2024-11-14T13:26:34-06:00 2023-12-31 990 2023-01-01 421435199 IOWA HEALTH SYSTEM IOWA 5152416161 1776 WEST LAKES PARKWAY 400 WEST DES MOINES IA 50266 MICHAEL HEINRICH CFO 5152416161 2024-11-12 0 2023 2024-10-15 13:58:12Z UNITYPOINT HEALTH SCOTT KIZER 1776 WEST LAKES PARKWAY 400 WEST DES MOINES IA 50266 498226434 0 X WWW.UNITYPOINT.ORG X 1994 IA TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 19 16 2765 0 4213923 1118083 1741206 1262989 409543414 430042987 35788007 51621360 22808165 12179150 469880792 495106486 79119 35000 0 0 229725498 252651468 0 0 0 252966598 234754894 482771215 487441362 -12890423 7665124 1508678077 1312724604 1609204452 1320033469 -100526375 -7308865 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 392060817 0 444645710 AFFILIATE SUPPORT SERVICESIOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH) IS ORGANIZED TO SUPPORT THE MISSIONS OF SEVERAL RELATED CHARITABLE, TAX-EXEMPT ORGANIZATIONS INCLUDING THE FOLOWING MARKETS, IOWA HEALTH DES MOINES (DES MOINES), TRINITY REGIONAL HEALTH SYSTEM (QUAD CITIES), ST. LUKE'S HEALTHCARE (CEDAR RAPIDS), ALLEN HEALTH SYSTEMS (WATERLOO), TRINITY HEALTH SYSTEMS (FORT DODGE), ST. LUKE'S HEALTH SYSTEM (SIOUX CITY), FINLEY TRI-STATES HEALTH GROUP (DUBUQUE), MERITER HEALTH SERVICES (MADISON), AND IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (DBA UNITYPOINT CLINIC), UNITYPOINT AT HOME, AS WELL AS MULTIPLE RURAL AFFILIATES. THE SUPPORT SERVICES PROVIDED TO THESE ORGANIZATIONS ARE TO CONSTRUCT, OWN, LEASE, MANAGE, OPERATE, PROVIDE AND MAINTAIN ANY FACILITIES, PROGRAMS, SERVICES (MANAGEMENT OR OTHERWISE) AND RELATED ACTIVITIES IN FURTHERANCE OF HEALTH-CARE OR HEALTH EDUCATION. FACILITIES INCLUDE HOSPITALS, SELF-CARE FACILITIES, CLINICS, EDUCATIONAL FACILITIES, AND OTHER ESTABLISHMENTS CREATED TO CARRY THROUGH HEALTH-CARE AND EDUCATIONAL PROGRAMS. THE PRIMARY PURPOSE OF THE CORPORATION IS TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, RELIGIOUS AND SCIENTIFIC ACTIVITIES IN ACCORDANCE WITH PREVIOUSLY STATED PURPOSES. 35000 35000 0 COMMUNITY BENEFITIOWA HEALTH SYSTEM PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. IOWA HEALTH SYSTEM COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. IOWA HEALTH SYSTEM HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $35,000. 392095817 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 0 1 X 1442 0 1 2765 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 16 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL CA X MICHAEL HEINRICH 5152413315 1776 WEST LAKES PARKWAY SUITE 400 WEST DES MOINES IA 50266 BILL ARNOLD BOARD MEMBER 1.00 1.00 X 14500 0 0 BRAD BRODY BOARD CHAIR (TO 7/23) 1.00 1.00 X X 25000 0 0 KYLE CHRISTIASON MD BOARD MEMBER 1.00 40.00 X 0 384803 43125 GREGORY CHURCHILL BOARD MEMBER 1.00 1.00 X 14500 0 0 ADAEZE ENEKWECHI BOARD MEMBER (TO 7/23) 1.00 0.00 X 7250 0 0 ANGELA WALKER FRANKLIN PHD BOARD MEMBER 1.00 0.00 X 14500 0 0 VIRGINIA GRAVES BOARD MEMBER (TO 7/23) 1.00 1.00 X 7250 600 0 SALLY GRAY RN BOARD SEC TO 723 BOARD CHAIR (FR 7/23) 1.00 1.00 X X 32250 0 0 BRUCE JAMES MD BOARD MEMBER (TO 7/23) 1.00 1.00 X 0 7385 0 DEBRA JOHNSON BOARD MEMBER (FR 8/23) 1.00 1.00 X 7250 0 0 SCOTT KIZERCH LGL OFF SVP TO 723 BD SEC/PRESIDENT/CEO (FR 7/23) 40.00 0.00 X X 1621985 0 231010 JOSE LARACUENTE BD TREAS TO 723 BOARD MEMBER (FR 7/23) 1.00 1.00 X X 14500 135 0 BRADLEY MANNING BOARD MEMBER (TO 7/23) 1.00 1.00 X 10875 600 0 MARGARETT NOREUIL PHD BOARD MEMBER (FR 8/23) 1.00 1.00 X 7250 0 0 MARLON PRIEST MD BOARD MEMBER 1.00 0.00 X 14500 0 0 MARK SCHWIEBERT BOARD MEMBER (TO 7/23) 1.00 1.00 X 7250 0 0 GARRY SMITH BOARD MEMBER 1.00 1.00 X 14500 0 0 JAMES STEVENSON BOARD MEMBER (TO 4/23) 1.00 1.00 X 3625 0 0 JOHN TAETS BOARD VICE CHAIR (TO 7/23) 1.00 1.00 X X 7250 0 0 DENNIS TRIGGS BOARD MEMBER (TO 4/23) 1.00 1.00 X 3625 0 0 ANDREA WHITE MD BOARD MEMBER 1.00 40.00 X 0 340066 25853 MARIE ZIEGLER BOARD MEMBER BOARD CHAIR-ELECT (FR 7/23) 1.00 1.00 X X 14500 0 0 MICHAEL HEINRICH INTERIM CFO (FR 3/23 TO 7/23), CFO (FR 7/23) 40.00 1.00 X 232877 391248 78425 CLAY HOLDERMAN PRESIDENT/CEO (TO 10/23) 40.00 0.00 X 4576846 0 349926 PETER D WATSON CHIEF FINANCIAL OFFICER SVP (TO 4/23) 40.00 0.00 X 1770306 0 36323 JAMES ARNETT PRESIDENT/CEO-WI 1.00 40.00 X 0 742672 96577 DANDRE CARPENTER DNP RN CHIEF NURSING OFFICER (TO 8/23) 40.00 0.00 X 1298431 0 109776 DANIEL CARPENTER CHIEF STRATEGY OFFICER SVP 40.00 0.00 X 1122705 0 169240 PAMELA DELAGARDELLE PRESCEO-WAT (TO 8/23), SVP COO-WEST (FR 7/23) 20.00 20.00 X 478658 502003 102337 MARCEL DEVETTEN MD CHIEF QUALITY OFFICER 40.00 0.00 X 1029193 0 37829 ANDREA EKLUND CHIEF COMPLIANCE OFFICER (TO 10/23) 40.00 0.00 X 655650 0 46251 SUSAN ERICKSON COO SVP 40.00 0.00 X 1825397 0 144038 ROBERT ERICKSON PRESIDENT/CEO-QC (TO 8/23) 1.00 40.00 X 0 1395743 46747 AARON GILLINGHAM CHIEF HUMAN RESOURCES OFFICER SVP (TO 7/23) 40.00 0.00 X 1271078 0 44129 LEAH GLASGO PRESIDENTCEO-FD INTERIM PRES/CEO-SC (TO 10/23) 1.00 40.00 X 0 886332 94671 KEITH KNEPP MD PRESIDENT/CEO-PM (TO 4/23) 1.00 40.00 X 0 857805 19379 MALLARY MCKINNEY VP CHIEF BRAND MARKETING & COMMUNICATIONS OFFICER 40.00 0.00 X 562955 0 66255 JESSICA MEISNER VP SYSTEM HR CONSUL (TO 11/23), SVP CAO (FR 11/23) 40.00 0.00 X 531575 0 44331 PATRICIA NEWLAND MD PRES/CEO-IPCMF 1.00 40.00 X 0 862508 104680 MICHELLE NIERMANN PRESCEO-CR (TO 8/23), SVP COO-EAST (FR 8/23) 20.00 20.00 X 479680 508440 119328 JENNIFER OFELT INT PRESCCO-HOME (TO 7/23) PRES/CCO-HOME (FR 7/23) 1.00 40.00 X 0 442170 48427 LAURA SMITH CIO SVP TO 1123 VP C TECH TRANSFORMATION OFF (FR 11/23) 40.00 0.00 X 932230 0 114046 DAVID STARK PRESCEO-DSM CHIEF GOV AFFAIRS & PHILANTHROPY OFF (FR 7/23) 20.00 20.00 X 498861 542862 91854 DAVID WILLIAMS MD CHIEF CLINICAL OFFICER SVP (TO 11/23) 40.00 0.00 X 1720752 0 137030 CHAD WOLBERS PRES/CEO-DUB (TO 9/23) 1.00 40.00 X 0 975976 37786 MARK JOHNSON VP CONSOLIDATED SERVICES 40.00 0.00 X 467698 0 94967 DEBRA KING DEPUTY GENERAL COUNSEL 40.00 0.00 X 415132 0 69259 WENDY MORTIMORE MD CHIEF MEDICAL INF OFFICER 40.00 0.00 X 492078 0 31967 DENNIS SHIRLEY VP REVENUE CYCLE 40.00 0.00 X 411425 0 40719 MATTHEW WARRENS MANAGING DIRECTOR INNOVATION CENTER 40.00 0.00 X 455121 0 38264 SUSAN THOMPSON FRMR INTERIM PRESIDENT/CEO (TO 02/21) 0.00 0.00 X 278145 0 0 ART NIZZA FRMR EVP/COO (TO 02/21) 0.00 0.00 X 156611 0 0 RICHARD SEIDLER FRMR PRESIDENT/CEO-QC (TO 05/19) 0.00 0.00 X 0 369890 0 JOHN SHEEHAN FRMR CHIEF OPERATING OFFICER SVP (TO 7/22) 0.00 0.00 X 489785 0 4437 LORENZO SUTER FRMR PRES/CEO-SC (TO 7/22) 0.00 0.00 X 0 268869 13491 THEODORE TOWNSEND FRMR PRESCEO-CR FRMR INT PRES/CEO-DUB (TO 12/18) 0.00 0.00 X 0 462474 0 23995549 9942581 2732477 378 1 1 0 H&R ACCOUNTS INC 5320 22ND AVE MOLINE IL 61265 COLLECTION SERVICES 7948900 APPRISE MD LLC 707 SKOKIE BLVD STE 600 NORTHBROOK IL 60062 PROVIDER CONSULTING 5165647 DELOITTE CONSULTING LLP 1700 MARKET ST PHILADELPHIA PA 19103 CONSULTING SERVICES 4439624 ALVAREZ & MARSAL HOLDINGS LLC 600 MADISON AVE 8TH FL NEW YORK NY 10022 CONSULTING SERVICES 3937146 TRILIX MARKETING GROUP INC 615 3RD ST SUITE 300 DES MOINES IA 50309 MARKETING SERVICES 3417978 148 1233368 29621 1262989 MGMT & SUPPORT SVCS 561000 435599256 435006062 593194 RENTAL INCOME 531120 178384 178384 SUBS & JOINT VENTURES 900099 -5734653 -5734653 430042987 54167863 2423573 51744290 541444 32001 3105621 14327 -2564177 17674 -2546503 -2546503 MISCELLANEOUS 900099 16390749 15193593 1197156 SHARED SAVINGS REVENUE 900099 -4211599 -4211599 12179150 495106486 440431787 4213923 49197787 X 35000 35000 22390808 22390808 1113636 1113636 166767367 166767367 7420333 7420333 39633544 39633544 15325780 15325780 -21219 -21219 11315226 1662689 9652537 1074236 130138 944098 548068 548068 578005 148608 429397 133281632 80436512 52845120 3764946 3764946 732708 119979 612729 9551952 9411350 140602 1140804 221681 919123 269669 73873 195796 42154826 42154826 29085250 27681294 1403956 1031134 1030795 339 MISCELLANEOUS EXPENSE 359318 510 358808 BAD DEBT EXPENSE -39723 -39723 INCOME TAXES -71938 -97520 25582 487441362 392095817 95345545 0 152763225 127592305 140959612 150856346 910377299 785370021 42372342 41284786 704323222 625243378 73288780 79079844 165793139 106016991 10411853 13327200 34500 34500 12677327 9162611 1508678077 1312724604 103356657 118786593 7072125 2203278 1088258616 957387853 207485398 85277050 77149682 40356398 125881974 116022297 1609204452 1320033469 X -100574515 -7386626 48140 77761 -100526375 -7308865 1508678077 1312724604 X 7665124 9561270 75991116 X 0 1 X 1 1 1 X X 35 ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 421045257 10 1 0 0 AGING SERVICES INC 237085316 7 1 0 0 ALLEN COLLEGE 421351526 2 1 0 0 ALLEN MEMORIAL HOSPITAL CORPORATION 420698265 3 1 32423061 0 BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 420733463 7 1 0 0 CENTER FOR ALCOHOL AND DRUG SERVICES INC 421134273 7 1 0 0 CENTRAL IOWA HOSPITAL CORPORATION 420680452 3 1 93574884 0 EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES 420942273 10 1 0 0 GRINNELL REGIONAL MEDICAL CENTER 420933383 3 1 5191425 0 IOWA HEALTH FOUNDATION 421467682 7 1 0 0 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 421411630 3 1 50863876 0 MEMORIAL FOUNDATION OF ALLEN HOSPITAL 421201138 7 1 0 0 MERITER FOUNDATION INC 237098688 7 1 0 0 MERITER HOSPITAL INC 390806367 3 1 44507058 0 NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED 420937390 3 1 0 0 NORTHWEST IOWA HOSPITAL CORPORATION 421019872 3 1 20205734 0 SIOUXLAND PACE INC 261120134 3 1 985000 0 ST LUKES HEALTH RESOURCES 421059182 10 1 0 0 ST LUKESJONES REGIONAL MEDICAL CENTER 421487967 3 1 4441344 0 ST LUKES METHODIST HOSPITAL 420504780 3 1 43837347 0 STL CARE COMPANY 421276632 10 1 0 0 THE DUBUQUE VISITING NURSE ASSOCIATION 420680410 10 1 0 0 THE FINLEY HOSPITAL 420680354 3 1 12915714 0 THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 363678909 7 1 0 0 TRIMARK PHYSICIANS GROUP 453791448 3 1 0 0 TRINITY COLLEGE OF NURSING & HEALTH SCIENCES 810994377 2 1 0 0 TRINITY HEALTH FOUNDATION (FORT DODGE) 421222381 7 1 0 0 TRINITY HEALTH FOUNDATION (QUAD CITIES) 363321751 7 1 0 0 TRINITY MEDICAL CENTER 362739299 3 1 50960186 0 TRINITY REGIONAL MEDICAL CENTER 421009175 3 1 16685667 0 UNITY HEALTHCARE 420680337 3 1 0 0 UNITYPOINT AT HOME 421477471 10 1 11378869 0 UNITYPOINT HEALTH MARSHALLTOWN 815034179 3 1 4810488 0 UNITYPOINT HEALTH MARSHALLTOWN FOUNDATION 421388518 7 1 0 0 UNITYPOINT HEALTH AT WORK 810872241 3 1 304023 0 35 393084676 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SECTION A, LINE 5A THE ORGANIZATION AMENDED ITS ARTICLES OF INCORPORATION TO REMOVE THE FOLLOWING SUPPORTED ORGS: METHODIST MEDICAL CENTER OF ILLINOIS (EIN 37-0661223) AND PROCTOR HOSPITAL (EIN 37-0681540) AS AUTHORIZED IN ARTICLE X. SECTION A, LINE 6: THE ORGANIZATION MAY PROVIDE SUPPORT, IN THE FORM OF GRANTS, TO NONPROFIT ORGANIZATIONS WHICH ARE NOT LISTED IN THE ORGANIZATION'S GOVERNING DOCUMENTS AS A SUPPORTED ORGANIZATION. THESE ORGANIZATIONS' ACTIVITIES ARE DIRECTLY RELATED TO THE FURTHERANCE OF THE EXEMPT PURPOSE OF UNITYPOINT HEALTH AND ITS SUPPORTED ORGANIZATIONS. SECTION D, LINE 3: THE MAJORITY OF THE BOARD OF DIRECTORS OF THE ORGANIZATION IS MADE UP OF DIRECTORS NOMINATED BY AND SERVING ON THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. THE STANDING COMMITTEES OF THE ORGANIZATION'S BOARD CONTROL ALL ACTIVITIES REGARDING THE INVESTMENT POLICIES AND DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR WERE THE SAME DIRECTORS NOMINATED BY THE SUPPORTED ORGANIZATIONS. SECTION E, LINE 3A: THE ORGANIZATION IS THE SOLE MEMBER OF ITS MARKET PARENTS EACH OF WHICH IS THE SOLE MEMBER OF CORPORATIONS THAT OWN AND OPERATE HOSPITALS AND OTHER HEALTH CARE FACILITIES THAT COLLECTIVELY ACT AS AN INTEGRATED HEALTHCARE SYSTEM. THE ORGANIZATION APPROVES ALL OF THE MARKET PARENT COMPANY BOARD MEMBERS AND EACH MARKET PRESIDENT IS APPOINTED BY THE ORGANIZATION. SECTION E, LINE 3B: THE ORGANIZATION ESTABLISHES ENTERPRISE POLICIES, PROCEDURES, THRESHOLDS, GOVERNING DOCUMENTS, AND/OR OVERALL STRATEGIC, OPERATING, AND/OR CAPITAL PLANS/BUDGETS, AND STANDARDS THAT MUST BE FOLLOWED BY ITS SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 548068 602568 548068 602568 391547749 4756513716 392095817 4757116284 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 791108 594939 596971 602568 2585586 250000 250000 250000 250000 1000000 1500000 48139 1425340 11059 1406778 77760 48139 48139 48139 48139 48139 48139 48139 48139 0.00000 0.00000 1.00000 0 0 5814106 1438479 4375627 23137378 12415154 10722224 670852992 611389745 59463247 4518746 4518746 79079844 SELF-INSURANCE RESERVE 5883872 SWAP LIABILITY 17420088 LONG-TERM RETENTION INCENTIVES 10394662 DUE TO AFFILIATES 73531114 OPERATING LEASE LIABILITY 8781289 INCOME TAXES PAYABLE 11272 116022297 X 488101000 8231394 581 8231975 479869025 434679 14802782 15237461 495106486 487007000 317 317 487006683 434679 434679 487441362 PART V, LINE 4: THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY. PART X, LINE 2: UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2020. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TAX ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 581. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 14,784,220. REVENUES IN NET ASSETS WITH DONOR RESTRICTIONS 18,562. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 317. 1 IOWA HEALTH FOUNDATION DBA UNITYPOINT HEALTH FOUNDATION 1415 WOODLAND AVE DES MOINES IA 50309 421467682 501(C)(3) 10000 0 PROGRAM SUPPORT METHODIST MEDICAL CENTER FOUNDATION DBA CENTRAL ILLINOIS FOUNDATION 120 NORTHEAST GLEN OAK AVE PEORIA IL 61603 510186460 501(C)(3) 10000 0 PROGRAM SUPPORT ONE IOWA PO BOX 1419 DES MOINES IA 50305 721613927 501(C)(3) 7500 0 PROGRAM SUPPORT 4 0 PART I, LINE 2: THE ORGANIZATION REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINES A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. THE ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 CLAY HOLDERMAN PRESIDENT/CEO (TO 10/23) 1243479 0 1992537 0 1340830 0 320100 0 29826 0 4926772 0 531554 0 SUSAN ERICKSON COO SVP 700603 0 488275 0 636519 0 123196 0 20842 0 1969435 0 659106 0 DAVID WILLIAMS MD CHIEF CLINICAL OFFICER SVP (TO 11/23) 587707 0 696815 0 436230 0 113203 0 23827 0 1857782 0 94664 0 SCOTT KIZERCH LGL OFF SVP TO 723 BD SEC/PRESIDENT/CEO (FR 7/23) 986060 0 606261 0 29664 0 208812 0 22198 0 1852995 0 0 0 PETER D WATSON CHIEF FINANCIAL OFFICER SVP (TO 4/23) 243042 0 702892 0 824372 0 16500 0 19823 0 1806629 0 169231 0 ROBERT ERICKSON PRESIDENT/CEO-QC (TO 8/23) 0 358340 0 566950 0 470453 0 16500 0 30247 0 1442490 0 296291 DANDRE CARPENTER DNP RN CHIEF NURSING OFFICER (TO 8/23) 371575 0 594475 0 332381 0 100333 0 9443 0 1408207 0 53942 0 AARON GILLINGHAM CHIEF HUMAN RESOURCES OFFICER SVP (TO 7/23) 292774 0 603751 0 374553 0 16500 0 27629 0 1315207 0 82500 0 DANIEL CARPENTER CHIEF STRATEGY OFFICER SVP 640866 0 464884 0 16955 0 146942 0 22298 0 1291945 0 0 0 DAVID STARK PRESCEO-DSM CHIEF GOV AFFAIRS & PHILANTHROPY OFF (FR 7/23) 246303 357158 246203 175570 6355 10134 0 67576 8761 15517 507622 625955 0 0 MICHELLE NIERMANN PRESCEO-CR (TO 8/23), SVP COO-EAST (FR 8/23) 238700 320186 227372 165025 13608 23229 0 88558 11835 18935 491515 615933 0 0 PAMELA DELAGARDELLE PRESCEO-WAT (TO 8/23), SVP COO-WEST (FR 7/23) 240165 305553 221371 168135 17122 28315 0 86308 5588 10441 484246 598752 0 0 MARCEL DEVETTEN MD CHIEF QUALITY OFFICER 506835 0 129317 0 393041 0 16500 0 21329 0 1067022 0 402590 0 LAURA SMITH CIO SVP TO 1123 VP C TECH TRANSFORMATION OFF (FR 11/23) 528372 0 392906 0 10952 0 94998 0 19048 0 1046276 0 0 0 CHAD WOLBERS PRES/CEO-DUB (TO 9/23) 0 240112 0 369682 0 366182 0 8574 0 29212 0 1013762 0 251260 LEAH GLASGO PRESIDENTCEO-FD INTERIM PRES/CEO-SC (TO 10/23) 0 583501 0 294876 0 7955 0 61107 0 33564 0 981003 0 0 PATRICIA NEWLAND MD PRES/CEO-IPCMF 0 527488 0 323918 0 11102 0 80032 0 24648 0 967188 0 0 KEITH KNEPP MD PRESIDENT/CEO-PM (TO 4/23) 0 160330 0 173515 0 523960 0 10861 0 8518 0 877184 0 407581 JAMES ARNETT PRESIDENT/CEO-WI 0 430516 0 304419 0 7737 0 65625 0 30952 0 839249 0 0 MICHAEL HEINRICH INTERIM CFO (FR 3/23 TO 7/23), CFO (FR 7/23) 228055 205399 0 165786 4822 20063 0 66844 4887 6694 237764 464786 0 0 ANDREA EKLUND CHIEF COMPLIANCE OFFICER (TO 10/23) 231556 0 316777 0 107317 0 16500 0 29751 0 701901 0 37197 0 MALLARY MCKINNEY VP CHIEF BRAND MARKETING & COMMUNICATIONS OFFICER 321694 0 237818 0 3443 0 60873 0 5382 0 629210 0 0 0 JESSICA MEISNER VP SYSTEM HR CONSUL (TO 11/23), SVP CAO (FR 11/23) 411696 0 116157 0 3722 0 25500 0 18831 0 575906 0 0 0 MARK JOHNSON VP CONSOLIDATED SERVICES 364068 0 94523 0 9107 0 69095 0 25872 0 562665 0 0 0 WENDY MORTIMORE MD CHIEF MEDICAL INF OFFICER 393454 0 98486 0 138 0 16500 0 15467 0 524045 0 0 0 JOHN SHEEHAN FRMR CHIEF OPERATING OFFICER SVP (TO 7/22) 0 0 0 0 489785 0 0 0 4437 0 494222 0 0 0 MATTHEW WARRENS MANAGING DIRECTOR INNOVATION CENTER 300643 0 82535 0 71943 0 16500 0 21764 0 493385 0 0 0 JENNIFER OFELT INT PRESCCO-HOME (TO 7/23) PRES/CCO-HOME (FR 7/23) 0 330238 0 109003 0 2929 0 29362 0 19065 0 490597 0 0 DEBRA KING DEPUTY GENERAL COUNSEL 327766 0 80198 0 7168 0 48374 0 20885 0 484391 0 0 0 THEODORE TOWNSEND FRMR PRESCEO-CR FRMR INT PRES/CEO-DUB (TO 12/18) 0 0 0 0 0 462474 0 0 0 0 0 462474 0 462474 DENNIS SHIRLEY VP REVENUE CYCLE 323228 0 85154 0 3043 0 16500 0 24219 0 452144 0 0 0 KYLE CHRISTIASON MD BOARD MEMBER 0 383674 0 0 0 1129 0 16500 0 26625 0 427928 0 0 RICHARD SEIDLER FRMR PRESIDENT/CEO-QC (TO 05/19) 0 0 0 0 0 369890 0 0 0 0 0 369890 0 369890 ANDREA WHITE MD BOARD MEMBER 0 328266 0 10671 0 1129 0 16500 0 9353 0 365919 0 0 LORENZO SUTER FRMR PRES/CEO-SC (TO 7/22) 0 0 0 0 0 268869 0 0 0 13491 0 282360 0 0 SUSAN THOMPSON FRMR INTERIM PRESIDENT/CEO (TO 02/21) 0 0 0 0 278145 0 0 0 0 0 278145 0 278145 0 ART NIZZA FRMR EVP/COO (TO 02/21) 0 0 0 0 156611 0 0 0 0 0 156611 0 0 0 PART I, LINE 1A TRAVEL: CEO AND BOARD MEMBERS USE PRIVATE CHARTER FOR BUSINESS TRAVEL BETWEEN AFFILIATE CITIES AND FOR BOARD OF DIRECTOR MEETINGS. THIS TRAVEL IS FOR BUSINESS PURPOSES ONLY. NO FIRST CLASS COMMERCIAL TRAVEL IS REIMBURSED. TRAVEL FOR COMPANIONS: SPOUSES SOMETIMES ACCOMPANY BOARD MEMBERS AND/OR OFFICERS ON ORGANIZATIONAL ACTIVITIES, INCLUDING BOARD RETREATS. THE ADDITIONAL COST ATTRIBUTABLE TO THE SPOUSE IS TREATED AS TAXABLE COMPENSATION TO THE BOARD MEMBER OR OFFICER AND REPORTED AS APPROPRIATE TO THE IRS. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: IF AN INDIVIDUAL IS PROVIDED SOMETHING FROM THE EMPLOYER OF VALUE, SUCH AS A PAID BENEFIT, GIFT CARD OR GIFT, WHICH IS CONSIDERED TAXABLE INCOME, THEN THE EMPLOYER WILL ADD IMPUTED AMOUNTS TO PAYCHECK IN ORDER TO TAX APPROPRIATELY. PART I, LINES 4A-B SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: DANDRE CARPENTER $185,202; ANDREA EKLUND $64,579; ROBERT ERICKSON $165,672; AARON GILLINGHAM $261,462; CLAY HOLDERMAN $286,085; ARTHUR NIZZA $156,611; JOHN SHEEHAN $489,785; LORENZO SUTER $268,869; MATTHEW WARRENS $25,861; PETER D. WATSON $553,846; DAVID WILLIAMS $62,834; AND CHAD WOLBERS $101,670. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: JAMES ARNETT $52,425; DANDRE CARPENTER $83,833; DANIEL CARPENTER $130,442: PAM DELAGARDELLE $69,808; SUSAN ERICKSON $106,696; LEAH GLASGO $44,607; MICHAEL HEINRICH $50,344; CLAY HOLDERMAN $303,600; MARK JOHNSON $52,595; DEBRA KING $31,874; SCOTT KIZER $192,312; MALLARY MCKINNEY $47,323; JESSICA MEISNER $9,000; PATRICIA NEWLAND, MD $63,532; MICHELLE NIERMANN $72,058; JENNIFER OFELT $12,862; LAURA SMITH $78,498; DAVID STARK $51,076; AND DAVID WILLIAMS, MD $96,703. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: DANDRE CARPENTER $142,498; MARCEL DEVETTEN, MD $371,056; ANDREA EKLUND $40,038; ROBERT ERICKSON $292,105; SUSAN ERICKSON $610,678; AARON GILLINGHAM $107,035; CLAY HOLDERMAN $850,162; KEITH KNEPP, MD $406,743; RICHARD SEIDLER $369,890; SUSAN THOMPSON $278,145; THEODORE TOWNSEND, JR $462,474; PETER D. WATSON $170,213; DAVID WILLIAMS, MD $201,601; AND CHAD WOLBERS $260,210. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS. A IOWA FINANCE AUTHORITY 521699886 462466ET6 2013-10-03 79120000 SEE PART VI 0 0 0 B IOWA FINANCE AUTHORITY 521699886 97670FBE0 2014-05-21 259106530 SEE PART VI 1 0 0 C WISC HEALTH & EDUCATIONAL FACILITIES 391337855 2022-08-09 4650000 SEE PART VI 0 0 0 D WISC HEALTH & EDUCATIONAL FACILITIES 391337855 2022-08-09 16170000 SEE PART VI 0 0 0 A 10395000 79120000 28620000 500000 50000000 2014 1 0 1 1 B 43095000 85000000 243525000 71310750 2593568 185202212 2015 1 0 1 1 C 3100000 4650000 4650000 2012 1 0 1 1 D 1820000 16170000 16170000 2014 1 0 1 1 A 0 1 0 0 0.01970 0.00000 0.01970 0 0 1 B 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, LINE A(F) - BOND ISSUES (I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2009A-E ISSUED ON 3/4/09; (II) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2009F ISSUED ON 8/6/09. PART I, LINE