TRINITY MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: TRINITY MEDICAL CENTER (EIN 36-2739299)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201623199349304077
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T11:14:53-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362739299	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TRIN	BusinessNameControlTxt
Phone	3097795000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2701 17TH ST	AddressLine1Txt
City	ROCK ISLAND	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KATHERINE MARCHIK	PersonNm
Person Title	SR VP FINANCE/CFO	PersonTitleTxt
Phone	3097795700	PhoneNum
Signature	2016-11-08	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICHARD SEIDLER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2701 17TH ST	AddressLine1Txt
City	ROCK ISLAND	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$400,732,799	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNITYPOINT.ORG/QUADCITIES	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1969	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3511	TotalEmployeeCnt
Total Volunteers	492	TotalVolunteersCnt
Total Gross UBI	$21,627	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,801,972	PYContributionsGrantsAmt
CY Contributions Grants	$1,379,709	CYContributionsGrantsAmt
PY Program Service Revenue	$352,183,015	PYProgramServiceRevenueAmt
CY Program Service Revenue	$373,566,545	CYProgramServiceRevenueAmt
PY Investment Income	$8,595,480	PYInvestmentIncomeAmt
CY Investment Income	$8,041,396	CYInvestmentIncomeAmt
PY Other Revenue	$4,224,930	PYOtherRevenueAmt
CY Other Revenue	$3,858,840	CYOtherRevenueAmt
PY Total Revenue	$370,805,397	PYTotalRevenueAmt
CY Total Revenue	$386,846,490	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,188,018	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,164,810	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$141,835,209	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$172,827,051	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$191,609,627	PYOtherExpensesAmt
CY Other Expenses	$186,948,904	CYOtherExpensesAmt
PY Total Expenses	$348,632,854	PYTotalExpensesAmt
CY Total Expenses	$380,940,765	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,172,543	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,905,725	CYRevenuesLessExpensesAmt
Total Assets BOY	$437,088,535	TotalAssetsBOYAmt
Total Assets EOY	$437,245,218	TotalAssetsEOYAmt
Total Liabilities BOY	$214,589,093	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$213,962,719	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$222,499,442	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$223,282,499	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF TRINITY MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$298,080,232	ExpenseAmt
Grant	$12,381,225	GrantAmt
Revenue	$375,380,806	RevenueAmt
Desc	HEALTH-CARE SERVICESTRINITY MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE QUAD CITY COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. TRINITY MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2015, TRINITY MEDICAL CENTER ADMITTED 18,831 PATIENTS RESULTING IN A TOTAL OF 82,916 PATIENT DAYS. OUTPATIENT VISITS TOTALED 201,279 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 9,782. THERE WERE ALSO 90,510 EMERGENCY ROOM VISITS AND 2,414 BABIES DELIVERED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$44,347,460	ExpenseAmt
Grant	$8,783,585	GrantAmt
Desc	COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: TRINITY MEDICAL CENTER PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $3,519,927 IN 2015. OFTENTIMES, TRINITY MEDICAL CENTER RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. TRINITY MEDICAL CENTER PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. TRINITY MEDICAL CENTER'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $27,404,252 FOR 2015. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $30,924,179.OTHER BENEFITS: TRINITY MEDICAL CENTER 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; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. TRINITY MEDICAL CENTER COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. TRINITY MEDICAL CENTER HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 70,544 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL OTHER BENEFITS REPORTED VALUE: $13,423,281.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$342,427,692	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3511	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAY QUICK EXECUTIVE DIRECTOR OF REGIONAL ACCOUNTING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5152247160	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4949 WESTOWN PKWY STE 255	AddressLine1Txt
City	WEST DES MOINES	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50266	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARY ANN ANDERSON
BOARD MEMBER	1.00	1.00	Yes (X)	$1,009	$0	$0
JOHN BECKEY
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
ROBERT CHESSER MD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$296,013	$28,917
COSTAS CONSTANTINOU MD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
PATRICK EIKENBERRY
BOARD MEMBER	1.00	1.00	Yes (X)	$964	$0	$0
PASTOR STACIE FIDLAR
BOARD MEMBER	1.00	1.00	Yes (X)	$76	$0	$0
FARAZ MANAZIR MD
BOARD MEMBER	1.00	1.00	Yes (X)	$182	$0	$0
PETER MCLAUGHLIN
BOARD MEMBER	1.00	1.00	Yes (X)	$226	$15,006	$0
MSGR MARK MERDIAN
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
CHRIS MOEN MD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
TODD NICHOLSON
BOARD CHAIR	1.00	1.00	Yes (X)	$1,069	$10,667	$0	Yes (X)
AHMED OKBA MD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
COLLEEN RAFFERTY
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
MARK SCHWIEBERT
BOARD VICE CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
RICHARD SEIDLER
BOARD MEMBER/PRESIDENT/CEO	1.00	40.00	Yes (X)	$726,825	$0	$182,435	Yes (X)
JANET SICHTERMAN
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
KARLA STEELE
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
MARIE ZIEGLER
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
TAMARA BYRAM MAHL
VP LEGAL & COMPLIANCE	40.00	1.00		$217,440	$0	$40,406	Yes (X)
PAUL MCLOONE MD
CMO/CQO	40.00	1.00		$430,927	$0	$40,812	Yes (X)
GREG PAGLIUZZA JR
VP FINANCE/CFO	40.00	1.00		$432,655	$0	$89,663	Yes (X)
JAY WILLSHER
EXEC VP/COO	40.00	1.00		$423,782	$0	$113,514	Yes (X)
SUSAN BESWICK
DIR EMERGENCY SERVICES	40.00	0.00		$150,806	$0	$24,751		Yes (X)
DAVID DEOPERE
PRESIDENT RYC (TO 9/15) & VICE PRESIDENT (TMC)	1.00	40.00		$504,901	$0	$39,650		Yes (X)
DENNIS DUKE FR 515
PRESIDENT RYC	1.00	40.00		$193,139	$0	$32,201		Yes (X)
CARA FULLER
VP HUMAN RESOURCES	40.00	1.00		$300,917	$0	$31,994		Yes (X)
TAMMY PAUWELS
EXEC DIR OUTPATIENT SVCS	40.00	1.00		$174,280	$0	$18,222		Yes (X)
KATHERINE PEARSON
CHIEF STRATEGY OFFICER	40.00	1.00		$399,508	$0	$68,453		Yes (X)
MARY PETERSEN
DIR BEHAV HLTH SVC	40.00	0.00		$163,140	$0	$10,674		Yes (X)
TRACY POELVOORDE
CHANCELLOR	40.00	0.00		$193,622	$0	$24,660		Yes (X)
ROCHELLE TINMAN
DIR NURSING EXCELLENCE	40.00	0.00		$159,458	$0	$17,352		Yes (X)
DOUG GAITHER MD
PHYSICIAN-ER/TRAUMA	40.00	0.00		$615,740	$0	$23,644			Yes (X)
KEVIN KURTH MD
MEDICAL DIRECTOR-ER/TRAUMA	40.00	0.00		$600,450	$0	$45,074			Yes (X)
TOYOSI OLUTADE MD
PHYSICIAN HOSPITALIST	40.00	0.00		$624,889	$1,260	$46,859			Yes (X)
AAMIR PASHA MD
PHYSICIAN HOSPITALIST	40.00	1.00		$511,447	$0	$45,023			Yes (X)
WILLIAM ROGERS III MD
PHYSICIAN-ER/TRAUMA	40.00	0.00		$579,858	$0	$41,571			Yes (X)
TOM TIBBITTS TO 610
FORMER INTERIM PRESIDENT/CEO	0.00	40.00		$0	$159,620	$1,559				Yes (X)
CINDA BATES TO 212
FORMER UTILIZATION MGMT SPECIALIST	40.00	0.00		$160,953	$0	$32,251				Yes (X)
KATHLEEN CUNNINGHAM TO 511
FORMER VP QUALITY	0.00	40.00		$0	$290,570	$19,936				Yes (X)
RICHARD MURPHY
FORMER CFO RYC	0.00	40.00		$101,306	$0	$14,450				Yes (X)
BOBETTE PATTERSON
FORMER DIR OPERATIONS/DIR CARDIOVASCULAR	40.00	0.00		$148,697	$0	$30,294				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,818,266	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$773,136	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,064,365	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	156	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
METROPOLITAN MEDICAL LAB P L C
1520 7TH STREET	MOLINE	IL	61265	LAB SERVICES	$9,908,418
RUSSELLPEPPER CONSTRUCTION LLC
643 N ORLEANS ST	CHICAGO	IL	60654	CONSTRUCTION SERVICES	$7,053,364
OWENS & MINOR DISTRIBUTION
12199 COLLECTION CENTER DR	CHICAGO	IA	60693	MEDICAL EQUIPMENT	$7,023,460
SIEMENS MEDICAL SOLUTIONS
DEPT CH 14195	PALATINE	IL	60055	MEDICAL EQUIPMENT	$6,896,096
ARAMARK MANAGEMENT SERVICES
24863 NETWORK PLACE	CHICAGO	IL	60673	MANAGEMENT SERVICES	$2,257,312

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	159	CntrctRcvdGreaterThan100KCnt
Fundraising	$7,200	FundraisingAmt
Related Organizations	$1,268,913	RelatedOrganizationsAmt
Government Grants	$12,000	GovernmentGrantsAmt
All Other Contributions	$91,596	AllOtherContributionsAmt
Noncash Contributions	$10,500	NoncashContributionsAmt
Total Contributions	$1,379,709	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	900099	$296,048,768	$296,048,768
LABORATORY SERVICES	621500	$68,358,613	$68,358,613
EDUCATION & RESEARCH	900099	$4,428,654	$4,428,654
RENTAL INCOME	531100	$2,131,407	$2,131,407
MISCELLANEOUS REVENUE	900099	$1,119,254	$1,119,254

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,479,849	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,458,222	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,627	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$373,566,545	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,244,488	TotalRevenueColumnAmt
Related Or Exempt Func Income	$126,112	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,118,376	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$17,038,974	SecuritiesAmt
Other	$13,140	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$13,165,360	SecuritiesAmt
Other	$89,846	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,873,614	SecuritiesAmt
Other	-$76,706	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,796,908	TotalRevenueColumnAmt
Exclusion	$3,796,908	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$73,106	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$7,200	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$20,953	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,153	TotalRevenueColumnAmt
Exclusion	$52,153	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$535,676	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$610,150	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$74,474	TotalRevenueColumnAmt
Exclusion	-$74,474	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/FOOD SVCS	722210	$2,066,900	$2,066,900
