2017-11-14T16:19:41-06:00 2016-12-31 990 2016-01-01 421276632 STL CARE COMPANY STLC 3193697796 1026 A AVE NE CEDAR RAPIDS IA 52402 MICHAEL HEINRICH SENIOR VP/CFO 3193697020 2017-11-10 205.167.2.34 2017-11-10 09:01:11 CS P 9DB57A15F0552774F01298C285440FF39AF28055 F3D2C7FAC9B12BC459F84A448A224A9F11595B19 2016 2017-02-10 21:41:12Z THEODORE E TOWNSEND JR 1026 A AVE NE CEDAR RAPIDS IA 52402 20611148 0 X WWW.UNITYPOINT.ORG/CEDARRAPIDS (SEE SCH O) X 1986 IA IMPROVE PUBLIC HEALTH SERVICES DESIGNED TO PREVENT AND REDUCE SICKNESS. 9 4 454 72 0 0 0 2647 19296664 20593389 4816 12164 5477 2948 19306957 20611148 0 0 0 0 10952253 11427790 0 0 0 8351252 8578596 19303505 20006386 3452 604762 10900644 10842509 2419260 1756363 8481384 9086146 X THE MISSION OF STL CARE COMPANY IS TO IMPROVE PUBLIC HEALTH SERVICES DESIGNED TO PREVENT AND REDUCE SICKNESS, PRODUCE POSITIVE HEALTH, PROVIDE QUALITY NURSING HOME CARE, ENCOURAGE PROACTIVE USE OF HEALTH AND MEDICAL RESOURCES, ACQUIRE ADEQUATE FUNDS AND FACILITIES AND, AS NECESSARY, TO EMPLOY PERSONNEL TO ADMINISTER AND CONDUCT GENERALIZED PUBLIC HEALTH SERVICES. 0 0 10405411 0 13202096 RESIDENTIAL CARE AND TRAININGSTL CARE COMPANY PROVIDES QUALITY RESIDENTIAL CARE TO THOSE INDIVIDUALS IN THE CEDAR RAPIDS COMMUNITY WHO ARE UNABLE TO LEAD A PRODUCTIVE LIFE THROUGH INDEPENDENT LIVING. PERSONS SERVED MAY INCLUDE THE ELDERLY AND/OR PERSONS WITH MENTAL OR PHYSICAL DISABILITIES. ASSISTANCE PROVIDED INCLUDES, BUT IS NOT LIMITED TO INTERMEDIATE AND SKILLED CARE, SKILLS TRAINING, TRAINING IN USE OF COMMUNITY RESOURCES, HOUSEKEEPING, MONEY MANAGEMENT, MAINTENANCE OF PRIMARY TREATMENT PROGRAMS, VOCATIONAL PREPARATION, BEHAVIORAL CONTROL, REPRESENTATIVE PAYEE SERVICES, ETC. TOTAL PATIENT DAYS WERE 62,233; TOTAL ADMISSIONS WERE 355 IN 2016. 7244543 0 7391663 CONTINUING CARE HOSPITAL AT ST. LUKE'S, LCCONTINUING CARE HOSPITAL AT ST. LUKE'S, LC OPERATES AS AN INDEPENDENTLY LICENSED HOSPITAL WITHIN A HOSPITAL. SPECIAL CARE IS PROVIDED FOR MEDICALLY COMPLEX PATIENTS, MANY OF WHOM COME DIRECTLY OUT OF CRITICAL-CARE UNITS. OUR PATIENTS GENERALLY HAVE ACUTE MEDICAL AND NURSING CARE NEEDS, AND REQUIRE HOSPITAL STAYS THAT AVERAGE 25 DAYS OR MORE. SPECIAL CARE IS GIVEN TO MEDICALLY COMPLEX OR CARDIAC CARE CASES REQUIRING DAILY MONITORING; VENTILATOR-DEPENDENT PATIENTS WHO REQUIRE MULTIPLE OR COMPLEX INTERVENTION; OXYGEN-DEPENDENT PATIENTS WHO NEED RESPIRATORY REHABILITATION; PATIENTS WITH NONHEALING WOUNDS; AND PATIENTS WITH DISABLITIES. 17649954 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 22 0 1 454 1 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X MICHAEL HEINRICH SENIOR VPCFO 3193697796 1026 A AVENUE NE CEDAR RAPIDS IA 52402 MILTON AUNAN II FR 1116 BOARD SEC/INTERIM SR VP/CFO (STLCC) 1.00 40.00 X X 0 334479 30832 MARGARET BRADKE BOARD MEMBER (CCH) 1.00 40.00 X 0 226157 29176 MYRT BOWERS BOARD MEMBER (CCH) 1.00 0.00 X 0 0 0 B LANNIE CHECKETTS TO 1116 BOARD SEC & SR VP/CFO (STLCC) 1.00 40.00 X X 0 292162 44226 MARY HAGEN BOARD MEMBER (CCH) 1.00 40.00 X 0 293102 46631 AMBER JEDLICKA BOARD MEMBER (CCH) 1.00 0.00 X 0 0 0 DOUG LAIRD BOARD MEMBER (CCH) 1.00 0.00 X 0 0 0 MICHELLE NIERMANN BOARD VICE CHAIR (STLCC & CCH) 1.00 40.00 X X 0 517548 89276 NANCY PENNER BOARD MEMBER (CCH) 1.00 0.00 X 0 0 0 THEODORE TOWNSEND JR BOARD CHAIR & PRES/CEO (STLCC) 1.00 40.00 X X 0 697277 245383 KEVIN GAMBLE