B(F) - BOND ISSUES (I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2005A ISSUED ON 3/4/09. PART I, LINE C(F) - BOND ISSUES (I) REFUNDING OF BOND ISSUED 08/09/12 BY WISC HEALTH & EDUCATIONAL FACILITIES; MERITER BECAME AFFILIATED WITH UNITYPOINT HEALTH ON 1/1/2014; DURING 2014 MERITER HOSPITAL BONDS WERE MOVED TO THE BOOKS OF UNITYPOINT HEALTH AND PARTIALLY REFUNDED WITH A 2014 BOND DRAW BY UNITYPOINT HEALTH. PART I, LINE D(F) - BOND ISSUES (I) REFUNDING OF BOND ISSUED 08/09/12 BY WISC HEALTH & EDUCATIONAL FACILITIES; MERITER BECAME AFFILIATED WITH UNITYPOINT HEALTH ON 1/1/2014; DURING 2014 MERITER HOSPITAL BONDS WERE MOVED TO THE BOOKS OF UNITYPOINT HEALTH AND PARTIALLY REFUNDED WITH A 2014 BOND DRAW BY UNITYPOINT HEALTH. PART I, LINE E(F) - BOND ISSUES (I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2008A ISSUED ON 8/6/2009; (II) CONSTRUCT AND EQUIP PARTS OF WATERLOO AND DUBUQUE AFFILIATE FACILITIES. PART I, LINE F(F) - BOND ISSUES (I) REFINANCE A PORTION AND DEFEASE A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2005A ISSUED ON 07/27/2005; (II) CONSTRUCT, EQUIP AND IMPROVE HOSPITAL FACILITIES OF THE ORGANIZATION AND AFFILIATES LOCATED IN MARSHALLTOWN, IOWA. PART I, LINE G(F) - BOND ISSUES (I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2016A ISSUED ON 01/04/2016. PART I, LINE H(F) - BOND ISSUES (I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2018A ISSUED ON 03/20/2018. A IOWA FINANCE AUTHORITY 521699886 462466FZ1 2016-06-07 197934258 SEE PART VI 0 0 0 B IOWA FINANCE AUTHORITY 521699886 46246K5C2 2018-11-20 79730031 SEE PART VI 0 0 0 C IOWA FINANCE AUTHORITY 521699886 46246K5D0 2018-11-20 229660000 SEE PART VI 0 0 0 D IOWA FINANCE AUTHORITY 521699886 46247SFB5 2023-11-15 63680000 SEE PART VI 0 0 0 A 29270000 197934258 160264194 1670064 36000000 2017 0 1 1 1 B 25600000 79730031 57229162 713301 21787568 2018 1 0 1 1 C 66440000 229660000 228175000 1485000 2018 1 0 1 1 D 63680000 63680000 2018 1 0 1 1 A 0 1 0 0 0.00330 0.00330 0 0 1 B 0 0 0 0 0.00010 0.00000 0.00010 0 0 1 C 0 1 0 0 0.00750 0.00000 0.00750 0 0 1 D 0 0 0 0 0.00020 0.00000 0.00020 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 CHAD BAEDKE FAMILY MEMBER OF FORMER KEY EMPLOYEE SUSAN THOMPSON 150760 EMPLOYMENT 0 FORM 990, PART V, LINES 1A & 1B CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL UNITYPOINT HEALTH SYSTEM RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 4 IOWA HEALTH SYSTEM (DBA UNITYPOINT HEALTH) IS THE SOLE MEMBER OF MARKET PARENTS EACH OF WHICH IS THE SOLE MEMBER OF CORPORATIONS THAT OWN AND OPERATE HOSPIITAL AND HEALTHCARE FACILITIES. UNITYPOINT HEALTH AND ITS MARKETS IMPLEMENTED A FULLY-INTEGRATED OPERATING MODEL INCLUDING STANDARD GOVERNANCE ACROSS MARKETS ESTABLISHING RESPECTIVE RESPONSIBILITIES, AUTHORITIES, AND POWERS SET FORTH IN AMENDED GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY UNITYPOINT HEALTH'S CORPORATE SERVICES TAX DEPARTMENT AND GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE DEPARTMENT WITH ULTIMATE APPROVAL BY THE DIRECTOR OF TAX SERVICES. THE DIRECTOR OF TAX SERVICES MEETS WITH THE FINANCE EXECUTIVE AND REVIEWS KEY PARTS OF THE FORM 990 UTILIZING A PRESENTATION SUMMARY. A COPY OF THE FORM 990 IS GIVEN TO EACH MEMBER OF THE BOARD VIA THE BOARD PORTAL ALONG WITH A REVIEW GUIDE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2023 FOR THE FOLLOWING INDIVIDUALS: JAMES C. ARNETT, DANIEL L. CARPENTER, PAMELA K. DELAGARDELLE, MARCEL P. DEVETTEN, MD, LEAH M. GLASGO, MICHAEL G. HEINRICH, MARK A. JOHNSON, DEBRA D. KING, SCOTT A. KIZER, MALLARY A. MCKINNEY, JESSICA J. MEISNER, WENDY R. MORTIMORE, MD, PATRICIA K. NEWLAND, MD, MICHELLE S. NIERMANN, JENNIFER L. OFELT, DENNIS J. SHIRLEY, LAURA S. SMITH, AND DAVID A. STARK. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH ITS LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,350,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,350,034. CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,084,291. MANAGEMENT AND GENERAL EXPENSES 4,865,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,949,433. EQUIPMENT REPAIRS: PROGRAM SERVICE EXPENSES 15,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,239. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES -686,783. MANAGEMENT AND GENERAL EXPENSES 8,385,201. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,698,418. PRINTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 113,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,968. PURCH MED DIRECTOR SERVICES: PROGRAM SERVICE EXPENSES 62,319. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,319. SERVICE MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 75,069,523. MANAGEMENT AND GENERAL EXPENSES 7,660,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,730,124. SOFTWARE & SOFTWARE MAINTENANCE: PROGRAM SERVICE EXPENSES 1,890,259. MANAGEMENT AND GENERAL EXPENSES 8,468,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,358,697. HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 1,664. MANAGEMENT AND GENERAL EXPENSES 836. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,500. PURCHASED HOUSEKEEPING AND LAUNDRY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 900. FORM 990, PART XI, LINE 9: CENTRAL ILLINOIS DEAFFILIATION 75,000,000. CENTRAL ILLINOIS BOND DEFEASEMENT 2,450,469. FUND BALANCE TRANSFER (MEDIMORE) -1,470,412. CHANGE IN BENEFICIAL INTEREST 11,059. BHC LC 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 273820391 INFORMATION TECHNOLOGY MGMT. IA 0 1000 IOWA HEALTH SYSTEM IOWA HEALTH ACCOUNTABLE CARE LC 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 454550692 ACCOUNTABLE CARE IA 6408503 76544225 IOWA HEALTH SYSTEM ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421045257 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) ABBEHEALTH INC 1 ABBEHEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421373123 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III ST LUKE'S HEALTHCARE 1 AGING SERVICES INC 740 N 15TH AVE NO A HIAWATHA IA 52233 237085316 SENIOR SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) ABBEHEALTH INC 1 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 BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 3251 WEST NINTH STREET WATERLOO IA 50702 420733463 MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 1 CENTER FOR ALCOHOL AND DRUG SERVICES INC 4869 FOREST GROVE DRIVE BETTENDORF IA 52722 421134273 SUBSTANCE ABUSE SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 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 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UNITYPOINT HEALTH AT WORK L 304023 BASED ON GAAP, CASH, AND/OR FMV. SCHEDULE R, PARTS I - IV: IOWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $4.8B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 375 CLINICS; 19 COMMUNITY NETWORK HOSPITALS; 12 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS. 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