2025-11-13T15:08:16-06:00 2024-12-31 990 2024-01-01 421019872 NORTHWEST IOWA HOSPITAL CORPORATION NORT 7122793500 2720 STONE PARK BLVD SIOUX CITY IA 51104 LEAH KNAPP MKT VP FINANCE 7122793824 2025-11-04 0 2024 2025-03-06 01:10:19Z ST LUKE'S REGIONAL MEDICAL CENTER JANE ARNOLD 2720 STONE PARK BLVD SIOUX CITY IA 51104 275751068 0 X WWW.UNITYPOINT.ORG (SEE SCH O) X 1974 IA TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE. 10 8 1677 8 402559 0 2457674 1766588 216011007 244755061 323560 4876771 2524985 2883513 221317226 254281933 6742661 6641074 0 0 127480084 134643037 0 0 0 91632662 101120522 225855407 242404633 -4538181 11877300 223071056 238553715 81167353 81388627 141903703 157165088 X THE MISSION OF NORTHWEST IOWA HOSPITAL CORPORATION, D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER, IS TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE. 0 0 197567301 2518124 246268186 HEALTH-CARE SERVICESNORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH CARE DELIVERY SYSTEM THAT SIOUXLAND COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. NORTHWEST 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 ENDING DECEMBER 31, 2024, NORTHWEST IOWA HOSPITAL CORPORATION ADMITTED 11,885 PATIENTS. THE HOSPITAL HAD A TOTAL NUMBER OF 94,783 PATIENT DAYS. OUTPATIENT VISITS TOTALED 124,465 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 2,448. THERE WERE ALSO 35,787 EMERGENCY ROOM VISITS AND 2,144 BABIES DELIVERED. 15379083 4122950 0 COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: NORTHWEST 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 $1,947,123 IN 2024. OFTENTIMES, NORTHWEST IOWA HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES OR SERVICES. NORTHWEST IOWA HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT SPONSORED HEALTH-CARE PROGRAMS. NORTHWEST IOWA HOSPITAL CORPORATION'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $0 FOR 2024. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE WAS $1,947,123.OTHER BENEFITS: NORTHWEST IOWA HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. NORTHWEST 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. NORTHWEST IOWA HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE WAS $13,431,961. 212946384 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1 1677 1 1 1 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X LEAH KNAPP MKT VP FINANCE 7122793824 2720 STONE PARK BLVD SIOUX CITY IA 51104 RENEE BEAULIEU BOARD MEMBER 1.00 1.00 X 0 0 0 CRAIG BERENSTEIN BOARD MEMBER 1.00 1.00 X 0 0 0 TOM CARROLL MD BOARD MEMBER 1.00 1.00 X 0 0 0 MIKE CRONE BOARD TREASURER 1.00 1.00 X X 0 0 0 ANGELO JAMES BOARD MEMBER 1.00 1.00 X 0 0 0 JIM PALMER BOARD CHAIR 1.00 1.00 X X 0 0 0 GARRETT SMITH BOARD MEMBER 1.00 1.00 X 0 14500 0 JOY TAYLOR MD TO 1024 BOARD VICE CHAIR 1.00 40.00 X X 0 12800 640 BETH TREJO BOARD MEMBER 1.00 1.00 X 0 0 0 CHIC WOLFE BOARD MEMBER 1.00 1.00 X 0 0 0 JANE ARNOLD MARKET PRESIDENT 40.00 1.00 X 385211 0 73645 LEAH KNAPP MARKET VP FINANCE 40.00 1.00 X 226770 0 47456 BRENDA LARSEN MARKET VP OPERATIONS 40.00 1.00 X 162624 0 18746 WENDY LINDLEY MARKET CHIEF NURSING OFFICER 40.00 1.00 X 284278 0 42262 KARI WINKLEPLECK PRESIDENT FOUNDATION 40.00 1.00 X 182373 0 33307 JOHN JONES MARKET CHIEF MEDICAL OFFICER 40.00 1.00 X 203913 0 21398 SHEILA FOSTER DO PHYSICIAN 40.00 0.00 X 1522802 0 53196 KEVIN FOLCHERT MD PHYSICIAN 40.00 0.00 X 618816 0 39193 DANIEL WEI MD ER PHYSICIAN 40.00 0.00 X 709545 0 25252 JEFFREY O'TOOL MD PHYSICIAN/DIRECTOR ER 40.00 0.00 X 793131 0 40997 KHALIL YOUSEF MD PHYSICIAN 40.00 0.00 X 638871 0 46629 LEAH GLASGO TO 1023 FORMER INT. PRES/CEO SC 0.00 40.00 X 0 508390 93885 SARAH MARSH TO 0923 FORMER INTERIM VP/CFO 0.00 40.00 X 0 283209 43983 5728334 818899 580589 146 1 1 0 AMN HEALTHCARE INC PO BOX 910738 DALLAS TX 75391 MEDICAL STAFFING 9631093 HEALTH CAROUSEL LLC 4000 SMITH RD STE 410 CINCINNATI OH 45209 MEDICAL STAFFING 1865860 FRESENIUS MEDICAL CARE SIOUX C 16343 COLLECTIONS CENTER DR CHICAGO IL 60693 MEDICAL STAFFING 1226053 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 MEDICAL STAFFING 709214 MAYO COLLABORATIVE SERVICES 3050 SUPERIOR DR NW ROCHESTER MN 55905 LAB SERVICES 697164 33 89012 1677576 1766588 NET PATIENT REVENUE 900099 239629758 239629758 EDUCATION & RESEARCH 611310 2805872 2805872 LABORATORY SERVICES 900099 946076 543517 402559 RENTAL INCOME 531390 749220 749220 MGMT & SUPPORT SVCS 561000 624135 624135 244755061 1728944 1079 1727865 24375650 2250 21172178 57895 3203472 -55645 3147827 3147827 242209 239062 3147 3147 CAFETERIA/FOOD SVCS 722210 1082181 1082181 MISCELLANEOUS 900099 962987 962987 SHARED SAVINGS REVENUE 900099 549060 549060 286138 286138 2880366 254281933 245865628 402559 6247158 6605335 6605335 35739 35739 1681984 1681984 215908 215908 112506997 103299989 9207008 3166484 2907355 259129 11190168 10274421 915747 5881496 5400184 