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TRINITY REGIONAL MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TRINITY REGIONAL MEDICAL CENTER (EIN 42-1009175)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202313189349306696
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T11:49:37-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421009175EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTRINBusinessNameControlTxt
Phone5155733101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 KENYON RDAddressLine1Txt
CityFORT DODGECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSARAH MARSHPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone5155746260PhoneNum
Signature2023-11-08SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSARAHPersonFirstNm
Person LastMARSHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLEAH GLASGOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 KENYON RDAddressLine1Txt
CityFORT DODGECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$199,163,652GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNITYPOINT.ORG (SEE SCH O)WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF OUR COMMUNITY AND REGION THROUGH HEALING, CARING AND EDUCATION.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1209TotalEmployeeCnt
Total Volunteers88TotalVolunteersCnt
Total Gross UBI$168,473TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$33,541NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,205,074PYContributionsGrantsAmt
CY Contributions Grants$10,096,391CYContributionsGrantsAmt
PY Program Service Revenue$155,879,470PYProgramServiceRevenueAmt
CY Program Service Revenue$149,764,729CYProgramServiceRevenueAmt
PY Investment Income$5,294,136PYInvestmentIncomeAmt
CY Investment Income$5,356,953CYInvestmentIncomeAmt
PY Other Revenue$1,264,597PYOtherRevenueAmt
CY Other Revenue$643,749CYOtherRevenueAmt
PY Total Revenue$164,643,277PYTotalRevenueAmt
CY Total Revenue$165,861,822CYTotalRevenueAmt
PY Grants And Similar Paid$6,634,237PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,622,310CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$81,746,305PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$90,199,125CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$63,579,334PYOtherExpensesAmt
CY Other Expenses$60,356,589CYOtherExpensesAmt
PY Total Expenses$151,959,876PYTotalExpensesAmt
CY Total Expenses$157,178,024CYTotalExpensesAmt
PY Revenues Less Expenses$12,683,401PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,683,798CYRevenuesLessExpensesAmt
Total Assets BOY$231,496,261TotalAssetsBOYAmt
Total Assets EOY$219,585,097TotalAssetsEOYAmt
Total Liabilities BOY$39,658,702TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,312,671TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$191,837,559NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$188,272,426NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH OF THE CITIZENS OF OUR COMMUNITIES AND REGIONS BY PROVIDING QUALITY HEALTHCARE IN AN EFFICIENT AND COST-EFFECTIVE MANNER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$129,577,426ExpenseAmt
Grant$4,636,657GrantAmt
Revenue$150,398,491RevenueAmt
DescHEALTH-CARE SERVICESTRINITY REGIONAL MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE NORTH CENTRAL IOWA COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTHCARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. TRINITY REGIONAL 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, CRITICAL CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, MATERNAL/CHILD CARE, PEDIATRIC CARE, LABORATORY SERVICES, PHARMACEUTICAL DRUGS, RADIOLOGY AND MANY OTHER ROUTINE AND ANCILLARY SERVICES. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2022, TRINITY REGIONAL MEDICAL CENTER ADMITTED 3,412 PATIENTS RESULTING IN A TOTAL OF 13,039 PATIENT DAYS. OUTPATIENT REGISTRATIONS TOTALED 73,880 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 3,258. THERE WERE ALSO 18,685 EMERGENCY ROOM VISITS AND 446 BABIES DELIVERED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$19,203,256ExpenseAmt
Grant$1,985,653GrantAmt
Revenue$0RevenueAmt
DescCOMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: TRINITY REGIONAL 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 $1,027,725 IN 2022. OFTENTIMES, TRINITY REGIONAL MEDICAL CENTER RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. TRINITY REGIONAL MEDICAL CENTER PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. TRINITY REGIONAL MEDICAL CENTER'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $10,617,674 FOR 2022. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $11,645,399.OTHER BENEFITS: TRINITY REGIONAL MEDICAL CENTER PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. TRINITY REGIONAL 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 REGIONAL MEDICAL CENTER HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $7,557,857.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$148,780,682TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1209EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARAH MARSH VP FINANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5155746260PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 KENYON ROADAddressLine1Txt
CityFORT DODGECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHARLES CLAYTON
BOARD MEMBER1.001.00Yes (X)$0$0$0
NEVEN CONRAD
BOARD VICE CHAIR1.001.00Yes (X)$0$0$0Yes (X)
CHRIS FRIDERES
BOARD MEMBER1.001.00Yes (X)$0$0$0
MIKE FRISCHMEYER
BOARD CHAIR1.001.00Yes (X)$0$2,500$0Yes (X)
LEAH GLASGO BOARD MEMBER
& PRESIDENT/CEO (SC & FD)1.0040.00Yes (X)$0$1,067,658$100,798Yes (X)
DEBRA JOHNSON
BOARD MEMBER1.001.00Yes (X)$0$0$0
KEITH KOLACIA
BOARD MEMBER1.001.00Yes (X)$0$0$0
MICHAEL LEE MD
BOARD MEMBER1.0040.00Yes (X)$0$460,235$28,919
JILL NELSON
BOARD MEMBER1.001.00Yes (X)$0$0$0
JERE NULL TO 1222
BOARD MEMBER1.001.00Yes (X)$0$0$0
LINCOLN WALLACE MD
BOARD SECRETARY/TREASURER1.0040.00Yes (X)$0$498,013$48,241Yes (X)
MICHAEL WILLERTH MD
BOARD MEMBER1.0040.00Yes (X)$0$616,906$38,077
SARAH MARSH
VP FINANCE1.0040.00$0$218,564$38,381Yes (X)
TROY MARTENS
EXEC. DIR SUPPLY CHAIN OPS.40.001.00$0$258,079$31,088Yes (X)
SHANNON MCQUILLEN
VP PEOPLE EXCELLENCE40.000.00$0$193,208$42,406Yes (X)
CHRISTOPHER CARZOLI DO
PHYSICIAN-EMERGENCY40.000.00$411,717$0$44,392Yes (X)
JAMES DORN CRNA
NURSE ANESTHETIST40.000.00$296,029$0$39,034Yes (X)
ERIC HAGE CRNA
NURSE ANESTHETIST40.000.00$494,163$0$36,143Yes (X)
DAN E LENZ CRNA
NURSE ANESTHETIST40.000.00$481,774$0$24,961Yes (X)
ENRIQUE PENA MD
PHYSICIAN TELEHOSPITALIST40.000.00$465,834$0$16,510Yes (X)
SUSAN THOMPSON-IHS INT CEO TO 02
21) FMR INT BOARD MBR/PRES (TO 1/19)0.000.00$0$278,902$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,149,517TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,594,065TotReportableCompRltdOrgAmt
Total Other Compensation$488,950TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K105IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MURRAY BUILDERS LLC
131 W 2ND ST STE 400BDAVENPORTIA52801CONSTRUCTION SERVICES$5,494,387
AYA LOCUMS LLC
5930 CORNERSTONE CRT W STE 300SAN DIEGOCA92121STAFFING SERVICES$4,442,175
CHG COMPANIES INC
PO BOX 972651DALLASTX75394STAFFING SERVICES$989,240
HEALTH CAROUSEL LLC
3805 EDWARDS RD STE 700CINCINNATIOH45209STAFFING SERVICES$685,726
AMERICAN HEALTHCARE STAFFING ASSOCIATION
226 E SIXTEENTH ST STE ATRAVERSE CITYMI49684HEALTHCARE STAFFING$572,207
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Related Organizations$1,408,924RelatedOrganizationsAmt
Government Grants$8,660,204GovernmentGrantsAmt
All Other Contributions$27,263AllOtherContributionsAmt
Total Contributions$10,096,391TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE900099$143,978,693$143,978,693
PHARMACY REVENUE456110$1,853,201$1,684,728$168,473
RENTAL INCOME531110$1,531,383$1,531,383
MGMT & SUPPORT SVCS561000$1,386,329$1,386,329
LABORATORY SERVICES621500$1,007,748$1,007,748

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,375TotalRevenueColumnAmt
Related Or Exempt Func Income$7,375RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$149,764,729TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,736,252TotalRevenueColumnAmt
Related Or Exempt Func Income$7,937RelatedOrExemptFuncIncomeAmt
Exclusion$1,728,315ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$36,886,649SecuritiesAmt
Other$35,882OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$33,150,413SecuritiesAmt
Other$151,417OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,736,236SecuritiesAmt
Other-$115,535OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,620,701TotalRevenueColumnAmt
Exclusion$3,620,701ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MISCELLANEOUS900099$828,510$828,510
CAFETERIA/FOOD SVCS722210$17,924$17,924
SHARED SAVINGS REVENUE900099-$202,685-$202,685
FieldValueIRS element (for citing)
Other Revenue Total$643,749OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$165,861,822TotalRevenueColumnAmt
Related Or Exempt Func Income$150,230,018RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$168,473UnrelatedBusinessRevenueAmt
Exclusion$5,366,940ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,591,839TotalAmt
Program Services$6,591,839ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$30,471TotalAmt
Program Services$30,471ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$235,614TotalAmt
Management And General$235,614ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$98,571TotalAmt
Management And General$98,571ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$74,894,150TotalAmt
Program Services$69,766,190ProgramServicesAmt
Management And General$5,127,960ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,071,752TotalAmt
Program Services$1,929,900ProgramServicesAmt
Management And General$141,852ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,771,795TotalAmt
Program Services$8,171,195ProgramServicesAmt
Management And General$600,600ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,127,243TotalAmt
Program Services$3,844,653ProgramServicesAmt
Management And General$282,590ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$15,805,231TotalAmt
Program Services$15,579,454ProgramServicesAmt
Management And General$225,777ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$151,825TotalAmt
Program Services$3,044ProgramServicesAmt
Management And General$148,781ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$386,836TotalAmt
Program Services$141,834ProgramServicesAmt
Management And General$245,002ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,232,476TotalAmt
Program Services$8,729,362ProgramServicesAmt
Management And General$503,114ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$294,528TotalAmt
Program Services$186,036ProgramServicesAmt
Management And General$108,492ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$801,255TotalAmt
Program Services$640,507ProgramServicesAmt
Management And General$160,748ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total-$3,315TotalAmt
Program Services-$3,315ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,084,923TotalAmt
Program Services$3,858,423ProgramServicesAmt
Management And General$226,500ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$168,278TotalAmt
Program Services$148,719ProgramServicesAmt
Management And General$19,559ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$67,669TotalAmt
Program Services$61,846ProgramServicesAmt
Management And General$5,823ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,010,267TotalAmt
Program Services$1,010,267ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,451,117TotalAmt
Program Services$5,265,249ProgramServicesAmt
Management And General$185,868ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,211,408TotalAmt
Program Services$1,211,408ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$21,513,335$21,485,634$27,701
MISCELLANEOUS EXPENSE$167,326$114,557$52,769
BAD DEBT EXPENSE$13,409$13,409
INCOME TAXES$21$21

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$157,178,024TotalAmt
Program Services$148,780,682ProgramServicesAmt
Management And General$8,397,342ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,544,166BOYAmt
EOY$11,410,611EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,175,182BOYAmt
EOY$8,407,389EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,573,033BOYAmt
EOY$11,882,387EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$13,504,630BOYAmt
EOY$14,974,157EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,059,821BOYAmt
EOY$4,035,110EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$311,221BOYAmt
EOY$284,784EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$205,338,185LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$130,510,687LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,908,375BOYAmt
EOY$74,827,498EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$77,031,371BOYAmt
EOY$64,296,607EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$29,460,696BOYAmt
EOY$27,406,382EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$927,766BOYAmt
EOY$2,060,172EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$231,496,261BOYAmt
EOY$219,585,097EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,337,405BOYAmt
EOY$12,087,776EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,657,561BOYAmt
EOY$81,472EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$767,184BOYAmt
EOY$1,761,208EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,896,552BOYAmt
EOY$17,382,215EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,658,702BOYAmt
EOY$31,312,671EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$182,668,269BOYAmt
EOY$179,376,387EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,169,290BOYAmt
EOY$8,896,039EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$191,837,559BOYAmt
EOY$188,272,426EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$231,496,261BOYAmt
EOY$219,585,097EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,683,798ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$10,194,618NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,054,313OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,562,801BeginningYearBalanceAmt
Contributions$2,932,309ContributionsAmt
Investment Earnings Or Losses-$4,146,114InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,201,665GrantsOrScholarshipsAmt
Administrative Expenses$187,072AdministrativeExpensesAmt
End Year Balance$66,960,259EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$63,887,017BeginningYearBalanceAmt
Contributions$1,754,298ContributionsAmt
Investment Earnings Or Losses$7,268,110InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,174,925GrantsOrScholarshipsAmt
Administrative Expenses$171,699AdministrativeExpensesAmt
End Year Balance$71,562,801EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$59,479,911BeginningYearBalanceAmt
Contributions$1,006,282ContributionsAmt
Investment Earnings Or Losses$4,235,132InvestmentEarningsOrLossesAmt
Grants Or Scholarships$679,648GrantsOrScholarshipsAmt
Administrative Expenses$154,660AdministrativeExpensesAmt
End Year Balance$63,887,017EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$52,533,517BeginningYearBalanceAmt
Contributions$1,511,461ContributionsAmt
Investment Earnings Or Losses$6,521,486InvestmentEarningsOrLossesAmt
Grants Or Scholarships$931,262GrantsOrScholarshipsAmt
Administrative Expenses$155,291AdministrativeExpensesAmt
End Year Balance$59,479,911EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$54,703,765BeginningYearBalanceAmt
Contributions$577,192ContributionsAmt
Investment Earnings Or Losses-$1,450,863InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,147,164GrantsOrScholarshipsAmt
Administrative Expenses$149,413AdministrativeExpensesAmt
End Year Balance$52,533,517EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.86715BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.05396PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.07890TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,342,177OtherCostOrOtherBasisAmt
Book Value$2,342,177BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,388,776OtherCostOrOtherBasisAmt
Depreciation$73,150,717DepreciationAmt
Book Value$59,238,059BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$64,851,823OtherCostOrOtherBasisAmt
Depreciation$54,069,798DepreciationAmt
Book Value$10,782,025BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,755,409OtherCostOrOtherBasisAmt
Depreciation$3,290,172DepreciationAmt
Book Value$2,465,237BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$74,827,498TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC$5,000C
BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION$27,401,382F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$27,406,382TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
ASBESTOS REMOVAL LIABILITY$140,321
SELF-INSURANCE RESERVE$6,065,749
IOWA HEALTH SYSTEM NOTE PAYABLE$6,892,705
HEALTH AND WELFARE BENEFITS RESERVE$834,161
DUE TO AFFILIATES$477,459
MISCELLANEOUS LIABILITY$416,432
LONG-TERM RETENTION INCENTIVES$508,226
OPERATING LEASE LIABILITY$2,047,162
FieldValueIRS element (for citing)
Total Liability$17,382,215TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$152,732,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$10,194,618NetUnrealizedGainsInvstAmt
Revenue Not Reported-$10,194,618RevenueNotReportedAmt
Revenue Subtotal$162,926,618RevenueSubtotalAmt
Investment Expenses Not Incld$186,076InvestmentExpensesNotIncldAmt
Other Revenues Not Included$2,749,128OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,935,204RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$165,861,822TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$149,916,000TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$149,916,000ExpensesSubtotalAmt
Investment Expenses Not Incld2$186,076InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$7,075,948OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,262,024ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$157,178,024TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 4B - OTHER ADJUSTMENTS:ROUNDING 277. REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 2,748,851.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING 358. EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 7,075,590.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,027,725TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,027,725NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,253,404TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,635,730DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,617,674NetCommunityBenefitExpnsAmt
Total Expense0.06760TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,281,129TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,635,730DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,645,399NetCommunityBenefitExpnsAmt
Total Expense0.07410TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,092,344TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,092,344NetCommunityBenefitExpnsAmt
Total Expense0.01970TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,467,118TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,987,258DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,479,860NetCommunityBenefitExpnsAmt
Total Expense0.01580TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,247,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,261,348DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,985,653NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,806,463TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,248,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,557,857NetCommunityBenefitExpnsAmt
Total Expense0.04810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,087,592TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,884,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,203,256NetCommunityBenefitExpnsAmt
Total Expense0.12220TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,570TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$115,570NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,102TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,102NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,248TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,248NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,850TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,850NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$132,334TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$132,334NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$289,104TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$289,104NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$995,953BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$32,625,389ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$32,656,375CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$30,986MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 KENYON ROADAddressLine1Txt
CityFORT DODGECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50501ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UNITYPOINT.ORG/FORTDODGEWebsiteAddressTxt
State License940001HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TRINITY REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TRINITY REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: COMMUNITY INPUT WAS GARNERED IN A VARIETY OF WAYS. THE COMMITTEE DEVELOPED A 15-QUESTION SURVEY, CONSISTING OF NINE DEMOGRAPHIC QUESTIONS AND SIX HEALTH-RELATED QUESTIONS. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. A POSTCARD CONTAINING INFORMATION ABOUT THE SURVEY AND HOW TO ACCESS IT WAS MAILED TO EVERY WEBSTER COUNTY RESIDENT. THE SURVEY WAS AVAILABLE ONLINE AND PAPER HARDCOPY, UPON REQUEST, AT THE HOSPITAL, PUBLIC LIBRARY, PUBLIC HEALTH, LOCAL FOOD PANTRY, MIGRANT HEALTH ORGANIZATION AND COMMUNITY HEALTH CENTER. THE SURVEY WAS PROMOTED ON THE RADIO, FACEBOOK, CHURCH BULLETINS, POSTERS IN PROMINENT BUSINESSES THROUGHOUT THE COUNTY, E-NEWSLETTERS,PROMOTED BY LOCAL EMPLOYERS TO THEIR EMPLOYEES AND AT VARIOUS COMMUNITY EVENTS. IN ADDITION TO THE COMMUNITY SURVEY, BUSINESS AND COMMUNITY LEADERS AND CITY AND COUNTY OFFICIALS WERE INTERVIEWED REGARDING COMMUNITY HEALTH NEEDS. INTERVIEWS WERE ALSO CONDUCTED WITH A VARIETY OF PRIMARY CARE PROVIDERS IN WEBSTER COUNTY REGARDING THEIR OPINIONS OF THE COMMUNITY'S HEALTH NEEDS. COMMUNITY INPUT WAS GATHERED THROUGH 348 CONFIDENTIAL SURVEY RESPONSES, 27 BUSINESS/ COMMUNITY LEADER ONE-ON-ONE INTERVIEWS, PRIMARY CARE PROVIDER ONE-ON-ONE INTERVIEWS, REVIEW OF AVAILABLE POPULATION DATA TO HELP DETERMINE THE HEALTH NEEDS FOR WEBSTER COUNTY.
TRINITY REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6B: WEBSTER COUNTY HEALTH DEPARTMENT ; UNITED WAY AND THE GREATER FORT DODGE COMMUNITY FOUNDATION ; UPPER DES MOINES OPPORTUNITY AND THE FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, CITY OF FORT DODGE.
TRINITY REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: THE FOLLOWING INFORMATION IS IN REGARD TO UNITYPOINT HEALTH FORT DODGE'S RESPONSE TO THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT STRATEGIC PRIORITIES. STRATEGIC PRIORITY #1: IMPROVING ACCESS TO HEALTH CARE SERVICESBERRYHILL CENTER FOR MENTAL HEALTH ESTABLISHED A BEHAVIORAL HEALTH URGENT CARE DURING THE COVID-19 PANDEMIC TO ADDRESS GROWING MENTAL HEALTH PATIENTS UTILIZING CARE WITHIN THE EMERGENCY DEPARTMENT. THE CLINIC PROVIDES BOTH ADULT AND CHILDREN'S MENTAL HEALTH FIRST AID SERVICES. BY IMPLEMENTING THE CLINIC, PATIENTS RECEIVED THE RIGHT KIND OF CARE NEEDED FOR THEIR IMMEDIATE SITUATION IN A QUIET COMFORTABLE SPACE. HERE PATIENTS ARE ASSESSED IF THEY ARE SUICIDAL/HOMICIDAL NEEDING POSSIBLE HOSPITALIZATION, RECEIVE THERAPY AND SAFETY PLANNING AS NEEDED AND ARE PROVIDED ADDITIONAL SUPPORT WITH HOUSING OR FOOD SECURITY IF IT IS NEEDED. PATIENTS ALSO RECEIVE A FOLLOW-UP CALL TO ENSURE THE PATIENT IS DOING OKAY AND A REFERRAL FOR FURTHER MENTAL HEALTH SERVICES AS NEEDED.BERRYHILL CENTER FOR MENTAL HEALTH IMPLEMENTED A PROGRAM TO SUPPLY PSYCHIATRIC NURSES IN THE TRINITY EMERGENCY DEPARTMENT TO SPECIFICALLY ADDRESS PATIENTS WITH MENTAL HEALTH NEEDS. THESE NURSES WERE ABLE TAKE THE STRAIN OFF THE EMERGENCY DEPARTMENT STAFF AS MENTAL HEALTH PATIENTS TEND TO HAVE A LONGER STAY IN THE EMERGENCY DEPARTMENT. THE SPECIALIZED CARE ALSO PROVIDES A HIGHER LEVEL OF CARE APPROPRIATE FOR MENTAL HEALTH PATIENTS.IN-ORDER-TO ADDRESS SUBSTANCE USE DISORDERS, BERRYHILL HAS EXPANDED SUBSTANCE USE DISORDER SERVICES BY INCREASING NUMBER OF GROUPS OFFERED AND INCREASING NUMBER OF REFERRALS ACCEPTED.WITH THE ADAPTATION OF TECHNOLOGY IN ALL AREAS OF HEALTH CARE, BERRYHILL IS ABLE TO PROVIDE VIRTUAL CARE SO PATIENTS CAN RECEIVE SERVICES FROM THEIR HOMES. THIS WAS ESPECIALLY USEFUL DURING THE HEIGHT OF THE COVID-19 CRISIS AND CONTINUES TODAY.A MOBILE CRISIS RESPONSE SERVICES TEAM WAS ESTABLISHED TO CARE FOR THE IMMEDIATE NEEDS OF PATIENTS IN A MENTAL HEALTH CRISIS. BECAUSE PATIENTS IN A MENTAL HEALTH CRISIS ARE LESS LIKELY TO SEEK OUT TREATMENT THE TEAM CAN GO TO THE PATIENT'S HOME, MAKE AN ASSESSMENT AND HELP THE PATIENT RECEIVE THE APPROPRIATE TREATMENT OR CARE.BERRYHILL PROVIDED, AND CONTINUES TO PROVIDE, SUPPORT TO FRONTLINE WORKERS DURING THE COVID-19 PANDEMIC WITH CRITICAL INCIDENT STRESS DEBRIEFING. BERRYHILL TEAM MEMBERS WERE AVAILABLE ON SITE AT THE HOSPITAL TO PROVIDE SUPPORT AS NEEDED.BERRYHILL SUPPORTS COMMUNITY-BASED SUPPORT GROUPS (I.E. NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) FOR FORT DODGE). WHILE NAMI IS ITS OWN NONPROFIT AND IS NOT OWNED BY UNITYPOINT HEALTH, BERRYHILL PROVIDED A FREE MEETING ROOM SPACE AND SNACKS AND AS WELL AS DONATED FUNDS TOWARDS A COMMUNITY KICKOFF EVENT WITH ROYCE WHITE A FORMER CYCLONE BASKETBALL AND FORMER PROFESSIONAL (NBA) BASKETBALL PLAYER WHO HAS STRUGGLED WITH AN ANXIETY DISORDER.UNITYPOINT CLINIC EXPRESS OPENED A NEW WALK-IN CLINIC IN THE CROSSROADS CORRIDOR, A HIGH TRAFFIC AREA IN FORT DODGE.UNITYPOINT AT HOME NOW PROVIDES FLU VACCINATIONS TO HOMECARE PATIENTS WHO ARE UNABLE TO GET TO THEIR PRIMARY CARE PROVIDER OR PHARMACY TO RECEIVE AT SHOT.TWICE MONTHLY, A HEALTHY LIVING DEPARTMENT NURSE VISITS THE COMMUNITY HEALTH CENTER (CHC) AND DRAWS A GENERAL HEALTH PANEL (INCLUDES CHEMISTRY PANEL, TSH, AND CBC) AND PSA FOR MALES OVER 50 YEARS OF AGE. OTHER LABS THAT MAY BE DRAWN UPON REQUEST BY PRIMARY CARE PROVIDER INCLUDE A1C AND VITAMIN D. THESE LABS ARE ENCOURAGED FOR UNDER-INSURED COMMUNITY MEMBERS OR THOSE WITH NO INSURANCE. THESE LABS ARE OFFERED AT NO COST TO THE PARTICIPANTS. THE LAB RESULTS ARE SENT OUT TO THE INDIVIDUAL PARTICIPANTS WITH SPECIFIC EDUCATIONAL HANDOUTS IF NEEDED. THE RESULTS ARE ALSO FAXED BACK TO CHC FOR THE PRIMARY CARE PROVIDERS FOR REVIEW AND FOLLOW-UP. HEALTHY LIVING STAFF, REPRESENTING TRINITY REGIONAL MEDICAL CENTER, SIT ON THE FAMILY AND COMMUNITY ACTION TEAM (FCAT) WHICH IS A SUBSET OF COMMUNITY PARTNERSHIPS FOR PROTECTING CHILDREN (CPPC). A TRINITY SOCIAL WORKER AND PEDIATRIC CLINIC CARE COORDINATOR RECENTLY JOINED THE GROUP, AS WELL. THIS IS A COMMUNITY-BASED APPROACH TO STRENGTHENING FAMILIES, KEEPING CHILDREN SAFE, AND CREATING COMMUNITY CONNECTIONS AND COLLABORATIONS. CPPC FUNDING RUNS ON THE STATE FISCAL CALENDAR JULY 1 - JUNE 30. THE FOUR STRATEGIES OF THIS TEAM INCLUDE SHARED DECISION-MAKING, NEIGHBORHOOD/COMMUNITY NETWORKING, INDIVIDUALIZED COURSE OF ACTION, AND POLICY AND PROCEDURE CHANGE. THIS GROUP MEETS BI-MONTHLY TO DISCUSS EMERGING TRENDS, NEEDS AND BARRIERS, REVIEW AREA DATA, BRAINSTORM ON POSSIBLE COLLABORATIONS, IDENTIFY OPPORTUNITIES FOR NETWORKING AND PUBLIC AWARENESS, TO SHARE INFORMATION AND MAKE RECOMMENDATIONS TO THE SHARED DECISION-MAKING TEAM.HEALTH AND LIFESTYLE TRAINING (HALT) DIABETES PREVENTION PROGRAM (DPP) ENABLES ALL PROVIDERS WITH AN ONLINE PLATFORM, APPS, AND CONTENT FOR THE VIRTUAL DELIVERY OF THE NATIONAL DPP. IMPLEMENTATION OF THE VIRTUAL DPP PROGRAM, WHICH WILL GIVE PARTICIPANTS MORE ACCESSIBLE TIMES, BEGAN IN JUNE 2021.THROUGH PROGRAMS/FUNDING FROM TRINITY FOUNDATION THE ORGANIZATION WAS ABLE TO ASSIST PATIENTS WITH THE COSTS OF MEDICATIONS, CO-PAYS, CO-INSURANCE, MEDICAL EXPENSES, AND OTHER ASSISTANCE. ADDITIONALLY, BUS PASSES ARE PROVIDED TO PATIENTS IN NEED TO ASSIST IN GETTING TO DOCTOR'S APPOINTMENTS, PROCEDURES, ETC. STRATEGIC PRIORITY #2: ENCOURAGING HEALTHY BEHAVIORS AND DISEASE PREVENTION ACROSS THE LIFE SPAN.AS THE LARGEST EMPLOYER IN WEBSTER COUNTY, TRINITY COMMITTED TO SUPPORTING OUR TEAM MEMBERS' HEALTH. ON OUR EMPLOYEE WELLNESS PLATFORM, "ONPOINT FOR HEALTH," IT IS STATED, "DURING THESE BUSY AND STRESSFUL TIMES, IT IS MORE IMPORTANT THAN EVER TO TAKE CARE OF OUR BODIES AND MINDS, SO WE CAN TAKE CARE OF OTHERS. ONE OF THE BEST WAYS TO PRIORITIZE YOUR HEALTH AND WELL-BEING IS TO RECEIVE AN ANNUAL PHYSICAL, AND WE ENCOURAGE YOU TO CONTINUE THIS PRACTICE THIS YEAR AS WELL." VARIOUS HEALTH CHALLENGES AND RESOURCES (NUTRITION, EXERCISE, MENTAL HEALTH, SLEEP, STRESS, ETC.) ARE OFFERED WHICH CAN BE COMPLETED FOR POINTS. THESE POINTS IN TURN ARE REIMBURSED FOR MONETARY REWARDS.A "WELLNESS CREDIT" IS GIVEN TO EMPLOYEES, EACH PAY-PERIOD, WHO OBTAIN AN ANNUAL PHYSICAL FROM THEIR HEALTHCARE PROVIDER AND COMPLETE AN ANNUAL HEALTH RISK ASSESSMENT (HRA) VIA ONPOINT FOR HEALTH. THE HRA FOCUSES ON BIOMETRIC RESULTS, RISK SCORES FOR CANCER, DIABETES, EMOTIONAL HEALTH (DEPRESSION, STRESS, AND SLEEP), AND HEART DISEASE, AND MODIFIABLE BEHAVIORS (NUTRITION, PHYSICAL ACTIVITY, MEDICATION ADHERENCE, AND WEIGHT MANAGEMENT). COMPLETING THOSE TWO STEPS IS ANOTHER WAY THAT TRINITY EMPLOYEES CAN EARN A MONETARY REWARD BY GIVING THEMSELVES THE SAME QUALITY CARE THAT THEY GIVE PATIENTS.THE JOURNEY TO WELLNESS COACHING IS A PROGRAM OFFERED THROUGH ONPOINT FOR HEALTH WHICH HELPS TRINITY EMPLOYEES MEET THEIR WELLNESS GOALS. THE WELLNESS COACHES ARE TRAINED IN MOTIVATIONAL INTERVIEWING AND ASSIST EMPLOYEES IN SETTING INDIVIDUALIZED SHORT AND LONG-TERM GOALS, IN MAKING BEHAVIORAL CHANGES, AND COPING WITH CHALLENGES THEY MAY BE FACING. INFORMATION CAN ALSO BE PROVIDED BY THE WELLNESS COACHES TO PROMOTE THE MODIFICATION OF EVERYDAY HABITS AND REDUCE THE RISKS OF POTENTIAL SERIOUS HEALTH CONDITIONS.WELLBEATS IS AN ON-DEMAND FITNESS AND WELLBEING BENEFIT TO INSPIRE EMPLOYEES TO STAY HEALTHY AND FEEL BETTER THAN EVER. IT INCLUDES OVER 600 WORKOUTS INCLUDING YOGA, HIIT, STRENGTH TRAINING, WALKING, RUNNING, BARRE, PILATES, AND CYCLING. IT ALSO HAS OVER 20 MOTIVATING CHALLENGES, AND NUTRITION EDUCATION AND HEALTHY RECIPES. CLASSES ARE AVAILABLE FOR ALL AGES, LEVELS, AND INTERESTS FROM A PHONE, COMPUTER, TABLET, OR ON APPLE TV.TRINITY HEALTHY LIVING AND THE DIABETIC EDUCATION CENTER CONTINUES TO PROVIDE STAFF AND RESOURCES FOR THE THRIVE IN-CLASSROOM WELLNESS AND OBESITY PREVENTION PROGRAM (ON HOLD THIS PAST YEAR DUE TO COVID-19). THIS PROGRAM IS UTILIZED FOR KINDERGARTEN, THIRD GRADERS, AND FIFTH GRADERS IN THE COMMUNITY. THIS PROGRAM HAS AN EDUCATOR IN THE CLASSROOM FOR SIX, 30-MINUTE SESSIONS, FOCUSING ON THE VARIOUS FOOD GROUPS UTILIZING MYPLATE AND STRESSING THE IMPORTANCE OF EXERCISE. LESSON WORKSHEETS, GAMES, AND STORIES ARE USED TO ENGAGE THE STUDENTS IN LEARNING ABOUT HEALTHY NUTRITION AND EXERCISE.THE THRIVE SWIM PROGRAM CONTINUES TO PROVIDE FREE SWIM LESSONS FOR 3RD AND 4TH GRADERS IN AN AFTER-SCHOOL PROGRAM HELD AT THE REC CENTER (ON HOLD THIS PAST YEAR DUE TO COVID-19). TRINITY CONTRACTS WITH THE CITY PUBLIC TRANSPORTATION SYSTEM TO BUS THE KIDS FROM THEIR RESPECTIVE SCHOOLS TO THE REC CENTER. A 20-MINUTE INSTRUCTIONAL TIME WITH POSTERS AND SPECIFIC TOPICS IS HELD PRIOR TO EACH SWIM LESSON.
TRINITY REGIONAL MEDICAL CENTERPART 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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:TRINITY 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 $ 13,409.
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 FREE CLINICS OR AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. TRINITY REGIONAL MEDICAL CENTER (TRMC) 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. OTHER DONATIONS SUCH AS FOOD OR OTHER DURABLE GOODS PROVIDE AREA SHELTERS AND OTHER ORGANIZATIONS IN THE AREA. THIS ALLOWS THESE ORGANIZATIONS TO MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. TRMC EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, TRMC EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COMMUNITY COLLABORATIVE COLLECTIVELY WORKING TO ADDRESS COMPLEX HEALTH ISSUES. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT TRMC HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A VERY WELL 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 REGIONAL 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 MEDICARESURPLUS 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:TRINITY REGIONAL MEDICAL CENTER (TRMC) CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN CENTRAL IOWA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. SPECIFICALLY, TRMC IS A SPONSORING PARTNER OF SEVERAL HEALTH SCREENINGS AND FAIRS WHICH ARE A COMMUNITY COLLABORATIVE CONVENED BY PARTNERS SUCH AS IOWA CENTRAL COMMUNITY COLLEGE AND SURROUNDING NURSING HOMES TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF WEBSTER COUNTY AND SURROUNDING AREAS. A HEALTH AGENDA WAS DEVELOPED BY IDENTIFYING SPECIFIC HEALTH PRIORITIES THAT ARE RELEVANT TO THE COMMUNITY THROUGH THESE VARIOUS HEALTH SCREENS.TRMC WORKS CLOSELY WITH OTHER COMMUNITY GROUPS TO ASSESS THE AREA NEED. THEY WORK CLOSELY WITH THE UNITED WAY AND THE CHARACTER COUNTS PROGRAM. TRMC AND THE UNITED WAY ARE SPONSORING PARTNERS, ALONG WITH THE CITY OF FORT DODGE FOR THIS WORTHY PROGRAM.
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:TRINITY REGIONAL MEDICAL CENTER (TRMC) IS A 200-BED PRIVATE, NON-PROFIT HOSPITAL THAT SERVES FORT DODGE, WHICH IS LOACTED IN WEBSTER COUNTY, AND SURROUNDING COMMUNITIES. TRMC IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.AS A DESIGNATED REGIONAL REFERRAL CENTER, TRMC SERVES AN EIGHT COUNTY AREA WITH A POPULATION OF APPROXIMATELY 100,000. ROUGHLY 25% OF TRMC MARKET RESIDENTS LIVE WITHIN THE CITY LIMITS OF FORT DODGE. THE REMAINING MARKET SHARE LIVES IN THE RURAL AREAS OR SMALL TOWNS SURROUNDING FORT DODGE. IN 2022 TRMC ADMITTED 2,966 INPATIENTS AND SAW APPROXIMATELY 18,685 PATIENTS IN THE EMERGENCY ROOMMEDIAN HOUSEHOLD INCOMES FOR TRMC'S PATIENT POPULATION RANGE FROM $56,934 TO $60,434, AND THE AVERAGE POVERTY RATE IS 12.3%.WEBSTER COUNTY, THE ONLY COUNTY IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATION, IS 90.5% CAUCASIAN, 4.8% AFRICAN-AMERICAN, 1.2% ASIAN, AND 6.3% 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 STATESIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
1776 WESTLAKES PKWY STE 400WEST DES MOINESIA50266421411630501(C)(3)$5,084,605$0PROGRAM SERVICES
TRINITY HEALTH FOUNDATION
802 KENYON RDFORT DODGEIA50501421222381501(C)(3)$500,714$0PROGRAM SERVICES
TRINITY HEALTH SYSTEM
802 KENYON RDFORT DODGEIA50501421222877501(C)(3)$1,000,000$0PROGRAM SERVICES
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEDICAL, DENTAL, AND HOSPITAL EXPENSESGrantTypeTxt
Recipient17RecipientCnt
Cash Grant$30,471CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTRINITY REGIONAL MEDICAL CENTER REQUIRES EACH RECIPIENT OF THE GRANTS (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. TRINITY REGIONAL MEDICAL CENTER THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LEAH GLASGO BOARD MEMBER
& PRESIDENT/CEO (SC & FD)$0$459,262$0$153,147$0$455,249$0$69,078$0$31,720$0$1,168,456$0$399,489
MICHAEL WILLERTH MD
BOARD MEMBER$0$613,488$0$0$0$3,418$0$15,250$0$22,827$0$654,983$0$0
LINCOLN WALLACE MD
BOARD SECRETARY/TREASURER$0$460,487$0$35,262$0$2,264$0$15,250$0$32,991$0$546,254$0$0
ERIC HAGE CRNA
NURSE ANESTHETIST$382,414$0$110,377$0$1,372$0$14,656$0$21,487$0$530,306$0$0$0
DAN E LENZ CRNA
NURSE ANESTHETIST$378,198$0$102,088$0$1,488$0$15,250$0$9,711$0$506,735$0$0$0
MICHAEL LEE MD
BOARD MEMBER$0$437,067$0$20,000$0$3,168$0$6,100$0$22,819$0$489,154$0$0
ENRIQUE PENA MD
PHYSICIAN TELEHOSPITALIST$455,354$0$10,000$0$480$0$15,250$0$1,260$0$482,344$0$0$0
CHRISTOPHER CARZOLI DO
PHYSICIAN-EMERGENCY$380,380$0$29,750$0$1,587$0$15,250$0$29,142$0$456,109$0$0$0
JAMES DORN CRNA
NURSE ANESTHETIST$284,791$0$10,000$0$1,238$0$13,985$0$25,049$0$335,063$0$0$0
TROY MARTENS
EXEC. DIR SUPPLY CHAIN OPS.$0$213,864$0$39,247$0$4,968$0$11,749$0$19,339$0$289,167$0$0
SUSAN THOMPSON-IHS INT CEO TO 02
21) FMR INT BOARD MBR/PRES (TO 1/19)$0$0$0$0$0$278,902$0$0$0$0$0$278,902$0$278,902
SARAH MARSH
VP FINANCE$0$187,578$0$28,893$0$2,093$0$11,417$0$26,964$0$256,945$0$0
SHANNON MCQUILLEN
VP PEOPLE EXCELLENCE$0$165,462$0$27,556$0$190$0$10,184$0$32,222$0$235,614$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationNONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: LEAH GLASGO $53,828 AND KARI JONES $20,181. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: LEAH GLASGO $449,085 AND SUSAN THOMPSON $278,902. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJAYNE KOLACIAPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF BOARD MEMBER KEITH KOLACIARelationshipDescriptionTxt
Transaction$98,571TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, LINE J, WEBSITE:HTTPS://WWW.UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---TRINITY-REGIONA L-MEDICAL-CENTER
FORM 990, PART V, LINES 1A & 1BCASH 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 6TRINITY HEALTH SYSTEMS, INC., A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTRINITY HEALTH SYSTEMS, INC., AS SOLE MEMBER, AND IOWA HEALTH SYSTEM, AS SOLE MEMBER OF TRINITY HEALTH SYSTEMS, APPROVE BOARD OF DIRECTORS, BUDGETS, APPOINT PRESIDENT, APPROVE ESTABLISHING SUBSIDIARIES, AFFILIATES AND JOINT VENTURES, APPROVE MERGERS, CONSOLIDATIONS OR DISSOLUTIONS, APPROVE CHANGES IN PURPOSE, AND APPROVE PURCHASE, SALE, LEASE TRANSFER OR ENCUMBRANCE OF REAL AND PERSONAL PROPERTY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY FUNCTIONAL AREA WITH RESPONSIBILITY 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 12CTHE 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 15THE 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: LEAH GLASGO, MICHAEL LEE, SARAH MARSH, AND SHANNON MCQUILLEN. 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 19THE 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 -2,054,313.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (67 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC
740 N 15TH AVE NO AHIAWATHAIA52233421045257MENTAL HEALTH CAREIA501(C)(3)509(A)(2)ABBEHEALTH INC0
ABBEHEALTH INC
740 N 15TH AVE NO AHIAWATHAIA52233421373123SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIST LUKE'S HEALTHCARE0
AGING SERVICES INC
740 N 15TH AVE NO AHIAWATHAIA52233237085316SENIOR SERVICESIA501(C)(3)170(B)(1) (A)(VI)ABBEHEALTH INC0
ALLEN COLLEGE
1825 LOGAN AVENUEWATERLOOIA50703421351526EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALSIA501(C)(3)170(B)(1) (A)(II)ALLEN HEALTH SYSTEMS INC0
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUEWATERLOOIA50703421201924SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM0
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUEWATERLOOIA50703420698265HOSPITALIA501(C)(3)170(B)(1) (A)(III)ALLEN HEALTH SYSTEMS INC0
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVEANAMOSAIA52205421466284PROVIDE AMBULANCE SERVICESIA501(C)(3)509(A)(3), TYPE IIIST LUKE'SJONES REGIONAL MEDICAL CENTER0
BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC
3251 WEST NINTH STREETWATERLOOIA50702420733463MENTAL HEALTH CAREIA501(C)(3)170(B)(1) (A)(VI)ALLEN HEALTH SYSTEMS INC0
CENTER FOR ALCOHOL AND DRUG SERVICES INC
4869 FOREST GROVE DRIVEBETTENDORFIA52722421134273SUBSTANCE ABUSE SERVICESIA501(C)(3)170(B)(1) (A)(VI)THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH0
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
1200 PLEASANT STREETDES MOINESIA50309421233759PROPERTY HOLDING COMPANYIA501(C)(2)CENTRAL IOWA HEALTH SYSTEM0
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREETDES MOINESIA50309421189791SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM0
CENTRAL IOWA HOSPITAL CORPORATION
1200 PLEASANT STREETDES MOINESIA50309420680452HOSPITALIA501(C)(3)170(B)(1) (A)(III)CENTRAL IOWA HEALTH SYSTEM0
DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC
1415 WOODLAND AVE SUITE 130DES MOINESIA50309421412497COORDINATION OF MEDICAL EDUCATION PROGRAMSIA501(C)(3)509(A)(3), TYPE III0
EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES
945 19TH STREETDES MOINESIA50314420942273MENTAL HEALTH CAREIA501(C)(3)509(A)(2)CENTRAL IOWA HEALTH SYSTEM0
FINLEY TRI-STATES HEALTH GROUP INC
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001421307495SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM0
FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER
3820 HILLSIDE DRIVECEDAR FALLSIA50613421372380CHARITABLE FUNDRAISINGIA501(C)(3)170(B)(1) (A)(VI)ALLEN HEALTH SYSTEMS INC0
GRINNELL REGIONAL MEDICAL CENTER
210 FOURTH AVENUEGRINNELLIA50112420933383HOSPITALIA501(C)(3)170(B)(1) (A)(III)CENTRAL IOWA HEALTH SYSTEM0
GRINNELL REGIONAL MEDICAL CENTER FOUNDATION
210 FOURTH AVENUEGRINNELLIA50112421454737CHARITABLE FUNDRAISINGIA501(C)(3)509(A)(3), TYPE IGRINNELL REGIONAL MEDICAL CENTER0
HULT CENTER FOR HEALTHY LIVING INC
5409 N KNOXVILLE AVEPEORIAIL61614363510390HEALTH EDUCATION TO THE COMMUNITYIL501(C)(3)170(B)(1) (A)(VI)PROCTOR HOSPITAL0
HUMAN SERVICE CENTER
600 FAYETTE PO BOX 1346PEORIAIL61654371004882MENTAL HEALTH CAREIL501(C)(3)170(B)(1) (A)(VI)UNITYPOINT HEALTH - UNITYPLACE0
IOWA HEALTH FOUNDATION
1415 WOODLAND AVE SUITE E-200DES MOINESIA50309421467682CHARITABLE FUNDRAISINGIA501(C)(3)170(B)(1) (A)(VI)CENTRAL IOWA HEALTH SYSTEM0
IOWA HEALTH SYSTEM
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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
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METHODIST HEALTH SERVICES CORPORATION
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METHODIST MEDICAL CENTER FOUNDATION
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METHODIST MEDICAL CENTER OF ILLINOIS
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PARK COURT LIMITED
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ST LUKE'S HEALTH SYSTEM INC
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ST LUKE'S HEALTHCARE
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TRINITY MEDICAL CENTER
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TRINITY REGIONAL HEALTH SYSTEM
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TRINITY REGIONAL MEDICAL CENTER
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UNITY HEALTHCARE
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UNITY HEALTHCARE FOUNDATION
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UNITYPOINT HEALTH - MARSHALLTOWN
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UNITYPOINT HEALTH - MARSHALLTOWN FOUNDATION
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UNITYPOINT HEALTH - UNITYPLACE
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UNITYPOINT AT HOME
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UNITYPOINT HEALTH AT WORK
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WISCONSIN DIALYSIS INC
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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

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ANKENY MEDICAL PARK SURGERY CENTER LC
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CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
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EASTERN IOWA SLEEP SUPPLY LLC
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HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVEDUBUQUEIA52001421428503PROVIDE ACCESS TO LICENSED SOFTWAREIAN/A0Yes (1)
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREETDES MOINESIA50309030482623OUTPATIENT DIAGNOSTIC IMAGINGIAN/A0Yes (1)
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1776 WEST LAKES PKWY 400WEST DES MOINESIA50266421511142GROUP PURCHASINGIAN/AYes (1)Yes (1)
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREETDES MOINESIA50309421516120SURGERY CENTERIAN/A0Yes (1)
MR ASSOCIATES LLP
1956 1ST AVENUE NECEDAR RAPIDSIA52402421260463OWN AND OPERATE MR UNITIAN/A0Yes (1)
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREETDES MOINESIA50309421508092AMBULATORY SURGERY CENTERIAN/A0Yes (1)
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110PEORIAIL61603810584193REHABILATION THERAPYILN/A00
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SECEDAR RAPIDSIA52403721550812AMBULATORY SURGERY CENTER.IAN/A0Yes (1)
UNITED MEDICAL PARK ASC LLC DBA THE SURGERY CENTER AT UNITED MEDICAL PARK
1825 LOGAN AVEWATERLOOIA50703420698265AMBULATORY SURGERY CENTERIAN/A0Yes (1)
UPHT-SCA HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209473564984AMBULATORY SURGERY CENTER INVESTMENTDEN/A00
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREETWEST DES MOINESIA50266271414600ORTHOPEDIC SERVICE LINES MANAGEMENTIAN/A0Yes (1)
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2WEST DES MOINESIA50266263193923SLEEP DISORDER DIAGNOSTIC TESTING FACILITYIAN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ABBE MANAGEMENT CORPORATION
740 N 15TH AVE NO AHIAWATHAIA52233421361755MANAGEMENT SERVICESIAN/AC0
BELCREST SERVICES LTD
5409 N KNOXVILLE AVEPEORIAIL61614371196307MEDICAL SERVICESILN/AC0
BROADBAND INC
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DELHI POINT CONDO ASSOCIATION
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HCP CORPORATION
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HANSEN CHARITABLE REMAINDER ANNUITY TRUST
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HANSEN CHARITABLE REMAINDER UNITRUST
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HEALTH ADVANTAGE PLUS INC
210 4TH AVENUEGRINNELLIA50112421436490PHYSICAL THERAPYIAN/AC0
L
5409 N KNOXVILLE AVEPEORIAIL61614371295532MANAGED CARE ADMINISTRATIONILN/AC0
HNC SERVICES
1776 WEST LAKES PKWY 400WEST DES MOINESIA50266270987243FIBER OPTIC NETWORK SERVICESIAN/AC0
MEDIMORE INC
1776 WEST LAKES PKWY 400WEST DES MOINESIA50266421414390MANAGED CAREIAN/AC0
MERITER HEALTH ENTERPRISES INC
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MERITER MANAGEMENT SERVICES INC
202 SOUTH PARK STREETMADISONWI53715391458235ADMINISTRATIVE SERVICESWIN/AC0
METHODIST HEALTH VENTURES INC & SUB
PO BOX 87PEORIAIL61650371140939PHARMACY/OFFICE STAFFINGILN/AC0
OPTIMUM HEALTH SOLUTIONS INC
221 NORTHEAST GLEN OAK AVEPEORIAIL61636205430137HEALTH & WELLNESS CONSULTINGIAN/AC0
PEKIN PROHEALTH INC
600 SOUTH 13TH STREETPEKINIL61554371117052CLINICILN/AC0
PRECEDENCE INC
4622 PROGRESS DRIVE STE ADAVENPORTIA52807371288604MANAGED MENTAL CAREIAN/AC0
PRECEDENCE PLUS INC
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PROVIDER RESOURCE MANAGEMENT INC
PO BOX 87PEORIAIL61650371223550RESOURCE MANAGEMENTILN/AC0
STL HEALTH RESOURCES CO
1026 A AVE NECEDAR RAPIDSIA52402421193499PHYSICIAN OFFICE RENTALIAN/AC0
TRINITY HEALTH ENTERPRISES INC
2701 17TH STROCK ISLANDIL61201363320141RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACYILN/AC0
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Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
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Div Related Organization0DivRelatedOrganizationInd
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Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
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Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
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Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PARTS I - IV:FormAndLineReferenceDesc
ExplanationIOWA 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 $4.3B 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.ExplanationTxt