2016-11-14T11:14:53-06:00 2015-12-31 990 2015-01-01 390806367 MERITER HOSPITAL INC MERI 6084176000 202 SOUTH PARK STREET MADISON WI 537151596 BETH ERDMAN CFO 6084176000 2016-11-07 2015 2017-02-10 21:41:12Z ARTHUR NIZZA DSW 202 SOUTH PARK STREET MADISON WI 537151596 414557243 0 X WWW.MERITER.COM X 1898 WI MERITER HOSPITAL, INC. IS A NOT FOR PROFIT, LOCALLY GOVERNED COMMUNITY HOSPITAL. MERITER HOSPITAL PROVIDES A COMPREHENSIVE ARRAY OF PATIENT-FOCUSED INPATIENT AND OUTPATIENT SERVICES TO MEET THE HEALTH-RELATED NEEDS OF OUR COMMUNITY. 15 11 3035 508 721073 0 544696 417718 394459556 387560488 30477178 11665519 3321875 3038740 428803305 402682465 1195125 121001 0 0 179691393 169988983 0 0 933097 169634269 180129438 350520787 350239422 78282518 52443043 842927895 811253073 340941079 303005661 501986816 508247412 X MERITER HOSPITAL, INC. IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTH CARE AND LIVING BY ITS MISSION TO HEAL, TEACH AND SERVE. 0 0 288891754 121001 387795109 MERITER HOSPITAL, INC. IS A 448-BED COMMUNITY HOSPITAL FOCUSED ON DELIVERING QUALITY CARE AND PATIENT SAFETY. MERITER PROVIDES SOLUTIONS TO MANY COMMUNITY HEALTH CARE NEEDS, AND PROVIDES THE REGION'S ONLY AVAILABLE CHILD AND ADOLESCENT PSYCHIATRY SERVICES, AND SANE (SEXUAL ASSAULT NURSE EXAMINER) SERVICES. MERITER IS PROUD TO DELIVER MORE BABIES THAN ANY OTHER HOSPITAL IN WISCONSIN AND RECEIVED NUMEROUS AWARDS IN 2015, INCLUDING TRUVEN HEALTH ANALYTICS 100 TOP HOSPITALS (4TH TIME), HEALTHCARE'S MOST WIRED AWARD (5TH CONSECUTIVE YEAR), CERTIFICATION AS A BABY-FRIENDLY BIRTH FACILITY (9TH CONSECUTIVE YEAR), THE NCDR ACTION REGISTRY GWTG PLATINUM AWARD, AND THE NATIONAL RESEARCH CORPORATION TOP PERFORMING ORGANIZATION RECOGNITION, MISSION: LIFELINE BRONZE PLUS RECEIVING CENTER AWARD RECOGNIZED BY THE AHA/ASA, AHA/ASA GWTG HEART FAILURE GOLD; GWTG STROKE SILVER PLUS; TARGET: STROKE HONOR ROLL ELITE PLUS HONOR ROLL. 288891754 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 149 0 1 3035 1 1 1 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WI X RON SCHROEDER 6084175832 202 SOUTH PARK STREET MADISON WI 537151596 RAY ALLEN FR 815 BOARD MEMBER 1.00 1.00 X 0 0 0 DAVID BOYER BOARD MEMBER 1.00 2.00 X 0 15921 0 JACK COTTON BOARD MEMBER 1.00 2.00 X 0 0 0 SEAN DILWEG TO 315 BOARD MEMBER 1.00 1.00 X 0 0 0 CATHERINE DURHAM BOARD MEMBER 1.00 1.00 X 0 0 0 MICHAEL GOLDROSEN MD BOARD MEMBER 1.00 1.00 X 0 0 0 VIRGINIA GRAVES FORMER BOARD CHAIR 1.00 1.00 X X 0 15000 0 PETAR IGIC MD BOARD MEMBER 1.00 49.00 X 0 604100 34067 GEORGE KAMPERSCHROER BOARD CHAIR 4.00 1.00 X X 0 20522 0 BRADLEY MANNING MD BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 MARGARET NOREUIL RN PHD BOARD MEMBER 1.00 2.00 X 0 0 0 LAURENCE ROTHSTEIN MD BOARD MEMBER 1.00 1.00 X 0 0 0 JULIE SCHURR MD BOARD MEMBER 1.00 1.00 X 0 0 0 DOUG STRUB FR 815 BOARD MEMBER 1.00 1.00 X 0 0 0 ARTHUR NIZZA DSW FR 215 BOARD MEMBER/CEO 1.00 49.00 X X 0 512068 77811 PETER THOREEN TO 215 BOARD MEMBER/INTERIM CEO 1.00 40.00 X X 0 506110 239270 BETH ERDMAN CFO/SECRETARY/TREASURER 35.00 15.00 X 0 347973 17823 SUE ERICKSON COO/ASST. TREASURER 15.00 35.00 X 0 437177 28134 GEOFFREY PRIEST MD CMO/ASST. SECRETARY 5.00 45.00 X 0 672852 30357 JAMES ARNETT VP HUMAN RESOURCES 5.00 45.00 X 0 322414 55073 PATRICIA GRUNWALD CHIEF NURSING OFFICER 45.00 5.00 X 0 440168 29397 LOUIS BRYSH DMD PHYSICIAN 40.00 0.00 X 338401 0 28036 SHERRY CASALI DIR EMERGENCY SERVICES 40.00 0.00 X 198018 0 15548 KRISTINE HOLMES DIR MEDICAL/SURGICAL NURSING 40.00 0.00 X 175080 0 27405 CHRISTINA JACKSON DIR PERIOPERATIVE SVCS 40.00 0.00 X 190240 0 27775 KATHERINE KOSTRIVAS EXEC DIR MOTHER-BABY CARE 40.00 0.00 X 88921 75297 32786 JAMES WOODWARD TO 714 FORMER BOARD MEMBER/CEO/PRESIDENT 0.00 0.00 X 0 708537 0 990660 4678139 643482 98 1 1 0 UNIVERSITY OF WISCONSIN HOSPITAL AND CLI 750 HIGHLAND AVENUE MADISON WI 53792 INTERNS, RESIDENTS, MED-FLIGHT & TEACHIN 