TRINITY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: TRINITY MEDICAL CENTER (EIN 36-2739299)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-08
IRS object ID: 201103129349301625
Schema version: 2010v3.4
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 G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-08T15:07:32-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	362739299	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TRIN	NameControl
Phone	3097795000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2701 17TH ST	AddressLine1
City	ROCK ISLAND	City
State	IL	State
ZIP Code	61201	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GREG PAGLIUZZA JR	Name
Title	VP FINANCE/CFO	Title
Phone	3097792218	Phone
Date Signed	2011-10-20	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICHARD SEIDLER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2701 17TH ST	AddressLine1
City	ROCK ISLAND	City
State	IL	State
ZIP Code	61201	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	439754417	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.TRINITYQC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1969	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	2978	TotalNbrEmployees
Total Nbr Volunteers	357	TotalNbrVolunteers
Total Gross UBI	95086	TotalGrossUBI
Net Unrelated Business Txbl Income	3443	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2537893	ContributionsGrantsPriorYear
Contributions Grants Current Year	4557383	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	295145514	ProgramServiceRevenuePriorYear
Program Service Revenue CY	327767972	ProgramServiceRevenueCY
Investment Income Prior Year	3737076	InvestmentIncomePriorYear
Investment Income Current Year	9729087	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2279639	OtherRevenuePriorYear
Other Revenue Current Year	2704090	OtherRevenueCurrentYear
Total Revenue Prior Year	303700122	TotalRevenuePriorYear
Total Revenue Current Year	344758532	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2214992	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2856454	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	127849802	SalariesEtcPriorYear
Salaries Etc Current Year	136467919	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	159856219	OtherExpensePriorYear
Other Expenses Current Year	187923285	OtherExpensesCurrentYear
Total Expenses Prior Year	289921013	TotalExpensesPriorYear
Total Expenses Current Year	327247658	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13779109	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	17510874	RevenuesLessExpensesCY
Total Assets BOY	319060810	TotalAssetsBOY
Total Assets EOY	346938374	TotalAssetsEOY
Total Liabilities BOY	170351411	TotalLiabilitiesBOY
Total Liabilities EOY	177254174	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	148709399	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	169684200	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF TRINITY MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	243506667	Expense
Grants	2461013	Grants
Revenue	328911826	Revenue
Description	HEALTH-CARE SERVICESTRINITY MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE QUAD CITY COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. TRINITY MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2010, TRINITY MEDICAL CENTER ADMITTED 18,994 PATIENTS RESULTING IN A TOTAL OF 80,447 PATIENT DAYS. TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 9,338. THERE WERE ALSO 77,732 EMERGENCY ROOM VISITS AND 1,926 BABIES DELIVERED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	19642438	Expense
Grants	395441	Grants
Revenue	0	Revenue
Description	COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: TRINITY MEDICAL CENTER 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 TO 18,451 PEOPLE AT A VALUE OF $6,530,721 IN 2010. OFTENTIMES, TRINITY MEDICAL CENTER RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. TRINITY MEDICAL CENTER PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. TRINITY MEDICAL CENTER'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $8,555,090 FOR 2010. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $15,085,811OTHER BENEFITS: TRINITY MEDICAL CENTER 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. TRINITY MEDICAL CENTER COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. TRINITY MEDICAL CENTER HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 152,932 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL OTHER BENEFITS REPORTED VALUE: $4,556,627	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	263149105	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	269	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2978	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IA	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN M KAISER DIR OF FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3097792895	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2701 17TH ST	AddressLine1
City	ROCK ISLAND	City
State	IL	State
ZIP Code	61201	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
STEPHANIE ACRI
TRUSTEE - CHAIR	1.00	X	X	0	0	0
KIM ARMSTRONG
TRUSTEE	1.00	X		0	0	0
DUNCAN CAMERON
TRUSTEE	1.00	X		0	0	0
DR RAJENDRA DAHAL
TRUSTEE	1.00	X		0	0	0
DAVID DEOPERE
TRUSTEE/PRESIDENT RYC	40.00	X	X	296049	0	138677
JAMES HASS
TRUSTEE	1.00	X		0	0	0
KEN KOUPAL
TRUSTEE	1.00	X		0	0	0
DR FARAZ MANAZIR
TRUSTEE	1.00	X		0	0	0
KENNY MASSEY
TRUSTEE	1.00	X		0	0	0
PETER MCLAUGHLIN
TRUSTEE	1.00	X		0	13356	0
LINDA NEWBORN
TRUSTEE	1.00	X		0	11500	0
DR AHMED OKBA
TRUSTEE	1.00	X		0	0	0
DR ALEX PAREIGIS
TRUSTEE	1.00	X		0	0	0
KATHY PULLEY
TRUSTEE	1.00	X		0	0	0
MARK SCHWIEBERT
TRUSTEE	1.00	X		0	0	0
RICK SEIDLER FR 610
TRUSTEE/PRESIDENT/CEO	40.00	X	X	295402	317602	252337
KARLA STEELE
TRUSTEE - VICE CHAIR	1.00	X	X	0	0	0
HEIDI STORL
TRUSTEE	1.00	X		0	0	0
KAI SWANSON
TRUSTEE	1.00	X		0	0	0
TOM TIBBITTS TO 610
TRUSTEE/INTERIM PRES/CEO	40.00	X	X	0	777414	17874
DR MATTHEW WILBER
TRUSTEE	1.00	X		0	0	0
TAMARA BYRAM FR 1110
CORP VP	40.00		X	144431	0	27884
MYKL GARRETT FR 1210
EXEC VP/COO	40.00		X	30269	0	0
DR PAUL MCLOONE
VPMA/CHIEF MED DIR	40.00		X	0	225617	47379
GREG PAGLIUZZA JR
VP FINANCE/CFO	40.00		X	289061	0	52277
JEFFREY STOLZE TO 1110
CORP VP	40.00		X	284763	0	77040
DR PAUL BOLGER
MED DIR ED	40.00			481424	0	45136	X
KATHLEEN CUNNINGHAM
VP QUALITY	40.00			257030	0	33548	X
PENNY DAVIS
ADMINISTRATOR/VP OPERATION	40.00			164650	0	3049	X
JON HONSEY
VP STRATEGIC DEVELOP & PHY	40.00			266757	0	43890	X
MICHAEL PATTERSON
VP OPERATIONS - PATIENT CARE/CNE	40.00			336285	0	25689	X
KATHERINE PEARSON
VP MARKETING & BUS DEVELOP	40.00			158714	0	35816	X
JAY WILLSHER TO 910
VP OPERATIONS/CHIEF ADMIN OFFICER	40.00			70826	143056	75623	X
DR GREGORY BOHN
PHYSICIAN SURG PARTNER CL	40.00			496061	0	33103		X
DR MARK BUETTNER
PHYSICIAN-ER/TRAUMA	40.00			500766	0	47537		X
DR CHARLES LEMON
