CENTRAL IOWA HOSPITAL CORPORATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL IOWA HOSPITAL CORPORATION (EIN 42-0680452)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201503209349302675
- Schema version
- 2014v5.0
- 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 | 2015-11-16T09:30:28-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | 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 | 2015-11-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 | $738,094,564 | 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 | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 6275 | TotalEmployeeCnt |
| Total Volunteers | 8003 | TotalVolunteersCnt |
| Total Gross UBI | $13,947,387 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $662,908 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,027,153 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,847,144 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $652,858,246 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $692,511,004 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,722,431 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,146,071 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,217,998 | PYOtherRevenueAmt |
| CY Other Revenue | $6,046,926 | CYOtherRevenueAmt |
| PY Total Revenue | $703,825,828 | PYTotalRevenueAmt |
| CY Total Revenue | $734,551,145 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $19,408,213 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,058,932 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $319,630,315 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $342,602,667 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $311,818,890 | PYOtherExpensesAmt |
| CY Other Expenses | $312,262,040 | CYOtherExpensesAmt |
| PY Total Expenses | $650,857,418 | PYTotalExpensesAmt |
| CY Total Expenses | $681,923,639 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $52,968,410 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $52,627,506 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $919,259,212 | TotalAssetsBOYAmt |
| Total Assets EOY | $975,070,197 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $268,790,158 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $268,498,019 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $650,469,054 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $706,572,178 | 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 | $560,494,619 | ExpenseAmt |
| Grant | $25,884,132 | GrantAmt |
| Revenue | $693,533,347 | 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, 2014, CENTRAL IOWA HOSPITAL CORPORATION ADMITTED 31,517 PATIENTS RESULTING IN A TOTAL OF 165,515 PATIENT DAYS. OUTPATIENT VISITS TOTALED 343,065 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 20,033. THERE WERE ALSO 89,334 EMERGENCY ROOM VISITS AND 4,652 BABIES DELIVERED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $34,120,875 | ExpenseAmt |
| Grant | $1,174,800 | 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 $4,932,378 IN 2014. 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 $16,478,617 FOR 2014. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $21,410,995.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 69,297 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL NET OTHER BENEFITS REPORTED VALUE: $12,709,880. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $594,615,494 | 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 |
| IRP Document | 266 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6275 | 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 | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 (46 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ERIC BARP MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID BOARINI MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $684 | $0 | $0 | ||||
| BRAD BRODY | ||||||||||
| BOARD VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BISHOP MICHAEL BURK | ||||||||||
| BOARD SECRETARY | 1.00 | 1.00 | Yes (X) | $375 | $0 | $0 | Yes (X) | |||
| MARY CHAPMAN | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $375 | $0 | $0 | ||||
| ERIC CROWELL | ||||||||||
| BOARD MEMBER/CEO | 40.00 | 1.00 | Yes (X) | $840,219 | $242 | $395,786 | Yes (X) | |||
| DIANA GORSCHE | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $529 | $0 | $0 | ||||
| KENT HENNING | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $14,990 | $0 | ||||
| STEVE HERWIG | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $14,527 | $0 | ||||
| KAYLEEN HORNBROOK MD | ||||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $187,186 | $30,535 | ||||
| THOMAS HOUSER FR 22014 | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $575 | $0 | $0 | ||||
| MICHAEL HURT MD | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $506 | $0 | $0 | ||||
| BURTON TOBY JOSEPH | ||||||||||
| BOARD CHAIR | 1.00 | 1.00 | Yes (X) | $1,102 | $13,133 | $0 | Yes (X) | |||
| FRANK MARCOVIS | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $259 | $0 | $0 | ||||
| RICHARD MCCONNELL | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $15,970 | $0 | ||||
| PAT MCGOLDRICK | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $746 | $0 | $0 | ||||
| JANETTE MILLER-STRAUB | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $586 | $0 | $0 | ||||
| MARY O'KEEFE | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $335 | $0 | $0 | ||||
| RICK PERTZBORN | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $798 | $0 | $0 | ||||
| R LUCIA RIDDLE | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $617 | $0 | $0 | ||||
| BRUCE SHERMAN | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $17,145 | $0 | ||||
| LYLE SIMPSON | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $936 | $0 | $0 | ||||
| BISHOP JULIUS TRIMBLE | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD WILLIS | ||||||||||
| BOARD TREASURER | 1.00 | 1.00 | Yes (X) | $761 | $0 | $0 | Yes (X) | |||
| MARTHA WILLITS | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $375 | $0 | $0 | ||||
| JOSEPH CORFITS | ||||||||||
| SENIOR VP FINANCE/CFO | 40.00 | 1.00 | $547,161 | $0 | $205,812 | Yes (X) | ||||
| CHRISTINE BLAIR | ||||||||||
| CHIEF ADMINISTRATIVE OFFIC | 40.00 | 0.00 | $221,780 | $0 | $40,862 | Yes (X) | ||||
| DOUGLAS DORNER | ||||||||||
| VP MEDICAL EDUCATION | 40.00 | 0.00 | $518,840 | $0 | $33,857 | Yes (X) | ||||
| CECELIA KIRVIN | ||||||||||
| EXEC DIR/CCO BCH | 40.00 | 0.00 | $170,899 | $0 | $27,075 | Yes (X) | ||||
| TODD KRANPITZ | ||||||||||
| EXEC DIR DIAGNOSTIC SVCS | 40.00 | 0.00 | $175,644 | $0 | $21,397 | Yes (X) | ||||
| ERIC LOTHE | ||||||||||
| VP OPERATIONS/CAO-ILH | 40.00 | 0.00 | $471,566 | $0 | $94,525 | Yes (X) | ||||
| JOYCE MCDANEL | ||||||||||
| VP HUMAN RESOURCES | 40.00 | 0.00 | $338,200 | $0 | $79,132 | Yes (X) | ||||
| DEBRA MOYER | ||||||||||
| CHIEF NURSING EXEC | 40.00 | 0.00 | $382,212 | $0 | $25,182 | Yes (X) | ||||
| THOMAS MULROONEY | ||||||||||
| VP SURGICAL & CARDIOVASCULAR | 40.00 | 0.00 | $244,436 | $0 | $31,478 | Yes (X) | ||||
| MARK PURTLE | ||||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0.00 | $560,402 | $0 | $211,196 | Yes (X) | ||||
| SIDNEY RAMSEY | ||||||||||
| VP STRATEGIC BUSINESS DEV- | 40.00 | 0.00 | $414,046 | $0 | $38,597 | Yes (X) | ||||
| DAVID STARK | ||||||||||
| PRESIDENT/COO BCH & EVP IH | 40.00 | 0.00 | $469,692 | $0 | $96,632 | Yes (X) | ||||
| STEPHEN STEPHENSON | ||||||||||
| EXEC VP/COO-IHDM | 40.00 | 0.00 | $738,602 | $0 | $106,742 | Yes (X) | ||||
| ROBERT GOEBEL | ||||||||||
| PHYSICIAN-RADATION ONCOLOG | 40.00 | 0.00 | $494,861 | $0 | $16,378 | Yes (X) | ||||
| MICHAEL IRISH | ||||||||||
| PHYSICIAN-BLANK SURGERY | 40.00 | 0.00 | $616,362 | $0 | $28,164 | Yes (X) | ||||
| ROBERT ISAAK | ||||||||||
| PHYSICIAN-RADATION ONCOLOG | 40.00 | 0.00 | $864,822 | $0 | $37,396 | Yes (X) | ||||
| JOHN TRIANTAFYLLOS | ||||||||||
| PHYSICIAN-RADATION ONCOLOG | 40.00 | 0.00 | $875,495 | $0 | $37,564 | Yes (X) | ||||
| ONYEBUCHI UKABIALA | ||||||||||
| PHYSICIAN-BLANK SURGERY | 40.00 | 0.00 | $616,165 | $0 | $49,446 | Yes (X) | ||||
| AMY BETHEL | ||||||||||
| CLINICAL ED SPCLST FORMER KEY EMPL. | 40.00 | 0.00 | $163,134 | $0 | $33,815 | Yes (X) | ||||
| JEAN SHELTON | ||||||||||
| ADMIN-PHYS PRACTICE FORMER KEY EMPL. | 0.00 | 0.00 | $0 | $124,639 | $7,750 | Yes (X) | ||||
| LESLIE SMIAROWSKI | ||||||||||
| EXEC DR-FAC SVCS FORMER KE | 40.00 | 0.00 | $157,718 | $0 | $24,734 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,891,815 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $387,832 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,674,055 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 262 | 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 |
|---|---|---|---|---|---|
| THE IOWA CLINIC | |||||
| 5950 UNIVERSITY AVE | WEST DES MOINES | IA | 50266 | HEALTHCARE SERVICES | $8,761,544 |
| EDGE COMMERCIAL LLC | |||||
| 3155 SE MIEHE DR 2 | GRIMES | IA | 50111 | CONSTRUCTION SERVICES | $8,752,880 |
| ARAMARK FACILITIES | |||||
| 22506 NETWORK PLACE | CHICAGO | IL | 60673 | LAUNDRY, CLEANING AND FOOD SERVICES | $7,276,816 |
| ASSOCIATED ANESTHESIOLOGISTS PC | |||||
| 1215 PLEASANT ST SUITE 400 | DES MOINES | IA | 50309 | ANESTHESIOLOGY SERVICES | $2,502,060 |
| SHIVE-HATTERY ENGINEERING | |||||
| 4125 WESTOWN PKWY SUITE 100 | WEST DES MOINES | IA | 50266 | DESIGN CONSULTING SERVICES | $2,349,331 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 74 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,277,230 | RelatedOrganizationsAmt |
| Government Grants | $141,371 | GovernmentGrantsAmt |
| All Other Contributions | $428,543 | AllOtherContributionsAmt |
| Total Contributions | $7,847,144 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $654,010,147 | $654,010,147 | ||
| LABORATORY SERVICES | 621500 | $12,357,703 | $12,357,703 | ||
| SUBS & JOINT VENTURES | 900099 | $11,385,706 | $11,385,706 | ||
| MGMT & SUPPORT SVCS | 561000 | $10,039,278 | $4,975,001 | $357,094 | $4,707,183 |
| MISCELLANEOUS REVENUE | 900099 | $2,423,468 | $2,423,468 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,294,702 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,369,819 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $864,366 | UnrelatedBusinessRevenueAmt |
| Exclusion | $60,517 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $692,511,004 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,373,692 | TotalRevenueColumnAmt |
| Exclusion | $28,373,692 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,271,378 | SecuritiesAmt |
| Other | $44,164 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,213,799 | SecuritiesAmt |
| Other | $329,364 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $57,579 | SecuritiesAmt |
| Other | -$285,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$227,621 | TotalRevenueColumnAmt |
| Exclusion | -$227,621 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $6,178 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $256 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,922 | TotalRevenueColumnAmt |
| Exclusion | $5,922 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA/FOOD SVCS | 722210 | $3,874,085 | $84,799 | $89,609 | $3,699,677 |
| CHILDCARE SERVICES | 624410 | $1,318,984 | $1,318,984 | ||
| MISCELLANEOUS REVENUE | 900099 | $418,949 | $418,949 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $428,986 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $150,371 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $278,615 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,041,004 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $734,551,145 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $674,818,260 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $13,947,387 | UnrelatedBusinessRevenueAmt |
| Exclusion | $37,938,354 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,058,932 | TotalAmt |
| Program Services | $27,058,932 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,510,957 | TotalAmt |
| Management And General | $7,510,957 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,215 | TotalAmt |
| Management And General | $845,215 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,639,218 | TotalAmt |
| Program Services | $233,000,945 | ProgramServicesAmt |
| Management And General | $35,638,273 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,103,522 | TotalAmt |
| Program Services | $10,497,842 | ProgramServicesAmt |
| Management And General | $1,605,680 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,726,355 | TotalAmt |
| Program Services | $30,126,636 | ProgramServicesAmt |
| Management And General | $4,599,719 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,777,400 | TotalAmt |
| Program Services | $16,286,348 | ProgramServicesAmt |
| Management And General | $2,491,052 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,563,776 | TotalAmt |
| Program Services | $16,616,730 | ProgramServicesAmt |
| Management And General | $2,947,046 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,353,258 | TotalAmt |
| Program Services | $763 | ProgramServicesAmt |
| Management And General | $1,352,495 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,500 | TotalAmt |
| Management And General | $16,500 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,307,357 | TotalAmt |
| Program Services | $30,763 | ProgramServicesAmt |
| Management And General | $1,276,594 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,752,834 | TotalAmt |
| Program Services | $46,827,048 | ProgramServicesAmt |
| Management And General | $13,925,786 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,253,933 | TotalAmt |
| Program Services | $899,054 | ProgramServicesAmt |
| Management And General | $1,354,879 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,931,754 | TotalAmt |
| Program Services | $17,309,390 | ProgramServicesAmt |
| Management And General | $1,622,364 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,254,403 | TotalAmt |
| Program Services | $33,774,021 | ProgramServicesAmt |
| Management And General | $480,382 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,080,550 | TotalAmt |
| Program Services | $13,401,355 | ProgramServicesAmt |
| Management And General | $679,195 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,449,732 | TotalAmt |
| Program Services | $1,081,906 | ProgramServicesAmt |
| Management And General | $367,826 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,988 | TotalAmt |
| Program Services | $447,586 | ProgramServicesAmt |
| Management And General | $357,402 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,533,695 | TotalAmt |
| Program Services | $1,909,891 | ProgramServicesAmt |
| Management And General | $6,623,804 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,597,921 | TotalAmt |
| Program Services | $29,834,783 | ProgramServicesAmt |
| Management And General | $763,138 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,939 | TotalAmt |
| Program Services | $19,175 | ProgramServicesAmt |
| Management And General | $426,764 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $115,345,018 | $114,736,760 | $608,258 |
| MISCELLANEOUS EXPENSES | $1,889,628 | $755,566 | $1,134,062 |
| INCOME TAXES | $680,754 | $680,754 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $681,923,639 | TotalAmt |
| Program Services | $594,615,494 | ProgramServicesAmt |
| Management And General | $87,308,145 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,386,029 | BOYAmt |
| EOY | $4,629,445 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,510,454 | BOYAmt |
| EOY | $2,596,525 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,008,791 | BOYAmt |
| EOY | $101,354,258 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,486 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,998,501 | BOYAmt |
| EOY | $16,257,543 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,240,994 | BOYAmt |
| EOY | $13,728,297 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,163,992 | BOYAmt |
| EOY | $2,840,346 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $713,324,108 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $480,373,600 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,199,872 | BOYAmt |
| EOY | $232,950,508 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,442,985 | BOYAmt |
| EOY | $545,394,144 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,508,275 | BOYAmt |
| EOY | $41,178,843 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,193 | BOYAmt |
| EOY | $327,486 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,442,640 | BOYAmt |
| EOY | $13,812,802 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $919,259,212 | BOYAmt |
| EOY | $975,070,197 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,510,808 | BOYAmt |
| EOY | $59,823,259 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,354,198 | BOYAmt |
| EOY | $1,801,999 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,000,000 | BOYAmt |
| EOY | $23,000,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,538,871 | BOYAmt |
| EOY | $3,321,819 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,320,340 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,386,281 | BOYAmt |
| EOY | $175,230,602 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,790,158 | BOYAmt |
| EOY | $268,498,019 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $622,640,151 | BOYAmt |
| EOY | $674,713,150 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,002,636 | BOYAmt |
| EOY | $13,215,695 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,826,267 | BOYAmt |
| EOY | $18,643,333 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,469,054 | BOYAmt |
| EOY | $706,572,178 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $919,259,212 | BOYAmt |
| EOY | $975,070,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $52,627,506 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,975,961 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,500,343 | 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 | $16,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,500 | 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 CONSULTING FIRM 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $393,764,418 | BeginningYearBalanceAmt |
| Contributions | $14,837,391 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,633,215 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,274,466 | AdministrativeExpensesAmt |
| End Year Balance | $402,694,128 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $345,461,149 | BeginningYearBalanceAmt |
| Contributions | $7,133,406 | ContributionsAmt |
| Investment Earnings Or Losses | $46,487,853 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,862,243 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $1,455,747 | AdministrativeExpensesAmt |
| End Year Balance | $393,764,418 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.94180 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.03440 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.02380 | 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 | $11,282,819 | OtherCostOrOtherBasisAmt |
| Book Value | $11,282,819 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $239,908,021 | OtherCostOrOtherBasisAmt |
| Depreciation | $162,375,515 | DepreciationAmt |
| Book Value | $77,532,506 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,740,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,587,241 | DepreciationAmt |
| Book Value | $3,152,909 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $428,577,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $302,081,910 | DepreciationAmt |
| Book Value | $126,495,288 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,815,920 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,328,934 | DepreciationAmt |
| Book Value | $14,486,986 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $232,950,508 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ASBESTOS REMOVAL LIABILITY | $2,424,915 |
| DUE TO AFFILIATES | $20,516,401 |
| SELF-INSURANCE RESERVE | $14,732,079 |
| LONG-TERM RETENTION INCENTIVES | $13,863,665 |
| IOWA HEALTH SYSTEM NOTE PAYABLE | $120,470,000 |
| HEALTH & WELFARE BENEFITS RESERVE | $2,873,542 |
| MISCELLANEOUS LIABILITY | $350,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $175,230,602 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $738,865,000 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $9,720,410 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $14,475 | OtherRevenueAmt |
| Revenue Not Reported | $9,734,885 | RevenueNotReportedAmt |
| Revenue Subtotal | $729,130,115 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $749,621 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $4,671,409 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $5,421,030 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $734,551,145 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $647,550,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $805 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $805 | ExpensesNotReportedAmt |
| Expenses Subtotal | $647,549,195 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $749,621 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $33,624,823 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $34,374,444 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $681,923,639 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY. |
| PART X, LINE 2: | UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2011. 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: | SALES OF INVENTORY 256. ROUNDING 193. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 14,026. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATES 2,224,927. REVENUES IN UNRESTRICTED FUND BALANCE 2,446,482. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SALES OF INVENTORY 256. ROUNDING 549. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATES 2,224,927. EXPENSES IN UNRESTRICTED FUND BALANCE 31,391,897. EXPENSES IN TEMPORARILY RESTRICTED FUND BALANCE 7,999. |
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 |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | $4,932,378 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,932,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,394,096 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $87,915,479 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,478,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,326,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $87,915,479 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,410,995 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 66548 | PersonsServedCnt |
| Total Community Benefit Expns | $1,385,394 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $500,039 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $885,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2749 | PersonsServedCnt |
| Total Community Benefit Expns | $12,859,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,298,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,560,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,450,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,014,526 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,435,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $573,953 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $573,953 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,254,841 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,254,841 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 69297 | PersonsServedCnt |
| Total Community Benefit Expns | $40,523,287 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,813,407 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,709,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 69297 | PersonsServedCnt |
| Total Community Benefit Expns | $149,849,761 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $115,728,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,120,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $264,921 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $264,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $264,921 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $264,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,030,385 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $158,257,211 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $149,800,808 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $8,456,403 | 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 IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC | ||
| OUTPATIENT DIAGNOSTIC IMAGING | 0.50000 | 0.50000 |
| 4 LAKEVIEW SURGERY CENTER LC | ||
| SURGERY CENTER | 0.50000 | 0.50000 |
| 5 ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC | ||
| AMBULATORY SURGERY CENTER | 0.50000 | 0.50000 |
| 6 WEST HOSPITAL ORTHOPAEDIC CO-MANAGEMENT COMPANY | ||
| MANAGEMENT OF METHODIST WEST ORTHO SERVICE LINE | 0.20000 | 0.80000 |
| 7 WEST LAKES SLEEP CENTER LLC | ||
| TREATMENT OF CHRONIC SLEEP DISORDERS | 0.50000 | 0.50000 |
| 8 CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT COMPANY LLC | ||
| MANAGEMENT OF SURGERY SERVICE LINE | 0.20000 | 0.80000 |
| 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 |
| CHNA Conducted | 12 | 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 | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| 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 | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| 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: | CENTRAL IOWA'S LARGEST NONPROFIT HOSPITALS - IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER - COVER MULTI-COUNTY SERVICE AREAS, INCLUDING POLK, DALLAS, AND WARREN COUNTIES. THESE HOSPITALS HAVE CHOSEN TO WORK TOGETHER TO COMPILE A REGIONAL HEALTH NEEDS ASSESSMENT FOR CENTRAL IOWA WHICH COVERS COMMUNITIES IN POLK, DALLAS AND WARREN COUNTIES. IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER REQUESTED THAT UNITED WAY OF CENTRAL IOWA LEAD AND STAFF THIS PROCESS.IN CENTRAL IOWA THERE ARE A NUMBER OF BUSINESSES, NONPROFITS, GOVERNMENT AGENCIES AND CITIZENS THAT ARE COMMITTED TO OUR COMMUNITY WELL-BEING. AS SUCH, THE STEERING COMMITTEE WORKED TO ENSURE THE DEVELOPMENT OF THIS DOCUMENT LINKED IN WITH A NUMBER OF COMMUNITY PLANNING PROCESSES UNDERWAY INCLUDING CAPITOL CROSSROADS AND HEALTHY POLK 2020. THE RECOGNITION THAT MUCH WORK HAD ALREADY BEEN DONE IN THESE AREAS WAS CRITICAL IN THE DEVELOPMENT OF THE INFORMATION CONTAINED IN THIS DOCUMENT. IT IS ALSO IMPORTANT THAT AS THE IMPLEMENTATION PHASE GETS UNDERWAY, THESE PROCESSES WORK TOGETHER TO NOT DUPLICATE EFFORTS. THE PROCESS THROUGH WHICH EACH OF THE COUNTY HEALTH IMPROVEMENT PLANS WERE DEVELOPED, ENGAGED A CROSS SECTION OF COMMUNITY MEMBERS. THROUGH INITIAL GATHERING OF COMMUNITY DATA, TO DATA ANALYSIS AND WORKGROUP, RESIDENTS HAVE HAD OPPORTUNITIES TO ENGAGE IN THE PROCESS AND BE ACTIVE MEMBERS TO DRIVE COMMUNITY CHANGE. |
| 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, VISITING NURSE SERVICES |
| GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 11: | SINCE THE COMPLETION OF THE 2012 CHNA, UNITYPOINT HEALTH-DES MOINES HAS ACTIVELY RESPONDED TO THE IDENTIFIED NEEDS OF THE COMMUNITY FOUND THROUGH THE PROCESS. |
| 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 U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM, FAMILY INVESTMENT PROGRAM, BARNABAS UPLIFT, MISSION HEALTH, AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. |
| GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 5: | CENTRAL IOWA'S LARGEST NONPROFIT HOSPITALS - IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER - COVER MULTI-COUNTY SERVICE AREAS, INCLUDING POLK, DALLAS, AND WARREN COUNTIES. THESE HOSPITALS HAVE CHOSEN TO WORK TOGETHER TO COMPILE A REGIONAL HEALTH NEEDS ASSESSMENT FOR CENTRAL IOWA WHICH COVERS COMMUNITIES IN POLK, DALLAS AND WARREN COUNTIES. IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER REQUESTED THAT UNITED WAY OF CENTRAL IOWA LEAD AND STAFF THIS PROCESS.IN CENTRAL IOWA THERE ARE A NUMBER OF BUSINESSES, NONPROFITS, GOVERNMENT AGENCIES AND CITIZENS THAT ARE COMMITTED TO OUR COMMUNITY WELL-BEING. AS SUCH, THE STEERING COMMITTEE WORKED TO ENSURE THE DEVELOPMENT OF THIS DOCUMENT LINKED IN WITH A NUMBER OF COMMUNITY PLANNING PROCESSES UNDERWAY INCLUDING CAPITOL CROSSROADS AND HEALTHY POLK 2020. THE RECOGNITION THAT MUCH WORK HAD ALREADY BEEN DONE IN THESE AREAS WAS CRITICAL IN THE DEVELOPMENT OF THE INFORMATION CONTAINED IN THIS DOCUMENT. IT IS ALSO IMPORTANT THAT AS THE IMPLEMENTATION PHASE GETS UNDERWAY, THESE PROCESSES WORK TOGETHER TO NOT DUPLICATE EFFORTS. THE PROCESS THROUGH WHICH EACH OF THE COUNTY HEALTH IMPROVEMENT PLANS WERE DEVELOPED, ENGAGED A CROSS SECTION OF COMMUNITY MEMBERS. THROUGH INITIAL GATHERING OF COMMUNITY DATA, TO DATA ANALYSIS AND WORKGROUP, RESIDENTS HAVE HAD OPPORTUNITIES TO ENGAGE IN THE PROCESS AND BE ACTIVE MEMBERS TO DRIVE COMMUNITY CHANGE. |
| 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, VISITING NURSE SERVICES |
| GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 11: | SINCE THE COMPLETION OF THE 2012 CHNA, UNITYPOINT HEALTH-DES MOINES HAS ACTIVELY RESPONDED TO THE IDENTIFIED NEEDS OF THE COMMUNITY FOUND THROUGH THE PROCESS. |
| 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 U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM, FAMILY INVESTMENT PROGRAM, BARNABAS UPLIFT, MISSION HEALTH, AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. |
| GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 5: | CENTRAL IOWA'S LARGEST NONPROFIT HOSPITALS - IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER - COVER MULTI-COUNTY SERVICE AREAS, INCLUDING POLK, DALLAS, AND WARREN COUNTIES. THESE HOSPITALS HAVE CHOSEN TO WORK TOGETHER TO COMPILE A REGIONAL HEALTH NEEDS ASSESSMENT FOR CENTRAL IOWA WHICH COVERS COMMUNITIES IN POLK, DALLAS AND WARREN COUNTIES. IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER REQUESTED THAT UNITED WAY OF CENTRAL IOWA LEAD AND STAFF THIS PROCESS.IN CENTRAL IOWA THERE ARE A NUMBER OF BUSINESSES, NONPROFITS, GOVERNMENT AGENCIES AND CITIZENS THAT ARE COMMITTED TO OUR COMMUNITY WELL-BEING. AS SUCH, THE STEERING COMMITTEE WORKED TO ENSURE THE DEVELOPMENT OF THIS DOCUMENT LINKED IN WITH A NUMBER OF COMMUNITY PLANNING PROCESSES UNDERWAY INCLUDING CAPITOL CROSSROADS AND HEALTHY POLK 2020. THE RECOGNITION THAT MUCH WORK HAD ALREADY BEEN DONE IN THESE AREAS WAS CRITICAL IN THE DEVELOPMENT OF THE INFORMATION CONTAINED IN THIS DOCUMENT. IT IS ALSO IMPORTANT THAT AS THE IMPLEMENTATION PHASE GETS UNDERWAY, THESE PROCESSES WORK TOGETHER TO NOT DUPLICATE EFFORTS. THE PROCESS THROUGH WHICH EACH OF THE COUNTY HEALTH IMPROVEMENT PLANS WERE DEVELOPED, ENGAGED A CROSS SECTION OF COMMUNITY MEMBERS. THROUGH INITIAL GATHERING OF COMMUNITY DATA, TO DATA ANALYSIS AND WORKGROUP, RESIDENTS HAVE HAD OPPORTUNITIES TO ENGAGE IN THE PROCESS AND BE ACTIVE MEMBERS TO DRIVE COMMUNITY CHANGE. |
| 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, VISITING NURSE SERVICES |
| GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 11: | SINCE THE COMPLETION OF THE 2012 CHNA, UNITYPOINT HEALTH-DES MOINES HAS ACTIVELY RESPONDED TO THE IDENTIFIED NEEDS OF THE COMMUNITY FOUND THROUGH THE PROCESS. |
| 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 U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM, FAMILY INVESTMENT PROGRAM, BARNABAS UPLIFT, MISSION HEALTH, AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LAKEVIEW SURGERY CENTER LC | ||||
| 1750 60TH ST | WEST DES MOINES | IA | 50266 | SURGERY CENTER |
| IOWA DIAGNOSTIC IMAGING & PROCEDURE CTR | ||||
| 6000 UNIVERSITY AVE SUITE 150 | WEST DES MOINES | IA | 50266 | OUTPATIENT DIAGNOSTIC IMAGING |
| ORTHOPAEDIC OUTPATIENT SURGERY CENTER L | ||||
| 1600 60TH ST | WEST DES MOINES | IA | 50266 | AMBULATORY SURGERY CENTER |
| JOHN STODDARD CANCER CENTER-RADIATION | ||||
| 1221 PLEASANT STREET | DES MOINES | IA | 50309 | PHYSICIAN CLINIC |
| CHILDREN'S HEALTH CENTER | ||||
| MOB I STE 300 | DES MOINES | IA | 50309 | PHYSICIAN CLINIC |
| CARDIO THORACIC | ||||
| 1200 PLEASANT ST | DES MOINES | IA | 50309 | PHYSICIAN CLINIC |
| COUNSELING CENTER | ||||
| 6000 UNIVERSITY AVE SUITE 200 | WEST DES MOINES | IA | 50266 | PHYSICIAN CLINIC |
| TRANSPLANT CTR & CENTER FOR LIVER DISORD | ||||
| 1215 PLEASANT STREET SUITE 506 | DES MOINES | IA | 50309 | PHYSICIAN CLINIC |
| PERINATAL | ||||
| MOB II STE 116 | DES MOINES | IA | 50309 | PHYSICIAN CLINIC |
| OCC MED | ||||
| 6000 UNIVERSITY AVE SUITE 124 | WEST DES MOINES | IA | 50266 | OCCUPATIONAL MEDICINE |
| MIDWIVES | ||||
| 1440 PLEASANT ST STE1 | DES MOINES | IA | 50309 | PHYSICIAN CLINIC |
| WEST LAKES SLEEP CENTER LLC | ||||
| 5950 UNIVERSITY AVE | WEST DES MOINES | IA | 50266 | TREATMENT OF CHRONIC SLEEP DISORDERS |
| 1776 WESTLAKES PARKWAY LC | ||||
| 1776 WESTLAKES PARKWAY | WEST DES MOINES | IA | 50266 | OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BLDGS |
| CENTRAL IOWA CARDIOVASCULAR CO-MGMT | ||||
| 1200 PLEASANT ST | DES MOINES | IA | 50309 | MANAGEMENT OF CARDIAC SERVICE LINE |
| WEST HOSPITAL ORTHOPAEDIC CO-MGMT | ||||
| 1660 60TH ST | WEST DES MOINES | IA | 50266 | MANAGEMENT OF METHODIST WEST ORTHO SERVICE LINE |
| CENTRAL IOWA ONCOLOGY CO-MANAGEMENT | ||||
| 1200 PLEASANT ST | DES MOINES | IA | 50309 | MANAGEMENT OF ONCOLOGY SERVICE LINE |
| 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 IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES. |
| PART I, LINE 7: | A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. 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 ORGANIZATION'S COST ACCOUNTING SYSTEM CALCULATES A MEDICARE SHORTFALL OF $34,348,967. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE OF $10,655,790 AND REVENUE OF $5,043,247. AFTER TAKING THESE ITEMS INTO ACCOUNT WE CALCULATE AN ACTUAL MEDICARE SHORTFALL OF $39,961,510.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: | CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES PERFORMS THE FOLLOWING ACTIVITIES TO COMMUNICATE THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE TO ALL PATIENTS: 1) PLACES SIGNAGE, INFORMATION, AND/OR BROCHURES IN APPROPRIATE AREAS OF THE PROVIDER (E.G., THE EMERGENCY DEPARTMENT, AND REGISTRATION AND CHECK-OUT/CASHIER AREAS) STATING THE PROVIDER/PHYSICIAN PRACTICE OFFERS CHARITY CARE AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE, 2) PLACES A NOTE ON THE HEALTH-CARE BILL AND STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE, 3) DESIGNATES INDIVIDUALS WHO CAN EXPLAIN THE PROVIDER'S CHARITY CARE POLICY, AND 4) INSTRUCTS STAFF WHO INTERACT WITH PATIENTS TO DIRECT QUESTIONS REGARDING THE CHARITY CARE POLICY TO THE PROPER PROVIDER REPRESENTATIVE. |
| 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 35,754 INPATIENTS AND CARES FOR 89,328 EMERGENCY PATIENTS PER YEAR. THERE ARE 34 OTHER HOSPITALS WITHIN THE 30-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $50,513.00 TO $73,847.00 AND THE AVERAGE POVERTY RATE IS 10.84%. 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 PERCENT HISPANIC, POLK COUNTY IS 6 PERCENT AFRICAN AMERICAN AND 8 PERCENT HISPANIC, AND STORY COUNTY IS 6 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). INITIALLY FORMED IN 1994, UNITYPOINT HEALTH IS THE STATE'S FIRST AND LARGEST INTEGRATED HEALTH SYSTEM, SERVING NEARLY ONE OF EVERY THREE PATIENTS IN IOWA. THROUGH RELATIONSHIPS WITH 32 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 280 PHYSICIAN CLINICS, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, ILLINOIS, AND SOUTHERN WISCONSIN.UNITYPOINT HEALTH ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH MORE THAN 30,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 4.5 MILLION PATIENT VISITS, UNITYPOINT HEALTH HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $3.7 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 2014, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $443 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 (49 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 8364 HICKMAN RD STE D | DES MOINES | IA | 50325 | 131788491 | 501(C)(3) | $5,500 | EVENT SPONSOR |
| AMERICAN HEART ASSOCIATION | |||||||
| 1111 NINTH ST STE 280 | DES MOINES | IA | 50314 | 135613797 | 501(C)(3) | $11,500 | EVENT SPONSOR |
| ANKENY COMMUNITY FOUNDATION | |||||||
| 410 WEST FIRST ST | ANKENY | IA | 50023 | 203850596 | 501(C)(3) | $8,333 | CAPITAL BUILDING CAMPAIGN |
| BLANK PARK ZOO | |||||||
| 7401 SW 9TH ST | DES MOINES | IA | 50315 | 421171821 | 501(C)(3) | $19,667 | CAPITAL BUILDING CAMPAIGN |
| BRAVO GREATER DES MOINES | |||||||
| 1915 GRAND AVE | DES MOINES | IA | 50309 | 203598346 | 501(C)(3) | $5,000 | EVENT SPONSOR |
| BRENTON SKATING PLAZA | |||||||
| 520 ROBERT D RAY DR | DES MOINES | IA | 50309 | 541958812 | 501(C)(3) | $10,000 | EVENT SPONSOR |
| CASTING FOR RECOVERY | |||||||
| PO BOX 1123 | MANCHESTER | VT | 05254 | 030354382 | 501(C)(3) | $10,000 | OTHER |
| CENTRAL IOWA HEALTH SYSTEM | |||||||
| 1200 PLEASANT STREET | DES MOINES | IA | 50309 | 421189791 | 501(C)(3) | $56,311 | PROGRAM SUPPORT |
| CITY OF DES MOINES | |||||||
| 400 ROBERT D RAY DRIVE | DES MOINES | IA | 50309 | 426004514 | GOVERNMENT | $185,835 | OTHER |
| COURAGE LEAGUE SPORTS | |||||||
| PO BOX 790 | WAUKEE | IA | 50263 | 461443733 | 501(C)(3) | $11,000 | EVENT SPONSOR |
| DES MOINES AREA COMMUNITY COLLEGE FOUNDATION | |||||||
| 2006 S ANKNEY BLVD | ANKENY | IA | 500233993 | 237229486 | 501(C)(3) | $5,000 | EVENT SPONSOR |
| DES MOINES BICYCLE COLLECTIVE | |||||||
| 506 E 6TH ST STE 100 | DES MOINES | IA | 50309 | 331205221 | 501(C)(3) | $5,000 | OTHER |
| DES MOINES BUCCANEERS BOOSTER CLUB | |||||||
| 7201 HICKMANN ROAD | DES MOINES | IA | 50322 | 320089268 | 501(C)(3) | $7,000 | EVENT SPONSOR |
| DES MOINES COMMUNITY PLAYHOUSE | |||||||
| 831 42ND ST | DES MOINES | IA | 50312 | 420710259 | 501(C)(3) | $10,000 | CAPITAL BUILDING CAMPAIGN |
| DES MOINES METRO OPERA | |||||||
| 106 W BOSTON AVE | INDIANOLA | IA | 50125 | 237319903 | 501(C)(3) | $10,000 | EVENT SPONSOR |
| DES MOINES PERFORMING ARTS | |||||||
| 221 WALNUT ST | DES MOINES | IA | 503092104 | 510138181 | 501(C)(3) | $8,333 | CAPITAL BUILDING CAMPAIGN |
| DES MOINES SYMPHONY | |||||||
| 221 WALNUT STREET | DES MOINES | IA | 50309 | 426058830 | 501(C)(3) | $12,500 | EVENT SPONSOR |
| DES MOINES UNIVERSITY | |||||||
| 3200 GRAND AVE | DES MOINES | IA | 50312 | 420730347 | 501(C)(3) | $5,000 | CAPITAL BUILDING CAMPAIGN |
| DOWNTOWN PARTNERSHIP INC DBA DOWNTOWN COMMUNITY ALLIANCE | |||||||
| 700 LOCUST STREET SUITE 100 | DES MOINES | IA | 50309 | 421174898 | 501(C)(6) | $25,000 | EVENT SPONSOR |
| GLOBAL SPECTRUM (WELLS FARGO ARENA) | |||||||
| 730 3RD ST | DES MOINES | IA | 50309 | 593599248 | $22,700 | EVENT SPONSOR | |
| GRANDVIEW UNIVERSITY | |||||||
| 1200 GRANDVIEW AVE | DES MOINES | IA | 50316 | 420681049 | 501(C)(3) | $120,000 | PROGRAM SUPPORT |
| GREAT OUTDOORS FOUNDATION | |||||||
| PO BOX 8071 | DES MOINES | IA | 50301 | 421441098 | 501(C)(3) | $5,720 | EVENT SPONSOR |
| GREATER DES MOINES BASEBALL CO | |||||||
| PRINCIPAL PARK ONE LINE DRIVE | DES MOINES | IA | 50309 | 421173488 | $26,400 | EVENT SPONSOR | |
| GREATER DES MOINES COMMUNITY FOUNDATION | |||||||
| 1915 GRAND AVE | DES MOINES | IA | 50309 | 426139033 | 501(C)(3) | $9,950 | PROGRAM SUPPORT |
| GREENE COUNTY MEDICAL CENTER | |||||||
| 1000 WEST LINCOLN WAY | JEFFERSON | IA | 50129 | 237163421 | 501(C)(3) | $11,700 | EVENT SPONSOR |
| HOYT SHERMAN PLACE | |||||||
| 1501 WOODLAND AVE | DES MOINES | IA | 50309 | 421433940 | 501(C)(3) | $15,000 | EVENT SPONSOR |
| IOWA CLINIC HEALTHCARE FOUNDATION | |||||||
| 1215 PLEASANT ST SUITE 618 | DES MOINES | IA | 50309 | 810599749 | 501(C)(3) | $15,000 | EVENT SPONSOR |
| IOWA EMERGENCY MEDICAL SERVICES ASSOCIATION | |||||||
| 5550 WILD ROSE LANE STE 400 | WEST DES MOINES | IA | 50266 | 421317441 | 501(C)(3) | $6,200 | EVENT SPONSOR |
| IOWA FOUNDATION INC (BRAS FOR THE CAUSE) | |||||||
| 1913 LANCASTER DR | ANKENY | IA | 50021 | 260446913 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| IOWA HEALTH SYSTEM | |||||||
| 1200 PLEASANT STREET | DES MOINES | IA | 50309 | 421435199 | 501(C)(3) | $25,800,707 | PROGRAM SUPPORT |
| IOWA HOSPITAL ASSOCIATION | |||||||
| 100 EAST GRAND AVE 100 PO BOX 763 | DES MOINES | IA | 50309 | 420706508 | 501(C)(6) | $10,000 | EVENT SPONSOR |
| IOWA POISON CONTROL CENTER | |||||||
| 401 DOUGLAS ST STE 215 | SIOUX CITY | IA | 51101 | 421509042 | 501(C)(3) | $22,250 | PROGRAM SUPPORT |
| JEWISH FEDERATION OF GREATER DES MOINES | |||||||
| 33158 UTE AVE | WAUKEE | IA | 50263 | 420835321 | 501(C)(3) | $5,000 | EVENT SPONSOR |
| JUVENILE DIABETES RESEARCH FOUNDATION | |||||||
| 5444 NW 96TH ST SUITE A | JOHNSTON | IA | 50131 | 421907729 | 501(C)(3) | $20,000 | EVENT SPONSOR |
| MARCH OF DIMES | |||||||
| 111 9TH STE 270 | DES MOINES | IA | 50314 | 131846366 | 501(C)(3) | $12,500 | EVENT SPONSOR |
| MID IOWA COUNCIL (BOY SCOUTS OF AMERICA) | |||||||
| PO BOX 3009 | DES MOINES | IA | 50315 | 420981715 | 501(C)(3) | $5,000 | EVENT SPONSOR |
| OPERATION DOWNTOWN | |||||||
| 700 LOCUST STREET SUITE 100 | DES MOINES | IA | 50309 | 861058466 | 501(C)(6) | $25,000 | PROGRAM SUPPORT |
| POLK COUNTY CONSERVATION | |||||||
| 11407 NW JESTER PARK DR | GRANGER | IA | 50109 | 426004519 | GOVERNMENT | $5,000 | OTHER |
| POLK COUNTY MEDICAL SOCIETY | |||||||
| 1520 HIGH ST | DES MOINES | IA | 50309 | 420472780 | 501(C)(3) | $17,000 | EVENT SPONSOR |
| PRINCIPAL CHARITY CLASSIC | |||||||
| 2771 104TH ST STE 1 | URBANDALE | IA | 50322 | 426139033 | 501(C)(3) | $85,000 | EVENT SPONSOR |
| SCIENCE CENTER OF IOWA | |||||||
| 401 WEST MARTIN LUTHER KING | DES MOINES | IA | 50309 | 426097912 | 501(C)(3) | $40,800 | EVENT SPONSOR |
| STORY MEDICAL FOUNDATION | |||||||
| 640 S 19TH ST | NEVADA | IA | 50201 | 421078827 | 501(C)(3) | $10,411 | OTHER |
| STRANDS OF STRENGTH | |||||||
| 520 S 18TH ST | WEST DES MOINES | IA | 50265 | 454145232 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| TAKING CONTROL OF YOUR DIABETES | |||||||
| 1110 CAMINO DEL MAR STE B | DEL MAR | CA | 92014 | 330794608 | 501(C)(3) | $5,000 | EVENT SPONSOR |
| THE GREATER DES MOINES PARTNERSHIP | |||||||
| 700 LOCUST STREET SUITE 100 | DES MOINES | IA | 50309 | 421489668 | 501(C)(6) | $200,000 | CAPITAL BUILDING CAMPAIGN |
| WAUKEE FOUNDATION | |||||||
| 230 W HICKMAN RD | WAUKEE | IA | 50263 | 204379180 | 501(C)(3) | $20,000 | OTHER |
| 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) | $7,700 | 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 | 43 | 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 | Yes (1) | 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 (23 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 | $596,908 | $242 | $173,399 | $0 | $69,912 | $0 | $375,225 | $0 | $20,561 | $0 | $1,236,005 | $242 | $0 | $0 |
| KAYLEEN HORNBROOK MD | ||||||||||||||
| BOARD MEMBER | $0 | $171,385 | $0 | $14,236 | $0 | $1,565 | $0 | $12,572 | $0 | $17,963 | $0 | $217,721 | $0 | $0 |
| JOSEPH CORFITS | ||||||||||||||
| SENIOR VP FINANCE/CFO | $394,414 | $0 | $104,255 | $0 | $48,492 | $0 | $183,391 | $0 | $22,421 | $0 | $752,973 | $0 | $0 | $0 |
| CHRISTINE BLAIR | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFIC | $158,326 | $0 | $46,679 | $0 | $16,775 | $0 | $25,925 | $0 | $14,937 | $0 | $262,642 | $0 | $0 | $0 |
| DOUGLAS DORNER | ||||||||||||||
| VP MEDICAL EDUCATION | $391,504 | $0 | $108,893 | $0 | $18,443 | $0 | $19,134 | $0 | $14,723 | $0 | $552,697 | $0 | $0 | $0 |
| CECELIA KIRVIN | ||||||||||||||
| EXEC DIR/CCO BCH | $150,104 | $0 | $19,594 | $0 | $1,201 | $0 | $20,554 | $0 | $6,521 | $0 | $197,974 | $0 | $0 | $0 |
| TODD KRANPITZ | ||||||||||||||
| EXEC DIR DIAGNOSTIC SVCS | $149,484 | $0 | $20,825 | $0 | $5,335 | $0 | $8,834 | $0 | $12,563 | $0 | $197,041 | $0 | $0 | $0 |
| ERIC LOTHE | ||||||||||||||
| VP OPERATIONS/CAO-ILH | $298,431 | $0 | $134,041 | $0 | $39,094 | $0 | $73,791 | $0 | $20,734 | $0 | $566,091 | $0 | $0 | $0 |
| JOYCE MCDANEL | ||||||||||||||
| VP HUMAN RESOURCES | $251,112 | $0 | $65,071 | $0 | $22,017 | $0 | $61,152 | $0 | $17,980 | $0 | $417,332 | $0 | $0 | $0 |
| DEBRA MOYER | ||||||||||||||
| CHIEF NURSING EXEC | $263,936 | $0 | $71,295 | $0 | $46,981 | $0 | $17,721 | $0 | $7,461 | $0 | $407,394 | $0 | $0 | $0 |
| THOMAS MULROONEY | ||||||||||||||
| VP SURGICAL & CARDIOVASCULAR | $178,103 | $0 | $50,922 | $0 | $15,411 | $0 | $11,719 | $0 | $19,759 | $0 | $275,914 | $0 | $0 | $0 |
| MARK PURTLE | ||||||||||||||
| VP MEDICAL AFFAIRS | $399,630 | $0 | $111,398 | $0 | $49,374 | $0 | $189,942 | $0 | $21,254 | $0 | $771,598 | $0 | $0 | $0 |
| SIDNEY RAMSEY | ||||||||||||||
| VP STRATEGIC BUSINESS DEV- | $263,902 | $0 | $69,810 | $0 | $80,334 | $0 | $32,500 | $0 | $6,097 | $0 | $452,643 | $0 | $0 | $0 |
| DAVID STARK | ||||||||||||||
| PRESIDENT/COO BCH & EVP IH | $339,328 | $0 | $92,633 | $0 | $37,731 | $0 | $76,751 | $0 | $19,881 | $0 | $566,324 | $0 | $0 | $0 |
| STEPHEN STEPHENSON | ||||||||||||||
| EXEC VP/COO-IHDM | $407,086 | $0 | $115,430 | $0 | $216,086 | $0 | $85,182 | $0 | $21,560 | $0 | $845,344 | $0 | $155,375 | $0 |
| ROBERT GOEBEL | ||||||||||||||
| PHYSICIAN-RADATION ONCOLOG | $155,522 | $0 | $337,463 | $0 | $1,876 | $0 | $13,000 | $0 | $3,378 | $0 | $511,239 | $0 | $0 | $0 |
| MICHAEL IRISH | ||||||||||||||
| PHYSICIAN-BLANK SURGERY | $614,578 | $0 | $0 | $0 | $1,784 | $0 | $13,000 | $0 | $15,164 | $0 | $644,526 | $0 | $0 | $0 |
| ROBERT ISAAK | ||||||||||||||
| PHYSICIAN-RADATION ONCOLOG | $525,223 | $0 | $334,452 | $0 | $5,147 | $0 | $13,000 | $0 | $24,396 | $0 | $902,218 | $0 | $0 | $0 |
| JOHN TRIANTAFYLLOS | ||||||||||||||
| PHYSICIAN-RADATION ONCOLOG | $525,056 | $0 | $344,002 | $0 | $6,437 | $0 | $13,000 | $0 | $24,564 | $0 | $913,059 | $0 | $0 | $0 |
| ONYEBUCHI UKABIALA | ||||||||||||||
| PHYSICIAN-BLANK SURGERY | $612,997 | $0 | $0 | $0 | $3,168 | $0 | $28,600 | $0 | $20,846 | $0 | $665,611 | $0 | $0 | $0 |
| AMY BETHEL | ||||||||||||||
| CLINICAL ED SPCLST FORMER KEY EMPL. | $144,339 | $0 | $17,494 | $0 | $1,301 | $0 | $19,952 | $0 | $13,863 | $0 | $196,949 | $0 | $0 | $0 |
| JEAN SHELTON | ||||||||||||||
| ADMIN-PHYS PRACTICE FORMER KEY EMPL. | $0 | $320 | $0 | $26,274 | $0 | $98,045 | $0 | $1,445 | $0 | $6,305 | $0 | $132,389 | $0 | $0 |
| LESLIE SMIAROWSKI | ||||||||||||||
| EXEC DR-FAC SVCS FORMER KE | $136,973 | $0 | $19,434 | $0 | $1,311 | $0 | $8,631 | $0 | $16,103 | $0 | $182,452 | $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, LINES 4A-B | SEVERANCE PAYMENT: THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT DURING THE YEAR THAT WAS INCLUDED IN THEIR TAXABLE INCOME: JEAN SHELTON $100,037. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: JOSEPH CORFITS $138,574, ERIC CROWELL $341,885, KAYLEEN HORNBROOK $2,868, ERIC LOTHE $60,791, JOYCE MCDANEL $40,653, DEBRA MOYER $4,721, MARK PURTLE $176,942, STEPHEN STEPHENSON $41,792, DAVID STARK $63,645. THE FOLLOWING INDIVIDUAL(S) RECEIVED PAYMENT FROM A NON-QUALIFIED RETIREMENT PLAN: STEPHEN STEPHENSON $155,375. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (16 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| 1776 WESTLAKES PARKWAY LC | |||
| COMMON BOARD MEMBER/OFFICER | $474,000 | INVESTMENT | 0 |
| CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC | |||
| COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE | $1,702,000 | INVESTMENT, MANAGEMENT FEE AND FINANCIAL SERVICES | 0 |
| CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY LLC | |||
| COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE | $1,228,000 | INVESTMENT, MANAGEMENT FEE AND FINANCIAL SERVICES | 0 |
| CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT COMPANY LLC | |||
| COMMON BOARD MEMBER/OFFICER | $604,000 | INVESTMENT | 0 |
| CHIBUZOR UKABIALA | |||
| FAMILY MEMBER OF KEY EMPLOYEE ONYEBUCHI UKABIALA | $12,594 | EMPLOYMENT | 0 |
| IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC | |||
| COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE | $1,885,000 | INVESTMENT AND IMAGING SERVICES | 0 |
| IOWA HEALTH SYSTEM CONTRACTING SERVICES LC | |||
| COMMON BOARD MEMBER/KEY EMPLOYEE | $2,360,260 | PERFORMANCE OF SERVICES | 0 |
| IOWA RADIOLOGY PC | |||
| COMMON BOARD MEMBER/OFFICER | $230,561 | PROFESSIONAL SERVICES | 0 |
| JENNIFER WILLIS | |||
| FAMILY MEMBER OF BOARD MEMBER RICHARD WILLIS | $29,706 | EMPLOYMENT | 0 |
| LAKEVIEW SURGERY CENTER LC | |||
| COMMON BOARD MEMBER/OFFICER | $1,544,000 | INVESTMENT, SUPPLIES, OTHER | 0 |
| ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC | |||
| COMMON BOARD MEMBER/OFFICER | $1,523,000 | INVESTMENT, MAINTENANCE, TRANSCRIPTION, PHARMACY, MAINTENANCE, BIO-TECH | 0 |
| THE IOWA CLINIC | |||
| COMMON BOARD MEMBER/OWNERSHIP INTEREST | $8,761,544 | PROFESSIONAL SERVICES | 0 |
| TRACY EKHARDT MD | |||
| FAMILY MEMBER OF KEY EMPLOYEE STEPHEN STEPHENSON, MD | $402,647 | EMPLOYMENT | 0 |
| WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC | |||
| COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE | $1,237,000 | INVESTMENT, MANAGEMENT FEE AND FINANCIAL SERVICES | 0 |
| WEST LAKES SLEEP CENTER LLC | |||
| COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE | $219,000 | INVESTMENT | 0 |
| WINIFRED HALL | |||
| FAMILY MEMBER OF FORMER KEY EMPLOYEE JEANETTE SHELTON | $33,462 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 11 | THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS ANNUAL REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR APPROXIMATELY THE TOP FIFTY EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE ANNUAL REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2014 FOR THE FOLLOWING INDIVIDUALS: JOSEPH CORFITS, ERIC CROWELL, DOUGLAS DORNER, ERIC LOTHE, JOYCE MCDANEL, DEBORA MOYER, MARK PURTLE, SIDNEY RAMSEY, DAVID STARK, STEPHEN STEPHENSON. 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 4,052,151. CHANGES IN PENSION LIABILITY -10,552,494. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 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 |
| 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 |
| 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) | IOWA HEALTH SYSTEM | 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 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 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 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 | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | $322,382 | $65,114 | 0 | Yes (1) | 0.20080 | ||
| 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 | $104,251 | $66,077 | 0 | Yes (1) | 0.20000 | ||
| CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY | |||||||||||||||
| 1200 PLEASANT STREET | DES MOINES | IA | 50309 | 453017991 | ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES | IA | CENTRAL IOWA HOSPITAL CORPORATION | RELATED | $225,901 | $114,040 | 0 | Yes (1) | 0.20000 | ||
| 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 | ||||||||
| HEALTH ENTERPRISES VENTURES LC | |||||||||||||||
| 4250 GLASS ROAD NE | CEDAR RAPIDS | IA | 52402 | 391894290 | INVESTMENT VEHICLE OWNING CLINICAL JVS | IA | N/A | UNRELATED | $559 | 0 | 0 | $37,446 | |||
| IOWA HEALTH SYSTEM CONTRACTING SERVICES LC | |||||||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 421511142 | GROUP PURCHASING | IA | N/A | ||||||||
| MEDICAL LABORATORIES OF EASTERN IOWA LC | |||||||||||||||
| 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 421359640 | MEDICAL LABORATORY SERVICES | IA | N/A | ||||||||
| MERITER UW PHYSICIANS CONTRACTING COMPANY LLC | |||||||||||||||
| 202 SOUTH PARK STREET | MADISON | WI | 53715 | 391998819 | HEALTH SERVICES | WI | N/A | ||||||||
| MISSISSIPPI VALLEY SLEEP DISORDER CENTER LC | |||||||||||||||
| 3400 DEXTER COURT | DAVENPORT | IA | 52807 | 421489697 | MEDICAL LABORATORY SERVICES | IA | N/A | ||||||||
| MMCI ORTHOPEDIC CO-MANAGEMENT COMPANY LLC | |||||||||||||||
| 221 NE GLEN OAK AVE | PEORIA | IL | 61636 | 461219459 | ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES | IL | N/A | ||||||||
| MMCI SURGERY CO-MANAGEMENT COMPANY LLC | |||||||||||||||
| 221 NE GLEN OAK AVE | PEORIA | IL | 61636 | 471323385 | SURGERY MANAGEMENT & ADMINISTRATIVE SERVICES | IL | N/A | ||||||||
| MR ASSOCIATES LLP | |||||||||||||||
| 1956 1ST AVENUE NE | CEDAR RAPIDS | IA | 52402 | 421260463 | OWN AND OPERATE MR UNIT | IA | N/A | ||||||||
| 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 BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC | |||||||||||||||
| 4500 UTICA RIDGE RD | BETTENDORF | IA | 52722 | 272562753 | ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICES | IA | 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 | $250,619 | $8,488 | 0 | Yes (1) | 0.20000 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 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 | ||||
| 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 | Yes (1) | CENTRAL IOWA HOSPITAL CORPORATION | $164,987 | $100,400 | 0.57000 | |
| 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 (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTRAL IOWA HEALTH PROPERTIES CORPORATION | ||
| D | $177,014 | BASED ON GAAP, CASH, AND/OR FMV. |
| CENTRAL IOWA HEALTH PROPERTIES CORPORATION | ||
| I | $124,503 | BASED ON GAAP, CASH, AND/OR FMV. |
| CENTRAL IOWA HEALTH PROPERTIES CORPORATION | ||
| K | $1,822,070 | BASED ON GAAP, CASH, AND/OR FMV. |
| CENTRAL IOWA HEALTH PROPERTIES CORPORATION | ||
| Q | $199,277 | BASED ON GAAP, CASH, AND/OR FMV. |
| CENTRAL IOWA HEALTH PROPERTIES CORPORATION | ||
| S | $260,000 | 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 SEVENTEEN HOSPITAL FACILITIES AND VARIOUS AMBULATORY SERVICE AND CLINIC LOCATIONS 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 |