2019-11-14T14:56:48-06:00 2018-12-31 990 2018-01-01 362739299 TRINITY MEDICAL CENTER TRIN 3097792200 2701 17TH ST ROCK ISLAND IL 61201 KATHERINE MARCHIK SR VP FINANCE/CFO 3097795700 2019-11-11 205.167.2.34 2019-11-11 13:34:40 CS P 7BA72CF2FC23A5EB6E597A73BA6EA537B1AB5705 7BA72CF2FC23A5EB6E597A73BA6EA537B1AB5705 2018 2020-03-31 21:24:44Z ROBERT ERICKSON 2701 17TH ST ROCK ISLAND IL 61201 423019017 0 X WWW.UNITYPOINT.ORG/QUADCITIES X 1969 IL IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 17 16 3900 443 69154 11042 4636005 4158221 398185756 394548435 10842492 9647835 2025734 2364513 415689987 410719004 24480038 23358471 0 0 188776765 187081760 0 0 0 187426989 189821824 400683792 400262055 15006195 10456949 446449284 425861620 202787687 189307980 243661597 236553640 X THE MISSION OF TRINITY MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 356680721 12760726 396758187 HEALTH-CARE SERVICESTRINITY MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE QUAD CITY COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. TRINITY MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2018, TRINITY MEDICAL CENTER ADMITTED 16,465 PATIENTS RESULTING IN A TOTAL OF 60,770 PATIENT DAYS. OUTPATIENT VISITS TOTALED 280,897 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 9,088. THERE WERE ALSO 97,207 EMERGENCY ROOM VISITS AND 2,245 BABIES DELIVERED. 22642213 10597745 0 COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: TRINITY MEDICAL CENTER PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $3,414,310 IN 2018. OFTENTIMES, TRINITY MEDICAL CENTER RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. TRINITY MEDICAL CENTER PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. TRINITY MEDICAL CENTER'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $7,966,727 FOR 2018. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $11,381,037.OTHER BENEFITS: TRINITY MEDICAL CENTER PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. TRINITY MEDICAL CENTER COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. TRINITY MEDICAL CENTER HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 59,226 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL OTHER BENEFITS REPORTED VALUE: $11,261,176. 379322934 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 3900 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X X DEANNA GRAY FINANCE DIRECTOR - REGIONAL LIAISON 5152247140 4949 WESTOWN PKWY STE 255 WEST DES MOINES IA 50266 AJ AHMED MD BOARD MEMBER 1.00 1.00 X 0 0 0 GREGORIO AGUILAR BOARD MEMBER 1.00 1.00 X 0 0 0 MARY ANN ANDERSON BOARD MEMBER 1.00 1.00 X 0 0 0 COSTAS CONSTANTINOU BOARD MEMBER 1.00 1.00 X 0 0 0 PATRICK EIKENBERRY BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 PASTOR STACIE FIDLAR BOARD MEMBER 1.00 1.00 X 0 0 0 LJ SHAWN KEEVEN BOARD MEMBER 1.00 1.00 X 0 0 0 MSGR MARK MERDIAN BOARD MEMBER 1.00 1.00 X 0 0 0 RANDY MOORE TO 718 BOARD MEMBER 1.00 1.00 X 0 0 0 TODD NICHOLSON BOARD MEMBER 1.00 1.00 X 0 0 0 COLLEEN RAFFERTY BOARD MEMBER 1.00 1.00 X 0 0 0 MARK SCHWIEBERT BOARD MEMBER 1.00 1.00 X 206 15175 0 RICHARD SEIDLER BOARD MEMBER/PRESIDENT/CEO 40.00 1.00 X X 657663 0 -846 JANET SICHTERMAN BOARD CHAIR 1.00 1.00 X X 0 14357 0 KARLA STEELE BOARD MEMBER 1.00 1.00 X 254 0 0 DANA WILKINSON BOARD MEMBER 1.00 1.00 X 0 0 0 MARIE ZIEGLER BOARD MEMBER 1.00 1.00 X 0 0 0 TAMARA BYRAM VP LEGAL & COMPLIANCE 40.00 1.00 X 188159 0 32232 KATHERINE MARCHIK SR VP FINANCE/CFO 40.00 1.00 X 633315 0 78555 PAUL MCLOONE MD CMO/CQO 40.00 1.00 X 384862 0 32232 DEEPAK AHUJA MD REGIONAL MEDICAL DIRECTOR 40.00 1.00 X 405332 0 36443 MATTHEW BEHRENS REG VP/CLINIC OPS & VP/PHYS & AMB SVCS 1.00 40.00 X 0 335604 56212 DENNIS DUKE PRESIDENT RYC 1.00 40.00 X 253354 0 28700 CARA FULLER TO 718 VP HUMAN RESOURCES 40.00 1.00 X 161289 0 18367 ANGELA JOHNSON FR 1018 VP HUMAN RESOURCES 40.00 1.00 X 58572 167133 34682 KEVIN KURTH MD MEDICAL DIRECTOR-ER/TRAUMA 40.00 1.00 X 619382 0 39007 TAMMY PAUWELS EXEC DIR OUTPATIENT SVCS 40.00 1.00 X 176964 0 17899 KATHERINE PEARSON SR VP/CHIEF STRATEGY OFFICER 40.00 1.00 X 331723 0 47340 VIRGINIA RENKIEWICZ SR VP, CCO/CNE/CQO 40.00 1.00 X 370479 0 68511 MELLISSA WOOD FR 118 CHIEF NURSING EXECUTIVE 40.00 1.00 X 223649 6461 8156 MASHOOQUE DAHAR MD PHYSICIAN HOSPITALIST 40.00 0.00 X 698362 0 39558 DOUG GAITHER MD PHYSICIAN-ER/TRAUMA 40.00 0.00 X 609239 0 12776 SYED HAQUE MD PHYSICIAN HOSPITALIST 40.00 0.00 X 682190 0 37891 TOYOSI OLUTADE MD PHYSICIAN HOSPITALIST 40.00 0.00 X 654192 0 32315 WILLIAMS ROGERS III MD PHYSICIAN-ER/TRAUMA 40.00 0.00 X 682813 0 38239 7791999 538730 658269 167 0 1 0 ARAMARK SERVICES INC 27310 NETWORK PLACE CHICAGO IL 60673 FOOD & FACILITY SVCS 4106656 CARDIOVASCULAR MEDICINE PC 1236 E RUSHOLME ST STE 300 DAVENPORT IA 52803 PHYSICIAN SERVICES 2805400 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 1601468 CHG COMPANIES INC 7259 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 PHYSICIAN SERVICES 1538324 OBHG ILLINOIS SC 10 CENTIMETERS DR MAULDIN SC 29662 PHYSICIAN SERVICES 1518000 98 4963 4112968 40290 4158221 NET PATIENT REVENUE 900099 388682472 388682472 RENTAL INCOME 531390 2438999 2438999 SUBS & JOINT VENTURES 900099 1116052 1116052 MISCELLANEOUS REVENUE 900099 1043660 1043660 LABORATORY SERVICES 621500 630391 630391 636861 567707 69154 394548435 4718107 4072 4714035 16776288 43850 11605890 284520 5170398 -240670 4929728 4929728 27714 4963 12753 14961 14961 508614 396850 111764 111764 SHARED SAVINGS REVENUE 900099 1433798 1433798 MISCELLANEOUS 900099 771882 771882 CAFETERIA/FOOD SVCS 722210 32108 32108 2237788 410719004 396689033 69154 9802596 23338471 23338471 20000 20000 5189130 5189130 42326 42326 149477787 139046639 10431148 4849642 4511215 338427 19127209 17792437 1334772 8395666 7809783 585883 1561618 1561618 350685 14700 335985 873386 319256 554130 35579183 34828105 751078 443602 442657 945 4158990 3620046 538944 -3902321 -3902321 7820954 7604487 216467 144067 111580 32487 59685 42538 17147 7373706 7373585 121 18869068 18415854 453214 3140585 3140575 10 MEDICAL SUPPLIES 77421600 77394833 26767 MISCELLANEOUS EXPENSE 35914232 35829548 84684 BAD DEBT EXPENSE 7328 7328 INCOME TAXES 5456 5456 400262055 379322934 20939121 0 1450544 6184049 30803 318296 50161915 43321210 12825188 8311159 8908500 9489660 1333148 1422540 415233036 251215899 170895094 164017137 158220767 152228702 31265798 29648168 11357527 10920699 446449284 425861620 23576275 21790816 656104 94823 6538670 3664069 3293648 2168790 168722990 161589482 202787687 189307980 X 238153373 231457559 5221308 3181168 286916 1914913 243661597 236553640 446449284 425861620 X 10456949 -14349877 -3215029 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 127796016 2436569 0 2848711 0 127383874 129113462 2386052 3517951 185547 127796016 