4584700 UW MEDICAL FOUNDATION 750 HIGHLAND AVENUE MADISON WI 53792 INTERNS AND RESIDENTS 3158578 UNIVERSITY OF WISCONSIN 750 HIGHLAND AVENUE MADISON WI 53792 MEDICAL SERVICES 2027871 JH FINDORFF AND SON INC 300 SOUTH BEDFORD STREET MADISON WI 53703 CONSTRUCTION 1589960 FINDORFF INC 300 SOUTH BEDFORD STREET MADISON WI 53703 CONSTRUCTION 1223585 52 417718 417718 NET PATIENT REVENUE 900099 373587911 373587911 SUBS & JOINT VENTURES 900099 7509874 7509874 6462703 5759348 30941 672414 387560488 11772353 11772353 2439441 2868720 -429279 -429279 161768 -591047 8564282 101350 8772466 0 -208184 101350 -106834 -106834 468213 233592 234621 234621 CAFETERIA/FOOD SVCS 722210 1299817 7326 1292491 CHILDCARE SERVICES 624410 1122723 521038 601685 PARKING REVENUE 722100 810858 810858 3233398 402682465 387091754 721073 14451920 79201 79201 41800 41800 9375 9375 131147930 127121689 4026241 1169767 1133855 35912 28226968 27360400 866568 9434943 9145290 289653 43399343 58174 43341169 113277 113277 20040882 19653064 387818 1710953 1347092 363861 11171745 10919264 252481 222084 217065 5019 8604268 8604268 926597 926597 16717213 16339404 377809 395436 386499 8937 MEDICAL SUPPLIES 46941975 45881086 1060889 MISCELLANEOUS EXPENSES 14584159 13997137 580522 6500 STATE REVENUE ASSESSMEN 11285039 11285039 EQUIPMENT RENTAL & MAIN 4016467 3925695 90772 350239422 288891754 60414571 933097 186749 38792 55374648 13855128 33644628 32703092 150467357 168903698 4397117 4317640 2325417 537588 260147784 34129826 236616984 226017958 297179041 297156006 62735954 67723171 842927895 811253073 47357917 43181013 4202 27090 7839985 5083722 285738975 254713836 340941079 303005661 X 497421321 503420674 4261493 4522736 304002 304002 501986816 508247412 842927895 811253073 X 52443043 -12035566 -34146881 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 57354789 57354789 140265127 19785303 120479824 1441460 205714 1235746 52613297 13632895 38980402 8473111 505914 7967197 226017958 DUE FROM AFFILIATES 7185148 OTHER LONG-TERM ASSETS 309386 INVESTMENT IN JOINT VENTURES 57847282 UPH-REGIONAL INTEGRATION POOL 2381355 67723171 -19932 RETIREMENT LIABILITY 54906695 HEALTH & WELFARE INS RESERVES 803128 ASSET RETIREMENT OBLIGATION 855234 DUE TO AFFILIATES 198168711 254713836 X 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 2012. 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. 1 1 1 X 1 X 500.000000000000 1 1 0 1 1 21815 3221336 0 3221336 0.00940 28816 69421620 50340566 19081054 0.05560 47018 7692609 5825902 1866707 0.00540 97649 80335565 56166468 24169097 0.07040 5931 559000 0 559000 0.00160 4854 6326929 0 6326929 0.01840 8152 2823612 0 2823612 0.00820 0 556355 0 556355 0.00160 18937 10265896 10265896 0.02980 116586 90601461 56166468 34434993 0.10020 30000 30000 0.00010 6837 6837 0.00000 610122 610122 0.00180 3510 3510 0.00000 15 2884 2884 0.00000 15 653353 653353 0.00190 0 2386593 0 82899212 91740744 -8841532 X 1 1 1 1 MERITER HOSPITAL INC 202 SOUTH PARK STREET MADISON WI 53715 WWW.MERITER.COM 316 X X X X X MERITER HOSPITAL INC 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X WWW.MERITER.COM X X 1 15 0 1 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X X 1 X WWW.MERITER.COM X WWW.MERITER.COM X X X 1 X 0 X X X X 1 X 0 0 MERITER HOSPITAL, INC. PART V, SECTION B, LINE 5: TO PROVIDE AS COMPLETE AN OVERVIEW OF THE HEALTH BEHAVIORS AND PERCEPTIONS OF DANE COUNTY RESIDENTS AS POSSIBLE, MERITER HOSPITAL IS A MEMBER OF THE HEALTHY DANE COLLABORATIVE (HDC) WHICH DEVELOPED A 32 QUESTION COMMUNITY PERCEPTION SURVEY. THE SURVEY ADDRESSED HEALTH AND LIFESTYLE BEHAVIORS, QUALITY OF LIFE, AND ACCESS TO CARE.THE COMMUNITY PERCEPTION SURVEY UTILIZED VALIDATED AND RELIABLE QUESTIONS, WHICH HAD BEEN ON STATE AND NATIONAL NEEDS ASSESSMENTS INCLUDING THE PHQ9 DEPRESSION SCREENER, USDA FOOD SECURITY SCREENER AND THE MEDICAL EXPENDITURE PANEL SURVEY. THE SURVEY PASSED THROUGH