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IOWA HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
IOWA HEALTH SYSTEM (EIN 42-1435199)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349300238
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T07:35:24-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421435199EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IOWA HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlIOWANameControl
Phone5152416161Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11776 WEST LAKES PARKWAY NO 400AddressLine1
CityWEST DES MOINESCity
StateIAState
ZIP Code50266ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN E VERMEERName
TitleEXECUTIVE VP/CFOTitle
Phone5152418215Phone
Date Signed2012-11-05DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonWILLIAM B LEAVERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11776 WEST LAKES PARKWAY NO 400AddressLine1
CityWEST DES MOINESCity
StateIAState
ZIP Code50266ZIPCode
FieldValueIRS element (for citing)
Gross Receipts174426672GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.IHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees769TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI667701TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9605003ContributionsGrantsPriorYear
Contributions Grants Current Year12805722ContributionsGrantsCurrentYear
Program Service Revenue Prior Year128800508ProgramServiceRevenuePriorYear
Program Service Revenue CY140834457ProgramServiceRevenueCY
Investment Income Prior Year20252306InvestmentIncomePriorYear
Investment Income Current Year18948720InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year239486OtherRevenueCurrentYear
Total Revenue Prior Year158657817TotalRevenuePriorYear
Total Revenue Current Year172828385TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11508552GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY12598719GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year46146633SalariesEtcPriorYear
Salaries Etc Current Year47563004SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year106432733OtherExpensePriorYear
Other Expenses Current Year116924231OtherExpensesCurrentYear
Total Expenses Prior Year164087918TotalExpensesPriorYear
Total Expenses Current Year177085954TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5430101RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4257569RevenuesLessExpensesCY
Total Assets BOY708457810TotalAssetsBOY
Total Assets EOY704506413TotalAssetsEOY
Total Liabilities BOY714562839TotalLiabilitiesBOY
Total Liabilities EOY774890482TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-6105029NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-70384069NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense167049081Expense
Grants11263917Grants
Revenue141073943Revenue
DescriptionAFFILIATE SUPPORT SERVICESIHS ADMINISTRATION (CORP) IS ORGANIZED TO SUPPORT THE MISSIONS OF SEVERAL RELATED CHARITABLE, TAX-EXEMPT ORGANIZATIONS INCLUDING EIGHT SENIOR AFFILIATES, IOWA HEALTH DES MOINES (DES MOINES), TRINITY REGIONAL HEALTH SYSTEM (ROCK ISLAND), ST. LUKE'S HEALTHCARE (CEDAR RAPIDS), ALLEN HEALTH SYSTEMS (WATERLOO), TRINITY HEALTH SYSTEMS (FORT DODGE), ST. LUKE'S HEALTH SYSTEM (SIOUX CITY), METHODIST HEALTH SERVICES CORPORATION (PEORIA), IOWA HOME HEALTH CARE, AS WELL AS MULTIPLE RURAL AFFILIATES. THE SUPPORT SERVICES PROVIDED TO THESE ORGANIZATIONS ARE TO CONSTRUCT, OWN, LEASE, MANAGE, OPERATE, PROVIDE AND MAINTAIN ANY FACILITIES, PROGRAMS, SERVICES (MANAGEMENT OR OTHERWISE) AND RELATED ACTIVITIES IN FURTHERANCE OF HEALTH-CARE OR HEALTH EDUCATION. FACILITIES INCLUDE HOSPITALS, SELF-CARE FACILITIES, CLINICS, EDUCATIONAL FACILITIES, AND OTHER ESTABLISHMENTS CREATED TO CARRY THROUGH HEALTH-CARE AND EDUCATIONAL PROGRAMS. THE PRIMARY PURPOSE OF THE CORPORATION IS TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, RELIGIOUS AND SCIENTIFIC ACTIVITIES IN ACCORDANCE WITH PREVIOUSLY STATED PURPOSES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1334802Expense
Grants1334802Grants
Revenue0Revenue
DescriptionCOMMUNITY BENEFITIOWA HEALTH SYSTEM PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. IOWA HEALTH SYSTEM COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. IOWA HEALTH SYSTEM HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $1,334,802.Description
FieldValueIRS element (for citing)
Total Program Service Expense168383883TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096203NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees769NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN E VERMEER EVPCFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5152416550TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 PLEASANT STAddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503091453ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (48 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANGELA ALDRICH
BOARD MEMBER1.00X1443700
GENE BLANC
BOARD CHAIR1.00X2689600X
TERRI CHRISTOFFERSEN
BOARD MEMBER1.00X1643700
KATHY ENO
BOARD SECRETARY1.00X1561600X
KENT HENNING
BOARD MEMBER1.00X1167113500
STEVE HERWIG DO
BOARD MEMBER1.00X149537580
JIM HOFFMAN
BOARD MEMBER1.00X1673700
FRANCIS KANE MD
BOARD MEMBER1.00X1243600
RON KLOSTERMAN
BOARD VICE CHAIR1.00X1604800X
LAWRENCE LIEBSCHER MD
BOARD MEMBER1.00X13250500
RICK MCCONNELL
BOARD MEMBER1.00X1478919240
SARAH MCDONALD-HASKEN
BOARD MEMBER1.00X1547600
PETER MCLAUGHLIN
BOARD MEMBER1.00X1485500
LINDA NEWBORN
BOARD MEMBER1.00X144375150
KURT PITTNER
BOARD MEMBER1.00X1428700
BILL PROWELL
BOARD MEMBER1.00X1268800
BRUCE SHERMAN
BOARD TREASURER1.00X1525021230X
MIKE STONE
BOARD MEMBER1.00X275000
KAREN STUMPE
BOARD MEMBER1.00X343800
DR TRIVEDI DEVENDRA
BOARD MEMBER1.00X368800
MIKE WILLIAMS
BOARD MEMBER1.00X153859880
WILLIAM LEAVER
PRESIDENT/CEO40.0013413360307059X
KEVIN VERMEER
VP/CFO40.006723850194916X
VIVIAN BOYD TO 0711
VP OF REVENUE CYCLE40.00206397013865X
DAVID BRANDON
PRESIDENT/CEO - DUB40.00038308572932X
CHERYL BUSTOS TO 0711
VP COMMUNICATIONS40.002430500-24135X
ERIC CROWELL
CEO - DSM40.000785263243606X
DENNIS DRAKE
VP GENERAL COUNSEL/CORP CO40.005012110119847X
KARA DUNHAM FR 1111
VP FINANCE40.002464315299435833X
JOHN FROWNFELTER FR 0911
CHIEF MEDICAL INFO OFFICER40.0015473605074X
JOY GROSSER
VP & CIO40.00463971065417X
ALAN KAPLAN MD
VP/CMO40.007173160135330X
JOHN KNOX
PRESIDENT/CEO - WAT (TO 11/2011)40.00052541735333X
KATHERINE MARCHIK
VP CORP FIN/TREAS40.00311702050437X
EMILY PORTER
VP PEOPLE EXCELLENCE40.00252394048084X
RICHARD SEIDLER
PRESIDENT/CEO - QC40.00072760195987X
DEBORAH SIMON
PRESIDENT/CEO - PM (FR 10/2011)40.000434149146051X
PHYLLIS STADTLANDER
CEO - IHHC40.00021231824406X
SUSAN THOMPSON
CEO - FD40.000455939273392X
PETER THOREEN
PRESIDENT/CEO - SC40.00046185946020X
THOMAS TIBBITTS
VP SYSTEM DEVELOPMENT-IHS40.00758496024275X
THEODORE TOWNSEND
PRESIDENT/CEO - CR40.000607173135676X
SAL BOGNANNI
DIR CLINICAL PERFORM IMP40.00247736012776X
DAVID BURLAGE
ASSOC COUNSEL40.00204696023098X
SABRA ROSENER
VP GOVERNMENT RELATIONS40.00316980050701X
GERALD SCHMIDT
DIR INTERNAL AUDIT40.00196962024243X
DAVID STUBBS
MEDICAL DIR - ORDER SET DEVEL40.00260907036533X
DUNCAN GALLAGHER
FORMER VP/CFO (2008)0.0053559800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7696040TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4753506TotalReportableCompFrmRltdOrgs
Total Other Compensation2196756TotalOtherCompensation
Number Individuals GT100 K62NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
IBM
PO BOX 643600PITTSBURGHPA15264IT CONSULTING11087541
FIBER UTILITIES
222 3RD AVE SE SUITE 500CEDAR RAPIDSIA52401IT CONSULTING2757769
GE HEALTHCARE IITS USA CORP
PO BOX 277475ATLANTAGA303847475IT CONSULTING1934657
TEAM DES MOINES PARTNERS LLC
1205 TECHNOLOGY PARKWAYCEDAR FALLSIA50613IT CONSULTING1806073
SUNQUEST INFORMATION SYSTEMS
PO BOX 75214CHARLOTTENC282750214IT CONSULTING1301125
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Related Organizations12271973RelatedOrganizations
Government Grants533749GovernmentGrants
Total Contributions12805722TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MGMT & SUPPORT SVCS561000140867646140199945667701
SUBS & JOINT VENTURES900099-33189-33189
FieldValueIRS element (for citing)
Total Program Service Revenue140834457TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18847591TotalRevenueColumn
Exclusion$18,847,591ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1625915Securities
Other73501Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1554706Securities
Other43581Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities71209Securities
Other29920Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column101129TotalRevenueColumn
Exclusion$101,129ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column239486TotalRevenueColumn
Related Or Exempt Function Income239486RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue239486TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column172828385TotalRevenueColumn
Related Or Exempt Function Income140406242RelatedOrExemptFunctionIncome
Unrelated Business Revenue667701UnrelatedBusinessRevenue
Exclusion$18,948,720ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12598719Total
Program Services12598719ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6875572Total
Management And General6875572ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total535598Total
Management And General535598ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total31169744Total
Program Services31169744ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1813578Total
Program Services1813578ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4350614Total
Program Services4350614ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2817898Total
Program Services2817898ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1345690Total
Program Services1345690ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total458221Total
Program Services458221ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total618246Total
Program Services618246ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total48761Total
Program Services40889ProgramServices
Management And General7872ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total45791664Total
Program Services45430683ProgramServices
Management And General360981ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total174908Total
Program Services174908ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14119207Total
Program Services14053386ProgramServices
Management And General65821ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total503651Total
Program Services496295ProgramServices
Management And General7356ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1614922Total
Program Services1605941ProgramServices
Management And General8981ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1808878Total
Program Services1304886ProgramServices
Management And General503992ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1200697Total
Program Services1186237ProgramServices
Management And General14460ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total28483513Total
Program Services28483513ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20176415Total
Program Services20176415ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total80809Total
Program Services80809ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS EXPENSEDescription
Total498649Total
Program Services177211ProgramServices
Management And General321438ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total177085954Total
Program Services168383883ProgramServices
Management And General8702071ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY6596057EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY103361238BOY
EOY29964756EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY509470BOY
EOY395923EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY513171511BOY
EOY524320288EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10929489BOY
EOY14116167EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis275090781LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec161664710LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66505229BOY
EOY113426071EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4565111BOY
EOY6617600EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3000BOY
EOY3000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1244580BOY
EOY3448926EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY5313722BOY
EOY5043817EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2853960BOY
EOY573808EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY708457810BOY
EOY704506413EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20681865BOY
EOY38431526EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2617231BOY
EOY6826505EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY638293275BOY
EOY624120000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1313281BOY
EOY2055362EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY51657187BOY
EOY103457089EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY714562839BOY
EOY774890482EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6151799BOY
EOY-70487046EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY46770BOY
EOY102977EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-6105029BOY
EOY-70384069EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY708457810BOY
EOY704506413EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-4257569ReconcilationRevenueExpenses
Reconcilation Other Changes-60021471ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (9 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
CENTRAL IOWA HOSPITAL CORPORATION
4206804523111$3,047,320
ST LUKE'S METHODIST HOSPITAL
4205047803111$2,204,927
ALLEN MEMORIAL HOSPITAL CORPORATION
4206982653111$4,864,143
NORTHWEST IOWA HOSPITAL CORPORATION
4210198723111$0
THE FINLEY HOSPITAL
4206803543111$0
TRINITY REGIONAL MEDICAL CENTER
4210091753111$0
TRINITY MEDICAL CENTER
3627392993111$2,155,583
UNITY HEALTHCARE
4206803373111$0
METHODIST MEDICAL CENTER OF ILLINOIS
3706612233111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
Sum Of Amounts12271973SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals618246FilingOrganizationsTotals
Affiliated Group Totals809126AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals618246FilingOrganizationsTotals
Affiliated Group Totals809126AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals167765637FilingOrganizationsTotals
Affiliated Group Totals2480005091AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals168383883FilingOrganizationsTotals
Affiliated Group Totals2480814217AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3936860CurrentYearMinus3
Current Year Minus2939868CurrentYearMinus2
Current Year Minus1927928CurrentYearMinus1
Current Year809126CurrentYear
Total3613782Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance46770BeginningOfYearBalance
Contributions150535Contributions
Investment Earnings Or Losses1400InvestmentEarningsOrLosses
Other Expenditures95729OtherExpenditures
End Of Year Balance102976EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance41860BeginningOfYearBalance
Contributions41430Contributions
Investment Earnings Or Losses1815InvestmentEarningsOrLosses
Other Expenditures38335OtherExpenditures
End Of Year Balance46770EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance40498BeginningOfYearBalance
Contributions51133Contributions
Investment Earnings Or Losses1508InvestmentEarningsOrLosses
Other Expenditures51279OtherExpenditures
End Of Year Balance41860EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance37616BeginningOfYearBalance
Contributions54000Contributions
Investment Earnings Or Losses2736InvestmentEarningsOrLosses
Other Expenditures53854OtherExpenditures
End Of Year Balance40498EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1855321OtherCostOrOtherBasis
Depreciation1538687Depreciation
Book Value316634BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis235119029OtherCostOrOtherBasis
Depreciation143300722Depreciation
Book Value91818307BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38116431OtherCostOrOtherBasis
Depreciation16825301Depreciation
Book Value21291130BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings113426071TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
SELF-INSURANCE RESERVE$572,784
SWAP LIABILITY$98,461,716
LONG-TERM RETENTION INCENTIVES$4,422,589
FieldValueIRS element (for citing)
Total Of Amounts103457089TotalOfAmounts
Total Revenue172828385TotalRevenue
Total Expenses177085954TotalExpenses
Excess Or Deficit For Year-4257569ExcessOrDeficitForYear
Net Unrealized GL On Investments-53149610NetUnrealizedGLOnInvestments
Other-$6,871,861OtherAmount
Total Adjustments-60021471TotalAdjustments
Excess Or Deficit Per FS-64279040ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt117535000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-32867139NetUnrealizedGainsInvestments
Other Revenues295OtherRevenues
Revenue Not Rptd F990-32866844RevenueNotRptdF990
Revenue Subtotal150401844RevenueSubtotal
Investment Expenses Not Included7872InvestmentExpensesNotIncluded
Other Revenues Not Included22418669OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt22426541RevenueNotRptdOnFinStmt
Total Revenue Per Form990172828385TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt164767000TotExpensesEtcAuditedFinclStmt
Other Expenses Included117OtherExpensesIncluded
Expenses Not Rptd F990117ExpensesNotRptdF990
Expenses Subtotal164766883ExpensesSubtotal
Investment Expenses Not Included27872InvestmentExpensesNotIncluded2
Other Expenses Not Included12311199OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt12319071ExpensesNotRptdOnFinStmt
Total Expenses Per Form990177085954TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:IOWA HEALTH SYSTEM 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 HEALTH 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 2008. THE HEALTH 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 DURING THE CARRYFORWARD PERIOD. NO INCOME TAX BENEFIT HAS BEEN RECOGNIZED FOR THE NET OPERATING LOSS CARRYFORWARDS OR OTHER POTENTIAL DEFERRED TAX ASSETS IN THE CONSOLIDATED FINANCIAL STATEMENTS BECAUSE THE HEALTH SYSTEM BELIEVES REALIZATION OF THESE BENEFITS IS UNLIKELY.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFER TO BROADBAND, INC. -6,871,861.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ROUNDING 295.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REVENUES IN UNRESTRICTED FUND BALANCE 22,323,233. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 56,206. IOWA HEALTH SYSTEM CONTRACTING SERVICES REBATES 39,230.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:ROUNDING 117.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:EXPENSES IN UNRESTRICTED FUND BALANCE 12,271,969. IOWA HEALTH SYSTEM CONTRACTING SERVICES REBATES 39,230.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BIG BROTHER BIG SISTERS
9051 SWANSON BLVDCLIVEIA50325421320908501(C)(3)5000PROGRAM SUPPORT
CHARACTER COUNTS
1213 25THS STDES MOINESIA50311391896160501(C)(3)25000PROGRAM SUPPORT
COMMUNITY FOUNDATION OF GREATER DES MOINES
2771 104TH STREET SUITE 1URBANDALEIA50322426139033501(C)(3)15000PROGRAM SUPPORT
DES MOINES UNIVERSITY
3200 GRAND AVENUEDES MOINESIA50312420730347501(C)(3)5000PROGRAM SUPPORT
IOWA DEPARTMENT OF PUBLIC HEALTH
LUCAS STATE OFFICE BLDGDES MOINESIA50319426004523GOVERNMENT25000PROGRAM SUPPORT
IOWA HOSPITAL ASSOCIATION
100 EAST GRAND SUITE 100DES MOINESIA50309420706508501(C)(3)50000PROGRAM SUPPORT
IOWA NURSES FOUNDATION
100 GREAT IOWA NURSESCORALVILLEIA52241237198389501(C)(3)5000PROGRAM SUPPORT
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
8101 BIRCHWOOD CTJOHNSTONIA50131421411630501(C)(3)12271969PROGRAM SUPPORT
IOWA PUBLIC RADIO
2111 GRAND AVE SUITE 100DES MOINESIA50312204227123501(C)(3)10000PROGRAM SUPPORT
IOWA SPORTS FOUNDATIONS
1421 S BELL AVE 104AMESIA50010421278326501(C)(3)37000PROGRAM SUPPORT
IOWA STATEWIDE POISON CONTROL
2910 HAMILTON BLVDSIOUX CITYIA51104421509042501(C)(3)50000PROGRAM SUPPORT
MAKE A WISH FOUNDATION
3024 104TH STURBANDALEIA50322421310530501(C)(3)7500PROGRAM SUPPORT
PARTNERSHIP FOR A DRUG-FREE IOWA
1112 EAST GRAND AVEDES MOINESIA50319421375293501(C)(3)10000PROGRAM SUPPORT
PE4LIFE
127 W 10TH STREET SUITE 101KANSAS CITYMO64106320044523501(C)(3)45000PROGRAM SUPPORT
SAFEGUARD IOWA PARTNERSHIP
100 E GRAND AVE SUITE 165DES MOINESIA50309263339967501(C)(3)5000PROGRAM SUPPORT
UNIVERSITY OF IOWA
2346 MORMAN TREK BLVDIOWA CITYIA52246426004813GOVERNMENT7625PROGRAM SUPPORT
WELLNESS COUNCIL OF CENTRAL IOWA
700 LOCUST STDES MOINESIA50309421345230501(C)(3)5000PROGRAM SUPPORT
YMCA
101 LOCUST STDES MOINESIA50309420745991501(C)(3)5000PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants16TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: IOWA HEALTH SYSTEM 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. IOWA HEALTH SYSTEM THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM LEAVER
9387180335170067448025307205398701648395000
KEVIN VERMEER
485743013501705162501690530258630867301000
VIVIAN BOYD TO 0711
108578042750055069019800118850220262000
DAVID BRANDON
0261054025000097031059934012998045601700
CHERYL BUSTOS TO 0711
1020780850330559390-26896027610218915000
ERIC CROWELL
0527761018998406751802213990222070102886900
DENNIS DRAKE
3504440985430522240950720247750621058000
KARA DUNHAM FR 1111
20708128982023900393511280880821436255072688718658300
JOHN FROWNFELTER FR 0911
7139002500005834601292037820159810000
JOY GROSSER
332022088954042995064010014070529388000
ALAN KAPLAN MD
503523015762105617201131720221580852646000
JOHN KNOX
0281004078465016594807893027440056075000
KATHERINE MARCHIK
2191720554160371140306490197880362139000
EMILY PORTER
1872060311250340630229780251060300478000
RICHARD SEIDLER
043312601662840128191083659012328082358800
DEBORAH SIMON
03299490001042000134809011242058020000
PHYLLIS STADTLANDER
016463603174501593708364016042023672400
SUSAN THOMPSON
03064610966000528780254174019218072933100
PETER THOREEN
0313786088917059156031043014977050787900
THOMAS TIBBITTS
1979060500000510590012250012025078277104565830
THEODORE TOWNSEND
041388101275270657650112089023587074284900
SAL BOGNANNI
154354029411063971010833019430260512000
DAVID BURLAGE
18149402237508270103370127610227794000
SABRA ROSENER
2217540501390450870207110299900367681000
GERALD SCHMIDT
172142021425033950100680141750221205000
DAVID STUBBS
259325058409980122500242830297440000
DUNCAN GALLAGHER
000053559800000535598000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATRAVEL: CEO AND BOARD MEMBERS USE PRIVATE CHARTER FOR BUSINESS TRAVEL BETWEEN AFFILIATE CITIES AND FOR BOARD OF DIRECTOR MEETINGS. THIS TRAVEL IS FOR BUSINESS PURPOSES ONLY. NO FIRST CLASS COMMERCIAL TRAVEL IS REIMBURSED. TRAVEL FOR COMPANIONS: SPOUSES SOMETIMES ACCOMPANY BOARD MEMBERS AND/OR OFFICERS ON ORGANIZATIONAL ACTIVITIES, INCLUDING BOARD RETREATS. 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.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING THE YEAR THAT WAS INCLUDED IN THEIR TAXABLE INCOME: SAL BOGNANNI $28,264; DUNCAN GALLAGHER $535,598; JOHN KNOX $43,149. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: VIVIAN BOYD $-7,125; DAVID BRANDON $51,540; CHERYL BUSTOS $-34,815; ERIC CROWELL $198,085; DENNIS DRAKE $37,642; JOY GROSSER $55,145; ALAN KAPLAN $100,922; WILLIAM LEAVER $243,630; KATHERINE MARCHIK $19,029; EMILY PORTER $11,556; SABRA ROSENER $15,811; RICHARD SEIDLER $66,665; DEBORAH SIMON $52,755; SUSAN THOMPSON $242,849; PETER THOREEN, $18,690; KEVIN VERMEER $157,312.
PART IIICOMPENSATION FROM UNRELATED ORGANIZATION IOWA HEALTH SYSTEM PAYS BOARD FEES TO SHUTTLEWORTH & INGERSOLL, PLC IN THE AMOUNT OF: BASE PAY $11,750. WILLIAM PROWELL, DIRECTOR, IS AN OFFICER OF SHUTTLEWORTH & INGERSOLL, PLC.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
IOWA FINANCE AUTHORITY
521699886462466CF82009-03-04244270000SEE PART V000
IOWA FINANCE AUTHORITY
521699886462466DS92009-08-06402440333SEE PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindIssuance Costs From ProceedsIssuanceCostsFromProceeds
2442710372012700004300103720111011
40244033335127000050127894201010011064433

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
111100.000000.001200.001201
111100.000000.001200.001201

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
SEE PART V
01126.00000000000010001
(no name)
000001
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE A(F) - BOND ISSUESDESCRIPTION OF PURPOSE(I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS, (IOWA HEALTH SYSTEM), SERIES 2005B ISSUED ON 7/27/05; (II) CONSTRUCT AND EQUIP HOSPITAL FACILITIES OF THE ORGANIZATION AND AFFILIATES LOCATED IN CEDAR RAPIDS, DES MOINES, DUBUQUE, FORT DODGE, SIOUX CITY, AND WATERLOO, IOWA.
PART I, LINE B(F) - BOND ISSUESDESCRIPTION OF PURPOSE(I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS, (IOWA HEALTH SYSTEM), SERIES 2005A ISSUED ON 7/27/05; (II) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2008A ISSUED ON 5/20/08; (III) CONSTRUCT AND EQUIP HOSPITAL FACILITIES OF THE ORGANIZATION AND AFFILIATES LOCATED IN DES MOINES, DUBUQUE, SIOUX CITY, AND WATERLOO, IOWA.
PART IV - ARBITRAGENAME OF PROVIDERCITIBANK, N.A.; JPMORGAN CHASE BANK, N.A.; MORGAN STANLEY CAPITAL SERVICES, INC.
PART II, LINE 3(A) - PROCEEDSTOTAL PROCEEDS AT ISSUETHERE IS A DIFFERENCE BETWEEN THE BOND ISSUE PRICE AND THE TOTAL PROCEEDS OF BOND ISSUE DUE TO INVESTMENT EARNINGS OF $1,037.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BKD LLP
COMMON BOARD MEMBER/OFFICER472521AUDIT AND ACCOUNTING FEES0
KATIE MARCHIK
KEY EMPLOYEE236500PURCHASE OF FORMER RESIDENCE0
MEDIMORE INC
COMMON BOARD MEMBER/OFFICER176892EXPENSE REIMBURSEMENT0
THOMAS REUTERS
COMMON BOARD MEMBER/OFFICER792041SALE OF MEDICAL EQUIPMENT0
(no name)
0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7AIOWA HEALTH SYSTEM IS A SUPPORTING ORGANIZATION TO AFFILIATED NONPROFIT HOSPITALS. EACH HOSPITAL HAS THE POWER TO APPOINT DIRECTORS TO THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BIOWA HEALTH SYSTEM IS A SUPPORTING ORGANIZATION TO AFFILIATED NONPROFIT HOSPITALS. EACH HOSPITAL HAS THE POWER TO APPOINT BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15THE 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, 2011 FOR THE FOLLOWING INDIVIDUALS: DAVID BRANDON, ERIC CROWELL, DENNY DRAKE, JOY GROSSER, ALAN KAPLAN, JOHN KNOX, WILLIAM LEAVER, KATHERINE MARCHIK, EMILY PORTER, SABRA ROSENER, RICHARD SEIDLER, SUSAN THOMPSON, PETER THOREEN, THEODORE TOWNSEND, KEVIN VERMEER. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, HAS VOLUNTARILY ADOPTED MANY OF OUR INDUSTRY'S GOVERNANCE "BEST PRACTICES." IOWA HEALTH SYSTEM HAS DONE SO TO FURTHER ASSURE OUR STAKEHOLDERS THAT OUR GOVERNANCE AND MANAGEMENT IS CONDUCTED RESPONSIBLY AND WARRANTS THE TRUST YOU PLACE IN US. IN SEPTEMBER 2003, THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS VOLUNTARILY ADOPTED OVER 40 CHANGES TO ITS GOVERNANCE STRUCTURE TO BETTER COMPLY WITH GOVERNANCE BEST PRACTICES AND THE INTENT AND APPLICABLE REQUIREMENTS OF THE SARBANES-OXLEY ACT OF 2003. IN ADDITION, GOVERNANCE POLICIES AND RELATED INFORMATION HAS BEEN ADDED TO THE IOWA HEALTH SYSTEM WEBSITE, WWW.IHS.ORG, INCLUDING BUT NOT LIMITED TO: OVER 130 CORPORATE COMPLIANCE POLICIES, INCLUDING CHARITY CARE AND CONFLICTS OF INTEREST POLICIES; GOVERNANCE BEST PRACTICE POLICIES; THE IDENTIFICATION OF BOARD MEMBERS AND BOARD COMMITTEES; COMPENSATION FOR HOSPITAL CEO'S; AND FINANCIAL INFORMATION FOR THE PAST SEVEN YEARS.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -53,149,610. TRANSFER TO BROADBAND, INC. -6,871,861. TOTAL TO FORM 990, PART XI, LINE 5: -60,021,471.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BHC LC
1200 PLEASANT STREETDES MOINESIA50309273820391INFORMATION TECHNOLOGY MGMT.IA171017IOWA HEALTH SYSTEM
DISEASE MANAGEMENT STRATEGIES LLC
1200 PLEASANT STDES MOINESIA50309113649153DISEASE CASE MANAGEMENT SERVICESIA00IOWA HEALTH SYSTEM

Form990 Schedule R Part II Form990ScheduleRPartII (43 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALLEN COLLEGE
1825 LOGAN AVENUEWATERLOOIA50703421351526EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALSIA501(C)(3)170(B)(1) (A)(II)ALLEN HEALTH SYSTEMS INC1
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUEWATERLOOIA50703421201924SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUEWATERLOOIA50703420698265HOSPITALIA501(C)(3)170(B)(1) (A)(III)ALLEN HEALTH SYSTEMS INC1
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVEANAMOSAIA52205421466284PROVIDE AMBULANCE SERVICESIA501(C)(3)509(A)(2)ST LUKE'SJONES REGIONAL MEDICAL CENTER1
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
1200 PLEASANT STREETDES MOINESIA50309421233759PROPERTY HOLDING COMPANYIA501(C)(2)CENTRAL IOWA HEALTH SYSTEM1
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREETDES MOINESIA50309421189791SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
CENTRAL IOWA HOSPITAL CORPORATION
1200 PLEASANT STREETDES MOINESIA50309420680452HOSPITALIA501(C)(3)170(B)(1) (A)(III)CENTRAL IOWA HEALTH SYSTEM1
FINLEY TRI-STATES HEALTH GROUP INC
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001421307495SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
HNC SERVICES
1200 PLEASANT STREETDES MOINESIA50309270987243SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(2)IOWA HEALTH SYSTEM1
INTEGRATED CARE ORGANIZATION
1200 PLEASANT STREETDES MOINESIA50309274665007PROMOTE, SUPPPORT THE INTERESTS AND PURPOSES OF AFFILIATES' HOSPITALSIA501(C)(3)509(A)(2)IOWA HEALTH SYSTEM1
INTRUST
11333 AURORA AVENUEURBANDALEIA50322421477471HOME HEALTH CAREIA501(C)(3)509(A)(2)IOWA HEALTH SYSTEM1
IOWA HEALTH FOUNDATION
2700 GRAND AVE SUITE 109DES MOINESIA50312421467682CHARITABLE FUNDRAISINGIA501(C)(3)509(A)(3), TYPE IIICENTRAL IOWA HEALTH SYSTEM1
IOWA HEALTH SYSTEM
1200 PLEASANT STREETDES MOINESIA50309421435199SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE III1
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
8101 BIRCHWOOD COURTJOHNSTONIA50131421411630PRIMARY HEALTH CARE SERVICESIA501(C)(3)170(B)(1) (A)(III)IOWA HEALTH SYSTEM1
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
1825 LOGAN AVENUEWATERLOOIA50703421201138CHARITABLE FUNDRAISINGIA501(C)(3)170(B)(1) (A)(VI)ALLEN HEALTH SYSTEMS INC1
METHODIST HEALTH SERVICES CORPORATION
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636371111135HEALTHCAREIL501(C)(3)509(A)(3), TYPE IIIIOWA HEALTH SYSTEM1
METHODIST MEDICAL CENTER FOUNDATION
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636510186460FUNDRAISINGIL501(C)(3)170(B)(1) (A)(VI)METHODIST HEALTH SERVICES CORPORATION1
METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636370661223HEALTHCAREIL501(C)(3)170(B)(1) (A)(III)METHODIST HEALTH SERVICES CORPORATION1
METHODIST SERVICES INC
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636371111134OFFICE RENTALIL501(C)(3)509(A)(2)METHODIST HEALTH SERVICES CORPORATION1
NELLIE R SHERWOOD TRUST
1026 A AVENUE NECEDAR RAPIDSIA52402426061621PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAYIA501(C)(3)509(A)(3), TYPE IST LUKE'S METHODIST HOSPITAL1
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED
720 KENYON DRIVEFORT DODGEIA50501420937390MENTAL HEALTH CAREIA501(C)(3)170(B)(1) (A)(III)TRINITY HEALTH SYSTEMS INC1
NORTHWEST IOWA HOSPITAL CORPORATION
2720 STONE PARK BLVDSIOUX CITYIA51104421019872HOSPITALIA501(C)(3)170(B)(1) (A)(III)IOWA HEALTH SYSTEM1
SELF INSURANCE TRUST AGREEMENT EST BY METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUEPEORIAIL61636376181831FUND SELF-INSURANCE PLANIL501(C)(3)509(A)(3), TYPE IIIMETHODIST MEDICAL CENER OF ILLINOIS1
SIOUXLAND PACE INC
313 COOK STREETSIOUX CITYIA51103261120134ALL-INCLUSIVE CARE FOR THE ELDERLYIA501(C)(3)170(B)(1) (A)(III)ST LUKE'S HEALTH SYSTEM INC1
ST LUKE'S HEALTH RESOURCES
2720 STONE PARK BLVDSIOUX CITYIA51104421059182OUTPATIENT CLINICS AND HEALTHCARE SERVICESIA501(C)(3)509(A)(2)ST LUKE'S HEALTH SYSTEM INC1
ST LUKE'S HEALTH SYSTEM INC
2720 STONE PARK BLVDSIOUX CITYIA51104421294091SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIIOWA HEALTH SYSTEM1
ST LUKE'S HEALTHCARE
1026 A AVENUE NECEDAR RAPIDSIA52402421487968SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
ST LUKE'S METHODIST HOSPITAL
1026 A AVENUE NECEDAR RAPIDSIA52402420504780HOSPITALIA501(C)(3)170(B)(1) (A)(III)ST LUKE'S HEALTHCARE1
ST LUKE'SJONES REGIONAL MEDICAL CENTER
1795 HIGHWAY 64 EASTANAMOSAIA52205421487967HOSPITALIA501(C)(3)170(B)(1) (A)(III)ST LUKE'S HEALTHCARE1
STL CARE COMPANY
1026 A AVENUE NECEDAR RAPIDSIA52402421276632IMPROVE PUBLIC HEALTH SERVICESIA501(C)(3)509(A)(2)ST LUKE'S HEALTHCARE1
THE DUBUQUE VISITING NURSE ASSOCIATION
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001420680410PUBLIC HEALTH SERVICES/HOME CAREIA501(C)(3)509(A)(2)FINLEY TRI-STATES HEALTH GROUP INC1
THE FINLEY HOSPITAL
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001420680354HOSPITALIA501(C)(3)170(B)(1) (A)(III)FINLEY TRI-STATES HEALTH GROUP INC1
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH STREETROCK ISLANDIL61201363678909MENTAL HEALTH CAREIL501(C)(3)170(B)(1) (A)(VI)TRINITY REGIONAL HEALTH SYSTEM1
TPG HEALTH
802 KENYON ROADFORT DODGEIA50501453791448SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICESIA501(C)(3)170(B)(1) (A)(III)TRINITY HEALTH SYSTEMS INC1
TRINITY BUILDING CORPORATION
802 KENYON ROADFORT DODGEIA50501421376187PROPERTY HOLDING COMPANYIA501(C)(2)TRINITY HEALTH SYSTEMS INC1
TRINITY HEALTH FOUNDATION
802 KENYON ROADFORT DODGEIA50501421222381CHARITABLE FUNDRAISINGIA501(C)(3)170(B)(1) (A)(VI)TRINITY HEALTH SYSTEMS INC1
TRINITY HEALTH FOUNDATION
2701 17TH STREETROCK ISLANDIL61201363321751CHARITABLE FUNDRAISINGIL501(C)(3)170(B)(1) (A)(VI)TRINITY REGIONAL HEALTH SYSTEM1
TRINITY HEALTH SYSTEMS INC
802 KENYON ROADFORT DODGEIA50501421222877SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIA501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
TRINITY MEDICAL CENTER
2701 17TH STREETROCK ISLANDIL61201362739299HOSPITALIL501(C)(3)170(B)(1) (A)(III)TRINITY REGIONAL HEALTH SYSTEM1
TRINITY REGIONAL HEALTH SYSTEM
2701 17TH STREETROCK ISLANDIL61201363351952SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CAREIL501(C)(3)509(A)(3), TYPE IIIOWA HEALTH SYSTEM1
TRINITY REGIONAL HOSPITAL AUXILIARY
802 KENYON ROADFORT DODGEIA50501426081474CHARITABLE FUNDRAISING AND VOLUNTEER SERVICESIA501(C)(3)509(A)(2)TRINITY REGIONAL MEDICAL CENTER1
TRINITY REGIONAL MEDICAL CENTER
802 KENYON ROADFORT DODGEIA50501421009175HOSPITALIA501(C)(3)170(B)(1) (A)(III)TRINITY HEALTH SYSTEMS INC1
UNITY HEALTHCARE
1518 MULBERRY AVENUEMUSCATINEIA52761420680337HOSPITALIA501(C)(3)170(B)(1) (A)(III)TRINITY REGIONAL HEALTH SYSTEM1

Form990 Schedule R Part III Form990ScheduleRPartIII (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Code VCodeVAmount
1776 WESTLAKES PARKWAY LC
4949 WESTOWN PARKWAY SUITE 200WEST DES MOINESIA50266205031651OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BUILDINGSIAN/AUNRELATED22964212309952010.33330
ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT CO LLC
1825 LOGAN AVEWATERLOOIA50703453237125ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICESIAN/ARELATED2292039683000.20000
CENTRAL ILLINOIS CANCER CARE CENTER LLC
7309 N KNOXVILLEPEORIAIL61614261128108RADIATION THERAPYILN/ARELATED10316131886570010.50000
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT STDES MOINESIA50309273625869CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICESIAN/ARELATED28102287957000.20000
DES MOINES PARKING ASSOCIATES
1200 PLEASANT STDES MOINESIA50309382622972PARKING DECK OPERATIONSIARELATED5408013772221011.00000CENTRAL IA HEALTH PROP CORP
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500DUBUQUEIA52001201597161AMBULATORY SURGERY CENTERIARELATED660133210769010.51000THE FINLEY HOSPITAL
ENSEVA - HIAWATHA LLC
524 PARK ROADWATERLOOIA50704453437363COLLOCATION FACILITYIARELATED26242203353000.52000IOWA HEALTH SYSTEM
FINLEY DEPT OF SURGERY CO-MGMT CO LLC
350 N GRANDVIEW AVEDUBUQUEIA52001422808785SURGERY DEPARTMENT MANAGEMENT SERVICESIAN/ARELATED101716208966000.50000
FINLEYHARTIG HOMECARE LLC
703 MAIN STDUBUQUEIA52001421487138SALE/RENTAL OF MEDICAL EQUIPMENTIAN/ARELATED132479842404010.50000
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVEDUBUQUEIA52001421428503PROVIDE ACCESS TO LICENSED SOFTWAREIAN/ARELATED14037010.50000
HEALTH ENTERPRISES VENTURES LC
4250 GLASS ROAD NECEDAR RAPIDSIA52402391894290INVESTMENT VEHICLE OWNING CLINICAL JVSIAN/AUNRELATED89797817011000.55670$57,299
HY-VEEIOWA HEALTH LC
5820 WESTOWN PARKWAYWEST DES MOINESIA50266263293530PRIMARY CARE CLINICIAN/ARELATED-17570544300010.50000
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREETDES MOINESIA50309030482623OUTPATIENT DIAGNOSTIC IMAGINGIAN/ARELATED13234292917182010.50000
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1200 PLEASANT STREETDES MOINESIA50309421511142GROUP PURCHASINGIAN/ARELATED477589415888961011.00000
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREETDES MOINESIA50309421516120SURGERY CENTERIAN/ARELATED34436924825696010.50000
MEDICAL LABORATORIES OF EASTERN IOWA LC
1026 A AVE NECEDAR RAPIDSIA52402421359640MEDICAL LABORATORY SERVICESIAN/ARELATED664320870817010.50000
METRO MRI CENTER LIMITED PARTNERSHIP
615 VALLEY VIEW DRIVE SUITE 102MOLINEIL61265363710164PROVIDE MRI AND OTHER MEDICAL SERVICESILN/ARELATED6008761499952010.33970
MR ASSOCIATES LLP
1455 SHERMAN ROADHIAWATHAIA52233421260463OWN AND OPERATE MR UNITIAN/ARELATED25401431416839010.33330
NE IA PHYSICAL THERAPY AND SPORTS MEDICINE LLC
1825 LOGAN AVEWATERLOOIA50703202124978ATHLETIC TRAINING AND SPORTS MEDICINEIAN/ARELATED-4107001
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREETDES MOINESIA50309421508092AMBULATORY SURGERY CENTERIAN/ARELATED33148583461181010.50000
PIERCE STREET SAME DAY SURGERY LC
2730 PIERCE STREETSIOUX CITYIA51104205895205AMBULATORY SURGERY CENTERIAN/ARELATED9318163357708010.50000
QUAD CITY AMBULATORY SURGERY CENTER LLC
520 VALLEY VIEW DRIVE SUITE 300MOLINEIL61265364471903AMBULATORY SURGERY CENTER.ILN/ARELATED2557653500259010.50000
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110PEORIAIL61603810584193REHABILATION THERAPYILRELATED4487321397476010.60030METHODIST MEDICAL CENTER OF ILLINOIS
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SECEDAR RAPIDSIA52403721550812AMBULATORY SURGERY CENTER.IAN/ARELATED33103837115889010.50000
TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
4500 UTICA RIDGE RDBETTENDORFIA52722272562753ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICESIAN/ARELATED175377118891010.50000
TRI-WEBSTER LC
1610 COLLINS STWEBSTER CITYIA50595010740062MEDICAL BUILDING AND SURROUNDING PROPERTYIAN/ARELATED1107381715230010.50000
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREETWEST DES MOINESIA50266271414600ORTHOPEDIC SERVICE LINES MANAGEMENTIAN/ARELATED24430626600010.20000
WEST LAKES MEDICAL EQUIPMENT LLC
5950 UNIVERSITY AVENUE SUITE 321WEST DES MOINESIA50266263300536MEDICAL EQUIPMENT SALES AND RENTALIAN/AUNRELATED59770171967010.50000$59,770
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2WEST DES MOINESIA50266263193923SLEEP DISORDER DIAGNOSTIC TESTING FACILITYIAN/ARELATED92541318508010.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
BROADBAND INC
1200 PLEASANT STDES MOINESIA50309273819741INFORMATION TECHNOLOGY MGMT.IAIHSC338870132386411.00000
CHARITABLE REMAINDER UNITRUST #1
INVESTMENTIASLHCFT
CHARITABLE REMAINDER UNITRUST #2
INVESTMENTIASLHCFT
CHARITABLE REMAINDER UNITRUST #3
INVESTMENTIASLHCFT
CHARITABLE REMAINDER UNITRUST #6
INVESTMENTIASLHCFT
IOWA HEALTH SYSTEM 457 DEF COMP PLAN
1415 WOODLAND AVE 2ND FLDES MOINESIA50309421435199INVESTMENTIAIHST26608745462701.00000
METHODIST HEALTH VENTURES INC
PO BOX 87PEORIAIL61650371140939PHARMACY/OFFICE STAFFINGILMHSCC86856624373931.00000
MEDIMORE INC
1200 PLEASANT STDES MOINESIA50309421414390MANAGED CAREIAIHSC2101701.00000
METHODIST PHYSICIAN SERVICES INC
PO BOX 87PEORIAIL61650363858550MEDICAL SERVICESILMHVIC1190867113059151.00000
PRECEDENCE INC
4622 PROGRESS DRIVE STE ADAVENPORTIA52807371288604MANAGED MENTAL CAREIARYCC5065344356571.00000
PROVIDER RESOURCE MANAGEMENT INC
PO BOX 87PEORIAIL61650371223550RESOURCE MANAGEMENTILMHSCC574271.00000
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVEDES MOINESIA50316261271143SPECIALTY PHYSICIANS MEDICAL CAREIACIHCC4818601980550.57000
STL HEALTH RESOURCES CO
1026 A AVE NECEDAR RAPIDSIA52402421193499PHYSICIAN OFFICE RENTALIASLMHC32212955775051.00000
TRIMARK PHYSICIANS GROUP INC
802 KENYON ROADFORT DODGEIA50501421335554MEDICAL CLINICSIATHSC442162471.00000
TRINITY HEALTH ENTERPRISES INC
2701 17TH STROCK ISLANDIL61201363320141RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACYILTRHSC329583229574651.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (36 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ALLEN MEMORIAL HOSPITAL CORPORATION
A3230404BASED ON GAAP, CASH, AND/OR FMV.
ALLEN MEMORIAL HOSPITAL CORPORATION
C4864143BASED ON GAAP, CASH, AND/OR FMV.
ALLEN MEMORIAL HOSPITAL CORPORATION
I1251988BASED ON GAAP, CASH, AND/OR FMV.
ALLEN MEMORIAL HOSPITAL CORPORATION
K12307420BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
A67114BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HOSPITAL CORPORATION
A7335266BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HOSPITAL CORPORATION
C3047320BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HOSPITAL CORPORATION
I3326264BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HOSPITAL CORPORATION
K39044800BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HOSPITAL CORPORATION
M52765BASED ON GAAP, CASH, AND/OR FMV.
HNC SERVICES
P400653BASED ON GAAP, CASH, AND/OR FMV.
INTEGRATED CARE ORGANIZATION
P1304566BASED ON GAAP, CASH, AND/OR FMV.
INTRUST
A87255BASED ON GAAP, CASH, AND/OR FMV.
INTRUST
J258406BASED ON GAAP, CASH, AND/OR FMV.
INTRUST
K3772543BASED ON GAAP, CASH, AND/OR FMV.
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
B12271969BASED ON GAAP, CASH, AND/OR FMV.
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
J1474532BASED ON GAAP, CASH, AND/OR FMV.
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
K8896667BASED ON GAAP, CASH, AND/OR FMV.
MEDIMORE INC
B210170BASED ON GAAP, CASH, AND/OR FMV.
ST LUKE'S HEALTH SYSTEM INC
A3068646BASED ON GAAP, CASH, AND/OR FMV.
ST LUKE'S HEALTH SYSTEM INC
I1206675BASED ON GAAP, CASH, AND/OR FMV.
ST LUKE'S HEALTH SYSTEM INC
K8820874BASED ON GAAP, CASH, AND/OR FMV.
ST LUKE'S METHODIST HOSPITAL
A4005235BASED ON GAAP, CASH, AND/OR FMV.
ST LUKE'S METHODIST HOSPITAL
C2204927BASED ON GAAP, CASH, AND/OR FMV.
ST LUKE'S METHODIST HOSPITAL
I1917746BASED ON GAAP, CASH, AND/OR FMV.
ST LUKE'S METHODIST HOSPITAL
K20120686BASED ON GAAP, CASH, AND/OR FMV.
THE FINLEY HOSPITAL
A491692BASED ON GAAP, CASH, AND/OR FMV.
THE FINLEY HOSPITAL
I626680BASED ON GAAP, CASH, AND/OR FMV.
THE FINLEY HOSPITAL
K5651888BASED ON GAAP, CASH, AND/OR FMV.
TRINITY MEDICAL CENTER
A6829452BASED ON GAAP, CASH, AND/OR FMV.
TRINITY MEDICAL CENTER
C2155583BASED ON GAAP, CASH, AND/OR FMV.
TRINITY MEDICAL CENTER
I2448263BASED ON GAAP, CASH, AND/OR FMV.
TRINITY MEDICAL CENTER
K20823576BASED ON GAAP, CASH, AND/OR FMV.
TRINITY REGIONAL MEDICAL CENTER
A884452BASED ON GAAP, CASH, AND/OR FMV.
TRINITY REGIONAL MEDICAL CENTER
I829690BASED ON GAAP, CASH, AND/OR FMV.
TRINITY REGIONAL MEDICAL CENTER
K9565353BASED ON GAAP, CASH, AND/OR FMV.

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSECTION 512(B)(13) CONTROLLED ENTITYIdentifier
Return ReferenceSCHEDULE R, PART II, COLUMN (G)ReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, "IOWA HEALTH SYSTEM." FOR ENTITIES THAT ARE PART OF THE CONSOLIDATED HEALTH SYSTEM (WITH COMMON CONTROL) THE ATTRIBUTION RULES OF IRC SECTION 318 APPLY; MEANING THAT ALL ORGANIZATIONS ARE DEEMED TO HAVE CONTROL OF THE ORGANIZATIONS OWNED BY THE CONTROLLING ORGANIZATION. AS SUCH, WE ARE REPORTING ALL RELATED ORGANIZATIONS OF THE HEALTH SYSTEM IN PARTS II, III & IV. FOR PART V REPORTING, THE TRANSACTIONS DISCLOSED ARE THOSE BETWEEN THE DIRECTLY CONTROLLED PARENT-SUBSIDIARY ONLY.Explanation

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationTHE ORGANIZATION E-FILED A REQUEST FOR AN ADDITIONAL EXTENSION OF TIME TO FILE TO NOVEMBER 15, 2012, ON PART II OF FORM 8868. THE E-FILED EXTENSION WAS ACCEPTED BY THE IRS ON JULY 31, 2012; HOWEVER, THE IRS ISSUED NOTICE CP211A, DATED AUGUST 27, 2012, WITH AN INCORRECT DATE FOR PART II OF AUGUST 15, 2012 INSTEAD OF NOVEMBER 15, 2012. AS SUCH, THE ORGANIZATION RESPECTUFLLY REQUESTS THE ORGANIZATION'S RECORDS BE UPDATED ACCORDINGLY TO SHOW THIS FORM 990 AS BEING EXTENDED TO NOVEMBER 15, 2012, AND TIMELY FILED.Explanation

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (39 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
IOWA HEALTH SYSTEM
1776 WEST LAKES PKWY STE 400WEST DES MOINESIA50266421435199X0618246618246168383883169002129$1,000,000$250,000000
ALLEN COLLEGE
1825 LOGAN AVENUEWATERLOOIA5070342135152600057255485725548$436,277$109,069000
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUEWATERLOOIA50703421201924000837848837848$150,677$37,669000
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUEWATERLOOIA50703420698265000170914307170914307$1,000,000$250,000000
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVEANAMOSAIA52205421466284000335295335295$67,059$16,765000
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREETDES MOINESIA5030942118979100023702462370246$268,512$67,128000
CENTRAL IOWA HOSPITAL CORPORATION
1200 PLEASANT STREETDES MOINESIA5030942068045202400024000577380855577404855$1,000,000$250,000000
FINLEY TRI-STATES HEALTH GROUP INC
350 NORTH GRANDVIEW AVENUEDUBUQUEIA52001421307495000272276272276$54,455$13,614000
HNC SERVICES
1776 WEST LAKES PKWY STE 400WEST DES MOINESIA50309270987243000157240157240$31,448$7,862000
INTRUST
11333 AURORA AVENUEURBANDALEIA503224214774710007567023275670232$1,000,000$250,000000
IOWA HEALTH FOUNDATION
1415 WOODLAND AVE STE E-200DES MOINESIA5030942146768200061234526123452$456,173$114,043000
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
8101 BIRCHWOOD COURTJOHNSTONIA50131421411630000145682432145682432$1,000,000$250,000000
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
1825 LOGAN AVENUEWATERLOOIA5070342120113800021880732188073$259,404$64,851000
METHODIST HEALTH SERVICES CORPORATION
221 NE GLEN OAK AVENUEPEORIAIL6163637111113500021880732188073$259,404$64,851000
METHODIST MEDICAL CENTER FOUNDATION
221 NE GLEN OAK AVENUEPEORIAIL61636510186460000689924689924$128,489$32,122000
METHODIST MEDICAL CENTER OF ILLINOIS
221 NE GLEN OAK AVENUEPEORIAIL6163637066122307188071880355214966355286846$1,000,000$250,000000
METHODIST SERVICES INC
221 NE GLEN OAK AVENUEPEORIAIL6163637111113400081385058138505$556,925$139,231000
NELLIE SHERWOOD TRUST
1026 A AVENUE NECEDAR RAPIDSIA524024260616210002276522765$4,553$1,138000
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
720 KENYON ROADFORT DODGEIA5050142093739000019924461992446$249,622$62,406000
NORTHWEST IOWA HOSPITAL CORPORATION
2720 STONE PARK BLVDSIOUX CITYIA511044210198720009639742396397423$1,000,000$250,000000
SELF INSURANCE TRUST AGREEMENT EST BY MMCI
221 NE GLEN OAK AVENUEPEORIAIL6163637618183100030000003000000$300,000$75,000000
SIOUXLAND PACE INC
309 COOK STREETSIOUX CITYIA5110326112013400038135833813583$340,679$85,170000
ST LUKE'S HEALTH RESOURCES
2720 STONE PARK BLVDSIOUX CITYIA511044210591820001243188012431880$771,594$192,899000
ST LUKE'S HEALTH SYSTEM INC
2720 STONE PARK BLVDSIOUX CITYIA5110442129409100037455193745519$337,276$84,319000
ST LUKE'S HEALTHCARE
1026 A AVENUE NECEDAR RAPIDSIA5240242148796800017363771736377$236,819$59,205000
ST LUKE'S METHODIST HOSPITAL
1026 A AVENUE NECEDAR RAPIDSIA5240242050478001500015000284909360284924360$1,000,000$250,000000
ST LUKE'SJONES REGIONAL MEDICAL CENTER
104 BROADWAY PLACEANAMOSAIA522054214879670001227604912276049$763,802$190,951000
STL CARE COMPANY
1026 A AVENUE NECEDAR RAPIDSIA524024212766320001679324116793241$989,662$247,416000
THE DUBUQUE VISITING NURSE ASSOCIATION
350 NORTH GRANDVIEW AVENUEDUBUQUEIA5200142068041000024716492471649$273,582$68,396000
THE FINLEY HOSPITAL
350 NORTH GRANDVIEW AVENUEDUBUQUEIA520014206803540007837183678371836$1,000,000$250,000000
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH STREETROCK ISLANDIL61201363678909055000550001498901115044011$902,201$225,550000
TRINITY HEALTH FOUNDATION
802 KENYON ROADFORT DODGEIA50501421222381000708838708838$131,326$32,832000
TRINITY HEALTH FOUNDATION
2701 17TH STREETROCK ISLANDIL6120136332175100017500491750049$237,502$59,376000
TRINITY HEALTH SYSTEMS INC
802 KENYON ROADFORT DODGEIA5050142122287700031486613148661$307,433$76,858000
TRINITY MEDICAL CENTER
2701 17TH STREETROCK ISLANDIL6120136273929902500025000283305304283330304$1,000,000$250,000000
TRINITY REGIONAL HEALTH SYSTEM
2701 17TH STREETROCK ISLANDIL6120136335195200047827634782763$389,138$97,285000
TRINITY REGIONAL HOSPITAL AUXILIARY
802 KENYON ROADFORT DODGEIA50501426081474000324652324652$64,930$16,233000
TRINITY REGIONAL MEDICAL CENTER
802 KENYON ROADFORT DODGEIA505014210091750008205750082057500$1,000,000$250,000000
UNITY HEALTHCARE
1518 MULBERRY AVENUEMUSCATINEIA527614206803370004932127649321276$1,000,000$250,000000