481312 21647959 7541908 14106051 815939 708749 107190 321343 193815 127528 21522393 20759478 762915 348777 56928 291849 3153906 2942664 211242 435530 435530 6419021 5626507 792514 268725 235020 33705 97626 38107 59519 1574187 1574187 6034653 5939101 95552 -60978 -60978 MEDICAL SUPPLIES 38195024 38114197 80827 MISCELLANEOUS EXPENSE 342063 317865 24198 BAD DEBT EXPENSE 4071 4071 INCOME TAXES 283 283 242404633 212946384 29458249 0 4314996 12112473 2560187 6986215 30886869 27951615 68288957 57839365 4812526 5074215 605782 605060 221663678 161070263 60306804 60593415 46377457 60448681 4823340 6874447 94138 68229 223071056 238553715 14973448 15979747 2071707 2071010 3304341 64122198 60033529 81167353 81388627 X 136536772 149714309 5366931 7450779 141903703 157165088 223071056 238553715 X 11877300 -392854 3776939 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 46564815 4000000 5794962 124039 56235738 56911466 -13898285 3763575 50000 161941 46564815 54551257 6917033 -4415730 141094 56911466 49719905 5013245 51849 130044 54551257 46501785 26041 3314920 5531 117310 49719905 0.86809 0.03432 0.09759 1 0 5498665 5498665 128160622 92724479 35436143 81785374 63963851 17821523 6219017 4381933 1837084 60593415 DUE TO AFFILIATES 42237911 ASBESTOS REMOVAL LIABILITY 4527149 SELF-INSURANCE RESERVE 7719429 LONG-TERM RETENTION INCENTIVES 3984500 HEALTH AND WELFARE BENEFITS RESERVE 874330 MISCELLANEOUS LIABILITY 621981 OPERATING LEASE LIABILITY 68229 60033529 X 253556000 -392854 239089 -153765 253709765 127528 444640 572168 254281933 237895000 239062 239062 237655938 127528 4621167 4748695 242404633 PART V, LINE 4: THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY. PART X, LINE 2: UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2021. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TAX ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES 239,062. ROUNDING 27. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 437,732. REVENUES IN NET ASSETS WITH DONOR RESTRICTIONS 6,908. PART XII, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES 239,062. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 4,620,997. ROUNDING 170. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 1947123 1947123 0.00800 55695124 71542811 0 0.00000 57642247 71542811 1947123 0.00800 379002 0 379002 0.00160 4432773 3631507 801266 0.00330 8128742 0 8128742 0.03350 8001922 3878971 4122951 0.01700 20942439 7510478 13431961 0.05540 78584686 79053289 15379084 0.06340 0 3723041 0 44616723 48109005 -3492282 X 1 1 1 PIERCE STREET SAME DAY SURGERY LC AMBULATORY SURGERY CENTER 0.50000 0.00000 0.50000 1 1 ST LUKE'S REGIONAL MEDICAL CENTER 2720 STONEPARK BLVD SIOUX CITY IA 51104 WWW.UNITYPOINT.ORG/SIOUXCITY 970180H X X X X ST LUKE'S REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 ST. LUKE'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA PLANNING COMMITTEE, MADE UP OF REPRESENTATIVES FROM BRIAR CLIFF UNIVERSITY, DUNES SURGICAL HOSPITAL, GROWING COMMUNITY CONNECTIONS, MERCYONE SIOUXLAND MEDICAL CENTER, SIOUXLAND COMMUNITY HEALTH CENTER, SIOUXLAND DISTRICT HEALTH DEPARTMENT, SOURCE FOR SIOUXLAND AND UNITYPOINT HEALTH ST. LUKE'S ELECTED TO UTILIZE THE NATIONAL ASSOCIATION OF COUNTIES AND CITIES HEALTH OFFICIALS (NACCHO), MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS TO COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. AS A RESULT, THIS REPORT INCLUDES COMMUNITY THOUGHTS FROM THE FOLLOWING: - 609 ONLINE SURVEY RESPONDENTS - 2 COMMUNITY WIDE MEETINGS WITH A COMBINED 93 ATTENDEES - 38 DIFFERENT COMMUNITY AND CITY-BASED ORGANIZATIONS - 4 FOCUS GROUP MEETINGS WITH A COMBINED 25 ATTENDEES ST. LUKE'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: MERCYONE SIOUXLAND MEDICAL CENTER & DUNES SURGICAL HOSPITAL ST. LUKE'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: SIOUXLAND DISTRICT HEALTH DEPARTMENT ST. LUKE'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED EVERY THREE YEARS THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN THE SIOUXLAND DISTRICT HEALTH DEPARTMENT, MERCYONE, AND UNITYPOINT HEALTH ST. LUKE'S REGIONAL MEDICAL CENTER. THE ASSESSMENT IDENTIFIES THE REGION'S MOST SIGNIFICANT HEALTH PRIORITIES AND GUIDES COLLECTIVE EFFORTS TO IMPROVE POPULATION HEALTH OUTCOMES IN THE SIOUXLAND AREA AND EACH PRIORITY AREA IS GUIDED BY A STRONG COMMITMENT TO EQUITY AND INCLUSION.THE FOUR PRIMARY PRIORITIES IDENTIFIED IN THE LATEST CHNA ARE:1. PREVENTIVE CARE2. SUBSTANCE MISUSE3. PHYSICAL HEALTH4. MENTAL HEALTHPREVENTIVE CARE: COMMUNITY IMPACT HIGHLIGHTS (20222024) - PROGRAMS AND INITIATIVES IMPLEMENTED OR EXPANDED TO STRENGTHEN PREVENTIVE HEALTH AND COMMUNITY WELLNESS INCLUDE: PROMOTED PREVENTIVE SCREENINGS, HEALTHY LIFESTYLES, AND AVAILABLE SERVICES AT ST. LUKE'S DURING THE LOCAL FARMER'S MARKET EACH SUMMER. PARTNERED WITH THE JUNE E. NYLEN CANCER CENTER TO PROVIDE