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NORTHWEST IOWA HOSPITAL CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
NORTHWEST IOWA HOSPITAL CORPORATION (EIN 42-1019872)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202013189349307461
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T12:57:05-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421019872EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST IOWA HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone7122793500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12720 STONE PARK BLVDAddressLine1Txt
CitySIOUX CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES L GOBELLPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone7122793201PhoneNum
Signature2020-11-06SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address205.167.3.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-06IPDt
IP Tm15:40:18IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF1604245A147518CBE08B3B38589C677CA2A5196AtSubmissionCreationDeviceId
At Submission Filing Device IdF1604245A147518CBE08B3B38589C677CA2A5196AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerLYNN WOLDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12720 STONE PARK BLVDAddressLine1Txt
CitySIOUX CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$186,582,065GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNITYPOINT.ORG/SIOUXCITYWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1777TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$1,221,291TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,652NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,465,254PYContributionsGrantsAmt
CY Contributions Grants$1,730,078CYContributionsGrantsAmt
PY Program Service Revenue$167,617,155PYProgramServiceRevenueAmt
CY Program Service Revenue$176,503,326CYProgramServiceRevenueAmt
PY Investment Income$2,663,352PYInvestmentIncomeAmt
CY Investment Income$1,975,837CYInvestmentIncomeAmt
PY Other Revenue$1,511,790PYOtherRevenueAmt
CY Other Revenue$1,852,671CYOtherRevenueAmt
PY Total Revenue$173,257,551PYTotalRevenueAmt
CY Total Revenue$182,061,912CYTotalRevenueAmt
PY Grants And Similar Paid$3,642,601PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,277,469CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$91,203,311PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$93,678,243CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$72,434,826PYOtherExpensesAmt
CY Other Expenses$74,180,277CYOtherExpensesAmt
PY Total Expenses$167,280,738PYTotalExpensesAmt
CY Total Expenses$172,135,989CYTotalExpensesAmt
PY Revenues Less Expenses$5,976,813PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,925,923CYRevenuesLessExpensesAmt
Total Assets BOY$202,136,374TotalAssetsBOYAmt
Total Assets EOY$215,903,505TotalAssetsEOYAmt
Total Liabilities BOY$64,718,827TotalLiabilitiesBOYAmt
Total Liabilities EOY$62,239,260TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$137,417,547NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$153,664,245NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF NORTHWEST IOWA HOSPITAL CORPORATION, D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER, IS TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$135,133,151ExpenseAmt
Grant$1,426,742GrantAmt
Revenue$178,156,384RevenueAmt
DescHEALTH-CARE SERVICESNORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH CARE DELIVERY SYSTEM THAT SIOUXLAND COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. NORTHWEST IOWA HOSPITAL CORPORATION PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDING DECEMBER 31, 2019, NORTHWEST IOWA HOSPITAL CORPORATION ADMITTED 11,085 PATIENTS. THE HOSPITAL HAD A TOTAL NUMBER OF 78,657 PATIENT DAYS. OUTPATIENT VISITS TOTALED 87,016 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 2,659. THERE WERE ALSO 32,072 EMERGENCY ROOM VISITS AND 2,047 BABIES DELIVERED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,789,811ExpenseAmt
Grant$2,850,727GrantAmt
Revenue$0RevenueAmt
DescCOMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: NORTHWEST IOWA HOSPITAL CORPORATION PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $2,297,310 IN 2019. OFTENTIMES, NORTHWEST IOWA HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES OR SERVICES. NORTHWEST IOWA HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT SPONSORED HEALTH-CARE PROGRAMS. NORTHWEST IOWA HOSPITAL CORPORATION'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $2,956,202 FOR 2019. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE WAS $5,253,512. OTHER BENEFITS: NORTHWEST IOWA HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. NORTHWEST IOWA HOSPITAL CORPORATION COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. NORTHWEST IOWA HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE WAS $6,536,299.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$146,922,962TotalProgramServiceExpensesAmt
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 Individuals0GrantsToIndividualsInd
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 Ent0RelatedOrganizationCtrlEntInd
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
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1777EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 Line1JAMES L GOBELL VPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7122793201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12720 STONE PARK BLVDAddressLine1Txt
CitySIOUX CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CRAIG BERNSTEIN
BOARD VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
MIKE CRONE
BOARD MEMBER1.001.00Yes (X)$0$0$0
DARIN DABY
BOARD CHAIR1.001.00Yes (X)Yes (X)$0$12,500$0
RACHELLE KARSTENS
BOARD MEMBER1.001.00Yes (X)$0$0$0
LYNN MILLS
BOARD TREASURER1.001.00Yes (X)Yes (X)$250$0$0
