CENTRAL IOWA HOSPITAL CORPORATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CENTRAL IOWA HOSPITAL CORPORATION (EIN 42-0680452)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-14
IRS object ID: 201443189349301864
Schema version: 2013v3.0
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-14T08:52:06-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420680452	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL IOWA HOSPITAL CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	5152416212	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 PLEASANT ST	AddressLine1
City	DES MOINES	City
State	IA	State
ZIP Code	503091453	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH F CORFITS	PersonNm
Person Title	SENIOR VP FINANCE/CFO	PersonTitleTxt
Phone	5152416396	PhoneNum
Signature	2014-10-30	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UNITYPOINT HEALTH-DES MOINES	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	ERIC T CROWELL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 PLEASANT ST	AddressLine1
City	DES MOINES	City
State	IA	State
ZIP Code	503091453	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,024,362,758	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNITYPOINT.ORG/DES-MOINES	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE HEALTH OF THE COMMUNITY THROUGH HEALING, CARING AND TEACHING.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	6073	TotalEmployeeCnt
Total Volunteers	7082	TotalVolunteersCnt
Total Gross UBI	$13,920,188	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,216,301	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,404,440	PYContributionsGrantsAmt
CY Contributions Grants	$7,027,153	CYContributionsGrantsAmt
PY Program Service Revenue	$641,617,707	PYProgramServiceRevenueAmt
CY Program Service Revenue	$652,858,246	CYProgramServiceRevenueAmt
PY Investment Income	$62,506,054	PYInvestmentIncomeAmt
CY Investment Income	$37,722,431	CYInvestmentIncomeAmt
PY Other Revenue	$8,586,039	PYOtherRevenueAmt
CY Other Revenue	$6,217,998	CYOtherRevenueAmt
PY Total Revenue	$720,114,240	PYTotalRevenueAmt
CY Total Revenue	$703,825,828	CYTotalRevenueAmt
PY Grants And Similar Paid	$18,619,833	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$19,408,213	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$323,266,688	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$319,630,315	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$302,949,469	PYOtherExpensesAmt
CY Other Expenses	$311,818,890	CYOtherExpensesAmt
PY Total Expenses	$644,835,990	PYTotalExpensesAmt
CY Total Expenses	$650,857,418	CYTotalExpensesAmt
PY Revenues Less Expenses	$75,278,250	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$52,968,410	CYRevenuesLessExpensesAmt
Total Assets BOY	$845,832,765	TotalAssetsBOYAmt
Total Assets EOY	$919,259,212	TotalAssetsEOYAmt
Total Liabilities BOY	$276,320,904	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$268,790,158	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$569,511,861	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$650,469,054	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IMPROVING THE HEALTH OF THE COMMUNITY THROUGH HEALING, CARING AND TEACHING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$524,304,454	ExpenseAmt
Grant	$18,158,023	GrantAmt
Revenue	$653,791,946	RevenueAmt
Desc	HEALTH-CARE SERVICESCENTRAL IOWA HOSPITAL CORPORATION IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CENTRAL IOWA COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. CENTRAL IOWA HOSPITAL CORPORATION 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, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2013, CENTRAL IOWA HOSPITAL CORPORATION ADMITTED 36,260 PATIENTS RESULTING IN A TOTAL OF 174,009 PATIENT DAYS. OUTPATIENT VISITS TOTALED 326,434 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 22,983. THERE WERE ALSO 84,302 EMERGENCY ROOM VISITS AND 4,570 BABIES DELIVERED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$37,313,805	ExpenseAmt
Grant	$1,250,190	GrantAmt
Revenue	$0	RevenueAmt
Desc	CHARITY CARE, MEANS-TESTED PROGRAMS AND OTHER COMMUNITY BENEFITSCHARITY CARE AND MEANS-TESTED PROGRAMS: CENTRAL IOWA HOSPITAL CORPORATION PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE TO 4,983 PEOPLE AT A VALUE OF $10,079,921 IN 2013. OFTENTIMES, CENTRAL IOWA HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. CENTRAL IOWA HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. IOWA METHODIST MEDICAL CENTER, IOWA LUTHERAN HOSPITAL AND BLANK CHILDREN'S HOSPITALS' NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $14,899,991 FOR 2013. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $24,979,912.OTHER BENEFITS: CENTRAL IOWA HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. CENTRAL IOWA HOSPITAL CORPORATION COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. CENTRAL IOWA HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 16,005 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL NET OTHER BENEFITS REPORTED VALUE: $12,333,893.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$561,618,259	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	0	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	0	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	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	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	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	271	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6073	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	24	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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
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	JOSEPH F CORFITS SENIOR VPCFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	5152416470	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 PLEASANT ST	AddressLine1
City	DES MOINES	City
State	IA	State
ZIP Code	50309	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (46 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
BRAD ARCHER MD TO 32013
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$32,351	$4,263
ERIC BARP DPM FR 062013
BOARD MEMBER	1.00	1.00	Yes (X)	$39	$0	$0
DAVID BOARINI MD
BOARD MEMBER	1.00	1.00	Yes (X)	$39	$0	$0
BRAD BRODY
BOARD VICE CHAIR	1.00	1.00	Yes (X)	$499	$0	$0	Yes (X)
BISHOP MICHAEL BURK
BOARD SECRETARY	1.00	1.00	Yes (X)	$499	$0	$0	Yes (X)
MARY CHAPMAN
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$0	$0
ERIC CROWELL
BOARD MEMBER/CEO	40.00	1.00	Yes (X)	$675,781	$0	$529,904	Yes (X)
DIANA GORSCHE
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$0	$0
KENT HENNING
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$13,789	$0
STEVE HERWIG DO
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$13,855	$0
KAYLEEN HORNBROOK DO
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$136,775	$43,671
MICHAEL HURT MD
BOARD MEMBER	1.00	1.00	Yes (X)	$39	$0	$0
BURTON TOBY JOSEPH
BOARD CHAIR	1.00	1.00	Yes (X)	$499	$39	$0	Yes (X)
FRANK MARCOVIS
BOARD MEMBER	1.00	1.00	Yes (X)	$39	$0	$0
RICHARD MCCONNELL
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$16,148	$0
PAT MCGOLDRICK
BOARD MEMBER	1.00	1.00	Yes (X)	$699	$0	$0
JANETTE MILLER-STRAUB
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$0	$0
MARY O'KEEFE
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$0	$0
RICK PERTZBORN
BOARD MEMBER	1.00	1.00	Yes (X)	$39	$0	$0
R LUCIA RIDDLE
BOARD MEMBER	1.00	1.00	Yes (X)	$39	$0	$0
BRUCE SHERMAN
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$15,697	$0
LYLE SIMPSON
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$0	$0
BISHOP JULIUS TRIMBLE
BOARD MEMBER	1.00	1.00	Yes (X)	$499	$0	$0
RICHARD WILLIS
BOARD TREASURER	1.00	1.00	Yes (X)	$499	$0	$0	Yes (X)
MARTHA WILLITS
BOARD MEMBER	1.00	1.00	Yes (X)	$39	$0	$0
JOSEPH CORFITS
