2020-11-13T12:55:31-06:00 2019-12-31 990 2019-01-01 420680337 UNITY HEALTHCARE UNIT 3097792200 1518 MULBERRY AVENUE MUSCATINE IA 52761 KATHERINE MARCHIK SR VP FINANCE/CFO 3097795700 2020-11-09 205.167.3.34 2020-11-09 12:39:22 CS P F1604245A147518CBE08B3B38589C677CA2A5196 F1604245A147518CBE08B3B38589C677CA2A5196 2019 2021-01-29 14:40:06Z TRINITY MUSCATINE ROBERT ERICKSON 1518 MULBERRY AVENUE MUSCATINE IA 52761 59761288 0 X WWW.UNITYPOINT.ORG (SEE SCH O) X 1941 IA IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 15 10 438 110 0 0 2608550 2346674 48890165 46030832 753516 779197 271260 1020694 52523491 50177397 404597 34724 0 0 26899578 26966624 0 0 0 18582517 17510088 45886692 44511436 6636799 5665961 58133200 64383488 30335016 29843144 27798184 34540344 X THE MISSION OF TRINITY-MUSCATINE IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 39757886 0 46898202 HEALTH-CARE SERVICESUNITY HEALTHCARE IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE MUSCATINE COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. UNITY HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE, ONCOLOGY, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2019, UNITY HEALTHCARE ADMITTED 1,122 PATIENTS RESULTING IN A TOTAL OF 3,230 PATIENT DAYS. OUTPATIENT VISITS TOTALED 87,504 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 1,663. THERE WERE ALSO 17,469 EMERGENCY ROOM VISITS AND 231 BABIES DELIVERED. 2820031 34724 0 COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: UNITY HEALTHCARE 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 $417,604 IN 2019. OFTENTIMES, UNITY HEALTHCARE RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. UNITY HEALTHCARE PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. UNITY HEALTHCARE'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $1,648,103 FOR 2019. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $2,065,707.OTHER BENEFITS: UNITY HEALTHCARE PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. UNITY HEALTHCARE COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. UNITY HEALTHCARE HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $754,324. 42577917 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 1 438 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DAVE DELLITT DIR OF FINANCECONTROLLER 3097792200 2701 17TH ST ROCK ISLAND IL 61201 RHEA ALLEN MD BOARD MEMBER 40.00 0.00 X 326671 0 34488 TONI ELLER OD BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT ERICKSON FR 919 BOARD MEMBER/PRESIDENT/CEO 1.00 40.00 X X 0 254135 34922 PASTOR STACIE FIDLAR TO 519 BOARD MEMBER 1.00 1.00 X 0 0 0 TROY FRIDLEY BOARD MEMBER 1.00 0.00 X 0 0 0 PRASAD NADKARNI MD BOARD MEMBER 1.00 40.00 X 0 584808 46993 SCOTT NATVIG BOARD SECRETARY 1.00 0.00 X X 0 0 0 SUNEEL PARVATHAREDDY MD BOARD MEMBER 40.00 0.00 X 411698 0 53494 MARK PETERSON BOARD MEMBER 1.00 0.00 X 0 0 0 JERALD RIIBE PHD BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 CHARLA SCHAFER BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD SEIDLER BOARD MEMBER/PRESIDENT/CEO 1.00 40.00 X X 0 2038772 548181 JOHN SHEEHAN FR 519 - TO 919 BOARD MEMBER/INTERIM PRES/CEO 1.00 40.00 X X 0 379323 13362 DANIEL STEIN BOARD MEMBER 1.00 0.00 X 0 0 0 CANDACE TERRILL BOARD TRESURER 1.00 0.00 X X 0 0 0 GUADALUPE VAZQUEZ BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT WEIS MD BOARD MEMBER 1.00 40.00 X 0 387038 34192 ANGELA JOHNSON EXEC DIRECTOR & VP HUMAN R 40.00 1.00 X 1578 284458 37141 KATHERINE MARCHIK SR VP FINANCE/CFO 1.00 40.00 X 0 400614 108597 MANASI NADKARNI MD VP MEDICAL AFFAIRS 40.00 0.00 X 449656 0 44003 FRANK P AMLING NURSE PRACTITIONER 40.00 0.00 X 146892 0 16234 PAMELA F ASKEW VP PATIENT CARE 40.00 0.00 X 144450 0 22953 ANN M DROLL LEAD PHARMACIST 40.00 0.00 X 142190 0 32850 ALLISON A MANN PHYSICIAN ASSISTANT 40.00 0.00 X 137831 0 7209 DONNA K POHL NURSE PRACTITIONER 40.00 0.00 X 164174 0 15785 1925140 4329148 1050404 12 0 1 0 RIVERBEND ANESTHESIA PC 1710 COBBLESTONE DR MUSCATINE IA 52761 ANESHESIA/CRNA SERVICES 2058486 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 768471 SALTANAT MEDICAL LLC 7255 W SUNSET RD LAS VEGAS NV 89113 PHYSICIAN 730551 ARAMARK SERVICES INC 27310 NETWORK PLACE CHICAGO IL 60673 FOOD & FACILITY SVCS 660124 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 498864 13 660000 1222138 464536 2346674 NET PATIENT REVENUE 900099 45542263 45542263 RENTAL INCOME 531390 284973 284973 MGMT & SUPPORT SVCS 561000 146725 146725 MISCELLANEOUS REVENUE 900099 56871 56871 46030832 613258 613258 9749830 9583891 165939 165939 165939 SHARED SAVINGS REVENUE 900099 747042 747042 CAFETERIA/FOOD SVCS 722210 153324 153324 MISCELLANEOUS 900099 120328 120328 1020694 50177397 46898202 0 932521 34724 34724 1321992 826351 495641 41009 41009 21724319 20673727 1050592 545582 519198 26384 2252759 2143815 108944 1080963 1028687 52276 4223813 4223813 65928 65928 2800 2800 101568 60789 40779 3739595 3708393 31202 17120 15670 1450 429567 416569 12998 1170424 1167790 2634 61384 55242 6142 32213 30121 2092 773127 773127 1636455 1632086 4369 477595 477595 MEDICAL SUPPLIES 4697184 4683048 14136 MISCELLANEOUS EXPENSE 79716 65866 13850 INCOME TAXES 1302 1302 BAD DEBT EXPENSE 297 297 44511436 42577917 1933519 0 12435479 7675671 753980 484122 7203799 7702003 622108 10977800 1098250 917552 124538 103367 74979809 49868840 25497365 25110969 10397681 11412004 58133200 64383488 2787435 2773262 80000 33002 2745000 2590000 485841 368326 24236740 24078554 30335016 29843144 X 27798184 34540344 27798184 34540344 58133200 64383488 5665961 1076199 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9040114 1316530 31737 10324907 9363115 -292398 30603 9040114 8281100 1109105 27090 9363115 3018416 7564406 -432544 1845507 23671 8281100 3321559 255720 110079 605338 9537 54067 3018416 1.00000 0.00000 0.00000 0 1 1 741056 741056 45597806 25764276 19833530 26767556 22284055 4483501 1873391 1820509 52882 25110969 DUE TO AFFILIATES 21948268 SELF-INSURANCE RESERVE 1350759 HEALTH AND WELFARE BENEFITS RESERVE 166087 LONG-TERM RETENTION INCENTIVES 314316 MISCELLANEOUS LIABILITY 299124 24078554 X 50559000 1076199 6183 1082382 49476618 40779 660000 700779 50177397 44476000 5377 5377 44470623 40779 34 40813 44511436 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 2016. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TAX ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 806. EXPENSES NETTED IN REVENUES 5,377. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 660,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES NETTED IN REVENUES 5,377. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 34. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 417604 417604 0.00940 9324853 7676750 1648103 0.03700 9742457 7676750 2065707 0.04640 2333454 1625589 707865 0.01590 46459 46459 0.00100 2379913 1625589 754324 0.01690 12122370 9302339 2820031 0.06330 33673 33673 0.00080 50204 50204 0.00110 83877 83877 0.00190 0 814890 8969252 7204488 1764764 X 1 1 1 1 TRINITY MUSCATINE 1518 MULBERRY AVENUE MUSCATINE IA 52761 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 700005H X X X TRINITY MUSCATINE 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-MUSCATINE X WWW.QUADCITIES.HEALTHFORECAST.NET X 1 18 1 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-MUSCATINE 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X X X 1 X WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX X WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX X WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX X X X X X X 1 X 0 X X X X 1 X 0 0 TRINITY MUSCATINE PART V, SECTION B, LINE 5: FOLLOWING STEERING COMMITTEE MEMBERS: BROOKE BARNES, SCOTT COUNTY HEALTH DEPARTMENT MARIAH BENSON, ROCK ISLAND COUNTY HEALTH DEPARTMENT TOM BOWMAN, COMMUNITY HEALTH CARE, INC. NICOLE CARKNER, QUAD CITY HEALTH INITIATIVE (QCHI)RACHEL EVANS, QUAD CITY HEALTH INITIATIVE (QCHI)ELLEN GACKLE, SCOTT COUNTY HEALTH DEPARTMENT JANET HILL, ROCK ISLAND COUNTY HEALTH DEPARTMENT DANIEL JOINER, UNITYPOINT HEALTH - TRINITY NITA LUDWIG, ROCK ISLAND COUNTY HEALTH DEPARTMENT HENRY MARQUARD, GENESIS HEALTH SYSTEM EDWARD RIVERS, SCOTT COUNTY HEALTH DEPARTMENT CHRISTY ROBY WILLIAMS, UNITYPOINT HEALTH - TRINITY & MUSCATINE PUBLIC HEALTH DEPARTMENT PAT SHOUSE, UNITYPOINT HEALTH - TRINITY JERICA THOMPSON, UNITYPOINT HEALTH - TRINITYTIFFANY TJEPKES, SCOTT COUNTY HEALTH DEPARTMENT HAL WAGHER, GENESIS HEALTH SYSTEM TRINITY MUSCATINE PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM TRINITY MUSCATINE PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT TRINITY MUSCATINE PART V, SECTION B, LINE 11: THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY UNITYPOINT HEALTH - MUSCATINE, ITS COMMUNITY PARTNERS AND ITS LOCAL HEALTH DEPARTMENT. THE RELATED IMPROVEMENT PLAN GUIDES POLICY AND PROGRAM DECISIONS THAT OPTIMIZE HEALTH AND WELL-BEING. ANALYSIS OF HEALTH, SOCIAL AND ECONOMIC DATA AS WELL AS DIRECT INPUT FROM THE COMMUNITY LED TO THE IDENTIFICATION OF THE TOP NEEDS FOR IMPROVED COMMUNITY HEALTH AND THE SELECTION OF PRIORITIES THAT WILL ADDRESS THESE AREAS OF OPPORTUNITY. THE IMPROVEMENT PLAN IS A REALISTIC PLAN THAT WILL ASSIST TRINITY MUSCATINE HOSPITAL AND THE PUBLIC HEALTH DEPARTMENT IN ITS ROLE TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES THEY SERVE. IT IS DESIGNED TO PROVIDE CLEAR DIRECTION BASED ON COMMUNITY AND STATEWIDE GOALS. IT INCLUDES STRATEGIES THAT ARE MEASURABLE AND APPROPRIATE FOR INFLUENCING POLICIES, SYSTEMS, AND ENVIRONMENTS TO BRING OPTIMAL CHANGE TO THE COUNTY. AT THE SAME TIME, THE CHIP PLAN IS FLEXIBLE. IT ALLOWS FOR ADJUSTMENTS IN TIMING, LEADERSHIP, STRATEGY INITIATION, AND PLANNING. BECAUSE THIS PLAN FOCUSES ON A RESTRICTED NUMBER OF PRIORITIES, NOT ALL HEALTH ISSUES OR COMMUNITY INITIATIVES ARE IDENTIFIED IN THE PLAN. THIS DOES NOT NEGATE THE IMPORTANCE OF OTHER PUBLIC HEALTH IDENTIFIED NEEDS; NOR DOES IT IMPLY THAT RESOURCES AND SERVICES SHOULD NOT CONTINUE FOR OTHER OPPORTUNITIES AS IDENTIFIED IN THE HEALTH NEEDS ASSESSMENT. THE PLAN IS INTENDED TO BRING THE COMMUNITY TOGETHER AROUND A LIMITED NUMBER OF ISSUES WITH THE GREATEST OPPORTUNITY FOR HEALTH IMPROVEMENT THROUGH COLLECTIVE EFFORTS WITHIN A THREE-YEAR TIMEFRAME. THE NEEDS PRIORTIZED WERE MENTAL HEALTH AND SUBSTANCE ABUSE WITH THE FOLLOWING INITIATIVES TAKING PLACE DURING 2019:MENTAL HEALTH- COMPLETED A PROCESS IMPROVEMENT ROOT CAUSE ANALYSIS TO DETERMINE MENTAL HEALTH ACCESS NEEDS IN COMMUNITY. FINDINGS, INCLUDED PEOPLE NEEDING GUIDANCE ON HOW TO ACCESS MENTAL HEALTH SERVICES.- ESTABLISHED ACADEMIC PARTNERSHIPS WITH U OF I FOR ONGOING ROTATING INTERN PLACEMENTS WITH PSYCHOLOGY AND ARNPS- RYC ADDED .4 FTE OF AN ARNP IN MUSCATINE FOR PSYCHIATRIC MEDICATION MANAGEMENT. CURRENTLY AT 1.6 FTES. TARGET IS 2.- RYC HAS ESTABLISHED A NURSING SCHOLARSHIP PROGRAM TO GROW AND STRENGTHEN ADDITIONAL PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERS TO SERVE ALL COMMUNITIES THROUGH RYC.- COMMUNITY FORUM IN WEST LIBERTY IN PARTNERSHIP WITH ROTARY OF WEST LIBERTY- COMMUNITY FORUM IN MUSCATINE IN PARTNERSHIP WITH U OF I'S BUSINESS LEADERSHIP NETWORK- CONNECTED EVERFI WITH WILTON, WEST LIBERTY AND MUSCATINE COMMUNITY SCHOOL DISTRICT STAFF TO PROMOTE UNITYPOINT HEALTH EDUCATION PROGRAMS: (PRESCRIPTION DRUG SAFETY - PREVENTION EDUCATION FOR GRADES 9-12 AND MENTAL WELLNESS BASICS - MENTAL HEALTH EDUCATION FOR GRADES 8-10).- NAMI EXPANDED PROGRAMS THROUGH SUPPORT OF COMMUNITY FOUNDATION OF GREATER MUSCATINE SUPPORT. - PROMOTIONAL - SUICIDE PREVENTION GROUPS FROM RYC FOR ADOLESCENTS THROUGH THE SUPPORT OF THE COMMUNITY FOUNDATION OF GREATER MUSCATINE.- MENTAL HEALTH CONNECTIONS PROGRAM THROUGH THE SUPPORT OF THE COMMUNITY FOUNDATION OF GREATER MUSCATINE.- MENTAL HEALTH FOCUS GROUPS LEAD BY MUSCATINE COUNTY COMMUNITY SERVICES- DROP-IN PEER CENTER OFFERED AT MCSA- INVESTED IN AN UPDATED RESOURCE WEBSITE FOR ALL SERVICE NEEDS IN MUSCATINE COUNTY AND BEYOND- INCREASED ACCESS TO CARE THROUGH TELEHEALTH SERVICES- RURAL HEALTH ACCESS GRANT FROM HRSA- YOUR INPUT: EXPANSIONS OF CARE FROM MENTAL HEALTH REGION (TELEHEALTH, 1616 CEDAR ST., CHILDREN'S MENTAL HEALTH NETWORK, CRISIS TEAMS (ACTS), LAW ENFORCEMENT PROFESSIONAL DEVELOPMENT IN MH 1ST AID, CROSSROADS ADDING HABILITATION SERVICES FOR INDIVIDUALS LIVING WITH MENTAL HEALTH CONDITIONS, SUCCESS TEAMS (PROFESSIONAL CASE MANAGEMENT CONSULTATION SERVICES)SUBSTANCE ABUSE- COMPLETED A PROCESS IMPROVEMENT ROOT CAUSE ANALYSIS TO DETERMINE SUBSTANCE ABUSE NEEDS IN COMMUNITY.FINDINGS, INCLUDED IMPROVING KNOWLEDGE OF RESOURCES AND ACCESS TO CARE THROUGH VALID AND FACTUAL INFORMATION.- ESTABLISHED A MUSCATINE COUNTY SUBSTANCE USE TASK FORCE DISPOSE RX - DISTRIBUTED 2500 PACKETS TO LOCAL NURSING HOMES, SCHOOLS AND COMMUNITY MEMBERS- CONNECTED EVERFI WITH WILTON, WEST LIBERTY AND MUSCATINE COMMUNITY SCHOOL DISTRICT STAFF TO PROMOTE UNITYPOINT HEALTH EDUCATION PROGRAMS: (PRESCRIPTION DRUG SAFETY - PREVENTION EDUCATION FOR GRADES 9-12 AND MENTAL WELLNESS BASICS - MENTAL HEALTH EDUCATION FOR GRADES 8-10).- MCSD TEACHER QUALITY DAY (PRESENTED AND BROUGHT IN QUEST SPEAKER - ALEX ELSWICK, EXTENSION SPECIALIST FOR SUBSTANCE USE PREVENTION AND RECOVERY AND VOICES OF HOPE, CO-FOUNDER- PROJECT STOMP (STEPS TOWARD OPIOID MISUSE PREVENTION) PARTNERSHIP THROUGH ISU COUNTY EXTENSION (FUNDING/MATERIALS). PROJECT STOMP PRESENTED OUR SUCCESSES AT LARGE GROUP MEETING IN AMES.- LOCAL RX MEDICATION DROP BOX LOCATION PROMOTION BUSINESS AFTER HOURS CAMPAIGN AND EDUCATION - ALTERNATIVE ALCOHOL-FREE BEVERAGES- ASSISTED MUSCATINE PD WITH WHAT YOU DON'T SEE DRUG PREVENTION TRAILER SECURED FUNDING TO CREATE OUR OWN DRUG PREVENTION TRAILER (FINAL TOUCHES IN PROGRESS).- COLLABORATED TO IDENTIFY KEY STAKEHOLDERS FOR 30 COMMUNITY READINESS ASSESSMENT SURVEY'S AND THEN COLLABORATED TO IDENTIFY WAYS TO SHARE THE RESULTS THROUGHOUT THE COMMUNITY.- COMMUNITY FORUM IN WEST LIBERTY IN PARTNERSHIP WITH ROTARY OF WEST LIBERTY- COMMUNITY FORUM IN MUSCATINE IN PARTNERSHIP WITH U OF I'S BUSINESS LEADERSHIP NETWORK- INVESTED IN AN UPDATED RESOURCE WEBSITE FOR ALL SERVICE NEEDS IN MUSCATINE COUNTY AND BEYOND. WWW.LMCRESOURCES.ORG- RURAL HEALTH ACCESS GRANT FROM HRSA- CURRENTLY EXPLORING DRUG COURTS MODEL FOR MUSCATINE COUNTY (MODEL REPLICATION FROM THE QCA)- YOUR INPUT: NEW HORIZONS NOW OFFERS SUBSTANCE ABUSE ASSESSMENTS WITHIN 24 HOURS (INCREASED ACCESS TO CARE) TRINITY MUSCATINE PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES. PART I, LINE 6A: UNITY HEALTHCARE'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 $ 297. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. COMMUNITY SUPPORT INCLUDES THE HOURS TRINITY MUSCATINE EMPLOYEES SPENT PARTICIPATING IN THE DAY OF CARING (UNITED WAY). THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR TRINITY MUSCATINE. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2. PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. 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 MUSCATINE CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN THE MUSCATINE COUNTY AREA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. TRINITY MUSCATINE'S PUBLIC HEALTH DEPARTMENT WORKS COLLABORATIVELY WITH THE AREA SCHOOLS, BOARD OF HEALTH, BOARD OF SUPERVISORS, AND OTHER LOCAL AGENCIES TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF THE MUSCATINE AREA. TRINITY MUSCATINE ALSO PARTICIPATES AS PART OF THE MUSCATINE COMMUNITY HEALTH ASSOCIATION, EMPOWERING HEALTHY BEHAVIORS COMMITTEE, COMMUNITY FOUNDATION OF GREATER MUSCATINE, AND HEALTHY HOMETOWNS. THESE GROUPS ACTIVELY ADDRESS THE NEED AND STRATEGIES ASSOCIATED WITH OPTIMAL HEALTH OUTCOMES. MORE SPECIFICALLY, THESE GROUPS OFTEN FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE COMMUNITY HEALTH STATUS. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR TRINITY MUSCATINE TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, UNITY HEALTHCARE CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS OFTEN WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATION THEY IMPACT. 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 MUSCATINE IS AN 80-BED COMMUNITY HOSPITAL SERVING MUSCATINE AREA OF EASTERN IOWA. TRINITY MUSCATINE IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.90% OF TRINITY MUSCATINE'S MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF MUSCATINE AND LOUISA. TRINITY MUSCATINE ADMITS APPROXIMATELY 1,100 INPATIENTS AND CARES FOR OVER 17,000 EMERGENCY PATIENTS PER YEAR. TRINITY MUSCATINE CARES FOR MORE INPATIENTS, OUTPATIENTS, EMERGENCY PATIENTS AND CARDIAC PATIENTS THAN ANY OTHER HOSPITAL IN THE MUSCATINE AREA OF EASTERN IOWA. THERE ARE NO OTHER HOSPITALS WITHIN THE 2-COUNTY SERVICE AREA. MEDIAN INDIVIDUAL INCOMES RANGE FROM $53,943 TO $57,348 AND THE AVERAGE POVERTY RATE IS 11%. 59% OF TRINITY MUSCATINE INPATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. MUSCATINE AND LOUISA COUNTIES ARE ABOUT 79% CAUCASIAN AND 17% 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: THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). AS THE NATION'S 13TH LARGEST NONPROFIT HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES PROGRESSIVE AND HIGH QUALITY SERVICES ACROSS ITS 9 REGIONS WHICH SPAN IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN. THIS REGIONAL CARE MODEL HAS BEEN SUCCESSFUL IN ACHIEVING STANDARDIZED LEVELS OF PERFORMANCE AND KEEPING CARE LOCAL. WITH $4.6B IN TOTAL OPERATING REVENUE, UNITYPOINT HEALTH EMPLOYS APPROXIMATELY 33,000 TEAM MEMBERS AND OPERATES 20 REGIONAL HOSPITALS, 19 COMMUNITY NETWORK HOSPITALS AND OVER 400 CLINICS. AS A KEY COMPONENT OF UNITYPOINT HEALTH, UNITYPOINT CLINIC IS A 1,100 PROVIDER MULTISPECIALTY GROUP THAT IS BUILT ON THE FOUNDATION OF CARE DELIVERY, INNOVATION AND EXPERIENCE. REPRESENTED BY OVER 40 SPECIALTIES, UPC IS A FORWARD-THINKING DELIVERY PROVIDER AND IS ON THE LEADING EDGE OF CARE DELIVERY WITH ITS TELEHEALTH, AMBULATORY AND URGENT CARE PROGRAMS. THE DIVERSIFIED HEALTH SYSTEM ALSO INCLUDES UNITYPOINT ACCOUNTABLE CARE, UNITYPOINT HEALTH COLLEGES, UNITYPOINT AT HOME AND EXTENDS HEALTH COVERAGE THROUGH THE HEALTHPARTNERS UNITYPOINT INSURANCE PLAN. 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 2019, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $575 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 1 ISU EXTENSION LOUISA COUNTY 317 VAN BUREN ST WAPELLO IA 52653 426004224 GOVERNMENT 7543 PROGRAM SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINES A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. THE ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. X X X X X 1 1 0 0 0 0 0 0 0 RHEA ALLEN MD BOARD MEMBER 315143 0 0 0 11528 0 14000 0 20488 0 361159 0 0 0 ROBERT ERICKSON FR 919 BOARD MEMBER/PRESIDENT/CEO 0 134842 0 50000 0 69293 0 28021 0 6901 0 289057 0 0 PRASAD NADKARNI MD BOARD MEMBER 0 544097 0 34375 0 6336 0 34437 0 12556 0 631801 0 0 SUNEEL PARVATHAREDDY MD BOARD MEMBER 391012 0 20000 0 686 0 29939 0 23555 0 465192 0 0 0 RICHARD SEIDLER BOARD MEMBER/PRESIDENT/CEO 0 193002 0 53900 0 1791870 0 533889 0 14292 0 2586953 0 1414713 JOHN SHEEHAN FR 519 - TO 919 BOARD MEMBER/INTERIM PRES/CEO 0 299198 0 25000 0 55125 0 6062 0 7300 0 392685 0 0 ROBERT WEIS MD BOARD MEMBER 0 349919 0 30790 0 6329 0 14000 0 20192 0 421230 0 0 ANGELA JOHNSON EXEC DIRECTOR & VP HUMAN R 0 254348 1578 13762 0 16348 82 13816 322 22921 1982 321195 0 0 KATHERINE MARCHIK SR VP FINANCE/CFO 0 343704 0 40392 0 16518 0 82395 0 26202 0 509211 0 0 MANASI NADKARNI MD VP MEDICAL AFFAIRS 442994 0 0 0 6662 0 34188 0 9815 0 493659 0 0 0 FRANK P AMLING NURSE PRACTITIONER 139423 0 0 0 7469 0 7530 0 8704 0 163126 0 0 0 PAMELA F ASKEW VP PATIENT CARE 135767 0 8287 0 396 0 7503 0 15450 0 167403 0 0 0 ANN M DROLL LEAD PHARMACIST 142130 0 0 0 60 0 7424 0 25426 0 175040 0 0 0 DONNA K POHL NURSE PRACTITIONER 164036 0 0 0 138 0 5843 0 9942 0 179959 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: RICHARD SEIDLER $353,269 NONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: ROBERT ERICKSON $21,592; KATHERINE MARCHIK $63,930; AND RICHARD SEIDLER $495,179. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: RICHARD SEIDLER $1,414,713. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS. A IOWA FINANCE AUTHORITY 521699886 46246PKC4 2006-02-01 14505000 CONSTRUCTION OF FACILITIES 1 0 0 B CITY OF MUSCATINE IOWA 426005008 2005-12-31 4000000 CONSTRUCTION OF FACILITIES 0 0 0 A 2947237 11410000 15002237 528415 14544238 2007 0 0 1 1 B 2055000 4000000 273139 3726861 2007 0 0 1 1 A 0 0 1 1 1 1 0 0 1 B 0 0 1 1 1 1 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3, COLUMN (A) THERE IS A DIFFERENCE BETWEEN THE BOND ISSUE PRICE AND THE TOTAL PROCEEDS OF BOND ISSUE DUE TO INVESTMENT EARNINGS OF $497,237. ANGELA KOPPE FAMILY MEMBER OF BOARD MEMBER RHEA ALLEN, MD 41009 EMPLOYMENT 0 FORM 990, PART V, LINES 1A & 1B CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL UNITYPOINT HEALTH SYSTEM RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 PRASAD NADKARNI, MD; MANASI NADKARNI, MD; FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 TRINITY REGIONAL HEALTH SYSTEM, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A TRINITY REGIONAL HEALTH SYSTEM'S MAY APPOINT THREE BOARD MEMBERS AND APPROVES ALL OTHERS. FORM 990, PART VI, SECTION A, LINE 7B TRINITY REGIONAL HEALTH SYSTEM, AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES, BYLAWS AND APPOINTS CEO. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2019 FOR THE FOLLOWING INDIVIDUALS: ROBERT ERICKSON, ANGELA JOHNSON, KATHERINE MARCHIK, JOHN SHEEHAN. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, LINE J, WEBSITE: WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-MUSCATINE.ASPX ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421045257 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) ABBEHEALTH INC 0 ABBEHEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421373123 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III ST LUKE'S HEALTHCARE 0 AGING SERVICES INC 740 N 15TH AVE NO A HIAWATHA IA 52233 237085316 SENIOR SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) ABBEHEALTH INC 0 ALLEN COLLEGE 1825 LOGAN AVENUE WATERLOO IA 50703 421351526 EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS IA 501(C)(3) 170(B)(1) (A)(II) ALLEN HEALTH SYSTEMS INC 0 ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVENUE WATERLOO IA 50703 421201924 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE WATERLOO IA 50703 420698265 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ALLEN HEALTH SYSTEMS INC 0 ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DRIVE ANAMOSA IA 52205 421466284 PROVIDE AMBULANCE SERVICES IA 501(C)(3) 509(A)(3), TYPE III ST LUKE'SJONES REGIONAL MEDICAL CENTER 0 BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 3251 WEST NINTH STREET WATERLOO IA 50702 420733463 MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 CENTER FOR ALCOHOL AND DRUG SERVICES INC 4869 FOREST GROVE DRIVE BETTENDORF IA 52722 421134273 SUBSTANCE ABUSE SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 0 CENTRAL IOWA HEALTH PROPERTIES CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 421233759 PROPERTY HOLDING COMPANY IA 501(C)(2) CENTRAL IOWA HEALTH SYSTEM 0 CENTRAL IOWA HEALTH SYSTEM 1200 PLEASANT STREET DES MOINES IA 50309 421189791 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 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IA N/A C 0 DELHI POINT CONDO ASSOCIATION 350 N GRANDVIEW DUBUQUE IA 52001 421467002 REAL ESTATE MANAGEMENT IA N/A C 0 HCP CORPORATION 202 SOUTH PARK STREET MADISON WI 53715 391177562 REAL ESTATE RENTAL WI N/A C 0 HANSEN CHARITABLE REMAINDER ANNUITY TRUST 210 FOURTH AVENUE GRINNELL IA 50112 396770806 INVESTMENT IA N/A T 0 HANSEN CHARITABLE REMAINDER UNITRUST 210 FOURTH AVENUE GRINNELL IA 50112 396770807 INVESTMENT IA N/A T 0 HEALTH ADVANTAGE PLUS INC 210 4TH AVENUE GRINNELL IA 50112 421436490 PHYSICAL THERAPY IA N/A C 0 HEALTH PLUS INC 5409 N KNOXVILLE AVE PEORIA IL 61614 371295532 MANAGED CARE ADMINISTRATION IL N/A C 0 HNC SERVICES 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 270987243 FIBER OPTIC NETWORK SERVICES IA N/A C 0 HOME HEALTH PLUS SERVICES INC PO BOX 87 PEORIA IL 61650 364053068 HOME HEALTH SERVICES IL N/A C 0 KEOKUK AREA MEDICAL EQUIPMENT AND SUPPLY INC 420 NORTH 17TH STREET KEOKUK IA 52632 421237312 RETAIL DURABLE MEDICAL EQUIPMENT IA N/A C 0 MARIGOLD CITY LAND TRUST NO ONE 2956 COURT STREET PEKIN IL 61554 272750273 PROPERTY MANAGEMENT IL N/A T 0 MEDIMORE INC 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421414390 MANAGED CARE IA N/A C 0 MERITER HEALTH ENTERPRISES INC 202 SOUTH PARK STREET MADISON WI 53715 391293620 MANAGEMENT SERVICES WI N/A C 0 MERITER MANAGEMENT SERVICES INC 202 SOUTH PARK STREET MADISON WI 53715 391458235 ADMINISTRATIVE SERVICES WI N/A C 0 METHODIST HEALTH VENTURES INC PO BOX 87 PEORIA IL 61650 371140939 PHARMACY/OFFICE STAFFING IL N/A C 0 OPTIMUM HEALTH SOLUTIONS INC 221 NORTHEAST GLEN OAK AVE PEORIA IL 61636 205430137 HEALTH & WELLNESS CONSULTING IA N/A C 0 PEKIN PROHEALTH INC 600 SOUTH 13TH STREET PEKIN IL 61554 371117052 CLINIC IL N/A C 0 PRECEDENCE INC 4622 PROGRESS DRIVE STE A DAVENPORT IA 52807 371288604 MANAGED MENTAL CARE IA N/A C 0 PROVIDER RESOURCE MANAGEMENT INC PO BOX 87 PEORIA IL 61650 371223550 RESOURCE MANAGEMENT IL N/A C 0 STL HEALTH RESOURCES CO 1026 A AVE NE CEDAR RAPIDS IA 52402 421193499 PHYSICIAN OFFICE RENTAL IA N/A C 0 TRINITY HEALTH ENTERPRISES INC 2701 17TH ST ROCK ISLAND IL 61201 363320141 RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY IL N/A C 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 1 1 1 0 0 SCHEDULE R, PARTS I - IV: IOWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). AS THE NATION'S 13TH LARGEST NONPROFIT HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES PROGRESSIVE AND HIGH QUALITY SERVICES ACROSS ITS 9 REGIONS WHICH SPAN IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN. THIS REGIONAL CARE MODEL HAS BEEN SUCCESSFUL IN ACHIEVING STANDARDIZED LEVELS OF PERFORMANCE AND KEEPING CARE LOCAL. WITH $4.6B IN TOTAL OPERATING REVENUE, UNITYPOINT HEALTH EMPLOYS APPROXIMATELY 33,000 TEAM MEMBERS AND OPERATES 20 REGIONAL HOSPITALS, 19 COMMUNITY NETWORK HOSPITALS AND OVER 400 CLINICS. AS A KEY COMPONENT OF UNITYPOINT HEALTH, UNITYPOINT CLINIC IS A 1,100 PROVIDER MULTISPECIALTY GROUP THAT IS BUILT ON THE FOUNDATION OF CARE DELIVERY, INNOVATION AND EXPERIENCE. REPRESENTED BY OVER 40 SPECIALTIES, UPC IS A FORWARD-THINKING DELIVERY PROVIDER AND IS ON THE LEADING EDGE OF CARE DELIVERY WITH ITS TELEHEALTH, AMBULATORY AND URGENT CARE PROGRAMS. THE DIVERSIFIED HEALTH SYSTEM ALSO INCLUDES UNITYPOINT ACCOUNTABLE CARE, UNITYPOINT HEALTH COLLEGES, UNITYPOINT AT HOME AND EXTENDS HEALTH COVERAGE THROUGH THE HEALTHPARTNERS UNITYPOINT INSURANCE PLAN.