2019-11-14T14:56:48-06:00 2018-12-31 990 2018-01-01 420680337 UNITY HEALTHCARE UNIT 3097792200 1518 MULBERRY AVENUE MUSCATINE IA 52761 KATHERINE MARCHIK SR VP FINANCE/CFO 3097795700 2019-11-12 205.167.2.34 2019-11-12 14:19:08 CS P 0BFB9BC94ADA8AF3BF63F4A24AA84C65C722C205 7BA72CF2FC23A5EB6E597A73BA6EA537B1AB5705 2018 2020-04-17 16:48:07Z TRINITY MUSCATINE ROBERT ERICKSON 1518 MULBERRY AVENUE MUSCATINE IA 52761 62034094 0 X WWW.UNITYPOINT.ORG (SEE SCH O) X 1941 IA IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 16 11 450 111 0 2626 1982615 2608550 47667880 48890165 622676 753516 512617 271260 50785788 52523491 216247 404597 0 0 26687206 26899578 0 0 0 18359574 18582517 45263027 45886692 5522761 6636799 53425317 58133200 31352144 30335016 22073173 27798184 X THE MISSION OF TRINITY-MUSCATINE IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 39309835 321450 49003558 HEALTH-CARE SERVICESUNITY HEALTHCARE IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE MUSCATINE COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. UNITY HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE, ONCOLOGY, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2018, UNITY HEALTHCARE ADMITTED 1,365 PATIENTS RESULTING IN A TOTAL OF 3,787 PATIENT DAYS. OUTPATIENT VISITS TOTALED 92,547 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 1,621. THERE WERE ALSO 18,771 EMERGENCY ROOM VISITS AND 261 BABIES DELIVERED. 4418552 83147 0 COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: UNITY HEALTHCARE PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $567,518 IN 2018. OFTENTIMES, UNITY HEALTHCARE RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. UNITY HEALTHCARE PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. UNITY HEALTHCARE'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $3,216,798 FOR 2018. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $3,784,316.OTHER BENEFITS: UNITY HEALTHCARE PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. UNITY HEALTHCARE COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. UNITY HEALTHCARE HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 44,524 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL OTHER BENEFITS REPORTED VALUE: $634,236. 43728387 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 450 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DEANNA GRAY FINANCE DIRECTOR-REGIONAL LIAISON 5152247140 4949 WESTOWN PKWY STE 255 WEST DES MOINES IA 50266 RHEA ALLEN MD BOARD MEMBER 40.00 0.00 X 323953 0 38036 BOB BARRETT BOARD MEMBER 1.00 0.00 X 0 0 0 TONI ELLER OD BOARD MEMBER 1.00 1.00 X 0 0 0 PASTOR STACIE FIDLAR BOARD MEMBER 1.00 0.00 X 0 0 0 TROY FRIDLEY BOARD MEMBER 1.00 0.00 X 0 0 0 PRASAD NADKARNI MD BOARD MEMBER 1.00 40.00 X 0 547828 19735 SCOTT NATVIG BOARD SECRETARY 1.00 0.00 X X 0 0 0 SUNEEL PARVATHAREDDY MD BOARD MEMBER 40.00 0.00 X 411933 0 31299 MARK PETERSON BOARD MEMBER 1.00 0.00 X 0 0 0 JERALD RIIBE PHD BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 