STAFF AND SUPPORT FOR ITS ANNUAL FREE CANCER SCREENINGS FOR SKIN, ORAL, HEAD, AND NECK CANCERS. SPONSORED THE ANNUAL OCTOBER HOCKEY EVENT, RAISING FUNDS TO SUPPORT CANCER SURVIVORS, PATIENTS, AND RELATED PROGRAMS AT ST. LUKE'S. OFFERED DISCOUNTED "DONE IN A DAY" SCREENING PACKAGES THAT INCLUDE WOMEN'S WELLNESS EXAMS AND HEART HEALTH SCREENINGS. ENSURED THAT CLINIC PROVIDERS PROACTIVELY CONDUCT PREVENTIVE SCREENINGS AND FOLLOW-UP CARE FOR PATIENTS WHO ARE OVERDUE. COLLABORATED WITH THE JUNE E. NYLEN CANCER CENTER THROUGH THE SERVING OUR SISTERS PROGRAM TO PROMOTE THE IMPORTANCE OF MAMMOGRAM SCREENINGS. PARTNERED WITH THE SIOUXLAND DISTRICT HEALTH DEPARTMENT AND SIOUXLAND COMMUNITY HEALTH CENTER TO ADVANCE THE IOWA BREAST AND CERVICAL CANCER DETECTION PROGRAM. PARTICIPATED IN COMMUNITY HEALTH FAIRS AND LOCAL WELLNESS EVENTS, PROMOTING PREVENTIVE SCREENINGS AND MANAGEMENT OF CHRONIC DISEASES. JOINED THE YMCA HEALTHY KIDS DAY TO ENCOURAGE HEALTHY EATING HABITS AND PHYSICAL ACTIVITY AMONG CHILDREN AND FAMILIES. MAINTAINED THE ST. LUKE'S COMMUNITY GARDEN, OFFERING 36 RAISED GARDEN BEDS FOR COMMUNITY RESIDENTS TO GROW THEIR OWN PRODUCE. PROVIDED FINANCIAL SUPPORT FOR LOCAL FITNESS PROGRAMS, INCLUDING YOUTH SPORTS AND SUMMER CAMPS, TO PROMOTE LIFELONG WELLNESS. PARTICIPATED IN THE I-SMILE PROGRAM, OFFERING PREVENTIVE DENTAL SERVICES FOR CHILDREN REFERRED THROUGH THE SIOUXLAND DISTRICT HEALTH DEPARTMENT'S TITLE V PROGRAM.SUBSTANCE MISUSE - INITIATIVES FOCUSED ON PREVENTION, EDUCATION, AND RECOVERY SUPPORT INCLUDE: CONTINUED FINANCIAL AND OPERATIONAL SUPPORT FOR THE NEW SOBER LIVING FACILITY IN SIOUX CITY, HELPING RESIDENTS IN RECOVERY ACHIEVE LONG-TERM STABILITY. IMPLEMENTED A PUBLIC EDUCATION CAMPAIGN (20222023) EMPHASIZING THE RISKS OF SMOKING, ALCOHOL USE, AND SUBSTANCE MISUSE DURING PREGNANCY TO PROMOTE HEALTHIER OUTCOMES FOR MOTHERS AND INFANTS.PHYSICAL HEALTH - TO EXPAND ACCESS TO CARE AND ADDRESS COMMUNITY HEALTH NEEDS IMPLEMENTED STRATEGIES INCLUDE: INVESTED IN STRATEGIC PROVIDER RECRUITMENT TO STRENGTHEN BOTH PRIMARY AND SPECIALTY CARE SERVICES BASED ON COMMUNITY DEMAND. EXPANDED THE PEDIATRIC HOSPITALIST PROGRAM TO ENHANCE INPATIENT CARE FOR CHILDREN. RECRUITED A PEDIATRIC INFECTIOUS DISEASE PHYSICIAN TO ADDRESS SPECIALIZED PEDIATRIC NEEDS. ADDED INTERVENTIONAL RADIOLOGY SERVICES THROUGH THE EMPLOYMENT AND CONTRACTING OF QUALIFIED SPECIALISTS. RECRUITED A GASTROENTEROLOGIST AND TWO ADVANCED PRACTICE PROVIDERS (APPS) TO MEET GROWING COMMUNITY DEMAND IN GASTROINTESTINAL CARE. EXPANDED ACCESS TO CARE BY ADDING FAMILY MEDICINE AND URGENT CARE PROVIDERS AT THE SUNNYBROOK CLINIC. ADDED A PEDIATRIC ADVANCED PRACTICE PROVIDER AT THE SUNNYBROOK PEDIATRIC CLINIC TO ENHANCE PEDIATRIC CARE AVAILABILITY. OPENED TWO NEW FAMILY MEDICINE AND URGENT CARE CLINICS IN MARKETPLACE (SIOUX CITY) AND DAKOTA DUNES, SD, IMPROVING ACCESS TO CARE ACROSS THE SIOUXLAND REGION. CONTINUED RECRUITMENT EFFORTS FOR CARDIOLOGISTS TO MEET THE GROWING NEED FOR CARDIOVASCULAR SERVICES. PROVIDED FINANCIAL SUPPORT TO THE SIOUXLAND MEDICAL EDUCATION FOUNDATION RESIDENCY PROGRAM, PROMOTING RECRUITMENT AND RETENTION OF FAMILY PRACTICE PHYSICIANS. CONTINUED TO OFFER A FREE BREASTFEEDING CLINIC TO EDUCATE AND SUPPORT NEW MOTHERS IN THE BENEFITS AND BEST PRACTICES OF BREASTFEEDING. PROVIDED INPATIENT AND OUTPATIENT DIABETES EDUCATION PROGRAMS TO EMPOWER PATIENTS IN MANAGING THEIR HEALTH. EXPANDED TELEHEALTH SERVICES IN KEY SPECIALTIESINCLUDING MENTAL HEALTH AND NEUROLOGYTO IMPROVE ACCESS TO CARE AND REDUCE THE NEED FOR PATIENT TRAVEL.MENTAL HEALTH - RECOGNIZING THE GROWING NEED FOR MENTAL HEALTH RESOURCES, UNITYPOINT HAS UNDERTAKEN THE FOLLOWING INITIATIVES: SUPPORTED ONGOING RECRUITMENT OF MENTAL HEALTH PROFESSIONALS TO EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES. PROMOTED THE "IT'S OK TO NOT BE OK" CAMPAIGN TO HELP REDUCE STIGMA AND ENCOURAGE OPEN CONVERSATIONS ABOUT MENTAL HEALTH. EMPLOYED A BEHAVIORAL HEALTH CONSULTANT (LISW) TO PROVIDE ASSESSMENTS, THERAPY, AND APPROPRIATE LEVEL-OF-CARE RECOMMENDATIONS FOR PATIENTS. PARTNERED WITH SIOUXLAND MENTAL HEALTH AND COMMUNITY ORGANIZATIONS TO CREATE A MENTAL HEALTH ROUNDTABLE, DESIGNED TO COORDINATE RESOURCES AND ESTABLISH A SEAMLESS CONTINUUM OF CARE. EXPANDED PERINATAL AND POSTPARTUM MENTAL HEALTH SERVICES FOR WOMEN EXPERIENCING DEPRESSION, ANXIETY, BONDING DIFFICULTIES, OR BIRTH TRAUMA.OTHER COMMUNITY SERVICES - ADDITIONAL INITIATIVES SUPPORTING COMMUNITY WELL-BEING AND ACCESS TO RESOURCES INCLUDE: ACTIVELY PARTICIPATED IN AND PROVIDED FINANCIAL CONTRIBUTIONS TO THE SIOUXLAND STREET PROJECT, SUPPORTING INDIVIDUALS EXPERIENCING HOMELESSNESS. OFFERED TRANSPORTATION ASSISTANCE TO PATIENTS DISCHARGED FROM THE HOSPITAL WHO LACK ACCESS TO SAFE TRAVEL HOME. CONTRIBUTED FINANCIAL SUPPORT TO THE WARMING SHELTER, PROVIDING EMERGENCY HOUSING FOR HOMELESS RESIDENTS