2023-11-14T11:59:05-06:00 2022-12-31 990 2022-01-01 362739299 TRINITY MEDICAL CENTER TRIN 3097792200 2701 17TH ST ROCK ISLAND IL 61201 KATHERINE MARCHIK SR VP FINANCE/CFO 3097795700 2023-11-10 KATHERINE MARCHIK 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHAWN MORROW 2701 17TH ST ROCK ISLAND IL 61201 530480093 0 X WWW.UNITYPOINT.ORG (SEE SCH O) X 1969 IL IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 17 14 3485 233 66462 4117 723382 7344863 404687882 407316835 18421135 23133099 2057416 4680529 425889815 442475326 25919181 31843984 0 0 174199154 214157628 0 0 0 219775447 224182699 419893782 470184311 5996033 -27708985 511885019 487718585 226707329 263840075 285177690 223878510 X THE MISSION OF TRINITY MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 414338901 20077943 412162588 HEALTH-CARE SERVICESTRINITY MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE QUAD CITIES COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. TRINITY MEDICAL CENTER 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, INTENSIVE CARE AND CRITICAL CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2022, TRINITY MEDICAL CENTER ADMITTED 13,248 PATIENTS RESULTING IN A TOTAL OF 60,574 PATIENT DAYS. OUTPATIENT VISITS TOTALED 331,128 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 9,018. THERE WERE ALSO 77,763 EMERGENCY ROOM VISITS AND 1,888 BABIES DELIVERED. 32674501 11766041 0 COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: TRINITY MEDICAL CENTER 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 $2,347,991 IN 2022. OFTENTIMES, TRINITY MEDICAL CENTER RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. TRINITY MEDICAL CENTER PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. TRINITY MEDICAL CENTER'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $17,637,335 FOR 2022. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $19,985,326.OTHER BENEFITS: TRINITY MEDICAL CENTER 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. TRINITY MEDICAL CENTER COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. TRINITY MEDICAL CENTER HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $12,689,175. 447013402 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 1 3485 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X X DAVE DELLITT DIR OF FINANCECONTROLLER 3097792200 2701 17TH ST ROCK ISLAND IL 61201 AJ AHMED BOARD MEMBER 1.00 1.00 X 0 0 0 GREGORIO AGUILAR BOARD MEMBER 1.00 1.00 X 0 0 0 MARY ANN ANDERSON PHD BOARD MEMBER 1.00 1.00 X 0 0 0 COSTAS CONSTANTINOU MD BOARD MEMBER 1.00 40.00 X 0 1003309 37591 NATHAN DURICK MD BOARD MEMBER 1.00 1.00 X 0 0 0 PATRICK EIKENBERRY BOARD CHAIR 1.00 1.00 X X 0 2500 0 ROBERT ERICKSON BOARD MEMBER/PRESIDENT/CEO 40.00 1.00 X X 680681 0 130131 DEBBIE FREIBURG BOARD MEMBER 1.00 1.00 X 0 0 0 REV DWIGHT FORD BOARD MEMBER 1.00 1.00 X 0 0 0 FRANCIS KANE MD BOARD MEMBER 1.00 40.00 X 0 89589 11011 REV CHRISTOPHER LEE BOARD MEMBER 1.00 1.00 X 0 0 0 LISA MCCRAW BOARD MEMBER 1.00 1.00 X 0 0 0 MSGR MARK MERDIAN BOARD MEMBER 1.00 1.00 X 0 0 0 HEIDI PARKHURST BOARD MEMBER 1.00 1.00 X 0 0 0 DANIEL STEIN BOARD MEMBER 1.00 1.00 X 0 0 0 DANA WILKINSON BOARD MEMBER 1.00 1.00 X 0 0 0 MARIE ZIEGLER BOARD VICE CHAIR 1.00 1.00 X X 0 13500 0 KATHERINE MARCHIK SR VP FINANCE/CFO 40.00 1.00 X 447615 0 96046 DENNIS DUKE PRESIDENT RYC 1.00 40.00 X 295348 0 44462 SHAWN KEEVEN MD VP/MEDICAL DIRECTOR 1.00 40.00 X 0 554390 42155 KEVIN KURTH MD MEDICAL DIRECTOR-ER/TRAUMA 40.00 1.00 X 676833 0 42262 JOY LEDBETTER VP HUMAN RESOURCES 1.00 40.00 X 0 454663 37523 TOYOSI OLUTADE MD CHIEF MEDICAL OFFICER 40.00 1.00 X 764932 127756 41092 KATHERINE PEARSON SR VP/CHIEF STRATEGY OFFICER 40.00 1.00 X 406582 0 72508 BARBARA WEBER CHIEF OPERATING OFFICER 40.00 1.00 X 479562 0 50856 MELLISSA WOOD CHIEF NURSING EXECUTIVE 40.00 1.00 X 359363 0 8227 ALYSA DAVIS DO EMERGENCY PHYSICIAN 40.00 0.00 X 541523 0 25530 THOMAS RAMSTACK DO EMERGENCY PHYSICIAN 40.00 0.00 X 527656 0 42641 ZACHARY RASMUSSEN MD EMERGENCY PHYSICIAN 40.00 0.00 X 511162 0 40476 ELIZABETH SCHUPP MD PULMONOLOGIST 40.00 0.00 X 564567 0 16510 RHONDA SOWARDS MD EMERGENCY PHYSICIAN 40.00 0.00 X 700846 0 40818 RICHARD SEIDLER TO 519 FORMER BD MEMBER/PRESIDENT/CEO 0.00 0.00 X 367341 0 0 JOHN SHEEHAN TO 919 FORMER BD MEMBER/INTERIM PRES/CEO 0.00 40.00 X 0 1266433 24186 MATTHEW BEHRENS TO 919 REG VP/CLINIC OPS 0.00 40.00 X 0 294692 24569 7324011 3806832 828594 246 1 1 0 AMERICAN HEALTHCARE STAFFING ASSOCIATION 226 E SIXTEENTH ST SUITE A TRAVERSE CITY MI 49684 HEALTHCARE STAFFING 20762351 AYA LOCUMS LLC 5930 CORNERSTONE CT W SUITE 300 SAN DIEGO CA 92121 HEALTHCARE STAFFING 16835670 CLINICAL COLLEAGUES INC 1765 E NINE MILES ROAD SUITE 1-229 PENSACOLA FL 32514 MEDICAL SERVICES 6773917 AMN HEALTHCARE 8840 CYPRESS WATERS BLVD SUITE 300 DALLAS TX 75019 HEALTHCARE STAFFING 5975621 ESTES COMPANY LLC 220 SW 9TH ST SUITE 180 DES MOINES IA 50309 CONSTRUCTION SERVICES 3118750 94 2408563 4934677 1623 7344863 NET PATIENT REVENUE 900099 404222357 404222357 RENTAL INCOME 531390 2290511 2290511 LABORATORY SERVICES 621500 1348846 1348846 MGMT & SUPPORT SVCS 561000 512295 445833 66462 PUBLIC HEALTH PROGRAMS 900099 3151 3151 -1060325 -1060325 407316835 4374911 39274 4335637 99836183 6381500 87185760 273735 12650423 6107765 18758188 18758188 378599 545272 -166673 -166673 SHARED SAVINGS REVENUE 900099 2490323 2490323 MISCELLANEOUS 900099 2315626 2315626 CAFETERIA/FOOD SVCS 722210 41253 530 40723 4847202 442475326 412096126 66462 22967875 31797641 31797641 46343 46343 4725622 4725622 367341 367341 182404388 171236977 11167411 4834632 4538640 295992 13532114 12703632 828482 8293531 7785773 