CENTRAL IOWA HOSPITAL CORPORATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CENTRAL IOWA HOSPITAL CORPORATION (EIN 42-0680452)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201733189349310803
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T16:21:04-06:00	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	420680452	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL IOWA HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	5152416212	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 PLEASANT ST	AddressLine1Txt
City	DES MOINES	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	503091453	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH F CORFITS	PersonNm
Person Title	SENIOR VP FINANCE/CFO	PersonTitleTxt
Phone	5152416396	PhoneNum
Signature	2017-10-31	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	205.167.2.34	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-10-31	IPDt
IP Tm	10:11:44	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	A86F6F12522D193DBD404D3879055B3DA31B264D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A86F6F12522D193DBD404D3879055B3DA31B264D	AtSubmissionFilingDeviceId

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UNITYPOINT HEALTH-DES MOINES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ERIC T CROWELL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 PLEASANT ST	AddressLine1Txt
City	DES MOINES	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	503091453	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$873,844,016	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNITYPOINT.ORG/DES-MOINES	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE HEALTH OF THE COMMUNITY THROUGH HEALING, CARING AND TEACHING.	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	6752	TotalEmployeeCnt
Total Volunteers	8008	TotalVolunteersCnt
Total Gross UBI	$15,509,259	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,185,755	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,783,053	PYContributionsGrantsAmt
CY Contributions Grants	$11,066,717	CYContributionsGrantsAmt
PY Program Service Revenue	$713,006,203	PYProgramServiceRevenueAmt
CY Program Service Revenue	$749,346,193	CYProgramServiceRevenueAmt
PY Investment Income	$28,507,263	PYInvestmentIncomeAmt
CY Investment Income	$20,887,901	CYInvestmentIncomeAmt
PY Other Revenue	$6,852,722	PYOtherRevenueAmt
CY Other Revenue	$10,962,072	CYOtherRevenueAmt
PY Total Revenue	$756,149,241	PYTotalRevenueAmt
CY Total Revenue	$792,262,883	CYTotalRevenueAmt
PY Grants And Similar Paid	$31,259,457	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$40,289,639	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$382,555,457	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$407,049,035	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$291,477,251	PYOtherExpensesAmt
CY Other Expenses	$318,439,666	CYOtherExpensesAmt
PY Total Expenses	$705,292,165	PYTotalExpensesAmt
CY Total Expenses	$765,778,340	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,857,076	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$26,484,543	CYRevenuesLessExpensesAmt
Total Assets BOY	$961,372,028	TotalAssetsBOYAmt
Total Assets EOY	$1,025,585,606	TotalAssetsEOYAmt
Total Liabilities BOY	$231,178,868	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$236,877,719	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$730,193,160	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$788,707,887	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IMPROVING THE HEALTH OF THE COMMUNITY THROUGH HEALING, CARING AND TEACHING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$590,223,147	ExpenseAmt
Grant	$39,066,391	GrantAmt
Revenue	$754,474,687	RevenueAmt
Desc	HEALTH-CARE SERVICESCENTRAL IOWA HOSPITAL CORPORATION IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CENTRAL IOWA COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. CENTRAL IOWA HOSPITAL 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, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2016, CENTRAL IOWA HOSPITAL CORPORATION ADMITTED 33,679 PATIENTS RESULTING IN A TOTAL OF 171,024 PATIENT DAYS. OUTPATIENT VISITS TOTALED 199,885 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 20,644. THERE WERE ALSO 102,680 EMERGENCY ROOM VISITS AND 5,011 BABIES DELIVERED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$56,883,278	ExpenseAmt
Grant	$1,223,248	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHARITY CARE, MEANS-TESTED PROGRAMS AND OTHER COMMUNITY BENEFITSCHARITY CARE AND MEANS-TESTED PROGRAMS: CENTRAL IOWA 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 $3,635,770 IN 2016. OFTENTIMES, CENTRAL IOWA HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. CENTRAL IOWA HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. IOWA METHODIST MEDICAL CENTER, IOWA LUTHERAN HOSPITAL AND BLANK CHILDREN'S HOSPITALS' NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $34,641,662 FOR 2016. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $38,277,432.OTHER BENEFITS: CENTRAL IOWA HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS 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. CENTRAL IOWA HOSPITAL CORPORATION COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. CENTRAL IOWA HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 296,215 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL NET OTHER BENEFITS REPORTED VALUE: $18,605,846.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$647,106,425	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	0	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	0	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	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	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	6752	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	0	QuidProQuoContributionsInd
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	26	GoverningBodyVotingMembersCnt
Independent Voting Member	23	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	JOSEPH F CORFITS SENIOR VPCFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5152416470	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 PLEASANT ST	AddressLine1Txt
City	DES MOINES	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50309	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (49 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
KIRK ABRAHAMSON
BOARD MEMBER	1.00	1.00	Yes (X)	$977	$0	$0
DAVID BOARINI MD
BOARD TREASURER	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
BRAD BRODY
BOARD CHAIR	1.00	1.00	Yes (X)	$0	$7,500	$0	Yes (X)
BISHOP MICHAEL BURK
BOARD SECRETARY	1.00	1.00	Yes (X)	$500	$0	$0	Yes (X)
CHRISTOPHER CHAMPION DO FR 82016
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
MARY CHAPMAN
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
ERIC CROWELL
BOARD MEMBER/CEO	40.00	1.00	Yes (X)	$874,325	$0	$356,756	Yes (X)
DIANA GORSCHE RN BSN CCM
BOARD MEMBER	1.00	1.00	Yes (X)	$516	$0	$0
BISHOP LAURIE HALLER FR 102016
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
KENT HENNING
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$14,226	$0
STEVE HERWIG DO
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$15,864	$0
KAYLEEN HORNBROOK DO
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$251,481	$31,034
THOMAS HOUSER TO 122016
BOARD MEMBER	1.00	1.00	Yes (X)	$102	$0	$0
BRUCE JAMES MD FR 22016
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
BURTON TOBY JOSEPH
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
GARY KAHN
BOARD MEMBER	1.00	1.00	Yes (X)	$102	$0	$0
JOSE LARACUENTE
BOARD MEMBER	1.00	1.00	Yes (X)	$518	$0	$0
RICHARD MCCONNELL PHD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$14,864	$0
PAT MCGOLDRICK