CHARLA SCHAFER BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD SEIDLER BOARD MEMBER/PRESIDENT/CEO 1.00 40.00 X X 0 657663 -846 DANIEL STEIN BOARD MEMBER 1.00 0.00 X 0 0 0 CANDACE TERRILL BOARD TRESURER 1.00 0.00 X X 0 0 0 GUADALUPE VAZQUEZ BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT WEIS MD BOARD MEMBER 1.00 40.00 X 0 362832 34325 ANGELA JOHNSON EXEC DIRECTOR & VP HUMAN RESOURCES 40.00 1.00 X 167133 58572 34682 KATHERINE MARCHIK SR VP FINANCE/CFO 1.00 40.00 X 0 633315 78555 MANASI NADKARNI MD VP MEDICAL AFFAIRS 40.00 0.00 X 488502 0 17552 CARA FULLER VP HUMAN RESOURCES 1.00 40.00 X 0 161289 18367 FRANK P AMLING NURSE PRACTITIONER 40.00 0.00 X 142520 0 16269 PAMELA F ASKEW VP PATIENT CARE 40.00 0.00 X 136037 0 25641 STEPHEN COX PHYSICIAN 40.00 0.00 X 125815 0 7078 ANN M DROLL LEAD PHARMACIST 40.00 0.00 X 139906 4061 31180 TONYA M KERKER PHYSICIAN ASSISTANT 40.00 0.00 X 140200 24171 16197 JAMES HAYES PRESIDENT/CEO (TO 7/17) 0.00 0.00 X 0 152496 -23561 2075999 2602227 344509 15 1 1 0 RIVERBEND ANESTHESIA PC 1710 COBBLESTONE DR MUSCATINE IA 52761 ANESTHESIA/CRNA SERVICES 1913172 SALTANAT MEDICAL LLC 7255 W SUNSET RD UNIT 2047 LAS VEGAS NV 89113 PHYSICIAN SERVICES 651671 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 396353 SIEMENS HEALTHCARE DIAGNOSTICS 5210 PACIFIC CONSOURCE DR LOS ANGELES CA 90045 MEDICAL IMAGING 301209 CARDIOVASCULAR MEDICINE PC 1236 E RUSHOLME ST DAVENPORT IA 52803 CARDIOVASUCLAR SERVICES 286624 19 989291 1155991 463268 2608550 NET PATIENT REVENUE 900099 47985327 47985327 MISCELLANEOUS REVENUE 900099 575592 575592 RENTAL INCOME 531390 203805 203805 MGMT & SUPPORT SVCS 561000 125441 125441 48890165 418631 225 418406 9845488 9510603 334885 334885 334885 CAFETERIA/FOOD SVCS 722210 158092 158092 MISCELLANEOUS 900099 58805 58805 SHARED SAVINGS REVENUE 900099 54363 54363 271260 52523491 49003558 0 911383 404597 404597 1505884 805222 700662 39617 39617 21335919 20522950 812969 597990 575205 22785 2262185 2175988 86197 1157983 1113860 44123 4277614 4277614 208415 208415 94675 56694 37981 3486348 3323118 163230 12916 1620 11296 593095 576026 17069 1278089 1256830 21259 67824 59317 8507 10065 8776 1289 847726 847726 2450883 2450883 149776 149776 MEDICAL SUPPLIES 5037895 5036884 1011 MISCELLANEOUS EXPENSE 67020 45508 21512 BAD DEBT EXPENSE 176 176 45886692 43728387 2158305 0 6905467 12435479 353805 753980 7197060 7203799 888659 622108 1234573 1098250 78721 124538 73334428 47837063 26642558 25497365 10124474 10397681 53425317 58133200 2683894 2787435 80000 2890000 2745000 167281 836027 485841 24774942 24236740 31352144 30335016 X 22073173 27798184 22073173 27798184 53425317 58133200 6636799 -911788 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9363115 -292398 30603 9040114 8281100 1109105 27090 9363115 3018416 7564406 -432544 1845507 23671 8281100 3321559 255720 110079 605338 9537 54067 3018416 5936671 1209914 -639615 3117502 3076333 109078 3321559 1.00000 0.00000 0.00000 0 1 1 694155 694155 44721132 24810161 19910971 25947710 21217674 4730036 1971431 1809228 162203 25497365 DUE TO AFFILIATES 22440367 SELF-INSURANCE RESERVE 1152075 HEALTH AND WELFARE BENEFITS RESERVE 164775 LONG-TERM RETENTION INCENTIVES 180399 MISCELLANEOUS LIABILITY 299124 24236740 X 50597000 -911788 1265 -910523 51507523 37981 977987 1015968 52523491 45510000 1566 1566 45508434 37981 340277 378258 45886692 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: ROUNDING 1,265. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN UNRESTRICTED FUND BALANCE 977,987. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 1,566. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES IN UNRESTRICTED FUND BALANCE 340,277. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 567518 0 567518 0.01240 11230824 8014026 3216798 0.07010 11798342 8014026 3784316 0.08250 2484578 1933489 551089 0.01200 83147 0 83147 0.00180 2567725 1933489 634236 0.01380 14366067 9947515 4418552 0.09630 33983 33983 0.00070 28360 28360 0.00060 62343 62343 0.00130 0 975434 0 9894345 8717704 1176641 X 1 1 1 1 TRINITY MUSCATINE 1518 MULBERRY AVENUE MUSCATINE IA 52761 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY- 700005H X X X TRINITY MUSCATINE 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-MUSCATINE X WWW.QUADCITIES.HEALTHFORECAST.NET X 1 18 1 WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-MUSCATINE 0 1 X 200.000000000000 600.000000000000 X X X X X X X 1 1 X X X X X 1 X WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX X WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX X WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX X X X X X X 1 X 0 X X X X 1 X 0 0 TRINITY MUSCATINE PART V, SECTION B, LINE 5: FOLLOWING STEERING COMMITTEE MEMBERS: BROOKE BARNES, SCOTT COUNTY HEALTH DEPARTMENT MARIAH BENSON, ROCK ISLAND COUNTY HEALTH DEPARTMENT TOM BOWMAN, COMMUNITY HEALTH CARE, INC. NICOLE CARKNER, QUAD CITY HEALTH INITIATIVE (QCHI)RACHEL EVANS, QUAD CITY HEALTH INITIATIVE (QCHI)ELLEN GACKLE, SCOTT COUNTY HEALTH DEPARTMENT JANET HILL, ROCK ISLAND COUNTY HEALTH DEPARTMENT DANIEL JOINER, UNITYPOINT HEALTH - TRINITY NITA LUDWIG, ROCK ISLAND COUNTY HEALTH DEPARTMENT HENRY MARQUARD, GENESIS HEALTH SYSTEM EDWARD RIVERS, SCOTT COUNTY HEALTH DEPARTMENT CHRISTY ROBY WILLIAMS, UNITYPOINT HEALTH - TRINITY & MUSCATINE PUBLIC HEALTH DEPARTMENT PAT SHOUSE, UNITYPOINT HEALTH - TRINITY JERICA THOMPSON, UNITYPOINT HEALTH - TRINITYTIFFANY TJEPKES, SCOTT COUNTY HEALTH DEPARTMENT HAL WAGHER, GENESIS HEALTH SYSTEM TRINITY MUSCATINE PART V, SECTION B, LINE 6A: GENESIS HEALTH SYSTEM TRINITY MUSCATINE PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, MUSCATINE COUNTY PUBLIC HEALTH DEPARTMENT, ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY PUBLIC HEALTH DEPARTMENT TRINITY MUSCATINE PART V, SECTION B, LINE 11: IN 2015, THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE MUSCATINE COUNTY AREA IDENTIFIED 15 AREAS OF NEED WITH TRENDING CONCERNS FOCUSED ON PHYSICAL AND MENTAL HEALTH NEEDS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS, TRINITY MUSCATINE AND PUBLIC HEALTH IDENTIFIED THREE PRIORITY AREAS THAT INCLUDED ACCESS TO MENTAL HEALTH, HEALTHCARE INFRASTRUCTURE AND IMPROVING OVERALL HEALTH BEHAVIORS. THE PRIORITY AREAS WERE OVERSEEN BY TASK FORCE COMMITTEES COMPRISED OF COMMUNITY, HEALTHCARE, AND PUBLIC HEALTH MEMBERS TO DRIVE ACTION TOWARD OPTIMAL HEALTH OUTCOMES. -- OUR TOP PRIORITY FROM 2016 TO 2018 WAS ACCESS TO HEALTH CARE IN OUR AREA DUE TO A SHORTAGE OF HEALTH CARE PROVIDERS. A COMMUNITY EFFECTIVENESS COMMITTEE WAS FORMED AND HELD THEIR FIRST MEETING ON APRIL 6, 2015. THE COMMITTEE INCLUDES MEMBERS FROM THE TRINITY HOSPITAL BOARD, PUBLIC HEALTH, BUSINESS, PHARMACY, OPTICAL, PHYSICIANS, SCHOOL ADMINISTRATION, CITY, COUNTY AND COMMUNITY VOLUNTEER MEMBERS. THE COMMITTEE WORKS TO UNDERSTAND THE COMMUNITY NEEDS AND THE EFFECTIVENESS OF TRINITY MUSCATINE AND PUBLIC HEALTH TO MEET THOSE NEEDS. THEY REVIEW AND MONITOR DATA INCLUDING PATIENT SATISFACTION SCORES, MARKET SHARE DATA, PUBLIC HEALTH ASSESSMENTS, BUSINESS/INDUSTRY FEEDBACK AND OTHER FORMS OF FEEDBACK AND DATA. THEY WORK WITH COMMUNITY CONSTITUENTS TO ENSURE WE ARE MEETING THE NEEDS OF THE PEOPLE AND COMMUNITIES WE SERVE. THE COMMUNITY EFFECTIVENESS COMMITTEE HAS CONSISTENTLY REVIEWED THE PROVIDER NEEDS ASSESSMENT IN ORDER TO DEVELOP RECRUITMENT STRATEGIES. ACCORDING TO HRSA, MUSCATINE COUNTY IS NOT DEEMED TO HAVE A PRIMARY CARE SHORTAGE AS OF 12/31/2018. HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/HPSA-FINDTHE SENIOR LEADERSHIP OF TRINITY MUSCATINE HOSPITAL SEIZED THE OPPORTUNITY TO DEVELOP COLLABORATIVE RELATIONSHIPS WITH THE UNIVERSITY OF IOWA MEDICAL SCHOOL IN ORDER TO INCREASE RESIDENCY PLACEMENT AND RECRUITMENT FOLLOWING COMPLETION. IN 2016, THERE WERE 4 NEW PRIMARY CARE PROVIDERS INTERESTED AND ON-BOARDED INTO CLINICS LOCATED IN THE MUSCATINE COUNTY AREA. BY THE END OF 2018, THERE WERE 8 ADDITIONAL PRIMARY CARE PROVIDERS WHO MADE A COMMITMENT TO SERVE PATIENTS WITHIN MUSCATINE COUNTY CLINICS. BY THE END OF 2018 THERE WERE AT LEAST 22 PROVIDERS SERVING PATIENTS THROUGHOUT THE COUNTY. THERE HAS BEEN EVALUATION TO INCREASE LOCATIONS OF ACCESS POINTS IN SCHOOLS. AS OF JULY 2017, THERE HAS BEEN COLLABORATIVE EFFORTS WITH THE SCHOOL DISTRICT IN MUSCATINE TO IMPROVE CARE COORDINATION FOR SCHOOL COUNSELORS AND NURSING REGARDING MEDICAL AND MENTAL HEALTH NEEDS IDENTIFIED THROUGH A REFERRAL SYSTEM. THERE HAS ALSO BEEN DEVELOPMENT OF PROVIDING WELLNESS SCREENINGS AND EDUCATION AT LOCAL FOOD PANTRIES LOCATED WITHIN TWO COMMUNITIES IN THE COUNTY. BY THE END OF 2018, TRINITY MUSCATINE AND PUBLIC HEALTH PLACED A WELLNESS SCREENING CLINIC IN THE HOMELESS SHELTER WITHIN THE COUNTY TO DELIVER BASIC HEALTH SCREENINGS AND PROVIDE CARE COORDINATION. -- THE SECOND PRIORITY WAS TO INCREASE ACCESS AND CAPACITY OF MENTAL HEALTH SERVICES. IN APRIL 2016 THERE WERE NO PSYCHIATRIC PROVIDERS IN MUSCATINE COUNTY. WITH THAT DATA BEING NOTED, THROUGH COLLABORATION WITH UNITYPOINT HEALTH, THERE WAS A .2 FTE ARNP PSYCHIATRIC PROVIDER FROM ROBERT YOUNG CENTER DELIVERING CARE AT LEAST 2 TIMES PER WEEKS WITHIN THE COUNTY BY THE END OF 2016. IN APRIL OF 2018, ROBERT YOUNG EXPANDED THEIR BEHAVIORAL AND MENTAL HEALTH SERVICES TO MUSCATINE, IOWA THROUGH A COMMUNITY OUTPATIENT MENTAL HEALTH CENTER. ROBERT YOUNG WAS ABLE TO INCREASE THE PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERS TO 2 STAFF (1.2 FTE), ADD 2 LICENSED INDEPENDENT SOCIAL WORKERS (1.4 FTE) AND 2 LICENSED MENTAL HEALTH COUNSELORS (2.0 FTE). SERVICES DELIVERED THROUGH THE MENTAL HEALTH CENTER INCLUDE INDIVIDUAL AND FAMILY THERAPY, PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT. CARE COORDINATION SERVICES THROUGH THE INTEGRATED HEALTH HOME, MENTAL HEALTH SERVICES INTEGRATED INTO PRIMARY CARE PRACTICE AND TELEHEALTH. PUBLIC HEALTH AND OTHER HUMAN SERVICE ORGANIZATIONS PROVIDED ACES, TRAUMA INFORMED CARE, AND MENTAL HEALTH FIRST AIDE TRAININGS TO THE MUSCATINE COUNTY AREA AND MEDICAL PRACTICES FROM 2016 - 2018. AWARENESS OF MENTAL HEALTH SYMPTOMS, RESPONDING EFFECTIVELY TO INDIVIDUALS IN NEED OF MENTAL HEALTH SUPPORT AND REDUCING COMMUNITY STIGMA IS A CONTINUOUS FOCUS OF TRINITY MUSCATINE, PUBLIC HEALTH AND COMMUNITY STAKEHOLDERS. -- THE THIRD PRIORITY WAS TO IMPROVE HEALTHY BEHAVIORS WITHIN ALL SOCIOECONOMIC GROUPS. A HEALTHY BEHAVIORS COMMITTEE WAS DEVELOPED TO DRIVE THE TACTICS OF THE OBJECTIVES RELATED TO THE PRIORITY. OBJECTIVES OF THE GROUP INCLUDED, INCREASING PARTICIPATION IN EVENTS THAT PROMOTE HEALTHY BEHAVIOR OUTCOMES, INCREASED INVOLVEMENT IN EARLY CHILDHOOD DEVELOPMENT, INCREASE PREVENTATIVE CANCER SCREENINGS, DECREASE ADULT SMOKING RATES, AND DECREASE TEEN BIRTH RATES. TRINITY MUSCATINE AND PUBLIC HEALTH HAVE HAD MANY OPPORTUNITIES AND DEVELOPED POPULATION-BASED OUTREACH SCREENING CLINICS TO INCREASE PARTICIPATION IN EVENTS. SOME OF THESE EVENTS INCLUDED HEALTH FAIRS AND SCREENINGS AT HOMELESS SHELTER, FOOD PANTRIES, SCHOOLS, MOBILE CLINICS, LOCAL GROCERY STORES. SCREENINGS INCLUDED HEALTH AND WELLNESS EDUCATION, BLOOD PRESSURE SCREENINGS, A1C SCREENINGS, FOOD DISTRIBUTION, ACCESS TO INSURANCE PROGRAMS, MEETING PRIMARY HEALTH CARE AND DENTAL PROVIDERS, AND MORE. BY THE END OF 2018, THERE WERE 10,916 INDIVIDUALS WHO RECEIVED EDUCATION, HEALTH SCREENINGS AND IMPROVED ACCESS TO CARE. THE HEALTHY BEHAVIORS COMMITTEE PROMOTED EARLY CHILDHOOD LITERACY THROUGH THEIR FOCUS OF PROMOTING THE IMAGINATION LIBRARY PROJECT. IN 2015, THERE WERE NO CHILDREN ENROLLED YET IN THE COUNTY. THROUGH THE HEALTHY BEHAVIORS COMMITTEE AND OTHER COMMUNITY PARTNERS THERE WERE 1,481 CHILDREN AGES 0-5 THAT WERE ENROLLED WITHIN MUSCATINE COUNTY BY THE END OF 2018. THIS PROGRAM ALLOWS EVERY CHILD TO RECEIVE BOOKS TO BE DIRECTLY DELIVERED TO THEIR HOUSEHOLDS. TRINITY MUSCATINE AND PUBLIC HEALTH HAVE ACTIVELY SOUGHT TO INCREASE ACCESS TO CANCER SCREENING PROGRAMS THROUGH THE DELIVERY OF PROGRAMMING. SINCE 2016, PUBLIC HEALTH HAS IMPLEMENTED THE CARE FOR YOURSELF ACCESS TO SCREENING INSURANCE PROGRAM, PINK PASS INCENTIVES FOR MAMMOGRAMS, AND INCREASED PARTNERSHIP WITH GILDA'S CLUB. TRINITY MUSCATINE INVESTED IN UPGRADED MAMMOGRAPHY EQUIPMENT THAT PROVIDES 3D X-RAYS FOR INDIVIDUALS AT HIGHER RISK FOR BREAST CANCER THAT MAY GO UNDETECTED DUE TO THE DENSITY OF THEIR TISSUE. IN 2018, TRINITY REGIONAL HEALTH SYSTEM'S ONCOLOGY DEPARTMENT OBTAINED GRANT FUNDING TO EXPAND CARE COORDINATION INTO THE TRINITY MUSCATINE CAMPUS FOR ASSISTING PATIENTS NEWLY DIAGNOSED WITH CANCER. TRINITY MUSCATINE NEW HORIZONS' STAFF CONTINUES TO WORK WITH LOCAL PARK BOARDS, CITY ADMINISTRATORS AND BUSINESSES TO PROMOTE POLICIES TO ESTABLISH TOBACCO FREE PARKS AND WORKPLACES. CURRENTLY IN MUSCATINE COUNTY THERE ARE TEN TOBACCO FREE PARKS. MUSCATINE COUNTY HAS ADDED AT LEAST THREE NEW TOBACCO FREE WORK SITES. QUITLINE IS PROMOTED IN NUMEROUS SETTINGS IN MUSCATINE COUNTY. TRINITY MUSCATINE NEW HORIZONS ALONG WITH THE SUPPORT OF THE HEALTHY BEHAVIORS COMMITTEE PROVIDE INFORMATION AND EDUCATION TO COMMUNITY MEMBERS REGARDING THEIR FREE ACCESS TO THIS RESOURCE. THE ADULT SMOKING RATE DROPPED FROM 21%, AS ASSESSED IN 2015, TO 15% IN 2018. MUSCATINE COUNTY TEEN BIRTH RATE HAS CONTINUED TO DECLINE FROM 2015 (7.9%) TO THE END OF 2018 (6%). ALL THREE MUSCATINE COUNTY COMMUNITY SCHOOL DISTRICTS HAVE PARTNERED WITH TRINITY MUSCATINE PUBLIC HEALTH FOR ADOLESCENT SEXUAL HEALTH PROGRAMMING IN THE SCHOOLS. IN ADDITION TO THE SCHOOL PARTNERSHIPS, THERE HAS ALSO BEEN OUTREACH AND EDUCATION PROVIDED AND OFFERED TO COMMUNITY PARTNERS AS WELL AS COMMUNITY MEMBERS. EDUCATORS HAVE PARTNERED WITH THE LOCAL LIBRARIES, PARENT SUPPORT GROUPS, SUBSTANCE ABUSE TREATMENT CENTERS, ETC. IN ORDER TO PROVIDE INFORMATION AND EDUCATION TO THE COMMUNITY. THE ADOLESCENT PREVENTION PROGRAMMING COUNCIL HAS TAKEN THE TIME TO MEET WITH YOUTH IN THE COMMUNITY IN ORDER TO GAIN THEIR FEEDBACK ON THE MOST SUCCESSFUL METHODS FOR PARENTS TO TALK TO THEIR YOUTH. THEY PROVIDED EXCELLENT FEEDBACK AND THE GROUP WAS ABLE TO IMPLEMENT THEIR SUGGESTIONS. FOR EXAMPLE, THEY SUGGESTED GOING TO THE PARENTS WORK PLACE IN ORDER TO TALK TO THEM SINCE IS WHERE PARENTS SPEND MOST OF THEIR TIME. THE GROUP HAS BEEN ABLE TO PARTNER WITH LOCAL BUSINESSES TO PROVIDE THEM WITH INFORMATION AND EDUCATION ON THIS TOPIC. SUPPORT SERVICES WORKING WITH PREGNANT AND PARENTING TEENS HAS INCREASED IN MUSCATINE OVER THE PAST SCHOOL YEARS. MUSCATINE COMMUNITY SCHOOL DISTRICT HAS PARTNERED WITH PUBLIC HEALTH TO PROVIDE TEENAGE SUPPORT SERVICES TO ANY AT-RISK TEENS. THIS WAS AN EXPANSION OF 8 HOURS PER WEEK THE PREVIOUS YEAR TO 28 HOURS PER WEEK. THE ORIGINAL 8 HOURS ALLOWS THE SOCIAL WORKER TO CONTINUE TO OFFER THE SAME SERVICES IN THE OTHER TWO MUSCATINE COUNTY SCHOOL DISTRICTS. TRINITY MUSCATINE PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. PART I, LINE 6A: UNITY HEALTHCARE'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. COMMUNITY SUPPORT INCLUDES THE HOURS TRINITY MUSCATINE EMPLOYEES SPENT PARTICIPATING IN THE DAY OF CARING (UNITED WAY). THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR TRINITY MUSCATINE. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2. PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. PART VI, LINE 2: TRINITY MUSCATINE CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN THE MUSCATINE COUNTY AREA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. TRINITY MUSCATINE'S PUBLIC HEALTH DEPARTMENT WORKS COLLABORATIVELY WITH THE AREA SCHOOLS, BOARD OF HEALTH, BOARD OF SUPERVISORS, AND OTHER LOCAL AGENCIES TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF THE MUSCATINE AREA. TRINITY MUSCATINE ALSO PARTICIPATES AS PART OF THE MUSCATINE COMMUNITY HEALTH ASSOCIATION, EMPOWERING HEALTHY BEHAVIORS COMMITTEE, COMMUNITY FOUNDATION OF GREATER MUSCATINE, AND HEALTHY HOMETOWNS. THESE GROUPS ACTIVELY ADDRESS THE NEED AND STRATEGIES ASSOCIATED WITH OPTIMAL HEALTH OUTCOMES. MORE SPECIFICALLY, THESE GROUPS OFTEN FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE COMMUNITY HEALTH STATUS. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR TRINITY MUSCATINE TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, UNITY HEALTHCARE CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS OFTEN WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATION THEY IMPACT. PART VI, LINE 3: THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. PART VI, LINE 4: TRINITY MUSCATINE IS AN 80-BED COMMUNITY HOSPITAL SERVING MUSCATINE AREA OF EASTERN IOWA. TRINITY MUSCATINE IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.90% OF TRINITY MUSCATINE'S MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF MUSCATINE AND LOUISA. TRINITY MUSCATINE ADMITS APPROXIMATELY 1,300 INPATIENTS AND CARES FOR OVER 19,000 EMERGENCY PATIENTS PER YEAR. TRINITY MUSCATINE CARES FOR MORE INPATIENTS, OUTPATIENTS, EMERGENCY PATIENTS AND CARDIAC PATIENTS THAN ANY OTHER HOSPITAL IN THE MUSCATINE AREA OF EASTERN IOWA. THERE ARE NO OTHER HOSPITALS WITHIN THE 2-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $54,393 TO $56,398 AND THE AVERAGE POVERTY RATE IS 11%. 62% OF TRINITY MUSCATINE INPATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. MUSCATINE AND LOUISA COUNTIES ARE ABOUT 80% CAUCASIAN AND 16% 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 IA 1 IOWA PHYSICIAN CLINIC MEDICAL FOUNDATION 8101 BIRCHWOOD COURT SUITE N JOHNSTON IA 50131 421411630 501(C)(3) 340277 PROGRAM SUPPORT ISU EXTENSION LOUISA COUNTY 317 VAN BUREN ST WAPELLO IA 52653 426004224 GOVERNMENT 8530 PROGRAM SUPPORT MUSCATINE COMMUNITY YMCA 1823 LOGAN STREET MUSCATINE IA 52761 420680340 501(C)(3) 27853 PROGRAM SUPPORT 2 1 PART I, LINE 2: THE ORGANIZATION REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINES A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. THE ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. X X X X X 1 1 0 0 0 0 0 0 0 RHEA ALLEN MD BOARD MEMBER 305649 0 0 0 18304 0 13750 0 24286 0 361989 0 0 0 PRASAD NADKARNI MD BOARD MEMBER 0 512884 0 28684 0 6260 0 6607 0 13128 0 567563 0 0 SUNEEL PARVATHAREDDY MD BOARD MEMBER 391507 0 20000 0 426 0 7397 0 23902 0 443232 0 0 0 RICHARD SEIDLER BOARD MEMBER/PRESIDENT/CEO 0 554018 0 43632 0 60013 0 -17104 0 16258 0 656817 0 0 ROBERT WEIS MD BOARD MEMBER 0 330588 0 25863 0 6381 0 13750 0 20575 0 397157 0 0 ANGELA JOHNSON EXEC DIRECTOR & VP HUMAN RESOURCES 148040 46191 12184 0 6909 12381 8426 2911 19049 4296 194608 65779 0 0 KATHERINE MARCHIK SR VP FINANCE/CFO 0 338608 0 21250 0 273457 0 53906 0 24649 0 711870 0 254410 MANASI NADKARNI MD VP MEDICAL AFFAIRS 482080 0 0 0 6422 0 6614 0 10938 0 506054 0 0 0 CARA FULLER VP HUMAN RESOURCES 0 137945 0 14763 0 8581 0 7337 0 11030 0 179656 0 0 FRANK P AMLING NURSE PRACTITIONER 142466 0 0 0 54 0 7314 0 8955 0 158789 0 0 0 PAMELA F ASKEW VP PATIENT CARE 131685 0 3851 0 501 0 7137 0 18504 0 161678 0 0 0 ANN M DROLL LEAD PHARMACIST 139636 3811 0 250 270 0 7265 210 23193 512 170364 4783 0 0 TONYA M KERKER PHYSICIAN ASSISTANT 135171 24164 5000 0 29 7 7095 1228 6368 1506 153663 26905 0 0 JAMES HAYES PRESIDENT/CEO (TO 7/17) 0 520 0 0 0 151976 0 -31428 0 7867 0 128935 0 25007 PART I, LINES 4A-B SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: JAMES HAYES $129,426 NONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: JAMES HAYES -$28,338; KATHERINE MARCHIK $41,632; AND RICHARD SEIDLER -$19,728. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: JAMES HAYES $25,007 & KATHERINE MARCHIK $254,410. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS. A IOWA FINANCE AUTHORITY 521699886 46246PKC4 2006-02-01 14505000 CONSTRUCTION OF FACILITIES 1 0 0 B CITY OF MUSCATINE IOWA 426005008 2005-12-31 4000000 CONSTRUCTION OF FACILITIES 0 0 0 A 2907237 11410000 15002237 528415 14544238 2007 0 0 1 1 B 1940000 4000000 273139 3726861 2007 0 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3, COLUMN (A) THERE IS A DIFFERENCE BETWEEN THE BOND ISSUE PRICE AND THE TOTAL PROCEEDS OF BOND ISSUE DUE TO INVESTMENT EARNINGS OF $497,237. ANGELA KOPPE FAMILY MEMBER OF BOARD MEMBER RHEA ALLEN 39617 EMPLOYMENT 0 FORM 990, PART V, LINES 1A & 1B CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL UNITYPOINT HEALTH SYSTEM RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 PRASAD NADKARNI, MD; MANASI NADKARNI, MD; FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 TRINITY REGIONAL HEALTH SYSTEM, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A TRINITY REGIONAL HEALTH SYSTEM'S MAY APPOINT THREE BOARD MEMBERS AND APPROVES ALL OTHERS. FORM 990, PART VI, SECTION A, LINE 7B TRINITY REGIONAL HEALTH SYSTEM, AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES, BYLAWS AND APPOINTS CEO. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE 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. 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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).