JIM PALMER
BOARD SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
STEVE SHOOK MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
GARRETT SMITH
BOARD PAST CHAIR1.001.00Yes (X)$0$0$0
JOY TAYLOR
BOARD MEMBER1.001.00Yes (X)$0$0$0
JANE ARNOLD
SVP OPERATIONS40.001.00Yes (X)$230,586$0$37,283
LEAH GLASGO TO 0119
COO40.001.00Yes (X)$5,234$429,689$126,509
JAMES GOBELL
VP/CFO40.001.00Yes (X)$278,067$0$143,554
WENDY LINDLEY CNE
VP/CNO40.001.00Yes (X)$223,411$0$23,311
CHAD MARKHAM
COO40.001.00Yes (X)$289,380$0$99,227
SUSAN UNGER
VP FUNDRAISING DEVELOPMENT40.001.00Yes (X)$189,411$0$27,440
LYNN WOLD
PRESIDENT/CEO40.001.00Yes (X)$446,086$0$137,609
ROQUE ARTEAGA
PHYSICIAN40.000.00$592,997$0$36,451Yes (X)
ALFRED FLEMING
PHYSICIAN40.000.00$569,807$0$40,512Yes (X)
MARWAN JARMAKANI
PHYSICIAN40.000.00$637,073$0$38,517Yes (X)
JEFFREY O'TOOL MD
PHYSICIAN40.000.00$547,232$0$75,353Yes (X)
MAHMOUD A SHARAF MD
PHYSICIAN40.000.00$621,015$0$43,578Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,630,549TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$442,189TotReportableCompRltdOrgAmt
Total Other Compensation$829,344TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K86IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SIOUXLAND HOSPITALISTS PLLC
2720 STONE PARK BLVDSIOUX CITYIA51104MEDICAL SERVICES$1,970,709
AMN HEALTHCARE INC
4150 WESTOWN PARKWAY SUITE 106WEST DES MOINESIA50266MEDICAL STAFFING$1,741,421
WA KLINGER LLC
2015 E 7TH STSIOUX CITYIA51102CONSTRUCTION SERVICES$1,606,822
ARAMARK SERVICES INC
27310 NETWORK PLACECHICAGOIL60673CLEANING SERVICES$1,273,852
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397MEDICAL STAFFING$1,099,208
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Related Organizations$1,085,333RelatedOrganizationsAmt
All Other Contributions$644,745AllOtherContributionsAmt
Total Contributions$1,730,078TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE900099$168,799,257$168,799,257
EDUCATION & RESEARCH611310$3,455,108$3,455,108
SUBS & JOINT VENTURES900099$2,472,942$2,472,942
LABORATORY SERVICES900099$1,221,291$1,221,291
RENTAL INCOME531390$319,653$319,653

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$235,075TotalRevenueColumnAmt
Related Or Exempt Func Income$235,075RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$176,503,326TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,243,196TotalRevenueColumnAmt
Related Or Exempt Func Income$14RelatedOrExemptFuncIncomeAmt
Exclusion$1,243,182ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,068,186SecuritiesAmt
Other$26,476OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,360,021SecuritiesAmt
Other$2,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$708,165SecuritiesAmt
Other$24,476OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$732,641TotalRevenueColumnAmt
Exclusion$732,641ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$305,612GrossSalesOfInventoryAmt
Cost Of Goods Sold$158,132CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,480TotalRevenueColumnAmt
Exclusion$147,480ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MISCELLANEOUS REVENUE900099$850,785$850,785
SHARED SAVINGS REVENUE900099$802,259$802,259
CAFETERIA/FOOD SVCS722210$52,147$52,147
FieldValueIRS element (for citing)
Other Revenue Total$1,705,191OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$182,061,912TotalRevenueColumnAmt
Related Or Exempt Func Income$176,935,093RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,221,291UnrelatedBusinessRevenueAmt
Exclusion$2,175,450ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,277,469TotalAmt
Program Services$4,277,469ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,131,621TotalAmt
Management And General$2,131,621ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$67,987TotalAmt
Management And General$67,987ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$75,286,400TotalAmt
Program Services$65,727,111ProgramServicesAmt
Management And General$9,559,289ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,666,991TotalAmt
Program Services$2,328,357ProgramServicesAmt
Management And General$338,634ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,000,446TotalAmt
Program Services$7,857,638ProgramServicesAmt
Management And General$1,142,808ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,524,798TotalAmt
Program Services$3,950,274ProgramServicesAmt
Management And General$574,524ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$16,354,518TotalAmt
Program Services$9,273,114ProgramServicesAmt
Management And General$7,081,404ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$771,449TotalAmt
Program Services$13,114ProgramServicesAmt
Management And General$758,335ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$270,785TotalAmt
Program Services$148,813ProgramServicesAmt
Management And General$121,972ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,176,303TotalAmt
Program Services$8,600,316ProgramServicesAmt
Management And General$1,575,987ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$657,973TotalAmt
Program Services$325,088ProgramServicesAmt
Management And General$332,885ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,972,574TotalAmt
Program Services$2,703,224ProgramServicesAmt
Management And General$269,350ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total-$844,388TotalAmt
Program Services-$844,388ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,762,344TotalAmt
Program Services$3,880,105ProgramServicesAmt
Management And General$882,239ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$205,956TotalAmt
Program Services$103,026ProgramServicesAmt
Management And General$102,930ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$87,182TotalAmt
Program Services$53,766ProgramServicesAmt