SENIOR VP FINANCE/CFO	40.00	1.00		$443,391	$0	$293,255	Yes (X)
CHRISTINE BLAIR
CHIEF ADMINISTRATIVE OFFIC	40.00	0.00		$179,133	$0	$45,428		Yes (X)
DOUGLAS DORNER
VP MEDICAL EDUCATION	40.00	0.00		$599,180	$0	$19,931		Yes (X)
CECELIA KIRVIN
EXEC DIR/CCO BCH	40.00	0.00		$151,470	$0	$30,224		Yes (X)
TODD KRANPITZ
EXEC DIR DIAGNOSTIC SVCS	40.00	0.00		$156,720	$0	$24,804		Yes (X)
ERIC LOTHE
VP OPERATIONS/CAO-ILH	40.00	0.00		$356,645	$0	$64,492		Yes (X)
JOYCE MCDANEL
VP HUMAN RESOURCES	40.00	0.00		$268,830	$0	$91,529		Yes (X)
DEBRA MOYER
CHIEF NURSING EXEC	40.00	0.00		$317,039	$0	$54,587		Yes (X)
THOMAS MULROONEY
VP SURGICAL & CARDIOVASCULAR	40.00	0.00		$176,980	$0	$31,578		Yes (X)
MARK PURTLE
VP MEDICAL AFFAIRS	40.00	0.00		$454,378	$0	$302,969		Yes (X)
SIDNEY RAMSEY
VP STRATEGIC BUSINESS DEV-	40.00	0.00		$802,035	$0	$37,170		Yes (X)
DAVID STARK
PRESIDENT/COO BCH & EVP IH	40.00	0.00		$412,343	$0	$74,090		Yes (X)
STEPHEN STEPHENSON
EXEC VP/COO-IHDM	40.00	0.00		$640,534	$0	$55,695		Yes (X)
ROBERT GOEBEL
PHYSICIAN-RADATION ONCOLOG	40.00	0.00		$895,958	$0	$31,879			Yes (X)
MICHAEL IRISH
PHYSICIAN-BLANK SURGERY	40.00	0.00		$617,740	$0	$30,802			Yes (X)
ROBERT ISAAK
PHYSICIAN-RADATION ONCOLOG	40.00	0.00		$837,157	$0	$42,288			Yes (X)
JOHN TRIANTAFYLLOS
PHYSICIAN-RADATION ONCOLOG	40.00	0.00		$843,716	$0	$36,317			Yes (X)
ONYEBUCHI UKABIALA
PHYSICIAN-BLANK SURGERY	40.00	0.00		$615,386	$0	$36,679			Yes (X)
AMY BETHEL
CLINICAL ED SPCLST FORMER KEY EMPL.	40.00	0.00		$149,493	$0	$36,442				Yes (X)
JEAN SHELTON
ADMIN-PHYS PRACTICE FORMER KEY EMPL.	0.00	40.00		$0	$254,292	$24,041				Yes (X)
LESLIE SMIAROWSKI
EXEC DR-FAC SVCS FORMER KE	40.00	0.00		$140,940	$0	$27,118				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,742,807	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$482,946	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,969,156	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	242	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
ARAMARK FACILITIES S
22506 NETWORK PLACE	CHICAGO	IL	60673	LAUNDRY, CLEANING AND FOOD SERVICES	$7,158,230
AJ ALLEN COMPANY
PO BOX 931	DES MOINES	IA	503040931	REPAIR AND MAINTENANCE	$1,017,897
FLYNN WRIGHT INC
501 SW 7TH STREET	DES MOINES	IA	50309	ADVERTISING AND PROMOTIONAL	$877,022
RALPH N SMITH INC
714 SE 15TH STREET	DES MOINES	IA	50317	CONSTRUCTION	$374,465
FINLEY LAW FIRM
699 WALNUT STREET 1900	DES MOINES	IA	50309	LEGAL SERVICES	$273,248

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,052,257	RelatedOrganizationsAmt
Government Grants	$340,391	GovernmentGrantsAmt
All Other Contributions	$634,505	AllOtherContributionsAmt
Total Contributions	$7,027,153	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	900099	$615,234,409	$614,548,044	$686,365
LABORATORY SERVICES	621500	$12,353,908		$12,353,908
SUBS & JOINT VENTURES	900099	$10,333,082	$10,333,082
MGMT & SUPPORT SVCS	561000	$8,958,913	$4,118,602	$367,367	$4,472,944
RENTAL INCOME	531390	$3,463,334	$3,463,334

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,514,600	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,056,595	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$265,741	UnrelatedBusinessRevenueAmt
Exclusion	$192,264	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$652,858,246	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,384,462	TotalRevenueColumnAmt
Exclusion	$18,384,462	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$339,870,727	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$320,355,616	SecuritiesAmt
Other	$177,142	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,515,111	SecuritiesAmt
Other	-$177,142	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,337,969	TotalRevenueColumnAmt
Exclusion	$19,337,969	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$7,670	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$4,172	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,498	TotalRevenueColumnAmt
Exclusion	$3,498	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA/FOOD SVCS	722210	$4,143,833	$114,258	$107,671	$3,921,904
CHILDCARE SERVICES	624410	$1,358,896			$1,358,896
MISCELLANEOUS REVENUE	900099	$490,487	$490,487

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221,284	TotalRevenueColumnAmt
Related Or Exempt Func Income	$82,148	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$139,136	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,214,500	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$703,825,828	TotalRevenueColumnAmt
Related Or Exempt Func Income	$635,206,550	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,920,188	UnrelatedBusinessRevenueAmt
Exclusion	$47,671,937	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$19,408,213	TotalAmt
Program Services	$19,408,213	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,298,075	TotalAmt
Management And General	$7,298,075	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$765,119	TotalAmt
Management And General	$765,119	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$252,546,451	TotalAmt
Program Services	$218,078,889	ProgramServicesAmt
Management And General	$34,467,562	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,451,106	TotalAmt
Program Services	$7,297,702	ProgramServicesAmt
Management And General	$1,153,404	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,894,853	TotalAmt
Program Services	$28,405,373	ProgramServicesAmt
Management And General	$4,489,480	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,674,711	TotalAmt
Program Services	$15,262,472	ProgramServicesAmt
Management And General	$2,412,239	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$13,718,766	TotalAmt
Program Services	$12,503,880	ProgramServicesAmt
Management And General	$1,214,886	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,016,157	TotalAmt
Program Services	$6,776	ProgramServicesAmt
Management And General	$1,009,381	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,000	TotalAmt
Management And General	$6,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,690,264	TotalAmt
Program Services	$37,893	ProgramServicesAmt
Management And General	$1,652,371	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$60,762,809	TotalAmt
Program Services	$44,018,835	ProgramServicesAmt
Management And General	$16,743,974	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,166,903	TotalAmt
Program Services	$3,565,903	ProgramServicesAmt
Management And General	$1,601,000	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,809,641	TotalAmt
Program Services	$17,275,896	ProgramServicesAmt
Management And General	$1,533,745	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$38,627,647	TotalAmt
Program Services	$38,558,788	ProgramServicesAmt
Management And General	$68,859	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,570,093	TotalAmt
Program Services	$11,922,083	ProgramServicesAmt
Management And General	$648,010	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,556,389	TotalAmt
Program Services	$1,198,353	ProgramServicesAmt
Management And General	$358,036	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$499,267	TotalAmt
Program Services	$385,173	ProgramServicesAmt
Management And General	$114,094	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,258,835	TotalAmt
Program Services	$1,149,209	ProgramServicesAmt
Management And General	$7,109,626	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,793,206	TotalAmt
Program Services	$30,000,819	ProgramServicesAmt
Management And General	$792,387	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,931,040	TotalAmt
Program Services	$17,333	ProgramServicesAmt
Management And General	$3,913,707	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$112,214,279	$111,539,756	$674,523
MISCELLANEOUS EXPENSES	$2,121,036	$984,913	$1,136,123
INCOME TAXES	$76,558		$76,558

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$650,857,418	TotalAmt