129030164 3245347 569377 908024 2823402 129113462 128132004 2548567 84797 506039 1229165 129030164 129639131 2477695 342790 3349680 977932 128132004 0.96000 0.01500 0.02500 0 1 1 6909905 6909905 284637987 166833522 117804465 108341542 77145281 31196261 15343602 7237096 8106506 164017137 BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION 4875021 F QUAD CITY AMBULATORY SURGERY CENTER 3065250 F ADVANCED IMAGING CENTER 893754 F MISSISSIPPI VALLEY SLEEP DISORDER CENTER, L.C. 549270 F UPHT-SCA HOLDINGS, LLC 17977500 F METRO MRI 361171 F BENEFICIAL INTEREST IN THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 1926202 F 29648168 DUE TO AFFILIATES 1083665 ASBESTOS REMOVAL LIABILITY 1596238 SELF-INSURANCE RESERVE 11544475 LONG-TERM RETENTION INCENTIVES 4852335 HEALTH AND WELFARE BENEFITS RESERVE 2240924 IOWA HEALTH SYSTEM NOTE PAYABLE 138161255 CONTINGENCIES LIABILITY 2110590 161589482 X 439293000 -14349877 48781865 34431988 404861012 554130 5303862 5857992 410719004 419865000 43459161 43459161 376405839 554130 23302086 23856216 400262055 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 2015. 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: SUBSIDIARY ELIMINATING ENTRIES (MISSISSIPPI VALLEY SLEEP DISORDER CENTER) 508,000. SUBSIDIARY ELIMINATING ENTRIES (THE ROBERT YOUNG CTR FOR COMM MENTAL HEALTH) 24,007,494. SUBSIDIARY ELIMINATING ENTRIES (UPHT-SCA HOLDINGS) 23,842,252. COST OF GOODS SOLD 396,816. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 26,927. ROUNDING 376. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN UNRESTRICTED FUND BALANCE 3,073,530. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 2,210,408. SPECIAL EVENT EXPENSES 19,924. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (MISSISSIPPI VALLEY SLEEP DISORDER CENTER) 612,150. SUBSIDIARY ELIMINATING ENTRIES (THE ROBERT YOUNG CTR FOR COMM MENTAL HEALTH) 24,007,494. SUBSIDIARY ELIMINATING ENTRIES (TRINITY PHYSICIAN HOSPITAL ORG.) 21,300. SUBSIDIARY ELIMINATING ENTRIES (UPHT-SCA HOLDINGS) 18,420,146. COST OF GOODS SOLD 396,816. ROUNDING 1,255. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES IN UNRESTRICTED FUND BALANCE 21,071,754. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 2,210,408. SPECIAL EVENT EXPENSES 19,924. GARDEN PARTY 32677 4963 27714 300 6500 5953 32677 4963 27714 300 6500 5953 12753 14961 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 13546 3414310 3414310 0.00850 61442 70665510 62698783 7966727 0.01990 74988 74079820 62698783 11381037 0.02840 57201 123965 123965 0.00030 25 406626 28716 377910 0.00090 274746 113190 161556 0.00040 2000 17956063 7358318 10597745 0.02650 59226 18761400 7500224 11261176 0.02810 134214 92841220 70199007 22642213 0.05650 52349 125877 0 125877 0.00030 52349 125877 125877 0.00030 0 5297808 0 98826148 100963501 -2137353 X 1 1 2 MISSISSIPPI VALLEY SLEEP DISORDER CENTER SLEEP STUDY CLINIC 0.51000 0.49000 3 ADVANCED IMAGING CENTER LLC DIAGNOSTIC RADIOLOGY CENTER 0.50000 0.50000 3 1 TRINITY MEDICAL CENTER - ROCK ISLAND 2701 17TH ST ROCK ISLAND IL 61201 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 2132866 X X X A 2 TRINITY MEDICAL CENTER - MOLINE 500 JOHN DEERE RD MOLINE IL 61265 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 2150794 X X X A 3 TRINITY MEDICAL CENTER - BETTENDORF 4500 UTICA RIDGE RD BETTENDORF IA 52722 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 820042H X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.UNITYPOINT.ORG/QUADCITIES X WWW.QUADCITIES.HEALTHFORECAST.NET X 1 18 1 WWW.UNITYPOINT.ORG/QUADCITIES 0 1 X 200.000000000000 600.000000000000 X X X X X X X 1 1 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 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: TRINITY MEDICAL CENTER - ROCK ISLAND, - FACILITY 2: TRINITY MEDICAL CENTER - MOLINE, - FACILITY 3: TRINITY MEDICAL CENTER - BETTENDORF GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 5: 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 GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 11: IN 2015, THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE QUAD CITIES AREA IDENTIFIED 13 AREAS OF OPPORTUNITY REPRESENTING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. UNITYPOINT HEALTH - TRINITY CHOSE FIVE OF THOSE AREAS TO FOCUS ON OVER THE NEXT THREE YEARS, AS WELL AS TO SUPPORT OTHER ORGANIZATIONS IN THE AREA THAT WERE CONCENTRATING ON THE OTHER NEEDS IDENTIFIED THAT WERE NOT KEY AREAS OF FOCUS FOR UNITYPOINT HEALTH - TRINITY. DIABETES & NUTRITION, PHYSICAL ACTIVITY & WEIGHT: DIABETES PREVALENCE, FRUIT/VEGETABLE CONSUMPTION, AND OVERWEIGHT & OBESITY (ADULTS).-- %(NON-DIABETES) BLOOD SUGAR TESTED IN PAST 3 YEARS INCREASED: 2015 = 48.5%, 2018 = 50% -- POPULATION WITH LOW FOOD ACCESS DECREASED: 2015 = 14.6%, 2018 = 13.9%-- % CHILDREN (AGES 5-17) WITHIN HEALTHY WEIGHT INCREASED: 2015 = 57%, 2018 = 61.5%THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR DIABETES, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT:-- BLOOD SUGAR SCREENINGS - ATTENDED 34 MOBILE PANTIES WHERE 902 BLOOD SUGAR SCREENINGS WERE CONDUCTED WITH 30% SCREENING ABNORMAL, AND 213 REFERRED FOR FOLLOW-UP-- WORKPLACE DIABETES SESSIONS AND SCREENINGS - 20 PRESENTATIONS AT WORKPLACES-- LIVEWELL AND COMMUNITY CLASSES - PARTICIPATED IN 13 SYMPOSIUMS, CLASSES, PRESENTATIONS AND HEALTH FAIRS-- PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH (PICH): 124 ROCK ISLAND & SCOTT COUNTY SCHOOLS COMPLETED WELLNESS ASSESSMENTS, 16 SAFE ROUTES TO SCHOOL COMPLETED, 8 COMMUNITY GARDENS COMPLETED, 31 PARTNERS COLLABORATE ON QC TRAILS, AND 35 ORGANIZATIONS RECEIVED BE HEALTHY QUAD CITIES WORKSITE WELLNESS RECOGNITION-- JDRF WALK SPONSOR FOR JUVENILE DIABETES - 7,600 PARTICIPANTS, $785,000 RAISED-- DIABETES SELF-MANAGEMENT TRAINING, EDUCATION AND SUPPORT VISITS FOR THOSE ALREADY DIAGNOSED (2018) - 1,978HEART DISEASE & STROKE: HEART DISEASE DEATHS AND PREVALENCE.-- DECREASED THE DISEASES OF THE HEART (AGE-ADJUSTED DEATH RATE) FROM 191 IN 2015 TO 165 IN 2018-- % OF HEART DISEASE (HEART ATTACK, ANGINA, CORONARY DISEASE) DECREASED BY 2% BETWEEN 2015-2018-- THE QUAD CITIES IS FARING BETTER THAN THE US AVERAGE, AND HP2020 GOAL FOR STROKE (AGE-ADJUSTED DEATHS) OF 34. US - 37.1, HP2020 GOAL - 34.8THE FOLLOWING ACTIVITIES AND INITIATIVES FROM 2016-2018 THAT HELPED TO SUPPORT THE GOALS FOR HEART DISEASE AND STROKE:-- RIVER BEND FOODBANK MOBILE PANTRIES - 44 MOBILE PANTRIES WITH 1,160 BLOOD PRESSURE SCREENINGS, 44% SCREENING ABNORMAL, AND 82 REFERRED FOR FOLLOW-UP-- JOHN DEERE GLOBAL COMMUNITIES INITIATIVE (LARGELY HISPANIC NEIGHBORHOOD OF FLORECIENTE): EDUCATION CLASSES ON HEALTHY EATING AND EXERCISE AT BOYS & GIRLS CLUB, HEALTH EDUCATION TO COMMUNITY AT MERCADO ON FIFTH, HABITAT FOR HUMANITY HEALTHY HOME CLASS, CHILDREN FROM BOYS & GIRLS CLUB PARTICIPATED IN 2017 HEART WALK, WROTE AND AWARDED A GRANT FROM GLOBAL COMMUNITIES TO ESTABLISH A BILINGUAL COMMUNITY HEALTH ADVOCATE/CNA, AND HIRED FOR THE POSITION (POSITION START DATE Q1 2019).