DURING COLD-WEATHER MONTHS. LAUNCHED "TOGETHER WE CARE," AN ONLINE RESOURCE CONNECTING INDIVIDUALS AND FAMILIES WITH COMMUNITY ASSISTANCE PROGRAMS FOR FOOD, TRANSPORTATION, AND OTHER ESSENTIAL NEEDS. DELIVERED PUBLIC HEALTH EDUCATION THROUGH SOCIAL MEDIA, LOCAL NEWS, AND BILLBOARD CAMPAIGNS ON TOPICS INCLUDING MENTAL HEALTH, PHYSICAL WELLNESS, SEXUAL HEALTH, VAPING PREVENTION, CHRONIC DISEASE MANAGEMENT, HEART HEALTH, AND PREVENTIVE SCREENINGS. PARTICIPATED IN THE PRESCRIPTION READING PROGRAM, ENCOURAGING EARLY CHILDHOOD LITERACY BY PROVIDING BOOKS AND A "PRESCRIPTION TO READ" FOR NEWBORNS AND YOUNG CHILDREN DURING HOSPITAL STAYS AND CLINIC VISITS. ST. LUKE'S REGIONAL 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. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES. FACULTY REPORTING GROUP B - PART V, LINE 4 & 9, CHNA TAX YEAR: THE HOSPITAL'S 2023 FORM 990 ERRONEOUSLY REPORTED THE CHNA/IMPLEMENTATION STRATEGY COMPLETION DATES AS 2021, BUT THE CORRECT DATES WERE 2022. THE HOSPITAL'S BOARD APPROVED THE RECENT CHNA/IMPLEMENTATION STRATEGY IN 2025 AND HAS MET THE REQUIREMENT OF COMPLETING A CHNA ONCE EVERY THREE YEARS. FACILITY REPORTING GROUP A - PART V, LINE 7A, CHNA REPORT: THE CHNA REPORT WAS WIDELY AVAILABLE ON A WEBSITE FACILITY'S WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACULTY REPORTING GROUP A - PART V, LINE 10A, IMPLEMENTATION STRATEGY: HE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS WIDELY AVAILABLEON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACULTY REPORTING GROUP A - PART V, LINE 16A, FAP WEBSITE: THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACULTY REPORTING GROUP A - PART V, LINE 16B, FAP WEBSITE: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACULTY REPORTING GROUP A - PART V, LINE 16C, FAP WEBSITE: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):HTTPS://WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE 1 1 - PIERCE STREET SAME DAY SURGERY 2730 PIERCE STREET SIOUX CITY IA 51104 FREESTANDING OUTPATIENT SURGERY CENTER (JOINT VENTURE) PART I, LINE 6A: THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM'S COMMUNITY BENEFIT REPORT (DBA AS UNITYPOINT HEALTH) WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. PART I, LINE 7G: THE HOSPITAL INCLUDED $836,817 IN SUBSIDIZED HEALTH SERVICES FOR FUNDING IT PROVIDED TO UNITYPOINT CLINIC TO FUND ITS LOSSES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,071. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ARE AN ESSENTIAL PART OF UNITYPOINT HEALTH - ST. LUKE'S (ST. LUKE'S) MISSION, FOCUSING ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT THE WELL-BEING OF COMMUNITY MEMBERS. WHILE HEALTHCARE SERVICES PLAY A DIRECT ROLE IN HEALTH OUTCOMES, COMMUNITY FACTORS SUCH AS EDUCATION, HOUSING, NUTRITION, AND ACCESS TO ESSENTIAL SERVICES CONTRIBUTE SIGNIFICANTLY TO OVERALL HEALTH. BY COLLABORATING WITH LOCAL ORGANIZATIONS, ST. LUKE'S PLAYS A VITAL ROLE IN ENSURING THAT RESOURCES AND SUPPORT ARE AVAILABLE TO THOSE IN NEED.THROUGH OUR COMMUNITY BENEFITS PROGRAM, ST. LUKE'S TARGETS UNDERSERVED POPULATIONS, PROVIDING THEM WITH CRITICAL ACCESS TO HEALTHCARE SERVICES. COLLABORATING WITH ENTITIES LIKE THE SIOUXLAND COMMUNITY HEALTH CENTER, ST. LUKE'S ADDRESSES GAPS IN CARE BY PROVIDING ACCESS TO HEALTHCARE FOR THOSE WHO MAY NOT OTHERWISE RECEIVE IT, HELPING REDUCE BARRIERS AND IMPROVE HEALTH EQUITY IN THE REGION.ST. LUKE'S ALSO PARTNERS WITH VARIOUS COMMUNITY HEALTH INITIATIVES TO ADDRESS SPECIFIC HEALTH CONCERNS PREVALENT IN THE SIOUXLAND AREA. FOR INSTANCE, ST. LUKE'S SUPPORTS MENTAL HEALTH SERVICES THROUGH PARTNERSHIPS WITH LOCAL MENTAL HEALTH AGENCIES. THESE COLLABORATIONS IMPROVE ACCESS TO MENTAL HEALTH CARE, ESPECIALLY FOR UNDERSERVED PATIENTS, HELPING THEM RECEIVE THE SERVICES THEY NEED IN A TIMELY MANNER.BY ACTIVELY ENGAGING IN COMMUNITY PROGRAMS, ST. LUKE'S STRENGTHENS TRUST BETWEEN HEALTHCARE PROVIDERS AND RESIDENTS. OUR WORK WITH LOCAL GROUPS SUCH AS THE SIOUXLAND DISTRICT HEALTH DEPARTMENT AND THE UNITED WAY OF SIOUXLAND FOSTERS TRUST AND ENCOURAGES RESIDENTS TO SEEK HEALTH CARE, PARTICIPATE IN SCREENINGS, AND FOLLOW PREVENTIVE CARE ADVICE, LEADING TO IMPROVED HEALTH OUTCOMES.ADDRESSING SOCIAL DETERMINANTS OF HEALTH, SUCH AS NUTRITION AND EDUCATION, IS A KEY ASPECT OF ST. LUKE'S EFFORTS. FOR EXAMPLE, ST. LUKE'S FUNDS AND COLLABORATES WITH THE LOCAL SIOUX CITY FARMERS MARKET TO PROVIDE FARM-FRESH FOOD TO THE COMMUNITY AND ENSURING ACCESS TO HEALTHY FOOD OPTIONS. THIS HOLISTIC APPROACH PROMOTES WELL-BEING AND PREVENTS DIET-RELATED HEALTH ISSUES. ST. LUKE'S IS ALSO PRIORITIZING DIABETIC CARE IN SIOUXLAND. THE DIABETIC EDUCATION COORDINATOR SEES PATIENTS 1:1 TO INDIVIDUALIZE EACH PERSON'S CARE PLAN. THIS ALLOWS PATIENTS TO FEEL COMFORTABLE SHARING PERSONAL INFORMATION. THE GOAL IS TO CREATE AN ATMOSPHERE WHERE INDIVIDUALS FEEL SAFE TO ASK QUESTIONS ABOUT THEIR CARE. ST. LUKE'S PROVIDES EDUCATION ON INSULIN USE, DIABETES MEDICATIONS, METER USE, AND CONTINUOUS GLUCOSE MONITORS. TYPICALLY, EACH PATIENT MEETS WITH THE DIABETIC EDUCATION COORDINATOR A MINIMUM OF TWO TIMES, WHICH HAS LED TO 86% OF PATIENTS DECREASING THEIR A1C. THANKS TO DONOR FUNDS, ST. LUKE'S PROVIDES PATIENTS, WHO ARE UNINSURED, A METER AND SUPPLIES TO MONITOR THEIR BLOOD SUGAR FOR 30 DAYS. THE HOSPITAL ALSO PROVIDES GLUCOSE TABLETS TO NEWLY DIAGNOSED PATIENTS, AND PATIENTS WHO ARE NEW TO INSULIN, TO KEEP IN THEIR VEHICLE AS A SAFETY MEASURE TO TREAT LOW BLOOD SUGARS. COMMUNITY MEMBERS WHO ACTIVELY PARTICIPATE IN HEALTH PROGRAMS ARE MORE LIKELY TO TAKE OWNERSHIP OF THEIR HEALTH. ST. LUKE'S PLAYS A ROLE IN EMPOWERING THE COMMUNITY BY OFFERING EDUCATIONAL PROGRAMS AND PREVENTIVE HEALTH SCREENINGS. PROGRAMS LIKE THE HEALTHY SIOUXLAND INITIATIVE, WHICH ST. LUKE'S CO-SPONSORS, ENCOURAGE COMMUNITY-DRIVEN EFFORTS TO IMPROVE HEALTH LITERACY AND OVERALL COMMUNITY WELL-BEING.WHEN IT COMES TO COST-EFFECT HEALTH SOLUTIONS, ST. LUKE'S COMMUNITY HEALTH PROGRAMS FOCUS ON PREVENTIVE CARE AND EARLY INTERVENTION. BY SUPPORTING COLORECTAL CANCER AND MAMMOGRAPHY SCREENINGS, THE HOSPITAL AND CLINICS HELP CATCH POTENTIAL HEALTH ISSUES EARLY. THIS CAN LEAD TO LIFE-SAVING OUTCOMES AND REDUCE THE NEED FOR COSTLY EMERGENCY CARE AND HOSPITALIZATIONS.IN ADDITION TO PROGRAM SUPPORT, ST. LUKE'S IS PROUD TO PARTNER WITH AND FINANCIALLY SUPPORT A WIDE RANGE OF NON-PROFIT ORGANIZATIONS IN THE SIOUXLAND COMMUNITY. BY ALLOCATING $70,000 TO 46 LOCAL NON-PROFIT ORGANIZATIONS, ST. LUKE'S ENABLES THESE GROUPS TO CARRY OUT THEIR ESSENTIAL WORK IN AREAS SUCH AS HEALTH, ECONOMIC STABILITY, AND SOCIAL WELL-BEING. EACH OF THESE PARTNERSHIPS PLAY A CRUCIAL ROLE IN ADDRESSING THE CHALLENGES THAT FACE THE SIOUXLAND COMMUNITY. SOME EXAMPLES OF THESE PARTNERSHIPS INCLUDE: ALZHEIMER'S ASSOCIATION: SUPPORTING INDIVIDUALS AFFECTED BY ALZHEIMER'S AND OTHER DEMENTIAS. BIG BROTHERS BIG SISTERS: PROVIDING MENTORSHIP PROGRAMS FOR YOUTH DEVELOPMENT. JUNE E. NYLEN CANCER CENTER: OFFERING COMPREHENSIVE CANCER CARE AND SUPPORT SERVICES. RONALD MCDONALD HOUSE SIOUX CITY: OFFERING LODGING FOR FAMILIES OF HOSPITALIZED CHILDREN. OPPORTUNITIES UNLIMITED: SUPPORTING INDIVIDUALS WITH BRAIN INJURIES AND DISABILITIES. HEARTLAND COUNSELING: PROVIDING ESSENTIAL MENTAL HEALTH SERVICES. ST. FLORIAN BURN FOUNDATION: SUPPORTING BURN SURVIVORS AND THEIR FAMILIES. CAMP HIGH HOPES: PROVIDING RECREATIONAL EXPERIENCES FOR INDIVIDUALS WITH DISABILITIES. HOSPICE OF SIOUXLAND: PROVIDING COMPASSIONATE END-OF-LIFE CARE.THESE PARTNERSHIPS DEMONSTRATE ST. LUKE'S COMMITMENT TO A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHERE HEALTH, EDUCATION, AND ECONOMIC FACTORS WORK TOGETHER TO CREATE LONG-TERM RESILIENCE AND WELL-BEING FOR SIOUXLAND RESIDENTS. ST. LUKE'S ALSO ACTIVELY ENGAGES WITH LOCAL MENTAL HEALTH PROVIDERS AND HEALTHCARE ORGANIZATIONS TO ADDRESS CRITICAL NEEDS, PARTICULARLY FOR PATIENTS WITH MENTAL ILLNESS. BY IMPROVING ACCESS TO MENTAL HEALTH SERVICES AND CREATING MORE SUPPORT NETWORKS, ST. LUKE'S HELPS REDUCE THE DISPARITY IN MENTAL HEALTH CARE FOR UNDERSERVED POPULATIONS. ST. LUKE'S OUTPATIENT BEHAVIORAL HEALTH PROGRAM, NEW BEGINNINGS, IS DESIGNED FOR ANY ADULT WHO IS LIVING WITH A CHRONIC MENTAL ILLNESS. ADULTS DEALING WITH DEPRESSION, ANXIETY, BIPOLAR DISORDER, AND A VARIETY OF OTHER COMMON MENTAL ILLNESSES CAN RECEIVE SUPPORT, GUIDANCE, TREATMENT, AND EDUCATION IN A SAFE AND CALMING ENVIRONMENT WITHOUT THE FEAR OF JUDGEMENT. NEW BEGINNINGS HAS INDIVIDUAL, GROUP, AND POSTPARTUM THERAPY OPTIONS AVAILABLE FOR THE SIOUXLAND COMMUNITY. THE HOSPITAL'S EFFORTS TO PROMOTE COLORECTAL CANCER AND MAMMOGRAPHY SCREENINGS THROUGHOUT THE TRI-STATE AREA ARE PIVOTAL IN DETECTING HEALTH ISSUES EARLY. BY COLLABORATING WITH OTHER HEALTH ORGANIZATIONS TO INCREASE PARTICIPATION IN SCREENINGS, ST. LUKE'S ENSURES THAT COMMUNITY MEMBERS ARE AWARE OF THE IMPORTANCE OF EARLY DETECTION, LEADING TO BETTER HEALTH OUTCOMES AND REDUCED LONG-TERM HEALTHCARE COSTS.ULTIMATELY, UNITYPOINT HEALTH - ST. LUKE'S PLAYS AN INTEGRAL ROLE IN ADDRESSING THE HEALTH NEEDS OF THE SIOUXLAND COMMUNITY BY COLLABORATING WITH A WIDE ARRAY OF LOCAL PARTNERS AND ORGANIZATIONS. THROUGH TARGETED HEALTH INTERVENTIONS, PREVENTIVE CARE, AND EFFORTS TO ADDRESS THE BROADER SOCIAL DETERMINANTS OF HEALTH, ST. LUKE'S IS DEEPLY COMMITTED TO IMPROVING ACCESS TO HEALTHCARE, BUILDING TRUST, AND EMPOWERING COMMUNITY MEMBERS. THE HOSPITAL'S DEDICATION TO CREATING LONG-TERM SOLUTIONS FOR HEALTH DISPARITIES IS EVIDENT IN ITS FINANCIAL CONTRIBUTIONS AND PARTNERSHIPS WITH ORGANIZATIONS THAT FOCUS ON MENTAL HEALTH, CHRONIC DISEASE PREVENTION, AND SUPPORT FOR UNDERSERVED POPULATIONS. THROUGH THESE EFFORTS, ST. LUKE'S CONTINUES TO STRENGTHEN THE HEALTH AND RESILIENCE OF SIOUXLAND FOR GENERATIONS TO COME. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR NIHC. 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. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE AND REVENUE.THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. PART VI, LINE 2: NORTHWEST IOWA HOSPITAL CORPORATION D/B/A ST. LUKE'S REGIONAL MEDICAL CENTER (ST. LUKE'S) CONTINUALLY WORKS WITH COMMUNITY PARTNERS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY AND THEN ENGAGES IN PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. SIOUXLAND DISTRICT HEALTH, LOCATED IN SIOUX CITY, ASSESSES THE COMMUNITY'S HEALTHCARE NEEDS AT LEAST ONCE EVERY FIVE YEARS. THROUGH A PLANNED AND ORGANIZED EFFORT, SIOUXLAND DISTRICT HEALTH DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES AND SHARES THAT INFORMATION THROUGH A COMPREHENSIVE REPORT TO THE COMMUNITY. IN COLLABORATION WITH THIS AGENCY, ST. LUKE'S UTILIZES THIS INFORMATION TO MONITOR LOCAL HEALTH, ENSURING THE HOSPITAL'S PROGRAMS, SERVICES AND HEALTH EDUCATION SUPPORTS PRIORITIES IDENTIFIED BY SIOUXLAND DISTRICT HEALTH. ST. LUKE'S ALSO PARTICIPATES IN HEALTHY SIOUXLAND INITIATIVE, A COLLECTION OF PUBLIC HEALTH PARTNERS THAT CONVENES MONTHLY, AND OTHER COMMUNITY HEALTH COLLABORATIONS, DESIGNED TO BUILD PARTNERSHIPS AMONG COMMUNITY HEALTHCARE ORGANIZATIONS TO BUILD A HEALTHY AND SAFE COMMUNITY. UNITED WAY IS ANOTHER PROGRAM ST. LUKE'S PARTICIPATES IN THROUGH THE UNITED WAY COMMUNITY IMPACT TEAMS. THIS GROUP ACTIVELY ADDRESSES NEED AND STRATEGIES ASSOCIATED WITH HEALTH. MORE SPECIFICALLY, THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE COMMUNITY HEALTH STATUS IS THE FOCUS OF THIS GROUP. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR ST. LUKE'S TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE EFFORTS, ST. LUKE'S CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS ALSO WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATIONS THEY AFFECT. PART VI, LINE 3: THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. PART VI, LINE 4: ST. LUKE'S REGIONAL MEDICAL CENTER IS AN URBAN, ACUTE-CARE COMMUNITY HOSPITAL LICENSED FOR 346 BEDS AND STAFFED FOR 151 BEDS SERVING THE SIOUXLAND AREA. THE SIOUXLAND AREA IS A TRI-STATE AREA CONSISTING OF NORTHWEST IOWA, NORTHEAST NEBRASKA, AND SOUTHEAST SOUTH DAKOTA. ST. LUKE'S IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE. ST. LUKE'S DISCHARGES APPROXIMATELY 11,000 INPATIENTS AND OVERSEES OVER 88,000 OUTPATIENTS VISITS PER YEAR INCLUDING EMERGENCY PATIENTS. WITHIN THE SIOUXLAND AREA, ST. LUKE'S SERVES A PRIMARY AND SECONDARY MARKET DEFINED BY COUNTIES. THE PRIMARY MARKETS ARE PLYMOUTH AND WOODBURY COUNTIES IN IOWA, DAKOTA COUNTY IN NEBRASKA AND UNION COUNTY IN SOUTH DAKOTA. THE PRIMARY COUNTIES ACCOUNT FOR 85% OF ST. LUKE'S INPATIENT DISCHARGES. WITHIN THE PRIMARY MARKET, TWO COMMUNITY HOSPITALS ARE LOCATED IN WOODBURY COUNTY, IOWA, AND ONE SURGICAL SPECIALTY HOSPITAL THAT IS PHYSICIAN-OWNED IS LOCATED IN UNION COUNTY, SOUTH DAKOTA. WOODBURY COUNTY IS THE LARGEST COUNTY IN THE SIOUXLAND AREA WITH APPROXIMATELY 105,951 RESIDENTS, WITH SIOUX CITY AS THE LARGEST CITY IN THE AREA WITH A 2023 ESTIMATED POPULATION OF 85,727. THE SECONDARY MARKETS ARE CHEROKEE, MONONA AND SIOUX COUNTIES IN IOWA AND THURSTON COUNTY IN NEBRASKA. WITH THE EXCEPTION OF THURSTON, A SEPARATE CRITICAL ACCESS HOSPITAL IS HOUSED IN EACH OF THESE COUNTIES.FOCUSING ON THE PRIMARY MARKET, THE HISPANIC POPULATION HAS THE LARGEST IMPACT IN TWO OF THE FOUR PRIMARY COUNTIES WITH DAKOTA COUNTY'S POPULATION HAVING OVER 41.9% HISPANIC ETHNICITY AND WOODBURY COUNTY WITH OVER 19.5%. UNION COUNTY AND WOODBURY COUNTY ALSO HAVE THE HIGHEST PERCENTAGE OF FAMILIES BELOW THE FEDERAL POVERTY LEVEL AT 13% AND 13% RESPECTIVELY. PART VI, LINE 5: THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE PEOPLE AND COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH AN OPEN MEDICAL STAFF AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD APPROVES THE COMMUNITY NEEDS ASSESSMENT AND COMMUNITY BENFEFIT PLAN FOR THE HOSPITAL. THE HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM AND ITS ULTIMATE PARENT UNITYPOINT HEALTH ALONG WITH ITS SUBSIDIARIES THAT INCLUDE THE HOSPITAL HAVE A STANDARD MODEL OF GOVERNANCE THAT ALLOWS THE HOSPITAL TO MAINTAIN A STRONG CLINICAL, FINANCIAL, STRATEGIC AND OPERATIONAL PROFILE THAT INCLUDES SURPLUS FUNDS USED TO FURTHER ITS CHARITABLE PURPOSE. PART VI, LINE 6: THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $5.3B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 400 CLINICS; 17 COMMUNITY NETWORK HOSPITALS; 13 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THEIR REGIONS. IN 2024, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $281 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 1 UNITED WAY OF SIOUXLAND 701 STEUBEN ST SIOUX CITY IA 51101 420680395 501(C)(3) 10000 0 PROGRAM SUPPORT IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY STE 400 WEST DES MOINES IA 50266 421411630 501(C)(3) 4734727 0 PROGRAM SUPPORT CAMP HIGH HOPES 5804 CORRECTIONVILLE ROAD SIOUX CITY IA 51106 201314242 501(C)(3) 7900 0 PROGRAM SUPPORT ST LUKE'S HEALTH FOUNDATION OF SIOUX CITY 2720 STONE PARK BLVD SIOUX CITY IA 51104 421301885 501(C)(3) 673640 0 PROGRAM SUPPORT UNIVERSITY OF IOWA 200 HAWKINS DR IOWA CITY IA 52242 426004813 1100000 0 PROGRAM SUPPORT SIOUXLAND CHAMBER OF COMMERCE 101 PIERCE STREET SIOUX CITY IA 51101 421229237 501(C)(3) 5050 0 PROGRAM SUPPORT 6 0 MEDICAL, DENTAL, & HOSPITAL EXPENSES 34 35739 PART I, LINE 2: NORTHWEST IOWA HOSPITAL CORPORATION REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINE A SERIES OF ELIGIBILITY STANDARDS THAT ARE REQUIRED TO BE MET. NORTHWEST IOWA HOSPITAL CORPORATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED & ELIGIBILITY, MANAGEMENT MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. NORTHWEST IOWA HOSPITAL CORPORATION MINIMIZES THE THREAT OF DIVERSION FOR INTENDED PURPOSE BY SENDING THE FUNDS DIRECTLY TO THE ORGANIZATION, WHERE POSSIBLE, ETC. 0 1 0 0 0 0 0 0 0 SHEILA FOSTER DO PHYSICIAN 1522091 0 0 0 711 0 16169 0 37027 0 1575998 0 0 0 JEFFREY O'TOOL MD PHYSICIAN/DIRECTOR ER 792411 0 0 0 720 0 17250 0 23747 0 834128 0 0 0 DANIEL WEI MD ER PHYSICIAN 684161 0 25000 0 384 0 17250 0 8002 0 734797 0 0 0 KHALIL YOUSEF MD PHYSICIAN 635735 0 0 0 3136 0 17250 0 29379 0 685500 0 0 0 KEVIN FOLCHERT MD PHYSICIAN 616752 0 0 0 2064 0 17250 0 21943 0 658009 0 0 0 LEAH GLASGO TO 1023 FORMER INT. PRES/CEO SC 0 384920 0 117380 0 6090 0 56700 0 37185 0 602275 0 0 JANE ARNOLD MARKET PRESIDENT 319694 0 59472 0 6045 0 46581 0 27064 0 458856 0 0 0 SARAH MARSH TO 0923 FORMER INTERIM VP/CFO 0 212597 0 67884 0 2728 0 14696 0 29287 0 327192 0 0 WENDY LINDLEY MARKET CHIEF NURSING OFFICER 226102 0 54636 0 3540 0 40624 0 1638 0 326540 0 0 0 LEAH KNAPP MARKET VP FINANCE 180931 0 14188 0 31651 0 10258 0 37198 0 274226 0 0 0 JOHN JONES MARKET CHIEF MEDICAL OFFICER 167474 0 20000 0 16439 0 9538 0 11860 0 225311 0 0 0 KARI WINKLEPLECK PRESIDENT FOUNDATION 155481 0 25151 0 1741 0 9423 0 23884 0 215680 0 0 0 BRENDA LARSEN MARKET VP OPERATIONS 145689 0 0 0 16935 0 7360 0 11386 0 181370 0 0 0 PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: JANE ARNOLD $32,969; LEAH GLASGO $39,450 AND WENDY LINDLEY $26,549. SCHEDULE J, PART 1, LINE 3 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. KASSANDRA SMITH FAMILY MEMBER OF BOARD MEMBER GARRETT SMITH 64289 EMPLOYMENT 0 FORM 990, LINE J, WEBSITE: HTTPS://WWW.UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---ST-LUKES FORM 990, PART V, LINES 1A & 1B CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH SYSTEM). 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 6 ST. LUKE'S HEALTH SYSTEM, INC., A TAX-EXEMPT IOWA NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER ST. LUKE'S HEALTH SYSTEM, INC AND THE ORGANIZATION SHARE A COMMON BOARD NOMINATED BY ST. LUKE'S HEALTH SYSTEM, INC. IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH, THE SOLE MEMBER OF ST. LUKE'S HEALTH SYSTEM, INC, APPROVES THE ELECTION OF BOARD MEMBERS AND APPOINTS THE MARKET PRESIDENT WHO SERVES AS AN EX-OFFICIO BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER ST. LUKE'S HEALTH SYSTEM, INC HAS AUTHORIZED ITS POWERS TO THE ORGANIZATION AND THEY SHARE A COMMON BOARD. POWERS OF THE COMMON BOARD ARE AUTHORIZED TO BE EXERCISED BY IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY UNITYPOINT HEALTH'S CORPORATE SERVICES TAX DEPARTMENT AND GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE DEPARTMENT WITH ULTIMATE APPROVAL BY THE DIRECTOR OF TAX SERVICES. THE DIRECTOR OF TAX SERVICES MEETS WITH THE FINANCE EXECUTIVE AND REVIEWS KEY PARTS OF THE FORM 990 UTILIZING A PRESENTATION SUMMARY. A COPY OF THE FORM 990 IS GIVEN TO EACH MEMBER OF THE BOARD VIA THE BOARD PORTAL ALONG WITH A REVIEW GUIDE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2024 FOR THE FOLLOWING INDIVIDUALS: JANE ARNOLD, JOHN JONES, MD, LEAH KNAPP, BRENDA LARSEN, WENDY LINDLEY, AND KARI WINKLEPLECK. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST 2,051,108. FUND BALANCE TRANSFERS 1,700,000. MISCELLANEOUS OTHER ADJUSTMENTS 25,831. ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421045257 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) ABBEHEALTH INC 0 ABBEHEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421373123 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III ST LUKE'S HEALTHCARE 0 AGING SERVICES INC 740 N 15TH AVE NO A HIAWATHA IA 52233 237085316 SENIOR SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) ABBEHEALTH INC 0 ALLEN COLLEGE 1825 LOGAN AVENUE WATERLOO IA 50703 421351526 EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS IA 501(C)(3) 170(B)(1) (A)(II) ALLEN HEALTH SYSTEMS INC 0 ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVENUE WATERLOO IA 50703 421201924 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE WATERLOO IA 50703 420698265 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ALLEN HEALTH SYSTEMS INC 0 ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DRIVE ANAMOSA IA 52205 421466284 PROVIDE AMBULANCE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'SJONES REGIONAL MEDICAL CENTER 0 BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 3251 WEST NINTH STREET WATERLOO IA 50702 420733463 MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 CENTER FOR ALCOHOL AND DRUG SERVICES INC 4869 FOREST GROVE DRIVE BETTENDORF IA 52722 421134273 SUBSTANCE ABUSE SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 0 CENTRAL IOWA HEALTH PROPERTIES CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 421233759 PROPERTY HOLDING COMPANY IA 501(C)(2) CENTRAL IOWA HEALTH SYSTEM 0 CENTRAL IOWA HEALTH SYSTEM 1200 PLEASANT STREET DES MOINES IA 50309 421189791 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 420680452 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) CENTRAL IOWA HEALTH SYSTEM 0 DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC 1415 WOODLAND AVE SUITE 130 DES MOINES IA 50309 421412497 COORDINATION OF MEDICAL EDUCATION PROGRAMS IA 501(C)(3) 509(A)(3), TYPE III 0 EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES 945 19TH STREET DES MOINES IA 50314 420942273 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) CENTRAL IOWA HEALTH SYSTEM 0 FINLEY TRI-STATES HEALTH GROUP INC 350 NORTH GRANDVIEW AVENUE DUBUQUE IA 52001 421307495 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 GRINNELL REGIONAL MEDICAL CENTER 210 FOURTH AVENUE GRINNELL IA 50112 420933383 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) CENTRAL IOWA HEALTH SYSTEM 0 GRINNELL REGIONAL MEDICAL CENTER FOUNDATION 210 FOURTH AVENUE GRINNELL IA 50112 421454737 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) GRINNELL REGIONAL MEDICAL CENTER 0 IOWA HEALTH FOUNDATION 1415 WOODLAND AVE SUITE E-200 DES MOINES IA 50309 421467682 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) CENTRAL IOWA HEALTH SYSTEM 0 IOWA HEALTH SYSTEM 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421435199 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III 0 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421411630 PRIMARY HEALTH CARE SERVICES IA 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM 0 MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1825 LOGAN AVENUE WATERLOO IA 50703 421201138 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 MERITER FOUNDATION INC 202 SOUTH PARK STREET MADISON WI 53715 237098688 CHARITABLE FUNDRAISING WI 501(C)(3) 170(B)(1) (A)(VI) MERITER HEALTH SERVICES INC 0 MERITER HEALTH SERVICES INC 202 SOUTH PARK STREET MADISON WI 53715 391412318 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE WI 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 MERITER HOSPITAL INC 202 SOUTH PARK STREET MADISON WI 53715 390806367 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) MERITER HEALTH SERVICES INC 0 NELLIE R SHERWOOD TRUST 1026 A AVENUE NE CEDAR RAPIDS IA 52402 426061621 PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY IA 501(C)(3) 509(A)(3), TYPE I ST LUKE'S METHODIST HOSPITAL 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 SIOUXLAND PACE INC 1200 TRI VIEW AVE SIOUX CITY IA 51103 261120134 ALL-INCLUSIVE CARE FOR THE ELDERLY IA 501(C)(3) 170(B)(1) (A)(III) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 0 ST LUKE'S HEALTH RESOURCES 2720 STONE PARK BLVD SIOUX CITY IA 51104 421059182 OUTPATIENT CLINICS AND HEALTHCARE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'S HEALTH SYSTEM INC 0 ST LUKE'S HEALTH SYSTEM INC 2720 STONE PARK BLVD SIOUX CITY IA 51104 421294091 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 ST LUKE'S HEALTHCARE 1026 A AVENUE NE CEDAR RAPIDS IA 52402 421487968 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE NE CEDAR RAPIDS IA 52402 420504780 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTHCARE 0 ST LUKE'SJONES REGIONAL MEDICAL CENTER 1795 HIGHWAY 64 EAST ANAMOSA IA 52205 421487967 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTHCARE 0 STL CARE COMPANY 1026 A AVENUE NE CEDAR RAPIDS IA 52402 421276632 IMPROVE PUBLIC HEALTH SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'S HEALTHCARE 0 THE DUBUQUE VISITING NURSE ASSOCIATION 350 NORTH GRANDVIEW AVENUE DUBUQUE IA 52001 420680410 PUBLIC HEALTH SERVICES/HOME CARE IA 501(C)(3) 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 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AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 400 CLINICS; 17 COMMUNITY NETWORK HOSPITALS; 13 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS.