTH CONSULTANT ALSO PARTICIPATES IN LOCAL VENDOR FAIRS, FARMER'S MARKETS, MENTAL HEALTH ROUNDTABLES, GROWING COMMUNITY CONNECTIONS, & ATTENDS COMMUNITY NEEDS ASSESSMENT MEETINGS TO EXPLORE, EDUCATE, & ADVOCATE FOR LOCAL MENTAL HEALTH SERVICES & RESOURCES. ONGOING RELATIONSHIPS WITH THE WARMING SHELTER, SAFE PLACE, SIOUXLAND MENTAL HEALTH CRISIS CENTER, GOSPEL MISSION, MARY J TREGLIA CENTER, HOPE STREET, NEIGHBORHOOD SERVICES, SIOUXLAND HOUSING, & BRIDGES WEST, TAKES PLACE REGULARLY TO MEET THE NEEDS OF THE HOMELESS POPULATION IN OUR COMMUNITY & ADDRESS BARRIERS/GAPS FOR THE UNDERSERVED POPULATIONS. OTHER DUTIES INCLUDE: ASSIST WITH MED PICK UP/PAYMENT/INS. BARRIERS; TRANSPORT (TAXI, BUS, INS. SUPPORT); HOUSING APPS/PROVIDING RESOURCES; EDUCATE & BRIDGE PATIENTS TO FOOD BANKS, & ASSIST WITH CONNECTING PATIENTS TO OUTSIDE RESOURCES.COLLABORATED WITH SIOUXLAND MENTAL HEALTH & OTHER COMMUNITY PARTNERS TO DEVELOP A MENTAL HEALTH PROVIDER ROUNDTABLE TO PROVIDE A GAP FREE CONTINUUM OF CARE & RESOURCES AVAILABLE IN COMMUNITY FOR ALL RESIDENTS TO ACCESS.IN 2022 SLRMC STARTED PROVIDING PERINATAL & POSTPARTUM MENTAL HEALTH SERVICES TO WOMEN IN OUR COMMUNITY FACING CHALLENGES LIKE ANXIETY, BONDING DIFFICULTIES, DEPRESSION, & BIRTH TRAUMA. OUR PROVIDERS ACTIVELY ENGAGE WITH MOM SUPPORT GROUPS & COLLABORATE WITH AGENCIES THAT PROVIDE CARE & RESOURCES FOR PREGNANT WOMEN & NEW MOTHERS. WORKING CLOSELY WITH OBGYN CLINICIANS TO IDENTIFY & ADDRESS PATIENTS' MENTAL HEALTH NEEDS. OUR PARTNERSHIPS WITH COMMUNITY ORGS ARE ESSENTIAL FOR RAISING AWARENESS OF THE CHALLENGES WOMEN EXPERIENCE DURING THE PERINATAL PERIOD. BY PROMOTING UNDERSTANDING OF THE SERVICES SLRMC NOW PROVIDES, WE AIM TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH ISSUES. THESE NEW PROVIDER SERVICES ALSO BENEFIT THE HOSPITAL BY EQUIPPING STAFF WITH A VALUABLE RESOURCE TO SUPPORT PATIENTS WHEN CONCERNS ARISE. BY INFORMING MOTHERS ABOUT AVAILABLE MENTAL HEALTH SERVICES PRIOR TO DISCHARGE, WE HELP REDUCE THE LIKELIHOOD OF READMISSIONS FOR THESE ISSUES. THIS PROACTIVE APPROACH ENHANCES THE WELL-BEING OF FAMILIES & CONTRIBUTES TO THE OVERALL HEALTH OF THE COMMUNITY, DEMONSTRATING OUR COMMITMENT TO COMPREHENSIVE CARE & SUPPORT FOR VULNERABLE POPULATIONS.A NEW SOCIAL SERVICE RESOURCE CALLED "TOGETHER WE CARE" IS AVAILABLE NOW ON OUR WEBSITE TO HELP INDIVIDUALS FIND ASSISTANCE WITH FOOD, TRANSPORTATION, & MORE.VARIETY OF EDUCATION VIA SOCIAL MEDIA, NEWS, & BILLBOARDS PROMOTING MENTAL, PHYSICAL, SEXUAL & HEART HEALTH, VAPING, PREVENTATIVE SCREENINGS, & OTHER CHRONIC CONDITIONS.PARTICIPATE IN THE PRESCRIPTION READING PROGRAM TO PROMOTE THE IMPORTANCE OF READING ALOUD TO YOUR CHILDREN AGES 0-5 YEARS FOR EARLY BRAIN DEVELOPMENT. BOOKS & A PRESCRIPTION TO READ ARE GIVEN TO NEWBORNS AT THE HOSPITAL & CHILD WELLNESS VISITS IN CLINICS.
ST. LUKE'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES.
FACILITY REPORTING GROUP A - PART V, LINE 7A, CHNA REPORT:	THE CHNA REPORT WAS WIDELY AVAILABLE ON A WEBSITE FACILITY'S WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
FACULTY REPORTING GROUP A - PART V, LINE 10A, IMPLEMENTATION STRATEGY:	HE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS WIDELY AVAILABLEON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
FACULTY REPORTING GROUP A - PART V, LINE 16A, FAP WEBSITE:	THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE
FACULTY REPORTING GROUP A - PART V, LINE 16B, FAP WEBSITE:	THE FAP APPLICATION FORM WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE
FACULTY REPORTING GROUP A - PART V, LINE 16C, FAP WEBSITE:	A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - PIERCE STREET SAME DAY SURGERY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2730 PIERCE STREET	AddressLine1Txt
City	SIOUX CITY	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51104	ZIPCd

Field	Value	IRS element (for citing)
Facility	FREESTANDING OUTPATIENT SURGERY CENTER (JOINT VENTURE)	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	NORTHWEST IOWA HOSPITAL CORPORATION'S D/B/A/ ST. LUKE'S REGIONAL MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES.