BOARD MEMBER	1.00	1.00	Yes (X)	$598	$0	$0
JANETTE MILLER-STRAUB
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
MARY O'KEEFE
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
R LUCIA RIDDLE
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
LYLE SIMPSON
BOARD MEMBER	1.00	1.00	Yes (X)	$832	$0	$0
CHARLES SVENSSON MD TO 82016
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$210,590	$17,752
TIFFANY TAUSCHECK
BOARD MEMBER	1.00	1.00	Yes (X)	$1,102	$0	$0
CHARLIE TAYLOR
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
BISHOP JULIUS TRIMBLE TO 82016
BOARD MEMBER	1.00	1.00	Yes (X)	$125	$0	$0
MARTHA WILLITS
BOARD VICE CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
JOSEPH CORFITS
SENIOR VP FINANCE/CFO	40.00	1.00		$905,079	$0	$82,807	Yes (X)
CHRISTINE BLAIR MHA RN
CHIEF ADMIN OFFICER	40.00	0.00		$246,784	$0	$47,777		Yes (X)
GAYLE CULBERTSON
EXEC DIR LAB SVCS	40.00	0.00		$165,563	$0	$28,505		Yes (X)
CECELIA KIRVIN
EXEC DIR/CCO BCH	40.00	0.00		$189,140	$0	$31,266		Yes (X)
ERIC LOTHE
VP OPERATIONS/CAO-ILH	40.00	0.00		$632,755	$0	$102,341		Yes (X)
JOYCE MCDANEL
VP HUMAN RESOURCES	40.00	0.00		$397,053	$0	$106,755		Yes (X)
DEBRA MOYER BSN MPA RN
CHIEF NURSING EXECUTIVE	40.00	0.00		$449,036	$0	$70,589		Yes (X)
THOMAS MULROONEY
VP SURGICAL & CARDIOVASCULAR SVCS	40.00	0.00		$268,276	$0	$35,865		Yes (X)
MARK PURTLE MD
VP MEDICAL AFFAIRS	40.00	0.00		$673,246	$0	$175,063		Yes (X)
SIDNEY RAMSEY
VP STRATEGIC BUSINESS DEVELOPMENT	40.00	0.00		$426,569	$0	$39,647		Yes (X)
DAVID STARK
EXECUTIVE VP/COO UPHDM	40.00	0.00		$569,957	$0	$110,956		Yes (X)
STEPHEN STEPHENSON MD
PRESIDENT/COO BLANK CHILDRENS HOSPITAL	20.00	20.00		$328,446	$490,747	$50,280		Yes (X)
WILLIAM YOST MD
VP MEDICAL EDUCATION	40.00	1.00		$398,145	$0	$74,315		Yes (X)
ROBERT ISAAK MD
PHYSICIAN-RADATION ONCOLOGY	40.00	0.00		$1,228,305	$0	$40,151			Yes (X)
ALAN SACKS MD
PHYSICIAN-OB & PERINATAL CARE	40.00	0.00		$603,872	$0	$15,020			Yes (X)
ARSHIN SHEYBANI MD
PHYSICIAN-RADATION ONCOLOGY	40.00	0.00		$798,177	$0	$57,739			Yes (X)
JOHN TRIANTAFYLLOS MD
PHYSICIAN-RADATION ONCOLOGY	40.00	0.00		$1,221,468	$0	$45,624			Yes (X)
ONYEBUCHI UKABIALA MD
PHYSICIAN-PEDIATRIC SURGERY	40.00	0.00		$693,449	$0	$50,987			Yes (X)
AMY BETHEL
EXEC DIR SURGERY	40.00	0.00		$146,122	$0	$35,321				Yes (X)
DOUGLAS DORNER MD
VP MEDICAL EDUCATION FORMER KE	40.00	0.00		$142,710	$0	$7,100				Yes (X)
LESLIE SMIAROWSKI
EXEC DR-FAC SVCS FORMER KE	40.00	0.00		$177,388	$0	$30,944				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,541,237	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,005,272	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,644,594	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	351	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
GRAHAM CONSTRUCTION CO INC
421 GRAND AVE	DES MOINES	IA	50309	CONSTRUCTION	$11,034,346
THE IOWA CLINIC
5950 UNIVERSITY AVE	WEST DES MOINES	IA	50266	HEALTHCARE SERVICES	$8,631,902
EDGE COMMERCIAL LLC
3155 SE MIEHE DR	GRIMES	IA	50111	CONSTRUCTION	$7,646,325
ASSOCIATED ANESTHESIOLOGISTS PC
1215 PLEASANT ST SUITE 400	DES MOINES	IA	50309	ANESTHESIOLOGY SERVICES	$3,625,266
OMNICELL INC
590 E MIDDLEFIELD RD	MOUNTAINVIEW	CA	94043	CONSULTING	$3,430,644

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	131	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,198,087	RelatedOrganizationsAmt
Government Grants	$573,620	GovernmentGrantsAmt
All Other Contributions	$295,010	AllOtherContributionsAmt
Total Contributions	$11,066,717	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$697,813,348	$697,813,348
LABORATORY SERVICES	621500	$24,810,692	$9,728,975	$15,081,717
MGMT & SUPPORT SVCS	561000	$13,568,280	$13,568,280
SUBS & JOINT VENTURES	900099	$12,023,451	$12,023,451
RENTAL INCOME	531390	$603,638	$603,638

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$526,784	TotalRevenueColumnAmt
Related Or Exempt Func Income	$526,784	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$749,346,193	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,397,262	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,413	RelatedOrExemptFuncIncomeAmt
Exclusion	$10,382,849	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$90,362,190	SecuritiesAmt
Other	$1,709,582	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$81,273,982	SecuritiesAmt
Other	$307,151	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,088,208	SecuritiesAmt
Other	$1,402,431	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,490,639	TotalRevenueColumnAmt
Exclusion	$10,490,639	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MISCELLANEOUS REVENUE	900099	$4,686,539	$4,686,539
CAFETERIA/FOOD SVCS	722210	$4,493,283		$141,742	$4,351,541
CHILDCARE SERVICES	624410	$1,496,450			$1,496,450

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$285,800	TotalRevenueColumnAmt
Unrelated Business Revenue	$285,800	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,962,072	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$792,262,883	TotalRevenueColumnAmt
Related Or Exempt Func Income	$738,965,428	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,509,259	UnrelatedBusinessRevenueAmt
Exclusion	$26,721,479	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$40,289,639	TotalAmt
Program Services	$40,289,639	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,355,156	TotalAmt
Management And General	$7,355,156	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,138,528	TotalAmt
Management And General	$1,138,528	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$328,272,471	TotalAmt
Program Services	$283,858,552	ProgramServicesAmt
Management And General	$44,413,919	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,362,457	TotalAmt
Program Services	$9,825,163	ProgramServicesAmt
Management And General	$1,537,294	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,217,828	TotalAmt
Program Services	$33,054,031	ProgramServicesAmt
Management And General	$5,163,797	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,702,595	TotalAmt
Program Services	$17,901,619	ProgramServicesAmt
Management And General	$2,800,976	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$59,294,849	TotalAmt
Program Services	$34,224,332	ProgramServicesAmt
Management And General	$25,070,517	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,040,986	TotalAmt
Program Services	$29,364	ProgramServicesAmt
Management And General	$1,011,622	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,000	TotalAmt
Management And General	$8,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,749,755	TotalAmt
Program Services	$1,306,000	ProgramServicesAmt
Management And General	$2,443,755	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,028,256	TotalAmt
Program Services	$26,575,555	ProgramServicesAmt
Management And General	$14,452,701	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,255,242	TotalAmt
Program Services	$1,072,537	ProgramServicesAmt
Management And General	$1,182,705	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,739,277	TotalAmt
Program Services	$12,312,776	ProgramServicesAmt
Management And General	$1,426,501	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	-$2,636,133	TotalAmt
Program Services	-$2,636,133	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,687,290	TotalAmt
Program Services	$16,694,888	ProgramServicesAmt
Management And General	$992,402	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$716,504	TotalAmt
Program Services	$475,315	ProgramServicesAmt
Management And General	$241,189	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$583,444	TotalAmt
Program Services	$257,169	ProgramServicesAmt
Management And General	$326,275	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,237,288	TotalAmt