A RIGOROUS HEALTH LITERACY REVIEW AND WAS ALSO TRANSLATED INTO SPANISH. A CONVENIENT, SNOWBALL SAMPLE (ASKING PEOPLE TO TAKE IT AND PASS IT ON, THUS CREATING A SNOWBALL EFFECT) WAS USED FOR THE COMMUNITY PERCEPTION SURVEY OVER A SIX WEEK PERIOD. AN INVITATION TO COMPLETE AN ELECTRONIC QUESTIONNAIRE (IN ENGLISH OR SPANISH) WAS SENT TO CONTACTS FROM A RANGE OF PUBLIC AND PRIVATE SOCIAL SERVICE SECTOR ORGANIZATIONS IN THE COMMUNITY. INTENTIONAL AND STRATEGIC OUTREACH WAS KEY TO GETTING A ROBUST RESPONSE RATE. PAPER COPIES OF THE SURVEY WERE MADE AVAILABLE AT COMMUNITY EVENTS AND FOOD PANTRIES. NO INCENTIVES WERE USED TO PROMOTE PARTICIPATION. IN TOTAL, 2,120 PEOPLE COMPLETED THE ENTIRE SURVEY. IN ADDITION TO THE COMMUNITY PERCEPTION SURVEY, FOCUS GROUPS OF KEY STAKEHOLDERS, COMMUNITY PARTNERS AND ADVOCATES WERE CONVENED. THE PRIMARY OBJECTIVE OF THE FOCUS GROUPS WAS TO SOLICIT INPUT FROM CONTENT EXPERTS AND THOSE IN THE COMMUNITY WITH A VESTED INTEREST IN THE HEALTH AND WELL-BEING OF DANE COUNTY RESIDENTS. THE FOCUS GROUPS WERE GUIDED BY A FACILITATOR USING A PARTICIPATORY ANALYSIS MODEL. THERE WERE THREE FOCUS GROUPS CONDUCTED CONSISTING OF BETWEEN 7-11 PARTICIPANTS. THE PARTICIPANTS WERE CHOSEN BASED ON CONTENT EXPERTISE OR COMMUNITY INVOLVEMENT. THE SPECIFIC FOCUS TOPICS DISCUSSED WERE MENTAL HEALTH, OBESITY AND DRUG AND ALCOHOL USE/ABUSE.THE DISCUSSIONS WERE CENTERED ON THREE GENERAL QUESTIONS. A RECORDER WAS USED FOR EACH FOCUS GROUP TO ASSURE PARTICIPANTS RESPONSES WERE ACCURATELY SYNTHESIZED. - WHAT SURPRISES YOU ABOUT THE DATA? - WHAT FACTORS MAY EXPLAIN SOME OF THE TRENDS WE ARE SEEING? - DOES THIS LEAD TO NEW QUESTIONS? FURTHERMORE, THE HDC ALSO USED POPULATION SPECIFIC EVENTS TO GATHER DATA. IN THESE SETTINGS, A SIMPLE PRIORITIZATION TOOL HELPED GAUGE PARTICIPANTS VISION AND PERCEPTION ABOUT THE HEALTH OF DANE COUNTY. IN MANY CASES, THE ASSESSMENT VALIDATED SOME OF WHAT THE HDC ALREADY KNEW ABOUT THE COMMUNITY, AND IN OTHER CASES, THE HDC LEARNED ABOUT UNKNOWN SHORTFALLS IN THE COMMUNITY'S HEALTH. THERE ARE MANY NEEDS IN DANE COUNTY, SOME OF WHICH ARE REFLECTED IN DISPARITIES OF RACE, ETHNICITY, INCOME, GEOGRAPHY AND EDUCATION LEVEL. MERITER HOSPITAL, INC. PART V, SECTION B, LINE 6A: UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS, SSM HEALTH OF WISCONSIN-ST. MARY'S HOSPITAL, STOUGHTON HOSPITAL MERITER HOSPITAL, INC. PART V, SECTION B, LINE 6B: THE HEALTHY DANE COLLABORATIVE INCLUDES PUBLIC HEALTH DEPARTMENTS OF THE CITY OF MADISON AND DANE COUNTY AS PRIMARY PARTNERS IN ITS WORK. MERITER HOSPITAL, INC. PART V, SECTION B, LINE 7D: THE COLLABORATIVE'S VENDOR, HEALTHY COMMUNITY INSTITUTE (HCI), DEVELOPS AND MAINTAINS A HIGH-QUALITY DATA AND DECISION-SUPPORT INFORMATION SYSTEM TO AID IN INDICATOR TRACKING, BEST-PRACTICE SHARING AND COMMUNITY DEVELOPMENT. THE SYSTEM PROVIDES ACCESS TO A TEMPLATE, ALONG WITH SUPPORTING SERVICES, TO COMMUNITIES TO HELP IMPROVE QUALITY OF LIFE AND OUTCOMES. IN ADDITION THE CHNA IS POSTED ON THE MERITER HOSPITAL SITE. MERITER HOSPITAL, INC. PART V, SECTION B, LINE 11: PRIOR TO REVIEW OF THE DATA, A LIST OF CRITERIA WAS DEVELOPED TO AID IN THE SELECTION OF PRIORITY AREAS. DURING THE DATA-REVIEW PROCESS, ATTENTION WAS DIRECTED TO HEALTH ISSUES THAT MET ANY OF THESE CRITERIA: - HEALTH ISSUES THAT IMPACT A LOT OF PEOPLE OR FOR WHICH DISPARITIES EXIST, AND WHICH PUT A GREATER BURDEN ON SOME POPULATION GROUPS - POOR RANKINGS FOR HEALTH ISSUES IN DANE COUNTY AS COMPARED TO WISCONSIN,OTHER COUNTIES OR HEALTHY PEOPLE 2020 NATIONAL HEALTH TARGETS (DANE COUNTY IS THE PRIMARY SERVICE AREA FOR THE COLLABORATING HOSPITALS) - HEALTH ISSUES FOR WHICH TRENDS ARE WORSENING THE HEALTHY DANE COLLABORATIVE ALSO CONSIDERED INDICATORS THAT RELATE TO PROBLEMS THE PUBLIC HEALTH DEPARTMENT HAD ALREADY IDENTIFIED THROUGH ITS FOCUS ON PREVENTION AND THE NATIONAL PREVENTION STRATEGIES. IN ADDITION TO THE 7 AREAS OF FOCUS, PUBLIC HEALTH MADISON AND DANE COUNTY IS ALSO WORKING TO ADDRESS ORAL HEALTH AND ACCESS TO CARE. IN ADDITION, THE COLLABORATIVE EXAMINED "SOCIAL DETERMINANTS OF HEALTH, OR FACTORS IN THE COMMUNITY THAT CAN EITHER CONTRIBUTE TO POOR HEALTH OUTCOMES OR SUPPORT A HEALTHY COMMUNITY. THE COLLABORATIVE SHARES THE OBSERVATION THAT, WHILE SOME HEALTH STATUS INDICATORS FOR DANE COUNTY ARE BETTER THAN AVERAGE, THEY MAY STILL REPRESENT PROBLEMS THAT ARE HIGHLY PREVALENT, PLACE A HEAVY BURDEN ON OUR POPULATION, AND MIGHT BE WORSENING OR FALL SHORT OF BENCHMARKS. IN ADDITION, AGGREGATE HEALTH DATA FOR THE ENTIRE POPULATION OFTEN MASKS THE UNFAIR, HEAVY BURDEN ON SOME POPULATION GROUPS. AFTER REVIEW AND CONSIDERATION OF ALL AVAILABLE DATA INCLUDING FOCUS GROUP AND KEY STAKEHOLDER INPUT, AND GUIDED BY OUR CRITERIA, THE HDC IDENTIFIED TWELVE HEALTH ISSUES THAT SHOWED EVIDENCE OF NEED IN OUR COUNTY LISTED BELOW IN RANK ORDER: 1. MENTAL HEALTH 2. ALCOHOL AND DRUG ABUSE PREVENTION 3. MATERNAL CHILD HEALTH 4. OBESITY PREVENTION/TYPE 2 DIABETES AND HEART DISEASE 5. ORAL HEALTH 6. HEALTHY EATING/FOOD INSECURITY 7. ACCESS TO CARE 8. INFECTIOUS DISEASE 9. RESPIRATORY DISEASE 10. INJURY/VIOLENCE FREE LIVING 11. CANCER 12. TOBACCO FREE LIVING. 6 1 - MAX W POHL DENTAL CLINIC 202 S PARK ST MADISON WI 53715 DENTAL SERVICES 2 - MERITER REHABILITATION MEDICINE 202 S PARK ST MADISON WI 53715 REHABILITATION SERVICES 4 - CHILD & ADOLESCENT PSYCHIATRY 8001 RAYMOND ROAD MADISON WI 53719 INPATIENT PSYCHIATRY SERVICES 5 - MERITER NEWSTART 1015 GAMMON LANE MADISON WI 53719 SUBSTANCE ABUSE TREATMENT PROGRAM 6 - MERITER WELLNESS CENTER 501 W BELTLINE HWY SUITE 207 MADISON WI 53713 CARDIOVASCULAR & PULMONARY REHAB & NUTRITION 7 - CENTER FOR PERINATAL CARE 202 S PARK ST MADISON WI 53715 PREGNANCY CARE PART I, LINE 6A: A COMMUNITY BENEFIT REPORT IS FILED ON BEHALF OF MERITER HEALTH SERVICES; MERITER HOSPITAL IS A SUBSIDIARY. THE COMMUNITY BENEFIT TEXT IN THIS RETURN REPRESENTS THE HOSPITAL. PART I, LINE 7: THE RATIO OF COSTS TO CHARGES IS BASED ON WORKSHEET 3 OF SCHEDULE H. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $6,963,275 IS NOT INCLUDED IN THE TOTALOPERATING EXPENSES FOR PURPOSES OF CALCULATING THE PERCECNTAGE OF TOTALEXPENSE IN PART I, LINE 7, COLUMN F. PART II, COMMUNITY BUILDING ACTIVITIES: MERITER STRIVES TO HELP CREATE A HEALTHY COMMUNITY INCLUDING A SAFE ENVIRONMENT, INTERCONNECTED NEIGHBORHOODS WITH ADEQUATE AND AFFORDABLE HOUSING, STRONG SCHOOLS AND A PREPARED AND DIVERSE WORKFORCE.THROUGH PARTNERSHIPS WITH AREA NON-PROFIT ORGANIZATIONS AND COMMUNITY GROUPS, MERITER IS WORKING TO STRENGTHEN THE COMMUNITY THROUGH SPONSORSHIPS AND INVOLVEMENT IN BAYVIEW COMMUNITY FOUNDATION, GREENBUSH DAY COMMUNITY CELEBRATION, NEIGHBORHOOD HOUSE, AND HABITAT FOR HUMANITY, AND SUPPORT OF A NEIGHBORHOOD HOUSING INITIATIVE. ALL OF THESE GROUPS, AND OTHERS, CREATE OPPORTUNITIES FOR SAFE AND AFFORDABLE HOUSING, FAMILY-BASED EVENTS, AND STRENGTHENING THE NEIGHBORHOODS THROUGH RAISING AWARENESS OF COMMUNITY RESOURCES AND NEIGHBORHOOD ASSETS. NEIGHBORHOOD HOUSE, IN PARTICULAR, HAS EXPANDED ITS AFTERSCHOOL ACTIVITIES AND SUMMER CAMP PROGRAM. THIS PROGRAM INTRODUCED CHILDREN TO AREAS OF THE COMMUNITY MANY HADN'T EXPERIENCED INCLUDING FIELD TRIPS TO THE UNIVERSITY, ZOO AND TO A LOCAL COMMUNITY GARDEN. BAYVIEW FOUNDATION IS PART OF BAYVIEW TOWNHOMES, A CDA HOUSING COMMUNITY LOCATED NEXT TO MERITER. THE VAST MAJORITY OF BAYVIEW RESIDENTS ARE IMMIGRANTS WITH APPROXIMATELY 80% OF THE TOTAL RESIDENTS IDENTIFYING AS HMONG. THE FOUNDATION'S AFTER-SCHOOL, SCHOOL -AGE AND OTHER PROGRAMS ARE VITALLY IMPORTANT TO ASSISTING THE FAMILIES AND THE CHILDREN WITH ASSIMILATION. THE PROGRAMS PROVIDE AFTER-SCHOOL TUTORING, COMPUTER SKILLS, ENGLISH LANGUAGE COMPETENCY AND SCHOOL READINESS, SUMMER EDUCATIONAL PROGRAMS AND A FREE LENDING LIBRARY. WITHOUT THESE PROGRAMS, THE CHILDREN IN BAYVIEW WOULD FALL DISASTROUSLY BEHIND IN SCHOOL AND LACK THE SOCIAL SKILLS NEEDED FOR ACADEMIC AND EMPLOYMENT SUCCESS. THEY WOULD STRUGGLE WITH BASIC LITERACY, SEVERELY IMPAIRING THEIR ABILITY TO EARN A LIVING OR READ A PHYSICIAN'S INSTRUCTIONS. IT IS WELL DOCUMENTED THAT LITERACY AND EMPLOYMENT STATUS HAVE AN IMPACT ON HEALTH AS A SOCIAL DETERMINANT. MERITER'S EFFORTS IN SUPPORT OF BAYVIEW FOUNDATION, NEIGHBORHOOD HOUSE AND OTHER PROGRAMS ASSOCIATED WITH EMPLOYMENT ARE INVESTMENTS IN THE FUTURE OF THE COMMUNITY. WE HOPE TO CREATE A MORE EDUCATED AND BETTER PREPARED COMMUNITY - WHICH WILL BE HEALTHIER.MERITER LED THE WAY IN ESTABLISHING A WORK-FORCE HOUSING INITIATIVE FOR A RAPIDLY CHANGING NEIGHBORHOOD. THE INITIATIVE, WHICH INCLUDES PARTNERS FROM OTHER AREA EMPLOYERS, HAS GROWN IN TO A SEPARATE ORGANIZATION WHICH PROVIDES HOME-BUYER EDUCATION, BUDGETING, AND OTHER FINANCIAL LITERACY. FINALLY, MERITER IS WORKING WITH COMMUNITY GROUPS SUCH AS THE URBAN LEAGUE TO FUND TRAINING PROGRAMS, SCHOLARSHIPS AND TUTORING PROGRAMS. THROUGH SUPPORT OF EDUCATIONAL PROGRAMS, MERITER IS HELPING INCREASE JOB OPPORTUNITIES FOR AREA RESIDENTS, THEREBY INCREASING JOB SECURITY. PART III, LINE 3: AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, MERITER FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED MERITER. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE MERITER'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATION, THE SHARE OF BAD DEBT EXPENSE IN 2015 WAS $6,963,000 AT CHARGED ($2,386,593 AT COST). 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. PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: WE NOTIFY PATIENTS OF THEIR FINANCIAL RESPONSIBILITY AS WELL AS OUR CHARITY CARE POLICY. OUR COLLECTION AGENCIES ARE EDUCATED ON OUR FAHCP (FINANCIAL ASSISTANCE FOR HEALTH CARE PROGRAM) AND WE FOLLOW WHA (WISCONSIN HOSPITAL ASSOCIATION) GUIDELINES. OUR POLICY STATES "PATIENT ACCOUNTS IN THE PROCESS OF FINANCIAL AID REVIEW WILL NOT KNOWINGLY BE SENT TO COLLECTIONS." PART VI, LINE 2: MERITER JOINED THREE OTHER HOSPITALS IN DANE COUNTY, UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS, STOUGHTON HOSPITAL, AND ST. MARY'S - SSM OF WISCONSIN, ALONG WITH PUBLIC HEALTH MADISON AND DANE COUNTY IN THE ASSESSMENT OF THE HEALTH OF DANE COUNTY. SECONDARY DATA WAS COLLECTED AND AGGREGATED BY HEALTHY COMMUNITIES INSTITUTE. THE DATA WAS VERIFIED IN COMMUNITY FOCUS GROUPS AND THE GROUPS PROVIDED INSIGHT AND IDEAS TO ADDRESS IDENTIFIED NEEDS. PART VI, LINE 3: WE NOTIFY PATIENTS OF THEIR FINANCIAL RESPONSIBILITY AS WELL AS OUR CHARITY CARE POLICY. OUR COLLECTION AGENCIES ARE EDUCATED ON OUR FAHCP (FINANCIAL ASSISTANCE FOR HEALTH CARE PROGRAM) AND WE FOLLOW WHA (WISCONSIN HOSPITAL ASSOCIATION) GUIDELINES. OUR POLICY STATES "PATIENT ACCOUNTS IN THE PROCESS OF FINANCIAL AID REVIEW WILL NOT KNOWINGLY BE SENT TO COLLECTIONS." PART VI, LINE 4: DANE COUNTY IS THE SECOND MOST DENSELY POPULATED COUNTY IN WISCONSIN, AND MADISON IS THE SECOND LARGEST CITY IN THE STATE. THE POPULATION OF DANE COUNTY GREW 14.4% BETWEEN 2000 AND 2010, BRINGING THE TOTAL POPULATION TO 488,073. MADISON HAS 233,209 RESIDENTS, ALMOST HALF OF THE COUNTY'S POPULATION. AMONG ITS RESIDENTS ARE MORE THAN 42,000 UW STUDENTS.THE ETHNIC/RACIAL DEMOGRAPHICS OF DANE COUNTY ARE CHANGING. SINCE 2000, THE PERCENTAGE OF THE POPULATION THAT IS WHITE DECREASED FROM 87.4% TO 81.9%. THE GREATEST GROWTH AMONG MINORITY GROUPS WAS SEEN IN THE HISPANIC POPULATION. COMPARED WITH WISCONSIN AS A WHOLE, DANE COUNTY HAS MORE ETHNIC DIVERSITY, A LARGER PERCENT OF FOREIGN-BORN RESIDENTS (7.4%), AND A LARGER PERCENT THAT SPEAKS A LANGUAGE OTHER THAN ENGLISH IN THE HOME (11% IN DANE COUNTY; 14.8% IN MADISON). MINORITIES ARE MORE CONCENTRATED IN THE CITY OF MADISON. OVER HALF OF ALL STUDENTS IN MADISON PUBLIC SCHOOLS ARE OF RACIAL/ETHNIC MINORITY GROUPS. HMONG ARE ONE OF THE LARGEST ASIAN GROUPS IN DANE COUNTY, AND DANE COUNTY HAS ONE OF THE LARGEST HMONG POPULATIONS IN WISCONSIN. EXAMINATION OF DATA FOR DANE COUNTY REVEALS A LARGE GAP IN EDUCATION AND INCOME BETWEEN AN AFFLUENT MAJORITY POPULATION AND A GROWING LOW-INCOME, LESS EDUCATED POPULATION. THE PERCENT OF THE POPULATION THAT HAS AT LEAST A BACHELOR'S DEGREE IS MUCH HIGHER IN DANE COUNTY THAN IN WISCONSIN AND THE U.S., AND IT IS HIGHER YET IN MADISON (DANE COUNTY 45.4%, MADISON 52.2%, WISCONSIN 25.8%, U.S. 27.9%).8 HOWEVER, DANE COUNTY'S CURRENT 86% HIGH SCHOOL GRADUATION RATE IS ONE OF THE LOWEST AMONG WISCONSIN COUNTIES. 9 LATELY, MUCH ATTENTION HAS BEEN PAID TO THE "ACHIEVEMENT GAP AND LOWER GRADUATION RATES FOR SOME RACIAL MINORITY GROUPS IN MADISON, BUT OTHER OF DANE COUNTY'S 16 PUBLIC SCHOOL DISTRICTS FACE THE SAME CHALLENGE. IN 2011, THE FOUR-YEAR GRADUATION RATE FOR ALL STUDENTS IN THE MADISON METROPOLITAN SCHOOL DISTRICT WAS 73.7% (NOT INCLUDING GED OR OTHER HIGH SCHOOL CERTIFICATES) BUT THERE WAS CONSIDERABLE VARIATION BY RACIAL GROUP.THE MEDIAN HOUSEHOLD INCOME FOR DANE COUNTY IS $60,519 AS COMPARED TO $51,598 IN WISCONSIN.11 MADISON'S MEDIAN HOUSEHOLD INCOME IS $52,550, WHICH IS LOWER THAN HOUSEHOLD INCOMES IN THE REMAINDER OF DANE COUNTY. DESPITE THE HIGH MEDIAN HOUSEHOLD INCOME AND A RELATIVELY LOW UNEMPLOYMENT RATE (5.4%), DANE COUNTY IS FACED WITH AN INCREASING NUMBER OF PEOPLE LIVING IN POVERTY. 11.6% OF DANE COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL (2006-2010), A STATISTIC THAT IS COMPARABLE TO THE STATE POVERTY RATE.13 IN MADISON, THE POVERTY RATE IS HIGHER AT 17.9%.14 ACCORDING TO THE CENTER ON WISCONSIN STRATEGY, 31.5% OF STUDENTS IN DANE COUNTY ARE ELIGIBLE FOR FEDERAL FREE OR REDUCED-PRICE SCHOOL LUNCH IN 2012, AN INCREASE FROM 2000 WHEN ONLY 17.4% OF STUDENTS WERE ELIGIBLE. IN THE CITY OF MADISON, OVER HALF OF ALL PUBLIC SCHOOL STUDENTS ARE ELIGIBLE. POVERTY LEVELS ARE PARTICULARLY STRIKING FOR CHILDREN IN THE COUNTY.TO BE EFFECTIVE, HEALTH PROGRAMS MUST BE MEETING A TANGIBLE NEED OF THE COMMUNITY. TO MEET THE NEED, THEY MUST BE PRESENTED TO AND ACCESSIBLE BY THE VERY PEOPLE WHO NEED THEM MOST. A STUDY OF DEMOGRAPHICS IS NECESSARY TO ENLIGHTEN THE PLANNING AND MARKETING PROCESS AND, ULTIMATELY, TO MOVE THE DIAL TOWARD BETTER COMMUNITY HEALTH. PART VI, LINE 5: MERITER IS A LOCALLY MANAGED AND A LOCALLY GOVERNED HOSPITAL. THE COMMUNITY-BASED BOARD OF DIRECTORS IS COMMITTED TO PROTECTING THE HEALTH OF THE COMMUNITY THROUGH SUSTAINING SEVERAL OF MERITER'S PROGRAMS AND SERVICES THAT ONLY MERITER PROVIDES. SEVERAL YEARS AGO, THE BOARD MADE A PLEDGE TO CONTINUE TO PROVIDE CHILD AND ADOLESCENT PSYCHIATRIC SERVICES EVEN WHEN OTHER PROVIDERS CHOSE NOT TO PROVIDE SUPPORT. SIMILARLY, MERITER PROVIDES THE ONLY HOSPITAL BASED DENTAL RESIDENCY PROGRAM IN THE AREA. THIS SERVICE OFFERS AN OPTION FOR THOSE WHO CANNOT BE SEEN IN A STANDARD DENTAL OFFICE WHETHER THAT REASON IS FOR AN ILLNESS OR A BEHAVIORAL OR COGNITIVE DISABILITY. FURTHERMORE, THE MERITER'S DENTAL CLINIC IS ONE OF ONLY A HANDFUL OF DENTAL CLINICS INT EH COUNTY THAT ACCEPTS MEDICAL ASSISTANCE. BOTH OF THESE SERVICES OFTEN OPERATE AT A LOSS FOR THE ORGANIZATION. HOWEVER, THE BOARD AND LEADERSHIP ARE COMMITTED TO ENSURING THAT MERITER CONTINUE TO PROVIDE THIS RESOURCE TO THE COMMUNITY. PART VI, LINE 6: THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). INITIALLY FORMED IN 1994, UNITYPOINT HEALTH IS THE STATE'S FIRST AND LARGEST INTEGRATED HEALTH SYSTEM, SERVING NEARLY ONE OF EVERY THREE PATIENTS IN IOWA. THROUGH RELATIONSHIPS WITH 32 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 280 PHYSICIAN CLINICS, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, ILLINOIS, AND SOUTHERN WISCONSIN.UNITYPOINT HEALTH ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH MORE THAN 30,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 4.5 MILLION PATIENT VISITS, UNITYPOINT HEALTH HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $3.9 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 2015, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $507 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 WI 1 MERITER FOUNDATION 202 S PARK STREET MADISON WI 537151596 237098688 501(C)(3) 31600 0 HOSPITAL PROGRAMS 1 0 HOSPITAL SCHOLARSHIPS 38 41800 0 PART I, LINE 2: GRANTS ARE MADE UPON A SPECIFIC PROJECT REQUEST AND ONLY MADE TO ORGANIZATIONS THAT WE HAVE A WORKING RELATIONSHIP WITH AND SHARE A COMMON GOAL OF COMMUNITY BENEFIT. GRANTS ARE ONLY MADE TO 501(C)(3) ORGANIZATIONS WHICH MUST COMPLETE FORM 990S AND ANNUAL REPORTS. PART III - SCHOLARSHIPS ARE AWARDED TO INDIVIDUALS WHO HAVE SUBMITTED REQUIRED APPLICATION AND SUPPORTING DOCUMENTATION. A SELECTION COMMITTEE REVIEWS THE REQUESTS, EVALUATES EACH APPLICATION BASED UPON FINANCIAL NEED, ACADEMIC RECORD, EXTRA CURRICULAR WORK/VOLUNTEERING, RECOMMENDATION AND ESSAY. X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 PETAR IGIC MD BOARD MEMBER 0 473754 0 68178 0 62168 0 10600 0 23467 0 638167 0 0 ARTHUR NIZZA DSW FR 215 BOARD MEMBER/CEO 0 375811 0 100000 0 36257 0 60260 0 17551 0 589879 0 0 PETER THOREEN TO 215 BOARD MEMBER/INTERIM CEO 0 364349 0 97797 0 43964 0 220026 0 19244 0 745380 0 0 BETH ERDMAN CFO/SECRETARY/TREASURER 0 223651 0 94974 0 29348 0 10600 0 7223 0 365796 0 0 SUE ERICKSON COO/ASST. TREASURER 0 279862 0 106144 0 51171 0 10600 0 17534 0 465311 0 0 GEOFFREY PRIEST MD CMO/ASST. SECRETARY 0 383616 0 189321 0 99915 0 10600 0 19757 0 703209 0 0 JAMES ARNETT VP HUMAN RESOURCES 0 217622 0 82950 0 21842 0 37046 0 18027 0 377487 0 0 PATRICIA GRUNWALD CHIEF NURSING OFFICER 0 259226 0 110669 0 70273 0 10600 0 18797 0 469565 0 0 LOUIS BRYSH DMD PHYSICIAN 110778 0 89172 0 138451 0 9403 0 18633 0 366437 0 0 0 SHERRY CASALI DIR EMERGENCY SERVICES 159041 0 32133 0 6844 0 7984 0 7564 0 213566 0 0 0 KRISTINE HOLMES DIR MEDICAL/SURGICAL NURSING 142529 0 24450 0 8101 0 7068 0 20337 0 202485 0 0 0 CHRISTINA JACKSON DIR PERIOPERATIVE SVCS 160776 0 28602 0 862 0 7806 0 19969 0 218015 0 0 0 KATHERINE KOSTRIVAS EXEC DIR MOTHER-BABY CARE 88275 72849 0 1760 646 688 3634 3230 8757 17165 101312 95692 0 0 JAMES WOODWARD TO 714 FORMER BOARD MEMBER/CEO/PRESIDENT 0 0 0 85889 0 622648 0 0 0 0 0 708537 0 0 PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL: THERE WERE TWO CHARTER FLIGHTS RELATED TO THE AFFILIATION WITH UNITYPOINT HEALTH. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: BUSINESS CLUB DUES WERE PAID FOR ONE PERSON. THE BUSINESS CLUB IS AN IRS SECTION 501(C)(7). PART I, LINE 1B IF BENEFITS PAID ARE NOT PART OF AN ESTABLISHED COMPENSATION OR BENEFIT PROGRAM, THE VP OF HUMAN RESOURCES (HR) WORKS WITH OUR HR CONSULTING FIRM TO ENSURE THAT TOTAL COMPENSATION IS WITHIN THE ORGANIZATION'S PHILOSOPHY AND IS REASONABLE. DEPARTURES FROM THE ESTABLISHED GUIDELINES MUST BE REVIEWED BY THE EXTERNAL CONSULTANT, PROPOSED TO THE COMPENSATION COMMITTEE OF THE BOARD, AND APPROVED IN ADVANCE. PART I, LINES 4A-B SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT: SEVERANCE PAYMENTS WERE RECEIVED BY THE FOLLOWING INDIVIDUAL(S): JAMES WOODWARD $622,648. NONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGE TO THEIR ACCOUNTS: JAMES ARNETT $26,446; ARTHUR NIZZA, DSW $60,260; PETER THOREEN $205,920. MADISON ANESTHESIOLOGY CONSULTANTS LLP COMMON BOARD MEMBER/OFFICER 1599000 PROFESSIONAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 MERITER HEALTH SERVICES, INC., A TAX-EXEMPT, WISCONSIN NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MERITER HEALTH SERVICES, INC., AS SOLE MEMBER, SHALL APPOINT ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MERITER HEALTH SERVICES, INC., AS SOLE MEMBER, SHALL AUTHORIZE OR APPROVE THE FOLLOWING ACTIONS: (A) MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; (B) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; (C) A SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION; (D) THE ESTABLISHMENT, FORMATION, ACQUISITION, MERGER, CONSOLIDATION OR DISSOLUTION OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; (E) THE ADOPTION OF THE AGGREGATE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (F) AGGREGATE BORROWING FOR PERIODS OF ONE (1) YEAR OR LESS FOR ANY PURPOSE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME; AND AGGREGATE BORROWING FOR PERIODS OF MORE THAN ONE (1) YEAR FOR ANY PURPOSE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME. FOR THE PURPOSE OF THIS SUBPARAGRAPH, THE TERM AGGREGATE BORROWING MEANS BORROWINGS NOT PREVIOUSLY INCLUDED IN THE OPERATING AND/OR CAPITAL BUDGETS, AND INCLUDES BUT IS NOT LIMITED TO LEASE AGREEMENTS AND CONTRACTS FOR SALE; (G) THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE VOTING MEMBER FROM TIME TO TIME, NOT PREVIOUSLY INCLUDED IN THE CAPITAL BUDGET; (H) THE APPOINTMENT OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL BOARDS OF DIRECTORS CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ON A PROACTIVE BASIS, DECLARATIONS OF POTENTIAL CONFLICTS OF INTEREST ARE SIGNED WHEN EACH DIRECTOR JOINS THE BOARD AND ANNUALLY THEREAFTER. THE CEO AND BOARD CHAIR MONITOR THE POTENTIAL CONFLICTS DISCLOSED BY BOARD MEMBERS AND MANAGE ATTENDANCE AT MEETINGS AND PARTICIPATION IN VOTES ACCORDING TO THE ISSUE ON THE AGENDA. INDIVIDUAL DIRECTORS ALSO MONITOR THEIR POTENTIAL CONFLICTS AND RECUSE THEMSELVES FROM BOARD DISCUSSION AND/OR VOTES AS REQUIRED BY THE CIRCUMSTANCES. THE PROCESS OF MANAGING CONFLICTS OF INTEREST IS RECORDED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS ANNUAL REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR APPROXIMATELY THE TOP FIFTY EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE ANNUAL REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2015 FOR THE FOLLOWING INDIVIDUALS: JAMES ARNETT; BETH ERDMAN; SUE ERICKSON; PATRICIA GRUNWALD; ARTHUR NIZZA, DSW; AND GEOFFREY PRIEST, MD. 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 18 BECAUSE THE ORGANIZATION FILED ITS FORM 1023 BEFORE JULY 1987 AND DID NOT HAVE A COPY OF FORM 1023 ON THAT DATE, IT IS NOT REQUIRED TO MAKE ITS FORM 1023 AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, PART XI, LINE 9: CHANGES IN PENSION LIABILITY -14,866,364. ASSETS RELEASED FROM RESTRICTION -228,313. RELEASED FOR CAPITAL AND OTHER 248,507. AFFILIATE VALUATIONS 1,016,794. TEMPORARY RESTRICTED TRANSFER FOUNDATION 667,514. UPH TRANSFERS -20,661,176. OTHER -323,843. 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 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MERITER MEDICAL GROUP L 239441 BASED ON GAAP, CASH, AND/OR FMV. MERITER MEDICAL GROUP M 1749529 BASED ON GAAP, CASH, AND/OR FMV. SCHEDULE R, PARTS I - IV: IOWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) IOWA HEALTH SYSTEM IS AN IOWA NONPROFIT CORPORATION FORMED IN DECEMBER 1994. IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE INPATIENT AND OUTPATIENT CARE AND PHYSICIAN SERVICES FROM 32 HOSPITAL FACILITIES AND VARIOUS AMBULATORY SERVICE AND CLINIC LOCATIONS IN IOWA, ILLINOIS AND WISCONSIN. PRIMARY, SECONDARY AND TERTIARY CARE SERVICES ARE PROVIDED TO RESIDENTS OF IOWA, ILLINOIS, WISCONSIN AND ADJACENT STATES. ON APRIL 16, 2013, IOWA HEALTH SYSTEM BEGAN BEING PUBLICLY KNOWN AS UNITYPOINT HEALTH (THE SYSTEM). THIS NAME CHANGE REFLECTS THE TRANSFORMATION OF CLINICAL PROCESSES UNDERWAY WITHIN THE SYSTEM AND THE ADAPTATION TO BETTER ADDRESS THE HEALTH CARE NEEDS OF COMMUNITIES, INCLUDING BUILDING A MODEL OF DELIVERING HEALTH CARE THAT COORDINATES CARE AROUND THE PATIENT WHILE FOCUSING ON IMPROVING THE QUALITY OF CARE AND REDUCING COSTS. THE LEGAL NAME OF THE PARENT REMAINS IOWA HEALTH SYSTEM, WITH THE UNITYPOINT HEALTH NAME REFLECTING A DOING BUSINESS AS (D/B/A).