2025-11-14T12:26:44-06:00 2024-12-31 990 2024-01-01 420504780 ST LUKE'S METHODIST HOSPITAL STLU 3193697796 1026 A AVENUE NE CEDAR RAPIDS IA 52402 LUCAS HICKS MKT VP FINANCE 3193697796 2025-05-15 0 2024 2025-03-06 01:10:19Z ST LUKE'S HOSPITAL CASEY GREENE 1026 A AVENUE NE CEDAR RAPIDS IA 52402 554157489 0 X WWW.UNITYPOINT.ORG (SEE SCH O) X 1903 IA TO GIVE THE HEALTHCARE WE'D LIKE OUR LOVED ONES TO RECEIVE. 16 14 3282 440 872556 0 11050456 16209256 463405233 519574318 5533099 13746496 -2883738 -46881012 477105050 502649058 30769270 29840220 0 0 225146675 237442253 0 0 0 215700641 234708473 471616586 501990946 5488464 658112 583766869 636910404 176222505 163951020 407544364 472959384 X THE MISSION OF ST. LUKE'S METHODIST HOSPITAL IS TO GIVE THE HEALTHCARE WE'D LIKE OUR LOVED ONES TO RECEIVE. OUR STRATEGIC FRAMEWORK IS BUILT UPON THESE PILLARS: 1. DEMONSTRABLY BETTER QUALITY IN OUR PATIENT CARE. WE STRIVE TO PROVIDE THE BEST POSSIBLE HEALTHCARE SERVICE TO OUR PATIENTS AND THEIR FAMILIES. OUR SERVICES ARE ACCESSIBLE TO ALL PERSONS REGARDLESS OF RACE, RELIGION, GENDER OR ABILITY TO PAY.2. ST. LUKE'S IS COMMITTED TO BEING THE WORKSHOP OF CHOICE FOR PHYSICIANS WHO PRACTICE IN OUR HOSPITAL.3. ST. LUKE'S IS COMMITTED TO PARTNERING WITH ALL PERSONNEL, WHO TOGETHER MAKE UP THE BOARD OF DIRECTORS, MEDICAL STAFF, VOLUNTEERS, EMPLOYEES AND STUDENTS WHICH RESULTS IN PERSONAL SATISFACTION, RECOGNITION, ACHIEVEMENT AND COMMITMENT.4. ST. LUKE'S IS COMMITTED TO STRENGTHENING OUR CORE SERVICES TO RENDER THE HIGHEST QUALITY OF HEALTHCARE.5. ST. LUKE'S IS COMMITTED TO BEING A REGIONAL RESOURCE FOR EASTERN IOWANS. 0 0 441327901 20715437 472414663 HEALTH CARE SERVICES:ST. LUKE'S METHODIST HOSPITAL IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CEDAR RAPIDS COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE, AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT.ST. LUKE'S METHODIST HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2024, ST. LUKE'S METHODIST HOSPITAL ADMITTED 14,055 PATIENTS RESULTING IN A TOTAL OF 68,920 PATIENT DAYS. OUTPATIENT VISITS TOTALED 200,562 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS, INCLUDING THE DIGESTIVE HEALTH CENTER, FOR THE SAME PERIOD WERE 7,022. THERE WERE ALSO 51,936 EMERGENCY ROOM VISITS AND 2,313 BABIES DELIVERED. 34150737 9124783 0 COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: ST. LUKE'S METHODIST HOSPITAL PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE TO PEOPLE AT A VALUE OF $1,833,486 IN 2024. OFTENTIMES, ST. LUKE'S METHODIST HOSPITAL RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. ST. LUKE'S METHODIST HOSPITAL PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. ST. LUKE'S METHODIST HOSPITAL'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $0 FOR 2024. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $1,183,486.OTHER BENEFITS: ST. LUKE'S METHODIST HOSPITAL PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. ST. LUKE'S METHODIST HOSPITAL COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. ST. LUKE'S METHODIST HOSPITAL HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $ 32,317,251. 475478638 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 1 3282 1 1 1 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X LUCAS HICKS MKT VP FINANCE 3193697796 1026 A AVENUE NE CEDAR RAPIDS IA 52402 CHARLES BECKER BOARD MEMBER 1.00 1.00 X 0 0 0 ANNE CARTER BOARD MEMBER 1.00 1.00 X 0 0 0 STEVEN CAVES BOARD MEMBER 1.00 1.00 X 0 0 0 GREGORY CHURCHILL BOARD MEMBER 1.00 1.00 X 0 14500 0 BRIAN GLOBOKAR BOARD MEMBER 1.00 1.00 X 0 0 0 SALLY GRAY BOARD MEMBER 1.00 1.00 X 0 50000 0 CURTIS HEIDEMAN BOARD MEMBER 1.00 1.00 X 0 0 0 DONALD JOHNSON BOARD MEMBER 1.00 1.00 X 0 0 0 KATHLEEN MINETTE BOARD CHAIR 1.00 1.00 X X 0 0 0 JOHN OSAKO BOARD MEMBER 1.00 1.00 X 0 0 0 MARY ANN OSBORN BOARD MEMBER 40.00 1.00 X 30580 0 12809 ANNE PARMLEY BOARD MEMBER 1.00 1.00 X 0 0 0 HEATHER ROBERTSON BOARD MEMBER 1.00 1.00 X 0 0 0 CHRIS SKOGMAN BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 STEVEN WAHLE MD BOARD MEMBER 1.00 1.00 X 0 0 0 CASEY GREENE BOARD MEMBER AND MKT PRESIDENT 40.00 1.00 X X 426171 0 82779 LUCAS HICKS MARKET VP FINANCE 40.00 1.00 X 276565 0 24496 DUSTIN ARNOLD MARKET CHIEF MEDICAL OFFICER 1.00 40.00 X 0 476769 17677 CARMEN KLEINSMITH MARKET CHIEF NURSING OFFICER 40.00 0.00 X 329547 0 56624 MARK WILLIS MKT VP OPERATIONS 40.00 0.00 X 192255 0 26197 JEFFREY MILLER PHYSICIAN ASSISTANT 40.00 0.00 X 187981 0 37323 ERIC BRIESEMEISTER PRESIDENT - JRMC 1.00 40.00 X 232727 0 47165 MARLEE HANSEN DDS MS DENTIST 40.00 0.00 X 248384 0 30722 MARY KLINGER PRESIDENT-HCF 40.00 0.00 X 207194 0 34349 JULIE STURBAUM DIRECTOR SURGICAL SERVICES 40.00 0.00 X 200202 0 29711 MICHELLE NIERMANN TO 0823 FORMER BOARD MEMBER & PRESIDENT/CEO 0.00 40.00 X 0 799714 143169 MICHAEL HEINRICH TO 0323 FORMER VP FINANCE/CFO 0.00 40.00 X 0 941690 113114 JOSEPH LINN TO 0623 VP HR & OPERATIONS 40.00 0.00 X 126450 0 2235 2458056 2282673 658370 176 1 1 0 AMN HEALTHCARE INC PO BOX 910738 DALLAS TX 75391 HEALTHCARE