507758 1492674 1492674 1428491 7425 1421066 944190 341304 602886 36515854 34610891 1904963 491 491 644785 142919 501866 117069 117069 9883785 9649156 234629 150462 135043 15419 7819 6874 945 8284036 8284036 14232723 13730398 502325 2854413 2854413 MEDICAL SUPPLIES 89891829 89859528 32301 MISCELLANEOUS EXPENSE 57723041 57665360 57681 BAD DEBT EXPENSE 6590 6590 INCOME TAXES 4447 716 3731 470184311 447013402 23170909 0 2496292 615390 1143303 167977 53894334 53919541 16578698 21694645 9487689 9828104 1975392 2278223 460358725 298384763 164555025 161973962 214947032 181359977 33738457 43152493 160906 2 12907891 12728271 511885019 487718585 27253116 34555241 26183731 -66440 1362378 952499 15397265 14047665 156510839 214351110 226707329 263840075 X 276749563 216599166 8428127 7279344 285177690 223878510 511885019 487718585 X -27708985 -31607474 -1982721 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 130715920 1459189 2607972 129567137 129528319 1687841 500240 130715920 128910944 1376261 758886 129528319 127383874 3153674 1626604 128910944 127796016 2436569 2848711 127383874 0.94382 0.01460 0.04158 0 1 1 6887534 6887534 308777212 192493138 116284074 10719782 8554780 2165002 127313862 95639680 31674182 6660335 1697165 4963170 161973962 BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION 7098684 F QUAD CITY AMBULATORY SURGERY CENTER 3328972 F ADVANCED IMAGING CENTER 3855600 F UPHT-SCA HOLDINGS, LLC 16049700 F METRO MRI 569220 F BENEFICIAL INTEREST IN THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 2351791 F QUAD CITIES REHABILITATION INSTITUTE 9898526 F 43152493 DUE TO AFFILIATES 3236641 ASBESTOS REMOVAL LIABILITY 2015214 SELF-INSURANCE RESERVE 22993024 LONG-TERM RETENTION INCENTIVES 7248506 HEALTH AND WELFARE BENEFITS RESERVE 2115204 IOWA HEALTH SYSTEM NOTE PAYABLE 171064087 CONTINGENCIES LIABILITY 3156549 OPERATING LEASE LIABILITY 2521885 214351110 X 437351000 -31607474 29953658 -1653816 439004816 602886 2867624 3470510 442475326 469041000 29953972 29953972 439087028 602886 30494397 31097283 470184311 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 2019. 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: COST OF GOODS SOLD 545,272. SUBSIDIARY ELIMINATING ENTRIES (THE ROBERT YOUNG CTR FOR COMM MENTAL HEALTH) 29,408,386. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 2,866,903. ROUNDING 721. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 545,272. ROUNDING 314. SUBSIDIARY ELIMINATING ENTRIES (THE ROBERT YOUNG CTR FOR COMM MENTAL HEALTH) 29,408,386. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 30,494,397. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 2347991 2347991 0.00500 88987730 71350395 17637335 0.03750 91335721 71350395 19985326 0.04250 453504 453504 0.00100 380022 380022 0.00080 89608 89608 0.00020 20086478 8320437 11766041 0.02500 21009612 8320437 12689175 0.02700 112345333 79670832 32674501 0.06950 112784 112784 0.00020 112784 112784 0.00020 0 4483761 0 76157744 90383765 -14226021 X 1 1 1 ADVANCED IMAGING CENTER LLC DIAGNOSTIC RADIOLOGY CENTER 0.51000 0.49000 3 1 TRINITY MEDICAL CENTER - ROCK ISLAND 2701 17TH ST ROCK ISLAND IL 61201 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 2132866 X X X A 2 TRINITY MEDICAL CENTER - MOLINE 500 JOHN DEERE RD MOLINE IL 61265 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 2150794 X X X A 3 TRINITY MEDICAL CENTER - BETTENDORF 4500 UTICA RIDGE RD BETTENDORF IA 52722 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 820042H X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, PAGE 8 X WWW.QUADCITIES.HEALTHFORECAST.NET X 1 21 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: TRINITY MEDICAL CENTER - ROCK ISLAND, - FACILITY 2: TRINITY MEDICAL CENTER - MOLINE, - FACILITY 3: TRINITY MEDICAL CENTER - BETTENDORF GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 5: THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. SELECT OPERATIONS DATA FROM LOCAL PROVIDERS ALSO WERE SUMMARIZED. QUALITATIVE DATA ON COMMUNITY HEALTH CONCERNS WAS ALSO COLLECTED AND ANALYZED FROM OUR BI-STATE STEERING COMMITTEE, STAKEHOLDERS, AND THROUGH 21 FOCUS GROUPS REACHING 147 INDIVIDUALS FROM 12 SUB-POPULATIONS. GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM AND UNITYPOINT HEALTH - TRINIITY MUSCATINE (UNITY HEALTHCARE) GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 11: THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2021. BASED ON THE ASSESSMENT, UNITYPOINT HEALTH - TRINITY DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2022-2024 FOCUSED ON KEY AREAS IDENTIFIED THAT WILL GUIDE THE COMMUNITY WORK TRINITY DOES FOR THE NEXT THREE YEARS. THOSE AREAS INCLUDE HEALTHY LIFESTYLE (HEART DISEASE, STROKE, DIABETES, NUTRITION, OBESITY/WEIGHT, AND PHYSICAL ACTIVITY); CANCER; MENTAL HEALTH; AND ACCESS TO HEALTHCARE. SERVICE LINE LEADERS PROVIDED FEEDBACK ON WHAT WAS TO BE ADDRESSED AND ACCOMPLISHED BASED ON THE IDENTIFIED NEEDS. FOR 2021, WE ADDRESSED AREAS OF NEED IDENTIFIED IN THE 2018 CHNA, HEART DISEASE/STROKE; DIABETES/PHYSICAL ACTIVITY, NUTRITION & OBESITY; MENTAL HEALTH; CANCER; AND ACCESS TO HEALTHCARE WITH ACTIONS AND RESULTS DESCRIBED BELOW. WHILE CREATING THE COMMUNITY HEALTH IMPROVEMENT PLAN, AREAS OF IMPROVEMENT IDENTIFIED IN THE ASSESSMENT HAD TO BE PRIORITIZED BASED ON WHAT COULD REALISTICALLY BE ADDRESSED BY THE HOSPITAL SYSTEM, AND WHAT WAS ALREADY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND CHNA PARTNERS. CONSIDERATIONS INCLUDED SERVICES THAT COULD BE ACTUALLY PROVIDED BY THE HOSPITAL RELATED TO THE NEED, THE FINANCIAL MEANS TO HAVE AN IMPACT, THE STAFFING AVAILABLE TO MEET THE NEED, AND WHAT