ALLEN MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ALLEN MEMORIAL HOSPITAL CORPORATION (EIN 42-0698265)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201703189349310940
Schema version: 2016v3.0
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 D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T16:35:51-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420698265	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALLEN MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ALLE	BusinessNameControlTxt
Phone	3192353995	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1825 LOGAN AVE	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507031916	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CRAIG FLANAGAN	PersonNm
Person Title	VP CSO & CFO	PersonTitleTxt
Phone	3192353995	PhoneNum
Signature	2017-11-09	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	205.167.2.21	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-09	IPDt
IP Tm	16:40:45	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	95893219478B044609EA4554C7EC8C2F3ACB02D4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F6102040A11B9C892FC100660D3695AE32C2F61C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAMELA DELAGARDELLE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1825 LOGAN AVE	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507031916	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$260,023,787	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNITYPOINT.ORG/WATERLOO	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1938	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE THROUGH HEALING, CARING AND TEACHING.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2368	TotalEmployeeCnt
Total Volunteers	363	TotalVolunteersCnt
Total Gross UBI	$55,387	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,250,068	PYContributionsGrantsAmt
CY Contributions Grants	$4,017,747	CYContributionsGrantsAmt
PY Program Service Revenue	$225,206,615	PYProgramServiceRevenueAmt
CY Program Service Revenue	$233,005,521	CYProgramServiceRevenueAmt
PY Investment Income	$5,794,639	PYInvestmentIncomeAmt
CY Investment Income	$4,299,543	CYInvestmentIncomeAmt
PY Other Revenue	$1,822,050	PYOtherRevenueAmt
CY Other Revenue	$2,002,929	CYOtherRevenueAmt
PY Total Revenue	$235,073,372	PYTotalRevenueAmt
CY Total Revenue	$243,325,740	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,934,503	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,830,974	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$100,193,687	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$129,237,036	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$109,112,038	PYOtherExpensesAmt
CY Other Expenses	$115,682,344	CYOtherExpensesAmt
PY Total Expenses	$217,240,228	PYTotalExpensesAmt
CY Total Expenses	$261,750,354	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,833,144	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$18,424,614	CYRevenuesLessExpensesAmt
Total Assets BOY	$297,860,329	TotalAssetsBOYAmt
Total Assets EOY	$327,018,720	TotalAssetsEOYAmt
Total Liabilities BOY	$98,656,974	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$122,580,174	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$199,203,355	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$204,438,546	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF ALLEN MEMORIAL HOSPITAL CORPORATION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE THROUGH HEALING, CARING AND TEACHING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$205,659,357	ExpenseAmt
Grant	$13,517,597	GrantAmt
Revenue	$233,870,806	RevenueAmt
Desc	HEALTH-CARE SERVICES`ALLEN MEMORIAL HOSPITAL CORPORATION IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE GREATER CEDAR VALLEY COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH-CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. ALLEN MEMORIAL HOSPTIAL CORPORATION PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, WOUND CARE, 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, 2016, ALLEN MEMORIAL HOSPITAL CORPORATION ADMITTED 8,996 PATIENTS WITHOUT NEWBORNS AND NICU AND 9,912 PATIENTS WITH NEWBORNS AND NICU; RESULTING IN A TOTAL OF 34,040 PATIENT DAYS WITHOUT NEWBORNS AND NICU, AND 35,819 PATIENT DAYS WITH NEWBORNS AND NICU. OUTPATIENT VISITS TOTALED 235,722 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 10,338. THERE WERE ALSO 33,441 EMERGENCY ROOM VISITS AND 992 BABIES DELIVERED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$19,909,685	ExpenseAmt
Grant	$3,313,378	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHARITY CARE, MEANS-TESTED PROGRAMS AND OTHER COMMUNITY BENEFITSCHARITY CARE AND MEANS-TESTED PROGRAMS: ALLEN MEMORIAL HOSPITAL CORPORATION PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $1,541,404 IN 2016. OFTEN TIMES, ALLEN MEMORIAL HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. ALLEN MEMORIAL HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. ALLEN MEMORIAL HOSPITAL CORPORATION'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $9,525,840 FOR 2016. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $11,067,244.OTHER BENEFITS: ALLEN MEMORIAL HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. ALLEN MEMORIAL HOSPITAL CORPORATION COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. ALLEN MEMORIAL HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 6,211 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL OTHER BENEFITS REPORTED VALUE: $8,842,441.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$225,569,042	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2368	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CRAIG FLANAGAN VP CSO & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3192353995	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1825 LOGAN AVE	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50703	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 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
RUSSELL ADAMS MD
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$490,199	$42,524
STACEY BENTLEY
BOARD MEMBER	1.00	1.00	Yes (X)	$50	$0	$0
BOB BUCKLEY
BOARD MEMBER	1.00	1.00	Yes (X)	$125	$0	$0
KYLE CHRISTIASON MD
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$312,809	$57,046
DARREL COLSON
BOARD MEMBER	1.00	1.00	Yes (X)	$50	$0	$0
PAMELA DELAGARDELLE
BOARD MEMBER/PRESIDENT/CEO	40.00	1.00	Yes (X)	$596,581	$0	$129,495	Yes (X)
DANIEL GLASCOCK MD
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$358,869	$46,963
BETH HANSEN
BOARD CHAIR	1.00	1.00	Yes (X)	$50	$10,000	$0	Yes (X)
DAVE HAPPEL
BOARD TREASUER	1.00	1.00	Yes (X)	$1,245	$0	$0	Yes (X)
JOAN HEADINGTON
BOARD MEMBER	1.00	1.00	Yes (X)	$50	$0	$0
KATHY MCCOY
BOARD MEMBER	1.00	1.00	Yes (X)	$194	$0	$0
BEV SMITH
BOARD MEMBER	1.00	1.00	Yes (X)	$50	$0	$0
KALYANA SUNDARAM MD
BOARD VICE CHAIR	1.00	1.00	Yes (X)	$1,211	$1,560	$0	Yes (X)
SAILU TIMBO
BOARD MEMBER	1.00	1.00	Yes (X)	$1,132	$0	$0
JEAN TRAINOR
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
JOSEPH TRIP-RIEKS
BOARD SECRETARY	1.00	1.00	Yes (X)	$50	$0	$0	Yes (X)
BISHOP STEVE ULLESTAD
BOARD MEMBER	1.00	1.00	Yes (X)	$50	$0	$0
MIKE WILLIAMS
BOARD MEMBER	1.00	1.00	Yes (X)	$50	$27,156	$0
DAN CARPENTER
CFO	20.00	20.00		$0	$392,724	$80,626	Yes (X)
CHRISTOPHER CLAYTON
DIRECTOR - PHARMACY	20.00	20.00		$175,843	$0	$49,769		Yes (X)
JENNIFER FRIEDLY
VP CHIEF OPERATING OFFICER	40.00	0.00		$337,085	$0	$59,280		Yes (X)
MARY HAGEN
VP CHIEF NURSE EXECUTIVE	40.00	0.00		$293,102	$0	$46,631		Yes (X)
CHRISTOPHER HILL DO
PHYSICIAN-ER/PHYSICIAN DYAD LEADER	40.00	0.00		$346,861	$0	$20,272		Yes (X)
TIMOTHY HORRIGAN MD
PHYSICIAN/CQO	20.00	20.00		$0	$289,841	$38,364		Yes (X)
STEVEN SESTERHENN
VP HUMAN RESOURCES	40.00	0.00		$184,186	$0	$34,942		Yes (X)
JAMES WATERBURY
VP INSTITUTIONAL DEVELOP	40.00	0.00		$264,893	$0	$29,796		Yes (X)
WILLIAM FANGMAN MD