STAFFING 9828813 GRAHAM CONSTRUCTION CO INC 421 GRAND AVE DES MOINES IA 50309 CONSTRUCTION SERVICES 7803116 GASTROENTEROLOGISTS PC 931 8TH AVE SE CEDAR RAPIDS IA 52401 STAFFING SERVICES 5867010 MR ASSOCIATES LLP 1956 FIRST AVE NE CEDAR RAPIDS IA 52402 MEDICAL SERVICES 4458765 ALPHATES SPINE INC 1950 CAMINO VIDA ROBLE CARLSBAD CA 92008 MEDICAL SERVICES 3125895 71 13415629 2793627 16209256 NET PATIENT REVENUE 900099 493170182 493170182 MGMT & SUPPORT SVCS 561000 10261438 10261438 LABORATORY SERVICES 621510 7230306 6491321 738985 SUBS & JOINT VENTURES 900099 5087796 5087796 RENTAL INCOME 531100 3675308 3675308 149288 149288 519574318 6125549 2140 6123409 58568599 162946 51008668 101930 7559931 61016 7620947 7620947 647530 397833 249697 249697 MISCELLANEOUS 900099 1087265 953694 133571 SHARED SAVINGS REVENUE 900099 444547 444547 CAFETERIA/FOOD SVCS 722210 31086 31086 -48693607 -48693607 -47130709 502649058 471542107 872556 14025139 29804448 29804448 35772 35772 1517748 1517748 172367 172367 193228004 177650338 15577666 6704663 6164146 540517 24177329 22228200 1949129 11642142 10703575 938567 46640307 46640307 291756 80948 210808 1377090 556873 820217 48906276 47069097 1837179 682145 74261 607884 1783309 1095400 687909 1182078 1182078 16046861 15689745 357116 736241 663087 73154 464509 260754 203755 2571847 2571847 15151553 14345942 805611 992410 992410 MEDICAL SUPPLIES 97539035 97449491 89544 MISCELLANEOUS EXPENSE 345224 222087 123137 INCOME TAXES 9113 9113 BAD DEBT EXPENSE -11281 -11281 501990946 475478638 26512308 0 3200221 9430776 68998 5169311 55406869 62252373 52714956 38997498 10303827 10747143 2187065 2258635 441855191 278051994 153025772 163803197 237146685 262903459 56316785 58141038 13395691 23206974 583766869 636910404 31513671 33506520 344074 305034 380726 564581 143984034 129574885 176222505 163951020 X 359603862 422295569 47940502 50663815 407544364 472959384 583766869 636910404 X 658112 8100899 56656009 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10841155 985850 2811 1216 11822978 10020820 828294 6719 1240 10841155 10753849 -724304 7273 1452 10020820 9532388 1231717 8762 1494 10753849 8830582 712361 9859 696 9532388 0.96338 0.00631 0.03031 0 1 1 18608338 18608338 168387928 94323842 74064086 230595353 181117429 49477924 24263572 2610723 21652849 163803197 BENEFICIAL INTEREST IN NASSIF CANCER FOUNDATION -4723449 F BENEFICIAL INTEREST IN ST. LUKE'S HEALTH CARE FOUNDATION 50169433 F EASTERN IOWA SLEEP CENTER, LLC 418120 C IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC 5000 C MR ASSOCIATES, LLP 347138 C ST. LUKE'S-COE STEAM, INC. 333134 C STL HEALTH RESOURCES CO 5077020 C THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC 6514642 C 58141038 DUE TO AFFILIATES 20873628 ASBESTOS REMOVAL LIABILITY 1299463 LONG-TERM RETENTION INCENTIVES 2002610 IOWA HEALTH SYSTEM NOTE PAYABLE 76856704 SELF-INSURANCE RESERVE 11025846 CONTINGENCY LIABILITY 1661074 HEALTH AND WELFARE BENEFITS RESERVE 1769070 OPERATING LEASE LIABILITY 13920490 INCOME TAX PAYABLE 166000 129574885 X 508747000 8096791 804205 8900996 499846004 820217 1982837 2803054 502649058 472443000 398416 398416 472044584 820217 29126145 29946362 501990946 PART V, LINE 4: THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY. PART X, LINE 2: UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2021. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TAX ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 397,833. SUBSIDIARY ELIMINATING ENTRIES (MEDLABS OF EASTERN IOWA, LC) 406,095. ROUNDING 277. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTION 1,976,222. REVENUES IN NET ASSETS WITH DONOR RESTRICTION 6,615. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 397,833. ROUNDING 583. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTION 29,126,145. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 1833486 1833486 0.00370 90190115 108669707 0 0.00000 92023601 108669707 1833486 0.00370 945213 945213 0.00190 1426826 165499 1261327 0.00250 20985928 20985928 0.04180 16713391 7588608 9124783 0.01820 40071358 7754107 32317251 0.06440 132094959 116423814 34150737 0.06810 100000 100000 0.00020 17967 17967 0.00000 15000 15000 0.00000 132967 132967 0.00020 3427456 0 88473426 82999194 5474232 X 1 1 1 1 ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE NE CEDAR RAPIDS IA 524023026 WWW.UNITYPOINT.ORG/CEDARRAPIDS 570066H X X X X ST LUKE'S METHODIST HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X 1 X 0 0 ST. LUKE'S METHODIST HOSPITAL PART V, SECTION B, LINE 5: FACILITATED BY LINN COUNTY PUBLIC HEALTH WITH OVERSIGHT PROVIDED BY THE TOGETHER! HEALTHY LINN STEERING COMMITTEE, THE CHA AND CHIP INCLUDE PARTNERSHIPS WITH A MULTITUDE OF COMMUNITY STAKEHOLDERS, INCLUDING MERCY MEDICAL CENTER, UNITYPOINT HEALTH-ST. LUKE'S HOSPITAL, AND EASTERN IOWA HEALTH CENTER. THE ALIGNMENT OF THE CHA AND CHIP FOR ALL FOUR ENTITIES IN LINN COUNTY MINIMIZES DUPLICATION AND MAXIMIZES IMPACT, AS ALL ORGANIZATIONS ARE REQUIRED UNDER LAW, OR BY FUNDERS, TO ASSESS THE HEALTH OF THE COMMUNITY AND