Program Services	$561,618,259	ProgramServicesAmt
Management And General	$89,239,159	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,673,900	BOYAmt
EOY	$11,386,029	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,012,252	BOYAmt
EOY	$4,510,454	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$94,160,223	BOYAmt
EOY	$92,008,791	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$21,741	BOYAmt
EOY	$7,486	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$14,098,269	BOYAmt
EOY	$13,998,501	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,159,072	BOYAmt
EOY	$11,240,994	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,414,136	BOYAmt
EOY	$2,163,992	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$684,630,112	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$455,430,240	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$234,554,493	BOYAmt
EOY	$229,199,872	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$411,242,071	BOYAmt
EOY	$507,442,985	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$29,125,707	BOYAmt
EOY	$34,508,275	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$370,901	BOYAmt
EOY	$349,193	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$12,442,640	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$845,832,765	BOYAmt
EOY	$919,259,212	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$56,395,350	BOYAmt
EOY	$59,510,808	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,361,519	BOYAmt
EOY	$1,354,198	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,000,000	BOYAmt
EOY	$23,000,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,744,277	BOYAmt
EOY	$3,538,871	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$191,819,758	BOYAmt
EOY	$181,386,281	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$276,320,904	BOYAmt
EOY	$268,790,158	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$545,998,952	BOYAmt
EOY	$622,640,151	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,318,555	BOYAmt
EOY	$10,002,636	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,194,354	BOYAmt
EOY	$17,826,267	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$569,511,861	BOYAmt
EOY	$650,469,054	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$845,832,765	BOYAmt
EOY	$919,259,212	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$52,968,410	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$17,971,797	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$10,016,986	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$6,000	OtherActivitiesAmt
Total Lobbying Expenditures	$6,000	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	PAID TO CONSULTING FIRM FOR LOBBYING ACTIVITIES ON BEHALF OF HEALTH CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$409,386,470	BeginningYearBalanceAmt
Contributions	$40,087,047	ContributionsAmt
Investment Earnings Or Losses	$59,414,890	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,820,990	GrantsOrScholarshipsAmt
Administrative Expenses	$1,063,949	AdministrativeExpensesAmt
End Year Balance	$504,003,468	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$402,694,127	BeginningYearBalanceAmt
Contributions	$10,820,990	ContributionsAmt
Investment Earnings Or Losses	$44,751,469	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$48,054,272	GrantsOrScholarshipsAmt
Administrative Expenses	$825,844	AdministrativeExpensesAmt
End Year Balance	$409,386,470	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$393,764,418	BeginningYearBalanceAmt
Contributions	$14,837,391	ContributionsAmt
Investment Earnings Or Losses	-$4,633,215	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,274,466	AdministrativeExpensesAmt
End Year Balance	$402,694,128	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$345,461,149	BeginningYearBalanceAmt
Contributions	$7,133,406	ContributionsAmt
Investment Earnings Or Losses	$46,487,853	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,862,243	GrantsOrScholarshipsAmt
Administrative Expenses	$1,455,747	AdministrativeExpensesAmt
End Year Balance	$393,764,418	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$247,692,356	BeginningYearBalanceAmt
Contributions	$25,092,385	ContributionsAmt
Investment Earnings Or Losses	$77,357,269	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,399,333	GrantsOrScholarshipsAmt
Administrative Expenses	$1,281,528	AdministrativeExpensesAmt
End Year Balance	$345,461,149	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.94550	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.03540	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01910	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	$11,282,819	OtherCostOrOtherBasisAmt
Book Value	$11,282,819	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$237,887,827	OtherCostOrOtherBasisAmt
Depreciation	$158,677,945	DepreciationAmt
Book Value	$79,209,882	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,590,959	OtherCostOrOtherBasisAmt
Depreciation	$8,317,722	DepreciationAmt
Book Value	$3,273,237	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$408,745,871	OtherCostOrOtherBasisAmt
Depreciation	$281,252,716	DepreciationAmt
Book Value	$127,493,155	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,122,636	OtherCostOrOtherBasisAmt
Depreciation	$7,181,857	DepreciationAmt
Book Value	$7,940,779	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$229,199,872	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$27,846	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ASBESTOS REMOVAL LIABILITY	$2,527,791
DUE TO AFFILIATES	$17,618,893
SELF-INSURANCE RESERVE	$17,611,957
LONG-TERM RETENTION INCENTIVES	$13,007,083
IOWA HEALTH SYSTEM NOTE PAYABLE	$128,018,000
HEALTH AND WELFARE BENEFITS RESERVE	$2,454,711
MISCELLANEOUS LIABILITY	$120,000

Field	Value	IRS element (for citing)
Total Liability	$181,386,281	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$716,927,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$17,549,940	NetUnrealizedGainsInvstAmt
Other Revenue	$4,172	OtherRevenueAmt
Revenue Not Reported	$17,554,112	RevenueNotReportedAmt
Revenue Subtotal	$699,372,888	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,131,827	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,321,113	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,452,940	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$703,825,828	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$617,155,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$4,228	OtherExpensesIncludedAmt
Expenses Not Reported	$4,228	ExpensesNotReportedAmt
Expenses Subtotal	$617,150,772	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,131,827	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$32,574,819	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$33,706,646	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$650,857,418	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 2010. 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 DURING THE CARRYFORWARD PERIOD. NO INCOME TAX BENEFIT HAS BEEN RECOGNIZED FOR THE NET OPERATING LOSS CARRYFORWARDS OR OTHER POTENTIAL DEFERRED TAX ASSETS IN THE CONSOLIDATED FINANCIAL STATEMENTS BECAUSE THE SYSTEM BELIEVES REALIZATION OF THESE BENEFITS IS UNLIKELY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	SALES OF INVENTORY 4,172.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATES 1,687,174. REVENUES IN UNRESTRICTED FUND BALANCE 1,622,443. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 11,135. ROUNDING 361.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SALES OF INVENTORY 4,172. ROUNDING 56.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	IOWA HEALTH SYSTEM CONTRACTING SERVICES PURCHASE REBATES 1,687,174. EXPENSES IN UNRESTRICTED FUND BALANCE 30,870,645. EXPENSES IN TEMPORARILY RESTRICTED FUND BALANCE 17,000.

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	0	ExpensesExceedBudgetInd
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)
Persons Served	4983	PersonsServedCnt
Total Community Benefit Expns	$10,079,921	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,079,921	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	59620	PersonsServedCnt
Total Community Benefit Expns	$79,686,516	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,786,525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,899,991	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	64603	PersonsServedCnt
Total Community Benefit Expns	$89,766,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,786,525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,979,912	NetCommunityBenefitExpnsAmt
Total Expense	0.03840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	13613	PersonsServedCnt
Total Community Benefit Expns	$1,751,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$608,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,143,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	2392	PersonsServedCnt
Total Community Benefit Expns	$12,431,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,519,603	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,911,466	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$20,176,906	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,664,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,512,612	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$423,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$423,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,343,303	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,343,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	16005	PersonsServedCnt
Total Community Benefit Expns	$36,125,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,791,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,333,893	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	80608	PersonsServedCnt
Total Community Benefit Expns	$125,892,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,578,422	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,313,805	NetCommunityBenefitExpnsAmt
Total Expense	0.05740	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,964	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$211,964	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,964	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$211,964	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,870,685	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$158,037,460	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$148,642,628	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$9,394,832	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 (7 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT COMPANY
MANAGEMENT OF CARDIAC SERVICE LINE	0.20000	0.80000
2 CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
MANAGEMENT OF ONCOLOGY SERVICE LINE	0.20000	0.80000
3 IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
OUTPATIENT DIAGNOSTIC IMAGING	0.50000	0.50000
4 LAKEVIEW SURGERY CENTER LC
SURGERY CENTER	0.50000	0.50000
5 ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
AMBULATORY SURGERY CENTER	0.50000	0.50000
6 WEST HOSPITAL ORTHOPAEDIC CO-MANAGEMENT COMPANY
MANAGEMENT OF METHODIST WEST ORTHO SERVICE LINE	0.20000	0.80000
7 WEST LAKES SLEEP CENTER LLC
TREATMENT OF CHRONIC SLEEP DISORDERS	0.50000	0.50000

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Critical Access HospitalCriticalAccessHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
IOWA METHODIST MEDICAL CENTER
1	1200 PLEASANT STREET	DES MOINES	IA	50309	WWW.UNITYPOINT.ORG/DESMOINES	770079H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
IOWA LUTHERAN HOSPITAL
2	700 EAST UNIVERSITY AVENUE	DES MOINES	IA	50316	WWW.UNITYPOINT.ORG/DESMOINES	770078H	Yes (X)	Yes (X)					Yes (X)	A
METHODIST WEST HOSPITAL
3	1660 60TH STREET	WEST DES MOINES	IA	50266	WWW.UNITYPOINT.ORG/DESMOINES	250080H	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	BusinessNameLine1

Field	Value	IRS element (for citing)
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
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.UNITYPOINT.ORG/DESMOINES	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (1)	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: IOWA METHODIST MEDICAL CENTER, - FACILITY 2: IOWA LUTHERAN HOSPITAL, - FACILITY 3: METHODIST WEST HOSPITAL
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 3:	CENTRAL IOWA'S LARGEST NONPROFIT HOSPITALS - IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER - COVER MULTI-COUNTY SERVICE AREAS, INCLUDING POLK, DALLAS, AND WARREN COUNTIES. THESE HOSPITALS HAVE CHOSEN TO WORK TOGETHER TO COMPILE A REGIONAL HEALTH NEEDS ASSESSMENT FOR CENTRAL IOWA WHICH COVERS COMMUNITIES IN POLK, DALLAS AND WARREN COUNTIES. IOWA HEALTH DES MOINES, MERCY MEDICAL CENTER, AND BROADLAWNS MEDICAL CENTER REQUESTED THAT UNITED WAY OF CENTRAL IOWA LEAD AND STAFF THIS PROCESS.IN CENTRAL IOWA THERE ARE A NUMBER OF BUSINESSES, NONPROFITS, GOVERNMENT AGENCIES AND CITIZENS THAT ARE COMMITTED TO OUR COMMUNITY WELL-BEING. AS SUCH, THE STEERING COMMITTEE WORKED TO ENSURE THE DEVELOPMENT OF THIS DOCUMENT LINKED IN WITH A NUMBER OF COMMUNITY PLANNING PROCESSES UNDERWAY INCLUDING CAPITOL CROSSROADS AND HEALTHY POLK 2020. THE RECOGNITION THAT MUCH WORK HAD ALREADY BEEN DONE IN THESE AREAS WAS CRITICAL IN THE DEVELOPMENT OF THE INFORMATION CONTAINED IN THIS DOCUMENT. IT IS ALSO IMPORTANT THAT AS THE IMPLEMENTATION PHASE GETS UNDERWAY, THESE PROCESSES WORK TOGETHER TO NOT DUPLICATE EFFORTS. THE PROCESS THROUGH WHICH EACH OF THE COUNTY HEALTH IMPROVEMENT PLANS WERE DEVELOPED, ENGAGED A CROSS SECTION OF COMMUNITY MEMBERS. THROUGH INITIAL GATHERING OF COMMUNITY DATA, TO DATA ANALYSIS AND WORKGROUP, RESIDENTS HAVE HAD OPPORTUNITIES TO ENGAGE IN THE PROCESS AND BE ACTIVE MEMBERS TO DRIVE COMMUNITY CHANGE.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 4:	MERCY MEDICAL CENTER, BROADLAWNS MEDICAL CENTER
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 22:

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
1776 WESTLAKES PARKWAY LC
1776 WESTLAKES PARKWAY	WEST DES MOINES	IA	50266	OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BLDGS
CARDIO THORACIC
1200 PLEASANT ST	DES MOINES	IA	50309	PHYSICIAN CLINIC
CENTRAL IOWA CARDIOVASCULAR CO-MGMT
1200 PLEASANT ST	DES MOINES	IA	50309	MANAGEMENT OF CARDIAC SERVICE LINE
CENTRAL IOWA ONCOLOGY CO-MGMT
1200 PLEASANT ST	DES MOINES	IA	50309	MANAGEMENT OF ONCOLOGY SERVICE LINE
CHILDREN'S HEALTH CENTER
MOB I STE 300	DES MOINES	IA	50309	PHYSICIAN CLINIC
COUNSELING CENTER
6000 UNIVERSITY AVE SUITE 200	WEST DES MOINES	IA	50266	PHYSICIAN CLINIC
HY-VEEIOWA HEALTH LC
1200 PLEASANT ST	DES MOINES	IA	50309	PHYSICIAN CLINIC
IOWA DIAGNOSTIC IMAGING & PROCEDURE CTR
6000 UNIVERSITY AVE SUITE 150	WEST DES MOINES	IA	50266	OUTPATIENT DIAGNOSTIC IMAGING
IOWA KIDNEY STONE CENTER (INACTIVE)
818 5TH AVENUE	DES MOINES	IA	50309	REMOVAL OF KIDNEY STONES
JOHN STODDARD CANCER CENTER - RADIATION
1221 PLEASANT STREET	DES MOINES	IA	50309	PHYSICIAN CLINIC
LAKEVIEW SURGERY CENTER LC
1750 60TH ST	WEST DES MOINES	IA	50266	SURGERY CENTER
MIDWIVES
1440 PLEASANT ST STE1	DES MOINES	IA	50309	PHYSICIAN CLINIC
OCC MED
6000 UNIVERSITY AVE SUITE 124	WEST DES MOINES	IA	50266	OCCUPATIONAL MEDICINE
ORTHOPAEDIC OUTPATIENT SURGERY CENTER
1600 60TH ST	WEST DES MOINES	IA	50266	AMBULATORY SURGERY CENTER
PERINATAL
MOB II STE 116	DES MOINES	IA	50309	PHYSICIAN CLINIC
TRANSPLANT CTR & CENTER FOR LIVER DISEAS
1215 PLEASANT STREET SUITE 506	DES MOINES	IA	50309	PHYSICIAN CLINIC
WEST HOSPITAL ORTHOPAEDIC CO-MANAGEMENT
1660 60TH ST	WEST DES MOINES	IA	50266	MANAGEMENT OF METHODIST WEST ORTHO SERVICE LINE
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVE	WEST DES MOINES	IA	50266	TREATMENT OF CHRONIC SLEEP DISORDERS

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	CENTRAL IOWA HOSPITAL CORPORATION'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES.
PART I, LINE 7:	A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES 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. OTHER DONATIONS SUCH AS FOOD OR OTHER DURABLE GOODS PROVIDE AREA SHELTERS AND OTHER ORGANIZATIONS IN THE AREA. THIS ALLOWS THESE ORGANIZATIONS TO MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH-DES MOINES EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COMMUNITY COLLABORATIVE COLLECTIVELY WORKING TO ADDRESS COMPLEX HEALTH. 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' 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 CENTRAL IOWA HOSPITAL CORPORATION. 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 SURPLUS 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 $32,047,119. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE OF $8,870,693 AND REVENUE OF $4,249,848. AFTER TAKING THESE ITEMS INTO ACCOUNT WE CALCULATE AN ACTUAL MEDICARE SHORTFALL OF $36,667,964.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:	IOWA HEALTH DES MOINES PARTICIPATES IN A TRI-COUNTY PROCESS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT (CHNA). THIS INCLUDED POLK, WARREN AND DALLAS COUNTIES. THESE COUNTIES ARE IDENTIFIED AS THE HOSPITAL'S "SERVICE AREA." THE CHNA IS CONDUCTED IN PARTNERSHIP WITH MERCY AND BROADLAWNS MEDICAL CENTERS AS WELL AS THE HEALTH DEPARTMENTS OF EACH COUNTY. NUMEROUS OTHER COMMUNITY PARTNERS AND STAKEHOLDERS SUCH AS THE UNITED WAY ARE INCLUDED IN THIS PROCESS AS WELL AS COMMUNITY MEMBERS.THE IMPACT ON THE NEEDS WILL BE MEASURED AND ASSESSED WITH THE ESTABLISHED PARTNERSHIP. CONTINUAL COLLABORATION WITH THE LOCAL HEALTH DEPARTMENTS WILL ASSURE THAT EFFORTS ARE COORDINATED ACROSS THE COMMUNITY. THIS WILL ALSO LAY GROUNDWORK FOR THE NEXT CHNA PROCESS SCHEDULED FOR 2015.
PART VI, LINE 3:	CENTRAL IOWA HOSPITAL CORPORATION PERFORMS THE FOLLOWING ACTIVITIES TO COMMUNICATE THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE TO ALL PATIENTS: 1) PLACES SIGNAGE, INFORMATION, AND/OR BROCHURES IN APPROPRIATE AREAS OF THE PROVIDER (E.G., THE EMERGENCY DEPARTMENT, AND REGISTRATION AND CHECK-OUT/CASHIER AREAS) STATING THE PROVIDER/PHYSICIAN PRACTICE OFFERS CHARITY CARE AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE, 2) PLACES A NOTE ON THE HEALTH-CARE BILL AND STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE, 3) DESIGNATES INDIVIDUALS WHO CAN EXPLAIN THE PROVIDER'S CHARITY CARE POLICY, AND 4) INSTRUCTS STAFF WHO INTERACT WITH PATIENTS TO DIRECT QUESTIONS REGARDING THE CHARITY CARE POLICY TO THE PROPER PROVIDER REPRESENTATIVE.
PART VI, LINE 4:	CENTRAL IOWA HOSPITAL CORPORATION D/B/A IOWA HEALTH DES MOINES IS A 779-BED COMMUNITY HOSPITAL SYSTEM SERVING CENTAL IOWA. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF DALLAS, GUTHRIE, JASPER, MADISON, MARION, POLK, STORY, AND WARREN. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES ADMITS 36,260 INPATIENTS AND CARES FOR 84,302 EMERGENCY PATIENTS PER YEAR. THERE ARE 34 OTHER HOSPITALS WITHIN THE 30-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $48,746 TO $71,878 AND THE AVERAGE POVERTY RATE IS 10.71%. FIFTY THREE PERCENT OF CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES PATIENTS ARE ELIGIBLE FOR MEDICARE (41%) OR MEDICAID (12%). DALLAS, POLK AND STORY COUNTIES ARE THE ONLY COUNTIES IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATIONS. DALLAS COUNTY IS 6 PERCENT HISPANIC, POLK COUNTY IS 6 PERCENT AFRICAN AMERICAN AND 8 PERCENT HISPANIC, AND STORY COUNTY IS 6 PERCENT ASIAN.
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 31 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 280 PHYSICIAN CLINICS, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA AND ILLINOIS.UNITYPOINT HEALTH ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH MORE THAN 25,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 4 MILLION PATIENT VISITS, UNITYPOINT HEALTH HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $2.8 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 2013, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $373 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES.
PART VI, LINE 7, REPORTS FILED WITH STATES	IA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (37 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BRAVO GREATER DES MOINES
1915 GRAND AVE	DES MOINES	IA	50309	203598346	501(C)(3)	$25,000	EVENT SPONSOR
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421189791	501(C)(3)	$203,150	PROGRAM SUPPORT
CITY OF DES MOINES
400 ROBERT D RAY DRIVE	DES MOINES	IA	50309	426004514	GOVERNMENT	$195,723	OTHER
COURAGE LEAGUE SPORTS
PO BOX 790	WAUKEE	IA	50263	461443733	501(C)(3)	$15,000	EVENT SPONSOR
DALLAS CO CONSERVATION FOUNDATION WAUKEE PUBLIC ART INITIATIVE
14581 K AVE	PERRY	IA	50220	421360989	501(C)(3)	$7,500	PROGRAM SUPPORT
DES MOINES AREA COMMUNITY COLLEGE FOUNDATION
2006 S ANKNEY BLVD	ANKENY	IA	500233993	237229486	501(C)(3)	$5,000	EVENT SPONSOR
DES MOINES BUCCANEERS
7201 HICKMANN ROAD	DES MOINES	IA	50322	320089268		$7,000	EVENT SPONSOR
DES MOINES COMMUNITY PLAYHOUSE
831 42ND ST	DES MOINES	IA	50312	420710259	501(C)(3)	$20,000	CAPITAL BUILDING CAMPAIGN
DES MOINES PERFORMING ARTS
221 WALNUT ST	DES MOINES	IA	503092104	510138181	501(C)(3)	$8,333	CAPITAL BUILDING CAMPAIGN
DES MOINES SYMPHONY
221 WALNUT STREET	DES MOINES	IA	50309	426058830	501(C)(3)	$42,500	EVENT SPONSOR
DES MOINES UNIVERSITY
3200 GRAND AVE	DES MOINES	IA	50312	420730347	501(C)(3)	$5,000	CAPITAL BUILDING CAMPAIGN
DOWNTOWN PARTNERSHIP IN DBA DOWNTOWN COMMUNITY ALLIANCE
700 LOCUST STREET SUITE 100	DES MOINES	IA	50309	421174898	501(C)(6)	$50,000	EVENT SPONSOR
GLOBAL SPECTRUM (WELLS FARGO ARENA)
730 3RD ST	DES MOINES	IA	50309	593599248		$22,700	EVENT SPONSOR
GRANDVIEW UNIVERSITY
1200 GRANDVIEW AVE	DES MOINES	IA	50316	420681049	501(C)(3)	$40,000	PROGRAM SUPPORT
GREATER DES MOINES BASEBALL CO
PRINCIPAL PARK ONE LINE DRIVE	DES MOINES	IA	50309	421173488		$41,890	EVENT SPONSOR
GREATER DES MOINES COMMUNITY FOUNDATION
1915 GRAND AVE	DES MOINES	IA	50309	426139033	501(C)(3)	$15,750	OTHER
GREATER DSM CONVENTION & VISITORS BUREAU
400 LOCUST ST STE 265	DES MOINES	IA	503092350	421221738	501(C)(6)	$15,000	OTHER
IOWA CHAPTER OF CHILDREN'S ADVOCACY CENTERS
505 FIFTH AVE SUITE 1001	DES MOINES	IA	50309	270473272	501(C)(3)	$9,250	EVENT SPONSOR
IOWA CLINIC HEALTHCARE FOUNDATION
1215 PLEASANT ST SUITE 618	DES MOINES	IA	50309	810599749	501(C)(3)	$15,000	EVENT SPONSOR
IOWA EMERGENCY MEDICAL SERVICES ASSOCIATION
5550 WILD ROSE LANE STE 400	WEST DES MOINES	IA	50266	421317441	501(C)(3)	$5,300	EVENT SPONSOR
IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421435199	501(C)(3)	$18,096,469	PROGRAM SUPPORT
IOWA HOMELESS YOUTH CENTERS
701 GRAND AVE	DES MOINES	IA	50309	421051609	501(C)(3)	$15,000	CAPITAL BUILDING CAMPAIGN
IOWA HOSPITAL ASSOCIATION
100 EAST GRAND AVE 100 PO BOX 763	DES MOINES	IA	50309	420706508	501(C)(6)	$10,000	EVENT SPONSOR
IOWA PUBLIC TELEVISION FOUNDATION
6535 CORPORATE DR PO BOX 6400	JOHNSTON	IA	501316400	421169207	501(C)(3)	$10,000	PROGRAM SUPPORT
JUVENILE DIABETES RESEARCH FOUNDATION
5444 NW 96TH ST SUITE A	JOHNSTON	IA	50131	421907729	501(C)(3)	$20,100	EVENT SPONSOR
MAINSTREAM LIVING INC
2012 EAST 13TH ST	AMES	IA	50000	421042459	501(C)(3)	$20,000	PROGRAM SUPPORT
MARCH OF DIMES
111 9TH STE 270	DES MOINES	IA	50314	131846366	501(C)(3)	$5,000	EVENT SPONSOR
OPERATION DOWNTOWN
700 LOCUST STREET SUITE 100	DES MOINES	IA	50309	861058466	501(C)(6)	$25,000	PROGRAM SUPPORT
PRINCIPAL CHARITY CLASSIC
2771 104TH ST STE 1	URBANDALE	IA	50322	426139033	501(C)(3)	$85,000	EVENT SPONSOR
STAGEWEST THEATER COMPANY
PO BOX 12127	DES MOINES	IA	50312	311636048	501(C)(3)	$8,500	EVENT SPONSOR
STRANDS OF STRENGTH
520 S 18TH ST	WEST DES MOINES	IA	50265	454145232	501(C)(3)	$25,000	PROGRAM SUPPORT
THE ALS ASSOCIATION IOWA CHAPTER
6165 NW 86TH STREET	JOHNSTON	IA	501312270	300051272	501(C)(3)	$25,000	EVENT SPONSOR
THE GREATER DES MOINES PARTNERSHIP
700 LOCUST STREET SUITE 100	DES MOINES	IA	50309	421489668	501(C)(6)	$200,000	CAPITAL BUILDING CAMPAIGN
UNITED WAY OF CENTRAL IOWA
111 9TH STE 100	DES MOINES	IA	50314	420680425	501(C)(3)	$20,000	OTHER
UNIVERSITY OF IOWA COLLEGE OF NURSING
50 NEWTON RD	IOWA CITY	IA	522421121	426004813	GOVERNMENT	$10,000	PROGRAM SUPPORT
UP WITH PEOPLE
6380 BROADWAY UNIT A	DENVER	CO	80221	952563102	501(C)(3)	$5,000	EVENT SPONSOR
YMCA OF GREATER DES MOINES
101 LOCUST ST	DES MOINES	IA	50309	420680438	501(C)(3)	$10,100	EVENT SPONSOR

Field	Value	IRS element (for citing)
Total501c3 Org	29	Total501c3OrgCnt
Total Other Org	8	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	CENTRAL IOWA HOSPITAL CORPORATION REQUIRES EACH RECIPIENT OF THE GRANTS (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINE A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. 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
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
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 (23 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
ERIC CROWELL
BOARD MEMBER/CEO	$554,590	$0	$54,532	$0	$66,659	$0	$504,278	$0	$25,626	$0	$1,205,685	$0	$0	$0
KAYLEEN HORNBROOK DO
BOARD MEMBER	$0	$126,111	$0	$9,900	$0	$764	$0	$26,287	$0	$17,384	$0	$180,446	$0	$0
JOSEPH CORFITS
SENIOR VP FINANCE/CFO	$362,577	$0	$32,018	$0	$48,796	$0	$269,737	$0	$23,518	$0	$736,646	$0	$0	$0
CHRISTINE BLAIR
CHIEF ADMINISTRATIVE OFFIC	$139,112	$0	$15,061	$0	$24,960	$0	$20,283	$0	$25,145	$0	$224,561	$0	$0	$0
DOUGLAS DORNER
VP MEDICAL EDUCATION	$379,211	$0	$36,065	$0	$183,904	$0	$6,631	$0	$13,300	$0	$619,111	$0	$168,904	$0
CECELIA KIRVIN
EXEC DIR/CCO BCH	$143,844	$0	$6,520	$0	$1,106	$0	$18,248	$0	$11,976	$0	$181,694	$0	$0	$0
TODD KRANPITZ
EXEC DIR DIAGNOSTIC SVCS	$147,034	$0	$7,033	$0	$2,653	$0	$7,881	$0	$16,923	$0	$181,524	$0	$0	$0
ERIC LOTHE
VP OPERATIONS/CAO-ILH	$290,533	$0	$27,564	$0	$38,548	$0	$46,646	$0	$17,846	$0	$421,137	$0	$0	$0
JOYCE MCDANEL
VP HUMAN RESOURCES	$228,156	$0	$19,115	$0	$21,559	$0	$70,579	$0	$20,950	$0	$360,359	$0	$0	$0
DEBRA MOYER
CHIEF NURSING EXEC	$249,294	$0	$22,938	$0	$44,807	$0	$48,918	$0	$5,669	$0	$371,626	$0	$0	$0
THOMAS MULROONEY
VP SURGICAL & CARDIOVASCULAR	$139,064	$0	$21,049	$0	$16,867	$0	$8,379	$0	$23,199	$0	$208,558	$0	$0	$0
MARK PURTLE
VP MEDICAL AFFAIRS	$368,756	$0	$35,841	$0	$49,781	$0	$284,384	$0	$18,585	$0	$757,347	$0	$0	$0
SIDNEY RAMSEY
VP STRATEGIC BUSINESS DEV-	$257,179	$0	$22,460	$0	$522,396	$0	$31,875	$0	$5,295	$0	$839,205	$0	$475,914	$0
DAVID STARK
PRESIDENT/COO BCH & EVP IH	$328,652	$0	$30,680	$0	$53,011	$0	$52,881	$0	$21,209	$0	$486,433	$0	$0	$0
STEPHEN STEPHENSON
EXEC VP/COO-IHDM	$397,147	$0	$38,230	$0	$205,157	$0	$28,152	$0	$27,543	$0	$696,229	$0	$144,611	$0
ROBERT GOEBEL
PHYSICIAN-RADATION ONCOLOG	$543,677	$0	$346,718	$0	$5,563	$0	$12,750	$0	$19,129	$0	$927,837	$0	$0	$0
MICHAEL IRISH
PHYSICIAN-BLANK SURGERY	$614,985	$0	$0	$0	$2,755	$0	$12,750	$0	$18,052	$0	$648,542	$0	$0	$0
ROBERT ISAAK
PHYSICIAN-RADATION ONCOLOG	$487,935	$0	$348,784	$0	$438	$0	$12,750	$0	$29,538	$0	$879,445	$0	$0	$0
JOHN TRIANTAFYLLOS
PHYSICIAN-RADATION ONCOLOG	$491,391	$0	$351,668	$0	$657	$0	$12,750	$0	$23,567	$0	$880,033	$0	$0	$0
ONYEBUCHI UKABIALA
PHYSICIAN-BLANK SURGERY	$612,495	$0	$0	$0	$2,891	$0	$12,487	$0	$24,192	$0	$652,065	$0	$0	$0
AMY BETHEL
CLINICAL ED SPCLST FORMER KEY EMPL.	$141,483	$0	$6,868	$0	$1,142	$0	$18,318	$0	$18,124	$0	$185,935	$0	$0	$0
JEAN SHELTON
ADMIN-PHYS PRACTICE FORMER KEY EMPL.	$0	$97,449	$0	$44,706	$0	$112,137	$0	$14,282	$0	$9,759	$0	$278,333	$0	$0
LESLIE SMIAROWSKI
EXEC DR-FAC SVCS FORMER KE	$131,789	$0	$6,466	$0	$2,685	$0	$8,165	$0	$18,953	$0	$168,058	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: IF AN INDIVIDUAL IS PROVIDED SOMETHING FROM THE EMPLOYER OF VALUE, SUCH AS A PAID BENEFIT, GIFT CARD OR GIFT, WHICH IS CONSIDERED TAXABLE INCOME, THEN THE EMPLOYER WILL ADD AS "NONCASH COMP" (IMPUTED MISCELLANEOUS) TO PAYCHECK IN ORDER TO TAX APPROPRIATELY.
PART I, LINE 1B
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: BRADLEY ARCHER $250, JOSEPH CORFITS $215,358, ERIC CROWELL $469,270, ERIC LOTHE $33,896, JOYCE MCDANEL $46,851, DEBRA MOYER $36,168, MARK PURTLE $271,634, DAVID STARK $40,127. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A NON-QUALIFIED RETIREMENT PLAN: DOUGLAS DORNER $168,904, SIDNEY RAMSEY $475,914, STEPHEN STEPHENSON $144,611.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	DAVID STARK	PersonNm
Relationship With Org	KEY EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	RECRUITMENT INDUCEMENT	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$60,000	OriginalPrincipalAmt
Balance Due	$7,486	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$7,486	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (17 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
1776 WESTLAKES PARKWAY LC
COMMON BOARD MEMBER/OFFICER	$380,000	INVESTMENT	0
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$1,830,000	INVESTMENT, MANAGEMENT FEE AND FINANCIAL SERVICES	0
CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$1,275,000	INVESTMENT, MANAGEMENT FEE AND FINANCIAL SERVICES	0
DES MOINES AREA COMMUNITY COLLEGE
COMMON BOARD MEMBER/OFFICER	$593,035	TUITION	0
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$1,520,000	INVESTMENT AND IMAGING SERVICES	0
IOWA KIDNEY STONE CENTER
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$31,000	INVESTMENT	0
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
COMMON BOARD MEMBER/KEY EMPLOYEE	$873,675	PERFORMANCE OF SERVICES	0
IOWA RADIOLOGY PC
COMMON BOARD MEMBER/OFFICER	$196,157	PROFESSIONAL SERVICES	0
JENNIFER WILLIS
FAMILY MEMBER OF BOARD MEMBER RICHARD WILLIS	$24,868	EMPLOYMENT	0
LAKEVIEW SURGERY CENTER LC
COMMON BOARD MEMBER/OFFICER	$1,157,000	INVESTMENT, SUPPLIES, OTHER	0
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$1,498,000	INVESTMENT, MAINTENANCE, TRANSCRIPTION, PHARMACY, BIO-TECH	0
PRINCIPAL FINANCIAL GROUP
COMMON BOARD MEMBER/OFFICER	$134,711	SPONSORSHIP BENEFITS	0
THE IOWA CLINIC
COMMON BOARD MEMBER/OWNERSHIP INTEREST	$9,159,960	PROFESSIONAL SERVICES	0
TRACY EKHARDT MD
FAMILY MEMBER OF KEY EMPLOYEE STEPHEN STEPHENSON, MD	$342,838	EMPLOYMENT	0
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$1,360,000	INVESTMENT, MANAGEMENT FEE AND FINANCIAL SERVICES	0
WEST LAKES SLEEP CENTER LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	$191,000	INVESTMENT	0
WINIFRED HALL
FAMILY MEMBER OF FORMER KEY EMPLOYEE JEANETTE SHELTON	$43,420	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BISHOP MICHAEL BURK; ERIC CROWELL; KENT HENNING; MARTHA WILLITS; BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	CENTRAL IOWA HEALTH SYSTEM, A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	CENTRAL IOWA HEALTH SYSTEM ELECTS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	CENTRAL IOWA HEALTH SYSTEM ELECTS AND CAN REMOVE BOARD OF DIRECTORS, AND APPROVE DISSOLUTIONS OR MERGER. IOWA HEALTH SYSTEM, A TAX-EXEMPT IOWA NONPROFIT CORPORATION CAN AMEND THE ARTICLES AND BYLAWS AFTER CONSULTATION WITH CENTRAL IOWA HEALTH SYSTEM.
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 2013 FOR THE FOLLOWING INDIVIDUALS: JOSEPH CORFITS, ERIC CROWELL, DOUGLAS DORNER, ERIC LOTHE, JOYCE MCDANEL, DEBORA MOYER, MARK PURTLE, SIDNEY RAMSEY, DAVID STARK, STEPHEN STEPHENSON. 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, STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND WRITTEN EMPLOYMENT CONTRACT. 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 OF IOWA HEALTH FOUNDATION 4,315,296. CHANGES IN PENSION LIABILITY 5,695,128. MISCELLANEOUS OTHER ADJUSTMENTS 6,562.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (46 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
ALLEN COLLEGE
1825 LOGAN AVENUE	WATERLOO	IA	50703	421351526	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IA	501(C)(3)	170(B)(1) (A)(III)	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
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
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
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
METHODIST HEALTH SERVICES CORPORATION
221 NORTHEAST GLEN OAK AVENUE	PEORIA	IL	61636	371111135	HEALTHCARE	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	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	HEALTHCARE	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)	IOWA HEALTH SYSTEM	0
PROCTOR HEALTH CARE INCORPORATED
5409 N KNOXVILLE AVE	PEORIA	IL	61614	371133412	PROVISION OF MANAGEMENT SERVICES AND SUPPORT TO PROCTOR HOSPITAL	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	PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE TO THE GENERAL PUBLIC	IL	501(C)(3)	170(B)(1) (A)(III)	PROCTOR HEALTH CARE INCORPORATED	0
PROCTOR HOSPITAL
5409 N KNOXVILLE AVE	PEORIA	IL	61614	370681540	PROVIDE BROAD RANGE OF HEALTHCARE SERVICES & ACTIVITIES TO THE COMMUNITY	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
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
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		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$353,790	$71,603	0	Yes (1)	0.20000
CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY
1200 PLEASANT STREET	DES MOINES	IA	50309	453017991	ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES	IA		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$240,253	$115,034	0	Yes (1)	0.20000
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
HEALTH ENTERPRISES VENTURES LC
4250 GLASS ROAD NE	CEDAR RAPIDS	IA	52402	391894290	INVESTMENT VEHICLE OWNING CLINICAL JVS	IA	N/A		UNRELATED	-$62,413	$777,447	0	0	0.55670	$30,937
HY-VEEIOWA HEALTH LC
5820 WESTOWN PARKWAY	WEST DES MOINES	IA	50266	263293530	PRIMARY CARE CLINIC	IA		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	-$1,274		0	Yes (1)	0.50000
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1776 WEST LAKES PKWY 400	WEST DES MOINES	IA	50266	421511142	GROUP PURCHASING	IA	N/A
MEDICAL LABORATORIES OF EASTERN IOWA LC
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421359640	MEDICAL LABORATORY SERVICES	IA	N/A
MMCI ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
221 NE GLEN OAK AVE	PEORIA	IL	61636	461219459	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IL	N/A
MR ASSOCIATES LLP
1455 SHERMAN ROAD	HIAWATHA	IA	52233	421260463	OWN AND OPERATE MR UNIT	IA	N/A
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	N/A
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREET	WEST DES MOINES	IA	50266	271414600	ORTHOPEDIC SERVICE LINES MANAGEMENT	IA		CENTRAL IOWA HOSPITAL CORPORATION	RELATED	$275,871	$8,759	0	Yes (1)	0.20000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
ASSOCIATED CHIROPRACTIC PROVIDERS INC
5409 N KNOXVILLE AVE	PEORIA	IL	61614	371304745	CHIROPRACTIC SERVICES	IL	N/A	C	0
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
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
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
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVE	DES MOINES	IA	50316	261271143	SPECIALTY PHYSICIANS MEDICAL CARE	IA		C	Yes (1)	CENTRAL IOWA HOSPITAL CORPORATION	$720,455	$223,285	0.57000
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	N/A	C	0

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	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
D	$232,178	BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
I	$174,900	BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
K	$1,980,899	BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
Q	$201,040	BASED ON GAAP, CASH, AND/OR FMV.
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
S	$240,000	BASED ON GAAP, CASH, AND/OR FMV.

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 SIXTEEN HOSPITAL FACILITIES AND VARIOUS AMBULATORY SERVICE AND CLINIC LOCATIONS IN IOWA AND ILLINOIS. PRIMARY, SECONDARY AND TERTIARY CARE SERVICES ARE PROVIDED TO RESIDENTS OF IOWA, ILLINOIS 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