MGR PHARMACY 40.00 0.00 X 132177 725 8399 MARY KEUTER DIR PATIENT CARE 40.00 0.00 X 100371 0 28143 232548 2361450 522066 2 0 1 0 HEALTHCARE OF IOWA PO BOX 5428 CEDAR RAPIDS IA 52406 ACCOUNTING/STAFFING 677723 MILLENNIUM REHAB & CONSULTING PO BOX 367 ANKENY IA 50021 REHAB THERAPIES 641673 REM IOWA DEVELOPMENTAL SERVICE 4436 114TH ST URBANDALE IA 50322 OPTIONS 599264 GRAPETREE MEDICAL STAFFING 1003 23RD ST MILFORD IA 51351 STAFFING 517148 HEALTHSMART PO BOX 1863 CEDAR RAPIDS IA 52406 INSURANCE 428753 7 2647 2647 NET PATIENT REVENUE 900099 20336239 20336239 RENTAL INCOME 531100 242739 242739 MGMT & SUPPORT SVCS 900099 14411 14411 20593389 10864 152 10712 1300 0 1300 1300 1300 CAFETERIA/FOOD SVCS 722210 2730 2730 MISCELLANEOUS REVENUE 900099 218 218 2948 20611148 20593759 0 14742 X 9722816 9005675 717141 89559 82954 6605 995321 921908 73413 620094 574357 45737 566530 566530 21777 21777 70564 70564 3776 3776 3901137 3533817 367320 17835 17835 1092368 919358 173010 1163482 1163247 235 27143 6138 21005 46818 435 46383 357033 357033 90079 64379 25700 MEDICAL SUPPLIES 1025948 1019506 6442 MISCELLANEOUS EXPENSE 194106 1147 192959 20006386 17649954 2356432 0 3771420 4285758 846998 60668 2041698 2108516 90117 229341 73364 51881 52145 44935 11987940 8045539 4024902 3942401 119009 10900644 10842509 1124299 1489888 -296116 -80639 1591077 347114 2419260 1756363 X 8481384 9086146 8481384 9086146 10900644 10842509 604762 0 X 0 1 X 1 0 X 4325 4995 114216 0 2647 126183 18712163 19805866 19995711 19296664 20593389 98403793 2826 3952 18537 5477 2948 33740 18719314 19814813 20128464 19302141 20598984 98563716 0 0 0 98563716 1722 2602 895 4816 10864 20899 1722 2602 895 4816 10864 20899 18721036 19817415 20129359 19306957 20609848 98584615 0.99980 0.99990 0.00020 0.00010 X 1157317 1157317 6428469 4868452 1560017 3235563 2695570 539993 1166591 481517 685074 3942401 DUE TO AFFILIATES 347114 347114 X 20611000 0 20611000 148 148 20611148 20007000 614 614 20006386 0 20006386 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 2013. 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 4B - OTHER ADJUSTMENTS: ROUNDING 148. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 614. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 8429728 8420118 9610 0.00050 8429728 8420118 9610 0.00050 8429728 8420118 9610 0.00050 0 146919 0 0 0 X 1 1 1 1 CONTINUING CARE HOSPITAL AT ST LUKE'S 1026 A AVENUE NE 6TH FLOOR CEDAR RAPIDS IA 524025036 WWW.UNITYPOINT.ORG/CEDARRAPIDS/SERVICE 570156H X LONG-TERM ACUTE CARE HOSPITAL CONTINUING CARE HOSPITAL AT ST LUKE'S 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.UNITYPOINT.ORG/CEDARRAPIDS/SERVICES-CONTINUING-CARE-HOSPITAL X 1 16 1 WWW.UNITYPOINT.ORG/CEDARRAPIDS/SERVICES-CONTINUING-CARE-HOSPITAL 0 1 X 200.000000000000 600.000000000000 X X X X X X X 1 1 X X X X 1 X WWW.UNITYPOINT.ORG/CEDARRAPIDS/FINANCIAL-ASSISTANCE X WWW.UNITYPOINT.ORG/CEDARRAPIDS/FINANCIAL-ASSISTANCE X WWW.UNITYPOINT.ORG/CEDARRAPIDS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 CONTINUING CARE HOSPITAL AT ST. LUKE'S PART V, SECTION B, LINE 5: UNITYPOINT HEALTH - CONTINUING CARE HOSPITAL (CCH) COLLABORATED WITH A JOINT PLANNING TEAM WITHIN UNITYPOINT HEALTH - CEDAR RAPIDS HOSPITAL ENTITIES THAT INCLUDED JONES REGIONAL MEDICAL CENTER AND ST. LUKE'S HOSPITAL. THIS WAS TO ENSURE CONSISTENCY ACROSS THE UNITYPOINT OWNED