PHYSICIAN-ER/TRAUMA	40.00			473121	0	41674		X
DR WILLIAM OLSON
PHYSICIAN SURG PARTNER CL	40.00			641229	0	43430		X
DR CHAD VANDERLINDEN
PHYSICIAN-ER/TRAUMA	40.00			479349	0	40522		X
ANDREA COLEMAN TO 1109
FORMER PRESIDENT/CEO	0.00			451842	0	20966			X
WILLIAM LEAVER TO 1207
FORMER PRESIDENT/CEO	0.00			0	1280669	410066			X
KEVIN VERMEER TO 509
FORMER VP FINANCE/CFO	0.00			0	543405	198962			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6118029	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3312619	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1712479	TotalOtherCompensation
Number Individuals GT100 K	117	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
METROPOLITAN MEDICAL LAB P L C
1520 7TH STREET	MOLINE	IL	61265	LAB SERVICES	8352575
ARAMARK MANAGEMENT SERVICES
22506 NETWORK PLACE	CHICAGO	IL	606731225	FOOD SERVICES	999373
DIVERSIFIED CLINICAL SERVICES
PO BOX 850001	ORLANDO	FL	328850248	WOUND CARE SERVICES	987441
METRO MRI CENTER LIMITED PART
615 VALLEY VIEW DRIVE STE 202	MOLINE	IL	61265	IMAGING SERVICES	804432
WESTERN IL ANESTHESIOLOGIST LLC
PO BOX 309	MOLINE	IL	61266	ANESTHESIA SERVICES	689145

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Federated Campaigns	12051	FederatedCampaigns
Fundraising Events	21515	FundraisingEvents
Related Organizations	4425388	RelatedOrganizations
Government Grants	59955	GovernmentGrants
All Other Contributions	38474	AllOtherContributions
Total Contributions	4557383	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	900099	320011868	320011868
EDUCATION & RESEARCH	900099	2783967	2783967
RENTAL REVENUE	531100	1948965	1948965
SUBS & JOINT VENTURES	900099	1405228	1405228
MGMT & SUPPORT SVCS	561000	892761	805636	87125

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	725183	TotalRevenueColumn
Related Or Exempt Function Income	717222	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	7961	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	327767972	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2223152	TotalRevenueColumn
Exclusion	$2,223,152	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	102093653	Securities
Other	10000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	94546405	Securities
Other	51313	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	7547248	Securities
Other	-41313	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7505935	TotalRevenueColumn
Exclusion	$7,505,935	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	51229	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	21515	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	9570	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	41659	TotalRevenueColumn
Exclusion	$41,659	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	521041	GrossSalesOfInventory
Cost Of Goods Sold	388597	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	132444	TotalRevenueColumn
Exclusion	$132,444	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/FOOD SVCS	722210	1386133	$1,386,133
MISCELLANEOUS REVENUE	900099	1143854		1143854

Field	Value	IRS element (for citing)
Total Other Revenue	2529987	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	344758532	TotalRevenueColumn
Related Or Exempt Function Income	328816740	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	95086	UnrelatedBusinessRevenue
Exclusion	$11,289,323	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2844954	Total
Program Services	2844954	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	11500	Total
Program Services	11500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2757713	Total
Management And General	2757713	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	848092	Total
Program Services	375285	ProgramServices
Management And General	472807	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	104385437	Total
Program Services	90771996	ProgramServices
Management And General	13613441	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4228206	Total
Program Services	3676784	ProgramServices
Management And General	551422	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17686740	Total
Program Services	15380121	ProgramServices
Management And General	2306619	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6561731	Total
Program Services	5705982	ProgramServices
Management And General	855749	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	12561787	Total
Program Services	1089166	ProgramServices
Management And General	11472621	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	569077	Total
Program Services	193984	ProgramServices
Management And General	375093	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1600	Total
Management And General	1600	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	25000	Total
Management And General	25000	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	174411	Total
Management And General	174411	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	33036599	Total
Program Services	30655178	ProgramServices
Management And General	2381421	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	167901	Total
Program Services	39417	ProgramServices
Management And General	128484	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	68632964	Total
Program Services	67816191	ProgramServices
Management And General	816773	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	13357286	Total
Program Services	11933957	ProgramServices
Management And General	1423329	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8283192	Total
Program Services	2733279	ProgramServices
Management And General	5549913	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	263681	Total
Program Services	168524	ProgramServices
Management And General	95157	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	74894	Total
Program Services	64467	ProgramServices
Management And General	10427	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6323727	Total
Management And General	6323727	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14728777	Total
Program Services	5292698	ProgramServices
Management And General	9436079	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5236629	Total
Program Services	366379	ProgramServices
Management And General	4870250	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT BAD DEBT	23814804	23814804
MISCELLANEOUS EXPENSES	670556	214439	456117
INCOME TAXES	400		400

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	327247658	Total
Program Services	263149105	ProgramServices
Management And General	64098553	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	14464	BOY
EOY	15304	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	15760945	BOY
EOY	34436245	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	36383249	BOY
EOY	38016303	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	13543050	BOY
EOY	12666600	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7873428	BOY