Management And General$33,416ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,839,873TotalAmt
Program Services$1,839,873ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,776,359TotalAmt
Program Services$4,701,630ProgramServicesAmt
Management And General$74,729ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,355,921TotalAmt
Program Services$2,355,921ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$29,502,415$29,478,134$24,281
MISCELLANEOUS EXPENSE$251,818$148,428$103,390
BAD DEBT EXPENSE$37,447$801$36,646
INCOME TAXES$1,748$1,148$600

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$172,135,989TotalAmt
Program Services$146,922,962ProgramServicesAmt
Management And General$25,213,027ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,227,206BOYAmt
EOY$618,134EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$139,811BOYAmt
EOY-$175EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,107,417BOYAmt
EOY$26,072,374EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$54,348,157BOYAmt
EOY$58,146,305EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,790,259BOYAmt
EOY$3,264,313EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$783,569BOYAmt
EOY$661,051EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$204,908,756LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$144,606,918LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$58,490,040BOYAmt
EOY$60,301,838EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$47,982,395BOYAmt
EOY$55,802,920EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$9,267,520BOYAmt
EOY$11,036,745EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$202,136,374BOYAmt
EOY$215,903,505EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,924,282BOYAmt
EOY$11,062,937EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,244,171BOYAmt
EOY$2,220,182EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$100,977BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,184,602BOYAmt
EOY$1,308,007EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,264,795BOYAmt
EOY$47,648,134EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,718,827BOYAmt
EOY$62,239,260EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$131,570,458BOYAmt
EOY$147,142,302EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,847,089BOYAmt
EOY$6,521,943EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$137,417,547BOYAmt
EOY$153,664,245EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$202,136,374BOYAmt
EOY$215,903,505EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,925,923ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,649,491NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$671,284OtherChangesInNetAssetsAmt
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$41,210,940BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$5,409,611InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,000GrantsOrScholarshipsAmt
Administrative Expenses$117,766AdministrativeExpensesAmt
End Year Balance$46,501,785EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,066,224BeginningYearBalanceAmt
Contributions$22,566ContributionsAmt
Investment Earnings Or Losses-$749,185InvestmentEarningsOrLossesAmt
Grants Or Scholarships$9,276GrantsOrScholarshipsAmt
Administrative Expenses$119,389AdministrativeExpensesAmt
End Year Balance$41,210,940EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$38,963,713BeginningYearBalanceAmt
Contributions$67,116ContributionsAmt
Investment Earnings Or Losses$5,150,768InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,004,638GrantsOrScholarshipsAmt
Administrative Expenses$110,735AdministrativeExpensesAmt
End Year Balance$42,066,224EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$44,055,081BeginningYearBalanceAmt
Contributions$53,100ContributionsAmt
Investment Earnings Or Losses$3,480,900InvestmentEarningsOrLossesAmt
Grants Or Scholarships$8,504,276GrantsOrScholarshipsAmt
Administrative Expenses$121,092AdministrativeExpensesAmt
End Year Balance$38,963,713EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$43,726,995BeginningYearBalanceAmt
Contributions$117,132ContributionsAmt
Investment Earnings Or Losses$319,137InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,603GrantsOrScholarshipsAmt
Administrative Expenses$106,580AdministrativeExpensesAmt
End Year Balance$44,055,081EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.85970BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.04670PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.09350TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,845,974OtherCostOrOtherBasisAmt
Depreciation$82,298,580DepreciationAmt
Book Value$38,547,394BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,352,216OtherCostOrOtherBasisAmt
Depreciation$1,296,546DepreciationAmt
Book Value$55,670BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,822,212OtherCostOrOtherBasisAmt
Depreciation$57,573,373DepreciationAmt
Book Value$12,248,839BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,389,689OtherCostOrOtherBasisAmt
Depreciation$3,438,419DepreciationAmt
Book Value$3,951,270BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,301,838TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BENEFICIAL INTEREST IN ST. LUKE'S HEALTH FOUNDATION$5,897,128F
PIERCE STREET SAME DAY SURGERY, LC$5,134,617C
IOWA HEALTH SYSTEM CONTRACTING SERVICES$5,000C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$11,036,745TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO AFFILIATES$35,061,950
ASBESTOS REMOVAL LIABILITY$3,394,209
SELF-INSURANCE RESERVE$5,170,063
LONG-TERM RETENTION INCENTIVES$2,414,911
HEALTH AND WELFARE BENEFITS RESERVE$977,258
MISCELLANEOUS LIABILITY$629,743
FieldValueIRS element (for citing)