-- QUAD CITIES ALLIANCE FOR IMMIGRANTS & REFUGEES (QC AIR) AND WORLD RELIEF: DEVELOPED COMMUNITY HEALTH LANGUAGE RESOURCE CARD TO ASSIST WITH LANGUAGE BARRIERS AND REDUCE TIME TO REQUEST INTERPRETER FOR CARE, HELPED CREATE DOCUMENTS TO ASSIST IMMIGRANTS AND REFUGEES UNDERSTAND APPROPRIATE USE OF HEALTHCARE SERVICES (PCP, EXPRESS CARE, ED), DEVELOPMENT OF DIVERSITY/CULTURAL AWARENESS WORK, HOSTED FOCUS GROUP TO IDENTIFY MAJOR ISSUES, PERCEPTIONS AND ASSETS WITHIN THE IMMIGRANT & REFUGEE COMMUNITIES RELATED TO HEALTH AND QUALITY OF LIFE - 12 ATTENDED. -- AMERICAN HEART ASSOCIATION HEART WALK - 2,700-3,500 PARTICIPANTS EACH YEAR WITH $510,000 RAISED OVER THE THREE YEARS-- COMMUNITY EDUCATION ON HEART DISEASE - 50 EVENTS WITH 14,000 PARTICIPANTS, 30 STROKE SUPPORT GROUP SESSIONS WITH AN AVERAGE OF 13 PARTICIPANTS PER SESSION-- HEARTAWARE & STROKEAWARE RISK ASSESSMENTS - 1,209 ASSESSMENTS, 682 AT RISK, 1,284 CONSULTSMENTAL HEALTH/BEHAVIORAL HEALTH: FAIR/POOR MENTAL HEALTH, SYMPTOMS OF CHRONIC DEPRESSION, SUICIDE DEATHS, AND FAIR/POOR EASE OF OBTAINING MENTAL HEALTH SERVICES.-- SUICIDE (AGE-ADJUSTED DEATH RATE) DECREASED - 2015 = 16.2%, 2018 = 15.7%-- 91% OF THOSE DIAGNOSED DEPRESSION ARE SEEKING HELP IN THE COMMUNITY VS 87% THROUGHOUT THE U.S.THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR MENTAL AND BEHAVIORAL HEALTH:-- INTEGRATE BEHAVIORAL HEALTH PROFESSIONALS INTO COMMUNITY HEALTH CARE AND UNITYPOINT CLINICS - 46 SITES-- INTEGRATED BEHAVIORAL HEALTH PROFESSIONALS INTO FIVE SCHOOL DISTRICTS - 37 SCHOOLS-- EXPAND BEHAVIORAL HEALTH SERVICES IN THE ROCK ISLAND COUNTY JAIL SYSTEM - 1,829 SERVED IN THE JAIL-- PARTNER WITH ENTITIES IN THE EASTERN IOWA REGION TO INCREASE ACCESS FOR PATIENTS IN IOWA - 3,483 PATIENTS SERVED BY CRISIS LINE AND TELEHEALTH CRISIS-- CONTINUE TO UTILIZE TRINITY'S CRISIS STABILIZATION UNIT TO QUICKLY ASSESS PATIENTS ENTERING THE ED AND DE-ESCALATE BEHAVIORAL HEALTH PATIENTS IN CRISIS - PATIENTS RECONNECTED TO THE COMMUNITY (60% IN 2016, N=2,420 PATIENTS ASSESSED BY CSU) (58% IN 2017, N=6,015 PATIENTS ASSESSED BY CSU) (65% IN 2018, N=5,963 PATIENTS ASSESSED BY CSY)-- PARTNER WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO INCREASE EDUCATION AND AWARENESS OF MENTAL HEALTH CHALLENGES - 9 EVENTS WITH 7,700 PARTICIPANTS, INCLUDING THE NAMI WALK, WHICH RAISED $111,390 IN 2018-- CONTINUE TO INCREASE ENROLLMENTS IN COORDINATED CARE PROGRAMS BY PARTNERING WITH MANAGED CARE AND OTHER ORGANIZATIONS - 6,819 TOTAL ENROLLEES-- PROVIDE EDUCATION AND AWARENESS SURROUNDING DRUG AND ALCOHOL ABUSE IN YOUTH, PRESCRIPTION DRUG ABUSE, AND PREVENTION TRAINING (2018): 9 PROGRAMS FOR YOUTH YOUTH - 2,256 CHILDREN, MORE THAN 1,638 HOURS, MERCHANT ALCOHOL TRAINING - 161 PARTICIPANTS, 40 HOURS, YEAR-LONG PROGRAM, PRESCRIPTION DRUG TOOLKIT - 124 PARTICIPANTS, 50 HOURS, YEAR-LONG PROGRAM, PARTICIPATED IN SCOTT COUNTY ADVISORY COUNCIL, 9 PREVENTION/PRESENTATIONS FOR YOUTH - 1,211 STUDENTS, 5 HEALTH AND SAFETY FAIRS - 4,435 ATTENDED, ENTERED PARTNERSHIP WITH EVERFI TO PROVIDE FREE PRESCRIPTION DRUG SAFETY PROGRAM TO SCHOOLS IN ROCK ISLAND, SCOTT, HENRY, AND MUSCATINE COUNTYCANCER: CANCER DEATHS, INCIDENCE, PREVALENCE (SKIN AND NON-SKIN), AND FEMALE BREAST CANCER SCREENING.-- DECREASED IN THE AGE-ADJUSTED DEATH RATE FOR CANCER - 2015 = 183, 2018 = 170 -- INCREASED THE % WOMEN 50-74 WHO RECEIVED MAMMOGRAM IN THE PAST 2 YEARS BY 9%-- DECREASED FEMALE BREAST CANCER INCIDENCE PER 100,000 BY 12.6%THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR CANCER:-- PINK PASS BREAST CANCER AWARENESS PROGRAM - 254 EVENTS, 7,922 PEOPLE REACHED WITH HEALTH EDUCATION AND VOUCHERS FOR MAMMOGRAMS-- SKIN CANCER AWARENESS: IN 2017, A COMMUNITY OUTREACH COORDINATOR WAS HIRED TO PROMOTE PREVENTATIVE CANCER SCREENINGS/AWARENESS, IN 2018, PREVENTION EDUCATION WAS PROVIDED AT 43 HEALTH FAIRS, MOBILE PANTRIES AND EVENTS WITH 3,164 PEOPLE REACHED-- LUNG CANCER SCREENING FOR INDIVIDUALS AT HIGH RISK - 1,683 PEOPLE SCREENED, 24 LUNG CANCERS IDENTIFIEDACCESS TO HEALTHCARE: BARRIERS TO ACCESS (INCONVENIENT OFFICE HOURS, COST OF PRESCRIPTIONS, APPOINTMENT AVAILABILITY, FINDING A PHYSICIAN, LACK OF TRANSPORTATION, COST OF CHILD'S PHYSICIAN VISIT), PRIMARY CARE PHYSICIAN RATIO, SPECIFIC SOURCE OF ONGOING MEDICAL CARE.-- % OF COMMUNITY THAT HAVE A PARTICULAR PLACE FOR MEDICAL CARE INCREASED FROM 83% IN 2015 TO 86% IN 2018-- PRIMARY CARE DOCTORS PER 100,000 INCREASED FROM 66.4 IN 2015 TO 75.3 IN 2018THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR ACCESS TO HEALTHCARE:-- CONTINUE EFFORTS SURROUNDING PHYSICIAN RECRUITMENT TO INCREASE THE NUMBER OF PRIMARY CARE PROVIDERS WITHIN THE REGION - 18 PRIMARY CARE SITES, 40 PHYSICIANS, 23 ADVANCED PRACTITIONERS-- IMPLEMENTATION OF 340B PROGRAM, IMPROVING ACCESS TO NECESSARY MEDICATIONS FOR PATIENTS IN NEED: 2016 - ALLOWED TRINITY ACCESS TO DISCOUNTED DRUGS, SAVING AN ESTIMATED $1.4 MILLION IN ROCK ISLAND AND MOLINE, 2017 - ACCESS TO SAVINGS OF $7,002,487 IN DISCOUNTED DRUGS IN ROCK ISLAND, MOLINE AND BETTENDORF, AND PROVIDED $2,046 IN DISCHARGE PRESCRIPTION ASSISTANCE, 2018 - PROVIDED $15,964 IN DISCHARGE PRESCRIPTION ASSISTANCE FOR 354 PATIENTS-- IMPROVE ACCESS AND AVAILABILITY OF TRANSLATION SERVICES FOR PATIENTS (TOTALS IN MINUTES) 2017 & 2018 - VIDEO REMOTE INTERPRETING TOTAL = 69,373, OVER-THE-PHONE INTERPRETING = 51,518, VIDEO REPORT INTERPRETING (AUDIO) = 46,853-- PARISH NURSING: 51,743 INDIVIDUAL CONTACTS, 1,603 EDUCATIONAL PROGRAM CLASSES WITH 16,284 PARTICIPANTS, 1,069 SUPPORT GROUPS WITH 7,195 PARTICIPANTS, 11,777 BLOOD PRESSURE SCREENINGS WITH INDIVIDUALS, 1,217 ABNORMAL READINGS 2016 & 2017. IN 2018, 100 FOOT CLINICS WITH 644 PEOPLE, 185 NEW DOCTOR REFERRALS, 148 REFERRALS TO WALK-IN CLINICS, 130 REFERRALS TO ED, AND 7 NEW RNS/HEALTH ADVOCATES. GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE 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. GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE 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 GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 11: IN 2015, THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE QUAD CITIES AREA IDENTIFIED 13 AREAS OF OPPORTUNITY REPRESENTING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. UNITYPOINT HEALTH - TRINITY CHOSE FIVE OF THOSE AREAS TO FOCUS ON OVER THE NEXT THREE YEARS, AS WELL AS TO SUPPORT OTHER ORGANIZATIONS IN THE AREA THAT WERE CONCENTRATING ON THE OTHER NEEDS IDENTIFIED THAT WERE NOT KEY AREAS OF FOCUS FOR UNITYPOINT HEALTH - TRINITY. DIABETES & NUTRITION, PHYSICAL ACTIVITY & WEIGHT: DIABETES PREVALENCE, FRUIT/VEGETABLE CONSUMPTION, AND OVERWEIGHT & OBESITY (ADULTS).