DEVELOP AN IMPLEMENTATION PLAN FOR MEETING IDENTIFIED COMMUNITY NEEDS.TO GATHER INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, A COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) WAS CONDUCTED BETWEEN MAY AND NOVEMBER OF 2021. THE CTSA IS A QUALITATIVE ANALYSIS OF PERCEPTIONS, THOUGHTS, AND OPINIONS COMMUNITY MEMBERS HAVE REGARDING HEALTH. OF PARTICULAR INTEREST WAS IDENTIFYING NEEDS OF THE COMMUNITY, PERCEIVED QUALITY OF LIFE, AND ASSETS AVAILABLE THAT MAY BE USED TO IMPROVE COMMUNITY HEALTH. THE ASSESSMENT PROCESS WAS GUIDED BY A CTSA SUBCOMMITTEE WITH REPRESENTATION FROM MULTIPLE ENTITIES AND ORGANIZATIONS WITHIN THE LOCAL PUBLIC HEALTH SYSTEM AND IS ASSOCIATED WITH THE LARGER TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE TARGET AUDIENCE FOR THIS ASSESSMENT IS COMMUNITY MEMBERS WHO WORK, RESIDE, WORSHIP, GO TO SCHOOL, OR SEEK ENTERTAINMENT IN THE COUNTY. A COMMUNITY HEALTH SURVEY WAS USED AS THE PRIMARY METHOD FOR COLLECTING COMMUNITY INPUT, STICKER BOARDS FOR QUICKLY ENGAGING COMMUNITY MEMBERS IN COMMON SPACES WHERE SOCIAL DISTANCING COULD STILL OCCUR AND FOCUS GROUPS TO TARGET POPULATIONS NOT CAPTURED THROUGH THE BROADER SURVEY. IN ADDITION, THE ASSESSMENT INCLUDED TARGETED QUESTIONS EVALUATING HEALTH PRIORITIES THAT WERE SELECTED IN THE PREVIOUS CYCLE IMPROVEMENT PLAN.THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONSISTS OF THE FOLLOWING PARTNERS: ABBEHEALTH, BETHANY LUTHERAN CHURCH, CEDAR RAPIDS CITY COUNCIL, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CITY OF CEDAR RAPIDS, CITY OF MARION POLICE DEPARTMENT, EASTERN IOWA HEALTH CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, IOWA STATE UNIVERSITY EXTENSION & OUTREACH, KIRKWOOD COMMUNITY COLLEGE, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, STATE OF IOWA REPRESENTATIVE, STATE OF IOWA SENATOR, UNITED WAY OF EAST CENTRAL IOWA, AND UNITYPOINT HEALTH-ST. LUKE'S HOSPITAL.THE JONES COUNTY PUBLIC HEALTH CHNA HIP WORKGROUP MEMBERS INCLUDE REPRESENTATIVES FROM JRMC, PUBLIC HEALTH, SCHOOLS, DAYCARES, COMMUNITY AGENCIES, EXTENSION SERVICES, LAW ENFORCEMENT, AND GOVERNMENT OFFICIALS. IN ADDITION, THE SSA PUBLIC HEALTH DEPARTMENTS WERE CONTACTED BY ST. LUKE'S HOSPITAL TO BETTER UNDERSTAND THEIR COUNTY NEEDS THROUGH UTILIZING THEIR MOST RECENT CHNA. ST. LUKE'S METHODIST HOSPITAL PART V, SECTION B, LINE 6A: MERCY MEDICAL CENTER AND UNITYPOINT - JONES REGIONAL MEDICAL CENTER ST. LUKE'S METHODIST HOSPITAL PART V, SECTION B, LINE 6B: LINN COUNTY PUBLIC HEALTH AND EASTERN IOWA HEALTH CENTER ST. LUKE'S METHODIST HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING IS AN EVALUATION OF IMPACT OF THE PRIORITIES IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT & ACTIONS TAKEN AS PART OF THE 2023-25 IMPROVEMENT PLAN (REPORTING ON YEARS 2023 & 2024),PRIORITY ONE - FOOD INSECURITY UNITYPOINT HEALTH CEDAR RAPIDS LEADERSHIP TEAM MEMBERS VOLUNTEER FOR MEALS ON WHEEL'S WEEKLY TO DELIVER MEALS TO COMMUNITY MEMBERS IN THE WELLINGTON HEIGHTS NEIGHBORHOOD WHICH ST. LUKE'S HOSPITAL IS LOCATED. DELIVERING APPROXIMATELY 1800 MEALS TO INDIVIDUALS IN OUR NEIGHBORHOOD THROUGH EFFORTS OVER THE COURSE OF THE NEEDS ASSESSMENT & IMPROVEMENT PLAN CYCLE. INCREASE UTILIZATION & AWARENESS OF ELIGIBILITY RELATED TO FOOD RESOURCES IN LINN COUNTY: UNITYPOINT HEALTH-CEDAR RAPIDS (UPH-CR) UTILIZES A SOCIAL DETERMINANTS OF HEALTH SCREENING/ASSESSMENT IN BOTH INPATIENT & OUTPATIENT SETTINGS. IN YEARS 2023-24, 39,416 PATIENTS WERE SCREENED FOR SOCIAL DETERMINANTS OF HEALTH WITH 6% OF INDIVIDUALS REFERRED TO COMMUNITY AGENCIES. PRIORITY TWO - MENTAL HEALTH/ACCESS HEALTH INSURANCE ENROLLMENT: ACCESS TO HEALTH INSURANCE DECREASE HEALTH DISPARITY RATE OF UNINSURED INDIVIDUALS WHO IDENTIFY AS BLACK/AFRICAN AMERICAN, HISPANIC/LATINO, & INDIVIDUALS WHO IDENTIFY AS TWO OR MORE RACED. IN 2023-24, OUR UPH-CR FINANCIAL COUNSELORS ASSISTED OVER 10,200 INDIVIDUALS IN ACCESSING INSURANCE. ACCESS CENTER LEADERSHIP: THROUGH OUR ABBE HEALTH CENTER'S LEADERSHIP AT THE LINN COUNTY ACCESS CENTER THAT OPENED IN '23 & GUIDELINK IN JOHNSON COUNTY, PROVIDING OVERNIGHT CRISIS CARE, SERVED 1172 INDIVIDUALS IN '23, CREATING NEW ACCESS FOR INDIVIDUALS IN OUR COMMUNITY. SERVING 1132 INDIVIDUALS IN '24. INCREASED ACCESS FOR INDIVIDUALS WITH MEDICAID: WITH MEDICAID, IN '23, 601 ADULT BEHAVIORAL HEALTH PATIENTS (50.04% OF PATIENTS SERVED IN 2023) WERE SERVED IN OUR INPATIENT UNITS & 442 ADOLESCENT BEHAVIORAL HEALTH PATIENTS (OR 61.22% OF ADOLESCENT PATIENTS SERVED) WERE SERVED. WITH MEDICAID, IN '24, 446 ADULT BEHAVIORAL HEALTH PATIENTS (42.76% OF PATIENTS) WERE SERVED IN OUR INPATIENT UNITS & 441 ADOLESCENT BEHAVIORAL HEALTH PATIENTS (63.27% OF PATIENTS) WERE SERVED. TELEMEDICINE: VIRTUAL OPTIONS CONTINUE TO BE OFFERED IN OUR BEHAVIORAL HEALTH SERVICES. SUBSTANCE ABUSE SERVICES ACCESS: UPH-CR SUPPORTED COMMUNITY NEEDS THROUGH PROVIDING SUBSTANCE ABUSE COUNSELING & RESOURCES TO 2493 CLIENTS FROM 2023-24. CLIENTS WITH MEDICAID INSURANCE WERE 46.13% OF THE INDIVIDUALS SERVED. INCREASE AWARENESS OF MENTAL HEALTH