Program Services	$7,237,288	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,988,079	TotalAmt
Program Services	$27,916,226	ProgramServicesAmt
Management And General	$1,071,853	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,299,145	TotalAmt
Program Services	$4,455	ProgramServicesAmt
Management And General	$6,294,690	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$137,157,862	$136,282,547	$875,315
MISCELLANEOUS EXPENSES	$992,538	$323,569	$668,969
INCOME TAXES	$297,284	$101,533	$195,751

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$765,778,340	TotalAmt
Program Services	$647,106,425	ProgramServicesAmt
Management And General	$118,671,915	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,289,869	BOYAmt
EOY	$450,536	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,332,948	BOYAmt
EOY	$4,099	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$95,566,610	BOYAmt
EOY	$103,075,890	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$16,475,588	BOYAmt
EOY	$18,816,798	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,145,479	BOYAmt
EOY	$14,493,448	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,932,347	BOYAmt
EOY	$3,886,554	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$793,519,298	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$531,171,762	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$242,673,121	BOYAmt
EOY	$262,347,536	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$522,678,145	BOYAmt
EOY	$557,534,594	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$42,992,421	BOYAmt
EOY	$49,855,366	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$313,382	BOYAmt
EOY	$313,382	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,972,118	BOYAmt
EOY	$14,807,403	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$961,372,028	BOYAmt
EOY	$1,025,585,606	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,221,961	BOYAmt
EOY	$53,303,147	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,807,240	BOYAmt
EOY	$1,691,287	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,092,432	BOYAmt
EOY	$2,849,981	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$7,568,738	BOYAmt
EOY	$4,524,581	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$172,488,497	BOYAmt
EOY	$174,508,723	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$231,178,868	BOYAmt
EOY	$236,877,719	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$694,317,229	BOYAmt
EOY	$746,801,554	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,731,243	BOYAmt
EOY	$21,827,738	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,144,688	BOYAmt
EOY	$20,078,595	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$730,193,160	BOYAmt
EOY	$788,707,887	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$961,372,028	BOYAmt
EOY	$1,025,585,606	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$26,484,543	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$28,778,785	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,251,399	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,000	OtherActivitiesAmt
Total Lobbying Expenditures	$8,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PAID TO TAXPAYER ASSOCIATION OF CENTRAL IOWA FOR LOBBYING ACTIVITIES ON BEHALF OF HEALTH CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$525,800,032	BeginningYearBalanceAmt
Contributions	$9,500,000	ContributionsAmt
Investment Earnings Or Losses	$55,307,116	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$10,000,000	GrantsOrScholarshipsAmt
Administrative Expenses	$1,521,199	AdministrativeExpensesAmt
End Year Balance	$579,085,949	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$541,715,046	BeginningYearBalanceAmt
Contributions	$624,976	ContributionsAmt
Investment Earnings Or Losses	$7,687,415	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$23,000,000	GrantsOrScholarshipsAmt
Administrative Expenses	$1,227,405	AdministrativeExpensesAmt
End Year Balance	$525,800,032	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$504,003,468	BeginningYearBalanceAmt
Contributions	$179,713	ContributionsAmt
Investment Earnings Or Losses	$38,451,558	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$179,556	GrantsOrScholarshipsAmt
Administrative Expenses	$740,137	AdministrativeExpensesAmt
End Year Balance	$541,715,046	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$409,386,470	BeginningYearBalanceAmt
Contributions	$40,087,047	ContributionsAmt
Investment Earnings Or Losses	$59,414,890	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,820,990	GrantsOrScholarshipsAmt
Administrative Expenses	$1,063,949	AdministrativeExpensesAmt
End Year Balance	$504,003,468	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$402,694,127	BeginningYearBalanceAmt
Contributions	$10,820,990	ContributionsAmt
Investment Earnings Or Losses	$44,751,469	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$48,054,272	GrantsOrScholarshipsAmt
Administrative Expenses	$825,844	AdministrativeExpensesAmt
End Year Balance	$409,386,470	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.92440	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.03470	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04090	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	$12,490,627	OtherCostOrOtherBasisAmt
Book Value	$12,490,627	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$276,828,063	OtherCostOrOtherBasisAmt
Depreciation	$174,250,306	DepreciationAmt
Book Value	$102,577,757	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,112,291	OtherCostOrOtherBasisAmt
Depreciation	$9,153,332	DepreciationAmt
Book Value	$2,958,959	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$457,344,988	OtherCostOrOtherBasisAmt
Depreciation	$340,069,547	DepreciationAmt
Book Value	$117,275,441	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,743,329	OtherCostOrOtherBasisAmt
Depreciation	$7,698,577	DepreciationAmt
Book Value	$27,044,752	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$262,347,536	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ASBESTOS REMOVAL LIABILITY	$2,641,958
DUE TO AFFILIATES	$138,060,288
SELF-INSURANCE RESERVE	$15,509,476
LONG-TERM RETENTION INCENTIVES	$14,673,894
HEALTH & WELFARE BENEFITS RESERVE	$3,409,913
MISCELLANEOUS LIABILITY	$213,194

Field	Value	IRS element (for citing)
Total Liability	$174,508,723	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$813,132,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$28,495,765	NetUnrealizedGainsInvstAmt
Other Revenue	$65,571	OtherRevenueAmt
Revenue Not Reported	$28,561,336	RevenueNotReportedAmt
Revenue Subtotal	$784,570,664	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,545,895	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$6,146,324	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$7,692,219	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$792,262,883	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$721,337,000	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$721,337,000	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,545,895	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$42,895,445	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$44,441,340	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$765,778,340	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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:	REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 65,440. ROUNDING 131.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	REVENUES IN UNRESTRICTED FUND BALANCE 3,808,404. IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATES 2,337,920.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES IN UNRESTRICTED FUND BALANCE 40,557,480. IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATES 2,337,920. ROUNDING 45.

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	$3,635,770	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,635,770	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$130,617,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,976,328	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,641,662	NetCommunityBenefitExpnsAmt
Total Expense	0.04520	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$134,253,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,976,328	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,277,432	NetCommunityBenefitExpnsAmt
Total Expense	0.04990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	294585	PersonsServedCnt
Total Community Benefit Expns	$2,716,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$469,542	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,246,823	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	1630	PersonsServedCnt
Total Community Benefit Expns	$16,577,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,314,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,262,782	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,476,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,308,273	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,168,129	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$704,864	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$704,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,223,248	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,223,248	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	296215	PersonsServedCnt
Total Community Benefit Expns	$45,698,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,092,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,605,846	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	296215	PersonsServedCnt
Total Community Benefit Expns	$179,952,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$123,068,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,883,278	NetCommunityBenefitExpnsAmt
Total Expense	0.07410	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,133	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$103,133	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$105,213	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$105,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$5,336,246	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$178,566,746	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$173,234,405	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,332,341	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 (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC
MANAGEMENT OF CARDIAC SERVICE LINE	0.20000	0.80000
2 CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
MANAGEMENT OF ONCOLOGY SERVICE LINE	0.20000	0.80000
3 CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT COMPANY LLC
MANAGEMENT OF SURGERY SERVICE LINE	0.20000	0.80000
4 IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
OUTPATIENT DIAGNOSTIC IMAGING	0.50000	0.50000
5 LAKEVIEW SURGERY CENTER LC
SURGERY CENTER	0.50000	0.50000
6 ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
AMBULATORY SURGERY CENTER	0.50000	0.50000
7 WEST HOSPITAL ORTHOPAEDIC CO-MANAGEMENT COMPANY
MANAGEMENT OF METHODIST WEST ORTHO SERVICE LINE	0.20000	0.80000
8 WEST LAKES SLEEP CENTER LLC
TREATMENT OF CHRONIC SLEEP DISORDERS	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Critical Access HospitalCriticalAccessHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
IOWA METHODIST MEDICAL CENTER
1	1200 PLEASANT STREET	DES MOINES	IA	50309	WWW.UNITYPOINT.ORG/DESMOINES	770079H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
IOWA LUTHERAN HOSPITAL
2	700 EAST UNIVERSITY AVENUE	DES MOINES	IA	50316	WWW.UNITYPOINT.ORG/DESMOINES	770078H	Yes (X)	Yes (X)					Yes (X)	A
METHODIST WEST HOSPITAL
3	1660 60TH STREET	WEST DES MOINES	IA	50266	WWW.UNITYPOINT.ORG/DESMOINES	250080H	Yes (X)	Yes (X)					Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	15	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	WWW.UNITYPOINT.ORG/DESMOINES	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.UNITYPOINT.ORG/DESMOINES	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	WWW.UNITYPOINT.ORG/DESMOINES/FINANCIAL-ASSISTANCE.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.UNITYPOINT.ORG/DESMOINES/FINANCIAL-ASSISTANCE.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.UNITYPOINT.ORG/DESMOINES/FINANCIAL-ASSISTANCE.ASPX	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 (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: IOWA METHODIST MEDICAL CENTER, - FACILITY 2: IOWA LUTHERAN HOSPITAL, - FACILITY 3: METHODIST WEST HOSPITAL
GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 5:	IN ALIGNMENT WITH THE CAPITAL CROSSROADS REGIONAL VISION PLAN, THE GREATER DES MOINES PARTNERSHIP FACILITATED THE DEVELOPMENT OF THIS CHNA ALONG WITH A STEERING COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITALS, HEALTH DEPARTMENTS, PHILANTHROPIC ORGANIZATIONS, SERVICE PROVIDERS, ACADEMIC INSTITUTIONS AND THE PRIVATE SECTOR. THE GROUP IDENTIFIED FIVE AREAS TO ADDRESS IN THE CHNA: ACCESS TO CARE, YOUTH, PHYSICAL ENVIRONMENT, WORKFORCE, AND MENTAL HEALTH. WORK GROUPS WERE CREATED TO ASSESS EACH FOCUS AREA AND TO IDENTIFY CURRENT CONDITIONS, TARGETS, CHALLENGES, NEEDED RESOURCES, AND PRIORITY AREAS. UPON COMPLETION OF THIS WORK, THE STEERING COMMITTEE RECONVENED TO CAPTURE THE OVERALL VISION FOR A HEALTHY COMMUNITY ENVIRONMENT THAT SUPPORTS AND ENABLES ALL CENTRAL IOWANS TO LIVE HEALTHY LIVES AND ENCOURAGES EVERYONE TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTH.
GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 6A:	MERCY MEDICAL CENTER, BROADLAWNS MEDICAL CENTER
GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 6B:	UNITED WAY OF CENTRAL IOWA, WARREN COUNTY HEALTH DEPARTMENT, POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, GREATER DES MOINES PARTNERSHIP, HCI CARE SERVICES AND VNS OF IOWA, YMCA OF GREATER DES MOINES, DES MOINES UNIVERSITY, PRIMARY HEALTH CARE INC., WELLMARK BLUE CROSS AND BLUE SHIELD, MID-IOWA HEALTH FOUNDATION
GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 11:	THE 2016 CENTRAL IOWA COMMUNITY HEALTH NEEDS ASSESSMENT IS A COLLABORATION OF HOSPITAL AND HEALTH DEPARTMENT REPRESENTATIVES ALONG WITH OTHER COMMUNITY STAKEHOLDERS. A STEERING COMMITTEE IDENTIFIED FIVE AREAS TO ADDRESS, INCLUDING ACCESS TO CARE, MENTAL HEALTH, PHYSICAL ENVIRONMENT, WORKFORCE, AND YOUTH. THE FINAL REPORT ADDRESSES SIX PRIORITIES, BASED ON THE POTENTIAL FOR IMPLEMENTATION AND DEPTH OF IMPACT. THOSE PRIORITIES INCLUDE:A. INCREASE OPPORTUNITIES FOR EXPANDED AND ALTERNATIVE MEANS OF HEALTHCARE DELIVERY TO ADDRESS ISSUES LIMITING ACCESS TO CAREB. ESTABLISH MORE VIBRANT COMMUNITIES AND NEIGHBORHOODS CHARACTERIZED BY MIXED- AND JOINT-USE SPACES AND FACILITIES THAT ARE ACCESSIBLE AND AVAILABLE TO EVERYONE, INCLUDING PUBLIC GATHERING PLACES FOR DIVERSE AND INTEGRATED ENGAGEMENT, AND DESIGNS THAT PROMOTE HEALTHY LIFESTYLESC. EXPAND STATEWIDE TRAINING EFFORTS FOR ALL PROFESSIONALS WORKING WITH CHILDREN ACROSS THE VARIOUS HEALTH AND CHILD-SERVING SYSTEMS IN TRAUMA INFORMED CARE, CULTURAL COMPETENCY, AND MENTAL HEALTH FIRST AIDD. IDENTIFY ADDITIONAL SOURCES OF FUNDING TO CREATE NEW AND EXPAND EXISTING TRAINING PROGRAMS IN PSYCHIATRY AND PSYCHOLOGY AND IMPROVE THE MENTAL HEALTH AND DISABILITIES TRAINING OF PRIMARY CARE DOCTORS AND OTHER PRIMARY CARE PROVIDERSE. ENSURE ACCESS TO HIGH-QUALITY PRE-K AND K-12 EDUCATION FOR CENTRAL IOWA CHILDRENF. ENSURE ACCESS TO HEALTH CARE SERVICES AND EDUCATION FOR CENTRAL IOWA'S NEWCOMER POPULATION
GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 13H:	PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE.
GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 5:	IN ALIGNMENT WITH THE CAPITAL CROSSROADS REGIONAL VISION PLAN, THE GREATER DES MOINES PARTNERSHIP FACILITATED THE DEVELOPMENT OF THIS CHNA ALONG WITH A STEERING COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITALS, HEALTH DEPARTMENTS, PHILANTHROPIC ORGANIZATIONS, SERVICE PROVIDERS, ACADEMIC INSTITUTIONS AND THE PRIVATE SECTOR. THE GROUP IDENTIFIED FIVE AREAS TO ADDRESS IN THE CHNA: ACCESS TO CARE, YOUTH, PHYSICAL ENVIRONMENT, WORKFORCE, AND MENTAL HEALTH. WORK GROUPS WERE CREATED TO ASSESS EACH FOCUS AREA AND TO IDENTIFY CURRENT CONDITIONS, TARGETS, CHALLENGES, NEEDED RESOURCES, AND PRIORITY AREAS. UPON COMPLETION OF THIS WORK, THE STEERING COMMITTEE RECONVENED TO CAPTURE THE OVERALL VISION FOR A HEALTHY COMMUNITY ENVIRONMENT THAT SUPPORTS AND ENABLES ALL CENTRAL IOWANS TO LIVE HEALTHY LIVES AND ENCOURAGES EVERYONE TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTH.
GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 6A:	MERCY MEDICAL CENTER, BROADLAWNS MEDICAL CENTER
GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 6B:	UNITED WAY OF CENTRAL IOWA, WARREN COUNTY HEALTH DEPARTMENT, POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, GREATER DES MOINES PARTNERSHIP, HCI CARE SERVICES AND VNS OF IOWA, YMCA OF GREATER DES MOINES, DES MOINES UNIVERSITY, PRIMARY HEALTH CARE INC., WELLMARK BLUE CROSS AND BLUE SHIELD, MID-IOWA HEALTH FOUNDATION
GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 11:	THE 2016 CENTRAL IOWA COMMUNITY HEALTH NEEDS ASSESSMENT IS A COLLABORATION OF HOSPITAL AND HEALTH DEPARTMENT REPRESENTATIVES ALONG WITH OTHER COMMUNITY STAKEHOLDERS. A STEERING COMMITTEE IDENTIFIED FIVE AREAS TO ADDRESS, INCLUDING ACCESS TO CARE, MENTAL HEALTH, PHYSICAL ENVIRONMENT, WORKFORCE, AND YOUTH. THE FINAL REPORT ADDRESSES SIX PRIORITIES, BASED ON THE POTENTIAL FOR IMPLEMENTATION AND DEPTH OF IMPACT. THOSE PRIORITIES INCLUDE:A. INCREASE OPPORTUNITIES FOR EXPANDED AND ALTERNATIVE MEANS OF HEALTHCARE DELIVERY TO ADDRESS ISSUES LIMITING ACCESS TO CAREB. ESTABLISH MORE VIBRANT COMMUNITIES AND NEIGHBORHOODS CHARACTERIZED BY MIXED- AND JOINT-USE SPACES AND FACILITIES THAT ARE ACCESSIBLE AND AVAILABLE TO EVERYONE, INCLUDING PUBLIC GATHERING PLACES FOR DIVERSE AND INTEGRATED ENGAGEMENT, AND DESIGNS THAT PROMOTE HEALTHY LIFESTYLESC. EXPAND STATEWIDE TRAINING EFFORTS FOR ALL PROFESSIONALS WORKING WITH CHILDREN ACROSS THE VARIOUS HEALTH AND CHILD-SERVING SYSTEMS IN TRAUMA INFORMED CARE, CULTURAL COMPETENCY, AND MENTAL HEALTH FIRST AIDD. IDENTIFY ADDITIONAL SOURCES OF FUNDING TO CREATE NEW AND EXPAND EXISTING TRAINING PROGRAMS IN PSYCHIATRY AND PSYCHOLOGY AND IMPROVE THE MENTAL HEALTH AND DISABILITIES TRAINING OF PRIMARY CARE DOCTORS AND OTHER PRIMARY CARE PROVIDERSE. ENSURE ACCESS TO HIGH-QUALITY PRE-K AND K-12 EDUCATION FOR CENTRAL IOWA CHILDRENF. ENSURE ACCESS TO HEALTH CARE SERVICES AND EDUCATION FOR CENTRAL IOWA'S NEWCOMER POPULATION
GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 13H:	PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE.
GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 5:	IN ALIGNMENT WITH THE CAPITAL CROSSROADS REGIONAL VISION PLAN, THE GREATER DES MOINES PARTNERSHIP FACILITATED THE DEVELOPMENT OF THIS CHNA ALONG WITH A STEERING COMMITTEE COMPRISED OF REPRESENTATIVES FROM HOSPITALS, HEALTH DEPARTMENTS, PHILANTHROPIC ORGANIZATIONS, SERVICE PROVIDERS, ACADEMIC INSTITUTIONS AND THE PRIVATE SECTOR. THE GROUP IDENTIFIED FIVE AREAS TO ADDRESS IN THE CHNA: ACCESS TO CARE, YOUTH, PHYSICAL ENVIRONMENT, WORKFORCE, AND MENTAL HEALTH. WORK GROUPS WERE CREATED TO ASSESS EACH FOCUS AREA AND TO IDENTIFY CURRENT CONDITIONS, TARGETS, CHALLENGES, NEEDED RESOURCES, AND PRIORITY AREAS. UPON COMPLETION OF THIS WORK, THE STEERING COMMITTEE RECONVENED TO CAPTURE THE OVERALL VISION FOR A HEALTHY COMMUNITY ENVIRONMENT THAT SUPPORTS AND ENABLES ALL CENTRAL IOWANS TO LIVE HEALTHY LIVES AND ENCOURAGES EVERYONE TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTH.
GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 6A:	MERCY MEDICAL CENTER, BROADLAWNS MEDICAL CENTER
GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 6B:	UNITED WAY OF CENTRAL IOWA, WARREN COUNTY HEALTH DEPARTMENT, POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, GREATER DES MOINES PARTNERSHIP, HCI CARE SERVICES AND VNS OF IOWA, YMCA OF GREATER DES MOINES, DES MOINES UNIVERSITY, PRIMARY HEALTH CARE INC., WELLMARK BLUE CROSS AND BLUE SHIELD, MID-IOWA HEALTH FOUNDATION
GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 11:	THE 2016 CENTRAL IOWA COMMUNITY HEALTH NEEDS ASSESSMENT IS A COLLABORATION OF HOSPITAL AND HEALTH DEPARTMENT REPRESENTATIVES ALONG WITH OTHER COMMUNITY STAKEHOLDERS. A STEERING COMMITTEE IDENTIFIED FIVE AREAS TO ADDRESS, INCLUDING ACCESS TO CARE, MENTAL HEALTH, PHYSICAL ENVIRONMENT, WORKFORCE, AND YOUTH. THE FINAL REPORT ADDRESSES SIX PRIORITIES, BASED ON THE POTENTIAL FOR IMPLEMENTATION AND DEPTH OF IMPACT. THOSE PRIORITIES INCLUDE:A. INCREASE OPPORTUNITIES FOR EXPANDED AND ALTERNATIVE MEANS OF HEALTHCARE DELIVERY TO ADDRESS ISSUES LIMITING ACCESS TO CAREB. ESTABLISH MORE VIBRANT COMMUNITIES AND NEIGHBORHOODS CHARACTERIZED BY MIXED- AND JOINT-USE SPACES AND FACILITIES THAT ARE ACCESSIBLE AND AVAILABLE TO EVERYONE, INCLUDING PUBLIC GATHERING PLACES FOR DIVERSE AND INTEGRATED ENGAGEMENT, AND DESIGNS THAT PROMOTE HEALTHY LIFESTYLESC. EXPAND STATEWIDE TRAINING EFFORTS FOR ALL PROFESSIONALS WORKING WITH CHILDREN ACROSS THE VARIOUS HEALTH AND CHILD-SERVING SYSTEMS IN TRAUMA INFORMED CARE, CULTURAL COMPETENCY, AND MENTAL HEALTH FIRST AIDD. IDENTIFY ADDITIONAL SOURCES OF FUNDING TO CREATE NEW AND EXPAND EXISTING TRAINING PROGRAMS IN PSYCHIATRY AND PSYCHOLOGY AND IMPROVE THE MENTAL HEALTH AND DISABILITIES TRAINING OF PRIMARY CARE DOCTORS AND OTHER PRIMARY CARE PROVIDERSE. ENSURE ACCESS TO HIGH-QUALITY PRE-K AND K-12 EDUCATION FOR CENTRAL IOWA CHILDRENF. ENSURE ACCESS TO HEALTH CARE SERVICES AND EDUCATION FOR CENTRAL IOWA'S NEWCOMER POPULATION
GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 13H:	PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE.

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - LAKEVIEW SURGERY CENTER LC
1750 60TH ST	WEST DES MOINES	IA	50266	SURGERY CENTER
2 - IOWA DIAGNOSTIC IMAGING & PROCEDURE CTR
6000 UNIVERSITY AVE SUITE 150	WEST DES MOINES	IA	50266	OUTPATIENT DIAGNOSTIC IMAGING
3 - ORTHOPAEDIC OUTPATIENT SURGERY CENTER L
1600 60TH ST	WEST DES MOINES	IA	50266	AMBULATORY SURGERY CENTER
4 - CHILDREN'S HEALTH CENTER
MOB I STE 300	DES MOINES	IA	50309	PHYSICIAN CLINIC
5 - CARDIO THORACIC
1200 PLEASANT ST	DES MOINES	IA	50309	PHYSICIAN CLINIC
6 - COUNSELING CENTER
6000 UNIVERSITY AVE SUITE 200	WEST DES MOINES	IA	50266	PHYSICIAN CLINIC
7 - TRANSPLANT CTR & CENTER FOR LIVER DISORD
1215 PLEASANT STREET SUITE 506	DES MOINES	IA	50309	PHYSICIAN CLINIC
8 - PERINATAL
MOB II STE 116	DES MOINES	IA	50309	PHYSICIAN CLINIC
9 - OCC MED
6000 UNIVERSITY AVE SUITE 124	WEST DES MOINES	IA	50266	OCCUPATIONAL MEDICINE
10 - MIDWIVES
1440 PLEASANT ST STE1	DES MOINES	IA	50309	PHYSICIAN CLINIC
11 - WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVE	WEST DES MOINES	IA	50266	TREATMENT OF CHRONIC SLEEP DISORDERS
12 - 1776 WESTLAKES PARKWAY LC
1776 WESTLAKES PARKWAY	WEST DES MOINES	IA	50266	OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BLDGS
13 - CENTRAL IOWA CARDIOVASCULAR CO-MGMT
1200 PLEASANT ST	DES MOINES	IA	50309	MANAGEMENT OF CARDIAC SERVICE LINE
14 - WEST HOSPITAL ORTHOPAEDIC CO-MGMT
1660 60TH ST	WEST DES MOINES	IA	50266	MANAGEMENT OF METHODIST WEST ORTHO SERVICE LINE
15 - CENTRAL IOWA ONCOLOGY CO-MANAGEMENT
1200 PLEASANT ST	DES MOINES	IA	50309	MANAGEMENT OF ONCOLOGY SERVICE LINE
16 - CENTRAL IOWA SURGICAL SERVICES CO-MGMT
1200 PLEASANT ST	DES MOINES	IA	50309	MANAGEMENT OF SURGICAL SERVICES LINE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	CENTRAL IOWA HOSPITAL CORPORATION'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE UNITYPOINT HEALTH 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. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES 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. OTHER DONATIONS SUCH AS FOOD OR OTHER DURABLE GOODS PROVIDE AREA SHELTERS AND OTHER ORGANIZATIONS IN THE AREA. THIS ALLOWS THESE ORGANIZATIONS TO MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COMMUNITY COLLABORATIVE COLLECTIVELY WORKING TO ADDRESS COMPLEX HEALTH. 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' 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 CENTRAL IOWA HOSPITAL CORPORATION. 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:	CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES PARTICIPATES IN A TRI-COUNTY PROCESS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT (CHNA). THIS INCLUDED POLK, WARREN AND DALLAS COUNTIES. THESE COUNTIES ARE IDENTIFIED AS THE HOSPITAL'S "SERVICE AREA." THE CHNA IS CONDUCTED IN PARTNERSHIP WITH MERCY AND BROADLAWNS MEDICAL CENTERS AS WELL AS THE HEALTH DEPARTMENTS OF EACH COUNTY. NUMEROUS OTHER COMMUNITY PARTNERS AND STAKEHOLDERS SUCH AS THE UNITED WAY ARE INCLUDED IN THIS PROCESS AS WELL AS COMMUNITY MEMBERS.THE IMPACT ON THE NEEDS WILL BE MEASURED AND ASSESSED WITH THE ESTABLISHED PARTNERSHIP. CONTINUAL COLLABORATION WITH THE LOCAL HEALTH DEPARTMENTS WILL ASSURE THAT EFFORTS ARE COORDINATED ACROSS THE COMMUNITY. THIS WILL ALSO LAY GROUNDWORK FOR THE NEXT CHNA PROCESS SCHEDULED FOR 2015.
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:	CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES IS A 779-BED COMMUNITY HOSPITAL SYSTEM SERVING CENTAL IOWA. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES' MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF DALLAS, GUTHRIE, JASPER, MADISON, MARION, POLK, STORY, AND WARREN. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES ADMITS 33,679 INPATIENTS AND CARES FOR 102,680 EMERGENCY PATIENTS PER YEAR. THERE ARE 34 OTHER HOSPITALS WITHIN THE 30-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $50,438 TO $76,320 AND THE AVERAGE POVERTY RATE IS 10.93%. 56% OF CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES PATIENTS ARE ELIGIBLE FOR MEDICARE (41%) OR MEDICAID (15%). DALLAS, POLK AND STORY COUNTIES ARE THE ONLY COUNTIES IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATIONS. DALLAS COUNTY IS 6.2 PERCENT HISPANIC, POLK COUNTY IS 6.1 PERCENT AFRICAN AMERICAN AND 7.9 PERCENT HISPANIC, AND STORY COUNTY IS 6.5 PERCENT ASIAN.
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 (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
1111 NINTH ST STE 280	DES MOINES	IA	50314	135613797	501(C)(3)	$52,000	EVENT SPONSOR
AMERICAN LEGION POST 0403 VAN METER
PO BOX 81	VAN METER	IA	50261	426074483	501(C)(3)	$5,000	EVENT SPONSOR
AMERICAN RED CROSS
2116 GRAND AVEUE	DES MOINES	IA	50312	530196605	501(C)(3)	$5,000	EVENT SPONSOR
ANKENY COMMUNITY FOUNDATION
410 WEST FIRST ST	ANKENY	IA	50023	203850596	501(C)(3)	$8,333	CAPITAL BUILDING CAMPAIGN
BOY SCOUTS OF AMERICA
12401 W MAPLE RD	OMAHA	NE	68164	470376545	501(C)(3)	$10,500	EVENT SPONSOR
CITY OF DES MOINES
400 ROBERT D RAY DRIVE	DES MOINES	IA	50309	426004514	GOVERNMENT	$262,795	OTHER
CLARKE COUNTY HOSPITAL
800 SOUTH FILLMORE	OSCEOLA	IA	50213	426037982	501(C)(3)	$11,300	CAPITAL BUILDING CAMPAIGN
COURAGE LEAGUE SPORTS
4405 121ST ST	URBANDALE	IA	50323	461443733	501(C)(3)	$5,000	EVENT SPONSOR
DES MOINES AREA COMMUNITY COLLEGE FOUNDATION
2006 S ANKNEY BLVD	ANKENY	IA	500233993	237229486	501(C)(3)	$7,500	EVENT SPONSOR
DES MOINES METRO OPERA INC
106 W BOSTON AVE	INDIANOLA	IA	50125	237319903	OTHER	$5,000	EVENT SPONSOR
DES MOINES PERFORMING ARTS
221 WALNUT STREET	DES MOINES	IA	50309	510138181	501(C)(3)	$8,333	CAPITAL BUILDING CAMPAIGN
DES MOINES REGISTER
PO BOX 957	DES MOINES	IA	503060957	421095802	OTHER	$56,250	EVENT SPONSOR
DES MOINES SYMPHONY
1011 LOCUST ST SUITE 200	DES MOINES	IA	50309	426058830	501(C)(3)	$5,000	EVENT SPONSOR
DES MOINES UNIVERSITY
3200 GRAND AVE	DES MOINES	IA	50312	420730347	501(C)(3)	$10,000	CAPITAL BUILDING CAMPAIGN
DOWNTOWN PARTNERSHIP INC DBA DOWNTOWN COMMUNITY ALLIANCE
700 LOCUST STREET SUITE 100	DES MOINES	IA	50309	421174898	501(C)(6)	$65,000	EVENT SPONSOR
GRANDVIEW UNIVERSITY
1200 GRANDVIEW AVE	DES MOINES	IA	50316	420681049	501(C)(3)	$100,000	PROGRAM SUPPORT
GREAT OUTDOORS FOUNDATION
PO BOX 8071	DES MOINES	IA	50301	421441098	501(C)(3)	$8,700	EVENT SPONSOR
GREATER DES MOINES BASEBALL CO
PRINCIPAL PARK ONE LINE DRIVE	DES MOINES	IA	50309	421173488	OTHER	$27,100	EVENT SPONSOR
GREATER DES MOINES COMMUNITY FOUNDATION
1915 GRAND AVE	DES MOINES	IA	50309	426139033	501(C)(3)	$16,050	PROGRAM SUPPORT
GREENE COUNTY MEDICAL CENTER
1000 W LINCOLN WAY	JEFFERSON	IA	501291645	237163421	501(C)(3)	$10,000	CAPITAL BUILDING CAMPAIGN
HOYT SHERMAN PLACE
1501 WOODLAND AVE	DES MOINES	IA	50309	421433940	501(C)(3)	$6,250	EVENT SPONSOR
IOWA CLINIC HEALTHCARE FOUNDATION
1215 PLEASANT ST SUITE 618	DES MOINES	IA	50309	810599749	501(C)(3)	$15,000	EVENT SPONSOR
IOWA DEPARTMENT OF ECONOMIC DEVELOPMENT
200 E GRAND AVE	DES MOINES	IA	50309	391899428	GOVERNMENT	$6,000	PROGRAM SUPPORT
IOWA FOUNDATION INC (BRAS FOR THE CAUSE)
1913 LANCASTER DR	ANKENY	IA	50021	260446913	501(C)(3)	$5,000	PROGRAM SUPPORT
IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421435199	501(C)(3)	$38,860,279	PROGRAM SUPPORT
IOWA PUBLIC TELEVISION FOUNDATION
6535 CORPORATE DRIVE	JOHNSTON	IA	50131	421169207	501(C)(3)	$20,000	PROGRAM SUPPORT
JUVENILE DIABETES RESEARCH FOUNDATION
5444 NW 96TH ST SUITE A	JOHNSTON	IA	50131	421907729	501(C)(3)	$20,000	EVENT SPONSOR
MARCH OF DIMES IOWA CHAPTER
2910 WESTOWN PKWY SUITE 301	WEST DES MOINES	IA	50266	131846366	501(C)(3)	$7,500	EVENT SPONSOR
OPERATION DOWNTOWN
700 LOCUST STREET SUITE 100	DES MOINES	IA	50309	861058466	501(C)(6)	$21,000	PROGRAM SUPPORT
POLK COUNTY HOUSING TRUST FUND
108 THIRD ST STE 350	DES MOINES	IA	50309	421510879	GOVERNMENT	$30,000	PROGRAM SUPPORT
PRINCIPAL CHARITY CLASSIC
2771 104TH ST STE 1	URBANDALE	IA	50322	426139033	501(C)(3)	$100,000	EVENT SPONSOR
SCIENCE CENTER OF IOWA
401 WEST MARTIN LUTHER KING	DES MOINES	IA	50309	426097912	501(C)(3)	$25,000	EVENT SPONSOR
SIMON ESTES FOUNDATION INC
315 E 5TH ST SUITE 110	DES MOINES	IA	50309	421525376	501(C)(3)	$5,000	PROGRAM SUPPORT
STORY COUNTY MEDICAL CENTER ENDOWMENT FOUNDATION INC
640 S 19TH ST	NEVADA	IA	50201	421078827	OTHER	$10,000	CAPITAL BUILDING CAMPAIGN
STRANDS OF STRENGTH
520 S 18TH ST	WEST DES MOINES	IA	50265	454145232	501(C)(3)	$25,000	PROGRAM SUPPORT
THE 380 FOUNDATION
5607 4TH ST CT SW	CEDAR RAPIDS	IA	52404	870704229	501(C)(3)	$8,000	EVENT SPONSOR
THE GREATER DES MOINES PARTNERSHIP
700 LOCUST STREET SUITE 100	DES MOINES	IA	50309	421489668	501(C)(6)	$300,000	CAPITAL BUILDING CAMPAIGN
WESLEY LIFE (MEALS ON WHEELS)
5508 NW 88TH ST	JOHNSTON	IA	50131	420680440	501(C)(3)	$25,000	PROGRAM SUPPORT
YMCA OF GREATER DES MOINES
101 LOCUST ST	DES MOINES	IA	50309	420680438	501(C)(3)	$45,000	EVENT SPONSOR
YOUTH EMERGENCY SERVICES AND SHELTER
918 SE 11TH ST	DES MOINES	IA	50309	237442304	501(C)(3)	$5,000	CAPITAL BUILDING CAMPAIGN

Field	Value	IRS element (for citing)
Total501c3 Org	33	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	CENTRAL IOWA HOSPITAL CORPORATION REQUIRES EACH RECIPIENT OF THE GRANTS (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINE A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
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 (24 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
ERIC CROWELL
BOARD MEMBER/CEO	$615,253	$0	$183,470	$0	$75,602	$0	$340,865	$0	$15,891	$0	$1,231,081	$0	$0	$0
KAYLEEN HORNBROOK DO
BOARD MEMBER	$0	$226,072	$0	$24,460	$0	$949	$0	$16,151	$0	$14,883	$0	$282,515	$0	$0
CHARLES SVENSSON MD TO 82016
BOARD MEMBER	$0	$191,060	$0	$18,155	$0	$1,375	$0	$6,356	$0	$11,396	$0	$228,342	$0	$0
JOSEPH CORFITS
SENIOR VP FINANCE/CFO	$414,337	$0	$100,165	$0	$390,577	$0	$61,040	$0	$21,767	$0	$987,886	$0	$344,195	$0
CHRISTINE BLAIR MHA RN
CHIEF ADMIN OFFICER	$185,023	$0	$46,325	$0	$15,436	$0	$32,075	$0	$15,702	$0	$294,561	$0	$0	$0
GAYLE CULBERTSON
EXEC DIR LAB SVCS	$144,905	$0	$19,612	$0	$1,046	$0	$21,630	$0	$6,875	$0	$194,068	$0	$0	$0
CECELIA KIRVIN
EXEC DIR/CCO BCH	$166,656	$0	$21,438	$0	$1,046	$0	$24,299	$0	$6,967	$0	$220,406	$0	$0	$0
ERIC LOTHE
VP OPERATIONS/CAO-ILH	$359,493	$0	$80,744	$0	$192,518	$0	$79,672	$0	$22,669	$0	$735,096	$0	$153,386	$0
JOYCE MCDANEL
VP HUMAN RESOURCES	$301,392	$0	$73,810	$0	$21,851	$0	$86,170	$0	$20,585	$0	$503,808	$0	$0	$0
DEBRA MOYER BSN MPA RN
CHIEF NURSING EXECUTIVE	$319,609	$0	$77,380	$0	$52,047	$0	$64,521	$0	$6,068	$0	$519,625	$0	$0	$0
THOMAS MULROONEY
VP SURGICAL & CARDIOVASCULAR SVCS	$202,646	$0	$50,536	$0	$15,094	$0	$12,974	$0	$22,891	$0	$304,141	$0	$0	$0
MARK PURTLE MD
VP MEDICAL AFFAIRS	$529,853	$0	$114,034	$0	$29,359	$0	$152,393	$0	$22,670	$0	$848,309	$0	$0	$0
SIDNEY RAMSEY
VP STRATEGIC BUSINESS DEVELOPMENT	$310,216	$0	$71,650	$0	$44,703	$0	$33,125	$0	$6,522	$0	$466,216	$0	$0	$0
DAVID STARK
EXECUTIVE VP/COO UPHDM	$443,458	$0	$89,003	$0	$37,496	$0	$85,822	$0	$25,134	$0	$680,913	$0	$0	$0
STEPHEN STEPHENSON MD
PRESIDENT/COO BLANK CHILDRENS HOSPIT	$193,893	$292,079	$110,903	$0	$23,650	$198,668	$27,676	$6,831	$7,554	$8,219	$363,676	$505,797	$0	$166,771
WILLIAM YOST MD
VP MEDICAL EDUCATION	$346,342	$0	$48,048	$0	$3,755	$0	$60,855	$0	$13,460	$0	$472,460	$0	$0	$0
ROBERT ISAAK MD
PHYSICIAN-RADATION ONCOLOGY	$510,926	$0	$716,899	$0	$480	$0	$13,250	$0	$26,901	$0	$1,268,456	$0	$0	$0
ALAN SACKS MD
PHYSICIAN-OB & PERINATAL CARE	$600,704	$0	$0	$0	$3,168	$0	$13,250	$0	$1,770	$0	$618,892	$0	$0	$0
ARSHIN SHEYBANI MD
PHYSICIAN-RADATION ONCOLOGY	$502,729	$0	$295,064	$0	$384	$0	$24,444	$0	$33,295	$0	$855,916	$0	$0	$0
JOHN TRIANTAFYLLOS MD
PHYSICIAN-RADATION ONCOLOGY	$509,713	$0	$710,651	$0	$1,104	$0	$18,550	$0	$27,074	$0	$1,267,092	$0	$0	$0
ONYEBUCHI UKABIALA MD
PHYSICIAN-PEDIATRIC SURGERY	$690,081	$0	$0	$0	$3,368	$0	$29,150	$0	$21,837	$0	$744,436	$0	$0	$0
AMY BETHEL
EXEC DIR SURGERY	$140,558	$0	$4,118	$0	$1,446	$0	$19,498	$0	$15,823	$0	$181,443	$0	$0	$0
DOUGLAS DORNER MD
VP MEDICAL EDUCATION FORMER KE	$121,680	$0	$0	$0	$21,030	$0	$7,100	$0	$0	$0	$149,810	$0	$0	$0
LESLIE SMIAROWSKI
EXEC DR-FAC SVCS FORMER KE	$151,966	$0	$24,514	$0	$908	$0	$14,628	$0	$16,316	$0	$208,332	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

TRAVEL FOR COMPANIONS: SPOUSES SOMETIMES ACCOMPANY BOARD MEMBERS AND/OR OFFICERS ON ORGANIZATIONAL ACTIVITIES, INCLUDING BOARD RELATED TRAVEL. THE ADDITIONAL COST ATTRIBUTABLE TO THE SPOUSE IS TREATED AS TAXABLE COMPENSATION TO THE BOARD MEMBER OR OFFICER AND REPORTED AS APPROPRIATE TO THE IRS. 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 AS "NONCASH COMP" (IMPUTED MISCELLANEOUS) 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: JOSEPH CORFITS $15,180, ERIC CROWELL $302,361, KAYLEEN HORNBROOK $4,449; ERIC LOTHE $61,138, JOYCE MCDANEL $61,053, DEBRA MOYER $51,271, MARK PURTLE $139,143, DAVID STARK $66,930, STEPHEN STEPHENSON $2,843, WILLIAM YOST $47,605. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: JOSEPH CORFITS $344,195, ERIC LOTHE $153,386, STEPHEN STEPHENSON $166,771. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CHELSEA CAPPER
FAMILY MEMBER OF KEY EMPLOYEE ERIC CROWELL	$19,945	EMPLOYMENT	0
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$1,475,000	INVESTMENT AND IMAGING SERVICES	0
LAKEVIEW SURGERY CENTER LC
COMMON BOARD MEMBER/OFFICER	$2,200,000	INVESTMENT, SUPPLIES, OTHER	0
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
COMMON BOARD MEMBER/OFFICER	$1,924,000	INVESTMENT, LAUNDRY	0
STEPHEN HOUSE
FAMILY MEMBER OF KEY EMPLOYEE AMY BETHEL	$159,245	EMPLOYMENT	0
TRACY EKHARDT MD
FAMILY MEMBER OF KEY EMPLOYEE STEPHEN STEPHENSON, MD	$571,485	EMPLOYMENT	0
WEST LAKES SLEEP CENTER LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$192,000	INVESTMENT	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	ERIC LOTHE; SIDNEY RAMSEY; BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	CENTRAL IOWA HEALTH SYSTEM, A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	CENTRAL IOWA HEALTH SYSTEM ELECTS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	CENTRAL IOWA HEALTH SYSTEM ELECTS AND CAN REMOVE BOARD OF DIRECTORS, AND APPROVE DISSOLUTIONS OR MERGER. IOWA HEALTH SYSTEM, A TAX-EXEMPT IOWA NONPROFIT CORPORATION CAN AMEND THE ARTICLES AND BYLAWS AFTER CONSULTATION WITH CENTRAL IOWA HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2016 FOR THE FOLLOWING INDIVIDUALS: ERIC CROWELL. 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, STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND WRITTEN EMPLOYMENT CONTRACT. 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 IOWA HEALTH FOUNDATION 6,095,842. CHANGES IN PENSION LIABILITY -2,843,242. MISCELLANEOUS TRANSFER ADJUSTMENTS -1,201.

Schedule R IRS990ScheduleR

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	N/A
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	273625869	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$314,290	$62,049	0	Yes (1)	0.19900
CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
1200 PLEASANT STREET	DES MOINES	IA	50309	453017991	ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES	IA		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$229,680	$124,352	0	Yes (1)	0.20000
CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	471608704	SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES	IA		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$653,439	$106,331	0	Yes (1)	0.26670
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		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$1,499,580	$2,553,399	0	Yes (1)	0.50000
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		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$4,923,059	$2,692,795	0	Yes (1)	0.50000
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		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$4,102,841	$3,140,794	0	Yes (1)	0.50000
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		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$282,926	$11,587	0	Yes (1)	0.20000
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2	WEST DES MOINES	IA	50266	263193923	SLEEP DISORDER DIAGNOSTIC TESTING FACILITY	IA		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$99,625	$263,559	0	Yes (1)	0.50000

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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		C	0	CENTRAL IOWA HOSPITAL CORPORATION	-$51,394	$74,996	0.57100
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	Yes (1)	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	Yes (1)	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	0	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
K	$2,039,245	BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
P	$83,188	BASED ON GAAP, CASH, AND/OR FMV.

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PARTS I - IV:	FormAndLineReferenceDesc
Explanation	IOWA 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