PHYSICIAN-ER	40.00	0.00		$395,622	$0	$28,182			Yes (X)
STACEY MARLOW FISHER MD
PHYSICIAN-ER	40.00	0.00		$513,154	$0	$48,529			Yes (X)
PAUL MCCAUGHEY MD
PHYSICIAN-ER	40.00	0.00		$504,087	$0	$34,788			Yes (X)
NIK NIKOUEIHA MD
PHYSICIAN-ER	40.00	0.00		$545,063	$0	$42,647			Yes (X)
JEFFREY WILKINS DO
PHYSICIAN-ER	40.00	0.00		$464,724	$0	$55,412			Yes (X)
RENEE RASMUSSEN TO 1214
FORMER SR VP FIN/CFO/COO	0.00	40.00		$0	$420,156	$126,407				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,625,508	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,303,314	TotReportableCompRltdOrgAmt
Total Other Compensation	$971,673	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	101	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LARSON CONSTRUCTION CO INC
600 17T ST SE	INDEPENDENCE	IA	50644	CONSTRUCTION SERVICES	$15,823,617
CEDAR VALLEY MEDICAL SPECIALISTS
PO BOX 2758	WATERLOO	IA	50704	MEDICAL SERVICES	$3,832,180
INTUITIVE SURGICAL INC
1020 KIFER ROAD	SUNNYVALE	CA	94086	MEDICAL EQUIPMENT	$1,901,450
NORTHEAST IOWA FAMILY PRACTICE
2055 KIMBALL AVE SUITE 101	WATERLOO	IA	50702	MEDICAL SERVICES	$1,615,505
OMNICELL INC
3661 BUR WOOD DR	WAUKEGAN	IL	60085	MANAGEMENT SERVICES	$1,261,534

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	61	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,016,835	RelatedOrganizationsAmt
Government Grants	$502,716	GovernmentGrantsAmt
All Other Contributions	$498,196	AllOtherContributionsAmt
Total Contributions	$4,017,747	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$171,744,686	$171,744,686
PHARMACY REVENUE	446110	$57,302,007	$57,283,072	$18,935
RENTAL INCOME	531120	$2,621,719	$2,615,084	$6,635
MANAGEMENT, IT AND SUPPORT SVCS	561000	$840,833	$811,016	$29,817
MISCELLANEOUS REVENUE	900099	$370,723	$370,723

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$125,553	TotalRevenueColumnAmt
Related Or Exempt Func Income	$125,553	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$233,005,521	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,485,748	TotalRevenueColumnAmt
Related Or Exempt Func Income	$668	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,485,080	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$17,160,654	SecuritiesAmt
Other	$1,160,376	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,328,931	SecuritiesAmt
Other	$1,178,304	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,831,723	SecuritiesAmt
Other	-$17,928	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,813,795	TotalRevenueColumnAmt
Exclusion	$1,813,795	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$67,157	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$52,262	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,895	TotalRevenueColumnAmt
Exclusion	$14,895	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$174,222	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$138,550	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,672	TotalRevenueColumnAmt
Exclusion	$35,672	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/FOOD SVCS	722210	$1,087,745	$1,087,745
MISCELLANEOUS REVENUE	900099	$864,617		$864,617

Field	Value	IRS element (for citing)
Other Revenue Total	$1,952,362	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$243,325,740	TotalRevenueColumnAmt
Related Or Exempt Func Income	$233,815,419	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$55,387	UnrelatedBusinessRevenueAmt
Exclusion	$5,437,187	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$16,830,423	TotalAmt
Program Services	$16,830,423	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$551	TotalAmt
Program Services	$551	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,571,816	TotalAmt
Management And General	$2,571,816	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$87,376,075	TotalAmt
Program Services	$75,153,499	ProgramServicesAmt
Management And General	$12,222,576	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$21,739,299	TotalAmt
Program Services	$18,698,304	ProgramServicesAmt
Management And General	$3,040,995	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,161,123	TotalAmt
Program Services	$10,459,968	ProgramServicesAmt
Management And General	$1,701,155	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,388,723	TotalAmt
Program Services	$4,669,623	ProgramServicesAmt
Management And General	$719,100	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$20,819,967	TotalAmt
Program Services	$11,675,948	ProgramServicesAmt
Management And General	$9,144,019	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$972,330	TotalAmt
Program Services	$149	ProgramServicesAmt
Management And General	$972,181	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$896,405	TotalAmt
Program Services	$365,656	ProgramServicesAmt
Management And General	$530,749	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,110,013	TotalAmt
Program Services	$11,220,333	ProgramServicesAmt
Management And General	$3,889,680	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$559,323	TotalAmt
Program Services	$343,574	ProgramServicesAmt
Management And General	$215,749	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,391,355	TotalAmt
Program Services	$3,097,453	ProgramServicesAmt
Management And General	$293,902	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	-$861,595	TotalAmt
Program Services	-$861,595	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,647,381	TotalAmt
Program Services	$5,174,239	ProgramServicesAmt
Management And General	$473,142	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$263,158	TotalAmt
Program Services	$122,172	ProgramServicesAmt
Management And General	$140,986	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$85,825	TotalAmt
Program Services	$53,552	ProgramServicesAmt
Management And General	$32,273	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,462,339	TotalAmt
Program Services	$3,462,339	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,495,472	TotalAmt
Program Services	$13,379,645	ProgramServicesAmt
Management And General	$115,827	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$775,563	TotalAmt
Program Services	$765,335	ProgramServicesAmt
Management And General	$10,228	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$50,929,055	$50,878,341	$50,714
MISCELLANEOUS EXPENSE	$134,857	$79,533	$55,324
BAD DEBT EXPENSE	$851		$851
SALES/USE TAXES	$45		$45

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$261,750,354	TotalAmt
Program Services	$225,569,042	ProgramServicesAmt
Management And General	$36,181,312	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,690,104	BOYAmt
EOY	$9,915,979	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,786,227	BOYAmt
EOY	$849,856	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,744,603	BOYAmt
EOY	$32,543,410	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$8,734,037	BOYAmt
EOY	$5,087,778	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,407,426	BOYAmt
EOY	$6,348,747	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$969,237	BOYAmt
EOY	$2,988,344	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$287,068,462	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$158,208,854	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$108,787,086	BOYAmt
EOY	$128,859,608	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$116,509,574	BOYAmt
EOY	$129,032,836	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,639	BOYAmt
EOY	$4,639	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,182,762	BOYAmt
EOY	$7,558,397	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,702,771	BOYAmt
EOY	$2,711,104	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,341,863	BOYAmt
EOY	$1,118,022	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$297,860,329	BOYAmt
EOY	$327,018,720	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,118,526	BOYAmt
EOY	$22,471,897	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,258	BOYAmt