EOY	8306448	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1163007	BOY
EOY	1248670	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	295295751	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	162893751	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	138808709	BOY
EOY	132402000	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	95083986	BOY
EOY	109467727	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	8912555	BOY
EOY	8798316	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1517417	BOY
EOY	1580761	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	319060810	BOY
EOY	346938374	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19957857	BOY
EOY	25153133	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	-122421	BOY
EOY	385567	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	7870414	BOY
EOY	7139000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	142645561	BOY
EOY	144576474	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	170351411	BOY
EOY	177254174	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	144781535	BOY
EOY	166128273	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2632568	BOY
EOY	2229989	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1295296	BOY
EOY	1325938	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	148709399	BOY
EOY	169684200	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	319060810	BOY
EOY	346938374	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	17510874	ReconcilationRevenueExpenses
Reconcilation Other Changes	3463927	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$25,000	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	25000	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	DENNY JACOBS AND ASSOCIATES ACTS ON TMC'S BEHALF TO PROMOTE AND EDUCATE LEGISLATORS AND STATE GOVERNMENT ABOUT TMC'S POSITION RELATING TO LAWS, BILLS, POLICIES, PROCEDURES AND ETC.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	98763528	BeginningOfYearBalance
Contributions	368566	Contributions
Investment Earnings Or Losses	13589944	InvestmentEarningsOrLosses
Grants Or Scholarships	1113651	GrantsOrScholarships
End Of Year Balance	111608387	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	73344833	BeginningOfYearBalance
Contributions	6436324	Contributions
Investment Earnings Or Losses	19425565	InvestmentEarningsOrLosses
Grants Or Scholarships	443195	GrantsOrScholarships
End Of Year Balance	98763528	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	98982185	BeginningOfYearBalance
Contributions	582339	Contributions
Investment Earnings Or Losses	-26903952	InvestmentEarningsOrLosses
Grants Or Scholarships	446486	GrantsOrScholarships
Other Expenditures	-1130747	OtherExpenditures
End Of Year Balance	73344833	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.96810	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.01190	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.02000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6322281	OtherCostOrOtherBasis
Book Value	6322281	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	195680139	OtherCostOrOtherBasis
Depreciation	99761612	Depreciation
Book Value	95918527	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	83395226	OtherCostOrOtherBasis
Depreciation	58832659	Depreciation
Book Value	24562567	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9898105	OtherCostOrOtherBasis
Depreciation	4299480	Depreciation
Book Value	5598625	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	132402000	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$1,100,271
ASBESTOS REMOVAL LIABILITY	$1,041,023
MISCELLANEOUS LIABILITY	$154,013
SELF-INSURANCE RESERVE	$14,145,083
LONG-TERM RETENTION INCENTIVES	$1,288,916
HEALTH AND WELFARE BENEFITS RESERVE	$1,747,168
IOWA HEALTH SYSTEM NOTE PAYABLE	$125,100,000

Field	Value	IRS element (for citing)
Total Of Amounts	144576474	TotalOfAmounts
Total Revenue	344758532	TotalRevenue
Total Expenses	327247658	TotalExpenses
Excess Or Deficit For Year	17510874	ExcessOrDeficitForYear
Net Unrealized GL On Investments	4080355	NetUnrealizedGLOnInvestments
Other	-$616,428	OtherAmount
Total Adjustments	3463927	TotalAdjustments
Excess Or Deficit Per FS	20974801	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	363713000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	4080355	NetUnrealizedGainsInvestments
Other Revenues	15959255	OtherRevenues
Revenue Not Rptd F990	20039610	RevenueNotRptdF990
Revenue Subtotal	343673390	RevenueSubtotal
Other Revenues Not Included	1085142	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1085142	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	344758532	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	337100000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	15958906	OtherExpensesIncluded
Expenses Not Rptd F990	15958906	ExpensesNotRptdF990
Expenses Subtotal	321141094	ExpensesSubtotal
Other Expenses Not Included	6106564	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	6106564	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	327247658	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 2007. 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:		CHANGE IN BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION -352,854. CHANGES IN PENSION LIABILITY -263,574.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		ROUNDING 1,137. SPECIAL EVENT EXPENSES 9,570. SUBSIDIARY ELIMINATING ENTRIES (PRECEDENCE) 438,605. SUBSIDIARY ELIMINATING ENTRIES (RYC) 15,121,346. COST OF GOODS SOLD 388,597.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		REVENUES IN UNRESTRICTED FUND BALANCE 103,377. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 244. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 981,521.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		SUBSIDIARY ELIMINATING ENTRIES (PRECEDENCE) 438,605. ROUNDING 788. SPECIAL EVENT EXPENSES 9,570. SUBSIDIARY ELIMINATING ENTRIES (RYC) 15,121,346. COST OF GOODS SOLD 388,597.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		EXPENSES IN UNRESTRICTED FUND BALANCE 5,125,043. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 981,521.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	STYLE SHOW	NameOfEvent1
Gross Receipts Event1	41927	GrossReceiptsEvent1
Charitable Contributions Event1	20960	CharitableContributionsEvent1
Gross Revenue Event1	20967	GrossRevenueEvent1
Rent Facility Costs Event1	6085	RentFacilityCostsEvent1
Entertainment Event1	450	EntertainmentEvent1
Other Direct Expenses Event1	1807	OtherDirectExpensesEvent1
Name Of Event2	GARDEN PARTY	NameOfEvent2
Gross Receipts Event2	2941	GrossReceiptsEvent2
Charitable Contributions Event2	555	CharitableContributionsEvent2
Gross Revenue Event2	2386	GrossRevenueEvent2
Food And Beverage Event2	490	FoodAndBeverageEvent2
Other Direct Expenses Event2	738	OtherDirectExpensesEvent2
Total Number Of Other Events	9	TotalNumberOfOtherEvents