RESOURCES: UPH-CR SUPPORTED COMMUNITY EFFORTS IN INCREASING AWARENESS THROUGH PARTICIPATING IN THE PLANNING OF DISTRIBUTING COMMUNITYWIDE & DEMOGRAPHIC SPECIFIC MESSAGING THROUGH MAKE IT OK EDUCATION MATERIALS. ST. LUKE'S HOSPITAL THROUGH PARTNER AGENCIES HELPED PROVIDE TRANSPORTATION TO OVER 4000 PATIENT TRANSPORTS FROM 2023-24. PRIORITY THREE - HEALTH EQUITY CLINICAL DATA REFLECTING POPULATION DEMOGRAPHICS TO IDENTIFY HEALTH DISPARITIES FOR IMPROVEMENT: UPH-CR MEETS CMS HOSPITAL INPATIENT QUALITY REPORTING GUIDELINES FOR HEALTH EQUITY MEASURE FOR '23 & '24. WE HAVE IMPLEMENTED A HEALTH EQUITY DASHBOARD THAT IS REVIEWED BY OUR HEALTH ENGAGEMENT COUNCIL. POTENTIAL IMPACT IS AN OPPORTUNITY IN REDUCTION OF 147 READMISSIONS. IMPLEMENTATION OF COMMUNITY HEALTH WORKERS TO ADDRESS BARRIERS TO CARE: IN '24, UPH-CR INITIATED THE COMMUNITY HEALTH WORKER MODEL AT 2 CLINICS, TRAINING 2 COMMUNITY HEALTH CARE WORKERS IN THIS MODEL. STARTING IN NOVEMBER OF '24, FROM NOV-DEC '24, 174 WERE IDENTIFIED & OUTREACH WAS PROVIDED. IN '24, CLINICAL COMPETENCIES TO PROVIDE EDUCATION & AWARENESS ON HEALTH EQUITY & CULTURALLY RESPONSIVE CARE WAS ROLLED OUT TO ALL TEAM MEMBERS ACROSS THE ACUTE NURSING AREAS, SURGICAL SERVICES & EMERGENCY DEPT. SERVICES. REDUCE DISPARITIES IN OBSTETRIC HEALTH EQUITY FOR PATIENTS OF COLOR: TRAINED 15 WOMEN'S & CHILDREN'S SERVICES LEADERS IN IMPLICIT BIAS & THE IMPACT ON CLINICAL CARE. IMPROVE CARE FOR SICKLE CELL TREATMENT FOR PATIENTS OF COLOR: IMPLEMENTED A SICKLE CELL PROTOCOL FOR PAIN MANAGEMENT & TRAINED THE EMERGENCY DEPT., MEDICALLY COMPLEX UNIT & A GRAND ROUND EDUCATIONAL SESSION ON SICKLE CELL MANAGEMENT. IMPACT TRAINED 140 INDIVIDUALS. PARTICIPATED IN THE AFRICAN AMERICAN MUSEUM OF IA HEALTHCARE FAIR & PROVIDED CANCER INFO & SCREENINGS TO APPROXIMATELY 75 PARTICIPANTS. DECREASE DISPARITY OF PERCENT OF INDIVIDUALS LIVING IN POVERTY. PARTNERED WITH AREA EDUCATION ENTITIES FOR CAREER EXPLORATION & VOCATIONAL TRAINING OPPORTUNITIES. INITIATED PATIENT CARE APPRENTICE PROGRAM IN DEC. '23 FOR 30 HIGH SCHOOL STUDENTS. FROM HOSTED A CAREER EXPLORATION CONFERENCE FOR IJAG, A HIGH SCHOOL PROGRAM SERVING STUDENTS FROM MARGINALIZED POPULATIONS & SERVED APPROXIMATED 110 STUDENTS. IN 2023-24, UPH-CR TEAM MEMBERS PROVIDED HEALTH CAREER INFORMATION TO OVER 3000 AREA HIGH SCHOOLERS THROUGH THE JUNIOR ACHIEVEMENT CAREER DAY. IN ADDITION, APPROXIMATELY 100 JOB SHADOWS HAVE BEEN PROVIDED THROUGH KIRKWOOD COMMUNITY COLLEGE'S WORKPLACE LEARNING. WE PROVIDED EXPLORATION, SHADOWS & CLINICAL EXPERIENCES TO MORE THAN 3600 STUDENTS FROM 2023-24.PRIORITY 4 LIFESTYLE/EQUITABLE OPPORTUNITIES TO BE PHYSICALLY ACTIVE IN '23, ST. LUKE'S AS PART OF ITS PARTICIPATION IN THE MEDQUARTER, INVESTING IN THE DEVELOPMENT OF THE MEDQ GREEN SPACE, INCLUDING A PARK IN OUR NEIGHBORHOOD. THIS NEIGHBORHOOD HAS A VARIATION IN DECREASED LIFE EXPECTANCY OF 10-13 YEARS COMPARED TO OTHER NEIGHBORHOODS IN CEDAR RAPIDS. PROMOTE AGE RELATED INFORMATION ON THE IMPACT OF SCREEN TIME. EVERY ADOLESCENT RECEIVING CARE FROM OUR CLINICS RECEIVES AN AFTER VISIT SUMMARY THAT INCLUDES GUIDANCE ON AGE APPROPRIATE SCREEN TIME WITH EDUCATION ON HOW TO MONITOR & REDUCE SCREEN USAGE. COMMUNITY FIRST AID & HEART PREVENTION: ST. LUKE'S HOSPITAL PARTNERS COMMUNITY ENTITIES TO PROVIDE FIRST AID TRAINING & PREVENTION, HEART ATTACK & STROKE PREVENTION. ONE EFFORT IS STOP THE BLEED TO INCREASE ABILITIES OF COMMUNITY MEMBERS TO RESPOND TO FIRST AID INCIDENTS. THE TEAM PROVIDES CPR TRAINING & BLOOD PRESSURE SCREENINGS AT COMMUNITY EVENTS, DISSEMINATES & EDUCATES INDIVIDUALS ON QUICK ACTION FOR HEART ATTACKS & STROKE CARE. SERVING 505 INDIVIDUALS.JONES REGIONAL MEDICAL CENTER SPECIFIC NEEDS / ACTIONS CHRONIC CONDITIONS & DISEASE MANAGEMENT CARE MANAGEMENT SUPPORT IN THE JRMC CLINICS FOR RISING RISK PATIENTS. CARE MANAGEMENT IN OUR PRIMARY CARE CLINICS HAS IMPROVED OUTCOMES FOR PATIENTS WITH RISING HEALTH RISKS BY PROVIDING PROACTIVE SUPPORT, PERSONALIZED CARE PLANNING, & CONSISTENT FOLLOW-UPHELPING PATIENTS BETTER MANAGE CHRONIC CONDITIONS & AVOID UNNECESSARY HOSPITALIZATIONS. SUPPORT FOR OLDER ADULTS: SUPPORT FOR OLDER ADULTS IMPLEMENTATION OF TELESITTER MONITORS INPATIENT: MONITORS ARE UTILIZED FOR ONGOING MONITORING FOR PATIENTS THAT MAY BE AT HIGHER RISK FOR THINGS LIKE FALLS. ALZHEIMER'S CAREGIVER SUPPORT GROUP: MEETS ONCE A MONTH & IS DONE IN CONJUNCTION WITH THE ALZHEIMER'S ASSOCIATION. PARKINSON'S SUPPORT & EXERCISE GROUP: JRMC HOSTS THIS FREE COMMUNITY CLASS 2X/WEEK WITH AN AVERAGE ATTENDANCE OF 12 PEOPLE. PRIORITY 5 COMMUNITY SAFETY/PREVENTION OF GUN VIOLENCE IMPLEMENT GUN VIOLENCE INTERVENTION (GVI)HOSPITAL INTERVENTION THAT INCLUDES REFERRAL OF A PATIENT/FAMILY WHO IS VICTIM OF GUN VIOLENCE TO THE COMMUNITY'S WAYPOINT/ FOUNDATION 2 RESOURCES PRIOR TO DISCHARGE FROM THE HOSPITAL. ST. LUKE'S PARTICIPATES IN THE COMMUNITY'S STAND UP FOR PEACE COALITION, A COLLABORATIVE GROUP TO REDUCE ENGAGEMENT IN GUN VIOLENCE IN THE COMMUNITY. THE ST. LUKE'S 10 MEMBERS OF THE ST. LUKE'S SOCIAL WORK TEAM TRAINED ON THE EVIDENCED