EOY	$8,395	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,489,059	BOYAmt
EOY	$1,846,900	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,039,131	BOYAmt
EOY	$98,252,982	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,656,974	BOYAmt
EOY	$122,580,174	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$194,368,296	BOYAmt
EOY	$198,240,812	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,412,335	BOYAmt
EOY	$3,782,546	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,422,724	BOYAmt
EOY	$2,415,188	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$199,203,355	BOYAmt
EOY	$204,438,546	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$297,860,329	BOYAmt
EOY	$327,018,720	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$18,424,614	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,244,228	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$16,415,577	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$120,193,040	BeginningYearBalanceAmt
Contributions	$2,200,699	ContributionsAmt
Investment Earnings Or Losses	$10,363,690	InvestmentEarningsOrLossesAmt
Administrative Expenses	$348,061	AdministrativeExpensesAmt
End Year Balance	$132,409,368	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$119,266,226	BeginningYearBalanceAmt
Contributions	$214,681	ContributionsAmt
Investment Earnings Or Losses	$985,479	InvestmentEarningsOrLossesAmt
Administrative Expenses	$273,346	AdministrativeExpensesAmt
End Year Balance	$120,193,040	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,695,899	BeginningYearBalanceAmt
Contributions	$34	ContributionsAmt
Investment Earnings Or Losses	$7,737,320	InvestmentEarningsOrLossesAmt
Administrative Expenses	$167,027	AdministrativeExpensesAmt
End Year Balance	$119,266,226	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$98,883,337	BeginningYearBalanceAmt
Contributions	$653,744	ContributionsAmt
Investment Earnings Or Losses	$13,006,912	InvestmentEarningsOrLossesAmt
Other Expenditures	$598,208	OtherExpendituresAmt
Administrative Expenses	$249,886	AdministrativeExpensesAmt
End Year Balance	$111,695,899	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$84,637,772	BeginningYearBalanceAmt
Contributions	$6,969,458	ContributionsAmt
Investment Earnings Or Losses	$10,300,929	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,841,422	OtherExpendituresAmt
Administrative Expenses	$183,400	AdministrativeExpensesAmt
End Year Balance	$98,883,337	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.95320	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.01820	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.02860	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,385,595	OtherCostOrOtherBasisAmt
Book Value	$4,385,595	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$163,446,678	OtherCostOrOtherBasisAmt
Depreciation	$80,777,023	DepreciationAmt
Book Value	$82,669,655	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,595,194	OtherCostOrOtherBasisAmt
Depreciation	$2,595,194	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$102,274,700	OtherCostOrOtherBasisAmt
Depreciation	$68,936,046	DepreciationAmt
Book Value	$33,338,654	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,366,295	OtherCostOrOtherBasisAmt
Depreciation	$5,900,591	DepreciationAmt
Book Value	$8,465,704	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$128,859,608	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ASBESTOS REMOVAL LIABILITY	$5,841,147
DUE TO AFFILIATES	$84,956,883
LONG-TERM RETENTION INCENTIVES	$1,712,763
SELF-INSURANCE RESERVE	$2,884,264
HEALTH AND WELFARE BENEFITS RESERVE	$1,220,963
DEFINED BENEFIT RETIREMENT PLAN LIABILITY	$1,337,266
MISCELLANEOUS LIABILITY	$299,696

Field	Value	IRS element (for citing)
Total Liability	$98,252,982	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$247,684,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$7,244,228	NetUnrealizedGainsInvstAmt
Other Revenue	$190,892	OtherRevenueAmt
Revenue Not Reported	$7,435,120	RevenueNotReportedAmt
Revenue Subtotal	$240,248,880	RevenueSubtotalAmt
Investment Expenses Not Incld	$348,061	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$2,728,799	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,076,860	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$243,325,740	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$243,299,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$191,343	OtherExpensesIncludedAmt
Expenses Not Reported	$191,343	ExpensesNotReportedAmt
Expenses Subtotal	$243,107,657	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$348,061	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$18,294,636	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$18,642,697	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$261,750,354	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2013. 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:	SPECIAL EVENT EXPENSES 52,262. COST OF GOODS SOLD 138,550. ROUNDING 80.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	REVENUES IN UNRESTRICTED FUND BALANCE 1,910,662. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 1,000. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 817,137.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SPECIAL EVENT EXPENSES 52,262. COST OF GOODS SOLD 138,550. ROUNDING 531.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES IN UNRESTRICTED FUND BALANCE 17,477,499. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 817,137.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SCRUB SALES	Event1Nm
Gross Receipts Event1	$31,041	GrossReceiptsEvent1Amt
Gross Revenue Event1	$31,041	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$23,391	OtherDirectExpensesEvent1Amt
Event2	JEWELRY SALES	Event2Nm
Gross Receipts Event2	$9,689	GrossReceiptsEvent2Amt
Gross Revenue Event2	$9,689	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$9,126	OtherDirectExpensesEvent2Amt
Other Events Total	7	OtherEventsTotalCnt
Gross Receipts Other Events	$26,427	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$26,427	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$19,745	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$67,157	GrossReceiptsTotalAmt
Gross Revenue Total Events	$67,157	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$52,262	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$52,262	DirectExpenseSummaryEventsAmt
Net Income Summary	$14,895	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,541,404	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,541,404	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,726,807	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,200,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,525,840	NetCommunityBenefitExpnsAmt
Total Expense	0.03640	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,268,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,200,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,067,244	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,312,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$760,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$552,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$284,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$337,801	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,675,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,508,826	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,166,951	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,101,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,978,827	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,123,052	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,374,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,585,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,842,441	NetCommunityBenefitExpnsAmt