PART I, LINE 7:	A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ -28,803.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES ARE AN ESSENTIAL PART OF UNITYPOINT HEALTH - ST. LUKE'S (ST. LUKE'S) MISSION, FOCUSING ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT THE WELL-BEING OF COMMUNITY MEMBERS. WHILE HEALTHCARE SERVICES PLAY A DIRECT ROLE IN HEALTH OUTCOMES, COMMUNITY FACTORS SUCH AS EDUCATION, HOUSING, NUTRITION, AND ACCESS TO ESSENTIAL SERVICES CONTRIBUTE SIGNIFICANTLY TO OVERALL HEALTH. BY COLLABORATING WITH LOCAL ORGANIZATIONS, ST. LUKE'S PLAYS A VITAL ROLE IN ENSURING THAT RESOURCES AND SUPPORT ARE AVAILABLE TO THOSE IN NEED.THROUGH OUR COMMUNITY BENEFITS PROGRAM, ST. LUKE'S TARGETS UNDERSERVED POPULATIONS, PROVIDING THEM WITH CRITICAL ACCESS TO HEALTHCARE SERVICES. COLLABORATING WITH ENTITIES LIKE THE SIOUXLAND COMMUNITY HEALTH CENTER, ST. LUKE'S ADDRESSES GAPS IN CARE BY PROVIDING ACCESS TO HEALTHCARE FOR THOSE WHO MAY NOT OTHERWISE RECEIVE IT, HELPING REDUCE BARRIERS AND IMPROVE HEALTH EQUITY IN THE REGION.ST. LUKE'S ALSO PARTNERS WITH VARIOUS COMMUNITY HEALTH INITIATIVES TO ADDRESS SPECIFIC HEALTH CONCERNS PREVALENT IN THE SIOUXLAND AREA. FOR INSTANCE, ST. LUKE'S SUPPORTS MENTAL HEALTH SERVICES THROUGH PARTNERSHIPS WITH LOCAL MENTAL HEALTH AGENCIES. THESE COLLABORATIONS IMPROVE ACCESS TO MENTAL HEALTH CARE, ESPECIALLY FOR UNDERSERVED PATIENTS, HELPING THEM RECEIVE THE SERVICES THEY NEED IN A TIMELY MANNER.BY ACTIVELY ENGAGING IN COMMUNITY PROGRAMS, ST. LUKE'S STRENGTHENS TRUST BETWEEN HEALTHCARE PROVIDERS AND RESIDENTS. OUR WORK WITH LOCAL GROUPS SUCH AS THE SIOUXLAND DISTRICT HEALTH DEPARTMENT AND THE UNITED WAY OF SIOUXLAND FOSTERS TRUST AND ENCOURAGES RESIDENTS TO SEEK HEALTH CARE, PARTICIPATE IN SCREENINGS, AND FOLLOW PREVENTIVE CARE ADVICE, LEADING TO IMPROVED HEALTH OUTCOMES.ADDRESSING SOCIAL DETERMINANTS OF HEALTH, SUCH AS NUTRITION AND EDUCATION, IS A KEY ASPECT OF ST. LUKE'S EFFORTS. FOR EXAMPLE, ST. LUKE'S FUNDS AND COLLABORATES WITH THE LOCAL SIOUX CITY FARMERS MARKET TO PROVIDE FARM-FRESH FOOD TO THE COMMUNITY AND ENSURING ACCESS TO HEALTHY FOOD OPTIONS. THIS HOLISTIC APPROACH PROMOTES WELL-BEING AND PREVENTS DIET-RELATED HEALTH ISSUES. ST. LUKE'S IS ALSO PRIORITIZING DIABETIC CARE IN SIOUXLAND. THE DIABETIC EDUCATION COORDINATOR SEES PATIENTS 1:1 TO INDIVIDUALIZE EACH PERSON'S CARE PLAN. THIS ALLOWS PATIENTS TO FEEL COMFORTABLE SHARING PERSONAL INFORMATION. THE GOAL IS TO CREATE AN ATMOSPHERE WHERE INDIVIDUALS FEEL SAFE TO ASK QUESTIONS ABOUT THEIR CARE. ST. LUKE'S PROVIDES EDUCATION ON INSULIN USE, DIABETES MEDICATIONS, METER USE, AND CONTINUOUS GLUCOSE MONITORS. TYPICALLY, EACH PATIENT MEETS WITH THE DIABETIC EDUCATION COORDINATOR A MINIMUM OF TWO TIMES, WHICH HAS LED TO 86% OF PATIENTS DECREASING THEIR A1C. THANKS TO DONOR FUNDS, ST. LUKE'S PROVIDES PATIENTS, WHO ARE UNINSURED, A METER AND SUPPLIES TO MONITOR THEIR BLOOD SUGAR FOR 30 DAYS. THE HOSPITAL ALSO PROVIDES GLUCOSE TABLETS TO NEWLY DIAGNOSED PATIENTS, AND PATIENTS WHO ARE NEW TO INSULIN, TO KEEP IN THEIR VEHICLE AS A SAFETY MEASURE TO TREAT LOW BLOOD SUGARS. COMMUNITY MEMBERS WHO ACTIVELY PARTICIPATE IN HEALTH PROGRAMS ARE MORE LIKELY TO TAKE OWNERSHIP OF THEIR HEALTH. ST. LUKE'S PLAYS A ROLE IN EMPOWERING THE COMMUNITY BY OFFERING EDUCATIONAL PROGRAMS AND PREVENTIVE HEALTH SCREENINGS. PROGRAMS LIKE THE HEALTHY SIOUXLAND INITIATIVE, WHICH ST. LUKE'S CO-SPONSORS, ENCOURAGE COMMUNITY-DRIVEN EFFORTS TO IMPROVE HEALTH LITERACY AND OVERALL COMMUNITY WELL-BEING.WHEN IT COMES TO COST-EFFECT HEALTH SOLUTIONS, ST. LUKE'S COMMUNITY HEALTH PROGRAMS FOCUS ON PREVENTIVE CARE AND EARLY INTERVENTION. BY SUPPORTING COLORECTAL CANCER AND MAMMOGRAPHY