-- %(NON-DIABETES) BLOOD SUGAR TESTED IN PAST 3 YEARS INCREASED: 2015 = 48.5%, 2018 = 50% -- POPULATION WITH LOW FOOD ACCESS DECREASED: 2015 = 14.6%, 2018 = 13.9%-- % CHILDREN (AGES 5-17) WITHIN HEALTHY WEIGHT INCREASED: 2015 = 57%, 2018 = 61.5%THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR DIABETES, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT:-- BLOOD SUGAR SCREENINGS - ATTENDED 34 MOBILE PANTIES WHERE 902 BLOOD SUGAR SCREENINGS WERE CONDUCTED WITH 30% SCREENING ABNORMAL, AND 213 REFERRED FOR FOLLOW-UP-- WORKPLACE DIABETES SESSIONS AND SCREENINGS - 20 PRESENTATIONS AT WORKPLACES-- LIVEWELL AND COMMUNITY CLASSES - PARTICIPATED IN 13 SYMPOSIUMS, CLASSES, PRESENTATIONS AND HEALTH FAIRS-- PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH (PICH): 124 ROCK ISLAND & SCOTT COUNTY SCHOOLS COMPLETED WELLNESS ASSESSMENTS, 16 SAFE ROUTES TO SCHOOL COMPLETED, 8 COMMUNITY GARDENS COMPLETED, 31 PARTNERS COLLABORATE ON QC TRAILS, AND 35 ORGANIZATIONS RECEIVED BE HEALTHY QUAD CITIES WORKSITE WELLNESS RECOGNITION-- JDRF WALK SPONSOR FOR JUVENILE DIABETES - 7,600 PARTICIPANTS, $785,000 RAISED-- DIABETES SELF-MANAGEMENT TRAINING, EDUCATION AND SUPPORT VISITS FOR THOSE ALREADY DIAGNOSED (2018) - 1,978HEART DISEASE & STROKE: HEART DISEASE DEATHS AND PREVALENCE.-- DECREASED THE DISEASES OF THE HEART (AGE-ADJUSTED DEATH RATE) FROM 191 IN 2015 TO 165 IN 2018-- % OF HEART DISEASE (HEART ATTACK, ANGINA, CORONARY DISEASE) DECREASED BY 2% BETWEEN 2015-2018-- THE QUAD CITIES IS FARING BETTER THAN THE US AVERAGE, AND HP2020 GOAL FOR STROKE (AGE-ADJUSTED DEATHS) OF 34. US - 37.1, HP2020 GOAL - 34.8THE FOLLOWING ACTIVITIES AND INITIATIVES FROM 2016-2018 THAT HELPED TO SUPPORT THE GOALS FOR HEART DISEASE AND STROKE:-- RIVER BEND FOODBANK MOBILE PANTRIES - 44 MOBILE PANTRIES WITH 1,160 BLOOD PRESSURE SCREENINGS, 44% SCREENING ABNORMAL, AND 82 REFERRED FOR FOLLOW-UP-- JOHN DEERE GLOBAL COMMUNITIES INITIATIVE (LARGELY HISPANIC NEIGHBORHOOD OF FLORECIENTE): EDUCATION CLASSES ON HEALTHY EATING AND EXERCISE AT BOYS & GIRLS CLUB, HEALTH EDUCATION TO COMMUNITY AT MERCADO ON FIFTH, HABITAT FOR HUMANITY HEALTHY HOME CLASS, CHILDREN FROM BOYS & GIRLS CLUB PARTICIPATED IN 2017 HEART WALK, WROTE AND AWARDED A GRANT FROM GLOBAL COMMUNITIES TO ESTABLISH A BILINGUAL COMMUNITY HEALTH ADVOCATE/CNA, AND HIRED FOR THE POSITION (POSITION START DATE Q1 2019).-- QUAD CITIES ALLIANCE FOR IMMIGRANTS & REFUGEES (QC AIR) AND WORLD RELIEF: DEVELOPED COMMUNITY HEALTH LANGUAGE RESOURCE CARD TO ASSIST WITH LANGUAGE BARRIERS AND REDUCE TIME TO REQUEST INTERPRETER FOR CARE, HELPED CREATE DOCUMENTS TO ASSIST IMMIGRANTS AND REFUGEES UNDERSTAND APPROPRIATE USE OF HEALTHCARE SERVICES (PCP, EXPRESS CARE, ED), DEVELOPMENT OF DIVERSITY/CULTURAL AWARENESS WORK, HOSTED FOCUS GROUP TO IDENTIFY MAJOR ISSUES, PERCEPTIONS AND ASSETS WITHIN THE IMMIGRANT & REFUGEE COMMUNITIES RELATED TO HEALTH AND QUALITY OF LIFE - 12 ATTENDED. -- AMERICAN HEART ASSOCIATION HEART WALK - 2,700-3,500 PARTICIPANTS EACH YEAR WITH $510,000 RAISED OVER THE THREE YEARS-- COMMUNITY EDUCATION ON HEART DISEASE - 50 EVENTS WITH 14,000 PARTICIPANTS, 30 STROKE SUPPORT GROUP SESSIONS WITH AN AVERAGE OF 13 PARTICIPANTS PER SESSION-- HEARTAWARE & STROKEAWARE RISK ASSESSMENTS - 1,209 ASSESSMENTS, 682 AT RISK, 1,284 CONSULTSMENTAL HEALTH/BEHAVIORAL HEALTH: FAIR/POOR MENTAL HEALTH, SYMPTOMS OF CHRONIC DEPRESSION, SUICIDE DEATHS, AND FAIR/POOR EASE OF OBTAINING MENTAL HEALTH SERVICES.-- SUICIDE (AGE-ADJUSTED DEATH RATE) DECREASED - 2015 = 16.2%, 2018 = 15.7%-- 91% OF THOSE DIAGNOSED DEPRESSION ARE SEEKING HELP IN THE COMMUNITY VS 87% THROUGHOUT THE U.S.THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR MENTAL AND BEHAVIORAL HEALTH:-- INTEGRATE BEHAVIORAL HEALTH PROFESSIONALS INTO COMMUNITY HEALTH CARE AND UNITYPOINT CLINICS - 46 SITES-- INTEGRATED BEHAVIORAL HEALTH PROFESSIONALS INTO FIVE SCHOOL DISTRICTS - 37 SCHOOLS-- EXPAND BEHAVIORAL HEALTH SERVICES IN THE ROCK ISLAND COUNTY JAIL SYSTEM - 1,829 SERVED IN THE JAIL-- PARTNER WITH ENTITIES IN THE EASTERN IOWA REGION TO INCREASE ACCESS FOR PATIENTS IN IOWA - 3,483 PATIENTS SERVED BY CRISIS LINE AND TELEHEALTH CRISIS-- CONTINUE TO UTILIZE TRINITY'S CRISIS STABILIZATION UNIT TO QUICKLY ASSESS PATIENTS ENTERING THE ED AND DE-ESCALATE BEHAVIORAL HEALTH PATIENTS IN CRISIS - PATIENTS RECONNECTED TO THE COMMUNITY (60% IN 2016, N=2,420 PATIENTS ASSESSED BY CSU) (58% IN 2017, N=6,015 PATIENTS ASSESSED BY CSU) (65% IN 2018, N=5,963 PATIENTS ASSESSED BY CSY)-- PARTNER WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO INCREASE EDUCATION AND AWARENESS OF MENTAL HEALTH CHALLENGES - 9 EVENTS WITH 7,700 PARTICIPANTS, INCLUDING THE NAMI WALK, WHICH RAISED $111,390 IN 2018-- CONTINUE TO INCREASE ENROLLMENTS IN COORDINATED CARE PROGRAMS BY PARTNERING WITH MANAGED CARE AND OTHER ORGANIZATIONS - 6,819 TOTAL ENROLLEES-- PROVIDE EDUCATION AND AWARENESS SURROUNDING DRUG AND ALCOHOL ABUSE IN YOUTH, PRESCRIPTION DRUG ABUSE, AND PREVENTION TRAINING (2018): 9 PROGRAMS FOR YOUTH YOUTH - 2,256 CHILDREN, MORE THAN 1,638 HOURS, MERCHANT ALCOHOL TRAINING - 161 PARTICIPANTS, 40 HOURS, YEAR-LONG PROGRAM, PRESCRIPTION DRUG TOOLKIT - 124 PARTICIPANTS, 50 HOURS, YEAR-LONG PROGRAM, PARTICIPATED IN SCOTT COUNTY ADVISORY COUNCIL, 9 PREVENTION/PRESENTATIONS FOR YOUTH - 1,211 STUDENTS, 5 HEALTH AND SAFETY FAIRS - 4,435 ATTENDED, ENTERED PARTNERSHIP WITH EVERFI TO PROVIDE FREE PRESCRIPTION DRUG SAFETY PROGRAM TO SCHOOLS IN ROCK ISLAND, SCOTT, HENRY, AND MUSCATINE COUNTYCANCER: CANCER DEATHS, INCIDENCE, PREVALENCE (SKIN AND NON-SKIN), AND FEMALE BREAST CANCER SCREENING.-- DECREASED IN THE AGE-ADJUSTED DEATH RATE FOR CANCER - 2015 = 183, 2018 = 170 -- INCREASED THE % WOMEN 50-74 WHO RECEIVED MAMMOGRAM IN THE PAST 2 YEARS BY 9%-- DECREASED FEMALE BREAST CANCER INCIDENCE PER 100,000 BY 12.6%THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR CANCER:-- PINK PASS BREAST CANCER AWARENESS PROGRAM - 254 EVENTS, 7,922 PEOPLE REACHED WITH HEALTH EDUCATION AND VOUCHERS FOR MAMMOGRAMS-- SKIN CANCER AWARENESS: IN 2017, A COMMUNITY OUTREACH COORDINATOR WAS HIRED TO PROMOTE PREVENTATIVE CANCER SCREENINGS/AWARENESS, IN 2018, PREVENTION EDUCATION WAS PROVIDED AT 43 HEALTH FAIRS, MOBILE PANTRIES AND EVENTS WITH 3,164 PEOPLE REACHED-- LUNG CANCER SCREENING FOR INDIVIDUALS AT HIGH RISK - 1,683 PEOPLE SCREENED, 24 LUNG CANCERS IDENTIFIEDACCESS TO HEALTHCARE: BARRIERS TO ACCESS (INCONVENIENT OFFICE HOURS, COST OF PRESCRIPTIONS, APPOINTMENT AVAILABILITY, FINDING A PHYSICIAN, LACK OF TRANSPORTATION, COST OF CHILD'S PHYSICIAN VISIT), PRIMARY CARE PHYSICIAN RATIO, SPECIFIC SOURCE OF ONGOING MEDICAL CARE.