Total Expense	0.03380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,643,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,786,929	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,909,685	NetCommunityBenefitExpnsAmt
Total Expense	0.07610	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,242	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,242	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$654,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$426,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$228,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$163,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$163,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$833,963	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$426,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$407,713	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,962,301	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$46,449,843	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,118,136	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,331,707	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MANAGE ORTHOPEDIC SERVICE LINES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.20000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.80000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	ALLEN MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1825 LOGAN AVENUE	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50703	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.UNITYPOINT.ORG/WATERLOO	WebsiteAddressTxt
State License	070034H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ALLEN MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.UNITYPOINT.ORG/WATERLOO/FINANCES	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.UNITYPOINT.ORG/WATERLOO/FINANCES	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.UNITYPOINT.ORG/WATERLOO/FINANCES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.UNITYPOINT.ORG/WATERLOO/FINANCES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.UNITYPOINT.ORG/WATERLOO/FINANCES	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
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ALLEN MEMORIAL HOSPITAL CORPORATION	PART V, SECTION B, LINE 5: DATA AND OTHER INFORMATION USED IN THE 2017-2019 ASSESSMENT ARE DRAWN FROM INTERVIEWS, FOCUS GROUPS, THE COMMUNITY INTERVIEWS SURVEY, THE COMMUNITY ONLINE SURVEY, EXTERNAL COMMUNITY HEALTH NEEDS SURVEYS FROM THE DEFINED SURVEY AREA, AND EXTERNAL RESOURCES INCLUDING NEWSPAPERS, ONLINE SOURCES, MEETING NOTES, TELEVISION, WHITE PAPERS AND REPORTS.THE CORE OF THE COMMUNITY INTERVIEW SURVEY IS DATA GATHERED DURING 24 INTERVIEWS AND FOCUS GROUPS WITH LEADERS OF ORGANIZATIONS PROVIDING SOCIAL SERVICES, EDUCATION, PHILANTHROPY AND HEALTHCARE TO THE CEDAR VALLEY. INTERVIEWS WERE MADE FACE-TO-FACE ON SITE WITH EACH ORGANIZATION'S LEADER OR LEADERSHIP TEAM. INTERVIEWERS FRAMED THE SESSIONS WITH STANDARD QUESTIONS FOR CONTINUITY AND ENCOURAGED PARTICIPANTS TO OFFER THEIR OWN QUESTIONS, ANSWERS AND RECOMMENDATIONS. PARTICIPANTS IN EACH MEETING DEFINED AND PRIORITIZED COMMUNITY HEALTH NEEDS WITHOUT PROMPTING OR SUGGESTION. INTERVIEWS WERE CONDUCTED FROM DECEMBER 2015 - SEPTEMBER 2016 IN SESSIONS LASTING 60-90 MINUTES. SURVEY PARTICIPANTS REPRESENT THE INTERESTS OF AFRICAN AMERICAN, HISPANIC, BOSNIAN, ASIAN, INDIAN, BURMESE, AMERICAN INDIAN AND CONGOLESE POPULATIONS LIVING IN THE SURVEY AREA, PREDOMINATELY IN BLACK HAWK COUNTY. THEY ALSO REPRESENT THE INTERESTS AND SERVE RESIDENTS LIVING IN POVERTY; WOMEN AND CHILDREN; WOMEN AND CHILDREN AT RISK; PRE-SCHOOL CHILDREN; ADULTS 65+; THE DISABLED; THE UNDEREMPLOYED AND UNEMPLOYED; THE MEDICALLY-UNDERSERVED AND UNSERVED; RESIDENTS SUFFERING FROM MENTAL HEALTH AND/OR ADDICTION; RESIDENTS LIVING WITH FOOD INSECURITY; ENGLISH LANGUAGE LEARNERS AND THE LGBT COMMUNITIES. COMMUNITY SURVEY PARTICIPANTS WERE RECRUITED SPECIFICALLY FOR THEIR KNOWLEDGE AND RECORD OF SUCCESSFUL SERVICE TO ONE OR MORE MEDICALLY-UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THEY INCLUDE ALLEN CHILD PROTECTION CENTER; ALLEN COLLEGE ENGAGEMENT-SALVATION ARMY PARTNERSHIP FREE CLINIC; ALLEN WOMEN'S HEALTH CENTER; BIG BROTHERS BIG SISTERS OF NORTHEAST IOWA; BLACK HAWK COUNTY GAMING ASSOCIATION; BLACK HAWK-GRUNDY MENTAL HEALTH CENTER; CEDAR VALLEY FRIENDS OF THE FAMILY; CEDAR VALLEY'S PROMISE; CEDAR VALLEY UNITED WAY; COVENANT MIDWIVES AND WOMEN'S HEALTH CENTER; FAMILY AND CHILDREN'S COUNCIL; GUERNSEY CHARITABLE FOUNDATION; HAWKEYE COMMUNITY COLLEGE; HEALTHY CEDAR VALLEY COALITION; I-HOPE FREE CLINIC; KWWL-TV FOCUS GROUPS 1 AND 2; R.J. MCELROY TRUST; NORTHEAST IOWA FOOD BANK; SALVATION ARMY; SUCCESS LINK INC.; UNIVERSITY OF NORTHERN IOWA; WATERLOO COMMUNITY SCHOOLS; YWCA OF BLACK HAWK COUNTY.EXTERNAL RESOURCES FOR THIS REPORT ALSO INCLUDE 45 NEWSPAPER ARTICLES, 50 ONLINE ARTICLES, 2 TELEVISION REPORT TRANSCRIPTS AND 23 WHITE PAPERS AND REPORTS.THE ASSESSMENT ALSO INCLUDES RESULTS OF THE COMMUNITY ONLINE SURVEY CONDUCTED DECEMBER 1 - DECEMBER 20, 2015. THE SURVEY WAS SPONSORED AND IMPLEMENTED BY THE BLACK HAWK COUNTY HEALTH DEPARTMENT, UNITYPOINT HEALTH - WATERLOO (ALLEN HOSPITAL) AND WHEATON FRANCISCAN HEALTHCARE - IOWA (COVENANT MEDICAL CENTER AND SARTORI MEMORIAL HOSPITAL. THE ONLINE SURVEY DREW RESPONSES FROM 617 CEDAR VALLEY RESIDENTS, WHO INDIVIDUALLY IDENTIFIED AND PRIORITIZED COMMUNITY HEALTH NEEDS. RESULTS WERE COLLATED, TRANSCRIBED AND TABULATED FOR THIS REPORT.
ALLEN MEMORIAL HOSPITAL CORPORATION	PART V, SECTION B, LINE 6A: WHEATON FRANCISCAN HEALTHCARE-COVENANT MEDICAL CENTER & SATORI MEMORIAL HOSPITAL
ALLEN MEMORIAL HOSPITAL CORPORATION	PART V, SECTION B, LINE 6B: BLACK HAWK COUNTY DEPARTMENT OF HEALTH,
ALLEN MEMORIAL HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: THE 2017-2019 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED EIGHT HEALTH NEEDS. SURVEY PARTICIPANTS RANKED THEM IN THIS PRIORITY: MENTAL HEALTH ACCESS AND SERVICES; HEALTHCARE ACCESS AND TRANSPORTATION; WOMEN AND CHILDREN'S HEALTH; NUTRITION, OBESITY AND WELLNESS; CHILD ABUSE AND NEGLECT; HEALTHCARE INSURANCE AND FINANCE; IMPROVING HIGH SCHOOL GRADUATION RATES IN WATERLOO; REDUCING TEEN GUN VIOLENCE IN WATERLOO.THE ALLEN HOSPITAL BOARD OF DIRECTORS DISCUSSED EIGHT COMMUNITY HEALTH NEEDS AT THE MARCH 28, 2017 BOARD MEETING. DIRECTORS THEN CAST INDIVIDUAL VOTES TO DECIDE WHICH THREE NEEDS TO PRIORITIZE IN THE 2017-2019 COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN.MENTAL HEALTH ACCESS AND SERVICES AND WOMEN'S AND CHILDREN'S HEALTH RANKED FIRST AND SECOND, WHILE NUTRITION, OBESITY AND WELLNESS RANKED THIRD.THE ALLEN HOSPITAL BOARD OF DIRECTORS DISCUSSED 29 POSSIBLE INITIATIVES TO ADDRESS THEIR COMMUNITY HEALTH NEEDS PRIORITIES AT ITS APRIL 25, 2017 BOARD MEETING. DIRECTORS THEN CAST INDIVIDUAL VOTES TO DECIDE WHICH 10 INITIATIVES TO CONTINUE OR ADOPT THROUGH JUNE 2018. REMAINING COMMUNITY HEALTH NEEDS WILL BE RECONSIDERED IN 2018 AND 2019. IN ORDER OF SUPPORT, THE 2017-2018 INITIATIVES INCLUDE::MENTAL HEALTH: SUPPORT ALLEN COLLEGE INITIATIVES TO PREPARE MORE PROVIDERS; ESTABLISH OPEN-ACCESS SCHEDULING AT BLACK HAWK GRUNDY MENTAL HEALTH CENTER; INTEGRATE SOCIAL WORKERS INTO FAMILY MEDICINE CLINICS; EXPAND TELEHEALTH CARE; EXPAND THERAPISTS AND THERAPY PROGRAMS IN METROPOLITAN SCHOOLS; JOINS BLACK HAWK COUNTY STEPPING UP INITIATIVE TO KEEP MENTAL HEALTH PATIENTS OUT OF JAIL; WORK WITH SALVATION ARMY AND LOCAL LAW ENFORCEMENT TO SLOW THE REVOLVING DOOR FOR MENTAL HEALTH PATIENTS.WOMEN AND CHILDREN'S HEALTH: ALIGN ALLEN WOMEN'S HEALTH, OB AND NICU TO CARE FOR MORE HIGH-RISK PREGNANCIES; PLACE CASE WORKERS WITH SUCCESS STREET IN METROPOLITAN SCHOOLS.NUTRITION, OBESITY, WELLNESS: STRENGTHEN STRATEGIC PARTNERSHIPS WITH EXISTING AGENCIES ADDRESSING THESE CONCERNS TO COLLABORATE RATHER THAN COMPETE; DEVELOP UPH-ALLEN HOSPITAL PHYSICIAN FORUMS WITH AREA CONGREGATIONS TO PROVIDE HEALTH EDUCATION.
ALLEN MEMORIAL HOSPITAL CORPORATION	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

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ALLEN CHILD PROTECTION CENTER
212 W DALE ST SUITE 102	WATERLOO	IA	50703	OUTPATIENT ONLY - CHILD PROTECTION
2 - ALLEN OCCUPATIONAL HEALTH SERVICES
1825 LOGAN AVENUE	WATERLOO	IA	50703	OUTPATIENT ONLY - OCCUPATIONAL HEALTH
3 - ALLEN WOMEN'S HEALTH CENTER
233 VOLD STREET	WATERLOO	IA	50703	OUTPATIENT ONLY - WOMEN'S HEALTH CENTER
4 - ALLEN WOMEN'S HEALTH CENTER
1600 1ST STREET E	INDEPENDENCE	IA	50644	OUTPATIENT ONLY - WOMEN'S HEALTH CENTER
5 - CENTER FOR UROLOGY
1717 W RIDGEWAY AVE	WATERLOO	IA	50701	OUTPATIENT ONLY - UROLOGY
6 - PMP OCCUPATIONAL HEALTH
4612 PRAIRIE PARKWAY SUITE 102	CEDAR FALLS	IA	50613	OUTPATIENT ONLY - OCCUPATIONAL HEALTH
7 - CEDAR VALLEY COMMUNITY HEALTHCARE LLC
999 HOME PLAZA SUITE 210B	WATERLOO	IA	50701	REGIONAL HEALTH INSURANCE POOL

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	ALLEN MEMORIAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES.
PART I, LINE 7:	A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. THE HOSPITAL CONTRIBUTES FINANCIALLY TO A WIDE VARIETY OF COMMUNITY ORGANIZATIONS THAT ADDRESS THE BROADER NEEDS OF THE COMMUNITY. THESE DONATIONS ALLOW OTHER NON-PROFIT ORGANIZATIONS TO FULFILL THEIR MISSIONS TO IMPROVE THE WELL BEING OF THE COMMUNITY AND CONTRIBUTE TO ITS OVERALL HEALTH STATUS IN WAYS THAT MAY DIFFER FROM THE DIRECT SERVICES OF THE HOSPITAL ORGANIZATION AND MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. THE HOSPITAL EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, THE HOSPITAL EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COLLABORATE TO ADDRESS COMPLEX HEALTH ISSUES. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH.
PART III, LINE 4:	THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR ALLEN MEMORIAL 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 SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B:	AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY.
PART VI, LINE 2:	ALLEN MEMORIAL HOSPITAL CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN WATERLOO, IOWA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. SPECIFICALLY, ALLEN MEMORIAL HOSPITAL IS A SPONSORING PARTNER OF THE COMMUNITY HEALTH ADVISORY BOARD, WHICH IS A COMMUNITY COLLABORATIVE CONVENED BY ALLEN HOSPITAL TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF BLACK HAWK COUNTY. THROUGH A PLANNED AND ORGANIZED EFFORT, THE COMMUNITY HEALTH ADVISORY BOARD DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES THAT ARE RELEVANT TO THE COMMUNITY. THE COMMUNITY HEALTH ADVISORY BOARD WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES THROUGH LEVERAGING THE RESOURCES OF THE COMMUNITY. ALLEN MEMORIAL HOSPITAL, AS A SPONSORING AGENCY, ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. THE COMMUNITY HEALTH ADVISORY BOARD CONVENES EIGHT MEETINGS ANNUALLY TO SEEK PUBLIC INPUT ON HEALTH INITIATIVES. ALLEN HOSPITAL IS ALSO A SPONSORING PARTNER IN TOGETHER FOR YOUTH. THIS COLLABORATIVE ALSO COMPLETES A COMMUNITY HEALTH ASSESSMENT. FROM THIS, PRIORITIES AND STRATEGIES HAVE BEEN IDENTIFIED. ALLEN HOSPITAL HAS ACTIVELY ENGAGED IN ADDRESSING AND MONITORING HEALTH ISSUES AND NEEDS AS A RESULT OF THIS PROCESS. ALLEN HOSPITAL ALSO PARTICIPATES AS PART OF THE UNITED WAY OF THE CEDAR VALLEY. THIS GROUP ACTIVELY ADDRESSES NEED AND STRATEGIES ASSOCIATED WITH HEALTH. MORE SPECIFICALLY, THIS GROUP OFTEN FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE COMMUNITY HEALTH STATUS. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR ALLEN HOSPITAL TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, ALLEN HOSPITAL CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS OFTEN WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATION THEY IMPACT.
PART VI, LINE 3:	THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL.
PART VI, LINE 4:	ALLEN MEMORIAL HOSPITAL IS A 201-BED COMMUNITY HOSPITAL SERVING THE CEDAR VALLEY OF IOWA. ALLEN MEMORIAL HOSPITAL IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF ALLEN MEMORIAL HOSPITAL'S MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF BLACK HAWK, BREMER, BUCHANAN, FAYETTE, TAMA AND BUTLER. ALLEN MEMORIAL HOSPITAL ADMITS APPROXIMATELY 10,700 INPATIENTS AND CARES FOR 33,500 EMERGENCY PATIENTS PER YEAR. ALLEN MEMORIAL HOSPITAL CARES FOR MORE INPATIENTS, OUTPATIENTS, EMERGENCY PATIENTS AND CARDIAC PATIENTS THAN ANY OTHER HOSPITAL IN THE CEDAR VALLEY OF IOWA. THERE ARE 5 OTHER HOSPITALS WITHIN THE 6-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $44,928 TO $62,163 AND THE AVERAGE POVERTY RATE IS 11.1%. 64.4% OF ALLEN MEMORIAL HOSPITAL INPATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. BLACK HAWK COUNTY, THE ONLY COUNTY IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATION, IS 86% CAUCASIAN AMERICAN AND BOSNIAN, 9% AFRICAN-AMERICAN, 4% HISPANIC AND 1% ALL OTHER MINORITY POPULATIONS.
PART VI, LINE 5:	THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD OF DIRECTORS OF THE HOSPITAL IS COMPOSED OF CIVIC LEADERS WHO RESIDE IN THE SERVICE AREA OF THE HOSPITAL. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO THE DIRECT OPERATIONS OF THE HOSPITAL. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF HOSPITAL SURPLUS FUNDS, WHICH ARE ALL USED TO FURTHER OUR CHARITABLE PURPOSE.
PART VI, LINE 6:	THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THROUGH RELATIONSHIPS WITH 33 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 400 OUTPATIENT SITES, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERM ILLINOIS, AND SOUTHERN WISCONSIN.UNITYPOINT HEALTH ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH MORE THAN 31,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 5.9 MILLION PATIENT VISITS, UNITYPOINT HEALTH HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $4.1 BILLION, UNITYPOINT HEALTH IS THE FOURTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES THROUGHOUT IOWA, AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THE STATE. IN 2016, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $519 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$7,500	PROGRAM SUPPORT
IOWA HEALTH SYSTEM
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421435199	501(C)(3)	$15,939,650	PROGRAM SUPPORT
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
1825 LOGAN AVE	WATERLOO	IA	50703	421201138	501(C)(3)	$872,535	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALLEN MEMORIAL HOSPITAL CORPORATION MONITORS THE USE OF GRANT FUNDS ACCORDING TO THE STANDARD FINANCIAL POLICIES OF THE ORGANIZATION AND AS REQUIRED BY THE GRANT OR GRANTOR. THE POLICIES AND PROTOCOLS OF THE FUNDING SOURCE ARE ENFORCED AND MONITORED BY THE ORGANIZATION AND REPORTED AS REQUIRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RUSSELL ADAMS MD
BOARD MEMBER	$0	$465,860	$0	$21,250	$0	$3,089	$0	$28,070	$0	$14,454	$0	$532,723	$0	$0
KYLE CHRISTIASON MD
BOARD MEMBER	$0	$279,932	$0	$29,701	$0	$3,176	$0	$29,129	$0	$27,917	$0	$369,855	$0	$0
PAMELA DELAGARDELLE
BOARD MEMBER/PRESIDENT/CEO	$461,778	$0	$89,473	$0	$45,330	$0	$107,958	$0	$21,537	$0	$726,076	$0	$0	$0
DANIEL GLASCOCK MD
BOARD MEMBER	$0	$304,343	$0	$47,251	$0	$7,275	$0	$20,011	$0	$26,952	$0	$405,832	$0	$0
DAN CARPENTER
CFO	$0	$298,382	$0	$61,877	$0	$32,465	$0	$53,562	$0	$27,064	$0	$473,350	$0	$0
CHRISTOPHER CLAYTON
DIRECTOR - PHARMACY	$155,216	$0	$14,488	$0	$6,139	$0	$19,011	$0	$30,758	$0	$225,612	$0	$0	$0
JENNIFER FRIEDLY
VP CHIEF OPERATING OFFICER	$278,420	$0	$42,427	$0	$16,238	$0	$45,878	$0	$13,402	$0	$396,365	$0	$0	$0
MARY HAGEN
VP CHIEF NURSE EXECUTIVE	$236,146	$0	$38,293	$0	$18,663	$0	$40,049	$0	$6,582	$0	$339,733	$0	$0	$0
CHRISTOPHER HILL DO
PHYSICIAN-ER/PHYSICIAN DYAD LEADER	$337,489	$0	$8,975	$0	$397	$0	$12,283	$0	$7,989	$0	$367,133	$0	$0	$0
TIMOTHY HORRIGAN MD
PHYSICIAN/CQO	$0	$256,144	$0	$31,722	$0	$1,975	$0	$13,786	$0	$24,578	$0	$328,205	$0	$0
STEVEN SESTERHENN
VP HUMAN RESOURCES	$157,102	$0	$26,272	$0	$812	$0	$13,229	$0	$21,713	$0	$219,128	$0	$0	$0
JAMES WATERBURY
VP INSTITUTIONAL DEVELOP	$207,419	$0	$38,804	$0	$18,670	$0	$16,347	$0	$13,449	$0	$294,689	$0	$0	$0
WILLIAM FANGMAN MD
PHYSICIAN-ER	$380,058	$0	$250	$0	$15,314	$0	$18,550	$0	$9,632	$0	$423,804	$0	$0	$0
STACEY MARLOW FISHER MD
PHYSICIAN-ER	$482,669	$0	$250	$0	$30,235	$0	$22,067	$0	$26,462	$0	$561,683	$0	$0	$0
PAUL MCCAUGHEY MD
PHYSICIAN-ER	$496,773	$0	$5,250	$0	$2,064	$0	$10,401	$0	$24,387	$0	$538,875	$0	$0	$0
NIK NIKOUEIHA MD
PHYSICIAN-ER	$508,584	$0	$15,325	$0	$21,154	$0	$20,967	$0	$21,680	$0	$587,710	$0	$0	$0
JEFFREY WILKINS DO
PHYSICIAN-ER	$463,834	$0	$500	$0	$390	$0	$28,680	$0	$26,732	$0	$520,136	$0	$0	$0
RENEE RASMUSSEN TO 1214
FORMER SR VP FIN/CFO/COO	$0	$326,546	$0	$59,672	$0	$33,938	$0	$100,536	$0	$25,871	$0	$546,563	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: IF AN INDIVIDUAL IS PROVIDED SOMETHING FROM THE EMPLOYER OF VALUE, SUCH AS A PAID BENEFIT, GIFT CARD OR GIFT, WHICH IS CONSIDERED TAXABLE INCOME, THEN THE EMPLOYER WILL ADD IMPUTED AMOUNTS TO PAYCHECK IN ORDER TO TAX APPROPRIATELY.
PART I, LINE 4B	NONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: RUSSELL ADAMS $14,820; DAN CARPENTER $32,362; KYLE CHRISTIASON $10,579; PAMELA DELAGARDELLE $81,648; JENNIFER FRIEDLY $32,631; MARY HAGEN $26,799; DANIEL GLASCOCK $6,761; TIMOTHY HORRIGAN $8,281; RENEE RASMUSSEN $64,023.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARY ADAMS
FAMILY MEMBER OF BOARD MEMBER RUSSELL ADAMS, MD	$40,942	EMPLOYMENT	0
JENNIFER CHRISTIASON
FAMILY MEMBER OF BOARD MEMBER KYLE CHRISTIASON	$18,726	EMPLOYMENT	0
ABIGAIL DELAGARDELLE
FAMILY MEMBER OF OFFICER PAMELA DELGARDELLE	$10,554	EMPLOYMENT	0
ANN HORRIGAN
FAMILY MEMBER OF KEY EMPLOYEE TIMOTHY HORRIGAN, MD	$40,845	EMPLOYMENT	0
DIANE HORRIGAN
FAMILY MEMBER OF KEY EMPLOYEE TIMOTHY HORRIGAN, MD	$43,722	EMPLOYMENT	0
JOSEPH HORRIGAN
FAMILY MEMBER OF KEY EMPLOYEE TIMOTHY HORRIGAN, MD	$56,122	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINES 1A & 1B	CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL UNITYPOINT HEALTH SYSTEM RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 2	STACEY BENTLEY; ROBERT BUCKLEY; BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	ALLEN HEALTH SYSTEMS, INC., A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER, ALLEN HEALTH SYSTEMS, INC., HAS THE POWER TO NOMINATE AND APPOINT BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER, ALLEN HEALTH SYSTEMS, INC., HAS THE POWER TO APPROVE CHANGES IN ARTICLES AND BYLAWS, DISSOLUTIONS OR MERGER, AND APPOINT BOARD OF DIRECTORS. IN ADDITION, THE EXECUTIVE COMMITTEE WILL BE THE SAME AS ALLEN HEALTH SYSTEMS, INC.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS ANNUAL 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 APPROXIMATELY THE TOP FIFTY 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 ANNUAL REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2016 FOR THE FOLLOWING INDIVIDUALS: PAMELA DELAGARDELLE. 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 OF MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1,361,675. CHANGES IN PENSION LIABILITY -3,672,081. TERMINATION OF ALLEN HEALTH SYSTEM FROZEN RETIREMENT INCOME PLAN (#002) 18,725,983.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHMA HOLDINGS LC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 EAST COURT AVENUE	AddressLine1Txt
City	DES MOINES	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50309	ZIPCd

Field	Value	IRS element (for citing)
EIN	811643322	EIN
Primary Activities	INVESTMENT	PrimaryActivitiesTxt
Legal Domicile State	IA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ALLEN MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (56 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
ALLEN COLLEGE
1825 LOGAN AVENUE	WATERLOO	IA	50703	421351526	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IA	501(C)(3)	170(B)(1) (A)(II)	ALLEN HEALTH SYSTEMS INC	0
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUE	WATERLOO	IA	50703	421201924	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUE	WATERLOO	IA	50703	420698265	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ALLEN HEALTH SYSTEMS INC	0
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVE	ANAMOSA	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
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 II	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
FINLEY TRI-STATES HEALTH GROUP INC
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	421307495	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER
3820 HILLSIDE DRIVE	CEDAR FALLS	IA	50613	421372380	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC	0
HULT CENTER FOR HEALTHY LIVING INC
5409 N KNOXVILLE AVE	PEORIA	IL	61614	363510390	HEALTH EDUCATION TO THE COMMUNITY	IL	501(C)(3)	170(B)(1) (A)(VI)	PROCTOR HOSPITAL	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
8101 BIRCHWOOD COURT	JOHNSTON	IA	50131	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 II	IOWA HEALTH SYSTEM	0
MERITER HOSPITAL INC
202 SOUTH PARK STREET	MADISON	WI	53715	390806367	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	MERITER HEALTH SERVICES INC	0
MERITER MEDICAL GROUP INC
202 SOUTH PARK STREET	MADISON	WI	53715	050545222	SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES	WI	501(C)(3)	509(A)(3), TYPE II	MERITER HOSPITAL INC	0
METHODIST HEALTH SERVICES CORPORATION
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	371111135	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM	0
METHODIST MEDICAL CENTER FOUNDATION
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	510186460	CHARITABLE FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	METHODIST HEALTH SERVICES CORPORATION	0
METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	370661223	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	METHODIST HEALTH SERVICES CORPORATION	0
METHODIST SERVICES INC
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	371111134	OFFICE RENTAL	IL	501(C)(3)	509(A)(2)	METHODIST HEALTH SERVICES CORPORATION	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	0
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
PROCTOR HEALTH CARE INCORPORATED
5409 N KNOXVILLE AVE	PEORIA	IL	61614	371133412	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(III)	METHODIST HEALTH SERVICES CORPORATION	0
PROCTOR HEALTH SYSTEMS
5409 N KNOXVILLE AVE	PEORIA	IL	61614	364147437	PRIMARY HEALTH CARE SERVICES	IL	501(C)(3)	170(B)(1) (A)(III)	PROCTOR HEALTH CARE INCORPORATED	0
PROCTOR HOSPITAL
5409 N KNOXVILLE AVE	PEORIA	IL	61614	370681540	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	PROCTOR HEALTH CARE INCORPORATED	0
SELF INSURANCE TRUST AGREEMENT EST BY METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	376181831	FUND SELF-INSURANCE PLAN	IL	501(C)(3)	509(A)(3), TYPE I	METHODIST MEDICAL CENER OF ILLINOIS	0
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
1104 JOHN NOLEN DRIVE	MADISON	WI	53713	391534744	MEDICAL TECHNOLOGY	WI	501(C)(3)	509(A)(3), TYPE I		0
SIOUXLAND PACE INC
313 COOK STREET	SIOUX CITY	IA	51103	261120134	ALL-INCLUSIVE CARE FOR THE ELDERLY	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTH SYSTEM INC	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 II	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)	509(A)(2)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE FINLEY HOSPITAL
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	420680354	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH STREET	ROCK ISLAND	IL	61201	363678909	MENTAL HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRIMARK PHYSICIANS GROUP
802 KENYON ROAD	FORT DODGE	IA	50501	453791448	SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
TRINITY BUILDING CORPORATION
802 KENYON ROAD	FORT DODGE	IA	50501	421376187	PROPERTY HOLDING COMPANY	IA	501(C)(2)		TRINITY HEALTH SYSTEMS INC	0
TRINITY COLLEGE OF NURSING & HEALTH SCIENCES
2122 25TH AVE	ROCK ISLAND	IL	61201	810994377	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IL	501(C)(3)	170(B)(1) (A)(II)	TRINITY MEDICAL CENTER	0
TRINITY HEALTH FOUNDATION
802 KENYON ROAD	FORT DODGE	IA	50501	421222381	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	TRINITY HEALTH SYSTEMS INC	0
TRINITY HEALTH FOUNDATION
2701 17TH STREET	ROCK ISLAND	IL	61201	363321751	CHARITABLE FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY HEALTH SYSTEMS INC
802 KENYON ROAD	FORT DODGE	IA	50501	421222877	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY MEDICAL CENTER
2701 17TH STREET	ROCK ISLAND	IL	61201	362739299	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY REGIONAL HEALTH SYSTEM
2701 17TH STREET	ROCK ISLAND	IL	61201	363351952	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY REGIONAL HOSPITAL AUXILIARY
802 KENYON ROAD	FORT DODGE	IA	50501	426081474	CHARITABLE FUNDRAISING AND VOLUNTEER SERVICES	IA	501(C)(3)	509(A)(2)	TRINITY REGIONAL MEDICAL CENTER	0
TRINITY REGIONAL MEDICAL CENTER
802 KENYON ROAD	FORT DODGE	IA	50501	421009175	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
UNITY HEALTHCARE
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	420680337	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
UNITY HEALTHCARE FOUNDATION
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	421525031	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE I	TRINITY REGIONAL HEALTH SYSTEM	0
UNITYPOINT AT HOME
11333 AURORA AVENUE	URBANDALE	IA	50322	421477471	HOME HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	0
UNITYPOINT HEALTH AT WORK
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	810872241	EMPLOYER ONSITE MEDICAL SERVICES AND OCCUPATIONAL MEDICINE	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA HEALTH SYSTEM	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ADVANCED IMAGING CENTER LLC
615 VALLEY VIEW DRIVE	MOLINE	IL	61265	364356301	DIAGNOSTIC RADIOLOGY CENTER	IA	N/A
ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT CO LLC
1825 LOGAN AVE	WATERLOO	IA	50703	453237125	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IA		ALLEN MEMORIAL HOSPITAL CORPORATION	RELATED	$158,075	$131,196	0	Yes (1)	0.20000
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	273625869	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
1200 PLEASANT STREET	DES MOINES	IA	50309	453017991	ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	471608704	SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500	DUBUQUE	IA	52001	201597161	AMBULATORY SURGERY CENTER	IA	N/A
ENSEVA - HIAWATHA LLC
755 METZGER DRIVE	HIAWATHA	IA	52233	453437363	COLLOCATION FACILITY	IA	N/A
FINLEY DEPT OF SURGERY CO-MGMT CO LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	422808785	SURGERY DEPARTMENT MANAGEMENT SERVICES	IA	N/A
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	421428503	PROVIDE ACCESS TO LICENSED SOFTWARE	IA	N/A
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	030482623	OUTPATIENT DIAGNOSTIC IMAGING	IA	N/A
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421511142	GROUP PURCHASING	IA	N/A
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421516120	SURGERY CENTER	IA	N/A
MERITER UW PHYSICIANS CONTRACTING COMPANY LLC
202 SOUTH PARK STREET	MADISON	WI	53715	391998819	HEALTH SERVICES	WI	N/A
MISSISSIPPI VALLEY SLEEP DISORDER CENTER LC
3400 DEXTER COURT	DAVENPORT	IA	52807	421489697	MEDICAL LABORATORY SERVICES	IA	N/A
MMCI ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
221 NE GLEN OAK AVE	PEORIA	IL	61636	461219459	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IL	N/A
MMCI SURGERY CO-MANAGEMENT COMPANY LLC
221 NE GLEN OAK AVE	PEORIA	IL	61636	471323385	SURGERY MANAGEMENT & ADMINISTRATIVE SERVICES	IL	N/A
MR ASSOCIATES LLP
1956 1ST AVENUE NE	CEDAR RAPIDS	IA	52402	421260463	OWN AND OPERATE MR UNIT	IA	N/A
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421508092	AMBULATORY SURGERY CENTER	IA	N/A
REGIONAL HEALTH PARTNERS LLC
1258 W SOUTH ST	KEWANEE	IL	61443	800899158	AMBULATORY HEALTH CLINICS	IL	N/A
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110	PEORIA	IL	61603	810584193	REHABILATION THERAPY	IL	N/A
SLRMC CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	455322324	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SE	CEDAR RAPIDS	IA	52403	721550812	AMBULATORY SURGERY CENTER.	IA	N/A
TRINITY ANESTHESIOLOGY SERVICES CO-MANAGEMENT COMPANY LLC
2701 17TH STREET	ROCK ISLAND	IL	61201	300932074	ANESTHESIOLOGY SERVICE LINES ADMINISTRATIVE SERVICES	IL	N/A
TRINITY ONCOLOGY SERVICES CO-MANAGEMENT COMPANY LLC
500 JOHN DEERE ROAD	MOLINE	IL	61265	900953327	ONCOLOGY MANAGEMENT SERVICES	IL	N/A
UNITYPOINT AT WORK LC
1825 LOGAN AVE	WATERLOO	IA	50703	472181113	OCCUPATIONAL MEDICINE	IA	N/A
UPHT-SCA HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	473564984	AMBULATORY SURGERY CENTER INVESTMENT	DE	N/A
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREET	WEST DES MOINES	IA	50266	271414600	ORTHOPEDIC SERVICE LINES MANAGEMENT	IA	N/A
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2	WEST DES MOINES	IA	50266	263193923	SLEEP DISORDER DIAGNOSTIC TESTING FACILITY	IA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
BELCREST SERVICES LTD
5409 N KNOXVILLE AVE	PEORIA	IL	61614	371196307	MEDICAL SERVICES	IL	N/A	C	0
BROADBAND INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	273819741	INFORMATION TECHNOLOGY MGMT.	IA	N/A	C	0
DELHI POINT CONDO ASSOCIATION
350 N GRANDVIEW	DUBUQUE	IA	52001	421467002	REAL ESTATE MANAGEMENT	IA	N/A	C	0
HCP CORPORATION
202 SOUTH PARK STREET	MADISON	WI	53715	391177562	REAL ESTATE RENTAL	WI	N/A	C	0
HEALTH PLUS INC
5409 N KNOXVILLE AVE	PEORIA	IL	61614	371295532	MANAGED CARE ADMINISTRATION	IL	N/A	C	0
HNC SERVICES
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	270987243	FIBER OPTIC NETWORK SERVICES	IA	N/A	C	0
HOME HEALTH PLUS SERVICES INC
PO BOX 87	PEORIA	IL	61650	364053068	HOME HEALTH SERVICES	IL	N/A	C	0
MEDIMORE INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421414390	MANAGED CARE	IA	N/A	C	0
MERITER HEALTH ENTERPRISES INC
202 SOUTH PARK STREET	MADISON	WI	53715	391293620	MANAGEMENT SERVICES	WI	N/A	C	0
MERITER MANAGEMENT SERVICES INC
202 SOUTH PARK STREET	MADISON	WI	53715	391458235	ADMINISTRATIVE SERVICES	WI	N/A	C	0
METHODIST HEALTH VENTURES INC
PO BOX 87	PEORIA	IL	61650	371140939	PHARMACY/OFFICE STAFFING	IL	N/A	C	0
METHODIST PHYSICIAN SERVICES INC
PO BOX 87	PEORIA	IL	61650	363858550	MEDICAL SERVICES	IL	N/A	C	0
PRECEDENCE INC
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	371288604	MANAGED MENTAL CARE	IA	N/A	C	0
PROVIDER RESOURCE MANAGEMENT INC
PO BOX 87	PEORIA	IL	61650	371223550	RESOURCE MANAGEMENT	IL	N/A	C	0
PHYSICIANS PLUS INSURANCE CORPORATION
2650 NOVATION PARKWAY SUITE 400	MADISON	WI	53713	391565691	FEDERALLY QUALIFIED HMO	WI	N/A	C	0
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVE	DES MOINES	IA	50316	261271143	SPECIALTY PHYSICIANS MEDICAL CARE	IA	N/A	C	0
STL HEALTH RESOURCES CO
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421193499	PHYSICIAN OFFICE RENTAL	IA	N/A	C	0
TRINITY HEALTH ENTERPRISES INC
2701 17TH ST	ROCK ISLAND	IL	61201	363320141	RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY	IL	N/A	C	0
TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	363924720	MANAGED HEALTH CARE	IA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PARTS I - IV:	FormAndLineReferenceDesc
Explanation	OWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) IOWA HEALTH SYSTEM IS AN IOWA NONPROFIT CORPORATION FORMED IN DECEMBER 1994. IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE INPATIENT AND OUTPATIENT CARE AND PHYSICIAN SERVICES FROM 33 HOSPITAL FACILITIES AND OVER 400 OUTPATIENT SITES IN IOWA, ILLINOIS AND WISCONSIN. PRIMARY, SECONDARY AND TERTIARY CARE SERVICES ARE PROVIDED TO RESIDENTS OF IOWA, ILLINOIS, WISCONSIN AND ADJACENT STATES. ON APRIL 16, 2013, IOWA HEALTH SYSTEM BEGAN BEING PUBLICLY KNOWN AS UNITYPOINT HEALTH (THE SYSTEM). THIS NAME CHANGE REFLECTS THE TRANSFORMATION OF CLINICAL PROCESSES UNDERWAY WITHIN THE SYSTEM AND THE ADAPTATION TO BETTER ADDRESS THE HEALTH CARE NEEDS OF COMMUNITIES, INCLUDING BUILDING A MODEL OF DELIVERING HEALTH CARE THAT COORDINATES CARE AROUND THE PATIENT WHILE FOCUSING ON IMPROVING THE QUALITY OF CARE AND REDUCING COSTS. THE LEGAL NAME OF THE PARENT REMAINS IOWA HEALTH SYSTEM, WITH THE UNITYPOINT HEALTH NAME REFLECTING A DOING BUSINESS AS (D/B/A).	ExplanationTxt