Total Liability$47,648,134TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$186,148,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,649,491NetUnrealizedGainsInvstAmt
Other Revenue$158,132OtherRevenueAmt
Revenue Not Reported$5,807,623RevenueNotReportedAmt
Revenue Subtotal$180,340,377RevenueSubtotalAmt
Investment Expenses Not Incld$121,972InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,599,563OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,721,535RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$182,061,912TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$168,181,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$158,132OtherExpensesIncludedAmt
Expenses Not Reported$158,132ExpensesNotReportedAmt
Expenses Subtotal$168,022,868ExpensesSubtotalAmt
Investment Expenses Not Incld2$121,972InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$3,991,149OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,113,121ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$172,135,989TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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 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:GIFT SHOP EXPENSES 158,132.
PART XI, LINE 4B - OTHER ADJUSTMENTS:IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATE 1,085,333. REVENUES IN NET ASSETS WITH DONOR RESTRICTIONS 4,570. REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 509,349. ROUNDING 311.
PART XII, LINE 2D - OTHER ADJUSTMENTS:GIFT SHOP EXPENSES 158,132.
PART XII, LINE 4B - OTHER ADJUSTMENTS:IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATE 1,085,333. EXPENSES IN NET ASSETS WITH DONOR RESTRICTIONS 1,000. EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 2,904,462. ROUNDING 354.

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 BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
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$2,297,310TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,297,310NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,502,686TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,546,484DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,956,202NetCommunityBenefitExpnsAmt
Total Expense0.01720TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,799,996TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,546,484DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,253,512NetCommunityBenefitExpnsAmt
Total Expense0.03050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,909TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$87,909NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,313,842TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,959,240DirectOffsettingRevenueAmt
Net Community Benefit Expns$354,602NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,749,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,554,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,195,758NetCommunityBenefitExpnsAmt
Total Expense0.01860TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,195,429TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,297,399DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,898,030NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,346,973TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,810,674DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,536,299NetCommunityBenefitExpnsAmt
Total Expense0.03800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,146,969TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,357,158DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,789,811NetCommunityBenefitExpnsAmt
Total Expense0.06850TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,350,814BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$40,086,811ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$31,214,385CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$8,872,426MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 PIERCE STREET SAME DAY SURGERY LCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAMBULATORY SURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12720 STONEPARK BLVDAddressLine1Txt
CitySIOUX CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51104ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UNITYPOINT.ORG/SIOUXCITYWebsiteAddressTxt
State License970180HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S 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 Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.UNITYPOINT.ORG/SIOUXCITYOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.UNITYPOINT.ORG/SIOUXCITYStrategyWebsiteURLTxt
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 URLWWW.UNITYPOINT.ORG/SIOUXCITY/FINANCIAL-ASSISTANCE.ASPXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.UNITYPOINT.ORG/SIOUXCITY/FINANCIAL-ASSISTANCE.ASPXFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.UNITYPOINT.ORG/SIOUXCITY/FINANCIAL-ASSISTANCE.ASPXFAPSummaryOnWebsiteURLTxt
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. LUKE'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE CHNA PLANNING COMMITTEE, MADE UP OF REPRESENTATIVES FROM DUNES SURGICAL HOSPITAL, MERCY MEDICAL CENTER, SIOUXLAND DISTRICT HEALTH DEPARTMENT AND UNITYPOINT HEALTH - ST. LUKE'S, ELECTED TO UTILIZE THE NATIONAL ASSOCIATION OF COUNTIES AND CITIES HEALTH OFFICIALS(NACCHO), MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS TO COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. AS A RESULT, THE REPORT INCLUDED COMMUNITY THOUGHTS FROM THE FOLLOWING:- 651 ONLINE SURVEY RESPONDENTS- 2 COMMUNITY - WIDE MEETINGS WITH A COMBINED 83 ATTENDEES- 39 DIFFERENT COMMUNITY AND CITY-BASED ORGANIZATIONS- 5 FOCUS GROUP MEETINGS WITH A COMBINED 33 ATTENDEES
ST. LUKE'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6A: MERCY MEDICAL CENTER & DUNES SURGICAL HOSPITAL
ST. LUKE'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6B: SIOUXLAND DISTRICT HEALTH DEPARTMENT
ST. LUKE'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: ST. LUKE'S HAS DEDICATED RESOURCES TO ALL SEVEN TOP NEEDS IDENTIFIED IN THE COMMUNITY NEEDS ASSESSMENT FOR THE TRI-STATE SIOUXLAND AREA. BELOW IS A RECAP OF ALL INITIATIVES COMPLETED IN RESPONSE TO THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING HEALTH IMPROVEMENT PLAN: OBESITY, TEEN BIRTH, ACCESS TO CARE, MENTAL ILLNESS, CANCER SCREENINGS, TOBACCO & SUBSTANCE ABUSE, AND HOUSING CONCERNS. SEVERAL TOP NEEDS OVERLAP. FREE TEEN HEALTH FAIR - BACK TO SCHOOL EVENT- PARTNERED WITH COMMUNITY HEALTH CENTER AND GIRLS INC. TO HOST A TEEN HEALTH EVENT IN LATE AUGUST 2018 FOCUSING ON MENTAL HEALTH, SEXUAL HEALTH, PREVENTION, EMOTIONAL HEALTH, HUMAN TRAFFICKING, CYBER SAFETY, DRUGS & ALCOHOL, SELF-DEFENSE, AND PHYSICAL HEALTH. 43 VENDORS/SPEAKERS WERE ONSITE PROVIDING VALUABLE INFORMATION TO TEENS.DIABETES PREVENTION PROGRAM OFFERED AT SUNNYBROOK MEDICAL PLAZA- 10 PARTICIPANTS IN 2017 AND 9 PARTICIPANTS IN 2018 COMPLETED THE FULL PROGRAM - TOTAL GROUP WEIGHT LOSS WAS 3.5% IN 2017 AND 6% IN 2018; EVERY PARTICIPANT LOST SOME WEIGHT; NO ONE GAINED OR STAYED THE SAME FROM THEIR INITIAL SESSIONFARMER'S MARKET - ACTIVELY PARTICIPATED EVERY SUMMER WITH BOOTH AT MAIN ENTRANCE TO PROMOTE PREVENTION SCREENINGS, HEALTHY LIFESTYLES, AND THE MANY SERVICES ST. LUKE'S OFFERS TO OUR COMMUNITYRECRUIT PROVIDERS BASED ON COMMUNITY NEEDS AND PHYSICIAN-TO-POPULATION RATIOS- NEW PEDIATRIC HOSPITALIST PROGRAM STARTED IN 2018- NEW PEDIATRIC INFECTIOUS DISEASE PHYSICIAN- HIRED INTERVENTIONAL RADIOLOGIST IN 2017- HIRED COLORECTAL SURGEON- ADDED FAMILY MEDICINE PROVIDERS AT SUNNYBROOK CLINIC- CONTINUE TO RECRUIT AND HIRE CARDIOLOGISTS- SUPPORT AND SUBSIDIZE THE SIOUXLAND MEDICAL EDUCATION FOUNDATION RESIDENCY PROGRAM 2016-2018 FOR FAMILY PRACTICE PHYSICIANS TO ENCOURAGE RECRUITMENT OF NEW PROVIDERS TO SIOUXLANDSIOUXLAND STREET PROJECT - ACTIVELY PARTICIPATE IN THE SIOUXLAND STREET PROJECT PLANNING MEETINGS- IDENTIFIED NEED FOR A SOBER LIVING PROGRAM WITHIN THE COMMUNITY (OPENING Q1-2019)PREVENTATIVE CANCER SCREENINGS- PARTICIPATED IN THE ANNUAL JUNE E. NYLEN SKIN, ORAL, HEAD AND NECK CANCER SCREENINGS- CROSS CHECK CANCER HOCKEY NIGHT IN OCTOBER TO RAISE FUNDS FOR ALL CANCER SURVIVORS, CANCER FIGHTERS, AND ALL ONCOLOGY-RELATED PROGRAMS AND SERVICES AT ST. LUKE'S. THE ICE IN THE TYSON EVENTS CENTER WAS TURNED LAVENDER (THE RIBBON COLOR HONORING ALL CANCERS). FORMERLY KNOWN AS PINK IN THE RINK FOR NEARLY 10 YEARS, THE EXPANDED FOCUS ALLOWED US TO HELP EVEN MORE PEOPLE IMPACTED BY CANCER- OFFER DONE IN A DAY APPOINTMENTS TO ENCOURAGE WOMEN TO COMPLETE ANNUAL WELLNESS EXAMS AS WELL AS HEART SCREENINGS- PLAN EVENTS SUCH AS MOVEMBER, FOCUSED ON AWARENESS OF PROSTATE CANCER, TO INCREASE AWARENESS OF VARIOUS TYPES OF CANCER AND PREVENTATIVE SCREENINGS. - UNITYPOINT CLINIC PROVIDERS PROMOTE AND SCHEDULE REGULAR PREVENTATIVE SCREENINGS FOR PATIENTS; AND FOLLOW UP WITH PATIENTS WHO MISS THESE SCHEDULED SCREENINGS- HIRED DR. SUBHAS, COLORECTAL SURGEON, AND PROMOTED HIS SERVICES AND IMPORTANCE OF PREVENTATIVE SCREENINGS, MEDICAL MINUTE WAS DONE ON HIS SERVICES- PARTNER WITH JUNE E. NYLEN CANCER CENTER FOR SERVING OUR SISTERS PROGRAM TO PROMOTE THE IMPORTANCE OF MAMMOGRAPHY SCREENINGS- SERVE AS A PROVIDER FOR THE IOWA BREAST AND CERVICAL CANCER DETECTION PROGRAM WITH SIOUXLAND DISTRICT HEALTH DEPARTMENT AND SIOUXLAND COMMUNITY HEALTH CENTER. - PARTNER WITH THE EVERY WOMAN MATTERS PROGRAM IN NEBRASKA BY PROVIDING MAMMOGRAPHY SERVICES AT A REDUCED RATE FOR UNDER-SERVED AREAS IN OUR REGION.- PROMOTE MONTHLY HEALTH OBSERVANCES TO EDUCATE PUBLIC ON IMPORTANCE OF SCREENINGS FOR THE EARLY DETECTION OF CANCERS- PROVIDE EDUCATION AT VARIOUS COMMUNITY EVENTS, HEALTH FAIRS, AND FARMER'S MARKETTEEN BIRTHS- CONTINUE HEALTHY PREGNANCY OUTREACH PROGRAMS AND PROMOTE TO HIGH RISK POPULATIONS THROUGHOUT SIOUXLAND. (100 PARTICIPANTS FROM JAN'2016-AUG'2017)- PARTNERED WITH CRITTENTON CENTER TO PROVIDE EDUCATIONAL CLASSES TO HIGH RISK TEENS IN THEIR SHELTER IN 2016.- HEALTHY PREGNANCY OUTREACH PROGRAM - APRIL'2018 IN SSC- CONTINUE TO OFFER FREE PRENATAL CLASSES AT ST. LUKE'S TO EDUCATE PARENTS ON THE IMPORTANCE OF PRENATAL CARE AND WHAT TO EXPECT ONCE BABY HAS ARRIVED. - COLLABORATION EFFORTS WITH SIOUXLAND COMMUNITY HEALTH CENTER (SCHC), SIOUXLAND DISTRICT HEALTH DEPT. (SDHD), AND GIRLS INC. TO DEVELOP STRATEGIES TO EDUCATE TEENS, PARENTS, AND SCHOOLS ON RESOURCES AVAILABLE, IMPACTS OF TEEN PREGNANCIES, DRUG BABIES, STDS AND STIS.- MEETING WITH SIOUXLAND COMMUNITY HEALTH CENTER TO UNDERSTAND THEIR PROGRAM NOW THAT THEY HAVE RECEIVED TITLE 10 FUNDINGOBESITY- YMCA HEALTHY KIDS DAY AT MIRACLE LEAGUE FIELD APRIL 2018 - HANDED OUT FRISBEES AND APPLES AND PLAYED GAMES WITH KIDS- ST. LUKE'S COMMUNITY GARDEN (BY RONALD MCDONALD HOUSE) - STARTED IN SPRING 2017 AND FILLED 29 TOTAL IN 2018; PUMPKINS WERE PLANTED IN REMAINING BOXES NOT "RENTED AND DELIVERED TO KIDS AT LOCAL CRITTENTON CENTER- DAYCARE GARDEN BOXES - 15 BOXES BUILT AND DELIVERED TO LOCAL DAYCARES IN 2018 - EXPOSING OVER 500 KIDS IN THE SIOUXLAND AREA TO THE GARDENING; ST. LUKE'S DIETICIANS WENT TO SOME OF THE DAYCARES TO READ AND DO ACTIVITIES FOCUSED ON THE BENEFITS OF GARDENING AND EATING FRESH FRUITS AND VEGETABLES- PROVIDE FINANCIAL SUPPORT FOR LOCAL FITNESS PROGRAMS INCLUDING YOUTH SPORTS AND CAMPS- CONTINUE TO PARTICIPATE IN COMMUNITY ACTIVITIES THAT ENCOURAGE HEALTHY LIFESTYLES- SUMMER POP-UP PARKS - HEALTHIEST STATE WALK- FARMER'S MARKET - LITE THE NIGHT WALK- COMMUNITY HEALTH EXPO'S - WALK WITH A DOC- PARTNERED WITH FOUR SEASONS TO PROVIDE FREE CLASSES TO EMPLOYEES ON CAMPUS- DEVELOPED PATIENT-CENTERED MEDICAL HOME MODEL IN OUR PRIMARY CARE CLINICS- CARE COORDINATORS ADDED TO PROVIDE EDUCATION ON MEDICATION, NUTRITION, EXERCISE AND ASSIST WITH GOAL SETTING AND COACHING TO DEVELOP PLAN FOR ACHIEVING- ENSURE NUTRITIONAL COUNSELING AND DIABETES EDUCATION IS AVAILABLE TO PATIENTS, FAMILIES, AND COMMUNITY- ONPOINT FOR HEALTH WELLNESS PROGRAM OFFERED TO ALL ST. LUKE'S EMPLOYEES AND THEIR SPOUSES WITH MONTHLY CHALLENGES ENCOURAGING PHYSICAL ACTIVITY AND HEALTHY BEHAVIORSACCESS TO CARE- VAGINAL BIRTH AFTER C-SECTION (VBAC) IS NOW A DELIVERY OPTION AT ST. LUKE'S AS OF MARCH 2018- MEDS TO BEDS PROGRAM - PARTNERSHIP WITH HY-VEE TO DELIVER PRESCRIPTIONS TO BOTH INPATIENTS AND OUTPATIENTS PRIOR TO DISCHARGE- FOCUS ON TRANSITIONS OF CARE - UTILIZE EHR TOOLS (EPIC CARE LINK) TO ENABLE ROBUST INFORMATION EXCHANGE TO ENHANCE THE TRANSITION OF CARE BETWEEN HOSPITAL AND CLINICS OR SKILLED NURSING FACILITIES.- PACE (A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) - PROMOTING OUR PACE PROGRAM TO ALLOW SIOUXLAND ELDERLY TO LIVE AS INDEPENDENTLY AND HEALTHY AS POSSIBLE IN THEIR HOME AND WITHIN THE COMMUNITY THROUGH A RANGE OF SERVICES- 0 TO 3 PRIME AGES TO ENGAGE LITERACY CAMPAIGN- ACTIVELY PARTICIPATED IN THE MEDICAL SUBCOMMITTEE OF THIS LITERACY PROJECT TO INCREASE THE IMPORTANCE OF EARLY READING AND LITERACY AND ENCOURAGE PARENTS TO READ, SING AND PLAY WITH THEIR KIDS- PRESCRIPTION READING PROGRAM - UNITYPOINT HEALTH HAS 5 PROVIDERS PARTICIPATING IN THIS PROGRAM WHERE THE PROVIDER PRESCRIBES A WRITTEN "PRESCRIPTION" TO REMIND PARENTS OF THE IMPORTANCE OF READING TO THEIR CHILD FOR A MINIMUM OF 15 MINUTES PER DAY. A FREE BOOK IS GIVEN WITH THE PRESCRIPTION TO EACH CHILD AT THEIR WELL-BABY/CHILD VISITS FROM 0-5 YEARS OF AGE.- IMPLEMENTED THE EMERGENCY DEPARTMENT CONSISTENT CARE PROGRAM TO REDUCE REPEAT EMERGENCY DEPARTMENT VISITS FOR NON-EMERGENT ISSUES USING A CARE PLAN FOR COORDINATION BETWEEN PROVIDERS.- CONTINUE TO WORK ON REDUCING UNNECESSARY HOSPITAL ADMISSIONS AND READMISSION RATES - IMPLEMENTING THE HEAT MAP INTO CURRENT PROCESSES- UTILIZE CERTIFIED APPLICATION COUNSELORS TO ASSIST WITH FINANCIAL AND MEDICATION ASSISTANCE.MENTAL ILLNESS- ASSIST WITH COMMUNITY RECRUITING EFFORTS TO ATTRACT MENTAL HEALTH PROVIDERS TO THE SIOUXLAND AREA.- ADDED THERAPIST IN PRIMARY CARE CLINICS - PROVIDE WARM HANDOFF TO PROVIDER AND CONTINUE THE FLOW OF CARE- IMPLEMENTING MENTAL HEALTH AND CHEMICAL DEPENDENCY SCREENING TOOLS TO BE UTILIZED IN THE EMERGENCY DEPARTMENT AND PRIMARY CARE SETTINGS. - EXPANDED HOURS OF SERVICE FOR OUTPATIENT BEHAVIORAL HEALTH TO ENABLE PATIENTS MORE ACCESS TO THESE LEVELS OF CARE- WORKING WITH SIOUXLAND MENTAL HEALTH TO ENSURE 72-HOUR FOLLOW UP APPOINTMENTS FOLLOWING AN INPATIENT ADMISSION.
ST. LUKE'S 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.
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Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:NORTHWEST IOWA HOSPITAL CORPORATION'S D/B/A/ ST. LUKE'S REGIONAL MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES.
PART I, LINE 7:A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 37,447.
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 AFFECTING 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. AS SUCH, NORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER (ST. LUKE'S) SUPPORTS AND CONTRIBUTES TO COMMUNITY ORGANIZATIONS, EVENTS, AND PROGRAMS SUCH AS THE LOCAL CHAMBER, SIOUX CITY GROWTH ORGANIZATION, AND OTHER ECONOMIC DEVELOPMENT ACTIVITIES. ST. LUKE'S ALSO CONTRIBUTES FINANCIALLY TO A WIDE VARIETY OF SIOUXLAND ORGANIZATIONS THAT ADDRESS THE BROADER NEEDS OF THE COMMUNITY. THESE DONATIONS ALLOW OTHER LOCAL, NON-PROFIT ORGANIZATIONS TO FULFILL THEIR MISSIONS TO IMPROVE THE WELL-BEING OF THE COMMUNITY AND CONTRIBUTE TO ITS OVERALL HEALTH. ACCESS TO HEALTHY FOOD IS CRITICAL FOR GOOD HEALTH IS ONE EXAMPLE. ST. LUKE'S WORKS WITH A NONPROFIT ORGANIZATION TO HELP FUND A LOCAL FARMER'S MARKET. THE MARKET OFFERS FARM-FRESH FOOD TO THE COMMUNITY, INCLUDING EBT PARTICIPANTS.WORKING THROUGHOUT THE COMMUNITY IS ALSO IMPORTANT IN DELIVERING COMMUNITY HEALTH. ST. LUKE'S REGIONAL MEDICAL CENTER ALONG WITH OTHER HEALTHCARE AND MENTAL HEALTH AGENCIES MEET TO ASSESS AND PLAN FOR IMPROVED ACCESS AND SERVICES FOR PATIENTS WITH MENTAL ILLNESS; MOST OF WHOM ARE UNDERSERVED. HEALTHY SIOUXLAND INITIATIVE IS ANOTHER COLLABORATIVE GROUP ST. LUKE'S PARTICIPATES IN WITH OTHER HEALTH PROVIDERS AND SOCIAL SERVICE ORGANIZATIONS TO HELP MEET THE COMMUNITY'S HEALTH NEEDS. IN ADDITION, ST. LUKE'S IS ACTIVELY INVOLVED WITH SIOUXLAND COMMUNITY HEALTH CENTER TO RESPOND TO THE UNMET HEALTH CARE NEEDS AMONG THE UNDERSERVED IN THE COMMUNITY. WITH THE GOALS OF INCREASED AWARENESS AND INCREASED NUMBER OF PARTICIPANTS THROUGHOUT THE TRI-STATE AREA, ST. LUKE'S WORKS WITH OTHER HEALTH ORGANIZATIONS TO PROMOTE COLORECTAL CANCER AND MAMMOGRAPHY SCREENINGS.ST. LUKE'S EMPLOYEES, AND IN PARTICULAR ST. LUKE'S LEADERSHIP, ARE ACTIVE IN VOLUNTEERISM FOR NON-PROFIT ORGANIZATIONS, FROM SUPPORT TO LEADERSHIP ROLES. THIS ALLOWS EMPLOYEES TO USE THEIR HEALTHCARE EDUCATION AND EXPERTISE TO IMPACT THE COMMUNITY'S OVERALL HEALTH STATUS. ST. LUKE'S EMPLOYEES ARE PROACTIVE IN EDUCATING THE PEOPLE WE SERVE ABOUT PERTINENT HEALTH INFORMATION THROUGH PUBLIC HEALTH CLASSES, PROFESSIONAL HEALTH EDUCATION PROGRAMS AND PARTICIPATION IN HEALTH FAIRS ACROSS THE TRI-STATE AREA. THE HOSPITAL'S WEBSITE AT WWW.UNITYPOINT.ORG/SIOUXCITY ALSO CONTAINS AN UP-TO-DATE LISTING OF PROGRAMS AND SCREENINGS AS WELL AS PERTINENT HEALTH INFORMATION TO EDUCATE CONSUMERS ABOUT SYMPTOMS, TREATMENT AND HEALTHCARE OPTIONS THEY HAVE IN SIOUXLAND. BY SUPPORTING THE COMMUNITY AND OTHER NON-PROFIT ORGANIZATIONS, ST. LUKE'S IS ABLE TO MOVE ONE STEP CLOSER TO FULFILLING ITS MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF SIOUXLAND.
PART III, LINE 4:THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR NIHC. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2.
PART III, LINE 8:AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE AND REVENUE.THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B:AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY.
PART VI, LINE 2:NORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER (ST. LUKE'S) CONTINUALLY WORKS WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY AND THEN ENGAGES IN PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. SIOUXLAND DISTRICT HEALTH, LOCATED IN SIOUX CITY, ASSESSES THE COMMUNITY'S HEALTHCARE NEEDS AT LEAST ONCE EVERY FIVE YEARS. THROUGH A PLANNED AND ORGANIZED EFFORT, SIOUXLAND DISTRICT HEALTH DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES AND SHARES THAT INFORMATION THROUGH A COMPREHENSIVE REPORT TO THE COMMUNITY. IN COLLABORATION WITH THIS AGENCY, ST. LUKE'S UTILIZES THIS INFORMATION TO MONITOR LOCAL HEALTH, ENSURING THE HOSPITAL'S PROGRAMS, SERVICES AND HEALTH EDUCATION SUPPORTS PRIORITIES IDENTIFIED BY SIOUXLAND DISTRICT HEALTH. ST. LUKE'S ALSO PARTICIPATES IN HEALTHY SIOUXLAND INITIATIVE, A COLLECTION OF PUBLIC HEALTH PARTNERS THAT CONVENES MONTHLY, AND OTHER COMMUNITY HEALTH COLLABORATIONS, DESIGNED TO BUILD PARTNERSHIPS AMONG COMMUNITY HEALTHCARE ORGANIZATIONS TO BUILD A HEALTHY AND SAFE COMMUNITY. UNITED WAY IS ANOTHER PROGRAM ST. LUKE'S PARTICIPATES IN THROUGH THE UNITED WAY COMMUNITY IMPACT TEAMS. THIS GROUP ACTIVELY ADDRESSES NEED AND STRATEGIES ASSOCIATED WITH HEALTH. MORE SPECIFICALLY, THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE COMMUNITY HEALTH STATUS IS THE FOCUS OF THIS GROUP. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR ST. LUKE'S TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE EFFORTS, ST. LUKE'S CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS ALSO WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATIONS THEY AFFECT.
PART VI, LINE 3:THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL.
PART VI, LINE 4:ST. LUKE'S REGIONAL MEDICAL CENTER IS AN URBAN, ACUTE-CARE COMMUNITY HOSPITAL LICENSED FOR 346 BEDS AND STAFFED FOR 151 BEDS SERVING THE SIOUXLAND AREA. THE SIOUXLAND AREA IS A TRI-STATE AREA CONSISTING OF NORTHWEST IOWA, NORTHEAST NEBRASKA, AND SOUTHEAST SOUTH DAKOTA. ST. LUKE'S IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE. ST. LUKE'S DISCHARGES APPROXIMATELY 11,000 INPATIENTS AND OVERSEES OVER 87,000 OUTPATIENTS VISITS PER YEAR INCLUDING EMERGENCY PATIENTS. WITHIN THE SIOUXLAND AREA, ST. LUKE'S SERVES A PRIMARY AND SECONDARY MARKET DEFINED BY COUNTIES. THE PRIMARY MARKETS ARE PLYMOUTH AND WOODBURY COUNTIES IN IOWA, DAKOTA COUNTY IN NEBRASKA AND UNION COUNTY IN SOUTH DAKOTA. THE PRIMARY COUNTIES ACCOUNT FOR 85% OF ST. LUKE'S INPATIENT DISCHARGES. WITHIN THE PRIMARY MARKET, TWO COMMUNITY HOSPITALS ARE LOCATED IN WOODBURY COUNTY, IOWA, AND ONE SURGICAL SPECIALTY HOSPITAL THAT IS PHYSICIAN-OWNED IS LOCATED IN UNION COUNTY, SOUTH DAKOTA. WOODBURY COUNTY IS THE LARGEST COUNTY IN THE SIOUXLAND AREA WITH APPROXIMATELY 103,107 RESIDENTS, WITH SIOUX CITY AS THE LARGEST CITY IN THE AREA WITH A 2019 ESTIMATED POPULATION OF 82,651. THE SECONDARY MARKETS ARE CHEROKEE, MONONA AND SIOUX COUNTIES IN IOWA AND THURSTON COUNTY IN NEBRASKA. WITH THE EXCEPTION OF THURSTON, A SEPARATE CRITICAL ACCESS HOSPITAL IS HOUSED IN EACH OF THESE COUNTIES.FOCUSING ON THE PRIMARY MARKET, THE HISPANIC POPULATION HAS THE LARGEST IMPACT IN TWO OF THE FOUR PRIMARY COUNTIES WITH DAKOTA COUNTY'S POPULATION HAVING OVER 39% HISPANIC ETHNICITY AND WOODBURY COUNTY WITH OVER 17%. DAKOTA COUNTY AND WOODBURY COUNTY ALSO HAVE THE HIGHEST PERCENTAGE OF FAMILIES BELOW THE FEDERAL POVERTY LEVEL AT 12.4% AND 13.8% RESPECTIVELY.
PART VI, LINE 5:NORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER (ST. LUKE'S) IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. ST. LUKE'S SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. ST. LUKE'S IS THE REGION'S ONLY IOWA LEVEL II REGIONAL OBSTETRICAL TRANSPORT CENTER FOR HIGH-RISK OBSTETRICS AND IOWA LEVEL II NEONATOLOGY CENTER.ST. LUKE'S IS ALSO INVOLVED IN THE NW IOWA'S AMERICAN HEART TASK FORCE, TRI-STATE DISASTER COMMITTEE, IOWA'S DISASTER MEDICAL ASSISTANCE TEAM AND EMERGENCY CONFERENCE COMMITTEE. ST. LUKE'S SUPPORTS THE SIOUXLAND MEDICAL EDUCATION FOUNDATION, A FAMILY PRACTICE RESIDENCY AS WELL AS ST. LUKE'S COLLEGE, WHICH IS THE REGION'S ONLY MEDICAL CENTER BASED HEALTH SCIENCES COLLEGE. THE COLLEGE OFFERS ASSOCIATE OF SCIENCE DEGREES IN NURSING, RADIOLOGY, AND RESPIRATORY CARE AS WELL AS CERTIFICATES IN MEDICAL LABORATORY SCIENCES AND PHLEBOTOMY.THE BOARD OF DIRECTORS OF ST. LUKE'S 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 STATESIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ALZHEIMERS ASSOCIATION
225 N MICHIGAN AVECHICAGOIL60617133039601501(C)(3)$10,000PROGRAM SUPPORT
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
1776 WEST LAKES PKWY STE 400WEST DES MOINESIA50266421411630501(C)(3)$2,924,873PROGRAM SUPPORT
IOWA POISON CONTROL CENTER
401 DOUGLAS ST 501SIOUX CITYIA51101421509042501(C)(3)$7,500PROGRAM SUPPORT
SIOUX CITY PUBLIC SCHOOLS FOUNDATION
627 4TH STREETSIOUX CITYIA51101262524675501(C)(3)$9,000PROGRAM SUPPORT
SIOUXLAND MEDICAL EDUCATION FOUNDATION
2501 PIERCE STSIOUX CITYIA51104421301885501(C)(3)$1,109,951PROGRAM SUPPORT
ST LUKE'S HEALTH FOUNDATION OF SIOUX CITY
2720 STONE PARK BLVDSIOUX CITYIA51104421301885501(C)(3)$135,000PROGRAM SUPPORT
THE SIOUXLAND YMCA
601 RIVERVIEW DRIVESOUTH SIOUX CITYNE68776420738980501(C)(3)$11,000PROGRAM SUPPORT
UNITED WAY OF SIOUXLAND
701 STEUBEN STSIOUX CITYIA51101420680395501(C)(3)$39,466PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (12 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
JANE ARNOLD
SVP OPERATIONS$182,431$0$29,639$0$18,516$0$13,594$0$23,689$0$267,869$0$0$0
LEAH GLASGO TO 0119
COO$5,234$318,287$0$42,100$0$69,302$270$97,410$501$28,328$6,005$555,427$0$0
JAMES GOBELL
VP/CFO$220,724$0$40,076$0$17,267$0$116,260$0$27,294$0$421,621$0$0$0
WENDY LINDLEY CNE
VP/CNO$180,099$0$31,212$0$12,100$0$11,536$0$11,775$0$246,722$0$0$0
CHAD MARKHAM
COO$237,583$0$35,583$0$16,214$0$71,225$0$28,002$0$388,607$0$0$0
SUSAN UNGER
VP FUNDRAISING DEVELOPMENT$147,632$0$33,057$0$8,722$0$11,938$0$15,502$0$216,851$0$0$0
LYNN WOLD
PRESIDENT/CEO$348,089$0$53,464$0$44,533$0$109,973$0$27,636$0$583,695$0$0$0
ROQUE ARTEAGA
PHYSICIAN$542,572$0$49,705$0$720$0$14,000$0$22,451$0$629,448$0$0$0
ALFRED FLEMING
PHYSICIAN$519,949$0$46,690$0$3,168$0$14,000$0$26,512$0$610,319$0$0$0
MARWAN JARMAKANI
PHYSICIAN$621,405$0$12,500$0$3,168$0$12,005$0$26,512$0$675,590$0$0$0
JEFFREY O'TOOL MD
PHYSICIAN$424,614$0$108,135$0$14,483$0$46,241$0$29,112$0$622,585$0$0$0
MAHMOUD A SHARAF MD
PHYSICIAN$606,660$0$13,875$0$480$0$25,797$0$17,781$0$664,593$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATRAVEL FOR COMPANIONS: SPOUSES SOMETIMES ACCOMPANY BOARD MEMBERS AND/OR OFFICERS ON ORGANIZATIONAL ACTIVITIES, INCLUDING BOARD RELATED TRAVEL. THE ADDITIONAL COST ATTRIBUTABLE TO THE SPOUSE IS TREATED AS TAXABLE COMPENSATION TO THE BOARD MEMBER OR OFFICER AND REPORTED AS APPROPRIATE TO THE IRS.
PART I, LINE 4BNONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS:LEAH GLASGO $81,611; JAMES GOBELL $96,838; CHAD MARKHAM $56,568; LYNN WOLD $92,589. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: LYNN WOLD $337,826. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Sharing Of RevenuesSharingOfRevenuesIndRelationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDesc
(no name)
0
KASSANDRA SMITH
0FAMILY MEMBER OF BOARD MEMBER GARRETT SMITH$56,905EMPLOYMENT

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 6ST. LUKE'S HEALTH SYSTEM, INC., A TAX-EXEMPT IOWA NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BST. LUKE'S HEALTH SYSTEM, INC., AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES AND BYLAWS, APPOINTS AND REMOVES CEO, APPROVES LIQUIDATION OR DISSOLUTION, AND APPROVES INDEBTEDNESS.
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 2019 FOR THE FOLLOWING INDIVIDUALS: JANE ARNOLD, LEAH GLASGO, JAMES GOBELL, WENDY LINDLEY, CHAD MARKHAM, SUSAN UNGER, LYNN WOLD. 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 OF ST. LUKE'S HEALTH FOUNDATION OF SC, IA 671,284.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (78 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
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METHODIST HEALTH SERVICES CORPORATION
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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

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Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

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HCP CORPORATION
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Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
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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). 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.ExplanationTxt