Gross Receipts Other Events	27876	GrossReceiptsOtherEvents
Gross Revenue Other Events	27876	GrossRevenueOtherEvents
Gross Receipts Total	72744	GrossReceiptsTotal
Charitable Contributions Total	21515	CharitableContributionsTotal
Gross Revenue Total Events	51229	GrossRevenueTotalEvents
Rent Facility Costs Total Events	6085	RentFacilityCostsTotalEvents
Food And Beverage Total Events	490	FoodAndBeverageTotalEvents
Entertainment Total Events	450	EntertainmentTotalEvents
Other Direct Expenses Total Events	2545	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	9570	DirectExpenseSummaryEvents
Net Income Summary	41659	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	1000.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	18451	PersonsServed
Total Community Benefit Expense	6530721	TotalCommunityBenefitExpense
Net Community Benefit Expense	6530721	NetCommunityBenefitExpense
Percent Of Total Expense	0.02150	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	26383	PersonsServed
Total Community Benefit Expense	14638347	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6083257	DirectOffsettingRevenue
Net Community Benefit Expense	8555090	NetCommunityBenefitExpense
Percent Of Total Expense	0.02820	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	44834	PersonsServed
Total Community Benefit Expense	21169068	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6083257	DirectOffsettingRevenue
Net Community Benefit Expense	15085811	NetCommunityBenefitExpense
Percent Of Total Expense	0.04970	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	146442	PersonsServed
Total Community Benefit Expense	1340049	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7884	DirectOffsettingRevenue
Net Community Benefit Expense	1332165	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	480	PersonsServed
Total Community Benefit Expense	48612	TotalCommunityBenefitExpense
Net Community Benefit Expense	48612	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	2355	PersonsServed
Total Community Benefit Expense	2115617	TotalCommunityBenefitExpense
Net Community Benefit Expense	2115617	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	508	PersonsServed
Total Community Benefit Expense	480076	TotalCommunityBenefitExpense
Direct Offsetting Revenue	70366	DirectOffsettingRevenue
Net Community Benefit Expense	409710	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	3147	PersonsServed
Total Community Benefit Expense	1065783	TotalCommunityBenefitExpense
Direct Offsetting Revenue	415260	DirectOffsettingRevenue
Net Community Benefit Expense	650523	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	152932	PersonsServed
Total Community Benefit Expense	5050137	TotalCommunityBenefitExpense
Direct Offsetting Revenue	493510	DirectOffsettingRevenue
Net Community Benefit Expense	4556627	NetCommunityBenefitExpense
Percent Of Total Expense	0.01510	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	197766	PersonsServed
Total Community Benefit Expense	26219205	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6576767	DirectOffsettingRevenue
Net Community Benefit Expense	19642438	NetCommunityBenefitExpense
Percent Of Total Expense	0.06480	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	24414	PersonsServed
Total Community Building Expense	160568	TotalCommunityBuildingExpense
Direct Offsetting Revenue	12975	DirectOffsettingRevenue
Net Community Building Expense	147593	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	24414	PersonsServed
Total Community Building Expense	160568	TotalCommunityBuildingExpense
Direct Offsetting Revenue	12975	DirectOffsettingRevenue
Net Community Building Expense	147593	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,810,919	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	100361071	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	102760421	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2399350	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 QUAD CITY AMBULATORY SURGERY CENTER LLC
AMBULATORY SURGERY CENTER	0.50000	0.50000
2 TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD
LICENSED PPO PROVIDING HEALTH MGMT SERVICES TO PEOPLE IN IL & IA	0.49900	0.42600
3 TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
ADMINISTRATION OF ORTHOPEDIC SERVICE LINES	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
TRINITY MEDICAL CENTER - ROCK ISLAND
1	2701 17TH ST	ROCK ISLAND	IL	61201	X	X	X
TRINITY MEDICAL CENTER - MOLINE
2	500 JOHN DEERE RD	MOLINE	IL	61265	X	X	X
TRINITY MEDICAL CENTER - BETTENDORF
3	4500 UTICA RIDGE RD	BETTENDORF	IA	52722	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	20	NumberOfOtherFacilities

Other Facilities OtherFacilities (20 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
TRINITY CENTER FOR WOUND CARE
4480 UTICA RIDGE ROAD SUITE 110	BETTENDORF	IA	52722	OUTPATIENT ONLY
TRINITY AMBULANCE SERVICE
4469 48TH AVE CRT	ROCK ISLAND	IL	61201	AMBULANCE SERVICES
TRINITY OUTPATIENT REHABILITATION SERVIC
4112 BLACKHAWK ROAD	ROCK ISLAND	IL	61201	REHAB CLINIC
TRINITY COLLEGE OF NURSING & HEALTH SCIE
2122 - 25TH AVENUE	ROCK ISLAND	IL	61201	COLLEGE
TRINITY OBGYN
4480 UTICA RIDGE ROAD SUITE 1140	BETTENDORF	IA	52722	OB/GYN CLINIC
TRINITY SURGICAL PARTNERS - BOHN
4480 UTICA RIDGE ROAD SUITE 108	BETTENDORF	IA	52722	SURGERY CLINIC
7TH STREET INTERNAL MEDICINE
600 JOHN DEERE ROAD SUITE 404	MOLINE	IL	61265	INTERNAL MEDICINE CLINIC
TRINITY OUTPATIENT REHABILITATION SERVIC
4480 UTICA RIDGE ROAD SUITE 102	BETTENDORF	IA	52722	OUTPATIENT ONLY
TRINITY EXPRESS CARE CLINIC
465 AVE OF THE CITIES SUITE 100 EM	EAST MOLINE	IL	61244	CLINIC	IL
TRINITY EXPRESS CARE CLINIC
106 -19TH AVENUE SUITE 103	MOLINE	IL	61265	CLINIC
TRINITY PULMONARY MEDICINE
2570 - 24TH STREET SUITE 127	ROCK ISLAND	IL	61201	CLINIC
TRINITY SURGICAL PARTERS
600 JOHN DEERE ROAD SUITE 308	MOLINE	IL	61265	SURGERY CLINIC
TRINITY COAL VALLEY CLINIC
104 W 18TH AVENUE	COAL VALLEY	IL	61240	CLINIC
TRINITY OUTPATIENT REHABILITATION
465 AVE OF THE CITIES SUITE 145 EM	EAST MOLINE	IL	61244	REHAB CLINIC	IL
TRINITY TP FAMILY PRACTICE CLINIC
4480 UTICA RIDGE ROAD SUITE 160	BETTENDORF	IA	52722	FAMILY PRACTICE CLINIC
TRINITY FAMILY CARE
5359 EASTERN	DAVENPORT	IA	52804	FAMILY PRACTICE CLINIC
PHYSIATRIST REHAB
2570 - 24TH STREET SUITE 125	ROCK ISLAND	IL	61201	REHAB CLINIC
TRINITY BETTENDORF INTERNAL MEDICINE
4626 PROGRESS DR STE A	DAVENPORT	IA	52804	INTERNAL MEDICINE CLINIC
TRINITY FAMILY PRACTICE - RF
4350 7TH STREET	MOLINE	IL	61265	FAMILY PRACTICE CLINIC
QUAD CITY AMBULATORY SURGERY CENTER
520 VALLEY VIEW DRIVE SUITE 300	MOLINE	IL	61265	AMBULATORY SURGERY CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: TRINITY MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH IS POSTED ON ITS WEBSITE AT WWW.IHS.ORG.IN ADDITION, THE HOSPITAL AND ITS REGIONAL AFFILIATES PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS POSTED ON ITS WEBSITE AT WWW.TRINITYQC.COM.