BASED GVI MODEL & INTERVENTION. IMPACT IN '23 COMPARED TO '22, THERE WAS A REDUCTION IN SHOTS FIRED FROM 120 IN '22 TO 81 IN '23 & RESULTING INJURIES DECREASED FROM 38 TO 31 (9 DEATHS). IN '24 COMPARED TO '23, THERE WAS A REDUCTION IN SHOTS FIRED FROM 83 TO 58 & RESULTING INJURIES 12 (2 DEATHS). ADDRESS DOMESTIC VIOLENCE DISPARITY IN WOMEN: PATIENTS IN THE EMERGENCY DEPT. ARE ASKED AN ASSESSMENT QUESTION, "DO YOU FEEL SAFE AT HOME." IN ADDITION WE HAVE THE BLUE DOT SCREENING & REFERRAL FOR INTIMATE PARTNER VIOLENCE. ST. LUKE'S PARTNERS WITH WAYPOINT PROVIDING DOMESTIC PARTNER VIOLENCE RESOURCES WITH A BASIC NECESSITY DRIVE IN '23 & '24 TO GATHER HYGIENE PRODUCTS FOR INDIVIDUALS THAT HAVE FLED ABUSIVE RELATIONSHIPS & RECEIVING SERVICES THROUGH WAYPOINT.PRIORITY 6-PREVENT EPIDEMICS & SPREAD OF DISEASE/PUBLIC HEALTH EMERGENCY PREPAREDNESS & RECOVERY VACCINE PROMOTION: THROUGH INCREASED PROMOTION & ON-SITE PROVISION OF VACCINES IN PRIMARY CARE CLINICS, OUR HEALTH SYSTEM HAS IMPROVED ACCESS TO PREVENTIVE CARE & REDUCED PREVENTABLE ILLNESS. EMERGENCY PREPAREDNESS: UPH-CR CONDUCTS EMERGENCY MANAGEMENT DRILLS YEARLY AT THEIR HOSPITAL FACILITIES. ADDITIONAL PLANNING SESSIONS INVOLVING MULTIDISCIPLINE LEADERS FOR SPECIFIC EMERGENCY PREPAREDNESS WERE INITIATED IN '24 & WILL CONTINUE. THESE SESSIONS WALK THROUGH ASSESSMENT QUESTIONS TO IDENTIFY STRENGTHS & OPPORTUNITIES. ST. LUKE'S METHODIST HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES. FACILITY REPORTING GROUP A - PART V, LINE 7A, CHNA REPORT: THE CHNA REPORT WAS WIDELY AVAILABLE ON A WEBSITE FACILITY'S WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACULTY REPORTING GROUP A - PART V, LINE 10A, IMPLEMENTATION STRATEGY: HE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS WIDELY AVAILABLEON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACULTY REPORTING GROUP A - PART V, LINE 16A, FAP WEBSITE: THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACULTY REPORTING GROUP A - PART V, LINE 16B, FAP WEBSITE: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACULTY REPORTING GROUP A - PART V, LINE 16C, FAP WEBSITE: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE 14 1 - WOMEN'S & CHILDREN'S CENTER 1100 FIRST AVENUE NE CEDAR RAPIDS IA 52404 INPATIENT & OUTPATIENT - OB, LABOR & DELIVERY, NURSERY, PRE AND POSTPARTUM A 2 - WORK WELL SOLUTIONSTHERAPY PLUS 830 FIRST AVENUE NE CEDAR RAPIDS IA 52402 OUTPATIENT PHYSICAL THERAPY 3 - WITWER CHILDREN'S THERAPYTHERAPY PLUS 3245 WILLIAMS PARKWAY SW SUITE 9 CEDAR RAPIDS IA 52404 OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY FOR CHILDREN 4 - CHEMICAL DEPENDENCY 1030 5TH AVENUE SUITE 110 CEDAR RAPIDS IA 52403 OUTPATIENT CHEMICAL DEPENDENCY UNIT 5 - FAMILY COUNSELING CENTER 225 12TH STREET NE SUITES 201 AND 203 CEDAR RAPIDS IA 52402 OUTPATIENT BEHAVIORAL HEALTH 6 - BREAST & BONE HEALTH 202 TENTH STREET SE SUITE 265 CEDAR RAPIDS IA 52402 OUTPATIENT RADIOLOGY 7 - WOUND HEALING CENTER 4251 RIVERCENTER COURT NE CEDAR RAPIDS IA 52402 OUTPATIENT WOUND CLINIC 8 - ST LUKE'S CHILDREN'S CAMPUS 1075 NORTH CENTER POINT ROAD HIAWATHA IA 52233 OUTPATIENT PHYSICAL THERAPY AND FAMILY COUNSELING 9 - CHILD PROTECTION CENTER 1095 NORTH CENTER POINT ROAD HIAWATHA IA 52233 OUTPATIENT COUNSELING FOR ABUSED CHILDREN 10 - DIABETES EDUCATION CENTER 1002 4TH AVENUE SE CEDAR RAPIDS IA 52402 OUTPATIENT DIABETES EDUCATION 11 - ST LUKE'S IMAGING SERVICES 2996 7TH AVENUE SUITE A MARION IA 52302 OUTPATIENT IMAGING AND MAMMOGRAPHY SERVICES 12 - ST LUKE'S THERAPY PLUS 2996 7TH AVENUE SUITE C MARION IA 52302 OUTPATIENT PHYSICAL THERAPY 13 - THERAPY PLUS 5313 NORTH PARK PLACE NE CEDAR RAPIDS IA 52402 OUTPATIENT PHYSICAL THERAPY 14 - CHILDREN'S BEHAVIOR HEALTH SERVICES 4050 RIVER RIDGE DRIVE NE CEDAR RAPIDS IA 52402 OUTPATIENT BEHAVIORAL HEALTH PART I, LINE 6A: THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM'S COMMUNITY BENEFIT REPORT (DBA AS UNITYPOINT HEALTH) WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE SEGMENT SPECIFIC COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. PART I, LINE 7G: THE HOSPITAL INCLUDED $20,370,587 IN SUBSIDIZED HEALTH SERVICES FOR FUNDING IT PROVIDED TO UNITYPOINT CLINIC TO FUND ITS LOSSES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ -11,281. PART II, COMMUNITY BUILDING ACTIVITIES: ST. LUKE'S HOSPITAL PARTNERS WITH SEVERAL COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH. A SAMPLING OF OUR COMMUNITY BUILDING ACTIVITIES FROM OUR COMMUNITY BENEFIT REPORTING INCLUDE: DENTAL HEALTH PREVENTION ACCESS FOR YOUTH - THE ST. LUKE'S DENTAL HEALTH CENTER SERVED 2550 CHILDREN AND ADOLESCENT CHILDREN (5,160 VISITS) WHO ARE ON MEDICAID. ACCESS TO DENTAL HEALTH FOR INDIVIDUALS ON MEDICAID TO LOW, WITH SEVERAL PROVIDERS IN THE COMMUNITY NOT TAKING PATIENTS WITH MEDICAID. THIS SERVICE MEETS A CRITICAL NEED IN OUR COMMUNITY. IN ADDITION, THE CENTER PROVIDES DENTAL SCREENINGS TO 110 CEDAR RAPIDS COMMUNITY SCHOOL PRESCHOOLERS, TO ENSURE ACCESS TO EARLY DENTAL HEALTH. THEIS CENTER ALSO PROVIDES TRAINING FOR DENTAL STUDENTS, SUPERVISING 18 DENTAL STUDENTS FROM THE UNIVERSITY OF IOWA FOR A TOTAL OF 2100 HOURS. COMMUNITY FIRST AID AND HEART PREVENTION- ST. LUKE'S HOSPITAL PARTNERS COMMUNITY ENTITIES TO PROVIDE TRAINING AND PREVENTION ON FIRST AID, HEART ATTACK AND STROKE PREVENTION. ONE EFFORT IS STOP THE BLEED TO INCREASE ABILITIES OF COMMUNITY MEMBERS TO RESPOND TO FIRST AID INCIDENTS. THE TEAM ALSO PROVIDES CPR TRAINING AND BLOOD PRESSURE SCREENINGS AT COMMUNITY EVENTS. AND DISSEMINATES AND EDUCATES INDIVIDUALS ON QUICK ACTION FOR HEART ATTACKS AND STROKE CARE. NUMBER SERVED THROUGH THESE EFFORTS IS 505 INDIVIDUALS. TRANSPORTATION CAN BE A KEY BARRIER FOR INDIVIDUALS IN ACCESS HEALTHCARE OR POST DISCHARGE FROM THE HOSPITAL. ST. LUKE'S HOSPITAL THROUGH PARTNER AGENCIES HELPED PROVIDE TRANSPORTATION TO 2030 PATIENTS. CAREER EXPLORATION AND CLINICAL PREPARATION FOR K-12 AND COLLEGE STUDENTS. ST. LUKE' HOSPITAL PARTNERS WITH AREA SCHOOL DISTRICTS, COLLEGES, AND COMMUNITY AGENCIES TO PROVIDE CAREER EXPLORATION, JOB SHADOWS AND CLINICAL TRAINING SITES. EMPLOYMENT IS IMPORTANT TO OVERALL HEALTH GIVEN ACCESS TO EMPLOYER INSURANCE. TRAINING A HEALTHCARE WORKFORCE IS ALSO CRITICAL TO THE ONGOING ABILITY TO SERVE OUR COMMUNITY NEEDS. WE PROVIDED EXPLORATION, SHADOWS, AND CLINICAL EXPERIENCES TO 1839 STUDENTS IN 2023. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR ST. LUKE'S HOSPITAL. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2. PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE AND OFFSETTING REVENUE.THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. PART VI, LINE 2: IN ADDITION TO OUR PARTICIPATION IN TOGETHER! HEALTHY LINN FOR TO ASSESS THE NEEDS OF THE COMMUNITY AND DEVELOP THE NEEDS ASSESSMENT REPORT AND IMPROVEMENT PLAN, WE ENGAGE IN QUARTERLY MEETINGS BY IMPROVEMENT PLAN AREA TO TAKE ACTION AS WELL AS PARTICIPATE IN THE TOGETHER! HEALTH LINN STEERING COMMITTEE TO ADDRESS BARRIERS AND ADDITIONAL NEED. AS PART OF THESE MEETINGS, WE ALSO ARE CONTINUALLY ASSESSING NEEDS THAT HAVE COME UP. IN ADDITION TO ASSESSING HEALTHCARE NEEDS FROM INDIVIDUALS THAT WERE DESCRIBED IN PART V, ST. LUKE'S HOSPITAL ALSO REVIEWS PATIENT CLINICAL DATA BY DEMOGRAPHICS. THIS INCLUDES CLINICAL DATA FOR READMISSIONS, INPATIENT MORTALITY, AND FALLS. WE ALSO LOOK AT OUR AGGREGATED DATA FROM OUR SOCIAL DETERMINANTS ASSESSMENT THAT IS PART OF OUR ELECTRONIC HEALTH RECORD BOTH FOR INPATIENT AND OUTPATIENT. PART VI, LINE 3: THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. PART VI, LINE 4: ST. LUKE'S METHODIST HOSPITAL IS A 532-BED COMMUNITY HOSPITAL SERVING AN 8 COUNTY AREA. ST. LUKE'S METHODIST HOSPITAL IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF ST. LUKE'S METHODIST HOSPITAL MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND LINN. ST. LUKE'S METHODIST HOSPITAL ADMITS 14,055 INPATIENTS AND CARES FOR 51,603 EMERGENCY PATIENTS PER YEAR. ST. LUKE'S METHODIST HOSPITAL CARES FOR MORE INPATIENTS, OUTPATIENTS, EMERGENCY PATIENTS AND CARDIAC PATIENTS THAN ANY OTHER HOSPITAL IN CEDAR RAPIDS, IOWA. THERE ARE 9 OTHER HOSPITALS WITHIN THE 8-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $68,781 - $79,444 AND THE AVERAGE POVERTY RATE IS 9%.70.3% OF ST. LUKE'S METHODIST HOSPITAL INPATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. LINN AND JOHNSON COUNTIES, THE ONLY COUNTIES IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATION, AVERAGE 89,35% CAUCASIAN; 7.85% AFRICAN-AMERICAN, 5.5% HISPANIC, AND 3.45% ASIAN. PART VI, LINE 5: THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE PEOPLE AND COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH AN OPEN MEDICAL STAFF AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD APPROVES THE COMMUNITY NEEDS ASSESSMENT AND COMMUNITY BENFEFIT PLAN FOR THE HOSPITAL. THE HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM AND ITS ULTIMATE PARENT UNITYPOINT HEALTH ALONG WITH ITS SUBSIDIARIES THAT INCLUDE THE HOSPITAL HAVE A STANDARD MODEL OF GOVERNANCE THAT ALLOWS THE HOSPITAL TO MAINTAIN A STRONG CLINICAL, FINANCIAL, STRATEGIC AND OPERATIONAL PROFILE THAT INCLUDES SURPLUS FUNDS USED TO FURTHER ITS CHARITABLE PURPOSE. PART VI, LINE 6: THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $5.3B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 400 CLINICS; 17 COMMUNITY NETWORK HOSPITALS; 13 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THEIR REGIONS. IN 2024, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $281 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 1 IOWA STATEWIDE POISON CONTROL CENTER 401 DOUGLAS ST 501 SIOUX CITY IA 51101 421509042 501(C)(3) 14750 0 PROGRAM SUPPORT CEDAR RAPIDS MEDICAL EDUCATION FOUNDATION 1026 A AVENUE NE CEDAR RAPIDS IA 52402 391894395 501(C)(3) 242728 0 PROGRAM SUPPORT IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY STE 400 WEST DES MOINES IA 50266 421411630 501(C)(3) 29495370 0 PROGRAM SUPPORT RCL 55 12TH AVE SE CEDAR RAPIDS IA 52401 421415305 501(C)(3) 20197 0 PROGRAM SUPPORT 4 0 OTHER OTHER 36 35772 PART I, LINE 2: ST. LUKE'S METHODIST HOSPITAL REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PARTS II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINES A SERIES OF ELIGIBILITY STANDARDS THAT ARE REQUIRED TO BE MET. ST. LUKE'S METHODIST HOSPITAL THEN REVIEWS THESE APPLICATIONS AND, BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. 1 1 0 0 0 0 0 0 0 MICHAEL HEINRICH TO 0323 FORMER VP FINANCE/CFO 0 559102 0 77630 0 304958 0 100904 0 12210 0 1054804 0 277474 MICHELLE NIERMANN TO 0823 FORMER BOARD MEMBER & PRESIDENT/CEO 0 629784 0 138313 0 31617 0 112246 0 30923 0 942883 0 0 CASEY GREENE BOARD MEMBER AND MKT PRESIDENT 378846 0 43619 0 3706 0 55706 0 27073 0 508950 0 0 0 DUSTIN ARNOLD MARKET CHIEF MEDICAL OFFICER 0 431744 0 39698 0 5327 0 17250 0 427 0 494446 0 0 CARMEN KLEINSMITH MARKET CHIEF NURSING OFFICER 286766 0 31670 0 11111 0 32244 0 24380 0 386171 0 0 0 LUCAS HICKS MARKET VP FINANCE 253530 0 21149 0 1886 0 13954 0 10542 0 301061 0 0 0 ERIC BRIESEMEISTER PRESIDENT - JRMC 221321 0 11148 0 258 0 11947 0 35218 0 279892 0 0 0 MARLEE HANSEN DDS MS DENTIST 235859 0 0 0 12525 0 11743 0 18979 0 279106 0 0 0 MARY KLINGER PRESIDENT-HCF 187688 0 9334 0 10172 0 10125 0 24224 0 241543 0 0 0 JULIE STURBAUM DIRECTOR SURGICAL SERVICES 158051 0 8830 0 33321 0 9226 0 20485 0 229913 0 0 0 JEFFREY MILLER PHYSICIAN ASSISTANT 187911 0 0 0 70 0 9986 0 27337 0 225304 0 0 0 MARK WILLIS MKT VP OPERATIONS 172021 0 6367 0 13867 0 9809 0 16388 0 218452 0 0 0 JOSEPH LINN TO 0623 VP HR & OPERATIONS 0 0 0 0 126450 0 0 0 2235 0 128685 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: JOSEPH LINN $126,450 AND JULIE STURBAUM $19,694. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: CASEY GREENE $38,757; MICHAEL HEINRICH $83,654; AND MICHELLE NIERMANN $94,996. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: MICHAEL HEINRICH $288,863. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS. SCHEDULE J, PART I, LINE 3 - ESTABLISHING COMPENSATION THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. ABBY HICKS FAMILY MEMBER OF OFFICER LUCAS HICKS 28948 EMPLOYMENT 0 HOLLY GREENE FAMILY MEMBER OF OFFICER CASEY GREENE 14734 EMPLOYMENT 0 FORM 990, LINE J, WEBSITE: WWW.UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---ST-LUKES-HOSPITAL FORM 990, PART V, LINES 1A & 1B CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL UNITYPOINT HEALTH SYSTEM RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION IS PART OF A HEALTH SYSTEM UNDER THE ULTIMATE CONTROL OF IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH. UNITYPOINT HEALTH AND ITS SUBSIDIARIES IMPLEMENTED A FULLY-INTEGRATED OPERATING MODEL INCLUDING STANDARD GOVERNANCE ACROSS MARKETS ESTABLISHING RESPECTIVE RESPONSIBILITIES, AUTHORITIES, AND POWERS SET FORTH IN AMENDED GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 6 ST. LUKE'S HEALTHCARE, A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER ST. LUKE'S HEALTHCARE AND THE ORGANIZATION SHARE A COMMON BOARD NOMINATED BY ST. LUKE'S HEALTHCARE. IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH, THE SOLE MEMBER OF ST. LUKE'S HEALTHCARE, APPROVES THE ELECTION OF BOARD MEMBERS AND APPOINTS THE MARKET PRESIDENT WHO SERVES AS AN EX-OFFICIO BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER ST. LUKE'S HEALTHCARE HAS AUTHORIZED ITS POWERS TO THE ORGANIZATION AND THEY SHARE A COMMON BOARD. POWERS OF THE COMMON BOARD ARE AUTHORIZED TO BE EXERCISED BY IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY UNITYPOINT HEALTH'S CORPORATE SERVICES TAX DEPARTMENT AND GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE DEPARTMENT WITH ULTIMATE APPROVAL BY THE DIRECTOR OF TAX SERVICES. THE DIRECTOR OF TAX SERVICES MEETS WITH THE FINANCE EXECUTIVE AND REVIEWS KEY PARTS OF THE FORM 990 UTILIZING A PRESENTATION SUMMARY. A COPY OF THE FORM 990 IS GIVEN TO EACH MEMBER OF THE BOARD VIA THE BOARD PORTAL ALONG WITH A REVIEW GUIDE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2024 FOR THE FOLLOWING INDIVIDUALS: DUSTIN ARNOLD, MD, ERIC BRIESEMEISTER, CASEY GREENE, LUCAS HICKS, CARMEN KLEINSMITH, MARY KLINGER, AND MARK WILLIS. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST 1,123,341. CHANGES IN PENSION LIABILITY 55,532,668. MEDICAL LABORATORIES OF EASTERN IOWA LC 1026 A AVE NE CEDAR RAPIDS IA 52402 271814458 MEDICAL LABORATORY SERVICES IA 6152726 9359309 ST LUKE'S METHODIST HOSPITAL ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421045257 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) ABBEHEALTH INC 0 ABBEHEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421373123 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III ST LUKE'S HEALTHCARE 0 AGING SERVICES INC 740 N 15TH AVE NO A HIAWATHA IA 52233 237085316 SENIOR SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) ABBEHEALTH INC 0 ALLEN COLLEGE 1825 LOGAN AVENUE WATERLOO IA 50703 421351526 EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS IA 501(C)(3) 170(B)(1) (A)(II) ALLEN HEALTH SYSTEMS INC 0 ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVENUE WATERLOO IA 50703 421201924 