-- % OF COMMUNITY THAT HAVE A PARTICULAR PLACE FOR MEDICAL CARE INCREASED FROM 83% IN 2015 TO 86% IN 2018-- PRIMARY CARE DOCTORS PER 100,000 INCREASED FROM 66.4 IN 2015 TO 75.3 IN 2018THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR ACCESS TO HEALTHCARE:-- CONTINUE EFFORTS SURROUNDING PHYSICIAN RECRUITMENT TO INCREASE THE NUMBER OF PRIMARY CARE PROVIDERS WITHIN THE REGION - 18 PRIMARY CARE SITES, 40 PHYSICIANS, 23 ADVANCED PRACTITIONERS-- IMPLEMENTATION OF 340B PROGRAM, IMPROVING ACCESS TO NECESSARY MEDICATIONS FOR PATIENTS IN NEED: 2016 - ALLOWED TRINITY ACCESS TO DISCOUNTED DRUGS, SAVING AN ESTIMATED $1.4 MILLION IN ROCK ISLAND AND MOLINE, 2017 - ACCESS TO SAVINGS OF $7,002,487 IN DISCOUNTED DRUGS IN ROCK ISLAND, MOLINE AND BETTENDORF, AND PROVIDED $2,046 IN DISCHARGE PRESCRIPTION ASSISTANCE, 2018 - PROVIDED $15,964 IN DISCHARGE PRESCRIPTION ASSISTANCE FOR 354 PATIENTS-- IMPROVE ACCESS AND AVAILABILITY OF TRANSLATION SERVICES FOR PATIENTS (TOTALS IN MINUTES) 2017 & 2018 - VIDEO REMOTE INTERPRETING TOTAL = 69,373, OVER-THE-PHONE INTERPRETING = 51,518, VIDEO REPORT INTERPRETING (AUDIO) = 46,853-- PARISH NURSING: 51,743 INDIVIDUAL CONTACTS, 1,603 EDUCATIONAL PROGRAM CLASSES WITH 16,284 PARTICIPANTS, 1,069 SUPPORT GROUPS WITH 7,195 PARTICIPANTS, 11,777 BLOOD PRESSURE SCREENINGS WITH INDIVIDUALS, 1,217 ABNORMAL READINGS 2016 & 2017. IN 2018, 100 FOOT CLINICS WITH 644 PEOPLE, 185 NEW DOCTOR REFERRALS, 148 REFERRALS TO WALK-IN CLINICS, 130 REFERRALS TO ED, AND 7 NEW RNS/HEALTH ADVOCATES. GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE 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. GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF 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 GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 11: IN 2015, THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE QUAD CITIES AREA IDENTIFIED 13 AREAS OF OPPORTUNITY REPRESENTING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. UNITYPOINT HEALTH - TRINITY CHOSE FIVE OF THOSE AREAS TO FOCUS ON OVER THE NEXT THREE YEARS, AS WELL AS TO SUPPORT OTHER ORGANIZATIONS IN THE AREA THAT WERE CONCENTRATING ON THE OTHER NEEDS IDENTIFIED THAT WERE NOT KEY AREAS OF FOCUS FOR UNITYPOINT HEALTH - TRINITY. DIABETES & NUTRITION, PHYSICAL ACTIVITY & WEIGHT: DIABETES PREVALENCE, FRUIT/VEGETABLE CONSUMPTION, AND OVERWEIGHT & OBESITY (ADULTS).-- %(NON-DIABETES) BLOOD SUGAR TESTED IN PAST 3 YEARS INCREASED: 2015 = 48.5%, 2018 = 50% -- POPULATION WITH LOW FOOD ACCESS DECREASED: 2015 = 14.6%, 2018 = 13.9%-- % CHILDREN (AGES 5-17) WITHIN HEALTHY WEIGHT INCREASED: 2015 = 57%, 2018 = 61.5%THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR DIABETES, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT:-- BLOOD SUGAR SCREENINGS - ATTENDED 34 MOBILE PANTIES WHERE 902 BLOOD SUGAR SCREENINGS WERE CONDUCTED WITH 30% SCREENING ABNORMAL, AND 213 REFERRED FOR FOLLOW-UP-- WORKPLACE DIABETES SESSIONS AND SCREENINGS - 20 PRESENTATIONS AT WORKPLACES-- LIVEWELL AND COMMUNITY CLASSES - PARTICIPATED IN 13 SYMPOSIUMS, CLASSES, PRESENTATIONS AND HEALTH FAIRS-- PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH (PICH): 124 ROCK ISLAND & SCOTT COUNTY SCHOOLS COMPLETED WELLNESS ASSESSMENTS, 16 SAFE ROUTES TO SCHOOL COMPLETED, 8 COMMUNITY GARDENS COMPLETED, 31 PARTNERS COLLABORATE ON QC TRAILS, AND 35 ORGANIZATIONS RECEIVED BE HEALTHY QUAD CITIES WORKSITE WELLNESS RECOGNITION-- JDRF WALK SPONSOR FOR JUVENILE DIABETES - 7,600 PARTICIPANTS, $785,000 RAISED-- DIABETES SELF-MANAGEMENT TRAINING, EDUCATION AND SUPPORT VISITS FOR THOSE ALREADY DIAGNOSED (2018) - 1,978HEART DISEASE & STROKE: HEART DISEASE DEATHS AND PREVALENCE.-- DECREASED THE DISEASES OF THE HEART (AGE-ADJUSTED DEATH RATE) FROM 191 IN 2015 TO 165 IN 2018-- % OF HEART DISEASE (HEART ATTACK, ANGINA, CORONARY DISEASE) DECREASED BY 2% BETWEEN 2015-2018-- THE QUAD CITIES IS FARING BETTER THAN THE US AVERAGE, AND HP2020 GOAL FOR STROKE (AGE-ADJUSTED DEATHS) OF 34. US - 37.1, HP2020 GOAL - 34.8THE FOLLOWING ACTIVITIES AND INITIATIVES FROM 2016-2018 THAT HELPED TO SUPPORT THE GOALS FOR HEART DISEASE AND STROKE:-- RIVER BEND FOODBANK MOBILE PANTRIES - 44 MOBILE PANTRIES WITH 1,160 BLOOD PRESSURE SCREENINGS, 44% SCREENING ABNORMAL, AND 82 REFERRED FOR FOLLOW-UP-- JOHN DEERE GLOBAL COMMUNITIES INITIATIVE (LARGELY HISPANIC NEIGHBORHOOD OF FLORECIENTE): EDUCATION CLASSES ON HEALTHY EATING AND EXERCISE AT BOYS & GIRLS CLUB, HEALTH EDUCATION TO COMMUNITY AT MERCADO ON FIFTH, HABITAT FOR HUMANITY HEALTHY HOME CLASS, CHILDREN FROM BOYS & GIRLS CLUB PARTICIPATED IN 2017 HEART WALK, WROTE AND AWARDED A GRANT FROM GLOBAL COMMUNITIES TO ESTABLISH A BILINGUAL COMMUNITY HEALTH ADVOCATE/CNA, AND HIRED FOR THE POSITION (POSITION START DATE Q1 2019).-- QUAD CITIES ALLIANCE FOR IMMIGRANTS & REFUGEES (QC AIR) AND WORLD RELIEF: DEVELOPED COMMUNITY HEALTH LANGUAGE RESOURCE CARD TO ASSIST WITH LANGUAGE BARRIERS AND REDUCE TIME TO REQUEST INTERPRETER FOR CARE, HELPED CREATE DOCUMENTS TO ASSIST IMMIGRANTS AND REFUGEES UNDERSTAND APPROPRIATE USE OF HEALTHCARE SERVICES (PCP, EXPRESS CARE, ED), DEVELOPMENT OF DIVERSITY/CULTURAL AWARENESS WORK, HOSTED FOCUS GROUP TO IDENTIFY MAJOR ISSUES, PERCEPTIONS AND ASSETS WITHIN THE IMMIGRANT & REFUGEE COMMUNITIES RELATED TO HEALTH AND QUALITY OF LIFE - 12 ATTENDED. -- AMERICAN HEART ASSOCIATION HEART WALK - 2,700-3,500 PARTICIPANTS EACH YEAR WITH $510,000 RAISED OVER THE THREE YEARS-- COMMUNITY EDUCATION ON HEART DISEASE - 50 EVENTS WITH 14,000 PARTICIPANTS, 30 STROKE SUPPORT GROUP SESSIONS WITH AN AVERAGE OF 13 PARTICIPANTS PER SESSION-- HEARTAWARE & STROKEAWARE RISK ASSESSMENTS - 1,209 ASSESSMENTS, 682 AT RISK, 1,284 CONSULTSMENTAL HEALTH/BEHAVIORAL HEALTH: FAIR/POOR MENTAL HEALTH, SYMPTOMS OF CHRONIC DEPRESSION, SUICIDE DEATHS, AND FAIR/POOR EASE OF OBTAINING MENTAL HEALTH SERVICES.-- SUICIDE (AGE-ADJUSTED DEATH RATE) DECREASED - 2015 = 16.2%, 2018 = 15.7%-- 91% OF THOSE DIAGNOSED DEPRESSION ARE SEEKING HELP IN THE COMMUNITY VS 87% THROUGHOUT THE U.S.THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR MENTAL AND BEHAVIORAL HEALTH:-- INTEGRATE BEHAVIORAL HEALTH PROFESSIONALS INTO COMMUNITY HEALTH CARE AND UNITYPOINT CLINICS - 46 SITES-- INTEGRATED BEHAVIORAL HEALTH PROFESSIONALS INTO FIVE SCHOOL DISTRICTS - 37 SCHOOLS-- EXPAND BEHAVIORAL HEALTH SERVICES IN THE ROCK ISLAND COUNTY JAIL SYSTEM - 1,829 SERVED IN THE JAIL-- PARTNER WITH ENTITIES IN THE EASTERN IOWA REGION TO INCREASE ACCESS FOR PATIENTS IN IOWA - 3,483 PATIENTS SERVED BY CRISIS LINE AND TELEHEALTH CRISIS-- CONTINUE TO UTILIZE TRINITY'S CRISIS STABILIZATION UNIT TO QUICKLY ASSESS PATIENTS ENTERING THE ED AND DE-ESCALATE BEHAVIORAL HEALTH PATIENTS IN CRISIS - PATIENTS RECONNECTED TO THE COMMUNITY (60% IN 2016, N=2,420 PATIENTS ASSESSED BY CSU) (58% IN 2017, N=6,015 PATIENTS ASSESSED BY CSU) (65% IN 2018, N=5,963 PATIENTS ASSESSED BY CSY)-- PARTNER WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO INCREASE EDUCATION AND AWARENESS OF MENTAL HEALTH CHALLENGES - 9 EVENTS WITH 7,700 PARTICIPANTS, INCLUDING THE NAMI WALK, WHICH RAISED $111,390 IN 2018-- CONTINUE TO INCREASE ENROLLMENTS IN COORDINATED CARE PROGRAMS BY PARTNERING WITH MANAGED CARE AND OTHER ORGANIZATIONS - 6,819 TOTAL ENROLLEES-- PROVIDE EDUCATION AND AWARENESS SURROUNDING DRUG AND ALCOHOL ABUSE IN YOUTH, PRESCRIPTION DRUG ABUSE, AND PREVENTION TRAINING (2018): 9 PROGRAMS FOR YOUTH YOUTH - 2,256 CHILDREN, MORE THAN 1,638 HOURS, MERCHANT ALCOHOL TRAINING - 161 PARTICIPANTS, 40 HOURS, YEAR-LONG PROGRAM, PRESCRIPTION DRUG TOOLKIT - 124 PARTICIPANTS, 50 HOURS, YEAR-LONG PROGRAM, PARTICIPATED IN SCOTT COUNTY ADVISORY COUNCIL, 9 PREVENTION/PRESENTATIONS FOR YOUTH - 1,211 STUDENTS, 5 HEALTH AND SAFETY FAIRS - 4,435 ATTENDED, ENTERED PARTNERSHIP WITH EVERFI TO PROVIDE FREE PRESCRIPTION DRUG SAFETY PROGRAM TO SCHOOLS IN ROCK ISLAND, SCOTT, HENRY, AND MUSCATINE COUNTYCANCER: CANCER DEATHS, INCIDENCE, PREVALENCE (SKIN AND NON-SKIN), AND FEMALE BREAST CANCER SCREENING.-- DECREASED IN THE AGE-ADJUSTED DEATH RATE FOR CANCER - 2015 = 183, 2018 = 170 -- INCREASED THE % WOMEN 50-74 WHO RECEIVED MAMMOGRAM IN THE PAST 2 YEARS BY 9%-- DECREASED FEMALE BREAST CANCER INCIDENCE PER 100,000 BY 12.6%THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR CANCER:-- PINK PASS BREAST CANCER AWARENESS PROGRAM - 254 EVENTS, 7,922 PEOPLE REACHED WITH HEALTH EDUCATION AND VOUCHERS FOR MAMMOGRAMS-- SKIN CANCER AWARENESS: IN 2017, A COMMUNITY OUTREACH COORDINATOR WAS HIRED TO PROMOTE PREVENTATIVE CANCER SCREENINGS/AWARENESS, IN 2018, PREVENTION EDUCATION WAS PROVIDED AT 43 HEALTH FAIRS, MOBILE PANTRIES AND EVENTS WITH 3,164 PEOPLE REACHED-- LUNG CANCER SCREENING FOR INDIVIDUALS AT HIGH RISK - 1,683 PEOPLE SCREENED, 24 LUNG CANCERS IDENTIFIEDACCESS TO HEALTHCARE: BARRIERS TO ACCESS (INCONVENIENT OFFICE HOURS, COST OF PRESCRIPTIONS, APPOINTMENT AVAILABILITY, FINDING A PHYSICIAN, LACK OF TRANSPORTATION, COST OF CHILD'S PHYSICIAN VISIT), PRIMARY CARE PHYSICIAN RATIO, SPECIFIC SOURCE OF ONGOING MEDICAL CARE.-- % OF COMMUNITY THAT HAVE A PARTICULAR PLACE FOR MEDICAL CARE INCREASED FROM 83% IN 2015 TO 86% IN 2018-- PRIMARY CARE DOCTORS PER 100,000 INCREASED FROM 66.4 IN 2015 TO 75.3 IN 2018THE FOLLOWING ACTIVITIES AND INITIATIVES OVER THE THREE-YEAR PERIOD HELPED TO SUPPORT THE GOALS FOR ACCESS TO HEALTHCARE:-- CONTINUE EFFORTS SURROUNDING PHYSICIAN RECRUITMENT TO INCREASE THE NUMBER OF PRIMARY CARE PROVIDERS WITHIN THE REGION - 18 PRIMARY CARE SITES, 40 PHYSICIANS, 23 ADVANCED PRACTITIONERS-- IMPLEMENTATION OF 340B PROGRAM, IMPROVING ACCESS TO NECESSARY MEDICATIONS FOR PATIENTS IN NEED: 2016 - ALLOWED TRINITY ACCESS TO DISCOUNTED DRUGS, SAVING AN ESTIMATED $1.4 MILLION IN ROCK ISLAND AND MOLINE, 2017 - ACCESS TO SAVINGS OF $7,002,487 IN DISCOUNTED DRUGS IN ROCK ISLAND, MOLINE AND BETTENDORF, AND PROVIDED $2,046 IN DISCHARGE PRESCRIPTION ASSISTANCE, 2018 - PROVIDED $15,964 IN DISCHARGE PRESCRIPTION ASSISTANCE FOR 354 PATIENTS-- IMPROVE ACCESS AND AVAILABILITY OF TRANSLATION SERVICES FOR PATIENTS (TOTALS IN MINUTES) 2017 & 2018 - VIDEO REMOTE INTERPRETING TOTAL = 69,373, OVER-THE-PHONE INTERPRETING = 51,518, VIDEO REPORT INTERPRETING (AUDIO) = 46,853-- PARISH NURSING: 51,743 INDIVIDUAL CONTACTS, 1,603 EDUCATIONAL PROGRAM CLASSES WITH 16,284 PARTICIPANTS, 1,069 SUPPORT GROUPS WITH 7,195 PARTICIPANTS, 11,777 BLOOD PRESSURE SCREENINGS WITH INDIVIDUALS, 1,217 ABNORMAL READINGS 2016 & 2017. IN 2018, 100 FOOT CLINICS WITH 644 PEOPLE, 185 NEW DOCTOR REFERRALS, 148 REFERRALS TO WALK-IN CLINICS, 130 REFERRALS TO ED, AND 7 NEW RNS/HEALTH ADVOCATES. GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE 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. 3 1 - TRINITY CENTER FOR WOUND CARE 4480 UTICA RIDGE ROAD SUITE 110 BETTENDORF IA 52722 OUTPATIENT ONLY 2 - TRINITY OUTPATIENT REHABILITATION SERVIC 4480 UTICA RIDGE ROAD SUITE 102 BETTENDORF IA 52722 OUTPATIENT ONLY 3 - QUAD CITY AMBULATORY SURGERY CENTER 520 VALLEY VIEW DRIVE SUITE 300 MOLINE IL 61265 AMBULATORY SURGERY CENTER PART I, LINE 6A: TRINITY MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE SEGMENT SPECIFIC COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,328. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. TRINITY MEDICAL CENTER CONTRIBUTES FINANCIALLY TO A WIDE VARIETY OF COMMUNITY ORGANIZATIONS THAT ADDRESS THE BROADER NEEDS OF THE COMMUNITY. THESE DONATIONS ALLOW OTHER NON-PROFIT ORGANIZATIONS TO FULFILL THEIR MISSIONS TO IMPROVE THE WELL BEING OF THE COMMUNITY AND CONTRIBUTE TO ITS OVERALL HEALTH STATUS IN WAYS THAT MAY DIFFER FROM THE DIRECT SERVICES OF THE HOSPITAL ORGANIZATION AND MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. TRINITY MEDICAL CENTER EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, TRINITY MEDICAL CENTER EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COLLABORATE TO ADDRESS COMPLEX HEALTH ISSUES. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR TRINITY MEDICAL CENTER. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2. PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS.THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. PART VI, LINE 2: UNITYPOINT HEALTH - TRINITY COMPLETED THE LATEST VERSION ON THE COMMUNITY HEALTH NEEDS ASSESSMENT IN SEPTEMBER OF 2018. IN THE SAME YEAR, THE TRINITY REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS APPROVED THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN (IMPLEMENTATION PLAN) STRATEGIES FOR 2019-2021.COLLABORATION HAS BEEN ESSENTIAL TO ADDRESSING THE NEEDS OF THE COMMUNITY. STRONG RELATIONSHIPS HAVE BEEN DEVELOPED WITH VARIOUS ORGANIZATIONS TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. COMMUNITY PARTNERS INCLUDE BOYS & GIRLS CLUB, BIG BROTHERS BIG SISTERS, GLOBAL COMMUNITIES, NAMI, RIVER BEND FOODBANK, QUAD CITIES VET CENTER, AND LOCAL SCHOOL DISTRICTS ON BOTH THE ILLINOIS AND IOWA SIDE TO NAME A FEW. THROUGH THESE RELATIONSHIPS WE HAVE BEEN ABLE TO PROVIDE EDUCATION, AWARENESS, CONDUCT SCREENINGS, MAKE REFERRALS FOR ADDITIONAL SERVICES, AND HELP THE COMMUNITY UNDERSTAND WHEN, WHERE, AND HOW TO ACCESS THE PROPER TYPE OF CARE TO MEET THEIR NEEDS. IN 2018, UNITYPOINT HEALTH LAUNCHED A THREE-YEAR PRESCRIPTION DRUG SAFETY PROGRAM INITIATIVE. THE PROGRAM, PROVIDED BY UNITYPOINT HEALTH AT NO COST TO STUDENTS OR SCHOOLS, IS DESIGNED TO COMBAT THE OPIOID AND PRESCRIPTION DRUG ABUSE CRISIS BY BRINGING EDUCATION BEST PRACTICES AND DIGITAL TECHNOLOGY TO SCHOOLS NATIONWIDE. THE PLATFORM WAS ROLLED OUT TO SEVEN SCHOOLS THROUGHOUT SCOTT, MUSCATINE, ROCK ISLAND, AND HENRY COUNTY. NEARLY 250 STUDENTS USED THE PROGRAM WITH A TOTAL OF 117 LEARNING HOURS. THERE'S HAS BEEN A LOT OF GREAT FEEDBACK FROM THE PROGRAM, MOST NOTABLY THAT 90% OF STUDENTS FELT THEY HAD THE SKILLS NEEDED TO REFUSE PRESCRIPTION DRUGS. THIS IS JUST ONE EXAMPLE OF THE PROACTIVE WORK BEING DONE TO COMBAT CHALLENGES WE'RE FACING IN OUR COMMUNITY. UNITYPOINT HEALTH - TRINITY IS COMMITTED TO CONTINUING OUR EFFORT TO DEVELOP PARTNERSHIP OPPORTUNITIES THROUGH OUR SPONSORSHIP PROCESS. OUR ORGANIZATION'S MISSION IS TO "IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, AND WE HAVE BEEN INTENTIONAL ABOUT THE TYPES OF ACTIVITIES AND ORGANIZATIONS WE SPONSOR. THE MAJORITY OF SPONSORSHIPS WE PROVIDE TO THE COMMUNITY ARE DIRECTLY ALIGNED WITH THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, AND THE KEY FOCUS AREAS FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN. THERE HAS ALSO BEEN AN INTENTIONAL EFFORT TO GO BEYOND THE SPONSORSHIP EXCHANGE WITH ORGANIZATIONS IN ORDER TO WORK WITH THEM TO DEVELOP STRATEGIES AND PROGRAMING TO REACH THE COMMUNITY WITH HEALTH EDUCATION AND SERVICES. IN 2018, WE BEGAN LOOKING AT ORGANIZATIONS WE WEREN'T ABLE TO SPONSORS TO DEVELOP PARTNERSHIPS WITH THEM AS WELL TO EXPAND OUR OUTREACH EFFORTS. THIS HAS ALLOWED US TO REMAIN AND VALUABLE COMMUNITY PARTNER AND STRENGTHENS OUR TIES WITHIN THE COMMUNITIES WE SERVE. WE WILL CONTINUE TO ADVANCE THESE TYPES OF OPPORTUNITIES AND OTHERS AS THEY ARE PRESENTED. A GREAT EXAMPLE OF THIS IS A PARTNERSHIP THAT FORMED BETWEEN UNITYPOINT HEALTH - TRINITY, WORLD RELIEF, AND THE IMMIGRANT AND REFUGEE COMMUNITY. TRINITY'S PARISH NURSE DEPARTMENT WAS CONTACTED BY A LOCAL PASTOR IN THE BURMESE COMMUNITY IN THE QUAD CITIES. THE PASTOR WAS CONCERNED ABOUT THE PREGNANT WOMEN IN HIS CONGREGATION AND THE UNFAMILIARITY WITH HAVING CHILD IN THE UNITED STATES. AS A RESULT OF THE CONCERN, FOCUS GROUPS WERE HELD TRINITY'S LABOR/DELIVERY TEAM, THE BURMESE COMMUNITY, AND AFRICAN IMMIGRANT COMMUNITY WITH ASSISTANCE FROM WORLD RELIEF. FOLLOWING THE FOCUS GROUPS, PRENATAL CLASSES WERE HELD TO HELP EASE THE STRESS OF EXPECTING MOTHERS AND ALLOW THEM TO HAVE A MORE POSITIVE EXPERIENCE. IN 2016, UNITYPOINT HEALTH - TRINITY FORMED A MILITARY ADVISORY COUNCIL TO HELP IDENTIFY COMMON CHALLENGES IMPACTING VETERANS IN THE LOCAL COMMUNITY. FROM THIS WORK WE FOUND THAT A LOT OF VETERANS IN THE COMMUNITY HAVE VERY LIMITED KNOWLEDGE AROUND THE SERVICES OFFERED TO ASSIST THEM. THE COMMITTEE DEVELOPED A RESOURCE GUIDE TO HELP CONNECT VETERANS TO RESOURCES SUCH AS HOUSING, EMPLOYMENT, STATE AND COUNTY RESOURCES, FOOD, AND MORE. THIS RESOURCE IS ACCESSIBLE TO ANYONE IN THE COMMUNITY TO USE TO ASSIST CONNECTING VETERANS TO NEEDED RESOURCES. UNITYPOINT HEALTH - TRINITY HAS ALSO PARTNERED WITH A NUMBER OF LOCAL VETERAN ORGANIZATIONS TO REACH VETERANS WITH HEALTH INFORMATION, EDUCATION AND SERVICES. WE HOSTED A NUMBER OF EVENTS TO PROVIDE FREE BLOOD PRESSURE SCREENINGS, FLU SHOTS, DIABETES SCREENINGS AND MORE. BY 2018, OUR MILITARY ADVISORY COMMITTEE WAS NOTICED BY THE DEPARTMENT OF VETERANS AFFAIRS FOR THE WORK BEING DONE IN THE LOCAL COMMUNITY. IN MID-2018 UNITYPOINT HEALTH - TRINITY'S MILITARY ADVISORY COMMITTEE RECENT THE COMMUNITY VETERANS ENGAGEMENT BOARD DESIGNATION, THE SECOND ESTABLISHED IN THE STATE OF IA, AND THE FIRST IN THE COUNTRY TO BE FORMED OUT OF A HEALTHCARE SYSTEM. THE COMMUNITY ENGAGEMENT DEPARTMENT UTILIZES UNITYPOINT HEALTH - TRINITY'S MISSION EFFECTIVENESS COMMITTEE TO ADVISE THE DIRECTION AND IMPACT OF THE ORGANIZATION'S OUTREACH WORK. THE COMMITTEE'S PURPOSE IS TO ENSURE THAT UNITYPOINT HEALTH - TRINITY IS LIVING OUT ITS MISSION IN AN EFFECTIVE AND IMPACTFUL WAY. THE MISSION EFFECTIVENESS COMMITTEE IS COMPRISED OF UNITYPOINT HEALTH - TRINITY BOARD MEMBERS, STAFF, AND MEMBERS OF THE LOCAL COMMUNITY. PART VI, LINE 3: THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. PART VI, LINE 4: UNITYPOINT HEALTH - TRINITY IS A 515-BED COMMUNITY HOSPITAL SERVING EASTERN IOWA AND WESTERN ILLINOIS. UNITYPOINT HEALTH - TRINITY IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF UNITYPOINT HEALTH - TRINITY'S MARKET RESIDENTS LIVE WITHIN THE ILLINOIS AND IOWA COUNTIES OF ROCK ISLAND AND SCOTT, RESPECTIVELY.UNITYPOINT HEALTH - TRINITY ADMITS APPROXIMATELY 16,500 INPATIENTS AND CARES FOR 97,000 EMERGENCY PATIENTS PER YEAR. MEDIAN HOUSEHOLD INCOMES RANGE FROM $51,426 TO $57,681 AND THE AVERAGE POVERTY RATE IS 13.5%. 58% OF UNITYPOINT HEALTH - TRINITY PATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. ROCK ISLAND COUNTY IS 75% CAUCASION, 13% HISPANIC, AND 10% AFRICAN AMERICAN. SCOTT COUNTY IS 83% CAUCASION, 8% AFRICAN AMERICAN, AND 6% 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). THROUGH RELATIONSHIPS WITH 36 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 280 PHYSICIAN CLINICS, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS, AND SOUTHERN WISCONSIN.UNITYPOINT HEALTH ENTITIES EMPLOY A LARGE NONPROFIT WORKFORCE, WITH MORE THAN 30,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 6.5 MILLION PATIENT VISITS, UNITYPOINT HEALTH HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $4.4 BILLION, UNITYPOINT HEALTH IS THE FIFTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES THROUGHOUT IOWA, AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THE STATE. IN 2018, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $559 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES. PART VI, LINE 7, REPORTS FILED WITH STATES IL,IA 1 FRIEND OF TRINITY (AUXILIARY) 2701 17TH ST ROCK ISLAND IL 61201 362739299 501(C)(3) 5851 PROGRAM SUPPORT IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 8101 BIRCHWOOD COURT SUITE N JOHNSTON IA 50131 421411630 501(C)(3) 22696684 PROGRAM SUPPORT THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 2701 17TH ST ROCK ISLAND IL 61201 363678909 501(C)(3) 628178 PROGRAM SUPPORT 3 0 SCHOLARSHIPS 20 20000 PART I, LINE 2: TRINITY MEDICAL CENTER REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINES A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. THE ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 RICHARD SEIDLER BOARD MEMBER/PRESIDENT/CEO 554018 0 43632 0 60013 0 -17104 0 16258 0 656817 0 0 0 TAMARA BYRAM VP LEGAL & COMPLIANCE 161091 0 13172 0 13896 0 8815 0 23417 0 220391 0 0 0 KATHERINE MARCHIK SR VP FINANCE/CFO 338608 0 21250 0 273457 0 53906 0 24649 0 711870 0 254410 0 PAUL MCLOONE MD CMO/CQO 348727 0 17572 0 18563 0 8796 0 23436 0 417094 0 0 0 DEEPAK AHUJA MD REGIONAL MEDICAL DIRECTOR 346984 0 42725 0 15623 0 12230 0 24213 0 441775 0 0 0 MATTHEW BEHRENS REG VP/CLINIC OPS & VP/PHYS & AMB SV 0 299451 0 20099 0 16054 0 38827 0 17385 0 391816 0 0 DENNIS DUKE PRESIDENT RYC 225558 0 14100 0 13696 0 2933 0 25767 0 282054 0 0 0 CARA FULLER TO 718 VP HUMAN RESOURCES 137945 0 14763 0 8581 0 7337 0 11030 0 179656 0 0 0 ANGELA JOHNSON FR 1018 VP HUMAN RESOURCES 46191 148040 0 12184 12381 6909 2911 8426 4296 19049 65779 194608 0 0 KEVIN KURTH MD MEDICAL DIRECTOR-ER/TRAUMA 587414 0 1800 0 30168 0 13750 0 25257 0 658389 0 0 0 TAMMY PAUWELS EXEC DIR OUTPATIENT SVCS 162834 0 5778 0 8352 0 9031 0 8868 0 194863 0 0 0 KATHERINE PEARSON SR VP/CHIEF STRATEGY OFFICER 295162 0 20319 0 16242 0 31816 0 15524 0 379063 0 0 0 VIRGINIA RENKIEWICZ SR VP, CCO/CNE/CQO 329434 0 21125 0 19920 0 44389 0 24122 0 438990 0 0 0 MELLISSA WOOD FR 118 CHIEF NURSING EXECUTIVE 199961 6132 10081 0 13607 329 6320 185 1572 79 231541 6725 0 0 MASHOOQUE DAHAR MD PHYSICIAN HOSPITALIST 653087 0 44851 0 424 0 13750 0 25808 0 737920 0 0 0 DOUG GAITHER MD PHYSICIAN-ER/TRAUMA 525711 0 77398 0 6130 0 11531 0 1245 0 622015 0 0 0 SYED HAQUE MD PHYSICIAN HOSPITALIST 641543 0 39692 0 955 0 13750 0 24141 0 720081 0 0 0 TOYOSI OLUTADE MD PHYSICIAN HOSPITALIST 610551 0 43263 0 378 0 8216 0 24099 0 686507 0 0 0 WILLIAMS ROGERS III MD PHYSICIAN-ER/TRAUMA 540801 0 118298 0 23714 0 10621 0 27618 0 721052 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: IF AN INDIVIDUAL IS PROVIDED SOMETHING FROM THE EMPLOYER OF VALUE, SUCH AS A PAID BENEFIT, GIFT CARD OR GIFT, WHICH IS CONSIDERED TAXABLE INCOME, THEN THE EMPLOYER WILL ADD IMPUTED AMOUNTS TO PAYCHECK IN ORDER TO TAX APPROPRIATELY. PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: MATTHEW BEHRENS $25,077; KATHERINE MARCHIK $41,632; KATHERINE PEARSON $18,066; VIRGINIA RENKIEWICZ $30,639; AND RICHARD SEIDLER $-19,728. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: KATHERINE MARCHIK $254,410. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS. THOMAS MEEGAN FAMILY MEMBER OF KEY EMPLOYEE TAMMY PAUWELS 42326 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 6 TRINITY REGIONAL HEALTH SYSTEM, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A TRINITY REGIONAL HEALTH SYSTEM MAY APPOINT ONE BOARD MEMBER AND APPROVES ALL OTHERS. FORM 990, PART VI, SECTION A, LINE 7B TRINITY REGIONAL HEALTH SYSTEM, AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES, BYLAWS AND MISSION, MAY REMOVE ANY TRUSTEE WITH OR WITHOUT CAUSE, APPOINTS CEO AND VICE PRESIDENT, APPROVES MERGERS, CREATION OF SUBSIDIARY OR AFFILIATE ORGANIZATIONS, AND APPROVES BUDGETS AND LONG-RANGE STRATEGY. TRINITY REGIONAL HEALTH SYSTEM AND IOWA HEALTH SYSTEM MUST APPROVE DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE CEO FORUM GROUP AND SVP POSITIONS FOR 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 2018 FOR THE FOLLOWING INDIVIDUALS: RICHARD SEIDLER THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION -3,244,139. CHANGES IN PENSION LIABILITY 1,583. MISCELLANEOUS OTHER ADJUSTMENTS 26,927. CHANGE IN BENEFICIAL INTEREST IN TRINITY PHYSICIAN HOSPITAL ORG. LTD 600. 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 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CHATHAM OAKS 740 N 15TH AVE NO A HIAWATHA IA 52233 421302928 MENTAL HEALTH AND/OR DISABILITY RESIDENTIAL TREATMENT SERVICES IA 501(C)(3) 509(A)(2) ABBEHEALTH INC 0 DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC 1415 WOODLAND AVE SUITE 130 DES MOINES IA 50309 421412497 COORDINATION OF MEDICAL EDUCATION PROGRAMS IA 501(C)(3) 509(A)(3), TYPE III 0 EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES 945 19TH STREET DES MOINES IA 50314 420942273 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) CENTRAL IOWA HEALTH SYSTEM 0 EYERLY-BALL FOUNDATION INC 945 19TH STREET DES MOINES IA 50314 352515479 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES 0 FINLEY TRI-STATES HEALTH GROUP INC 350 NORTH GRANDVIEW AVENUE DUBUQUE IA 52001 421307495 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER 3820 HILLSIDE DRIVE CEDAR FALLS IA 50613 421372380 CHARITABLE 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CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) CENTRAL IOWA HEALTH SYSTEM 0 IOWA HEALTH SYSTEM 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421435199 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III 0 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 8101 BIRCHWOOD COURT JOHNSTON IA 50131 421411630 PRIMARY HEALTH CARE SERVICES IA 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM 0 KEOKUK AREA HOSPITAL 1600 MORGAN STREET KEOKUK IA 52632 420710268 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) KEOKUK HEALTH SYSTEMS INC 0 KEOKUK AREA HOSPITAL FOUNDATION 1600 MORGAN STREET KEOKUK IA 52632 421202608 CHARITABLE FUNDRAISING IA 501(C)(3) 509(A)(3) TYPE II KEOKUK HEALTH SYSTEMS INC 0 KEOKUK HEALTH SYSTEMS INC 1600 MORGAN STREET KEOKUK IA 52632 421237361 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1825 LOGAN AVENUE WATERLOO IA 50703 421201138 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 MEMORIAL HOSPITAL ASSOCIATION PO BOX 160 CARTHAGE IL 62321 370684691 HOSPITAL IL 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM 0 MERITER FOUNDATION INC 202 SOUTH PARK STREET MADISON WI 53715 237098688 CHARITABLE FUNDRAISING WI 501(C)(3) 170(B)(1) (A)(VI) MERITER HEALTH SERVICES INC 0 MERITER HEALTH SERVICES INC 202 SOUTH PARK STREET MADISON WI 53715 391412318 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE WI 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 MERITER HOSPITAL INC 202 SOUTH PARK STREET MADISON WI 53715 390806367 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) MERITER HEALTH SERVICES INC 0 MERITER MEDICAL GROUP INC 202 SOUTH PARK STREET MADISON WI 53715 050545222 SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES WI 501(C)(3) 509(A)(3), TYPE III MERITER HOSPITAL INC 0 METHODIST HEALTH SERVICES CORPORATION 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 371111135 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IL 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IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE INPATIENT AND OUTPATIENT CARE AND PHYSICIAN SERVICES FROM 36 HOSPITAL FACILITIES AND OVER 400 OUTPATIENT SITES IN IOWA, ILLINOIS AND WISCONSIN. PRIMARY, SECONDARY AND TERTIARY CARE SERVICES ARE PROVIDED TO RESIDENTS OF IOWA, ILLINOIS, WISCONSIN AND ADJACENT STATES. ON APRIL 16, 2013, IOWA HEALTH SYSTEM BEGAN BEING PUBLICLY KNOWN AS UNITYPOINT HEALTH (THE SYSTEM). THIS NAME CHANGE REFLECTS THE TRANSFORMATION OF CLINICAL PROCESSES UNDERWAY WITHIN THE SYSTEM AND THE ADAPTATION TO BETTER ADDRESS THE HEALTH CARE NEEDS OF COMMUNITIES, INCLUDING BUILDING A MODEL OF DELIVERING HEALTH CARE THAT COORDINATES CARE AROUND THE PATIENT WHILE FOCUSING ON IMPROVING THE QUALITY OF CARE AND REDUCING COSTS. THE LEGAL NAME OF THE PARENT REMAINS IOWA HEALTH SYSTEM, WITH THE UNITYPOINT HEALTH NAME REFLECTING A DOING BUSINESS AS (D/B/A).