PART I, LINE 7G: THE NET COMMUNITY BENEFIT COST OF SUBSIDIZED HEALTH SERVICES OF $2,115,617 IS ATTRIBUTED TO TRINITY AMBULANCE SERVICE.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 23814804.
PART II: 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 FREE CLINICS OR AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. TRINITY MEDICAL CENTER CONTRIBUTES FINANCIALLY TO A WIDE VARIETY OF COMMUNITY ORGANIZATIONS THAT ADDRESS THE BROADER NEEDS OF THE COMMUNITY. THESE DONATIONS ALLOW OTHER NON-PROFIT ORGANIZATIONS TO FULFILL THEIR MISSIONS TO IMPROVE THE WELL BEING OF THE COMMUNITY AND CONTRIBUTE TO ITS OVERALL HEALTH STATUS IN WAYS THAT MAY DIFFER FROM THE DIRECT SERVICES OF THE HOSPITAL ORGANIZATION AND MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. TRINITY MEDICAL CENTER EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, TRINITY MEDICAL CENTER EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COLLABORATE TO ADDRESS COMPLEX HEALTH ISSUES. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT TRINITY MEDICAL CENTER HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH.
PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR TRINITY MEDICAL CENTER. 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: THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL REPORTED ON LINE 7 ABOVE 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.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.
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: TRINITY MEDICAL CENTER CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN THE QUAD CITY AREA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. SPECIFICALLY, TRINITY MEDICAL CENTER IS A SPONSORING PARTNER OF QUAD CITY HEALTH INITIATIVE WHICH IS A COMMUNITY COLLABORATIVE CONVENED BY GENESIS HEALTH SYSTEM AND TRINITY REGIONAL HEALTH SYSTEM TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF THE QUAD CITY AREA. THROUGH A PLANNED AND ORGANIZED EFFORT, QUAD CITY HEALTH INITIATIVE DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES THAT ARE RELEVANT TO THE COMMUNITY. QUAD CITY HEALTH INITIATIVE WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES THROUGH LEVERAGING THE RESOURCES OF THE COMMUNITY. TRINITY MEDICAL CENTER, AS A SPONSORING AGENCY, ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. TRINITY MEDICAL CENTER ALSO PARTICIPATES AS PART OF THE UNITED WAY OF THE QUAD CITIES IOWA'S COMMUNITY IMPACT COMMITTEE. THIS GROUP ACTIVELY ADDRESSES NEED AND STRATEGIES ASSOCIATED WITH HEALTH. MORE SPECIFICALLY, THIS GROUP OFTEN FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE COMMUNITY HEALTH STATUS. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR TRINITY MEDICAL CENTER TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, TRINITY MEDICAL CENTER CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS OFTEN WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATION THEY IMPACT.
PART VI, LINE 3: TRINITY MEDICAL CENTER 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 THAT 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: TRINITY MEDICAL CENTER IS A 515-BED COMMUNITY HOSPITAL IN EASTERN IOWA AND WESTERN ILLINOIS. TRINITY MEDICAL CENTER IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE. EIGHTY PERCENT OF TRINITY MEDICAL CENTER'S INPATIENT MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF CLINTON, MUSCATINE AND SCOTT, AND ILLINOIS COUNTIES OF HENRY, MERCER AND ROCK ISLAND. TRINITY MEDICAL CENTER ADMITS APPROXIMATELY 18,994 INPATIENTS AND CARES FOR 77,732 EMERGENCY PATIENTS PER YEAR. THERE ARE SEVEN OTHER HOSPITALS WITHIN THE SIX-COUNTY SERVICE AREA. FOR THESE COUNTIES, THE MEDIAN HOUSEHOLD INCOMES RANGE FROM $43,719 TO $51,200, AND THE AVERAGE POVERTY RATE IS 8.4 PERCENT. MUSCATINE, ROCK ISLAND AND SCOTT COUNTIES ARE THE ONLY COUNTIES IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATION. MUSCATINE COUNTY IS 92.8 PERCENT CAUCASIAN. ROCK ISLAND COUNTY IS 83.4 PERCENT CAUCASIAN AND 7.9 PERCENT AFRICAN AMERICAN. SCOTT COUNTY IS 87.0 PERCENT CAUCASIAN AND 6.4 PERCENT AFRICAN-AMERICAN. APPROXIMATELY 59 PERCENT OF TRINITY MEDICAL CENTER PATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID.
PART VI, LINE 6: TRINITY MEDICAL CENTER 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 7: TRINITY MEDICAL CENTER IS PART OF IOWA HEALTH SYSTEM. INITIALLY FORMED IN 1995, IOWA HEALTH SYSTEM IS THE STATE'S FIRST AND LARGEST INTEGRATED HEALTH SYSTEM, SERVING NEARLY ONE OF EVERY THREE PATIENTS IN IOWA. THROUGH RELATIONSHIPS WITH 25 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 140 PHYSICIAN CLINICS, IOWA HEALTH SYSTEM PROVIDES CARE THROUGHOUT IOWA AND WESTERN ILLINOIS. IOWA HEALTH SYSTEM ENTITIES EMPLOY THE STATE'S LARGEST NON-PROFIT WORKFORCE, WITH NEARLY 20,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 2.5 MILLION PATIENT VISITS, IOWA HEALTH SYSTEM HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $2.3 BILLION, IOWA HEALTH SYSTEM IS THE SIXTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES.IOWA HEALTH SYSTEM 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 2010, IOWA HEALTH SYSTEM AND ITS AFFILIATES PROVIDED MORE THAN $152 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY IOWA HEALTH SYSTEM AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES.
IL,IA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ILLINOIS HOSPITAL ASSOCIATION
37092 EAGLE WAY	CHICAGO	IL	60679	362352486	501(C)(3)	111132	PROGRAM SUPPORT
IOWA HEALTH SYSTEM
1200 PLEASANT ST	DES MOINES	IA	50309	421435199	501(C)(3)	2729721	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	13	NumberOfRecipients
Amount Of Cash Grant	11500	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: TRINITY MEDICAL CENTER AUXILIARY REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART III TO APPLY FOR THE GRANT THROUGH A STRUCTURED PROCESS AND OUTLINES A SERIES OF ELIGIBILITY STANDARDS THAT ARE REQUIRED TO BE MET. THE AUXILIARY SCHOLARSHIP COMMITTEE THEN REVIEWS THESE APPLICATIONS FOR COMPLETENESS AND COMPLIANCE. AFTER ELIGIBILITY FOR GRANT REVIEW IS ESTABLISHED THE APPLICATION IS FORWARDED TO THE AUXILIARY BOARD FOR REVIEW.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID DEOPERE
187096	0	71077	0	37876	0	119690	0	18987	0	434726	0	0	0
RICK SEIDLER FR 610
221612	170601	35000	104871	38790	42130	211047	28204	7734	5352	514183	351158	0	0
TOM TIBBITTS TO 610
0	307940	0	86452	0	383022	0	6125	0	11749	0	795288	0	319047
TAMARA BYRAM FR 1110
126239	0	3750	0	14442	0	5311	0	22573	0	172315	0	0	0
DR PAUL MCLOONE
0	225207	0	385	0	25	0	29538	0	17841	0	272996	0	0
GREG PAGLIUZZA JR
261290	0	0	0	27771	0	36424	0	15853	0	341338	0	0	0
JEFFREY STOLZE TO 1110
191722	0	75509	0	17532	0	50982	0	26058	0	361803	0	0	0
DR PAUL BOLGER
417491	0	18301	0	45632	0	18846	0	26290	0	526560	0	0	0
KATHLEEN CUNNINGHAM
170473	0	59115	0	27442	0	18574	0	14974	0	290578	0	0	0
PENNY DAVIS
85012	0	18560	0	61078	0	0	0	3049	0	167699	0	0	0
JON HONSEY
182052	0	65585	0	19120	0	18846	0	25044	0	310647	0	0	0
MICHAEL PATTERSON
238366	0	58800	0	39119	0	18846	0	6843	0	361974	0	0	0
KATHERINE PEARSON
137126	0	6396	0	15192	0	10547	0	25269	0	194530	0	0	0
JAY WILLSHER TO 910
58301	80690	0	32127	12525	30239	45641	5235	6645	18102	123112	166393	0	0
DR GREGORY BOHN
473618	0	0	0	22443	0	11496	0	21607	0	529164	0	0	0
DR MARK BUETTNER
468443	0	0	0	32323	0	18846	0	28691	0	548303	0	0	0
DR CHARLES LEMON
449162	0	0	0	23959	0	18846	0	22828	0	514795	0	0	0
DR WILLIAM OLSON
578485	0	0	0	62744	0	19524	0	23906	0	684659	0	0	0
DR CHAD VANDERLINDEN
436359	0	0	0	42990	0	18846	0	21676	0	519871	0	0	0
ANDREA COLEMAN TO 1109
60402	0	92904	0	298536	0	14084	0	6882	0	472808	0	40073	0
WILLIAM LEAVER TO 1207
0	843095	0	375540	0	62034	0	388573	0	21493	0	1690735	0	0
KEVIN VERMEER TO 509
0	410986	0	84714	0	47705	0	182223	0	16739	0	742367	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 1A

HOUSING ALLOWANCE: A HOUSING ALLOWANCE WAS PROVIDED TEMPORARILY FOR A NEW EXECUTIVE WHILE TRANSITIONING THEIR RESIDENCE. THIS ALLOWANCE WAS INCLUDED IN COMPENSATION, TAXED, AND REPORTED ON FORM W-2.

PART I, LINES 4A-B

SEVERANCE PAYMENT: THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THE YEAR THAT WAS INCLUDED IN THEIR TAXABLE INCOME: ANDREA COLEMAN $258,139. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: ANDREA COLEMAN $14,084, DAVID DEOPERE $100,844, WILLIAM LEAVER $376,323, WILLIAM OLSON $678, GREG PAGLIUZZA, JR. $26,182, RICHARD SEIDLER $199,241, JEFFREY STOLZE $32,136, KEVIN VERMEER $169,973, AND JAY WILLSHER $41,995.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (11 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
AMANDA CROWELL
FAMILY MEMBER OF BOARD MEMBER DUNCAN CAMERON	105775	EMPLOYMENT	0
BOBETTE PATTERSON
FAMILY MEMBER OF KEY EMPLOYEE MICHAEL PATTERSON	177026	EMPLOYMENT	0
CARDIOVASCULAR MEDICINE PC
COMMON BOARD MEMBER/OFFICER	153643	MEDICAL SERVICES	0
MARSHA ROMAN
FAMILY MEMBER OF KEY EMPLOYEE MICHAEL PATTERSON	92485	EMPLOYMENT	0
MEDICAL ARTS ASSOCIATES LTD PC
COMMON BOARD MEMBER/OFFICER	762000	RENT AND MEDICAL SERVICES	0
METRO MRI CENTER LIMITED PARTNERSHIP
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	1908000	INVESTMENT AND PATIENT SERVICE REVENUE	0
QUAD CITY AMBULATORY SURGERY CENTER LLC
COMMON BOARD MEMBER/OFFICER	3337000	INVESTMENT	0
SNYDER PARK NELSON & SCHWIEBERT PC
COMMON BOARD MEMBER/OFFICER	182382	ATTORNEY FEES	0
TRINITY HEALTH ENTERPRISES INC
COMMON BOARD MEMBER/OFFICER	106048	RENT, SHARING OF EMPLOYEES AND EXPENSE REIMBURSEMENT	0
TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD
COMMON BOARD MEMBER/OFFICER	519000	INVESTMENT, RENT, ADMINISTRATIVE FEES, SALARIES/BENEFITS, CREDENTIALING FEES, OTHER PROFESSIONAL FEES	0
US BANK
COMMON BOARD MEMBER/OFFICER	613211	FINANCIAL SERVICES	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	ALEX PAREIGIS, MD; AHMED OKBA, MD; BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	TRINITY REGIONAL HEALTH SYSTEM, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	TRINITY REGIONAL HEALTH SYSTEM'S MAY APPOINT ONE BOARD MEMBER AND APPROVES ALL OTHERS.