MISCELLANEOUS REVENUE	900099	$1,814,261		$1,814,261

Field	Value	IRS element (for citing)
Other Revenue Total	$3,881,161	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$386,846,490	TotalRevenueColumnAmt
Related Or Exempt Func Income	$375,485,291	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,627	UnrelatedBusinessRevenueAmt
Exclusion	$9,959,863	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,163,465	TotalAmt
Program Services	$21,163,465	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,345	TotalAmt
Program Services	$1,345	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,717,613	TotalAmt
Management And General	$3,717,613	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$531,980	TotalAmt
Management And General	$531,980	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$140,671,128	TotalAmt
Program Services	$125,064,066	ProgramServicesAmt
Management And General	$15,607,062	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,394,349	TotalAmt
Program Services	$4,796,871	ProgramServicesAmt
Management And General	$597,478	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,773,767	TotalAmt
Program Services	$13,131,698	ProgramServicesAmt
Management And General	$1,642,069	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,738,214	TotalAmt
Program Services	$6,879,202	ProgramServicesAmt
Management And General	$859,012	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,180,663	TotalAmt
Program Services	$1,993,246	ProgramServicesAmt
Management And General	$187,417	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$618,793	TotalAmt
Management And General	$618,793	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$905	TotalAmt
Program Services	$905	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$12,500	TotalAmt
Management And General	$12,500	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$987,966	TotalAmt
Program Services	$376,292	ProgramServicesAmt
Management And General	$611,674	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,913,484	TotalAmt
Program Services	$35,432,882	ProgramServicesAmt
Management And General	$2,480,602	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$679,764	TotalAmt
Program Services	$554,765	ProgramServicesAmt
Management And General	$124,999	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,716,981	TotalAmt
Program Services	$4,611,463	ProgramServicesAmt
Management And General	$105,518	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	-$1,990,030	TotalAmt
Program Services	-$1,990,030	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,686,081	TotalAmt
Program Services	$8,291,122	ProgramServicesAmt
Management And General	$394,959	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$198,623	TotalAmt
Program Services	$112,447	ProgramServicesAmt
Management And General	$86,176	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$96,110	TotalAmt
Program Services	$37,008	ProgramServicesAmt
Management And General	$59,102	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,086,078	TotalAmt
Program Services	$879,790	ProgramServicesAmt
Management And General	$8,206,288	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,767,671	TotalAmt
Program Services	$17,363,839	ProgramServicesAmt
Management And General	$403,832	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,953,685	TotalAmt
Program Services	$775,820	ProgramServicesAmt
Management And General	$1,177,865	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$70,168,114	$69,687,221	$480,893
MISCELLANEOUS EXPENSE	$33,782,481	$33,206,139	$576,342
BAD DEBT EXPENSE	$80,899	$50,000	$30,899
INCOME TAXES	$8,136	$8,136

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$380,940,765	TotalAmt
Program Services	$342,427,692	ProgramServicesAmt
Management And General	$38,513,073	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,915,203	BOYAmt
EOY	$3,476,259	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,739,318	BOYAmt
EOY	$676,942	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$49,608,495	BOYAmt
EOY	$44,354,081	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$31,284,872	BOYAmt
EOY	$33,044,346	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,549,687	BOYAmt
EOY	$8,140,571	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,086,029	BOYAmt
EOY	$1,150,580	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$386,077,444	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$214,881,730	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$170,192,231	BOYAmt
EOY	$171,195,714	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$152,447,158	BOYAmt
EOY	$143,135,045	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$11,493,542	BOYAmt
EOY	$31,444,430	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$772,000	BOYAmt
EOY	$627,250	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$437,088,535	BOYAmt
EOY	$437,245,218	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,464,823	BOYAmt
EOY	$25,918,608	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	-$33,768	BOYAmt
EOY	$177,340	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,174,676	BOYAmt
EOY	$8,969,634	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,095,846	BOYAmt
EOY	$2,744,720	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$175,887,516	BOYAmt
EOY	$176,152,417	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$214,589,093	BOYAmt
EOY	$213,962,719	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$216,161,889	BOYAmt
EOY	$215,864,770	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,869,914	BOYAmt
EOY	$5,580,157	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,467,639	BOYAmt
EOY	$1,837,572	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$222,499,442	BOYAmt
EOY	$223,282,499	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$437,088,535	BOYAmt
EOY	$437,245,218	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,905,725	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,484,889	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,362,221	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$12,500	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$12,500	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	DENNY JACOBS AND ASSOCIATES ACTS ON TMC'S BEHALF TO PROMOTE AND EDUCATE LEGISLATORS AND STATE GOVERNMENT ABOUT TMC'S POSITION RELATING TO LAWS, BILLS, POLICIES, PROCEDURES AND ETC.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$128,132,004	BeginningYearBalanceAmt
Contributions	$2,548,567	ContributionsAmt
Investment Earnings Or Losses	$84,797	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$506,039	GrantsOrScholarshipsAmt
Administrative Expenses	$1,229,165	AdministrativeExpensesAmt
End Year Balance	$129,030,164	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$129,639,131	BeginningYearBalanceAmt
Contributions	$2,477,695	ContributionsAmt
Investment Earnings Or Losses	$342,790	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,349,680	GrantsOrScholarshipsAmt
Administrative Expenses	$977,932	AdministrativeExpensesAmt
End Year Balance	$128,132,004	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$134,069,152	BeginningYearBalanceAmt
Contributions	$5,661,086	ContributionsAmt
Investment Earnings Or Losses	$11,021,876	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$362,296	GrantsOrScholarshipsAmt
Other Expenditures	$20,000,000	OtherExpendituresAmt
Administrative Expenses	$750,687	AdministrativeExpensesAmt
End Year Balance	$129,639,131	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$103,720,828	BeginningYearBalanceAmt
Contributions	$20,260,989	ContributionsAmt
Investment Earnings Or Losses	$13,910,998	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$510,972	GrantsOrScholarshipsAmt
Other Expenditures	$3,312,691	OtherExpendituresAmt
End Year Balance	$134,069,152	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,608,387	BeginningYearBalanceAmt
Contributions	$342,481	ContributionsAmt
Investment Earnings Or Losses	-$7,619,436	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$610,604	GrantsOrScholarshipsAmt
End Year Balance	$103,720,828	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.94300	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.01420	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04280	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,916,648	OtherCostOrOtherBasisAmt
Book Value	$6,916,648	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$265,276,522	OtherCostOrOtherBasisAmt
Depreciation	$137,325,196	DepreciationAmt
Book Value	$127,951,326	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,342,099	OtherCostOrOtherBasisAmt
Depreciation	$71,483,253	DepreciationAmt
Book Value	$31,858,846	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,542,175	OtherCostOrOtherBasisAmt
Depreciation	$6,073,281	DepreciationAmt
Book Value	$4,468,894	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$171,195,714	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION	$7,241,870	F
PRECEDENCE, INC	$191,872	F
QUAD CITY AMBULATORY SURGERY CENTER	$3,354,790	F
ADVANCED IMAGING CENTER	$939,631	F
PRECEDENCE CCE	$1,094,497	F
TRINITY ONCOLOGY SERVICES CO-MANAGEMENT COMPANY, LLC	$50,000	F
MISSISSIPPI VALLEY SLEEP DISORDER CENTER, L.C.	$549,270	F
UPHT-SCA HOLDINGS, LLC	$17,977,500	F
UNITYPOINT AT WORK	$45,000	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$31,444,430	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$2,997,989
ASBESTOS REMOVAL LIABILITY	$1,360,261
MISCELLANEOUS LIABILITY	$235,000
SELF-INSURANCE RESERVE	$11,010,705
LONG-TERM RETENTION INCENTIVES	$3,645,401
HEALTH AND WELFARE BENEFITS RESERVE	$1,465,024
IOWA HEALTH SYSTEM NOTE PAYABLE	$155,438,037

Field	Value	IRS element (for citing)
Total Liability	$176,152,417	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$416,362,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$6,484,889	NetUnrealizedGainsInvstAmt
Other Revenue	$38,392,884	OtherRevenueAmt
Revenue Not Reported	$31,907,995	RevenueNotReportedAmt
Revenue Subtotal	$384,454,005	RevenueSubtotalAmt
Investment Expenses Not Incld	$342,791	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$2,049,694	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,392,485	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$386,846,490	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$393,326,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$34,215,983	OtherExpensesIncludedAmt
Expenses Not Reported	$34,215,983	ExpensesNotReportedAmt