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE WATERLOO IA 50703 420698265 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ALLEN HEALTH SYSTEMS INC 0 ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DRIVE ANAMOSA IA 52205 421466284 PROVIDE AMBULANCE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'SJONES REGIONAL MEDICAL CENTER 0 BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 3251 WEST NINTH STREET WATERLOO IA 50702 420733463 MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 CENTER FOR ALCOHOL AND DRUG SERVICES INC 4869 FOREST GROVE DRIVE BETTENDORF IA 52722 421134273 SUBSTANCE ABUSE SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 0 CENTRAL IOWA HEALTH PROPERTIES CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 421233759 PROPERTY HOLDING COMPANY IA 501(C)(2) CENTRAL IOWA HEALTH SYSTEM 0 CENTRAL IOWA HEALTH SYSTEM 1200 PLEASANT STREET DES MOINES IA 50309 421189791 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 420680452 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) CENTRAL IOWA HEALTH SYSTEM 0 DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC 1415 WOODLAND AVE SUITE 130 DES MOINES IA 50309 421412497 COORDINATION OF MEDICAL EDUCATION PROGRAMS IA 501(C)(3) 509(A)(3), TYPE III 0 EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES 945 19TH STREET DES MOINES IA 50314 420942273 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) CENTRAL IOWA HEALTH SYSTEM 0 FINLEY TRI-STATES HEALTH GROUP INC 350 NORTH GRANDVIEW AVENUE DUBUQUE IA 52001 421307495 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 GRINNELL REGIONAL MEDICAL CENTER 210 FOURTH AVENUE GRINNELL IA 50112 420933383 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) CENTRAL IOWA HEALTH SYSTEM 0 GRINNELL REGIONAL MEDICAL CENTER FOUNDATION 210 FOURTH AVENUE GRINNELL IA 50112 421454737 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) GRINNELL REGIONAL MEDICAL CENTER 0 IOWA HEALTH FOUNDATION 1415 WOODLAND AVE SUITE E-200 DES MOINES IA 50309 421467682 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) CENTRAL IOWA HEALTH SYSTEM 0 IOWA HEALTH SYSTEM 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421435199 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III 0 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421411630 PRIMARY HEALTH CARE SERVICES IA 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM 0 MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1825 LOGAN AVENUE WATERLOO IA 50703 421201138 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 MERITER FOUNDATION INC 202 SOUTH PARK STREET MADISON WI 53715 237098688 CHARITABLE FUNDRAISING WI 501(C)(3) 170(B)(1) (A)(VI) MERITER HEALTH SERVICES INC 0 MERITER HEALTH SERVICES INC 202 SOUTH PARK STREET MADISON WI 53715 391412318 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE WI 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 MERITER HOSPITAL INC 202 SOUTH PARK STREET MADISON WI 53715 390806367 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) MERITER HEALTH SERVICES INC 0 NELLIE R SHERWOOD TRUST 1026 A AVENUE NE CEDAR RAPIDS IA 52402 426061621 PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY IA 501(C)(3) 509(A)(3), TYPE I ST LUKE'S METHODIST HOSPITAL 1 NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED 720 KENYON DRIVE FORT DODGE IA 50501 420937390 MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(III) TRINITY HEALTH SYSTEMS INC 0 NORTHWEST IOWA HOSPITAL CORPORATION 2720 STONE PARK BLVD SIOUX CITY IA 51104 421019872 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTH SYSTEM INC 0 SIOUXLAND PACE INC 1200 TRI VIEW AVE SIOUX CITY IA 51103 261120134 ALL-INCLUSIVE CARE FOR THE ELDERLY IA 501(C)(3) 170(B)(1) (A)(III) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 0 ST LUKE'S HEALTH RESOURCES 2720 STONE PARK BLVD SIOUX CITY IA 51104 421059182 OUTPATIENT CLINICS AND HEALTHCARE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'S HEALTH SYSTEM INC 0 ST LUKE'S HEALTH SYSTEM INC 2720 STONE PARK BLVD SIOUX CITY IA 51104 421294091 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 ST LUKE'S HEALTHCARE 1026 A AVENUE NE CEDAR RAPIDS IA 52402 421487968 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE NE CEDAR RAPIDS IA 52402 420504780 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTHCARE 0 ST LUKE'SJONES REGIONAL MEDICAL CENTER 1795 HIGHWAY 64 EAST ANAMOSA IA 52205 421487967 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTHCARE 0 STL CARE COMPANY 1026 A AVENUE NE CEDAR RAPIDS IA 52402 421276632 IMPROVE PUBLIC HEALTH SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'S HEALTHCARE 0 THE DUBUQUE VISITING NURSE ASSOCIATION 350 NORTH GRANDVIEW AVENUE DUBUQUE IA 52001 420680410 PUBLIC HEALTH SERVICES/HOME CARE IA 501(C)(3) 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SCHEDULE R, PARTS I - IV: IOWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $5.3B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 400 CLINICS; 17 COMMUNITY NETWORK HOSPITALS; 13 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS.