COVENANT MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: COVENANT MEDICAL CENTER INC (EIN 42-1264647)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-13
IRS object ID: 201931339349303508
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-13T11:03:30-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	421264647	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TIMOTHY HUBER	InCareOfNm
Business Name Control	COVE	BusinessNameControlTxt
Phone	3192728000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West Ninth Street	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DOUG DAVENPORT	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3192727300	PhoneNum
Signature	2019-05-13	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.232.227.236	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	42509020191335000006	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	46DDF868077CB02D2C7E1EC7903C40E42556EC24	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C72FFBF36B582C0CECDB54FA8D1B1ABE4305271A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYONE WATERLOO MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Jack Dusenbery	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West Ninth Street	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$298,666,183	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.wheatoniowa.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	General inpatient and outpatient health care services.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2783	TotalEmployeeCnt
Total Volunteers	337	TotalVolunteersCnt
Total Gross UBI	$2,107,736	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$471,488	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$482,406	PYContributionsGrantsAmt
CY Contributions Grants	$3,142,475	CYContributionsGrantsAmt
PY Program Service Revenue	$269,835,196	PYProgramServiceRevenueAmt
CY Program Service Revenue	$268,171,864	CYProgramServiceRevenueAmt
PY Investment Income	$124,263	PYInvestmentIncomeAmt
CY Investment Income	$2,232,212	CYInvestmentIncomeAmt
PY Other Revenue	$21,227,585	PYOtherRevenueAmt
CY Other Revenue	$24,349,319	CYOtherRevenueAmt
PY Total Revenue	$291,669,450	PYTotalRevenueAmt
CY Total Revenue	$297,895,870	CYTotalRevenueAmt
PY Grants And Similar Paid	$93,580	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$64,960	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$157,924,077	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$158,249,829	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$134,234,571	PYOtherExpensesAmt
CY Other Expenses	$153,624,330	CYOtherExpensesAmt
PY Total Expenses	$292,252,228	PYTotalExpensesAmt
CY Total Expenses	$311,939,119	CYTotalExpensesAmt
PY Revenues Less Expenses	-$582,778	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$14,043,249	CYRevenuesLessExpensesAmt
Total Assets BOY	$200,143,588	TotalAssetsBOYAmt
Total Assets EOY	$192,573,835	TotalAssetsEOYAmt
Total Liabilities BOY	$63,413,729	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$51,795,886	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$136,729,859	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$140,777,949	NetAssetsOrFundBalancesEOYAmt
Mission	AS A MEMBER OF WHEATON IOWA, OUR AFFILIATES STRIVE TO LIVE OUT THE HEALING MINISTRY OF THE JUDEO-CHRISTIAN TRADITION WHILE PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTE THE DIGNITY AND WELL BEING OF THE PATIENTS AND COMMUNITIES WE SERVE. OUR VISION IS TO BE RECOGNIZED FOR SUPERIOR HEALTHCARE SERVICE, CLINICAL EXCELLENCE, AS THE HEALTHCARE EMPLOYER OF CHOICE, AND THE PREFERRED PARTNER OF PHYSICIANS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$307,843,692	ExpenseAmt
Grant	$64,960	GrantAmt
Revenue	$287,865,561	RevenueAmt
Desc	WHEATON FRANCISCAN HEALTHCARE IN IOWA Wheaton Franciscan Healthcare - Iowa is a faith-based 511-bed, not-for-profit, comprehensive medical/surgical health care provider offering acute levels of medical care at Covenant Medical Center in Waterloo, Sartori Memorial Hospital in Cedar Falls, and Mercy Hospital in Oelwein. Its services in the region also include Covenant Clinic with more than 100 primary care and specialty providers; Covenant Foundation, Sartori Health Care Foundation and Mercy Hospital Foundation. Areas of excellence include cardiology, orthopedics, neurosurgery, maternity and NICU, cancer treatment, minimally invasive and Bariatric surgery. The Iowa operations have been part of a 140 year system of care sponsored by the Wheaton Franciscan Sisters, formerly incorporated in 1983. In 2016, the Wheaton Franciscan Sisters transferred their Iowa operations to Mercy Health Network, an Iowa-based health care system based out of Des Moines, Iowa. Mercy Health Network (MHN) is an integrated system of member hospitals and other health and patient care facilities united into one operating organization to improve the delivery of healthcare services to the people of Iowa and adjoining states. MHNs sponsors own and operate medical centers and other services in Clinton, Des Moines, Dubuque, Mason City, and Sioux City, and community hospitals in six other locations. In addition, MHN has 27 members who participate through contracts for management and other services. Mercy Health Network (MHN) was founded in 1998 under a joint operating agreement between two of the largest Catholic, not-for-profit health organizations in the United States: Catholic Health Initiatives, based in Englewood, Colorado, and Trinity Health, based in Livonia, Michigan. Covenant Medical Center in Waterloo, Iowa was founded in 1986 when Wheaton Franciscan Services consolidated St. Francis Hospital (founded in 1912) and Schoitz Medical Center (founded in 1904). Covenant Medical Center was located in two locations until 1991 when all acute care services were combined at one site. The other site was transformed into an assisted living center and adult services center. In 1995, Wheaton Franciscan Services Iowa region was renamed Covenant Health System and included Covenant Medical Center in Waterloo, Covenant Foundation in Waterloo, Mercy Hospital in Oelwein, N. E. Iowa Real Estate Investments and Schoitz Health Resources. Sartori Memorial Hospital became a part of Covenant Health System in 1996 when the system entered a long-term lease agreement with the City of Cedar Falls. In 2006, Covenant Health System was renamed Wheaton Franciscan Healthcare-Iowa, to reflect its continued commitment to an integrated health care delivery system for residents of Northeast Iowa. Today Wheaton Franciscan Healthcare-Iowa includes Covenant Medical Center (and its unincorporated division, Covenant Clinic) and Covenant Foundation in Waterloo, Mercy Hospital in Oelwein, Sartori Memorial Hospital and Sartori Health Care Foundation in Cedar Falls, and N. E. Iowa Real Estate Investments. WHEATON FRANCISCAN HEALTHCARE IN IOWA LIST OF ENTITIES Hospitals Covenant Medical Center, Inc. Mercy Hospital of Franciscan Sisters, Inc. Sartori Memorial Hospital, Inc. Covenant Clinic, an unincorporated division of Covenant Medical Center, Inc. Patients have access to more than 100 primary and specialty care physicians, physician assistants, nurse practitioners, and other health care professionals located throughout Northeast Iowa in 24 locations. Regional Service Lines Covenant Cardiology Covenant Cancer Treatment Center Covenant Clinic Orthopedic Services Covenant Home Health Emergency Services Imaging/Radiology Services Iowa Spine and Brain Institute Midwest Institute of Advanced Laparoscopic Surgery Maternal Child Health Occupational Medicine and Wellness Covenant Retail Pharmacies Rehabilitation Services Philanthropic Foundations Covenant Foundation, Inc. Sartori Health Care Foundation, Inc. Other N.E. Iowa Real Estate Investments, Ltd. WHEATON FRANCISCAN HEALTHCARE COMMUNITY IMPACT IN IOWA / 2018 Charity Care: $3,327,650. Charity Care is defined as free or discounted health services provided to those who cannot afford to pay and who meet all criteria for financial assistance. Charity care is based on costs, not charges, and does not include bad debt. Unreimbursed Cost of Public Programs: $11,399,588. Unreimbursed cost of public programs is defined as the shortfall experienced when payments received are below the cost of treating public beneficiaries through Medicaid and other local public programs. Community Health Improvement Services: $2,091,453. Community Health Improvement Services are defined as clinical and non-clinical services designed to improve community health, which are provided to the community for free or for fees that did not cover costs. Financial Contributions: $1,059,105. Financial contributions are defined as contributions, including cash, non-cash items such as food, furniture, equipment, supplies, and loaned staff for volunteer and charitable purposes, made to individuals, community groups, or nonprofit organizations for charitable purposes. Health Professions Education: $3,165,237. Health professions education is defined as direct costs incurred for accredited training and education programs for physicians, nurses, allied health professionals and technicians (does not include ongoing education for staff). Community Building Activities: $24,611. Community building activities are defined as programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental issues. Costs for these activities include cash and in-kind donations. Community Benefit Operations: $19,886. Community benefit operations are defined as costs associated with dedicated staff and community health needs and/or assets assessment, as well as other costs associated with community benefit strategy and operations. Subsidized Health Services: $3,039,136. Subsidized health services are defined as the negative margin for clinical services that are provided despite a financial loss because of an identified community need that would need to be met by the government or another not-for-profit if it was not offered. The financial losses are so significant that negative margins remain after removing the effects of charity care, bad debt, and Medicaid shortfalls. TOTAL BENEFIT TO THE COMMUNITY FOR IOWA 2017: $24,126,666. Covenant Medical Center, Inc. (Waterloo, Iowa) Covenant Medical Center traces its origins to 1912 when Franciscan Sisters founded St. Francis Hospital in Waterloo. In 1986, the Wheaton Franciscan Sisters consolidated St. Francis Hospital with neighboring Schoitz Medical Center to form Covenant Medical Center. Covenant Medical Center is a 366-bed, full-service, multi-specialty hospital that provides inpatient and outpatient health care. A full complement of facilities and services are available to support the communitys health care needs including intensive care; operating and recovery rooms for both inpatient and outpatient surgery; comprehensive radiology and imaging services; laboratory; respiratory therapy; electrophysiology; and pharmacy. In addition, Covenant provides complete emergency services. Emergency transport via helicopter is provided through association with the University of Iowa Hospital and Clinics. Covenant Medical Center has one of the longest-standing acute rehabilitation programs in the state. The program offers specialized rehabilitation nursing care, as well as inpatient and outpatient rehabilitation therapies such as neuropsychology, physical therapy, occupational therapy, speech/language pathology, therapeutic recreation, and various support services such as family counseling and nutritional care. Covenants acute rehabilitation program has consistently earned accreditation from the Commission on Accreditation for Rehabilitation Facilities (CARF) by meeting the highest national and international standards. Covenant offers comprehensive womens services including a Family Birth Center, a Level II Regional Center for Perinatal Care, an expanded Midwives & Womens Health Center, as well as the areas only Integrated Neonatal Intensive Care program that allows for intensive care staff, doctors, and equipment to be available in the mothers room, keeping mother and baby together in one place. Covenant also partners with the University of Iowa to provide pediatric sub-specialty care, as well as high-risk obstetrics. Covenant Medical Center offers both inpatient and outpatient behavioral health services. Psychiatric services, specialized nursing, counseling, and other support services are provided to individuals with behavioral and/or chemical dependency issues. In 2018 enhancements were made to the Mother/Baby unit including a new transport ventilator for the noenatal transport team,	Desc
Total Program Service Expenses	$307,843,692	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	144	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2783	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIMOTHY HUBER	PersonNm
Phone	3192727607	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 WEST NINTH STREET	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Luis Avila MD
Director; Physician Employee	40.0	1.0	Yes (X)	$501,942	$0	$54,035
David Deaver
Vice Chair	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Jack Dusenbery
Director; President	40.0	1.0	Yes (X)	$580,880	$0	$42,654	Yes (X)
Noreen Hermansen
Director	1.0	1.0	Yes (X)	$0	$0	$0
Neil McMahon MD
Director; Physician Employee	40.0	1.0	Yes (X)	$338,118	$0	$40,937
Kenton Nelson
Director	1.0	1.0	Yes (X)	$0	$0	$0
Robert W Petersen
Director	1.0	1.0	Yes (X)	$0	$0	$0
Gregory Schmitz
Chair - Director	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Paul Stapella
Director	1.0	1.0	Yes (X)	$0	$0	$0
Richard Valente MD
Director; Physician Employee	40.0	1.0	Yes (X)	$999,285	$0	$52,043
Joan Lowe
Director	1.0	1.0	Yes (X)	$0	$0	$0
Casey McLaughlin
Director	1.0	1.0	Yes (X)	$0	$0	$0
Shirley Dunlap
Director	1.0	1.0	Yes (X)	$0	$0	$0
Keyah Levy
Director as of 4/18	1.0	1.0	Yes (X)	$0	$0	$0
Bob Ritz
Director, Ex Offici, MHN Pres.	1.0	1.0	Yes (X)	$0	$0	$0
Nancy Schaefer
Asst. Secretary	40.0	1.0		$57,970	$0	$4,622	Yes (X)
Timothy Huber
Asst. Treasurer; CFO	40.0	1.0		$205,960	$0	$29,717	Yes (X)
Jeffrey Halverson
VP Physician Networking	40.0	1.0		$289,723	$0	$50,657		Yes (X)
James Lehman MD
VP Medical Affairs	40.0	1.0		$399,151	$0	$33,028		Yes (X)
Christopher Eagan
Physician Employee	40.0	1.0		$1,036,161	$0	$22,930			Yes (X)
Ahsan Maqsood MD
Physician Employee	40.0	1.0		$1,342,406	$0	$58,139			Yes (X)
Richard Naylor MD
Physician Employee	40.0	1.0		$1,617,027	$0	$42,922			Yes (X)
Gary Knudson
Physician Employee	40.0	1.0		$1,116,415	$0	$46,588			Yes (X)
Jason Stanford MD
Physician Employee	40.0	1.0		$995,900	$0	$45,010			Yes (X)
Michele Panicucci
FORMER OFFICER	0.0	0.0		$113,832	$0	$19,007				Yes (X)
Ryan Meyer
ADMIN DIRECTR; FORMER KEY EMPL	40.0	1.0		$138,316	$0	$32,070				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,733,086	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$574,359	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	182	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Iowa Emergency Physicians LLP
PO Box 674579	DETROIT	MI	48267	Physician Services	$1,226,887
Peters Construction Corporation
PO Box 2940	WATERLOO	IA	507042940	Construction	$1,945,045
Graham Construction Company Inc
421 Grand Avenue	DES MOINES	IA	50309	Construction	$2,126,475
Grapetree Medical Staffing
2501 Boji Bend Dr Ste 100	MILFORD	IA	51351	Physician Services	$1,310,776
Stryker Endoscopy
PO Box 93276	CHICAGO	IL	60673	Medical Services	$908,938

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$29,443	FederatedCampaignsAmt
Related Organizations	$2,976,058	RelatedOrganizationsAmt
Government Grants	$80,085	GovernmentGrantsAmt
All Other Contributions	$56,889	AllOtherContributionsAmt
Total Contributions	$3,142,475	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PROGRAM SERVICE REVENUE	622110	$90,660,985	$89,351,819	$1,309,166
MEDICARE/MEDICAID PAYMENTS	622110	$169,199,275	$169,199,275
RENT REVENUE	531120	$8,311,604	$8,311,604

Field	Value	IRS element (for citing)
Total Program Service Revenue	$268,171,864	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,089,957	TotalRevenueColumnAmt
Exclusion	$2,089,957	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$738,448	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$310,517	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$427,931	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$427,931	TotalRevenueColumnAmt
Exclusion	$427,931	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$602,051	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$459,796	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$142,255	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,255	TotalRevenueColumnAmt
Exclusion	$142,255	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
340B REVENUE	622110	$9,509,643	$9,509,643
CAFETERIA	722514	$1,064,681		$1,064,681
PHARMACY REVENUE	446110	$10,307,348	$9,508,778		$798,570

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,039,716	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,984,442	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,055,274	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$23,921,388	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$297,895,870	TotalRevenueColumnAmt
Related Or Exempt Func Income	$287,865,561	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,107,736	UnrelatedBusinessRevenueAmt
Exclusion	$4,780,098	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$64,960	TotalAmt
Program Services	$64,960	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,680,723	TotalAmt
Program Services	$1,986,361	ProgramServicesAmt
Management And General	$1,694,362	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$303,224	TotalAmt
Program Services	$243,993	ProgramServicesAmt
Management And General	$59,231	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$127,240,445	TotalAmt
Program Services	$125,378,504	ProgramServicesAmt
Management And General	$1,861,941	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,162,268	TotalAmt
Program Services	$6,072,094	ProgramServicesAmt
Management And General	$90,174	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,949,240	TotalAmt
Program Services	$12,759,751	ProgramServicesAmt
Management And General	$189,489	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,913,929	TotalAmt
Program Services	$7,833,136	ProgramServicesAmt
Management And General	$80,793	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$19,313	TotalAmt
Program Services	$19,313	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,005	TotalAmt
Program Services	$25,005	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,279,861	TotalAmt
Program Services	$2,248,133	ProgramServicesAmt
Management And General	$31,728	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,426	TotalAmt
Program Services	$17,426	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,327,325	TotalAmt
Program Services	$8,267,223	ProgramServicesAmt
Management And General	$60,102	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,980,926	TotalAmt
Program Services	$9,980,926	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$280,960	TotalAmt
Program Services	$272,769	ProgramServicesAmt
Management And General	$8,191	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$114,309	TotalAmt
Program Services	$112,893	ProgramServicesAmt
Management And General	$1,416	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$1,485,834	TotalAmt
Program Services	$1,485,834	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,978,562	TotalAmt
Program Services	$7,978,562	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$267,721	TotalAmt
Program Services	$267,721	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$47,754,062	$47,754,062
CORPORATE SERVICES ALLOCATION	$28,437	$10,437	$18,000
BAD DEBT EXPENSE	$7,064,710	$7,064,710
PARENT COMPANY ALLOCATION	$48,934,304	$48,934,304

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,065,575	TotalAmt
Program Services	$19,065,575	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$311,939,119	TotalAmt
Program Services	$307,843,692	ProgramServicesAmt
Management And General	$4,095,427	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,551,758	BOYAmt
EOY	$10,550,013	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,224,395	BOYAmt
EOY	$42,346,159	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,455,699	BOYAmt
EOY	$2,933,067	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$397,749	BOYAmt
EOY	$56,501	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$141,055,959	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,519,259	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$121,449,432	BOYAmt
EOY	$120,536,700	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,064,555	BOYAmt
EOY	$16,151,395	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$200,143,588	BOYAmt
EOY	$192,573,835	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$47,928,931	BOYAmt
EOY	$34,598,099	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,808,285	BOYAmt
EOY	$2,939,696	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,676,513	BOYAmt
EOY	$14,258,091	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,413,729	BOYAmt
EOY	$51,795,886	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$136,242,960	BOYAmt
EOY	$140,301,089	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$486,899	BOYAmt
EOY	$476,860	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$136,729,859	BOYAmt
EOY	$140,777,949	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$200,143,588	BOYAmt
EOY	$192,573,835	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$14,043,249	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$18,091,339	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$25,005	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$25,005	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C Disclosures	FormAndLineReferenceDesc
Explanation	Schedule C Part II-B Line 1F: Covenant Medical Center, Inc. has made grants to other organizations for lobbying purposes. These grants have been in the form of membership dues paid to regional and national health care organizations, where the organizations have provided Covenant Medical Center, Inc. with an estimated percentage of dues payments which are used for lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,406,979	OtherCostOrOtherBasisAmt
Book Value	$6,406,979	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$85,727,891	OtherCostOrOtherBasisAmt
Depreciation	$7,186,014	DepreciationAmt
Book Value	$78,541,877	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,262,286	OtherCostOrOtherBasisAmt
Depreciation	$13,016,519	DepreciationAmt
Book Value	$31,245,767	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,658,803	OtherCostOrOtherBasisAmt
Depreciation	$316,726	DepreciationAmt
Book Value	$4,342,077	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$120,536,700	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$1,300,012
MISC ACCOUNTS RECEIVABLE	$2,329,624
457B PLAN ASSETS	$12,521,759

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,151,395	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYOR	$579,585
REINSURANCE RECOVERY	$1,156,747
457B PLAN LIABILITIES	$12,521,759

Field	Value	IRS element (for citing)
Total Liability	$14,258,091	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	IRS Form 990 Schedule D, Part X	FormAndLineReferenceDesc
Explanation	The Company follows the provisions of ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the values of these positions are determined. As of June 30, 2018, the Company did not have a liability for unrecognized tax benefits.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,875,618	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,875,618	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,839,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,428,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,411,277	NetCommunityBenefitExpnsAmt
Total Expense	0.03090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,715,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,428,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,286,895	NetCommunityBenefitExpnsAmt
Total Expense	0.04030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,646,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,646,111	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,333,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,439,291	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,893,910	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,625,283	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,898,559	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,726,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,011,526	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,011,526	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,616,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,337,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,278,271	NetCommunityBenefitExpnsAmt
Total Expense	0.02710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,331,234	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,766,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,565,166	NetCommunityBenefitExpnsAmt
Total Expense	0.06740	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,048	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,048	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,048	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,048	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,064,710	BadDebtExpenseAmt
Reimbursed By Medicare	$64,550,754	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$58,678,097	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,872,657	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Medical Center Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West Ninth Street	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50702	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.wheatoniowa.org	WebsiteAddressTxt
State License	070137H (IA)	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	wheatoniowa.org - full url in narrative	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	wheatoniowa.org - full url in narrative	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	wheatoniowa.org-full url in narra	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	wheatoniowa.org-full url in narrativ	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	wheatoniowa.org-full url in	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule H Supplemental Information	FormAndLineReferenceDesc
Explanation	Schedule H Part V Section B Line 3e: Covenant Medical Center included in its CHNA written report a prioritized list and description of the community's significant health needs, which were identified through the most recently conducted community health needs assessment. The following community health needs were deemed significant and were prioritized for tax year 2017 through a community-involved selection process: Expand Access healthy Behaviors and Community Wellness Mental Health Cardiovascular Cancer Maternal, Infant and Child health Schedule H Part V Section B Line 3j: Iowas Community Health Needs Reports provide additional detailed information in response to many of the Schedule H questions on our Community Health Needs Assessments and Implementation Plans. These reports can be directly accessed at wheatoniowa.org under the about us page or at this link: https://www.wheatoniowa.org/about-us/community-outreach-benefit. A community health needs assessment and implementation plan for each of the three wheaton iowa hospitals are available. Schedule H Part V Section B Line 5: This report was compiled by Wheaton Iowa representing both Covenant Medical Center (CMC) and Sartori Memorial Hospital (SMH) in partnership with Unity Point Health (representing Allen Hospital) and the Black Hawk County Health Department. Wheaton Iowa and Unity Point are both health care systems serving Black Hawk County and surrounding counties with three hospitals and a network of clinics. At the time of the research project, representatives from the listed entities included Amy Hetherton, Director of Marketing and Communications for Wheaton Iowa; Keyah Levy, Community Health Coordinator for Wheaton Iowa; Jim Waterbury, VP of Institutional Advancement for Unity Point Health Allen; and Bruce Meisinger, Director of Public Health for the Black Hawk County Health Department. They worked collaboratively to develop the survey, made available to the public online and in paper form. Publicity, websites, and emails invited the public to take the survey any time before December 20, 2015. Paper surveys were available at the hospitals and clinics, the local food bank and other non-profit agencies. Information on how to access the link for the online survey was promoted heavily and emailed to internal and external audiences. The partners received nearly 600 electronic and paper surveys with additional efforts made to ensure a cross-section of residents completed the survey. Additionally, one-on-one interviews were conducted with local organizations and businesses (listed below) to better understand the populations they serve, and the health needs of their clients and/or employees. This information was compared to existing secondary data, including a 2015 health assessment completed by Black Hawk County Health Department. Allen Child Protection Center Allens Womens Health Big Brothers Big Sisters of NE Iowa Black Hawk County Gaming Association Black Hawk County Health Department Black Hawk Grundy Mental Health Care Initiatives Hospice Cedar Valley Friends of the Family Cedar Valley Promise Cedar Valley United Way Covenant Prenatal & Womens Health Clinic Family & Childrens Council Guernsey Charitable Foundation Hawkeye Community College Healthy Cedar Valley Coalition I-HOPE Free Clinic KWWL Martin Luther King, Jr. Center McElroy Trust Northeast Iowa Food Bank Salvation Army Success Street Inc. Together 4 Families University of Northern Iowa Waterloo Community Schools Waterloo Human Rights Commission YWCA Schedule H Part V Section B Line 6a: Our community health needs assessment was conducted in partnership with Sartori Memorial Hospital, Allen Hospital, and the Black County Health Department. Schedule H Part V Section B Line 6b: Covenant Medical Center and Sartori Memorial Hospital, as part of Wheaton Iowa, worked with Allen Hospital, part of Unity Point, and the Black Hawk County Health Department. Schedule H Part V Section B Line 7a: https://www.wheatoniowa.org/about-us/community-outreach-benefit/community- health-needs-assessment.aspx Schedule H Part V Section B Line 10a: https://www.wheatoniowa.org/about-us/community-outreach-benefit/community- health-needs-assessment.aspx Schedule H Part V Section B Line 11: Using the CHNA completed in June 2013, the hospital developed, adopted, and worked on executing a three-year Implementation Strategy to address priority community health needs. The following summarizes how the hospital addressed priority health needs in the community. Access and Education o Coordinated a Medical Leaders Program again in FY18 for Hoover Junior High to provide hands-on real life learning experiences to provide an interactive learning forum to generate interest in health care careers. o Continued our partnership with the Ethnic Minorities of Burma Advocacy and Resource Center (EMBARC) on the Community Navigator Program with Burma Refugees to enhance access and education on how to navigate the health system, when to use the emergency department or convenient care, how to properly store food, dental hygiene, etc. o Med School is a spring break educational program designed to give Burma youth the opportunity to learn o Covenant's Pediatric department launched a Reach Out and Read program to promote early childhood literacy. o Sent associates to be trained on Mental Health First Aid, who have then educated staff and community at local schools and churches to better arm residents on how to identify signs of mental health issues. o Opened a Covenant Clinic Family Medicine location on Franklin Street and continually hire primary care providers. Health Behaviors & Community Wellness (Obesity & Physical Inactivity) o CMC partnered with community organizations to support the Mayor's Fun Run where 800 fourth graders in the Waterloo School District participate in this event by running alongside the Mayor of Waterloo in the downtown area. Mental Health Services & Education o CMC collaborated with several community agencies including Cedar Valley United Way, and the Waterloo Human Rights Commission to address the critical issues surrounding mental health, working together to advance mental health programs and services. Multiple strategies and tactics are identified, defined and will be implemented in the coming years. Cardiovascular Disease o Sponsored the American Heart Association's Heart Walk in May 2018 providing heart education, interactive activities, etc. Cancer o CMC's accredited breast center and the Covenant Cancer Treatment Center (CCTC) collaborated to offer cancer prevention education through 20 community events and conferences. o CMC collaborated with the Black Hawk County Tobacco and Clean Air Coalition and financially supported the creation and dissemination of Quit Kits to promote online counseling and free nicotine replacement therapy through Quit Line Iowa. The partnership also provided "Ask, Assess, Refer" (2As/R) training to more than 250 health care professionals at CMC and Sartori. Maternal, Infant, and Child Health o Covenant Midwives and Womens Health Center (CMWHC) offered a Centering Pregnancy Program, a best-practice model of health care and support to pregnant women including an individual prenatal health check-up, and time for group education and sharing. It allows pregnant women with similar due dates to gather and bond while experiencing the uniqueness of their pregnancies together. Although progress was achieved, CMC will remain focused on the same key findings with its partners. These will include: Access and Education; Healthy Behaviors and Community Wellness; Mental Health Services and Education, Cardiovascular Disease, Cancer and Mental, Infant and Child Health. Based on the CHNA completed in June 2016, the hospital developed and adopted a three-year Implementation Strategy to address the same priority community health needs. The following summarizes how the hospital will address the priority health needs in the June 2016 Implementation Strategy: Expand Access o Continue to recruit primary care providers o Provide womens health education, specifically to expectant mothers o Expand clinic access in rural or low income areas o Continue partnerships that help the low income population understand health care systems (access, etc.) Healthy Behaviors and Community Wellness o Improve access to healthy food, diabetes education, etc. o Provide screenings and education at community events o Partner with local government, organizations and the school system to create awareness and impact change. o Continue education and advocacy efforts related to tobacco use o Participate in educational programs centered on the effects of alcohol/drug abuse Mental Health o Continue our partnership with community leaders to develop strategies to improve local care o Promote and educate residents on the benefits of a nutritious diet and exercise to improve mental health Cardiovascular o Maximize the American Heart Association Mission: Lifeline program t	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	55	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CMC's Horizons Substance Abuse
2101 KIMBALL AVENUE	WATERLOO	IA	50702	OUTPATIENT SUBSTANCE ABUSE SERVICES
Covenant Wellness Center
2101 KIMBALL AVENUE	WATERLOO	IA	50702	WELLNESS CENTER
Covenant Cancer Treatment Center
200 EAST RIDGEWAY AVENUE SUITE CTC	WATERLOO	IA	50702	OUTPATIENT CANCER TREATMENT
Covenant Clinic Hematology Oncology
200 EAST RIDGEWAY AVENUE SUITE 400	WATERLOO	IA	50702	OUTPATIENT HEMATOLOGY AND ONCOLOGY SERVICES
Covenant Medical Center's Sleep Lab
2710 ST FRANCIS DRIVE SUITE 409	WATERLOO	IA	50702	OUTPATIENT SLEEP DISORDER DIAGNOSTICS
Iowa Spine and Brain Institute
2710 ST FRANCIS DRIVE SUITE 110	WATERLOO	IA	50702	OP NEURO SURGERY OP PAIN MANAGEMENT OP X-RAY SERVICES
Covenant Clinic - Neurology
2710 ST FRANCIS DRIVE SUITE 201	WATERLOO	IA	50702	OUTPATIENT CLINIC- NEUROLOGY SERVICES
Covenant Clinic - Convenient Care
2710 ST FRANCIS DRIVE SUITE 111	WATERLOO	IA	50702	OUTPATIENT CLINIC
Covenant Clinic - Family Practice
2710 ST FRANCIS DRIVE SUITE 210	WATERLOO	IA	50702	OP FAMILY PRACTICE, GYNECOLOGY, PODIATRY, LABORATORY SERVICES
Covenant Clinic - Orthopedics
2710 ST FRANCIS DRIVE SUITE 319	WATERLOO	IA	50702	OUTPATIENT CLINIC- ORTHOPEDIC SERVICES
Covenant Clinic - Cardiology
2710 ST FRANCIS DRIVE SUITE 320	WATERLOO	IA	50702	OUTPATIENT CLINIC- CARDIOLOGY SERVICES
Covenant Clinic - Pulmonology
2710 ST FRANCIS DRIVE SUITE 402	WATERLOO	IA	50702	OUTPATIENT CLINIC- PULMONOLOGY SERVICES
Covenant Clinic - Surgery
2710 ST FRANCIS DRIVE SUITE 410	WATERLOO	IA	50702	OP GENERAL SURGERY, WOUND CARE, VASCULAR SURGERY SERVICES
Covenant Clinic - Ent Allergies
2710 ST FRANCIS DRIVE SUITE 411	WATERLOO	IA	50702	OUTPATIENT CLINIC - EAR, NOSE & THROAT AND ALLERGY SERVICES
Cov Clinic Nephrology Podiatry Pediatr
2710 ST FRANCIS DRIVE SUITE 510A	WATERLOO	IA	50702	OP NEPHROLOGY, PODIATRY, AND PEDIATRIC SERVICES
Covenant Midwives & Women's Health Ctr
432 KING DRIVE	WATERLOO	IA	50702	OUTPATIENT MAMMOGRAPHY IMAGING SERVICES
Covenant Clinic - Psychiatry
2750 ST FRANCIS DRIVE	WATERLOO	IA	50702	OUTPATIENT CLINIC - PSYCHIATRY SERVICES
Covenant Clinic - Psychiatry
2802 ORCHARD DRIVE	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC- PSYCHIATRY SERVICES
Covenant Clinic - Arrowhead
226 BLUEBELL ROAD SUITE CC	CEDAR FALLS	IA	50613	OP FAMILY PRACTICE, PSYCHIATRY, PODIATRY, GYNECOLOGY SERVICES
Covenant Clinic - Occ Wellness and Medic
226 BLUEBELL ROAD SUITE OPT	CEDAR FALLS	IA	50613	OP PHYSICAL THERAPY, OCCUPATIONAL HEALTH, RADIOLOGY SERVICES
Covenant Clinic- Rehabilitation Medicine
3421 WEST NINTH STREET SUITE 100	WATERLOO	IA	50702	OUTPATIENT CLINIC- PHYSIATRY SERVICES
Covenant Clinic - Kimball Ave
2055 KIMBALL AVE SUITE 400	WATERLOO	IA	50702	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Family Practice
516 SOUTH DIVISION STREET SUITE 10	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Bariatrics
516 SOUTH DIVISION STREET SUITE 10	CEDAR FALLS	IA	50613	OUTPATIENT PHYSICIAN CLINIC - BARIATRICS SERVICES
Covenant Clinic - Orthopedics
516 SOUTH DIVISION STREET SUITE 12	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - ORTHOPEDIC SERVICES
Covenant Clinic - Specialists
516 SOUTH DIVISION STREET SUITE 14	CEDAR FALLS	IA	50613	OP CLINIC - ENT, ALLERGY, CARDIOLOGY, PAIN MANAGEMENT SERVICES
Covenant Clinic - Dysart
501 CLARK STREET	DYSART	IA	52224	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Evansdale
3562 LAFAYETTE ROAD	EVANSDALE	IA	50707	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Fairbank
105 SOUTH WALNUT STREET	FAIRBANK	IA	50629	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Gladbrook
309 SECOND STREET	GLADBROOK	IA	50635	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Jesup
1094 220TH STREET	JESUP	IA	50648	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - LaPorte City
601 HIGHWAY 218 NORTH	LAPORTE CITY	IA	50651	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Oelwein
129 8th AVENUE SE	OELWEIN	IA	50662	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Reinbeck
501 MAIN STREET	REINBECK	IA	50669	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Shell Rock
309 SOUTH CHERRY STREET	SHELL ROCK	IA	50670	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Traer
200 WALNUT STREET	TRAER	IA	50675	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Tripoli
602 7TH AVENUE SW	TRIPOLI	IA	50676	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Waverly
217 20TH STREET NW	WAVERLY	IA	50677	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Clinic - Arlington
751 Main Street	Arlington	IA	50606	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
Covenant Home Health
2101 Kimball Ave Suite 140	Waterloo	IA	50702	Home Health Care
Covenant Clinic - Pain Management
2710 Saint Francis Drive Suite 419	Waterloo	IA	50702	Outpatient Clinic - Pain Management
Covenant Clinic - Internal Medicine
2710 Saint Francis Drive Suite 510	Waterloo	IA	50702	Outpatient Clinic - Internal Medicine Services
Covenant Clinic - Convenient Care
226 Bluebell Road Suite OPT	Cedar Falls	IA	50613	Outpatient Clinic
Covenant Clinic - Internal Medicine
516 Division Street Suite 110	Cedar Falls	IA	50613	Outpatient Clinic - Internal Medicine Services
Covenant Clinic - Cardiology
515 College Street Suite 2000	Cedar Falls	IA	50613	Outpatient Clinic - Cardiology Services
Covenant Clinic - Kimball Ave Suite 330
2055 Kimball Avenue Suite 330	Waterloo	IA	50702	Outpatient Clinic
Covenant Clinic - Franklin Street
220 Franklin Street	Waterloo	IA	50703	Outpatient Clinic Family Practice Services
Covenant Physical Therapy
549 2nd Street	Traer	IA	50675	Physical Therapy Services
Covenant Clinic-Convenient Care Express
6301 University Avenue Suite A3	Cedar Falls	IA	50613	Outpatient Clinic
Convenant Clinic - Parkersburg
1306 Highway 57 Unit A	Cedar Falls	IA	50665	Outpatient Clinic - Family Practice Services
Covenant Clinic - Urology
3410 Kimball Avenue	Waterloo	IA	50702	Outpatient Clinic - Urological Services
Covenant Clinic - Conv Care & Occ Med
201 8th Ave SE Ste 411	Oelwein	IA	506622447	OUTPATIENT CLINIC OCCUPATIONAL HEALTH
Covenant Clinic - Independence
2004 Enterprise Ct	Independence	IA	50644	Outpatient Clinic Family Practice
Covenant Clinic - Allison
502 Locust St	Allison	IA	50602	Outpatient Clinic Family Practice Services
Covenant Clinic - Occ Med Oelwein
201 8th Ave SE	Oelwein	IA	50662	Occupational Medicine Convenient Care

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Pt VI Supplemental Information	FormAndLineReferenceDesc
Explanation	Schedule H Part 1 Line 6a The Annual Report that includes the Hospitals community benefit information is normally contained in a report prepared by the former parent organization, Wheaton Franciscan Services, Inc. However, effective May 1, 2016, the Iowa region of Wheaton Franciscan Healthcare was transferred to Mercy Health Network. As a result of this transfer, the Iowa region conducted their own audit, and prepared their own Community Benefit Report for Fiscal 2018. This is available upon request. Schedule H Part 1 Line 7 Community Benefit amounts are reported using total actual costs per the hospitals managerial accounting system in use, which includes all patient segments including inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, Medicare HMO, uninsured, and self-pay patients. Medicare is reported using the most recently filed cost report at the time the Annual Report and related community benefit information is published. Amounts are summarized using a software application recommended by the Catholic Health Association in conjunction with the Iowa Hospital Association, because it has the ability to provide the information in a format suitable for Schedule H presentation. After the data is entered by the Site Finance Directors, its accuracy is verified by employees who are trained in community benefit reporting, and then approved by the Chief Financial Officer and the President/CEO of the Iowa organization. After amounts are verified and approved, community benefit amounts become finalized. Finally, the information is compiled with the assistance of CBISA software for presentation in IRS Forms 990 Schedule H and Statement of Program Service Accomplishments Part III. The Iowa hospital facilities are not required to report community benefit information to the State of Iowa, but do make the information readily available on certain websites, and report the information to the Iowa Hospital Association. Schedule H Part 1 Line 7 Column f Iowa Hospitals follow guidelines established by the Catholic Health Association and the Iowa Hospital Association, who recommend that bad debt expense not be included in community benefit amounts. As a result of this applied methodology, a total amount of $7,064,710 has not been included in the denominator of the calculation that determines the percentages reported on Schedule H Line 7 Column f. Schedule H Part 1 Line 7g In the Iowa region, clinic operations are included as a department of the hospital, Covenant Medical Center, Inc. Clinic operations for the Iowa clinics are included only in the community benefit reporting of charity care, government sponsored health care, and Medicare shortfall. Therefore, costs related to physician clinics are not included in subsidized health services reported on Schedule H Part I Line 7g. Schedule H Part III Section A Lines 1-3 In determining bad debt amounts, the Iowa organizations use a two-level scoring process as follows: First, for any patient account that is categorized as having no insurance, when the amount becomes 60 days overdue or greater, the patients account is reviewed for financial assistance qualification. If the patient is found to qualify for financial assistance, the necessary steps are taken to apply, and the needed adjustments are made so as to treat as charity care and not as bad debt. A similar scoring process is completed for those patients who do have insurance, but after 120 days or greater, still have not paid the patient responsibility portion. Again, these patient accounts are reviewed for financial assistance, and if they qualify, similar steps are taken to remove from bad debt. As a result of these scoring procedures, Iowas position is therefore that none of the patients resulting in uncollectible accounts would have qualified as charity care patients as this determination is made at the time of admission, or later with the timing of the scoring procedures mentioned above. Bad debt is therefore only determined for each organization at the time the amount due is truly determined to be uncollectible, after financial assistance has been determined, and after many months of collection efforts. Additionally, the organization followed guidelines established by the Catholic Health Association and the Iowa Hospital Association, who recommends that no bad debt amounts be included in community benefit amounts. For these reasons, Part III Section A Line 3 is reported at zero. Schedule H Part III Section A Line 4 Covenant Medical Center, Inc. is included in the consolidated financial statements of Wheaton Franciscan Healthcare - Iowa, Inc. The following is the text of the footnote from the financial statements which addresses the allowance for doubtful accounts. This footnote can be found on page 12 of the attached consolidated financial statements. The Hospitals recognize patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, the Hospitals recognize revenue for services provided (on the basis of discounted rates, as provided by policy). On the basis of historical experience, a portion of the Hospital's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Hospitals record a provision for bad debts related to uninsured patients in the period the services are provided. Schedule H Part III Section B Line 6-8 Schedule H Part III Section B Line 6 reports allowable costs of care as taken from the most recently filed Medicare cost report available at the time the Community Benefit Report is published. The Medicare cost report calculates its allowable total costs based on applicable Medicare regulations. Medicare and Medicaid cost is determined using individual cost center cost-to-charge ratios. This cost to charge ratio is determined using all payer cost and all payer charges. The cost to charge ratio is applied to the actual Medicare and Medicaid charges to determine the Medicare and Medicaid cost. This organization has adopted the cost and charge practices as recommended by the Catholic Health Association and the Iowa Hospital Association, and therefore, does not count any Medicare shortfall numbers in its annual reporting of Community Benefit amounts. Schedule H Part III Section C Line 9b Iowa organizations follow a policy that outlines all collection practices for patients who are known to qualify for government programs and for our charity care program. We make every attempt to assist the patient in enrolling in government insurance plans or our own charity care program allowing for free or discounted care. If the patient does not qualify for any type of aid or charity care, declines to establish a reasonable payment plan or pay the liability, the patient will be moved into a bad debt status, and the account is sent to a collection agency. This does not occur before the patient has received several notices and a final written warning. Please also see Schedule H Part III Section A Lines 1-3 narrative response. Schedule H Part V Section A and Section C: Affiliates of the Iowa region have defined and reported hospital facilities to include only those bricks and mortar buildings that actually have inpatient beds, in addition to meeting all other criteria under Iowa state law required for hospital licensing. Although there may be other facilities within our system built to hospital specifications, performing hospital-based billing, and conforming to other hospital standards under state law, until there is further guidance from the IRS, these facilities have been reported in Section C, due to their lack of having state certified inpatient beds. Schedule H Part VI Line 2 Iowa assesses the needs of the communities it serves by reviewing admission and discharge data, analyzing information from the community health departments and other community leaders, and by aligning our services with the Healthy People 2020 and other current year initiatives. The Iowa hospital organizations complete a Community Health Needs Assessment and Implementation Plan every three years. Please reference Schedule H Part V Section B Lines 1-12 for additional information. Schedule H Part VI Line 3 Iowa provides its patients with several opportunities to gain knowledge and awareness of its Community Care (Charity Care/Financial Assistance) program. Notices regarding the availability of financial assistance are displayed in highly visible locations where there is a significant volume of inpatient or outpatient traffic such as: patient admitting and registration areas in both inpatient and outpatient settings, physician offices, and emergency departments. Additionally, brochures describing the policy are available upon request in the same locations and on Iowas website. The policy is also discussed at the time of registration or pre-registration	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Foundation Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West 9th St	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	421295784	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$32,500	CashGrantAmt
Valuation Method Used	Book	ValuationMethodUsedDesc
Purpose Of Grant	General support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I Disclosures	FormAndLineReferenceDesc
Explanation	Schedule I Part I Line 2: Y Donations made by Covenant Medical Center, Inc. to charitable organizations are made in furtherance of the recipient organization's exempt purpose. Donations are included in community benefits in Schedule H if the contribution has been formally restricted to a community benefit activity that meets the criteria to be reported on Schedule H.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Luis Avila MD
Director; Physician Employee	$501,083	$0	$859	$16,200	$37,835	$555,977	$0
Jack Dusenbery
Director; President	$439,742	$128,910	$12,228	$16,200	$26,454	$623,534
Christopher Eagan
Physician Employee	$1,034,345	$0	$1,816	$16,200	$6,730	$1,059,091	$0
Jeffrey Halverson
VP Physician Networking	$226,633	$49,532	$13,558	$20,250	$30,407	$340,380	$0
James Lehman MD
VP Medical Affairs	$336,455	$57,133	$5,563	$12,150	$20,878	$432,179	$0
Ahsan Maqsood MD
Physician Employee	$1,338,196	$0	$4,210	$16,200	$41,939	$1,400,545	$0
Neil McMahon MD
Director; Physician Employee	$335,186	$0	$2,932	$16,200	$24,737	$379,055	$0
Ryan Meyer
ADMIN DIRECTR; FORMER KEY EMPL	$137,589	$0	$727	$6,150	$25,920	$170,386	$0
Richard Naylor MD
Physician Employee	$1,609,445	$0	$7,582	$8,100	$34,822	$1,659,949	$0
Michele Panicucci
FORMER OFFICER	$75,292	$0	$38,540	$5,190	$13,817	$132,839	$0
Richard Valente MD
Director; Physician Employee	$991,308	$0	$7,977	$12,150	$39,893	$1,051,328	$0
Timothy Huber
Asst. Treasurer; CFO	$205,380	$0	$580	$15,589	$14,128	$235,677	$0
Gary Knudson
Physician Employee	$1,113,522	$0	$2,893	$16,200	$30,388	$1,163,003	$0
Jason Stanford MD
Physician Employee	$994,884	$0	$1,016	$12,150	$32,860	$1,040,910	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Mary Halverson
Spouse of Jeff Halverson	$14,622	Employment	false
Lindsey Panicucci
Michele Panicucci daughtr	$62,378	Employment	false
Megan Moore
Michele Panicucci daughtr	$58,505	Employment	false
Kristina MacMahon
Nancy Schaefer daughter	$51,274	Employment	false
Denise Huber
Spouse of Tim Huber	$57,214	Employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule O Disclosures

IRS Form 990 Part I Line 6: Covenant Medical Center, Inc. received donated services through volunteers assisting in a variety of areas which include the information desk, escorts, medical runner, nursing units, ambulatory surgery, Cancer Treatment Center, rehabilitation therapies, and volunteer transportation services. Part V Line 1a and Part VII Section B Line 1-2: Wheaton Iowa streamlined their reporting of IRS Forms 1099-MISC so that most 1099-MISC are now reported using the FEIN number of the parent organization or of a related organization. The actual expense continues to be either paid by, or transferred to, the individual entity, which is normally a subsidiary or related organization to the organization(s) issuing the 1099. For this reason, the reader may notice on some 990's that there are top 5 independent contractors reported, but no 1099s are reported. Likewise on the 990's of the organization(s) reporting number of 1099's, there may be a disproportionate share of 1099's reported as compared with the actual expenses and top 5 independent contractors reported. IRS Form 990 Part VI Section A Lines 6-7b: Covenant Medical Center, Inc. has one member which holds several reserved powers over Covenant Medical Center, Inc. These reserved powers include, but are not limited to, the election of members of the governing body and election of officers, approval of certain financial expenditures in accordance with policy, and approval of budgets and strategic plans; these approvals are based on recommendations from the governing body. IRS Form 990 Part VI Section B Lines 11a and 11b: Affiliates of Wheaton Iowa during the fiscal year ending June 30, 2018 used a multiple-level review process on all IRS Forms 990 to ensure accurate and timely filing for all organizations. Under the direction of the Chief Financial Officer, the Accounting Department prepares Forms 990 and any applicable 990-T and associated state filings. When complete, the return is first reviewed by a Senior-Level (or higher) associate in the Finance Department, who focuses on the income statement and balance sheet items, and schedules where transactions of this type might be reported. If discrepancies are found, the item will be corrected prior to the next step in the review process. Once cleared through Finance, the return is provided to the Tax Department of the Wheaton Iowa sponsor organization, where the Tax Director concentrates primarily on consistency of reporting between all returns, accuracy of tax related information, and explanation and understanding of any outliers. Again, any problems or questions are investigated and corrected. Depending on the level of complexity of the year in question, as well as the individual issues specific to that filing, certain returns may be selected for outside review by a public accounting firm. This decision will vary from year to year based on many factors, and sometimes outside review is not utilized at all. Also, certain schedules, such as Schedule H or Schedule J may be reviewed by committees, such as the Community Benefit Team or the Compensation Committee in selected years. The board has asked for formal presentations on various 990 topics over the years. This decision will vary from year to year, again based on many factors. Once all levels of review have been completed, a designated finance and accounting employee will schedule an appointment with the signer of the 990. The signer, Vice President-Finance and CFO, will perform an additional, normally high level review prior to signing the return. Once signed, the return is cleared to provide to members of the Board of Directors, who at a later date but prior to efiling, are provided access to all 990's throughout their assigned region. IRS Form 990 Part VI Section B Lines 12a - 12c: Covenant Medical Center, Inc. has adopted a Conflict of Interest policy which applies to all "interested persons" of Covenant Medical Center, Inc. including directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of Covenant Medical Center, Inc. and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to internal legal counsel and the integrity and compliance officer, from which legal counsel prepares a report for the board chair and CEO. A summary of potential conflicts is reviewed with the board of directors of Covenant Medical Center, Inc. (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to Covenant Medical Center, Inc. of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of Covenant Medical Center, Inc. (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of Covenant Medical Center, Inc. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.

Schedule O Disclosures (cont'd)

IRS Form 990 Part VI Section B Line 15a: In establishing CEO compensation, Covenant Medical Center, Inc. follows a process which includes the following: use of an independent compensation consultant and compensation study, use of a written employment contract, and review and approval by the Mercy Health Network board of directors. This process is performed annually. IRS Form 990 Part VI Section B Line 15b: In establishing other officer and key employee compensation, Covenant Medical Center, Inc. follows a process which includes the following: use of an independent compensation consultant and compensation study, use of a written employment contract, and review and approval by the CEO, authorized to act on behalf of the board with respect to certain compensation matters. This process is performed annually. IRS Form 990 Part VI Section C Line 19: Affiliates of Wheaton Iowa, during the fiscal year ending June 30, 2018, made available, upon request, certain documents including our financial statements, conflict of interest policy, and governing documents that support our tax exempt status, including, but not limited to, articles of incorporation and bylaws. IRS Form 990 Part VII Column B: Affiliates of Wheaton Iowa during the fiscal year ending June 30, 2018 operated as a controlled group of related healthcare organizations. As such, many employees who are at the Director level or above, or who are Officers and/or Directors of organizations where Wheaton has common boards and other overlaps in committee representations, spend significant time devoted to tasks not only for the filing organization, but also for related organizations. While there is no official time study tracking that is done, it is estimated that for each employee, tasks devoted to related organizations could approximate up to 80% or more of total hours. IRS Form 990 Part XI Line 9: Certain related organizations utilize receivable/payable accounts throughout the year. These intercompany balances were settled through the equity account at the end of the fiscal year to bring the receivable/payable balances to zero. For the fiscal year ended June 30, 2018, this resulted in an increase in net assets or fund balances of $18,091,339.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WF Healthcare - Iowa Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421177001	HOLDING CO	IA	501(c)(3)	12 - III-FI	MHN	Yes (true)
Covenant Foundation Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421295784	FOUNDATION	IA	501(c)(3)	10	COV MED CTR	Yes (true)
Mercy Hospital of Fran Sisters Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421178403	HOSPITAL	IA	501(c)(3)	3	WFH-IOWA	Yes (true)
NE Iowa Real Estate Invsts
3421 WEST NINTH STREET	WATERLOO	IA	50702	421207432	HOLDING CO	IA	501(c)(2)	N/A	WFH-IOWA	Yes (true)
Sartori Health Care Foundation Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421240996	FOUNDATION	IA	501(c)(3)	12 - I	SARTORI HOSP	Yes (true)
Sartori Memorial Hospital Inc
515 COLLEGE STREET	CEDAR FALLS	IA	50613	420758901	HOSPITAL	IA	501(c)(3)	3	WFH-IOWA	Yes (true)
Mercy Health Network
1111 6th Avenue	Des Moines	IA	50314	421478417	PARENT	DE	501(C)(3)	12 - III-FI	NA	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Covenant Foundation Inc
C	$2,976,058	Book Value
Mercy Hospital of Franciscan Sisters Inc
O	$268,903	Book Value
Sartori Memorial Hospital Inc
O	$1,087,276	Book Value
Wheaton Franciscan Healthcare - Iowa Inc
M	$48,966,767	Book Value
Northeast Iowa Real Estate Investments Ltd
K	$169,402	Book Value