NEEDS WERE BEING ADDRESSED BY OTHER ORGANIZATIONS WITHIN OUR COMMUNITY. HEART DISEASE/STROKE(5) 6-WEEK, EVIDENCE-BASED, PLANT FOCUSED COOKING CLASS SERIES (34 CLASSES), CALLED COOKING WITH HEART, WERE PRESENTED TO 64 PEOPLE. CONTINUED HEART TO HEART COMMUNITY EDUCATION SERIES WITH 5 PRESENTATIONS BY CARDIOLOGISTS REACHING 200 PEOPLE. THE TRINITY HEALTH FOUNDATION RAISED MORE THAN $140,000 FOR CARDIOVASCULAR SERVICES AT THE UNITYPOINT HEALTH CUP GOLF BENEFIT. TRINITY HIRED A PREVENTION & WELLNESS STRATEGIST TO THE TEAM, WHO HAS A FOCUS ON HEART HEALTH AND PROVIDES COMMUNITY EDUCATION AND SUPPORT ON THE TOPICS OF DISEASE PREVENTION, IMPROVING HEALTH THROUGH NUTRITION, AND OTHER PROVEN WELLNESS TECHNIQUES.DIABETES/PHYSICAL ACTIVITY, NUTRITION & OBESITYPRESENTED 4 COOKING WITH HEART FOR DIABETES SERIES (16 CLASSES), A 4-WEEK, EVIDENCE-BASED COOKING CLASS FOR PREVENTION OF DIABETES AND MANAGING BLOOD SUGAR WITH 4 DIETICIANS FROM TRINITY, UNITYPOINT CLINIC AND GENESIS HEALTH SYSTEM. NINETY-NINE PARTICIPANTS LEARNED HOW NUTRITION CAN HELP THEM LIVE WELL AND MANAGE BLOOD SUGARS THROUGH FOOD CHOICES, AND HOW TO PREPARE HEALTHY, DELICIOUS RECIPES. HEALTHY EATING VIDEOS WERE CREATED FOR BIG BROTHERS BIG SISTERS BY WELLNESS COACHES FOR AGES 6-11 AND 12-17. CALLED EAT THE RAINBOW THESE VIDEOS EXPLAINED THE HEALTH BENEFITS OF EATING ALL COLORS OF FRUITS AND VEGETABLES. 500 COMMUNITY MEMBERS WERE PROVIDED NUTRITION AND HEALTHY LIFESTYLE EDUCATION AT SEVEN EVENTS, INCLUDING DIABETES RISK ASSESSMENTS, HEALTHY PLATE TRAINING, AND SODIUM CONSIDERATIONS. MENTAL HEALTHROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH WORKED WITH THE STATE OF IOWA TO OBTAIN CHAPTER 24 ACCREDITATION, WHICH IS A PRECURSOR TO APPLYING FOR DESIGNATION AS A COMMUNITY MENTAL HEALTH CENTER FOR MUSCATINE RYC CLINIC. THE ROBERT YOUNG CENTER'S $6.7 MILLION DOLLAR PROPOSED FY22 EASTERN IOWA REGION CRISIS SYSTEM CONTRACT WAS APPROVED BY THE REGION GOVERNING BOARD. THE EXPANSION OF CRISIS SERVICES FOR CEDAR, MUSCATINE, SCOTT, JACKSON, AND CLINTON COUNTIES INCLUDES CRISIS STABILIZATION, RESIDENTIAL AND COMMUNITY-BASED SERVICES FOR CHILDREN AND ADULTS, PEER SUPPORT, JAIL-BASED SERVICES, CARE COORDINATION, MEDICATION BRIDGE APPOINTMENTS, TRAINING, AND OTHER MENTAL HEALTH SERVICES. CADS PROVIDED 847 HOURS OF EDUCATION AND TRAINING TO 2,819 STUDENTS AND ADULTS ON PREVENTION OF GAMBLING, DRUG OVERDOSE, ALCOHOL ABUSE, DRUG ABUSE, TOBACCO USE, PRESCRIPTION DRUG ABUSE, AND VIOLENCE, AS WELL AS SKILLS BUILDING AND A STRONG AFRICAN AMERICAN FAMILIES PROGRAM. RYC'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PARTICIPATED IN THE NAACP RESOURCE FAIR WITH 200 PEOPLE AND PROVIDED A GRIEF AND SUICIDE PREVENTION PRESENTATION AT A HEALTH AND WELLNESS COMMUNITY EVENT.CANCERTRINITY AND GILDA'S CLUB PROVIDED FREE, IN-HOME COLON CANCER SCREENING TESTS, THANKS TO A GRANT FROM IOWA CANCER CONSORTIUM. 575 KITS WERE DISTRIBUTED, 68 WERE RETURNED, A 12% RETURN RATE, AND 5 WERE POSITIVE. COORDINATED THE FOLLOW-UP CARE WITH THEIR PRIMARY CARE PROVIDER OR SPECIALTY PROVIDERS. PARTNERED WITH 8 ORGANIZATIONS, PARISH NURSES, LOCAL BARBER SHOPS, AND CHURCHES TO DISTRIBUTE THE KITS. HOSTED 3 COLON CANCER SCREENING WORKSHOPS AND TRAINED STAFF AT COMMUNITY HEALTH CARE ON THE COLON CANCER SCREENING KITS. THREE FREE COOKING WITH HEART FOR CANCER CLASS SERIES (12 CLASSES), WITH 100 PARTICIPANTS WAS PROVIDED. SUSAN G. KOMEN BREAST CANCER FOUNDATION, AFTER RESTRUCTURING, PROVIDED TRINITY HEALTH FOUNDATION WITH $50,000 FOR BREAST HEALTH SERVICES, PATIENT SERVICES, TECHNOLOGY, ACCESS TO CARE, AND FUTURE INNOVATIONS. VIDEOS ON VAPING FACTS CREATED FOR AGES 6-11 AND 12-17 AT BIG BROTHERS BIG SISTERS EDUCATION ON NUTRITION AND CANCER, SCREENING FOR BREAST, LUNG AND COLON CANCERS, AND BREAST CANCER AWARENESS PROVIDED AT 4 EVENTS FOR 300 PEOPLE.ACCESS TO HEALTHCARETRINITY PARTNERED WITH THE PROJECT OF THE QC TO ENSURE ALL MEMBERS OF OUR COMMUNITY HAVE SAFE, EQUITABLE ACCESS TO HEALTHCARE WITH PLANS FOR LGBTQ SAFE ZONES IN ALL UNITYPOINT CLINICS AND TRAINING TO ALL STAFF MEMBERS. LAUNCHED NEW SOCIAL SERVICES RESOURCE CALLED TOGETHER WE CARE TO HELP PEOPLE FIND ASSISTANCE WITH FOOD, HOUSING, TRANSPORTATION, EMPLOYMENT AND MORE. A $6 MILLION PROJECT SERVING THE MUSCATINE COMMUNITY PRIORITIZES FACILITY UPGRADES TO ALLOW LOCAL MEDICAL PROVIDERS MORE OF THE RESOURCES THEY NEED TO PROVIDE HIGH-QUALITY, PERSONAL CARE CLOSER TO HOME. HEALTHPARTNERS UNITYPOINT HEALTH BEGAN OFFERING FULL HEALTH INSURANCE PLANS TO SMALL BUSINESSES WITH <50 EMPLOYEES IN SCOTT & MUSCATINE COUNTIES WITH 27 PLAN OPTIONS. PARISH NURSES PROVIDED 537 HOURS OF TRANSPORTATION SERVICES TO 516 PERSONS IN ILLINOIS AND IOWA QUAD CITIES. THE QUAD CITIES REGIONAL SERVICES FOR VETERANS PROJECT WAS HELD VIRTUALLY FROM OCTOBER 1 TO NOVEMBER 19 TO PROVIDE VETERANS ACCESS TO VA, RYC, AND COMMUNITY RESOURCES. FORTY VETERANS WERE SERVED. PROVIDED $40,573 IN FREE MEDICATIONS TO 662 PATIENTS. REDUCED TOTAL AREA NO-SHOW RATE IN CLINICS BY 3% SINCE 2019. OUTREACH COORDINATOR PROVIDED EDUCATION TO 55 PERSONS ON 5 OCCASIONS AT CHRISTIAN CARE MEN'S HOMELESS SHELTER. 868 HOURS OF ASSISTANCE BY OUR FINANCIAL CONSULTING/MARKETPLACE TEAM WAS PROVIDED TO THE COMMUNITY DURING OPEN ENROLLMENT, AS WELL AS EDUCATION ON INSURANCE COVERAGE OPTIONS THROUGHOUT THE YEAR. GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND 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 U.S. 