SCREENINGS, THE HOSPITAL AND CLINICS HELP CATCH POTENTIAL HEALTH ISSUES EARLY. THIS CAN LEAD TO LIFE-SAVING OUTCOMES AND REDUCE THE NEED FOR COSTLY EMERGENCY CARE AND HOSPITALIZATIONS.IN ADDITION TO PROGRAM SUPPORT, ST. LUKE'S IS PROUD TO PARTNER WITH AND FINANCIALLY SUPPORT A WIDE RANGE OF NON-PROFIT ORGANIZATIONS IN THE SIOUXLAND COMMUNITY. BY ALLOCATING $70,000 TO 46 LOCAL NON-PROFIT ORGANIZATIONS, ST. LUKE'S ENABLES THESE GROUPS TO CARRY OUT THEIR ESSENTIAL WORK IN AREAS SUCH AS HEALTH, ECONOMIC STABILITY, AND SOCIAL WELL-BEING. EACH OF THESE PARTNERSHIPS PLAY A CRUCIAL ROLE IN ADDRESSING THE CHALLENGES THAT FACE THE SIOUXLAND COMMUNITY. SOME EXAMPLES OF THESE PARTNERSHIPS INCLUDE: ALZHEIMER'S ASSOCIATION: SUPPORTING INDIVIDUALS AFFECTED BY ALZHEIMER'S AND OTHER DEMENTIAS. BIG BROTHERS BIG SISTERS: PROVIDING MENTORSHIP PROGRAMS FOR YOUTH DEVELOPMENT. JUNE E. NYLEN CANCER CENTER: OFFERING COMPREHENSIVE CANCER CARE AND SUPPORT SERVICES. RONALD MCDONALD HOUSE SIOUX CITY: OFFERING LODGING FOR FAMILIES OF HOSPITALIZED CHILDREN. OPPORTUNITIES UNLIMITED: SUPPORTING INDIVIDUALS WITH BRAIN INJURIES AND DISABILITIES. HEARTLAND COUNSELING: PROVIDING ESSENTIAL MENTAL HEALTH SERVICES. ST. FLORIAN BURN FOUNDATION: SUPPORTING BURN SURVIVORS AND THEIR FAMILIES. CAMP HIGH HOPES: PROVIDING RECREATIONAL EXPERIENCES FOR INDIVIDUALS WITH DISABILITIES. HOSPICE OF SIOUXLAND: PROVIDING COMPASSIONATE END-OF-LIFE CARE.THESE PARTNERSHIPS DEMONSTRATE ST. LUKE'S COMMITMENT TO A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHERE HEALTH, EDUCATION, AND ECONOMIC FACTORS WORK TOGETHER TO CREATE LONG-TERM RESILIENCE AND WELL-BEING FOR SIOUXLAND RESIDENTS. ST. LUKE'S ALSO ACTIVELY ENGAGES WITH LOCAL MENTAL HEALTH PROVIDERS AND HEALTHCARE ORGANIZATIONS TO ADDRESS CRITICAL NEEDS, PARTICULARLY FOR PATIENTS WITH MENTAL ILLNESS. BY IMPROVING ACCESS TO MENTAL HEALTH SERVICES AND CREATING MORE SUPPORT NETWORKS, ST. LUKE'S HELPS REDUCE THE DISPARITY IN MENTAL HEALTH CARE FOR UNDERSERVED POPULATIONS. ST. LUKE'S OUTPATIENT BEHAVIORAL HEALTH PROGRAM, NEW BEGINNINGS, IS DESIGNED FOR ANY ADULT WHO IS LIVING WITH A CHRONIC MENTAL ILLNESS. ADULTS DEALING WITH DEPRESSION, ANXIETY, BIPOLAR DISORDER, AND A VARIETY OF OTHER COMMON MENTAL ILLNESSES CAN RECEIVE SUPPORT, GUIDANCE, TREATMENT, AND EDUCATION IN A SAFE AND CALMING ENVIRONMENT WITHOUT THE FEAR OF JUDGEMENT. NEW BEGINNINGS HAS INDIVIDUAL, GROUP, AND POSTPARTUM THERAPY OPTIONS AVAILABLE FOR THE SIOUXLAND COMMUNITY. THE HOSPITAL'S EFFORTS TO PROMOTE COLORECTAL CANCER AND MAMMOGRAPHY SCREENINGS THROUGHOUT THE TRI-STATE AREA ARE PIVOTAL IN DETECTING HEALTH ISSUES EARLY. BY COLLABORATING WITH OTHER HEALTH ORGANIZATIONS TO INCREASE PARTICIPATION IN SCREENINGS, ST. LUKE'S ENSURES THAT COMMUNITY MEMBERS ARE AWARE OF THE IMPORTANCE OF EARLY DETECTION, LEADING TO BETTER HEALTH OUTCOMES AND REDUCED LONG-TERM HEALTHCARE COSTS.ULTIMATELY, UNITYPOINT HEALTH - ST. LUKE'S PLAYS AN INTEGRAL ROLE IN ADDRESSING THE HEALTH NEEDS OF THE SIOUXLAND COMMUNITY BY COLLABORATING WITH A WIDE ARRAY OF LOCAL PARTNERS AND ORGANIZATIONS. THROUGH TARGETED HEALTH INTERVENTIONS, PREVENTIVE CARE, AND EFFORTS TO ADDRESS THE BROADER SOCIAL DETERMINANTS OF HEALTH, ST. LUKE'S IS DEEPLY COMMITTED TO IMPROVING ACCESS TO HEALTHCARE, BUILDING TRUST, AND EMPOWERING COMMUNITY MEMBERS. THE HOSPITAL'S DEDICATION TO CREATING LONG-TERM SOLUTIONS FOR HEALTH DISPARITIES IS EVIDENT IN ITS FINANCIAL CONTRIBUTIONS AND PARTNERSHIPS WITH ORGANIZATIONS THAT FOCUS ON MENTAL HEALTH, CHRONIC DISEASE PREVENTION, AND SUPPORT FOR UNDERSERVED POPULATIONS. THROUGH THESE EFFORTS, ST. LUKE'S CONTINUES TO STRENGTHEN THE HEALTH AND RESILIENCE OF SIOUXLAND FOR GENERATIONS TO COME.
PART III, LINE 4:	THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR NIHC. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2.
PART III, LINE 8:	AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE AND REVENUE.THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B:	AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY.
PART VI, LINE 2:	NORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER (ST. LUKE'S) CONTINUALLY WORKS WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY AND THEN ENGAGES IN PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. SIOUXLAND DISTRICT HEALTH, LOCATED IN SIOUX CITY, ASSESSES THE COMMUNITY'S HEALTHCARE NEEDS AT LEAST ONCE EVERY FIVE YEARS. THROUGH A PLANNED AND ORGANIZED EFFORT, SIOUXLAND DISTRICT HEALTH DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES AND SHARES THAT INFORMATION THROUGH A COMPREHENSIVE REPORT TO THE COMMUNITY. IN COLLABORATION WITH THIS AGENCY, ST. LUKE'S UTILIZES THIS INFORMATION TO MONITOR LOCAL HEALTH, ENSURING THE HOSPITAL'S PROGRAMS, SERVICES AND HEALTH EDUCATION SUPPORTS PRIORITIES IDENTIFIED BY SIOUXLAND DISTRICT HEALTH. ST. LUKE'S ALSO PARTICIPATES IN HEALTHY SIOUXLAND INITIATIVE, A COLLECTION OF PUBLIC HEALTH PARTNERS THAT CONVENES MONTHLY, AND OTHER COMMUNITY HEALTH COLLABORATIONS, DESIGNED TO BUILD PARTNERSHIPS AMONG COMMUNITY HEALTHCARE ORGANIZATIONS TO BUILD A HEALTHY AND SAFE COMMUNITY. UNITED WAY IS ANOTHER PROGRAM ST. LUKE'S PARTICIPATES IN THROUGH THE UNITED WAY COMMUNITY IMPACT TEAMS. THIS GROUP ACTIVELY ADDRESSES NEED AND STRATEGIES ASSOCIATED WITH HEALTH. MORE SPECIFICALLY, THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE COMMUNITY HEALTH STATUS IS THE FOCUS OF THIS GROUP. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR ST. LUKE'S TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE EFFORTS, ST. LUKE'S CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS ALSO WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATIONS THEY AFFECT.
PART VI, LINE 3:	THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL.
PART VI, LINE 4:	ST. LUKE'S REGIONAL MEDICAL CENTER IS AN URBAN, ACUTE-CARE COMMUNITY HOSPITAL LICENSED FOR 346 BEDS AND STAFFED FOR 151 BEDS SERVING THE SIOUXLAND AREA. THE SIOUXLAND AREA IS A TRI-STATE AREA CONSISTING OF NORTHWEST IOWA, NORTHEAST NEBRASKA, AND SOUTHEAST SOUTH DAKOTA. ST. LUKE'S IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE. ST. LUKE'S DISCHARGES APPROXIMATELY 11,000 INPATIENTS AND OVERSEES OVER 88,000 OUTPATIENTS VISITS PER YEAR INCLUDING EMERGENCY PATIENTS. WITHIN THE SIOUXLAND AREA, ST. LUKE'S SERVES A PRIMARY AND SECONDARY MARKET DEFINED BY COUNTIES. THE PRIMARY MARKETS ARE PLYMOUTH AND WOODBURY COUNTIES IN IOWA, DAKOTA COUNTY IN NEBRASKA AND UNION COUNTY IN SOUTH DAKOTA. THE PRIMARY COUNTIES ACCOUNT FOR 85% OF ST. LUKE'S INPATIENT DISCHARGES. WITHIN THE PRIMARY MARKET, TWO COMMUNITY HOSPITALS ARE LOCATED IN WOODBURY COUNTY, IOWA, AND ONE SURGICAL SPECIALTY HOSPITAL THAT IS PHYSICIAN-OWNED IS LOCATED IN UNION COUNTY, SOUTH DAKOTA. WOODBURY COUNTY IS THE LARGEST COUNTY IN THE SIOUXLAND AREA WITH APPROXIMATELY 105,951 RESIDENTS, WITH SIOUX CITY AS THE LARGEST CITY IN THE AREA WITH A 2023 ESTIMATED POPULATION OF 85,727. THE SECONDARY MARKETS ARE CHEROKEE, MONONA AND SIOUX COUNTIES IN IOWA AND THURSTON COUNTY IN NEBRASKA. WITH THE EXCEPTION OF THURSTON, A SEPARATE CRITICAL ACCESS HOSPITAL IS HOUSED IN EACH OF THESE COUNTIES.FOCUSING ON THE PRIMARY MARKET, THE HISPANIC POPULATION HAS THE LARGEST IMPACT IN TWO OF THE FOUR PRIMARY COUNTIES WITH DAKOTA COUNTY'S POPULATION HAVING OVER 41.9% HISPANIC ETHNICITY AND WOODBURY COUNTY WITH OVER 19.5%. UNION COUNTY AND WOODBURY COUNTY ALSO HAVE THE HIGHEST PERCENTAGE OF FAMILIES BELOW THE FEDERAL POVERTY LEVEL AT 13% AND 13% RESPECTIVELY.
PART VI, LINE 5:	THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE PEOPLE AND COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH AN OPEN MEDICAL STAFF AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD APPROVES THE COMMUNITY NEEDS ASSESSMENT AND COMMUNITY BENFEFIT PLAN FOR THE HOSPITAL. THE HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM AND ITS ULTIMATE PARENT UNITYPOINT HEALTH ALONG WITH ITS SUBSIDIARIES THAT INCLUDE THE HOSPITAL HAVE A STANDARD MODEL OF GOVERNANCE THAT ALLOWS THE HOSPITAL TO MAINTAIN A STRONG CLINICAL, FINANCIAL, STRATEGIC AND OPERATIONAL PROFILE THAT INCLUDES SURPLUS FUNDS USED TO FURTHER ITS CHARITABLE PURPOSE.
PART VI, LINE 6:	THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $4.8B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 375 CLINICS; 19 COMMUNITY NETWORK HOSPITALS; 12 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THEIR REGIONS. IN 2023, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $232 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES.
PART VI, LINE 7, REPORTS FILED WITH STATES	IA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF SIOUXLAND
701 STEUBEN ST	SIOUX CITY	IA	51101	420680395	501(C)(3)	$15,000	$0	PROGRAM SUPPORT
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
1776 WEST LAKES PKWY STE 400	WEST DES MOINES	IA	50266	421411630	501(C)(3)	$4,608,936	$0	PROGRAM SUPPORT
SIOUXLAND MEDICAL EDUCATION FOUNDATION
2501 PIERCE ST	SIOUX CITY	IA	51104	421036971	501(C)(3)	$538,267	$0	PROGRAM SUPPORT
ST LUKE'S HEALTH FOUNDATION OF SIOUX CITY
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421301885	501(C)(3)	$737,046	$0	PROGRAM SUPPORT
UNIVERSITY OF IOWA
200 HAWKINS DR	IOWA CITY	IA	52242	426004813		$550,500	$0	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	250	$245,122
MEDICAL, DENTAL, & HOSPITAL EXPENSES	16	$13,200

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	NORTHWEST IOWA HOSPITAL CORPORATION REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINE A SERIES OF ELIGIBILITY STANDARDS THAT ARE REQUIRED TO BE MET. NORTHWEST IOWA HOSPITAL CORPORATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED & ELIGIBILITY, MANAGEMENT MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. NORTHWEST IOWA HOSPITAL CORPORATION MINIMIZES THE THREAT OF DIVERSION FOR INTENDED PURPOSE BY SENDING THE FUNDS DIRECTLY TO THE ORGANIZATION, WHERE POSSIBLE, ETC.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHEILA FOSTER DO
PHYSICIAN	$1,270,911	$0	$38,739	$0	$480	$0	$15,883	$0	$33,856	$0	$1,359,869	$0	$0	$0
LEAH GLASGO TO 1023
INTERIM PRES/CEO SC & FD	$0	$583,501	$0	$294,876	$0	$7,955	$0	$61,107	$0	$33,564	$0	$981,003	$0	$0
JEFFREY O'TOOL MD
PHYSICIAN/DIRECTOR ER	$714,014	$0	$9,308	$0	$940	$0	$16,500	$0	$32,676	$0	$773,438	$0	$0	$0
KEVIN FOLCHERT MD
PHYSICIAN	$710,332	$0	$0	$0	$2,064	$0	$16,500	$0	$20,011	$0	$748,907	$0	$0	$0
FADY JABRE MD
PHYSICIAN	$626,174	$0	$11,719	$0	$2,064	$0	$16,500	$0	$31,906	$0	$688,363	$0	$0	$0
KHALIL YOUSEF MD
PHYSICIAN	$639,038	$0	$0	$0	$2,064	$0	$16,500	$0	$26,220	$0	$683,822	$0	$0	$0
JANE ARNOLD FR 1023
PRESIDENT/CEO	$170,299	$78,920	$77,475	$0	$4,074	$0	$33,606	$3,971	$17,636	$6,891	$303,090	$89,782	$0	$0
WENDY LINDLEY
VP/CNE	$228,834	$0	$65,002	$0	$3,868	$0	$36,080	$0	$2,512	$0	$336,296	$0	$0	$0
SARAH MARSH TO 923
INTERIM VP/CFO	$0	$224,453	$0	$56,746	$0	$2,680	$0	$14,696	$0	$26,908	$0	$325,483	$0	$0
JAMES GOBELL TO 722
FORMER VP/CFO	$241,009	$0	$39,844	$0	$2,790	$0	$19,579	$0	$6,679	$0	$309,901	$0	$0	$0
COREY SNIDER TO 923
VP/COO	$66,457	$0	$48,528	$0	$165,715	$0	$4,889	$0	$18,454	$0	$304,043	$0	$0	$0
LORENZO SUTER TO 722
FORMER PRESIDENT/CEO	$0	$0	$0	$0	$268,869	$0	$0	$0	$13,491	$0	$282,360	$0	$0	$0
KARI WINKLEPLECK
VP FUNDRAISING DEVELOPMENT	$152,882	$0	$25,575	$0	$1,834	$0	$9,171	$0	$19,396	$0	$208,858	$0	$0	$0
LEAH KNAPP FR 0923
VP FINANCE	$123,571	$0	$10,979	$0	$178	$0	$5,049	$0	$33,288	$0	$173,065	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: COREY SNIDER $165,246 AND LORENZO SUTER $268,869. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: JANE ARNOLD $23,414; LEAH GLASGO $44,607 AND WENDY LINDLEY $21,377.

SCHEDULE J, PART 1, LINE 3

THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JACOB LINDLEY
FAMILY MEMBER OF OFFICER WENDY LINDLEY	$10,788	EMPLOYMENT	0
KASSANDRA SMITH
FAMILY MEMBER OF BOARD MEMBER GARRETT SMITH	$66,286	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, LINE J, WEBSITE:	HTTPS://WWW.UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---ST-LUKES
FORM 990, PART V, LINES 1A & 1B	CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH SYSTEM). THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL UNITYPOINT HEALTH SYSTEM RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION IS PART OF A HEALTH SYSTEM UNDER THE ULTIMATE CONTROL OF IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH. UNITYPOINT HEALTH AND ITS SUBSIDIARIES IMPLEMENTED A FULLY-INTEGRATED OPERATING MODEL INCLUDING STANDARD GOVERNANCE ACROSS MARKETS ESTABLISHING RESPECTIVE RESPONSIBILITIES, AUTHORITIES, AND POWERS SET FORTH IN AMENDED GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION A, LINE 6	ST. LUKE'S HEALTH SYSTEM, INC., A TAX-EXEMPT IOWA NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION'S SOLE MEMBER ST. LUKE'S HEALTH SYSTEM, INC AND THE ORGANIZATION SHARE A COMMON BOARD NOMINATED BY ST. LUKE'S HEALTH SYSTEM, INC. IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH, THE SOLE MEMBER OF ST. LUKE'S HEALTH SYSTEM, INC, APPROVES THE ELECTION OF BOARD MEMBERS AND APPOINTS THE MARKET PRESIDENT WHO SERVES AS AN EX-OFFICIO BOARD MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S SOLE MEMBER ST. LUKE'S HEALTH SYSTEM, INC HAS AUTHORIZED ITS POWERS TO THE ORGANIZATION AND THEY SHARE A COMMON BOARD. POWERS OF THE COMMON BOARD ARE AUTHORIZED TO BE EXERCISED BY IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY UNITYPOINT HEALTH'S CORPORATE SERVICES TAX DEPARTMENT AND GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE DEPARTMENT WITH ULTIMATE APPROVAL BY THE DIRECTOR OF TAX SERVICES. THE DIRECTOR OF TAX SERVICES MEETS WITH THE FINANCE EXECUTIVE AND REVIEWS KEY PARTS OF THE FORM 990 UTILIZING A PRESENTATION SUMMARY. A COPY OF THE FORM 990 IS GIVEN TO EACH MEMBER OF THE BOARD VIA THE BOARD PORTAL ALONG WITH A REVIEW GUIDE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2023 FOR THE FOLLOWING INDIVIDUALS: JANE M. ARNOLD, LEAH M. GLASGO, LEAH L. KNAPP, WENDY L. LINDLEY, SARAH M. MARSH, AND KARI L. WINKLEPLECK. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST OF ST. LUKE'S HEALTH FOUNDATION OF SC, IA 581,462. FUND BALANCE TRANSFERS 5,096,531.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC
740 N 15TH AVE NO A	HIAWATHA	IA	52233	421045257	MENTAL HEALTH CARE	IA	501(C)(3)	509(A)(2)	ABBEHEALTH INC	0
ABBEHEALTH INC
740 N 15TH AVE NO A	HIAWATHA	IA	52233	421373123	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III	ST LUKE'S HEALTHCARE	0
AGING SERVICES INC
740 N 15TH AVE NO A	HIAWATHA	IA	52233	237085316	SENIOR SERVICES	IA	501(C)(3)	170(B)(1) (A)(VI)	ABBEHEALTH INC	0
ALLEN COLLEGE
1825 LOGAN AVENUE	WATERLOO	IA	50703	421351526	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IA	501(C)(3)	170(B)(1) (A)(II)	ALLEN HEALTH SYSTEMS INC	0
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUE	WATERLOO	IA	50703	421201924	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUE	WATERLOO	IA	50703	420698265	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ALLEN HEALTH SYSTEMS INC	0
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVE	ANAMOSA	IA	52205	421466284	PROVIDE AMBULANCE SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'SJONES REGIONAL MEDICAL CENTER	0
BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC
3251 WEST NINTH STREET	WATERLOO	IA	50702	420733463	MENTAL HEALTH CARE	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC	0
CENTER FOR ALCOHOL AND DRUG SERVICES INC
4869 FOREST GROVE DRIVE	BETTENDORF	IA	52722	421134273	SUBSTANCE ABUSE SERVICES	IA	501(C)(3)	170(B)(1) (A)(VI)	THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH	0
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
1200 PLEASANT STREET	DES MOINES	IA	50309	421233759	PROPERTY HOLDING COMPANY	IA	501(C)(2)		CENTRAL IOWA HEALTH SYSTEM	0
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421189791	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
CENTRAL IOWA HOSPITAL CORPORATION
1200 PLEASANT STREET	DES MOINES	IA	50309	420680452	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	CENTRAL IOWA HEALTH SYSTEM	0
DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC
1415 WOODLAND AVE SUITE 130	DES MOINES	IA	50309	421412497	COORDINATION OF MEDICAL EDUCATION PROGRAMS	IA	501(C)(3)	509(A)(3), TYPE III		0
EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES
945 19TH STREET	DES MOINES	IA	50314	420942273	MENTAL HEALTH CARE	IA	501(C)(3)	509(A)(2)	CENTRAL IOWA HEALTH SYSTEM	0
FINLEY TRI-STATES HEALTH GROUP INC
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	421307495	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
GRINNELL REGIONAL MEDICAL CENTER
210 FOURTH AVENUE	GRINNELL	IA	50112	420933383	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	CENTRAL IOWA HEALTH SYSTEM	0
GRINNELL REGIONAL MEDICAL CENTER FOUNDATION
210 FOURTH AVENUE	GRINNELL	IA	50112	421454737	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	GRINNELL REGIONAL MEDICAL CENTER	0
IOWA HEALTH FOUNDATION
1415 WOODLAND AVE SUITE E-200	DES MOINES	IA	50309	421467682	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	CENTRAL IOWA HEALTH SYSTEM	0
IOWA HEALTH SYSTEM
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421435199	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III		0
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421411630	PRIMARY HEALTH CARE SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA HEALTH SYSTEM	0
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
1825 LOGAN AVENUE	WATERLOO	IA	50703	421201138	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC	0
MERITER FOUNDATION INC
202 SOUTH PARK STREET	MADISON	WI	53715	237098688	CHARITABLE FUNDRAISING	WI	501(C)(3)	170(B)(1) (A)(VI)	MERITER HEALTH SERVICES INC	0
MERITER HEALTH SERVICES INC
202 SOUTH PARK STREET	MADISON	WI	53715	391412318	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	WI	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
MERITER HOSPITAL INC
202 SOUTH PARK STREET	MADISON	WI	53715	390806367	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	MERITER HEALTH SERVICES INC	0
NELLIE R SHERWOOD TRUST
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	426061621	PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY	IA	501(C)(3)	509(A)(3), TYPE I	ST LUKE'S METHODIST HOSPITAL	0
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED
720 KENYON DRIVE	FORT DODGE	IA	50501	420937390	MENTAL HEALTH CARE	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
NORTHWEST IOWA HOSPITAL CORPORATION
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421019872	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTH SYSTEM INC	0
SIOUXLAND PACE INC
1200 TRI VIEW AVE	SIOUX CITY	IA	51103	261120134	ALL-INCLUSIVE CARE FOR THE ELDERLY	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTH SYSTEM INC	0
ST LUKE'S HEALTH RESOURCES
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421059182	OUTPATIENT CLINICS AND HEALTHCARE SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTH SYSTEM INC	0
ST LUKE'S HEALTH SYSTEM INC
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421294091	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM	0
ST LUKE'S HEALTHCARE
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	421487968	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
ST LUKE'S METHODIST HOSPITAL
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	420504780	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE	0
ST LUKE'SJONES REGIONAL MEDICAL CENTER
1795 HIGHWAY 64 EAST	ANAMOSA	IA	52205	421487967	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE	0
STL CARE COMPANY
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	421276632	IMPROVE PUBLIC HEALTH SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTHCARE	0
THE DUBUQUE VISITING NURSE ASSOCIATION
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	420680410	PUBLIC HEALTH SERVICES/HOME CARE	IA	501(C)(3)	509(A)(2)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE FINLEY HOSPITAL
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	420680354	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH STREET	ROCK ISLAND	IL	61201	363678909	MENTAL HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRIMARK PHYSICIANS GROUP
802 KENYON ROAD	FORT DODGE	IA	50501	453791448	SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
TRINITY COLLEGE OF NURSING & HEALTH SCIENCES
2122 25TH AVE	ROCK ISLAND	IL	61201	810994377	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IL	501(C)(3)	170(B)(1) (A)(II)	TRINITY MEDICAL CENTER	0
TRINITY HEALTH FOUNDATION
802 KENYON ROAD	FORT DODGE	IA	50501	421222381	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	TRINITY HEALTH SYSTEMS INC	0
TRINITY HEALTH FOUNDATION
2701 17TH STREET	ROCK ISLAND	IL	61201	363321751	CHARITABLE FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY HEALTH SYSTEMS INC
802 KENYON ROAD	FORT DODGE	IA	50501	421222877	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY MEDICAL CENTER
2701 17TH STREET	ROCK ISLAND	IL	61201	362739299	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY REGIONAL HEALTH SYSTEM
2701 17TH STREET	ROCK ISLAND	IL	61201	363351952	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY REGIONAL MEDICAL CENTER
802 KENYON ROAD	FORT DODGE	IA	50501	421009175	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
UNITY HEALTHCARE
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	420680337	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
UNITY HEALTHCARE FOUNDATION
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	421525031	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	170(B)(1) (A)(VI)	UNITY HEALTHCARE	0
UNITYPOINT AT HOME
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421477471	HOME HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	0
UNITYPOINT HEALTH - MARSHALLTOWN
1825 LOGAN AVENUE	WATERLOO	IA	50703	815034179	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ALLEN HEALTH SYSTEMS INC	0
UNITYPOINT HEALTH - MARSHALLTOWN FOUNDATION
3 SOUTH 4TH AVE	MARSHALLTOWN	IA	50158	421388518	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC	0
UNITYPOINT HEALTH AT WORK
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	810872241	EMPLOYER ONSITE MEDICAL SERVICES AND OCCUPATIONAL MEDICINE	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION	0
WISCONSIN DIALYSIS INC
3034 FISH HATCHERY ROAD	MADISON	WI	53713	300072647	OUTPATIENT KIDNEY DIALYSIS	WI	501(C)(3)	509(A)(3), TYPE III		0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
ADVANCED IMAGING CENTER LLC
615 VALLEY VIEW DRIVE	MOLINE	IL	61265	364356301	DIAGNOSTIC RADIOLOGY CENTER	IA	N/A	0	Yes (1)
ANKENY MEDICAL PARK SURGERY CENTER LC
3625 NORTH ANKENY BLVD STE J	ANKENY	IA	50021	831281114	AMBULATORY SURGERY CENTER	IA	N/A	0	Yes (1)
CENTRAL IOWA PHYSIO LLC
4714 GETTYSBURG ROAD	MECHANICSBURG	PA	17055	364799633	PHYSICAL THERAPY SERVICES	IA	N/A	0	Yes (1)
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500	DUBUQUE	IA	52001	201597161	AMBULATORY SURGERY CENTER	IA	N/A	0	Yes (1)
EASTERN IOWA SLEEP SUPPLY LLC
275 10TH STREET SE STE 1130-B	CEDAR RAPIDS	IA	52403	851990451	MEDICAL EQUIPMENT RETAIL SALES	IA	N/A	0	Yes (1)
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	421428503	PROVIDE ACCESS TO LICENSED SOFTWARE	IA	N/A	0	Yes (1)
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	030482623	OUTPATIENT DIAGNOSTIC IMAGING	IA	N/A	0	Yes (1)
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421511142	GROUP PURCHASING	IA	N/A	Yes (1)	Yes (1)
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421516120	SURGERY CENTER	IA	N/A	0	Yes (1)
MR ASSOCIATES LLP
1956 1ST AVENUE NE	CEDAR RAPIDS	IA	52402	421260463	OWN AND OPERATE MR UNIT	IA	N/A	0	Yes (1)
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421508092	AMBULATORY SURGERY CENTER	IA	N/A	0	Yes (1)
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SE	CEDAR RAPIDS	IA	52403	721550812	AMBULATORY SURGERY CENTER.	IA	N/A	0	Yes (1)
UNITED MEDICAL PARK ASC LLC DBA THE SURGERY CENTER AT UNITED MEDICAL PARK
1825 LOGAN AVE	WATERLOO	IA	50703	420698265	AMBULATORY SURGERY CENTER	IA	N/A	0	Yes (1)
UPHT-SCA HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	473564984	AMBULATORY SURGERY CENTER INVESTMENT	DE	N/A	0	0
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2	WEST DES MOINES	IA	50266	263193923	SLEEP DISORDER DIAGNOSTIC TESTING FACILITY	IA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ABBE MANAGEMENT CORPORATION
740 N 15TH AVE NO A	HIAWATHA	IA	52233	421361755	MANAGEMENT SERVICES	IA	N/A	C	0
BROADBAND INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	273819741	INFORMATION TECHNOLOGY MGMT.	IA	N/A	C	0
DELHI POINT CONDO ASSOCIATION
350 N GRANDVIEW	DUBUQUE	IA	52001	421467002	REAL ESTATE MANAGEMENT	IA	N/A	C	0
HCP CORPORATION
202 SOUTH PARK STREET	MADISON	WI	53715	391177562	REAL ESTATE RENTAL	WI	N/A	C	0
HANSEN CHARITABLE REMAINDER ANNUITY TRUST
210 FOURTH AVENUE	GRINNELL	IA	50112	396770806	INVESTMENT	IA	N/A	T	0
HANSEN CHARITABLE REMAINDER UNITRUST
210 FOURTH AVENUE	GRINNELL	IA	50112	396770807	INVESTMENT	IA	N/A	T	0
HEALTH ADVANTAGE PLUS INC
210 4TH AVENUE	GRINNELL	IA	50112	421436490	PHYSICAL THERAPY	IA	N/A	C	0
HNC SERVICES
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	270987243	FIBER OPTIC NETWORK SERVICES	IA	N/A	C	0
MEDIMORE INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421414390	MANAGED CARE	IA	N/A	C	0
MERITER HEALTH ENTERPRISES INC
202 SOUTH PARK STREET	MADISON	WI	53715	391293620	MANAGEMENT SERVICES	WI	N/A	C	0
MERITER MANAGEMENT SERVICES INC
202 SOUTH PARK STREET	MADISON	WI	53715	391458235	ADMINISTRATIVE SERVICES	WI	N/A	C	0
PRECEDENCE INC
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	371288604	MANAGED MENTAL CARE	IA	N/A	C	0
PRECEDENCE PLUS INC
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	364140096	MANAGED MENTAL CARE	IA	N/A	C	0
STL HEALTH RESOURCES CO
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421193499	PHYSICIAN OFFICE RENTAL	IA	N/A	C	0
TRINITY HEALTH ENTERPRISES INC
2701 17TH ST	ROCK ISLAND	IL	61201	363320141	RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY	IL	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PARTS I - IV:	FormAndLineReferenceDesc
Explanation	IOWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $4.8B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 375 CLINICS; 19 COMMUNITY NETWORK HOSPITALS; 12 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS.	ExplanationTxt