ENTITIES AS WELL AS TO LEVERAGE OPPORTUNITIES FOR ADDRESSING COMMUNITY HEALTH. CCH, THROUGH UNITYPOINT HEALTH - CEDAR RAPIDS HOSPITAL ENTITY REPRESENTATION, PARTICIPATED ON THE STEERING COMMITTEE OF THE TOGETHER! HEALTHY LINN. THIS WAS A CROSS COMMUNITY ASSESSMENT AND IMPROVEMENT PLANNING PROCESS THAT WAS FACILITATED BY LINN COUNTY PUBLIC HEALTH. COMMON COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH THE FOLLOWING FRAMEWORK AND PROCESS USED BY THE TOGETHER! HEALTHY LINN TEAM AND REVIEW COMMUNITY HEALTH NEEDS ASSESSMENTS FROM PUBLIC HEALTH ENTITIES IN CCH'S SERVICES AREAS.PROCESS TO GATHER INPUT:1. COMMUNITY HEALTH STATUS ASSESSMENT. A COLLECTION OF STATISTICAL DATA FROM MAJOR LEADING HEALTH INDICATORS. 2. COMMUNITY THEMES AND STRENGTHS ASSESSMENT. FACILITATED DIALOGUES AND FOCUS GROUPS CONDUCTED AMONG DIVERSE POPULATIONS. 3. LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENT. AN EVENT THAT BRINGS TOGETHER COMMUNITY MEMBERS, AGENCIES AND LEADERS TO IDENTIFY THE PUBLIC HEALTH SYSTEMS' STRENGTHS AND WEAKNESSES. 4. FORCES OF CHANGE ASSESSMENT. AN IMPORTANT BRAINSTORMING ACTIVITY THAT IDENTIFIES FORCES SUCH AS LEGISLATION, TECHNOLOGY AND OTHER IMPENDING CHANGES THAT HAVE THE POTENTIAL TO AFFECT HEALTH OUTCOMES. BY FOLLOWING THESE STEPS, NECESSARY QUALITATIVE AND QUANTITATIVE INPUT WERE GATHERED TO IDENTIFY KEY NEEDS IN THE COMMUNITY. CONTINUING CARE HOSPITAL AT ST. LUKE'S PART V, SECTION B, LINE 6A: UNITYPOINT HEALTH - JONES REGIONAL MEDICAL CENTER, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL, MERCY MEDICAL CENTER CONTINUING CARE HOSPITAL AT ST. LUKE'S PART V, SECTION B, LINE 6B: LINN COUNTY PUBLIC HEALTH. CONTINUING CARE HOSPITAL AT ST. LUKE'S PART V, SECTION B, LINE 11: THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, CONTINUING CARE HOSPITAL IS "ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA" THROUGH THE FOLLOWING ACTION PLAN:COMMUNITY NEED: SOCIAL DETERMINANTS OF HEALTHACCESS TO CARE AND COMMUNITY RESOURCESGOAL: INCREASE ACCESS TO CARE AND COMMUNITY RESOURCES FOR VULNERABLE POPULATIONSACTIONS: - CERTIFIED APPLICATION COUNSELORS WILL ASSIST 12,000 INDIVIDUALS NAVIGATE OPPORTUNITIES TO ENROLL IN MEDICAID OR OTHER APPROPRIATE INSURANCE OPTIONS. - ACTIVELY MONITOR AND RESPOND ACCORDINGLY TO INCREASES IN PATIENT SELF-PAY RELATED STATE OR NATIONAL POLICY CHANGES.- CONNECT 100% OF PATIENTS DISCHARGED FROM CCH WITHOUT A PRIMARY CARE PROVIDER TO A PRIMARY CARE PROVIDER.- INCREASE ACCESS THROUGH CONTINUED IMPLEMENTATION OF THE UNITYPOINT CLINIC PROVIDER RECRUITMENT PLAN FOR ADDITIONAL PRIMARY, SPECIALTY AND MENTAL HEALTH ACCESS.- PARTICIPATE IN THE CEDAR RAPIDS COMMUNITY COALITION TO DEVELOP A REFERRAL SYSTEM TO CONNECT VULNERABLE POPULATIONS WITH NEEDED RESOURCES AND SUPPORT SERVICES.ADVERSE CHILDHOOD EXPERIENCES (ACE)GOAL: DECREASE THE NUMBER OF CHILDREN WHO ARE NEGATIVELY IMPACTED BY RISK FACTORS ASSOCIATED WITH ADVERSE CHILDHOOD EXPERIENCES (ACE).ACTIONS: - PROVIDE 5 ACE EDUCATION AND AWARENESS PROGRAMS TO ASSOCIATES AND CLINICS.- IMPLEMENT AN ACE SURVEY FOR PARENTS IN THE ADOLESCENT BEHAVIORAL HEALTH PROGRAMS TO USE AS AN EDUCATIONAL TOOL TO ASSIST/SUPPORT IN BUILDING RESILIENCY.- PARTICIPATE IN THE CEDAR RAPIDS SCHOOL DISTRICT MENTAL HEALTH RESOURCE MANAGEMENT TEAM, FOCUSING ON ACE AND SUICIDE PREVENTION WITH STUDENTS.COMMUNITY NEED: BEHAVIORAL HEALTHMENTAL HEALTHGOAL: INCREASE ACCESS TO MENTAL HEALTH SERVICES.ACTIONS: - INTEGRATE AND OPTIMIZE OPPORTUNITIES THROUGH THE ABBE HEALTH AFFILIATION- FURTHER TIGHT REFERRAL/TRANSITION CONNECTIONS TO ADULT AND PEDIATRIC COMMUNITY INTEGRATED HEALTH HOMES.- A COMMON CARE PLAN, INCLUDING DEPRESSION SCREENING, WILL BE IN PLACE FOR 100% OF HIGH RISK HOSPITALIZED PATIENTS.- PEDIATRIC AND ADULT CARE PROVIDERS WILL PARTNER WITH PATIENTS AND FAMILIES TO PROMOTE EARLY IDENTIFICATION OF DEPRESSION AND CARE PLANNING AS DEMONSTRATED BY ACHIEVING DEPRESSION SCREENING TARGETS.- BEHAVIORAL HEALTH THERAPISTS WILL BE INTEGRATED IN 5 UNITYPOINT CLINICS.- EMBED A PSYCHIATRIC NURSE IN THE EMERGENCY DEPARTMENT.- EIGHT HUNDRED ASSOCIATES WILL BE RECERTIFIED IN CRISIS INTERVENTION.SUICIDEGOAL: DECREASE THE RATE OF SUICIDE.ACTIONS: - PARTICIPATE IN THE SUICIDE PREVENTION COALITION FOR CEDAR RAPIDS EFFORTS TO BECOME A ZERO SUICIDE DESIGNATED CITY.- IMPLEMENT A SUICIDE SCREENING ASSESSMENT AND REFERRAL PROCESS IN THE EMERGENCY DEPARTMENT.- INCORPORATE AND DISSEMINATE RESEARCH FINDINGS OF FOUNDATION 2 SAVING LIVES THROUGH FOLLOW-UP GRANT TO UNITYPOINT HEALTH SYSTEM-WIDE BEHAVIORAL HEALTH GROUP.SUBSTANCE ABUSEGOAL: DECREASE THE RATE OF SUBSTANCE ABUSE AMONG ADULTS AND ADOLESCENTS.ACTIONS: - PROVIDE 30 EDUCATION SESSIONS FOR UNITYPOINT ASSOCIATES AND COMMUNITY AGENCIES ON PREVALENT SUBSTANCE ABUSE ISSUES.- IMPLEMENT AN INTERNSHIP PROGRAM IN THE SUBSTANCE ABUSE DEPARTMENT AND PROVIDE TRAINING FOR 3 INTERNS. - PROVIDERS WILL SUPPORT PATIENTS IN SMOKING CESSATION THROUGH COLLECTIVELY ACHIEVING ESTABLISHED TOBACCO ASSESSMENT AND INTERVENTION QUALITY TARGETS EACH YEAR.COMMUNITY NEED: HEALTH PROMOTIONDATA SHARINGGOAL: INCREASE DATA SHARING AND EFFECTIVE USE OF TECHNOLOGY WITHIN THE LOCAL PUBLIC HEALTH SYSTEM TO IDENTIFY TRENDS AND EMERGING HEALTH NEEDS.ACTION: - SUBMIT AGREED UPON DATA AVAILABLE THROUGH THE IOWA HOSPITAL ASSOCIATION'S POPULATION HEALTH AND GEOGRAPHIC MAPPING PROGRAM TO PUBLIC HEALTHCOMMUNITY EDUCATIONGOAL: DECREASE PREVENTABLE DISEASES THROUGH HEALTH EDUCATION IN THE COMMUNITY.ACTIONS: - PARTICIPATE IN COMMUNITY DATA COLLECTION EFFORTS TO ASSESS THE TYPES OF SUBSTANCE ABUSE EDUCATION BEING PROVIDED AND THE NUMBER OF INDIVIDUALS REACHED.- CONTINUE CLOSE PARTNERSHIPS AND REFERRALS TO LINN COUNTY PUBLIC HEALTH AND EASTERN IOWA HEALTH CENTER FOR SERVICES RELATED TO SEXUAL HEALTH AND SEXUALLY TRANSMITTED DISEASES.- CONTINUE CLOSE PARTNERSHIPS AND REFERRALS TO LINN COUNTY PUBLIC HEALTH AND EASTERN IOWA HEALTH CENTER FOR SERVICES RELATED TO SEXUAL HEALTH AND SEXUALLY TRANSMITTED DISEASES.CHRONIC DISEASEGOAL: DECREASE THE INCIDENCE OF CHRONIC DISEASE IN THE COMMUNITY (DIABETES, HEART FAILURE, STROKE, OBESITY).ACTIONS: - PROVIDERS OF ADULT CARE WILL PARTNER WITH THEIR PATIENTS ON HEALTHY BEHAVIORS, EARLY PREVENTION AND MANAGEMENT FOR OBESITY, DIABETES AND HEART FAILURE AS DEMONSTRATED BY ACHIEVEMENT OF RELATED YEARLY QUALITY TARGETS .- PROVIDERS OF PEDIATRIC CARE WILL PARTNER WITH PATIENTS AND FAMILIES TO PROMOTE HEALTHY STARTS AND HEALTHY BEHAVIORS AS DEMONSTRATED BY ACHIEVEMENT OF WEIGHT ASSESSMENT/COUNSELING AND WELL CHILD VISIT YEARLY QUALITY TARGETS.- EVIDENCE BASED STANDARDIZED PATIENT EDUCATION WILL BE IN PLACE ACROSS THE CONTINUUM FOR DIABETES, HEART FAILURE AND STROKE.- 100% OF CARE COORDINATORS WILL BE TRAINED IN MOTIVATIONAL INTERVIEWING TO ENGAGE PATIENTS IN GOAL SETTING, PREVENTION AND SELF MANAGEMENT INCLUDING HEALTH LIVING AND CHRONIC DISEASE MANAGEMENT.- PARTNER WITH EMPLOYERS TO DEVELOP APPLICABLE HEALTHY LIVING, MENTAL HEALTH, CARING FOR THE CAREGIVER AND DISEASE MANAGEMENT SESSIONS FOR THEIR EMPLOYEES.- 100% OF IDENTIFIED CARE COORDINATORS IN THE HOSPITAL AND CLINIC WILL BE TRAINED IN STANDARDIZED DIABETES EDUCATION, INCLUDING WHEN TO REFER TO THE DIABETES EDUCATION CENTER. - THE DIABETES PROVIDER ADVISORY GROUP WILL IMPLEMENT A PROVIDER CONTINUING EDUCATION PROGRAM ON THE CHANGING DIABETES MEDICATIONS.- UTILIZE PREDICTIVE ANALYTICS TO IDENTIFY INDIVIDUALS WITH DIABETES OR HEART FAILURE WITH A LIKELIHOOD OF AN ADMISSION WITHIN SIX MONTHS AND INITIATE SUBSEQUENT PROTOCOLS. - CONTINUE STRONG RELATIONSHIPS WITH CRITICAL ACCESS HOSPITALS ON TRIAGING PATIENTS WITH STROKES APPROPRIATELY AND QUICKLY.THERE WAS ONE NEED IDENTIFIED THROUGH THE ASSESSMENT PROCESS THAT ISN'T BEING ADDRESSED IN THE CONTINUING CARE HOSPITAL IMPROVEMENT PLAN BECAUSE COMMUNITY ENTITIES CURRENTLY EXIST TO ADDRESS THOSE NEEDS. CONTINUING CARE HOSPITAL WORKS CLOSELY WITH THESE COMMUNITY ENTITIES TO MAKE SURE THE NEEDS OF THEIR PATIENTS/COMMUNITY ARE BEING MET:- SAFE AND AFFORDABLE HOUSING - REFER INDIVIDUALS FOR COMMUNITY RESOURCES CONTINUING CARE HOSPITAL AT ST. LUKE'S PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. 2 1 - LIVING CENTER WEST 1050 FOURTH AVENUE SE CEDAR RAPIDS IA 52403 NURSING FACILITY 2 - LIVING CENTER EAST 1220 5TH AVENUE STREET CEDAR RAPIDS IA 52405 NURSING FACILITY/ICFMR PART I, LINE 6A: THE HOSPITALS'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. THE HOSPITAL 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. THE HOSPITAL EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, THE HOSPITAL 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 THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'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 ST. LUKE'S JONES REGIONAL 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 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: STL CARE COMPANY CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN EAST CENTRAL IOWA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. SPECIFICALLY, STL CARE COMPANY IS A SPONSORING PARTNER OF CONTINUING CARE HOSPITAL AT ST. LUKE'S (LTACH) WHICH IS A COMMUNITY COLLABORATIVE CONVENED BY STL CARE COMPANY TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF LINN COUNTY. THROUGH A PLANNED AND ORGANIZED EFFORT, LTACH DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES THAT ARE RELEVANT TO THE COMMUNITY. LTACH WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES THROUGH LEVERAGING THE RESOURCES OF THE COMMUNITY. STL CARE COMPANY, AS A SPONSORING AGENCY, ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. FURTHER, LTACH HAS DEVELOPED A MEASUREMENT PROCESS TO EVALUATE EFFECTIVENESS AS WELL AS NEED. STL CARE COMPANY IS ALSO A SPONSORING PARTNER IN LTACH. THIS COLLABORATIVE HAS COMPLETED A RECENT COUNTY-WIDE HEALTH ASSESSMENT. FROM THIS, PRIORITIES AND STRATEGIES HAVE BEEN IDENTIFIED. STL CARE COMPANY HAS ACTIVELY ENGAGED IN ADDRESSING AND MONITORING HEALTH ISSUES AND NEEDS AS A RESULT OF THIS PROCESS. STL CARE COMPANY FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE COMMUNITY HEALTH STATUS. THIS PROVIDES OPPORTUNITIES FOR STL CARE COMPANY 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, STL CARE COMPANY CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO IT'S 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: THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. PART VI, LINE 4: CONTINUING CARE HOSPITAL AT ST. LUKE'S IS A 22-BED COMMUNITY HOSPITAL SERVING EAST-CENTRAL IOWA. WE ARE NONDENOMINATIONAL AND SERVE ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.CONTINUNING CARE HOSPITAL AT ST. LUKE'S MAINLY SERVES THE AREAS AROUND CEDAR RAPIDS AND IOWA CITY, IOWA. HOWEVER BEING ONE OF ONLY TWO LONG-TERM ACUTE CARE HOSPITALS IN THE STATE OF IOWA, WE ARE SERVING PATIENTS FROM ALL OVER CENTRAL AND EASTERN IOWA.FOR THESE COUNTIES, THE MEDIAN HOUSEHOLD INCOMES RANGE FROM $55,060 TO $60,606, AND THE AVERAGE POVERTY RATE IS 10 PERCENT. LINN AND JOHNSON COUNTIES, THE ONLY COUNTIES IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATION, AVERAGE 88 PERCENT CAUCASIAN, 4 PERCENT AFRICAN-AMERICAN, 4 PERCENT ASIAN, AND 4 PERCENT HISPANIC. PART VI, LINE 5: THE HOSPITAL IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD OF DIRECTORS OF THE HOSPITAL IS COMPOSED OF CIVIC LEADERS WHO RESIDE IN THE SERVICE AREA OF THE HOSPITAL. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO THE DIRECT OPERATIONS OF THE HOSPITAL. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF HOSPITAL SURPLUS FUNDS, WHICH ARE ALL USED TO FURTHER OUR CHARITABLE PURPOSE. PART VI, LINE 6: THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THROUGH RELATIONSHIPS WITH 33 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 400 OUTPATIENT SITES, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERM ILLINOIS, AND SOUTHERN WISCONSIN.UNITYPOINT HEALTH ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH MORE THAN 31,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 5.9 MILLION PATIENT VISITS, UNITYPOINT HEALTH HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $4.1 BILLION, UNITYPOINT HEALTH IS THE FOURTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES THROUGHOUT IOWA, AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THE STATE. IN 2016, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $519 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 0 1 0 0 0 0 0 0 0 MILTON AUNAN II FR 1116 BOARD SEC/INTERIM SR VP/CFO (STLCC) 0 231308 0 62789 0 40382 0 17379 0 13453 0 365311 0 0 MARGARET BRADKE BOARD MEMBER (CCH) 0 204140 0 21621 0 396 0 22268 0 6908 0 255333 0 0 B LANNIE CHECKETTS TO 1116 BOARD SEC & SR VP/CFO (STLCC) 0 225546 0 25000 0 41616 0 23303 0 20923 0 336388 0 0 MARY HAGEN BOARD MEMBER (CCH) 0 236146 0 38293 0 18663 0 40049 0 6582 0 339733 0 0 MICHELLE NIERMANN BOARD VICE CHAIR (STLCC & CCH) 0 414896 0 69605 0 33047 0 68810 0 20466 0 606824 0 0 THEODORE TOWNSEND JR BOARD CHAIR & PRES/CEO (STLCC) 0 510370 0 124254 0 62653 0 222713 0 22670 0 942660 0 0 PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: MARY HAGEN $26,799, MICHELLE NIERMANN $55,560 AND THEODORE TOWNSEND JR. $191,266. 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 6 ST. LUKE'S HEALTHCARE, A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A ST. LUKE'S HEALTHCARE, AS SOLE MEMBER, SHALL APPOINT BOARD OF DIRECTORS. IN ADDITION, ST. LUKE'S METHODIST HOSPITAL PRESIDENT SHALL BE EX-OFFICIO BOARD MEMBER WITH VOTE. FORM 990, PART VI, SECTION A, LINE 7B ST. LUKE'S HEALTHCARE, AS SOLE MEMBER, SHALL APPOINT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B 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 SUBCOMMITTEE OF THE BOARD REVIEWS THE FORM 990 AND REPORTS BACK TO THE FULL BOARD. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE 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 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 2016 FOR THE FOLLOWING INDIVIDUALS: THEODORE TOWNSEND JR. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, PART IX, LINE 11G HEALTH-CARE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,107,768. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,107,768. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,338,922. MANAGEMENT AND GENERAL EXPENSES 367,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,706,242. PURCHASED HOUSEKEEPING AND LAUNDRY: PROGRAM SERVICE EXPENSES 87,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,127. FORM 990, LINE J, WEBSITE: WWW.UNITYPOINT.ORG/CEDARRAPIDS/SERVICES-LIVING-CENTERS CONTINUING CARE HOSPITAL AT ST LUKE'S LC 1026 A AVE NE CEDAR RAPIDS IA 52402 262507273 LONG-TERM ACUTE CARE HOSPITAL IA 7391664 2903197 STL CARE COMPANY ALLEN COLLEGE 1825 LOGAN AVENUE WATERLOO IA 50703 421351526 EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS IA 501(C)(3) 170(B)(1) (A)(II) ALLEN HEALTH SYSTEMS INC 0 ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVENUE WATERLOO IA 50703 421201924 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE WATERLOO IA 50703 420698265 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ALLEN HEALTH SYSTEMS INC 0 ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DRIVE ANAMOSA IA 52205 421466284 PROVIDE AMBULANCE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'SJONES REGIONAL MEDICAL CENTER 0 BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 3251 WEST NINTH STREET WATERLOO IA 50702 420733463 MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 CENTRAL IOWA HEALTH PROPERTIES CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 421233759 PROPERTY HOLDING COMPANY IA 501(C)(2) CENTRAL IOWA HEALTH SYSTEM 0 CENTRAL IOWA HEALTH SYSTEM 1200 PLEASANT STREET DES MOINES IA 50309 421189791 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT STREET DES MOINES IA 50309 420680452 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) CENTRAL IOWA HEALTH SYSTEM 0 DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC 1415 WOODLAND AVE SUITE 130 DES MOINES IA 50309 421412497 COORDINATION OF MEDICAL EDUCATION PROGRAMS IA 501(C)(3) 509(A)(3), TYPE III 0 FINLEY TRI-STATES HEALTH GROUP INC 350 NORTH GRANDVIEW AVENUE DUBUQUE IA 52001 421307495 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER 3820 HILLSIDE DRIVE CEDAR FALLS IA 50613 421372380 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 HULT CENTER FOR HEALTHY LIVING INC 5409 N KNOXVILLE AVE PEORIA IL 61614 363510390 HEALTH EDUCATION TO THE COMMUNITY IL 501(C)(3) 170(B)(1) (A)(VI) PROCTOR HOSPITAL 0 IOWA HEALTH FOUNDATION 1415 WOODLAND AVE SUITE E-200 DES MOINES IA 50309 421467682 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) CENTRAL IOWA HEALTH SYSTEM 0 IOWA HEALTH SYSTEM 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421435199 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III 0 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 8101 BIRCHWOOD COURT JOHNSTON IA 50131 421411630 PRIMARY HEALTH CARE SERVICES IA 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM 0 MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1825 LOGAN AVENUE WATERLOO IA 50703 421201138 CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC 0 MERITER FOUNDATION INC 202 SOUTH PARK STREET MADISON WI 53715 237098688 CHARITABLE FUNDRAISING WI 501(C)(3) 170(B)(1) (A)(VI) MERITER HEALTH SERVICES INC 0 MERITER HEALTH SERVICES INC 202 SOUTH PARK STREET MADISON WI 53715 391412318 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE WI 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM 0 MERITER HOSPITAL INC 202 SOUTH PARK STREET MADISON WI 53715 390806367 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) MERITER HEALTH SERVICES INC 0 MERITER MEDICAL GROUP INC 202 SOUTH PARK STREET MADISON WI 53715 050545222 SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES WI 501(C)(3) 509(A)(3), TYPE II MERITER HOSPITAL INC 0 METHODIST HEALTH SERVICES CORPORATION 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 371111135 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IL 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 METHODIST MEDICAL CENTER FOUNDATION 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 510186460 CHARITABLE FUNDRAISING IL 501(C)(3) 170(B)(1) (A)(VI) METHODIST HEALTH SERVICES CORPORATION 0 METHODIST MEDICAL CENTER OF ILLINOIS 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 370661223 HOSPITAL IL 501(C)(3) 170(B)(1) (A)(III) METHODIST HEALTH SERVICES CORPORATION 0 METHODIST SERVICES INC 221 NORTHEAST GLEN OAK AVENUE PEORIA IL 61636 371111134 OFFICE RENTAL IL 501(C)(3) 509(A)(2) METHODIST HEALTH SERVICES CORPORATION 0 NELLIE R SHERWOOD TRUST 1026 A AVENUE NE CEDAR RAPIDS IA 52402 426061621 PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY IA 501(C)(3) 509(A)(3), TYPE I ST LUKE'S METHODIST HOSPITAL 0 NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED 720 KENYON DRIVE FORT DODGE IA 50501 420937390 MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(III) TRINITY HEALTH SYSTEMS INC 0 NORTHWEST IOWA HOSPITAL CORPORATION 2720 STONE PARK BLVD SIOUX CITY IA 51104 421019872 HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTH SYSTEM INC 0 PROCTOR HEALTH CARE INCORPORATED 5409 N KNOXVILLE AVE PEORIA IL 61614 371133412 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE 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IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE INPATIENT AND OUTPATIENT CARE AND PHYSICIAN SERVICES FROM 33 HOSPITAL FACILITIES AND OVER 400 OUTPATIENT SITES IN IOWA, ILLINOIS AND WISCONSIN. PRIMARY, SECONDARY AND TERTIARY CARE SERVICES ARE PROVIDED TO RESIDENTS OF IOWA, ILLINOIS, WISCONSIN AND ADJACENT STATES. ON APRIL 16, 2013, IOWA HEALTH SYSTEM BEGAN BEING PUBLICLY KNOWN AS UNITYPOINT HEALTH (THE SYSTEM). THIS NAME CHANGE REFLECTS THE TRANSFORMATION OF CLINICAL PROCESSES UNDERWAY WITHIN THE SYSTEM AND THE ADAPTATION TO BETTER ADDRESS THE HEALTH CARE NEEDS OF COMMUNITIES, INCLUDING BUILDING A MODEL OF DELIVERING HEALTH CARE THAT COORDINATES CARE AROUND THE PATIENT WHILE FOCUSING ON IMPROVING THE QUALITY OF CARE AND REDUCING COSTS. THE LEGAL NAME OF THE PARENT REMAINS IOWA HEALTH SYSTEM, WITH THE UNITYPOINT HEALTH NAME REFLECTING A DOING BUSINESS AS (D/B/A).