Expenses Subtotal	$359,110,017	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$342,791	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$21,487,957	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$21,830,748	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$380,940,765	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	SUBSIDIARY ELIMINATING ENTRIES (MISSISSIPPI VALLEY SLEEP DISORDER CENTER) 566,774. SUBSIDIARY ELIMINATING ENTRIES (PRECEDENCE, INC.) 573,135. SUBSIDIARY ELIMINATING ENTRIES (PRECEDENCE CARE COORDINATION ENTITY, LLC) 992,744. SUBSIDIARY ELIMINATING ENTRIES (THE ROBERT YOUNG CTR FOR COMM MENTAL HEALTH) 19,969,200. SUBSIDIARY ELIMINATING ENTRIES (TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD) 183,442. SUBSIDIARY ELIMINATING ENTRIES (UPHT-SCA HOLDINGS) 15,497,068. COST OF GOODS SOLD 610,150. REVENUES NETTED IN EXPENSES 371.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	ELIMINATING ENTRIES 707,699. REVENUES IN UNRESTRICTED FUND BALANCE 813,333. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 423,651. SPECIAL EVENT EXPENSES 59,353. EXPENSES NETTED IN REVENUES 45,541. ROUNDING 117.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SUBSIDIARY ELIMINATING ENTRIES (MISSISSIPPI VALLEY SLEEP DISORDER CENTER) 455,380. SUBSIDIARY ELIMINATING ENTRIES (PRECEDENCE, INC.) 582,619. SUBSIDIARY ELIMINATING ENTRIES (PRECEDENCE CARE COORDINATION ENTITY, LLC) 268,217. SUBSIDIARY ELIMINATING ENTRIES (THE ROBERT YOUNG CTR FOR COMM MENTAL HEALTH) 19,969,200. SUBSIDIARY ELIMINATING ENTRIES (TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD) 117,078. SUBSIDIARY ELIMINATING ENTRIES (UPHT-SCA HOLDINGS) 12,212,606. COST OF GOODS SOLD 610,150. REVENUES NETTED IN EXPENSES 371. ROUNDING 362.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	EXPENSES IN UNRESTRICTED FUND BALANCE 20,959,412. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 423,651. SPECIAL EVENT EXPENSES 59,353. EXPENSES NETTED IN REVENUES 45,541.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	STYLE SHOW	Event1Nm
Event2	GARDEN PARTY	Event2Nm

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,519,927	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,519,927	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,207,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,802,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,404,252	NetCommunityBenefitExpnsAmt
Total Expense	0.07200	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,727,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,802,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,924,179	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,068,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,105,860	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,962,653	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$427,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,032	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$417,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$516,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$257,213	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$259,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,555,172	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,771,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,783,585	NetCommunityBenefitExpnsAmt
Total Expense	0.02310	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,567,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,144,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,423,281	NetCommunityBenefitExpnsAmt
Total Expense	0.03530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,295,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,947,666	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,347,460	NetCommunityBenefitExpnsAmt
Total Expense	0.11650	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,257	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,257	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,257	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,257	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$4,437,442	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$116,973,985	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$121,078,203	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,104,218	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 QUAD CITY AMBULATORY SURGERY CENTER LLC
AMBULATORY SURGERY CENTER	0.50000	0.50000
2 TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
ADMINISTRATION OF ORTHOPEDIC SERVICE LINES	0.50000	0.50000
3 TRINITY ONCOLOGY SERVICES CO-MANAGEMENT COMPANY LLC
ADMINISTRATION OF ONCOLOGY SERVICE LINES	0.50000	0.50000
4 MISSISSIPPI VALLEY SLEEP DISORDER CENTER
SLEEP STUDY CLINIC	0.51000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
TRINITY MEDICAL CENTER - ROCK ISLAND
1	2701 17TH ST	ROCK ISLAND	IL	61201	WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-	2132866	Yes (X)	Yes (X)	Yes (X)	A
TRINITY MEDICAL CENTER - MOLINE
2	500 JOHN DEERE RD	MOLINE	IL	61265	WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-	2150794	Yes (X)	Yes (X)	Yes (X)	A
TRINITY MEDICAL CENTER - BETTENDORF
3	4500 UTICA RIDGE RD	BETTENDORF	IA	52722	WWW.UNITYPOINT.ORG/QUADCITIES/TRINITY-	820042H	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.UNITYPOINT.ORG/QUADCITIES/COMMUNITY-HEALTH-ASSESSMENT.ASPX	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.UNITYPOINT.ORG/QUADCITIES/COMMUNITY-HEALTH-ASSESSMENT.ASPX	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: TRINITY MEDICAL CENTER - ROCK ISLAND, - FACILITY 2: TRINITY MEDICAL CENTER - MOLINE, - FACILITY 3: TRINITY MEDICAL CENTER - BETTENDORF
GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 5:	FOLLOWING STEERING COMMITTEE MEMBERS:BROOKE BARNES, SCOTT COUNTY HEALTH DEPARTMENTTOM BOWMAN, COMMUNITY HEALTH CAREDENISE BULAT, BI-STATE REGIONAL COMMISSIONANDY BURMAN, GENESIS HEALTH SYSTEMNICOLE CARKNER, QUAD CITY HEALTH INITIATIVE KEN CROKEN, GENESIS HEALTH SYSTEMRACHEL EVANS, QUAD CITY HEALTH SYSTEMDANIEL JOINER, UNITYPOINT HEALTH - TRINITY NITA LUDWIG, ROCK ISLAND COUNTY HEALTH DEPARTMENT ED RIVERS, SCOTT COUNTY HEALTH DEPARTMENT CHRISTY A. ROBY WILLIAMS, UNITYPOINT HEALTH - TRINITY PAT SHOUSE, UNITYPOINT HEALTH - TRINITY TIFFANY TJEPKES, SCOTT COUNTY HEALTH DEPARTMENT
GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 6A:	GENESIS HEALTH SYSTEM
GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 6B:	COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY PUBLIC HEALTH DEPARTMENT, AND SCOTT COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND PART V, SECTION B, LINE 11:	UNITYPOINT HEALTH - TRINITY IS IN THE MIDST OF ITS THREE YEAR PLAN THAT ADDRESSES THE TOP HEALTH ISSUES FOUND IN OUR CHNA REPORT COMPLETED IN 2015. WE HAVE CREATED A STRONG WORKING GROUPS CONSISTING OF MULTIPLE DEPARTMENTS AND COMMUNITY COLLABORATIONS THAT HAVE IDENTIFIED WAYS TO ADDRESS MAJOR HEALTH CHALLENGES IN OUR COMMUNITY. WE ARE WORKING IN COLLABORATION WITH A NUMBER OF COMMUNITY PARTNERS SUCH AS HABITAT FOR HUMANITY, RIVER BEND FOODBANK, AND GLOBAL COMMUNITIES, TO NAME A FEW. DURING COMMUNITY EVENTS WE ARE ADDRESSING THE NEEDS OF THE UNDERSERVED POPULATIONS BY DOING FREE BLOOD PRESSURE CHECKS, FREE BLOOD SUGAR SCREENINGS, ADDRESSING HEALTH INSURANCE NEEDS, PROVIDING EDUCATION ON HEALTHY EATING, TOBACCO CESSATIONS INFORMATION, AND PROVIDING ACCESS TO HEALTH BY LINKING COMMUNITY MEMBERS TO PRIMARY CARE AND SPECIALTY SERVICES. WHEN WE SCREEN AN INDIVIDUAL IN THE COMMUNITY AND THEIR RESULTS ARE ABNORMAL, IF THEY DON'T HAVE A PRIMARY CARE PHYSICIAN, AND/OR THEY DON'T HAVE HEALTH INSURANCE, WE ARE CONNECTING THEM TO THE PROPER RESOURCES IN ORDER TO GET THEM THE CARE THAT THEY NEED TO PREVENT THEIR SITUATION FROM LEADING TO AN ER VISIT OR ADMISSION. REGULAR MEETINGS ARE HELD WITH A NUMBER OF MENTAL HEALTH ORGANIZATIONS THAT HAVE COME TOGETHER TO LOOK AT HOW WE CAN ADDRESS MENTAL/BEHAVIORAL HEALTH ISSUES AS A COMMUNITY. THE QUAD CITIES MENTAL HEALTH COALITION HAS BEGUN WORK TO LOOK AT HOW WE CAN MAKE PROGRESS TOWARDS IMPROVING THE CHALLENGES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE HAVE REPRESENTATIVES FROM ALL OF THE MAJOR MENTAL HEALTH ORGANIZATIONS IN THE QUAD CITIES COMMUNITY TO LOOK AT TOPICS LIKE ACCESS TO SERVICES, EDUCATION, AND SUICIDE PREVENTION. A CHARTER HAS BEEN CREATED AND AN ACTION PLAN IS CURRENTLY BEING DEVELOPED. UNITYPOINT HEALTH - TRINITY IS ALSO SPONSORING COMMUNITY EVENTS TO PROMOTE MENTAL HEALTH AWARENESS AND HOW TO ACCESS MENTAL HEALTH SERVICES IN OUR COMMUNITY. UNITYPOINT HEALTH - TRINITY IS A PART OF THE QUAD CITY HEALTH INITIATIVE THAT CONSIST OF BOTH HEALTH SYSTEMS, BOTH ROCK ISLAND AND SCOTT COUNTY HEALTH DEPARTMENTS, COMMUNITY HEALTH CARE, BUSINESS LEADERS IN OUR COMMUNITY, REPRESENTATION FROM LOCAL SCHOOL DISTRICTS, AS WELL AS MEMBERS FROM OUR LOCAL GOVERNMENTS. THERE ARE MULTIPLE PROJECTS UNDERWAY TO PROMOTE HEALTHY LIVING AND EXERCISE. SOME OF THESE PROJECTS INCLUDE COMMUNITY GARDENS, SAFE ROUTES TO SCHOOLS FOR CHILDREN, PUBLICIZING AND MAPPING LOCAL HIKE AND BIKE TRAILS, AND ADVERTISING TO PROMOTE THE BENEFITS OF MAKING HEALTHIER FOOD CHOICES. A CREATIVE MARKETING PLAN HAS BEEN DEVELOPED, AND HAS BEEN RECOGNIZES BY THE CDC FOR ITS CREATIVITY, TO REACH KIDS TO SHARE WITH THEM HOW TO EAT HEALTHIER AND EXERCISE MORE. A PARTNERSHIP HAS ALSO BEEN ESTABLISHED WITH GLOBAL COMMUNITIES. THROUGH THE EFFORTS OF GLOBAL COMMUNITIES, WE HAVE PARTNERED WITH OTHER ORGANIZATIONS HELP MEETING THE NEEDS OF MINORITY POPULATIONS WITHIN OUR COMMUNITY. SOME OF THESE PARTNERS INCLUDE HABITAT FOR HUMANITY, THE ESPERANZA CENTER, PALOMARES CRIMINAL JUSTICE CENTER, THE BOYS & GIRLS CLUB, AND A NUMBER OF OTHER SMALL BUSINESSES AND NON-PROFIT ORGANIZATIONS. WE ARE WORKING WITH THESE GROUPS TO ADDRESS WORKFORCES AND EDUCATION CHALLENGES, HEALTH, AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITY. THE THREE YEAR COMMITMENT TO THIS ORGANIZATION IS TO HELP THIS COMMUNITY GAIN ACCESS TO THE RESOURCES ITS NEEDS TO THRIVE IN THE QUAD CITIES. WE ARE ALSO UTILIZING A COMMITTEE TO EVALUATE AND SCORE ALL SPONSORSHIP OPPORTUNITIES AND THE IMPACT ON AWARENESS AND EDUCATION IN OUR KEY FOCUS AREAS, WITH A KEEN FOCUS ON HEART, DIABETES, MENTAL HEALTH. WE ARE RELYING ON OUR ESTABLISHED PARTNERSHIPS WITHIN TO COMMUNITY TO COORDINATE WITH US IN PROMOTING HEALTH AND WELLNESS THROUGHOUT THE QUAD CITIES. WE ARE TARGETING AREAS AND POPULATIONS WE FEEL ARE IN THE NEED OF EDUCATION AND SERVICES THE MOST TO MAKE THE BIGGEST IMPACT POSSIBLE WITH OUR STAFFING AND EQUIPMENT. OUR GOAL IS TO CONTINUE TO LIVE OUT OUR MISSION DAILY BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. ON AN ANNUAL BASIS WE WILL PROVIDE AN UPDATED REPORT TO THE MISSION EFFECTIVENESS COMMITTEE, THIS IS A STANDING COMMITTEE OF TRINITY'S BOARD OF DIRECTORS. WE ARE WORKING TO SHOW RESULTS IMPACTING EACH OF OUR TARGETED AREAS. THIS COMMITTEE PROVIDES OVERSIGHT AND DIRECTION FOR THE WORK THAT WE ARE DOING IN THE COMMUNITY TO MEET OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. AN ANNUAL REPORT WILL ALSO GO TO THE TRINITY MEDICAL CENTER BOARD OF TRUSTEES AND TRINITY'S SENIOR LEADERSHIP TEAM.
GROUP A-FACILITY 1 -- TRINITY MEDICAL CENTER - ROCK ISLAND 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.
GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 5:	FOLLOWING STEERING COMMITTEE MEMBERS:BROOKE BARNES, SCOTT COUNTY HEALTH DEPARTMENTTOM BOWMAN, COMMUNITY HEALTH CAREDENISE BULAT, BI-STATE REGIONAL COMMISSIONANDY BURMAN, GENESIS HEALTH SYSTEMNICOLE CARKNER, QUAD CITY HEALTH INITIATIVE KEN CROKEN, GENESIS HEALTH SYSTEMRACHEL EVANS, QUAD CITY HEALTH SYSTEMDANIEL JOINER, UNITYPOINT HEALTH - TRINITY NITA LUDWIG, ROCK ISLAND COUNTY HEALTH DEPARTMENT ED RIVERS, SCOTT COUNTY HEALTH DEPARTMENT CHRISTY A. ROBY WILLIAMS, UNITYPOINT HEALTH - TRINITY PAT SHOUSE, UNITYPOINT HEALTH - TRINITY TIFFANY TJEPKES, SCOTT COUNTY HEALTH DEPARTMENT
GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 6A:	GENESIS HEALTH SYSTEM
GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 6B:	COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY PUBLIC HEALTH DEPARTMENT, AND SCOTT COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE PART V, SECTION B, LINE 11:	UNITYPOINT HEALTH - TRINITY IS IN THE MIDST OF ITS THREE YEAR PLAN THAT ADDRESSES THE TOP HEALTH ISSUES FOUND IN OUR CHNA REPORT COMPLETED IN 2015. WE HAVE CREATED A STRONG WORKING GROUPS CONSISTING OF MULTIPLE DEPARTMENTS AND COMMUNITY COLLABORATIONS THAT HAVE IDENTIFIED WAYS TO ADDRESS MAJOR HEALTH CHALLENGES IN OUR COMMUNITY. WE ARE WORKING IN COLLABORATION WITH A NUMBER OF COMMUNITY PARTNERS SUCH AS HABITAT FOR HUMANITY, RIVER BEND FOODBANK, AND GLOBAL COMMUNITIES, TO NAME A FEW. DURING COMMUNITY EVENTS WE ARE ADDRESSING THE NEEDS OF THE UNDERSERVED POPULATIONS BY DOING FREE BLOOD PRESSURE CHECKS, FREE BLOOD SUGAR SCREENINGS, ADDRESSING HEALTH INSURANCE NEEDS, PROVIDING EDUCATION ON HEALTHY EATING, TOBACCO CESSATIONS INFORMATION, AND PROVIDING ACCESS TO HEALTH BY LINKING COMMUNITY MEMBERS TO PRIMARY CARE AND SPECIALTY SERVICES. WHEN WE SCREEN AN INDIVIDUAL IN THE COMMUNITY AND THEIR RESULTS ARE ABNORMAL, IF THEY DON'T HAVE A PRIMARY CARE PHYSICIAN, AND/OR THEY DON'T HAVE HEALTH INSURANCE, WE ARE CONNECTING THEM TO THE PROPER RESOURCES IN ORDER TO GET THEM THE CARE THAT THEY NEED TO PREVENT THEIR SITUATION FROM LEADING TO AN ER VISIT OR ADMISSION. REGULAR MEETINGS ARE HELD WITH A NUMBER OF MENTAL HEALTH ORGANIZATIONS THAT HAVE COME TOGETHER TO LOOK AT HOW WE CAN ADDRESS MENTAL/BEHAVIORAL HEALTH ISSUES AS A COMMUNITY. THE QUAD CITIES MENTAL HEALTH COALITION HAS BEGUN WORK TO LOOK AT HOW WE CAN MAKE PROGRESS TOWARDS IMPROVING THE CHALLENGES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE HAVE REPRESENTATIVES FROM ALL OF THE MAJOR MENTAL HEALTH ORGANIZATIONS IN THE QUAD CITIES COMMUNITY TO LOOK AT TOPICS LIKE ACCESS TO SERVICES, EDUCATION, AND SUICIDE PREVENTION. A CHARTER HAS BEEN CREATED AND AN ACTION PLAN IS CURRENTLY BEING DEVELOPED. UNITYPOINT HEALTH - TRINITY IS ALSO SPONSORING COMMUNITY EVENTS TO PROMOTE MENTAL HEALTH AWARENESS AND HOW TO ACCESS MENTAL HEALTH SERVICES IN OUR COMMUNITY. UNITYPOINT HEALTH - TRINITY IS A PART OF THE QUAD CITY HEALTH INITIATIVE THAT CONSIST OF BOTH HEALTH SYSTEMS, BOTH ROCK ISLAND AND SCOTT COUNTY HEALTH DEPARTMENTS, COMMUNITY HEALTH CARE, BUSINESS LEADERS IN OUR COMMUNITY, REPRESENTATION FROM LOCAL SCHOOL DISTRICTS, AS WELL AS MEMBERS FROM OUR LOCAL GOVERNMENTS. THERE ARE MULTIPLE PROJECTS UNDERWAY TO PROMOTE HEALTHY LIVING AND EXERCISE. SOME OF THESE PROJECTS INCLUDE COMMUNITY GARDENS, SAFE ROUTES TO SCHOOLS FOR CHILDREN, PUBLICIZING AND MAPPING LOCAL HIKE AND BIKE TRAILS, AND ADVERTISING TO PROMOTE THE BENEFITS OF MAKING HEALTHIER FOOD CHOICES. A CREATIVE MARKETING PLAN HAS BEEN DEVELOPED, AND HAS BEEN RECOGNIZES BY THE CDC FOR ITS CREATIVITY, TO REACH KIDS TO SHARE WITH THEM HOW TO EAT HEALTHIER AND EXERCISE MORE. A PARTNERSHIP HAS ALSO BEEN ESTABLISHED WITH GLOBAL COMMUNITIES. THROUGH THE EFFORTS OF GLOBAL COMMUNITIES, WE HAVE PARTNERED WITH OTHER ORGANIZATIONS HELP MEETING THE NEEDS OF MINORITY POPULATIONS WITHIN OUR COMMUNITY. SOME OF THESE PARTNERS INCLUDE HABITAT FOR HUMANITY, THE ESPERANZA CENTER, PALOMARES CRIMINAL JUSTICE CENTER, THE BOYS & GIRLS CLUB, AND A NUMBER OF OTHER SMALL BUSINESSES AND NON-PROFIT ORGANIZATIONS. WE ARE WORKING WITH THESE GROUPS TO ADDRESS WORKFORCES AND EDUCATION CHALLENGES, HEALTH, AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITY. THE THREE YEAR COMMITMENT TO THIS ORGANIZATION IS TO HELP THIS COMMUNITY GAIN ACCESS TO THE RESOURCES ITS NEEDS TO THRIVE IN THE QUAD CITIES. WE ARE ALSO UTILIZING A COMMITTEE TO EVALUATE AND SCORE ALL SPONSORSHIP OPPORTUNITIES AND THE IMPACT ON AWARENESS AND EDUCATION IN OUR KEY FOCUS AREAS, WITH A KEEN FOCUS ON HEART, DIABETES, MENTAL HEALTH. WE ARE RELYING ON OUR ESTABLISHED PARTNERSHIPS WITHIN TO COMMUNITY TO COORDINATE WITH US IN PROMOTING HEALTH AND WELLNESS THROUGHOUT THE QUAD CITIES. WE ARE TARGETING AREAS AND POPULATIONS WE FEEL ARE IN THE NEED OF EDUCATION AND SERVICES THE MOST TO MAKE THE BIGGEST IMPACT POSSIBLE WITH OUR STAFFING AND EQUIPMENT. OUR GOAL IS TO CONTINUE TO LIVE OUT OUR MISSION DAILY BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. ON AN ANNUAL BASIS WE WILL PROVIDE AN UPDATED REPORT TO THE MISSION EFFECTIVENESS COMMITTEE, THIS IS A STANDING COMMITTEE OF TRINITY'S BOARD OF DIRECTORS. WE ARE WORKING TO SHOW RESULTS IMPACTING EACH OF OUR TARGETED AREAS. THIS COMMITTEE PROVIDES OVERSIGHT AND DIRECTION FOR THE WORK THAT WE ARE DOING IN THE COMMUNITY TO MEET OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. AN ANNUAL REPORT WILL ALSO GO TO THE TRINITY MEDICAL CENTER BOARD OF TRUSTEES AND TRINITY'S SENIOR LEADERSHIP TEAM.
GROUP A-FACILITY 2 -- TRINITY MEDICAL CENTER - MOLINE 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.
GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 5:	FOLLOWING STEERING COMMITTEE MEMBERS:BROOKE BARNES, SCOTT COUNTY HEALTH DEPARTMENTTOM BOWMAN, COMMUNITY HEALTH CAREDENISE BULAT, BI-STATE REGIONAL COMMISSIONANDY BURMAN, GENESIS HEALTH SYSTEMNICOLE CARKNER, QUAD CITY HEALTH INITIATIVE KEN CROKEN, GENESIS HEALTH SYSTEMRACHEL EVANS, QUAD CITY HEALTH SYSTEMDANIEL JOINER, UNITYPOINT HEALTH - TRINITY NITA LUDWIG, ROCK ISLAND COUNTY HEALTH DEPARTMENT ED RIVERS, SCOTT COUNTY HEALTH DEPARTMENT CHRISTY A. ROBY WILLIAMS, UNITYPOINT HEALTH - TRINITY PAT SHOUSE, UNITYPOINT HEALTH - TRINITY TIFFANY TJEPKES, SCOTT COUNTY HEALTH DEPARTMENT
GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 6A:	GENESIS HEALTH SYSTEM
GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 6B:	COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY PUBLIC HEALTH DEPARTMENT, AND SCOTT COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF PART V, SECTION B, LINE 11:	UNITYPOINT HEALTH - TRINITY IS IN THE MIDST OF ITS THREE YEAR PLAN THAT ADDRESSES THE TOP HEALTH ISSUES FOUND IN OUR CHNA REPORT COMPLETED IN 2015. WE HAVE CREATED A STRONG WORKING GROUPS CONSISTING OF MULTIPLE DEPARTMENTS AND COMMUNITY COLLABORATIONS THAT HAVE IDENTIFIED WAYS TO ADDRESS MAJOR HEALTH CHALLENGES IN OUR COMMUNITY. WE ARE WORKING IN COLLABORATION WITH A NUMBER OF COMMUNITY PARTNERS SUCH AS HABITAT FOR HUMANITY, RIVER BEND FOODBANK, AND GLOBAL COMMUNITIES, TO NAME A FEW. DURING COMMUNITY EVENTS WE ARE ADDRESSING THE NEEDS OF THE UNDERSERVED POPULATIONS BY DOING FREE BLOOD PRESSURE CHECKS, FREE BLOOD SUGAR SCREENINGS, ADDRESSING HEALTH INSURANCE NEEDS, PROVIDING EDUCATION ON HEALTHY EATING, TOBACCO CESSATIONS INFORMATION, AND PROVIDING ACCESS TO HEALTH BY LINKING COMMUNITY MEMBERS TO PRIMARY CARE AND SPECIALTY SERVICES. WHEN WE SCREEN AN INDIVIDUAL IN THE COMMUNITY AND THEIR RESULTS ARE ABNORMAL, IF THEY DON'T HAVE A PRIMARY CARE PHYSICIAN, AND/OR THEY DON'T HAVE HEALTH INSURANCE, WE ARE CONNECTING THEM TO THE PROPER RESOURCES IN ORDER TO GET THEM THE CARE THAT THEY NEED TO PREVENT THEIR SITUATION FROM LEADING TO AN ER VISIT OR ADMISSION. REGULAR MEETINGS ARE HELD WITH A NUMBER OF MENTAL HEALTH ORGANIZATIONS THAT HAVE COME TOGETHER TO LOOK AT HOW WE CAN ADDRESS MENTAL/BEHAVIORAL HEALTH ISSUES AS A COMMUNITY. THE QUAD CITIES MENTAL HEALTH COALITION HAS BEGUN WORK TO LOOK AT HOW WE CAN MAKE PROGRESS TOWARDS IMPROVING THE CHALLENGES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE HAVE REPRESENTATIVES FROM ALL OF THE MAJOR MENTAL HEALTH ORGANIZATIONS IN THE QUAD CITIES COMMUNITY TO LOOK AT TOPICS LIKE ACCESS TO SERVICES, EDUCATION, AND SUICIDE PREVENTION. A CHARTER HAS BEEN CREATED AND AN ACTION PLAN IS CURRENTLY BEING DEVELOPED. UNITYPOINT HEALTH - TRINITY IS ALSO SPONSORING COMMUNITY EVENTS TO PROMOTE MENTAL HEALTH AWARENESS AND HOW TO ACCESS MENTAL HEALTH SERVICES IN OUR COMMUNITY. UNITYPOINT HEALTH - TRINITY IS A PART OF THE QUAD CITY HEALTH INITIATIVE THAT CONSIST OF BOTH HEALTH SYSTEMS, BOTH ROCK ISLAND AND SCOTT COUNTY HEALTH DEPARTMENTS, COMMUNITY HEALTH CARE, BUSINESS LEADERS IN OUR COMMUNITY, REPRESENTATION FROM LOCAL SCHOOL DISTRICTS, AS WELL AS MEMBERS FROM OUR LOCAL GOVERNMENTS. THERE ARE MULTIPLE PROJECTS UNDERWAY TO PROMOTE HEALTHY LIVING AND EXERCISE. SOME OF THESE PROJECTS INCLUDE COMMUNITY GARDENS, SAFE ROUTES TO SCHOOLS FOR CHILDREN, PUBLICIZING AND MAPPING LOCAL HIKE AND BIKE TRAILS, AND ADVERTISING TO PROMOTE THE BENEFITS OF MAKING HEALTHIER FOOD CHOICES. A CREATIVE MARKETING PLAN HAS BEEN DEVELOPED, AND HAS BEEN RECOGNIZES BY THE CDC FOR ITS CREATIVITY, TO REACH KIDS TO SHARE WITH THEM HOW TO EAT HEALTHIER AND EXERCISE MORE. A PARTNERSHIP HAS ALSO BEEN ESTABLISHED WITH GLOBAL COMMUNITIES. THROUGH THE EFFORTS OF GLOBAL COMMUNITIES, WE HAVE PARTNERED WITH OTHER ORGANIZATIONS HELP MEETING THE NEEDS OF MINORITY POPULATIONS WITHIN OUR COMMUNITY. SOME OF THESE PARTNERS INCLUDE HABITAT FOR HUMANITY, THE ESPERANZA CENTER, PALOMARES CRIMINAL JUSTICE CENTER, THE BOYS & GIRLS CLUB, AND A NUMBER OF OTHER SMALL BUSINESSES AND NON-PROFIT ORGANIZATIONS. WE ARE WORKING WITH THESE GROUPS TO ADDRESS WORKFORCES AND EDUCATION CHALLENGES, HEALTH, AND ECONOMIC DEVELOPMENT WITHIN THE COMMUNITY. THE THREE YEAR COMMITMENT TO THIS ORGANIZATION IS TO HELP THIS COMMUNITY GAIN ACCESS TO THE RESOURCES ITS NEEDS TO THRIVE IN THE QUAD CITIES. WE ARE ALSO UTILIZING A COMMITTEE TO EVALUATE AND SCORE ALL SPONSORSHIP OPPORTUNITIES AND THE IMPACT ON AWARENESS AND EDUCATION IN OUR KEY FOCUS AREAS, WITH A KEEN FOCUS ON HEART, DIABETES, MENTAL HEALTH. WE ARE RELYING ON OUR ESTABLISHED PARTNERSHIPS WITHIN TO COMMUNITY TO COORDINATE WITH US IN PROMOTING HEALTH AND WELLNESS THROUGHOUT THE QUAD CITIES. WE ARE TARGETING AREAS AND POPULATIONS WE FEEL ARE IN THE NEED OF EDUCATION AND SERVICES THE MOST TO MAKE THE BIGGEST IMPACT POSSIBLE WITH OUR STAFFING AND EQUIPMENT. OUR GOAL IS TO CONTINUE TO LIVE OUT OUR MISSION DAILY BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. ON AN ANNUAL BASIS WE WILL PROVIDE AN UPDATED REPORT TO THE MISSION EFFECTIVENESS COMMITTEE, THIS IS A STANDING COMMITTEE OF TRINITY'S BOARD OF DIRECTORS. WE ARE WORKING TO SHOW RESULTS IMPACTING EACH OF OUR TARGETED AREAS. THIS COMMITTEE PROVIDES OVERSIGHT AND DIRECTION FOR THE WORK THAT WE ARE DOING IN THE COMMUNITY TO MEET OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE. AN ANNUAL REPORT WILL ALSO GO TO THE TRINITY MEDICAL CENTER BOARD OF TRUSTEES AND TRINITY'S SENIOR LEADERSHIP TEAM.
GROUP A-FACILITY 3 -- TRINITY MEDICAL CENTER - BETTENDORF 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.
FACILITY REPORTING GROUP - A, PART V, SECTION B, LINE 16 A AND B	HTTP://WWW.UNITYPOINT.ORG/QUADCITIES/FINANCIAL-ASSISTANCE.ASPX

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - TRINITY CENTER FOR WOUND CARE
4480 UTICA RIDGE ROAD SUITE 110	BETTENDORF	IA	52722	OUTPATIENT ONLY
2 - TRINITY OUTPATIENT REHABILITATION SERVIC
4480 UTICA RIDGE ROAD SUITE 102	BETTENDORF	IA	52722	OUTPATIENT ONLY
3 - QUAD CITY AMBULATORY SURGERY CENTER
520 VALLEY VIEW DRIVE SUITE 300	MOLINE	IL	61265	AMBULATORY SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	TRINITY MEDICAL CENTER'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH IS POSTED ON ITS WEBSITE AT WWW.UNITYPOINT.ORG.IN ADDITION, THE HOSPITAL AND ITS REGIONAL AFFILIATES PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS POSTED ON ITS WEBSITE AT WWW.UNITYPOINT/QUADCITIES/DEFAULT.ASPX.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 80,899.
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. TRINITY MEDICAL CENTER CONTRIBUTES FINANCIALLY TO A WIDE VARIETY OF COMMUNITY ORGANIZATIONS THAT ADDRESS THE BROADER NEEDS OF THE COMMUNITY. THESE DONATIONS ALLOW OTHER NON-PROFIT ORGANIZATIONS TO FULFILL THEIR MISSIONS TO IMPROVE THE WELL BEING OF THE COMMUNITY AND CONTRIBUTE TO ITS OVERALL HEALTH STATUS IN WAYS THAT MAY DIFFER FROM THE DIRECT SERVICES OF THE HOSPITAL ORGANIZATION AND MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. TRINITY MEDICAL CENTER EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, TRINITY MEDICAL CENTER EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COLLABORATE TO ADDRESS COMPLEX HEALTH ISSUES. THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT 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 TRINITY MEDICAL CENTER. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2.
PART III, LINE 8:	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 METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. THE ORGANIZATION'S COST ACCOUNTING SYSTEM CALCULATES A MEDICARE SHORTFALL OF $13,868,978. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE AND REVENUE.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:	AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY.
PART VI, LINE 2:	TRINITY MEDICAL CENTER CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN THE QUAD CITY AREA OF IOWA AND ILLINOIS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. IT'S PRIMARY "COMMUNITY HEALTH ASSESSMENT" PARTNERS ARE THE SCOTT COUNTY PUBLIC HEALTH DEPARTMENT, THE ROCK ISLAND COUNTY HEALTH DEPARTMENT, THE COMMUNITY HEALTH CARE CENTER (AN FAQC), GENESIS MEDICAL CENTER AND THE QUAD CITY HEALTH INIITIATIVE. (THE QUAD CITY HEALTH INITIATIVE IS JOINTLY SPONSORED BY TRINITY MEDICAL CENTER AND GENESIS MEDICAL CENTER). THIS COLLABORATION CONTINUES AND EXISTS TO FACILITATE COORDINATION AND NON-DUPLICATION OF EFFORT AMONG THE PARTNERS AS WE ALL DEVELOP PROGRAMS AND SERVICES DESIGNED TO RESPOND TO THE NEEDS IDENTIFIED IN THE ASSESSMENT. AS NOTED EARLIER, TRINITY MEDICAL CENTER AND GENESIS HEALTH SYSTEM ARE THE SPONSORING PARTNERS OF THE QUAD CITY HEALTH INITIATIVE (QCHI). QCHI IS A COMMUNITY PARTNERSHIP WORKING TO CREATE A HEALTHY COMMUNITY. IT CONSISTS OF OVER 200 VOLUNTEERS FROM ALL WALKS OF LIFE, AS WELL AS A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY IN TERMS OF SOCIO-ECONOMIC VARIABLES AND COMMUNITY LEADERSHIP. THE BOARD MEETS QUARTERLY. QCHI IS ONE OF THE RESOURCES THAT TRINITY UTILIZES WHEN ADDRESSING THE COMMUNIITY'S HEALTH NEEDS. TRINITY'S MISSION EFFECTIVENESS COMMITTEE WHICH CONSISTS OF AREA CLERGY, PHYSICIANS, REPRESENTATIVES OF THE BUSINESS AND SOCIAL SERVICE COMMUNITIES AND TRINITY SENIOR LEADERSHIP IS ANOTHER INVALUABLE RESOURCE UTILIZED TO DEVELOP AND MONITOR TRINITY'S COMMUNITY BENEFITS PLAN. THE PLAN IDENTIFIES SPECIFIC HEALTH PRIORITIES, STRATEGIES AND PLANS OF ACTION TO ADDRESS THOSE NEEDS WHICH ARE CONSISTENT WITH ITS MISSION AND CAPACITY. TRINITY'S EFFORTS TO "IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE" ARE MONITORED IN PART BY THE OTHER PARTNER AGENCIES CITED EARLIER I.E. SCOTT COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CARE CENTER, ROCK ISLAND COUNTY PUBLIC HEALTH DEPARTMENT AND GENESIS MEDICAL CENTER AS WELL AS BY THE MISSION EFFECTIVENESS COMMITTEE. THE LATTER IS A STANDING COMMITTEE OF TRINITY REGIONAL HEALTH SYSTEM'S BOARD AND MEETS A MINIMUM OF FOUR TIMES A YEAR. ADDITIONALLY, THE QUAD CITY HEALTH INITIATIVE MONITORS AND REPORTS SPECIFIC INDICATORS TO AID IN THE DEVELOPMENT OF NEW PLANS OR REFINING EXISTING ONES. TRINITY MEDICAL CENTER ALSO PARTICIPATES AS PART OF THE UNITED WAY COMMUNITY IMPACT COMMITTEE. THIS GROUP ACTIVELY ADDRESSES NEED AND STRATEGIES ASSOCIATED WITH HEALTH. MORE SPECIFICALLY, THIS GROUP OFTEN FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE COMMUNITY HEALTH STATUS. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR TRINITY MEDICAL CENTER TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, TRINITY MEDICAL CENTER CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS OFTEN WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATION THEY IMPACT.
PART VI, LINE 3:	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:	UNITYPOINT HEALTH - TRINITY IS A 515-BED COMMUNITY HOSPITAL SERVING EASTERN IOWA AND WESTERN ILLINOIS. UNITYPOINT HEALTH - TRINITY IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF UNITYPOINT HEALTH - TRINITY'S MARKET RESIDENTS LIVE WITHIN THE ILLINOIS AND IOWA COUNTIES OF ROCK ISLAND AND SCOTT, RESPECTIVELY.UNITYPOINT HEALTH - TRINITY ADMITS APPROXIMATELY 19,000 INPATIENTS AND CARES FOR 90,500 EMERGENCY PATIENTS PER YEAR. MEDIAN HOUSEHOLD INCOMES RANGE FROM $48,226 TO $53,704 AND THE AVERAGE POVERTY RATE IS 10%. 62% OF UNITYPOINT HEALTH - TRINITY INPATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. ROCK ISLAND COUNTY IS 82% CAUCASION, 12% HISPANIC, AND 10% AFRICAN AMERICAN. SCOTT COUNTY IS 86% CAUCASION, 8% AFRICAN AMERICAN, AND 6% 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). 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	IL,IA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
IOWA HEALTH SYSTEM
1776 WEST LAKES PARKWAY	WEST DES MOINES	IA	50266	421435199	501(C)(3)	$19,882,569	PROGRAM SUPPORT
FRIENDS OF TRINITY (AUXILIARY)
2701 17TH ST	ROCK ISLAND	IL	61202	362739299	501(C)(3)	$59,165	PROGRAM SUPPORT
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH ST	ROCK ISLAND	IL	61202	363678909	501(C)(3)	$417,828	PROGRAM SUPPORT
TRINITY HEALTH FOUNDATION
2701 17TH ST	ROCK ISLAND	IL	61202	363321751	501(C)(3)	$803,678	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	TRINITY MEDICAL CENTER 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT CHESSER MD
BOARD MEMBER	$0	$277,892	$0	$12,627	$0	$5,494	$0	$14,170	$0	$14,747	$0	$324,930	$0	$0
RICHARD SEIDLER
BOARD MEMBER/PRESIDENT/CEO	$554,851	$0	$114,259	$0	$57,715	$0	$167,543	$0	$14,892	$0	$909,260	$0	$0	$0
TAMARA BYRAM MAHL
VP LEGAL & COMPLIANCE	$160,369	$0	$33,946	$0	$23,125	$0	$15,221	$0	$25,185	$0	$257,846	$0	$0	$0
PAUL MCLOONE MD
CMO/CQO	$342,257	$0	$69,739	$0	$18,931	$0	$20,295	$0	$20,517	$0	$471,739	$0	$0	$0
GREG PAGLIUZZA JR
VP FINANCE/CFO	$331,843	$0	$65,114	$0	$35,698	$0	$70,567	$0	$19,096	$0	$522,318	$0	$0	$0
JAY WILLSHER
EXEC VP/COO	$333,715	$0	$65,093	$0	$24,974	$0	$92,871	$0	$20,643	$0	$537,296	$0	$0	$0
SUSAN BESWICK
DIR EMERGENCY SERVICES	$142,473	$0	$7,725	$0	$608	$0	$10,501	$0	$14,250	$0	$175,557	$0	$0	$0
DAVID DEOPERE
PRESIDENT RYC (TO 9/15) & VICE PRESI	$404,913	$0	$45,815	$0	$54,173	$0	$26,998	$0	$12,652	$0	$544,551	$0	$0	$0
DENNIS DUKE FR 515
PRESIDENT RYC	$172,497	$0	$11,028	$0	$9,614	$0	$13,482	$0	$18,719	$0	$225,340	$0	$0	$0
CARA FULLER
VP HUMAN RESOURCES	$235,595	$0	$43,593	$0	$21,729	$0	$20,822	$0	$11,172	$0	$332,911	$0	$0	$0
TAMMY PAUWELS
EXEC DIR OUTPATIENT SVCS	$155,538	$0	$11,337	$0	$7,405	$0	$12,031	$0	$6,191	$0	$192,502	$0	$0	$0
KATHERINE PEARSON
CHIEF STRATEGY OFFICER	$295,660	$0	$71,107	$0	$32,741	$0	$55,950	$0	$12,503	$0	$467,961	$0	$0	$0
MARY PETERSEN
DIR BEHAV HLTH SVC	$143,938	$0	$12,333	$0	$6,869	$0	$8,022	$0	$2,652	$0	$173,814	$0	$0	$0
TRACY POELVOORDE
CHANCELLOR	$142,775	$0	$28,780	$0	$22,067	$0	$12,289	$0	$12,371	$0	$218,282	$0	$0	$0
ROCHELLE TINMAN
DIR NURSING EXCELLENCE	$145,550	$0	$13,318	$0	$590	$0	$10,919	$0	$6,433	$0	$176,810	$0	$0	$0
DOUG GAITHER MD
PHYSICIAN-ER/TRAUMA	$573,623	$0	$11,400	$0	$30,717	$0	$23,243	$0	$401	$0	$639,384	$0	$0	$0
KEVIN KURTH MD
MEDICAL DIRECTOR-ER/TRAUMA	$580,444	$0	$4,200	$0	$15,806	$0	$25,572	$0	$19,502	$0	$645,524	$0	$0	$0
TOYOSI OLUTADE MD
PHYSICIAN HOSPITALIST	$621,572	$1,260	$3,000	$0	$317	$0	$27,586	$63	$19,210	$0	$671,685	$1,323	$0	$0
AAMIR PASHA MD
PHYSICIAN HOSPITALIST	$510,613	$0	$0	$0	$834	$0	$20,295	$0	$24,728	$0	$556,470	$0	$0	$0
WILLIAM ROGERS III MD
PHYSICIAN-ER/TRAUMA	$537,959	$0	$11,400	$0	$30,499	$0	$20,295	$0	$21,276	$0	$621,429	$0	$0	$0
TOM TIBBITTS TO 610
FORMER INTERIM PRESIDENT/CEO	$0	$0	$0	$0	$0	$159,620	$0	$1,559	$0	$0	$0	$161,179	$0	$159,620
CINDA BATES TO 212
FORMER UTILIZATION MGMT SPECIALIST	$150,405	$0	$3,023	$0	$7,525	$0	$11,551	$0	$20,700	$0	$193,204	$0	$0	$0
KATHLEEN CUNNINGHAM TO 511
FORMER VP QUALITY	$0	$215,973	$0	$59,454	$0	$15,143	$0	$13,238	$0	$6,698	$0	$310,506	$0	$0
RICHARD MURPHY
FORMER CFO RYC	$72,148	$0	$8,538	$0	$20,620	$0	$6,196	$0	$8,254	$0	$115,756	$0	$0	$0
BOBETTE PATTERSON
FORMER DIR OPERATIONS/DIR CARDIOVASC	$119,005	$0	$8,800	$0	$20,892	$0	$10,428	$0	$19,866	$0	$178,991	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

TRAVEL FOR COMPANIONS: SPOUSES SOMETIMES ACCOMPANY BOARD MEMBERS AND/OR OFFICERS ON ORGANIZATIONAL ACTIVITIES, INCLUDING BOARD RELATED TRAVEL. THE ADDITIONAL COST ATTRIBUTABLE TO THE SPOUSE IS TREATED AS TAXABLE COMPENSATION TO THE BOARD MEMBER OR OFFICER AND REPORTED AS APPROPRIATE TO THE IRS.

PART I, LINE 4B

SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: DAVID DEOPERE $6,703, GREG PAGLIUZZA JR. $49,005, KATHERINE PEARSON $35,655, RICHARD SEIDLER $146,008, TOM TIBBITTS $1,559, AND JAY WILLSHER $71,731. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENT FROM A NON-QUALIFIED RETIREMENT PLAN: TOM TIBBITTS $159,620.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ADVANCED IMAGING CENTER LC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$940,000	INVESTMENT	0
CARDIOVASCULAR MEDICINE PC
COMMON BOARD MEMBER/OFFICER	$1,873,455	PROFESSIONAL SERVICES	0
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
COMMON BOARD MEMBER/OFFICER	$1,490,842	PERFORMANCE OF SERVICE	0
KAREN SCOTT
FAMILY MEMBER OF KEY EMPLOYEE DAVID DEOPERE	$111,735	EMPLOYMENT	0
MEDICAL ARTS ASSOCIATES LTD PC
COMMON BOARD MEMBER/OFFICER	$943,216	RENT AND MEDICAL SERVICES	0
METRO MRI CENTER LIMITED PARTNERSHIP
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$1,103,000	INVESTMENT AND IMAGING SERVICES	0
MISSISSIPPI VALLEY SURGERY CENTER
COMMON BOARD MEMBER/OFFICER	$549,270	INVESTMENT	0
QUAD CITY AMBULATORY SURGERY CENTER LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$3,355,000	INVESTMENT	0
REGIONAL HEALTH PARTNERS LLC
COMMON BOARD MEMBER/OFFICER	$356,786	INVESTMENT	0
REVA BESWICK
FAMILY MEMBER OF KEY EMPLOYEE SUSAN BESWICK	$15,295	EMPLOYMENT	0
THOMAS MEEGAN
FAMILY MEMBER OF KEY EMPLOYEE TAMMY PAUWELS	$47,229	EMPLOYMENT	0
TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$345,918	INVESTMENT AND MANAGEMENT SERVICES	0
TRINITY ONCOLOGY SERVICES CO-MANAGEMENT COMPANY LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$813,057	INVESTMENT AND MANAGEMENT SERVICES	0
TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$65,453	INVESTMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	TRINITY REGIONAL HEALTH SYSTEM, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	TRINITY REGIONAL HEALTH SYSTEM'S MAY APPOINT ONE BOARD MEMBER AND APPROVES ALL OTHERS.
FORM 990, PART VI, SECTION A, LINE 7B	TRINITY REGIONAL HEALTH SYSTEM, AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES, BYLAWS AND MISSION, MAY REMOVE ANY TRUSTEE WITH OR WITHOUT CAUSE, APPOINTS CEO AND VICE PRESIDENT, APPROVES MERGERS, CREATION OF SUBSIDIARY OR AFFILIATE ORGANIZATIONS, AND APPROVES BUDGETS AND LONG-RANGE STRATEGY. TRINITY REGIONAL HEALTH SYSTEM AND IOWA HEALTH SYSTEM MUST APPROVE DISSOLUTION.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
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 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: DAVID DEOPERE, GREG PAGLIUZZA, JR., KATHERINE PEARSON, RICHARD SEIDLER, AND JAY WILLSHER. 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 XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST IN TRINITY HEALTH FOUNDATION 1,080,176. CHANGE IN BENEFICIAL INTEREST IN INVESTMENTS 290,766. CHANGES IN PENSION LIABILITY -8,721.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	IL	501(C)(3)	170(B)(1) (A)(III)	METHODIST HEALTH SERVICES CORPORATION	0
PROCTOR HEALTH SYSTEMS
5409 N KNOXVILLE AVE	PEORIA	IL	61614	364147437	PRIMARY HEALTH CARE SERVICES	IL	501(C)(3)	170(B)(1) (A)(III)	PROCTOR HEALTH CARE INCORPORATED	0
PROCTOR HOSPITAL
5409 N KNOXVILLE AVE	PEORIA	IL	61614	370681540	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	PROCTOR HEALTH CARE INCORPORATED	0
SELF INSURANCE TRUST AGREEMENT EST BY METHODIST MEDICAL CENTER OF ILLINOIS
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	376181831	FUND SELF-INSURANCE PLAN	IL	501(C)(3)	509(A)(3), TYPE I	METHODIST MEDICAL CENER OF ILLINOIS	0
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
1104 JOHN NOLEN DRIVE	MADISON	WI	53713	391534744	MEDICAL TECHNOLOGY	WI	501(C)(3)	509(A)(3), TYPE I		0
SIOUXLAND PACE INC
313 COOK STREET	SIOUX CITY	IA	51103	261120134	ALL-INCLUSIVE CARE FOR THE ELDERLY	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTH SYSTEM INC	0
ST LUKE'S HEALTH RESOURCES
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421059182	OUTPATIENT CLINICS AND HEALTHCARE SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTH SYSTEM INC	0
ST LUKE'S HEALTH SYSTEM INC
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	421294091	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM	0
ST LUKE'S HEALTHCARE
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	421487968	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
ST LUKE'S METHODIST HOSPITAL
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	420504780	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE	0
ST LUKE'SJONES REGIONAL MEDICAL CENTER
1795 HIGHWAY 64 EAST	ANAMOSA	IA	52205	421487967	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE	0
STL CARE COMPANY
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	421276632	IMPROVE PUBLIC HEALTH SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTHCARE	0
THE DUBUQUE VISITING NURSE ASSOCIATION
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	420680410	PUBLIC HEALTH SERVICES/HOME CARE	IA	501(C)(3)	509(A)(2)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE FINLEY HOSPITAL
350 NORTH GRANDVIEW AVENUE	DUBUQUE	IA	52001	420680354	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	FINLEY TRI-STATES HEALTH GROUP INC	0
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
2701 17TH STREET	ROCK ISLAND	IL	61201	363678909	MENTAL HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRIMARK PHYSICIANS GROUP
802 KENYON ROAD	FORT DODGE	IA	50501	453791448	SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
TRINITY BUILDING CORPORATION
802 KENYON ROAD	FORT DODGE	IA	50501	421376187	PROPERTY HOLDING COMPANY	IA	501(C)(2)		TRINITY HEALTH SYSTEMS INC	0
TRINITY HEALTH FOUNDATION
802 KENYON ROAD	FORT DODGE	IA	50501	421222381	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	TRINITY HEALTH SYSTEMS INC	0
TRINITY HEALTH FOUNDATION
2701 17TH STREET	ROCK ISLAND	IL	61201	363321751	CHARITABLE FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY HEALTH SYSTEMS INC
802 KENYON ROAD	FORT DODGE	IA	50501	421222877	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY MEDICAL CENTER
2701 17TH STREET	ROCK ISLAND	IL	61201	362739299	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
TRINITY REGIONAL HEALTH SYSTEM
2701 17TH STREET	ROCK ISLAND	IL	61201	363351952	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	0
TRINITY REGIONAL HOSPITAL AUXILIARY
802 KENYON ROAD	FORT DODGE	IA	50501	426081474	CHARITABLE FUNDRAISING AND VOLUNTEER SERVICES	IA	501(C)(3)	509(A)(2)	TRINITY REGIONAL MEDICAL CENTER	0
TRINITY REGIONAL MEDICAL CENTER
802 KENYON ROAD	FORT DODGE	IA	50501	421009175	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC	0
UNITY HEALTHCARE
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	420680337	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	0
UNITY HEALTHCARE FOUNDATION
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	421525031	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE I	TRINITY REGIONAL HEALTH SYSTEM	0
UNITYPOINT AT HOME
11333 AURORA AVENUE	URBANDALE	IA	50322	421477471	HOME HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	0
UNITYPOINT HEALTH AT WORK
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	810872241	EMPLOYER ONSITE MEDICAL SERVICES AND OCCUPATIONAL MEDICINE	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA HEALTH SYSTEM	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
ADVANCED IMAGING CENTER LLC
615 VALLEY VIEW DRIVE	MOLINE	IL	61265	364356301	DIAGNOSTIC RADIOLOGY CENTER	IA	TRINITY MEDICAL CENTER	RELATED	$179,055	$1,309,244	0	Yes (1)	0.50000
ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT CO LLC
1825 LOGAN AVE	WATERLOO	IA	50703	453237125	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IA								N/A
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	273625869	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA								N/A
CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
1200 PLEASANT STREET	DES MOINES	IA	50309	453017991	ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES	IA								N/A
CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	471608704	SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES	IA								N/A
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500	DUBUQUE	IA	52001	201597161	AMBULATORY SURGERY CENTER	IA								N/A
ENSEVA - HIAWATHA LLC
755 METZGER DRIVE	HIAWATHA	IA	52233	453437363	COLLOCATION FACILITY	IA								N/A
FINLEY DEPT OF SURGERY CO-MGMT CO LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	422808785	SURGERY DEPARTMENT MANAGEMENT SERVICES	IA								N/A
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	421428503	PROVIDE ACCESS TO LICENSED SOFTWARE	IA								N/A
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	030482623	OUTPATIENT DIAGNOSTIC IMAGING	IA								N/A
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421511142	GROUP PURCHASING	IA								N/A
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421516120	SURGERY CENTER	IA								N/A
MERITER UW PHYSICIANS CONTRACTING COMPANY LLC
202 SOUTH PARK STREET	MADISON	WI	53715	391998819	HEALTH SERVICES	WI								N/A
MISSISSIPPI VALLEY SLEEP DISORDER CENTER LC
3400 DEXTER COURT	DAVENPORT	IA	52807	421489697	MEDICAL LABORATORY SERVICES	IA	TRINITY MEDICAL CENTER	RELATED	$28,940	$582,014	0	Yes (1)	0.51000
MMCI ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
221 NE GLEN OAK AVE	PEORIA	IL	61636	461219459	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IL								N/A
MMCI SURGERY CO-MANAGEMENT COMPANY LLC
221 NE GLEN OAK AVE	PEORIA	IL	61636	471323385	SURGERY MANAGEMENT & ADMINISTRATIVE SERVICES	IL								N/A
MR ASSOCIATES LLP
1956 1ST AVENUE NE	CEDAR RAPIDS	IA	52402	421260463	OWN AND OPERATE MR UNIT	IA								N/A
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421508092	AMBULATORY SURGERY CENTER	IA								N/A
REGIONAL HEALTH PARTNERS LLC
1258 W SOUTH ST	KEWANEE	IL	61443	800899158	AMBULATORY HEALTH CLINICS	IL	TRINITY MEDICAL CENTER	RELATED	-$268,245	$356,786	0	Yes (1)	0.50000
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110	PEORIA	IL	61603	810584193	REHABILATION THERAPY	IL								N/A
SLRMC CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC
2720 STONE PARK BLVD	SIOUX CITY	IA	51104	455322324	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA								N/A
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SE	CEDAR RAPIDS	IA	52403	721550812	AMBULATORY SURGERY CENTER.	IA								N/A
TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
4500 UTICA RIDGE RD	BETTENDORF	IA	52722	272562753	ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICES	IA	TRINITY MEDICAL CENTER	RELATED	$79,252		0	Yes (1)
TRINITY ONCOLOGY SERVICES CO-MANAGEMENT COMPANY LLC
500 JOHN DEERE ROAD	MOLINE	IL	61265	900953327	ONCOLOGY MANAGEMENT SERVICES	IL	TRINITY MEDICAL CENTER	RELATED	$236,182	$60,475	0	Yes (1)	0.50000
UNITYPOINT AT WORK LC
1825 LOGAN AVE	WATERLOO	IA	50703	472181113	OCCUPATIONAL MEDICINE	IA								N/A
UPHT-SCA HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	473564984	AMBULATORY SURGERY CENTER INVESTMENT	DE	TRINITY MEDICAL CENTER	INVESTMENT	$1,070,255	$18,518,880	0	0	0.51000
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREET	WEST DES MOINES	IA	50266	271414600	ORTHOPEDIC SERVICE LINES MANAGEMENT	IA								N/A
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2	WEST DES MOINES	IA	50266	263193923	SLEEP DISORDER DIAGNOSTIC TESTING FACILITY	IA								N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
BELCREST SERVICES LTD
5409 N KNOXVILLE AVE	PEORIA	IL	61614	371196307	MEDICAL SERVICES	IL	N/A	C	0
BROADBAND INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	273819741	INFORMATION TECHNOLOGY MGMT.	IA	N/A	C	0
DELHI POINT CONDO ASSOCIATION
350 N GRANDVIEW	DUBUQUE	IA	52001	421467002	REAL ESTATE MANAGEMENT	IA	N/A	C	0
HCP CORPORATION
202 SOUTH PARK STREET	MADISON	WI	53715	391177562	REAL ESTATE RENTAL	WI	N/A	C	0
HEALTH PLUS INC
5409 N KNOXVILLE AVE	PEORIA	IL	61614	371295532	MANAGED CARE ADMINISTRATION	IL	N/A	C	0
HNC SERVICES
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	270987243	FIBER OPTIC NETWORK SERVICES	IA	N/A	C	0
MEDIMORE INC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421414390	MANAGED CARE	IA	N/A	C	0
MERITER HEALTH ENTERPRISES INC
202 SOUTH PARK STREET	MADISON	WI	53715	391293620	MANAGEMENT SERVICES	WI	N/A	C	0
MERITER MANAGEMENT SERVICES INC
202 SOUTH PARK STREET	MADISON	WI	53715	391458235	ADMINISTRATIVE SERVICES	WI	N/A	C	0
METHODIST HEALTH VENTURES INC
PO BOX 87	PEORIA	IL	61650	371140939	PHARMACY/OFFICE STAFFING	IL	N/A	C	0
METHODIST PHYSICIAN SERVICES INC
PO BOX 87	PEORIA	IL	61650	363858550	MEDICAL SERVICES	IL	N/A	C	0
PRECEDENCE INC
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	371288604	MANAGED MENTAL CARE	IA	N/A	C	0
PROVIDER RESOURCE MANAGEMENT INC
PO BOX 87	PEORIA	IL	61650	371223550	RESOURCE MANAGEMENT	IL	N/A	C	0
PHYSICIANS PLUS INSURANCE CORPORATION
2650 NOVATION PARKWAY SUITE 400	MADISON	WI	53713	391565691	FEDERALLY QUALIFIED HMO	WI	N/A	C	0
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVE	DES MOINES	IA	50316	261271143	SPECIALTY PHYSICIANS MEDICAL CARE	IA	N/A	C	0
STL HEALTH RESOURCES CO
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421193499	PHYSICIAN OFFICE RENTAL	IA	N/A	C	0
TRINITY HEALTH ENTERPRISES INC
2701 17TH ST	ROCK ISLAND	IL	61201	363320141	RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY	IL	N/A	C	0
TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	363924720	MANAGED HEALTH CARE	IA		C	0	TRINITY MEDICAL CENTER	$195,171	$668,993	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY PHYSICIAN HOSPITAL ORGANIZATION LTD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	O	TransactionTypeTxt
Involved	$71,423	InvolvedAmt
Method Of Amount Determination	BASED ON GAAP, CASH, AND/OR FMV.	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PARTS I - IV:	FormAndLineReferenceDesc
Explanation	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).	ExplanationTxt