FORM 990, PART VI, SECTION A, LINE 7B	TRINITY REGIONAL HEALTH SYSTEM, AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES, BYLAWS AND MISSION, MAY REMOVE ANY TRUSTEE WITH OR WITHOUT CAUSE, APPOINTS CEO AND VICE PRESIDENT, APPROVES MERGERS, CREATION OF SUBSIDIARY OR AFFILIATE ORGANIZATIONS, AND APPROVES BUDGETS AND LONG-RANGE STRATEGY. TRINITY REGIONAL HEALTH SYSTEM AND IOWA HEALTH SYSTEM MUST APPROVE DISSOLUTION.
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.
	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 12C
	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 2010 FOR THE FOLLOWING INDIVIDUALS: DAVID DEOPERE, WILLIAM LEAVER, GREG PAGLIUZZA, RICHARD SEIDLER, JEFFREY STOLZE, AND THOMAS TIBBITTS. 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 B, LINE 15
	IOWA 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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 4,080,355. CHANGE IN BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION -352,854. CHANGES IN PENSION LIABILITY -263,574. TOTAL TO FORM 990, PART XI, LINE 5: 3,463,927.	FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (41 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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	1
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	1
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	1
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	1
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
1200 PLEASANT STREET	DES MOINES	IA	50309	421233759	PROPERTY HOLDING COMPANY	IA	501(C)(2)		CENTRAL IOWA HEALTH SYSTEM	1
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	1
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	1
FINLEY HEALTH FOUNDATION INC
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	421286953	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	THE FINLEY HOSPITAL AND THE DUBUQUE VISITING NURSE ASSOCIATION	1
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	1
HNC SERVICES
1200 PLEASANT STREET	DES MOINES	IA	50309	270987243	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	1
INTRUST
11333 AURORA AVENUE	URBANDALE	IA	50322	421477471	HOME HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	1
IOWA HEALTH FOUNDATION
1440 INGERSOLL AVENUE	DES MOINES	IA	50309	421467682	CHARITABLE FUNDRAISING	IA	501(C)(3)	509(A)(3), TYPE III	CENTRAL IOWA HEALTH SYSTEM	1
IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421435199	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III		1
IOWA LUTHERAN HOSPITAL AUXILIARY
1440 INGERSOLL AVENUE	DES MOINES	IA	50309	426059539	SUPPORT IOWA LUTHERAN HOSPITAL MISSION TO IMPROVE HEALTHCARE	IA	501(C)(3)	509(A)(3), TYPE III		1
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	1
JONES REGIONAL MEDICAL CENTER FOUNDATION
104 BROADWAY PLACE	ANAMOSA	IA	52205	421429225	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ST LUKE'SJONES REGIONAL MEDICAL CENTER	1
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	1
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	1
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	1
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	1
ST LUKE'S HEALTH CARE FOUNDATION
855 A AVENUE NE STE 105	CEDAR RAPIDS	IA	52402	421106819	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ST LUKE'S METHODIST HOSPITAL (50 BENEFICIAL INTEREST)	1
ST LUKE'S HEALTH FOUNDATION OF SIOUX CITY IOWA
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421301885	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	NORTHWEST IOWA HOSPITAL CORPORATION (50 BENEFICIAL INTEREST)	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
TRINITY BUILDING CORPORATION
802 KENYON ROAD	FORT DODGE	IA	50501	421376187	PROPERTY HOLDING COMPANY	IA	501(C)(2)		TRINITY HEALTH SYSTEMS INC	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
TRINITY VISITING NURSE & HOMECARE ASSOCIATION
2701 17TH STREET	ROCK ISLAND	IL	61201	363052939	HOME HEALTH CARE	IL	501(C)(3)	509(A)(2)	TRINITY REGIONAL HEALTH SYSTEM	1
UNITY HEALTHCARE
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	420680337	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	1

Form990 Schedule R Part III Form990ScheduleRPartIII (25 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Code VCodeVAmount
1776 WESTLAKES PARKWAY LC
4949 WESTOWN PARKWAY SUITE 200	WEST DES MOINES	IA	50266	205031651	OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BUILDINGS	IA	N/A	UNRELATED	177822	12340369	0	1	0.33330
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT STREET	DES MOINES	IA	50309	273625869	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A	RELATED	80551	66239	0	1	0.20000
DES MOINES PARKING ASSOCIATES
1200 PLEASANT STREET	DES MOINES	IA	50309	382622972	PARKING DECK OPERATIONS	IA		RELATED	267486	3933296	0	1	1.00000	CENTRAL IOWA HEALTH PROPERTIES CORPORATION
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500	DUBUQUE	IA	52001	201597161	AMBULATORY SURGERY CENTER	IA		RELATED	671118	126090	0	1	0.51000	THE FINLEY HOSPITAL
FINLEYHARTIG HOMECARE LLC
703 MAIN ST	DUBUQUE	IA	52001	421487138	SALE/RENTAL OF MEDICAL EQUIPMENT	IA	N/A	RELATED	172294	783074	0	1	0.50000
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	421428503	PROVIDE ACCESS TO LICENSED SOFTWARE	IA	N/A	RELATED		14037	0	1	0.50000
HEALTH ENTERPRISES VENTURES LC
4250 GLASS ROAD NE	CEDAR RAPIDS	IA	52402	391894290	INVESTMENT VEHICLE OWNING PARTS OF EACH OF THE CLINICAL JOINT VENTURES	IA	N/A	UNRELATED	-15790	775135	0	0	0.55660		$59,802
HY-VEEIOWA HEALTH LC
5820 WESTOWN PARKWAY	WEST DES MOINES	IA	50266	263293530	PRIMARY CARE CLINIC	IA	N/A	RELATED	-172539	31249	0	1	0.00000
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	030482623	OUTPATIENT DIAGNOSTIC IMAGING	IA	N/A	RELATED	1746221	3109901	0	1	0.50000
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421511142	GROUP PURCHASING	IA	N/A	RELATED	5755039	8927942	1	1	1.00000
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421516120	SURGERY CENTER	IA	N/A	RELATED	3292459	5440740	0	1	0.50000
MEDICAL LABORATORIES OF EASTERN IOWA LC
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421359640	MEDICAL LABORATORY SERVICES	IA	N/A	RELATED	420861	977532	0	1	0.50000
METRO MRI CENTER LIMITED PARTNERSHIP
615 VALLEY VIEW DRIVE SUITE 102	MOLINE	IL	61265	363710164	PROVIDE MRI AND OTHER MEDICAL SERVICES	IL	N/A	RELATED	701249	1694638	0	1	0.33970
MR ASSOCIATES LLP
1455 SHERMAN ROAD	HIAWATHA	IA	52233	421260463	OWN AND OPERATE MR UNIT	IA	N/A	RELATED	2823501	2022295	0	1	0.33330
NORTHEAST IOWA PHYSICAL THERAPY AND SPORTS MEDICINE LLC
1825 LOGAN AVENUE	WATERLOO	IA	50703	202124978	ATHLETIC TRAINING AND SPORTS MEDICINE	IA	N/A	RELATED	-91474	28104	0	1	0.50000
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421508092	AMBULATORY SURGERY CENTER	IA	N/A	RELATED	2578454	3587597	0	1	0.50000
PIERCE STREET SAME DAY SURGERY LC
2730 PIERCE STREET	SIOUX CITY	IA	51104	205895205	AMBULATORY SURGERY CENTER	IA	N/A	RELATED	1357604	3410402	0	1	0.50000
QUAD CITY AMBULATORY SURGERY CENTER LLC
520 VALLEY VIEW DRIVE SUITE 300	MOLINE	IL	61265	364471903	AMBULATORY SURGERY CENTER.	IL	N/A	RELATED	323527	3373129	0	1	0.50000
TEAM DES MOINES PARTNERS LLC
1205 TECHNOLOGY PARKWAY	CEDAR FALLS	IA	50613	262753371	COMPUTER SUPPORT	IA	N/A	UNRELATED			0	1	0.00000
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SE	CEDAR RAPIDS	IA	52403	721550812	AMBULATORY SURGERY CENTER.	IA	N/A	RELATED	3374710	7172047	0	1	0.50000
TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
4500 UTICA RIDGE RD	BETTENDORF	IA	52722	272562753	ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICES	IA	N/A	RELATED	20893	128254	0	1	0.50000
TRI-WEBSTER LC
1610 COLLINS ST	WEBSTER CITY	IA	50595	010740062	MEDICAL BUILDING AND SURROUNDING PROPERTY	IA	N/A	RELATED	113048	1782267	0	1	0.50000
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREET	WEST DES MOINES	IA	50266	271414600	ORTHOPEDIC SERVICE LINES MANAGEMENT	IA	N/A	RELATED	204040	4258	0	1	0.20000
WEST LAKES MEDICAL EQUIPMENT LLC
5950 UNIVERSITY AVENUE SUITE 321	WEST DES MOINES	IA	50266	263300536	MEDICAL EQUIPMENT SALES AND RENTAL	IA	N/A	UNRELATED	67986	198717	0	1	0.50000		$65,291
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2	WEST DES MOINES	IA	50266	263193923	SLEEP DISORDER CENTER AS INDEPENDENT DIAGNOSTIC TESTING FACILITY	IA	N/A	RELATED	23024	355798	0	1	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Percentage OwnershipPercentageOwnership	Share Of EOY AssetsShareOfEOYAssets
BROADBAND INC
1200 PLEASANT ST	DES MOINES	IA	50309	273819741	INFORMATION TECHNOLOGY MGMT.	IA	IHS	C	62920	1.00000
MEDIMORE INC
1200 PLEASANT ST	DES MOINES	IA	50309	421414390	MANAGED CARE	IA	IHS	C	155826	1.00000
PRECEDENCE INC
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	371288604	MANAGED MENTAL CARE	IA	RYC	C	535068	1.00000	395659
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVE	DES MOINES	IA	50316	261271143	SPECIALTY PHYSICIANS MEDICAL CARE	IA	CIHC	C	406868	0.57100	164732
ST LUKE'S DEVELOPMENT COMPANY
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421353658	LESSOR NONRESIDENTIAL REAL ESTATE	IA	SLHCF	C		1.00000
STL HEALTH RESOURCES CO
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421193499	PHYSICIAN OFFICE RENTAL	IA	SLMH	C	1075846	1.00000	6293579
TRIMARK PHYSICIANS GROUP INC
802 KENYON ROAD	FORT DODGE	IA	50501	421335554	MEDICAL CLINICS	IA	THS	C	43433525	1.00000	17778844
TRINITY HEALTH ENTERPRISES INC
2701 17TH ST	ROCK ISLAND	IL	61201	363320141	RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY	IL	TRHS	C	3554376	1.00000	3394181

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	1	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	SECTION 512(B)(13) CONTROLLED ENTITY	Identifier
Return Reference	SCHEDULE R, PART II, COLUMN (G)	ReturnReference
Explanation	THE 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