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. GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 5: THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. SELECT OPERATIONS DATA FROM LOCAL PROVIDERS ALSO WERE SUMMARIZED. QUALITATIVE DATA ON COMMUNITY HEALTH CONCERNS WAS ALSO COLLECTED AND ANALYZED FROM OUR BI-STATE STEERING COMMITTEE, STAKEHOLDERS, AND THROUGH 21 FOCUS GROUPS REACHING 147 INDIVIDUALS FROM 12 SUB-POPULATIONS. GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM AND UNITYPOINT HEALTH - TRINIITY MUSCATINE (UNITY HEALTHCARE) GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 11: THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2021. BASED ON THE ASSESSMENT, UNITYPOINT HEALTH - TRINITY DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2022-2024 FOCUSED ON KEY AREAS IDENTIFIED THAT WILL GUIDE THE COMMUNITY WORK TRINITY DOES FOR THE NEXT THREE YEARS. THOSE AREAS INCLUDE HEALTHY LIFESTYLE (HEART DISEASE, STROKE, DIABETES, NUTRITION, OBESITY/WEIGHT, AND PHYSICAL ACTIVITY); CANCER; MENTAL HEALTH; AND ACCESS TO HEALTHCARE. SERVICE LINE LEADERS PROVIDED FEEDBACK ON WHAT WAS TO BE ADDRESSED AND ACCOMPLISHED BASED ON THE IDENTIFIED NEEDS. FOR 2021, WE ADDRESSED AREAS OF NEED IDENTIFIED IN THE 2018 CHNA, HEART DISEASE/STROKE; DIABETES/PHYSICAL ACTIVITY, NUTRITION & OBESITY; MENTAL HEALTH; CANCER; AND ACCESS TO HEALTHCARE WITH ACTIONS AND RESULTS DESCRIBED BELOW. WHILE CREATING THE COMMUNITY HEALTH IMPROVEMENT PLAN, AREAS OF IMPROVEMENT IDENTIFIED IN THE ASSESSMENT HAD TO BE PRIORITIZED BASED ON WHAT COULD REALISTICALLY BE ADDRESSED BY THE HOSPITAL SYSTEM, AND WHAT WAS ALREADY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND CHNA PARTNERS. CONSIDERATIONS INCLUDED SERVICES THAT COULD BE ACTUALLY PROVIDED BY THE HOSPITAL RELATED TO THE NEED, THE FINANCIAL MEANS TO HAVE AN IMPACT, THE STAFFING AVAILABLE TO MEET THE NEED, AND WHAT NEEDS WERE BEING ADDRESSED BY OTHER ORGANIZATIONS WITHIN OUR COMMUNITY. HEART DISEASE/STROKE(5) 6-WEEK, EVIDENCE-BASED, PLANT FOCUSED COOKING CLASS SERIES (34 CLASSES), CALLED COOKING WITH HEART, WERE PRESENTED TO 64 PEOPLE. CONTINUED HEART TO HEART COMMUNITY EDUCATION SERIES WITH 5 PRESENTATIONS BY CARDIOLOGISTS REACHING 200 PEOPLE. THE TRINITY HEALTH FOUNDATION RAISED MORE THAN $140,000 FOR CARDIOVASCULAR SERVICES AT THE UNITYPOINT HEALTH CUP GOLF BENEFIT. TRINITY HIRED A PREVENTION & WELLNESS STRATEGIST TO THE TEAM, WHO HAS A FOCUS ON HEART HEALTH AND PROVIDES COMMUNITY EDUCATION AND SUPPORT ON THE TOPICS OF DISEASE PREVENTION, IMPROVING HEALTH THROUGH NUTRITION, AND OTHER PROVEN WELLNESS TECHNIQUES.DIABETES/PHYSICAL ACTIVITY, NUTRITION & OBESITYPRESENTED 4 COOKING WITH HEART FOR DIABETES SERIES (16 CLASSES), A 4-WEEK, EVIDENCE-BASED COOKING CLASS FOR PREVENTION OF DIABETES AND MANAGING BLOOD SUGAR WITH 4 DIETICIANS FROM TRINITY, UNITYPOINT CLINIC AND GENESIS HEALTH SYSTEM. NINETY-NINE PARTICIPANTS LEARNED HOW NUTRITION CAN HELP THEM LIVE WELL AND MANAGE BLOOD SUGARS THROUGH FOOD CHOICES, AND HOW TO PREPARE HEALTHY, DELICIOUS RECIPES. HEALTHY EATING VIDEOS WERE CREATED FOR BIG BROTHERS BIG SISTERS BY WELLNESS COACHES FOR AGES 6-11 AND 12-17. CALLED EAT THE RAINBOW THESE VIDEOS EXPLAINED THE HEALTH BENEFITS OF EATING ALL COLORS OF FRUITS AND VEGETABLES. 500 COMMUNITY MEMBERS WERE PROVIDED NUTRITION AND HEALTHY LIFESTYLE EDUCATION AT SEVEN EVENTS, INCLUDING DIABETES RISK ASSESSMENTS, HEALTHY PLATE TRAINING, AND SODIUM CONSIDERATIONS. MENTAL HEALTHROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH WORKED WITH THE STATE OF IOWA TO OBTAIN CHAPTER 24 ACCREDITATION, WHICH IS A PRECURSOR TO APPLYING FOR DESIGNATION AS A COMMUNITY MENTAL HEALTH CENTER FOR MUSCATINE RYC CLINIC. THE ROBERT YOUNG CENTER'S $6.7 MILLION DOLLAR PROPOSED FY22 EASTERN IOWA REGION CRISIS SYSTEM CONTRACT WAS APPROVED BY THE REGION GOVERNING BOARD. THE EXPANSION OF CRISIS SERVICES FOR CEDAR, MUSCATINE, SCOTT, JACKSON, AND CLINTON COUNTIES INCLUDES CRISIS STABILIZATION, RESIDENTIAL AND COMMUNITY-BASED SERVICES FOR CHILDREN AND ADULTS, PEER SUPPORT, JAIL-BASED SERVICES, CARE COORDINATION, MEDICATION BRIDGE APPOINTMENTS, TRAINING, AND OTHER MENTAL HEALTH SERVICES. CADS PROVIDED 847 HOURS OF EDUCATION AND TRAINING TO 2,819 STUDENTS AND ADULTS ON PREVENTION OF GAMBLING, DRUG OVERDOSE, ALCOHOL ABUSE, DRUG ABUSE, TOBACCO USE, PRESCRIPTION DRUG ABUSE, AND VIOLENCE, AS WELL AS SKILLS BUILDING AND A STRONG AFRICAN AMERICAN FAMILIES PROGRAM. RYC'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PARTICIPATED IN THE NAACP RESOURCE FAIR WITH 200 PEOPLE AND PROVIDED A GRIEF AND SUICIDE PREVENTION PRESENTATION AT A HEALTH AND WELLNESS COMMUNITY EVENT.CANCERTRINITY AND GILDA'S CLUB PROVIDED FREE, IN-HOME COLON CANCER SCREENING TESTS, THANKS TO A GRANT FROM IOWA CANCER CONSORTIUM. 575 KITS WERE DISTRIBUTED, 68 WERE RETURNED, A 12% RETURN RATE, AND 5 WERE POSITIVE. COORDINATED THE FOLLOW-UP CARE WITH THEIR PRIMARY CARE PROVIDER OR SPECIALTY PROVIDERS. PARTNERED WITH 8 ORGANIZATIONS, PARISH NURSES, LOCAL BARBER SHOPS, AND CHURCHES TO DISTRIBUTE THE KITS. HOSTED 3 COLON CANCER SCREENING WORKSHOPS AND TRAINED STAFF AT COMMUNITY HEALTH CARE ON THE COLON CANCER SCREENING KITS. THREE FREE COOKING WITH HEART FOR CANCER CLASS SERIES (12 CLASSES), WITH 100 PARTICIPANTS WAS PROVIDED. SUSAN G. KOMEN BREAST CANCER FOUNDATION, AFTER RESTRUCTURING, PROVIDED TRINITY HEALTH FOUNDATION WITH $50,000 FOR BREAST HEALTH SERVICES, PATIENT SERVICES, TECHNOLOGY, ACCESS TO CARE, AND FUTURE INNOVATIONS. VIDEOS ON VAPING FACTS CREATED FOR AGES 6-11 AND 12-17 AT BIG BROTHERS BIG SISTERS EDUCATION ON NUTRITION AND CANCER, SCREENING FOR BREAST, LUNG AND COLON CANCERS, AND BREAST CANCER AWARENESS PROVIDED AT 4 EVENTS FOR 300 PEOPLE.ACCESS TO HEALTHCARETRINITY PARTNERED WITH THE PROJECT OF THE QC TO ENSURE ALL MEMBERS OF OUR COMMUNITY HAVE SAFE, EQUITABLE ACCESS TO HEALTHCARE WITH PLANS FOR LGBTQ SAFE ZONES IN ALL UNITYPOINT CLINICS AND TRAINING TO ALL STAFF MEMBERS. LAUNCHED NEW SOCIAL SERVICES RESOURCE CALLED TOGETHER WE CARE TO HELP PEOPLE FIND ASSISTANCE WITH FOOD, HOUSING, TRANSPORTATION, EMPLOYMENT AND MORE. A $6 MILLION PROJECT SERVING THE MUSCATINE COMMUNITY PRIORITIZES FACILITY UPGRADES TO ALLOW LOCAL MEDICAL PROVIDERS MORE OF THE RESOURCES THEY NEED TO PROVIDE HIGH-QUALITY, PERSONAL CARE CLOSER TO HOME. HEALTHPARTNERS UNITYPOINT HEALTH BEGAN OFFERING FULL HEALTH INSURANCE PLANS TO SMALL BUSINESSES WITH <50 EMPLOYEES IN SCOTT & MUSCATINE COUNTIES WITH 27 PLAN OPTIONS. PARISH NURSES PROVIDED 537 HOURS OF TRANSPORTATION SERVICES TO 516 PERSONS IN ILLINOIS AND IOWA QUAD CITIES. THE QUAD CITIES REGIONAL SERVICES FOR VETERANS PROJECT WAS HELD VIRTUALLY FROM OCTOBER 1 TO NOVEMBER 19 TO PROVIDE VETERANS ACCESS TO VA, RYC, AND COMMUNITY RESOURCES. FORTY VETERANS WERE SERVED. PROVIDED $40,573 IN FREE MEDICATIONS TO 662 PATIENTS. REDUCED TOTAL AREA NO-SHOW RATE IN CLINICS BY 3% SINCE 2019. OUTREACH COORDINATOR PROVIDED EDUCATION TO 55 PERSONS ON 5 OCCASIONS AT CHRISTIAN CARE MEN'S HOMELESS SHELTER. 868 HOURS OF ASSISTANCE BY OUR FINANCIAL CONSULTING/MARKETPLACE TEAM WAS PROVIDED TO THE COMMUNITY DURING OPEN ENROLLMENT, AS WELL AS EDUCATION ON INSURANCE COVERAGE OPTIONS THROUGHOUT THE YEAR. GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE 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 U.S. 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. GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 5: THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. SELECT OPERATIONS DATA FROM LOCAL PROVIDERS ALSO WERE SUMMARIZED. QUALITATIVE DATA ON COMMUNITY HEALTH CONCERNS WAS ALSO COLLECTED AND ANALYZED FROM OUR BI-STATE STEERING COMMITTEE, STAKEHOLDERS, AND THROUGH 21 FOCUS GROUPS REACHING 147 INDIVIDUALS FROM 12 SUB-POPULATIONS. GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM AND UNITYPOINT HEALTH - TRINIITY MUSCATINE (UNITY HEALTHCARE) GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 11: THE MOST RECENT ASSESSMENT WAS CONDUCTED IN 2021. BASED ON THE ASSESSMENT, UNITYPOINT HEALTH - TRINITY DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2022-2024 FOCUSED ON KEY AREAS IDENTIFIED THAT WILL GUIDE THE COMMUNITY WORK TRINITY DOES FOR THE NEXT THREE YEARS. THOSE AREAS INCLUDE HEALTHY LIFESTYLE (HEART DISEASE, STROKE, DIABETES, NUTRITION, OBESITY/WEIGHT, AND PHYSICAL ACTIVITY); CANCER; MENTAL HEALTH; AND ACCESS TO HEALTHCARE. SERVICE LINE LEADERS PROVIDED FEEDBACK ON WHAT WAS TO BE ADDRESSED AND ACCOMPLISHED BASED ON THE IDENTIFIED NEEDS. FOR 2021, WE ADDRESSED AREAS OF NEED IDENTIFIED IN THE 2018 CHNA, HEART DISEASE/STROKE; DIABETES/PHYSICAL ACTIVITY, NUTRITION & OBESITY; MENTAL HEALTH; CANCER; AND ACCESS TO HEALTHCARE WITH ACTIONS AND RESULTS DESCRIBED BELOW. WHILE CREATING THE COMMUNITY HEALTH IMPROVEMENT PLAN, AREAS OF IMPROVEMENT IDENTIFIED IN THE ASSESSMENT HAD TO BE PRIORITIZED BASED ON WHAT COULD REALISTICALLY BE ADDRESSED BY THE HOSPITAL SYSTEM, AND WHAT WAS ALREADY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS AND CHNA PARTNERS. CONSIDERATIONS INCLUDED SERVICES THAT COULD BE ACTUALLY PROVIDED BY THE HOSPITAL RELATED TO THE NEED, THE FINANCIAL MEANS TO HAVE AN IMPACT, THE STAFFING AVAILABLE TO MEET THE NEED, AND WHAT NEEDS WERE BEING ADDRESSED BY OTHER ORGANIZATIONS WITHIN OUR COMMUNITY. HEART DISEASE/STROKE(5) 6-WEEK, EVIDENCE-BASED, PLANT FOCUSED COOKING CLASS SERIES (34 CLASSES), CALLED COOKING WITH HEART, WERE PRESENTED TO 64 PEOPLE. CONTINUED HEART TO HEART COMMUNITY EDUCATION SERIES WITH 5 PRESENTATIONS BY CARDIOLOGISTS REACHING 200 PEOPLE. THE TRINITY HEALTH FOUNDATION RAISED MORE THAN $140,000 FOR CARDIOVASCULAR SERVICES AT THE UNITYPOINT HEALTH CUP GOLF BENEFIT. TRINITY HIRED A PREVENTION & WELLNESS STRATEGIST TO THE TEAM, WHO HAS A FOCUS ON HEART HEALTH AND PROVIDES COMMUNITY EDUCATION AND SUPPORT ON THE TOPICS OF DISEASE PREVENTION, IMPROVING HEALTH THROUGH NUTRITION, AND OTHER PROVEN WELLNESS TECHNIQUES.DIABETES/PHYSICAL ACTIVITY, NUTRITION & OBESITYPRESENTED 4 COOKING WITH HEART FOR DIABETES SERIES (16 CLASSES), A 4-WEEK, EVIDENCE-BASED COOKING CLASS FOR PREVENTION OF DIABETES AND MANAGING BLOOD SUGAR WITH 4 DIETICIANS FROM TRINITY, UNITYPOINT CLINIC AND GENESIS HEALTH SYSTEM. NINETY-NINE PARTICIPANTS LEARNED HOW NUTRITION CAN HELP THEM LIVE WELL AND MANAGE BLOOD SUGARS THROUGH FOOD CHOICES, AND HOW TO PREPARE HEALTHY, DELICIOUS RECIPES. HEALTHY EATING VIDEOS WERE CREATED FOR BIG BROTHERS BIG SISTERS BY WELLNESS COACHES FOR AGES 6-11 AND 12-17. CALLED EAT THE RAINBOW THESE VIDEOS EXPLAINED THE HEALTH BENEFITS OF EATING ALL COLORS OF FRUITS AND VEGETABLES. 500 COMMUNITY MEMBERS WERE PROVIDED NUTRITION AND HEALTHY LIFESTYLE EDUCATION AT SEVEN EVENTS, INCLUDING DIABETES RISK ASSESSMENTS, HEALTHY PLATE TRAINING, AND SODIUM CONSIDERATIONS. MENTAL HEALTHROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH WORKED WITH THE STATE OF IOWA TO OBTAIN CHAPTER 24 ACCREDITATION, WHICH IS A PRECURSOR TO APPLYING FOR DESIGNATION AS A COMMUNITY MENTAL HEALTH CENTER FOR MUSCATINE RYC CLINIC. THE ROBERT YOUNG CENTER'S $6.7 MILLION DOLLAR PROPOSED FY22 EASTERN IOWA REGION CRISIS SYSTEM CONTRACT WAS APPROVED BY THE REGION GOVERNING BOARD. THE EXPANSION OF CRISIS SERVICES FOR CEDAR, MUSCATINE, SCOTT, JACKSON, AND CLINTON COUNTIES INCLUDES CRISIS STABILIZATION, RESIDENTIAL AND COMMUNITY-BASED SERVICES FOR CHILDREN AND ADULTS, PEER SUPPORT, JAIL-BASED SERVICES, CARE COORDINATION, MEDICATION BRIDGE APPOINTMENTS, TRAINING, AND OTHER MENTAL HEALTH SERVICES. CADS PROVIDED 847 HOURS OF EDUCATION AND TRAINING TO 2,819 STUDENTS AND ADULTS ON PREVENTION OF GAMBLING, DRUG OVERDOSE, ALCOHOL ABUSE, DRUG ABUSE, TOBACCO USE, PRESCRIPTION DRUG ABUSE, AND VIOLENCE, AS WELL AS SKILLS BUILDING AND A STRONG AFRICAN AMERICAN FAMILIES PROGRAM. RYC'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PARTICIPATED IN THE NAACP RESOURCE FAIR WITH 200 PEOPLE AND PROVIDED A GRIEF AND SUICIDE PREVENTION PRESENTATION AT A HEALTH AND WELLNESS COMMUNITY EVENT.CANCERTRINITY AND GILDA'S CLUB PROVIDED FREE, IN-HOME COLON CANCER SCREENING TESTS, THANKS TO A GRANT FROM IOWA CANCER CONSORTIUM. 575 KITS WERE DISTRIBUTED, 68 WERE RETURNED, A 12% RETURN RATE, AND 5 WERE POSITIVE. COORDINATED THE FOLLOW-UP CARE WITH THEIR PRIMARY CARE PROVIDER OR SPECIALTY PROVIDERS. PARTNERED WITH 8 ORGANIZATIONS, PARISH NURSES, LOCAL BARBER SHOPS, AND CHURCHES TO DISTRIBUTE THE KITS. HOSTED 3 COLON CANCER SCREENING WORKSHOPS AND TRAINED STAFF AT COMMUNITY HEALTH CARE ON THE COLON CANCER SCREENING KITS. THREE FREE COOKING WITH HEART FOR CANCER CLASS SERIES (12 CLASSES), WITH 100 PARTICIPANTS WAS PROVIDED. SUSAN G. KOMEN BREAST CANCER FOUNDATION, AFTER RESTRUCTURING, PROVIDED TRINITY HEALTH FOUNDATION WITH $50,000 FOR BREAST HEALTH SERVICES, PATIENT SERVICES, TECHNOLOGY, ACCESS TO CARE, AND FUTURE INNOVATIONS. VIDEOS ON VAPING FACTS CREATED FOR AGES 6-11 AND 12-17 AT BIG BROTHERS BIG SISTERS EDUCATION ON NUTRITION AND CANCER, SCREENING FOR BREAST, LUNG AND COLON CANCERS, AND BREAST CANCER AWARENESS PROVIDED AT 4 EVENTS FOR 300 PEOPLE.ACCESS TO HEALTHCARETRINITY PARTNERED WITH THE PROJECT OF THE QC TO ENSURE ALL MEMBERS OF OUR COMMUNITY HAVE SAFE, EQUITABLE ACCESS TO HEALTHCARE WITH PLANS FOR LGBTQ SAFE ZONES IN ALL UNITYPOINT CLINICS AND TRAINING TO ALL STAFF MEMBERS. LAUNCHED NEW SOCIAL SERVICES RESOURCE CALLED TOGETHER WE CARE TO HELP PEOPLE FIND ASSISTANCE WITH FOOD, HOUSING, TRANSPORTATION, EMPLOYMENT AND MORE. A $6 MILLION PROJECT SERVING THE MUSCATINE COMMUNITY PRIORITIZES FACILITY UPGRADES TO ALLOW LOCAL MEDICAL PROVIDERS MORE OF THE RESOURCES THEY NEED TO PROVIDE HIGH-QUALITY, PERSONAL CARE CLOSER TO HOME. HEALTHPARTNERS UNITYPOINT HEALTH BEGAN OFFERING FULL HEALTH INSURANCE PLANS TO SMALL BUSINESSES WITH <50 EMPLOYEES IN SCOTT & MUSCATINE COUNTIES WITH 27 PLAN OPTIONS. PARISH NURSES PROVIDED 537 HOURS OF TRANSPORTATION SERVICES TO 516 PERSONS IN ILLINOIS AND IOWA QUAD CITIES. THE QUAD CITIES REGIONAL SERVICES FOR VETERANS PROJECT WAS HELD VIRTUALLY FROM OCTOBER 1 TO NOVEMBER 19 TO PROVIDE VETERANS ACCESS TO VA, RYC, AND COMMUNITY RESOURCES. FORTY VETERANS WERE SERVED. PROVIDED $40,573 IN FREE MEDICATIONS TO 662 PATIENTS. REDUCED TOTAL AREA NO-SHOW RATE IN CLINICS BY 3% SINCE 2019. OUTREACH COORDINATOR PROVIDED EDUCATION TO 55 PERSONS ON 5 OCCASIONS AT CHRISTIAN CARE MEN'S HOMELESS SHELTER. 868 HOURS OF ASSISTANCE BY OUR FINANCIAL CONSULTING/MARKETPLACE TEAM WAS PROVIDED TO THE COMMUNITY DURING OPEN ENROLLMENT, AS WELL AS EDUCATION ON INSURANCE COVERAGE OPTIONS THROUGHOUT THE YEAR. GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF 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 U.S. 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 (LIST URL):WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACILITY REPORTING GROUP A - PART V, LINE 10A, IMPLEMENTATION STRATEGY: THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACILITY REPORTING GROUP A - PART V, LINE 16A, FAP WEBSITE: THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL): WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP A - PART V, LINE 16B, FAP WEBSITE: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP A - PART V, LINE 16C, FAP WEBSITE: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE 9 1 - TRINITY SLEEP CENTER 4540 3RD STREET MOLINE IL 61265 OUTPATIENT ONLY 2 - TRINITY PAIN CLINIC 4480 UTICA RIDGE RD SUITE 2240 BETTENDORF IA 52722 OUTPATIENT ONLY 3 - UNITYPOINT HEALTH TRINITY ROCK ISLAND MU 2570 24TH STREET SUITE 124 ROCK ISLAND IL 61201 OUTPATIENT ONLY 4 - UNITYPOINT HEALTH TRINITY ROCK ISLAND MU 2560 24TH STREET SUITE 102 ROCK ISLAND IL 61201 OUTPATIENT ONLY 5 - TRINITY OUTPATIENT REHAB SERVICES 3910 16TH STREET MOLINE IL 61265 OUTPATIENT ONLY 6 - TRINITY CENTER FOR WOUND HEALING 4480 UTICA RIDGE RD SUITE 110 BETTENDORF IA 52722 OUTPATIENT ONLY 7 - TRINITY OUTPATIENT REHAB SERVICES 5401 44TH AVENUE DR SUITE 102 MOLINE IL 61265 OUTPATIENT ONLY 8 - TRINITY OUTPATIENT REHAB SERVICES 4317 EAST 53RD ST DAVENPORT IA 52807 OUTPATIENT ONLY 9 - UNITYPOINT HEALTH TRINITY BETTENDORF MUL 4480 UTICA RIDGE RD SUITE 160 BETTENDORF IA 52722 OUTPATIENT ONLY PART I, LINE 6A: TRINITY 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 SEGMENT SPECIFIC 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 $ 227,000. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. TRINITY MEDICAL CENTER CONTRIBUTES FINANCIALLY TO A WIDE VARIETY OF COMMUNITY ORGANIZATIONS THAT ADDRESS THE BROADER NEEDS OF THE COMMUNITY. THESE DONATIONS ALLOW OTHER NON-PROFIT ORGANIZATIONS TO FULFILL THEIR MISSIONS TO IMPROVE THE WELL BEING OF THE COMMUNITY AND CONTRIBUTE TO ITS OVERALL HEALTH STATUS IN WAYS THAT MAY DIFFER FROM THE DIRECT SERVICES OF THE HOSPITAL ORGANIZATION AND MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. TRINITY MEDICAL CENTER EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, TRINITY MEDICAL CENTER EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COLLABORATE TO ADDRESS COMPLEX HEALTH ISSUES. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH. 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 TRINITY MEDICAL CENTER. 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 SHORTFALL 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.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: UNITYPOINT HEALTH - TRINITY COMPLETED THE LATEST VERSION ON THE COMMUNITY HEALTH NEEDS ASSESSMENT IN SEPTEMBER OF 2018. IN THE SAME YEAR, THE TRINITY REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS APPROVED THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN (IMPLEMENTATION PLAN) STRATEGIES FOR 2019-2021.COLLABORATION HAS BEEN ESSENTIAL TO ADDRESSING THE NEEDS OF THE COMMUNITY. STRONG RELATIONSHIPS HAVE BEEN DEVELOPED WITH VARIOUS ORGANIZATIONS TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. COMMUNITY PARTNERS INCLUDE BOYS & GIRLS CLUB, BIG BROTHERS BIG SISTERS, GLOBAL COMMUNITIES, NAMI, RIVER BEND FOODBANK, QUAD CITIES VET CENTER, AND LOCAL SCHOOL DISTRICTS ON BOTH THE ILLINOIS AND IOWA SIDE TO NAME A FEW. THROUGH THESE RELATIONSHIPS WE HAVE BEEN ABLE TO PROVIDE EDUCATION, AWARENESS, CONDUCT SCREENINGS, MAKE REFERRALS FOR ADDITIONAL SERVICES, AND HELP THE COMMUNITY UNDERSTAND WHEN, WHERE, AND HOW TO ACCESS THE PROPER TYPE OF CARE TO MEET THEIR NEEDS. IN 2018, UNITYPOINT HEALTH LAUNCHED A THREE-YEAR PRESCRIPTION DRUG SAFETY PROGRAM INITIATIVE. THE PROGRAM, PROVIDED BY UNITYPOINT HEALTH AT NO COST TO STUDENTS OR SCHOOLS, IS DESIGNED TO COMBAT THE OPIOID AND PRESCRIPTION DRUG ABUSE CRISIS BY BRINGING EDUCATION BEST PRACTICES AND DIGITAL TECHNOLOGY TO SCHOOLS NATIONWIDE. THE PLATFORM WAS ROLLED OUT TO SEVEN SCHOOLS THROUGHOUT SCOTT, MUSCATINE, ROCK ISLAND, AND HENRY COUNTY. NEARLY 250 STUDENTS USED THE PROGRAM WITH A TOTAL OF 117 LEARNING HOURS. THERE'S HAS BEEN A LOT OF GREAT FEEDBACK FROM THE PROGRAM, MOST NOTABLY THAT 90% OF STUDENTS FELT THEY HAD THE SKILLS NEEDED TO REFUSE PRESCRIPTION DRUGS. THIS IS JUST ONE EXAMPLE OF THE PROACTIVE WORK BEING DONE TO COMBAT CHALLENGES WE'RE FACING IN OUR COMMUNITY. UNITYPOINT HEALTH - TRINITY IS COMMITTED TO CONTINUING OUR EFFORT TO DEVELOP PARTNERSHIP OPPORTUNITIES THROUGH OUR SPONSORSHIP PROCESS. OUR ORGANIZATION'S MISSION IS TO "IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, AND WE HAVE BEEN INTENTIONAL ABOUT THE TYPES OF ACTIVITIES AND ORGANIZATIONS WE SPONSOR. THE MAJORITY OF SPONSORSHIPS WE PROVIDE TO THE COMMUNITY ARE DIRECTLY ALIGNED WITH THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, AND THE KEY FOCUS AREAS FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN. THERE HAS ALSO BEEN AN INTENTIONAL EFFORT TO GO BEYOND THE SPONSORSHIP EXCHANGE WITH ORGANIZATIONS IN ORDER TO WORK WITH THEM TO DEVELOP STRATEGIES AND PROGRAMING TO REACH THE COMMUNITY WITH HEALTH EDUCATION AND SERVICES. IN 2018, WE BEGAN LOOKING AT ORGANIZATIONS WE WEREN'T ABLE TO SPONSORS TO DEVELOP PARTNERSHIPS WITH THEM AS WELL TO EXPAND OUR OUTREACH EFFORTS. THIS HAS ALLOWED US TO REMAIN AND VALUABLE COMMUNITY PARTNER AND STRENGTHENS OUR TIES WITHIN THE COMMUNITIES WE SERVE. WE WILL CONTINUE TO ADVANCE THESE TYPES OF OPPORTUNITIES AND OTHERS AS THEY ARE PRESENTED. A GREAT EXAMPLE OF THIS IS A PARTNERSHIP THAT FORMED BETWEEN UNITYPOINT HEALTH - TRINITY, WORLD RELIEF, AND THE IMMIGRANT AND REFUGEE COMMUNITY. TRINITY'S PARISH NURSE DEPARTMENT WAS CONTACTED BY A LOCAL PASTOR IN THE BURMESE COMMUNITY IN THE QUAD CITIES. THE PASTOR WAS CONCERNED ABOUT THE PREGNANT WOMEN IN HIS CONGREGATION AND THE UNFAMILIARITY WITH HAVING CHILD IN THE UNITED STATES. AS A RESULT OF THE CONCERN, FOCUS GROUPS WERE HELD TRINITY'S LABOR/DELIVERY TEAM, THE BURMESE COMMUNITY, AND AFRICAN IMMIGRANT COMMUNITY WITH ASSISTANCE FROM WORLD RELIEF. FOLLOWING THE FOCUS GROUPS, PRENATAL CLASSES WERE HELD TO HELP EASE THE STRESS OF EXPECTING MOTHERS AND ALLOW THEM TO HAVE A MORE POSITIVE EXPERIENCE. IN 2016, UNITYPOINT HEALTH - TRINITY FORMED A MILITARY ADVISORY COUNCIL TO HELP IDENTIFY COMMON CHALLENGES IMPACTING VETERANS IN THE LOCAL COMMUNITY. FROM THIS WORK WE FOUND THAT A LOT OF VETERANS IN THE COMMUNITY HAVE VERY LIMITED KNOWLEDGE AROUND THE SERVICES OFFERED TO ASSIST THEM. THE COMMITTEE DEVELOPED A RESOURCE GUIDE TO HELP CONNECT VETERANS TO RESOURCES SUCH AS HOUSING, EMPLOYMENT, STATE AND COUNTY RESOURCES, FOOD, AND MORE. THIS RESOURCE IS ACCESSIBLE TO ANYONE IN THE COMMUNITY TO USE TO ASSIST CONNECTING VETERANS TO NEEDED RESOURCES. UNITYPOINT HEALTH - TRINITY HAS ALSO PARTNERED WITH A NUMBER OF LOCAL VETERAN ORGANIZATIONS TO REACH VETERANS WITH HEALTH INFORMATION, EDUCATION AND SERVICES. WE HOSTED A NUMBER OF EVENTS TO PROVIDE FREE BLOOD PRESSURE SCREENINGS, FLU SHOTS, DIABETES SCREENINGS AND MORE. BY 2018, OUR MILITARY ADVISORY COMMITTEE WAS NOTICED BY THE DEPARTMENT OF VETERANS AFFAIRS FOR THE WORK BEING DONE IN THE LOCAL COMMUNITY. IN MID-2018 UNITYPOINT HEALTH - TRINITY'S MILITARY ADVISORY COMMITTEE RECENT THE COMMUNITY VETERANS ENGAGEMENT BOARD DESIGNATION, THE SECOND ESTABLISHED IN THE STATE OF IA, AND THE FIRST IN THE COUNTRY TO BE FORMED OUT OF A HEALTHCARE SYSTEM. THE COMMUNITY ENGAGEMENT DEPARTMENT UTILIZES UNITYPOINT HEALTH - TRINITY'S MISSION EFFECTIVENESS COMMITTEE TO ADVISE THE DIRECTION AND IMPACT OF THE ORGANIZATION'S OUTREACH WORK. THE COMMITTEE'S PURPOSE IS TO ENSURE THAT UNITYPOINT HEALTH - TRINITY IS LIVING OUT ITS MISSION IN AN EFFECTIVE AND IMPACTFUL WAY. THE MISSION EFFECTIVENESS COMMITTEE IS COMPRISED OF UNITYPOINT HEALTH - TRINITY BOARD MEMBERS, STAFF, AND MEMBERS OF THE LOCAL COMMUNITY. 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: UNITYPOINT HEALTH - TRINITY IS A 515-BED COMMUNITY HOSPITAL SERVING EASTERN IOWA AND WESTERN ILLINOIS. UNITYPOINT HEALTH - TRINITY IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF UNITYPOINT HEALTH - TRINITY'S MARKET RESIDENTS LIVE WITHIN THE ILLINOIS AND IOWA COUNTIES OF ROCK ISLAND AND SCOTT, RESPECTIVELY.UNITYPOINT HEALTH - TRINITY ADMITS APPROXIMATELY 14,000 INPATIENTS AND CARES FOR 83,000 EMERGENCY PATIENTS PER YEAR. MEDIAN INDIVIDUAL INCOMES RANGE FROM $58,947 TO $67,675 AND THE AVERAGE POVERTY RATE IS 14.7%.58% OF UNITYPOINT HEALTH - TRINITY PATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. ROCK ISLAND COUNTY IS 81% CAUCASION, 14% HISPANIC, AND 12% AFRICAN AMERICAN. SCOTT COUNTY IS 85% CAUCASION, 13% AFRICAN AMERICAN, AND 8% HISPANIC. PART VI, LINE 5: THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD OF DIRECTORS OF THE HOSPITAL IS COMPOSED OF CIVIC LEADERS WHO RESIDE IN THE SERVICE AREA OF THE HOSPITAL. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO THE DIRECT OPERATIONS OF THE HOSPITAL. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF HOSPITAL SURPLUS FUNDS, WHICH ARE ALL USED TO FURTHER OUR 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 $4.3B IN OPERATING REVENUE AND 27,000 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 370 CLINICS; 19 COMMUNITY NETWORK HOSPITALS; 13 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; 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 2022, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $742 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 IL,IA 1 CENTER FOR ALCOHOL & DRUG SERVICES INC 1523 S FAIRMOUNT DAVENPORT IA 52802 421134273 501(C)(3) 800000 0 PROGRAM SUPPORT IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PARKWAY SUITE 400 WEST DES MOINES IA 50266 421411630 501(C)(3) 27755642 0 PROGRAM SUPPORT THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 4600 3RD ST MOLINE IL 61265 363678909 501(C)(3) 3238983 0 PROGRAM SUPPORT 3 0 MEDICAL ASSISTANCE 47 46343 PART I, LINE 2: TRINITY MEDICAL CENTER REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINES A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. THE ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. 1 X X X X X 1 1 0 0 0 0 0 0 0 JOHN SHEEHAN TO 919 FORMER BD MEMBER/INTERIM PRES/CEO 0 460574 0 237174 0 568685 0 15250 0 8936 0 1290619 0 192653 COSTAS CONSTANTINOU MD BOARD MEMBER 0 927853 0 72048 0 3408 0 15250 0 22341 0 1040900 0 0 TOYOSI OLUTADE MD CHIEF MEDICAL OFFICER 655879 127756 104042 0 5011 0 10526 4724 21133 4709 796591 137189 0 0 ROBERT ERICKSON BOARD MEMBER/PRESIDENT/CEO 510076 0 153613 0 16992 0 98448 0 31683 0 810812 0 0 0 RHONDA SOWARDS MD EMERGENCY PHYSICIAN 610558 0 89418 0 870 0 15250 0 25568 0 741664 0 0 0 KEVIN KURTH MD MEDICAL DIRECTOR-ER/TRAUMA 670297 0 0 0 6536 0 15250 0 27012 0 719095 0 0 0 SHAWN KEEVEN MD VP/MEDICAL DIRECTOR 0 515939 0 37491 0 960 0 15250 0 26905 0 596545 0 0 ELIZABETH SCHUPP MD PULMONOLOGIST 556909 0 0 0 7658 0 15250 0 1260 0 581077 0 0 0 THOMAS RAMSTACK DO EMERGENCY PHYSICIAN 417640 0 108672 0 1344 0 15250 0 27391 0 570297 0 0 0 ALYSA DAVIS DO EMERGENCY PHYSICIAN 410976 0 130115 0 432 0 15250 0 10280 0 567053 0 0 0 ZACHARY RASMUSSEN MD EMERGENCY PHYSICIAN 450198 0 60570 0 394 0 15250 0 25226 0 551638 0 0 0 KATHERINE MARCHIK SR VP FINANCE/CFO 356893 0 86084 0 4638 0 66238 0 29808 0 543661 0 0 0 BARBARA WEBER CHIEF OPERATING OFFICER 381625 0 90508 0 7429 0 49123 0 1733 0 530418 0 0 0 JOY LEDBETTER VP HUMAN RESOURCES 0 305776 0 90925 0 57962 0 15250 0 22273 0 492186 0 0 KATHERINE PEARSON SR VP/CHIEF STRATEGY OFFICER 323686 0 77490 0 5406 0 54591 0 17917 0 479090 0 0 0 MELLISSA WOOD CHIEF NURSING EXECUTIVE 287941 0 67945 0 3477 0 6100 0 2127 0 367590 0 0 0 RICHARD SEIDLER TO 519 FORMER BD MEMBER/PRESIDENT/CEO 0 0 0 0 367341 0 0 0 0 0 367341 0 367341 0 DENNIS DUKE PRESIDENT RYC 232499 0 56965 0 5884 0 14059 0 30403 0 339810 0 0 0 MATTHEW BEHRENS TO 919 REG VP/CLINIC OPS 0 223028 0 71526 0 138 0 14942 0 9627 0 319261 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: JOHN SHEEHAN $359,175. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: ROBERT ERICKSON $83,198 , KATHERINE MARCHIK $50,988 , KATHERINE PEARSON $ 39,341, & BARBARA WEBER $38,292. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: RICHARD SEIDLER $ 367,341 & JOHN SHEEHAN $192,653. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS. FORM 990, PART V, LINES 1A & 1B CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). 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 6 TRINITY REGIONAL HEALTH SYSTEM, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A TRINITY REGIONAL HEALTH SYSTEM MAY APPOINT ONE BOARD MEMBER AND APPROVES ALL OTHERS. FORM 990, PART VI, SECTION A, LINE 7B TRINITY REGIONAL HEALTH SYSTEM, AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES, BYLAWS AND MISSION, MAY REMOVE ANY TRUSTEE WITH OR WITHOUT CAUSE, APPOINTS CEO AND VICE PRESIDENT, APPROVES MERGERS, CREATION OF SUBSIDIARY OR AFFILIATE ORGANIZATIONS, AND APPROVES BUDGETS AND LONG-RANGE STRATEGY. TRINITY REGIONAL HEALTH SYSTEM AND IOWA HEALTH SYSTEM MUST APPROVE DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. 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 2022 FOR THE FOLLOWING INDIVIDUALS: MATTHEW BEHRENS, DENNIS DUKE, ROBERT ERICKSON, L. J. SHAWN KEEVEN, MD, JOY LEDBETTER, KATHERINE MARCHIK, TOYOSI OLUTADE, MD, KATIE PEARSON, BARB WEBER, & MELLISSA WOOD. 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 IN TRINITY HEALTH FOUNDATION -1,736,353. CHANGES IN PENSION LIABILITY 53,632. FUND BALANCE TRANSFER -300,000. 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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 370 CLINICS; 19 COMMUNITY NETWORK HOSPITALS; 13 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS